In this subchapter:
- (1) "Employee" means an individual employed by an employer.
- (2) "Health benefit plan" has the meaning assigned by Section 1501.002.
- (3) "Non-network plan" means health benefit coverage that provides an enrollee an opportunity to obtain health care services through a health delivery system other than a health maintenance organization delivery network, as defined by Section 843.002.
(4) "Point-of-service plan" means an arrangement under which an enrollee chooses to obtain benefits or services through:
- (A) a health maintenance organization delivery network, including a limited provider network; or
- (B) a non-network delivery system outside the health maintenance organization delivery network, including a limited provider network, that is administered under an indemnity benefit arrangement for the cost of health care services.
- (5) "Preferred provider benefit plan" means an insurance policy issued under Chapter 1301.
- (6) "Small employer health benefit plan" has the meaning assigned by Section 1501.002.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.