Section 21.3902 - DefinitionsThe following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise.
(1) Accident and health insurance policy--Any policy or contract that provides insurance against loss resulting from:(A) accidental bodily injury;(2) Evidence of coverage--Any certificate, agreement, or contract, including a blended contract, that: (A) is issued to an enrollee; and(B) states the coverage to which the enrollee is entitled.(3) Health benefit Plan--An accident and health insurance policy or evidence of coverage.(4) Health carrier--A health insurer or health maintenance organization.(5) Health insurer--Includes: (A) a life, health, and accident insurance company;(B) a mutual insurance company, including:(i) a mutual life insurance company; and(ii) a mutual assessment life insurance company;(C) a local mutual aid association;(D) a mutual or natural premium life or casualty insurance company;(E) a general casualty company;(G) a reciprocal or interinsurance exchange;(H) a nonprofit hospital, medical, or dental service corporation, including a corporation operating under Texas Insurance Code Chapter 842; and(I) another insurer issuing an accident and health insurance policy and required by law to be authorized by the department.(6) Health maintenance organization--A person who arranges for or provides to enrollees on a prepaid basis a health care plan, a limited health care service plan, or a single health care service plan.(7) High deductible health benefit plan--Has the meaning assigned by Section 223, Internal Revenue Code of 1986.(8) Preventive care--Has the meaning assigned by Section 223(c)(2)(C), Internal Revenue Code of 1986.28 Tex. Admin. Code § 21.3902
The provisions of this §21.3902 adopted to be effective May 31, 2006, 31 TexReg 4439