Sec. 1355.002.  APPLICABILITY OF SUBCHAPTER.  (a)  This subchapter applies only to a group health benefit plan that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including:
(1)  a group insurance policy, group insurance agreement, group hospital service contract, or group evidence of coverage that is offered by:
(A)  an insurance company;
(B)  a group hospital service corporation operating under Chapter 842;
(C)  a fraternal benefit society operating under Chapter 885;
(D)  a stipulated premium company operating under Chapter 884; or
(E)  a health maintenance organization operating under Chapter 843; and
(2)  to the extent permitted by the Employee Retirement Income Security Act of 1974 (29 U.S.C. Section 1001 et seq.), a plan offered under:
(A)  a multiple employer welfare arrangement as defined by Section 3 of that Act; or
(B)  another analogous benefit arrangement.
(b)  Notwithstanding any provision in Chapter 1575 or 1579 or any other law, Section 1355.015 applies to:
(1)  a basic plan under Chapter 1575; and
(2)  a primary care coverage plan under Chapter 1579.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by: 
Acts 2009, 81st Leg., R.S., Ch. 1107 (H.B. 451), Sec. 1, eff. September 1, 2009.