{"data":{"id":"us-tx/tex.-insurance-code-1217.003","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1217.003","heading":"EXCEPTION.","body":"This chapter does not apply to:\n(1) a health benefit plan that provides coverage:\n(A) only for a specified disease or for another single benefit;\n(B) only for accidental death or dismemberment;\n(C) only 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) for credit insurance;\n(F) only for dental or vision care;\n(G) only for hospital expenses; or\n(H) only for indemnity for hospital confinement;\n(2) a Medicare supplemental policy as defined by Section 1882, Social Security Act (42 U.S.C. Section 1395ss);\n(3) medical payment insurance coverage provided under a motor vehicle insurance policy;\n(4) 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 1217.002; or\n(5) a workers' compensation insurance policy.\nAdded by Acts 2013, 83rd Leg., R.S., Ch. 1198 (S.B. 1216), Sec. 1, eff. September 1, 2013.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE A. HEALTH COVERAGE IN GENERAL","CHAPTER 1217. STANDARD REQUEST FORM FOR PRIOR AUTHORIZATION OF HEALTH CARE SERVICES"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1217.htm#1217.003","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"04787aebe289c184165d5e58dc0c7bc923d6c7175f2fbf094943a4201155a61c","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1217.002","next":"us-tx/tex.-insurance-code-1217.004"},"notice":"GroundRules: Original legal text. Not legal advice."}