Sec. 1357.053. EXCEPTION. This subchapter does not apply to:
(1) a plan that provides coverage:
(A) only for accidental death or dismemberment;
(B) for wages or payments in lieu of wages for a period during which an employee is absent from work because of sickness or injury; or
(C) as a supplement to a liability insurance policy;
(2) a small employer health benefit plan written under Chapter 1501;
(3) a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss);
(4) a workers' compensation insurance policy;
(5) medical payment insurance coverage provided under a motor vehicle insurance policy; or
(6) a long-term care insurance policy, including a nursing home fixed indemnity policy, unless the commissioner determines that the policy provides benefit coverage so comprehensive that the policy is a health benefit plan as described by Section 1357.052.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle E - Benefits Payable Under Health Coverages
Subchapter B. Hospital Stay Following Mastectomy and Certain Related Procedures
Section 1357.052. Applicability of Subchapter
Section 1357.054. Coverage Required
Section 1357.055. Prohibited Conduct