Section 1352.001 - Applicability of Chapter(a) This chapter applies only to a health benefit plan, including, subject to this chapter, a small employer health benefit plan written under Chapter 1501, that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, 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 company operating under Chapter 884;(5) a reciprocal exchange operating under Chapter 942;(6) a Lloyd's plan operating under Chapter 941;(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) Notwithstanding any provision in Chapter 1551, 1575, 1579, or 1601 or any other law, this chapter applies to: (1) a basic coverage plan under Chapter 1551;(2) a basic plan under Chapter 1575;(3) a primary care coverage plan under Chapter 1579; and(4) basic coverage under Chapter 1601.(c) This chapter applies to group health coverage made available by a school district in accordance with Section 22.004, Education Code.Tex. Ins. Code § 1352.001
Amended by Acts 2013, 83rd Leg. - Regular Session, ch. 370,Sec. 1, eff. 9/1/2013.Amended By Acts 2007, 80th Leg., R.S., Ch. 877, Sec. 1, eff. 9/1/2007.Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. 4/1/2005. See Acts 2013, 83rd Leg. - Regular Session, ch. 370, Sec. 6.