6 | 4 | | AN ACT |
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7 | 5 | | relating to collection and use of certain information reported to |
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8 | 6 | | and by the Texas Department of Insurance and certain approval |
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9 | 7 | | authority and hearings held in connection with reported |
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10 | 8 | | information. |
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11 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 10 | | ARTICLE 1. AMENDMENTS AFFECTING REPORTING AND RELATED HEARINGS |
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13 | 11 | | SECTION 1.01. Sections 2053.056(a) and (b), Insurance Code, |
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14 | 12 | | are amended to read as follows: |
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15 | 13 | | (a) The commissioner may [shall] conduct a public hearing |
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16 | 14 | | each biennium[, beginning not later than December 1, 2008,] to |
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17 | 15 | | review rates to be charged for workers' compensation insurance |
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18 | 16 | | written in this state. A public hearing under this section is not a |
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19 | 17 | | contested case as defined by Section 2001.003, Government Code. |
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20 | 18 | | (b) Not later than the 30th day before the date of a [the] |
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21 | 19 | | public hearing conducted [required] under Subsection (a), each |
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22 | 20 | | insurance company subject to this subtitle [and Article 5.66] shall |
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23 | 21 | | file the insurance company's rates, supporting information, and |
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24 | 22 | | supplementary rating information with the commissioner. |
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25 | 23 | | SECTION 1.02. Section 2251.008, Insurance Code, is amended |
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26 | 24 | | to read as follows: |
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27 | 25 | | Sec. 2251.008. ANNUAL [QUARTERLY] REPORT OF INSURER; |
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28 | 26 | | LEGISLATIVE REPORT. (a) The commissioner shall require each |
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29 | 27 | | insurer subject to this subchapter to annually [quarterly] file |
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30 | 28 | | with the commissioner information relating to changes in losses, |
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31 | 29 | | premiums, and market share since January 1, 1993. The commissioner |
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32 | 30 | | may require an insurer subject to this subchapter to report to the |
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33 | 31 | | commissioner, in the form and in the time required by the |
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34 | 32 | | commissioner, any other information the commissioner determines is |
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35 | 33 | | necessary to comply with this section. |
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36 | 34 | | (b) Annually [Quarterly], the commissioner shall report to |
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37 | 35 | | the governor, the lieutenant governor, the speaker of the house of |
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38 | 36 | | representatives, the legislature, and the public regarding: |
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39 | 37 | | (1) the information provided to the commissioner, |
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40 | 38 | | other than information made confidential by law, in the insurers' |
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41 | 39 | | reports under Subsection (a); and |
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42 | 40 | | (2) market conduct, especially rates and consumer |
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43 | 41 | | complaints. |
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44 | 42 | | (c) The report required by this section must cover a |
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45 | 43 | | calendar year [quarter] and: |
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46 | 44 | | (1) for each insurer that writes a line of insurance |
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47 | 45 | | subject to this subchapter, must state the insurer's: |
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48 | 46 | | (A) market share; |
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49 | 47 | | (B) profits and losses; |
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50 | 48 | | (C) average loss ratio; and |
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51 | 49 | | (D) whether the insurer submitted a rate filing |
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52 | 50 | | during the year [quarter] covered in the report; and |
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53 | 51 | | (2) for each rate filing submitted under Subdivision |
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54 | 52 | | (1)(D), must indicate any significant impact on policyholders, the |
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55 | 53 | | overall rate change from the rate previously used by the insurer |
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56 | 54 | | stated as a percentage, and any rate changes for the previous 12, |
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57 | 55 | | 24, and 36 months. |
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58 | 56 | | (d) Except as provided by Subsection (e), the annual |
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59 | 57 | | [quarterly] report required by this section must be made available |
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60 | 58 | | to the governor, lieutenant governor, speaker of the house of |
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61 | 59 | | representatives, legislature, and public not later than the 90th |
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62 | 60 | | day after the last day of the calendar year [quarter] covered by the |
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63 | 61 | | report. |
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64 | 62 | | (e) If the commissioner determines that it is not feasible |
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65 | 63 | | to provide the report required by this section within the period |
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66 | 64 | | specified by Subsection (d) for all lines of insurance subject to |
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67 | 65 | | this subchapter, the department: |
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68 | 66 | | (1) shall make the annual [quarterly] report, as |
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69 | 67 | | applicable to lines of residential property insurance and personal |
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70 | 68 | | automobile insurance, available within the period specified by |
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71 | 69 | | Subsection (d); and |
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72 | 70 | | (2) may delay publication of the annual [quarterly] |
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73 | 71 | | report as it relates to other lines of insurance subject to this |
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74 | 72 | | subchapter until a date specified by the commissioner. |
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75 | 73 | | SECTION 1.03. Section 2251.101(b), Insurance Code, is |
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76 | 74 | | amended to read as follows: |
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77 | 75 | | (b) The commissioner by rule shall: |
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78 | 76 | | (1) determine the information required to be included |
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79 | 77 | | in the filing, including: |
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80 | 78 | | (A) categories of supporting information and |
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81 | 79 | | supplementary rating information; |
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82 | 80 | | (B) statistics or other information to support |
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83 | 81 | | the rates to be used by the insurer; |
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84 | 82 | | (C) [, including] information necessary to |
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85 | 83 | | evidence that the computation of the rate does not include |
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86 | 84 | | disallowed expenses for personal lines; and |
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87 | 85 | | (D) [(C)] information concerning policy fees, |
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88 | 86 | | service fees, and other fees that are charged or collected by the |
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89 | 87 | | insurer under Section 550.001 or 4005.003; and |
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90 | 88 | | (2) prescribe the process through which the department |
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91 | 89 | | requests supplementary rating information and supporting |
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92 | 90 | | information under this section, including: |
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93 | 91 | | (A) the number of times the department may make a |
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94 | 92 | | request for information; and |
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95 | 93 | | (B) the types of information the department may |
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96 | 94 | | request when reviewing a rate filing. |
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97 | 95 | | ARTICLE 2. CONFORMING AMENDMENTS |
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98 | 96 | | SECTION 2.01. Sections 1501.109(a), (b), and (c), Insurance |
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99 | 97 | | Code, are amended to read as follows: |
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100 | 98 | | (a) A small or large employer health benefit plan issuer may |
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101 | 99 | | elect to refuse to renew all small or large employer health benefit |
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102 | 100 | | plans delivered or issued for delivery by the issuer in this state |
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103 | 101 | | or in a geographic service area [approved under Section 1501.101]. |
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104 | 102 | | The issuer shall notify: |
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105 | 103 | | (1) the commissioner of the election not later than |
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106 | 104 | | the 180th day before the date coverage under the first plan |
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107 | 105 | | terminates under this subsection; and |
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108 | 106 | | (2) each affected covered small or large employer not |
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109 | 107 | | later than the 180th day before the date coverage terminates for |
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110 | 108 | | that employer. |
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111 | 109 | | (b) A small employer health benefit plan issuer that elects |
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112 | 110 | | under this section to refuse to renew all small employer health |
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113 | 111 | | benefit plans in this state or in a [an approved] geographic service |
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114 | 112 | | area may not write a new small employer health benefit plan in this |
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115 | 113 | | state or in the geographic service area, as applicable, before the |
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116 | 114 | | fifth anniversary of the date notice is provided to the |
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117 | 115 | | commissioner under Subsection (a). |
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118 | 116 | | (c) A large employer health benefit plan issuer that elects |
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119 | 117 | | under this section to refuse to renew all large employer health |
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120 | 118 | | benefit plans in this state or in a [an approved] geographic service |
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121 | 119 | | area may not write a new large employer health benefit plan in this |
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122 | 120 | | state or in the geographic service area, as applicable, before the |
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123 | 121 | | fifth anniversary of the date notice is provided to the |
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124 | 122 | | commissioner under Subsection (a). |
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125 | 123 | | SECTION 2.02. Section 2206.002(b), Insurance Code, is |
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126 | 124 | | amended to read as follows: |
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127 | 125 | | (b) The pool[: |
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128 | 126 | | [(1) shall collect the necessary information and file |
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129 | 127 | | with the department the reports required by Subchapter D, Chapter |
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130 | 128 | | 38; and |
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131 | 129 | | [(2)] is subject to Chapter 541 and Section 543.001. |
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132 | 130 | | SECTION 2.03. Section 2207.002(b), Insurance Code, is |
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133 | 131 | | amended to read as follows: |
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134 | 132 | | (b) A pool[: |
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135 | 133 | | [(1) shall collect the necessary information and file |
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136 | 134 | | with the department the reports required by Subchapter D, Chapter |
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137 | 135 | | 38; and |
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138 | 136 | | [(2)] is subject to Chapter 541 and Section 543.001. |
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139 | 137 | | SECTION 2.04. Section 2208.002(b), Insurance Code, is |
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140 | 138 | | amended to read as follows: |
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141 | 139 | | (b) The pool is subject to Chapter 541 [and Subchapter D, |
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142 | 140 | | Chapter 38]. |
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143 | 141 | | SECTION 2.05. Section 2212.053(a), Insurance Code, is |
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144 | 142 | | amended to read as follows: |
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145 | 143 | | (a) A trust shall file with the department: |
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146 | 144 | | (1) all rates and forms, for informational purposes |
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147 | 145 | | only; and |
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148 | 146 | | (2) [all liability claims reports required under |
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149 | 147 | | Subchapter D, Chapter 38; and |
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150 | 148 | | [(3)] the trust's independently audited annual |
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151 | 149 | | financial statement. |
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152 | 150 | | ARTICLE 3. REPEALER |
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153 | 151 | | SECTION 3.01. The following provisions of the Insurance |
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154 | 152 | | Code are repealed: |
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155 | 153 | | (1) Section 32.0221; |
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156 | 154 | | (2) Subchapters C, D, and I, Chapter 38; |
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157 | 155 | | (3) Section 425.107; |
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158 | 156 | | (4) Section 542.006(c); |
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159 | 157 | | (5) Section 1501.056(c); |
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160 | 158 | | (6) Section 1501.101(a); and |
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161 | 159 | | (7) Section 4201.204(c). |
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162 | 160 | | ARTICLE 4. TRANSITION; EFFECTIVE DATE |
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163 | 161 | | SECTION 4.01. (a) Sections 2206.002(b), 2207.002(b), |
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164 | 162 | | 2208.002(b), and 2212.053(a), Insurance Code, as amended by this |
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165 | 163 | | Act, and the repeal by this Act of Subchapter D, Chapter 38, |
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166 | 164 | | Insurance Code, apply only to a claim closed on or after January 1, |
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167 | 165 | | 2016. A claim closed before January 1, 2016, is governed by the law |
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168 | 166 | | as it existed immediately before the effective date of this Act, and |
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169 | 167 | | that law is continued in effect for that purpose. |
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170 | 168 | | (b) Section 2251.008, Insurance Code, as amended by this |
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171 | 169 | | Act, applies with respect to reporting by insurers to, and |
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172 | 170 | | reporting to the legislature by, the commissioner of insurance on |
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173 | 171 | | or after January 1, 2016. Reporting by insurers and the |
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174 | 172 | | commissioner before that date is governed by the law as it existed |
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175 | 173 | | immediately before the effective date of this Act, and that law is |
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176 | 174 | | continued in effect for that purpose. |
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177 | 175 | | SECTION 4.02. This Act takes effect September 1, 2015. |
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