reglab/housing_qa huggingface dataset:
TX Ins Code § 4151.206 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter E. Department Regulation of Administrators|Section 4151.206. Fees

Sec. 4151.206.  FEES.  (a)  The commissioner shall collect and an applicant or administrator shall pay to the commissioner fees in an amount to be determined by the commissioner as follows:(1)  a filing fee not to exceed $1,000 for processing an original application for a certificate of authority for an administrator;(2)  a fee not to exceed $500 for an examination under Section 4151.201; and(3)  a filing fee not to exceed $200 for an annual report.(b)  The commissioner shall deposit a fee collected under Subsection (a)(1) or (3) to the credit of the Texas Department of Insurance operating account.(c)  The commissioner shall deposit a fee collected under Subsection (a)(2) to the credit of the account described by Section 401.156(a).|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 7, eff. April 1, 2005.Amended by: Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.074, eff. September 1, 2007.Acts 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.074, eff. September 1, 2007.Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.18, eff. September 1, 2007.Acts 2011, 82nd Leg., R.S., Ch. 659 (S.B. 1291), Sec. 6, eff. September 1, 2011.|
TX Ins Code § 4151.210 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter E. Department Regulation of Administrators|Section 4151.210. Effect of Revocation of Other Certificates

Sec. 4151.210.  EFFECT OF REVOCATION OF OTHER CERTIFICATES.  An officer or a director or a shareholder with a controlling interest of an entity whose certificate of authority to engage in the business of insurance or other analogous authorization has been revoked in this state or in any other state may not act as an officer, director, member, manager, or partner, or as a shareholder with a controlling interest, of an entity that holds a certificate of authority issued under this chapter unless the commissioner determines, for good cause shown,  that it is in the public interest to permit the individual to act in that capacity.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.19, eff. September 1, 2007.|
TX Ins Code § 4151.212 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter E. Department Regulation of Administrators|Section 4151.212. Maintenance of Qualifications Required

Sec. 4151.212.  MAINTENANCE OF QUALIFICATIONS REQUIRED.  The department may, in the manner prescribed by Section 4151.056 and by Subchapter G, revoke, suspend, or refuse to renew the certificate of authority of a certificate holder who does not maintain the qualifications necessary to obtain a certificate of authority issued under this chapter.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.19, eff. September 1, 2007.|
TX Ins Code § 4151.251 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter F. Workers' Compensation Benefit Plans|Section 4151.251. Definition

Sec. 4151.251.  DEFINITION.  For purposes of this subchapter only, "insurance carrier" means:(1)  an insurance company; or(2)  a certified self-insurer for workers' compensation insurance, other than a certified self-insurance group under Chapter 407A, Labor Code, or a governmental entity that self-insures.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.20, eff. September 1, 2007.|
TX Ins Code § 4151.252 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter F. Workers' Compensation Benefit Plans|Section 4151.252. Application

Sec. 4151.252.  APPLICATION.  (a)  This subchapter applies to the administration of workers' compensation insurance coverage.(b)  This subchapter does not apply to an employer that does not elect under Subchapter A, Chapter 406, Labor Code, to obtain workers' compensation insurance coverage.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.20, eff. September 1, 2007.|
TX Ins Code § 4151.253 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter F. Workers' Compensation Benefit Plans|Section 4151.253. Agreements Between Administrators and Carriers

Sec. 4151.253.  AGREEMENTS BETWEEN ADMINISTRATORS AND CARRIERS.  (a)  An administrator shall enter into a contract in connection with workers' compensation benefits for collecting premium or contributions, adjusting claims, or settling claims with the insurance carrier responsible for those claims, including the insurance carrier responsible for claims arising under policies authorized under Section 2053.202(b).  A contract required by this subsection may be in the form of a master services agreement.(b)  A contract required by Subsection (a) must provide that:(1)  the contract does not limit in any way the insurance carrier's authority or responsibility, including financial responsibility, to comply with each statutory or regulatory requirement; and(2)  the administrator shall comply with each statutory or regulatory requirement relating to a function assumed by or carried out by the administrator.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.20, eff. September 1, 2007.|
TX Ins Code § 4151.254 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter F. Workers' Compensation Benefit Plans|Section 4151.254. Agreements Between Administrators and Employers

Sec. 4151.254.  AGREEMENTS BETWEEN ADMINISTRATORS AND EMPLOYERS.  (a)  In addition to the contract required by Section 4151.253, an administrator may also enter into a contract with an employer in connection with workers' compensation benefits for collecting premium or contributions, adjusting claims, or settling claims, including an employer purchasing a policy authorized under Section 2053.202(b).(b)  A contract entered into under Subsection (a) must provide that:(1)  the contract does not limit or modify in any way:(A)  the insurance carrier's authority or responsibility, including financial responsibility, to comply with each statutory or regulatory requirement; and(B)  the provisions of the contract entered into between the administrator and the insurance carrier under Section 4151.253; and(2)  the administrator shall comply with each statutory or regulatory requirement relating to a function assumed by or carried out by the administrator.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.20, eff. September 1, 2007.|
TX Ins Code § 4151.255 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter F. Workers' Compensation Benefit Plans|Section 4151.255. Administrator Compensation

Sec. 4151.255.  ADMINISTRATOR COMPENSATION.  Except as provided by Section 4151.117, an administrator may accept compensation of any kind for the performance of administrative services in connection with workers' compensation claims from:(1)  an insurance carrier responsible for those claims;(2)  an employer with whom the administrator has entered into a contract; or(3)  both the insurance carrier and the employer.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.20, eff. September 1, 2007.|
TX Ins Code § 4151.256 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter F. Workers' Compensation Benefit Plans|Section 4151.256. Large Deductible Policies

Sec. 4151.256.  LARGE DEDUCTIBLE POLICIES.  An employer who enters into a contract with an insurance carrier under Section 2053.202(b) may not use or contract with an administrator to perform administrative services in connection with workers' compensation benefits unless the administrator has entered into a written agreement with the insurance carrier that:(1)  complies with all the provisions of this chapter; and(2)  provides that the insurance carrier is responsible for:(A)  setting standards used in the handling of claims; and(B)  arranging for the payment of claims.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.20, eff. September 1, 2007.|
TX Ins Code § 4151.257 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter F. Workers' Compensation Benefit Plans|Section 4151.257. Rules

Sec. 4151.257.  RULES.  The commissioner shall adopt rules to implement the requirements of this subchapter, including rules prescribing requirements for contracts and master services agreements and requirements for the payment of claims.  The rules must provide for compliance with the requirements of this chapter for any contract that takes effect or has an annual anniversary date on or after January 1, 2008.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.20, eff. September 1, 2007.|
TX Ins Code § 4151.301 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter G. Disciplinary Actions; Penalties|Section 4151.301. Grounds for Denial, Suspension, or Revocation of Certificate of Authority

Sec. 4151.301.  GROUNDS FOR DENIAL, SUSPENSION, OR REVOCATION OF CERTIFICATE OF AUTHORITY.  The department may deny an application for a certificate of authority or discipline the holder of a certificate of authority under this subchapter if the department determines that the applicant or holder, individually, or through an officer, director, or shareholder:(1)  has wilfully violated an insurance law of this state;(2)  has intentionally made a material misstatement in the application for a certificate of authority;(3)  has obtained or attempted to obtain a certificate of authority by fraud or misrepresentation;(4)  has misappropriated, converted to the applicant's or holder's own use, or illegally withheld money belonging to:(A)  an insurance carrier,  as that term is defined by Section 401.011, Labor Code;(B)  an insurer, as that term is defined by  Section 4001.003;(C)  a health maintenance organization; or(D)  an insured, enrollee, injured employee, or beneficiary;(5)  has engaged in fraudulent or dishonest acts or practices;(6)  has materially misrepresented the terms and conditions of an insurance policy, certificate, evidence of coverage, or contract;(7)  has been convicted of a felony;(8)  is in a financial condition, or is operating or conducting business in a manner, that would render further transaction of business in this state hazardous or injurious to insured persons or the public;(9)  has failed to comply with any judgment rendered against the applicant or holder before the 60th day after the date on which the judgment becomes final;(10)  has wilfully violated a commissioner rule;(11)  has refused to be examined or to produce accounts, records, and files for examination as required by this chapter or commissioner rule;(12)  at any time fails to meet a qualification for which issuance of the certificate of authority could have been denied had the failure then existed and been known to the commissioner;(13)  has had a certificate of authority, license, or other authority issued by this state, another state, or the United States suspended or revoked; or(14)  has failed to timely file the annual report required by Section 4151.205.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.21, eff. September 1, 2007.|
TX Ins Code § 4151.302 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter G. Disciplinary Actions; Penalties|Section 4151.302. Remedies for Violation of Insurance Laws or Commissioner Rules

Sec. 4151.302.  REMEDIES FOR VIOLATION OF INSURANCE LAWS OR COMMISSIONER RULES.  In addition to any other remedy available under Chapter 82 for a violation of this code, another insurance law of this state, or a commissioner rule, the department may:(1)  deny an application for a certificate of authority;(2)  suspend or revoke a certificate of authority;(3)  place on probation a person whose certificate of authority has been suspended;(4)  assess an administrative penalty; or(5)  reprimand a certificate of authority holder.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.21, eff. September 1, 2007.|
TX Ins Code § 4151.303 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter G. Disciplinary Actions; Penalties|Section 4151.303. Probated Suspension

Sec. 4151.303.  PROBATED SUSPENSION.  If the suspension of a certificate of authority is probated, the commissioner may require the holder to:(1)  report regularly to the department on any matter that is the basis of the probation; or(2)  limit the holder's practice to the areas prescribed by the department.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.21, eff. September 1, 2007.|
TX Ins Code § 4151.304 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter G. Disciplinary Actions; Penalties|Section 4151.304. Hearing

Sec. 4151.304.  HEARING.  If the department proposes to deny an application for a certificate of authority, or to suspend or revoke a certificate of authority, the applicant or holder is entitled to notice and a hearing conducted by the State Office of Administrative Hearings as provided by Chapter 40.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.21, eff. September 1, 2007.|
TX Ins Code § 4151.305 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter G. Disciplinary Actions; Penalties|Section 4151.305. Application for Certificate of Authority After Denial or Revocation

Sec. 4151.305.  APPLICATION FOR CERTIFICATE OF AUTHORITY AFTER DENIAL OR REVOCATION.  (a)  A person, or officer, director, or shareholder of a person, whose application has been denied or whose certificate of authority has been revoked under this subchapter may not apply for a certificate of authority before the fifth anniversary of:(1)  the effective date of the denial or revocation; or(2)  the date of a final court order affirming the denial or revocation if judicial review was sought.(b)  An application filed after the period required by Subsection (a) may be denied by the commissioner if the applicant fails to show good cause why the denial or revocation should not be a bar to the issuance of a new certificate.(c)  Subsection (b) does not apply to an applicant whose application was denied for failure by the applicant to submit a properly completed application for a certificate of authority.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.21, eff. September 1, 2007.|
TX Ins Code § 4151.306 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter G. Disciplinary Actions; Penalties|Section 4151.306. Disciplinary Proceeding for Conduct Committed Before Surrender or Forfeiture of Certificate

Sec. 4151.306.  DISCIPLINARY PROCEEDING FOR CONDUCT COMMITTED BEFORE SURRENDER OR FORFEITURE OF CERTIFICATE.  (a)  The department may institute a disciplinary proceeding against a former certificate holder, or officer, director, or shareholder of a former certificate holder, for conduct committed before the effective date of a voluntary surrender or automatic forfeiture of the certificate of authority.(b)  In a proceeding under this section, the fact that the certificate holder, or officer, director, or shareholder of a certificate holder, has surrendered or forfeited the certificate does not affect the former certificate holder's, or officer, director, or shareholder of a former certificate holder's, culpability for the conduct that is the subject of the proceeding.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.21, eff. September 1, 2007.|
TX Ins Code § 4151.307 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter G. Disciplinary Actions; Penalties|Section 4151.307. Emergency Certificate Suspension

Sec. 4151.307.  EMERGENCY CERTIFICATE SUSPENSION.  (a)  The commissioner may suspend the certificate of an administrator without notice or hearing if the commissioner determines that:(1)  the administrator is insolvent or impaired;(2)  an order for receivership, conservatorship, rehabilitation, or any other delinquency regarding the administrator has been entered in any state; or(3)  the financial condition or business practices of the administrator otherwise pose an imminent threat to the public health, safety, or welfare of the residents of this state.(b)  On determining that grounds exist under Subsection (a) to suspend the administrator's certificate of authority, the commissioner may issue an order suspending the certificate.  The commissioner shall immediately serve notice of the suspension on the holder.(c)  The notice required by Subsection (b) must:(1)  be personally served on the holder or be sent by registered or certified mail, return receipt requested, to the holder's last known address according to the department's records;(2)  state the grounds for the suspension; and(3)  inform the holder of the right to a hearing on the suspension order.(d)  An administrator whose certificate of authority is suspended under this section is entitled to request a hearing on the suspension not later than the 30th day after the date of receipt of notice of the suspension.  Not later than the 10th day after the date a hearing is requested, the commissioner shall issue a notice of hearing.(e)  The hearing must be held not later than the 10th day after the date notice of hearing is issued, unless the parties agree to a later date.(f)  A hearing on a suspension order under this section is subject to Chapter 2001, Government Code, and to Subchapter A, Chapter 40.  After the hearing, the administrative law judge shall recommend to the commissioner whether to uphold, vacate, or modify the suspension order.(g)  A suspension order issued under this section remains in effect until further action is taken by the commissioner.|Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.21, eff. September 1, 2007.|
TX Ins Code § 4151.308 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter G. Disciplinary Actions; Penalties|Section 4151.308. General Administrative Sanctions

Sec. 4151.308.  GENERAL ADMINISTRATIVE SANCTIONS.  An administrator or other person who violates this chapter is subject to the sanctions provided by Chapter 82.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 7, eff. April 1, 2005.Renumbered from Insurance Code, Section 4151.207 and amended by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.22, eff. September 1, 2007.|
TX Ins Code § 4151.309 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4151 - Third-Party Administrators|Subchapter G. Disciplinary Actions; Penalties|Section 4151.309. Criminal Penalty

Sec. 4151.309.  CRIMINAL PENALTY.  (a)  An administrator commits an offense if the administrator knowingly violates this chapter or a rule of the commissioner adopted under this chapter.(b)  An offense under this section is a misdemeanor punishable by a fine of not less than $500 or more than $5,000.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 7, eff. April 1, 2005.Renumbered from Insurance Code, Section 4151.208 and amended by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.23, eff. September 1, 2007.|
TX Ins Code § 4152.002 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4152 - Reinsurance Intermediaries|Subchapter A. General Provisions|Section 4152.002. Classification as Commercially Domiciled Insurer

Sec. 4152.002.  CLASSIFICATION AS COMMERCIALLY DOMICILED INSURER.  (a)  For purposes of this chapter, a foreign or alien insurer authorized to engage in the business of insurance in this state is a commercially domiciled insurer if during the period described by Subsection (b) the average of the gross premiums written by the insurer in this state is:(1)  more than the average of the gross premiums written by the insurer in the insurer's state of domicile;  and(2)  20 percent or more of the total gross premiums written by the insurer in the United States, as reported in the insurer's three most recent annual statements.(b)  The period applicable to Subsection (a) is:(1)  the three most recent fiscal years of the insurer that precede the fiscal year in which the determination under this section is made;  or(2)  if the insurer has been authorized to engage in the business of insurance in this state for less than the period described by Subdivision (1), the period for which the insurer has been authorized to engage in the business of insurance in this state.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 7, eff. April 1, 2005.|
TX Ins Code § 4152.003 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4152 - Reinsurance Intermediaries|Subchapter A. General Provisions|Section 4152.003. Rights of Third Parties Not Affected

Sec. 4152.003.  RIGHTS OF THIRD PARTIES NOT AFFECTED.  This chapter does not restrict the rights of or confer any additional rights on a policyholder, claimant, creditor, or other third party.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 7, eff. April 1, 2005.|
TX Ins Code § 4152.004 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4152 - Reinsurance Intermediaries|Subchapter A. General Provisions|Section 4152.004. Rules

Sec. 4152.004.  RULES.  The commissioner may adopt reasonable rules as necessary to implement this chapter.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 7, eff. April 1, 2005.|
TX Ins Code § 4152.051 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4152 - Reinsurance Intermediaries|Subchapter B. License Requirements|Section 4152.051. License Required

Sec. 4152.051.  LICENSE REQUIRED.  (a)  A person may not act as a broker or manager in this state for an insurer engaged in the business of insurance or reinsurance in this state unless the person holds an appropriate license under this chapter.(b)  A person who holds a manager license is not required to obtain a broker license but must comply with Subchapter D to act as a broker.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 7, eff. April 1, 2005.|
TX Ins Code § 4152.052 (2021)
2021 Texas Statutes|Insurance Code|Title 13 - Regulation of Professionals|Subtitle D - Other Professionals|Chapter 4152 - Reinsurance Intermediaries|Subchapter B. License Requirements|Section 4152.052. Qualifications

Sec. 4152.052.  QUALIFICATIONS.  The commissioner may establish qualifications for a reinsurance intermediary license as reasonably necessary to fulfill the requirements of this chapter.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 7, eff. April 1, 2005.|