Texas Insurance Code 1367.101 – Applicability of Subchapter
(a) 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.
(b) This subchapter applies to a health benefit plan described by Subsection (a) that provides coverage to a resident of this state, regardless of whether the plan issuer is located in or outside this state.
Terms Used In Texas Insurance Code 1367.101
- 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.