APPLICABILITY OF SUBCHAPTER.
Tex. INS Code § 1369.762.
in effect(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 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 subchapter 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) group health coverage made available by a school district in accordance with Section 22.004 , Education Code;
(4) a regional or local health care program operating under Section 75.104 , Health and Safety Code; and
(5) a self-funded health benefit plan sponsored by a professional employer organization under Chapter 91 , Labor Code.
Added by Acts 2023, 88th Leg., R.S., Ch. 417 (H.B. 1647 ), Sec. 1, eff. September 1, 2023.