Exception; Certain Entities That Reimburse Medical Expenses

Sec. 101.055. EXCEPTION; CERTAIN ENTITIES THAT REIMBURSE MEDICAL EXPENSES. (a) Section 101.051(b)(7) does not apply to: (1) a program otherwise authorized by law that is established: (A) by a political subdivision of this state; (B) by a state agency; or (C) under Chapter 791, Government Code; or (2) a multiple employer welfare arrangement that is fully insured as defined by 29 U.S.C. Section 1144(b)(6). (b) Notwithstanding Subsection (a)(2), the commissioner may apply a law regulating the business of insurance to a multiple employer welfare arrangement described by that subdivision to the extent that the law provides: (1) standards requiring the maintenance of specified levels of contributions that the plan, or a trust established under the plan, must meet to be considered able to pay benefits in full when due; and (2) provisions to enforce the standards described by Subdivision (1). Added by Acts 1999, 76th Leg., ch. 101, Sec. 1, eff. Sept. 1, 1999.