{"data":{"id":"us-tx/tex.-insurance-code-1205.001","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1205.001","heading":"APPLICABILITY OF CHAPTER.","body":"This chapter applies only to a health benefit plan that:\n(1) provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including:\n(A) an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage that is offered by:\n(i) an insurance company;\n(ii) a group hospital service corporation operating under Chapter 842;\n(iii) a fraternal benefit society operating under Chapter 885;\n(iv) a stipulated premium company operating under Chapter 884; or\n(v) a health maintenance organization operating under Chapter 843; and\n(B) to the extent permitted by the Employee Retirement Income Security Act of 1974 (29 U.S.C. Section 1001 et seq.), a health benefit plan that is offered by:\n(i) a multiple employer welfare arrangement as defined by Section 3 of that Act and operating under Chapter 846; or\n(ii) an analogous benefit arrangement;\n(2) is offered by an approved nonprofit health corporation that holds a certificate of authority under Chapter 844; or\n(3) is offered by any other entity that:\n(A) is not authorized under this code or another insurance law of this state; and\n(B) contracts directly for health care services on a risk-sharing basis, including a capitation basis.\nAdded by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE A. HEALTH COVERAGE IN GENERAL","CHAPTER 1205. CERTIFICATION OF CREDITABLE COVERAGE"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1205.htm#1205.001","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"db116d61da7553cd6b886a77b118bbcba18f0e07ef79752e34ecb8ce10805d89","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1204.253","next":"us-tx/tex.-insurance-code-1205.002"},"notice":"GroundRules: Original legal text. Not legal advice."}