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386 chapters · 7,822 sections in this title.
Tex. Insurance Code § 1216.001 Definitions
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Sec. 1216.001. DEFINITIONS. In this chapter: (1) "Enrollee" means an individual entitled to coverage under a health benefit plan. (2) "Foreign country" means a governmental unit other than: (A) the United States; (B) a state, district, commonwealth, territory, or insular possessi…
Tex. Insurance Code § 1216.002 Applicability of Chapter
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Sec. 1216.002. APPLICABILITY OF CHAPTER. (a) This chapter applies only to a health benefit plan that provides benefits for health care services, including medical or surgical expenses, incurred as a result of a health condition, accident, or sickness, including: (1) an individual…
Tex. Insurance Code § 1216.003 Exception
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Sec. 1216.003. EXCEPTION. This chapter does not apply to: (1) a plan that provides coverage: (A) only for a specified disease; (B) only for accidental death or dismemberment; (C) for wages or payments in lieu of wages for a period during which an employee is absent from work beca…
Tex. Insurance Code § 1216.004 Out-of-Country Care Prohibited
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Sec. 1216.004. OUT-OF-COUNTRY CARE PROHIBITED. A health benefit plan issuer may not issue or offer for sale in this state a health benefit plan that requires an enrollee to travel to a foreign country to receive a particular health care service under the health benefit plan. Adde…