Texas 2025 - 89th Regular

Texas House Bill HB3508

Filed
2/28/25  
Out of Senate Committee
 
Voted on by Senate
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to an insurer's responsibility to review and audit a third-party administrator.

Impact

The implementation of HB 3508 will make significant changes to the regulatory framework governing insurance operations in Texas. By enforcing regular audits and reviews of third-party administrators, the bill seeks to protect consumers by promoting ethical practices and ensuring that insurers are not neglecting their responsibilities. It aligns with broader efforts to improve accountability in the insurance sector, responding to past concerns about mismanagement and insufficient oversight of benefits administration.

Summary

House Bill 3508 focuses on increasing the accountability of insurers towards their third-party administrators' operations. The bill mandates that if an administrator manages benefits for more than 100 certificate holders, policyholders, or plan participants, the insurer must conduct a semiannual review and a biennial audit of the administrator's operations. This legislative effort aims to ensure that insurers maintain oversight of the services provided by third-party administrators, thereby enhancing overall governance and regulatory compliance within the insurance industry.

Sentiment

The sentiment around HB 3508 has been generally positive among legislators and insurance regulators who advocate for increased oversight and consumer protection. Supporters argue that the mandatory audits will lead to better service delivery and enhance trust in the insurance system. However, there are apprehensions among some stakeholders about the potential administrative burden this could place on insurers, especially smaller entities that may struggle with compliance costs associated with frequent audits.

Contention

Notable points of contention surrounding the bill include concerns from smaller insurance companies about the financial and logistical impact of the mandated audits. Critics of the bill suggest that while the intent is positive, the execution may inadvertently create barriers that could hurt competition in the insurance market. Additionally, stakeholders are debating the balance between necessary oversight and the imposition of excessive regulatory requirements that may stifle smaller players.

Texas Constitutional Statutes Affected

Insurance Code

  • Chapter 4151. Third-party Administrators
    • Section: 1042

Companion Bills

TX SB1151

Identical Relating to an insurer's responsibility to review and audit a third-party administrator.

Previously Filed As

TX HB5094

Relating to the administration of the financial responsibility verification program.

TX HB3391

Relating to disclosures by liability insurers and policyholders to third-party claimants; providing an administrative penalty.

TX HB3943

Relating to the auditing of an electric cooperative or municipally owned electric utility by an independent third party auditor after a power outage.

TX SB1342

Relating to requirements applicable to certain third-party health insurers in relation to Medicaid.

TX HB3119

Relating to requirements applicable to certain third-party health insurers in relation to Medicaid.

TX HB890

Relating to parental rights and public school responsibilities regarding instructional materials.

TX HB810

Relating to the selection and administration of an appraisal review board; authorizing a fee.

TX HB2249

Relating to the selection and administration of an appraisal review board in certain counties; authorizing a fee.

TX SB882

Relating to the selection and administration of an appraisal review board in certain counties; authorizing a fee.

TX HB3026

Relating to the administration of a prescription drug manufacturer or third-party prescription assistance program.

Similar Bills

No similar bills found.