{"data":{"id":"us-tx/tex.-insurance-code-1369.003","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1369.003","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 limited 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 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), as amended;\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 1369.002.\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 1369. BENEFITS RELATED TO PRESCRIPTION DRUGS AND DEVICES AND RELATED SERVICES","SUBCHAPTER A. COVERAGE OF PRESCRIPTION DRUGS IN GENERAL"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1369.htm#1369.003","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"f0c807c8ec8f1be7ec70cbbd28ae25e48449cc839b9fedd405bca5cf912e54e1","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1369.002","next":"us-tx/tex.-insurance-code-1369.004"},"notice":"GroundRules: Original legal text. Not legal advice."}