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.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle E - Benefits Payable Under Health Coverages
Chapter 1355 - Benefits for Certain Mental Disorders
Subchapter F. Coverage for Mental Health Conditions and Substance Use Disorders
Section 1355.252. Applicability of Subchapter
Section 1355.254. Coverage for Mental Health Conditions and Substance Use Disorders
Section 1355.256. Definitions Under Plan
Section 1355.257. Coordination With Other Law; Intent of Legislature
Section 1355.2571. Parity Complaint Portal
Section 1355.2572. Educational Materials and Parity Law Training; Report