Sec. 546.003. EXCEPTIONS


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  • This chapter does not apply to:

    (1) a plan that provides coverage:

    (A) only for a specified disease;

    (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; or

    (D) as a supplement to liability insurance;

    (2) a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss);

    (3) workers' compensation insurance coverage;

    (4) medical payment insurance coverage provided under a motor vehicle insurance policy; or

    (5) a long-term care 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 546.002.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1, 2005. Amended by: Acts 2005, 79th Leg., Ch. 670 , Sec. 2, eff. September 1, 2005.