(a) Purpose of subchapter. The purpose of this subchapter
is to require certain health benefit plan issuers to collect and report
to the commissioner data on certain mandated health benefits and mandated
offers of coverage.
(b) Scope of subchapter. This subchapter applies to
a health benefit plan issuer that is subject to Insurance Code §38.251
(concerning Applicability), and that reports on its submission to
the National Association of Insurance Commissioners (NAIC), for the
year for which it is reporting data, a total of $10 million or more
in direct premiums earned in Texas for individual comprehensive health
coverage, small group comprehensive health coverage, or large group
comprehensive health coverage.
(c) This subchapter does not apply to a governmental
plan as defined by 29 U.S.C. §1002(32).
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