Tex. Ins. Code Section 1363.002

This chapter does not apply to:


a plan that provides coverage:


only for a specified disease or other limited benefit;


only for accidental death or dismemberment;


for wages or payments in lieu of wages for a period during which an employee is absent from work because of sickness or injury;


as a supplement to a liability insurance policy;


only for indemnity for hospital confinement; or


only for dental or vision care;


a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss), as amended;


a credit-only insurance policy;


a workers’ compensation insurance policy;


medical payment insurance coverage provided under a motor vehicle insurance policy;


a limited benefit policy that does not provide coverage for physical examinations or wellness exams;


a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846 (Multiple Employer Welfare Arrangements); or


a long-term care policy, including a nursing home fixed indemnity policy, unless the commissioner determines that the policy provides benefit coverage so comprehensive that the policy is a health benefit plan as described by Section 1363.001 (Applicability of Chapter).
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2021, 87th Leg., R.S., Ch. 308 (S.B. 1028), Sec. 2, eff. September 1, 2021.

Source: Section 1363.002 — Exception, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1363.­htm#1363.­002 (accessed Nov. 25, 2023).

Nov. 25, 2023

§ 1363.002’s source at texas​.gov