The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise. (1) Accident and health insurance policy--Any policy or contract that provides insurance against loss resulting from: (A) accidental bodily injury; (B) accidental death; or (C) sickness. (2) Evidence of coverage--Any certificate, agreement, or contract, including a blended contract, that: (A) is issued to an enrollee; and (B) states the coverage to which the enrollee is entitled. (3) Health benefit Plan--An accident and health insurance policy or evidence of coverage. (4) Health carrier--A health insurer or health maintenance organization. (5) Health insurer--Includes: (A) a life, health, and accident insurance company; (B) a mutual insurance company, including: (i) a mutual life insurance company; and (ii) a mutual assessment life insurance company; (C) a local mutual aid association; (D) a mutual or natural premium life or casualty insurance company; (E) a general casualty company; (F) a Lloyd's plan; (G) a reciprocal or interinsurance exchange; (H) a nonprofit hospital, medical, or dental service corporation, including a corporation operating under Texas Insurance Code Chapter 842; and (I) another insurer issuing an accident and health insurance policy and required by law to be authorized by the department. (6) Health maintenance organization--A person who arranges for or provides to enrollees on a prepaid basis a health care plan, a limited health care service plan, or a single health care service plan. (7) High deductible health benefit plan--Has the meaning assigned by Section 223, Internal Revenue Code of 1986. (8) Preventive care--Has the meaning assigned by Section 223(c)(2)(C), Internal Revenue Code of 1986. |
