Section 1662.003 - Applicability of Chapter(a) This chapter 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 health maintenance organization operating under Chapter 843;(4) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844;(5) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846;(6) a stipulated premium company operating under Chapter 884;(7) a fraternal benefit society operating under Chapter 885;(8) a Lloyd's plan operating under Chapter 941; or(9) an exchange operating under Chapter 942.(b) Notwithstanding any other law, this chapter applies to:(1) a small employer health benefit plan subject to Chapter 1501, including coverage provided through a health group cooperative under Subchapter B of that chapter;(2) a standard health benefit plan issued under Chapter 1507;(3) a basic coverage plan under Chapter 1551;(4) a basic plan under Chapter 1575;(5) a primary care coverage plan under Chapter 1579;(6) a plan providing basic coverage under Chapter 1601;(7) a regional or local health care program operated under Section 75.104, Health and Safety Code; and(8) a self-funded health benefit plan sponsored by a professional employer organization under Chapter 91, Labor Code.(c) This chapter does not apply to a health reimbursement arrangement or other account-based health benefit plan or a workers' compensation insurance policy.Tex. Ins. Code § 1662.003
Added by Acts 2021, Texas Acts of the 87th Leg. - Regular Session, ch. 333,Sec. 3, eff. 9/1/2021.