Terms Used In Texas Insurance Code 4201.051

  • 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

This chapter does not apply to a person who:
(1) provides information to an enrollee about scope of coverage or benefits provided under a health insurance policy or health benefit plan; and
(2) does not determine whether a particular health care service provided or to be provided to an enrollee is:
(A) medically necessary or appropriate; or
(B) experimental or investigational.