1 | 1 | | By: Cole (Senate Sponsor - Zaffirini) H.B. No. 4389 |
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2 | 2 | | (In the Senate - Received from the House May 8, 2023; |
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3 | 3 | | May 10, 2023, read first time and referred to Committee on Business & |
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4 | 4 | | Commerce; May 22, 2023, reported adversely, with favorable |
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5 | 5 | | Committee Substitute by the following vote: Yeas 9, Nays 2; |
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6 | 6 | | May 22, 2023, sent to printer.) |
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7 | 7 | | Click here to see the committee vote |
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8 | 8 | | COMMITTEE SUBSTITUTE FOR H.B. No. 4389 By: Zaffirini |
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9 | 9 | | |
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10 | 10 | | |
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11 | 11 | | A BILL TO BE ENTITLED |
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12 | 12 | | AN ACT |
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13 | 13 | | relating to the funding mechanism for the regulation of workers' |
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14 | 14 | | compensation and workers' compensation insurance; authorizing |
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15 | 15 | | surcharges. |
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16 | 16 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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17 | 17 | | SECTION 1. The heading to Title 3, Insurance Code, is |
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18 | 18 | | amended to read as follows: |
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19 | 19 | | TITLE 3. DEPARTMENT FUNDS, FEES, SURCHARGES, AND TAXES |
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20 | 20 | | SECTION 2. The heading to Subtitle C, Title 3, Insurance |
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21 | 21 | | Code, is amended to read as follows: |
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22 | 22 | | SUBTITLE C. INSURANCE MAINTENANCE TAXES AND SURCHARGES |
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23 | 23 | | SECTION 3. Section 251.001(a), Insurance Code, is amended |
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24 | 24 | | to read as follows: |
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25 | 25 | | (a) The commissioner shall annually determine the rate of |
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26 | 26 | | assessment of each maintenance tax or workers' compensation |
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27 | 27 | | surcharge imposed under this subtitle. |
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28 | 28 | | SECTION 4. The heading to Section 251.004, Insurance Code, |
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29 | 29 | | is amended to read as follows: |
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30 | 30 | | Sec. 251.004. DEPOSIT OF MAINTENANCE TAXES AND SURCHARGES. |
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31 | 31 | | SECTION 5. Section 251.004(a), Insurance Code, is amended |
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32 | 32 | | to read as follows: |
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33 | 33 | | (a) Except as provided by Subsection (b), maintenance taxes |
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34 | 34 | | collected under this subtitle and surcharges collected under |
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35 | 35 | | Chapter 255 shall be deposited in the general revenue fund and |
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36 | 36 | | reallocated to the Texas Department of Insurance operating account. |
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37 | 37 | | SECTION 6. Chapter 255, Insurance Code, is amended to read |
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38 | 38 | | as follows: |
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39 | 39 | | CHAPTER 255. WORKERS' COMPENSATION INSURANCE |
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40 | 40 | | Sec. 255.001. SURCHARGE [MAINTENANCE TAX] IMPOSED. (a) A |
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41 | 41 | | surcharge [maintenance tax] is imposed on each authorized insurer |
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42 | 42 | | with gross premiums subject to the surcharge [taxation] under |
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43 | 43 | | Section 255.003, including a: |
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44 | 44 | | (1) stock insurance company; |
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45 | 45 | | (2) mutual insurance company; |
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46 | 46 | | (3) reciprocal or interinsurance exchange; and |
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47 | 47 | | (4) Lloyd's plan. |
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48 | 48 | | (b) The surcharge [tax] required by this chapter is in |
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49 | 49 | | addition to [other] taxes or other surcharges imposed that are not |
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50 | 50 | | in conflict with this chapter. |
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51 | 51 | | Sec. 255.002. MAXIMUM RATE; ANNUAL ADJUSTMENT. (a) The |
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52 | 52 | | sum of the rates [rate] of assessment for the surcharge imposed by |
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53 | 53 | | this chapter and the surcharges imposed by Chapters 403 and 405, |
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54 | 54 | | Labor Code, set by the commissioner, may not exceed 2.7 [0.6] |
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55 | 55 | | percent of the gross premiums subject to surcharges [taxation under |
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56 | 56 | | Section 255.003]. |
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57 | 57 | | (b) The commissioner shall annually adjust the rate of |
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58 | 58 | | assessment of the surcharge [maintenance tax] so that the surcharge |
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59 | 59 | | [tax] imposed that year, together with any unexpended funds |
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60 | 60 | | produced by the surcharge [tax], produces the amount the |
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61 | 61 | | commissioner determines is necessary to pay the expenses during the |
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62 | 62 | | succeeding year of regulating workers' compensation insurance. |
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63 | 63 | | Sec. 255.003. PREMIUMS SUBJECT TO SURCHARGE [TAXATION]. |
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64 | 64 | | (a) An insurer shall pay the surcharge [maintenance taxes] under |
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65 | 65 | | this chapter on the correctly reported gross workers' compensation |
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66 | 66 | | insurance premiums from writing workers' compensation insurance in |
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67 | 67 | | this state, including the modified annual premium of a policyholder |
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68 | 68 | | that purchases an optional deductible plan under Subchapter E, |
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69 | 69 | | Chapter 2053. |
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70 | 70 | | (b) The rate of assessment for a surcharge shall be applied |
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71 | 71 | | to the modified annual premium before application of a deductible |
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72 | 72 | | premium credit. |
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73 | 73 | | Sec. 255.004. SURCHARGE [MAINTENANCE TAX] DUE DATES. (a) |
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74 | 74 | | The insurer shall pay the surcharge [maintenance tax] annually or |
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75 | 75 | | semiannually. |
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76 | 76 | | (b) The comptroller may require semiannual payment only |
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77 | 77 | | from an insurer whose surcharge [maintenance tax] liability under |
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78 | 78 | | this chapter for the previous tax year was at least $2,000. |
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79 | 79 | | Sec. 255.005. RECOVERY OF SURCHARGE. An insurer may |
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80 | 80 | | recover a surcharge under this chapter by: |
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81 | 81 | | (1) reflecting the surcharge as an expense in a rate |
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82 | 82 | | filing required under this code; or |
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83 | 83 | | (2) charging the insurer's policyholders. |
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84 | 84 | | SECTION 7. Section 403.001(a), Labor Code, is amended to |
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85 | 85 | | read as follows: |
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86 | 86 | | (a) Except as provided by Sections 403.006, 403.007, and |
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87 | 87 | | 403.008, or as otherwise provided by law, money collected under |
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88 | 88 | | this subtitle, including surcharges and advance deposits for |
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89 | 89 | | purchase of services, shall be deposited in the general revenue |
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90 | 90 | | fund of the state treasury to the credit of the Texas Department of |
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91 | 91 | | Insurance operating account. |
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92 | 92 | | SECTION 8. Section 403.002, Labor Code, is amended to read |
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93 | 93 | | as follows: |
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94 | 94 | | Sec. 403.002. SURCHARGES [MAINTENANCE TAXES]. (a) Each |
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95 | 95 | | insurance carrier, other than a governmental entity, shall pay an |
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96 | 96 | | annual surcharge [maintenance tax] to pay the costs of |
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97 | 97 | | administering this subtitle and to support the prosecution of |
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98 | 98 | | workers' compensation insurance fraud in this state. |
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99 | 99 | | (b) The rate of assessment is applied to [may not exceed an |
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100 | 100 | | amount equal to two percent of] the correctly reported gross |
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101 | 101 | | workers' compensation insurance premiums, including the modified |
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102 | 102 | | annual premium of a policyholder that purchases an optional |
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103 | 103 | | deductible plan under Subchapter E, Chapter 2053 [Article 5.55C], |
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104 | 104 | | Insurance Code. The rate of assessment shall be applied to the |
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105 | 105 | | modified annual premium before application of a deductible premium |
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106 | 106 | | credit. |
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107 | 107 | | (c) A workers' compensation insurance company is assessed |
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108 | 108 | | [taxed] at the rate established under Section 403.003 and as |
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109 | 109 | | limited by Section 255.002(a), Insurance Code. The surcharge [tax] |
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110 | 110 | | shall be collected in the manner provided for collection of other |
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111 | 111 | | surcharges [taxes] on gross premiums from a workers' compensation |
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112 | 112 | | insurance company as provided in Chapter 255, Insurance Code. |
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113 | 113 | | (d) Each certified self-insurer shall pay a fee and |
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114 | 114 | | maintenance taxes as provided by Subchapter F, Chapter 407. |
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115 | 115 | | SECTION 9. The heading to Section 403.003, Labor Code, is |
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116 | 116 | | amended to read as follows: |
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117 | 117 | | Sec. 403.003. RATE OF SURCHARGE [ASSESSMENT]. |
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118 | 118 | | SECTION 10. Section 403.003(a), Labor Code, is amended to |
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119 | 119 | | read as follows: |
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120 | 120 | | (a) The commissioner of insurance shall set and certify to |
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121 | 121 | | the comptroller the rate of the surcharge, [maintenance tax |
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122 | 122 | | assessment] taking into account: |
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123 | 123 | | (1) any expenditure projected as necessary for the |
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124 | 124 | | division and the office of injured employee counsel to: |
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125 | 125 | | (A) administer this subtitle during the fiscal |
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126 | 126 | | year for which the rate of assessment is set; and |
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127 | 127 | | (B) reimburse the general revenue fund as |
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128 | 128 | | provided by Section 201.052, Insurance Code; |
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129 | 129 | | (2) projected employee benefits paid from general |
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130 | 130 | | revenues; |
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131 | 131 | | (3) a surplus or deficit produced by the surcharge |
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132 | 132 | | [tax] in the preceding year; |
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133 | 133 | | (4) revenue recovered from other sources, including |
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134 | 134 | | reappropriated receipts, grants, payments, fees, gifts, and |
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135 | 135 | | penalties recovered under this subtitle; and |
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136 | 136 | | (5) expenditures projected as necessary to support the |
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137 | 137 | | prosecution of workers' compensation insurance fraud. |
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138 | 138 | | SECTION 11. Section 403.004, Labor Code, is amended to read |
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139 | 139 | | as follows: |
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140 | 140 | | Sec. 403.004. COLLECTION OF SURCHARGE [TAX] AFTER |
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141 | 141 | | WITHDRAWAL FROM BUSINESS. The commissioner or the commissioner of |
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142 | 142 | | insurance immediately shall proceed to collect surcharges [taxes] |
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143 | 143 | | due under this chapter from an insurance carrier that withdraws |
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144 | 144 | | from business in this state, using legal process as necessary. |
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145 | 145 | | SECTION 12. Section 403.005, Labor Code, is amended to read |
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146 | 146 | | as follows: |
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147 | 147 | | Sec. 403.005. SURCHARGE [TAX] RATE. The commissioner of |
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148 | 148 | | insurance shall annually adjust the rate of assessment of the |
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149 | 149 | | surcharge [maintenance tax] imposed under Section 403.003 so that |
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150 | 150 | | the surcharge [tax] imposed that year, together with any unexpended |
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151 | 151 | | funds produced by the surcharge [tax], produces the amount the |
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152 | 152 | | commissioner of insurance determines is necessary to pay the |
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153 | 153 | | expenses of administering this subtitle. |
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154 | 154 | | SECTION 13. Chapter 403, Labor Code, is amended by adding |
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155 | 155 | | Section 403.0055 to read as follows: |
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156 | 156 | | Sec. 403.0055. RECOVERY OF SURCHARGE. An insurer may |
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157 | 157 | | recover a surcharge under this chapter by: |
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158 | 158 | | (1) reflecting the surcharge as an expense in a rate |
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159 | 159 | | filing required under the Insurance Code; or |
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160 | 160 | | (2) charging the insurer's policyholders. |
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161 | 161 | | SECTION 14. The heading to Section 405.003, Labor Code, is |
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162 | 162 | | amended to read as follows: |
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163 | 163 | | Sec. 405.003. FUNDING; SURCHARGE AND RECOVERY OF SURCHARGE |
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164 | 164 | | BY INSURERS [MAINTENANCE TAX]. |
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165 | 165 | | SECTION 15. Section 405.003, Labor Code, is amended by |
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166 | 166 | | amending Subsections (a), (b), (c), and (d) and adding Subsection |
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167 | 167 | | (g) to read as follows: |
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168 | 168 | | (a) The group's duties under this chapter are funded through |
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169 | 169 | | the assessment of a surcharge [maintenance tax] collected annually |
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170 | 170 | | from all insurance carriers, and self-insurance groups that hold |
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171 | 171 | | certificates of approval under Chapter 407A, except governmental |
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172 | 172 | | entities. |
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173 | 173 | | (b) The department shall set the rate of the surcharge |
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174 | 174 | | [maintenance tax] based on the expenditures authorized and the |
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175 | 175 | | receipts anticipated in legislative appropriations. The surcharge |
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176 | 176 | | [tax] rate for insurance companies may not exceed the limitation in |
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177 | 177 | | Section 255.002(a), Insurance Code. The surcharge rate is applied |
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178 | 178 | | to [may not exceed one-tenth of one percent of] the correctly |
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179 | 179 | | reported gross workers' compensation insurance premiums. The |
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180 | 180 | | surcharge [tax] rate for certified self-insurers may not exceed the |
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181 | 181 | | limitation in Section 255.002(a), Insurance Code. The surcharge |
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182 | 182 | | rate is applied to [may not exceed one-tenth of one percent of] the |
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183 | 183 | | total tax base of all certified self-insurers, as computed under |
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184 | 184 | | Section 407.103(b). The surcharge [tax] rate for self-insurance |
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185 | 185 | | groups described by Subsection (a) may not exceed the limitation in |
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186 | 186 | | Section 255.002(a), Insurance Code. The surcharge rate is applied |
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187 | 187 | | to [may not exceed one-tenth of one percent of] the group's gross |
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188 | 188 | | premium for the group's retention, excluding premium collected by |
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189 | 189 | | the group for excess insurance. |
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190 | 190 | | (c) The surcharge [tax] imposed under Subsection (a) is in |
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191 | 191 | | addition to all [other] taxes or other surcharges imposed on those |
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192 | 192 | | insurance carriers for workers' compensation purposes. |
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193 | 193 | | (d) The surcharge [tax] on insurance companies and on |
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194 | 194 | | self-insurance groups described by Subsection (a) shall be |
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195 | 195 | | assessed, collected, and paid in the same manner and at the same |
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196 | 196 | | time as the surcharge [maintenance tax] established for the support |
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197 | 197 | | of the department under Chapter 255, Insurance Code. The surcharge |
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198 | 198 | | [tax] on certified self-insurers shall be assessed, collected, and |
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199 | 199 | | paid in the same manner and at the same time as the self-insurer |
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200 | 200 | | maintenance tax collected under Section 407.104. |
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201 | 201 | | (g) An insurer may recover a surcharge under this section |
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202 | 202 | | by: |
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203 | 203 | | (1) reflecting the surcharge as an expense in a rate |
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204 | 204 | | filing required under the Insurance Code; or |
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205 | 205 | | (2) charging the insurer's policyholders. |
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206 | 206 | | SECTION 16. The changes in law made by this Act relating to |
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207 | 207 | | surcharges on gross workers' compensation premiums apply only to |
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208 | 208 | | the gross annual premiums reported for an annual period beginning |
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209 | 209 | | on or after the effective date of this Act. Maintenance taxes |
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210 | 210 | | imposed on gross annual workers' compensation premiums before the |
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211 | 211 | | effective date of this Act are governed by the law as it existed |
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212 | 212 | | before the effective date of this Act, and the former law is |
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213 | 213 | | continued in effect for that purpose. |
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214 | 214 | | SECTION 17. This Act takes effect January 1, 2024. |
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215 | 215 | | * * * * * |
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