Texas 2009 - 81st Regular

Texas House Bill HB3759 Compare Versions

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11 81R5579 PMO-F
22 By: Smithee H.B. No. 3759
33
44
55 A BILL TO BE ENTITLED
66 AN ACT
77 relating to the operation and regulation of certain consolidated
88 insurance programs.
99 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1010 SECTION 1. Title 2, Insurance Code, is amended by adding
1111 Subtitle C to read as follows:
1212 SUBTITLE C. PROGRAMS AFFECTING MULTIPLE LINES OF INSURANCE
1313 CHAPTER 151. CONSOLIDATED INSURANCE PROGRAMS
1414 SUBCHAPTER A. GENERAL PROVISIONS
1515 Sec. 151.001. DEFINITIONS. In this chapter:
1616 (1) "Administrator" means a person who operates and
1717 manages a consolidated insurance program on behalf of a principal.
1818 The term includes a person who, in the regular course of business,
1919 operates and manages a consolidated insurance program as an agent
2020 of a principal.
2121 (2) "Consolidated insurance program" means a program
2222 under which a principal, for a contractor or contractors on a
2323 construction project, provides general liability insurance
2424 coverage, workers' compensation insurance coverage, or both that
2525 are incorporated into an insurance program for a single
2626 construction project or multiple construction projects.
2727 (3) "Construction project" means construction,
2828 remodeling, maintenance, or repair of improvements to real
2929 property.
3030 (4) "Construction project site" means the immediate
3131 construction location and areas emanating from that location, such
3232 as adjacent sidewalks, streets, storage areas, temporary
3333 construction yards, and staging areas.
3434 (5) "Contractor" includes:
3535 (A) a prime contractor;
3636 (B) a general contractor;
3737 (C) a subcontractor; and
3838 (D) any other person who has signed a
3939 construction contract covered under the consolidated insurance
4040 program.
4141 (6) "Insurer" means an insurance company, including a
4242 mutual insurance company or a capital stock company, a reciprocal
4343 or interinsurance exchange, a Lloyd's plan, or another legal entity
4444 authorized to engage in the business of general liability insurance
4545 or workers' compensation insurance in this state. The term
4646 includes an eligible surplus lines insurer.
4747 Sec. 151.002. PRINCIPAL. (a) For purposes of this chapter,
4848 "principal" means the person who procures the insurance contract or
4949 policy.
5050 (b) The principal under a consolidated insurance program is
5151 the person responsible for the payment of the premium on the
5252 insurance coverage. The principal is typically the first named
5353 insured on a general liability insurance contract or policy.
5454 Sec. 151.003. RULES. The commissioner shall adopt rules in
5555 the manner provided by Subchapter A, Chapter 36, as necessary to
5656 implement and enforce the purpose and intent of this chapter.
5757 [Sections 151.004-151.050 reserved for expansion]
5858 SUBCHAPTER B. GENERAL REQUIREMENTS
5959 Sec. 151.051. COVERAGE OF CONTRACTORS. (a) Each
6060 contractor on a construction project covered by a consolidated
6161 insurance program must:
6262 (1) be listed as a named insured on each insurance
6363 policy and contract under the program; and
6464 (2) have equal rights under the policy or contract
6565 with the principal and other contractors, subject to insurance
6666 industry standard differences between a first-named insured and a
6767 named insured.
6868 (b) Subsection (a) does not apply to a policy or contract
6969 that is issued individually in the name of the contractor as the
7070 first-named insured under a consolidated insurance program.
7171 (c) The principal or a contractor may not require a
7272 contractor to obtain an additional insured endorsement on the
7373 contractor's separately maintained insurance policy that is of the
7474 same general type as the insurance coverage provided by the
7575 consolidated insurance program other than an insurance policy or
7676 contract covering off-site work for ongoing operations that is
7777 related to the project and that is not covered by the consolidated
7878 insurance program.
7979 (d) The coverages under the consolidated insurance program
8080 must be primary and noncontributory to any insurance policy
8181 separately maintained by a contractor covered by the consolidated
8282 insurance program that is of the same general type as the insurance
8383 coverages provided by the consolidated insurance program.
8484 Sec. 151.052. DURATION OF GENERAL LIABILITY COVERAGE;
8585 CERTAIN COVERAGE REQUIRED. (a) A consolidated insurance program
8686 that provides completed operations insurance coverage together
8787 with general liability coverage must continue completed operations
8888 insurance coverage until the expiration of the limitations period
8989 for bringing an action for damages under Section 16.009, Civil
9090 Practice and Remedies Code.
9191 (b) A contractor's separately maintained insurance policy
9292 may not exclude coverage for ongoing operations of the contractor
9393 for warranty or punch-out work on a construction project covered by
9494 a consolidated insurance program that occurs after the contractor
9595 has received written notice from the principal, insurer, or
9696 administrator that the contractor's coverage under the
9797 consolidated insurance program has ended.
9898 (c) A consolidated insurance program must provide coverage
9999 for:
100100 (1) ongoing operations of the contractor for warranty
101101 or punch-out work on a construction project covered by the
102102 consolidated insurance program; and
103103 (2) preconstruction services and initial construction
104104 work related to the project.
105105 (d) A consolidated insurance program must provide completed
106106 operations coverage for specially fabricated materials or
107107 equipment if the installer of the fabricated materials or equipment
108108 is covered under the program and fabricated the materials or
109109 equipment.
110110 Sec. 151.053. NOTICE OF CERTAIN CHANGES. (a) Except as
111111 provided by Subsection (b), after the execution of a construction
112112 contract by the principal, the coverages or limits under the
113113 consolidated insurance program may not be reduced, nonrenewed, or
114114 canceled without written notice provided to the principal and all
115115 contractors. The notice required under this subsection must be
116116 provided by the insurer or administrator not later than the 60th day
117117 before the effective date of the reduction, nonrenewal, or
118118 cancellation.
119119 (b) A notice to cancel coverage due to nonpayment of premium
120120 is effective only after written notice is provided to the principal
121121 at least 10 days before the scheduled effective date of the
122122 cancellation due to nonpayment of premium.
123123 (c) If any coverage is canceled, the insurer or
124124 administrator shall notify each contractor in writing that coverage
125125 has been canceled. The notice under this subsection must be sent
126126 not later than the effective date of the cancellation of coverage.
127127 Sec. 151.054. NOTICE REGARDING REDUCTION IN LIMIT. (a) The
128128 insurer shall notify all contractors in writing not later than the
129129 10th day after the date the total limit of coverage for any type of
130130 liability coverage issued under the consolidated insurance program
131131 is reduced by:
132132 (1) 50 percent; and
133133 (2) each additional 25 percentage point reduction
134134 after the initial 50 percent reduction.
135135 (b) The reduction in the limit under Subsection (a) shall be
136136 computed based on incurred losses and expenses.
137137 (c) The notice under Subsection (a) must describe:
138138 (1) the initial limit of liability coverage; and
139139 (2) the limit of liability coverage that remains as of
140140 the notice date.
141141 (d) If the limits of a policy have been expended, triggering
142142 the limits of another policy, the notice under Subsection (a) is
143143 required only if the combined limit of all policies providing the
144144 coverage has been reached.
145145 Sec. 151.055. INSURER REQUIREMENTS; INSURER RATINGS. (a)
146146 All insurance coverages under a consolidated insurance program for
147147 a construction project must be provided by an insurer that has:
148148 (1) a financial strength rating of at least A- and a
149149 financial size rating of at least Class VII, as currently reported
150150 by the A. M. Best Company; or
151151 (2) an equivalent rating made by a similar rating
152152 organization recognized by the commissioner.
153153 (b) Insurance policies providing coverage under the
154154 consolidated insurance program shall be delivered to the
155155 first-named insured not later than the 60th day after the date on
156156 which the coverage takes effect.
157157 (c) The requirements of this section must be maintained for
158158 the duration of the construction project.
159159 Sec. 151.056. DUTY AND COMPLIANCE BY PRINCIPAL. A
160160 principal under a consolidated insurance program owes a duty to
161161 each contractor covered under the consolidated insurance program to
162162 comply with the requirements of this chapter.
163163 Sec. 151.057. LIMITED EXCEPTION TO RATING STANDARDS.
164164 Sections 2053.002 and 2251.052, Insurance Code, and Section 1,
165165 Chapter 50 (H.B. 32), Acts of the 53rd Legislature, Regular
166166 Session, 1953 (Article 5.77, Vernon's Texas Insurance Code), do not
167167 apply to rates used for an insurance policy issued under a
168168 consolidated insurance program under this chapter to the extent
169169 that those laws require an insurer to produce rates for individual
170170 risks.
171171 [Sections 151.058-151.100 reserved for expansion]
172172 SUBCHAPTER C. COVERAGE LIMITS
173173 Sec. 151.101. GENERAL REQUIREMENTS. Subject to Section
174174 151.052, aggregate and per-occurrence limits of all general
175175 liability insurance and employer liability coverages under a
176176 consolidated insurance program apply collectively to all
177177 contractors under the program for the duration of each construction
178178 project covered by the program.
179179 Sec. 151.102. LIMITS. (a) Except as provided by Subsection
180180 (b), (c), or (d), for a construction project the general liability
181181 limit must be not less than:
182182 (1) $25 million, if the construction value is $40
183183 million or less;
184184 (2) $75 million, if the construction value is more
185185 than $40 million but no more than $100 million;
186186 (3) $150 million, if the construction value is more
187187 than $100 million but no more than $250 million; and
188188 (4) the lesser of $250 million or 50 percent of the
189189 construction value, if the construction value is more than $250
190190 million.
191191 (b) For a construction project covered by a rolling
192192 consolidated insurance program, the general liability limit must
193193 not be less than:
194194 (1) $40 million, if the construction value is $40
195195 million or less;
196196 (2) $75 million, if the construction value is more
197197 than $40 million but no more than $100 million;
198198 (3) $125 million, if the construction value is more
199199 than $100 million but no more than $250 million; and
200200 (4) the lesser of $375 million or 50 percent of the
201201 construction value, if the construction value is more than $250
202202 million.
203203 (c) For purposes of computing the required coverage for a
204204 rolling consolidated insurance program under Subsection (b), the
205205 construction value may be reduced by the value of a construction
206206 project that has dedicated liability limits and is operated under
207207 the rolling consolidated insurance program.
208208 (d) For purposes of computing the required coverage for a
209209 rolling consolidated insurance program under Subsection (b), if a
210210 single construction project operated under a rolling consolidated
211211 insurance program has a construction value of more than $100
212212 million, the single construction project must have a dedicated
213213 limit of $75 million or more.
214214 (e) For employer liability coverage under a consolidated
215215 insurance program, the per-occurrence liability limit may not be
216216 less than the applicable general liability limit. Any umbrella or
217217 excess policy limits must extend to employer liability coverage.
218218 (f) Construction projects solely for the construction of
219219 single-family homes, duplexes, triplexes, or quadraplexes must
220220 have a general liability limit of $5 million or more.
221221 [Sections 151.103-151.150 reserved for expansion]
222222 SUBCHAPTER D. DISCLOSURE REQUIREMENTS FOR
223223 ADMINISTRATION OF CONSOLIDATED INSURANCE PROGRAM
224224 Sec. 151.151. REQUIRED DISCLOSURE AT BID SOLICITATION.
225225 (a) At the time a principal or contractor is soliciting bids for a
226226 construction project, the principal or contractor must disclose
227227 prominently in the project specifications, or in any request for
228228 bids or proposals, that the project may be covered by a consolidated
229229 insurance program subject to this chapter.
230230 (b) The disclosure must be sufficient to:
231231 (1) allow the bidder to compare the bidder's own
232232 insurance program with the coverages, limits, and operation of the
233233 insurance provided under the consolidated insurance program; and
234234 (2) to accurately predict the credits, deductibles, or
235235 other costs to the bidder associated with the program.
236236 Sec. 151.152. REQUIRED PRECONTRACT DISCLOSURE. Not later
237237 than the 14th day before the date on which a principal or contractor
238238 executes a contract for a construction project covered by a
239239 consolidated insurance program, the principal or contractor that
240240 solicited the bid must make a written disclosure to the contractor
241241 that contains detailed information concerning the consolidated
242242 insurance program.
243243 [Sections 151.153-151.200 reserved for expansion]
244244 SUBCHAPTER E. PROGRAM ADMINISTRATION
245245 Sec. 151.201. ADMINISTRATOR. Each principal shall appoint
246246 a qualified administrator for the consolidated insurance program
247247 whose primary duty is administration of the program.
248248 Sec. 151.202. POWERS AND DUTIES OF ADMINISTRATOR. (a) An
249249 administrator shall comply in a timely manner with the requirements
250250 of this section.
251251 (b) The administrator shall administer the enrollment of
252252 all contractors covered by the consolidated insurance program as
253253 necessary to ensure prompt coverage, effective on the date that the
254254 contractor begins work on the construction project.
255255 (c) The administrator shall:
256256 (1) maintain a current consolidated insurance program
257257 manual that contains a detailed description of the consolidated
258258 insurance program;
259259 (2) provide all contractors with a current copy of the
260260 manual that is consistent with the insurance provided and the scope
261261 of the program:
262262 (A) on the date of the contractor's enrollment in
263263 the program; and
264264 (B) not later than the seventh day after any
265265 changes are made to the manual; and
266266 (3) provide each contractor on the date of the
267267 contractor's enrollment in the program with a certificate that
268268 evidences the contractor's coverage under the program.
269269 (d) In addition to the certificate provided under
270270 Subsection (c)(3), the administrator shall obtain from the insurer
271271 or a licensed agent of the insurer and deliver a certificate of
272272 insurance on behalf of a contractor to evidence the coverages and
273273 limits provided by the consolidated insurance program not later
274274 than the fifth day after receipt of a request from a contractor.
275275 (e) If the insurer has issued insurance policies, the
276276 administrator shall ensure that each contractor receives insurance
277277 policies, or renewal certificates for previously issued policies,
278278 for all coverages provided by the consolidated insurance program
279279 not later than the earlier of:
280280 (1) the 30th day after the date the contractor is
281281 enrolled in the program; or
282282 (2) the date the contractor begins work on the
283283 project.
284284 (f) The administrator shall coordinate:
285285 (1) any regular reporting required of the contractors
286286 and any audits required of the contractors;
287287 (2) all meetings with the insurer, whether with the
288288 principal, the contractors, or other parties; and
289289 (3) availability of any on-site medical facilities or
290290 other mandatory initial medical care providers and contact
291291 information for contractors.
292292 (g) The administrator shall establish and disseminate to
293293 contractors:
294294 (1) clear procedures for proper filing of claims; and
295295 (2) required loss-control procedures.
296296 (h) The administrator shall ensure that:
297297 (1) all insurance coverages provided by the
298298 consolidated insurance program are maintained; and
299299 (2) all contractors are notified in writing promptly
300300 of any changes or cancellation in coverages provided by the
301301 consolidated insurance program.
302302 (i) The administrator shall monitor the financial standing
303303 of the insurer as provided by Section 151.055 and shall provide
304304 written notice to the principal and all contractors of any
305305 significant negative change not later than the 10th day after the
306306 date of the negative change. This subsection may not be interpreted
307307 to mean that the principal or administrator is a guarantor of the
308308 insurer's obligations under an insurance policy.
309309 (j) The administrator shall prepare and present to a
310310 contractor on at least a bimonthly basis any required payroll
311311 reports, claim reviews, and loss-control reviews that relate to
312312 that contractor.
313313 (k) The administrator shall provide oversight and
314314 management of claims for the principal and any affected contractor
315315 until the construction project is completed and the operation of
316316 the consolidated insurance program and the administration of that
317317 program is closed.
318318 (l) Before the date on which the operation of the
319319 consolidated insurance program and administration of the program
320320 is closed, the administrator shall provide to the principal and
321321 each contractor a written notice that contains the contact person's
322322 name, company name, mailing address, telephone number, fax number,
323323 and e-mail address, and any other necessary contact information of
324324 the person and company responsible for any closed, open, or future
325325 claims under the coverages provided by the consolidated insurance
326326 program.
327327 Sec. 151.203. DUTY OF ADMINISTRATOR. For purposes of this
328328 chapter and insurance benefits under the consolidated insurance
329329 program, the administrator owes a duty to each contractor that
330330 participates in the program to comply with the requirements of this
331331 chapter.
332332 Sec. 151.204. ERRORS AND OMISSIONS COVERAGE REQUIRED. The
333333 administrator shall maintain errors and omissions insurance
334334 coverage in the minimum amount of $5 million per occurrence for any
335335 liability of the administrator under this chapter.
336336 [Sections 151.205-151.250 reserved for expansion]
337337 SUBCHAPTER F. ENFORCEMENT PROVISIONS
338338 Sec. 151.251. GENERAL ENFORCEMENT; ADMINISTRATIVE
339339 PENALTIES. The commissioner may impose a sanction under Chapter
340340 82, issue a cease and desist order under Chapter 83, or assess an
341341 administrative penalty under Chapter 84 on any person regulated by
342342 the department who violates this chapter or a rule or order adopted
343343 by the commissioner under this chapter.
344344 [Sections 151.252-151.300 reserved for expansion]
345345 SUBCHAPTER G. VENUE
346346 Sec. 151.301. VENUE. Venue for a suit brought under this
347347 chapter is in the county in which the construction project is
348348 located.
349349 SECTION 2. Chapter 151, Insurance Code, as added by this
350350 Act, applies only to a consolidated insurance program for a
351351 construction project that begins on or after January 1, 2010. A
352352 consolidated insurance program for a construction project that
353353 begins before January 1, 2010, is governed by the law as it existed
354354 immediately before the effective date of this Act, and that law is
355355 continued in effect for that purpose.
356356 SECTION 3. This Act takes effect September 1, 2009.