# Tex. Insurance Code § 1204.101: DEFINITIONS

> Texas · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.101

## Section

- **Citation:** Tex. Insurance Code § 1204.101
- **Heading:** DEFINITIONS
- **Jurisdiction:** Texas
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** TX Code / Code in / Chapter 1204 / Section 1204.101

## Text

In this subchapter:

(1) "Health benefit plan" means a group, blanket, or franchise insurance policy, a group hospital service contract, or a group subscriber contract or evidence of coverage issued by a health maintenance organization, that provides benefits for health care services.

(2) "Health benefit plan issuer" means an entity authorized under this code or another insurance law of this state that provides health insurance or health benefits in this state, including:

(A) an insurance company;

(B) a group hospital service corporation operating under Chapter 842;

(C) a health maintenance organization operating under Chapter 843; and

(D) a stipulated premium company operating under Chapter 884.

(3) "Provider" means a person who provides health care under a license issued by this state. The term includes a health care practitioner listed in Section 1451.001 and a nurse first assistant, as defined by Section 1451.101.

## Nearby sections

- [Tex. Insurance Code § 1204.001 § 1204.001. NONAPPLICABILITY TO CERTAIN FACILITIES.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.001.md)
- [Tex. Insurance Code § 1204.002 § 1204.002. BENEFITS PAYABLE FOR TREATMENT PROVIDED BY HOSPITAL OWNED BY STATE OR UNIT OF LOCAL GOVERNMENT.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.002.md)
- [Tex. Insurance Code § 1204.051 § 1204.051. DEFINITIONS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.051.md)
- [Tex. Insurance Code § 1204.052 § 1204.052. APPLICABILITY TO CERTAIN PLANS OR PROGRAMS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.052.md)
- [Tex. Insurance Code § 1204.053 § 1204.053. ASSIGNMENT OF BENEFITS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.053.md)
- [Tex. Insurance Code § 1204.054 § 1204.054. PAYMENT OF BENEFITS ACCORDING TO ASSIGNMENT.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.054.md)
- [Tex. Insurance Code § 1204.055 § 1204.055. CONTRACTUAL RESPONSIBILITY FOR DEDUCTIBLES AND COPAYMENTS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.055.md)
- [Tex. Insurance Code § 1204.101 § 1204.101. DEFINITIONS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.101.md)
- [Tex. Insurance Code § 1204.102 § 1204.102. REQUIRED CLAIM BILLING FORMS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.102.md)
- [Tex. Insurance Code § 1204.151 § 1204.151. DEFINITION.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.151.md)
- [Tex. Insurance Code § 1204.152 § 1204.152. PAYMENT FOR CERTAIN EXPENSES INCURRED BY TEXAS DEPARTMENT OF HUMAN SERVICES.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.152.md)
- [Tex. Insurance Code § 1204.153 § 1204.153. PAYMENTS TO TEXAS DEPARTMENT OF HUMAN SERVICES FOR CERTAIN CHILDREN.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.153.md)
- [Tex. Insurance Code § 1204.154 § 1204.154. UNIFORM PROVISIONS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.154.md)
- [Tex. Insurance Code § 1204.201 § 1204.201. PROHIBITION OF EXCLUSION OF CERTAIN MEDICAL ASSISTANCE BENEFITS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.201.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1204_S1204.101. Check the current official text before relying on it. Not legal advice.