{"data":{"id":"us-tx/tex.-insurance-code-1357.003","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1357.003","heading":"EXCEPTION.","body":"This subchapter does not apply to:\n(1) a plan that provides coverage:\n(A) only for a specified disease or another limited benefit, other than benefits for cancer;\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) only for credit insurance;\n(E) only for dental or vision care;\n(F) only for indemnity for hospital confinement; or\n(G) as a supplement to a liability insurance policy;\n(2) a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss), as amended;\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 1357.002.\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 E. BENEFITS PAYABLE UNDER HEALTH COVERAGES","CHAPTER 1357. MASTECTOMY","SUBCHAPTER A. RECONSTRUCTIVE SURGERY FOLLOWING MASTECTOMY"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1357.htm#1357.003","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"963ba378beb3f11eee645d7dd4efef3291028d99464ca8ef548cbba673378f47","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1357.002","next":"us-tx/tex.-insurance-code-1357.004"},"notice":"GroundRules: Original legal text. Not legal advice."}