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TITLE 28 - INSURANCE
PART 1 - TEXAS DEPARTMENT OF INSURANCE
CHAPTER 19 - LICENSING AND REGULATION OF INSURANCE PROFESSIONALS
SUBCHAPTER S - FORMS TO REQUEST PRIOR AUTHORIZATION
SECTION/RULE §19.1802 - Exception
Chapter Review Date 06/08/2021

This subchapter does not apply to:(1) a health benefit plan that provides coverage:(A) only for a specified disease or for another single benefit;(B) only for accidental death or dismemberment;(C) only for wages or payments to replace 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) for credit insurance;(F) only for dental or vision care;(G) only for hospital expenses; or(H) only for indemnity for hospital confinement;(2) a Medicare supplemental policy as defined by §1882, Social Security Act (42 U.S.C. §1395ss);(3) medical payment insurance coverage provided under a motor vehicle insurance policy;(4) 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 §1217.002 or §1369.252; or(5) a workers' compensation insurance policy.

Source Note: The provisions of this §19.1802 adopted to be effective September 1, 2015, 39 TexReg 9699; amended to be effective September 1, 2015, 40 TexReg 2193.

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