Texas § 1213.001 DEFINITION OF HEALTH BENEFIT PLAN.

Texas Statutes

§ 1213.001 — DEFINITION OF HEALTH BENEFIT PLAN.

Texas § 1213.001

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Bluebook

Tex. Insurance Code Code Ann. § 1213.001 (2026).

Text

Sec. 1213.001. DEFINITION OF HEALTH BENEFIT PLAN.

(a)In this chapter, "health benefit plan" means a plan that provides benefits for medical, surgical, or other treatment expenses incurred as a result of a health condition, a mental health condition, an accident, sickness, or substance abuse, 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 insurance company operating under Chapter 884 ;

(5)a Lloyd's plan operating under Chapter 941 ;

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Sec. 1213.001. DEFINITION OF HEALTH BENEFIT PLAN. (a) In this chapter, "health benefit plan" means a plan that provides benefits for medical, surgical, or other treatment expenses incurred as a result of a health condition, a mental health condition, an accident, sickness, or substance abuse, 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 insurance company operating under Chapter 884 ;
(5) a Lloyd's plan operating under Chapter 941 ;
(6) an exchange operating under Chapter 942 ;
(7) a health maintenance organization operating under Chapter 843 ;
(8) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846 ; or
(9) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844 .
(b) The term includes:
(1) a small employer health benefit plan written under Chapter 1501 ; and
(2) a health benefit plan offered under Chapter 1551 , 1575 , 1579 , or 1601 .