Sec. 1379.004. EXCEPTION  


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  • This chapter does not apply to:

    (1) a plan that provides coverage:

    (A) for wages or payments in lieu of wages for a period during which an employee is absent from work because of sickness or injury;

    (B) as a supplement to a liability insurance policy;

    (C) for credit insurance;

    (D) for a specified disease or diseases;

    (E) only for dental or vision care;

    (F) only for hospital expenses; or

    (G) 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 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 1379.002.

Added by Acts 2009, 81st Leg., R.S., Ch. 719 , Sec. 1, eff. September 1, 2009.