{"data":{"id":"us-tx/tex.-insurance-code-1357.053","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1357.053","heading":"EXCEPTION.","body":"This subchapter does not apply to:\n(1) a plan that provides coverage:\n(A) only for accidental death or dismemberment;\n(B) for wages or payments in lieu of wages for a period during which an employee is absent from work because of sickness or injury; or\n(C) as a supplement to a liability insurance policy;\n(2) a small employer health benefit plan written under Chapter 1501;\n(3) a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss);\n(4) a workers' compensation insurance policy;\n(5) medical payment insurance coverage provided under a motor vehicle insurance policy; or\n(6) 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 1357.052.\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 B. HOSPITAL STAY FOLLOWING MASTECTOMY AND CERTAIN RELATED PROCEDURES"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1357.htm#1357.053","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"77f22b74a245b34f41eacc49bb2084ad4bbd05b6b47ebe04201f118f63a7b000","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1357.052","next":"us-tx/tex.-insurance-code-1357.054"},"notice":"GroundRules: Original legal text. Not legal advice."}