Except as otherwise provided by this subchapter, this subchapter applies only to a health benefit plan, including a small employer health benefit plan written under Chapter 1501, that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage or similar coverage document that is offered by:

1. (1) an insurance company;
2. (2) a group hospital service corporation operating under Chapter 842;
3. (3) a fraternal benefit society operating under Chapter 885;
4. (4) a stipulated premium company operating under Chapter 884;
5. (5) a reciprocal exchange operating under Chapter 942;
6. (6) a health maintenance organization operating under Chapter 843;
7. (7) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846; or
8. (8) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.

Acts 2023, 88th Leg., R.S., Ch. 395 (H.B. 916), Sec. 1, eff. September 1, 2023.