Section 1453.001 - Definitions In this chapter:
(1) "Health care provider" means: (A) a hospital, emergency clinic, outpatient clinic, or other facility providing health care services; or(B) an individual who is licensed in this state to provide health care services.(2) "Managed care entity" means: (A) a health maintenance organization;(B) a preferred provider benefit plan issuer;(C) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844; or(D) another entity that offers a managed care plan, including: (i) an insurance company;(ii) a group hospital service corporation operating under Chapter 842;(iii) a fraternal benefit society operating under Chapter 885;(iv) a stipulated premium company operating under Chapter 884;(v) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846; and(vi) an entity not authorized under this code or another insurance law of this state that contracts directly for health care services on a risk-sharing basis, including a capitation basis.(3) "Managed care plan" means a health benefit plan:(A) under which health care services are provided through contracts with health care providers to individuals enrolled in or insured under the plan; and(B) that provides financial incentives to individuals enrolled in or insured under the plan to use health care providers participating in the plan and procedures covered by the plan.Tex. Ins. Code § 1453.001
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. 4/1/2005.