Sec. 1207.001. APPLICABILITY OF CHAPTER  


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  • This chapter applies only to a group health benefit plan, including a small employer health benefit plan written under Chapter 1501, a plan provided under Chapter 1551, 1575, or 1601, or a successor to a plan provided under one of those chapters, or a medical savings account plan or other health reimbursement arrangement authorized by law, that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including a group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or a group evidence of coverage or similar group 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) a reciprocal 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.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005. Amended by: Acts 2005, 79th Leg., Ch. 728 , Sec. 11.025(a), eff. September 1, 2005.