Sec. 1369.202. APPLICABILITY OF SUBCHAPTER  


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  • This subchapter applies only to a health benefit plan, including a small employer health benefit plan written under Chapter 1501 or coverage provided by a health group cooperative under Subchapter B of that chapter, 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 Lloyd's plan operating under Chapter 941;

    (7) a health maintenance organization operating under Chapter 843; or

    (8) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844.

Added by Acts 2011, 82nd Leg., R.S., Ch. 105 , Sec. 1, eff. September 1, 2011.