Tex. Ins. Code § 4151.001 · Subchapter A. GENERAL PROVISIONS
DEFINITIONS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
In this chapter:
(1) "Administrator" means a person who, in connection with annuities or life benefits, health benefits, accident benefits, pharmacy benefits, or workers' compensation benefits, collects premiums or contributions from or adjusts or settles claims for residents of this state. The term includes a delegated entity under Chapter 1272 and a workers' compensation health care network authorized under Chapter 1305 that administers a workers' compensation claim for an insurer, including an insurer that establishes or contracts with the network to provide health care services. The term does not include a person described by Section 4151.002.
(2) "Insurer" means a person who engages in the business of life, health, accident, or workers' compensation insurance under the law of this state. For purposes of this chapter only, the term also includes an "insurance carrier," as defined by Section 401.011(27), Labor Code, other than a governmental entity or a workers' compensation self-insurance group subject to regulation under Chapter 407A, Labor Code.
(3) "Person" means an individual, partnership, corporation, organization, government or governmental subdivision or agency, business trust, estate trust, association, or any other legal entity.
(4) "Plan" means a plan, fund, or program established, adopted, or maintained by a plan sponsor or insurer to the extent that the plan, fund, or program is established, adopted, or maintained to provide indemnification or expense reimbursement for any type of life, health, or accident benefit.
(5) "Plan sponsor" means a person, other than an insurer, who establishes, adopts, or maintains a plan that covers residents of this state, including a plan established, adopted, or maintained by two or more employers or jointly by one or more employers and one or more employee organizations, an association, a committee, a joint board of trustees, or any similar group of representatives who establish, adopt, or maintain a plan.
(6) "Workers' compensation benefits" means benefits provided under Title 5, Labor Code, or services provided through a certified workers' compensation health care network authorized under Chapter 1305.
(7) "Workers' compensation insurance coverage" means coverage subject to Subtitle E, Title 10. The term includes coverage described by Sections 401.011(44)(A) and (B), Labor Code.
(8) "Workers' compensation self-insurer" means a legal entity subject to regulation under Chapter 407, Labor Code.
Notes and commentary — not statutory text
History
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 7, eff. April 1, 2005.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.01, eff. September 1, 2007.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4151.htm
- Text hash
- sha256 4e8b96ca66f90386da9095a7b172ea3cdcdb3bfe97e01323fc35fd37ccb29798
- 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 § 401.011QUALIFICATIONS OF ACCOUNTANT; ACCEPTANCE OF AUDITED FINANCIAL REPORT.Printed as Sections 401.011(44)(A)
- Tex. Ins. Code ch. 1272DELEGATION OF CERTAIN FUNCTIONS BY HEALTH MAINTENANCE ORGANIZATIONPrinted as Chapter 1272
- Tex. Ins. Code ch. 1305WORKERS' COMPENSATION HEALTH CARE NETWORKSPrinted as Chapter 1305
- Tex. Ins. Code § 4151.002EXEMPTIONS.Printed as Section 4151.002
Labor Code
- Tex. Lab. Code tit. 5WORKERS' COMPENSATIONPrinted as Title 5, Labor Code
- Tex. Lab. Code § 401.011GENERAL DEFINITIONS.Printed as Section 401.011(27), Labor Code
- Tex. Lab. Code ch. 407SELF-INSURANCE REGULATIONPrinted as Chapter 407, Labor Code
- Tex. Lab. Code ch. 407AGROUP SELF-INSURANCE COVERAGEPrinted as Chapter 407A, Labor Code
Cited by 3 provisions
Provisions in this library whose text cites Tex. Ins. Code § 4151.001. Each shows the citation as that text prints it.
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.