Sec. 1273.001. DEFINITIONS. In this subchapter: (1) "Blended contract" means a single document, including a single contract policy, certificate, or evidence of coverage, that provides a combination of indemnity and health maintenance organization benefits. (2) "Health maintenance organization" has the meaning assigned by Section 843.002 . (3) "Insurer" means an insurance company, association, or organization authorized to engage in business in this state under Chapter 841 , 842 , 861 , 881 , 882 , 883 , 884 , 885 , 886 , 887 , 888 , 941 , 942 , or 982 . (4) "Point-of-service plan" means an arrangement under which: (A) an enrollee chooses to obtain benefits or services through: (i) a health maintenance organization delivery network, including a limited provider network; or (ii) a non-network delivery system outside the health maintenance organization delivery network, including an exclusive provider benefit plan under Chapter 1301 or a limited provider network, that is administered under an indemnity benefit arrangement for the cost of health care services; or (B) indemnity benefits for the cost of health care services are provided by an insurer or group hospital service corporation in conjunction with network benefits arranged or provided by a health maintenance organization.
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