Tex. Ins. Code Section 1377.003

This chapter does not apply to:


a plan that provides coverage:


only for benefits for a specified disease or for another limited benefit, other than a plan that provides benefits for a disease or disorder listed in Section 1377.051 (Required Coverage for Certain Amino Acid-based Elemental Formulas)(a);


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 dental or vision care; or


only for indemnity for hospital confinement;


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


a workers’ compensation insurance policy;


medical payment insurance coverage provided under an automobile insurance policy;


a credit insurance policy;


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


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 1377.002 (Applicability of Chapter).
Added by Acts 2009, 81st Leg., R.S., Ch. 1129 (H.B. 2000), Sec. 1, eff. September 1, 2009.

Source: Section 1377.003 — Exception, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1377.­htm#1377.­003 (accessed Nov. 25, 2023).

Nov. 25, 2023

§ 1377.003’s source at texas​.gov