Section 1369.203 - Exception(a) This subchapter does not apply to:(1) a plan that provides coverage:(A) only for fixed indemnity benefits for a specified disease or diseases;(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) only for dental or vision care; or(F) 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) ;(3) a workers' compensation insurance policy;(4) medical payment insurance coverage provided under an automobile insurance policy;(5) a credit insurance policy;(6) a limited benefit policy that does not provide coverage for physical examinations or wellness exams;(7) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846; or(8) 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 1369.201.(b) This subchapter does not apply to a qualified health plan offered through a health benefit exchange.Tex. Ins. Code § 1369.203
Added by Acts 2011, 82nd Leg., R.S., Ch. 105, Sec. 1, eff. 9/1/2011.