Tex.
Ins. Code Section 1367.101
Applicability of Subchapter
(a)
This subchapter applies only to a health benefit plan that:(1)
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:(A)
an insurance company;(B)
a group hospital service corporation operating under Chapter 842 (Group Hospital Service Corporations);(C)
a fraternal benefit society operating under Chapter 885 (Fraternal Benefit Societies);(D)
a stipulated premium company operating under Chapter 884 (Stipulated Premium Insurance Companies);(E)
a health maintenance organization operating under Chapter 843 (Health Maintenance Organizations); or(F)
a multiple employer welfare arrangement subject to regulation under Chapter 846 (Multiple Employer Welfare Arrangements);(2)
is offered by an approved nonprofit health corporation that holds a certificate of authority under Chapter 844 (Certification of Certain Nonprofit Health Corporations); or(3)
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.(b)
This subchapter applies to a health benefit plan described by Subsection (a) that provides coverage to a resident of this state, regardless of whether the plan issuer is located in or outside this state.
Source:
Section 1367.101 — Applicability of Subchapter, https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1367.htm#1367.101 (accessed May 4, 2024).
