Texas Insurance Code 1368.003 – Exception
Terms Used In Texas Insurance Code 1368.003
- 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.
- 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
- Trustee: A person or institution holding and administering property in trust.
This chapter does not apply to:
(1) an employer, trustee, or other self-funded or self-insured plan or arrangement with 250 or fewer employees or members;
(2) an individual insurance policy;
(3) an individual evidence of coverage issued by a health maintenance organization;
(4) a health insurance policy that provides only:
(A) cash indemnity for hospital or other confinement benefits;
(B) supplemental or limited benefit coverage;
(C) coverage for specified diseases or accidents;
(D) disability income coverage; or
(E) any combination of those benefits or coverages;
(5) a blanket insurance policy;
(6) a short-term travel insurance policy;
(7) an accident-only insurance policy;
(8) a limited or specified disease insurance policy;
(9) an individual conversion insurance policy or contract;
(10) a policy or contract designed for issuance to a person eligible for Medicare coverage or other similar coverage under a state or federal government plan; or
(11) an evidence of coverage provided by a health maintenance organization if the plan holder is the subject of a collective bargaining agreement that was in effect on January 1, 1982, and that has not expired since that date.