Tex. Ins. Code Section 1661.003
Exceptions


This chapter does not apply to:

(1)

a health benefit plan that provides coverage only:

(A)

for a specified disease or diseases or under a limited benefit policy;

(B)

for accidental death or dismemberment;

(C)

as a supplement to a liability insurance policy; or

(D)

for dental or vision care;

(2)

disability income insurance coverage;

(3)

credit insurance coverage;

(4)

a hospital confinement indemnity policy;

(5)

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

(6)

a workers’ compensation insurance policy;

(7)

medical payment insurance coverage provided under a motor vehicle insurance policy;

(8)

a long-term care insurance policy, including a nursing home fixed indemnity policy, unless the commissioner determines that the policy provides benefits so comprehensive that the policy is a health benefit plan and should not be subject to the exemption provided under this section;

(9)

the child health plan program under Chapter 62 (Child Health Plan for Certain Low-income Children), Health and Safety Code, or the health benefits plan for children under Chapter 63 (Health Benefits Plan for Certain Children), Health and Safety Code; or

(10)

a Medicaid managed care program operated under Chapter 533, Government Code, or a Medicaid program operated under Chapter 32 (Medical Assistance Program), Human Resources Code.
Added by Acts 2009, 81st Leg., R.S., Ch. 261 (H.B. 1342), Sec. 1, eff. May 30, 2009.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 2.138, eff. April 1, 2025.

(1)

a health benefit plan that provides coverage only:

(A)

for a specified disease or diseases or under a limited benefit policy;

(B)

for accidental death or dismemberment;

(C)

as a supplement to a liability insurance policy; or

(D)

for dental or vision care;

(2)

disability income insurance coverage;

(3)

credit insurance coverage;

(4)

a hospital confinement indemnity policy;

(5)

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

(6)

a workers’ compensation insurance policy;

(7)

medical payment insurance coverage provided under a motor vehicle insurance policy;

(8)

a long-term care insurance policy, including a nursing home fixed indemnity policy, unless the commissioner determines that the policy provides benefits so comprehensive that the policy is a health benefit plan and should not be subject to the exemption provided under this section;

(9)

the child health plan program under Chapter 62 (Child Health Plan for Certain Low-income Children), Health and Safety Code, or the health benefits plan for children under Chapter 63 (Health Benefits Plan for Certain Children), Health and Safety Code; or

(10)

a Medicaid managed care program operated under Chapter 540 (Medicaid Managed Care Program) or 540A (Medicaid Managed Transportation Services), Government Code, as applicable, or a Medicaid program operated under Chapter 32 (Medical Assistance Program), Human Resources Code.
Added by Acts 2009, 81st Leg., R.S., Ch. 261 (H.B. 1342), Sec. 1, eff. May 30, 2009.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 2.138, eff. April 1, 2025.

Source: Section 1661.003 — Exceptions, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1661.­htm#1661.­003 (accessed Jun. 5, 2024).

Accessed:
Jun. 5, 2024

§ 1661.003’s source at texas​.gov