Section 1216.002 - Applicability of Chapter(a) This chapter applies only to a health benefit plan that provides benefits for health care services, including medical or surgical expenses, incurred as a result of a health condition, accident, or sickness, including: (1) an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage that is offered by: (A) an insurance company;(B) a group hospital service corporation operating under Chapter 842;(C) a fraternal benefit society operating under Chapter 885;(D) a stipulated premium company operating under Chapter 884; or(E) a health maintenance organization operating under Chapter 843; and(2) to the extent permitted by the Employee Retirement Income Security Act of 1974 (29 U.S.C. Section 1001 et seq.), a health benefit plan that is offered by:(A) a multiple employer welfare arrangement as defined by Section 3 of that Act; or(B) another analogous benefit arrangement.(b) For purposes of Subsection (a), a health benefit plan includes a consumer choice of benefits plan issued under Chapter 1507.Tex. Ins. Code § 1216.002
Renumbered from Insurance Code, Section 1215.002 by Acts 2009, 81st Leg., R.S., Ch. 87, Sec. 27.001(62), eff. 9/1/2009.Added by Acts 2007, 80th Leg., R.S., Ch. 1322, Sec. 1, eff. 9/1/2007.