1 | 1 | | 81R2183 AJA-F |
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2 | 2 | | By: Ellis S.B. No. 149 |
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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 availability of property insurance under the Fair |
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8 | 8 | | Access to Insurance Requirements (FAIR) Plan. |
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9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 10 | | SECTION 1. Section 2211.001, Insurance Code, is amended by |
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11 | 11 | | amending Subdivisions (6), (7), and (8) and adding Subdivisions |
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12 | 12 | | (1-b), (6-a), (6-b), and (7-a) to read as follows: |
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13 | 13 | | (1-b) "Commercial property insurance" means coverage |
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14 | 14 | | provided in a commercial fire and allied lines insurance policy |
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15 | 15 | | against loss incurred to real or tangible business personal |
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16 | 16 | | property, including loss of business income due to direct physical |
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17 | 17 | | loss of or damage to property at the covered premises. The term |
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18 | 18 | | includes farm and ranch insurance and farm and ranch owners |
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19 | 19 | | insurance. |
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20 | 20 | | (6) "Net direct premiums" means gross direct written |
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21 | 21 | | premiums less return premiums on canceled contracts, regardless of |
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22 | 22 | | reinsurance assumed or ceded, written on residential and commercial |
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23 | 23 | | property under this chapter. |
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24 | 24 | | (6-a) "Participating insurer" includes an insurer |
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25 | 25 | | writing property insurance. |
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26 | 26 | | (6-b) "Property insurance," except as otherwise |
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27 | 27 | | provided by this chapter, includes both commercial property |
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28 | 28 | | insurance and residential property insurance. |
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29 | 29 | | (7) "Residential property insurance" means the |
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30 | 30 | | coverage provided by a homeowners insurance policy or [,] |
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31 | 31 | | residential fire and allied lines insurance policy[, or farm and |
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32 | 32 | | ranch owners insurance policy] against loss incurred to real or |
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33 | 33 | | tangible personal property at a fixed location. |
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34 | 34 | | (7-a) "Supplementary rating information" means any |
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35 | 35 | | manual, rating schedule, plan of rules, rating rules, |
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36 | 36 | | classification systems, territory codes and descriptions, rating |
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37 | 37 | | plans, and other similar information used by the association to |
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38 | 38 | | determine the applicable premium for an insured. The term includes |
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39 | 39 | | factors and relativities, including increased limits factors, |
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40 | 40 | | classification relativities, deductible relativities, premium |
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41 | 41 | | discount, and other similar factors and rating plans. |
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42 | 42 | | (8) "Underserved area" or "underserved areas" means an |
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43 | 43 | | area or areas designated as underserved by the commissioner under |
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44 | 44 | | this chapter by rule. |
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45 | 45 | | SECTION 2. Section 2211.051, Insurance Code, is amended to |
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46 | 46 | | read as follows: |
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47 | 47 | | Sec. 2211.051. ESTABLISHMENT OF FAIR PLAN. (a) The |
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48 | 48 | | commissioner may establish a Fair Access to Insurance Requirements |
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49 | 49 | | Plan to deliver: |
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50 | 50 | | (1) residential property insurance to residents of |
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51 | 51 | | this state in underserved areas designated under Section |
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52 | 52 | | 2211.152(b), if the commissioner determines, after a public |
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53 | 53 | | hearing, that: |
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54 | 54 | | (A) [(1)] in all or any part of the state, |
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55 | 55 | | residential property insurance is not reasonably available in the |
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56 | 56 | | voluntary market to a substantial number of insurable risks; or |
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57 | 57 | | (B) [(2)] at least 25 percent of the applicants |
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58 | 58 | | to the residential property market assistance program who are |
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59 | 59 | | qualified under that program's plan of operation have not been |
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60 | 60 | | placed with an insurer in the preceding six months; and |
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61 | 61 | | (2) commercial property insurance to those persons |
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62 | 62 | | within a group or groups that share similar risk characteristics |
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63 | 63 | | and who have an insurable interest in commercial property in |
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64 | 64 | | underserved areas designated under Section 2211.152(c), if the |
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65 | 65 | | commissioner determines, after a public hearing, that in all or any |
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66 | 66 | | part of the state commercial property insurance is not reasonably |
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67 | 67 | | available in the voluntary market to that group or groups. |
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68 | 68 | | (b) The commissioner has sole discretion to designate: |
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69 | 69 | | (1) the underserved areas of this state, as designated |
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70 | 70 | | under Section 2211.152(c), in which the FAIR Plan may provide |
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71 | 71 | | commercial property insurance; and |
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72 | 72 | | (2) those persons and risk characteristics that |
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73 | 73 | | establish a group or groups whose members share similar risk |
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74 | 74 | | characteristics for the purposes of this chapter, including by |
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75 | 75 | | defining a group as including all persons seeking commercial |
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76 | 76 | | property insurance. |
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77 | 77 | | (c) In establishing eligibility for commercial property |
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78 | 78 | | insurance, the commissioner may consider: |
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79 | 79 | | (1) whether such a determination creates an adverse |
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80 | 80 | | impact to the association's exposure; and |
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81 | 81 | | (2) any other factors the commissioner considers |
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82 | 82 | | relevant. |
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83 | 83 | | SECTION 3. Section 2211.054, Insurance Code, is amended to |
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84 | 84 | | read as follows: |
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85 | 85 | | Sec. 2211.054. CONTENTS OF PLAN OF OPERATION. The plan of |
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86 | 86 | | operation must: |
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87 | 87 | | (1) provide for a nonprofit association to issue |
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88 | 88 | | [residential] property insurance under this chapter and distribute |
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89 | 89 | | the losses and expenses in writing that insurance in this state; |
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90 | 90 | | (2) provide that all insurers that write [residential] |
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91 | 91 | | property insurance shall participate in the association in |
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92 | 92 | | accordance with Sections 2211.101(b) and (c); |
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93 | 93 | | (3) provide that a participating insurer is entitled |
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94 | 94 | | to receive credit in accordance with Section 2211.101(d); |
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95 | 95 | | (4) provide for the immediate binding of eligible |
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96 | 96 | | risks; |
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97 | 97 | | (5) provide for the use of premium installment payment |
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98 | 98 | | plans, adequate marketing, and service facilities; |
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99 | 99 | | (6) provide for the establishment of reasonable |
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100 | 100 | | service standards; |
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101 | 101 | | (7) provide procedures for efficient, economical, |
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102 | 102 | | fair, and nondiscriminatory administration of the association; |
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103 | 103 | | (8) provide procedures for determining the net level |
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104 | 104 | | of participation required for each insurer in the association; |
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105 | 105 | | (9) provide for the use of deductibles and other |
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106 | 106 | | underwriting devices; |
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107 | 107 | | (10) provide for assessment of all members in amounts |
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108 | 108 | | sufficient to operate the association; |
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109 | 109 | | (11) establish maximum limits of liability to be |
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110 | 110 | | placed through the program; |
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111 | 111 | | (12) establish commissions to be paid to the insurance |
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112 | 112 | | agents submitting applications; |
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113 | 113 | | (13) provide that the association issue policies in |
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114 | 114 | | the association's own name; |
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115 | 115 | | (14) provide reasonable underwriting standards for |
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116 | 116 | | determining insurability of a risk; |
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117 | 117 | | (15) provide procedures for the association to assume |
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118 | 118 | | and cede reinsurance; and |
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119 | 119 | | (16) provide any other procedure or operational matter |
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120 | 120 | | the governing committee or the commissioner considers necessary. |
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121 | 121 | | SECTION 4. Section 2211.056(a), Insurance Code, is amended |
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122 | 122 | | to read as follows: |
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123 | 123 | | (a) The association shall file with the commissioner for |
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124 | 124 | | approval the proposed rates and supplementary rating [supplemental |
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125 | 125 | | rate] information to be used in connection with the issuance of |
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126 | 126 | | insurance policies or endorsements. |
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127 | 127 | | SECTION 5. Subchapter B, Chapter 2211, Insurance Code, is |
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128 | 128 | | amended by adding Section 2211.060 to read as follows: |
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129 | 129 | | Sec. 2211.060. COMMERCIAL PROPERTY INSURANCE LIABILITY |
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130 | 130 | | LIMITS. (a) Except as provided by Subsections (c) and (d), maximum |
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131 | 131 | | liability limits for the coverage on a single insurable commercial |
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132 | 132 | | property may not exceed $3,200,000 for: |
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133 | 133 | | (1) a structure; and |
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134 | 134 | | (2) the corporeal movable property located in that |
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135 | 135 | | structure, and as an extension of coverage, away from those |
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136 | 136 | | premises, as provided under the policy. |
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137 | 137 | | (b) This section does not apply to insurable commercial |
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138 | 138 | | property that is: |
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139 | 139 | | (1) owned by, and at least 75 percent of which is |
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140 | 140 | | occupied by, a governmental entity; or |
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141 | 141 | | (2) not owned by, but is wholly and exclusively |
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142 | 142 | | occupied by, a governmental entity. |
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143 | 143 | | (c) Not later than September 30 of each year, the governing |
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144 | 144 | | committee shall propose inflation adjustments to the maximum |
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145 | 145 | | liability limits imposed under Subsection (a) in increments of |
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146 | 146 | | $1,000, rounded to the nearest $1,000, based on an index that the |
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147 | 147 | | governing committee determines accurately reflects changes in the |
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148 | 148 | | cost of construction or commercial property values in the relevant |
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149 | 149 | | area. |
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150 | 150 | | (d) The governing committee may propose additional |
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151 | 151 | | increases in the maximum liability limits as the governing |
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152 | 152 | | committee determines necessary to implement the purposes of this |
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153 | 153 | | chapter. |
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154 | 154 | | (e) The commissioner shall approve the inflation |
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155 | 155 | | adjustments and proposed additional increases, with or without |
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156 | 156 | | modifications, or disapprove the adjustments and proposed |
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157 | 157 | | additional increases. |
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158 | 158 | | SECTION 6. Section 2211.101, Insurance Code, is amended to |
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159 | 159 | | read as follows: |
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160 | 160 | | Sec. 2211.101. COVERAGE PROVIDED TO INSUREDS IN UNDERSERVED |
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161 | 161 | | AREA. (a) In accordance with the plan of operation, the |
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162 | 162 | | association shall develop and administer a program for |
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163 | 163 | | participation by each insurer that writes [residential] property |
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164 | 164 | | insurance in this state. |
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165 | 165 | | (b) Except as provided by this subsection, each insurer, as |
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166 | 166 | | a condition of the insurer's authority to engage in the business of |
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167 | 167 | | [residential] property insurance in this state, shall participate |
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168 | 168 | | in the association in accordance with this chapter, including |
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169 | 169 | | participating in the association's assessments in the proportion |
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170 | 170 | | that the insurer's net direct property insurance premiums written |
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171 | 171 | | in this state during the preceding calendar year bear to the |
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172 | 172 | | aggregate net direct property insurance premiums written in this |
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173 | 173 | | state by all participating insurers. The Texas Windstorm Insurance |
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174 | 174 | | Association established by Chapter 2210 may not participate in the |
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175 | 175 | | association for any purpose. |
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176 | 176 | | (c) An insurer's participation under Subsection (b) in the |
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177 | 177 | | association's assessments must be determined in accordance with the |
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178 | 178 | | association's plan of operation [residential property statistical |
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179 | 179 | | plan adopted by the commissioner]. |
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180 | 180 | | (d) A participating insurer is entitled to receive credit |
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181 | 181 | | for similar property insurance voluntarily written in an |
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182 | 182 | | underserved area. The participation of an insurer entitled to |
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183 | 183 | | receive credit under this subsection must be reduced in accordance |
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184 | 184 | | with the plan of operation. |
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185 | 185 | | SECTION 7. Section 2211.104, Insurance Code, is amended by |
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186 | 186 | | amending Subsection (c) and adding Subsection (f) to read as |
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187 | 187 | | follows: |
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188 | 188 | | (c) The insurer shall compute the amount of the surcharge |
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189 | 189 | | under Subsection (b) as a uniform percentage of the premium on each |
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190 | 190 | | policy described by Subsection (b). The percentage must be equal to |
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191 | 191 | | one-third of the ratio of the amount of the participating insurer's |
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192 | 192 | | assessment or service fee payment to the amount of the insurer's |
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193 | 193 | | direct written [earned] premiums, as reported to the department in |
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194 | 194 | | the insurer's financial statement for the calendar year preceding |
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195 | 195 | | the year in which the assessment or service fee payment is made so |
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196 | 196 | | that, over the three-year period, the aggregate of all surcharges |
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197 | 197 | | by the insurer under this section is at least equal to the amount of |
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198 | 198 | | the assessment or service fee payment. |
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199 | 199 | | (f) Notwithstanding Subsections (a)-(d), if the public |
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200 | 200 | | securities are issued as authorized by Subsection (a)(1), the |
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201 | 201 | | commissioner may establish a schedule providing for collection of |
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202 | 202 | | the service fee over the full term of the securities and limiting |
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203 | 203 | | insurers to collecting the service fee in accordance with that |
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204 | 204 | | schedule. |
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205 | 205 | | SECTION 8. Section 2211.151, Insurance Code, is amended to |
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206 | 206 | | read as follows: |
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207 | 207 | | Sec. 2211.151. MANDATORY COVERAGE PROVIDED TO CERTAIN |
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208 | 208 | | INSUREDS. (a) As authorized by the commissioner under Section |
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209 | 209 | | 2211.051(a)(1), the [The] association shall make residential |
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210 | 210 | | property insurance available to each applicant in an underserved |
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211 | 211 | | area whose property is insurable in accordance with reasonable |
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212 | 212 | | underwriting standards but who, after diligent efforts, is unable |
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213 | 213 | | to obtain residential property insurance through the voluntary |
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214 | 214 | | market, as evidenced by two declinations from insurers authorized |
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215 | 215 | | to engage in the business of, and writing, residential property |
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216 | 216 | | insurance in this state. |
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217 | 217 | | (b) As authorized by the commissioner under Section |
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218 | 218 | | 2211.051(a)(2), the association shall make commercial property |
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219 | 219 | | insurance available to each applicant who: |
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220 | 220 | | (1) has an insurable interest in real or tangible |
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221 | 221 | | commercial property that is insurable in accordance with reasonable |
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222 | 222 | | underwriting standards and located at a fixed location in the area |
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223 | 223 | | designated by the commissioner under Section 2211.051(a)(2); |
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224 | 224 | | (2) shares the risk characteristics of the group |
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225 | 225 | | designated by the commissioner under Section 2211.051(a)(2); and |
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226 | 226 | | (3) after diligent efforts, is unable to obtain |
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227 | 227 | | commercial property insurance through the voluntary market, as |
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228 | 228 | | evidenced by two declinations from insurers authorized to engage in |
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229 | 229 | | the business of, and writing, that commercial property insurance in |
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230 | 230 | | this state. |
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231 | 231 | | SECTION 9. Section 2211.152, Insurance Code, is amended to |
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232 | 232 | | read as follows: |
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233 | 233 | | Sec. 2211.152. DESIGNATION OF AREA AS UNDERSERVED. (a) The |
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234 | 234 | | commissioner by rule shall designate the areas determined to be |
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235 | 235 | | underserved. |
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236 | 236 | | (b) In determining which areas to designate as underserved |
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237 | 237 | | for residential property insurance, the commissioner shall |
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238 | 238 | | consider the factors specified in Section 2004.002. |
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239 | 239 | | (c) In determining which areas to designate as underserved |
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240 | 240 | | for commercial property insurance, the commissioner shall |
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241 | 241 | | consider: |
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242 | 242 | | (1) whether commercial property insurance is not |
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243 | 243 | | reasonably available to those persons within a group or groups that |
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244 | 244 | | share similar risk characteristics and who have an insurable |
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245 | 245 | | interest in commercial property in the area; and |
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246 | 246 | | (2) any other factors the commissioner considers |
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247 | 247 | | relevant. |
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248 | 248 | | SECTION 10. Section 2211.153, Insurance Code, is amended to |
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249 | 249 | | read as follows: |
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250 | 250 | | Sec. 2211.153. INSPECTION BUREAU. The association, with |
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251 | 251 | | the approval of the commissioner, shall designate one or more |
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252 | 252 | | organizations as the inspection bureau. The inspection bureau |
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253 | 253 | | shall: |
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254 | 254 | | (1) make inspections to determine the condition of a |
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255 | 255 | | property for which [residential] property insurance is sought; and |
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256 | 256 | | (2) perform other duties authorized by the association |
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257 | 257 | | or the commissioner. |
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258 | 258 | | SECTION 11. Sections 2211.154(a) and (c), Insurance Code, |
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259 | 259 | | are amended to read as follows: |
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260 | 260 | | (a) A person who has an insurable interest in real or |
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261 | 261 | | tangible personal property at a fixed location in an underserved |
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262 | 262 | | area and who, after diligent effort, is unable to obtain |
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263 | 263 | | [residential] property insurance, as evidenced by two current |
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264 | 264 | | declinations from insurers authorized to engage in the business of |
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265 | 265 | | [residential] property insurance in this state and actually writing |
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266 | 266 | | the [residential] property insurance applied for in this state, is |
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267 | 267 | | entitled on application to the association to an inspection and |
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268 | 268 | | evaluation of the property by representatives of the inspection |
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269 | 269 | | bureau. |
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270 | 270 | | (c) Promptly after the application is received, the |
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271 | 271 | | inspection bureau shall make an inspection and file an inspection |
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272 | 272 | | report with the association. The inspection report must be made |
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273 | 273 | | available to the applicant on request. The association shall |
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274 | 274 | | prescribe the manner and scope of the inspection and inspection |
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275 | 275 | | report for [residential] property in accordance with the plan of |
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276 | 276 | | operation. |
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277 | 277 | | SECTION 12. Section 2211.155, Insurance Code, is amended to |
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278 | 278 | | read as follows: |
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279 | 279 | | Sec. 2211.155. INSPECTION RESULTS; REINSPECTION. (a) If, |
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280 | 280 | | after an inspection, the inspection bureau determines that |
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281 | 281 | | [residential] property meets the underwriting standards |
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282 | 282 | | established in the plan of operation, the applicant must be |
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283 | 283 | | informed in writing of that determination and the association shall |
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284 | 284 | | issue a policy or binder. If the [residential] property does not |
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285 | 285 | | meet the underwriting standards, the applicant must be informed in |
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286 | 286 | | writing of the reason for the failure of the [residential] property |
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287 | 287 | | to meet the standards. |
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288 | 288 | | (b) If, at any time, an applicant whose [residential] |
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289 | 289 | | property did not meet the underwriting standards makes improvements |
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290 | 290 | | to the property or the property's condition that the applicant |
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291 | 291 | | believes are sufficient to make the property meet the standards, an |
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292 | 292 | | inspection bureau representative shall reinspect the property on |
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293 | 293 | | request. In any case, the applicant is eligible for one |
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294 | 294 | | reinspection on or before the 60th day after the date of the initial |
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295 | 295 | | inspection. |
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296 | 296 | | (c) If, on reinspection, the [residential] property meets |
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297 | 297 | | the underwriting standards, the applicant must be informed in |
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298 | 298 | | writing of that fact and the association shall issue a policy or |
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299 | 299 | | binder. |
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300 | 300 | | SECTION 13. Section 2211.201, Insurance Code, is amended to |
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301 | 301 | | read as follows: |
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302 | 302 | | Sec. 2211.201. PURPOSE. The legislature finds that issuing |
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303 | 303 | | public securities to provide a method to raise funds to provide |
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304 | 304 | | [residential] property insurance in this state through the |
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305 | 305 | | association is to benefit the public and to further a public |
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306 | 306 | | purpose. |
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307 | 307 | | SECTION 14. Section 2211.209(e), Insurance Code, is amended |
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308 | 308 | | to read as follows: |
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309 | 309 | | (e) As a condition of engaging in the business of insurance |
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310 | 310 | | in this state, a participating insurer agrees that, if the insurer |
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311 | 311 | | leaves the property insurance market in this state, the insurer |
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312 | 312 | | remains obligated to pay the insurer's share of the service fee |
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313 | 313 | | assessed under this section until the public securities are |
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314 | 314 | | retired. The amount assessed against an insurer under this |
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315 | 315 | | subsection must be: |
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316 | 316 | | (1) proportionate to the insurer's share of the |
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317 | 317 | | property insurance market[, including residential property |
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318 | 318 | | insurance,] in this state as of the last complete reporting period |
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319 | 319 | | before the date the insurer ceases to engage in the property |
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320 | 320 | | insurance business in this state; and |
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321 | 321 | | (2) based on the insurer's gross premiums for property |
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322 | 322 | | insurance[, including residential property insurance,] for the |
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323 | 323 | | insurer's last reporting period. |
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324 | 324 | | SECTION 15. Not later than December 1, 2009, the governing |
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325 | 325 | | committee of the FAIR Plan shall amend the plan's plan of operation |
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326 | 326 | | to reflect the changes in law made by this Act. On January 1, 2010, |
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327 | 327 | | the FAIR Plan shall begin issuing commercial property insurance in |
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328 | 328 | | accordance with the plan of operation. |
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329 | 329 | | SECTION 16. This Act takes effect September 1, 2009. |
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