Sec. 1203.151. APPLICABILITY OF SUBCHAPTER. (a) This subchapter applies only to a health benefit plan that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage or similar coverage document that is issued by: (1) an insurance company; (2) a group hospital service corporation operating under Chapter 842 ; (3) a health maintenance organization operating under Chapter 843 ; (4) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844 ; (5) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846 ; (6) a stipulated premium company operating under Chapter 884 ; (7) a Lloyd's plan operating under Chapter 941 ; or (8) an exchange operating under Chapter 942 . (b) Notwithstanding any other law, this subchapter applies to: (1) a small employer health benefit plan subject to Chapter 1501 , including coverage provided through a health group cooperative under Subchapter B of that chapter; (2) a standard health benefit plan issued under Chapter 1507 ; (3) a basic coverage plan under Chapter 1551 ; (4) a basic plan under Chapter 1575 ; (5) a primary care coverage plan under Chapter 1579 ; (6) a plan providing basic coverage under Chapter 1601 ; (7) alternative health benefit coverage offered by a subsidiary of the Texas Mutual Insurance Company under Subchapter M , Chapter 2054 ; (8) group health coverage made available by a school district in accordance with Section 22.004 , Education Code; (9) the state Medicaid program, including the Medicaid managed care program operated under Chapter 540 , Government Code; (10) the child health plan program under Chapter 62 , Health and Safety Code; (11) a regional or local health care program operated under Section 75.104 , Health and Safety Code; and (12) a self-funded health benefit plan sponsored by a professional employer organization under Chapter 91 , Labor Code.
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