(a) Notwithstanding Section 101.053(b)(5) and subject to Subsection (b), this chapter applies only to:
(1) an individual long-term care benefit plan that is delivered or issued for delivery in this state;
(2) a group long-term care benefit plan that is:
(A) delivered or issued for delivery in this state; and
(B) issued to an eligible group as described by Subchapter B, Chapter 1251;
(3) a certificate issued under a group long-term care benefit plan issued to an eligible group as described by Subchapter B, Chapter 1251, if the certificate is delivered or issued for delivery in this state, regardless of the place where the plan is delivered or issued for delivery; and
(4) an evidence of coverage delivered or issued for delivery in this state for long-term care.
(b) This chapter applies only to a policy, certificate, or evidence of coverage that is issued by:
(1) a capital stock insurance company, including a life, health and accident, or general casualty insurance company;
(2) a mutual life insurance company;
(3) a mutual assessment life insurance company, including a statewide mutual assessment corporation, local mutual aid association, and burial association;
(4) a mutual or mutual assessment association, including an association subject to Section 887.101;
(5) a mutual insurance company other than a life insurance company;
(6) a mutual or natural premium life or casualty insurance company;
(7) a fraternal benefit society;
(8) a Lloyd’s plan insurer;
(9) a reciprocal or interinsurance exchange;
(10) a nonprofit medical, hospital, or dental service corporation, including a company subject to Chapter 842;
(11) a stipulated premium company;
(12) a health maintenance organization under Chapter 843; or
(13) another insurer required to be licensed by the department.

Ask an insurance law question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

Terms Used In Texas Insurance Code 1651.001

  • 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.