Section 1369.053 - [Effective 4/1/2025] 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) for wages or payments in lieu of 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 Section 1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss) , as amended;(3) a workers' compensation insurance policy;(4) medical payment insurance coverage provided under a motor vehicle insurance policy;(5) 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 Section 1369.052;(6) the child health plan program under Chapter 62, Health and Safety Code, or the health benefits plan for children under Chapter 63, Health and Safety Code; or(7) a Medicaid managed care program operated under Chapter 540 or 540A , Government Code, as applicable, or a Medicaid program operated under Chapter 32, Human Resources Code.Tex. Ins. Code § 1369.053
Amended by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 2.125, eff. 4/1/2025.Amended By Acts 2011, 82nd Leg., R.S., Ch. 501, Sec. 3, eff. 9/1/2011.Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. 4/1/2005.This section is set out more than once due to postponed, multiple, or conflicting amendments.