State Codes and Statutes
Statutes > Texas > Insurance-code > Title-8-health-insurance-and-other-health-coverages > Chapter-1425-application-of-subtitle-to-certain-coverage
INSURANCE CODE
TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES
CHAPTER 1425. APPLICATION OF SUBTITLE TO CERTAIN COVERAGE
Sec. 1425.001. EXEMPTION FROM APPLICATION OF SUBTITLE. (a)
Except as provided by Section 1425.002, a provision of this
subtitle that becomes effective on or after January 2, 2010, does
not apply to:
(1) a plan that provides coverage only:
(A) for a specified disease or diseases or under an individual
limited benefit policy;
(B) for accidental death or dismemberment;
(C) as a supplement to a liability insurance policy; or
(D) for dental or vision care;
(2) disability income insurance coverage or a combination of
accident-only and disability income insurance coverage;
(3) credit insurance coverage;
(4) a hospital confinement indemnity policy;
(5) a Medicare supplemental policy as defined by Section
1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss);
(6) a workers' compensation insurance policy;
(7) medical payment insurance coverage provided under a motor
vehicle insurance policy;
(8) a long-term care insurance policy, including a nursing home
fixed indemnity policy, except as provided by Subsection (b); or
(9) an occupational accident policy.
(b) A long-term care insurance policy, including a nursing home
fixed indemnity policy, is subject to this subtitle if the
commissioner determines that the policy provides benefits so
comprehensive that it is a health benefit plan and should not be
subject to the exemption provided under this section.
Added by Acts 2009, 81st Leg., R.S., Ch.
228, Sec. 1, eff. May 27, 2009.
Sec. 1425.002. SPECIFIC LANGUAGE CONTROLS. A provision of this
subtitle that becomes effective on or after January 2, 2010, and
that requires coverage or the offer of coverage of a health care
service or benefit applies to a plan or policy described by
Section 1425.001(a) only to the extent expressly and specifically
provided by law.
Added by Acts 2009, 81st Leg., R.S., Ch.
228, Sec. 1, eff. May 27, 2009.
State Codes and Statutes
Statutes > Texas > Insurance-code > Title-8-health-insurance-and-other-health-coverages > Chapter-1425-application-of-subtitle-to-certain-coverage
INSURANCE CODE
TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES
CHAPTER 1425. APPLICATION OF SUBTITLE TO CERTAIN COVERAGE
Sec. 1425.001. EXEMPTION FROM APPLICATION OF SUBTITLE. (a)
Except as provided by Section 1425.002, a provision of this
subtitle that becomes effective on or after January 2, 2010, does
not apply to:
(1) a plan that provides coverage only:
(A) for a specified disease or diseases or under an individual
limited benefit policy;
(B) for accidental death or dismemberment;
(C) as a supplement to a liability insurance policy; or
(D) for dental or vision care;
(2) disability income insurance coverage or a combination of
accident-only and disability income insurance coverage;
(3) credit insurance coverage;
(4) a hospital confinement indemnity policy;
(5) a Medicare supplemental policy as defined by Section
1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss);
(6) a workers' compensation insurance policy;
(7) medical payment insurance coverage provided under a motor
vehicle insurance policy;
(8) a long-term care insurance policy, including a nursing home
fixed indemnity policy, except as provided by Subsection (b); or
(9) an occupational accident policy.
(b) A long-term care insurance policy, including a nursing home
fixed indemnity policy, is subject to this subtitle if the
commissioner determines that the policy provides benefits so
comprehensive that it is a health benefit plan and should not be
subject to the exemption provided under this section.
Added by Acts 2009, 81st Leg., R.S., Ch.
228, Sec. 1, eff. May 27, 2009.
Sec. 1425.002. SPECIFIC LANGUAGE CONTROLS. A provision of this
subtitle that becomes effective on or after January 2, 2010, and
that requires coverage or the offer of coverage of a health care
service or benefit applies to a plan or policy described by
Section 1425.001(a) only to the extent expressly and specifically
provided by law.
Added by Acts 2009, 81st Leg., R.S., Ch.
228, Sec. 1, eff. May 27, 2009.
State Codes and Statutes
Statutes >
Texas >
Insurance-code >
Title-8-health-insurance-and-other-health-coverages >
Chapter-1425-application-of-subtitle-to-certain-coverage INSURANCE CODE
TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES
CHAPTER 1425. APPLICATION OF SUBTITLE TO CERTAIN COVERAGE
Sec. 1425.001. EXEMPTION FROM APPLICATION OF SUBTITLE. (a)
Except as provided by Section 1425.002, a provision of this
subtitle that becomes effective on or after January 2, 2010, does
not apply to:
(1) a plan that provides coverage only:
(A) for a specified disease or diseases or under an individual
limited benefit policy;
(B) for accidental death or dismemberment;
(C) as a supplement to a liability insurance policy; or
(D) for dental or vision care;
(2) disability income insurance coverage or a combination of
accident-only and disability income insurance coverage;
(3) credit insurance coverage;
(4) a hospital confinement indemnity policy;
(5) a Medicare supplemental policy as defined by Section
1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss);
(6) a workers' compensation insurance policy;
(7) medical payment insurance coverage provided under a motor
vehicle insurance policy;
(8) a long-term care insurance policy, including a nursing home
fixed indemnity policy, except as provided by Subsection (b); or
(9) an occupational accident policy.
(b) A long-term care insurance policy, including a nursing home
fixed indemnity policy, is subject to this subtitle if the
commissioner determines that the policy provides benefits so
comprehensive that it is a health benefit plan and should not be
subject to the exemption provided under this section.
Added by Acts 2009, 81st Leg., R.S., Ch.
228, Sec. 1, eff. May 27, 2009.
Sec. 1425.002. SPECIFIC LANGUAGE CONTROLS. A provision of this
subtitle that becomes effective on or after January 2, 2010, and
that requires coverage or the offer of coverage of a health care
service or benefit applies to a plan or policy described by
Section 1425.001(a) only to the extent expressly and specifically
provided by law.
Added by Acts 2009, 81st Leg., R.S., Ch.
228, Sec. 1, eff. May 27, 2009.
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