28 Tex. Admin. Code § 19.1802

Current through Reg. 49, No. 36; September 6, 2024

Section 19.1802 - Exception

This subchapter does not apply to:

(1) a health benefit plan that provides coverage:

(A) only for a specified disease or for another single benefit;

(B) only for accidental death or dismemberment;

(C) only for wages or payments to replace 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) for credit insurance;

(F) only for dental or vision care;

(G) only for hospital expenses; or

(H) only for indemnity for hospital confinement;

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

(3) medical payment insurance coverage provided under a motor vehicle insurance policy;

(4) 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 §1217.002 or §1369.252; or

(5) a workers' compensation insurance policy.

28 Tex. Admin. Code § 19.1802

Adopted by Texas Register, Volume 39, Number 50, December 12, 2014, TexReg 9702, eff. 9/1/2015

Amended by Texas Register, Volume 40, Number 16, April 17, 2015, TexReg 2195, eff. 9/1/2015