Tex.
Ins. Code Section 1369.203
Exception
(a)
This subchapter does not apply to:(1)
a plan that provides coverage:(A)
only for fixed indemnity benefits for a specified disease or diseases;(B)
only for accidental death or dismemberment;(C)
for wages or payments in lieu of wages for a period during which an employee is absent from work because of sickness or injury;(D)
as a supplement to a liability insurance policy;(E)
only for dental or vision care; or(F)
only for indemnity for hospital confinement;(2)
a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss);(3)
a workers’ compensation insurance policy;(4)
medical payment insurance coverage provided under an automobile insurance policy;(5)
a credit insurance policy;(6)
a limited benefit policy that does not provide coverage for physical examinations or wellness exams;(7)
a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846 (Multiple Employer Welfare Arrangements); or(8)
a long-term care insurance 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 1369.201 (Definitions).(b)
This subchapter does not apply to a qualified health plan offered through a health benefit exchange.
Source:
Section 1369.203 — Exception, https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1369.htm#1369.203 (accessed Jun. 5, 2024).
