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Texas Insurance Code - INS § 1213.001. Definition of Health Benefit Plan

Current as of January 01, 2024 | Updated by Findlaw Staff

(a) In this chapter, “health benefit plan” means a plan that provides benefits for medical, surgical, or other treatment expenses incurred as a result of a health condition, a mental health condition, an accident, sickness, or substance abuse, 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 Lloyd's plan operating under Chapter 941;

(6) an exchange operating under Chapter 942;

(7) a health maintenance organization operating under Chapter 843;

(8) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846;  or

(9) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844.

(b) The term includes:

(1) a small employer health benefit plan written under Chapter 1501;  and

(2) a health benefit plan offered under Chapter 1551, 1575, 1579, or 1601.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 1213.001. Definition of Health Benefit Plan - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1213-001/

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