Sec. 1376.002. EXCEPTIONS  


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  • This chapter does not apply to:

    (1) a plan that provides coverage:

    (A) only for a specified disease or other 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 standard health benefit plan issued under Chapter 1507;

    (3) a workers' compensation insurance policy;

    (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 1376.001.

Added by Acts 2009, 81st Leg., R.S., Ch. 1270 , Sec. 1, eff. September 1, 2009.