Sec. 1362.002. EXCEPTION  


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  • This chapter does not apply to:

    (1) a health benefit plan that provides coverage:

    (A) only for a specified disease or for another limited benefit;

    (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;

    (D) as a supplement to a liability insurance policy; or

    (E) only for indemnity for hospital confinement;

    (2) a small employer health benefit plan written under Chapter 1501;

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

    (4) a workers' compensation insurance policy;

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

    (6) a long-term care insurance 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 1362.001.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.