Bill Text: TX SB18 | 2013-2014 | 83rd Legislature | Introduced
Bill Title: Relating to the establishment of the Texas Property Insurance Program and the operation of the FAIR Plan Association and the Texas Windstorm Insurance Association.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2013-03-12 - Left pending in committee [SB18 Detail]
Download: Texas-2013-SB18-Introduced.html
83R5457 TJS/PMO-F | ||
By: Carona | S.B. No. 18 |
|
||
|
||
relating to the establishment of the Texas Property Insurance | ||
Program and the operation of the FAIR Plan Association and the Texas | ||
Windstorm Insurance Association. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 2210.0081, Insurance Code, is amended to | ||
read as follows: | ||
Sec. 2210.0081. CERTAIN ACTIONS BROUGHT AGAINST | ||
ASSOCIATION BY COMMISSIONER. In an action brought by the | ||
commissioner against the association under Chapter 441, [ |
||
[ |
||
|
||
|
||
|
||
|
||
|
||
[ |
||
requirements of supervision or for the conservator to complete the | ||
conservator's duties, as applicable, is limited to three years from | ||
the date the commissioner commences the action against the | ||
association[ |
||
[ |
||
|
||
|
||
|
||
|
||
|
||
SECTION 2. Section 2210.014(b), Insurance Code, is amended | ||
to read as follows: | ||
(b) Chapter 542 does not apply to the processing and | ||
settlement of claims by the association or to an agent or | ||
representative of the association. | ||
SECTION 3. Sections 2210.056(b) and (c), Insurance Code, | ||
are amended to read as follows: | ||
(b) The association's assets may not be used for or diverted | ||
to any purpose other than to: | ||
(1) satisfy, in whole or in part, the liability of the | ||
association on claims made on policies written by the association; | ||
(2) make investments authorized under applicable law; | ||
(3) pay reasonable and necessary administrative | ||
expenses incurred in connection with the operation of the | ||
association and the processing of claims against the association; | ||
(4) satisfy, in whole or in part, the obligations of | ||
the association incurred in connection with Subchapter | ||
[ |
||
|
||
(5) make remittance under the laws of this state to be | ||
used by this state to: | ||
(A) pay claims made on policies written by the | ||
association; | ||
(B) purchase reinsurance covering losses under | ||
those policies; or | ||
(C) prepare for or mitigate the effects of | ||
catastrophic natural events. | ||
(c) On dissolution of the association, all assets of the | ||
association [ |
||
|
||
SECTION 4. Subchapter B, Chapter 2210, Insurance Code, is | ||
amended by adding Section 2210.0561 to read as follows: | ||
Sec. 2210.0561. PAYMENT OF EXCESS LOSSES; PAYMENT FROM | ||
RESERVES AND TRUST FUND. (a) If, in a catastrophe year, an | ||
occurrence or series of occurrences in a catastrophe area results | ||
in insured losses and operating expenses of the association in | ||
excess of premium and other revenue of the association, the excess | ||
losses and operating expenses shall be paid as provided by this | ||
section. | ||
(b) The association shall pay losses in excess of premium | ||
and other revenue of the association from available reserves of the | ||
association and available amounts in the catastrophe reserve trust | ||
fund. | ||
(c) Losses not paid under Subsection (b) shall be paid as | ||
follows: | ||
(1) $2 billion shall be assessed against the members | ||
of the association as provided by Subsection (d); and | ||
(2) losses in excess of those paid under Subdivision | ||
(1) shall be paid by reinsurance purchased as provided in Section | ||
2210.453. | ||
(d) The proportion of the losses allocable to each insurer | ||
under Subsection (c)(1) shall be determined in the manner used to | ||
determine each insurer's participation in the association for the | ||
year under Section 2210.052. | ||
(e) An insurer may credit an amount paid in accordance with | ||
Subsection (c)(1) in a calendar year against the insurer's premium | ||
tax under Chapter 221. The tax credit authorized under this | ||
subsection shall be allowed at a rate not to exceed 20 percent per | ||
year for five or more successive years following the year of payment | ||
of the claims. The balance of payments made by the insurer and not | ||
claimed as a premium tax credit may be reflected in the books and | ||
records of the insurer as an admitted asset of the insurer for all | ||
purposes, including exhibition in an annual statement under Section | ||
862.001. | ||
SECTION 5. Subchapter B, Chapter 2210, Insurance Code, is | ||
amended by adding Section 2210.062 to read as follows: | ||
Sec. 2210.062. ADMINISTRATION BY MANAGING GENERAL AGENT. | ||
Notwithstanding any other law, the managing general agent | ||
contracted to administer the Texas Property Insurance Program under | ||
Chapter 2214 shall manage the association and administer the plan | ||
of operation beginning January 1, 2014. | ||
SECTION 6. Section 2210.152(a), Insurance Code, is amended | ||
to read as follows: | ||
(a) The plan of operation must: | ||
(1) provide for the efficient, economical, fair, and | ||
nondiscriminatory administration of the association; and | ||
(2) include: | ||
(A) a plan for the equitable assessment of the | ||
members of the association to defray losses and expenses; | ||
(B) underwriting standards; | ||
(C) procedures for accepting and ceding | ||
reinsurance; | ||
(D) [ |
||
|
||
|
||
[ |
||
insurance to be provided to specific risks; | ||
(E) [ |
||
processing applications for insurance; and | ||
(F) [ |
||
necessary by the department to implement the purposes of this | ||
chapter. | ||
SECTION 7. Subchapter E, Chapter 2210, Insurance Code, is | ||
amended by adding Sections 2210.2022, 2210.211, 2210.212, and | ||
2210.213 to read as follows: | ||
Sec. 2210.2022. INFORMATION REQUIRED FOR CERTAIN | ||
APPLICATIONS. An application for an association policy, including | ||
an application to renew a policy, submitted after the later of the | ||
date the Texas Property Insurance Program clearinghouse | ||
established under Chapter 2214 becomes operational or January 1, | ||
2014, must include information on the applicant's policy, if any, | ||
that covers perils other than windstorm and hail, if any, | ||
including: | ||
(1) the total premium for that policy, including a | ||
policy number for coverage issued by the FAIR Plan Association | ||
under Chapter 2211, if applicable, and: | ||
(A) the amount of insurance on the dwelling; or | ||
(B) if the policy is a tenant's or condominium | ||
owner's policy, the insured amount for the contents coverage; | ||
(2) for liability coverage, liability limits for: | ||
(A) personal liability coverage; | ||
(B) medical payments coverage; and | ||
(C) additional living expenses coverage when the | ||
structure is uninhabitable due to damage resulting from an incurred | ||
insured loss; and | ||
(3) the deductibles applicable for each policy. | ||
Sec. 2210.211. MANDATORY MIGRATION OF CERTAIN INSUREDS TO | ||
TEXAS PROPERTY INSURANCE PROGRAM. (a) On the later of the date the | ||
Texas Property Insurance Program clearinghouse established under | ||
Chapter 2214 becomes operational or January 1, 2014, the managing | ||
general agent contracted to administer the clearinghouse under that | ||
chapter shall make a database of association policies available to | ||
all insurers through the clearinghouse for the purpose of | ||
soliciting offers of coverage. | ||
(b) The database must include information on each insured's | ||
association policy and any policy that covers other perils, if | ||
known, including: | ||
(1) the insured's total premium amount on the | ||
association policy; and | ||
(2) for coverage for perils other than windstorm and | ||
hail: | ||
(A) the total premium for that policy, including | ||
a policy issued by the FAIR Plan Association under Chapter 2211, if | ||
applicable, and: | ||
(i) the amount of insurance on the | ||
dwelling; or | ||
(ii) if the policy is a tenant's or | ||
condominium owner's policy, the insured amount for the contents | ||
coverage; | ||
(B) liability limits for liability coverage for: | ||
(i) personal liability coverage; | ||
(ii) medical payments coverage; and | ||
(iii) additional living expenses coverage | ||
when the structure is uninhabitable due to damage resulting from an | ||
incurred insured loss; and | ||
(C) the deductibles applicable for each policy. | ||
(c) If the insured does not have coverage for perils other | ||
than windstorm and hail to provide the information required under | ||
Subsection (b), the managing general agent shall use the applicable | ||
rate for FAIR Plan Association coverage. | ||
(d) The association shall assign the association's rights | ||
and duties under the association policy to an insurer that makes an | ||
offer of coverage through the clearinghouse that provides: | ||
(1) the same or greater limits for coverages listed in | ||
Subsection (b) than are provided by those coverages; | ||
(2) deductibles for coverages that are listed in | ||
Subsection (b) that are not greater than the deductibles on those | ||
coverages; and | ||
(3) a premium per dollar of coverage that is not | ||
greater than the insured's current combined premium per dollar of | ||
coverage for coverages listed in Subsection (b). | ||
(e) The rate calculation method described by Section | ||
2214.402 shall be used to calculate premium per dollar of coverage | ||
in this section. | ||
Sec. 2210.212. RESIDENTIAL INSURANCE PROHIBITED. | ||
Notwithstanding any other law, the association may not: | ||
(1) on or after April 1, 2015, issue any form of | ||
coverage on a residential structure or corporeal movable property | ||
contained in or about a dwelling that the association has not | ||
continuously insured for the 12-month period immediately preceding | ||
the date of application; and | ||
(2) on or after October 1, 2015, issue any form of | ||
coverage on a residential structure or corporeal movable property | ||
contained in or about a dwelling. | ||
Sec. 2210.213. RESIDENTIAL INSURANCE RENEWAL. (a) | ||
Notwithstanding any other law, after April 1, 2015, the association | ||
may not renew any form of coverage on a residential structure or | ||
corporeal movable property in or about a dwelling unless an | ||
application is first made through the Texas Property Insurance | ||
Program clearinghouse established under Chapter 2214. | ||
(b) The information and other materials required under | ||
Section 2214.351 must be submitted to the managing general agent, | ||
as provided by that section, at least 30 days but not more than 45 | ||
days before the expiration of the association policy and must | ||
comply with all requirements for an application under that section, | ||
except that the applicant shall submit the premium required for | ||
renewal of association coverage in lieu of the premium required by | ||
that section. | ||
(c) An applicant's agent must submit each offer of coverage | ||
received from the clearinghouse to the applicant. | ||
(d) The application must include information on the | ||
applicant's association policy and any policy that covers other | ||
perils, including: | ||
(1) the applicant's association policy number and | ||
total premium amount on that policy; and | ||
(2) for coverage for perils other than windstorm and | ||
hail: | ||
(A) the total premium for that policy, including | ||
a policy number for coverage issued by the FAIR Plan Association | ||
under Chapter 2211, if applicable, and: | ||
(i) the amount of insurance on the | ||
dwelling; or | ||
(ii) if the policy is a tenant's or | ||
condominium owner's policy, the insured amount for the contents | ||
coverage; | ||
(B) liability limits for liability coverage for: | ||
(i) personal liability coverage; | ||
(ii) medical payments coverage; and | ||
(iii) additional living expenses coverage | ||
when the structure is uninhabitable due to damage resulting from an | ||
incurred insured loss; and | ||
(C) the deductibles applicable for each policy. | ||
(e) If the applicant does not have coverage for perils other | ||
than windstorm and hail to provide the information required under | ||
Subsection (d), the managing general agent shall use the applicable | ||
rate for FAIR Plan Association coverage that would have applied | ||
except for Section 2211.1515. | ||
(f) Notwithstanding Section 2214.352, assigned coverage is | ||
not bound on the submission of an application under this section. | ||
(g) The applicant may not renew association coverage if the | ||
applicant receives an offer for Texas Property Insurance Program | ||
coverage that provides: | ||
(1) the same or greater limits for coverages listed in | ||
Subsection (d) than are provided by those coverages; | ||
(2) deductibles for coverages that are listed in | ||
Subsection (d) that are not greater than the deductibles on those | ||
coverages; and | ||
(3) a premium per dollar of coverage that is not | ||
greater than 110 percent of the applicant's current combined | ||
premium per dollar of coverage for coverages listed in Subsection | ||
(d). | ||
(h) The rate calculation method described by Section | ||
2214.402 shall be used to calculate premium per dollar of coverage | ||
in this section. | ||
(i) If the applicant accepts an offer of coverage placed | ||
through the Texas Property Insurance Program clearinghouse under | ||
this section, the applicant's agent has exclusive use of | ||
expirations on the business as provided by Section 2214.551. | ||
SECTION 8. Section 2210.355(b), Insurance Code, is amended | ||
to read as follows: | ||
(b) In adopting rates under this chapter, the following must | ||
be considered: | ||
(1) the past and prospective loss experience within | ||
and outside this state of hazards for which insurance is made | ||
available through the plan of operation, if any; | ||
(2) expenses of operation, including acquisition | ||
costs; | ||
(3) a reasonable margin for profit and contingencies; | ||
and | ||
(4) [ |
||
|
||
|
||
|
||
|
||
[ |
||
this state. | ||
SECTION 9. Section 2210.363(a), Insurance Code, is amended | ||
to read as follows: | ||
(a) The association may offer a person insured under this | ||
chapter an actuarially justified premium discount on a policy | ||
issued by the association, or an actuarially justified credit | ||
against a surcharge assessed against the person, [ |
||
|
||
(1) the construction, alteration, remodeling, | ||
enlargement, or repair of, or an addition to, insurable property | ||
exceeds applicable building code standards set forth in the plan of | ||
operation; or | ||
(2) the person elects to purchase a binding | ||
arbitration endorsement under Section 2210.554. | ||
SECTION 10. Subchapter H, Chapter 2210, Insurance Code, is | ||
amended by adding Section 2210.364 to read as follows: | ||
Sec. 2210.364. RATES FOR CERTAIN POLICIES. Notwithstanding | ||
any other provision of this subchapter, on or after the later of the | ||
date the Texas Property Insurance Program clearinghouse | ||
established under Chapter 2214 becomes operational or January 1, | ||
2014, any new coverage issued by the association on a residential | ||
structure and corporeal movable property located in or about a | ||
dwelling must use rates that, as closely as practicable, reflect | ||
the market rate for each rating class or territory. The market rate | ||
must be calculated in accordance with the rate calculation method | ||
required by Section 2214.402. | ||
SECTION 11. Section 2210.452(c), Insurance Code, is amended | ||
to read as follows: | ||
(c) At the end of each calendar year or policy year, the | ||
association shall use the net gain from operations of the | ||
association, including all premium and other revenue of the | ||
association in excess of incurred losses and [ |
||
expenses, [ |
||
|
||
procure reinsurance, or to make payments to the trust fund and to | ||
procure reinsurance. | ||
SECTION 12. Subchapter J, Chapter 2210, Insurance Code, is | ||
amended by adding Section 2210.4521 to read as follows: | ||
Sec. 2210.4521. TRUST FUND ASSESSMENT. (a) In addition to | ||
other funding sources, the trust fund shall be funded by a surcharge | ||
assessed on all policyholders of policies that cover insured | ||
property that is located in this state, including automobiles. The | ||
premium surcharge shall be assessed on each Texas windstorm and | ||
hail insurance policy and each property and casualty insurance | ||
policy, including an automobile insurance policy, issued or renewed | ||
on or after January 1, 2014. | ||
(b) The premium surcharge under Subsection (a) applies to: | ||
(1) all policies written under the following lines of | ||
insurance: | ||
(A) fire and allied lines; | ||
(B) farm and ranch owners; | ||
(C) residential property insurance; | ||
(D) private passenger automobile liability and | ||
physical damage insurance; and | ||
(E) commercial automobile liability and physical | ||
damage insurance; and | ||
(2) the property insurance portion of a commercial | ||
multiple peril insurance policy. | ||
(c) A premium surcharge under this section is a separate | ||
charge in addition to the premiums collected and is not subject to | ||
premium tax or commissions. Failure by a policyholder to pay the | ||
surcharge constitutes failure to pay premium for purposes of policy | ||
cancellation. | ||
(d) The amount of the surcharge for property and automobiles | ||
located in the catastrophe area shall be five percent. | ||
(e) The amount of the surcharge for property and automobiles | ||
not located in the catastrophe area shall be one percent. | ||
(f) The surcharge shall be collected on all policies issued | ||
or renewed on or after January 1, 2014, through September 30, 2016, | ||
except the commissioner may order that surcharges cease prior to | ||
September 30, 2016, if the commissioner determines that the | ||
association has sufficient funds in the catastrophe reserve trust | ||
fund. | ||
(g) Insurers, including the association, the Texas FAIR | ||
Plan Association, and insurers issuing policies for the Texas | ||
Automobile Insurance Plan Association, shall collect the surcharge | ||
under this section. | ||
SECTION 13. Section 2210.453, Insurance Code, is amended to | ||
read as follows: | ||
Sec. 2210.453. REINSURANCE. (a) Except as provided by | ||
Subsection (b), the association shall annually purchase | ||
reinsurance in the amount of $2 billion. | ||
(b) The amount of reinsurance purchased under Subsection | ||
(a) may not raise the funding sources available to the association | ||
under Sections 2210.0561(b) and (c)(1) to an amount greater than $5 | ||
billion. | ||
(c) The association shall assess member insurers the cost of | ||
reinsurance purchased under this section. The proportion of the | ||
reinsurance cost allocable to each insurer under this section shall | ||
be determined in the manner used to determine each insurer's | ||
participation in the association for the year under Section | ||
2210.052. [ |
||
[ |
||
[ |
||
[ |
||
|
||
|
||
[ |
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
[ |
||
|
||
|
||
|
||
|
||
|
||
[ |
||
|
||
|
||
|
||
[ |
||
|
||
|
||
|
||
|
||
|
||
[ |
||
|
||
|
||
|
||
|
||
[ |
||
|
||
|
||
SECTION 14. Subchapter K, Chapter 2210, Insurance Code, is | ||
amended by adding Section 2210.507 to read as follows: | ||
Sec. 2210.507. LIABILITY LIMITS AND DEDUCTIBLES ON CERTAIN | ||
POLICIES. (a) Notwithstanding any other provision of this | ||
subchapter, on or after the later of the date the Texas Property | ||
Insurance Program clearinghouse established under Chapter 2214 | ||
becomes operational or January 1, 2014, the maximum liability limit | ||
for coverage issued on a residential structure and the corporeal | ||
movable property located in or about a dwelling may not exceed | ||
$500,000. | ||
(b) An association policy described by Subsection (a) must | ||
have a standard deductible of five percent of the dwelling coverage | ||
amount for losses due to a covered peril. | ||
SECTION 15. Subchapter L-1, Chapter 2210, Insurance Code, | ||
is amended by adding Section 2210.5725 to read as follows: | ||
Sec. 2210.5725. ASSOCIATION CLAIMS PROCESSING. (a) An | ||
insurer that has primary coverage on property for loss by fire must | ||
adjust all claims made on or after June 1, 2013, on an association | ||
policy covering the same property if the insurer excludes coverage | ||
for the perils of windstorm and hail on more than 10 percent of the | ||
insurance policies the insurer writes in the catastrophe area. | ||
(b) An insurer not subject to Subsection (a) may adjust | ||
claims made after June 1, 2013, on an association policy covering | ||
the property that the insurer covers for loss by fire. | ||
(c) An insurer acting under this section is an agent of the | ||
association for purposes of Sections 2210.014 and 2210.572 and | ||
shall process claims as prescribed by this chapter and the plan of | ||
operation. | ||
(d) An insurer acting under this section is not liable for | ||
any amount payable under the terms of the association policy. | ||
SECTION 16. Subchapter B, Chapter 2211, Insurance Code, is | ||
amended by adding Sections 2211.0522 and 2211.0555 to read as | ||
follows: | ||
Sec. 2211.0522. ADMINISTRATION BY MANAGING GENERAL AGENT. | ||
Notwithstanding Section 2211.052 or any other law, the managing | ||
general agent contracted to administer the Texas Property Insurance | ||
Program under Chapter 2214 shall manage the association and | ||
administer the plan of operation beginning January 1, 2014. | ||
Sec. 2211.0555. ASSOCIATION CLAIMS PROCESSING. (a) The | ||
managing general agent contracted to operate the Texas Property | ||
Insurance Program under Chapter 2214 shall adjust claims made on or | ||
after January 1, 2014, on an association policy. | ||
(b) The managing general agent is not liable for any amount | ||
payable under the terms of an association policy. | ||
SECTION 17. Subchapter D, Chapter 2211, Insurance Code, is | ||
amended by adding Sections 2211.1514, 2211.1515, and 2211.1516 to | ||
read as follows: | ||
Sec. 2211.1514. MANDATORY MIGRATION OF CERTAIN | ||
POLICYHOLDERS TO TEXAS PROPERTY INSURANCE PROGRAM. (a) On the | ||
later of the date the Texas Property Insurance Program | ||
clearinghouse established under Chapter 2214 becomes operational | ||
or January 1, 2014, the managing general agent contracted to | ||
administer the clearinghouse under that chapter shall make a | ||
database of association policies available to all insurers through | ||
the clearinghouse for the purpose of soliciting offers of coverage. | ||
(b) The database must include information on each insured's | ||
association policy and any policy that covers other perils, if | ||
known, including: | ||
(1) the insured's total premium amount on the | ||
association policy; | ||
(2) the total premium for a policy that covers losses | ||
due to windstorm and hail, if any, including a policy issued by the | ||
Texas Windstorm Insurance Association under Chapter 2210, if | ||
applicable, and: | ||
(A) the amount of insurance on the dwelling; or | ||
(B) if the policy is a tenant's or condominium | ||
owner's policy, the insured amount for the contents coverage; | ||
(3) for any policy providing applicable liability | ||
coverage, liability limits for: | ||
(A) personal liability coverage; | ||
(B) medical payments coverage; and | ||
(C) additional living expenses coverage when the | ||
structure is uninhabitable due to damage resulting from an incurred | ||
insured loss; and | ||
(4) the deductibles applicable for each policy. | ||
(c) The association shall assign the association's rights | ||
and duties under the association policy to an insurer that makes an | ||
offer of coverage through the clearinghouse that provides: | ||
(1) the same or greater limits for coverages listed in | ||
Subsection (b) than are provided by those coverages; | ||
(2) deductibles for coverages that are listed in | ||
Subsection (b) that are not greater than the deductibles on those | ||
coverages; and | ||
(3) a premium per dollar of coverage that is not | ||
greater than the insured's current combined premium per dollar of | ||
coverage for coverages listed in Subsection (b). | ||
(d) The rate calculation method described by Section | ||
2214.402 shall be used to calculate premium per dollar of coverage | ||
in this section. | ||
Sec. 2211.1515. RESIDENTIAL PROPERTY INSURANCE PROHIBITED. | ||
Notwithstanding any other law, the association may not: | ||
(1) on or after April 15, 2015, issue any form of | ||
coverage on residential real or tangible personal property that the | ||
association has not continuously insured for the 12-month period | ||
immediately preceding the date of application; and | ||
(2) on or after October 1, 2015, issue any form of | ||
coverage on residential real or tangible personal property. | ||
Sec. 2211.1516. RESIDENTIAL PROPERTY INSURANCE RENEWAL. | ||
(a) Notwithstanding any other law, after April 15, 2015, the | ||
association may not renew any form of coverage on residential real | ||
or tangible personal property unless an application is first made | ||
through the Texas Property Insurance Program clearinghouse | ||
established under Chapter 2214. | ||
(b) The information required under Section 2214.351 must be | ||
submitted to the managing general agent, as provided by that | ||
section, at least 30 days but not more than 45 days before the | ||
expiration of the association policy, and must comply with all | ||
requirements for an application under that section, except that the | ||
applicant may submit the premium required for renewal of | ||
association coverage in lieu of the premium required under that | ||
section. | ||
(c) An applicant's agent must submit each offer of coverage | ||
received from the clearinghouse to the applicant. | ||
(d) The application must include information on the | ||
applicant's association policy and any policy that covers other | ||
perils, including: | ||
(1) the applicant's association policy number and | ||
total premium amount on that policy; | ||
(2) for coverage for windstorm and hail, if not | ||
covered by the association policy, the total premium for that | ||
policy, including a policy number for coverage issued by the Texas | ||
Windstorm Insurance Association under Chapter 2210, if any, and: | ||
(A) the amount of insurance on the dwelling; or | ||
(B) if the policy is a tenant's or condominium | ||
owner's policy, the insured amount for the contents coverage; | ||
(3) for liability coverage, liability limits for: | ||
(A) personal liability coverage; | ||
(B) medical payments coverage; and | ||
(C) additional living expenses coverage when the | ||
structure is uninhabitable due to damage resulting from an incurred | ||
insured loss; and | ||
(4) the deductibles applicable for each policy. | ||
(e) If the applicant does not have windstorm and hail | ||
coverage to provide the information required under Subsection (d), | ||
the managing general agent shall use the applicable rate for Texas | ||
Windstorm Insurance Association coverage that would have applied | ||
except for Section 2210.364. | ||
(f) Notwithstanding the requirements of Section 2214.352, | ||
assigned coverage is not bound upon the submission of an | ||
application under this section. | ||
(g) The applicant may not renew association coverage if the | ||
applicant receives an offer for coverage that provides: | ||
(1) the same or greater limits for coverages listed in | ||
Subsection (d) than are provided by those coverages; | ||
(2) deductibles for coverages that are listed in | ||
Subsection (d) that are greater than the deductibles on those | ||
coverages; and | ||
(3) a premium per dollar of coverage that is not | ||
greater than 110 percent of the applicant's current combined | ||
premium per dollar of coverage for coverages listed in Subsection | ||
(d). | ||
(h) The method described by Section 2214.402 shall be used | ||
to calculate premium per dollar of coverage in this section. | ||
(i) If the applicant accepts an offer of coverage placed | ||
through the Texas Property Insurance Program clearinghouse under | ||
this section, the applicant's agent shall have exclusive use of | ||
expirations on the business as provided by Section 2214.551. | ||
SECTION 18. Subtitle G, Title 10, Insurance Code, is | ||
amended by adding Chapter 2214 to read as follows: | ||
CHAPTER 2214. TEXAS PROPERTY INSURANCE PROGRAM | ||
SUBCHAPTER A. GENERAL PROVISIONS | ||
Sec. 2214.001. DEFINITIONS. In this chapter: | ||
(1) "Affiliated group of insurers" means two or more | ||
insurers that are subject to common ownership or that operate in | ||
this state under common management or control. | ||
(2) "Applicant" means an applicant for a program | ||
policy and includes a policyholder renewing coverage. | ||
(3) "Clearinghouse" means the electronic property | ||
insurance clearinghouse established under Subchapter C. | ||
(4) "Insurer" means an authorized insurer writing | ||
residential property insurance in this state, including: | ||
(A) a Lloyd's plan; | ||
(B) a reciprocal or interinsurance exchange; | ||
(C) a farm mutual insurance company operating | ||
under Chapter 911; | ||
(D) a county mutual insurance company, including | ||
a nonaffiliated county mutual fire insurance company described by | ||
Section 912.310 that is writing exclusively industrial fire | ||
insurance policies as described by Section 912.310(a)(2); and | ||
(E) a mutual insurance company or a statewide | ||
mutual assessment company engaged in business under Chapter 12 or | ||
13, Title 78, Revised Statutes, respectively, before those | ||
chapters' repeal by Section 18, Chapter 40, Acts of the 41st | ||
Legislature, 1st Called Session, 1929, as amended by Section 1, | ||
Chapter 60, General Laws, Acts of the 41st Legislature, 2nd Called | ||
Session, 1929, that retains the rights and privileges under the | ||
repealed law to the extent provided by those sections. | ||
(5) "Managing general agent" means the managing | ||
general agent licensed under Chapter 4053 and contractually | ||
retained to administer the plan of operation. | ||
(6) "Program" means the Texas Property Insurance | ||
Program established under this chapter. | ||
(7) "Program policy" means a residential insurance | ||
policy issued using a form promulgated by the commissioner under | ||
Subchapter M. | ||
(8) "Residential property insurance" means insurance | ||
coverage against loss to real or tangible personal property at a | ||
fixed location that is provided through a homeowners insurance | ||
policy, including a tenants insurance policy, a condominium owners | ||
insurance policy, or a residential dwelling fire and allied lines | ||
insurance policy. | ||
Sec. 2214.002. STATEWIDE APPLICATION. The program applies | ||
throughout the state and is not limited to any particular | ||
geographic region. | ||
Sec. 2214.003. COMMISSIONER IMPLEMENTATION AUTHORITY. (a) | ||
The commissioner may issue any order that the commissioner | ||
considers necessary to implement this chapter. | ||
(b) The commissioner may adopt rules in the manner | ||
prescribed by Subchapter A, Chapter 36, as reasonable and necessary | ||
to implement this chapter. | ||
Sec. 2214.004. APPEALS TO COMMISSIONER AND JUDICIAL REVIEW. | ||
(a) An applicant or affected insurer may appeal an action of the | ||
managing general agent to the managing general agent. The managing | ||
general agent's decision may be appealed to the commissioner not | ||
later than the 30th day after the date of the managing general | ||
agent's decision. | ||
(b) The commissioner may refer an appeal under this section | ||
to the State Office of Administrative Hearings. | ||
(c) An order or decision issued by the commissioner under | ||
this chapter is subject to judicial review in accordance with | ||
Subchapter D, Chapter 36. | ||
Sec. 2214.005. DATA COLLECTION. The commissioner may | ||
require each insurer to submit information necessary to implement | ||
this chapter, including information necessary to establish the | ||
assignment algorithm described by Section 2214.052. | ||
Sec. 2214.006. PREMIUM AND OTHER CHARGES EXCLUSIVE. An | ||
agent or insurer may not charge an applicant or insured any fee or | ||
other amount not authorized by this chapter. | ||
SUBCHAPTER B. INSURER PARTICIPATION | ||
Sec. 2214.051. PARTICIPATION REQUIREMENT. (a) Except as | ||
otherwise provided by this section, on or after April 1, 2015, each | ||
insurer, as a condition of the insurer's authority to engage in the | ||
business of residential property insurance in this state, shall | ||
participate in the program as provided by this chapter, including | ||
accepting program policy assignments through the clearinghouse in | ||
accordance with this chapter. | ||
(b) An insurer may not be assigned an insurance policy | ||
through the clearinghouse if: | ||
(1) the insurer has a surplus of less than $10 million; | ||
or | ||
(2) the insurer or, if applicable, the affiliated | ||
group of insurers to which the insurer belongs, has statewide | ||
residential property insurance premium of less than $25 million and | ||
the insurer is independently operating as: | ||
(A) a farm mutual insurance company operating | ||
under Chapter 911; | ||
(B) a nonaffiliated county mutual fire insurance | ||
company described by Section 912.310 that is writing exclusively | ||
industrial fire insurance policies as described by Section | ||
912.310(a)(2); or | ||
(C) a mutual insurance company or a statewide | ||
mutual assessment company engaged in business under Chapter 12 or | ||
13, Title 78, Revised Statutes, respectively, before those | ||
chapters' repeal by Section 18, Chapter 40, Acts of the 41st | ||
Legislature, 1st Called Session, 1929, as amended by Section 1, | ||
Chapter 60, General Laws, Acts of the 41st Legislature, 2nd Called | ||
Session, 1929, that retains the rights and privileges under the | ||
repealed law to the extent provided by those sections. | ||
(c) The Texas Windstorm Insurance Association established | ||
by Chapter 2210 and the FAIR Plan Association established by | ||
Chapter 2211 may not participate in the program for any purpose. | ||
Sec. 2214.052. ASSIGNMENT ALGORITHM. (a) The managing | ||
general agent shall develop an algorithm to determine the | ||
assignment of coverage under Section 2214.352 in accordance with | ||
this section. The assignment algorithm is subject to approval by | ||
the commissioner and must be included in the plan of operation. | ||
(b) The assignment algorithm developed under this section | ||
must provide that each insurer's participation in the program be | ||
based on the insurer's risk-adjusted exposure in this state during | ||
the preceding relevant period as determined under Section 2214.053, | ||
in the proportion that the insurer's risk-adjusted exposure bears | ||
to the aggregate risk-adjusted exposure in this state of all | ||
participating insurers for that period as determined under Section | ||
2214.053. | ||
(c) For purposes of determining risk-adjusted exposure | ||
under Subsection (b), an insurer shall receive a risk-based | ||
exposure credit for residential property insurance voluntarily | ||
written. | ||
(d) For purposes of determining program participation | ||
requirements, an affiliated group of insurers are treated as a | ||
single insurer. | ||
(e) The managing general agent shall review the assignment | ||
algorithm at least once every three years. | ||
Sec. 2214.053. COMPUTATION OF ASSIGNMENT RATIOS. (a) Not | ||
later than January 1 of each year, the managing general agent shall | ||
compute each insurer's risk-adjusted exposure based on information | ||
the department provides to the managing general agent. The | ||
department shall provide the information necessary to comply with | ||
this section not later than September 30 of the preceding year. | ||
(b) If the managing general agent determines, in accordance | ||
with the plan of operation, that a participating insurer can no | ||
longer participate in the program, the managing general agent shall | ||
immediately: | ||
(1) recompute the risk-adjusted exposure assignment | ||
ratios to exclude from the ratios assignment to that insurer; and | ||
(2) redistribute assignments among the remaining | ||
participating insurers. | ||
(c) At least quarterly, the managing general agent shall | ||
recompute the risk-adjusted exposure assignment ratios to adjust | ||
for assignments and other insurer writings. | ||
(d) The managing general agent shall review the formula and | ||
method for determining the risk-adjusted exposure assignment | ||
ratios and assigning policies at least once every three years. | ||
Sec. 2214.054. MANDATORY OFFER OF COVERAGE. (a) An insurer | ||
shall offer a program policy to each person who applies to the | ||
insurer for residential property insurance on or after April 1, | ||
2014, if the person meets the insurer's underwriting guidelines for | ||
a program policy voluntarily written by the insurer. | ||
(b) The insurer's underwriting guidelines for a program | ||
policy voluntarily written by the insurer must not differ | ||
substantially from the insurer's other residential property | ||
insurance underwriting guidelines, unless the differences are | ||
actuarially justified and substantially commensurate with the | ||
contemplated risk as a result of differences in coverage offered | ||
under the program policy. | ||
(c) Each insurer must submit the insurer's program policy | ||
underwriting guidelines for a program policy voluntarily written by | ||
the insurer under Section 38.002. | ||
(d) Subsection (a) does not apply to applications submitted | ||
through the clearinghouse. | ||
Sec. 2214.055. CLAIMS. Each insurer shall adjust and pay | ||
each claim made on a program policy assigned to or voluntarily | ||
written by the insurer. | ||
SUBCHAPTER C. ELECTRONIC PROPERTY INSURANCE CLEARINGHOUSE | ||
Sec. 2214.101. ELECTRONIC PROPERTY INSURANCE | ||
CLEARINGHOUSE. The department shall establish and maintain an | ||
electronic property insurance clearinghouse through which an agent | ||
may submit a residential property insurance application, including | ||
a program policy application, to insurers to solicit offers of | ||
coverage. | ||
Sec. 2214.102. CONTRACT WITH VENDOR. The commissioner may | ||
enter into a contract with a vendor to establish the clearinghouse, | ||
including a contract for: | ||
(1) the purchase of hardware; or | ||
(2) the development of software and technology. | ||
Sec. 2214.103. ASSESSMENT TO ESTABLISH CLEARINGHOUSE. (a) | ||
After notice and opportunity for hearing, the commissioner shall | ||
assess insurers participating in the Texas Windstorm Insurance | ||
Association under Chapter 2210 for the necessary cost to establish | ||
the clearinghouse. Each insurer's proportion of the assessment | ||
shall be based on the insurer's participation level as determined | ||
in Section 2210.052. | ||
(b) The commissioner may make one or more assessments under | ||
this section. | ||
(c) The department shall return to the insurers assessed | ||
under this section any money collected under this section that is | ||
not used to establish the clearinghouse. | ||
Sec. 2214.104. COMMISSIONS, FEES, AND ASSESSMENTS TO | ||
MAINTAIN AND ADMINISTER CLEARINGHOUSE. (a) The managing general | ||
agent may charge an applicant a fee or collect a commission as | ||
necessary to provide for the cost of administering and maintaining | ||
the clearinghouse. The fee and commission rates must be specified | ||
in the managing general agent's contract with the department. | ||
(b) If the amount of the fees and commissions collected by | ||
the managing general agent is not sufficient to meet the minimum | ||
costs of maintaining and administering the clearinghouse, the | ||
commissioner may assess insurers for the amount necessary to | ||
maintain and administer the clearinghouse based on the insurer's | ||
participation level as determined under Section 2214.052. | ||
Sec. 2214.105. HARDWARE AND PROPRIETARY INFORMATION. (a) | ||
Any hardware purchased under this subchapter and any information, | ||
analyses, programs, or data acquired or created by a vendor under a | ||
contract under this subchapter are property of the state. | ||
(b) Information, analyses, programs, or data described by | ||
Subsection (a) are confidential and exempt from public disclosure | ||
under Chapter 552, Government Code. | ||
SUBCHAPTER D. MANAGING GENERAL AGENT | ||
Sec. 2214.151. MANAGING GENERAL AGENT CONTRACT. (a) The | ||
department may contract with a managing general agent to administer | ||
the program plan of operation, including administering and | ||
maintaining the clearinghouse. | ||
(b) The commissioner shall supervise the managing general | ||
agent in the function of the agent's duties and the implementation | ||
of this chapter. The commissioner may require the managing general | ||
agent to: | ||
(1) correspond directly with insurers, agents, and | ||
applicants with regard to the administration of the clearinghouse; | ||
(2) collect and remit premiums for policies processed | ||
through the clearinghouse directly from and to insurers, agents, | ||
and applicants; | ||
(3) collect fees and commissions for administration of | ||
the program directly from insurers, agents, and applicants; | ||
(4) provide for the administration and maintenance of | ||
the clearinghouse; | ||
(5) provide reports concerning risks insured under | ||
this chapter as the commissioner considers necessary; and | ||
(6) perform any other duties required under this | ||
chapter. | ||
(c) Except as provided by Sections 2210.062 and 2211.0555, | ||
the managing general agent may not adjust or process claims or | ||
complaints related to program policies or coverage. | ||
(d) The term of the managing general agent contract may not | ||
exceed five years. | ||
(e) In awarding a contract to a managing general agent under | ||
this section, the commissioner shall, to the extent the | ||
commissioner considers practicable, consider the effect of any | ||
affiliation, common ownership or control, or other potential | ||
conflict of interest between the managing general agent and a | ||
participating insurer. | ||
Sec. 2214.152. COMPENSATION OF MANAGING GENERAL AGENT. The | ||
contract between the commissioner and the managing general agent | ||
must specify the managing general agent's minimum compensation. | ||
The compensation must be based in part on reasonable projections of | ||
the cost to administer and maintain the clearinghouse. | ||
Sec. 2214.153. PROPRIETARY INFORMATION. (a) Any | ||
information, analyses, programs, or data acquired or created by the | ||
managing general agent under a contract under this subchapter are | ||
property of the state. | ||
(b) Information, analyses, programs, or data described by | ||
Subsection (a) are confidential and exempt from public disclosure | ||
under Chapter 552, Government Code. | ||
Sec. 2214.154. OFFICE; RECORDS. (a) The managing general | ||
agent shall maintain an office in Austin, Texas. | ||
(b) Records and other information relating to the operation | ||
of the program must be maintained in the managing general agent's | ||
Austin office. | ||
Sec. 2214.155. AUDIT. The managing general agent is | ||
subject to audit by the commissioner and shall pay the costs | ||
incurred by the commissioner in performing an audit under this | ||
section. | ||
Sec. 2214.156. ANNUAL REPORT TO COMMISSIONER. Not later | ||
than March 1 of each year, the managing general agent shall submit a | ||
report to the commissioner regarding the operation of the program. | ||
The report must be made in accordance with the terms of the managing | ||
general agent's contract with the department. | ||
SUBCHAPTER E. PLAN OF OPERATION | ||
Sec. 2214.201. PLAN OF OPERATION; AMENDMENTS. (a) The | ||
managing general agent shall administer the program under a plan of | ||
operation approved by the commissioner after notice and opportunity | ||
for hearing. | ||
(b) The plan of operation must provide for: | ||
(1) the efficient, economical, fair, and | ||
nondiscriminatory administration of the program; and | ||
(2) automated electronic insurance transactions | ||
between insurers, agents, and the managing general agent, including | ||
the clearinghouse. | ||
(c) The commissioner may amend the plan of operation as | ||
necessary after notice and opportunity for hearing. | ||
SUBCHAPTER F. ELIGIBLE PROPERTY | ||
Sec. 2214.251. ELIGIBILITY REQUIREMENTS. (a) The managing | ||
general agent may not assign or bind program coverage and an insurer | ||
may not issue or renew assigned program coverage for a risk, unless: | ||
(1) the risk is insurable property; | ||
(2) the property is covered by a flood insurance | ||
policy if all or any part of the property is located in Zone V or | ||
another similar zone with an additional hazard associated with | ||
storm waves, as defined by the National Flood Insurance Program, | ||
and if flood insurance under that federal program is available, | ||
except that the flood insurance coverage policy need not exceed the | ||
lesser of the amount of program coverage applied for or the maximum | ||
amount of available National Flood Insurance Program flood | ||
insurance; and | ||
(3) after diligent efforts, the applicant and the | ||
applicant's agent are unable to obtain residential property | ||
insurance through the voluntary market, as evidenced by one | ||
declination from an insurer authorized to engage in the business | ||
of, and writing, residential property insurance in this state. | ||
(b) An insurer's refusal to offer, or an applicant's | ||
inability to obtain, insurance coverage that is substantially | ||
equivalent to insurance coverage available through a program policy | ||
constitutes a declination for purposes of this section. | ||
Sec. 2214.252. CONFIRMATION OF DECLINATION. (a) An | ||
applicant's agent shall document and maintain evidence of the | ||
declination required by Section 2214.251, including the name of the | ||
insurer that provided the declination, for review and audit by the | ||
managing general agent on request. | ||
(b) The agent must submit an electronic certification with | ||
the electronic program application under Section 2214.351 | ||
confirming the declination and providing the name of the insurer. | ||
Sec. 2214.253. CONFIRMATION OF FLOOD INSURANCE. (a) For an | ||
applicant that must provide the proof of flood insurance required | ||
under Section 2214.251, the agent submitting the application for | ||
new or renewal program residential property insurance coverage | ||
must: | ||
(1) document and maintain evidence of the required | ||
flood insurance policy for review and audit by the managing general | ||
agent on request; | ||
(2) submit an electronic certification with the | ||
electronic program application under Section 2214.351 that flood | ||
insurance, if required, is in force; and | ||
(3) submit for review and audit the policy or binder | ||
for flood insurance coverage to the managing general agent not | ||
later than the 10th day after the date of notice of a request by the | ||
managing general agent. | ||
(b) The assigned insurer may cancel a program policy after | ||
10 days' written notice to the managing general agent, insured's | ||
agent, and policyholder if the flood insurance coverage required | ||
under Section 2214.251 is not in force, is not renewed, or is | ||
canceled. | ||
Sec. 2214.254. DEFINITION OF INSURABLE PROPERTY. (a) | ||
"Insurable property" means immovable property at a fixed location | ||
in this state, or tangible property located in that immovable | ||
property, that has been inspected under Section 2214.301 and | ||
determined to be in an insurable condition against the perils | ||
covered by the program policy, as determined by the underwriting | ||
guidelines adopted in the plan of operation. | ||
(b) For purposes of this chapter, a residential structure | ||
located within an area designated as a unit under the Coastal | ||
Barrier Resources Act (16 U.S.C. Section 3501) is insurable | ||
property if: | ||
(1) the residential structure is not: | ||
(A) a condominium, apartment, duplex, or other | ||
multifamily residence; or | ||
(B) a hotel or resort facility; | ||
(2) a building permit or plat for the residential | ||
structure was filed with the municipality, the county, or the | ||
United States Army Corps of Engineers before June 11, 2003; and | ||
(3) the residential structure is insured by the Texas | ||
Windstorm Insurance Association as of December 31, 2014. | ||
(c) For purposes of this chapter, a residential structure | ||
that is built wholly or partly over water, including the corporeal | ||
movable property contained in the structure, is insurable property | ||
if it is insured by the Texas Windstorm Insurance Association as of | ||
December 31, 2014. | ||
(d) For purposes of this chapter, a structure is not | ||
insurable property if the commissioner of the General Land Office | ||
notifies the managing general agent of a determination that the | ||
structure is located on the public beach under procedures | ||
established under Section 61.011, Natural Resources Code, and that | ||
the structure: | ||
(1) constitutes an imminent hazard to safety, health, | ||
or public welfare; or | ||
(2) substantially interferes with the free and | ||
unrestricted right of the public to enter or leave the public beach | ||
or traverse any part of the public beach. | ||
Sec. 2214.255. UNDERWRITING GUIDELINES. (a) The managing | ||
general agent shall develop program policy underwriting guidelines | ||
for coverage assigned through the clearinghouse. The guidelines | ||
must: | ||
(1) be consistent with this chapter; and | ||
(2) consider prior conduct of the applicant, including | ||
fraud or arson. | ||
(b) The program policy underwriting guidelines become | ||
effective on approval of the commissioner and are included in the | ||
plan of operation. | ||
SUBCHAPTER G. INSPECTIONS | ||
Sec. 2214.301. PROPERTY INSPECTIONS FOR INSURABILITY. (a) | ||
An agent submitting an application for program insurance through | ||
the clearinghouse must provide an inspection report to the managing | ||
general agent certifying that the structure meets the program | ||
policy underwriting guidelines and is insurable property. | ||
(b) The inspection must: | ||
(1) be completed by a person determined by the | ||
managing general agent to be qualified because of training or | ||
experience to perform building inspections; | ||
(2) determine that the structure meets the minimum | ||
requirements for coverage set forth in the plan of operation; and | ||
(3) take place not earlier than the 90th day before the | ||
effective date of the policy. | ||
(c) The managing general agent, or the agent's designee, may | ||
inspect any property with assigned program coverage for compliance | ||
with the program policy underwriting guidelines. | ||
SUBCHAPTER H. ASSIGNMENT PROCESS | ||
Sec. 2214.351. APPLICATION FOR NEW AND RENEWAL COVERAGE. | ||
(a) An application for new and renewal program coverage through the | ||
clearinghouse must be submitted by a licensed property and casualty | ||
agent who: | ||
(1) is appointed by at least one insurer; and | ||
(2) has consented to the managing general agent's | ||
agent agreement. | ||
(b) The request for new or renewal coverage must include: | ||
(1) a completed electronic application; | ||
(2) the required payment; | ||
(3) the inspection report described by Section | ||
2214.301; | ||
(4) a report of a building code inspection, if | ||
required by the protocol described by Section 2214.502; | ||
(5) an electronic certification of a declination of | ||
coverage providing the name of the declining insurer; and | ||
(6) an electronic certification of flood insurance, if | ||
required under Section 2214.251. | ||
(c) The request for renewal of assigned program coverage | ||
must be submitted not later than the 30th day, but not before the | ||
45th day, before the date the existing policy expires. | ||
Sec. 2214.352. BINDER AND ISSUANCE OF NEW POLICY. (a) On | ||
receipt of an application for a new assigned program policy and the | ||
information and payment required by Section 2214.351, the managing | ||
general agent immediately shall bind eligible coverage with an | ||
assigned insurer selected using the assignment algorithm required | ||
to be included in the plan of operation by Section 2214.052. | ||
(b) A binder issued under Subsection (a) provides the | ||
coverage of a program policy except that the binder does not provide | ||
coverage for a wildfire or weather event that occurs within 72 hours | ||
of the time the binder is issued. | ||
(c) The managing general agent shall make the request for | ||
coverage available to all insurers through the clearinghouse until | ||
the 20th day after the date the binder is issued. During the 20-day | ||
period, an insurer may offer the applicant coverage through the | ||
managing general agent and the applicant's agent. | ||
(d) The agent must present each offer received from the | ||
managing general agent to the applicant. The applicant may accept | ||
any offer of coverage at any time. | ||
(e) On the first business day after the expiration of the | ||
20-day period described by Subsection (c): | ||
(1) if the applicant has not received a qualifying | ||
offer of coverage as defined by Section 2214.355, the binder | ||
converts into a program policy; or | ||
(2) if the applicant receives a qualifying offer of | ||
coverage as defined by Section 2214.355, the binder continues in | ||
effect until the 30th day after the date the binder is issued, at | ||
which time the binder terminates and the applicant becomes | ||
ineligible to apply for coverage through the clearinghouse as | ||
described by Section 2214.354. | ||
(f) If the applicant accepts a qualifying offer of program | ||
coverage or other offer of coverage, the coverage is effective as of | ||
the date the assigned coverage was bound under Subsection (a), | ||
except as provided in Subsection (g). | ||
(g) The assigned carrier is responsible for all claims | ||
incurred during the binder period. If a claim is incurred during the | ||
binder period, the assigned carrier is entitled to premium for the | ||
binder period and the managing general agent shall credit the | ||
assigned carrier with that premium in the assignment algorithm | ||
under Section 2214.052. | ||
Sec. 2214.353. CLEARINGHOUSE RENEWAL COVERAGE. (a) An | ||
insurer assigned a policy under this chapter shall renew the policy | ||
on the first and second anniversary of the date the binder is issued | ||
under Section 2214.352, even if the insurer withdraws from the | ||
business of insurance in the state, unless: | ||
(1) the insured accepts a voluntary offer of coverage; | ||
(2) the structure to be insured is determined to be | ||
ineligible for coverage under Section 2214.251; | ||
(3) the insured cancels the coverage; | ||
(4) the insured does not pay any portion of premium | ||
when due; | ||
(5) the insured submits a fraudulent claim; | ||
(6) there is an increase in the hazard covered by the | ||
policy that is within the control of the insured that would result | ||
in an increase in the premium rate of the policy; or | ||
(7) the insurer becomes insolvent. | ||
(b) At least 45 days before renewal, the assigned insurer | ||
shall notify the managing general agent, the insured's agent, and | ||
the insured of the coverage renewal date. | ||
(c) On receipt of an application for renewal coverage and | ||
the information and payment required by Section 2214.351, the | ||
managing general agent shall make the request for coverage | ||
available to all insurers through the clearinghouse until the 20th | ||
day after the date the request is made available. During the 20-day | ||
period, an insurer may offer the applicant coverage through the | ||
managing general agent and the applicant's agent. | ||
(d) The agent must present each offer received from the | ||
managing general agent to the applicant. The applicant may accept | ||
any offer of coverage at any time. | ||
(e) If on termination of an applicant's assigned program | ||
policy the applicant has not received a qualifying offer of | ||
coverage as defined by Section 2214.355: | ||
(1) the assigned insurer shall renew the assigned | ||
program policy, unless the assigned insurer has twice previously | ||
renewed coverage as required by Subsection (a); or | ||
(2) the managing general agent shall assign the policy | ||
to another insurer in a manner consistent with the requirements of | ||
this subchapter if the assigned insurer has twice previously | ||
renewed coverage as required by Subsection (a). | ||
(f) If on termination of an applicant's assigned program | ||
policy the applicant has received a qualifying offer of coverage as | ||
defined by Section 2214.355, the assigned insurer is not required | ||
to renew the program policy, the managing general agent may not | ||
assign the policy to another insurer, and the applicant becomes | ||
ineligible to apply for coverage through the clearinghouse as | ||
provided by Section 2214.354. | ||
Sec. 2214.354. ACCEPTANCE OF OTHER COVERAGE; REAPPLICATION | ||
TO CLEARINGHOUSE. (a) Except as provided by Sections 2214.352(f) | ||
and (g), if an applicant accepts another offer of coverage, an | ||
assigned program policy is canceled without notice on the date the | ||
other coverage becomes effective. | ||
(b) Except for a renewal application under Section | ||
2214.351, an applicant may not apply to the clearinghouse for | ||
coverage on the same property more than once in a 12-month period | ||
unless the assigned insurer becomes insolvent. | ||
Sec. 2214.355. QUALIFYING OFFER OF COVERAGE. For purposes | ||
of this subchapter, "qualifying offer of coverage" means an offer | ||
of residential property insurance that provides: | ||
(1) the same program policy the applicant requested; | ||
(2) the same coverage limits and optional coverages | ||
that must be offered on an assigned program policy and that have | ||
been requested by the applicant; | ||
(3) the same deductible as the deductible that would | ||
be applicable to the program policy; and | ||
(4) coverage at a rate that is equal to or less than | ||
the rate that would apply to an assigned program policy. | ||
Sec. 2214.356. EARNED PREMIUM. Premium on a binder issued | ||
under this subchapter and the assigned program policy is earned on a | ||
pro rata basis beginning on the date the binder is issued. | ||
Sec. 2214.357. ASSIGNMENT DISTRIBUTION PLAN. (a) An | ||
insurer may contract with a servicing carrier to accept the | ||
insurer's assignments under Sections 2214.352 and 2214.353. | ||
(b) A contract under this section must be approved by the | ||
commissioner in writing before an assignment may be transferred | ||
under the contract. In reviewing the contract for approval or | ||
disapproval, the commissioner shall consider each insurer's: | ||
(1) risk-based exposure, including the number of | ||
assignments that are expected and the number that would be | ||
transferred under the agreement; | ||
(2) surplus; | ||
(3) location and concentration of risk; | ||
(4) claims handling capacity and history; and | ||
(5) compliance with rules adopted under this section. | ||
(c) The contract described by Subsection (a) must determine | ||
which insurer will recognize the assignment as the insurer's | ||
writing for the purpose of calculating program participation. | ||
(d) The commissioner may: | ||
(1) adopt reasonable rules for the conduct of business | ||
under a contract described by this section; and | ||
(2) establish reasonable standards of eligibility for | ||
servicing carriers. | ||
(e) After notice and opportunity for hearing, the | ||
commissioner may prohibit an insurer from acting as a servicing | ||
carrier. | ||
SUBCHAPTER I. RATES | ||
Sec. 2214.401. RATES FOR CERTAIN POLICIES. (a) Each | ||
insurer shall file with the commissioner all rates, rating factors, | ||
and supplementary rating information used to determine the premium | ||
charged for the program policies the insurer is required to offer | ||
under Section 2214.054. | ||
(b) Each insurer shall file with the commissioner the | ||
average or neutral rating factor for each rating class used in a | ||
rate filing under this section. | ||
(c) Rates and rate filings under this section are governed | ||
by Chapter 2251. | ||
Sec. 2214.402. RATE CALCULATION METHOD FILING. (a) The | ||
managing general agent shall submit to the commissioner a rate | ||
calculation method filing that specifies: | ||
(1) the complete list of all rating classes the | ||
managing general agent proposes to use to determine the premium for | ||
assigned program policies; | ||
(2) the territories that the managing general agent | ||
proposes to use to determine the premium for assigned program | ||
policies; and | ||
(3) the precise method the managing general agent | ||
proposes to use to calculate the market rate for each rating class | ||
and rating territory. | ||
(b) The managing general agent may not use a method filed | ||
under Subsection (a) without prior approval by the commissioner as | ||
provided by this subchapter. | ||
(c) The rating classes, territories, and method used to | ||
determine the market rate must be designed in a manner to ensure | ||
that the assigned program rating manual is as compatible as | ||
possible with the voluntary market's rating method. | ||
(d) Except as provided by Section 2214.501, the assigned | ||
program rates shall use rating classes used by more than 50 percent | ||
of the residential property insurance market in this state. | ||
(e) Notwithstanding Subsections (c) and (d), assigned | ||
program rates may not: | ||
(1) provide a renewal discount or a multiline | ||
discount; or | ||
(2) result in a lower premium based on: | ||
(A) how long the insured has been assigned | ||
through the clearinghouse; or | ||
(B) whether the insured has had another policy | ||
assigned through the clearinghouse. | ||
(f) Notwithstanding Subsection (c), rating territories used | ||
for assigned program rates must: | ||
(1) consist of a single, undivided zip code or a | ||
collection of undivided zip codes; and | ||
(2) be based on sound actuarial principles. | ||
(g) Market rates developed by the managing general agent | ||
must be based on rates filed under Section 2214.401 by the insurers | ||
that constitute at least 80 percent of the market in each rating | ||
territory, but not more than the 10 largest insurers in each rating | ||
territory. The rate calculation method must use an average that | ||
excludes the highest and lowest rate for each combination of rating | ||
class and territory, unless there are fewer than four insurers for a | ||
given combination of rating class and territory. | ||
(h) A rate calculation method approved under this section | ||
must use actuarial assumptions that, for each rating class and | ||
territory, produce reasonable estimates of the average rate charged | ||
by voluntary insurers. | ||
(i) Each year, the managing general agent shall review the | ||
rates, rating classes, territories, and rating method used in the | ||
voluntary residential property insurance market to determine | ||
whether a change in the rate calculation method established under | ||
this section is reasonable and appropriate. | ||
(j) The managing general agent shall submit a rate | ||
calculation method filing under this section at least once every | ||
four years. | ||
Sec. 2214.403. NOTICE OF RATE CALCULATION METHOD FILING. | ||
Not later than the 10th day after the date the managing general | ||
agent submits a rate calculation method filing under this | ||
subchapter, the department shall post on its Internet website a | ||
notice that the managing general agent has submitted a rate | ||
calculation method filing for the program. | ||
Sec. 2214.404. HEARING ON RATE CALCULATION METHOD FILING. | ||
(a) The commissioner may not approve or disapprove a managing | ||
general agent's rate calculation method filing under this | ||
subchapter without notice and opportunity for hearing. The | ||
commissioner shall schedule a hearing on the filing at the request | ||
of the managing general agent or a member of the public. | ||
(b) A hearing under this section is not a contested case | ||
under Chapter 2001, Government Code. | ||
Sec. 2214.405. ACTION OF COMMISSIONER ON RATE CALCULATION | ||
METHOD FILING. Not later than the 60th day after the date a rate | ||
calculation method filing under this subchapter is received, the | ||
commissioner shall approve or disapprove the filing. If the | ||
commissioner disapproves the filing, the commissioner shall | ||
specify: | ||
(1) the reasons for disapproval; and | ||
(2) the changes to the rate calculation method the | ||
managing general agent must make in order for the commissioner to | ||
approve the filing. | ||
Sec. 2214.406. ASSIGNED PROGRAM RATE FILING. (a) Not later | ||
than August 15 of each year, the managing general agent shall file | ||
with the commissioner a manual of rates and rating factors for all | ||
classes of risks and territories for program policies assigned | ||
through the clearinghouse. The filing must contain the data and | ||
calculations used to establish each manual rate and rating factor | ||
used to determine the premium for a program policy assigned through | ||
the clearinghouse. | ||
(b) The rate filing must reflect rates that are 25 percent | ||
greater than the market rate for each class and territory. The | ||
market rate for each class and territory must be calculated using | ||
the rate calculation method approved under Section 2214.405. | ||
(c) The department may review the rate filing only to | ||
determine whether the filing contains a computational error and to | ||
verify that the filing reflects a correct application of the rate | ||
calculation method approved under Section 2214.405. | ||
(d) If, not later than the 30th day after the date of the | ||
filing, the department determines that the filing contains a | ||
computational error or is not a correct application of the rate | ||
calculation method approved under Section 2214.405, the department | ||
shall provide a notice to the managing general agent identifying | ||
the computational error and any necessary correction. Not later | ||
than the 10th day after the date the notice from the department is | ||
received, the managing general agent shall submit a corrected | ||
filing. The corrected filing is subject to the standard of review | ||
described by Subsection (c). | ||
(e) Rates filed under Subsection (a), or a corrected filing | ||
described by Subsection (d), take effect January 1 of the year | ||
following the year in which the filing is made. Rates resulting | ||
from a correct application of the rate calculation method approved | ||
under Section 2214.405 are presumed to be adequate, not excessive, | ||
and not unfairly discriminatory. | ||
(f) The managing general agent may submit an interim rate | ||
filing as reasonably necessary following the occurrence of an | ||
extraordinary event or any significant change in the residential | ||
property insurance market in this state. The commissioner may | ||
direct the managing general agent to submit an interim rate filing, | ||
and the public insurance counsel, or an insurer with a statewide | ||
residential property market share of five percent or more, may | ||
request the managing general agent to submit an interim rate | ||
filing. | ||
(g) An interim rate filing under Subsection (f) may not be | ||
used without commissioner approval. The commissioner shall approve | ||
or disapprove the interim filing after notice and opportunity for | ||
hearing. The commissioner may disapprove an interim filing only if | ||
the commissioner determines that the filing: | ||
(1) is not reasonably necessary due to an | ||
extraordinary event or significant change in the residential | ||
property insurance market in this state; or | ||
(2) contains a computational error or does not reflect | ||
a correct application of the rate calculation method approved under | ||
Section 2214.405. | ||
(h) A rate in effect under this section continues in effect | ||
until a subsequent rate takes effect. | ||
Sec. 2214.407. RATE CHALLENGE. (a) An interested person or | ||
the managing general agent may bring an action in the district court | ||
of Travis County to vacate rates approved under Section 2214.406 | ||
and to seek an order directing the managing general agent to | ||
recalculate the rates. The district court may grant relief under | ||
this section only on finding that: | ||
(1) the filed rates contain a computational error; or | ||
(2) the filed rates result from an incorrect | ||
application of the rate calculation method approved under Section | ||
2214.405. | ||
(b) An action under Subsection (a) must be brought not later | ||
than, as applicable, the 30th day after: | ||
(1) the date the 30-day period under Section | ||
2214.406(d) expires; | ||
(2) the date the managing general agent submits | ||
corrected rates under Section 2214.406(d); or | ||
(3) the date the commissioner approves or disapproves | ||
rates under Section 2214.406(g). | ||
SUBCHAPTER J. TRANSITION PERIOD RATES | ||
Sec. 2214.451. DEFINITIONS. In this subchapter: | ||
(1) "Starting transition rate" means the starting | ||
transition rate calculated under Section 2214.454. | ||
(2) "Ending transition rate" means the ending | ||
transition rate calculated under Section 2214.455. | ||
(3) "Transition premium rate" means the transition | ||
premium rate calculated under Section 2214.456. | ||
(4) "Transition premium" means the transition premium | ||
amount calculated under Section 2214.457. | ||
Sec. 2214.452. TRANSITION RATE ELIGIBILITY. (a) An | ||
applicant is eligible for a transition rate on a program policy that | ||
covers a residential property that is occupied as the applicant's | ||
primary residence and is insured through the Texas Windstorm | ||
Insurance Association under Chapter 2210 or the FAIR Plan | ||
Association under Chapter 2211, if: | ||
(1) the applicant's FAIR Plan Association or Texas | ||
Windstorm Insurance Association policy is being nonrenewed | ||
effective January 1, 2014, or later; | ||
(2) the applicant has been continuously insured | ||
through the FAIR Plan Association or the Texas Windstorm Insurance | ||
Association for the 12 months immediately preceding the nonrenewal | ||
date described by Subdivision (1); | ||
(3) the replacement cost value of the applicant's | ||
insured dwelling is less than $250,000, if the applicant seeks a | ||
homeowners policy or a residential dwelling fire and allied lines | ||
policy; | ||
(4) the replacement cost value of the applicant's | ||
insured contents is less than $80,000, if the applicant seeks a | ||
tenant policy or a condominium owners policy; and | ||
(5) the applicant submits the information required | ||
under this section. | ||
(b) To maintain eligibility for transition rates under this | ||
section, an insured must be continuously insured under an assigned | ||
program policy or by a program policy from a voluntary insurer | ||
through the clearinghouse. A program policy that is otherwise | ||
eligible for transition rates under this section does not become | ||
ineligible due to a change in the name on the policy due to | ||
marriage, divorce, or death of the named insured. | ||
Sec. 2214.453. REQUIRED INFORMATION. Not later than the | ||
30th day before the effective date of a program policy assigned | ||
through the clearinghouse, an applicant seeking a transition rate | ||
under this subchapter, or the applicant's agent, must provide to | ||
the managing general agent the following information, as | ||
applicable: | ||
(1) if the FAIR Plan Association provided coverage for | ||
perils other than windstorm and hail, the insured location and the | ||
policy number assigned by the FAIR Plan Association; | ||
(2) if the Texas Windstorm Insurance Association | ||
provided windstorm and hail coverage, and no insurer provided | ||
coverage of other perils, the insured location and the policy | ||
number assigned by the Texas Windstorm Insurance Association; or | ||
(3) if the Texas Windstorm Insurance Association | ||
provided windstorm and hail coverage and the FAIR Plan Association | ||
or an insurer voluntarily provided coverage of other perils: | ||
(A) the insured location and the policy number | ||
assigned by the Texas Windstorm Insurance Association and the FAIR | ||
Plan Association, if applicable; | ||
(B) for homeowners policies and residential | ||
dwelling fire and allied lines policies, the insured amount for the | ||
dwelling on the voluntary policy in effect immediately before the | ||
effective date of the program policy; | ||
(C) for tenant policies and condominium owners | ||
policies, the insured amount for the contents on the voluntary | ||
policy in effect immediately before the effective date of the | ||
program policy; and | ||
(D) for any policy that covered perils other than | ||
windstorm and hail, the total premium on the policy in effect | ||
immediately before the effective date of the program policy. | ||
Sec. 2214.454. STARTING TRANSITION RATE CALCULATION. (a) | ||
The managing general agent shall determine the starting transition | ||
rate for each applicant eligible for transition rates under this | ||
subchapter. | ||
(b) For a homeowners or residential dwelling fire and allied | ||
lines policy with respect to which windstorm and hail coverage was | ||
provided by the Texas Windstorm Insurance Association and coverage | ||
of other perils was voluntarily provided by an insurer or provided | ||
by the FAIR Plan Association, the starting transition rate is | ||
calculated as: | ||
(1) the total annual premium on the policy issued by | ||
the Texas Windstorm Insurance Association divided by the amount of | ||
dwelling coverage provided on that policy; plus | ||
(2) the total annual premium on the policy that | ||
covered other perils divided by the amount of dwelling coverage | ||
provided on that policy. | ||
(c) For a homeowners or residential dwelling fire and allied | ||
lines policy with respect to which windstorm and hail coverage was | ||
provided by the Texas Windstorm Insurance Association and coverage | ||
of other perils was not purchased, the starting transition rate is | ||
calculated as the total annual premium on the policy issued by the | ||
Texas Windstorm Insurance Association divided by the amount of | ||
dwelling coverage provided on that policy, plus 0.004. | ||
(d) For a homeowners or residential dwelling fire and allied | ||
lines policy with respect to which both windstorm and hail coverage | ||
and coverage of other perils were provided by the FAIR Plan | ||
Association, the starting transition rate is calculated as the | ||
total annual premium on the policy issued by the FAIR Plan | ||
Association divided by the amount of dwelling coverage provided on | ||
that policy. | ||
(e) For a tenant and condominium owners policy with respect | ||
to which windstorm and hail coverage was provided by the Texas | ||
Windstorm Insurance Association and coverage of other perils was | ||
voluntarily provided by an insurer or provided by the FAIR Plan | ||
Association, the starting transition rate is calculated as: | ||
(1) the total premium on the policy issued by the Texas | ||
Windstorm Insurance Association divided by the amount of contents | ||
coverage provided on that policy; plus | ||
(2) the total annual premium on the policy that | ||
covered other perils divided by the amount of contents coverage | ||
provided on that policy. | ||
(f) For a tenant and condominium owners policy with respect | ||
to which windstorm and hail coverage was provided by the Texas | ||
Windstorm Insurance Association and coverage of other perils was | ||
not purchased, the starting transition rate is calculated as the | ||
total premium on the policy issued by the Texas Windstorm Insurance | ||
Association divided by the amount of contents coverage provided on | ||
that policy, plus 0.0055. | ||
(g) For a tenant and condominium owners policy with respect | ||
to which both windstorm and hail coverage and coverage of other | ||
perils were provided by the FAIR Plan Association, the starting | ||
transition rate is calculated as the total annual premium on the | ||
policy issued by the FAIR Plan Association divided by the amount of | ||
contents coverage provided on that policy. | ||
Sec. 2214.455. ENDING TRANSITION RATE CALCULATION. (a) | ||
The managing general agent shall determine the ending transition | ||
rate for each applicant eligible for transition rates under this | ||
section. | ||
(b) For policies assigned under this chapter, the ending | ||
transition rate is the applicant's assigned program policy premium, | ||
as determined by the rates filed pursuant to Section 2214.406, on | ||
the policy to become effective, divided by: | ||
(1) the amount of dwelling coverage on a homeowners or | ||
residential dwelling fire and allied lines policy; or | ||
(2) the amount of contents coverage on a tenant and | ||
condominium owners policy. | ||
(c) For a policy voluntarily written through the | ||
clearinghouse, the ending transition rate is the premium charged by | ||
the insurer, as determined by the rates filed by the insurer | ||
pursuant to Chapter 2251, on the policy to become effective, | ||
divided by: | ||
(1) the amount of dwelling coverage on a homeowners or | ||
residential dwelling fire and allied lines policy; or | ||
(2) the amount of contents coverage on a tenant and | ||
condominium owners policy. | ||
Sec. 2214.456. TRANSITION PREMIUM RATE CALCULATION. (a) | ||
The managing general agent shall determine the transition premium | ||
rate for each applicant eligible for transition rates under this | ||
subchapter. The transition premium is determined based on the | ||
applicant's amount of insurance. | ||
(b) During the first year of the transition period, the | ||
transition premium rate is equal to the starting transition rate | ||
calculated under Section 2214.454. | ||
(c) For any policy year during the transition period other | ||
than the first year of the transition period, the transition | ||
premium rate is equal to the greater of: | ||
(1) five percent more than the transition premium rate | ||
that applied during the immediately preceding policy term; or | ||
(2) the transition premium rate used during the | ||
immediately preceding policy term, plus an amount equal to a | ||
fraction with respect to which: | ||
(A) the numerator is the difference between the | ||
ending transition rate and the starting transition rate; and | ||
(B) the denominator is: | ||
(i) 10, for a homeowners policy or | ||
residential dwelling fire and allied lines policy in which the | ||
dwelling has a replacement cost value of $100,000 or less; | ||
(ii) five, for a homeowners policy or | ||
residential dwelling fire and allied lines policy in which the | ||
dwelling has a replacement cost value of greater than $100,000 and | ||
less than or equal to $150,000; | ||
(iii) three, for a homeowners policy or | ||
residential dwelling fire and allied lines policy in which the | ||
dwelling has a replacement cost value of greater than $150,000 and | ||
less than $250,000; or | ||
(iv) three, for a tenant and condominium | ||
owners policy. | ||
(d) The transition premium rate may not exceed the ending | ||
transition rate calculated under Section 2214.455. | ||
Sec. 2214.457. TRANSITION PREMIUM CALCULATION. (a) For | ||
each policy eligible for transition rates under this subchapter, | ||
the premium on the applicant's policy each year is determined as | ||
provided by this section. | ||
(b) For homeowners policies and residential dwelling fire | ||
and allied lines policies, the transition premium is equal to the | ||
transition premium rate multiplied by the dwelling coverage amount | ||
on the program policy. | ||
(c) For tenant and condominium owners policies, the | ||
transition premium is equal to the transition premium rate | ||
multiplied by the contents coverage amount on the program policy. | ||
Sec. 2214.458. RECOVERY OF TRANSITION PERIOD RATES. (a) On | ||
or before February 1 of each year, the managing general agent shall | ||
report to each insurer writing residential property insurance in | ||
this state the total transition premium written by the insurer | ||
during the previous calendar year. On or before February 1 of each | ||
year, the managing general agent shall report to the comptroller | ||
the total transition premium written by each insurer during the | ||
previous calendar year. The total transition premium for each | ||
insurer is equal to the difference between the premium determined | ||
by the assigned program rates filed under Section 2214.406, or the | ||
insurer's rates filed under Chapter 2251, as applicable, and the | ||
transition premium charged under this subchapter. | ||
(b) An insurer may include a provision in its residential | ||
property insurance rates to recoup up to 50 percent of the | ||
transition premiums not collected by the insurer in the previous | ||
calendar year. | ||
(c) A rate provision permitted under this section may vary | ||
by policy type, class, or geographic region. | ||
(d) Residential property insurance rates that include a | ||
rate provision permitted under this section are subject to the rate | ||
standards established by Chapter 2251. | ||
(e) An insurer may claim, as a premium tax credit for a | ||
calendar year, an amount up to 50 percent of the transition premiums | ||
not collected by the insurer in the previous calendar year. | ||
Sec. 2214.459. EXPIRATION OF SUBCHAPTER. This subchapter | ||
expires December 31, 2025. | ||
SUBCHAPTER K. BUILDING CODE SURCHARGE | ||
Sec. 2214.501. BUILDING CODE SURCHARGE. (a) An insurer may | ||
assess an actuarially justified premium surcharge on an assigned | ||
program policy issued if the insured structure does not meet | ||
building code standards set forth in the program plan of operation. | ||
(b) Building code surcharges may vary by location. | ||
(c) The managing general agent shall periodically evaluate | ||
building codes and construction specifications to maintain the | ||
rating system and standards to ensure that the plan of operation | ||
reflects current industry standards. | ||
Sec. 2214.502. BUILDING CODE INSPECTIONS REQUIRED. (a) | ||
The plan of operation shall provide for an inspection protocol for | ||
determining a building code surcharge. The protocol must address | ||
which structures to inspect to determine whether a surcharge is | ||
applicable. | ||
(b) The protocol must rely on documentation and physical | ||
inspection, and may include: | ||
(1) inspections certified by qualified inspectors | ||
appointed by the managing general agent; | ||
(2) prior department certifications; and | ||
(3) physical inspections by a qualified inspector of | ||
exterior components, including roofing, external openings, and | ||
siding. | ||
Sec. 2214.503. INSPECTORS. (a) For purposes of this | ||
chapter, "qualified inspector" includes: | ||
(1) a licensed professional engineer who is on the | ||
roster described by Section 1001.652, Occupations Code, and meets | ||
the requirements specified by the managing general agent to conduct | ||
windstorm inspections; | ||
(2) an inspector who: | ||
(A) is certified by the International Code | ||
Council, the Building Officials and Code Administrators | ||
International, Inc., the International Conference of Building | ||
Officials, or the Southern Building Code Congress International, | ||
Inc.; | ||
(B) has certifications as a building inspector | ||
and coastal construction inspector; and | ||
(C) complies with other requirements specified | ||
by the plan of operation; or | ||
(3) a person determined by the managing general agent | ||
to be qualified because of training or experience to perform | ||
building inspections. | ||
(b) An inspection under this subchapter must be performed by | ||
a qualified inspector. The plan of operation shall identify the | ||
qualifications required to perform particular types of | ||
inspections. | ||
(c) Before performing a building inspection under this | ||
subchapter, a qualified inspector must be approved and appointed or | ||
employed by the managing general agent. | ||
(d) The managing general agent may appoint or employ | ||
qualified inspectors on an at-will basis. | ||
Sec. 2214.504. BUILDING CODE INSPECTION INFORMATION. The | ||
managing general agent shall collect and maintain information | ||
developed from inspections under this subchapter and report the | ||
information to the department. Information developed under this | ||
section is property of the state under Section 2214.153. | ||
SUBCHAPTER L. AGENTS | ||
Sec. 2214.551. EXCLUSIVE USE OF EXPIRATIONS. (a) Except as | ||
otherwise provided by this section, an agent has the exclusive use | ||
of expirations, records, or other written or electronic information | ||
directly related to an application submitted to, or a residential | ||
property insurance policy written through, the clearinghouse on a | ||
voluntary or assignment basis for purposes of soliciting, selling, | ||
or negotiating the renewal or sale of residential property | ||
insurance coverage. | ||
(b) If the agent has, by contract, entered into an agreement | ||
with an insurer or a group of affiliated insurers concerning the use | ||
of expirations, the parties' rights to the use of the expirations | ||
described by Subsection (a) are determined by the terms of the | ||
agent's contract with that insurer or group. An agent, insurer, or | ||
group does not have greater rights than those otherwise provided by | ||
this section. | ||
(c) Expirations, records, or other written or electronic | ||
information provided to the managing general agent or otherwise | ||
created by the managing general agent are the property of the state | ||
under Section 2214.153. | ||
(d) The managing general agent and an insurer may use any | ||
information described by Subsection (a) to review an application or | ||
issue a policy, or for any other purpose necessary for placing | ||
business through the clearinghouse or reporting, or a purpose | ||
otherwise authorized in this chapter. | ||
(e) The rights set forth in Subsections (a) and (b) | ||
terminate: | ||
(1) on the date the second renewal of any residential | ||
property insurance policy written through the clearinghouse by the | ||
insurer terminates, except that if the insurance coverage is again | ||
written through the clearinghouse after the second renewal, the | ||
exclusive use of expirations period continues; | ||
(2) on the date the insured: | ||
(A) notifies the insurance company that the | ||
insured has selected another agent; | ||
(B) submits a renewal application to the | ||
clearinghouse through another agent; or | ||
(C) obtains coverage outside of the | ||
clearinghouse; | ||
(3) on the date the agent is in default for nonpayment | ||
of premiums or other money owed under the agent's agreement with the | ||
managing general agent, unless a legitimate dispute exists as to | ||
the money owed; or | ||
(4) on the date the managing general agent terminates | ||
the agent's agreement, in which case the insurer shall continue | ||
coverage for the insured. | ||
(f) An agent or insurer may not enter into a contract with an | ||
applicant or insured that is inconsistent with this section. | ||
Sec. 2214.552. AGENT COMMISSIONS. (a) Unless an insurer | ||
and an agent enter into an agreement for a different commission rate | ||
on program coverage written through the clearinghouse on a | ||
voluntary basis, an insurer shall pay the commission rate specified | ||
in the plan of operation for that coverage. | ||
(b) An assigned insurer shall pay the commission rate in the | ||
plan of operation for program coverage written through the | ||
clearinghouse on an assignment basis. | ||
(c) The commission rate must be reasonable, adequate, not | ||
unfairly discriminatory, and nonconfiscatory, taking into | ||
consideration: | ||
(1) the amount of work performed by an agent in | ||
submitting a program application; | ||
(2) the prevailing commission structure in the | ||
residential property insurance market; | ||
(3) the uniform electronic filing procedures of the | ||
clearinghouse; and | ||
(4) the exclusive use of expirations provided by | ||
Section 2214.551. | ||
(d) An agent shall earn a commission at the same rate policy | ||
premium is earned in accordance with Section 2214.356. | ||
SUBCHAPTER M. PROGRAM POLICY FORMS | ||
Sec. 2214.601. PROGRAM POLICY FORMS. (a) The commissioner | ||
shall promulgate forms and endorsements necessary to implement this | ||
chapter. | ||
(b) The promulgated forms must include coverage based on the | ||
coverage in nonprogram policies used by more than 50 percent of the | ||
insurance market in this state for the following lines: | ||
(1) homeowners; | ||
(2) condominium owners; | ||
(3) tenants; and | ||
(4) residential dwelling fire and allied lines. | ||
(c) The promulgated forms must provide actual cash value | ||
coverage, with the option to separately purchase: | ||
(1) replacement cost coverage for dwelling and | ||
contents; and | ||
(2) coverage for sudden and accidental discharge, | ||
leakage, or overflow of water or steam from or within a plumbing, | ||
heating, or air conditioning system or household appliance up to a | ||
per-occurrence limit of 10 percent of the dwelling coverage, or 20 | ||
percent of the contents coverage for a tenant and condominium | ||
owners policy. | ||
(d) The policy must provide coverage for the following | ||
perils: | ||
(1) fire and lightning; | ||
(2) sudden and accidental damage from smoke; | ||
(3) wind and hail; | ||
(4) explosion; | ||
(5) aircraft and vehicles; | ||
(6) vandalism and malicious mischief; | ||
(7) riot and civil commotion; and | ||
(8) theft. | ||
(e) The policy must exclude coverage for damage resulting | ||
from: | ||
(1) flood, including surface water, waves, storm | ||
surge, tides, tidal water, tidal waves, tsunami, seiche, overflow | ||
of streams or other bodies of water, or spray from any of these, all | ||
whether driven by wind or not; | ||
(2) earth movement; | ||
(3) settling, cracking, bulging, shrinkage, or | ||
expansion of foundations; | ||
(4) governmental action; | ||
(5) war; | ||
(6) nuclear hazard; | ||
(7) power failure; | ||
(8) rain, whether driven by wind or not, unless direct | ||
force of wind or hail makes an opening in a roof or wall and rain | ||
enters through this opening and causes the damage; | ||
(9) electricity; | ||
(10) ordinance or law; | ||
(11) mold, fungi, or other microorganisms; and | ||
(12) asbestos. | ||
(f) The promulgated forms may not exclude coverage for wind | ||
and hail. | ||
(g) With the exception of the residential dwelling fire and | ||
allied lines form, each program policy must also provide: | ||
(1) personal liability coverage; | ||
(2) medical payments coverage; and | ||
(3) additional living expense coverage when the | ||
structure is uninhabitable due to damage resulting from an insured | ||
loss. | ||
Sec. 2214.602. DEDUCTIBLE. (a) Homeowners and residential | ||
dwelling fire and allied lines program policies assigned through | ||
the clearinghouse must have a standard deductible for losses due to | ||
a covered peril of three percent of the dwelling coverage amount. | ||
(b) Condominium owners and tenants program policies | ||
assigned through the clearinghouse must have a standard deductible | ||
for losses due to a covered peril of the greater of three percent of | ||
the contents coverage amount or $1,500. | ||
(c) For an additional premium, the managing general agent | ||
shall make lower deductibles available to applicants as specified | ||
in the plan of operation. | ||
(d) An insurer may offer other deductibles on program | ||
policies issued on a voluntary basis. | ||
Sec. 2214.603. COVERAGE LIMITS. (a) The maximum limits for | ||
assigned program coverage may not exceed: | ||
(1) $1 million on a single insurable structure used as | ||
a dwelling, including an individually owned townhouse unit; | ||
(2) 10 percent of the purchased dwelling coverage | ||
limit for other structures; and | ||
(3) either: | ||
(A) 40 percent of the purchased dwelling coverage | ||
limit for individually owned corporeal movable property located in | ||
the dwelling that is occupied by the owner of that property as the | ||
owner's primary residence and, as an extension of coverage, away | ||
from those premises, as provided under the policy; or | ||
(B) $80,000 for individually owned corporeal | ||
movable property located in an apartment unit, residential | ||
condominium unit, or townhouse unit that is occupied by the owner of | ||
that property and, as an extension of coverage, away from those | ||
premises, as provided under the policy. | ||
(b) In addition to the limits provided by Subsection (a), | ||
the maximum limits for coverage for an assigned program homeowners, | ||
tenants, or condominium owners policy may not exceed: | ||
(1) $300,000 liability insurance; | ||
(2) $2,500 medical payments; and | ||
(3) either: | ||
(A) 20 percent of the purchased dwelling coverage | ||
limit for other additional living expense when the dwelling is | ||
uninhabitable due to damage resulting from an insured loss; or | ||
(B) 20 percent of the purchased contents coverage | ||
limit under a tenants or condominium owners policy for other | ||
additional living expense when the insured location is | ||
uninhabitable due to damage resulting from an insured loss. | ||
(c) Notwithstanding Subsections (a) and (b), the | ||
commissioner shall review the limits set forth in this section not | ||
less than once every five years. After notice and opportunity for | ||
hearing, the commissioner may revise the limits and coverages based | ||
on residential property insurance policies, other than program | ||
policies, used by more than 50 percent of the residential property | ||
insurance market in this state. | ||
SECTION 19. Subchapters B-1 and M, Chapter 2210, Insurance | ||
Code, are repealed. | ||
SECTION 20. (a) The managing general agent contracted to | ||
administer the plan of operation of the Texas Property Insurance | ||
Program under Chapter 2214, Insurance Code, as added by this Act, | ||
shall establish the electronic property insurance clearinghouse | ||
described by Subchapter C of that chapter as soon as practicable | ||
after the effective date of this Act, but not later than January 1, | ||
2014. | ||
(b) An insurer shall file all rates, rating factors, and | ||
supplementary rating information with the commissioner of | ||
insurance as required by Subchapter I, Chapter 2214, Insurance | ||
Code, as added by this Act, as soon as practicable after the | ||
effective date of this Act, but not later than January 1, 2014. | ||
(c) Notwithstanding Section 2214.406(a), Insurance Code, as | ||
added by this Act, the managing general agent contracted to | ||
administer the plan of operation of the Texas Property Insurance | ||
Program under Chapter 2214, Insurance Code, as added by this Act, | ||
shall make the initial rate filing described by that section not | ||
later than January 1, 2014. | ||
(d) The commissioner of insurance shall promulgate forms | ||
and endorsements under Subchapter M, Chapter 2214, Insurance Code, | ||
as added by this Act, as soon as practicable after the effective | ||
date of this Act, but not later than January 1, 2014. | ||
SECTION 21. This Act takes effect immediately if it | ||
receives a vote of two-thirds of all the members elected to each | ||
house, as provided by Section 39, Article III, Texas Constitution. | ||
If this Act does not receive the vote necessary for immediate | ||
effect, this Act takes effect on the 91st day after the last day of | ||
the legislative session. |