Sec. 1216.002. APPLICABILITY OF CHAPTER. (a) This chapter applies only to a health benefit plan that provides benefits for health care services, including medical or surgical expenses, incurred as a result of a health condition, accident, or sickness, including: (1) 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: (A) an insurance company; (B) a group hospital service corporation operating under Chapter 842 ; (C) a fraternal benefit society operating under Chapter 885 ; (D) a stipulated premium company operating under Chapter 884 ; or (E) a health maintenance organization operating under Chapter 843 ; and (2) 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: (A) a multiple employer welfare arrangement as defined by Section 3 of that Act; or (B) another analogous benefit arrangement. (b) For purposes of Subsection (a), a health benefit plan includes a consumer choice of benefits plan issued under Chapter 1507 .
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