§ 1358.101 — APPLICABILITY OF SUBCHAPTER.

Texas § 1358.101

• Jurisdiction: Texas
• Code IN: Insurance Code

Text

Sec. 1358.101. APPLICABILITY OF SUBCHAPTER. (a) This subchapter applies only to a health benefit plan that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or a small or large employer group contract 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 company operating under Chapter 884 ;
(5) a reciprocal exchange operating under Chapter 942 ;
(6) a health maintenance organization operating under Chapter 843 ;
(7) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846 ; or
(8) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844 .
(b) This subchapter applies to group health coverage made available by a school district in accordance with Section 22.004 , Education Code.
(c) Notwithstanding any provision in Chapter 1551 , 1575 , 1579 , or 1601 or any other law, this subchapter applies to:
(1) a basic coverage plan under Chapter 1551 ;
(2) a basic plan under Chapter 1575 ;
(3) a primary care coverage plan under Chapter 1579 ; and
(4) basic coverage under Chapter 1601 .
(d) Notwithstanding any other law, this subchapter applies to coverage under:
(1) the child health plan program under Chapter 62 , Health and Safety Code, or the health benefits plan for children under Chapter 63 , Health and Safety Code; and
(2) the medical assistance program under Chapter 32 , Human Resources Code.

Legislative History

Added by Acts 2021, 87th Leg., R.S., Ch. 589 (S.B. 827 ), Sec. 1, eff. September 1, 2021.