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.
Sponsorship: Partisan Bill (Republican 1)
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 | |
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| 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, [ |
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| 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[ |
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| 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 | ||
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| (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 [ |
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| 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; | ||
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| insurance to be provided to specific risks; | ||
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| processing applications for insurance; and | ||
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| 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) [ |
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| 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, [ |
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| (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 [ |
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| 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. [ |
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| 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. | ||
