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Current as of January 01, 2024 | Updated by Findlaw Staff
(a) This subchapter applies only to a health benefit plan that provides benefits or coverage for medical or surgical expenses incurred as a result of a health condition, accident, or sickness and for treatment expenses incurred as a result of a mental health condition or substance use disorder, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, an individual or group evidence of coverage, or a 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 company operating under Chapter 884;
(5) a health maintenance organization operating under Chapter 843;
(6) a reciprocal exchange operating under Chapter 942;
(7) a Lloyd's plan operating under Chapter 941;
(8) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844; or
(9) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846.
(b) Notwithstanding Section 1501.251 or any other law, this subchapter applies to coverage under a small employer health benefit plan subject to Chapter 1501.
(c) This subchapter applies to a standard health benefit plan issued under Chapter 1507.
Cite this article: FindLaw.com - Texas Insurance Code - INS § 1355.252. Applicability of Subchapter - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1355-252/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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