Texas Insurance Code 544.451 – Definition
Terms Used In Texas Insurance Code 544.451
- Contract: A legal written agreement that becomes binding when signed.
- 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.
- Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005
In this subchapter, “health benefit plan” means a plan that provides benefits for medical, surgical, or other treatment expenses incurred as a result of a health condition, a mental health condition, an accident, sickness, or substance abuse, 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 or similar coverage document. The term includes:
(1) a small employer health benefit plan or a health benefit plan written to provide coverage with a cooperative under Chapter 1501;
(2) a standard health benefit plan offered under Subchapter A or Subchapter B, Chapter 1507; and
(3) a health benefit plan offered under Chapter 1551, 1575, 1579, or 1601.