Section 1369.151 - Applicability of Subchapter(a) This subchapter applies only to a health benefit plan 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 health maintenance organization operating under Chapter 843;(7) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846; or(8) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844.(b) Notwithstanding any other law, this subchapter applies to coverage under:(1) the basic coverage plan under Chapter 1551;(2) the basic plan under Chapter 1575;(3) the primary care coverage plan under Chapter 1579;(4) the basic coverage plan under Chapter 1601;(5) the child health plan program under Chapter 62, Health and Safety Code; and(6) the medical assistance program under Chapter 32, Human Resources Code.Tex. Ins. Code § 1369.151
Amended By Acts 2009, 81st Leg., R.S., Ch. 1117, Sec. 1, eff. 9/1/2009.Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. 4/1/2005.