Sec. 1369.452. APPLICABILITY OF SUBCHAPTER. (a) This subchapter applies only to a health benefit plan that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, 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 health maintenance organization operating under Chapter 843 ; (4) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844 ; (5) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846 ; (6) a stipulated premium company operating under Chapter 884 ; (7) a fraternal benefit society operating under Chapter 885 ; or (8) an exchange operating under Chapter 942 . (b) This subchapter applies to group health coverage made available by a school district in accordance with Section 22.004 , Education Code. (c) Notwithstanding any provision in Chapter 1551 , 1575 , 1579 , or 1601 or any other law, this subchapter applies to health benefit plan coverage provided under: (1) Chapter 1551 ; (2) Chapter 1575 ; (3) Chapter 1579 ; and (4) Chapter 1601 . (d) Notwithstanding Section 1501.251 or any other law, this subchapter applies to coverage under a small employer health benefit plan subject to Chapter 1501 . (e) This subchapter applies to a standard health benefit plan issued under Chapter 1507 . (f) To the extent allowed by federal law, the child health plan program operated under Chapter 62 , Health and Safety Code, and the state Medicaid program, including the Medicaid managed care program operated under Chapters 540 and 540A , Government Code, shall provide the coverage required under this subchapter to a recipient.
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