Tex.
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).
Source:
Section 1366.102 — Applicability of Subchapter, https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1366.htm#1366.102 (accessed May 4, 2024).
