1 | 1 | | 89R1891 CJD-F |
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2 | 2 | | By: Perez of Harris H.B. No. 345 |
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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 an appraisal process for disputed losses under |
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10 | 10 | | residential property insurance policies. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Subtitle D, Title 10, Insurance Code, is amended |
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13 | 13 | | by adding Chapter 2009 to read as follows: |
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14 | 14 | | CHAPTER 2009. APPRAISAL PROCESS FOR RESIDENTIAL PROPERTY INSURANCE |
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15 | 15 | | SUBCHAPTER A. GENERAL PROVISIONS |
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16 | 16 | | Sec. 2009.001. APPLICABILITY OF CHAPTER. (a) This chapter |
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17 | 17 | | applies only to an insurer writing a residential property insurance |
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18 | 18 | | policy, including: |
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19 | 19 | | (1) a capital stock insurance company; |
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20 | 20 | | (2) a mutual insurance company; |
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21 | 21 | | (3) a county mutual insurance company; |
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22 | 22 | | (4) a Lloyd's plan; |
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23 | 23 | | (5) a reciprocal or interinsurance exchange; |
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24 | 24 | | (6) a farm mutual insurance company; |
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25 | 25 | | (7) an eligible surplus lines insurer if this state is |
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26 | 26 | | the insured's home state as defined by Section 981.002; and |
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27 | 27 | | (8) the FAIR Plan Association. |
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28 | 28 | | (b) This chapter does not apply to: |
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29 | 29 | | (1) the Texas Windstorm Insurance Association; or |
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30 | 30 | | (2) a commercial insurance policy. |
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31 | 31 | | Sec. 2009.002. RULES. The commissioner may adopt rules |
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32 | 32 | | necessary to implement this chapter. |
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33 | 33 | | Sec. 2009.003. REQUIRED POLICY PROVISION: APPRAISAL |
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34 | 34 | | PROCESS. (a) Any appraisal provision contained in an insurance |
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35 | 35 | | policy described by Section 2009.001 must comply with this chapter. |
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36 | 36 | | (b) The requirements of this chapter control over terms of |
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37 | 37 | | an insurance policy and other law only with respect to the specific |
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38 | 38 | | issues addressed in this chapter. All other terms and conditions of |
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39 | 39 | | the appraisal process remain subject to the terms of the insurance |
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40 | 40 | | policy and applicable law. |
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41 | 41 | | (c) The provisions of this chapter are not the sole |
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42 | 42 | | provisions that may be included in an appraisal process provided in |
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43 | 43 | | an insurance policy. Subject to any other provision of law, a policy |
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44 | 44 | | may include any other provision not in direct conflict with this |
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45 | 45 | | chapter. |
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46 | 46 | | (d) This chapter does not alter or provide an exception to |
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47 | 47 | | the prompt payment of claims deadlines under Subchapter B, Chapter |
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48 | 48 | | 542. |
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49 | 49 | | SUBCHAPTER B. APPRAISAL PROCESS |
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50 | 50 | | Sec. 2009.051. APPRAISAL DEMAND. (a) If the policyholder |
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51 | 51 | | and insurer fail to agree to the amount of loss covered by the |
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52 | 52 | | policy, the policyholder or insurer may provide a written demand |
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53 | 53 | | for appraisal to the other party. |
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54 | 54 | | (b) The policyholder may not demand appraisal after the |
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55 | 55 | | policyholder files a lawsuit asserting the claim that is the basis |
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56 | 56 | | for the appraisal demand. |
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57 | 57 | | (c) The insurer may not demand appraisal after filing the |
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58 | 58 | | insurer's original answer to the lawsuit. |
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59 | 59 | | (d) The insurer may incorporate a demand for appraisal with |
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60 | 60 | | the insurer's original answer to the lawsuit. |
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61 | 61 | | (e) If the policyholder files a lawsuit and the insurer |
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62 | 62 | | subsequently demands appraisal, the lawsuit may be abated until the |
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63 | 63 | | appraisal process is complete, provided that the insurer has not: |
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64 | 64 | | (1) denied the claim; or |
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65 | 65 | | (2) reserved the right to dispute coverage following |
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66 | 66 | | the appraisal process. |
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67 | 67 | | Sec. 2009.052. SELECTION OF APPRAISERS. Not later than the |
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68 | 68 | | 20th day after the date an appraisal demand is provided under |
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69 | 69 | | Section 2009.051, the policyholder and insurer shall each: |
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70 | 70 | | (1) select a competent and impartial appraiser; and |
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71 | 71 | | (2) provide written notice to the other party of the |
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72 | 72 | | appraiser's identity. |
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73 | 73 | | Sec. 2009.053. APPRAISAL OF LOSS BY APPRAISERS; SELECTION |
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74 | 74 | | OF UMPIRE. (a) The appraisers shall appraise the loss that is the |
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75 | 75 | | subject of the appraisal not later than the 30th day after the date |
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76 | 76 | | both the policyholder and insurer have complied with Section |
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77 | 77 | | 2009.052. |
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78 | 78 | | (b) The appraisers may extend the deadline described by |
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79 | 79 | | Subsection (a) for a period not to exceed 30 days on written |
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80 | 80 | | agreement by the appraisers, policyholder, and insurer. |
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81 | 81 | | (c) If the appraisers agree on the amount of loss: |
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82 | 82 | | (1) the appraisers shall issue their award and provide |
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83 | 83 | | written notice of the award to the policyholder and insurer; and |
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84 | 84 | | (2) the agreed amount as stated in the appraisal award |
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85 | 85 | | is the amount of loss. |
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86 | 86 | | (d) If the appraisers fail to agree on the amount of loss, |
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87 | 87 | | the appraisers shall select a competent and impartial umpire. If |
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88 | 88 | | the appraisers do not agree on an umpire after the 20th day after |
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89 | 89 | | the deadline for the appraisers to determine the amount of loss |
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90 | 90 | | under this section, the umpire must be selected: |
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91 | 91 | | (1) by a policy provision, if applicable, that |
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92 | 92 | | provides for the method of selecting an umpire; or |
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93 | 93 | | (2) on written request by either party to a court |
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94 | 94 | | described by Subsection (e). |
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95 | 95 | | (e) A policy provision may provide that a competent and |
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96 | 96 | | impartial umpire may be selected by a judge of a district court, |
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97 | 97 | | county court at law, or constitutional county court in the county in |
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98 | 98 | | which the policyholder resides or where the property is located. |
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99 | 99 | | (f) A party requesting court appointment of an umpire must |
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100 | 100 | | provide the other party with 10 days' written notice of the intent |
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101 | 101 | | to submit the request. The appointment may not be made on an ex |
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102 | 102 | | parte basis without both parties having an opportunity to appear |
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103 | 103 | | before the court. |
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104 | 104 | | (g) After the umpire is selected under Subsection (d) or |
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105 | 105 | | (e), each appraiser shall provide written notice to the umpire and |
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106 | 106 | | the other appraiser that includes: |
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107 | 107 | | (1) the appraiser's determination as to the amount of |
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108 | 108 | | loss; |
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109 | 109 | | (2) any supporting documentation; and |
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110 | 110 | | (3) an itemized list of the disputed differences |
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111 | 111 | | between the appraisers regarding the amount of loss. |
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112 | 112 | | Sec. 2009.054. AMOUNT OF LOSS DETERMINATION BY UMPIRE. (a) |
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113 | 113 | | The umpire shall determine the amount of loss by selecting: |
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114 | 114 | | (1) one of the amounts of loss submitted to the umpire; |
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115 | 115 | | or |
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116 | 116 | | (2) an amount in between the two amounts submitted to |
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117 | 117 | | the umpire. |
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118 | 118 | | (b) The umpire must select an amount under Subsection (a) |
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119 | 119 | | not later than the 30th day after the date the umpire receives the |
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120 | 120 | | submissions of both appraisers. |
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121 | 121 | | (c) The umpire may extend the deadline described by |
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122 | 122 | | Subsection (b) for a period not to exceed 30 days on written |
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123 | 123 | | agreement of the appraisers, policyholder, and insurer. |
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124 | 124 | | (d) On deciding on the amount of loss, the umpire shall |
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125 | 125 | | issue a written appraisal award that: |
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126 | 126 | | (1) states the amount of loss; and |
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127 | 127 | | (2) is signed by the umpire and at least one appraiser. |
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128 | 128 | | (e) The umpire may not alter any valuation or any portion of |
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129 | 129 | | the amount of loss on which the appraisers agree. |
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130 | 130 | | (f) An appraisal award issued under Subsection (d) does not |
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131 | 131 | | prevent either party from pursuing all other rights under the |
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132 | 132 | | policy or law. |
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133 | 133 | | Sec. 2009.055. APPRAISAL EXPENSES; TERMINATION OF |
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134 | 134 | | APPRAISAL PROCESS. (a) The policyholder and insurer shall equally |
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135 | 135 | | divide and pay the umpire's expenses, as applicable, and all other |
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136 | 136 | | appraisal expenses, except that each party shall pay their own |
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137 | 137 | | appraiser. |
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138 | 138 | | (b) If a party's appraiser materially fails to comply with |
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139 | 139 | | the deadlines under this chapter and the other party makes a good |
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140 | 140 | | faith effort to address the failure and continue the appraisal |
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141 | 141 | | process, the other party may terminate the appraisal process and |
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142 | 142 | | seek recovery of the party's reasonable hourly appraiser expenses |
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143 | 143 | | incurred in the appraisal process. |
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144 | 144 | | (c) If the umpire materially fails to comply with the |
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145 | 145 | | deadlines under this chapter after making a good faith effort to |
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146 | 146 | | address the failure and continue the appraisal process, the |
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147 | 147 | | policyholder, the insurer, or both may terminate the appraisal |
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148 | 148 | | process and seek recovery of their reasonable hourly appraiser |
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149 | 149 | | expenses from the umpire. |
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150 | 150 | | (d) If an appraisal process is terminated under Subsection |
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151 | 151 | | (b), the party employing the noncompliant appraiser may not invoke |
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152 | 152 | | the appraisal process for the dispute at issue. However, the other |
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153 | 153 | | party may invoke the appraisal process for the dispute at issue. |
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154 | 154 | | (e) If an appraisal process is terminated under Subsection |
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155 | 155 | | (c), the policyholder or the insurer may invoke the appraisal |
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156 | 156 | | process for the dispute at issue. |
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157 | 157 | | (f) The appraisers for the policyholder and the insurer and |
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158 | 158 | | the umpire must be paid on an hourly or flat-fee basis, using a |
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159 | 159 | | reasonable hourly rate and based on the estimated number of hours |
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160 | 160 | | reasonably necessary to complete the appraisal process. The |
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161 | 161 | | appraisers for the policyholder and insurer may not be paid on any |
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162 | 162 | | basis other than an hourly or flat-fee basis, including a |
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163 | 163 | | contingent or success basis. |
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164 | 164 | | Sec. 2009.056. EFFECT OF APPRAISAL. (a) The appraisal does |
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165 | 165 | | not affect any applicable policy terms. |
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166 | 166 | | (b) The amount of loss determined by the appraisal process |
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167 | 167 | | under this chapter is binding as to the policyholder and the |
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168 | 168 | | insurer. The use of the process is not a condition precedent to |
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169 | 169 | | bringing an action for a violation of this code, for a breach of |
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170 | 170 | | contract, or for any other common-law or statutory remedy. |
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171 | 171 | | Sec. 2009.057. EXTENSION OF DEADLINES. If the disputed |
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172 | 172 | | loss is the result of a weather-related catastrophe or major |
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173 | 173 | | natural disaster, as defined by the commissioner, the appraisal |
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174 | 174 | | deadlines imposed under Sections 2009.052 and 2009.053(a) and (b) |
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175 | 175 | | are extended for an additional 30 days. |
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176 | 176 | | SECTION 2. (a) Chapter 2009, Insurance Code, as added by |
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177 | 177 | | this Act, applies only to an insurance policy delivered, issued for |
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178 | 178 | | delivery, or renewed on or after January 1, 2026. |
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179 | 179 | | (b) An insurance policy form providing for an appraisal |
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180 | 180 | | process that is in use on September 1, 2025, and otherwise compliant |
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181 | 181 | | with Chapter 2009, Insurance Code, as added by this Act, is not |
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182 | 182 | | required to be filed with the Texas Department of Insurance as a |
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183 | 183 | | consequence of this Act. |
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184 | 184 | | SECTION 3. This Act takes effect September 1, 2025. |
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