{"data":{"id":"us-tx/tex.-insurance-code-1367.151","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1367.151","heading":"APPLICABILITY OF SUBCHAPTER.","body":"This subchapter applies only to a health benefit plan that:\n(1) provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including:\n(A) an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage that is offered by:\n(i) an insurance company;\n(ii) a group hospital service corporation operating under Chapter 842;\n(iii) a fraternal benefit society operating under Chapter 885;\n(iv) a stipulated premium company operating under Chapter 884; or\n(v) a health maintenance organization operating under Chapter 843; and\n(B) to the extent permitted by the Employee Retirement Income Security Act of 1974 (29 U.S.C. Section 1001 et seq.), a health benefit plan that is offered by:\n(i) a multiple employer welfare arrangement as defined by Section 3 of that Act;\n(ii) an entity not authorized under this code or another insurance law of this state that contracts directly for health care services on a risk-sharing basis, including a capitation basis; or\n(iii) another analogous benefit arrangement; or\n(2) is offered by an approved nonprofit health corporation that holds a certificate of authority under Chapter 844.\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 1367. COVERAGE OF CHILDREN","SUBCHAPTER D. CHILD CRANIOFACIAL ABNORMALITIES"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1367.htm#1367.151","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"3956f9e2e8bde075a881d2bfeeb505671ff9a4647fa406f72a49fa3c52783412","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1367.105","next":"us-tx/tex.-insurance-code-1367.152"},"notice":"GroundRules: Original legal text. Not legal advice."}