Sec. 1451.202. APPLICABILITY AND CONSTRUCTION OF SUBCHAPTER. (a) This subchapter applies only to an employee benefit plan or health insurance policy delivered, issued for delivery, renewed, or contracted for in this state to the extent that:
(1) the employee benefit plan is established or maintained to provide dental care services, through insurance or otherwise, for the plan's participants or the beneficiaries of the plan's participants; or
(2) the health insurance policy provides benefits for dental care services.
(b) This subchapter does not apply to a health maintenance organization governed by Chapter 843.
(c) The exemptions and exceptions of Sections 881.002 and 881.004 and Article 21.41 do not apply to this subchapter.
(d) This subchapter does not require an employee benefit plan or health insurance policy to provide any type of benefits for dental care expenses.
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 F - Physicians and Health Care Providers
Chapter 1451 - Access to Certain Practitioners and Facilities
Subchapter E. Dental Care Benefits in Health Insurance Policies or Employee Benefit Plans
Section 1451.202. Applicability and Construction of Subchapter
Section 1451.203. Conflicting Provisions
Section 1451.204. Certain Conduct Permitted
Section 1451.205. Disclosure of Benefit Terms
Section 1451.206. Payment or Reimbursement of Dentist
Section 1451.2065. Contracts With Dentists
Section 1451.207. Prohibited Conduct
Section 1451.208. Prior Authorization of Dental Care Services