{"data":{"id":"us-tx/tex.-insurance-code-1358.102","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1358.102","heading":"EXCEPTION.","body":"This subchapter 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) 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(g)(1), 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 1358.101;\n(5) health and accident coverage provided by a risk pool created under Chapter 172, Local Government Code; or\n(6) a workers' compensation insurance policy.\nAdded by Acts 2021, 87th Leg., R.S., Ch. 589 (S.B. 827), Sec. 1, eff. September 1, 2021.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES","CHAPTER 1358. DIABETES","SUBCHAPTER C. COST-SHARING LIMIT"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1358.htm#1358.102","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"0920a21b2b77ef4b09bf578fb48b530a6d0b920bf72ebec984af47243d6b2501","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1358.101","next":"us-tx/tex.-insurance-code-1358.103"},"notice":"GroundRules: Original legal text. Not legal advice."}