Section 1355.252 - Applicability of Subchapter(a) This subchapter applies only to a health benefit plan that provides benefits or coverage for medical or surgical expenses incurred as a result of a health condition, accident, or sickness and for treatment expenses incurred as a result of a mental health condition or substance use disorder, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, an individual or group evidence of coverage, or a 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 health maintenance organization operating under Chapter 843;(6) a reciprocal exchange operating under Chapter 942;(7) a Lloyd's plan operating under Chapter 941;(8) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844; or(9) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846.(b) Notwithstanding Section 1501.251 or any other law, this subchapter applies to coverage under a small employer health benefit plan subject to Chapter 1501.(c) This subchapter applies to a standard health benefit plan issued under Chapter 1507.Tex. Ins. Code § 1355.252
Added by Acts 2017, Texas Acts of the 85th Leg. - Regular Session, ch. 769,Sec. 2, eff. 9/1/2017.