Sec. 1369.203. EXCEPTION. (a) This subchapter does not apply to: (1) a plan that provides coverage: (A) only for fixed indemnity benefits for a specified disease or diseases; (B) only for accidental death or dismemberment; (C) for wages or payments in lieu of wages for a period during which an employee is absent from work because of sickness or injury; (D) as a supplement to a liability insurance policy; (E) only for dental or vision care; or (F) only for indemnity for hospital confinement; (2) a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss); (3) a workers' compensation insurance policy; (4) medical payment insurance coverage provided under an automobile insurance policy; (5) a credit insurance policy; (6) a limited benefit policy that does not provide coverage for physical examinations or wellness exams; (7) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846 ; or (8) a long-term care insurance policy, including a nursing home fixed indemnity policy, unless the commissioner determines that the policy provides benefit coverage so comprehensive that the policy is a health benefit plan as described by Section 1369.201 . (b) This subchapter does not apply to a qualified health plan offered through a health benefit exchange.
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