Sec. 1363.001. APPLICABILITY OF CHAPTER. This chapter applies only to a health benefit plan, including a small employer health benefit plan written under Chapter 1501 or coverage that is provided by a health group cooperative under Subchapter B of that chapter, that: (1) provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including: (A) 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: (i) an insurance company; (ii) a group hospital service corporation operating under Chapter 842 ; (iii) a fraternal benefit society operating under Chapter 885 ; (iv) a Lloyd's plan operating under Chapter 941 ; (v) a stipulated premium company operating under Chapter 884 ; (vi) a health maintenance organization operating under Chapter 843 ; or (vii) a reciprocal or interinsurance exchange operating under Chapter 942 ; and (B) 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: (i) a multiple employer welfare arrangement as defined by Section 3 of that Act; or (ii) another analogous benefit arrangement; (2) is offered by an approved nonprofit health corporation operating under Chapter 844 ; or (3) provides health and accident coverage through a risk pool created under Chapter 172 , Local Government Code, notwithstanding Section 172.014 , Local Government Code, or any other law.
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