4 | 10 | | AN ACT |
---|
5 | 11 | | relating to required disclosures for certain occupational |
---|
6 | 12 | | insurance policies. |
---|
7 | 13 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
8 | 14 | | SECTION 1. Subtitle C, Title 5, Insurance Code, is amended |
---|
9 | 15 | | by adding Chapter 564 to read as follows: |
---|
10 | 16 | | CHAPTER 564. DISCLOSURES FOR THE SALE OF CERTAIN OCCUPATIONAL |
---|
11 | 17 | | INSURANCE POLICIES |
---|
12 | 18 | | Sec. 564.001. SCOPE OF CHAPTER; PURPOSE. (a) This chapter |
---|
13 | 19 | | is intended to require disclosures on policy forms for certain |
---|
14 | 20 | | occupational insurance policies designed or marketed to provide |
---|
15 | 21 | | coverage to an employer that elects not to maintain workers' |
---|
16 | 22 | | compensation insurance coverage under Chapter 406, Labor Code. |
---|
17 | 23 | | (b) Nothing in this chapter prohibits an employer that is |
---|
18 | 24 | | not required to maintain workers' compensation insurance coverage |
---|
19 | 25 | | and has elected not to obtain workers' compensation insurance |
---|
20 | 26 | | coverage from obtaining occupational accident, disease, or death |
---|
21 | 27 | | insurance coverage for the employer or the employer's employees. |
---|
22 | 28 | | Sec. 564.002. APPLICABILITY OF CHAPTER. This chapter |
---|
23 | 29 | | applies to an insurance company authorized to write accident and |
---|
24 | 30 | | health insurance or liability insurance, including: |
---|
25 | 31 | | (1) a surplus lines insurer; |
---|
26 | 32 | | (2) a Lloyd's plan; and |
---|
27 | 33 | | (3) a reciprocal or interinsurance exchange. |
---|
28 | 34 | | Sec. 564.003. EXCEPTIONS. This chapter does not apply to: |
---|
29 | 35 | | (1) a plan that provides coverage: |
---|
30 | 36 | | (A) only for a specified disease or another |
---|
31 | 37 | | limited benefit; |
---|
32 | 38 | | (B) only for dental or vision care; or |
---|
33 | 39 | | (C) only for hospital indemnity for hospital |
---|
34 | 40 | | confinement; |
---|
35 | 41 | | (2) a Medicare supplemental policy as defined by |
---|
36 | 42 | | Section 1882(g)(1), Social Security Act (42 U.S.C. Section |
---|
37 | 43 | | 1395ss); |
---|
38 | 44 | | (3) long-term care coverage or benefits, home health |
---|
39 | 45 | | care coverage or benefits, community-based care coverage or |
---|
40 | 46 | | benefits, or any combination of those coverages or benefits; |
---|
41 | 47 | | (4) an individual or group life insurance policy; or |
---|
42 | 48 | | (5) individual or group credit life, accident, or |
---|
43 | 49 | | disability insurance. |
---|
44 | 50 | | Sec. 564.004. OCCUPATIONAL POLICY DEFINED. In this |
---|
45 | 51 | | chapter, "occupational policy" means: |
---|
46 | 52 | | (1) an individual or group accident or health |
---|
47 | 53 | | insurance policy that explicitly provides coverage or benefits for |
---|
48 | 54 | | an employer or the employer's employees for an employee's |
---|
49 | 55 | | occupational bodily injury, disease, or death; |
---|
50 | 56 | | (2) an employer's insurance policy that explicitly |
---|
51 | 57 | | provides liability coverage to an employer that elects not to |
---|
52 | 58 | | maintain workers' compensation insurance coverage under Chapter |
---|
53 | 59 | | 406, Labor Code, for an employee's occupational bodily injury, |
---|
54 | 60 | | disease, or death in: |
---|
55 | 61 | | (A) a general liability insurance policy; |
---|
56 | 62 | | (B) a commercial multiple peril insurance |
---|
57 | 63 | | policy; or |
---|
58 | 64 | | (C) any other type of insurance policy designated |
---|
59 | 65 | | by the department as intended to provide liability coverage to an |
---|
60 | 66 | | employer that elects not to maintain workers' compensation |
---|
61 | 67 | | insurance coverage under Chapter 406, Labor Code, for an employee's |
---|
62 | 68 | | occupational bodily injury, disease, or death; |
---|
63 | 69 | | (3) an accident, health, or liability insurance |
---|
64 | 70 | | policy that does not expressly include coverage for occupational |
---|
65 | 71 | | injuries, disease, or death, but is marketed or sold to or through |
---|
66 | 72 | | an employer as an alternative to coverage for benefits or liability |
---|
67 | 73 | | provided by a workers' compensation insurance policy; or |
---|
68 | 74 | | (4) a policy that includes occupational accident and |
---|
69 | 75 | | health and liability coverage in the same policy. |
---|
70 | 76 | | Sec. 564.005. REQUIRED DISCLOSURES FOR OCCUPATIONAL |
---|
71 | 77 | | POLICIES. An occupational policy shall include the following |
---|
72 | 78 | | disclosure statement in 10-point boldface type on the first page of |
---|
73 | 79 | | the policy and on the first page of all materials used in |
---|
74 | 80 | | advertising or marketing the occupational policy to an employer |
---|
75 | 81 | | that elects not to maintain workers' compensation insurance |
---|
76 | 82 | | coverage under Chapter 406, Labor Code: |
---|
77 | 83 | | "THIS IS NOT A WORKERS' COMPENSATION INSURANCE POLICY. THE |
---|
78 | 84 | | EMPLOYER DOES NOT OBTAIN WORKERS' COMPENSATION INSURANCE COVERAGE |
---|
79 | 85 | | BY PURCHASING THIS POLICY, AND IF THE EMPLOYER HAS NOT ELECTED TO |
---|
80 | 86 | | OBTAIN WORKERS' COMPENSATION INSURANCE COVERAGE, THE EMPLOYER DOES |
---|
81 | 87 | | NOT OBTAIN THOSE BENEFITS THAT WOULD OTHERWISE ACCRUE UNDER THE |
---|
82 | 88 | | WORKERS' COMPENSATION LAWS IN THIS STATE. THE EMPLOYER MUST COMPLY |
---|
83 | 89 | | WITH THE WORKERS' COMPENSATION LAWS IN THIS STATE AS THEY PERTAIN TO |
---|
84 | 90 | | EMPLOYERS THAT ELECT NOT TO MAINTAIN WORKERS' COMPENSATION |
---|
85 | 91 | | INSURANCE COVERAGE AND THE REQUIRED NOTIFICATIONS THAT MUST BE |
---|
86 | 92 | | FILED AND POSTED." |
---|
87 | 93 | | Sec. 564.006. RULES. The commissioner shall adopt rules as |
---|
88 | 94 | | necessary to implement this chapter. |
---|
89 | 95 | | SECTION 2. As soon as practicable after the effective date |
---|
90 | 96 | | of this Act, the commissioner of insurance shall adopt rules to |
---|
91 | 97 | | implement Chapter 564, Insurance Code, as added by this Act. |
---|
92 | 98 | | SECTION 3. Chapter 564, Insurance Code, as added by this |
---|
93 | 99 | | Act, applies only to an occupational insurance policy delivered, |
---|
94 | 100 | | issued for delivery, or renewed on or after January 1, 2022. An |
---|
95 | 101 | | occupational insurance policy delivered, issued for delivery, or |
---|
96 | 102 | | renewed before January 1, 2022, is governed by the law as it existed |
---|
97 | 103 | | immediately before the effective date of this Act, and that law is |
---|
98 | 104 | | continued in effect for that purpose. |
---|
99 | 105 | | SECTION 4. This Act takes effect September 1, 2021. |
---|