Sec. 1370.002. EXCEPTION  


Latest version.
  • This chapter does not apply to:

    (1) a plan that provides coverage:

    (A) only for benefits for a specified disease or for another limited benefit, other than a plan that provides benefits for cancer treatment or similar services;

    (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;

    (E) only for dental or vision care; or

    (F) only for indemnity for hospital confinement;

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

    (3) a workers' compensation insurance policy;

    (4) medical payment insurance coverage provided under an automobile insurance policy;

    (5) a credit insurance policy;

    (6) a limited benefit policy that does not provide coverage for physical examinations or wellness exams; or

    (7) 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 1370.001.

Added by Acts 2005, 79th Leg., Ch. 577 , Sec. 1, eff. September 1, 2005.