Texas 2025 - 89th Regular

Texas House Bill HB4483 Compare Versions

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11 89R2192 RDR-F
22 By: Hefner H.B. No. 4483
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77 A BILL TO BE ENTITLED
88 AN ACT
99 relating to the funding mechanism for the regulation of workers'
1010 compensation and workers' compensation insurance; authorizing
1111 surcharges.
1212 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1313 SECTION 1. The heading to Title 3, Insurance Code, is
1414 amended to read as follows:
1515 TITLE 3. DEPARTMENT FUNDS, FEES, SURCHARGES, AND TAXES
1616 SECTION 2. The heading to Subtitle C, Title 3, Insurance
1717 Code, is amended to read as follows:
1818 SUBTITLE C. INSURANCE MAINTENANCE TAXES AND SURCHARGES
1919 SECTION 3. Section 201.001(a), Insurance Code, is amended
2020 to read as follows:
2121 (a) The Texas Department of Insurance operating account is
2222 an account in the general revenue fund. The account includes the
2323 following:
2424 (1) taxes, surcharges, and fees received by the
2525 commissioner or comptroller that are required by this code or other
2626 law to be deposited to the credit of the account; and
2727 (2) money or credits received by the department or
2828 commissioner from sales, reimbursements, and fees authorized by law
2929 other than this code, including money or credits received from:
3030 (A) charges for providing copies of public
3131 information under Chapter 552, Government Code;
3232 (B) the disposition of surplus or salvage
3333 property under Subchapters C and D, Chapter 2175, Government Code;
3434 (C) the sale of publications and other printed
3535 material under Section 2052.301, Government Code;
3636 (D) miscellaneous transactions and sources under
3737 Section 403.011 or 403.012, Government Code;
3838 (E) charges for postage spent to serve legal
3939 process under Section 17.025, Civil Practice and Remedies Code;
4040 (F) the comptroller involving warrants for which
4141 payment is barred under Chapter 404, Government Code;
4242 (G) sales or reimbursements authorized by the
4343 General Appropriations Act; and
4444 (H) the sale of property purchased with money
4545 from the account or a predecessor fund or account.
4646 SECTION 4. Section 251.001(a), Insurance Code, is amended
4747 to read as follows:
4848 (a) The commissioner shall annually determine the rate of
4949 assessment of each maintenance tax or workers' compensation
5050 surcharge imposed under this subtitle.
5151 SECTION 5. Section 251.002, Insurance Code, is amended to
5252 read as follows:
5353 Sec. 251.002. DUTY TO ADVISE COMPTROLLER OF RATE. The
5454 commissioner shall advise the comptroller of the applicable rate of
5555 assessment of a maintenance tax or workers' compensation surcharge
5656 not later than the 45th day before the due date of the tax or
5757 surcharge report for the period for which that tax or surcharge is
5858 due.
5959 SECTION 6. Section 251.003, Insurance Code, is amended to
6060 read as follows:
6161 Sec. 251.003. EFFECT OF LATE ADVISEMENT OF
6262 RATE. (a) Except as provided by Subsection (b), if the
6363 commissioner does not advise the comptroller of the applicable rate
6464 of assessment of a maintenance tax or workers' compensation
6565 surcharge by the date required by Section 251.002, the rate of
6666 assessment is the rate applied in the previous tax or surcharge
6767 period.
6868 (b) If the commissioner advises the comptroller of the
6969 applicable rate of assessment of a maintenance tax or workers'
7070 compensation surcharge after the tax or surcharge has been
7171 assessed, the comptroller shall:
7272 (1) advise each taxpayer or surcharge payer in writing
7373 of the amount of any additional taxes or surcharges due; or
7474 (2) refund any excess taxes or surcharges paid.
7575 SECTION 7. The heading to Section 251.004, Insurance Code,
7676 is amended to read as follows:
7777 Sec. 251.004. DEPOSIT OF MAINTENANCE TAXES AND SURCHARGES.
7878 SECTION 8. Section 251.004(a), Insurance Code, is amended
7979 to read as follows:
8080 (a) Except as provided by Subsection (b), maintenance taxes
8181 collected under this subtitle and surcharges collected under
8282 Chapter 255 shall be deposited in the general revenue fund and
8383 reallocated to the Texas Department of Insurance operating account.
8484 SECTION 9. Chapter 255, Insurance Code, is amended to read
8585 as follows:
8686 CHAPTER 255. WORKERS' COMPENSATION INSURANCE
8787 Sec. 255.001. SURCHARGE [MAINTENANCE TAX] IMPOSED. (a) A
8888 surcharge [maintenance tax] is imposed on each authorized insurer
8989 with gross premiums subject to the surcharge [taxation] under
9090 Section 255.003, including a:
9191 (1) stock insurance company;
9292 (2) mutual insurance company;
9393 (3) reciprocal or interinsurance exchange; and
9494 (4) Lloyd's plan.
9595 (b) The surcharge [tax] required by this chapter is in
9696 addition to [other] taxes or other surcharges imposed that are not
9797 in conflict with this chapter.
9898 Sec. 255.002. MAXIMUM RATE; ANNUAL ADJUSTMENT. (a) The
9999 sum of the rates [rate] of assessment for the surcharge imposed by
100100 this chapter and the surcharges imposed by Chapters 403 and 405,
101101 Labor Code, set by the commissioner, may not exceed 2.7 [0.6]
102102 percent of the gross premiums subject to surcharges [taxation under
103103 Section 255.003].
104104 (b) The commissioner shall annually adjust the rate of
105105 assessment of the surcharge [maintenance tax] so that the surcharge
106106 [tax] imposed that year, together with any unexpended funds
107107 produced by the surcharge [tax], produces the amount the
108108 commissioner determines is necessary to pay the expenses during the
109109 succeeding year of regulating workers' compensation insurance.
110110 Sec. 255.003. PREMIUMS SUBJECT TO SURCHARGE [TAXATION].
111111 (a) An insurer shall pay the surcharge [maintenance taxes] under
112112 this chapter on the correctly reported gross workers' compensation
113113 insurance premiums from writing workers' compensation insurance in
114114 this state, including the modified annual premium of a policyholder
115115 that purchases an optional deductible plan under Subchapter E,
116116 Chapter 2053.
117117 (b) The rate of assessment for a surcharge shall be applied
118118 to the modified annual premium before application of a deductible
119119 premium credit.
120120 Sec. 255.004. SURCHARGE [MAINTENANCE TAX] DUE DATES. (a)
121121 The insurer shall pay the surcharge [maintenance tax] annually or
122122 semiannually.
123123 (b) The comptroller may require semiannual payment only
124124 from an insurer whose surcharge [maintenance tax] liability under
125125 this chapter for the previous surcharge [tax] year was at least
126126 $2,000.
127127 Sec. 255.005. RECOVERY OF SURCHARGE. An insurer may
128128 recover a surcharge under this chapter by:
129129 (1) reflecting the surcharge as an expense in a rate
130130 filing required under this code; or
131131 (2) charging the insurer's policyholders.
132132 SECTION 10. Section 402.076(b), Labor Code, is amended to
133133 read as follows:
134134 (b) The operations of the division under this section are
135135 funded through the surcharge [maintenance tax] assessed under
136136 Section 403.002.
137137 SECTION 11. Section 403.001(a), Labor Code, is amended to
138138 read as follows:
139139 (a) Except as provided by Sections 403.006, 403.007, and
140140 403.008, or as otherwise provided by law, money collected under
141141 this subtitle, including surcharges and advance deposits for
142142 purchase of services, shall be deposited in the general revenue
143143 fund of the state treasury to the credit of the Texas Department of
144144 Insurance operating account.
145145 SECTION 12. Section 403.002, Labor Code, is amended to read
146146 as follows:
147147 Sec. 403.002. SURCHARGES [MAINTENANCE TAXES]. (a) Each
148148 insurance carrier, other than a governmental entity, shall pay an
149149 annual surcharge [maintenance tax] to pay the costs of
150150 administering this subtitle and to support the prosecution of
151151 workers' compensation insurance fraud in this state.
152152 (b) The rate of assessment is applied to [may not exceed an
153153 amount equal to two percent of] the correctly reported gross
154154 workers' compensation insurance premiums, including the modified
155155 annual premium of a policyholder that purchases an optional
156156 deductible plan under Subchapter E, Chapter 2053 [Article 5.55C],
157157 Insurance Code. The rate of assessment shall be applied to the
158158 modified annual premium before application of a deductible premium
159159 credit.
160160 (c) A workers' compensation insurance company is assessed
161161 the surcharge [taxed] at the rate established under Section 403.003
162162 and as limited by Section 255.002(a), Insurance Code. The
163163 surcharge [tax] shall be collected in the manner provided for
164164 collection of other surcharges [taxes] on gross premiums from a
165165 workers' compensation insurance company as provided in Chapter 255,
166166 Insurance Code.
167167 (d) Each certified self-insurer shall pay a fee and
168168 surcharge [maintenance taxes] as provided by Subchapter F, Chapter
169169 407.
170170 SECTION 13. The heading to Section 403.003, Labor Code, is
171171 amended to read as follows:
172172 Sec. 403.003. RATE OF SURCHARGE [ASSESSMENT].
173173 SECTION 14. Section 403.003(a), Labor Code, is amended to
174174 read as follows:
175175 (a) The commissioner of insurance shall set and certify to
176176 the comptroller the rate of the surcharge, [maintenance tax
177177 assessment] taking into account:
178178 (1) any expenditure projected as necessary for the
179179 division and the office of injured employee counsel to:
180180 (A) administer this subtitle during the fiscal
181181 year for which the rate of assessment is set; and
182182 (B) reimburse the general revenue fund as
183183 provided by Section 201.052, Insurance Code;
184184 (2) projected employee benefits paid from general
185185 revenues;
186186 (3) a surplus or deficit produced by the surcharge
187187 [tax] in the preceding year;
188188 (4) revenue recovered from other sources, including
189189 reappropriated receipts, grants, payments, fees, gifts, and
190190 penalties recovered under this subtitle; and
191191 (5) expenditures projected as necessary to support the
192192 prosecution of workers' compensation insurance fraud.
193193 SECTION 15. Section 403.004, Labor Code, is amended to read
194194 as follows:
195195 Sec. 403.004. COLLECTION OF SURCHARGE [TAX] AFTER
196196 WITHDRAWAL FROM BUSINESS. The commissioner or the commissioner of
197197 insurance immediately shall proceed to collect surcharges [taxes]
198198 due under this chapter from an insurance carrier that withdraws
199199 from business in this state, using legal process as necessary.
200200 SECTION 16. Section 403.005, Labor Code, is amended to read
201201 as follows:
202202 Sec. 403.005. SURCHARGE [TAX] RATE. The commissioner of
203203 insurance shall annually adjust the rate of assessment of the
204204 surcharge [maintenance tax] imposed under Section 403.003 so that
205205 the surcharge [tax] imposed that year, together with any unexpended
206206 funds produced by the surcharge [tax], produces the amount the
207207 commissioner of insurance determines is necessary to pay the
208208 expenses of administering this subtitle.
209209 SECTION 17. Chapter 403, Labor Code, is amended by adding
210210 Section 403.0055 to read as follows:
211211 Sec. 403.0055. RECOVERY OF SURCHARGE. An insurer may
212212 recover a surcharge under this chapter by:
213213 (1) reflecting the surcharge as an expense in a rate
214214 filing required under the Insurance Code; or
215215 (2) charging the insurer's policyholders.
216216 SECTION 18. Section 403.007(e), Labor Code, is amended to
217217 read as follows:
218218 (e) If the commissioner determines that the funding under
219219 Subsection (a) is not adequate to meet the expected obligations of
220220 the subsequent injury fund established under Section 403.006, the
221221 fund shall be supplemented by the collection of a surcharge
222222 [maintenance tax] paid by insurance carriers, other than a
223223 governmental entity, as provided by Sections 403.002 and 403.003.
224224 The rate of assessment must be adequate to provide 120 percent of
225225 the projected unfunded liabilities of the fund for the next
226226 biennium as certified by an independent actuary or financial
227227 advisor.
228228 SECTION 19. The heading to Section 405.003, Labor Code, is
229229 amended to read as follows:
230230 Sec. 405.003. FUNDING; SURCHARGE AND RECOVERY OF SURCHARGE
231231 BY INSURERS [MAINTENANCE TAX].
232232 SECTION 20. Section 405.003, Labor Code, is amended by
233233 amending Subsections (a), (b), (c), and (d) and adding Subsection
234234 (g) to read as follows:
235235 (a) The group's duties under this chapter are funded through
236236 the assessment of a surcharge [maintenance tax] collected annually
237237 from all insurance carriers, and self-insurance groups that hold
238238 certificates of approval under Chapter 407A, except governmental
239239 entities.
240240 (b) The department shall set the rate of the surcharge
241241 [maintenance tax] based on the expenditures authorized and the
242242 receipts anticipated in legislative appropriations. The surcharge
243243 [tax] rate for insurance companies may not exceed the limitation in
244244 Section 255.002(a), Insurance Code. The surcharge rate is applied
245245 to [may not exceed one-tenth of one percent of] the correctly
246246 reported gross workers' compensation insurance premiums. The
247247 surcharge [tax] rate for certified self-insurers may not exceed the
248248 limitation in Section 255.002(a), Insurance Code. The surcharge
249249 rate is applied to [may not exceed one-tenth of one percent of] the
250250 total surcharge [tax] base of all certified self-insurers, as
251251 computed under Section 407.103(b). The surcharge [tax] rate for
252252 self-insurance groups described by Subsection (a) may not exceed
253253 the limitation in Section 255.002(a), Insurance Code. The
254254 surcharge rate is applied to [may not exceed one-tenth of one
255255 percent of] the group's gross premium for the group's retention,
256256 excluding premium collected by the group for excess insurance.
257257 (c) The surcharge [tax] imposed under Subsection (a) is in
258258 addition to all [other] taxes or other surcharges imposed on those
259259 insurance carriers for workers' compensation purposes.
260260 (d) The surcharge [tax] on insurance companies and on
261261 self-insurance groups described by Subsection (a) shall be
262262 assessed, collected, and paid in the same manner and at the same
263263 time as the surcharge [maintenance tax] established for the support
264264 of the department under Chapter 255, Insurance Code. The surcharge
265265 [tax] on certified self-insurers shall be assessed, collected, and
266266 paid in the same manner and at the same time as the self-insurer
267267 surcharge [maintenance tax] collected under Section 407.104.
268268 (g) An insurer may recover a surcharge under this section
269269 by:
270270 (1) reflecting the surcharge as an expense in a rate
271271 filing required under the Insurance Code; or
272272 (2) charging the insurer's policyholders.
273273 SECTION 21. Section 407.103, Labor Code, is amended to read
274274 as follows:
275275 Sec. 407.103. SELF-INSURER SURCHARGE [MAINTENANCE TAX];
276276 EFFECT ON GENERAL SURCHARGE [MAINTENANCE TAX]. (a) Each certified
277277 self-insurer shall pay a self-insurer surcharge [maintenance tax]
278278 for the administration of the division and the office of injured
279279 employee counsel and to support the prosecution of workers'
280280 compensation insurance fraud in this state. Not more than two
281281 percent of the total surcharge [tax] base of all certified
282282 self-insurers, as computed under Subsection (b), may be assessed
283283 for a surcharge [maintenance tax] under this section.
284284 (b) To determine the surcharge [tax] base of a certified
285285 self-insurer for purposes of this chapter, the department shall
286286 multiply the amount of the certified self-insurer's liabilities for
287287 workers' compensation claims incurred in the previous year,
288288 including claims incurred but not reported, plus the amount of
289289 expense incurred by the certified self-insurer in the previous year
290290 for administration of self-insurance, including legal costs, by
291291 1.02.
292292 (c) The surcharge [tax] liability of a certified
293293 self-insurer under this section is the surcharge [tax] base
294294 computed under Subsection (b) multiplied by the rate assessed
295295 workers' compensation insurance companies under Sections 403.002
296296 and 403.003, as limited by Section 255.002(a), Insurance Code.
297297 (d) In setting the rate of the surcharge [maintenance tax
298298 assessment] for insurance companies, the commissioner of insurance
299299 may not consider revenue or expenditures related to the operation
300300 of the self-insurer program under this chapter.
301301 SECTION 22. Section 407.104, Labor Code, is amended to read
302302 as follows:
303303 Sec. 407.104. COLLECTION OF SURCHARGES [TAXES] AND FEES;
304304 ADMINISTRATIVE VIOLATION. (a) The regulatory fee imposed by
305305 Section 407.102 and the surcharge [taxes] imposed by Section
306306 407.103 are due on the 60th day after the issuance of a certificate
307307 of authority to self-insure and on the 60th day after each annual
308308 renewal date.
309309 (b) The department shall compute the fee and surcharge
310310 [taxes] of a certified self-insurer and notify the certified
311311 self-insurer of the amounts due. The surcharge [taxes] and fees
312312 shall be remitted to the division.
313313 (c) The regulatory fee imposed under Section 407.102 shall
314314 be deposited in the Texas Department of Insurance operating account
315315 to the credit of the division. The self-insurer surcharge imposed
316316 under Section 407.103 [maintenance tax] shall be deposited in the
317317 Texas Department of Insurance operating account to the credit of
318318 the division.
319319 (d) A certified self-insurer commits an administrative
320320 violation if the self-insurer does not pay the surcharge [taxes]
321321 and fee imposed under Sections 407.102 and 407.103 in a timely
322322 manner.
323323 (e) If the certificate of authority to self-insure of a
324324 certified self-insurer is terminated, the commissioner or the
325325 commissioner of insurance shall proceed immediately to collect
326326 surcharges [taxes] due under this subtitle, using legal process as
327327 necessary.
328328 SECTION 23. Section 407A.252(b), Labor Code, is amended to
329329 read as follows:
330330 (b) The commissioner has full access to the records,
331331 officers, agents, and employees of a group as necessary to complete
332332 an examination under this section. The commissioner may recover the
333333 expenses of the examination under Sections 401.151 and 401.152
334334 [Article 1.16], Insurance Code, to the extent the surcharge
335335 [maintenance tax] under Section 407A.302 does not cover those
336336 expenses.
337337 SECTION 24. The heading to Subchapter G, Chapter 407A,
338338 Labor Code, is amended to read as follows:
339339 SUBCHAPTER G. TAXES, SURCHARGES [FEES], AND ASSESSMENTS
340340 SECTION 25. Section 407A.301, Labor Code, is amended to
341341 read as follows:
342342 Sec. 407A.301. SURCHARGE [MAINTENANCE TAX] FOR DIVISION AND
343343 RESEARCH FUNCTIONS OF DEPARTMENT. (a) Each group shall pay a
344344 self-insurance group surcharge [maintenance tax] under this
345345 section for:
346346 (1) the administration of the division of workers'
347347 compensation of the department;
348348 (2) the prosecution of workers' compensation insurance
349349 fraud in this state;
350350 (3) the research functions of the department under
351351 Chapter 405; and
352352 (4) the administration of the office of injured
353353 employee counsel under Chapter 404.
354354 (b) The surcharge [tax] liability of a group under
355355 Subsections (a)(1) and (2) is based on gross premium for that [the]
356356 group's retention multiplied by the rate assessed insurance
357357 carriers under Sections 403.002 and 403.003, as limited by Section
358358 255.002(a), Insurance Code.
359359 (c) The surcharge [tax] liability of a group under
360360 Subsection (a)(3) is based on gross premium for the group's
361361 retention multiplied by the rate assessed insurance carriers under
362362 Section 405.003, as limited by Section 255.002(a), Insurance Code.
363363 (d) The surcharge [tax] under this section does not apply to
364364 premium collected by the group for excess insurance.
365365 (e) The surcharge [tax] under this section shall be
366366 collected by the comptroller as provided by Section 201.051 and
367367 Chapter 255, Insurance Code.
368368 SECTION 26. Section 407A.302, Labor Code, is amended to
369369 read as follows:
370370 Sec. 407A.302. SURCHARGE [MAINTENANCE TAX] FOR DEPARTMENT.
371371 (a) Subject to Subsection (b), each group shall pay the surcharge
372372 [maintenance tax] imposed under Chapter 255, Insurance Code, for
373373 the administrative costs incurred by the department in implementing
374374 this chapter.
375375 (b) The surcharge owed by [tax liability of] a group under
376376 this section is based on gross premium for the group's retention and
377377 does not include premium collected by the group for excess
378378 insurance.
379379 (c) The surcharge owed [maintenance tax assessed] under
380380 this section is subject to Chapter 255, Insurance Code, and shall be
381381 collected by the comptroller in the manner provided by that
382382 chapter.
383383 SECTION 27. Section 407A.303, Labor Code, is amended to
384384 read as follows:
385385 Sec. 407A.303. COLLECTION AND PAYMENT OF SURCHARGES
386386 [TAXES]. (a) The group shall remit the surcharges [taxes] for
387387 deposit in the Texas Department of Insurance operating account to
388388 the credit of the division.
389389 (b) A group commits an administrative violation if the group
390390 does not pay the surcharges [taxes] imposed under Sections 407A.301
391391 and 407A.302 in a timely manner.
392392 (c) If the certificate of approval of a group is terminated,
393393 the commissioner or the commissioner of insurance shall immediately
394394 notify the comptroller to collect surcharges [taxes] as directed
395395 under Sections 407A.301 and 407A.302.
396396 SECTION 28. The changes in law made by this Act relating to
397397 surcharges on gross workers' compensation premiums or certified
398398 self-insurers' liabilities and expenses apply only to the gross
399399 annual premiums reported or liabilities and expenses incurred for
400400 an annual period beginning on or after the effective date of this
401401 Act. Maintenance taxes imposed on gross annual workers'
402402 compensation premiums or liabilities and expenses before the
403403 effective date of this Act are governed by the law as it existed
404404 before the effective date of this Act, and the former law is
405405 continued in effect for that purpose.
406406 SECTION 29. This Act takes effect January 1, 2026.