# Tex. Insurance Code § 1205.001: APPLICABILITY OF CHAPTER

> Texas · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1205_S1205.001

## Section

- **Citation:** Tex. Insurance Code § 1205.001
- **Heading:** APPLICABILITY OF CHAPTER
- **Jurisdiction:** Texas
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** TX Code / Code in / Chapter 1205 / Section 1205.001

## Text

This chapter applies only to a health benefit plan 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 stipulated premium company operating under Chapter 884; or

(v) a health maintenance organization operating under Chapter 843; 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 and operating under Chapter 846; or

(ii) an analogous benefit arrangement;

(2) is offered by an approved nonprofit health corporation that holds a certificate of authority under Chapter 844; or

(3) is offered by any other entity that:

(A) is not authorized under this code or another insurance law of this state; and

(B) contracts directly for health care services on a risk-sharing basis, including a capitation basis.

## Nearby sections

- [Tex. Insurance Code § 1205.001 § 1205.001. APPLICABILITY OF CHAPTER.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1205_S1205.001.md)
- [Tex. Insurance Code § 1205.002 § 1205.002. CERTIFICATION OF COVERAGE.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1205_S1205.002.md)
- [Tex. Insurance Code § 1205.003 § 1205.003. RULES.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1205_S1205.003.md)
- [Tex. Insurance Code § 1205.004 § 1205.004. CREDITABLE COVERAGE.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1205_S1205.004.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1205_S1205.001. Check the current official text before relying on it. Not legal advice.