Sec. 1368.003. EXCEPTION. 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.
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
Chapter 1368 - Availability of Chemical Dependency Coverage
Section 1368.002. Applicability of Chapter
Section 1368.004. Coverage Required
Section 1368.005. Minimum Coverage Requirements
Section 1368.006. Limitation on Coverage
Section 1368.007. Treatment Standards
Section 1368.008. Use of Endorsement or Rider to Comply With Chapter