(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 fraternal benefit society operating under Chapter 885 ;
(4) a stipulated premium company operating under Chapter 884 ;
(5) an 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) This chapter applies to group health coverage made available by a school district in accordance with Section 22.004 , Education Code.
(c) Notwithstanding any provision in Chapter 1551 , 1575 , 1579 , or 1601 or any other law, this chapter applies to:
(1) a basic coverage plan under Chapter 1551 ;
(2) a basic plan under Chapter 1575 ;
(3) a primary care coverage plan under Chapter 1579 ; and
(4) basic coverage under Chapter 1601 .
(d) Notwithstanding Section 1501.251 or any other law, this chapter applies to coverage under a small or large employer health benefit plan subject to Chapter 1501 .
(e) Notwithstanding Section 1507.003 or 1507.053 or any other law, this chapter applies to a standard health benefit plan provided under Chapter 1507 .
Added by Acts 2017, 85th Leg., 1st C.S., Ch. 5 (H.B. 214 ), Sec. 2, eff. December 1, 2017.
