Texas Insurance Code 1204.101 – Definitions
Terms Used In Texas Insurance Code 1204.101
- 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.
- Person: includes corporation, organization, government or governmental subdivision or agency, business trust, estate, trust, partnership, association, and any other legal entity. See Texas Government Code 311.005
In this subchapter:
(1) “Health benefit plan” means a group, blanket, or franchise insurance policy, a group hospital service contract, or a group subscriber contract or evidence of coverage issued by a health maintenance organization, that provides benefits for health care services.
(2) “Health benefit plan issuer” means an entity authorized under this code or another insurance law of this state that provides health insurance or health benefits in this state, including:
(A) an insurance company;
(B) a group hospital service corporation operating under Chapter 842;
(C) a health maintenance organization operating under Chapter 843; and
(D) a stipulated premium company operating under Chapter 884.
(3) “Provider” means a person who provides health care under a license issued by this state. The term includes a health care practitioner listed in § 1451.001 and a nurse first assistant, as defined by § 1451.101.