# Tex. Insurance Code § 1216.003: EXCEPTION

> Texas · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1216_S1216.003

## Section

- **Citation:** Tex. Insurance Code § 1216.003
- **Heading:** EXCEPTION
- **Jurisdiction:** Texas
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** TX Code / Code in / Chapter 1216 / Section 1216.003

## Text

This chapter does not apply to:

(1) a plan that provides coverage:

(A) only for a specified disease;

(B) only for accidental death or dismemberment;

(C) for wages or payments in lieu of wages for a period during which an employee is absent from work because of sickness or injury;

(D) as a supplement to a liability insurance policy;

(E) only for dental or vision care;

(F) only for indemnity for hospital confinement; or

(G) only for health care services provided to an enrollee while the enrollee is traveling to, visiting, or residing in a foreign country;

(2) a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss);

(3) a workers' compensation insurance policy;

(4) medical payment insurance coverage provided under a motor vehicle insurance policy; or

(5) a long-term care insurance policy, including a nursing home fixed indemnity policy, unless the commissioner determines that the policy provides benefit coverage so comprehensive that the policy is a health benefit plan as described by Section 1216.002.

## 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_S1216.003. Check the current official text before relying on it. Not legal advice.