reglab/housing_qa huggingface dataset:
TX Ins Code § 38.003 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter A. General Provisions|Section 38.003. Underwriting Guidelines for Other Lines; Confidentiality

Sec. 38.003.  UNDERWRITING GUIDELINES FOR OTHER LINES;  CONFIDENTIALITY.  (a)  This section applies to all underwriting guidelines that are not subject to Section 38.002.(b)  For purposes of this section, "insurer" means a reciprocal or interinsurance exchange, mutual insurance company, capital stock company, county mutual insurance company, Lloyd's plan, life, accident, or health or casualty insurance company, health maintenance organization, mutual life insurance company, mutual insurance company other than life, mutual, or natural premium life insurance company, general casualty company, fraternal benefit society, group hospital service company, or other legal entity engaged in the business of insurance in this state.  The term includes an affiliate as described by Section 823.003(a) if that affiliate is authorized to write and is writing insurance in this state.(c)  The department or the office of public insurance counsel may obtain a copy of an insurer's underwriting guidelines.(d)  Underwriting guidelines are confidential, and the department or the office of public insurance counsel may not make the guidelines available to the public.(e)  The department or the office of public insurance counsel may disclose to the public a summary of an insurer's underwriting guidelines in a manner that does not directly or indirectly identify the insurer.(f)  When underwriting guidelines are furnished to the department or the office of public insurance counsel, only a person within the department or the office of public insurance counsel with a need to know may have access to the guidelines.  The department and the office of public insurance counsel shall establish internal control systems to limit access to the guidelines and shall keep records of the access provided.(g)  This section does not preclude the use of underwriting guidelines as evidence in prosecuting a violation of this code.  Each copy of an insurer's underwriting guidelines that is used in prosecuting a violation is presumed to be confidential and is subject to a protective order until all appeals of the case have been exhausted.  If an insurer is found, after the exhaustion of all appeals, to have violated this code, a copy of the underwriting guidelines used as evidence of the violation is no longer presumed to be confidential.(h)  A violation of this section is a violation of Chapter 552, Government Code.|Added by Acts 1999, 76th Leg., ch. 101, Sec. 1, eff. Sept. 1, 1999.  Renumbered from Insurance Code Sec. 38.002 and amended by Acts 2003, 78th Leg., ch. 206, Sec. 8.01, eff. June 11, 2003.Amended by: Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 2B.005, eff. April 1, 2009.|
TX Ins Code § 38.005 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter A. General Provisions|Section 38.005. Commercial Automobile Insurance Report

Sec. 38.005.  COMMERCIAL AUTOMOBILE INSURANCE REPORT.  (a)  The department shall conduct a study each biennium on the effect, for each year of the biennium, on premiums, deductibles, coverage, and availability of coverage for commercial automobile insurance of H.B. 19, 87th Legislature, Regular Session, 2021.(b)  Not later than December 1 of each even-numbered year, the department shall submit a written report of the results of the study conducted under Subsection (a) for the preceding biennium to the legislature.(c)  This section expires December 31, 2026.|Added by Acts 2021, 87th Leg., R.S., Ch. 785 (H.B. 19), Sec. 5, eff. September 1, 2021.|
TX Ins Code § 38.051 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter B. Health Benefit Plan Provider Reporting|Section 38.051. Definition

Sec. 38.051.  DEFINITION.  In this subchapter, "health benefit plan provider" means an insurance company, group hospital service corporation, or health maintenance organization that issues:(1)  an individual, group, blanket, or franchise insurance policy, an insurance agreement, a group hospital service contract, or an evidence of coverage, that provides benefits for medical or surgical expenses incurred as a result of an accident or sickness; or(2)  a long-term care benefit plan, as defined by Section 1651.003.|Added by Acts 1999, 76th Leg., ch. 101, Sec. 1, eff. Sept. 1, 1999.Amended by: Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 2B.006, eff. April 1, 2009.|
TX Ins Code § 38.052 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter B. Health Benefit Plan Provider Reporting|Section 38.052. Required Information; Rules

Sec. 38.052.  REQUIRED INFORMATION;  RULES.  (a)  A health benefit plan provider shall submit information required by the department relating to the health benefit plan provider's:(1)  loss experience;(2)  overhead;  and(3)  operating expenses.(b)  The department may also request information about characteristics of persons covered by a health benefit plan provider, including information relating to:(1)  age;(2)  gender;(3)  health status;(4)  job classification;  and(5)  geographic distribution.(c)  A health benefit plan provider may not be required to submit information under this section more frequently than annually.(d)  The commissioner shall adopt rules governing the submission of information under this subchapter.|Added by Acts 1999, 76th Leg., ch. 101, Sec. 1, eff. Sept. 1, 1999.|
TX Ins Code § 38.201 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter E. Statistical Data Collection|Section 38.201. Definition

Sec. 38.201.  DEFINITION.  In this subchapter, "designated statistical agent" means an organization designated or contracted with by the commissioner under Section 38.202.|Added by Acts 1999, 76th Leg., ch. 101, Sec. 1, eff. Sept. 1, 1999.|
TX Ins Code § 38.202 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter E. Statistical Data Collection|Section 38.202. Statistical Agent

Sec. 38.202.  STATISTICAL AGENT.  The commissioner may, for a line or subline of insurance, designate or contract with a qualified organization to serve as the statistical agent for the commissioner to gather data relevant for regulatory purposes or as otherwise provided by this code.|Added by Acts 1999, 76th Leg., ch. 101, Sec. 1, eff. Sept. 1, 1999.|
TX Ins Code § 38.203 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter E. Statistical Data Collection|Section 38.203. Qualifications of Statistical Agent

Sec. 38.203.  QUALIFICATIONS OF STATISTICAL AGENT.  To qualify as a statistical agent, an organization must demonstrate at least five years of experience in data collection, data maintenance, data quality control, accounting, and related areas.|Added by Acts 1999, 76th Leg., ch. 101, Sec. 1, eff. Sept. 1, 1999.|
TX Ins Code § 38.204 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter E. Statistical Data Collection|Section 38.204. Powers and Duties of Statistical Agent

Sec. 38.204.  POWERS AND DUTIES OF STATISTICAL AGENT.  (a)  A designated statistical agent shall collect data from reporting insurers under a statistical plan adopted by the commissioner.(b)  The statistical agent may provide aggregate historical premium and loss data to its subscribers.|Added by Acts 1999, 76th Leg., ch. 101, Sec. 1, eff. Sept. 1, 1999.|
TX Ins Code § 38.205 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter E. Statistical Data Collection|Section 38.205. Duty of Insurer

Sec. 38.205.  DUTY OF INSURER.  An insurer shall provide all premium and loss cost data to the commissioner or the designated statistical agent as the commissioner or agent requires.|Added by Acts 1999, 76th Leg., ch. 101, Sec. 1, eff. Sept. 1, 1999.|
TX Ins Code § 38.206 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter E. Statistical Data Collection|Section 38.206. Fees

Sec. 38.206.  FEES.  (a)  A designated statistical agent may collect from a reporting insurer any fees necessary for the agent to recover the necessary and reasonable costs of collecting data from that reporting insurer.(b)  A reporting insurer shall pay the fee to the statistical agent for the data collection services provided by the statistical agent.|Added by Acts 1999, 76th Leg., ch. 101, Sec. 1, eff. Sept. 1, 1999.|
TX Ins Code § 38.207 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter E. Statistical Data Collection|Section 38.207. Rules

Sec. 38.207.  RULES.  The commissioner may adopt rules necessary to accomplish the purposes of this subchapter.|Added by Acts 1999, 76th Leg., ch. 101, Sec. 1, eff. Sept. 1, 1999.|
TX Ins Code § 38.251 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter F. Data Collecting and Reporting Relating to Mandated Health Benefits and Mandated Offers of Coverage|Section 38.251. Applicability

Sec. 38.251.  APPLICABILITY.  This subchapter applies to any issuer of a health benefit plan that is subject to this code that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage or similar coverage document.|Added by Acts 2001, 77th Leg., ch. 852, Sec. 1, eff. Sept. 1, 2001.|
TX Ins Code § 38.252 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter F. Data Collecting and Reporting Relating to Mandated Health Benefits and Mandated Offers of Coverage|Section 38.252. Collection of Information; Report

Sec. 38.252.  COLLECTION OF INFORMATION;  REPORT.  (a)  The commissioner shall require a health benefit plan issuer to collect and report cost and utilization data for each mandated health benefit and mandated offer designated by the commissioner.(b)  The commissioner shall designate by rule:(1)  the issuers of health benefit plans that must collect and report data based on the annual dollar amounts of Texas premium collected by the health benefit plan issuer;(2)  the specific mandated health benefits and mandated offers of coverage for which data must be collected;(3)  a description of the data that must be collected;(4)  the beginning and ending dates of the reporting periods, which shall be no less than every two years;(5)  the date following the end of the reporting period by which the report shall be submitted to the commissioner;(6)  the detail and form in which the report shall be submitted;  and(7)  any other reasonable requirements that the commissioner determines are necessary to determine the impact of mandated benefits and mandated offers of coverage for which data collection and reporting is required.(c)  The commissioner shall not require reporting of data:(1)  that could reasonably be used to identify a specific enrollee in a health benefit plan;(2)  in any way that violates confidentiality requirements of state or federal law applicable to an enrollee in a health benefit plan; or(3)  in which the health maintenance organization operating under Section 1367.053, Subchapter A, Chapter 1452, Subchapter B, Chapter 1507, Chapter 222, 251, or 258, as applicable to a health maintenance organization, Chapter 843, Chapter 1271, and Chapter 1272 does not directly process the claim or does not receive complete and accurate encounter data.|Added by Acts 2001, 77th Leg., ch. 852, Sec. 1, eff. Sept. 1, 2001.Amended by: Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 2B.009, eff. April 1, 2009.|
TX Ins Code § 38.253 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter F. Data Collecting and Reporting Relating to Mandated Health Benefits and Mandated Offers of Coverage|Section 38.253. Maintenance of Information

Sec. 38.253.  MAINTENANCE OF INFORMATION.  Each health benefit plan issuer shall maintain at its principal place of business all data collected pursuant to this subchapter, including information and supporting documentation that demonstrates that the report submitted to the commissioner is complete and accurate.  Each health benefit plan issuer shall make this information and any supporting documentation available to the commissioner upon request.|Added by Acts 2001, 77th Leg., ch. 852, Sec. 1, eff. Sept. 1, 2001.|
TX Ins Code § 38.254 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter F. Data Collecting and Reporting Relating to Mandated Health Benefits and Mandated Offers of Coverage|Section 38.254. Utilization and Cost Data to Commissioner

Sec. 38.254.  UTILIZATION AND COST DATA TO COMMISSIONER.  (a)  Upon request from the commissioner, the Texas Health and Human Services Commission shall provide to the commissioner data, including utilization and cost data, which is related to the mandate being assessed to the population covered by the Medicaid program, including a program administered under Chapter 32, Human Resources Code, and a program administered under Chapter 533, Government Code, even if the program is not necessarily subject to the mandate.(b)  The commissioner may utilize data as defined in Subsection (a) to determine the impact of mandated benefits and mandated offers of coverage for which data collection and reporting is requested.|Added by Acts 2001, 77th Leg., ch. 852, Sec. 1, eff. Sept. 1, 2001.  Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.002, eff. Sept. 1, 2003.|
TX Ins Code § 38.301 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter G. Data Reporting by Certain Liability Insurers|Section 38.301. Insurer Data Reporting

Sec. 38.301.  INSURER DATA REPORTING.  (a)  Each insurer that writes professional liability insurance policies for nursing institutions licensed under Chapter 242, Health and Safety Code, including an insurer whose rates are not regulated, shall, as a condition of writing those policies in this state, comply with a request for information from the commissioner under this section.(b)  The commissioner may require information in rate filings, special data calls, or informational hearings or by any other means consistent with this code applicable to the affected insurer that the commissioner believes will allow the commissioner to:(1)  determine whether insurers writing insurance coverage described by Subsection (a) are passing to insured nursing institutions on a prospective basis the savings that accrue as a result of the reduction in risk to insurers writing that coverage that will result from legislation enacted by the 77th Legislature, Regular Session, including legislation that:(A)  amended Article 5.15-1 to limit the exposure of an insurer to exemplary damages for certain claims against a nursing institution;  and(B)  amended Sections 32.021(i) and (k), Human Resources Code, added Section 242.050, Health and Safety Code, and repealed Section 32.021(j), Human Resources Code, to clarify the admissibility of certain documents in a civil action against a nursing institution;  or(2)  prepare the report required of the commissioner under Section 38.252 or any other report the commissioner is required to submit to the legislature in connection with the legislation described by Subdivision (1).(c)  Information provided under this section is privileged and confidential to the same extent as the information is privileged and confidential under this code or any other law governing an insurer described by Subsection (a).  The information remains privileged and confidential unless and until introduced into evidence at an administrative hearing or in a court of competent jurisdiction.|Added by Acts 2001, 77th Leg., ch. 1284, Sec. 4.01, eff. June 15, 2001.  Renumbered from Insurance Code Sec. 38.251 by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.501, eff. Sept. 1, 2003.|
TX Ins Code § 38.302 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter G. Data Reporting by Certain Liability Insurers|Section 38.302. Recommendations to Legislature

Sec. 38.302.  RECOMMENDATIONS TO LEGISLATURE.  The commissioner shall assemble information and take other appropriate measures to assess and evaluate changes in the marketplace resulting from the implementation of the legislation described by Section 38.251 and shall report the commissioner's findings and recommendations to the legislature.|Added by Acts 2001, 77th Leg., ch. 1284, Sec. 4.01, eff. June 15, 2001.  Renumbered from Insurance Code Sec. 38.252 by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.501, eff. Sept. 1, 2003.|
TX Ins Code § 38.351 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter H. Health Care Reimbursement Rate Information|Section 38.351. Purpose of Subchapter

Sec. 38.351.  PURPOSE OF SUBCHAPTER.  The purpose of this subchapter is to authorize the department to:(1)  collect data concerning health benefit plan reimbursement rates in a uniform format; and(2)  disseminate, on an aggregate basis for geographical regions in this state, information concerning health care reimbursement rates derived from the data.|Added by Acts 2007, 80th Leg., R.S., Ch. 997 (S.B. 1731), Sec. 8, eff. September 1, 2007.|
TX Ins Code § 38.352 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter H. Health Care Reimbursement Rate Information|Section 38.352. Definition

Sec. 38.352.  DEFINITION.  In this subchapter, "group health benefit plan" means a preferred provider benefit plan as defined by Section 1301.001 or an evidence of coverage for a health care plan that provides basic health care services as defined by Section 843.002.|Added by Acts 2007, 80th Leg., R.S., Ch. 997 (S.B. 1731), Sec. 8, eff. September 1, 2007.|
TX Ins Code § 38.353 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter H. Health Care Reimbursement Rate Information|Section 38.353. Applicability of Subchapter

Sec. 38.353.  APPLICABILITY OF SUBCHAPTER.  (a)  This subchapter applies to the issuer of a group health benefit plan, including:(1)  an insurance company;(2)  a group hospital service corporation;(3)  a fraternal benefit society;(4)  a stipulated premium company;(5)  a reciprocal or interinsurance exchange; or(6)  a health maintenance organization.(b)  Notwithstanding any provision in Chapter 1551, 1575, 1579, or 1601 or any other law, and except as provided by Subsection (e), this subchapter applies to:(1)  a basic coverage plan under Chapter 1551;(2)  a basic plan under Chapter 1575;(3)  a primary care coverage plan under Chapter 1579; and(4)  basic coverage under Chapter 1601.(c)  Except as provided by Subsection (d), this subchapter applies to a small employer health benefit plan provided under Chapter 1501.(d)  This subchapter does not apply to:(1)  standard health benefit plans provided under Chapter 1507;(2)  children's health benefit plans provided under Chapter 1502;(3)  health care benefits provided under a workers' compensation insurance policy;(4)  Medicaid managed care programs operated under Chapter 533, Government Code;(5)  Medicaid programs operated under Chapter 32, Human Resources Code; or(6)  the state child health plan operated under Chapter 62 or 63, Health and Safety Code.(e)  The commissioner by rule may exclude a type of health benefit plan from the requirements of this subchapter if the commissioner finds that data collected in relation to the health benefit plan would not be relevant to accomplishing the purposes of this subchapter.|Added by Acts 2007, 80th Leg., R.S., Ch. 997 (S.B. 1731), Sec. 8, eff. September 1, 2007.|
TX Ins Code § 38.354 (2021)
2021 Texas Statutes|Insurance Code|Title 2 - Texas Department of Insurance|Subtitle A - Administration of the Texas Department of Insurance|Chapter 38 - Data Collection and Reports|Subchapter H. Health Care Reimbursement Rate Information|Section 38.354. Rules

Sec. 38.354.  RULES.  The commissioner may adopt rules as provided by Subchapter A, Chapter 36, to implement this subchapter.|Added by Acts 2007, 80th Leg., R.S., Ch. 997 (S.B. 1731), Sec. 8, eff. September 1, 2007.|