Tex. Ins. Code Section 1362.001
Applicability of Chapter

This chapter applies only to a health benefit plan that:


provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including:


an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage that is offered by:
an insurance company;
a group hospital service corporation operating under Chapter 842 (Group Hospital Service Corporations);
a fraternal benefit society operating under Chapter 885 (Fraternal Benefit Societies);
a stipulated premium company operating under Chapter 884 (Stipulated Premium Insurance Companies); or
a health maintenance organization operating under Chapter 843 (Health Maintenance Organizations); and


to the extent permitted by the Employee Retirement Income Security Act of 1974 (29 U.S.C. Section 1001 et seq.), a health benefit plan that is offered by:
a multiple employer welfare arrangement as defined by Section 3 of that Act; or
another analogous benefit arrangement;


is offered by:


an approved nonprofit health corporation that holds a certificate of authority under Chapter 844 (Certification of Certain Nonprofit Health Corporations); or


an entity not authorized under this code or another insurance law of this state that contracts directly for health care services on a risk-sharing basis, including a capitation basis; or


provides health and accident coverage through a risk pool created under Chapter 172 (Texas Political Subdivisions Uniform Group Benefits Program), Local Government Code, notwithstanding Section 172.014 (Application of Certain Laws), Local Government Code, or any other law.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.

Source: Section 1362.001 — Applicability of Chapter, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1362.­htm#1362.­001 (accessed Dec. 2, 2023).

Dec. 2, 2023

§ 1362.001’s source at texas​.gov