Sec. 1301.0041. APPLICABILITY. (a) Except as otherwise specifically provided by this chapter, this chapter applies to each preferred provider benefit plan in which an insurer provides, through the insurer's health insurance policy, for the payment of a level of coverage that is different depending on whether an insured uses a preferred provider or a nonpreferred provider.
(b) Unless otherwise specified, an exclusive provider benefit plan is subject to this chapter in the same manner as a preferred provider benefit plan.
(c) This chapter does not apply to:
(1) the child health plan program under Chapter 62, Health and Safety Code; or
(2) a Medicaid managed care program under Chapter 533, Government Code.
Added by Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.0271(b), eff. September 1, 2007.
Added by Acts 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.0271(b), eff. September 1, 2007.
Amended by:
Acts 2011, 82nd Leg., R.S., Ch. 288 (H.B. 1772), Sec. 4, eff. September 1, 2011.
Section: Previous 1301.001 1301.002 1301.003 1301.0041 1301.0042 1301.0045 1301.0046 1301.005 1301.0051 1301.0052 1301.0053 1301.0055 1301.0056 1301.0057 1301.0058 NextLast modified: September 28, 2016