Section 1213.001 - Definition of Health Benefit Plan(a) In this chapter, "health benefit plan" means a plan that provides benefits for medical, surgical, or other treatment expenses incurred as a result of a health condition, a mental health condition, an accident, sickness, or substance abuse, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage or similar coverage document that is offered by: (1) an insurance company;(2) a group hospital service corporation operating under Chapter 842;(3) a fraternal benefit society operating under Chapter 885;(4) a stipulated premium insurance company operating under Chapter 884;(5) a Lloyd's plan operating under Chapter 941;(6) an exchange operating under Chapter 942;(7) a health maintenance organization operating under Chapter 843;(8) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846; or(9) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844.(b) The term includes: (1) a small employer health benefit plan written under Chapter 1501; and(2) a health benefit plan offered under Chapter 1551, 1575, 1579, or 1601.Tex. Ins. Code § 1213.001
Added by Acts 2005, 79th Leg., Ch. 728, Sec. 11.029(a), eff. 9/1/2005.