Section 1363.001 - Applicability of Chapter This chapter applies only to a health benefit plan, including a small employer health benefit plan written under Chapter 1501 or coverage that is provided by a health group cooperative under Subchapter B of that chapter, that:
(1) provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including: (A) 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: (i) an insurance company;(ii) a group hospital service corporation operating under Chapter 842;(iii) a fraternal benefit society operating under Chapter 885;(iv) a Lloyd's plan operating under Chapter 941;(v) a stipulated premium company operating under Chapter 884;(vi) a health maintenance organization operating under Chapter 843; or(vii) a reciprocal or interinsurance exchange operating under Chapter 942; and(B) to the extent permitted by the Employee Retirement Income Security Act of 1974 (29 U.S.C. Section 1001 et seq.), a health benefit plan that is offered by:(i) a multiple employer welfare arrangement as defined by Section 3 of that Act; or(ii) another analogous benefit arrangement;(2) is offered by an approved nonprofit health corporation operating under Chapter 844; or(3) provides health and accident coverage through a risk pool created under Chapter 172, Local Government Code, notwithstanding Section 172.014, Local Government Code, or any other law.Tex. Ins. Code § 1363.001
Amended by Acts 2021, Texas Acts of the 87th Leg. - Regular Session, ch. 308,Sec. 1, eff. 9/1/2021.Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. 4/1/2005.