reglab/housing_qa huggingface dataset:
TX Ins Code § 2053.010 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter A. Rate Filings|Section 2053.010. Penalties

Sec. 2053.010.  PENALTIES.  If a workers' compensation insurance policy is issued and the commissioner subsequently disapproves the rate or filing on which the premium is based, the commissioner, after notice and the opportunity for a hearing, may:(1)  impose sanctions under Chapter 82;(2)  issue a cease and desist order under Chapter 83;(3)  impose administrative penalties under Chapter 84; or(4)  take any combination of these actions. |Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.Amended by: Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.045(a), eff. September 1, 2007.Acts 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.045(a), eff. September 1, 2007.|
TX Ins Code § 2053.011 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter A. Rate Filings|Section 2053.011. Exclusive Jurisdiction

Sec. 2053.011.  EXCLUSIVE JURISDICTION.  The department has exclusive jurisdiction over all rates and premiums subject to this subchapter.|Added by Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.046(a), eff. September 1, 2007.Added by Acts 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.046(a), eff. September 1, 2007.|
TX Ins Code § 2053.013 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter A. Rate Filings|Section 2053.013. Review of Rates; Consideration of Other Law

Sec. 2053.013.  REVIEW OF RATES; CONSIDERATION OF OTHER LAW.  In reviewing rates under this subchapter, the commissioner shall consider any state or federal legislation that has been enacted and that may impact rates and premiums for workers' compensation insurance coverage in this state.|Added by Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.047(a), eff. September 1, 2007.Added by Acts 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.047(a), eff. September 1, 2007.|
TX Ins Code § 2053.031 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter A. -1. Underwriting Guidelines|Section 2053.031. Definitions

Sec. 2053.031.  DEFINITIONS.  In this subchapter:(1)  "Insurance company" has the meaning assigned by Section 2053.001.(2)  "Underwriting guideline" means a rule, standard, guideline, or practice, whether written, oral, or electronic, that is used by an insurance company or its agent to decide whether to accept or reject an application for coverage under a workers' compensation insurance policy or to determine how to classify those risks that are accepted for the purpose of determining a rate.|Added by Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.048(a), eff. September 1, 2007.Added by Acts 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.048(a), eff. September 1, 2007.|
TX Ins Code § 2053.032 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter A. -1. Underwriting Guidelines|Section 2053.032. Underwriting Guidelines

Sec. 2053.032.  UNDERWRITING GUIDELINES.  Each underwriting guideline used by an insurance company in writing workers' compensation insurance must be sound, actuarially justified, or otherwise substantially commensurate with the contemplated risk.  An underwriting guideline may not be unfairly discriminatory.|Added by Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.048(a), eff. September 1, 2007.Added by Acts 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.048(a), eff. September 1, 2007.|
TX Ins Code § 2053.033 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter A. -1. Underwriting Guidelines|Section 2053.033. Enforcement

Sec. 2053.033.  ENFORCEMENT.  This subchapter may be enforced in the manner provided by Section 38.003(g).|Added by Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.048(a), eff. September 1, 2007.Added by Acts 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.048(a), eff. September 1, 2007.|
TX Ins Code § 2053.034 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter A. -1. Underwriting Guidelines|Section 2053.034. Filing Requirements

Sec. 2053.034.  FILING REQUIREMENTS.  Each insurance company shall file with the department a copy of the insurance company's underwriting guidelines.  The insurance company shall update its filing each time the underwriting guidelines are changed.  If a group of insurance companies files one set of underwriting guidelines for the group, the group shall identify which underwriting guidelines apply to each insurance company in the group.|Added by Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.048(a), eff. September 1, 2007.Added by Acts 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.048(a), eff. September 1, 2007.|
TX Ins Code § 2053.035 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter A. -1. Underwriting Guidelines|Section 2053.035. Applicability of Section 38

Sec. 2053.035.  APPLICABILITY OF SECTION 38.003.  Section 38.003 applies to this subchapter to the extent consistent with this subchapter.|Added by Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.048(a), eff. September 1, 2007.Added by Acts 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.048(a), eff. September 1, 2007.|
TX Ins Code § 2053.051 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter B. Rate Administration|Section 2053.051. Hazard Classification System

Sec. 2053.051.  HAZARD CLASSIFICATION SYSTEM.  (a)  For workers' compensation insurance, the department shall:(1)  determine hazards by class; and(2)  revise the classification system as necessary to carry out the purposes of this chapter.(b)  A stock company, mutual insurance company, reciprocal or interinsurance exchange, or Lloyd's plan authorized to engage in the business of workers' compensation insurance in this state may not use hazard classifications other than the classifications established by the department.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.Amended by: Acts 2019, 86th Leg., R.S., Ch. 558 (S.B. 1336), Sec. 3, eff. September 1, 2019.|
TX Ins Code § 2053.052 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter B. Rate Administration|Section 2053.052. Experience Rating Plan

Sec. 2053.052.  EXPERIENCE RATING PLAN.  (a)  The commissioner shall adopt a uniform experience rating plan for workers' compensation insurance.  The plan must:(1)  encourage accident prevention; and(2)  account for:(A)  the peculiar hazard and experience of individual risks, past and prospective, inside and outside this state; and(B)  any other relevant factor.(b)  The commissioner shall revise the rating plan at least once every five years.(c)  The commissioner may adopt reasonable rules and plans requiring the interchange of loss experience necessary for the application of the rating plan.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.|
TX Ins Code § 2053.054 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter B. Rate Administration|Section 2053.054. Use of Incurred Claims Experience in Future Ratings Required

Sec. 2053.054.  USE OF INCURRED CLAIMS EXPERIENCE IN FUTURE RATINGS REQUIRED.  (a)  Regardless of a change in a policyholder's ownership, control, management, or operations, incurred claims experience must be used in future ratings to ensure that an employer does not evade an unfavorable or high-cost experience.(b)  On application by an affected party, the department may modify a rating under Subsection (a) on proof that a change in a policyholder's management or operations is clearly designed to result in a probable reduction of the insured's loss experience.(c)  The commissioner shall adopt rules necessary to implement this section.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.|
TX Ins Code § 2053.055 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter B. Rate Administration|Section 2053.055. Rate Adjustment

Sec. 2053.055.  RATE ADJUSTMENT.  If the commissioner determines that an insurance company's rates do not meet with the standards imposed by Section 2053.002, the commissioner may order the insurance company to adjust the rates to meet those standards.  An insurance company may appeal an order under this section in accordance with Subchapter D, Chapter 36.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.|
TX Ins Code § 2053.056 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter B. Rate Administration|Section 2053.056. Rate Hearings

Sec. 2053.056.  RATE HEARINGS.  (a)  The commissioner may conduct a public hearing each biennium to review rates to be charged for workers' compensation insurance written in this state.  A public hearing under this section is not a contested case as defined by Section 2001.003, Government Code.(b)  Not later than the 30th day before the date of a public hearing conducted under Subsection (a), each insurance company subject to this subtitle shall file the insurance company's rates, supporting information, and supplementary rating information with the commissioner.(c)  The commissioner shall review the information submitted under Subsection (b) to determine the positive or negative impact of the enactment of workers' compensation reform legislation enacted by the 79th Legislature, Regular Session, 2005, on workers' compensation rates and premiums.  The commissioner may consider other factors in determining whether a change in rates has impacted the premium charged to policyholders.(d)  The commissioner shall implement rules as necessary to mandate rate reductions or to modify the use of individual risk variations if the commissioner determines that the rates or premiums charged by insurance companies do not meet the rating standards as defined in this code.(e)  The commissioner shall adopt rules as necessary to mandate rate or premium reductions by insurance companies for the use of cost-containment strategies that result in savings to the workers' compensation system, including use of a workers' compensation health care network health care delivery system, as described by Chapter 1305.|Added by Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.049(a), eff. September 1, 2007.Added by Acts 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.049(a), eff. September 1, 2007.Amended by: Acts 2015, 84th Leg., R.S., Ch. 42 (S.B. 784), Sec. 1.01, eff. September 1, 2015.Acts 2019, 86th Leg., R.S., Ch. 558 (S.B. 1336), Sec. 4, eff. September 1, 2019.|
TX Ins Code § 2053.101 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter C. Statistical Plans; Agent|Section 2053.101. Statistical Plans for Reporting Loss Experience and Other Data

Sec. 2053.101.  STATISTICAL PLANS FOR REPORTING LOSS EXPERIENCE AND OTHER DATA.  The commissioner shall develop and may periodically modify reasonable statistical plans for workers' compensation insurance to be used by each insurance company in recording and reporting the insurance company's loss experience and other data required by the department, so that the total loss and expense experience of all insurance companies is made available at least annually in the form and detail necessary to assist in determining whether an insurance company's rates meet the standards imposed under Section 2053.002.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.|
TX Ins Code § 2053.102 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter C. Statistical Plans; Agent|Section 2053.102. Treatment of Payments Under Statistical Plan

Sec. 2053.102.  TREATMENT OF PAYMENTS UNDER STATISTICAL PLAN.  A statistical plan developed under Section 2053.101 must require the following payments to be reported separately and not to be considered as a loss or expense for purposes of computing a premium rate modifier or surcharge of an insured:(1)  a direct payment made by an insurance company to influence public policy; and(2)  any amount paid by an insurance company:(A)  as damages in an action against the insurance company for malice or bad faith; or(B)  as a fine or penalty.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.|
TX Ins Code § 2053.103 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter C. Statistical Plans; Agent|Section 2053.103. Statistical Agent

Sec. 2053.103.  STATISTICAL AGENT.  (a)  The commissioner may designate or contract with a qualified organization to serve as the statistical agent for the commissioner under this subchapter as provided by Subchapter E, Chapter 38.(b)  The statistical agent may provide to one or more advisory organizations any information provided by the agent to the commissioner under this subchapter.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.|
TX Ins Code § 2053.151 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter D. Reporting Requirements and Exchange of Information|Section 2053.151. Workers' Compensation Claims Reports and Information

Sec. 2053.151.  WORKERS' COMPENSATION CLAIMS REPORTS AND INFORMATION.(a)  The commissioner by rule shall prescribe the information that must be reported on each workers' compensation claim.(b)  For purposes of Subsection (a), the commissioner shall establish standards and procedures for categorizing insurance and medical benefits required to be reported on each workers' compensation claim to ensure that the data collection methodology will yield data necessary for research and medical cost containment efforts.(c)  The commissioner by rule shall establish reporting requirements for insurance companies regarding workers' compensation claims.  The commissioner may reduce or eliminate reporting requirements for insurance companies whose workers' compensation insurance business falls below a specific minimum premium volume established by the commissioner by rule.(d)  A person may not distribute or otherwise disclose a social security number or any other information collected under Subsection (a) that would disclose the identity of a claimant.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.Amended by: Acts 2007, 80th Leg., R.S., Ch. 65 (S.B. 471), Sec. 1, eff. September 1, 2007.|
TX Ins Code § 2053.152 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter D. Reporting Requirements and Exchange of Information|Section 2053.152. Update and Transmission of Claims Reports

Sec. 2053.152.  UPDATE AND TRANSMISSION OF CLAIMS REPORTS.  (a)  An insurance company, in accordance with the filing requirements of a statistical plan developed under Section 2053.101, shall update and transmit to the commissioner or the commissioner's statistical agent a claims report filed under Section 2053.151.(b)  Each insurance company that writes at least one-half of one percent of the workers' compensation insurance in this state shall report the company's data in a compatible electronic format prescribed by the commissioner.  The commissioner shall take necessary measures to ensure the accuracy of the data and the adequacy of the electronic format for the data.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.|
TX Ins Code § 2053.153 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter D. Reporting Requirements and Exchange of Information|Section 2053.153. Exchange of Information and Consultation With Others

Sec. 2053.153.  EXCHANGE OF INFORMATION AND CONSULTATION WITH OTHERS.  To further the uniform administration of rating laws relating  to workers' compensation insurance, the commissioner and each insurance company may:(1)  exchange information and experience data with the National Association of Insurance Commissioners and with insurance supervisory officials, insurance companies, and advisory organizations in other states; and(2)  consult and cooperate with a person or entity described by Subdivision (1) with respect to ratemaking and the application of rating systems.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.|
TX Ins Code § 2053.154 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter D. Reporting Requirements and Exchange of Information|Section 2053.154. Loss Statement and Payroll Report

Sec. 2053.154.  LOSS STATEMENT AND PAYROLL REPORT.  (a)  For purposes of this section, "insurance company" means a stock company, mutual insurance company, reciprocal or interinsurance exchange, or Lloyd's plan authorized to engage in the business of workers' compensation insurance in this state.  The term includes the Texas Mutual Insurance Company.(b)  The department may require an insurance company to submit a sworn statement or report showing:(1)  the payroll reported to the insurance company;(2)  incurred losses by classification; and(3)  other information the department determines may be necessary to implement the department's duties.(c)  The department shall prescribe the necessary forms for a statement or report required by Subsection (b) with consideration of the methods and forms used for similar purposes in other states so that uniformity of statistics will not be affected.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.|
TX Ins Code § 2053.201 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter E. Optional Deductible Plans|Section 2053.201. Definition

Sec. 2053.201.  DEFINITION.  In this subchapter, "insurance company" means a stock company, mutual insurance company, reciprocal or interinsurance exchange, or Lloyd's plan authorized to engage in the business of workers' compensation insurance in this state.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.|
TX Ins Code § 2053.202 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter E. Optional Deductible Plans|Section 2053.202. Establishment of Optional Deductible Plans

Sec. 2053.202.  ESTABLISHMENT OF OPTIONAL DEDUCTIBLE PLANS.  (a)  The department shall require each insurance company writing workers' compensation insurance in this state to offer at least three optional deductible plans adopted under this section that allow a policyholder to self-insure for the amount of the deductible.(b)  The commissioner by rule shall allow an employer to enter into an agreement with an insurer for a negotiated deductible that exceeds the highest deductible available under a plan described by Subsection (a).|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.|
TX Ins Code § 2053.203 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter E. Optional Deductible Plans|Section 2053.203. Payment of Claims; Reimbursement

Sec. 2053.203.  PAYMENT OF CLAIMS; REIMBURSEMENT.  (a)  An insurance company issuing a deductible policy under this subchapter shall service all claims that arise during the policy period, including those claims payable, wholly or partly, from the deductible amount.(b)  A deductible policy must provide that:(1)  the insurance company issuing the policy shall pay all benefits that are payable from the deductible amount; and(2)  the policyholder shall make reimbursements periodically, rather than at the time claim costs are incurred.(c)  The commissioner shall adopt rules to provide for adequate security for reimbursement of the amount paid by an insurance company that is payable from the deductible amount.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.|
TX Ins Code § 2053.204 (2021)
2021 Texas Statutes|Insurance Code|Title 10 - Property and Casualty Insurance|Subtitle E - Workers' Compensation Insurance|Chapter 2053 - Rates for Workers' Compensation Insurance|Subchapter E. Optional Deductible Plans|Section 2053.204. Rate Reduction

Sec. 2053.204.  RATE REDUCTION.  (a)  The department shall perform an actuarial analysis to determine the amount of rate reduction applicable to a deductible policy under this subchapter as compared to a standard workers' compensation insurance policy without a deductible.(b)  In years subsequent to the year in which the actuarial analysis described by Subsection (a) is performed, the department shall determine the amount of rate reduction according to rating procedures adopted by the commissioner.(c)  When establishing procedures for the computation of experience modifiers, the commissioner may allow the exclusion of any claim amount paid under a deductible by an employer.|Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 2, eff. April 1, 2007.|