1 | 1 | | 84R7793 KKR-F |
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2 | 2 | | By: Sheets H.B. No. 3205 |
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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 repealing the maintenance tax and creating an overhead |
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8 | 8 | | assessment for certain insurers participating in the workers' |
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9 | 9 | | compensation system; imposing an assessment. |
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10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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11 | 11 | | SECTION 1. Title 3, Insurance Code, is amended by adding |
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12 | 12 | | Subtitle F to read as follows: |
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13 | 13 | | SUBTITLE F. OVERHEAD ASSESSMENTS |
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14 | 14 | | CHAPTER 291. WORKERS' COMPENSATION INSURANCE OVERHEAD ASSESSMENT |
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15 | 15 | | Sec. 291.001. OVERHEAD ASSESSMENT IMPOSED. (a) An |
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16 | 16 | | overhead assessment is imposed on each authorized insurer with |
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17 | 17 | | gross premiums subject to assessment under Section 291.003, |
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18 | 18 | | including a: |
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19 | 19 | | (1) stock insurance company; |
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20 | 20 | | (2) mutual insurance company; |
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21 | 21 | | (3) reciprocal or interinsurance exchange; and |
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22 | 22 | | (4) Lloyd's plan. |
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23 | 23 | | (b) The overhead assessment required by this chapter is in |
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24 | 24 | | addition to other taxes imposed that are not in conflict with this |
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25 | 25 | | chapter. |
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26 | 26 | | Sec. 291.002. MAXIMUM RATE; ANNUAL ADJUSTMENT. (a) The |
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27 | 27 | | rate of assessment set by the commissioner may not exceed 0.6 |
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28 | 28 | | percent of the gross premiums subject to the overhead assessment |
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29 | 29 | | under Section 291.003. |
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30 | 30 | | (b) The commissioner shall annually adjust the rate of |
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31 | 31 | | assessment of the overhead assessment so that the assessment |
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32 | 32 | | imposed that year, together with any unexpended funds produced by |
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33 | 33 | | the assessment, produces the amount the commissioner determines is |
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34 | 34 | | necessary to pay the expenses during the succeeding year of |
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35 | 35 | | regulating workers' compensation insurance. |
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36 | 36 | | Sec. 291.003. PREMIUMS SUBJECT TO OVERHEAD ASSESSMENT. (a) |
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37 | 37 | | An insurer shall pay an overhead assessment under this chapter on |
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38 | 38 | | the correctly reported gross workers' compensation insurance |
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39 | 39 | | premiums from writing workers' compensation insurance in this |
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40 | 40 | | state, including the modified annual premium of a policyholder that |
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41 | 41 | | purchases an optional deductible plan under Subchapter E, Chapter |
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42 | 42 | | 2053. |
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43 | 43 | | (b) The rate of assessment shall be applied to the modified |
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44 | 44 | | annual premium before application of a deductible premium credit. |
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45 | 45 | | Sec. 291.004. OVERHEAD ASSESSMENT DUE DATES. (a) The |
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46 | 46 | | insurer shall pay the overhead assessment annually or semiannually. |
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47 | 47 | | (b) The comptroller may require semiannual payment only |
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48 | 48 | | from an insurer whose overhead assessment liability under this |
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49 | 49 | | chapter for the previous tax year was at least $2,000. |
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50 | 50 | | (b-1) For the initial overhead assessment imposed on or |
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51 | 51 | | after January 1, 2016, the comptroller may require semiannual |
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52 | 52 | | payment under Subsection (b) from an insurer whose maintenance tax |
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53 | 53 | | liability for the previous tax year under former Chapter 255 was at |
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54 | 54 | | least $2,000. This subsection expires September 1, 2017. |
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55 | 55 | | Sec. 291.005. APPLICABILITY OF OTHER LAW. The requirements |
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56 | 56 | | of Chapter 251 apply to overhead assessments imposed under this |
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57 | 57 | | chapter. |
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58 | 58 | | Sec. 291.006. RECOVERY OF OVERHEAD ASSESSMENT. An insurer |
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59 | 59 | | may recover an overhead assessment paid by the insurer under this |
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60 | 60 | | chapter by: |
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61 | 61 | | (1) reflecting the overhead assessment as an expense |
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62 | 62 | | in a rate filing required under this code; or |
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63 | 63 | | (2) charging the insurer's policyholders. |
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64 | 64 | | SECTION 2. Section 402.076(b), Labor Code, is amended to |
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65 | 65 | | read as follows: |
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66 | 66 | | (b) The operations of the division under this section are |
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67 | 67 | | funded through the overhead assessment [maintenance tax assessed] |
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68 | 68 | | under Section 403.002. |
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69 | 69 | | SECTION 3. The heading to Section 403.002, Labor Code, is |
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70 | 70 | | amended to read as follows: |
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71 | 71 | | Sec. 403.002. OVERHEAD ASSESSMENT [MAINTENANCE TAXES]. |
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72 | 72 | | SECTION 4. Sections 403.002(a), (b), and (c), Labor Code, |
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73 | 73 | | are amended to read as follows: |
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74 | 74 | | (a) Each insurance carrier, other than a governmental |
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75 | 75 | | entity, shall pay an annual overhead assessment [maintenance tax] |
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76 | 76 | | to pay the costs of administering this subtitle and to support the |
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77 | 77 | | prosecution of workers' compensation insurance fraud in this state. |
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78 | 78 | | (b) The overhead assessment may not exceed an amount equal |
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79 | 79 | | to two percent of the correctly reported gross workers' |
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80 | 80 | | compensation insurance premiums, including the modified annual |
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81 | 81 | | premium of a policyholder that purchases an optional deductible |
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82 | 82 | | plan under Subchapter E, Chapter 2053 [Article 5.55C], Insurance |
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83 | 83 | | Code. The rate of the overhead assessment shall be applied to the |
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84 | 84 | | modified annual premium before application of a deductible premium |
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85 | 85 | | credit. |
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86 | 86 | | (c) A workers' compensation insurance company is assessed |
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87 | 87 | | [taxed] at the rate established under Section 403.003. The |
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88 | 88 | | overhead assessment [tax] shall be collected in the manner provided |
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89 | 89 | | for collection of other assessments [taxes] on gross premiums from |
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90 | 90 | | a workers' compensation insurance company as provided in Chapter |
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91 | 91 | | 291 [255], Insurance Code. |
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92 | 92 | | SECTION 5. Section 403.003, Labor Code, is amended by |
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93 | 93 | | amending Subsection (a) and adding Subsection (a-1) to read as |
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94 | 94 | | follows: |
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95 | 95 | | (a) The commissioner of insurance shall set and certify to |
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96 | 96 | | the comptroller the rate of the overhead [maintenance tax] |
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97 | 97 | | assessment taking into account: |
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98 | 98 | | (1) any expenditure projected as necessary for the |
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99 | 99 | | division and the office of injured employee counsel to: |
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100 | 100 | | (A) administer this subtitle during the fiscal |
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101 | 101 | | year for which the rate of assessment is set; and |
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102 | 102 | | (B) reimburse the general revenue fund as |
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103 | 103 | | provided by Section 201.052, Insurance Code; |
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104 | 104 | | (2) projected employee benefits paid from general |
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105 | 105 | | revenues; |
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106 | 106 | | (3) a surplus or deficit produced by the overhead |
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107 | 107 | | assessment [tax] in the preceding year; |
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108 | 108 | | (4) revenue recovered from other sources, including |
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109 | 109 | | reappropriated receipts, grants, payments, fees, gifts, and |
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110 | 110 | | penalties recovered under this subtitle; and |
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111 | 111 | | (5) expenditures projected as necessary to support the |
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112 | 112 | | prosecution of workers' compensation insurance fraud. |
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113 | 113 | | (a-1) For the initial overhead assessment imposed on or |
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114 | 114 | | after January 1, 2016, the commissioner of insurance shall take |
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115 | 115 | | into account under Subsection (a)(3) a surplus or deficit produced |
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116 | 116 | | by the maintenance tax under former Chapter 255, Insurance Code, in |
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117 | 117 | | the preceding year. This subsection expires September 1, 2017. |
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118 | 118 | | SECTION 6. Section 403.004, Labor Code, is amended to read |
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119 | 119 | | as follows: |
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120 | 120 | | Sec. 403.004. COLLECTION OF OVERHEAD ASSESSMENT [TAX] AFTER |
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121 | 121 | | WITHDRAWAL FROM BUSINESS. The commissioner or the commissioner of |
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122 | 122 | | insurance immediately shall proceed to collect overhead |
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123 | 123 | | assessments [taxes] due under this chapter from an insurance |
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124 | 124 | | carrier that withdraws from business in this state, using legal |
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125 | 125 | | process as necessary. |
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126 | 126 | | SECTION 7. Chapter 403, Labor Code, is amended by adding |
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127 | 127 | | Section 403.0041 to read as follows: |
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128 | 128 | | Sec. 403.0041. COLLECTION OF MAINTENANCE TAXES AFTER |
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129 | 129 | | WITHDRAWAL FROM BUSINESS. The commissioner or the commissioner of |
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130 | 130 | | insurance immediately shall proceed to collect prior maintenance |
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131 | 131 | | taxes due under former Chapter 255, Insurance Code, from an |
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132 | 132 | | insurance carrier that withdraws from business in this state, using |
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133 | 133 | | legal process as necessary. |
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134 | 134 | | SECTION 8. Section 403.005, Labor Code, is amended to read |
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135 | 135 | | as follows: |
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136 | 136 | | Sec. 403.005. OVERHEAD ASSESSMENT [TAX] RATE. The |
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137 | 137 | | commissioner of insurance shall annually adjust the rate of the |
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138 | 138 | | overhead assessment [of the maintenance tax] imposed under Section |
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139 | 139 | | 403.003 so that the overhead assessment [tax] imposed that year, |
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140 | 140 | | together with any unexpended funds produced by the overhead |
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141 | 141 | | assessment [tax], produces the amount the commissioner of insurance |
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142 | 142 | | determines is necessary to pay the expenses of administering this |
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143 | 143 | | subtitle. |
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144 | 144 | | SECTION 9. Section 403.007(e), Labor Code, is amended to |
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145 | 145 | | read as follows: |
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146 | 146 | | (e) If the commissioner determines that the funding under |
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147 | 147 | | Subsection (a) is not adequate to meet the expected obligations of |
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148 | 148 | | the subsequent injury fund established under Section 403.006, the |
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149 | 149 | | fund shall be supplemented by the collection of an overhead |
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150 | 150 | | assessment [a maintenance tax] paid by insurance carriers, other |
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151 | 151 | | than a governmental entity, as provided by Sections 403.002 and |
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152 | 152 | | 403.003. The rate of assessment must be adequate to provide 120 |
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153 | 153 | | percent of the projected unfunded liabilities of the fund for the |
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154 | 154 | | next biennium as certified by an independent actuary or financial |
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155 | 155 | | advisor. |
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156 | 156 | | SECTION 10. Chapter 403, Labor Code, is amended by adding |
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157 | 157 | | Section 403.009 to read as follows: |
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158 | 158 | | Sec. 403.009. RECOVERY OF OVERHEAD ASSESSMENT. An insurer |
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159 | 159 | | may recover an overhead assessment paid by the insurer under this |
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160 | 160 | | chapter by: |
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161 | 161 | | (1) reflecting the overhead assessment as an expense |
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162 | 162 | | in a rate filing; or |
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163 | 163 | | (2) charging the insurer's policyholders. |
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164 | 164 | | SECTION 11. The heading to Section 405.003, Labor Code, is |
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165 | 165 | | amended to read as follows: |
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166 | 166 | | Sec. 405.003. FUNDING; MAINTENANCE TAX; OVERHEAD |
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167 | 167 | | ASSESSMENT. |
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168 | 168 | | SECTION 12. Sections 405.003(a), (b), (c), and (d), Labor |
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169 | 169 | | Code, are amended to read as follows: |
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170 | 170 | | (a) The group's duties under this chapter are funded through |
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171 | 171 | | the imposition of an overhead assessment and [of] a maintenance |
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172 | 172 | | tax, as applicable, collected annually from all insurance carriers, |
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173 | 173 | | and self-insurance groups that hold certificates of approval under |
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174 | 174 | | Chapter 407A, except governmental entities. |
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175 | 175 | | (b) The department shall set the rate of the overhead |
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176 | 176 | | assessment and maintenance tax based on the expenditures authorized |
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177 | 177 | | and the receipts anticipated in legislative appropriations. The |
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178 | 178 | | [tax] rate of the overhead assessment for insurance companies may |
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179 | 179 | | not exceed one-tenth of one percent of the correctly reported gross |
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180 | 180 | | workers' compensation insurance premiums. The tax rate for |
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181 | 181 | | certified self-insurers may not exceed one-tenth of one percent of |
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182 | 182 | | the total tax base of all certified self-insurers, as computed |
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183 | 183 | | under Section 407.103(b). The tax rate for self-insurance groups |
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184 | 184 | | described by Subsection (a) may not exceed one-tenth of one percent |
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185 | 185 | | of the group's gross premium for the group's retention, excluding |
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186 | 186 | | premium collected by the group for excess insurance. |
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187 | 187 | | (c) The overhead assessment [tax] imposed under Subsection |
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188 | 188 | | (a) is in addition to all other assessments and taxes imposed on |
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189 | 189 | | those insurance carriers for workers' compensation purposes. |
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190 | 190 | | (d) The overhead assessment and tax, as applicable, on |
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191 | 191 | | insurance companies and on self-insurance groups described by |
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192 | 192 | | Subsection (a) shall be assessed, collected, and paid in the same |
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193 | 193 | | manner and at the same time as the overhead assessment [maintenance |
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194 | 194 | | tax] established for the support of the department under Chapter |
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195 | 195 | | 291 [255], Insurance Code. The tax on certified self-insurers |
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196 | 196 | | shall be assessed, collected, and paid in the same manner and at the |
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197 | 197 | | same time as the self-insurer maintenance tax collected under |
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198 | 198 | | Section 407.104. |
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199 | 199 | | SECTION 13. Chapter 405, Labor Code, is amended by adding |
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200 | 200 | | Section 405.0031 to read as follows: |
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201 | 201 | | Sec. 405.0031. RECOVERY OF OVERHEAD ASSESSMENT. An insurer |
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202 | 202 | | may recover an overhead assessment paid by the insurer under this |
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203 | 203 | | chapter by: |
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204 | 204 | | (1) reflecting the overhead assessment as an expense |
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205 | 205 | | in a rate filing; or |
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206 | 206 | | (2) charging the insurer's policyholders. |
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207 | 207 | | SECTION 14. Sections 407.103(c) and (d), Labor Code, are |
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208 | 208 | | amended to read as follows: |
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209 | 209 | | (c) The tax liability of a certified self-insurer under this |
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210 | 210 | | section is the tax base computed under Subsection (b) multiplied by |
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211 | 211 | | the overhead assessment rate for [assessed] workers' compensation |
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212 | 212 | | insurance companies under Sections 403.002 and 403.003. |
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213 | 213 | | (d) In setting the rate of the overhead [maintenance tax] |
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214 | 214 | | assessment for insurance companies, the commissioner of insurance |
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215 | 215 | | may not consider revenue or expenditures related to the operation |
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216 | 216 | | of the self-insurer program under this chapter. |
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217 | 217 | | SECTION 15. Sections 407A.301(b), (c), and (e), Labor Code, |
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218 | 218 | | are amended to read as follows: |
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219 | 219 | | (b) The tax liability of a group under Subsections (a)(1) |
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220 | 220 | | and (2) is based on gross premium for the group's retention |
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221 | 221 | | multiplied by the overhead assessment rate for [assessed] insurance |
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222 | 222 | | carriers under Sections 403.002 and 403.003. |
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223 | 223 | | (c) The tax liability of a group under Subsection (a)(3) is |
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224 | 224 | | based on gross premium for the group's retention multiplied by the |
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225 | 225 | | overhead assessment rate for [assessed] insurance carriers under |
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226 | 226 | | Section 405.003. |
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227 | 227 | | (e) The tax under this section shall be collected by the |
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228 | 228 | | comptroller as provided by Section 201.051 and in the manner of the |
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229 | 229 | | collection of an overhead assessment under Chapter 291 [255], |
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230 | 230 | | Insurance Code. |
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231 | 231 | | SECTION 16. Sections 407A.302(a) and (c), Labor Code, are |
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232 | 232 | | amended to read as follows: |
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233 | 233 | | (a) Subject to Subsection (b), each group shall pay the |
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234 | 234 | | maintenance tax at the rate and in the manner prescribed [imposed] |
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235 | 235 | | under Chapter 291 [255], Insurance Code, for the administrative |
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236 | 236 | | costs incurred by the department in implementing this chapter. |
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237 | 237 | | (c) The maintenance tax assessed under this section [is |
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238 | 238 | | subject to Chapter 255, Insurance Code, and] shall be collected by |
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239 | 239 | | the comptroller in the manner provided for an overhead assessment |
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240 | 240 | | by Chapter 291, Insurance Code [that chapter]. |
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241 | 241 | | SECTION 17. Chapter 255, Insurance Code, is repealed. |
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242 | 242 | | SECTION 18. This Act takes effect January 1, 2016. |
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