4 | 13 | | AN ACT |
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5 | 14 | | relating to the payment of insurance deductibles related to |
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6 | 15 | | property insurance policies; creating a criminal offense. |
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7 | 16 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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8 | 17 | | SECTION 1. Subtitle F, Title 5, Insurance Code, is amended |
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9 | 18 | | by adding Chapter 707 to read as follows: |
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10 | 19 | | CHAPTER 707. PAYMENT OF INSURANCE DEDUCTIBLE |
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11 | 20 | | Sec. 707.001. DEFINITIONS. In this chapter: |
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12 | 21 | | (1) "Person" means an individual, corporation, |
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13 | 22 | | association, partnership, limited liability company, or other |
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14 | 23 | | legal entity. |
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15 | 24 | | (2) "Property insurance policy" means an insurance |
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16 | 25 | | policy issued by an insurer, including a county mutual insurance |
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17 | 26 | | company, farm mutual insurance company, Lloyd's plan, or reciprocal |
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18 | 27 | | or interinsurance exchange, that provides first-party coverage for |
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19 | 28 | | loss of or damage to real property. |
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20 | 29 | | Sec. 707.002. PAYMENT OF DEDUCTIBLE REQUIRED. A person |
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21 | 30 | | insured under a property insurance policy shall pay any deductible |
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22 | 31 | | applicable to a first-party claim made under the policy. |
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23 | 32 | | Sec. 707.003. CONSUMER EDUCATION. The department, in |
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24 | 33 | | coordination with other state agencies and stakeholders as |
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25 | 34 | | necessary, shall develop and implement an education program related |
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26 | 35 | | to the payment of property insurance policy deductibles. The |
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27 | 36 | | program must: |
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28 | 37 | | (1) provide reasonable methods to educate insurance |
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29 | 38 | | consumers and providers of goods or services that are regularly |
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30 | 39 | | paid for from proceeds of property insurance claims; and |
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31 | 40 | | (2) include information regarding: |
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32 | 41 | | (A) the requirements of this chapter and Section |
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33 | 42 | | 27.02, Business & Commerce Code; and |
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34 | 43 | | (B) the conduct prohibited by Section 27.02, |
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35 | 44 | | Business & Commerce Code. |
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36 | 45 | | Sec. 707.004. REASONABLE PROOF OF PAYMENT. An insurer that |
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37 | 46 | | issues a property insurance policy with replacement cost coverage |
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38 | 47 | | may refuse to pay a claim for withheld recoverable depreciation or a |
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39 | 48 | | replacement cost holdback under the policy until the insurer |
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40 | 49 | | receives reasonable proof of payment by the policyholder of any |
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41 | 50 | | deductible applicable to the claim. Reasonable proof of payment |
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42 | 51 | | includes a canceled check, money order receipt, credit card |
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43 | 52 | | statement, or copy of an executed installment plan contract or |
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44 | 53 | | other financing arrangement that requires full payment of the |
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45 | 54 | | deductible over time. |
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46 | 55 | | Sec. 707.005. RULEMAKING. The commissioner may adopt rules |
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47 | 56 | | as necessary to implement this chapter. Section 2001.0045, |
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48 | 57 | | Government Code, does not apply to rules adopted under this |
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49 | 58 | | section. |
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50 | 59 | | SECTION 2. Section 27.02, Business & Commerce Code, is |
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51 | 60 | | amended to read as follows: |
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52 | 61 | | Sec. 27.02. GOODS OR SERVICES PAID FOR BY INSURANCE |
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53 | 62 | | PROCEEDS: PAYMENT OF DEDUCTIBLE REQUIRED [CERTAIN INSURANCE CLAIMS |
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54 | 63 | | FOR EXCESSIVE CHARGES]. (a) In this section, "property insurance |
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55 | 64 | | policy" has the meaning assigned by Section 707.001, Insurance |
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56 | 65 | | Code. |
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57 | 66 | | (b) A contract to provide a good or service that is |
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58 | 67 | | reasonably expected to be paid wholly or partly from the proceeds of |
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59 | 68 | | a claim under a property insurance policy and that has a contract |
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60 | 69 | | price of $1,000 or more must contain the following notice in at |
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61 | 70 | | least 12-point boldfaced type: "Texas law requires a person |
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62 | 71 | | insured under a property insurance policy to pay any deductible |
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63 | 72 | | applicable to a claim made under the policy. It is a violation of |
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64 | 73 | | Texas law for a seller of goods or services who reasonably expects |
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65 | 74 | | to be paid wholly or partly from the proceeds of a property |
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66 | 75 | | insurance claim to knowingly allow the insured person to fail to |
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67 | 76 | | pay, or assist the insured person's failure to pay, the applicable |
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68 | 77 | | insurance deductible." |
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69 | 78 | | (c) A person who sells goods or services commits an offense |
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70 | 79 | | if the person: |
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71 | 80 | | (1) advertises or promises to provide a good or |
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72 | 81 | | service to an insured under a property insurance policy in a |
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73 | 82 | | transaction in which: |
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74 | 83 | | (A) the good or service will be paid for by the |
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75 | 84 | | insured from the proceeds of a property insurance claim; and |
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76 | 85 | | (B) the person selling the good or service will, |
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77 | 86 | | without the insurer's consent: |
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78 | 87 | | (i) pay, waive, absorb, or otherwise |
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79 | 88 | | decline to charge or collect the amount of the insured's |
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80 | 89 | | deductible; |
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81 | 90 | | (ii) provide a rebate or credit in |
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82 | 91 | | connection with the sale of the good or service that will offset all |
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83 | 92 | | or part of the amount paid by the insured as a deductible; or |
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84 | 93 | | (iii) in any other manner assist the |
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85 | 94 | | insured in avoiding monetary payment of the required insurance |
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86 | 95 | | deductible; or |
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87 | 96 | | (2) provides a good or service to an insured under a |
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88 | 97 | | property insurance policy knowing that the insured will pay for the |
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89 | 98 | | good or service with the proceeds of a claim under the policy and, |
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90 | 99 | | without the insurer's consent: |
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91 | 100 | | (A) pays, waives, absorbs, or otherwise declines |
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92 | 101 | | to charge or collect the amount of the insured's deductible; |
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93 | 102 | | (B) provides a rebate or credit in connection |
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94 | 103 | | with the sale of the good or service that offsets all or part of the |
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95 | 104 | | amount paid by the insured as a deductible; or |
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96 | 105 | | (C) in any other manner assists the insured in |
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97 | 106 | | avoiding monetary payment of the required insurance deductible. [A |
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98 | 107 | | person who sells goods or services commits an offense if: |
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99 | 108 | | [(1) the person advertises or promises to provide the |
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100 | 109 | | good or service and to pay: |
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101 | 110 | | [(A) all or part of any applicable insurance |
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102 | 111 | | deductible; or |
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103 | 112 | | [(B) a rebate in an amount equal to all or part of |
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104 | 113 | | any applicable insurance deductible; |
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105 | 114 | | [(2) the good or service is paid for by the consumer |
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106 | 115 | | from proceeds of a property or casualty insurance policy; and |
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107 | 116 | | [(3) the person knowingly charges an amount for the |
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108 | 117 | | good or service that exceeds the usual and customary charge by the |
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109 | 118 | | person for the good or service by an amount equal to or greater than |
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110 | 119 | | all or part of the applicable insurance deductible paid by the |
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111 | 120 | | person to an insurer on behalf of an insured or remitted to an |
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112 | 121 | | insured by the person as a rebate. |
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113 | 122 | | [(b) A person who is insured under a property or casualty |
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114 | 123 | | insurance policy commits an offense if the person: |
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115 | 124 | | [(1) submits a claim under the policy based on charges |
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116 | 125 | | that are in violation of Subsection (a) of this section; or |
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117 | 126 | | [(2) knowingly allows a claim in violation of |
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118 | 127 | | Subsection (a) of this section to be submitted, unless the person |
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119 | 128 | | promptly notifies the insurer of the excessive charges.] |
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120 | 129 | | (d) [(c)] An offense under this section is a Class B [A] |
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121 | 130 | | misdemeanor. |
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122 | 131 | | SECTION 3. The changes in law made by this Act to Section |
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123 | 132 | | 27.02, Business & Commerce Code, apply only to an offense committed |
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124 | 133 | | on or after the effective date of this Act. An offense committed |
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125 | 134 | | before the effective date of this Act is governed by the law in |
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126 | 135 | | effect on the date the offense was committed, and the former law is |
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127 | 136 | | continued in effect for that purpose. For purposes of this section, |
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128 | 137 | | an offense was committed before the effective date of this Act if |
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129 | 138 | | any element of the offense occurred before that date. |
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130 | 139 | | SECTION 4. Section 27.02(b), Business & Commerce Code, as |
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131 | 140 | | amended by this Act, applies only to a contract entered into on or |
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132 | 141 | | after the effective date of this Act. |
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133 | 142 | | SECTION 5. This Act takes effect September 1, 2019. |
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