# Tex. Insurance Code § 1216.002: APPLICABILITY OF CHAPTER

> Texas · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1216_S1216.002

## Section

- **Citation:** Tex. Insurance Code § 1216.002
- **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 1216 / Section 1216.002

## Text

(a) This chapter applies only to a health benefit plan that provides benefits for health care services, including medical or surgical expenses, incurred as a result of a health condition, accident, or sickness, including:

(1) 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:

(A) an insurance company;

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

(C) a fraternal benefit society operating under Chapter 885;

(D) a stipulated premium company operating under Chapter 884; or

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

(2) 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:

(A) a multiple employer welfare arrangement as defined by Section 3 of that Act; or

(B) another analogous benefit arrangement.

(b) For purposes of Subsection (a), a health benefit plan includes a consumer choice of benefits plan issued under Chapter 1507.

## Nearby sections

- [Tex. Insurance Code § 1216.001 § 1216.001. DEFINITIONS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1216_S1216.001.md)
- [Tex. Insurance Code § 1216.002 § 1216.002. APPLICABILITY OF CHAPTER.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1216_S1216.002.md)
- [Tex. Insurance Code § 1216.003 § 1216.003. EXCEPTION.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1216_S1216.003.md)
- [Tex. Insurance Code § 1216.004 § 1216.004. OUT-OF-COUNTRY CARE PROHIBITED.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1216_S1216.004.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1216_S1216.002. Check the current official text before relying on it. Not legal advice.