Texas Insurance Code 1355.002 – Applicability of Subchapter
(a) This subchapter applies only to a group health benefit plan that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including:
(1) a group insurance policy, group insurance agreement, group hospital service contract, 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. § 1001 et seq.), a plan offered under:
(A) a multiple employer welfare arrangement as defined by Section 3 of that Act; or
(B) another analogous benefit arrangement.
(b) Notwithstanding any provision in Chapter 1575 or 1579 or any other law, § 1355.015 applies to:
(1) a basic plan under Chapter 1575; and
(2) a primary care coverage plan under Chapter 1579.
Terms Used In Texas Insurance Code 1355.002
- Contract: A legal written agreement that becomes binding when signed.
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.