{"data":{"id":"us-tx/tex.-insurance-code-1216.003","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1216.003","heading":"EXCEPTION.","body":"This chapter does not apply to:\n(1) a plan that provides coverage:\n(A) only for a specified disease;\n(B) only for accidental death or dismemberment;\n(C) for wages or payments in lieu of wages for a period during which an employee is absent from work because of sickness or injury;\n(D) as a supplement to a liability insurance policy;\n(E) only for dental or vision care;\n(F) only for indemnity for hospital confinement; or\n(G) only for health care services provided to an enrollee while the enrollee is traveling to, visiting, or residing in a foreign country;\n(2) a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss);\n(3) a workers' compensation insurance policy;\n(4) medical payment insurance coverage provided under a motor vehicle insurance policy; or\n(5) a long-term care insurance policy, including a nursing home fixed indemnity policy, unless the commissioner determines that the policy provides benefit coverage so comprehensive that the policy is a health benefit plan as described by Section 1216.002.\nAdded by Acts 2007, 80th Leg., R.S., Ch. 1322 (S.B. 1391), Sec. 1, eff. September 1, 2007.\nRenumbered from Insurance Code, Section 1215.003 by Acts 2009, 81st Leg., R.S., Ch. 87 (S.B. 1969), Sec. 27.001(62), eff. September 1, 2009.\nRenumbered from Insurance Code, Section 1215.003 and amended by Acts 2009, 81st Leg., R.S., Ch. 87 (S.B. 1969), Sec. 27.002(12), eff. September 1, 2009.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE A. HEALTH COVERAGE IN GENERAL","CHAPTER 1216. OUT-OF-COUNTRY COVERAGE PROHIBITED"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1216.htm#1216.003","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"dfe40562c7a9f0606c14703d2dd7c64b29e6dbb0ef0249066d8163c5b37fdab7","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1216.002","next":"us-tx/tex.-insurance-code-1216.004"},"notice":"GroundRules: Original legal text. Not legal advice."}