DEFINITION

In this subchapter, "health benefit plan" means a plan that provides benefits for medical, surgical, or other treatment expenses incurred as a result of a health condition, a mental health condition, an accident, sickness, or substance abuse, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage or similar coverage document. The term includes: (1) a small employer health benefit plan or a health benefit plan written to provide coverage with a cooperative under Chapter 1501; (2) a standard health benefit plan offered under Subchapter A or Subchapter B, Chapter 1507; and (3) a health benefit plan offered under Chapter 1551, 1575, 1579, or 1601.