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Terms Used In Texas Insurance Code 1451.253

This subchapter does not apply to:
(1) a plan that provides coverage:
(A) only for a specified disease;
(B) only for accidental death or dismemberment;
(C) for wages or payments instead of wages for a period during which an employee is absent from work because of sickness or injury; or
(D) as a supplement to a liability insurance policy;
(2) a small employer health benefit plan written under Chapter 1501;
(3) a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. § 1395ss);
(4) a workers’ compensation insurance policy;
(5) medical payment insurance coverage provided under a motor vehicle insurance policy;
(6) a long-term care insurance policy, including a nursing home fixed indemnity policy, unless the commissioner determines that the policy provides benefit coverage so comprehensive that the policy is a health benefit plan as described by § 1451.252; or
(7) any health benefit plan that does not provide:
(A) benefits related to pregnancy; or
(B) well-woman care benefits.