Ámbito de Aplicación de Planes de Beneficios de Salud en Texas

Sec. 140.002. APPLICABILITY OF CHAPTER. (a) This chapter applies to an issuer of a health benefit plan that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, a disability benefit plan, or an employee welfare benefit plan, 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, including: (1) an insurance company; (2) a group hospital service corporation operating under Chapter 842, Insurance Code; (3) a fraternal benefit society operating under Chapter 885, Insurance Code; (4) a stipulated premium insurance company operating under Chapter 884, Insurance Code; (5) a reciprocal exchange operating under Chapter 942, Insurance Code; (6) a health maintenance organization operating under Chapter 843, Insurance Code; (7) a multiple employer welfare arrangement that holds a Statute text rendered on: 3/22/2024 - 629 - CIVIL PRACTICE AND REMEDIES CODE certificate of authority under Chapter 846, Insurance Code; or (8) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844, Insurance Code. (b) Notwithstanding Section 172.014, Local Government Code, or any other law, this chapter applies to a risk pool providing health and accident coverage under Chapter 172, Local Government Code. (c) Notwithstanding any other law, this chapter app