Sec. 1213.001. DEFINITION OF HEALTH BENEFIT PLAN. (a) In this chapter, "health benefit plan" means a plan that provides benefits for medical, surgical, or other treatment expenses incurred as a result of a health condition, a mental health condition, an accident, sickness, or substance abuse, 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 offered by: (1) an insurance company; (2) a group hospital service corporation operating under Chapter 842 ; (3) a fraternal benefit society operating under Chapter 885 ; (4) a stipulated premium insurance company operating under Chapter 884 ; (5) a Lloyd's plan operating under Chapter 941 ; (6) an exchange operating under Chapter 942 ; (7) a health maintenance organization operating under Chapter 843 ; (8) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846 ; or (9) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844 . (b) The term includes: (1) a small employer health benefit plan written under Chapter 1501 ; and (2) a health benefit plan offered under Chapter 1551 , 1575 , 1579 , or 1601 .
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