Sec. 1451.253. EXCEPTION. This subchapter does not apply to:
(1) a plan that provides coverage:
(A) only for a specified disease;
(B) only for accidental death or dismemberment;
(C) for wages or payments instead of wages for a period during which an employee is absent from work because of sickness or injury; or
(D) 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;
(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 1451.252; or
(7) any health benefit plan that does not provide:
(A) benefits related to pregnancy; or
(B) well-woman care benefits.
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 F. Access to Obstetrical or Gynecological Care
Section 1451.252. Applicability of Subchapter
Section 1451.255. Right of Female Enrollee to Select Obstetrician or Gynecologist
Section 1451.256. Direct Access to Services of Obstetrician or Gynecologist
Section 1451.257. Availability of Providers
Section 1451.258. Notice of Available Providers