Insurance Code § 1355.252

Sec. 1355.252. APPLICABILITY OF SUBCHAPTER. (a) This subchapter applies only to a health benefit plan that provides benefits or coverage for medical or surgical expenses incurred as a result of a health condition, accident, or sickness and for treatment expenses incurred as a result of a mental health condition or substance use disorder, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, an individual or group evidence of coverage, or a similar coverage document, that is offered by: (1) an insurance company; (2) a group hospital service corporation operating under Chapter 842; (3) a fraternal benefit society operating under Chapter 885; (4) a stipulated premium company operating under Chapter 884; (5) a health maintenance organization operating under Chapter 843; (6) a reciprocal exchange operating under Chapter 942; (7) a Lloyd's plan operating under Chapter 941; (8) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844; or (9) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846. (b) Notwithstanding Section 1501.251 or any other law, this subchapter applies to coverage under a small employer health benefit plan subject to Chapter 1501. (c) This subchapter applies to a standard health benefit plan issued under Chapter 1507. Added by Acts 2017, 85th Leg., R.S., Ch. 769 (H.B. 10), Sec. 2, eff. September 1, 2017.