Amend CSHB 3752 as follows:
On page 2, before line 1, add new SECTIONS 3 through 7 and renumber subsequent SECTIONS accordingly:
SECTION 3. Subchapter A, Chapter 1355, Insurance Code, is amended to read as follows:
Sec. 1355.002. APPLICABILITY OF SUBCHAPTER. (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) the Texas Mutual Insurance Company or its subsidiary operating under Chapter 2054 when offering a health benefit plan or alternative health benefits; or
(F) a health maintenance organization operating under Chapter 843; and
SECTION 4. Subchapter B, Chapter 1355, Insurance Code, is amended to read as follows:
Sec. 1355.052. APPLICABILITY OF SUBCHAPTER. This subchapter applies to a group health benefit plan that is delivered or issued for delivery in this state and that is:
(1) an accident and health insurance group policy;
(2) a group policy issued by a group hospital service corporation operating under Chapter 842; or
(3) a group policy provided by the Texas Mutual Insurance Company or its subsidiary operating under Chapter 2054; or
(4) a group health care plan provided by a health maintenance organization operating under Chapter 843.
SECTION 5. Subchapter C, Chapter 1355, Insurance Code, is amended to read as follows:
Sec. 1355.102. APPLICABILITY OF SUBCHAPTER. This subchapter applies to a group policy of accident and health insurance delivered or issued for delivery in this state, including a group policy issued by a group hospital service corporation operating under Chapter 842 and a group policy issued by the Texas Mutual Insurance Company or its subsidiary operating under Chapter 2054.
SECTION 6. Subchapter F, Chapter 1355, Insurance Code, is amended to read as follows:
Sec. 1355.252. APPLICABILITY OF SUBCHAPTER. (a) This subchapter applies only to a health benefit plan that provides benefits or coverage for medical or surgical expenses incurred as a result of a health condition, accident, or sickness and for treatment expenses incurred as a result of a mental health condition or substance use disorder, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, an individual or group evidence of coverage, or a similar coverage document, that is offered by:
(1) an insurance company;
(2) a group hospital service corporation operating under Chapter 842;
(3) a fraternal benefit society operating under Chapter 885;
(4) a stipulated premium company operating under Chapter 884;
(5) a health maintenance organization operating under Chapter 843;
(6) a reciprocal exchange operating under Chapter 942;
(7) a Lloyd's plan operating under Chapter 941;
(8) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844; or
(9) the Texas Mutual Insurance Company or its subsidiary operating under Chapter 2054; or
(10) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846.
SECTION 11. Chapter 1368, Insurance Code, is amended to read as follows:
Sec. 1368.002. APPLICABILITY OF CHAPTER. This chapter applies only to a group health benefit plan that provides hospital and medical coverage or services on an expense incurred, service, or prepaid basis, including a group insurance policy or contract or self-funded or self-insured plan or arrangement that is offered in this state by:
(1) an insurer;
(2) a group hospital service corporation operating under Chapter 842;
(3) a health maintenance organization operating under Chapter 843; or
(4) the Texas Mutual Insurance Company or its subsidiary operating under Chapter 2054; or
(5) an employer, trustee, or other self-funded or self-insured plan or arrangement.