reglab/housing_qa huggingface dataset:
TX Ins Code § 3504.0004 (2021)
2021 Texas Statutes|Insurance Code|Title 12 - Other Coverage|Chapter 3504 - Travel Insurance|Section 3504.0004. Premium Tax

Sec. 3504.0004.  PREMIUM TAX.  (a)  A travel insurer shall pay premium tax, as provided by Section 221.002, on travel insurance premiums paid by any of the following:(1)  an individual primary policyholder who is a resident of this state;(2)  a primary certificate holder who is a resident of this state and elects and purchases coverage under a group travel insurance policy; or(3)  a blanket travel insurance policyholder who buys a blanket travel insurance policy for members of an eligible group if:(A)  the policyholder is a resident of this state; or(B)  the policyholder's principal place of business is located in this state.(b)  A travel insurer shall:(1)  document the state of residence or principal place of business of the policyholder or certificate holder described by Subsection (a); and(2)  report as premium:(A)  only the amount allocable to travel insurance and not amounts received for travel assistance services or cancellation fee waivers; and(B)  only the amount allocable to residents of this state.(c)  Amounts received for travel assistance services and cancellation fee waivers, whether the travel assistance services and cancellation waivers are offered separately or for a combined price authorized by Section 3504.0005, are not subject to taxation under Section 221.002(b).|Added by Acts 2019, 86th Leg., R.S., Ch. 1000 (H.B. 2587), Sec. 1, eff. September 1, 2019.|
TX Ins Code § 3504.0005 (2021)
2021 Texas Statutes|Insurance Code|Title 12 - Other Coverage|Chapter 3504 - Travel Insurance|Section 3504.0005. Travel Protection Plans

Sec. 3504.0005.  TRAVEL PROTECTION PLANS.  A travel protection plan composed of multiple features may be offered for a combined price if:(1)  at the time or before the consumer buys the travel protection plan it is clearly disclosed to the consumer that the plan includes travel insurance, travel assistance services, and cancellation fee waivers, as applicable, and provides information and an opportunity for the consumer to obtain additional information regarding the features and the pricing of each feature; and(2)  the fulfillment materials:(A)  describe the travel insurance, travel assistance services, and cancellation fee waivers in the travel protection plan; and(B)  include the travel insurance disclosures and the contact information for persons providing travel assistance services and cancellation fee waivers, as applicable.|Added by Acts 2019, 86th Leg., R.S., Ch. 1000 (H.B. 2587), Sec. 1, eff. September 1, 2019.|
TX Ins Code § 3504.0007 (2021)
2021 Texas Statutes|Insurance Code|Title 12 - Other Coverage|Chapter 3504 - Travel Insurance|Section 3504.0007. Rulemaking

Sec. 3504.0007.  RULEMAKING.  (a)  The commissioner may adopt rules necessary to implement this chapter.  Section 2001.0045, Government Code, does not apply to rules adopted under this section.(b)  The comptroller, in consultation with the commissioner, may adopt rules to implement this chapter.|Added by Acts 2019, 86th Leg., R.S., Ch. 1000 (H.B. 2587), Sec. 1, eff. September 1, 2019.|
TX Ins Code § 4202.001 (2021)
2021 Texas Statutes|Insurance Code|Title 14 - Utilization Review and Independent Review|Chapter 4202 - Independent Review Organizations|Section 4202.001. Definition

Sec. 4202.001.  DEFINITION.  In this chapter, "payor" has the meaning assigned by Section 4201.002.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.|
TX Ins Code § 4202.003 (2021)
2021 Texas Statutes|Insurance Code|Title 14 - Utilization Review and Independent Review|Chapter 4202 - Independent Review Organizations|Section 4202.003. Requirements Regarding Timeliness of Determination

Sec. 4202.003.  REQUIREMENTS REGARDING TIMELINESS OF DETERMINATION.  The standards adopted under Section 4202.002 must require each independent review organization to make the organization's determination:(1)  for a life-threatening condition as defined by Section 4201.002, the provision of prescription drugs or intravenous infusions for which the patient is receiving benefits under the health insurance policy, or a review of a step therapy protocol exception request under Section 1369.0546, not later than the earlier of the third day after the date the organization receives the information necessary to make the determination or, with respect to:(A)  a review of a health care service provided to a person with a life-threatening condition eligible for workers' compensation medical benefits, the eighth day after the date the organization receives the request that the determination be made; or(B)  a review of a health care service other than a service described by Paragraph (A), the third day after the date the organization receives the request that the determination be made; or(2)  for a situation other than a situation described by Subdivision (1), not later than the earlier of:(A)  the 15th day after the date the organization receives the information necessary to make the determination; or(B)  the 20th day after the date the organization receives the request that the determination be made.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.Amended by: Acts 2013, 83rd Leg., R.S., Ch. 1024 (H.B. 2645), Sec. 2, eff. September 1, 2013.Acts 2015, 84th Leg., R.S., Ch. 1037 (H.B. 1621), Sec. 8, eff. September 1, 2015.Acts 2017, 85th Leg., R.S., Ch. 103 (S.B. 680), Sec. 4, eff. September 1, 2017.|
TX Ins Code § 4202.005 (2021)
2021 Texas Statutes|Insurance Code|Title 14 - Utilization Review and Independent Review|Chapter 4202 - Independent Review Organizations|Section 4202.005. Periodic Reporting of Information; Biennial Designation; Updates and Inspection

Sec. 4202.005.  PERIODIC REPORTING OF INFORMATION; BIENNIAL DESIGNATION; UPDATES AND INSPECTION.  (a)  An independent review organization shall biennially submit the information required in an application for certification under Section 4202.004.  Anytime there is a material change in the information the organization included in the application, the organization shall submit updated information to the commissioner.(b)  The commissioner shall designate biennially each organization that meets the standards for an independent review organization adopted under Section 4202.002.(c)  Information regarding a material change must be submitted on a form adopted by the commissioner not later than the 30th day after the date the material change occurs.  If the material change is a relocation of the organization:(1)  the organization must inform the department that the location is available for inspection before the date of the relocation by the department; and(2)  on request of the department, an officer shall attend the inspection.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.Amended by: Acts 2013, 83rd Leg., R.S., Ch. 1024 (H.B. 2645), Sec. 4, eff. September 1, 2013.|
TX Ins Code § 4202.006 (2021)
2021 Texas Statutes|Insurance Code|Title 14 - Utilization Review and Independent Review|Chapter 4202 - Independent Review Organizations|Section 4202.006. Payors Fees

Sec. 4202.006.  PAYORS FEES.  The commissioner shall charge payors fees in accordance with this chapter as necessary to fund the operations of independent review organizations.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.|
TX Ins Code § 4202.007 (2021)
2021 Texas Statutes|Insurance Code|Title 14 - Utilization Review and Independent Review|Chapter 4202 - Independent Review Organizations|Section 4202.007. Oversight

Sec. 4202.007.  OVERSIGHT.  The commissioner shall provide ongoing oversight of the independent review organizations to ensure continued compliance with this chapter and the standards and rules adopted under this chapter.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.|
TX Ins Code § 4202.008 (2021)
2021 Texas Statutes|Insurance Code|Title 14 - Utilization Review and Independent Review|Chapter 4202 - Independent Review Organizations|Section 4202.008. Prohibited Ownership or Control of Independent Review Organization

Sec. 4202.008.  PROHIBITED OWNERSHIP OR CONTROL OF INDEPENDENT REVIEW ORGANIZATION.  An independent review organization may not be a subsidiary of, or in any way owned or controlled by, a payor or a trade or professional association of payors.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.|
TX Ins Code § 4202.009 (2021)
2021 Texas Statutes|Insurance Code|Title 14 - Utilization Review and Independent Review|Chapter 4202 - Independent Review Organizations|Section 4202.009. Confidential Information

Sec. 4202.009.  CONFIDENTIAL INFORMATION.  Information that reveals the identity of a physician or other individual health care provider who makes a review determination for an independent review organization is confidential.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.|
TX Ins Code § 4202.010 (2021)
2021 Texas Statutes|Insurance Code|Title 14 - Utilization Review and Independent Review|Chapter 4202 - Independent Review Organizations|Section 4202.010. Immunity From Liability

Sec. 4202.010.  IMMUNITY FROM LIABILITY.  (a)  An independent review organization conducting an independent review under Subchapter I, Chapter 4201, is not liable for damages arising from the review determination made by the organization.(b)  This section does not apply to an act or omission of the independent review organization that is made in bad faith or that involves gross negligence.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.|
TX Ins Code § 4202.012 (2021)
2021 Texas Statutes|Insurance Code|Title 14 - Utilization Review and Independent Review|Chapter 4202 - Independent Review Organizations|Section 4202.012. Referral

Sec. 4202.012.  REFERRAL.  The commissioner by rule shall require referral by random assignment of adverse determinations under Subchapter I, Chapter 4201, to independent review organizations. On referral of a determination, the commissioner shall notify:(1)  the utilization review agent;(2)  the payor;(3)  the independent review organization;(4)  the patient, as defined by Section 4201.002, or the patient's representative; and(5)  the provider of record as defined by Section 4201.002.|Added by Acts 2013, 83rd Leg., R.S., Ch. 1024 (H.B. 2645), Sec. 5, eff. September 1, 2013.|
TX Ins Code § 4202.013 (2021)
2021 Texas Statutes|Insurance Code|Title 14 - Utilization Review and Independent Review|Chapter 4202 - Independent Review Organizations|Section 4202.013. Primary Office in This State Required

Sec. 4202.013.  PRIMARY OFFICE IN THIS STATE REQUIRED.  An independent review organization operating under this chapter must maintain the organization's primary office in this state.|Added by Acts 2013, 83rd Leg., R.S., Ch. 1024 (H.B. 2645), Sec. 5, eff. September 1, 2013.|
TX Ins Code § 4202.014 (2021)
2021 Texas Statutes|Insurance Code|Title 14 - Utilization Review and Independent Review|Chapter 4202 - Independent Review Organizations|Section 4202.014. Preemption

Sec. 4202.014.  PREEMPTION.  The commissioner shall suspend enforcement of any provision of this chapter that the commissioner determines to be preempted by 42 U.S.C. Section 300gg-19.|Added by Acts 2013, 83rd Leg., R.S., Ch. 1024 (H.B. 2645), Sec. 5, eff. September 1, 2013.|
TX Ins Code § 4203.001 (2021)
2021 Texas Statutes|Insurance Code|Title 14 - Utilization Review and Independent Review|Chapter 4203 - Prohibited Consultant Activities|Section 4203.001. Definition

Sec. 4203.001.  DEFINITION.  In this chapter, "consultant" means a person who, for compensation and at the request of an insurer, business, individual, or utilization review agent:(1)  reviews, assesses, or evaluates a claim, charge, or service of another chiropractor to determine whether the claim, charge, or service is:(A)  medically necessary, reasonable, or appropriate; or(B)  recommended for payment or nonpayment; or(2)  advises an insurer or utilization review agent regarding a chiropractic charge or service or recommends to that insurer or agent guidelines for a chiropractic charge or service.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.|
TX Ins Code § 4203.002 (2021)
2021 Texas Statutes|Insurance Code|Title 14 - Utilization Review and Independent Review|Chapter 4203 - Prohibited Consultant Activities|Section 4203.002. Prohibited Consultant Activities

Sec. 4203.002.  PROHIBITED CONSULTANT ACTIVITIES.  A member or employee of the Texas Board of Chiropractic Examiners may not act as a consultant or perform any consultant activities for an insurer or business, individual, or utilization review agent that audits chiropractic claims, charges, or services.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.|
TX Ins Code art I (2021)
2021 Texas Statutes|Insurance Code|Title 15 - Interstate Insurance Compacts|Chapter 5001 - Interstate Insurance Product Regulation Compact|Article I. Purposes

The purposes of this Compact are, through means of joint and cooperative action among the Compacting States:1.  To promote and protect the interest of consumers of individual and group annuity, life insurance, disability income and long-term care insurance products;2.  To develop uniform standards for insurance products covered under the Compact;3.  To establish a central clearinghouse to receive and provide prompt review of insurance products covered under the Compact and in certain cases, advertisements related thereto, submitted by insurers authorized to do business in one or more Compacting States;4.  To give appropriate regulatory approval to those product filings and advertisements satisfying the applicable uniform standard;5.  To improve coordination of regulatory resources and expertise between state insurance departments regarding the setting of uniform standards and review of insurance products covered under the Compact;6.  To create the Interstate Insurance Product Regulation Commission; and7.  To perform these and such other related functions as may be consistent with the state regulation of the business of insurance.
TX Ins Code art III (2021)
2021 Texas Statutes|Insurance Code|Title 15 - Interstate Insurance Compacts|Chapter 5001 - Interstate Insurance Product Regulation Compact|Article III. Establishment of the Commission and Venue

1.  The Compacting States hereby create and establish a joint public agency known as the "Interstate Insurance Product Regulation Commission."  Pursuant to Article IV, the Commission will have the power to develop Uniform Standards for Product lines, receive and provide prompt review of Products filed therewith, and give approval to those Product filings satisfying applicable Uniform Standards; provided, it is not intended for the Commission to be the exclusive entity for receipt and review of insurance product filings.  Nothing herein shall prohibit any Insurer from filing its product in any State wherein the Insurer is licensed to conduct the business of insurance; and any such filing shall be subject to the laws of the State where filed.2.  The Commission is a body corporate and politic, and an instrumentality of the Compacting States.3.  The Commission is solely responsible for its liabilities except as otherwise specifically provided in this Compact.4.  Venue is proper and judicial proceedings by or against the Commission shall be brought solely and exclusively in a Court of competent jurisdiction where the principal office of the Commission is located.
TX Ins Code art VI (2021)
2021 Texas Statutes|Insurance Code|Title 15 - Interstate Insurance Compacts|Chapter 5001 - Interstate Insurance Product Regulation Compact|Article VI. Meetings and Acts

OF THE COMMISSION1.  The Commission shall meet and take such actions as are consistent with the provisions of this Compact and the Bylaws.2.  Each Member of the Commission shall have the right and power to cast a vote to which that Compacting State is entitled and to participate in the business and affairs of the Commission.  A Member shall vote in person or by such other means as provided in the Bylaws.  The Bylaws may provide for Members' participation in meetings by telephone or other means of communication.3.  The Commission shall meet at least once during each calendar year.  Additional meetings shall be held as set forth in the Bylaws.
TX Ins Code art IX (2021)
2021 Texas Statutes|Insurance Code|Title 15 - Interstate Insurance Compacts|Chapter 5001 - Interstate Insurance Product Regulation Compact|Article IX. Dispute Resolution

The Commission shall attempt, upon the request of a Member, to resolve any disputes or other issues that are subject to this Compact and which may arise between two or more Compacting States, or between Compacting States and Non-compacting States, and the Commission shall promulgate an Operating Procedure providing for resolution of such disputes.
TX Ins Code art X (2021)
2021 Texas Statutes|Insurance Code|Title 15 - Interstate Insurance Compacts|Chapter 5001 - Interstate Insurance Product Regulation Compact|Article X. Product Filing and Approval

1.  Insurers and Third-Party Filers seeking to have a Product approved by the Commission shall file the Product with, and pay applicable filing fees to, the Commission.  Nothing in this Act shall be construed to restrict or otherwise prevent an insurer from filing its Product with the insurance department in any State wherein the insurer is licensed to conduct the business of insurance, and such filing shall be subject to the laws of the States where filed.2.  The Commission shall establish appropriate filing and review processes and procedures pursuant to Commission Rules and Operating Procedures.  Notwithstanding any provision herein to the contrary, the Commission shall promulgate Rules to establish conditions and procedures under which the Commission will provide public access to Product filing information.  In establishing such Rules, the Commission shall consider the interests of the public in having access to such information, as well as protection of personal medical and financial information and trade secrets, that may be contained in a Product filing or supporting information.3.  Any Product approved by the Commission may be sold or otherwise issued in those Compacting States for which the Insurer is legally authorized to do business.
TX Ins Code art XI (2021)
2021 Texas Statutes|Insurance Code|Title 15 - Interstate Insurance Compacts|Chapter 5001 - Interstate Insurance Product Regulation Compact|Article XI. Review of Commission Decisions

REGARDING FILINGS1.  Not later than thirty (30) days after the Commission has given notice of a disapproved Product or Advertisement filed with the Commission, the Insurer or Third Party Filer whose filing was disapproved may appeal the determination to a review panel appointed by the Commission.  The Commission shall promulgate Rules to establish procedures for appointing such review panels and provide for notice and hearing. An allegation that the Commission, in disapproving a Product or Advertisement filed with the Commission, acted arbitrarily, capriciously, or in a manner that is an abuse of discretion or otherwise not in accordance with the law, is subject to judicial review in accordance with Article III, Section 4.2.  The Commission shall have authority to monitor, review and reconsider Products and Advertisement subsequent to their filing or approval upon a finding that the product does not meet the relevant Uniform Standard. Where appropriate, the Commission may withdraw or modify its approval after proper notice and hearing, subject to the appeal process in Section 1 above.
TX Ins Code art XII (2021)
2021 Texas Statutes|Insurance Code|Title 15 - Interstate Insurance Compacts|Chapter 5001 - Interstate Insurance Product Regulation Compact|Article XII. Finance

1.  The Commission shall pay or provide for the payment of the reasonable expenses of its establishment and organization. To fund the cost of its initial operations, the Commission may accept contributions and other forms of funding from the National Association of Insurance Commissioners, Compacting States and other sources. Contributions and other forms of funding from other sources shall be of such a nature that the independence of the Commission concerning the performance of its duties shall not be compromised.2.  The Commission shall collect a filing fee from each Insurer and Third Party Filer filing a product with the Commission to cover the cost of the operations and activities of the Commission and its staff in a total amount sufficient to cover the Commission's annual budget.3.  The Commission's budget for a fiscal year shall not be approved until it has been subject to notice and comment as set forth in Article VII of this Compact.4.  The Commission shall be exempt from all taxation in and by the Compacting States.5.  The Commission shall not pledge the credit of any Compacting State, except by and with the appropriate legal authority of that Compacting State.6.  The Commission shall keep complete and accurate accounts of all its internal receipts, including grants and donations, and disbursements of all funds under its control. The internal financial accounts of the Commission shall be subject to the accounting procedures established under its Bylaws.  The financial accounts and reports including the system of internal controls and procedures of the Commission shall be audited annually by an independent certified public accountant.  Upon the determination of the Commission, but no less frequently than every three (3) years, the review of the independent auditor shall include a management and performance audit of the Commission. The Commission shall make an Annual Report to the Governor and legislature of the Compacting States, which shall include a report of the independent audit. The Commission's internal accounts shall not be confidential and such materials may be shared with the Commissioner of any Compacting State upon request provided, however, that any work papers related to any internal or independent audit and any information regarding the privacy of individuals and insurers' proprietary information, including trade secrets, shall remain confidential.7.  No Compacting State shall have any claim to or ownership of any property held by or vested in the Commission or to any Commission funds held pursuant to the provisions of this Compact.
TX Ins Code art XIII (2021)
2021 Texas Statutes|Insurance Code|Title 15 - Interstate Insurance Compacts|Chapter 5001 - Interstate Insurance Product Regulation Compact|Article XIII. Compacting States, Effective Date and Amendment

1.  Any State is eligible to become a Compacting State.2.  The Compact shall become effective and binding upon legislative enactment of the Compact into law by two Compacting States; provided, the Commission shall become effective for purposes of adopting Uniform Standards for, reviewing, and giving approval or disapproval of, Products filed with the Commission that satisfy applicable Uniform Standards only after twenty-six (26) States are Compacting States or, alternatively, by States representing greater than forty percent (40%) of the premium volume for life insurance, annuity, disability income and long-term care insurance products, based on records of the NAIC for the prior year.  Thereafter, it shall become effective and binding as to any other Compacting State upon enactment of the Compact into law by that State.3.  Amendments to the Compact may be proposed by the Commission for enactment by the Compacting States. No amendment shall become effective and binding upon the Commission and the Compacting States unless and until all Compacting States enact the amendment into law.