Ins. Code Section 1366.102
Applicability of Subchapter
(a)This subchapter 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 or similar coverage document that is issued in this state by:
(1)an insurance company;
(2)a group hospital service corporation operating under Chapter 842 (Group Hospital Service Corporations);
(3)a health maintenance organization operating under Chapter 843 (Health Maintenance Organizations);
(4)an approved nonprofit health corporation that holds a certificate of authority under Chapter 844 (Certification of Certain Nonprofit Health Corporations);
(5)a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846 (Multiple Employer Welfare Arrangements);
(6)a stipulated premium company operating under Chapter 884 (Stipulated Premium Insurance Companies);
(7)a fraternal benefit society operating under Chapter 885 (Fraternal Benefit Societies);
(8)a Lloyd’s plan operating under Chapter 941 (Lloyd’s Plan); or
(9)an exchange operating under Chapter 942 (Reciprocal and Interinsurance Exchanges).
(b)Notwithstanding any other law, this subchapter applies to:
(1)a small employer health benefit plan subject to Chapter 1501 (Health Insurance Portability and Availability Act), including coverage provided through a health group cooperative under Subchapter B of that chapter; and
(2)a standard health benefit plan issued under Chapter 1507 (Consumer Choice of Benefits Plans).
Section 1366.102 — Applicability of Subchapter,
https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1366.htm#1366.102 (accessed Dec. 2, 2023).