Texas Insurance Code 1367.051 – Applicability of Subchapter
Terms Used In Texas Insurance Code 1367.051
- 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.
This subchapter applies only to a health benefit plan that:
(1) 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 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;
(E) a health maintenance organization operating under Chapter 843; or
(F) a multiple employer welfare arrangement subject to regulation under Chapter 846;
(2) is offered by an approved nonprofit health corporation that holds a certificate of authority under Chapter 844; or
(3) provides health and accident coverage through a risk pool created under Chapter 172, Local Government Code, notwithstanding § 172.014, Local Government Code, or any other law.