1 | 1 | | 89R6007 DNC-D |
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2 | 2 | | By: Oliverson, Lalani H.B. No. 3320 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to a property and casualty self-insurance pool for certain |
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10 | 10 | | religious institutions; authorizing fees; providing administrative |
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11 | 11 | | penalties. |
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12 | 12 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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13 | 13 | | SECTION 1. Subtitle G, Title 10, Insurance Code, is amended |
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14 | 14 | | by adding Chapter 2214 to read as follows: |
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15 | 15 | | CHAPTER 2214. RELIGIOUS INSTITUTIONS SELF-INSURANCE POOL |
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16 | 16 | | SUBCHAPTER A. GENERAL PROVISIONS |
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17 | 17 | | Sec. 2214.001. DEFINITIONS. In this chapter: |
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18 | 18 | | (1) "Board" means the board of trustees of the pool. |
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19 | 19 | | (2) "Church" means a nonprofit religious organization |
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20 | 20 | | consisting of a group of religious believers. |
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21 | 21 | | (3) "Fund" means a trust fund established under |
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22 | 22 | | Section 2214.052. |
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23 | 23 | | (4) "Member" means a church, nonprofit religious |
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24 | 24 | | organization, or religious denomination entitled to pool coverage |
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25 | 25 | | and obligated for pool liabilities under a pool coverage agreement. |
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26 | 26 | | (5) "Nonprofit religious organization" means an |
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27 | 27 | | active corporation or other entity organized under Section |
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28 | 28 | | 501(c)(3), Internal Revenue Code of 1986, as a nonprofit |
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29 | 29 | | organization defined as any one of the following: |
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30 | 30 | | (A) a church or religious house of worship; |
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31 | 31 | | (B) an organization formed for religious |
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32 | 32 | | purposes; |
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33 | 33 | | (C) a nonprofit institution affiliated with a |
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34 | 34 | | faith-based organization; or |
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35 | 35 | | (D) an integrated auxiliary organization of a |
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36 | 36 | | church. |
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37 | 37 | | (6) "Organizing party" means a church, nonprofit |
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38 | 38 | | religious organization, or religious denomination that has entered |
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39 | 39 | | into a pool creation agreement. |
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40 | 40 | | (7) "Person" means an individual, corporation, trust, |
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41 | 41 | | partnership, association, or any other legal entity. |
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42 | 42 | | (8) "Pool" means the Religious Institutions |
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43 | 43 | | Self-Insurance Pool authorized under this chapter. |
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44 | 44 | | (9) "Pool coverage" means the self-insured coverage |
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45 | 45 | | provided by the pool in accordance with this chapter. |
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46 | 46 | | (10) "Pool coverage agreement" means an indemnity |
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47 | 47 | | agreement under which a church, nonprofit religious organization, |
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48 | 48 | | or religious denomination is entitled to pool coverage in exchange |
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49 | 49 | | for the payment of premiums to the pool and is obligated for pool |
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50 | 50 | | liabilities. |
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51 | 51 | | (11) "Pool creation agreement" means an agreement |
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52 | 52 | | entered into under Section 2214.051. |
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53 | 53 | | (12) "Religious denomination" means a group of |
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54 | 54 | | individual churches or houses of worship that are identified using |
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55 | 55 | | the same terms and have a particular set of beliefs or spiritual or |
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56 | 56 | | religious values. |
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57 | 57 | | Sec. 2214.002. POOL NOT INSURANCE; APPLICABILITY OF |
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58 | 58 | | INSURANCE LAWS. The pool is not an insurer and pool coverage is not |
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59 | 59 | | insurance for purposes of this code. Except as provided by this |
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60 | 60 | | chapter, the pool is not subject to a provision of this code other |
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61 | 61 | | than this chapter. |
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62 | 62 | | Sec. 2214.003. PARTNERSHIP NOT CREATED. Notwithstanding |
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63 | 63 | | any other law, the pool is not a partnership under the laws of this |
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64 | 64 | | state. |
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65 | 65 | | Sec. 2214.004. POOL NOT COVERED BY GUARANTY ASSOCIATION. |
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66 | 66 | | The pool is not a member insurer of the Texas Property and Casualty |
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67 | 67 | | Insurance Guaranty Association. |
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68 | 68 | | Sec. 2214.005. RULES. The commissioner may adopt rules |
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69 | 69 | | necessary to implement this chapter. |
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70 | 70 | | SUBCHAPTER B. CREATION OF POOL |
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71 | 71 | | Sec. 2214.051. POOL CREATION AGREEMENT. (a) The pool may |
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72 | 72 | | be created by two or more churches or nonprofit religious |
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73 | 73 | | organizations or one or more religious denominations that enter |
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74 | 74 | | into an agreement described by Subsection (b). |
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75 | 75 | | (b) An agreement under Subsection (a) must be in the form of |
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76 | 76 | | an indemnity agreement signed by each organizing party |
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77 | 77 | | acknowledging and agreeing to the assumption of the obligations of |
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78 | 78 | | the pool under this chapter. |
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79 | 79 | | (c) Each organizing party that enters into the agreement |
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80 | 80 | | must have a positive net worth, be financially solvent, and be |
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81 | 81 | | capable of assuming the obligations of the pool. |
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82 | 82 | | Sec. 2214.052. TRUST FUND. The organizing parties shall |
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83 | 83 | | establish a trust fund to serve as the group self-insurance account |
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84 | 84 | | for the members. |
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85 | 85 | | Sec. 2214.053. SELECTION OF TEMPORARY BOARD. At the time |
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86 | 86 | | the organizing parties enter into the pool creation agreement, the |
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87 | 87 | | organizing parties shall select nine individuals to: |
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88 | 88 | | (1) serve as the temporary board; and |
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89 | 89 | | (2) draft a plan of operation for the pool. |
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90 | 90 | | Sec. 2214.054. POWERS OF TEMPORARY BOARD. The temporary |
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91 | 91 | | board may: |
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92 | 92 | | (1) solicit applications from prospective members to |
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93 | 93 | | participate in the pool on the date the pool begins providing pool |
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94 | 94 | | coverage; |
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95 | 95 | | (2) accept payment of premiums for the prospective |
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96 | 96 | | pool coverage; and |
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97 | 97 | | (3) take any other action necessary to complete and |
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98 | 98 | | submit an application for a certificate of authority under |
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99 | 99 | | Subchapter C. |
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100 | 100 | | Sec. 2214.055. DOMICILE. The pool must be domiciled in this |
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101 | 101 | | state. |
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102 | 102 | | SUBCHAPTER C. CERTIFICATE OF AUTHORITY |
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103 | 103 | | Sec. 2214.101. CERTIFICATE OF AUTHORITY. (a) The pool may |
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104 | 104 | | not provide pool coverage before the department issues a |
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105 | 105 | | certificate of authority to the pool. |
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106 | 106 | | (b) A certificate of authority issued under this subchapter |
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107 | 107 | | is continuous until: |
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108 | 108 | | (1) revoked or suspended by the commissioner; or |
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109 | 109 | | (2) the board voluntarily surrenders the certificate |
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110 | 110 | | in connection with the pool's dissolution under Section 2214.451. |
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111 | 111 | | (c) The temporary board appointed by the organizing parties |
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112 | 112 | | under Section 2214.053 shall submit to the department a written |
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113 | 113 | | application, in the form and manner prescribed by the commissioner, |
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114 | 114 | | for a certificate of authority. |
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115 | 115 | | Sec. 2214.102. APPLICATION CONTENTS. (a) An application |
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116 | 116 | | for a certificate of authority under this chapter must include: |
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117 | 117 | | (1) the pool creation agreement; |
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118 | 118 | | (2) the plan of operation; and |
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119 | 119 | | (3) evidence of the financial strength and liquidity |
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120 | 120 | | of the organizing parties to pay claims promptly and support the |
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121 | 121 | | pool's financial ability to satisfy the pool's obligations. |
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122 | 122 | | (b) The evidence described by Subsection (a)(3) must be in |
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123 | 123 | | the form of: |
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124 | 124 | | (1) either: |
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125 | 125 | | (A) financial statements, dated not later than |
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126 | 126 | | one year before the date the temporary board submits the |
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127 | 127 | | application and audited by an independent certified public |
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128 | 128 | | accountant, showing a combined net worth of the organizing parties |
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129 | 129 | | of at least $1 million; or |
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130 | 130 | | (B) financial documents, in the form and manner |
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131 | 131 | | prescribed by the commissioner, sufficient to verify the combined |
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132 | 132 | | net worth of the organizing parties is at least $1 million; |
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133 | 133 | | (2) current financial documents of each prospective |
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134 | 134 | | member that has applied to participate in the pool dated not later |
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135 | 135 | | than one year before the date the board submits the application; |
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136 | 136 | | (3) schedules of all prospective members showing: |
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137 | 137 | | (A) the ratio of current assets to current |
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138 | 138 | | liabilities of all prospective members combined to be greater than |
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139 | 139 | | one-to-one; |
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140 | 140 | | (B) the working capital of all prospective |
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141 | 141 | | members combined to be an amount establishing the financial |
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142 | 142 | | strength and liquidity of the pool to pay claims promptly; and |
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143 | 143 | | (C) the net worth of all prospective members |
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144 | 144 | | combined to be at least $1 million; and |
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145 | 145 | | (4) other financial information and documents as |
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146 | 146 | | required by the commissioner. |
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147 | 147 | | (c) The following items must be included with the |
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148 | 148 | | application: |
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149 | 149 | | (1) security as required by Section 2214.351(d); |
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150 | 150 | | (2) copies of excess insurance or reinsurance that |
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151 | 151 | | meets the requirements of Section 2214.355 and the commissioner; |
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152 | 152 | | (3) a bond covering each third-party administrator as |
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153 | 153 | | required by Section 2214.152; |
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154 | 154 | | (4) a certification from a designated depository |
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155 | 155 | | attesting to the amount of money on hand in the trust fund |
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156 | 156 | | established under Section 2214.052; |
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157 | 157 | | (5) copies of pool bylaws and any trust agreement or |
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158 | 158 | | other governance documents; |
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159 | 159 | | (6) an individual application, in the form and manner |
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160 | 160 | | prescribed by the commissioner, of each prospective member applying |
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161 | 161 | | to participate in the pool that includes a copy of the prospective |
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162 | 162 | | member's executed indemnity agreement; |
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163 | 163 | | (7) evidence of financial strength and liquidity of |
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164 | 164 | | the prospective members on the date the application is submitted to |
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165 | 165 | | satisfy the financial strength and liquidity requirements of this |
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166 | 166 | | chapter; |
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167 | 167 | | (8) proof that the pool will have the minimum annual |
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168 | 168 | | earned premium required by Section 2214.351 when the pool begins |
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169 | 169 | | operation; |
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170 | 170 | | (9) the current annual report or financial statement |
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171 | 171 | | of any casualty insurance company providing excess or reinsurance |
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172 | 172 | | coverage for the pool, if the statement is not already on file with |
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173 | 173 | | the department; |
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174 | 174 | | (10) the name, address, and telephone number of each |
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175 | 175 | | attorney representing the pool, each qualified actuary for the |
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176 | 176 | | pool, and each certified public accountant who will be auditing the |
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177 | 177 | | annual financial statements of the pool, as well as evidence of the |
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178 | 178 | | appointment of each by the board; |
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179 | 179 | | (11) the domicile address in this state where the |
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180 | 180 | | pool's books and records are maintained and the state from which the |
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181 | 181 | | pool's fund will be administered; |
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182 | 182 | | (12) proof of advance payment into the fund by each |
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183 | 183 | | prospective member of not less than 25 percent of the prospective |
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184 | 184 | | member's first year estimated annually earned premiums; |
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185 | 185 | | (13) a feasibility study or other analysis prepared by |
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186 | 186 | | a qualified actuary using actual loss history of the prospective |
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187 | 187 | | members; |
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188 | 188 | | (14) pro forma financial statements projecting the |
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189 | 189 | | first three years of operations of the pool based on a feasibility |
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190 | 190 | | study or other analysis prepared by a qualified actuary that |
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191 | 191 | | include a pro forma balance sheet, income statement, and statement |
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192 | 192 | | of cash flow, each of which are prepared in accordance with |
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193 | 193 | | generally accepted accounting principles; and |
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194 | 194 | | (15) a copy of the pool's premium billing policy |
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195 | 195 | | indicating whether the premium payments to the pool are to be paid |
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196 | 196 | | by members annually, monthly, quarterly, or any combination of |
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197 | 197 | | those periods. |
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198 | 198 | | (d) The application must be sworn to and subscribed before a |
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199 | 199 | | notary public. |
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200 | 200 | | Sec. 2214.103. APPLICATION APPROVAL. (a) The commissioner |
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201 | 201 | | shall approve an application for a certificate of authority if the |
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202 | 202 | | application and the proposed pool satisfy the requirements of this |
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203 | 203 | | subchapter and rules adopted under this chapter. |
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204 | 204 | | (b) The commissioner may deny without review an application |
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205 | 205 | | for a certificate of authority under this chapter that does not meet |
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206 | 206 | | the requirements of this subchapter. |
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207 | 207 | | Sec. 2214.104. FEES. (a) The commissioner may impose a fee |
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208 | 208 | | for an application for a certificate of authority under this |
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209 | 209 | | chapter in an amount necessary to cover the department's expenses |
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210 | 210 | | in reviewing the application. |
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211 | 211 | | (b) The commissioner may impose other fees in amounts |
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212 | 212 | | reasonable and necessary to defray the costs of administering this |
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213 | 213 | | chapter. |
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214 | 214 | | SUBCHAPTER D. OPERATION OF POOL |
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215 | 215 | | Sec. 2214.151. GOVERNANCE OF POOL; BOARD OF TRUSTEES. (a) |
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216 | 216 | | The pool is governed by a board of trustees composed of nine members |
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217 | 217 | | selected as provided by the plan of operation. |
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218 | 218 | | (b) Not later than the 15th day after the date the |
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219 | 219 | | commissioner approves the temporary board's application for a |
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220 | 220 | | certificate of authority, the initial regular board must be |
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221 | 221 | | selected as provided by the plan of operation. The members of the |
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222 | 222 | | initial regular board shall take office not later than the 30th day |
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223 | 223 | | after the date the application for the certificate of authority is |
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224 | 224 | | approved. |
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225 | 225 | | Sec. 2214.152. POOL ADMINISTRATION. (a) The board may |
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226 | 226 | | administer the pool by employing an administrator or contracting |
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227 | 227 | | with a third-party administrator. |
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228 | 228 | | (b) If the board employs an administrator to administer the |
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229 | 229 | | pool, the pool must purchase a bond, errors and omissions |
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230 | 230 | | insurance, directors' and officers' liability insurance, or another |
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231 | 231 | | security approved by the commissioner for the administration of the |
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232 | 232 | | pool. |
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233 | 233 | | (c) A third-party administrator contracted by the board and |
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234 | 234 | | whose acts are not covered by the pool's bond, errors and omissions |
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235 | 235 | | insurance, directors' and officers' liability insurance, or other |
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236 | 236 | | security approved by the commissioner and any person contracting |
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237 | 237 | | either directly or indirectly with the pool to provide claims |
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238 | 238 | | adjusting, underwriting, safety engineering, loss control, |
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239 | 239 | | marketing, investment advisory, or administrative services to the |
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240 | 240 | | pool or the members, other than bookkeeping, auditing, or claims |
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241 | 241 | | investigation services, shall: |
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242 | 242 | | (1) submit to the department: |
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243 | 243 | | (A) a safekeeping receipt or trust receipt from a |
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244 | 244 | | bank or savings and loan association doing business in this state |
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245 | 245 | | indicating the deposit and pledge to secure the performance of the |
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246 | 246 | | administrator's or person's obligations under the contract and this |
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247 | 247 | | chapter of: |
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248 | 248 | | (i) $50,000; or |
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249 | 249 | | (ii) bonds of the United States, this |
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250 | 250 | | state, or any political subdivision of this state having a par value |
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251 | 251 | | of $50,000; or |
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252 | 252 | | (B) a surety bond issued by a corporate surety |
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253 | 253 | | authorized to engage in business in this state of not less than |
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254 | 254 | | $50,000; and |
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255 | 255 | | (2) place all contractual terms, including fee |
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256 | 256 | | arrangements, in a written agreement that constitutes the entire |
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257 | 257 | | agreement between the parties and is signed by the administrator or |
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258 | 258 | | person and the pool. |
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259 | 259 | | SUBCHAPTER E. POOL COVERAGE |
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260 | 260 | | Sec. 2214.201. COVERAGE AUTHORIZED. (a) The pool's |
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261 | 261 | | certificate of authority authorizes the pool to provide coverage to |
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262 | 262 | | churches, nonprofit religious organizations, and religious |
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263 | 263 | | denominations on a self-insured basis for damage to or loss of a |
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264 | 264 | | structure or building. |
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265 | 265 | | (b) In addition to coverage authorized by Subsection (a), |
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266 | 266 | | pool coverage may include: |
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267 | 267 | | (1) premises liability coverage; |
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268 | 268 | | (2) contents coverage for furniture or equipment; |
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269 | 269 | | (3) wind and hail coverage; |
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270 | 270 | | (3) loss of use coverage; or |
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271 | 271 | | (4) medical payments coverage. |
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272 | 272 | | (c) Pool coverage is provided in the form of an indemnity |
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273 | 273 | | agreement entered into by the member under which the member is |
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274 | 274 | | entitled to pool coverage in exchange for the payment of premiums to |
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275 | 275 | | the pool and is obligated for pool liabilities as provided by |
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276 | 276 | | Section 2214.202. |
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277 | 277 | | Sec. 2214.202. MEMBER LIABILITY. To the extent required by |
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278 | 278 | | this chapter, each member is jointly and severally liable for |
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279 | 279 | | liabilities incurred by the pool for each fiscal year in which the |
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280 | 280 | | member is entitled to pool coverage. |
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281 | 281 | | Sec. 2214.203. RATES; APPEAL. (a) The board shall set |
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282 | 282 | | rates for pool coverage. The rates must be actuarially justified. |
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283 | 283 | | (b) The board shall file proposed rates with the department |
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284 | 284 | | and may use the rates beginning on the 90th day after the date of the |
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285 | 285 | | filing, unless the commissioner disapproves the use of the rates |
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286 | 286 | | within the 90-day period. |
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287 | 287 | | (c) The board shall prescribe a reasonable procedure for any |
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288 | 288 | | member aggrieved by the rates to request in writing a review of the |
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289 | 289 | | rating system for pool coverage. The board shall grant or deny the |
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290 | 290 | | request in writing not later than the 30th day after the date the |
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291 | 291 | | board receives the request. |
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292 | 292 | | (d) If the board rejects a request for review under |
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293 | 293 | | Subsection (c) or fails to grant or reject the request within the |
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294 | 294 | | 30-day period described by that subsection, the party requesting |
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295 | 295 | | the review may appeal to the commissioner for a hearing not later |
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296 | 296 | | than the 30th day after the expiration of the 30-day period. After |
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297 | 297 | | the hearing, the commissioner may affirm, modify, or reverse an |
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298 | 298 | | action taken by the board with respect to rates. |
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299 | 299 | | Sec. 2214.204. RATE REVIEW. On the request of the |
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300 | 300 | | commissioner, the pool shall obtain a rate review conducted by a |
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301 | 301 | | national independent actuarial firm, provided that the |
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302 | 302 | | commissioner may not make more than two requests in any calendar |
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303 | 303 | | year for a rate review under this section. The firm shall report |
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304 | 304 | | its findings to the commissioner. |
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305 | 305 | | Sec. 2214.205. UNDERWRITING GUIDELINES; MEMBERSHIP |
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306 | 306 | | APPLICATION. (a) The board in the plan of operation shall |
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307 | 307 | | prescribe: |
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308 | 308 | | (1) underwriting guidelines and procedures for |
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309 | 309 | | evaluating risks; and |
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310 | 310 | | (2) procedures for eligible persons to apply to become |
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311 | 311 | | members. |
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312 | 312 | | (b) The board shall provide written notice to an applicant |
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313 | 313 | | for pool membership that the pool is not a member insurer covered by |
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314 | 314 | | the Texas Property and Casualty Insurance Guaranty Association. |
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315 | 315 | | SUBCHAPTER F. SOLICITATION OF POOL MEMBERSHIP |
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316 | 316 | | Sec. 2214.251. USE OF INSURANCE AGENT REQUIRED. Any person |
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317 | 317 | | soliciting applications for pool membership must hold a general |
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318 | 318 | | property and casualty agent license under Chapter 4051. A pool |
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319 | 319 | | employee or employee of a religious denomination or association of |
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320 | 320 | | nonprofit religious organizations is not required to hold an |
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321 | 321 | | agent's license if the solicitation of applications for pool |
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322 | 322 | | membership is not the employee's primary duty. |
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323 | 323 | | Sec. 2214.252. LIABILITY OF AGENT. An insurance agent or |
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324 | 324 | | other person involved in the soliciting or processing of |
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325 | 325 | | applications for pool membership is not liable for claims arising |
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326 | 326 | | out of the insolvency of the pool or the inability of the pool to pay |
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327 | 327 | | claims as they become due unless the claimant first exhausts all |
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328 | 328 | | remedies available to the claimant against the members as provided |
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329 | 329 | | by this chapter. |
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330 | 330 | | Sec. 2214.253. USE OF APPLICATION INFORMATION. (a) Except |
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331 | 331 | | as otherwise provided by this section, for purposes of soliciting, |
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332 | 332 | | selling, or negotiating the renewal or sale of group self-insurance |
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333 | 333 | | coverage, insurance products, or insurance services, an insurance |
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334 | 334 | | agent has the exclusive use of expirations, records, or other |
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335 | 335 | | written or electronic information directly related to an |
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336 | 336 | | application for pool coverage submitted to the agent or to a pool |
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337 | 337 | | coverage agreement arranged through the agent. |
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338 | 338 | | (b) The pool may not use expirations, records, or other |
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339 | 339 | | written or electronic information related to applications for pool |
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340 | 340 | | coverage to solicit, sell, or negotiate the renewal or sale of |
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341 | 341 | | insurance coverage, insurance products, or insurance services to |
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342 | 342 | | members, either directly or by providing the information to others, |
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343 | 343 | | without the express written consent of an insurance agent. |
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344 | 344 | | (c) The pool may use the expirations, records, or other |
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345 | 345 | | written or electronic information related to an application for |
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346 | 346 | | pool coverage to review the application, to issue a pool coverage |
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347 | 347 | | agreement, or for any other purpose necessary for arranging pool |
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348 | 348 | | coverage through an insurance agent. The pool may also use the |
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349 | 349 | | agent's expirations, records, or other written or electronic |
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350 | 350 | | information for any other purpose that does not involve the |
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351 | 351 | | soliciting, selling, or negotiating the renewal or sale of group |
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352 | 352 | | self-insurance coverage, insurance products, or insurance |
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353 | 353 | | services. |
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354 | 354 | | Sec. 2214.254. AGENT LOST COMMISSION CLAIMS. (a) An |
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355 | 355 | | insurance agent's claim for lost commissions shall be resolved in |
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356 | 356 | | accordance with dispute resolution terms in the applicable agent |
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357 | 357 | | contract. In the absence of any dispute resolution terms, the |
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358 | 358 | | parties shall attempt to resolve the dispute through mediation. |
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359 | 359 | | (b) If the claim is not resolved through mediation, the |
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360 | 360 | | parties may agree to submit the claim to binding arbitration. In |
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361 | 361 | | the absence of an agreement to resolve the claim through binding |
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362 | 362 | | arbitration, an insurance agent may bring an action against the |
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363 | 363 | | pool for the claim. |
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364 | 364 | | Sec. 2214.255. OTHER AGREEMENTS AUTHORIZED. The board or |
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365 | 365 | | pool administrator and an insurance agent may, in a written |
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366 | 366 | | agreement separate from the agency contract, mutually agree to |
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367 | 367 | | terms different from the provisions provided by this subchapter. |
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368 | 368 | | Sec. 2214.256. EXEMPTIONS FROM SUBCHAPTER. This subchapter |
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369 | 369 | | does not apply to: |
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370 | 370 | | (1) a pool coverage agreement provided by the pool on |
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371 | 371 | | request, individually or through a pool administrator; |
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372 | 372 | | (2) an insurance agent contract for the insurance |
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373 | 373 | | agent's exclusive representation of one pool member or prospective |
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374 | 374 | | pool member or a group of affiliated members or prospective |
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375 | 375 | | members, in which case the rights of the agent are determined by the |
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376 | 376 | | terms of the contract; |
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377 | 377 | | (3) a default by an insurance agent for nonpayment of |
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378 | 378 | | premiums under the insurance agent's contract with the pool; or |
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379 | 379 | | (4) a terminated insurance agent contract if the pool |
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380 | 380 | | is required by law to continue coverage for the member, in which |
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381 | 381 | | case the pool shall continue to pay the insurance agent commission |
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382 | 382 | | on the pool coverage agreements issued under that contract that the |
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383 | 383 | | pool is required to renew during the 36-month period following the |
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384 | 384 | | effective date of the termination, provided that the commission is |
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385 | 385 | | paid at the pool's prevailing commission rates in effect on the date |
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386 | 386 | | of renewal for that class or line of coverage in effect on the date |
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387 | 387 | | of renewal for agents whose contracts are not terminated. |
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388 | 388 | | SUBCHAPTER G. RECORDS |
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389 | 389 | | Sec. 2214.301. DEFINITIONS. In this subchapter: |
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390 | 390 | | (1) "Copy" includes a photograph or reproduction. |
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391 | 391 | | (2) "Record" means a book, record, document, account, |
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392 | 392 | | or voucher. |
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393 | 393 | | Sec. 2214.302. MAINTENANCE AND AVAILABILITY OF POOL |
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394 | 394 | | RECORDS. (a) The pool shall maintain and make available to the |
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395 | 395 | | department all pool records to allow the commissioner to determine |
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396 | 396 | | that the pool's financial condition, affairs, and operations are in |
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397 | 397 | | compliance with this chapter. |
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398 | 398 | | (b) Except as provided by Subsection (c), the pool shall |
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399 | 399 | | maintain in this state the original or a copy of a record for the |
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400 | 400 | | purpose of commissioner examination until the earlier of: |
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401 | 401 | | (1) the date the commissioner approves disposal of the |
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402 | 402 | | record; or |
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403 | 403 | | (2) the later of: |
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404 | 404 | | (A) the first day of the examination period |
---|
405 | 405 | | following the examination period in which the record is examined by |
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406 | 406 | | the commissioner; or |
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407 | 407 | | (B) the fifth anniversary of the creation of the |
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408 | 408 | | record. |
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409 | 409 | | (c) The pool shall permanently maintain an original or |
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410 | 410 | | certified copy of a record in which a member agrees to or |
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411 | 411 | | acknowledges the members' joint and several liability for |
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412 | 412 | | liabilities incurred by the pool. |
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413 | 413 | | Sec. 2214.303. CONFIDENTIALITY OF RECORDS. Except as |
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414 | 414 | | otherwise provided by this chapter, the pool's records and any |
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415 | 415 | | records of the department associated with the pool are confidential |
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416 | 416 | | and not subject to disclosure under Chapter 552, Government Code. |
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417 | 417 | | SUBCHAPTER H. FINANCIAL PROVISIONS |
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418 | 418 | | Sec. 2214.351. INITIAL FINANCIAL REQUIREMENTS. (a) To |
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419 | 419 | | maintain the pool's financial stability, the commissioner shall, at |
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420 | 420 | | times determined necessary by the commissioner, require two or more |
---|
421 | 421 | | members to maintain: |
---|
422 | 422 | | (1) a minimum combined net worth of $1 million; and |
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423 | 423 | | (2) a current assets to current liabilities ratio of |
---|
424 | 424 | | at least one-to-one. |
---|
425 | 425 | | (b) After the pool has been operating for three years and |
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426 | 426 | | has a total surplus of $3 million, the commissioner may waive any |
---|
427 | 427 | | requirements imposed under Subsection (a). |
---|
428 | 428 | | (c) The pool must maintain at least $750,000 in earned |
---|
429 | 429 | | premiums in the pool's first year of operation as documented in the |
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430 | 430 | | pool's audited financial statement prepared in accordance with |
---|
431 | 431 | | generally accepted accounting principles. |
---|
432 | 432 | | (d) During the pool's first year of operation, the board |
---|
433 | 433 | | shall submit to the department: |
---|
434 | 434 | | (1) a safekeeping receipt or trust receipt from a bank |
---|
435 | 435 | | or savings and loan association doing business in this state |
---|
436 | 436 | | indicating that the board has deposited and pledged: |
---|
437 | 437 | | (A) $100,000; or |
---|
438 | 438 | | (B) bonds of the United States, this state, or a |
---|
439 | 439 | | political subdivision of this state having a par value of $100,000; |
---|
440 | 440 | | or |
---|
441 | 441 | | (2) a surety bond issued by a corporate surety |
---|
442 | 442 | | authorized to engage in business in this state in an amount of |
---|
443 | 443 | | $100,000 to secure the pool's obligations. |
---|
444 | 444 | | Sec. 2214.352. EARNED PREMIUM REQUIREMENTS. Each year |
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445 | 445 | | after the pool's first year of operation, the pool shall maintain at |
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446 | 446 | | least $2 million in earned premiums as documented on the pool's |
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447 | 447 | | audited financial statement prepared in accordance with generally |
---|
448 | 448 | | accepted accounting principles. |
---|
449 | 449 | | Sec. 2214.353. SECURITY. Each year after the pool's first |
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450 | 450 | | year of operation, the pool's board shall submit to the department: |
---|
451 | 451 | | (1) a safekeeping receipt or trust receipt from a bank |
---|
452 | 452 | | or savings and loan association doing business in this state |
---|
453 | 453 | | indicating that the board has deposited and pledged: |
---|
454 | 454 | | (A) $250,000; or |
---|
455 | 455 | | (B) bonds of the United States, this state, or |
---|
456 | 456 | | any political subdivision of this state having a par value of |
---|
457 | 457 | | $250,000; or |
---|
458 | 458 | | (2) a surety bond issued by a corporate surety |
---|
459 | 459 | | authorized to engage in business in this state, in the amount of |
---|
460 | 460 | | $250,000 to secure the pool's obligations. |
---|
461 | 461 | | Sec. 2214.354. RESERVE ACCOUNT. (a) To maintain the |
---|
462 | 462 | | financial stability of the pool, the board shall annually assess |
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463 | 463 | | each member a reserve payment in an amount that is a percentage of |
---|
464 | 464 | | the premium owed by the member for that year. |
---|
465 | 465 | | (b) Before assessing a reserve payment under Subsection |
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466 | 466 | | (a), the board must obtain approval from the commissioner of the |
---|
467 | 467 | | percentage amount to be paid by all members. |
---|
468 | 468 | | (c) The board shall deposit all reserve payments into a |
---|
469 | 469 | | separate reserve account and shall maintain the account at all |
---|
470 | 470 | | times while the pool is in operation. The board may not withdraw |
---|
471 | 471 | | money from the reserve account without commissioner approval. |
---|
472 | 472 | | Sec. 2214.355. EXCESS INSURANCE AND REINSURANCE. (a) The |
---|
473 | 473 | | pool shall maintain, on a fiscal year basis, a contract of specific |
---|
474 | 474 | | excess insurance or reinsurance of not less than an amount that is |
---|
475 | 475 | | actuarially sound and approved by the commissioner. The maximum |
---|
476 | 476 | | retention under the contract may not exceed amounts provided by the |
---|
477 | 477 | | commissioner. The commissioner must approve an excess insurance or |
---|
478 | 478 | | reinsurance contract before use by the pool. |
---|
479 | 479 | | (b) Solely for purposes of authorizing the purchase of |
---|
480 | 480 | | reinsurance under this section, the pool is considered an insurer. |
---|
481 | 481 | | (c) The board may purchase excess insurance or reinsurance |
---|
482 | 482 | | from a domestic or foreign company, subject to Chapter 493 and |
---|
483 | 483 | | Financial Accounting Standards Board Statement No. 113, Accounting |
---|
484 | 484 | | and Reporting for Reinsurance of Short-Duration and Long-Duration |
---|
485 | 485 | | Contracts. |
---|
486 | 486 | | (d) To be eligible to write excess coverage for the pool, a |
---|
487 | 487 | | casualty insurer must have on file with the department the |
---|
488 | 488 | | insurer's current financial statement showing assets, including |
---|
489 | 489 | | any surplus to policyholders, at least equal to the current |
---|
490 | 490 | | commissioner requirements for admission of a new company to engage |
---|
491 | 491 | | in business in this state. The board may enter into a contract for |
---|
492 | 492 | | excess insurance coverage with an active underwriter of Lloyd's of |
---|
493 | 493 | | London with prior commissioner approval. |
---|
494 | 494 | | (e) In addition to the requirements described by Subsection |
---|
495 | 495 | | (c) or (d), as applicable, the board must purchase excess insurance |
---|
496 | 496 | | or reinsurance only from a company having an eligible rating of at |
---|
497 | 497 | | least: |
---|
498 | 498 | | (1) "A-" by A.M. Best Company, Inc.; |
---|
499 | 499 | | (2) "A-" by Fitch Ratings Ltd.; |
---|
500 | 500 | | (3) "A" by Weiss Ratings; |
---|
501 | 501 | | (4) "A-" by Standard & Poor's Financial Services LLC; |
---|
502 | 502 | | or |
---|
503 | 503 | | (5) "A3" by Moody's Investors Service, Inc. |
---|
504 | 504 | | Sec. 2214.356. FINANCIAL STATEMENTS AND REPORTS. The board |
---|
505 | 505 | | shall file with the department financial statements and financial |
---|
506 | 506 | | reports, including financial statements audited by an independent |
---|
507 | 507 | | certified public accountant and actuarial reports, as may be |
---|
508 | 508 | | required by the commissioner under rules adopted under this |
---|
509 | 509 | | chapter. |
---|
510 | 510 | | Sec. 2214.357. MEMBER REFUNDS. The board may declare as |
---|
511 | 511 | | refundable to members any money exceeding the amount necessary to |
---|
512 | 512 | | fulfill the pool's obligations. The board may distribute the |
---|
513 | 513 | | refund at board's discretion, in accordance with the plan of |
---|
514 | 514 | | operation, provided that: |
---|
515 | 515 | | (1) the amount of the refund does not exceed the |
---|
516 | 516 | | members' distributions payable and is recorded on the pool's |
---|
517 | 517 | | balance sheet as indicated by the most recently completed audited |
---|
518 | 518 | | financial statements of the pool; and |
---|
519 | 519 | | (2) the board provides written notice of the refund to |
---|
520 | 520 | | the department not later than the 10th day before the date the board |
---|
521 | 521 | | provides the refund. |
---|
522 | 522 | | Sec. 2214.358. INVESTMENTS. (a) The board may invest pool |
---|
523 | 523 | | money only in a security or other investment authorized by this |
---|
524 | 524 | | section that is interest-bearing, interest-accruing, |
---|
525 | 525 | | dividend-paying, or income-paying and that is not in default. A |
---|
526 | 526 | | pool investment is exclusively for the benefit of the pool and the |
---|
527 | 527 | | board shall deposit the investment's interest or income in the |
---|
528 | 528 | | fund. |
---|
529 | 529 | | (b) The board may invest pool money not needed for current |
---|
530 | 530 | | obligations in: |
---|
531 | 531 | | (1) a deposit in a federally insured bank or savings |
---|
532 | 532 | | and loan association that is: |
---|
533 | 533 | | (A) insured by the Federal Deposit Insurance |
---|
534 | 534 | | Corporation; or |
---|
535 | 535 | | (B) collateralized by direct obligations of the |
---|
536 | 536 | | United States; |
---|
537 | 537 | | (2) bonds or securities not in default as to principal |
---|
538 | 538 | | or interest that are obligations of the United States; |
---|
539 | 539 | | (3) pass-through mortgage-backed securities and |
---|
540 | 540 | | collateralized mortgage obligations issued by the Federal National |
---|
541 | 541 | | Mortgage Association, the Government National Mortgage |
---|
542 | 542 | | Association, the Federal Home Loan Mortgage Corporation, or the |
---|
543 | 543 | | Federal Housing Administration, provided that the collateralized |
---|
544 | 544 | | mortgage obligations have a minimum financial strength of "A" by |
---|
545 | 545 | | Moody's Investors Service, Inc., Standard & Poor's Financial |
---|
546 | 546 | | Services LLC, or Fitch Ratings Ltd.; |
---|
547 | 547 | | (4) obligations of this state or a political |
---|
548 | 548 | | subdivision of this state having a minimum financial strength of |
---|
549 | 549 | | "A" by Moody's Investors Service, Inc., Standard & Poor's Financial |
---|
550 | 550 | | Services LLC, or Fitch Ratings Ltd., provided that not more than 5 |
---|
551 | 551 | | percent of the pool's assets are invested in any particular issue |
---|
552 | 552 | | and the type of investment does not exceed 15 percent of the pool's |
---|
553 | 553 | | assets in the aggregate; |
---|
554 | 554 | | (5) obligations of any state or a political |
---|
555 | 555 | | subdivision of that state having a minimum financial strength of |
---|
556 | 556 | | "A" by Moody's Investors Service, Inc., Standard & Poor's Financial |
---|
557 | 557 | | Services LLC, or Fitch Ratings Ltd., provided that not more than 5 |
---|
558 | 558 | | percent of the pool's assets are invested in any particular issue |
---|
559 | 559 | | and the type of investment does not exceed 15 percent of the pool's |
---|
560 | 560 | | assets in the aggregate; |
---|
561 | 561 | | (6) commercial mortgage-backed securities with |
---|
562 | 562 | | purchases having a minimum final strength of "Aaa" by Moody's |
---|
563 | 563 | | Investors Service, Inc., "AAA" By Standard & Poor's Financial |
---|
564 | 564 | | Services LLC, or "AAA" by Fitch Ratings Ltd., provided that not more |
---|
565 | 565 | | than 2 percent of the pool's assets are invested in one issue and |
---|
566 | 566 | | this type of investment does not exceed 10 percent of the pool's |
---|
567 | 567 | | assets in the aggregate; |
---|
568 | 568 | | (7) asset-backed securities with purchases having a |
---|
569 | 569 | | minimum financial strength of "Aa" by Moody's Investors Service, |
---|
570 | 570 | | Inc., "AA" by Standard & Poor's Financial Services LLC, or "AA" by |
---|
571 | 571 | | Fitch Ratings Ltd., provided that no more than 5 percent of the |
---|
572 | 572 | | pool's assets are invested in one issue and this type of investment |
---|
573 | 573 | | does not exceed 10 percent of the pool's assets in the aggregate; |
---|
574 | 574 | | (8) repurchase agreements when the collateral for the |
---|
575 | 575 | | agreement is a direct obligation of the United States, provided |
---|
576 | 576 | | that the repurchase agreement: |
---|
577 | 577 | | (A) is in writing; |
---|
578 | 578 | | (B) has a specific maturity date; |
---|
579 | 579 | | (C) adequately identifies each security to which |
---|
580 | 580 | | the agreement applies; and |
---|
581 | 581 | | (D) states that in the event of default by the |
---|
582 | 582 | | party agreeing to repurchase the securities described in the |
---|
583 | 583 | | agreement at the term contained in the agreement, title to the |
---|
584 | 584 | | described securities passes immediately to the pool without |
---|
585 | 585 | | recourse; |
---|
586 | 586 | | (9) corporate bonds having a minimum financial |
---|
587 | 587 | | strength of "Baa" by Moody's Investors Service, Inc., "BBB" by |
---|
588 | 588 | | Standard & Poor's Financial Services LLC, or "BBB" by Fitch Ratings |
---|
589 | 589 | | Ltd., provided that: |
---|
590 | 590 | | (A) except as provided by Subsection (c), |
---|
591 | 591 | | corporate bonds of any particular issue or issuer constitute not |
---|
592 | 592 | | more than 5 percent of the pool's assets; and |
---|
593 | 593 | | (B) except as provided by Subsection (c), not |
---|
594 | 594 | | more than 50 percent of the pool's assets are invested in corporate |
---|
595 | 595 | | bonds of all types; |
---|
596 | 596 | | (10) mutual or trust fund institutions registered with |
---|
597 | 597 | | the Securities and Exchange Commission that have underlying |
---|
598 | 598 | | investments consisting solely of securities approved for |
---|
599 | 599 | | investment as provided by this section, provided that this |
---|
600 | 600 | | investment does not exceed 50 percent of the pool's assets in the |
---|
601 | 601 | | aggregate; |
---|
602 | 602 | | (11) individual equities, provided that: |
---|
603 | 603 | | (A) individual equities and any mutual funds or |
---|
604 | 604 | | exchange-traded funds do not exceed 15 percent of the pool's |
---|
605 | 605 | | assets; |
---|
606 | 606 | | (B) the pool holds a minimum of 5 different |
---|
607 | 607 | | issues in the equity sector to provide for diversification; |
---|
608 | 608 | | (C) no single issue constitutes more than 5 |
---|
609 | 609 | | percent, at cost, of the pool's overall investment fund; |
---|
610 | 610 | | (D) market capitalization for each issue is of at |
---|
611 | 611 | | least $1 billion; |
---|
612 | 612 | | (E) each eligible issue pays a cash dividend; and |
---|
613 | 613 | | (F) the equity holdings are restricted to: |
---|
614 | 614 | | (i) high-quality, readily marketable |
---|
615 | 615 | | securities corporations that are domiciled in the United States and |
---|
616 | 616 | | that are actively traded on the major United States exchanges, |
---|
617 | 617 | | including the New York Stock Exchange and the National Association |
---|
618 | 618 | | of Securities Dealers Automated Quotation System; or |
---|
619 | 619 | | (ii) equities of foreign-domiciled |
---|
620 | 620 | | corporations that trade American depositary receipts on the major |
---|
621 | 621 | | United States exchanges; and |
---|
622 | 622 | | (12) a mutual fund or exchange-traded fund, provided |
---|
623 | 623 | | that: |
---|
624 | 624 | | (A) the mutual fund or exchanged-traded fund pays |
---|
625 | 625 | | a dividend and consists of securities that have an average market |
---|
626 | 626 | | capitalization of at least $1 billion; |
---|
627 | 627 | | (B) the same general quality requirements |
---|
628 | 628 | | described by Subdivision (11) are met; and |
---|
629 | 629 | | (C) the aggregate total of the investment, plus |
---|
630 | 630 | | any individual securities, does not exceed 15 percent of the pool's |
---|
631 | 631 | | assets. |
---|
632 | 632 | | (c) The board may invest in corporate bonds in excess of the |
---|
633 | 633 | | 5 percent and 50 percent limitations specified under Subsections |
---|
634 | 634 | | (b)(9)(A) and (B) up to an additional 10 percent of the pool's |
---|
635 | 635 | | assets if the financial circumstances are acceptable to the |
---|
636 | 636 | | commissioner, such as an increase in market value after initial |
---|
637 | 637 | | purchase of a corporate bond, provided that: |
---|
638 | 638 | | (1) the initial purchase of corporate bonds was within |
---|
639 | 639 | | the limitations specified under Subsections (b)(9)(B) and (C); and |
---|
640 | 640 | | (2) in determining the financial condition of the |
---|
641 | 641 | | pool, the commissioner does not include as assets of the pool those |
---|
642 | 642 | | corporate bonds that exceed 50 percent of the pool's total assets. |
---|
643 | 643 | | (d) Except as provided by Subsection (e), the board may not |
---|
644 | 644 | | invest in rental assets, including: |
---|
645 | 645 | | (1) any item that is not actually owned by the pool; |
---|
646 | 646 | | (2) any item of which the ownership is subject to |
---|
647 | 647 | | resolution, rescission, or revocation on the pool's insolvency, |
---|
648 | 648 | | receivership, bankruptcy, statutory supervision, rehabilitation, |
---|
649 | 649 | | or liquidation or on the occurrence of any other contingency; |
---|
650 | 650 | | (3) any item for which the pool pays a regular or |
---|
651 | 651 | | periodic fee for the right to carry the item as an asset, whether |
---|
652 | 652 | | the fee is characterized as a rental fee, a management fee, or a |
---|
653 | 653 | | dividend not previously approved by the commissioner, or makes |
---|
654 | 654 | | another periodic payment for that right; |
---|
655 | 655 | | (4) any asset purchased for investment by the pool on |
---|
656 | 656 | | credit in which the interest rate paid by the pool on its credit |
---|
657 | 657 | | instrument is greater than the interest rate or yield generated by |
---|
658 | 658 | | the purchased asset; |
---|
659 | 659 | | (5) any asset on the pool's balance sheet subject to a |
---|
660 | 660 | | mortgage, lien, privilege, preference, pledge, charge, or other |
---|
661 | 661 | | encumbrance that is not accurately reflected in the liability |
---|
662 | 662 | | section of the pool's balance sheet; and |
---|
663 | 663 | | (6) any asset received by the pool as a contribution to |
---|
664 | 664 | | capital or surplus from any person that meets any of the criteria |
---|
665 | 665 | | described by Subdivisions (1) through (5) while in the hands of that |
---|
666 | 666 | | contributing person or on or after the moment of the contribution to |
---|
667 | 667 | | capital. |
---|
668 | 668 | | (e) Subsection (d)(3) does not apply to leases capitalized |
---|
669 | 669 | | under generally accepted accounting principles. |
---|
670 | 670 | | Sec. 2214.359. CONSECUTIVE NET LOSSES. (a) This section |
---|
671 | 671 | | applies if the pool has: |
---|
672 | 672 | | (1) three years of consecutive net losses on the pool's |
---|
673 | 673 | | audited financial statements; or |
---|
674 | 674 | | (2) two years of consecutive net losses on the pool's |
---|
675 | 675 | | audited financial statements of more than the greater of: |
---|
676 | 676 | | (A) $500,000; or |
---|
677 | 677 | | (B) five percent of the premium of the latest |
---|
678 | 678 | | audited financial statement. |
---|
679 | 679 | | (b) If a condition described by Subsection (a) exists, an |
---|
680 | 680 | | authorized representative of the board shall: |
---|
681 | 681 | | (1) attend a meeting with the department, the pool |
---|
682 | 682 | | administrator, and any third-party administrator to discuss the |
---|
683 | 683 | | financial condition of the pool and to advise the department of the |
---|
684 | 684 | | course of action the pool will take to obtain net incomes on |
---|
685 | 685 | | subsequently audited financial statements; |
---|
686 | 686 | | (2) file with the department a written plan signed by |
---|
687 | 687 | | the board describing the actions the pool will take to generate net |
---|
688 | 688 | | incomes on subsequently audited financial statements; and |
---|
689 | 689 | | (3) obtain an actuarial rate analysis, if an actuarial |
---|
690 | 690 | | rate analysis was not performed for the previous fiscal year. |
---|
691 | 691 | | Sec. 2214.360. INSOLVENCY PLAN. (a) In this section, |
---|
692 | 692 | | "insolvent" means the condition in which the pool has liabilities |
---|
693 | 693 | | greater than the pool's assets as determined in accordance with |
---|
694 | 694 | | generally accepted accounting principles. |
---|
695 | 695 | | (b) If the pool becomes insolvent, the board shall file with |
---|
696 | 696 | | the department, not later than the 60th day after the date the board |
---|
697 | 697 | | becomes aware of the insolvency, a written plan to resolve the |
---|
698 | 698 | | insolvency signed by the board. In determining whether the pool is |
---|
699 | 699 | | insolvent, intangible property such as patents, trade names, or |
---|
700 | 700 | | goodwill may not be considered to be assets of the pool. |
---|
701 | 701 | | (c) The insolvency plan must provide in detail the means by |
---|
702 | 702 | | which the board intends to eliminate the insolvency, including any |
---|
703 | 703 | | assessment of the members the board determines is necessary, the |
---|
704 | 704 | | timetable for implementing the plan, and the reporting that will be |
---|
705 | 705 | | made to the department regarding the progress of the plan, and |
---|
706 | 706 | | include any other information required by the commissioner. |
---|
707 | 707 | | (d) The commissioner shall review the insolvency plan and |
---|
708 | 708 | | notify the board of the plan's approval or disapproval not later |
---|
709 | 709 | | than the 30th day after the date the department receives the plan. |
---|
710 | 710 | | (e) The commissioner shall provide written notice to the |
---|
711 | 711 | | board of a determination that: |
---|
712 | 712 | | (1) the insolvency plan submitted by the board is |
---|
713 | 713 | | disapproved; or |
---|
714 | 714 | | (2) the pool is not implementing a plan approved by the |
---|
715 | 715 | | commissioner in accordance with the plan's terms. |
---|
716 | 716 | | Sec. 2214.361. SUPERVISION, CONSERVATORSHIP, OR |
---|
717 | 717 | | RECEIVERSHIP. (a) In this section: |
---|
718 | 718 | | (1) "Hazardous financial condition" means a condition |
---|
719 | 719 | | in which, based on the pool's present or reasonably anticipated |
---|
720 | 720 | | financial condition, the pool, although not yet financially |
---|
721 | 721 | | impaired or insolvent, is unlikely to be able to: |
---|
722 | 722 | | (A) meet the pool's obligations to members with |
---|
723 | 723 | | respect to known claims and reasonably anticipated claims; or |
---|
724 | 724 | | (B) pay other obligations in the normal course of |
---|
725 | 725 | | business. |
---|
726 | 726 | | (2) "Insolvent" has the meaning assigned by Section |
---|
727 | 727 | | 2214.360. |
---|
728 | 728 | | (b) In addition to any other powers of the commissioner, if |
---|
729 | 729 | | the commissioner determines that the pool is insolvent, is |
---|
730 | 730 | | operating in a hazardous financial condition, or is otherwise |
---|
731 | 731 | | operating in violation of this chapter, the commissioner may take |
---|
732 | 732 | | any action against the pool that the commissioner could take |
---|
733 | 733 | | against an insurer under Chapter 441 or Chapter 443. |
---|
734 | 734 | | SUBCHAPTER I. COMMISSIONER EXAMINATION |
---|
735 | 735 | | Sec. 2214.401. EXAMINATION REQUIRED. (a) The commissioner |
---|
736 | 736 | | shall conduct an examination of the pool at least once every five |
---|
737 | 737 | | years and at other times as the commissioner considers necessary. |
---|
738 | 738 | | (b) The examination shall be conducted in the same manner as |
---|
739 | 739 | | an examination of an insurer under Chapter 401. |
---|
740 | 740 | | (c) In conducting an examination of the pool, the |
---|
741 | 741 | | commissioner has the same powers and duties with respect to the |
---|
742 | 742 | | pool, and with respect to other persons in relation to the pool's |
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743 | 743 | | affairs and condition, that the commissioner has with respect to an |
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744 | 744 | | insurer or other persons with respect to an insurer's affairs and |
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745 | 745 | | condition. |
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746 | 746 | | SUBCHAPTER J. DISSOLUTION OF POOL |
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747 | 747 | | Sec. 2214.451. APPLICATION FOR VOLUNTARY DISSOLUTION. (a) |
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748 | 748 | | If the members of the pool elect to dissolve the pool, the board |
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749 | 749 | | must apply to the commissioner in the form and manner prescribed by |
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750 | 750 | | the commissioner for the authority to dissolve. |
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751 | 751 | | (b) The commissioner shall approve or disapprove an |
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752 | 752 | | application to dissolve the pool not later than the 60th day after |
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753 | 753 | | the date the commissioner receives the application. |
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754 | 754 | | (c) The commissioner shall approve an application to |
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755 | 755 | | dissolve the pool if the pool: |
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756 | 756 | | (1) has no outstanding liabilities including incurred |
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757 | 757 | | but not reported liabilities; or |
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758 | 758 | | (2) is covered by an irrevocable commitment from an |
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759 | 759 | | authorized insurer that provides for payment of all outstanding |
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760 | 760 | | liabilities and related services, including payment of claims, |
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761 | 761 | | preparation of reports, and administration of transactions |
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762 | 762 | | associated with the period during which the pool provided pool |
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763 | 763 | | coverage. |
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764 | 764 | | Sec. 2214.452. DISTRIBUTION OF POOL ASSETS. On the pool's |
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765 | 765 | | dissolution and after payment of all outstanding liabilities and |
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766 | 766 | | indebtedness, the pool assets shall be distributed to the members |
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767 | 767 | | under a distribution plan submitted by the board to the department |
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768 | 768 | | and approved by the commissioner. |
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769 | 769 | | Sec. 2214.453. DISSOLUTION WITHOUT APPROVAL. (a) |
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770 | 770 | | Dissolution of the pool without authorization is prohibited. |
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771 | 771 | | (b) The dissolution of the pool violation of this section |
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772 | 772 | | does not absolve or release the pool, a member, or any individual or |
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773 | 773 | | entity that has executed an indemnity agreement in connection with |
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774 | 774 | | the pool from obligations incurred or entered into before the |
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775 | 775 | | dissolution. |
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776 | 776 | | SUBCHAPTER K. ENFORCEMENT |
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777 | 777 | | Sec. 2214.501. CONSUMER COMPLAINTS; ADMINISTRATIVE |
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778 | 778 | | PENALTY. (a) A consumer may file a complaint with the department |
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779 | 779 | | to report a suspected violation of this chapter or the failure of |
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780 | 780 | | the pool to meet its obligations under a pool coverage agreement or |
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781 | 781 | | the plan of operation. |
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782 | 782 | | (b) After investigating a complaint regarding the pool, the |
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783 | 783 | | commissioner may order the board to take a corrective action the |
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784 | 784 | | commissioner considers necessary instead of taking an enforcement |
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785 | 785 | | action under another provision of this subchapter. |
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786 | 786 | | Sec. 2214.502. CORRECTIVE ACTION PLAN. (a) The |
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787 | 787 | | commissioner may order the board to submit a corrective action plan |
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788 | 788 | | to remediate any noncompliance or financial issues affecting the |
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789 | 789 | | pool. |
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790 | 790 | | (b) The board shall submit the completed corrective action |
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791 | 791 | | plan to the commissioner for approval and include standards, time |
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792 | 792 | | frames, and other parameters acceptable to the commissioner. |
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793 | 793 | | (c) The corrective action plan may include: |
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794 | 794 | | (1) mandatory training; |
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795 | 795 | | (2) on-site or off-site monitoring and supervision of |
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796 | 796 | | the activities of the pool for a specific period of time to |
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797 | 797 | | determine progress regarding correction of deficiencies; |
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798 | 798 | | (3) the submission of written progress reports; |
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799 | 799 | | (4) the institution of measures to conserve or |
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800 | 800 | | generate additional funding for the pool; or |
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801 | 801 | | (5) the imposition of an administrative penalty under |
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802 | 802 | | Section 2214.504 for any future misconduct of the kind that |
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803 | 803 | | contributed to the need for the imposition of the corrective action |
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804 | 804 | | plan. |
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805 | 805 | | (d) Failure by the pool to comply with the corrective action |
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806 | 806 | | plan may result in: |
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807 | 807 | | (1) the imposition of an administrative penalty under |
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808 | 808 | | Section 2214.504; |
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809 | 809 | | (2) suspension or revocation of the pool's certificate |
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810 | 810 | | of authority; or |
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811 | 811 | | (3) placement of the pool into supervision. |
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812 | 812 | | Sec. 2214.503. CEASE AND DESIST ORDER; SUSPENSION OR |
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813 | 813 | | REVOCATION OF CERTIFICATE OF AUTHORITY. (a) If the commissioner |
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814 | 814 | | determines the pool has violated this chapter, a commissioner rule, |
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815 | 815 | | or any order or directive issued by the commissioner, the |
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816 | 816 | | commissioner may: |
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817 | 817 | | (1) order the pool to cease and desist from the conduct |
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818 | 818 | | constituting the violation; or |
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819 | 819 | | (2) suspend or revoke the pool's certificate of |
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820 | 820 | | authority. |
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821 | 821 | | (b) A cease and desist order issued under this section may |
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822 | 822 | | include a prohibition on issuing or renewing pool coverage. |
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823 | 823 | | Sec. 2214.504. ADMINISTRATIVE PENALTY. If the commissioner |
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824 | 824 | | determines that the pool or any trustee, member, officer, |
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825 | 825 | | administrator, or employee of the pool has violated this chapter, |
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826 | 826 | | any other applicable law relating to the pool, a commissioner rule, |
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827 | 827 | | or any order or directive issued by the commissioner, the |
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828 | 828 | | commissioner may impose an administrative penalty not to exceed |
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829 | 829 | | $2,000 for each violation. For a subsequent violation, the |
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830 | 830 | | commissioner may impose an administrative penalty not to exceed |
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831 | 831 | | $4,000. |
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832 | 832 | | SECTION 2. A board of trustees may not apply for a |
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833 | 833 | | certificate of authority under Section 2214.101, Insurance Code, as |
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834 | 834 | | added by this Act, before January 1, 2026. |
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835 | 835 | | SECTION 3. This Act takes effect September 1, 2025. |
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