Texas 2025 - 89th Regular

Texas House Bill HB3320 Compare Versions

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11 89R6007 DNC-D
22 By: Oliverson, Lalani H.B. No. 3320
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77 A BILL TO BE ENTITLED
88 AN ACT
99 relating to a property and casualty self-insurance pool for certain
1010 religious institutions; authorizing fees; providing administrative
1111 penalties.
1212 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1313 SECTION 1. Subtitle G, Title 10, Insurance Code, is amended
1414 by adding Chapter 2214 to read as follows:
1515 CHAPTER 2214. RELIGIOUS INSTITUTIONS SELF-INSURANCE POOL
1616 SUBCHAPTER A. GENERAL PROVISIONS
1717 Sec. 2214.001. DEFINITIONS. In this chapter:
1818 (1) "Board" means the board of trustees of the pool.
1919 (2) "Church" means a nonprofit religious organization
2020 consisting of a group of religious believers.
2121 (3) "Fund" means a trust fund established under
2222 Section 2214.052.
2323 (4) "Member" means a church, nonprofit religious
2424 organization, or religious denomination entitled to pool coverage
2525 and obligated for pool liabilities under a pool coverage agreement.
2626 (5) "Nonprofit religious organization" means an
2727 active corporation or other entity organized under Section
2828 501(c)(3), Internal Revenue Code of 1986, as a nonprofit
2929 organization defined as any one of the following:
3030 (A) a church or religious house of worship;
3131 (B) an organization formed for religious
3232 purposes;
3333 (C) a nonprofit institution affiliated with a
3434 faith-based organization; or
3535 (D) an integrated auxiliary organization of a
3636 church.
3737 (6) "Organizing party" means a church, nonprofit
3838 religious organization, or religious denomination that has entered
3939 into a pool creation agreement.
4040 (7) "Person" means an individual, corporation, trust,
4141 partnership, association, or any other legal entity.
4242 (8) "Pool" means the Religious Institutions
4343 Self-Insurance Pool authorized under this chapter.
4444 (9) "Pool coverage" means the self-insured coverage
4545 provided by the pool in accordance with this chapter.
4646 (10) "Pool coverage agreement" means an indemnity
4747 agreement under which a church, nonprofit religious organization,
4848 or religious denomination is entitled to pool coverage in exchange
4949 for the payment of premiums to the pool and is obligated for pool
5050 liabilities.
5151 (11) "Pool creation agreement" means an agreement
5252 entered into under Section 2214.051.
5353 (12) "Religious denomination" means a group of
5454 individual churches or houses of worship that are identified using
5555 the same terms and have a particular set of beliefs or spiritual or
5656 religious values.
5757 Sec. 2214.002. POOL NOT INSURANCE; APPLICABILITY OF
5858 INSURANCE LAWS. The pool is not an insurer and pool coverage is not
5959 insurance for purposes of this code. Except as provided by this
6060 chapter, the pool is not subject to a provision of this code other
6161 than this chapter.
6262 Sec. 2214.003. PARTNERSHIP NOT CREATED. Notwithstanding
6363 any other law, the pool is not a partnership under the laws of this
6464 state.
6565 Sec. 2214.004. POOL NOT COVERED BY GUARANTY ASSOCIATION.
6666 The pool is not a member insurer of the Texas Property and Casualty
6767 Insurance Guaranty Association.
6868 Sec. 2214.005. RULES. The commissioner may adopt rules
6969 necessary to implement this chapter.
7070 SUBCHAPTER B. CREATION OF POOL
7171 Sec. 2214.051. POOL CREATION AGREEMENT. (a) The pool may
7272 be created by two or more churches or nonprofit religious
7373 organizations or one or more religious denominations that enter
7474 into an agreement described by Subsection (b).
7575 (b) An agreement under Subsection (a) must be in the form of
7676 an indemnity agreement signed by each organizing party
7777 acknowledging and agreeing to the assumption of the obligations of
7878 the pool under this chapter.
7979 (c) Each organizing party that enters into the agreement
8080 must have a positive net worth, be financially solvent, and be
8181 capable of assuming the obligations of the pool.
8282 Sec. 2214.052. TRUST FUND. The organizing parties shall
8383 establish a trust fund to serve as the group self-insurance account
8484 for the members.
8585 Sec. 2214.053. SELECTION OF TEMPORARY BOARD. At the time
8686 the organizing parties enter into the pool creation agreement, the
8787 organizing parties shall select nine individuals to:
8888 (1) serve as the temporary board; and
8989 (2) draft a plan of operation for the pool.
9090 Sec. 2214.054. POWERS OF TEMPORARY BOARD. The temporary
9191 board may:
9292 (1) solicit applications from prospective members to
9393 participate in the pool on the date the pool begins providing pool
9494 coverage;
9595 (2) accept payment of premiums for the prospective
9696 pool coverage; and
9797 (3) take any other action necessary to complete and
9898 submit an application for a certificate of authority under
9999 Subchapter C.
100100 Sec. 2214.055. DOMICILE. The pool must be domiciled in this
101101 state.
102102 SUBCHAPTER C. CERTIFICATE OF AUTHORITY
103103 Sec. 2214.101. CERTIFICATE OF AUTHORITY. (a) The pool may
104104 not provide pool coverage before the department issues a
105105 certificate of authority to the pool.
106106 (b) A certificate of authority issued under this subchapter
107107 is continuous until:
108108 (1) revoked or suspended by the commissioner; or
109109 (2) the board voluntarily surrenders the certificate
110110 in connection with the pool's dissolution under Section 2214.451.
111111 (c) The temporary board appointed by the organizing parties
112112 under Section 2214.053 shall submit to the department a written
113113 application, in the form and manner prescribed by the commissioner,
114114 for a certificate of authority.
115115 Sec. 2214.102. APPLICATION CONTENTS. (a) An application
116116 for a certificate of authority under this chapter must include:
117117 (1) the pool creation agreement;
118118 (2) the plan of operation; and
119119 (3) evidence of the financial strength and liquidity
120120 of the organizing parties to pay claims promptly and support the
121121 pool's financial ability to satisfy the pool's obligations.
122122 (b) The evidence described by Subsection (a)(3) must be in
123123 the form of:
124124 (1) either:
125125 (A) financial statements, dated not later than
126126 one year before the date the temporary board submits the
127127 application and audited by an independent certified public
128128 accountant, showing a combined net worth of the organizing parties
129129 of at least $1 million; or
130130 (B) financial documents, in the form and manner
131131 prescribed by the commissioner, sufficient to verify the combined
132132 net worth of the organizing parties is at least $1 million;
133133 (2) current financial documents of each prospective
134134 member that has applied to participate in the pool dated not later
135135 than one year before the date the board submits the application;
136136 (3) schedules of all prospective members showing:
137137 (A) the ratio of current assets to current
138138 liabilities of all prospective members combined to be greater than
139139 one-to-one;
140140 (B) the working capital of all prospective
141141 members combined to be an amount establishing the financial
142142 strength and liquidity of the pool to pay claims promptly; and
143143 (C) the net worth of all prospective members
144144 combined to be at least $1 million; and
145145 (4) other financial information and documents as
146146 required by the commissioner.
147147 (c) The following items must be included with the
148148 application:
149149 (1) security as required by Section 2214.351(d);
150150 (2) copies of excess insurance or reinsurance that
151151 meets the requirements of Section 2214.355 and the commissioner;
152152 (3) a bond covering each third-party administrator as
153153 required by Section 2214.152;
154154 (4) a certification from a designated depository
155155 attesting to the amount of money on hand in the trust fund
156156 established under Section 2214.052;
157157 (5) copies of pool bylaws and any trust agreement or
158158 other governance documents;
159159 (6) an individual application, in the form and manner
160160 prescribed by the commissioner, of each prospective member applying
161161 to participate in the pool that includes a copy of the prospective
162162 member's executed indemnity agreement;
163163 (7) evidence of financial strength and liquidity of
164164 the prospective members on the date the application is submitted to
165165 satisfy the financial strength and liquidity requirements of this
166166 chapter;
167167 (8) proof that the pool will have the minimum annual
168168 earned premium required by Section 2214.351 when the pool begins
169169 operation;
170170 (9) the current annual report or financial statement
171171 of any casualty insurance company providing excess or reinsurance
172172 coverage for the pool, if the statement is not already on file with
173173 the department;
174174 (10) the name, address, and telephone number of each
175175 attorney representing the pool, each qualified actuary for the
176176 pool, and each certified public accountant who will be auditing the
177177 annual financial statements of the pool, as well as evidence of the
178178 appointment of each by the board;
179179 (11) the domicile address in this state where the
180180 pool's books and records are maintained and the state from which the
181181 pool's fund will be administered;
182182 (12) proof of advance payment into the fund by each
183183 prospective member of not less than 25 percent of the prospective
184184 member's first year estimated annually earned premiums;
185185 (13) a feasibility study or other analysis prepared by
186186 a qualified actuary using actual loss history of the prospective
187187 members;
188188 (14) pro forma financial statements projecting the
189189 first three years of operations of the pool based on a feasibility
190190 study or other analysis prepared by a qualified actuary that
191191 include a pro forma balance sheet, income statement, and statement
192192 of cash flow, each of which are prepared in accordance with
193193 generally accepted accounting principles; and
194194 (15) a copy of the pool's premium billing policy
195195 indicating whether the premium payments to the pool are to be paid
196196 by members annually, monthly, quarterly, or any combination of
197197 those periods.
198198 (d) The application must be sworn to and subscribed before a
199199 notary public.
200200 Sec. 2214.103. APPLICATION APPROVAL. (a) The commissioner
201201 shall approve an application for a certificate of authority if the
202202 application and the proposed pool satisfy the requirements of this
203203 subchapter and rules adopted under this chapter.
204204 (b) The commissioner may deny without review an application
205205 for a certificate of authority under this chapter that does not meet
206206 the requirements of this subchapter.
207207 Sec. 2214.104. FEES. (a) The commissioner may impose a fee
208208 for an application for a certificate of authority under this
209209 chapter in an amount necessary to cover the department's expenses
210210 in reviewing the application.
211211 (b) The commissioner may impose other fees in amounts
212212 reasonable and necessary to defray the costs of administering this
213213 chapter.
214214 SUBCHAPTER D. OPERATION OF POOL
215215 Sec. 2214.151. GOVERNANCE OF POOL; BOARD OF TRUSTEES. (a)
216216 The pool is governed by a board of trustees composed of nine members
217217 selected as provided by the plan of operation.
218218 (b) Not later than the 15th day after the date the
219219 commissioner approves the temporary board's application for a
220220 certificate of authority, the initial regular board must be
221221 selected as provided by the plan of operation. The members of the
222222 initial regular board shall take office not later than the 30th day
223223 after the date the application for the certificate of authority is
224224 approved.
225225 Sec. 2214.152. POOL ADMINISTRATION. (a) The board may
226226 administer the pool by employing an administrator or contracting
227227 with a third-party administrator.
228228 (b) If the board employs an administrator to administer the
229229 pool, the pool must purchase a bond, errors and omissions
230230 insurance, directors' and officers' liability insurance, or another
231231 security approved by the commissioner for the administration of the
232232 pool.
233233 (c) A third-party administrator contracted by the board and
234234 whose acts are not covered by the pool's bond, errors and omissions
235235 insurance, directors' and officers' liability insurance, or other
236236 security approved by the commissioner and any person contracting
237237 either directly or indirectly with the pool to provide claims
238238 adjusting, underwriting, safety engineering, loss control,
239239 marketing, investment advisory, or administrative services to the
240240 pool or the members, other than bookkeeping, auditing, or claims
241241 investigation services, shall:
242242 (1) submit to the department:
243243 (A) a safekeeping receipt or trust receipt from a
244244 bank or savings and loan association doing business in this state
245245 indicating the deposit and pledge to secure the performance of the
246246 administrator's or person's obligations under the contract and this
247247 chapter of:
248248 (i) $50,000; or
249249 (ii) bonds of the United States, this
250250 state, or any political subdivision of this state having a par value
251251 of $50,000; or
252252 (B) a surety bond issued by a corporate surety
253253 authorized to engage in business in this state of not less than
254254 $50,000; and
255255 (2) place all contractual terms, including fee
256256 arrangements, in a written agreement that constitutes the entire
257257 agreement between the parties and is signed by the administrator or
258258 person and the pool.
259259 SUBCHAPTER E. POOL COVERAGE
260260 Sec. 2214.201. COVERAGE AUTHORIZED. (a) The pool's
261261 certificate of authority authorizes the pool to provide coverage to
262262 churches, nonprofit religious organizations, and religious
263263 denominations on a self-insured basis for damage to or loss of a
264264 structure or building.
265265 (b) In addition to coverage authorized by Subsection (a),
266266 pool coverage may include:
267267 (1) premises liability coverage;
268268 (2) contents coverage for furniture or equipment;
269269 (3) wind and hail coverage;
270270 (3) loss of use coverage; or
271271 (4) medical payments coverage.
272272 (c) Pool coverage is provided in the form of an indemnity
273273 agreement entered into by the member under which the member is
274274 entitled to pool coverage in exchange for the payment of premiums to
275275 the pool and is obligated for pool liabilities as provided by
276276 Section 2214.202.
277277 Sec. 2214.202. MEMBER LIABILITY. To the extent required by
278278 this chapter, each member is jointly and severally liable for
279279 liabilities incurred by the pool for each fiscal year in which the
280280 member is entitled to pool coverage.
281281 Sec. 2214.203. RATES; APPEAL. (a) The board shall set
282282 rates for pool coverage. The rates must be actuarially justified.
283283 (b) The board shall file proposed rates with the department
284284 and may use the rates beginning on the 90th day after the date of the
285285 filing, unless the commissioner disapproves the use of the rates
286286 within the 90-day period.
287287 (c) The board shall prescribe a reasonable procedure for any
288288 member aggrieved by the rates to request in writing a review of the
289289 rating system for pool coverage. The board shall grant or deny the
290290 request in writing not later than the 30th day after the date the
291291 board receives the request.
292292 (d) If the board rejects a request for review under
293293 Subsection (c) or fails to grant or reject the request within the
294294 30-day period described by that subsection, the party requesting
295295 the review may appeal to the commissioner for a hearing not later
296296 than the 30th day after the expiration of the 30-day period. After
297297 the hearing, the commissioner may affirm, modify, or reverse an
298298 action taken by the board with respect to rates.
299299 Sec. 2214.204. RATE REVIEW. On the request of the
300300 commissioner, the pool shall obtain a rate review conducted by a
301301 national independent actuarial firm, provided that the
302302 commissioner may not make more than two requests in any calendar
303303 year for a rate review under this section. The firm shall report
304304 its findings to the commissioner.
305305 Sec. 2214.205. UNDERWRITING GUIDELINES; MEMBERSHIP
306306 APPLICATION. (a) The board in the plan of operation shall
307307 prescribe:
308308 (1) underwriting guidelines and procedures for
309309 evaluating risks; and
310310 (2) procedures for eligible persons to apply to become
311311 members.
312312 (b) The board shall provide written notice to an applicant
313313 for pool membership that the pool is not a member insurer covered by
314314 the Texas Property and Casualty Insurance Guaranty Association.
315315 SUBCHAPTER F. SOLICITATION OF POOL MEMBERSHIP
316316 Sec. 2214.251. USE OF INSURANCE AGENT REQUIRED. Any person
317317 soliciting applications for pool membership must hold a general
318318 property and casualty agent license under Chapter 4051. A pool
319319 employee or employee of a religious denomination or association of
320320 nonprofit religious organizations is not required to hold an
321321 agent's license if the solicitation of applications for pool
322322 membership is not the employee's primary duty.
323323 Sec. 2214.252. LIABILITY OF AGENT. An insurance agent or
324324 other person involved in the soliciting or processing of
325325 applications for pool membership is not liable for claims arising
326326 out of the insolvency of the pool or the inability of the pool to pay
327327 claims as they become due unless the claimant first exhausts all
328328 remedies available to the claimant against the members as provided
329329 by this chapter.
330330 Sec. 2214.253. USE OF APPLICATION INFORMATION. (a) Except
331331 as otherwise provided by this section, for purposes of soliciting,
332332 selling, or negotiating the renewal or sale of group self-insurance
333333 coverage, insurance products, or insurance services, an insurance
334334 agent has the exclusive use of expirations, records, or other
335335 written or electronic information directly related to an
336336 application for pool coverage submitted to the agent or to a pool
337337 coverage agreement arranged through the agent.
338338 (b) The pool may not use expirations, records, or other
339339 written or electronic information related to applications for pool
340340 coverage to solicit, sell, or negotiate the renewal or sale of
341341 insurance coverage, insurance products, or insurance services to
342342 members, either directly or by providing the information to others,
343343 without the express written consent of an insurance agent.
344344 (c) The pool may use the expirations, records, or other
345345 written or electronic information related to an application for
346346 pool coverage to review the application, to issue a pool coverage
347347 agreement, or for any other purpose necessary for arranging pool
348348 coverage through an insurance agent. The pool may also use the
349349 agent's expirations, records, or other written or electronic
350350 information for any other purpose that does not involve the
351351 soliciting, selling, or negotiating the renewal or sale of group
352352 self-insurance coverage, insurance products, or insurance
353353 services.
354354 Sec. 2214.254. AGENT LOST COMMISSION CLAIMS. (a) An
355355 insurance agent's claim for lost commissions shall be resolved in
356356 accordance with dispute resolution terms in the applicable agent
357357 contract. In the absence of any dispute resolution terms, the
358358 parties shall attempt to resolve the dispute through mediation.
359359 (b) If the claim is not resolved through mediation, the
360360 parties may agree to submit the claim to binding arbitration. In
361361 the absence of an agreement to resolve the claim through binding
362362 arbitration, an insurance agent may bring an action against the
363363 pool for the claim.
364364 Sec. 2214.255. OTHER AGREEMENTS AUTHORIZED. The board or
365365 pool administrator and an insurance agent may, in a written
366366 agreement separate from the agency contract, mutually agree to
367367 terms different from the provisions provided by this subchapter.
368368 Sec. 2214.256. EXEMPTIONS FROM SUBCHAPTER. This subchapter
369369 does not apply to:
370370 (1) a pool coverage agreement provided by the pool on
371371 request, individually or through a pool administrator;
372372 (2) an insurance agent contract for the insurance
373373 agent's exclusive representation of one pool member or prospective
374374 pool member or a group of affiliated members or prospective
375375 members, in which case the rights of the agent are determined by the
376376 terms of the contract;
377377 (3) a default by an insurance agent for nonpayment of
378378 premiums under the insurance agent's contract with the pool; or
379379 (4) a terminated insurance agent contract if the pool
380380 is required by law to continue coverage for the member, in which
381381 case the pool shall continue to pay the insurance agent commission
382382 on the pool coverage agreements issued under that contract that the
383383 pool is required to renew during the 36-month period following the
384384 effective date of the termination, provided that the commission is
385385 paid at the pool's prevailing commission rates in effect on the date
386386 of renewal for that class or line of coverage in effect on the date
387387 of renewal for agents whose contracts are not terminated.
388388 SUBCHAPTER G. RECORDS
389389 Sec. 2214.301. DEFINITIONS. In this subchapter:
390390 (1) "Copy" includes a photograph or reproduction.
391391 (2) "Record" means a book, record, document, account,
392392 or voucher.
393393 Sec. 2214.302. MAINTENANCE AND AVAILABILITY OF POOL
394394 RECORDS. (a) The pool shall maintain and make available to the
395395 department all pool records to allow the commissioner to determine
396396 that the pool's financial condition, affairs, and operations are in
397397 compliance with this chapter.
398398 (b) Except as provided by Subsection (c), the pool shall
399399 maintain in this state the original or a copy of a record for the
400400 purpose of commissioner examination until the earlier of:
401401 (1) the date the commissioner approves disposal of the
402402 record; or
403403 (2) the later of:
404404 (A) the first day of the examination period
405405 following the examination period in which the record is examined by
406406 the commissioner; or
407407 (B) the fifth anniversary of the creation of the
408408 record.
409409 (c) The pool shall permanently maintain an original or
410410 certified copy of a record in which a member agrees to or
411411 acknowledges the members' joint and several liability for
412412 liabilities incurred by the pool.
413413 Sec. 2214.303. CONFIDENTIALITY OF RECORDS. Except as
414414 otherwise provided by this chapter, the pool's records and any
415415 records of the department associated with the pool are confidential
416416 and not subject to disclosure under Chapter 552, Government Code.
417417 SUBCHAPTER H. FINANCIAL PROVISIONS
418418 Sec. 2214.351. INITIAL FINANCIAL REQUIREMENTS. (a) To
419419 maintain the pool's financial stability, the commissioner shall, at
420420 times determined necessary by the commissioner, require two or more
421421 members to maintain:
422422 (1) a minimum combined net worth of $1 million; and
423423 (2) a current assets to current liabilities ratio of
424424 at least one-to-one.
425425 (b) After the pool has been operating for three years and
426426 has a total surplus of $3 million, the commissioner may waive any
427427 requirements imposed under Subsection (a).
428428 (c) The pool must maintain at least $750,000 in earned
429429 premiums in the pool's first year of operation as documented in the
430430 pool's audited financial statement prepared in accordance with
431431 generally accepted accounting principles.
432432 (d) During the pool's first year of operation, the board
433433 shall submit to the department:
434434 (1) a safekeeping receipt or trust receipt from a bank
435435 or savings and loan association doing business in this state
436436 indicating that the board has deposited and pledged:
437437 (A) $100,000; or
438438 (B) bonds of the United States, this state, or a
439439 political subdivision of this state having a par value of $100,000;
440440 or
441441 (2) a surety bond issued by a corporate surety
442442 authorized to engage in business in this state in an amount of
443443 $100,000 to secure the pool's obligations.
444444 Sec. 2214.352. EARNED PREMIUM REQUIREMENTS. Each year
445445 after the pool's first year of operation, the pool shall maintain at
446446 least $2 million in earned premiums as documented on the pool's
447447 audited financial statement prepared in accordance with generally
448448 accepted accounting principles.
449449 Sec. 2214.353. SECURITY. Each year after the pool's first
450450 year of operation, the pool's board shall submit to the department:
451451 (1) a safekeeping receipt or trust receipt from a bank
452452 or savings and loan association doing business in this state
453453 indicating that the board has deposited and pledged:
454454 (A) $250,000; or
455455 (B) bonds of the United States, this state, or
456456 any political subdivision of this state having a par value of
457457 $250,000; or
458458 (2) a surety bond issued by a corporate surety
459459 authorized to engage in business in this state, in the amount of
460460 $250,000 to secure the pool's obligations.
461461 Sec. 2214.354. RESERVE ACCOUNT. (a) To maintain the
462462 financial stability of the pool, the board shall annually assess
463463 each member a reserve payment in an amount that is a percentage of
464464 the premium owed by the member for that year.
465465 (b) Before assessing a reserve payment under Subsection
466466 (a), the board must obtain approval from the commissioner of the
467467 percentage amount to be paid by all members.
468468 (c) The board shall deposit all reserve payments into a
469469 separate reserve account and shall maintain the account at all
470470 times while the pool is in operation. The board may not withdraw
471471 money from the reserve account without commissioner approval.
472472 Sec. 2214.355. EXCESS INSURANCE AND REINSURANCE. (a) The
473473 pool shall maintain, on a fiscal year basis, a contract of specific
474474 excess insurance or reinsurance of not less than an amount that is
475475 actuarially sound and approved by the commissioner. The maximum
476476 retention under the contract may not exceed amounts provided by the
477477 commissioner. The commissioner must approve an excess insurance or
478478 reinsurance contract before use by the pool.
479479 (b) Solely for purposes of authorizing the purchase of
480480 reinsurance under this section, the pool is considered an insurer.
481481 (c) The board may purchase excess insurance or reinsurance
482482 from a domestic or foreign company, subject to Chapter 493 and
483483 Financial Accounting Standards Board Statement No. 113, Accounting
484484 and Reporting for Reinsurance of Short-Duration and Long-Duration
485485 Contracts.
486486 (d) To be eligible to write excess coverage for the pool, a
487487 casualty insurer must have on file with the department the
488488 insurer's current financial statement showing assets, including
489489 any surplus to policyholders, at least equal to the current
490490 commissioner requirements for admission of a new company to engage
491491 in business in this state. The board may enter into a contract for
492492 excess insurance coverage with an active underwriter of Lloyd's of
493493 London with prior commissioner approval.
494494 (e) In addition to the requirements described by Subsection
495495 (c) or (d), as applicable, the board must purchase excess insurance
496496 or reinsurance only from a company having an eligible rating of at
497497 least:
498498 (1) "A-" by A.M. Best Company, Inc.;
499499 (2) "A-" by Fitch Ratings Ltd.;
500500 (3) "A" by Weiss Ratings;
501501 (4) "A-" by Standard & Poor's Financial Services LLC;
502502 or
503503 (5) "A3" by Moody's Investors Service, Inc.
504504 Sec. 2214.356. FINANCIAL STATEMENTS AND REPORTS. The board
505505 shall file with the department financial statements and financial
506506 reports, including financial statements audited by an independent
507507 certified public accountant and actuarial reports, as may be
508508 required by the commissioner under rules adopted under this
509509 chapter.
510510 Sec. 2214.357. MEMBER REFUNDS. The board may declare as
511511 refundable to members any money exceeding the amount necessary to
512512 fulfill the pool's obligations. The board may distribute the
513513 refund at board's discretion, in accordance with the plan of
514514 operation, provided that:
515515 (1) the amount of the refund does not exceed the
516516 members' distributions payable and is recorded on the pool's
517517 balance sheet as indicated by the most recently completed audited
518518 financial statements of the pool; and
519519 (2) the board provides written notice of the refund to
520520 the department not later than the 10th day before the date the board
521521 provides the refund.
522522 Sec. 2214.358. INVESTMENTS. (a) The board may invest pool
523523 money only in a security or other investment authorized by this
524524 section that is interest-bearing, interest-accruing,
525525 dividend-paying, or income-paying and that is not in default. A
526526 pool investment is exclusively for the benefit of the pool and the
527527 board shall deposit the investment's interest or income in the
528528 fund.
529529 (b) The board may invest pool money not needed for current
530530 obligations in:
531531 (1) a deposit in a federally insured bank or savings
532532 and loan association that is:
533533 (A) insured by the Federal Deposit Insurance
534534 Corporation; or
535535 (B) collateralized by direct obligations of the
536536 United States;
537537 (2) bonds or securities not in default as to principal
538538 or interest that are obligations of the United States;
539539 (3) pass-through mortgage-backed securities and
540540 collateralized mortgage obligations issued by the Federal National
541541 Mortgage Association, the Government National Mortgage
542542 Association, the Federal Home Loan Mortgage Corporation, or the
543543 Federal Housing Administration, provided that the collateralized
544544 mortgage obligations have a minimum financial strength of "A" by
545545 Moody's Investors Service, Inc., Standard & Poor's Financial
546546 Services LLC, or Fitch Ratings Ltd.;
547547 (4) obligations of this state or a political
548548 subdivision of this state having a minimum financial strength of
549549 "A" by Moody's Investors Service, Inc., Standard & Poor's Financial
550550 Services LLC, or Fitch Ratings Ltd., provided that not more than 5
551551 percent of the pool's assets are invested in any particular issue
552552 and the type of investment does not exceed 15 percent of the pool's
553553 assets in the aggregate;
554554 (5) obligations of any state or a political
555555 subdivision of that state having a minimum financial strength of
556556 "A" by Moody's Investors Service, Inc., Standard & Poor's Financial
557557 Services LLC, or Fitch Ratings Ltd., provided that not more than 5
558558 percent of the pool's assets are invested in any particular issue
559559 and the type of investment does not exceed 15 percent of the pool's
560560 assets in the aggregate;
561561 (6) commercial mortgage-backed securities with
562562 purchases having a minimum final strength of "Aaa" by Moody's
563563 Investors Service, Inc., "AAA" By Standard & Poor's Financial
564564 Services LLC, or "AAA" by Fitch Ratings Ltd., provided that not more
565565 than 2 percent of the pool's assets are invested in one issue and
566566 this type of investment does not exceed 10 percent of the pool's
567567 assets in the aggregate;
568568 (7) asset-backed securities with purchases having a
569569 minimum financial strength of "Aa" by Moody's Investors Service,
570570 Inc., "AA" by Standard & Poor's Financial Services LLC, or "AA" by
571571 Fitch Ratings Ltd., provided that no more than 5 percent of the
572572 pool's assets are invested in one issue and this type of investment
573573 does not exceed 10 percent of the pool's assets in the aggregate;
574574 (8) repurchase agreements when the collateral for the
575575 agreement is a direct obligation of the United States, provided
576576 that the repurchase agreement:
577577 (A) is in writing;
578578 (B) has a specific maturity date;
579579 (C) adequately identifies each security to which
580580 the agreement applies; and
581581 (D) states that in the event of default by the
582582 party agreeing to repurchase the securities described in the
583583 agreement at the term contained in the agreement, title to the
584584 described securities passes immediately to the pool without
585585 recourse;
586586 (9) corporate bonds having a minimum financial
587587 strength of "Baa" by Moody's Investors Service, Inc., "BBB" by
588588 Standard & Poor's Financial Services LLC, or "BBB" by Fitch Ratings
589589 Ltd., provided that:
590590 (A) except as provided by Subsection (c),
591591 corporate bonds of any particular issue or issuer constitute not
592592 more than 5 percent of the pool's assets; and
593593 (B) except as provided by Subsection (c), not
594594 more than 50 percent of the pool's assets are invested in corporate
595595 bonds of all types;
596596 (10) mutual or trust fund institutions registered with
597597 the Securities and Exchange Commission that have underlying
598598 investments consisting solely of securities approved for
599599 investment as provided by this section, provided that this
600600 investment does not exceed 50 percent of the pool's assets in the
601601 aggregate;
602602 (11) individual equities, provided that:
603603 (A) individual equities and any mutual funds or
604604 exchange-traded funds do not exceed 15 percent of the pool's
605605 assets;
606606 (B) the pool holds a minimum of 5 different
607607 issues in the equity sector to provide for diversification;
608608 (C) no single issue constitutes more than 5
609609 percent, at cost, of the pool's overall investment fund;
610610 (D) market capitalization for each issue is of at
611611 least $1 billion;
612612 (E) each eligible issue pays a cash dividend; and
613613 (F) the equity holdings are restricted to:
614614 (i) high-quality, readily marketable
615615 securities corporations that are domiciled in the United States and
616616 that are actively traded on the major United States exchanges,
617617 including the New York Stock Exchange and the National Association
618618 of Securities Dealers Automated Quotation System; or
619619 (ii) equities of foreign-domiciled
620620 corporations that trade American depositary receipts on the major
621621 United States exchanges; and
622622 (12) a mutual fund or exchange-traded fund, provided
623623 that:
624624 (A) the mutual fund or exchanged-traded fund pays
625625 a dividend and consists of securities that have an average market
626626 capitalization of at least $1 billion;
627627 (B) the same general quality requirements
628628 described by Subdivision (11) are met; and
629629 (C) the aggregate total of the investment, plus
630630 any individual securities, does not exceed 15 percent of the pool's
631631 assets.
632632 (c) The board may invest in corporate bonds in excess of the
633633 5 percent and 50 percent limitations specified under Subsections
634634 (b)(9)(A) and (B) up to an additional 10 percent of the pool's
635635 assets if the financial circumstances are acceptable to the
636636 commissioner, such as an increase in market value after initial
637637 purchase of a corporate bond, provided that:
638638 (1) the initial purchase of corporate bonds was within
639639 the limitations specified under Subsections (b)(9)(B) and (C); and
640640 (2) in determining the financial condition of the
641641 pool, the commissioner does not include as assets of the pool those
642642 corporate bonds that exceed 50 percent of the pool's total assets.
643643 (d) Except as provided by Subsection (e), the board may not
644644 invest in rental assets, including:
645645 (1) any item that is not actually owned by the pool;
646646 (2) any item of which the ownership is subject to
647647 resolution, rescission, or revocation on the pool's insolvency,
648648 receivership, bankruptcy, statutory supervision, rehabilitation,
649649 or liquidation or on the occurrence of any other contingency;
650650 (3) any item for which the pool pays a regular or
651651 periodic fee for the right to carry the item as an asset, whether
652652 the fee is characterized as a rental fee, a management fee, or a
653653 dividend not previously approved by the commissioner, or makes
654654 another periodic payment for that right;
655655 (4) any asset purchased for investment by the pool on
656656 credit in which the interest rate paid by the pool on its credit
657657 instrument is greater than the interest rate or yield generated by
658658 the purchased asset;
659659 (5) any asset on the pool's balance sheet subject to a
660660 mortgage, lien, privilege, preference, pledge, charge, or other
661661 encumbrance that is not accurately reflected in the liability
662662 section of the pool's balance sheet; and
663663 (6) any asset received by the pool as a contribution to
664664 capital or surplus from any person that meets any of the criteria
665665 described by Subdivisions (1) through (5) while in the hands of that
666666 contributing person or on or after the moment of the contribution to
667667 capital.
668668 (e) Subsection (d)(3) does not apply to leases capitalized
669669 under generally accepted accounting principles.
670670 Sec. 2214.359. CONSECUTIVE NET LOSSES. (a) This section
671671 applies if the pool has:
672672 (1) three years of consecutive net losses on the pool's
673673 audited financial statements; or
674674 (2) two years of consecutive net losses on the pool's
675675 audited financial statements of more than the greater of:
676676 (A) $500,000; or
677677 (B) five percent of the premium of the latest
678678 audited financial statement.
679679 (b) If a condition described by Subsection (a) exists, an
680680 authorized representative of the board shall:
681681 (1) attend a meeting with the department, the pool
682682 administrator, and any third-party administrator to discuss the
683683 financial condition of the pool and to advise the department of the
684684 course of action the pool will take to obtain net incomes on
685685 subsequently audited financial statements;
686686 (2) file with the department a written plan signed by
687687 the board describing the actions the pool will take to generate net
688688 incomes on subsequently audited financial statements; and
689689 (3) obtain an actuarial rate analysis, if an actuarial
690690 rate analysis was not performed for the previous fiscal year.
691691 Sec. 2214.360. INSOLVENCY PLAN. (a) In this section,
692692 "insolvent" means the condition in which the pool has liabilities
693693 greater than the pool's assets as determined in accordance with
694694 generally accepted accounting principles.
695695 (b) If the pool becomes insolvent, the board shall file with
696696 the department, not later than the 60th day after the date the board
697697 becomes aware of the insolvency, a written plan to resolve the
698698 insolvency signed by the board. In determining whether the pool is
699699 insolvent, intangible property such as patents, trade names, or
700700 goodwill may not be considered to be assets of the pool.
701701 (c) The insolvency plan must provide in detail the means by
702702 which the board intends to eliminate the insolvency, including any
703703 assessment of the members the board determines is necessary, the
704704 timetable for implementing the plan, and the reporting that will be
705705 made to the department regarding the progress of the plan, and
706706 include any other information required by the commissioner.
707707 (d) The commissioner shall review the insolvency plan and
708708 notify the board of the plan's approval or disapproval not later
709709 than the 30th day after the date the department receives the plan.
710710 (e) The commissioner shall provide written notice to the
711711 board of a determination that:
712712 (1) the insolvency plan submitted by the board is
713713 disapproved; or
714714 (2) the pool is not implementing a plan approved by the
715715 commissioner in accordance with the plan's terms.
716716 Sec. 2214.361. SUPERVISION, CONSERVATORSHIP, OR
717717 RECEIVERSHIP. (a) In this section:
718718 (1) "Hazardous financial condition" means a condition
719719 in which, based on the pool's present or reasonably anticipated
720720 financial condition, the pool, although not yet financially
721721 impaired or insolvent, is unlikely to be able to:
722722 (A) meet the pool's obligations to members with
723723 respect to known claims and reasonably anticipated claims; or
724724 (B) pay other obligations in the normal course of
725725 business.
726726 (2) "Insolvent" has the meaning assigned by Section
727727 2214.360.
728728 (b) In addition to any other powers of the commissioner, if
729729 the commissioner determines that the pool is insolvent, is
730730 operating in a hazardous financial condition, or is otherwise
731731 operating in violation of this chapter, the commissioner may take
732732 any action against the pool that the commissioner could take
733733 against an insurer under Chapter 441 or Chapter 443.
734734 SUBCHAPTER I. COMMISSIONER EXAMINATION
735735 Sec. 2214.401. EXAMINATION REQUIRED. (a) The commissioner
736736 shall conduct an examination of the pool at least once every five
737737 years and at other times as the commissioner considers necessary.
738738 (b) The examination shall be conducted in the same manner as
739739 an examination of an insurer under Chapter 401.
740740 (c) In conducting an examination of the pool, the
741741 commissioner has the same powers and duties with respect to the
742742 pool, and with respect to other persons in relation to the pool's
743743 affairs and condition, that the commissioner has with respect to an
744744 insurer or other persons with respect to an insurer's affairs and
745745 condition.
746746 SUBCHAPTER J. DISSOLUTION OF POOL
747747 Sec. 2214.451. APPLICATION FOR VOLUNTARY DISSOLUTION. (a)
748748 If the members of the pool elect to dissolve the pool, the board
749749 must apply to the commissioner in the form and manner prescribed by
750750 the commissioner for the authority to dissolve.
751751 (b) The commissioner shall approve or disapprove an
752752 application to dissolve the pool not later than the 60th day after
753753 the date the commissioner receives the application.
754754 (c) The commissioner shall approve an application to
755755 dissolve the pool if the pool:
756756 (1) has no outstanding liabilities including incurred
757757 but not reported liabilities; or
758758 (2) is covered by an irrevocable commitment from an
759759 authorized insurer that provides for payment of all outstanding
760760 liabilities and related services, including payment of claims,
761761 preparation of reports, and administration of transactions
762762 associated with the period during which the pool provided pool
763763 coverage.
764764 Sec. 2214.452. DISTRIBUTION OF POOL ASSETS. On the pool's
765765 dissolution and after payment of all outstanding liabilities and
766766 indebtedness, the pool assets shall be distributed to the members
767767 under a distribution plan submitted by the board to the department
768768 and approved by the commissioner.
769769 Sec. 2214.453. DISSOLUTION WITHOUT APPROVAL. (a)
770770 Dissolution of the pool without authorization is prohibited.
771771 (b) The dissolution of the pool violation of this section
772772 does not absolve or release the pool, a member, or any individual or
773773 entity that has executed an indemnity agreement in connection with
774774 the pool from obligations incurred or entered into before the
775775 dissolution.
776776 SUBCHAPTER K. ENFORCEMENT
777777 Sec. 2214.501. CONSUMER COMPLAINTS; ADMINISTRATIVE
778778 PENALTY. (a) A consumer may file a complaint with the department
779779 to report a suspected violation of this chapter or the failure of
780780 the pool to meet its obligations under a pool coverage agreement or
781781 the plan of operation.
782782 (b) After investigating a complaint regarding the pool, the
783783 commissioner may order the board to take a corrective action the
784784 commissioner considers necessary instead of taking an enforcement
785785 action under another provision of this subchapter.
786786 Sec. 2214.502. CORRECTIVE ACTION PLAN. (a) The
787787 commissioner may order the board to submit a corrective action plan
788788 to remediate any noncompliance or financial issues affecting the
789789 pool.
790790 (b) The board shall submit the completed corrective action
791791 plan to the commissioner for approval and include standards, time
792792 frames, and other parameters acceptable to the commissioner.
793793 (c) The corrective action plan may include:
794794 (1) mandatory training;
795795 (2) on-site or off-site monitoring and supervision of
796796 the activities of the pool for a specific period of time to
797797 determine progress regarding correction of deficiencies;
798798 (3) the submission of written progress reports;
799799 (4) the institution of measures to conserve or
800800 generate additional funding for the pool; or
801801 (5) the imposition of an administrative penalty under
802802 Section 2214.504 for any future misconduct of the kind that
803803 contributed to the need for the imposition of the corrective action
804804 plan.
805805 (d) Failure by the pool to comply with the corrective action
806806 plan may result in:
807807 (1) the imposition of an administrative penalty under
808808 Section 2214.504;
809809 (2) suspension or revocation of the pool's certificate
810810 of authority; or
811811 (3) placement of the pool into supervision.
812812 Sec. 2214.503. CEASE AND DESIST ORDER; SUSPENSION OR
813813 REVOCATION OF CERTIFICATE OF AUTHORITY. (a) If the commissioner
814814 determines the pool has violated this chapter, a commissioner rule,
815815 or any order or directive issued by the commissioner, the
816816 commissioner may:
817817 (1) order the pool to cease and desist from the conduct
818818 constituting the violation; or
819819 (2) suspend or revoke the pool's certificate of
820820 authority.
821821 (b) A cease and desist order issued under this section may
822822 include a prohibition on issuing or renewing pool coverage.
823823 Sec. 2214.504. ADMINISTRATIVE PENALTY. If the commissioner
824824 determines that the pool or any trustee, member, officer,
825825 administrator, or employee of the pool has violated this chapter,
826826 any other applicable law relating to the pool, a commissioner rule,
827827 or any order or directive issued by the commissioner, the
828828 commissioner may impose an administrative penalty not to exceed
829829 $2,000 for each violation. For a subsequent violation, the
830830 commissioner may impose an administrative penalty not to exceed
831831 $4,000.
832832 SECTION 2. A board of trustees may not apply for a
833833 certificate of authority under Section 2214.101, Insurance Code, as
834834 added by this Act, before January 1, 2026.
835835 SECTION 3. This Act takes effect September 1, 2025.