Tex. Ins. Code § 1355.002 · Subchapter A. GROUP HEALTH BENEFIT PLAN COVERAGE FOR CERTAIN SERIOUS MENTAL ILLNESSES AND OTHER DISORDERS
APPLICABILITY OF SUBCHAPTER.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) This subchapter applies only to a group health benefit plan that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including:
(1) a group insurance policy, group insurance agreement, group hospital service contract, 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 plan offered under:
(A) a multiple employer welfare arrangement as defined by Section 3 of that Act; or
(B) another analogous benefit arrangement.
(b) Notwithstanding any provision in Chapter 1575 or 1579 or any other law, Section 1355.015 applies to:
(1) a basic plan under Chapter 1575; and
(2) a primary care coverage plan under Chapter 1579.
Notes and commentary — not statutory text
History
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2009, 81st Leg., R.S., Ch. 1107 (H.B. 451), Sec. 1, eff. September 1, 2009.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1355.htm
- Text hash
- sha256 8e6f05b645f8f94d9bb15e62b75cd5732053247daaf06b097173a3545bc5d8ec
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
This section cites
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Insurance Code
- Tex. Ins. Code ch. 842GROUP HOSPITAL SERVICE CORPORATIONSPrinted as Chapter 842
- Tex. Ins. Code ch. 843HEALTH MAINTENANCE ORGANIZATIONSPrinted as Chapter 843
- Tex. Ins. Code ch. 884STIPULATED PREMIUM INSURANCE COMPANIESPrinted as Chapter 884
- Tex. Ins. Code ch. 885FRATERNAL BENEFIT SOCIETIESPrinted as Chapter 885
- Tex. Ins. Code § 1355.015REQUIRED COVERAGE FOR CERTAIN ENROLLEES.Printed as Section 1355.015
- Tex. Ins. Code ch. 1575TEXAS PUBLIC SCHOOL EMPLOYEES GROUP BENEFITS PROGRAMPrinted as Chapter 1575
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.