§ 1369.203 — EXCEPTION.

Texas § 1369.203

• Jurisdiction: Texas
• Code IN: Insurance Code

Text

Sec. 1369.203. EXCEPTION. (a) This subchapter does not apply to:
(1) a plan that provides coverage:
(A) only for fixed indemnity benefits for a specified disease or diseases;
(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;
(E) only for dental or vision care; or
(F) 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 an automobile insurance policy;
(5) a credit insurance policy;
(6) a limited benefit policy that does not provide coverage for physical examinations or wellness exams;
(7) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846 ; or
(8) a long-term care insurance 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 1369.201 .
(b) This subchapter does not apply to a qualified health plan offered through a health benefit exchange.

Legislative History

Added by Acts 2011, 82nd Leg., R.S., Ch. 105 (H.B. 438 ), Sec. 1, eff. September 1, 2011.