| Sec. 15.1. Effective Date of Rules and Regulations.
(a) These sections shall apply to all
transactions and circumstances taking place on or after the effective date
of this subchapter.
(b) The Texas Department of Insurance's rules which are applicable to the
licensing, regulation, and supervision of surplus lines agents and surplus
lines insurers and transactions which were in effect prior to the effective
date of these sections shall apply in the adjudication of acts and
transactions occurring prior to the effective date of these sections.
Sec. 15.2. Definitions.
The following words and terms, when used in this subchapter, shall have
the following meanings, unless the context clearly indicates otherwise.
(1) Admitted or
authorized insurer--An insurer that is doing the business of insurance in
this state as defined in the Texas Insurance Code, and is licensed under
the provisions of the Texas Insurance Code.
(2) Eligible surplus
lines insurer--An unlicensed insurer allowed by the commissioner to do
business in Texas as a surplus lines insurer.
(3) Licensee--A person
holding a surplus lines agent's license.
(4) Person--An
individual or entity as defined by the Texas Insurance Code Article 21.21,
Sec.2(a).
(5) Properly allocated
and apportioned--The division or distribution of premium based upon the
location of the various exposures afforded coverage under the insurance
contract. This distribution of premium must be in accordance with the
methods prescribed by the Comptroller of Public Accounts of Texas (the
comptroller).
(6) Stamping
Office--The Surplus Lines Stamping Office of Texas created under the Texas
Insurance Code, and operating under the plan of operation specified by
Sec.15.101 of this title (relating to the Plan of Operation of the Surplus
Lines Stamping Office of Texas).
(7) Surplus lines agent
or agency--An agent or agency holding a surplus lines license issued by
this department pursuant to the Texas Insurance Code Article 1.14-2.
(8) Surplus lines agent
of record--The Texas licensed surplus lines agent placing a policy with an
eligible surplus lines insurer or the Texas licensed surplus lines agent
transacting business directly with an unlicensed out-of-state agent to
obtain coverage with an eligible surplus lines insurer. The agent or
agents in these situations are the agent of record for their portion of
the premium for the policy placement.
(9) Taxable surplus
lines premium--For surplus lines taxation purposes, except for exempt or
federally pre-empted premiums, surplus lines premium is taxable as
provided in Texas Insurance Code Article 1.14-2, Sec.12.
(10) Unauthorized
insurer--An insurer that is conducting the business of insurance as
defined in the Texas Insurance Code and is not licensed or an eligible
surplus lines insurer under the Texas Insurance Code.
(11) Client--Any person
to whom a surplus lines agent sells or attempts to sell a surplus lines
insurance policy or from whom an application for surplus lines insurance
is accepted or to whom advice and counsel on a surplus lines insurance
policy is given for the purpose of selling a surplus lines insurance
policy.
Sec. 15.3. Licensing of Surplus Lines Agents.
(a) Persons performing any of the following surplus lines insurance activities are required to have a surplus lines license:
(1) supervising unlicensed staff engaged in activities described in subsection (b) of this section, except that supervision of staff may be conducted through the supervision of the staff's unlicensed supervisors;
(2) negotiating, soliciting, effecting, procuring, or binding surplus lines insurance contracts for clients or offering advice, counsel, opinions, or explanations of surplus lines insurance products to agents or clients beyond the scope of underwriting policies or contracts, except for a general lines property and casualty agent making a referral of surplus lines business to a surplus lines agent or agency that then completes the surplus lines transaction; or
(3) receiving any direct commission or variance in compensation based on the volume of surplus lines premiums taken and received from, or as a result of, another person selling, soliciting, binding, effecting, or procuring surplus lines insurance policies, contracts, or coverages, except for a general lines property and casualty agent making a referral of surplus lines business to a surplus lines agent or agency that then completes the surplus lines transaction.
(b) The following activities in a surplus lines agency do not require a surplus lines license if the employee does not receive any direct commission from selling, soliciting, binding, effecting, or procuring insurance policies, contracts or coverages, and/or the employee's compensation is not varied by the volume of premiums taken and received:
(1) full-time clerical and administrative services, including, but not limited to, the incidental taking of information from clients, receipt of premiums in the office of a licensed agent, or transmitting to clients, as directed by a licensed surplus lines agent, prepared marketing materials or other prepared information and materials, including without limitation, invoices and evidences of coverage;
(2) contacting clients to obtain or confirm information necessary to process an application for surplus lines insurance so long as the contact does not involve any activities for which a license would be required under subsection (a)(2) of this section;
(3) performing the task of underwriting any insurance policy, contract, or coverage, including without limitation, pricing of the policy or contract; or
(4) contacting clients, insureds, agents, other persons, or insurers to gather and transmit information regarding claims and losses under the policy to the extent that the contact does not require a licensed adjuster as set forth under Insurance Code Chapter 4101.
(c) This section shall not be construed to prohibit distribution of agency profits to unlicensed persons, including shareholders, partners, and employees.
(d) Before any surplus lines agent's license shall be issued, the following must be submitted by an applicant seeking a surplus lines license:
(1) an appropriate, fully completed written application; and
(2) the fee specified by §19.801 and §19.802 of this title (relating to General Provisions Regarding Licensing Fees and License Renewal and Amounts of Fees).
(e) Texas resident applicants and nonresident applicants who do not hold a surplus lines license in their state of residence or whose state of residence does not license Texas residents on a reciprocal basis as determined by the department, shall meet all licensing requirements as set forth in the Insurance Code Chapter 981. Nonresident applicants under this section shall also comply with the Insurance Code §4056.051.
(f) Nonresident applicants holding a surplus lines license in good standing in the agent's state of residence and meeting the requirements of the Insurance Code §4056.052 shall meet all the licensing requirements of the Insurance Code Chapter 981 to the extent that such Chapter 981 requirements are not waived by the commissioner under §4056.055.
(g) Each surplus lines license issued to an agent shall be valid for a term expiring two years after the date of issuance or as otherwise established by the commissioner under the Insurance Code §4003.001. The license may be renewed by submitting a renewal application and a non-refundable license fee as specified by §19.801 and §19.802 of this title.
Sec 15.4. Notice to Department for Commencement and Cessation of Employment of Individual Surplus Lines Agents.
(a) Within 30 days of employment, each licensed surplus lines agency, both resident and nonresident, shall notify the department of the name and Texas surplus lines agent license number of each individual agent employed by the agency.
(b) Within 30 days after an individual surplus lines agent ceases to be employed by a licensed surplus lines agency for any reason, the licensed surplus lines agency, whether resident or nonresident, shall notify the department that the individual is no longer employed by that agency.
Sec 15.5. Sanctions.
(a) The commissioner may impose any sanction or remedy set forth in the Insurance Code Chapter 82 and §981.006, or any other applicable laws or statutes, if the commissioner determines, after notice and an opportunity for hearing, that the applicant or license holder individually or through any officer, director, or shareholder:
(1) has committed any action which would form the basis for sanctioning a general property and casualty agent or a managing general agent, as applicable to the surplus lines agent's other license(s), under the Insurance Code;
(2) failed to allow the department and the comptroller to examine the surplus lines agent's accounts and records or failed to maintain surplus lines insurance business accounts and records as required by the Insurance Code and this subchapter;
(3) failed to make and file all reports when due as required by the Insurance Code and this subchapter;
(4) failed to properly collect and pay required taxes and stamping fees on surplus lines gross premium or failed to submit tax reports as required by law or regulation;
(5) failed to otherwise maintain the qualifications for a surplus lines license; or
(6) is in violation of, or has failed to comply with the Insurance Code, this subchapter, or any other applicable laws or regulations of this state.
(b) The agent's surplus lines license shall be cancelled in the event the agent fails to maintain or renew the agent's license as a general property and casualty agent or managing general agent, as appropriate to the license status of the agent.
(c) No surplus lines agent whose license has been revoked shall be licensed until all fines, penalties and delinquent taxes owed by the agent have been paid. The suspension of a surplus lines agent's license shall continue in effect until all fines, penalties, restitution, delinquent taxes, and delinquent stamping office fees owed by the agent have been paid.
Sec. 15.6. Conduct
of Agent's Business.
(a) A surplus lines agent
doing business as an individual surplus lines agent may be licensed only in
his or her name. No individual may hold more than one surplus lines agent's
license. A surplus lines agent doing business under an assumed name must
comply with Sec.19.902 of this title (relating to One Agent, One License).
(b) An insurance agency
doing business as a partnership, corporation, or limited liability company
may have the issuance of its surplus lines license evidenced by a single
certificate license, provided that such agency has the qualifications and
has been issued a license pursuant to the Texas Insurance Code for either a
general property and casualty agent or a managing general agent. The surplus
lines agent's license shall be issued to a partnership, corporation, or
limited liability company in the name of the agency as indicated on the
underlying license issued under the Texas Insurance Code. No partnership,
corporation, or limited liability company may receive more than one surplus
lines agent's license. A partnership, corporation or limited liability
company doing business under an assumed name must comply with Sec.19.902 of
this title.
(c) Every act done in
placing or servicing a surplus lines insurance contract under an assumed
name shall also clearly disclose the true name of the surplus lines agent or
agency acting under such assumed name or the true name of the individual
licensed surplus lines agent representing the surplus lines agency,
partnership, corporation, or limited liability company acting under such
assumed name.
(d) No surplus lines agent
or agency shall shift, transfer, delegate, or assign his or her
responsibility to a person or persons not licensed as a surplus lines agent.
(e) A surplus lines agent
may exercise underwriting authority on behalf of an eligible surplus lines
insurer if the surplus lines agent possesses a current written agreement
from each such eligible surplus lines insurer granting such authority. The
written agreement must set forth the identity of the insurer and the scope
of the underwriting authority granted, and must reserve the duty of final
underwriting review by the insurer. The underwriting agreement must be
available for review by the department. The underwriting authority granted
to a surplus lines agent by the insurer may include the rating and
acceptance of risks, binding of coverage, issuance of formal evidence of
coverage, and cancellation of coverage.
(f) A surplus lines agency
may exercise claims authority on behalf of an eligible surplus lines insurer
if the surplus lines agent possesses a current written agreement from each
such eligible surplus lines insurer granting such authority. All claims
adjustments shall be performed by a Texas licensed adjuster. The written
agreement must be available for review by the department. Claims authority
delegated to the surplus lines agent by the insurer may include, but is not
limited to, the investigation, adjustment, supervision, and payment of
claims including payment from the surplus lines agents' funds, provided the
agent is promptly reimbursed by the insurer for such payments. Partial
payments to claimants by the surplus lines agent made pursuant to the
written agreement do not relieve the surplus lines insurer of any continuing
obligations to the insured. Payment of claims may also be made by the
surplus lines agent directly from funds of the eligible surplus lines
insurer provided the surplus lines agent possesses a current written
agreement wherein the insurer authorizes such direct payments. This written
agreement must be available for review by the department.
Sec. 15.7.
Eligibility Requirements for Surplus Lines Insurance.
(a) The stamping office
shall evaluate surplus lines insurance policies, contracts, or other
evidences of coverage for eligibility and compliance with filing
requirements. The stamping office may request additional information from
the surplus lines agent responsible for the filing if the information filed
is not sufficient to make an evaluation in accordance with this section.
(b) The stamping office
shall provide a written report to the department of any surplus lines
insurance policy or contract appearing to be ineligible under the Texas
Insurance Code after evaluation under this section. The stamping office
shall attempt to have the surplus lines agent correct any administrative or
technical errors prior to a written report to the department. If voluntary
compliance cannot be obtained, the stamping office shall promptly provide a
written report to the department. In any event, the stamping office shall
provide a written report to the department of any policy issued by an
ineligible insurer or any major and improper conduct by a surplus lines
agent, whether or not such violation is later corrected.
(c) Notice by the
department of intention to institute disciplinary action may be provided to
the holder of the license upon receipt of the report and determination that
the coverage may not be eligible for surplus lines.
Sec. 15.8.
Eligibility Requirements of Surplus Lines Insurers.
(a) Surplus lines insurers
seeking eligibility shall provide to the department and to the stamping
office, information relating to the insurer's eligibility to write surplus
lines insurance. Such information shall include:
(1) National Association of Insurance Commissioners (NAIC) Annual Statement
(association edition, yellow cover), Quarterly Statements, SEC 10K Reports,
and audited financial statements of United States domiciled companies and
audited financial statements expressed in U.S. dollars for companies
domiciled outside the United States;
(2) documents evidencing authorization from the insurer's domicillary
jurisdiction to write the same kind and class of business that it proposes
to write in Texas;
(3) documents evidencing the existence and amount of United States trust
funds of alien insurers;
(4) a certified actuarial opinion regarding the adequacy of the insurer's
loss
reserves;
(5) biographical affidavits of owners, officers, directors and management;
(6) a three-year business plan discussing the insurer's plan of operation in
Texas;
(7) NAIC's Insurance Regulatory Information System (IRIS) ratio reports,
accompanied by management's explanation of the insurer's IRIS ratios outside
the allowed ranges and a description of any related corrective action;
(8) for foreign companies only, a copy of its latest Examination Report from
the insurer's state of domicile;
(9) for alien companies listed with the NAIC's International Insurance
Department (IID), a copy of its annual IID filing; and
(10) a list of currently used and proposed to be used Texas surplus lines
agents.
(b) Except as specified in
paragraphs (1) and (2) of this subsection, foreign surplus lines insurers
shall submit annually to the department and the stamping office the material
identified in subsection (a) of this section by March 31.
(1) Audited financial statements and SEC 10K Reports shall be annually
submitted to the department by June 1.
(2) Quarterly financial reports shall be submitted to the department within
45 days of the end of each calendar quarter.
(c) Alien surplus lines
insurers shall submit annually to the department and the stamping office the
material identified in subsection (a) of this section by June 1, except the
IID filing and the actuarial opinion shall be annually submitted to the
department by August 1.
(d) In addition, surplus
lines insurers or their representatives shall provide other information
relevant to the determination of eligibility that is requested by the
department or the stamping office. The surplus lines insurer, agent, or
representative shall be permitted at least 10 days to respond, after
receipt, to a request for additional information or documentation. Failure
by the surplus lines insurer or agent to submit the information requested in
a timely manner shall be grounds for a denial or termination of eligibility
to write surplus lines insurance in this state. Nothing herein shall
interfere with the department's rights to require additional information or
documentation or to examine or inspect records. Other relevant information
includes, but is not limited to, the following:
(1) activities of management and agents;
(2) history and competency of reinsurers;
(3) pattern of claims services;
(4) domestic trust agreements; and
(5) powers of attorney.
(e) Information received
under this section is subject to Government Code Sec.Sec.552.001-552.132.
(f) The stamping office
shall report to the department whether insurers have submitted evidence that
appears to be satisfactory evidence for eligibility under this section and
the Texas Insurance Code.
(g) Upon receiving reports
under subsection (f) of this section, the department shall determine if
satisfactory evidence of eligibility has been presented and shall notify the
surplus lines insurer of the department's determination.
(h) Each surplus lines
insurer shall continuously maintain its eligibility.
(i) The department,
stamping office, and commissioner have no duty or responsibility under the
Insurance Code, this section or Sec.15.101 of this title (relating to Plan
of Operation of the Surplus Lines Stamping Office of Texas) to determine the
actual financial condition or claims practices of any surplus lines insurer.
(j) A list of surplus
lines insurers that have provided satisfactory evidence of eligibility shall
be maintained by the department as public information. This list shall
contain sufficient information to inform the public of the limitations of
the department's authority with regard to surplus lines insurers and the
relevant differences between surplus lines insurers and admitted insurers.
Sec. 15.9. Duty of
Reasonable Effort by Surplus Lines Agents to Ascertain Financial Condition
and Other Practices of Eligible Surplus Lines Insurers.
(a) Before placing
insurance with an eligible surplus lines insurer, a surplus lines agent
shall make a reasonable inquiry into the financial condition and operating
history of the insurer.
(b) During the course of
placing coverage with an eligible surplus lines insurer, each surplus lines
agent shall be under a continuous duty to stay informed of the insurer's
solvency and the soundness of its financial strength, and of the insurer's
ability to process claims and pay losses expeditiously.
(c) A surplus lines agent
shall immediately inform the department and the stamping office whenever the
agent has grounds to reasonably doubt the capacity, competence, stability,
claim practices, or business practices of an eligible surplus lines insurer.
(d) A surplus lines agent
shall immediately inform the department and the stamping office whenever the
agent has reasonable grounds to believe that an unauthorized insurer is
illegally transacting the business of insurance in this state.
(e) A surplus lines agent
shall place surplus lines insurance on Texas risks only with an eligible
insurer that meets the requirements of the Texas Insurance Code and the
department's rules.
Sec. 15.10. Surplus
Lines Stamping Fee.
For each surplus lines policy, contract, or other detailed evidence of
coverage issued on Texas risks, including additions or deletions thereto or
cancellations thereof, each surplus lines agent shall submit a stamping fee
as approved by the department. The fees shall be due and payable as provided
in Sec.15.23 of this title (relating to Policy Form Filings and Stamping
Office Fees).
Sec. 15.11. Uniformity
of Reporting Forms.
Applications, reports, and
memorandums required under the Texas Insurance Code and by this subchapter
relating to surplus lines insurance shall be submitted on the forms
promulgated and maintained by the department. These forms may be obtained
from the department. A person may reproduce the forms obtained from the
department by photocopying, electronic scanning or other electronic means.
The reproductions may be used in filings so long as the reproduction is an
unaltered duplicate of the original form.
Sec. 15.12. Surplus
Lines Insurance Requests for Information, Examination, and Complaints.
In addition to those
documents required to be filed under Sec.15.8 of this title (relating to
Eligibility Requirements of Surplus Lines Insurers) and Sec.15.23 of this
title (relating to Policy Forms Filing and Stamping Office Fees), a surplus
lines agent may be requested by the stamping office to submit additional
information necessary to evaluate the eligibility of surplus lines policies,
contracts or other detailed evidence of coverage. The stamping office shall
issue a written report under Sec.15.7(b) of this title (relating to
Eligibility Requirements for Surplus Lines Insurance) if the requested
additional information is not timely submitted by the surplus lines agent.
The stamping office and the surplus lines agent may mutually agree for a
representative of the stamping office to review the requested documentation
at the agent's place of business. Nothing in this section shall serve to
limit the department's ability to require the surplus lines agent to submit
information or reports as required by the Texas Insurance Code and this
subchapter.
Sec. 15.13. Correct
Execution Required for Filing.
No report required to be
filed under the Texas Insurance Code or these sections relating to surplus
lines insurance shall be deemed filed with the department or the stamping
office unless the documents submitted are correctly completed and signed on
forms complying with Sec.15.11 of this title (relating to Uniformity of
Reporting Forms). A correct surplus lines policy filing submitted to the
stamping office by facsimile telecopy or other electronic means shall be
deemed filed on the date it is received by the stamping office if the
specific electronic means has been pre-approved by the department in writing
and otherwise complies with all applicable laws. However, in such
circumstances, the surplus lines agent responsible for the filing must
maintain the subject contract file, as specified in Sec.15.16 of this title
(relating to Contract File), at the agent's place of business in accordance
with Sec.15.14 of this title (relating to Recordkeeping), and must promptly
submit such contract file to the stamping office upon request. Upon mutual
agreement, a representative of the stamping office may view the requested
contract file at the agent's place of business. Nothing in this section
shall serve to limit the department's ability to require the surplus lines
agent to submit information or reports as required by the Texas Insurance
Code and this subchapter.
Sec. 15.14.
Recordkeeping.
(a) In order to provide
for basic uniformity in recordkeeping requirements, and to make possible a
complete and accurate examination of the surplus lines agent's records by
the department, the following insurance and accounting records must be
established and maintained by each surplus lines agent:
(1) a policy register;
(2) a contract file;
(3) general books of account; and
(4) such other insurance and accounting records as are necessary to properly
and promptly service policyholders in this state and provide required
information to the department.
(b) The surplus lines
agent's records and accounts required to be kept by the Texas Insurance Code
and these sections relating to surplus lines insurance are subject to
examination by the department and the comptroller at all times without
notice and shall be kept available and open to the department for five years
following expiration or termination of the insurance contract.
Sec. 15.15. Policy
Number.
(a) All surplus lines
agents shall, immediately upon the procurement of insurance from an eligible
surplus lines insurer, record the chronological policy number and the name
of the insured. The surplus lines agent shall inscribe all records and files
maintained by the surplus lines agent that are pertinent to a specific risk
with the same policy number.
(b) For agents having
authority to issue policies on behalf of an eligible surplus lines insurer,
strict chronological sequence is required in the assignment of policy
numbers, and in the instance of voided or unused policy numbers, an
explanation is required to be recorded in the policy number register.
Sec. 15.16. Contract
File.
Each surplus lines agent
shall maintain a contract file which shall contain a complete and true
record of each individual surplus lines contract, including a copy of the
daily report or other evidence of insurance, and showing the following items
as may be applicable:
(1) amount of insurance and perils insured against;
(2) brief general description of the property insured and the location of
the property;
(3) gross premium paid;
(4) return premium paid, if any;
(5) rate(s) of premium charged;
(6) effective date(s) of the contract, and the terms thereof;
(7) name and mailing address of the insured;
(8) name and home office address of the insurer, underwriting syndicate or
other risk bearing entity;
(9) amount collected from the insured;
(10) record of losses or claims filed and payments made;
(11) a true and correct copy of the insurance policy, contract and other
detailed evidences of coverage, as issued to the insured; and
(12) all correspondence relating to the specific insurance coverage of that
contract file.
Sec. 15.17. Agency
Accounting Records.
(a) Each surplus lines
agent shall maintain general accounting records, which shall include a
general ledger, a general journal, and cash records, and such items
necessary to reflect the financial solvency of the agent.
(b) The surplus lines
agent's general accounting records shall show a month-end summary of
operations and fiscal or calendar year-to-date summary of operations, and
shall be maintained in accordance with generally accepted accounting
principles.
Sec. 15.18. Financed
Transactions.
(a) Financed transactions
include all insurance policies that provide for installment or deferred
payments of the premium, and include installment payments, conditional
contracts, and premium financed insurance policies.
(b) Premium tax is due on
premium, interest, finance charges, and all other consideration charged to
the insured for the insurance policy unless the finance charges are billed
and stated separately to the insured by written documents.
Sec. 15.19.
Allocation of Premium.
(a) Unless otherwise
properly allocated and reported pursuant to the regulations or instructions
of the comptroller, all premiums associated with a surplus lines insurance
policy are considered Texas premium for reporting and taxation purposes.
(b) The method of
allocation between Texas and non-Texas exposures must be maintained
conspicuously in the records of the surplus lines agent of record, and the
records are subject to inspection by the comptroller, the stamping office,
and the department.
(c) For exposures located
in another state or states, the surplus lines agent of record, and the
related agency if applicable, shall be liable for the premium tax on any
unallocated or unreported premium. Premiums that are properly allocated that
are specifically exempt from taxation under the regulations of another state
or states are not taxable in Texas.
(d) If a surplus lines
insurance policy covers risks or exposures that are properly allocated to
federal waters, international waters or locations under the jurisdiction of
a foreign government, then the premium associated with such policies or
portions of such policies shall not be taxable in Texas.
(e) All premium taxes
shall be computed pursuant to the regulations or instructions of the
comptroller.
Sec. 15.20.
Reporting of Premium Allocation.
(a) A surplus lines agent
of record shall file with the comptroller its allocation of premium, the tax
due, and other information requested in the proper form and using the
instructions distributed by the comptroller for these purposes.
(b) Unless 100% of the
premium meets the requirements of paragraphs (1) - (3) of this subsection, a
surplus lines agent of record shall file with the stamping office its
allocation of premium in the manner prescribed by the department and the
stamping office;
(1) is properly allocated or apportioned to another state or states as
premium subject to taxation by those states, and if required so reported to
the other state or states;
(2) is preempted from taxation by federal law and is on exposures located
entirely outside Texas; or
(3) is exempt from taxation under Texas law.
Sec. 15.21. Minimum
Content of Contracts.
(a) Every new or renewal
insurance contract, policy, certificate, cover note, or other confirmation
of insurance procured and delivered as a surplus lines coverage pursuant to
the Texas Insurance Code shall contain, as a minimum, the information
required by the Texas Insurance Code Article 1.14-2, Sec.7.
(b) In addition to the
requirements of subsection (a) of this section, the following items are
required:
(1) a statement designating the name and address of the person to whom the
Commissioner of Insurance shall mail service of process in accordance with
the Texas Insurance Code, and
(2) a stamping fee.
Sec.15.22. Furnishing
Evidence of Insurance.
(a) A surplus lines agent
must promptly provide the insured or his agent with written evidence of
insurance containing complete terms, conditions, and exclusions pertaining
to the coverage so as to protect all parties against misunderstanding. If
temporary confirmation of insurance coverage is required by the insured or
is given by the surplus lines agent, such temporary confirmation shall be
replaced as promptly as possible with a policy or certificate stating the
complete terms, conditions, and exclusions of the insurance.
(b) If, after delivery to
the insured or his agent of any document evidencing insurance coverage,
there is any change as to the identity of the insurers or the portion of the
direct risk assumed by the insurer as stated in the previously mentioned
original documents, or any other material change as to the insurance
coverage, the surplus lines agent shall promptly mail to the insured or his
agent a substitute certificate, cover note, confirmation, or endorsement for
the original. The document(s) must accurately show the current status of the
coverage and the insurers responsible thereunder.
Sec. 15.23. Policy
Forms Filings and Stamping Office Fees.
(a) Unless the procedure for electronic filing is elected by the surplus
lines agent in accordance with subsection (b) of this section, a true and
correct copy of each executed surplus lines policy, contract, or other
detailed evidence of coverage, including additions or deletions thereto or
cancellation thereof, shall be filed by the procuring surplus lines agent
with the stamping office within 60 days of issuance or the effective date,
whichever is later. If other detailed evidence of coverage is initially
filed, a copy of the policy shall be promptly filed with the stamping office
when available.
(b) To the extent
permitted under the Texas Insurance Code and other applicable laws, the
surplus lines agent may elect to file the information required under
subsection (a) of this section by electronic transmission, if the electronic
method has been pre-approved by the department. The stamping office shall
provide surplus lines agents with a written procedure for optional
electronic filing of policies, contracts and other detailed evidence of
coverage.
(c) For purposes of
reporting to the stamping office the term "true and correct copy of a
surplus lines insurance policy," as used in the Texas Insurance Code Article
1.14-2, Sec.6 and this section, shall include:
(1) a declarations page;
(2) a listing of all participating insurers on the policy;
(3) all coverage parts and schedules;
(4) extended coverage exclusions;
(5) all premium-bearing documents; and
(6) any other parts as may be required by the stamping office to review and
record the policy.
(d) The stamping office
shall compile information from these filings on an individual surplus lines
agent or agency basis within 10 days after the end of each month. Such
individual reports shall be provided to the surplus lines agent or agency
with a notice of the total stamping fees due. The agent or agency shall pay
such fees to the stamping office by the end of the month in which the notice
of stamping fees due is received.
(e) Filing of such
policies, contracts, or other detailed evidence of coverage under subsection
(a) or (b) of this section is made in lieu of filing an affidavit of
diligent effort or other evidence of diligent effort by the surplus lines
agent to place the coverage with an admitted carrier.
Sec. 15.24.
Exemption from Minimum Capital and Surplus Requirement.
(a) The commissioner may
exempt an eligible surplus lines insurer from the minimum capital and
surplus requirements provided by the Texas Insurance Code Article 1.14-2,
Sec.8(b), if it is determined, after opportunity for a public hearing, that
the exemption is warranted. An applicant for this exemption shall be
required to prove that it has met the requirements of the Texas Insurance
Code and this section. In determining whether such an exemption is
warranted, the commissioner shall consider the information presented
relating to each of the following:
(1) Completed biographical affidavits on all officers and directors of the
insurer. The insurer's history of response to regulatory directives; the
insurer's history of processing and paying valid claims; the management's
experience in the business of insurance; the record, if any, of disciplinary
actions taken against the insurer by regulatory bodies; and the criminal
records, if any, of the ownership or management of the insurer.
(2) The parent's most recent financial statements consisting of:
(A) National Association of Insurance Commissioners (NAIC) annual statement,
if the parent is an insurer required to file such statement;
(B) certified financial statement, if the parent is an alien insurer;
(C) an audit prepared by a certified public accountant on the parent, if not
an insurer, and the amount of financial support to the insurer that would be
provided by the parent in the event of impairment; or
(D) the insurer's latest NAIC's quarterly report, if filed.
(3) The profit and loss history of the insurer.
(4) The types of investments by the insurer.
(5) The insurer's gross and net premium writings to surplus to policyholders
ratio.
(6) The insurer's NAIC annual statement form for the preceding year, or
certified financial statement if insurer is an alien insurer.
(7) All of its ceded reinsurance is with insurers licensed in any state or
the insurer provides evidence of acceptable trust funds or letters of credit
pursuant to insurance laws of this state if the ceded reinsurance is with
alien reinsurers, or other evidence of adequate reinsurance satisfactory to
the commissioner. True and correct copies of executed reinsurance agreements
are required.
(8) The volume and types of complaints received by regulatory agencies and
evidence of at least one year of experience in the business of insurance.
The insurer must demonstrate that its business history reflects no adverse
effect on consumers or authorized insurers.
(9) The NAIC Insurance Regulatory Information System (IRIS) report on the
insurer, if any.
(10) The specific line or lines of the insurance to be written may be
considered if in the public interest.
(11) Information on the kind and class of insurance business to be written
by the insurer in Texas as well as documentation of the insurer's license,
or other authority, from its domicillary state or country to conduct the
same kind and class of business that is proposed to be written in this
state. An exemption granted under this section does not authorize a surplus
lines insurer to write kinds or classes of business otherwise prohibited by
law.
(b) In an analysis of the
NAIC annual statement form or certified financial statement, the following
may be considered as qualifying assets:
(A) lawful money of the United States;
(B) bonds of this state;
(C) bonds or other evidences of indebtedness of the United States of America
or any of its agencies when such obligations are guaranteed as to principal
and interest by the United States of America;
(D) notes secured by first mortgages upon unencumbered real estate, the
title to which is valid and the payment of which notes is insured, in whole
or in part, by the United States of America or any of its agencies; provided
that such investments in such notes shall not exceed one half of the minimum
capital stock and minimum surplus of the investing company; and
(E) bonds or other interest-bearing evidences of indebtedness of any
counties, cities, or other municipalities.
(c) The commissioner may
require that the insurer, on a per-risk basis, retain no limit of liability
greater than 10% of its capital and surplus.
(d) An application for
this exemption is subject to the requirements of the Texas Insurance Code
Article 1.14-2, Sec.8(c) and this section in conjunction with the Texas
Insurance Code Article 1.14-2, Sec.8(d).
(e) An application for
this exemption shall be denied unless the insurer proves that it is unable
to acquire sufficient funds to meet the minimum capital and surplus
requirements.
(f) A surplus lines
insurer shall be exempt from the minimum capital and surplus requirements of
Texas Insurance Code Article 1.14-2, Sec.8(b) so long as the insurer
demonstrates to the satisfaction of the commissioner that it writes less
than $50,000 of direct insurance premium in this state provided:
(1) the direct Texas premium represents less than the amount of premium
written by the insurer in its domicillary jurisdiction;
(2) the direct Texas premium represents less than 10% of the insurer's total
direct written premium in the United States;
(3) the direct Texas premium represents less than 5% of the insurer's total
capital and surplus;
(4) the insurer's premium to surplus ratio, net of reinsurance ceded is less
than 2 to 1; and
(5) the insurer meets the requirements of this section.
(g) The department shall
annually review an insurer's exemption to determine if any changes require
an opportunity for hearing to consider whether an exemption should be
continued.
Sec. 15.25. Purchase
of Insurance by Purchasing Groups through Surplus Lines Agents.
(a) A purchasing group is
any group that:
(1) has as one of its purposes the purchase of liability insurance on a
group basis;
(2) purchases such insurance only for its group members and only to cover
their similar or related liability exposure;
(3) is composed of members whose businesses or activities are similar or
related with respect to the liability to which members are exposed by virtue
of any related, similar, or common business, trade, product, service,
premise, or operation; and
(4) is domiciled in any state.
(b) Whenever a purchasing
group purchases insurance through a surplus lines agent, either the
purchasing group or surplus lines agent, as appropriate, shall submit all
registration forms, fees, or taxes required by the Texas Insurance Code
Article 21.54, directly to the Comptroller of Public Accounts of Texas or
the department, as applicable.
(c) A surplus lines agent
shall stamp or write the words "Purchasing Group" conspicuously on every
policy, contract, or other detailed evidence of coverage issued to a
purchasing group or its members through the surplus lines agent. All copies
of such documents shall be marked in the same way. However, copies of such
documents need not be filed with the stamping office or the department
unless requested by the department in a specific case. |