Section 1660.003 - [Effective 4/1/2025] Applicability(a) This chapter 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 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 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 chapter does not apply to: (1) a Medicaid managed care program operated under Chapter 540 or 540A , Government Code, as applicable;(2) a Medicaid program operated under Chapter 32, Human Resources Code;(3) the state child health plan or any similar plan operated under Chapter 62 or 63, Health and Safety Code; or(4) a health benefit plan offered by an insurer or health maintenance organization that provides coverage only for dental services.Tex. Ins. Code § 1660.003
Amended by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 2.137, eff. 4/1/2025.Added by Acts 2007, 80th Leg., R.S., Ch. 209, Sec. 1, eff. 5/25/2007.This section is set out more than once due to postponed, multiple, or conflicting amendments.