Texas Insurance Code 1376.001 – Applicability of Chapter
(a) This chapter applies only to a health benefit plan that:
(1) provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including:
(A) an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage that is offered by:
(i) an insurance company;
(ii) a group hospital service corporation operating under Chapter 842;
(iii) a fraternal benefit society operating under Chapter 885;
(iv) a Lloyd’s plan operating under Chapter 941;
(v) a stipulated premium company operating under Chapter 884; or
(vi) a health maintenance organization operating under Chapter 843;
(B) a health benefit plan that is offered by a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846;
(C) a small employer health benefit plan written under Chapter 1501; or
(D) a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. § 1395ss); or
(2) is offered by an approved nonprofit health corporation operating under Chapter 844.
(b) Notwithstanding any provision in Chapter 1601 or any other law, this chapter applies to basic coverage under Chapter 1601.
Terms Used In Texas Insurance Code 1376.001
- Contract: A legal written agreement that becomes binding when signed.
- 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.
- Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005