1 | 1 | | 81R4061 TJS/AJA/KCR/PB/PMO-D |
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2 | 2 | | By: Hegar S.B. No. 1007 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to the continuation and operation of the Texas Department |
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8 | 8 | | of Insurance and the operation of certain insurance programs; |
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9 | 9 | | imposing administrative penalties. |
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10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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11 | 11 | | ARTICLE 1. GENERAL PROVISIONS |
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12 | 12 | | SECTION 1.001. Section 31.002, Insurance Code, is amended |
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13 | 13 | | to read as follows: |
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14 | 14 | | Sec. 31.002. DUTIES OF DEPARTMENT. In addition to the |
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15 | 15 | | other duties required of the Texas Department of Insurance, the |
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16 | 16 | | department shall: |
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17 | 17 | | (1) regulate the business of insurance in this state; |
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18 | 18 | | (2) administer the workers' compensation system of |
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19 | 19 | | this state as provided by Title 5, Labor Code; [and] |
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20 | 20 | | (3) ensure that this code and other laws regarding |
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21 | 21 | | insurance and insurance companies are executed; |
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22 | 22 | | (4) protect and ensure the fair treatment of |
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23 | 23 | | consumers; and |
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24 | 24 | | (5) ensure fair competition in the insurance industry |
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25 | 25 | | in order to foster a competitive market. |
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26 | 26 | | SECTION 1.002. Section 31.004(a), Insurance Code, is |
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27 | 27 | | amended to read as follows: |
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28 | 28 | | (a) The Texas Department of Insurance is subject to Chapter |
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29 | 29 | | 325, Government Code (Texas Sunset Act). Unless continued in |
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30 | 30 | | existence as provided by that chapter, the department is abolished |
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31 | 31 | | September 1, 2021 [2009]. |
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32 | 32 | | SECTION 1.003. Section 33.004, Insurance Code, is amended |
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33 | 33 | | to read as follows: |
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34 | 34 | | Sec. 33.004. TRADE ASSOCIATIONS. (a) In this section, |
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35 | 35 | | "Texas trade association" means a cooperative and voluntarily |
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36 | 36 | | joined statewide association of business or professional |
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37 | 37 | | competitors in this state designed to assist its members and its |
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38 | 38 | | industry or profession in dealing with mutual business or |
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39 | 39 | | professional problems and in promoting their common interest. |
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40 | 40 | | (b) A person may not be the commissioner and may not be a |
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41 | 41 | | department employee employed in a "bona fide executive, |
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42 | 42 | | administrative, or professional capacity," as that phrase is used |
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43 | 43 | | for purposes of establishing an exemption to the overtime |
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44 | 44 | | provisions of the federal Fair Labor Standards Act of 1938 (29 |
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45 | 45 | | U.S.C. Section 201 et seq.), if: |
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46 | 46 | | (1) the person is an officer, employee, or paid |
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47 | 47 | | consultant of a Texas trade association in the field of insurance; |
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48 | 48 | | or |
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49 | 49 | | (2) the person's spouse is an officer, manager, or paid |
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50 | 50 | | consultant of a Texas trade association in the field of insurance. |
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51 | 51 | | (c) A person may not be the commissioner or act as the |
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52 | 52 | | general counsel to the commissioner or the department if the person |
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53 | 53 | | is required to register as a lobbyist under Chapter 305, Government |
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54 | 54 | | Code, because of the person's activities for compensation on behalf |
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55 | 55 | | of a profession related to the operation of the department [A person |
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56 | 56 | | who is an officer, employee, or paid consultant of a trade |
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57 | 57 | | association in the field of insurance may not be: |
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58 | 58 | | [(1) the commissioner; or |
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59 | 59 | | [(2) an employee of the department who is exempt from |
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60 | 60 | | the state's position classification plan or is compensated at or |
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61 | 61 | | above the amount prescribed by the General Appropriations Act for |
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62 | 62 | | step 1, salary group A17, of the position classification salary |
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63 | 63 | | schedule]. |
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64 | 64 | | [(b) A person who is the spouse of an officer, manager, or |
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65 | 65 | | paid consultant of a trade association in the field of insurance may |
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66 | 66 | | not be: |
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67 | 67 | | [(1) the commissioner; or |
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68 | 68 | | [(2) an employee of the department who is exempt from |
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69 | 69 | | the state's position classification plan or is compensated at or |
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70 | 70 | | above the amount prescribed by the General Appropriations Act for |
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71 | 71 | | step 1, salary group A17, of the position classification salary |
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72 | 72 | | schedule. |
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73 | 73 | | [(c) In this section, "trade association" means a |
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74 | 74 | | nonprofit, cooperative, and voluntarily joined association of |
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75 | 75 | | business or professional competitors designed to assist its members |
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76 | 76 | | and its industry or profession in dealing with mutual business or |
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77 | 77 | | professional problems and in promoting their common interest.] |
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78 | 78 | | SECTION 1.004. Section 521.003, Insurance Code, is amended |
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79 | 79 | | to read as follows: |
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80 | 80 | | Sec. 521.003. COMPLAINTS [NOTIFICATION OF COMPLAINT |
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81 | 81 | | STATUS]. (a) The department shall maintain a system to promptly |
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82 | 82 | | and efficiently act on complaints filed with the department. The |
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83 | 83 | | department shall maintain information about parties to the |
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84 | 84 | | complaint, the subject matter of the complaint, a summary of the |
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85 | 85 | | results of the review or investigation of the complaint, and its |
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86 | 86 | | disposition. |
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87 | 87 | | (b) The department shall make information available |
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88 | 88 | | describing its procedures for complaint investigation and |
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89 | 89 | | resolution. |
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90 | 90 | | (c) The department shall periodically notify the complaint |
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91 | 91 | | parties of the status of the complaint until final disposition. [If |
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92 | 92 | | a written complaint is filed with the department, the department, |
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93 | 93 | | at least quarterly and until final disposition of the complaint, |
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94 | 94 | | shall notify each party to the complaint of the complaint's status |
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95 | 95 | | unless the notice would jeopardize an undercover investigation.] |
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96 | 96 | | SECTION 1.005. Subchapter B, Chapter 36, Insurance Code, is |
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97 | 97 | | amended by adding Sections 36.110 and 36.111 to read as follows: |
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98 | 98 | | Sec. 36.110. USE OF TECHNOLOGY. The commissioner shall |
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99 | 99 | | implement a policy requiring the department to use appropriate |
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100 | 100 | | technological solutions to improve the department's ability to |
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101 | 101 | | perform its functions. The policy must ensure that the public is |
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102 | 102 | | able to interact with the department on the Internet. |
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103 | 103 | | Sec. 36.111. NEGOTIATED RULEMAKING AND ALTERNATIVE DISPUTE |
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104 | 104 | | RESOLUTION POLICY. (a) The commissioner shall develop and |
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105 | 105 | | implement a policy to encourage the use of: |
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106 | 106 | | (1) negotiated rulemaking procedures under Chapter |
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107 | 107 | | 2008, Government Code, for the adoption of department rules; and |
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108 | 108 | | (2) appropriate alternative dispute resolution |
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109 | 109 | | procedures under Chapter 2009, Government Code, to assist in the |
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110 | 110 | | resolution of internal and external disputes under the department's |
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111 | 111 | | jurisdiction. |
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112 | 112 | | (b) The department's procedures relating to alternative |
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113 | 113 | | dispute resolution must conform, to the extent possible, to any |
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114 | 114 | | model guidelines issued by the State Office of Administrative |
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115 | 115 | | Hearings for the use of alternative dispute resolution by state |
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116 | 116 | | agencies. |
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117 | 117 | | (c) The commissioner shall designate a trained person to: |
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118 | 118 | | (1) coordinate the implementation of the policy |
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119 | 119 | | adopted under Subsection (a); |
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120 | 120 | | (2) serve as a resource for any training needed to |
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121 | 121 | | implement the procedures for negotiated rulemaking or alternative |
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122 | 122 | | dispute resolution; and |
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123 | 123 | | (3) collect data concerning the effectiveness of those |
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124 | 124 | | procedures, as implemented by the department. |
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125 | 125 | | SECTION 1.006. Sections 33.005 and 521.004, Insurance Code, |
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126 | 126 | | are repealed. |
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127 | 127 | | ARTICLE 2. CERTAIN ADVISORY BOARDS, COMMITTEES, AND COUNCILS |
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128 | 128 | | SECTION 2.001. Chapter 32, Insurance Code, is amended by |
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129 | 129 | | adding Subchapter E to read as follows: |
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130 | 130 | | SUBCHAPTER E. RULES REGARDING USE OF ADVISORY COMMITTEES |
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131 | 131 | | Sec. 32.151. RULEMAKING AUTHORITY. (a) The commissioner |
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132 | 132 | | shall adopt rules, in compliance with Section 39.003 of this code |
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133 | 133 | | and Chapter 2110, Government Code, regarding the purpose, |
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134 | 134 | | structure, and use of advisory committees by the commissioner, the |
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135 | 135 | | state fire marshal, or department staff, including rules governing |
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136 | 136 | | an advisory committee's: |
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137 | 137 | | (1) purpose, role, responsibility, and goals; |
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138 | 138 | | (2) size and quorum requirements; |
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139 | 139 | | (3) qualifications for membership, including |
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140 | 140 | | experience requirements and geographic representation; |
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141 | 141 | | (4) appointment procedures; |
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142 | 142 | | (5) terms of service; |
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143 | 143 | | (6) training requirements; and |
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144 | 144 | | (7) duration. |
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145 | 145 | | (b) An advisory committee must be structured and used to |
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146 | 146 | | advise the commissioner, the state fire marshal, or department |
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147 | 147 | | staff. An advisory committee may not be responsible for rulemaking |
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148 | 148 | | or policymaking. |
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149 | 149 | | Sec. 32.152. PERIODIC EVALUATION. The commissioner shall |
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150 | 150 | | by rule establish a process by which the department shall |
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151 | 151 | | periodically evaluate an advisory committee to ensure its continued |
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152 | 152 | | necessity. The department may retain or develop committees as |
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153 | 153 | | appropriate to meet changing needs. |
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154 | 154 | | Sec. 32.153. COMPLIANCE WITH OPEN MEETINGS ACT. A |
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155 | 155 | | department advisory committee must comply with Chapter 551, |
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156 | 156 | | Government Code. |
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157 | 157 | | SECTION 2.002. Section 523.003, Insurance Code, is amended |
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158 | 158 | | to read as follows: |
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159 | 159 | | Sec. 523.003. IMMUNITY. The market assistance program[, |
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160 | 160 | | the members of the executive committee,] and participating insurers |
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161 | 161 | | and agents are not personally liable for: |
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162 | 162 | | (1) an act performed in good faith in the scope of the |
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163 | 163 | | person's authority as determined under this chapter; or |
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164 | 164 | | (2) damages arising from the person's official acts or |
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165 | 165 | | omissions, other than a corrupt or malicious act or omission. |
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166 | 166 | | SECTION 2.003. Section 523.055, Insurance Code, is amended |
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167 | 167 | | to read as follows: |
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168 | 168 | | Sec. 523.055. AMENDMENT OF PLAN OF OPERATION. [(a)] The |
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169 | 169 | | department [executive committee] may develop amendments to the plan |
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170 | 170 | | of operation and submit the amendments to the commissioner for |
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171 | 171 | | adoption by rule. |
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172 | 172 | | [(b) If the executive committee fails to submit suitable |
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173 | 173 | | amendments to the plan of operation, the department shall develop |
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174 | 174 | | and submit to the commissioner suitable amendments and the |
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175 | 175 | | commissioner shall, after notice and hearing, adopt the amendments |
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176 | 176 | | by rule.] |
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177 | 177 | | SECTION 2.004. Section 523.201, Insurance Code, is amended |
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178 | 178 | | to read as follows: |
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179 | 179 | | Sec. 523.201. COLLECTION OF PROGRAM INFORMATION. |
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180 | 180 | | Information concerning the number and type of applications received |
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181 | 181 | | and placed by the market assistance program and other information |
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182 | 182 | | about the program the [executive committee or the] commissioner |
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183 | 183 | | considers appropriate shall be collected. |
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184 | 184 | | SECTION 2.005. Section 1660.102(b), Insurance Code, is |
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185 | 185 | | amended to read as follows: |
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186 | 186 | | (b) The commissioner may consider [the] recommendations [of |
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187 | 187 | | the advisory committee] or any other information provided in |
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188 | 188 | | response to a department-issued request for information relating to |
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189 | 189 | | electronic data exchange, including identification card programs, |
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190 | 190 | | before adopting rules regarding: |
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191 | 191 | | (1) information to be included on the identification |
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192 | 192 | | cards; |
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193 | 193 | | (2) technology to be used to implement the |
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194 | 194 | | identification card pilot program; and |
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195 | 195 | | (3) confidentiality and accuracy of the information |
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196 | 196 | | required to be included on the identification cards. |
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197 | 197 | | SECTION 2.006. The following laws are repealed: |
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198 | 198 | | (1) Sections 523.053, 523.202, 524.004, 1660.002(2), |
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199 | 199 | | 1660.101(c), 4004.002, and 4101.006, Insurance Code; |
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200 | 200 | | (2) Subchapter M, Chapter 843, Insurance Code; |
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201 | 201 | | (3) Subchapter B, Chapter 1660, Insurance Code; |
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202 | 202 | | (4) Subchapter G, Chapter 2210, Insurance Code; |
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203 | 203 | | (5) Subchapter C, Chapter 6001, Insurance Code; |
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204 | 204 | | (6) Subchapter C, Chapter 6002, Insurance Code; |
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205 | 205 | | (7) Subchapter C, Chapter 6003, Insurance Code; |
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206 | 206 | | (8) Chapter 1212, Insurance Code; and |
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207 | 207 | | (9) Sections 2154.054 and 2154.055(c), Occupations |
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208 | 208 | | Code. |
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209 | 209 | | SECTION 2.007. (a) The following boards, committees, |
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210 | 210 | | councils, and task forces are abolished on the effective date of |
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211 | 211 | | this Act: |
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212 | 212 | | (1) the advisory council on continuing education for |
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213 | 213 | | insurance agents; |
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214 | 214 | | (2) the fire detection and alarm devices advisory |
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215 | 215 | | council; |
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216 | 216 | | (3) the fire extinguisher advisory council; |
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217 | 217 | | (4) the fire protection advisory council; |
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218 | 218 | | (5) the fireworks advisory council; |
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219 | 219 | | (6) the health maintenance organization solvency |
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220 | 220 | | surveillance committee; |
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221 | 221 | | (7) the insurance adjuster examination advisory |
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222 | 222 | | board; |
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223 | 223 | | (8) the technical advisory committee on claims |
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224 | 224 | | processing; |
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225 | 225 | | (9) the technical advisory committee on electronic |
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226 | 226 | | data exchange; |
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227 | 227 | | (10) the health coverage public awareness and |
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228 | 228 | | education program task force; |
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229 | 229 | | (11) the executive committee of the residential |
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230 | 230 | | property insurance market assistance program; and |
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231 | 231 | | (12) the windstorm building code advisory committee on |
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232 | 232 | | specifications and maintenance. |
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233 | 233 | | (b) All powers, duties, obligations, rights, contracts, |
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234 | 234 | | funds, records, and real or personal property of a board, |
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235 | 235 | | committee, council, or task force listed under Subsection (a) of |
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236 | 236 | | this section shall be transferred to the Texas Department of |
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237 | 237 | | Insurance not later than February 28, 2010. |
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238 | 238 | | SECTION 2.008. The changes in law made by this Act by |
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239 | 239 | | amending Section 523.003, Insurance Code, and repealing Section |
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240 | 240 | | 843.439, Insurance Code, apply only to a cause of action that |
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241 | 241 | | accrues on or after the effective date of this Act. A cause of |
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242 | 242 | | action that accrues before the effective date of this Act is |
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243 | 243 | | governed by the law in effect immediately before that date, and that |
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244 | 244 | | law is continued in effect for that purpose. |
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245 | 245 | | ARTICLE 3. REGULATION OF PREFERRED PROVIDER ORGANIZATIONS |
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246 | 246 | | SECTION 3.001. Subtitle D, Title 8, Insurance Code, is |
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247 | 247 | | amended by adding Chapter 1302 to read as follows: |
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248 | 248 | | CHAPTER 1302. REGULATION OF INDEPENDENT |
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249 | 249 | | PREFERRED PROVIDER ORGANIZATIONS |
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250 | 250 | | SUBCHAPTER A. GENERAL PROVISIONS |
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251 | 251 | | Sec. 1302.001. DEFINITIONS. In this chapter: |
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252 | 252 | | (1) "Person" means an individual, corporation, |
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253 | 253 | | association, or other legal entity. |
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254 | 254 | | (2) "Preferred provider organization" means an |
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255 | 255 | | insurer, third-party administrator, or other person that contracts |
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256 | 256 | | with physicians or health care providers regarding reimbursements |
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257 | 257 | | to be accepted prospectively by the physicians and health care |
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258 | 258 | | providers in providing health care services to enrollees of health |
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259 | 259 | | benefit plans contractually entitled to benefit from the |
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260 | 260 | | reimbursement agreements. |
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261 | 261 | | Sec. 1302.002. APPLICABILITY. (a) This chapter does not |
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262 | 262 | | apply to a self-funded health benefit plan exempt from regulation |
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263 | 263 | | by this state as an employee welfare benefit plan under the Employee |
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264 | 264 | | Retirement Income Security Act of 1974 (29 U.S.C. Section 1001 et |
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265 | 265 | | seq.). |
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266 | 266 | | (b) Except as specifically provided by this chapter, a |
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267 | 267 | | reference in Chapter 1301 to a duty imposed under Chapter 1301 on an |
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268 | 268 | | insurer or third-party administrator in the operation of a |
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269 | 269 | | preferred provider benefit plan applies to a preferred provider |
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270 | 270 | | organization that operates a preferred provider benefit plan under |
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271 | 271 | | a certificate of authority issued under Subchapter B but that is not |
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272 | 272 | | an insurer or third-party administrator under this code. |
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273 | 273 | | Sec. 1302.003. RULES. The commissioner shall adopt rules |
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274 | 274 | | as necessary to implement this chapter. |
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275 | 275 | | Sec. 1302.004. COMPLAINTS. The department shall track and |
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276 | 276 | | analyze complaints made against preferred provider organizations |
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277 | 277 | | regulated under this chapter. |
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278 | 278 | | [Sections 1302.005-1302.050 reserved for expansion] |
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279 | 279 | | SUBCHAPTER B. REGULATION OF PREFERRED PROVIDER ORGANIZATIONS |
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280 | 280 | | Sec. 1302.051. CERTIFICATE OF AUTHORITY REQUIRED; |
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281 | 281 | | EXCEPTION. (a) Except as provided by Subsection (b), a person may |
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282 | 282 | | not organize or operate as a preferred provider organization in |
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283 | 283 | | this state, or sell or offer to sell or solicit offers to purchase |
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284 | 284 | | or receive consideration in conjunction with a preferred provider |
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285 | 285 | | benefit plan, without holding a certificate of authority under this |
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286 | 286 | | chapter. |
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287 | 287 | | (b) An insurer that holds a certificate of authority to |
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288 | 288 | | engage in the business of insurance in this state or is otherwise |
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289 | 289 | | authorized under this code to engage in the business of insurance in |
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290 | 290 | | this state is not required to obtain an additional certificate of |
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291 | 291 | | authority under this subchapter to operate a proprietary preferred |
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292 | 292 | | provider organization. |
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293 | 293 | | Sec. 1302.052. USE OF CERTAIN TERMS. A person may not use |
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294 | 294 | | the term "preferred provider organization" or "PPO" in the course |
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295 | 295 | | of operation unless the person: |
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296 | 296 | | (1) complies with this chapter and rules adopted by |
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297 | 297 | | the commissioner under this chapter; and |
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298 | 298 | | (2) holds a certificate of authority under this |
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299 | 299 | | chapter. |
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300 | 300 | | Sec. 1302.053. DURATION OF CERTIFICATE OF AUTHORITY. A |
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301 | 301 | | certificate of authority issued under this chapter continues in |
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302 | 302 | | effect: |
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303 | 303 | | (1) while the certificate holder meets the |
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304 | 304 | | requirements of this chapter and rules adopted under this chapter; |
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305 | 305 | | or |
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306 | 306 | | (2) until the commissioner suspends or revokes the |
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307 | 307 | | certificate or the commissioner terminates the certificate at the |
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308 | 308 | | request of the certificate holder. |
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309 | 309 | | [Sections 1302.054-1302.100 reserved for expansion] |
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310 | 310 | | SUBCHAPTER C. APPLICATION; ISSUANCE OF CERTIFICATE |
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311 | 311 | | Sec. 1302.101. APPLICATION. (a) A person may apply to the |
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312 | 312 | | department for and obtain a certificate of authority to organize |
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313 | 313 | | and operate a preferred provider organization. |
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314 | 314 | | (b) An application for a certificate of authority must: |
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315 | 315 | | (1) be on a form prescribed by rules adopted by the |
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316 | 316 | | commissioner; and |
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317 | 317 | | (2) be verified by the applicant or an officer or other |
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318 | 318 | | authorized representative of the applicant. |
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319 | 319 | | Sec. 1302.102. CONTENTS OF APPLICATION. (a) An |
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320 | 320 | | application for a certificate of authority must include: |
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321 | 321 | | (1) a copy of the applicant's basic organizational |
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322 | 322 | | document, if any, such as the articles of incorporation, articles |
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323 | 323 | | of association, partnership agreement, trust agreement, or other |
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324 | 324 | | applicable documents; |
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325 | 325 | | (2) all amendments to the applicant's basic |
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326 | 326 | | organizational document; and |
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327 | 327 | | (3) a copy of the bylaws, rules and regulations, or |
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328 | 328 | | similar documents, if any, regulating the conduct of the |
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329 | 329 | | applicant's internal affairs. |
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330 | 330 | | (b) An application for a certificate of authority must |
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331 | 331 | | include a list of the names, addresses, and official positions of |
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332 | 332 | | the persons responsible for the conduct of the applicant's affairs, |
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333 | 333 | | including: |
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334 | 334 | | (1) each member of the board of directors, board of |
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335 | 335 | | trustees, executive committee, or other governing body or |
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336 | 336 | | committee; |
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337 | 337 | | (2) the principal officer, if the applicant is a |
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338 | 338 | | corporation; and |
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339 | 339 | | (3) each partner or member, if the applicant is a |
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340 | 340 | | partnership or association. |
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341 | 341 | | (c) An application for a certificate of authority must |
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342 | 342 | | include a template of any contract made or to be made between the |
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343 | 343 | | applicant and any physician or health care provider. |
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344 | 344 | | Sec. 1302.103. APPLICATION FEE. (a) An applicant for a |
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345 | 345 | | certificate of authority under this chapter shall pay to the |
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346 | 346 | | department a filing fee not to exceed $1,000 for processing an |
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347 | 347 | | original application for a certificate of authority for a preferred |
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348 | 348 | | provider organization. |
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349 | 349 | | (b) The commissioner shall deposit a fee collected under |
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350 | 350 | | this section to the credit of the Texas Department of Insurance |
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351 | 351 | | operating account. |
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352 | 352 | | Sec. 1302.104. REQUIREMENTS FOR APPROVAL OF APPLICATION. |
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353 | 353 | | The commissioner shall approve an application for a certificate of |
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354 | 354 | | authority to engage in business in this state as a preferred |
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355 | 355 | | provider organization on payment of the application fee prescribed |
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356 | 356 | | by Section 1302.103 and if the commissioner is satisfied that: |
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357 | 357 | | (1) granting the application would not violate a |
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358 | 358 | | federal or state law; |
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359 | 359 | | (2) the applicant has not attempted to obtain the |
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360 | 360 | | certificate of authority through fraud or bad faith; |
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361 | 361 | | (3) the applicant has complied with this chapter and |
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362 | 362 | | rules adopted by the commissioner under this chapter; and |
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363 | 363 | | (4) the name under which the applicant will engage in |
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364 | 364 | | business in this state is not so similar to that of another |
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365 | 365 | | preferred provider organization that it is likely to mislead the |
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366 | 366 | | public. |
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367 | 367 | | Sec. 1302.105. DENIAL OF APPLICATION. (a) If the |
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368 | 368 | | commissioner is unable to approve an application for a certificate |
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369 | 369 | | of authority under this chapter, the commissioner shall: |
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370 | 370 | | (1) provide the applicant with written notice |
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371 | 371 | | specifying each deficiency in the application; and |
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372 | 372 | | (2) offer the applicant the opportunity for a hearing |
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373 | 373 | | to address each reason and circumstance for possible denial of the |
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374 | 374 | | application. |
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375 | 375 | | (b) The commissioner must provide an opportunity for a |
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376 | 376 | | hearing before the commissioner finally denies an application. |
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377 | 377 | | (c) At the hearing, the applicant has the burden to produce |
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378 | 378 | | sufficient competent evidence on which the commissioner can make |
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379 | 379 | | the determinations required by Section 1302.104. |
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380 | 380 | | [Sections 1302.106-1302.150 reserved for expansion] |
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381 | 381 | | SUBCHAPTER D. ENFORCEMENT |
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382 | 382 | | Sec. 1302.151. GROUNDS FOR DENIAL, SUSPENSION, OR |
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383 | 383 | | REVOCATION OF CERTIFICATE OF AUTHORITY. The denial, suspension, or |
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384 | 384 | | revocation of a certificate of authority under this chapter to act |
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385 | 385 | | as a preferred provider organization is subject to: |
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386 | 386 | | (1) Subchapter C, Chapter 4005; and |
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387 | 387 | | (2) Chapter 82. |
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388 | 388 | | SECTION 3.002. Not later than November 1, 2009, the |
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389 | 389 | | commissioner of insurance shall adopt rules as necessary to |
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390 | 390 | | implement Chapter 1302, Insurance Code, as added by this Act. |
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391 | 391 | | SECTION 3.003. (a) Except as provided by Subsections (b) |
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392 | 392 | | and (c) of this section, a preferred provider organization that is |
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393 | 393 | | operating before the effective date of this Act and that has not |
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394 | 394 | | previously submitted an application for a certificate of authority |
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395 | 395 | | under the Insurance Code must apply for a certificate of authority |
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396 | 396 | | under Chapter 1302, Insurance Code, as added by this Act, not later |
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397 | 397 | | than the 60th day after the effective date of this Act. |
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398 | 398 | | (b) A preferred provider organization operating in this |
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399 | 399 | | state that, as of August 31, 2009, holds a certificate of authority |
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400 | 400 | | as an insurer under Chapter 801, Insurance Code, or a certificate of |
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401 | 401 | | authority as a third-party administrator under Chapter 4151, |
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402 | 402 | | Insurance Code, is not required to obtain a certificate of |
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403 | 403 | | authority under Chapter 1302, Insurance Code, as added by this Act. |
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404 | 404 | | (c) A preferred provider organization in this state that has |
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405 | 405 | | not applied for or does not hold, as of the effective date of this |
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406 | 406 | | Act, a certificate of authority under Chapter 801 or 4151, |
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407 | 407 | | Insurance Code, and that applies for a certificate of authority |
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408 | 408 | | under Chapter 1302, Insurance Code, as added by this Act, may |
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409 | 409 | | continue to operate, if the applicant otherwise complies with |
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410 | 410 | | applicable law, until the commissioner of insurance acts on the |
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411 | 411 | | application. |
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412 | 412 | | ARTICLE 4. RATE REGULATION |
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413 | 413 | | SECTION 4.001. Subchapter A, Chapter 2251, Insurance Code, |
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414 | 414 | | is amended by adding Section 2251.009 to read as follows: |
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415 | 415 | | Sec. 2251.009. FILING OF CERTAIN CLAIMS INFORMATION. (a) |
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416 | 416 | | This section applies only to an insurer subject to this subchapter |
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417 | 417 | | who writes personal automobile insurance or residential property |
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418 | 418 | | insurance in this state. |
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419 | 419 | | (b) The commissioner shall require each insurer described |
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420 | 420 | | by Subsection (a) to file with the commissioner personal automobile |
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421 | 421 | | insurance and residential property insurance claims information |
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422 | 422 | | for the period covered by the filing, including the number of |
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423 | 423 | | claims: |
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424 | 424 | | (1) filed during the reporting period; |
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425 | 425 | | (2) pending on the last day of the reporting period, |
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426 | 426 | | including pending litigation; |
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427 | 427 | | (3) paid during the reporting period; |
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428 | 428 | | (4) denied during the reporting period; and |
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429 | 429 | | (5) carrying over from the reporting period |
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430 | 430 | | immediately preceding the current reporting period. |
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431 | 431 | | (c) The commissioner may require insurers described by |
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432 | 432 | | Subsection (a) to file the information described by Subsection (b) |
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433 | 433 | | quarterly or annually. |
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434 | 434 | | (d) The commissioner may adopt rules necessary to implement |
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435 | 435 | | this section. |
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436 | 436 | | SECTION 4.002. Section 2251.101(b), Insurance Code, is |
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437 | 437 | | amended to read as follows: |
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438 | 438 | | (b) The commissioner by rule shall: |
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439 | 439 | | (1) determine the information required to be included |
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440 | 440 | | in the filing, including: |
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441 | 441 | | (A) [(1)] categories of supporting information |
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442 | 442 | | and supplementary rating information; |
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443 | 443 | | (B) [(2)] statistics or other information to |
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444 | 444 | | support the rates to be used by the insurer, including information |
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445 | 445 | | necessary to evidence that the computation of the rate does not |
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446 | 446 | | include disallowed expenses; and |
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447 | 447 | | (C) [(3)] information concerning policy fees, |
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448 | 448 | | service fees, and other fees that are charged or collected by the |
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449 | 449 | | insurer under Section 550.001 or 4005.003; and |
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450 | 450 | | (2) prescribe the process through which the department |
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451 | 451 | | requests supplementary rating information and supporting |
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452 | 452 | | information under this section, including: |
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453 | 453 | | (A) any time limits concerning and the time frame |
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454 | 454 | | in which requests for the information may be made; |
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455 | 455 | | (B) the number of times the department may make a |
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456 | 456 | | request for information; and |
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457 | 457 | | (C) the types of information the department may |
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458 | 458 | | request when reviewing a rate filing. |
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459 | 459 | | SECTION 4.003. Section 2251.103, Insurance Code, is amended |
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460 | 460 | | to read as follows: |
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461 | 461 | | Sec. 2251.103. COMMISSIONER ACTION CONCERNING [DISAPPROVAL |
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462 | 462 | | OF RATE IN] RATE FILING; HEARING AND ANALYSIS. (a) Not later than |
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463 | 463 | | the 30th day after the date a rate is filed with the department |
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464 | 464 | | under Section 2251.101, the [The] commissioner shall disapprove |
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465 | 465 | | the [a] rate if the commissioner determines that the rate [filing |
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466 | 466 | | made under this chapter] does not comply with the requirements of |
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467 | 467 | | this chapter [meet the standards established under Subchapter B]. |
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468 | 468 | | (b) Except as provided by Subsection (c), if a rate has not |
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469 | 469 | | been disapproved by the commissioner before the expiration of the |
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470 | 470 | | 30-day period described by Subsection (a), the rate is considered |
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471 | 471 | | approved. |
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472 | 472 | | (c) For good cause, the commissioner may, on the expiration |
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473 | 473 | | of the 30-day period described by Subsection (a), extend the period |
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474 | 474 | | for disapproval of a rate for one additional 30-day period. The |
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475 | 475 | | commissioner and the insurer may not by agreement extend the 30-day |
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476 | 476 | | period described by Subsection (a). |
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477 | 477 | | (d) If the commissioner disapproves a rate under this |
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478 | 478 | | section [filing], the commissioner shall issue an order specifying |
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479 | 479 | | in what respects the rate [filing] fails to meet the requirements of |
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480 | 480 | | this chapter. |
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481 | 481 | | (e) An insurer that files a rate that is disapproved under |
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482 | 482 | | this section [(c) The filer] is entitled to a hearing on written |
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483 | 483 | | request made to the commissioner not later than the 30th day after |
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484 | 484 | | the date the order disapproving the rate [filing] takes effect. |
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485 | 485 | | (f) The department shall track, compile, and routinely |
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486 | 486 | | analyze the factors that contribute to the disapproval of rates |
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487 | 487 | | under this section. |
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488 | 488 | | SECTION 4.004. Subchapter C, Chapter 2251, Insurance Code, |
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489 | 489 | | is amended by adding Section 2251.1031 to read as follows: |
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490 | 490 | | Sec. 2251.1031. REQUESTS FOR ADDITIONAL INFORMATION. (a) |
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491 | 491 | | If the department determines that the information filed by an |
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492 | 492 | | insurer under this subchapter or Subchapter D is incomplete or |
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493 | 493 | | otherwise deficient, the department may request additional |
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494 | 494 | | information from the insurer. |
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495 | 495 | | (b) If the department requests additional information from |
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496 | 496 | | the insurer during the 30-day period described by Section |
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497 | 497 | | 2251.103(a) or 2251.153(a) or under a second 30-day period |
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498 | 498 | | described by Section 2251.103(c) or 2251.153(c), as applicable, the |
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499 | 499 | | time between the date the department submits the request to the |
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500 | 500 | | insurer and the date the department receives the information |
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501 | 501 | | requested is not included in the computation of the first 30-day |
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502 | 502 | | period or the second 30-day period, as applicable. |
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503 | 503 | | (c) For purposes of this section, the date of the |
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504 | 504 | | department's submission of a request for additional information is: |
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505 | 505 | | (1) the date of the department's electronic mailing or |
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506 | 506 | | telephone call relating to the request for additional information; |
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507 | 507 | | or |
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508 | 508 | | (2) the postmarked date on the department's letter |
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509 | 509 | | relating to the request for additional information. |
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510 | 510 | | (d) The department shall track, compile, and routinely |
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511 | 511 | | analyze the volume and content of requests for additional |
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512 | 512 | | information made under this section to ensure that all requests for |
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513 | 513 | | additional information are fair and reasonable. |
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514 | 514 | | SECTION 4.005. The heading to Section 2251.104, Insurance |
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515 | 515 | | Code, is amended to read as follows: |
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516 | 516 | | Sec. 2251.104. COMMISSIONER DISAPPROVAL OF RATE IN EFFECT; |
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517 | 517 | | HEARING. |
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518 | 518 | | SECTION 4.006. Section 2251.107, Insurance Code, is amended |
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519 | 519 | | to read as follows: |
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520 | 520 | | Sec. 2251.107. PUBLIC [INSPECTION OF] INFORMATION. (a) |
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521 | 521 | | Each filing made, and any supporting information filed, under this |
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522 | 522 | | chapter, including a claims information filing under Section |
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523 | 523 | | 2251.009, are [is] open to public inspection as of the date of the |
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524 | 524 | | filing. |
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525 | 525 | | (b) The department shall make available to the public |
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526 | 526 | | information concerning best practices for rate development by |
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527 | 527 | | insurers in this state and the factors that contribute to the |
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528 | 528 | | disapproval of rates under Section 2251.103. Information provided |
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529 | 529 | | under this subsection must be general in nature and may not reveal |
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530 | 530 | | proprietary or trade secret information of any insurer. |
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531 | 531 | | (c) The department shall post the data contained in claims |
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532 | 532 | | information filings under Section 2251.009 on the department's |
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533 | 533 | | Internet website. The commissioner by rule may establish a |
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534 | 534 | | procedure for posting data under this subsection that includes a |
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535 | 535 | | description of the data that must be posted and the manner in which |
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536 | 536 | | the data must be posted. |
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537 | 537 | | SECTION 4.007. Section 2251.151, Insurance Code, is amended |
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538 | 538 | | by adding Subsections (c-1) and (f) and amending Subsection (e) to |
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539 | 539 | | read as follows: |
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540 | 540 | | (c-1) If the commissioner requires an insurer to file the |
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541 | 541 | | insurer's rates under this section, the commissioner shall |
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542 | 542 | | periodically assess whether the conditions described by Subsection |
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543 | 543 | | (a) continue to exist. If the commissioner determines that the |
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544 | 544 | | conditions no longer exist, the commissioner shall issue an order |
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545 | 545 | | excusing the insurer from filing the insurer's rates under this |
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546 | 546 | | section. |
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547 | 547 | | (e) If the commissioner requires an insurer to file the |
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548 | 548 | | insurer's rates under this section, the commissioner shall issue an |
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549 | 549 | | order specifying the commissioner's reasons for requiring the rate |
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550 | 550 | | filing and explaining any steps the insurer must take and any |
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551 | 551 | | conditions the insurer must meet in order to be excused from filing |
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552 | 552 | | the insurer's rates under this section. An affected insurer is |
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553 | 553 | | entitled to a hearing on written request made to the commissioner |
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554 | 554 | | not later than the 30th day after the date the order is issued. |
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555 | 555 | | (f) The commissioner by rule shall define: |
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556 | 556 | | (1) the financial conditions and rating practices that |
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557 | 557 | | may subject an insurer to this section under Subsection (a)(1); and |
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558 | 558 | | (2) the process by which the commissioner determines |
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559 | 559 | | that a statewide insurance emergency exists under Subsection |
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560 | 560 | | (a)(2). |
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561 | 561 | | SECTION 4.008. Section 2251.156, Insurance Code, is amended |
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562 | 562 | | to read as follows: |
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563 | 563 | | Sec. 2251.156. RATE FILING DISAPPROVAL BY COMMISSIONER; |
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564 | 564 | | HEARING. (a) If the commissioner disapproves a rate filing under |
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565 | 565 | | Section 2251.153(a)(2), the commissioner shall issue an order |
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566 | 566 | | disapproving the filing in accordance with Section 2251.103(d) |
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567 | 567 | | [2251.103(b)]. |
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568 | 568 | | (b) An insurer whose rate filing is disapproved is entitled |
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569 | 569 | | to a hearing in accordance with Section 2251.103(e) [2251.103(c)]. |
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570 | 570 | | SECTION 4.009. Sections 2251.252(a) and (b), Insurance |
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571 | 571 | | Code, are amended to read as follows: |
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572 | 572 | | (a) Except as provided by Subsections (b) and (c), an |
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573 | 573 | | insurer is exempt from the rate filing and approval requirements of |
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574 | 574 | | this chapter if the insurer, during the calendar year preceding the |
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575 | 575 | | date filing is otherwise required under this chapter, issued |
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576 | 576 | | residential property insurance policies in this state that |
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577 | 577 | | accounted for less than four [two] percent of the total amount of |
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578 | 578 | | premiums collected by insurers for residential property insurance |
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579 | 579 | | policies issued in this state, more than 50 percent of which cover |
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580 | 580 | | property: |
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581 | 581 | | (1) valued at less than $100,000; and |
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582 | 582 | | (2) located in an area designated by the commissioner |
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583 | 583 | | as underserved for residential property insurance under Chapter |
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584 | 584 | | 2004. |
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585 | 585 | | (b) If an insurer described by Subsection (a) is a member of |
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586 | 586 | | an affiliated insurance group, this subchapter applies to the |
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587 | 587 | | insurer only if the total aggregate premium collected by the group |
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588 | 588 | | accounts for less than four [two] percent of the total amount of |
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589 | 589 | | premiums collected by insurers for residential property insurance |
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590 | 590 | | policies issued in this state. |
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591 | 591 | | SECTION 4.010. Section 2251.154, Insurance Code, is |
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592 | 592 | | repealed. |
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593 | 593 | | SECTION 4.011. The commissioner of insurance shall require |
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594 | 594 | | an insurer to make the insurer's first claims information filing |
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595 | 595 | | under Section 2251.009, Insurance Code, as added by this Act, |
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596 | 596 | | beginning on or after January 1, 2010. |
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597 | 597 | | SECTION 4.012. Section 2251.103, Insurance Code, as amended |
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598 | 598 | | by this Act, and Section 2251.1031, Insurance Code, as added by this |
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599 | 599 | | Act, apply only to a rate filing made on or after the effective date |
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600 | 600 | | of this Act. A rate filing made before the effective date of this |
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601 | 601 | | Act is governed by the law in effect at the time the filing was made, |
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602 | 602 | | and that law is continued in effect for that purpose. |
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603 | 603 | | SECTION 4.013. Section 2251.151(c-1), Insurance Code, as |
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604 | 604 | | added by this Act, applies to an insurer that is required to file |
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605 | 605 | | the insurer's rates for approval under Section 2251.151, Insurance |
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606 | 606 | | Code, on or after the effective date of this Act, regardless of when |
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607 | 607 | | the order requiring the insurer to file the insurer's rates for |
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608 | 608 | | approval under that section is first issued. |
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609 | 609 | | SECTION 4.014. Section 2251.151(e), Insurance Code, as |
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610 | 610 | | amended by this Act, applies only to an order issued by the |
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611 | 611 | | commissioner of insurance on or after the effective date of this |
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612 | 612 | | Act. An order of the commissioner issued before the effective date |
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613 | 613 | | of this Act is governed by the law in effect on the date the order |
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614 | 614 | | was issued, and that law is continued in effect for that purpose. |
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615 | 615 | | ARTICLE 5. STATE FIRE MARSHAL'S OFFICE |
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616 | 616 | | SECTION 5.001. Section 417.008, Government Code, is amended |
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617 | 617 | | by adding Subsection (f) to read as follows: |
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618 | 618 | | (f) The commissioner by rule shall prescribe a reasonable |
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619 | 619 | | fee for an inspection performed by the state fire marshal that may |
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620 | 620 | | be charged to a property owner or occupant who requests the |
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621 | 621 | | inspection, as the commissioner considers appropriate. In |
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622 | 622 | | prescribing the fee, the commissioner shall consider the overall |
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623 | 623 | | cost to the state fire marshal to perform the inspections, |
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624 | 624 | | including the approximate amount of time the staff of the state fire |
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625 | 625 | | marshal needs to perform an inspection, travel costs, and other |
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626 | 626 | | expenses. |
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627 | 627 | | SECTION 5.002. Section 417.0081, Government Code, is amended |
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628 | 628 | | to read as follows: |
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629 | 629 | | Sec. 417.0081. INSPECTION OF CERTAIN STATE-OWNED OR |
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630 | 630 | | STATE-LEASED BUILDINGS. (a) The state fire marshal, at the |
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631 | 631 | | commissioner's direction, shall periodically inspect public |
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632 | 632 | | buildings under the charge and control of the Texas Facilities |
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633 | 633 | | [General Services] Commission and buildings leased for the use of a |
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634 | 634 | | state agency by the Texas Facilities Commission. |
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635 | 635 | | (b) For the purpose of determining a schedule for conducting |
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636 | 636 | | inspections under this section, the commissioner by rule shall |
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637 | 637 | | adopt guidelines for assigning potential fire safety risk to |
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638 | 638 | | state-owned and state-leased buildings. Rules adopted under this |
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639 | 639 | | subsection must provide for the inspection of each state-owned and |
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640 | 640 | | state-leased building to which this section applies, regardless of |
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641 | 641 | | how low the potential fire safety risk of the building may be. |
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642 | 642 | | (c) On or before January 1 of each year, the state fire |
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643 | 643 | | marshal shall report to the governor, lieutenant governor, speaker |
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644 | 644 | | of the house of representatives, and appropriate standing |
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645 | 645 | | committees of the legislature regarding the state fire marshal's |
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646 | 646 | | findings in conducting inspections under this section. |
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647 | 647 | | SECTION 5.003. Section 417.0082, Government Code, is amended |
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648 | 648 | | to read as follows: |
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649 | 649 | | Sec. 417.0082. PROTECTION OF CERTAIN STATE-OWNED OR |
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650 | 650 | | STATE-LEASED BUILDINGS AGAINST FIRE HAZARDS. (a) The state fire |
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651 | 651 | | marshal, under the direction of the commissioner, shall take any |
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652 | 652 | | action necessary to protect a public building under the charge and |
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653 | 653 | | control of the Texas Facilities [Building and Procurement] |
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654 | 654 | | Commission, and the building's occupants, and the occupants of a |
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655 | 655 | | building leased for the use of a state agency by the Texas |
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656 | 656 | | Facilities Commission, against an existing or threatened fire |
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657 | 657 | | hazard. The state fire marshal and the Texas Facilities [Building |
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658 | 658 | | and Procurement] Commission shall include the State Office of Risk |
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659 | 659 | | Management in all communication concerning fire hazards. |
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660 | 660 | | (b) The commissioner, the Texas Facilities [Building and |
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661 | 661 | | Procurement] Commission, and the risk management board shall make |
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662 | 662 | | and each adopt by rule a memorandum of understanding that |
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663 | 663 | | coordinates the agency's duties under this section. |
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664 | 664 | | SECTION 5.004. Section 417.010, Government Code, is amended |
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665 | 665 | | to read as follows: |
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666 | 666 | | Sec. 417.010. DISCIPLINARY AND ENFORCEMENT ACTIONS; |
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667 | 667 | | ADMINISTRATIVE PENALTIES [ALTERNATE REMEDIES]. (a) This section |
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668 | 668 | | applies to each person and firm licensed, registered, or otherwise |
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669 | 669 | | regulated by the department through the state fire marshal, |
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670 | 670 | | including: |
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671 | 671 | | (1) a person regulated under Title 20, Insurance Code; |
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672 | 672 | | and |
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673 | 673 | | (2) a person licensed under Chapter 2154, Occupations |
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674 | 674 | | Code. |
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675 | 675 | | (b) The commissioner by rule shall delegate to the state |
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676 | 676 | | fire marshal the authority to take disciplinary and enforcement |
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677 | 677 | | actions, including the imposition of administrative penalties in |
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678 | 678 | | accordance with this section on a person regulated under a law |
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679 | 679 | | listed under Subsection (a) who violates that law or a rule or order |
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680 | 680 | | adopted under that law. In the rules adopted under this subsection, |
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681 | 681 | | the commissioner shall: |
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682 | 682 | | (1) specify which types of disciplinary and |
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683 | 683 | | enforcement actions are delegated to the state fire marshal; and |
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684 | 684 | | (2) outline the process through which the state fire |
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685 | 685 | | marshal may, subject to Subsection (e), impose administrative |
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686 | 686 | | penalties or take other disciplinary and enforcement actions. |
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687 | 687 | | (c) The commissioner by rule shall adopt a schedule of |
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688 | 688 | | administrative penalties for violations subject to a penalty under |
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689 | 689 | | this section to ensure that the amount of an administrative penalty |
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690 | 690 | | imposed is appropriate to the violation. The department shall |
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691 | 691 | | provide the administrative penalty schedule to the public on |
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692 | 692 | | request. The amount of an administrative penalty imposed under |
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693 | 693 | | this section must be based on: |
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694 | 694 | | (1) the seriousness of the violation, including: |
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695 | 695 | | (A) the nature, circumstances, extent, and |
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696 | 696 | | gravity of the violation; and |
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697 | 697 | | (B) the hazard or potential hazard created to the |
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698 | 698 | | health, safety, or economic welfare of the public; |
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699 | 699 | | (2) the economic harm to the public interest or public |
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700 | 700 | | confidence caused by the violation; |
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701 | 701 | | (3) the history of previous violations; |
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702 | 702 | | (4) the amount necessary to deter a future violation; |
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703 | 703 | | (5) efforts to correct the violation; |
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704 | 704 | | (6) whether the violation was intentional; and |
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705 | 705 | | (7) any other matter that justice may require. |
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706 | 706 | | (d) In [The state fire marshal, in] the enforcement of a law |
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707 | 707 | | that is enforced by or through the state fire marshal, the state |
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708 | 708 | | fire marshal may, in lieu of cancelling, revoking, or suspending a |
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709 | 709 | | license or certificate of registration, impose on the holder of the |
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710 | 710 | | license or certificate of registration an order directing the |
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711 | 711 | | holder to do one or more of the following: |
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712 | 712 | | (1) cease and desist from a specified activity; |
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713 | 713 | | (2) pay an administrative penalty imposed under this |
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714 | 714 | | section [remit to the commissioner within a specified time a |
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715 | 715 | | monetary forfeiture not to exceed $10,000 for each violation of an |
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716 | 716 | | applicable law or rule]; or [and] |
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717 | 717 | | (3) make restitution to a person harmed by the holder's |
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718 | 718 | | violation of an applicable law or rule. |
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719 | 719 | | (e) The state fire marshal shall impose an administrative |
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720 | 720 | | penalty under this section in the manner prescribed for imposition |
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721 | 721 | | of an administrative penalty under Subchapter B, Chapter 84, |
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722 | 722 | | Insurance Code. The state fire marshal may impose an |
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723 | 723 | | administrative penalty under this section without referring the |
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724 | 724 | | violation to the department for commissioner action. |
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725 | 725 | | (f) An affected person may dispute the imposition of the |
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726 | 726 | | penalty or the amount of the penalty imposed in the manner |
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727 | 727 | | prescribed by Subchapter C, Chapter 84, Insurance Code. Failure to |
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728 | 728 | | pay an administrative penalty imposed under this section is subject |
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729 | 729 | | to enforcement by the department. |
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730 | 730 | | ARTICLE 6. TITLE INSURANCE |
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731 | 731 | | SECTION 6.001. Section 2602.107, Insurance Code, is amended |
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732 | 732 | | by adding Subsection (d) to read as follows: |
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733 | 733 | | (d) The association shall pay, from the guaranty fee |
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734 | 734 | | account, fees and reasonable and necessary expenses that the |
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735 | 735 | | department incurs in an examination of a title agent or direct |
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736 | 736 | | operation under Subchapter H, Chapter 2651. |
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737 | 737 | | SECTION 6.002. Subchapter D, Chapter 2651, Insurance Code, |
---|
738 | 738 | | is amended by adding Section 2651.1511 and amending Sections |
---|
739 | 739 | | 2651.153 and 2651.155 to read as follows: |
---|
740 | 740 | | Sec. 2651.1511. ANNUAL AUDIT OF OPERATING ACCOUNTS: TITLE |
---|
741 | 741 | | INSURANCE AGENTS AND DIRECT OPERATIONS. (a) Each title insurance |
---|
742 | 742 | | agent and direct operation shall submit to the department an annual |
---|
743 | 743 | | audit of operating accounts that is verified by an officer of: |
---|
744 | 744 | | (1) the audited title insurance agent; or |
---|
745 | 745 | | (2) the audited direct operation. |
---|
746 | 746 | | (b) The title insurance agent or direct operation shall pay |
---|
747 | 747 | | for an audit of operating accounts under this section. |
---|
748 | 748 | | (c) Not later than the 90th day after the date of the end of |
---|
749 | 749 | | the agent's or direct operation's fiscal year, the agent or direct |
---|
750 | 750 | | operation shall send by certified mail, postage prepaid, to the |
---|
751 | 751 | | department one copy of the audit report with a transmittal letter. |
---|
752 | 752 | | (d) Notwithstanding Subsection (a), the commissioner may |
---|
753 | 753 | | exempt a title insurance agent or direct operation with an annual |
---|
754 | 754 | | premium volume of less than $100,000 from the requirements of |
---|
755 | 755 | | Subsections (a)-(c). |
---|
756 | 756 | | Sec. 2651.153. RULES. The commissioner by rule shall |
---|
757 | 757 | | adopt: |
---|
758 | 758 | | (1) the standards for an audit conducted under this |
---|
759 | 759 | | subchapter; [and] |
---|
760 | 760 | | (2) the form of the required audit report; and |
---|
761 | 761 | | (3) a process to exempt a title insurance agent under |
---|
762 | 762 | | Section 2651.1511(d). |
---|
763 | 763 | | Sec. 2651.155. CONFIDENTIALITY OF AUDIT. (a) The |
---|
764 | 764 | | commissioner may classify an audit report that is filed with the |
---|
765 | 765 | | department by a title insurance company under this subchapter as |
---|
766 | 766 | | confidential and privileged. |
---|
767 | 767 | | (b) Information obtained in an audit of the operating |
---|
768 | 768 | | accounts of a title insurance agent or direct operation under this |
---|
769 | 769 | | subchapter is confidential and not subject to disclosure under this |
---|
770 | 770 | | code or Chapter 552, Government Code. |
---|
771 | 771 | | SECTION 6.003. Chapter 2651, Insurance Code, is amended by |
---|
772 | 772 | | adding Subchapter H to read as follows: |
---|
773 | 773 | | SUBCHAPTER H. EXAMINATION OF TITLE INSURANCE AGENTS AND DIRECT |
---|
774 | 774 | | OPERATIONS |
---|
775 | 775 | | Sec. 2651.351. EXAMINATION OF TITLE INSURANCE AGENTS AND |
---|
776 | 776 | | DIRECT OPERATIONS. (a) The department shall examine each title |
---|
777 | 777 | | insurance agent and direct operation licensed in this state as |
---|
778 | 778 | | provided by this subchapter. |
---|
779 | 779 | | (b) The department shall: |
---|
780 | 780 | | (1) examine the title insurance agent's or direct |
---|
781 | 781 | | operation's: |
---|
782 | 782 | | (A) financial condition; |
---|
783 | 783 | | (B) trust, escrow, and operating accounts; |
---|
784 | 784 | | (C) ability to meet its liabilities; and |
---|
785 | 785 | | (D) compliance with the laws of this state and |
---|
786 | 786 | | rules adopted by the commissioner that affect the business conduct |
---|
787 | 787 | | of the title insurance agent or direct operation; and |
---|
788 | 788 | | (2) verify the data reported for rate promulgation. |
---|
789 | 789 | | (c) The department shall conduct the examination at the |
---|
790 | 790 | | principal office of the title insurance agent or direct operation, |
---|
791 | 791 | | and may conduct the examination alone or with representatives of |
---|
792 | 792 | | the insurance supervising departments of other states. |
---|
793 | 793 | | (d) Subject to Subsection (e), the department shall examine |
---|
794 | 794 | | a title insurance agent or direct operation as frequently as the |
---|
795 | 795 | | department considers necessary. At a minimum, the department shall |
---|
796 | 796 | | examine a title insurance agent or direct operation not less |
---|
797 | 797 | | frequently than once every three years. |
---|
798 | 798 | | (e) The commissioner shall adopt rules governing the |
---|
799 | 799 | | frequency of examinations of a title insurance agent or direct |
---|
800 | 800 | | operation licensed for less than three years. |
---|
801 | 801 | | Sec. 2652.352. EXAMINATION PERIOD. Unless the department |
---|
802 | 802 | | requests that an examination cover a longer period, the examination |
---|
803 | 803 | | must cover the period beginning on the last day covered by the most |
---|
804 | 804 | | recent examination and ending on December 31 of the year preceding |
---|
805 | 805 | | the year in which the examination is being conducted. |
---|
806 | 806 | | Sec. 2651.353. POWERS RELATED TO EXAMINATION. The |
---|
807 | 807 | | department or the examiner appointed by the department: |
---|
808 | 808 | | (1) has free access, and may require the title |
---|
809 | 809 | | insurance agent or direct operation to provide free access, to all |
---|
810 | 810 | | books and papers of the title insurance agent or direct operation |
---|
811 | 811 | | that relate to the business and affairs of the title insurance agent |
---|
812 | 812 | | or direct operation; and |
---|
813 | 813 | | (2) has the authority to summon and examine under |
---|
814 | 814 | | oath, if necessary, an officer, agent, or employee of the title |
---|
815 | 815 | | insurance agent or direct operation or any other person in relation |
---|
816 | 816 | | to the affairs and condition of the title insurance agent or direct |
---|
817 | 817 | | operation. |
---|
818 | 818 | | Sec. 2651.354. EFFECT OF SUBCHAPTER ON AUTHORITY TO USE |
---|
819 | 819 | | INFORMATION. This subchapter does not limit the commissioner's |
---|
820 | 820 | | authority to use a final or preliminary examination report, the |
---|
821 | 821 | | work papers of an examiner, title insurance agent, or direct |
---|
822 | 822 | | operation, or other documents, or any other information discovered |
---|
823 | 823 | | or developed during an examination in connection with a legal or |
---|
824 | 824 | | regulatory action that the commissioner, in the commissioner's sole |
---|
825 | 825 | | discretion, considers appropriate. |
---|
826 | 826 | | Sec. 2651.355. CONFIDENTIALITY OF REPORTS AND RELATED |
---|
827 | 827 | | INFORMATION. (a) A final or preliminary examination report and any |
---|
828 | 828 | | information obtained during an examination are confidential and are |
---|
829 | 829 | | not subject to disclosure under Chapter 552, Government Code. |
---|
830 | 830 | | (b) Subsection (a) applies if the examined title insurance |
---|
831 | 831 | | agent or direct operation is under supervision or conservatorship. |
---|
832 | 832 | | (c) Subsection (a) does not apply to an examination |
---|
833 | 833 | | conducted in connection with a liquidation or receivership under |
---|
834 | 834 | | this code or another insurance law of this state. |
---|
835 | 835 | | Sec. 2651.356. DISCIPLINARY ACTION FOR FAILURE TO COMPLY |
---|
836 | 836 | | WITH SUBCHAPTER. A title insurance agent or direct operation is |
---|
837 | 837 | | subject to disciplinary action under Chapter 82 for failure or |
---|
838 | 838 | | refusal to comply with: |
---|
839 | 839 | | (1) this subchapter or a rule adopted under this |
---|
840 | 840 | | subchapter; or |
---|
841 | 841 | | (2) a request by the department or an appointed |
---|
842 | 842 | | examiner to be examined or to provide information requested as part |
---|
843 | 843 | | of an examination. |
---|
844 | 844 | | SECTION 6.004. Section 2703.153(c), Insurance Code, is |
---|
845 | 845 | | amended to read as follows: |
---|
846 | 846 | | (c) Not less frequently than once every five years, the |
---|
847 | 847 | | commissioner shall evaluate the information required under this |
---|
848 | 848 | | section to determine whether the department needs additional or |
---|
849 | 849 | | different information or no longer needs certain information to |
---|
850 | 850 | | promulgate rates. If the department requires a title insurance |
---|
851 | 851 | | company or title insurance agent to include new or different |
---|
852 | 852 | | information in the statistical report, that information may be |
---|
853 | 853 | | considered by the commissioner in fixing premium rates if the |
---|
854 | 854 | | information collected is reasonably credible for the purposes for |
---|
855 | 855 | | which the information is to be used. |
---|
856 | 856 | | SECTION 6.005. Sections 2602.103(b), (c), and (d), |
---|
857 | 857 | | Insurance Code, are repealed. |
---|
858 | 858 | | ARTICLE 7. TEXAS WINDSTORM INSURANCE ASSOCIATION |
---|
859 | 859 | | SECTION 7.001. Section 2210.008, Insurance Code, is amended |
---|
860 | 860 | | to read as follows: |
---|
861 | 861 | | Sec. 2210.008. DEPARTMENT RULES; ORDERS. (a) The |
---|
862 | 862 | | commissioner shall adopt rules in the manner prescribed by |
---|
863 | 863 | | Subchapter A, Chapter 36, as the commissioner considers necessary |
---|
864 | 864 | | to implement this chapter. The commissioner shall adopt rules as |
---|
865 | 865 | | provided by this chapter to approve proposed changes to the |
---|
866 | 866 | | operations of the association. |
---|
867 | 867 | | (b) The [After notice and hearing as provided by Subsection |
---|
868 | 868 | | (b), the] commissioner may issue any orders that the commissioner |
---|
869 | 869 | | considers necessary to implement this chapter[, including orders |
---|
870 | 870 | | regarding maximum rates, competitive rates, and policy forms]. |
---|
871 | 871 | | [(b) Before the commissioner adopts an order, the |
---|
872 | 872 | | department shall post notice of the hearing on the order at the |
---|
873 | 873 | | secretary of state's office in Austin and shall hold a hearing to |
---|
874 | 874 | | consider the proposed order. Any person may appear at the hearing |
---|
875 | 875 | | and testify for or against the adoption of the order.] |
---|
876 | 876 | | SECTION 7.002. Section 2210.102, Insurance Code, is amended |
---|
877 | 877 | | to read as follows: |
---|
878 | 878 | | Sec. 2210.102. COMPOSITION. (a) The board of directors |
---|
879 | 879 | | is composed of 11 [the following nine] members appointed by the |
---|
880 | 880 | | commissioner as follows: |
---|
881 | 881 | | (1) five representatives of different insurers who are |
---|
882 | 882 | | members of the association[, elected by the members as provided by |
---|
883 | 883 | | the plan of operation]; |
---|
884 | 884 | | (2) four [two] public representatives [who are |
---|
885 | 885 | | nominated by the office of public insurance counsel and] who, as of |
---|
886 | 886 | | the date of the appointment: |
---|
887 | 887 | | (A) reside in a catastrophe area; and |
---|
888 | 888 | | (B) are policyholders of the association; and |
---|
889 | 889 | | (3) two property and casualty agents, each of whom |
---|
890 | 890 | | must: |
---|
891 | 891 | | (A) have demonstrated experience in the |
---|
892 | 892 | | association; |
---|
893 | 893 | | (B) maintain the agent's principal office, as of |
---|
894 | 894 | | the date of the appointment, in a catastrophe area; and |
---|
895 | 895 | | (C) hold a license under Chapter 4051 as a |
---|
896 | 896 | | general property and casualty agent or a personal lines property |
---|
897 | 897 | | and casualty agent. |
---|
898 | 898 | | (b) Insurers who are members of the association shall |
---|
899 | 899 | | nominate, from among those members, persons to fill any vacancy in |
---|
900 | 900 | | the five board of director seats reserved for insurers. The board |
---|
901 | 901 | | of directors shall solicit nominations from the members and submit |
---|
902 | 902 | | the nominations to the commissioner. The nominee slate submitted |
---|
903 | 903 | | to the commissioner under this subsection must include more names |
---|
904 | 904 | | than the number of vacancies. The commissioner shall appoint |
---|
905 | 905 | | replacement insurer members from the nominee slate. |
---|
906 | 906 | | (c) The persons appointed under Subsections (a)(2) and (3) |
---|
907 | 907 | | must be from different counties. |
---|
908 | 908 | | SECTION 7.003. Section 2210.103(a), Insurance Code, is |
---|
909 | 909 | | amended to read as follows: |
---|
910 | 910 | | (a) Members of the board of directors serve three-year |
---|
911 | 911 | | staggered terms, with the terms of three members or four members, as |
---|
912 | 912 | | applicable, expiring on the third Tuesday of March of each year. |
---|
913 | 913 | | SECTION 7.004. Section 2210.104, Insurance Code, is amended |
---|
914 | 914 | | to read as follows: |
---|
915 | 915 | | Sec. 2210.104. OFFICERS. The commissioner shall appoint a |
---|
916 | 916 | | presiding officer [board of directors shall elect] from the board's |
---|
917 | 917 | | membership [an executive committee consisting of a presiding |
---|
918 | 918 | | officer, assistant presiding officer, and secretary-treasurer. At |
---|
919 | 919 | | least one of the officers must be a member appointed under Section |
---|
920 | 920 | | 2210.102(a)(2) or (3)]. The board of directors may elect other |
---|
921 | 921 | | officers from the board's membership as considered necessary to |
---|
922 | 922 | | conduct the duties of the board. |
---|
923 | 923 | | SECTION 7.005. Section 2210.152(a), Insurance Code, is |
---|
924 | 924 | | amended to read as follows: |
---|
925 | 925 | | (a) The plan of operation must: |
---|
926 | 926 | | (1) provide for the efficient, economical, fair, and |
---|
927 | 927 | | nondiscriminatory administration of the association; and |
---|
928 | 928 | | (2) include: |
---|
929 | 929 | | (A) a plan for the equitable assessment of the |
---|
930 | 930 | | members of the association to defray losses and expenses; |
---|
931 | 931 | | (B) underwriting standards; |
---|
932 | 932 | | (C) procedures for accepting and ceding |
---|
933 | 933 | | reinsurance; |
---|
934 | 934 | | (D) procedures for determining the amount of |
---|
935 | 935 | | insurance to be provided to specific risks; |
---|
936 | 936 | | (E) time limits and procedures for processing |
---|
937 | 937 | | applications for insurance; [and] |
---|
938 | 938 | | (F) a plan for property inspections for windstorm |
---|
939 | 939 | | and hail insurance; and |
---|
940 | 940 | | (G) other provisions as considered necessary by |
---|
941 | 941 | | the department to implement the purposes of this chapter. |
---|
942 | 942 | | SECTION 7.006. Section 2210.153, Insurance Code, is amended |
---|
943 | 943 | | to read as follows: |
---|
944 | 944 | | Sec. 2210.153. AMENDMENTS TO PLAN OF OPERATION. (a) The |
---|
945 | 945 | | association shall [may] present a recommendation for a change in |
---|
946 | 946 | | the plan of operation to the department [at: |
---|
947 | 947 | | [(1) periodic hearings conducted by the department for |
---|
948 | 948 | | that purpose; or |
---|
949 | 949 | | [(2) hearings relating to property and casualty |
---|
950 | 950 | | insurance rates. |
---|
951 | 951 | | [(b) The association must present a proposed change to the |
---|
952 | 952 | | department] in writing in the manner prescribed by the |
---|
953 | 953 | | commissioner. A proposed change does not take effect unless |
---|
954 | 954 | | adopted by the commissioner by rule. |
---|
955 | 955 | | (b) [(c)] An interested person may, in accordance with |
---|
956 | 956 | | Chapter 2001, Government Code, petition the commissioner to modify |
---|
957 | 957 | | the plan of operation. |
---|
958 | 958 | | SECTION 7.007. Section 2210.202(a), Insurance Code, is |
---|
959 | 959 | | amended to read as follows: |
---|
960 | 960 | | (a) A person who has an insurable interest in insurable |
---|
961 | 961 | | property may apply to the association for insurance coverage |
---|
962 | 962 | | provided under the plan of operation and an inspection of the |
---|
963 | 963 | | property, subject to any rules, including any inspection fee, |
---|
964 | 964 | | established by the board of directors and approved by the |
---|
965 | 965 | | commissioner. The association shall make insurance available to |
---|
966 | 966 | | each applicant in the catastrophe area whose property is insurable |
---|
967 | 967 | | property but who, after diligent efforts, is unable to obtain |
---|
968 | 968 | | property insurance through the voluntary market, as evidenced by |
---|
969 | 969 | | two declinations, cancellations, or a combination of declinations |
---|
970 | 970 | | and cancellations from insurers authorized to engage in the |
---|
971 | 971 | | business of, and writing, property insurance in this state. For |
---|
972 | 972 | | purposes of this section, "declination" has the meaning assigned by |
---|
973 | 973 | | the plan of operation and may include a refusal to offer coverage |
---|
974 | 974 | | and the inability to obtain substantially equivalent insurance |
---|
975 | 975 | | coverage and rates. Notwithstanding Section 2210.203(c), evidence |
---|
976 | 976 | | of two declinations or other comparable evidence is required with |
---|
977 | 977 | | an application for renewal of an association policy unless the |
---|
978 | 978 | | association has evidence that comparable voluntary market coverage |
---|
979 | 979 | | is not available in the area of the property to be insured for the |
---|
980 | 980 | | same class of risk. |
---|
981 | 981 | | SECTION 7.008. Section 2210.207(e), Insurance Code, is |
---|
982 | 982 | | amended to read as follows: |
---|
983 | 983 | | (e) Notwithstanding this chapter or any other law, the |
---|
984 | 984 | | commissioner[, after notice and hearing,] may adopt rules to: |
---|
985 | 985 | | (1) authorize the association to provide actual cash |
---|
986 | 986 | | value coverage instead of replacement cost coverage on the roof |
---|
987 | 987 | | covering of a building insured by the association; and |
---|
988 | 988 | | (2) establish: |
---|
989 | 989 | | (A) the conditions under which the association |
---|
990 | 990 | | may provide that actual cash value coverage; |
---|
991 | 991 | | (B) the appropriate premium reductions when |
---|
992 | 992 | | coverage for the roof covering is provided on an actual cash value |
---|
993 | 993 | | basis; and |
---|
994 | 994 | | (C) the disclosure that must be provided to the |
---|
995 | 995 | | policyholder, prominently displayed on the face of the windstorm |
---|
996 | 996 | | and hail insurance policy. |
---|
997 | 997 | | SECTION 7.009. Section 2210.251, Insurance Code, is amended |
---|
998 | 998 | | by amending Subsections (a), (c), (f), and (g) and adding |
---|
999 | 999 | | Subsections (i), (j), and (k) to read as follows: |
---|
1000 | 1000 | | (a) Except as provided by this section, to be considered |
---|
1001 | 1001 | | insurable property eligible for windstorm and hail insurance |
---|
1002 | 1002 | | coverage from the association, a structure that is constructed or |
---|
1003 | 1003 | | repaired or to which additions are made on or after January 1, 1988, |
---|
1004 | 1004 | | must be inspected or approved by the association [department] for |
---|
1005 | 1005 | | compliance with the plan of operation. |
---|
1006 | 1006 | | (c) After January 1, 2004, a person must submit a notice of a |
---|
1007 | 1007 | | windstorm inspection to the association [unit responsible for |
---|
1008 | 1008 | | certification of windstorm inspections at the department] before |
---|
1009 | 1009 | | beginning to construct, alter, remodel, enlarge, or repair a |
---|
1010 | 1010 | | structure. |
---|
1011 | 1011 | | (f) The association [department] shall issue a certificate |
---|
1012 | 1012 | | of compliance for each structure that qualifies for coverage. The |
---|
1013 | 1013 | | certificate is evidence of insurability of the structure by the |
---|
1014 | 1014 | | association. |
---|
1015 | 1015 | | (g) The association [department] may enter into agreements |
---|
1016 | 1016 | | and contracts as necessary to implement this section. |
---|
1017 | 1017 | | (i) The association may charge a reasonable fee for each |
---|
1018 | 1018 | | inspection in an amount set by commissioner rule. The association |
---|
1019 | 1019 | | may use fees collected under this section for operating expenses. |
---|
1020 | 1020 | | (j) Without limitation of the department's authority to |
---|
1021 | 1021 | | otherwise enforce this chapter, the department shall monitor the |
---|
1022 | 1022 | | association's compliance with this subchapter. To facilitate the |
---|
1023 | 1023 | | department's oversight of the inspection program, the association |
---|
1024 | 1024 | | shall report to the department monthly, in the manner prescribed by |
---|
1025 | 1025 | | the commissioner, regarding: |
---|
1026 | 1026 | | (1) the number of inspections performed; |
---|
1027 | 1027 | | (2) the number of structures inspected; |
---|
1028 | 1028 | | (3) the number and a general description of the type of |
---|
1029 | 1029 | | inspection deficiencies discovered through the inspection program; |
---|
1030 | 1030 | | and |
---|
1031 | 1031 | | (4) any actions taken to resolve problems with |
---|
1032 | 1032 | | inspections. |
---|
1033 | 1033 | | (k) The commissioner may adopt rules in the manner |
---|
1034 | 1034 | | prescribed by Subchapter A, Chapter 36, as necessary to implement |
---|
1035 | 1035 | | this section. |
---|
1036 | 1036 | | SECTION 7.010. Sections 2210.254(a) and (c), Insurance |
---|
1037 | 1037 | | Code, are amended to read as follows: |
---|
1038 | 1038 | | (a) For purposes of this chapter, a "qualified inspector" |
---|
1039 | 1039 | | includes: |
---|
1040 | 1040 | | (1) a person determined by the association |
---|
1041 | 1041 | | [department] to be qualified because of training or experience to |
---|
1042 | 1042 | | perform building inspections; |
---|
1043 | 1043 | | (2) a licensed professional engineer who meets the |
---|
1044 | 1044 | | requirements specified by the association [commissioner rule] for |
---|
1045 | 1045 | | appointment to conduct windstorm inspections; and |
---|
1046 | 1046 | | (3) an inspector who: |
---|
1047 | 1047 | | (A) is certified by the International Code |
---|
1048 | 1048 | | Council, the Building Officials and Code Administrators |
---|
1049 | 1049 | | International, Inc., the International Conference of Building |
---|
1050 | 1050 | | Officials, or the Southern Building Code Congress International, |
---|
1051 | 1051 | | Inc.; |
---|
1052 | 1052 | | (B) has certifications as a buildings inspector |
---|
1053 | 1053 | | and coastal construction inspector; and |
---|
1054 | 1054 | | (C) complies with other requirements specified |
---|
1055 | 1055 | | by the board of directors [commissioner rule]. |
---|
1056 | 1056 | | (c) Before performing building inspections, a qualified |
---|
1057 | 1057 | | inspector must enter into a contract with the association [be |
---|
1058 | 1058 | | approved and appointed or employed by the department]. |
---|
1059 | 1059 | | SECTION 7.011. Subchapter F, Chapter 2210, Insurance Code, |
---|
1060 | 1060 | | is amended by adding Section 2210.2541 to read as follows: |
---|
1061 | 1061 | | Sec. 2210.2541. ASSOCIATION INSPECTION PROGRAM. (a) The |
---|
1062 | 1062 | | association shall develop an inspection program to perform |
---|
1063 | 1063 | | inspections for windstorm and hail insurance as required by this |
---|
1064 | 1064 | | subchapter. |
---|
1065 | 1065 | | (b) The association shall adopt inspection standards and |
---|
1066 | 1066 | | regulations regarding the operation of the inspection program, |
---|
1067 | 1067 | | including: |
---|
1068 | 1068 | | (1) inspection training and education requirements, |
---|
1069 | 1069 | | as determined necessary by the association, for licensed engineers |
---|
1070 | 1070 | | who contract with the association under Section 2210.255; |
---|
1071 | 1071 | | (2) guidelines for inspection fees assessed under |
---|
1072 | 1072 | | Section 2210.251(i) and for fees collected by inspectors under this |
---|
1073 | 1073 | | subchapter; and |
---|
1074 | 1074 | | (3) procedures for handling complaints made to the |
---|
1075 | 1075 | | association regarding inspectors. |
---|
1076 | 1076 | | (c) The association shall include in the inspection program |
---|
1077 | 1077 | | an oversight process that includes regular reinspections by the |
---|
1078 | 1078 | | association to ensure that association inspectors perform duties |
---|
1079 | 1079 | | under this subchapter appropriately. |
---|
1080 | 1080 | | (d) The association shall report possible licensing |
---|
1081 | 1081 | | violations by an inspector selected under Sections 2210.254 and |
---|
1082 | 1082 | | 2210.255 to perform inspections under this subchapter to the Texas |
---|
1083 | 1083 | | Board of Professional Engineers. |
---|
1084 | 1084 | | (e) The association shall establish procedures as part of |
---|
1085 | 1085 | | the inspection program as necessary to issue certificates of |
---|
1086 | 1086 | | compliance under Section 2210.251(f). |
---|
1087 | 1087 | | (f) As part of the report required under Section |
---|
1088 | 1088 | | 2210.251(j), the association shall report to the department |
---|
1089 | 1089 | | regarding the operation of the inspection program. |
---|
1090 | 1090 | | SECTION 7.012. Section 2210.255, Insurance Code, is amended |
---|
1091 | 1091 | | to read as follows: |
---|
1092 | 1092 | | Sec. 2210.255. CONTRACT WITH [APPOINTMENT OF] LICENSED |
---|
1093 | 1093 | | ENGINEER AS INSPECTOR. (a) On request of an engineer licensed by |
---|
1094 | 1094 | | the Texas Board of Professional Engineers, the association may |
---|
1095 | 1095 | | enter into a contract with [commissioner shall appoint] the |
---|
1096 | 1096 | | engineer under which the engineer serves as an inspector under this |
---|
1097 | 1097 | | subchapter. The association may enter into a contract under this |
---|
1098 | 1098 | | subsection only on receipt of information satisfactory to the board |
---|
1099 | 1099 | | [not later than the 10th day after the date the engineer delivers to |
---|
1100 | 1100 | | the commissioner information demonstrating] that the engineer is |
---|
1101 | 1101 | | qualified to perform windstorm inspections under this subchapter. |
---|
1102 | 1102 | | (b) The association shall consult with the commissioner |
---|
1103 | 1103 | | regarding [shall adopt rules establishing] the information to be |
---|
1104 | 1104 | | considered in contracting with [appointing] engineers under this |
---|
1105 | 1105 | | section. |
---|
1106 | 1106 | | SECTION 7.013. Subchapter F, Chapter 2210, Insurance Code, |
---|
1107 | 1107 | | is amended by adding Section 2210.2565 to read as follows: |
---|
1108 | 1108 | | Sec. 2210.2565. PROCEDURES REGARDING CONTRACTING WITH |
---|
1109 | 1109 | | INSPECTORS. The board of directors shall develop procedures for |
---|
1110 | 1110 | | contracting with and oversight of inspectors selected under |
---|
1111 | 1111 | | Sections 2210.254 and 2210.255, including procedures relating to |
---|
1112 | 1112 | | the grounds for the suspension, modification, or revocation of a |
---|
1113 | 1113 | | contract under this subchapter with an inspector. |
---|
1114 | 1114 | | SECTION 7.014. Section 2210.351, Insurance Code, is amended |
---|
1115 | 1115 | | to read as follows: |
---|
1116 | 1116 | | Sec. 2210.351. ASSOCIATION RATE FILINGS AND SUPPORTING |
---|
1117 | 1117 | | INFORMATION; USE OF RATE. (a) Except as provided by Section |
---|
1118 | 1118 | | 2210.3562, the [The] association shall [must] file with the |
---|
1119 | 1119 | | department each manual of classifications, rules, rates, including |
---|
1120 | 1120 | | condition charges, [and] each rating plan, [and] each modification |
---|
1121 | 1121 | | of those items that the association proposes to use, supplementary |
---|
1122 | 1122 | | rating information, and additional information as required by the |
---|
1123 | 1123 | | commissioner. |
---|
1124 | 1124 | | (b) The commissioner by rule shall determine the |
---|
1125 | 1125 | | information required to be included in the filing, including: |
---|
1126 | 1126 | | (1) categories of supporting information and |
---|
1127 | 1127 | | supplementary rating information; |
---|
1128 | 1128 | | (2) statistics or other information to support the |
---|
1129 | 1129 | | rates to be used by the association, including information |
---|
1130 | 1130 | | necessary to evidence that the computation of the rate does not |
---|
1131 | 1131 | | include disallowed expenses; and |
---|
1132 | 1132 | | (3) information concerning policy fees, service fees, |
---|
1133 | 1133 | | and other fees that are charged or collected by the association. |
---|
1134 | 1134 | | (c) After the filing has been made, the association may use |
---|
1135 | 1135 | | a filed rate. A filed rate is subject to disapproval by the |
---|
1136 | 1136 | | commissioner in the manner prescribed by this subchapter. |
---|
1137 | 1137 | | (d) A filing under this section must indicate the character |
---|
1138 | 1138 | | and the extent of the coverage contemplated and must be accompanied |
---|
1139 | 1139 | | by the policy and endorsement forms proposed to be used. The forms |
---|
1140 | 1140 | | may be designed specifically for use by the association without |
---|
1141 | 1141 | | regard to other forms filed with, approved by, or prescribed by the |
---|
1142 | 1142 | | department for use in this state. |
---|
1143 | 1143 | | [(c) As soon as reasonably possible after the filing has |
---|
1144 | 1144 | | been made, the commissioner in writing shall approve, modify, or |
---|
1145 | 1145 | | disapprove the filing. A filing is considered approved unless |
---|
1146 | 1146 | | modified or disapproved on or before the 30th day after the date of |
---|
1147 | 1147 | | the filing. |
---|
1148 | 1148 | | [(d) If at any time the commissioner determines that a |
---|
1149 | 1149 | | filing approved under Subsection (c) no longer meets the |
---|
1150 | 1150 | | requirements of this chapter, the commissioner may, after a hearing |
---|
1151 | 1151 | | held on at least 20 days' notice to the association that specifies |
---|
1152 | 1152 | | the matters to be considered at the hearing, issue an order |
---|
1153 | 1153 | | withdrawing approval of the filing. The order must specify in what |
---|
1154 | 1154 | | respects the commissioner determines that the filing no longer |
---|
1155 | 1155 | | meets the requirements of this chapter. An order issued under this |
---|
1156 | 1156 | | subsection may not take effect before the 30th day after the date of |
---|
1157 | 1157 | | issuance of the order.] |
---|
1158 | 1158 | | (e) The department shall value the loss and loss adjustment |
---|
1159 | 1159 | | expense data to be used for a filing not earlier than March 31 of the |
---|
1160 | 1160 | | year before the year in which the filing is to be made. |
---|
1161 | 1161 | | SECTION 7.015. Sections 2210.352 and 2210.353, Insurance |
---|
1162 | 1162 | | Code, are amended to read as follows: |
---|
1163 | 1163 | | Sec. 2210.352. MANUAL RATE FILINGS: ANNUAL FILING. (a) |
---|
1164 | 1164 | | Not later than August 15 of each year, the association shall file |
---|
1165 | 1165 | | with the department [for approval by the commissioner] a proposed |
---|
1166 | 1166 | | manual rate for all types and classes of risks written by the |
---|
1167 | 1167 | | association. Chapter 40 does not apply to: |
---|
1168 | 1168 | | (1) a filing made under this subsection; or |
---|
1169 | 1169 | | (2) a department action with respect to the filing. |
---|
1170 | 1170 | | (b) The [Before approving, disapproving, or modifying a |
---|
1171 | 1171 | | filing, the] commissioner shall provide all interested persons a |
---|
1172 | 1172 | | reasonable opportunity to: |
---|
1173 | 1173 | | (1) review the filing; |
---|
1174 | 1174 | | (2) obtain copies of the filing on payment of any |
---|
1175 | 1175 | | legally required copying cost; and |
---|
1176 | 1176 | | (3) submit to the commissioner written comments or |
---|
1177 | 1177 | | information related to the filing. |
---|
1178 | 1178 | | (c) [The commissioner shall schedule an open meeting not |
---|
1179 | 1179 | | later than the 45th day after the date the department receives a |
---|
1180 | 1180 | | filing at which interested persons may present written or oral |
---|
1181 | 1181 | | comments relating to the filing. |
---|
1182 | 1182 | | [(d) An open meeting under Subsection (c) is subject to |
---|
1183 | 1183 | | Chapter 551, Government Code, but is not a contested case hearing |
---|
1184 | 1184 | | under Chapter 2001, Government Code. |
---|
1185 | 1185 | | [(e)] The department shall file with the secretary of state |
---|
1186 | 1186 | | for publication in the Texas Register notice that a filing has been |
---|
1187 | 1187 | | made under Subsection (a) not later than the seventh day after the |
---|
1188 | 1188 | | date the department receives the filing. The notice must include |
---|
1189 | 1189 | | information relating to: |
---|
1190 | 1190 | | (1) the availability of the filing for public |
---|
1191 | 1191 | | inspection at the department during regular business hours and the |
---|
1192 | 1192 | | procedures for obtaining copies of the filing; and |
---|
1193 | 1193 | | (2) procedures for making written comments related to |
---|
1194 | 1194 | | the filing[; and |
---|
1195 | 1195 | | [(3) the time, place, and date of the open meeting |
---|
1196 | 1196 | | scheduled under Subsection (c) at which interested persons may |
---|
1197 | 1197 | | present written or oral comments relating to the filing]. |
---|
1198 | 1198 | | (d) The [(f) After the conclusion of the open meeting, the] |
---|
1199 | 1199 | | commissioner shall approve, disapprove, or modify the filing in |
---|
1200 | 1200 | | writing not later than November 15 of the year in which the filing |
---|
1201 | 1201 | | was made. If the filing is not approved, disapproved, or modified |
---|
1202 | 1202 | | on or before that date, the filing is considered approved. |
---|
1203 | 1203 | | (e) [(g)] If the commissioner disapproves a filing, the |
---|
1204 | 1204 | | commissioner shall state in the order issued under Section |
---|
1205 | 1205 | | 2210.3561 [writing] the reasons for the disapproval and the |
---|
1206 | 1206 | | criteria the association is required to meet to obtain approval. |
---|
1207 | 1207 | | Sec. 2210.353. MANUAL RATE FILINGS: AMENDED FILING. (a) |
---|
1208 | 1208 | | Not later than the 30th day after the date the association receives |
---|
1209 | 1209 | | the commissioner's written disapproval under Section 2210.352(d) |
---|
1210 | 1210 | | [2210.352(f)], the association may file with the commissioner an |
---|
1211 | 1211 | | amended filing that conforms to all criteria stated in that written |
---|
1212 | 1212 | | disapproval. |
---|
1213 | 1213 | | (b) Not later than the 30th day after the date an amended |
---|
1214 | 1214 | | filing made under Subsection (a) is received, the commissioner |
---|
1215 | 1215 | | shall approve the amended filing with or without modifications or |
---|
1216 | 1216 | | disapprove the amended filing. If the filing is not modified or |
---|
1217 | 1217 | | disapproved on or before the 30th day after the date of receipt, the |
---|
1218 | 1218 | | filing is considered approved without modification. |
---|
1219 | 1219 | | (c) Before approving or disapproving an amended filing, the |
---|
1220 | 1220 | | commissioner shall, in the manner provided by Section 2210.352(b), |
---|
1221 | 1221 | | provide all interested persons a reasonable opportunity to: |
---|
1222 | 1222 | | (1) review the amended filing; |
---|
1223 | 1223 | | (2) obtain copies of the amended filing on payment of |
---|
1224 | 1224 | | any legally required copying cost; and |
---|
1225 | 1225 | | (3) submit to the commissioner written comments or |
---|
1226 | 1226 | | information related to the amended filing. |
---|
1227 | 1227 | | [(d) The commissioner may, in the manner provided by |
---|
1228 | 1228 | | Sections 2210.352(c) and (d), hold a hearing regarding an amended |
---|
1229 | 1229 | | filing not later than the 20th day after the date the department |
---|
1230 | 1230 | | receives the amended filing. |
---|
1231 | 1231 | | [(e) Not later than the 10th day after the date the hearing |
---|
1232 | 1232 | | is concluded, the commissioner shall approve or disapprove the |
---|
1233 | 1233 | | amended filing. |
---|
1234 | 1234 | | [(f) The requirements imposed under Subsection (a) and |
---|
1235 | 1235 | | under Sections 2210.352(e), (f), and (g) apply to a hearing |
---|
1236 | 1236 | | conducted under this section and the commissioner's decision |
---|
1237 | 1237 | | resulting from that hearing.] |
---|
1238 | 1238 | | SECTION 7.016. Section 2210.356, Insurance Code, is amended |
---|
1239 | 1239 | | to read as follows: |
---|
1240 | 1240 | | Sec. 2210.356. UNIFORM RATE REQUIREMENTS[; INFORMATION |
---|
1241 | 1241 | | USED IN DEVELOPING RATES]. (a) Each rate used under [approved by |
---|
1242 | 1242 | | the commissioner in accordance with] this subchapter must be |
---|
1243 | 1243 | | uniform throughout the first tier coastal counties. |
---|
1244 | 1244 | | (b) The catastrophe element used to develop rates under this |
---|
1245 | 1245 | | subchapter applicable to risks written by the association must be |
---|
1246 | 1246 | | uniform throughout the seacoast territory. [The catastrophe |
---|
1247 | 1247 | | element of the rates must be developed using: |
---|
1248 | 1248 | | [(1) 90 percent of both the monoline extended coverage |
---|
1249 | 1249 | | loss experience and related premium income for all insurers, other |
---|
1250 | 1250 | | than the association, for covered property located in the seacoast |
---|
1251 | 1251 | | territory, using not less than the most recent 30 years of |
---|
1252 | 1252 | | experience available; and |
---|
1253 | 1253 | | [(2) 100 percent of both the loss experience and |
---|
1254 | 1254 | | related premium income for the association for covered property, |
---|
1255 | 1255 | | using not less than the most recent 30 years of experience |
---|
1256 | 1256 | | available. |
---|
1257 | 1257 | | [(c) The noncatastrophe element of the noncommercial rates |
---|
1258 | 1258 | | must be developed using: |
---|
1259 | 1259 | | [(1) 90 percent of both the monoline extended coverage |
---|
1260 | 1260 | | loss experience and related premium income for all insurers, other |
---|
1261 | 1261 | | than the association, for covered property located in the |
---|
1262 | 1262 | | catastrophe area of the seacoast territory, using the most recent |
---|
1263 | 1263 | | 10 years of experience available; and |
---|
1264 | 1264 | | [(2) 100 percent of both the loss experience and |
---|
1265 | 1265 | | related premium income for the association for covered property, |
---|
1266 | 1266 | | using the most recent 10 years of experience available. |
---|
1267 | 1267 | | [(d) The noncatastrophe element of the commercial rates |
---|
1268 | 1268 | | must be developed using 100 percent of both the loss experience and |
---|
1269 | 1269 | | related premium income for the association for covered property, |
---|
1270 | 1270 | | using the most recent 10 years of experience available.] |
---|
1271 | 1271 | | SECTION 7.017. Subchapter H, Chapter 2210, Insurance Code, |
---|
1272 | 1272 | | is amended by adding Sections 2210.3561 and 2210.3562 to read as |
---|
1273 | 1273 | | follows: |
---|
1274 | 1274 | | Sec. 2210.3561. DISAPPROVAL OF RATE IN RATE FILING; |
---|
1275 | 1275 | | HEARING. (a) The commissioner shall disapprove a rate before its |
---|
1276 | 1276 | | use if the commissioner determines that the rate filing made under |
---|
1277 | 1277 | | Section 2210.351 does not meet the standards established under |
---|
1278 | 1278 | | Section 2210.355 or 2210.356. |
---|
1279 | 1279 | | (b) If the commissioner disapproves a filing, the |
---|
1280 | 1280 | | commissioner shall issue an order specifying in what respects the |
---|
1281 | 1281 | | filing fails to meet the requirements of this subchapter. |
---|
1282 | 1282 | | Sec. 2210.3562. PRIOR APPROVAL OF CERTAIN RATE INCREASES |
---|
1283 | 1283 | | REQUIRED. (a) The association shall file with the department all |
---|
1284 | 1284 | | rates, all supplementary rating information, and any supporting |
---|
1285 | 1285 | | information in accordance with this section if the association |
---|
1286 | 1286 | | proposes an average rate change of five percent or more during any |
---|
1287 | 1287 | | 12-month period. The commissioner may specify any rate information |
---|
1288 | 1288 | | and additional information, as described by Section 2210.351(a), to |
---|
1289 | 1289 | | be filed with the department under this section. |
---|
1290 | 1290 | | (b) Not later than the 30th day after the date the |
---|
1291 | 1291 | | association files a proposed rate under Subsection (a), the |
---|
1292 | 1292 | | commissioner shall enter an order approving or disapproving the |
---|
1293 | 1293 | | proposed rate. The commissioner may, on notice to the association, |
---|
1294 | 1294 | | extend the period for entering an order under this section an |
---|
1295 | 1295 | | additional 30 days. |
---|
1296 | 1296 | | (c) An order disapproving a rate under this section must |
---|
1297 | 1297 | | state: |
---|
1298 | 1298 | | (1) the grounds for the disapproval; and |
---|
1299 | 1299 | | (2) the findings in support of the disapproval. |
---|
1300 | 1300 | | (d) The association may not issue an insurance policy or |
---|
1301 | 1301 | | endorsement subject to this section until the commissioner approves |
---|
1302 | 1302 | | the rates to be applied to the policy or endorsement. From the date |
---|
1303 | 1303 | | of the filing of the proposed rate with the department to the |
---|
1304 | 1304 | | effective date of the new rate, the association's previously filed |
---|
1305 | 1305 | | rate that is in effect on the date of the filing remains in effect. |
---|
1306 | 1306 | | (e) For purposes of this section, a rate is filed with the |
---|
1307 | 1307 | | department on the date the department receives the rate filing. |
---|
1308 | 1308 | | SECTION 7.018. Section 2210.359, Insurance Code, is amended |
---|
1309 | 1309 | | to read as follows: |
---|
1310 | 1310 | | Sec. 2210.359. LIMITATION ON CERTAIN RATE CHANGES. (a) |
---|
1311 | 1311 | | Except as otherwise provided by this subsection, a rate approved by |
---|
1312 | 1312 | | the commissioner under this subchapter may not reflect an average |
---|
1313 | 1313 | | rate change that is more than 10 percent higher or lower than the |
---|
1314 | 1314 | | rate for commercial windstorm and hail insurance or 10 percent |
---|
1315 | 1315 | | higher or lower than the rate for noncommercial windstorm and hail |
---|
1316 | 1316 | | insurance in effect on the date the filing is made. The rate may not |
---|
1317 | 1317 | | reflect a rate change for an individual rating class that is 15 |
---|
1318 | 1318 | | percent higher or lower than the rate for that individual rating |
---|
1319 | 1319 | | class in effect on the date the filing is made. This subsection |
---|
1320 | 1320 | | does not apply to a rate filed under Section 2210.351 [Sections |
---|
1321 | 1321 | | 2210.351(a)-(d)]. |
---|
1322 | 1322 | | (b) The commissioner may, by an order issued under Section |
---|
1323 | 1323 | | 2210.008 after notice and hearing, suspend this section on a |
---|
1324 | 1324 | | finding that a catastrophe loss or series of occurrences resulting |
---|
1325 | 1325 | | in losses in the catastrophe area justify a need to ensure: |
---|
1326 | 1326 | | (1) rate adequacy in the catastrophe area; and |
---|
1327 | 1327 | | (2) availability of insurance outside the catastrophe |
---|
1328 | 1328 | | area. |
---|
1329 | 1329 | | SECTION 7.019. Subchapter H, Chapter 2210, Insurance Code, |
---|
1330 | 1330 | | is amended by adding Section 2210.364 to read as follows: |
---|
1331 | 1331 | | Sec. 2210.364. BOARD RATE MEETINGS; PUBLICATION OF PROPOSED |
---|
1332 | 1332 | | RATE CHANGES. (a) The board of directors shall discuss and make |
---|
1333 | 1333 | | decisions on proposed rate changes in public meetings of the board. |
---|
1334 | 1334 | | (b) The board of directors shall publish each proposed rate |
---|
1335 | 1335 | | change in the Texas Register for public comment before the public |
---|
1336 | 1336 | | meeting at which that change is to be discussed. |
---|
1337 | 1337 | | SECTION 7.020. Chapter 2210, Insurance Code, is amended by |
---|
1338 | 1338 | | adding Subchapter I to read as follows: |
---|
1339 | 1339 | | SUBCHAPTER I. POLICY FORMS AND ENDORSEMENTS |
---|
1340 | 1340 | | Sec. 2210.401. FILING OF POLICY FORMS AND ENDORSEMENTS. |
---|
1341 | 1341 | | (a) The association shall file with the department each policy and |
---|
1342 | 1342 | | endorsement form proposed to be used. The forms may be designed |
---|
1343 | 1343 | | specifically for use by the association without regard to other |
---|
1344 | 1344 | | forms filed with, approved by, or prescribed by the department for |
---|
1345 | 1345 | | use in this state. |
---|
1346 | 1346 | | (b) Not later than the 30th day after the date the |
---|
1347 | 1347 | | association files a proposed form or endorsement under Subsection |
---|
1348 | 1348 | | (a), the commissioner shall enter an order approving or |
---|
1349 | 1349 | | disapproving the proposed form or endorsement. The commissioner |
---|
1350 | 1350 | | may, on notice to the association, extend the period for entering an |
---|
1351 | 1351 | | order under this section an additional 30 days. |
---|
1352 | 1352 | | (c) An order disapproving a policy form or endorsement under |
---|
1353 | 1353 | | this section must state: |
---|
1354 | 1354 | | (1) the grounds for the disapproval; and |
---|
1355 | 1355 | | (2) the findings in support of the disapproval. |
---|
1356 | 1356 | | (d) The association may not use a policy form or endorsement |
---|
1357 | 1357 | | disapproved under Subsection (b) until the commissioner approves |
---|
1358 | 1358 | | the policy form or endorsement. |
---|
1359 | 1359 | | Sec. 2210.402. BOARD MEETINGS RELATING TO FORMS; |
---|
1360 | 1360 | | PUBLICATION OF PROPOSED CHANGES TO FORMS. (a) The board of |
---|
1361 | 1361 | | directors shall discuss and make decisions on proposed changes to |
---|
1362 | 1362 | | policy forms and endorsements used by the association in public |
---|
1363 | 1363 | | meetings of the board. |
---|
1364 | 1364 | | (b) The board of directors shall publish each proposed |
---|
1365 | 1365 | | change to a policy form or endorsement in the Texas Register for |
---|
1366 | 1366 | | public comment before the public meeting at which that change is to |
---|
1367 | 1367 | | be discussed. |
---|
1368 | 1368 | | SECTION 7.021. Section 2210.453, Insurance Code, is amended |
---|
1369 | 1369 | | to read as follows: |
---|
1370 | 1370 | | Sec. 2210.453. REINSURANCE PROGRAM. (a) The association |
---|
1371 | 1371 | | shall: |
---|
1372 | 1372 | | (1) make payments into the trust fund; or |
---|
1373 | 1373 | | (2) establish a reinsurance program approved by the |
---|
1374 | 1374 | | commissioner by rule [department]. |
---|
1375 | 1375 | | (b) With the approval of the commissioner by rule |
---|
1376 | 1376 | | [department], the association may establish a reinsurance program |
---|
1377 | 1377 | | that operates in addition to or in concert with the trust fund. |
---|
1378 | 1378 | | (c) The commissioner is not required to conduct a hearing |
---|
1379 | 1379 | | under this section to approve a reinsurance program. |
---|
1380 | 1380 | | SECTION 7.022. Section 2210.454(b), Insurance Code, is |
---|
1381 | 1381 | | amended to read as follows: |
---|
1382 | 1382 | | (b) Each state fiscal year, the department may fund the |
---|
1383 | 1383 | | mitigation and preparedness plan using the investment income of the |
---|
1384 | 1384 | | trust fund in an amount not less than $1 million and not more than 10 |
---|
1385 | 1385 | | percent of the investment income of the prior fiscal year. [From |
---|
1386 | 1386 | | that amount and as part of that plan, the department may use in each |
---|
1387 | 1387 | | fiscal year $1 million for the windstorm inspection program |
---|
1388 | 1388 | | established under Section 2210.251.] |
---|
1389 | 1389 | | SECTION 7.023. Section 2210.502(b), Insurance Code, is |
---|
1390 | 1390 | | amended to read as follows: |
---|
1391 | 1391 | | (b) An adjustment to the maximum liability limits must be |
---|
1392 | 1392 | | [that is] approved by the commissioner by rule. An adjustment |
---|
1393 | 1393 | | applies to each windstorm and hail insurance policy delivered, |
---|
1394 | 1394 | | issued for delivery, or renewed on or after January 1 of the year |
---|
1395 | 1395 | | following the date of the approval by the commissioner. The |
---|
1396 | 1396 | | indexing of the limits shall adjust for changes occurring on and |
---|
1397 | 1397 | | after January 1, 1997. |
---|
1398 | 1398 | | SECTION 7.024. Section 2210.504(a), Insurance Code, is |
---|
1399 | 1399 | | amended to read as follows: |
---|
1400 | 1400 | | (a) Not later than the 60th day after the date of receipt of |
---|
1401 | 1401 | | a filing under Section 2210.503, [and after notice and hearing,] |
---|
1402 | 1402 | | the commissioner by rule [order] shall adopt a [approve, |
---|
1403 | 1403 | | disapprove, or modify the] proposed adjustment to the maximum |
---|
1404 | 1404 | | liability limits, as provided by Section 2210.502. |
---|
1405 | 1405 | | SECTION 7.025. The following laws are repealed: |
---|
1406 | 1406 | | (1) Section 2210.207(f), Insurance Code; |
---|
1407 | 1407 | | (2) Section 2210.254(d), Insurance Code; and |
---|
1408 | 1408 | | (3) Sections 2210.256 and 2210.257, Insurance Code. |
---|
1409 | 1409 | | SECTION 7.026. (a) The board of directors of the Texas |
---|
1410 | 1410 | | Windstorm Insurance Association established under Section |
---|
1411 | 1411 | | 2210.102, Insurance Code, as that section existed before amendment |
---|
1412 | 1412 | | by this Act, is abolished effective January 1, 2010. |
---|
1413 | 1413 | | (b) Not later than December 31, 2009, the commissioner of |
---|
1414 | 1414 | | insurance shall appoint the members of the board of directors of the |
---|
1415 | 1415 | | Texas Windstorm Insurance Association under Section 2210.102, |
---|
1416 | 1416 | | Insurance Code, as amended by this Act. |
---|
1417 | 1417 | | (c) The term of a person who is serving as a member of the |
---|
1418 | 1418 | | board of directors of the Texas Windstorm Insurance Association |
---|
1419 | 1419 | | immediately before the abolition of that board under Subsection (a) |
---|
1420 | 1420 | | of this section expires on January 1, 2010. Such a person is |
---|
1421 | 1421 | | eligible for appointment by the commissioner of insurance to the |
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1422 | 1422 | | new board of directors of the Texas Windstorm Insurance Association |
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1423 | 1423 | | under Section 2210.102, Insurance Code, as amended by this Act. |
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1424 | 1424 | | SECTION 7.027. Section 2210.202, Insurance Code, as amended |
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1425 | 1425 | | by this Act, applies only to an insurance policy delivered, issued |
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1426 | 1426 | | for delivery, or renewed on or after January 1, 2010. A policy |
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1427 | 1427 | | delivered, issued for delivery, or renewed before January 1, 2010, |
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1428 | 1428 | | is governed by the law as it existed immediately before the |
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1429 | 1429 | | effective date of this Act, and that law is continued in effect for |
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1430 | 1430 | | that purpose. |
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1431 | 1431 | | ARTICLE 8. ELECTRONIC TRANSACTIONS |
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1432 | 1432 | | SECTION 8.001. Subtitle A, Title 2, Insurance Code, is |
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1433 | 1433 | | amended by adding Chapter 35 to read as follows: |
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1434 | 1434 | | CHAPTER 35. ELECTRONIC TRANSACTIONS |
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1435 | 1435 | | Sec. 35.001. DEFINITIONS. In this chapter: |
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1436 | 1436 | | (1) "Conduct business" includes engaging in or |
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1437 | 1437 | | transacting any business in which a regulated entity is authorized |
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1438 | 1438 | | to engage or is authorized to transact under the law of this state. |
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1439 | 1439 | | (2) "Regulated entity" means each insurer or other |
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1440 | 1440 | | organization regulated by the department, including: |
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1441 | 1441 | | (A) a domestic or foreign, stock or mutual, life, |
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1442 | 1442 | | health, or accident insurance company; |
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1443 | 1443 | | (B) a domestic or foreign, stock or mutual, fire |
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1444 | 1444 | | or casualty insurance company; |
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1445 | 1445 | | (C) a Mexican casualty company; |
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1446 | 1446 | | (D) a domestic or foreign Lloyd's plan; |
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1447 | 1447 | | (E) a domestic or foreign reciprocal or |
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1448 | 1448 | | interinsurance exchange; |
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1449 | 1449 | | (F) a domestic or foreign fraternal benefit |
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1450 | 1450 | | society; |
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1451 | 1451 | | (G) a domestic or foreign title insurance |
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1452 | 1452 | | company; |
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1453 | 1453 | | (H) an attorney's title insurance company; |
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1454 | 1454 | | (I) a stipulated premium company; |
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1455 | 1455 | | (J) a nonprofit legal service corporation; |
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1456 | 1456 | | (K) a health maintenance organization; |
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1457 | 1457 | | (L) a statewide mutual assessment company; |
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1458 | 1458 | | (M) a local mutual aid association; |
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1459 | 1459 | | (N) a local mutual burial association; |
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1460 | 1460 | | (O) an association exempt under Section 887.102; |
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1461 | 1461 | | (P) a nonprofit hospital, medical, or dental |
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1462 | 1462 | | service corporation, including a company subject to Chapter 842; |
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1463 | 1463 | | (Q) a county mutual insurance company; and |
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1464 | 1464 | | (R) a farm mutual insurance company. |
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1465 | 1465 | | Sec. 35.002. CONSTRUCTION WITH OTHER LAW. (a) |
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1466 | 1466 | | Notwithstanding any other provision of this code, a regulated |
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1467 | 1467 | | entity may conduct business electronically in accordance with this |
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1468 | 1468 | | chapter and the rules adopted under Section 35.004. |
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1469 | 1469 | | (b) To the extent of any conflict between another provision |
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1470 | 1470 | | of this code and a provision of this chapter, the provision of this |
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1471 | 1471 | | chapter controls. |
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1472 | 1472 | | Sec. 35.003. ELECTRONIC TRANSACTIONS AUTHORIZED. A |
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1473 | 1473 | | regulated entity may conduct business electronically to the same |
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1474 | 1474 | | extent that the entity is authorized to conduct business otherwise |
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1475 | 1475 | | if before the conduct of business each party to the business agrees |
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1476 | 1476 | | to conduct the business electronically. |
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1477 | 1477 | | Sec. 35.004. RULES. (a) The commissioner shall adopt rules |
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1478 | 1478 | | necessary to implement and enforce this chapter. |
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1479 | 1479 | | (b) The rules adopted by the commissioner under this section |
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1480 | 1480 | | must include rules that establish minimum standards with which a |
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1481 | 1481 | | regulated entity must comply in the entity's electronic conduct of |
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1482 | 1482 | | business with other regulated entities and consumers. |
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1483 | 1483 | | SECTION 8.002. Chapter 35, Insurance Code, as added by this |
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1484 | 1484 | | Act, applies only to business conducted on or after the effective |
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1485 | 1485 | | date of this Act. Business conducted before the effective date of |
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1486 | 1486 | | this Act is governed by the law in effect on the date the business |
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1487 | 1487 | | was conducted, and that law is continued in effect for that purpose. |
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1488 | 1488 | | ARTICLE 9. TRANSITION; EFFECTIVE DATE |
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1489 | 1489 | | SECTION 9.001. Except as otherwise provided by this Act, |
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1490 | 1490 | | this Act applies only to an insurance policy, contract, or evidence |
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1491 | 1491 | | of coverage that is delivered, issued for delivery, or renewed on or |
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1492 | 1492 | | after January 1, 2010. A policy, contract, or evidence of coverage |
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1493 | 1493 | | delivered, issued for delivery, or renewed before January 1, 2010, |
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1494 | 1494 | | is governed by the law as it existed immediately before the |
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1495 | 1495 | | effective date of this Act, and that law is continued in effect for |
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1496 | 1496 | | that purpose. |
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1497 | 1497 | | SECTION 9.002. This Act takes effect September 1, 2009. |
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