Tex.
Ins. Code Section 544.101
Definitions
(1)
“Health benefit plan issuer” means an insurance company, association, organization, group hospital service corporation, or health maintenance organization that delivers or issues for delivery an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an evidence of coverage that provides health insurance or health care benefits. The term includes:(A)
a life, health, and accident insurance company operating under Chapter 841 (Life, Health, or Accident Insurance Companies) or 982 (Foreign and Alien Insurance Companies);(B)
a general casualty insurance company operating under Chapter 861 (General Casualty Companies);(C)
a fraternal benefit society operating under Chapter 885 (Fraternal Benefit Societies);(D)
a mutual life insurance company operating under Chapter 882 (Mutual Life Insurance Companies);(E)
a local mutual aid association operating under Chapter 886 (Local Mutual Aid Associations);(F)
a statewide mutual assessment company operating under Chapter 881 (Statewide Mutual Assessment Companies);(G)
a mutual assessment company or mutual assessment life, health, and accident association operating under Chapter 887 (Provisions Applicable to Certain Mutual Assessment Companies);(H)
a mutual insurance company operating under Chapter 883 (Mutual Insurance Companies Other than Mutual Life Insurance Companies) that writes coverage other than life insurance;(I)
a Lloyd’s plan operating under Chapter 941 (Lloyd’s Plan);(J)
a reciprocal exchange operating under Chapter 942 (Reciprocal and Interinsurance Exchanges); and(K)
a stipulated premium company operating under Chapter 884 (Stipulated Premium Insurance Companies).(2)
“Underwriting guideline” means a written, electronic, or oral rule, standard, marketing decision, or practice that is used by a health benefit plan issuer or an agent of a health benefit plan issuer to examine, bind, accept, reject, renew or refuse to renew, cancel, or limit coverages available to classes of consumers or charge a different rate for the same coverage.
Source:
Section 544.101 — Definitions, https://statutes.capitol.texas.gov/Docs/IN/htm/IN.544.htm#544.101 (accessed Apr. 29, 2024).
