Exceptions

Sec. 1661.003. EXCEPTIONS. This chapter does not apply to: (1) a health benefit plan that provides coverage only: (A) for a specified disease or diseases or under a 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; (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, unless the commissioner determines that the policy provides benefits so comprehensive that the policy is a health benefit plan and should not be subject to the exemption provided under this section; (9) the child health plan program under Chapter 62, Health and Safety Code, or the health benefits plan for children under Chapter 63, Health and Safety Code; or (10) a Medicaid managed care program operated under Chapter 540 or 540A, Government Code, as applicable, or a Medicaid program operated under Chapter 32, Human Resources Code. Added by Acts 2009, 81st Leg., R.S., Ch. 261 (H.B. 1342), Sec. 1, eff. May 30, 2009. Amended by: Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 2.138, eff. April 1, 2025.