TITLE exempt-filings

Texas Department of Insurance

Proposed Action on Rules

The Commissioner of Insurance, at a public hearing under Docket No. 2482 on March 29, 2001, at 9:00 a.m., in Room 100 of the William P. Hobby Jr. State Office Building, 333 Guadalupe Street in Austin, Texas, will consider a proposal made in a staff petition. Staff's petition seeks adoption of a revised "Consumer Bill of Rights for Personal Automobile Insurance" and a revised "Consumer Bill of Rights for Homeowners, Dwelling and Renters Insurance." Staff's petition (Ref. No. AP-0201-02-I), was filed on February 13, 2001. The Consumer Bills of Rights set forth a summation of consumers' most important rights with regard to each line of insurance, including consumers' rights to receive information from the Department of Insurance and their insurers, rights relating to buying insurance, rights regarding cancellation and refusal to renew policies, rights regarding claims made under policies, rights regarding non-discrimination, and enforcement rights. On December 7, 2000, the Office of Public Insurance Counsel (OPIC) filed a petition, which was subsequently amended on February 2, 2001, bearing file number A-1200-32 to adopt a revised "Consumer Bill of Rights for Personal Automobile Insurance" and a petition, also subsequently amended on February 2, 2001, bearing file number P-1200-33 to adopt a revised "Consumer Bill of Rights for Homeowners, Dwelling and Renters Insurance." The department supports the revisions as filed by OPIC containing modifications as suggested by the department.

Staff proposes adoption of revisions to the "Consumer Bill of Rights for Personal Automobile Insurance" and to the "Consumer Bill of Rights for Homeowners, Dwelling and Renters Insurance." The proposed revisions: (1) implement Insurance Code Article 1.35A, Sec. 5(b)(8), which provides that the Public Counsel for OPIC "shall submit to the department for adoption a consumer bill of rights appropriate to each personal line of insurance regulated by the department to be distributed upon the issuance of a policy by insurers to each policyholder under rules adopted by the department;" (2) update the current bills of rights to reflect the changes brought about by legislative acts and departmental actions that affect both policyholders and insurers; (3) incorporate these changes so that insurers will be distributing to current and future policyholders updated information informing them of their rights; and (4) update the bills of rights in general to provide simplified language and to clarify various provisions.

The "Consumer Bill of Rights for Personal Automobile Insurance" is required to be distributed with each new policy and with renewal notices to current policyholders pursuant to the Texas Automobile Rules and Rating Manual, Section I, General Rules, 16. Staff proposes editorial revisions to rule 16 and further proposes revisions to the Texas Standard Provisions for Automobile Policies, Special Instructions for the Texas Personal Auto Policy to reflect the requirement of providing a "Consumer Bill of Rights for Personal Automobile Insurance" in accord with rule 16 of the Texas Automobile Rules and Rating Manual.

The "Consumer Bill of Rights for Homeowners and Renters Insurance" is required to be distributed with each new policy and with renewal notices to current policyholders pursuant to the Texas Personal Lines Manual, Homeowners Section V. General Requirements, F. Staff proposes updated and editorial revisions to item F and further proposes revisions to the Texas Personal Lines Manual, Dwelling Section V. General Requirements, by adding new item I, to require insurers writing dwelling policies to distribute the revised "Consumer Bill of Rights for Homeowners, Dwelling and Renters Insurance" with each new policy and with renewal notices to current policyholders pursuant to this new provision in the Dwelling Section.

Copies of staff's petition, including exhibits with the full text of the proposed revisions to the "Consumer Bill of Rights for Personal Automobile Insurance;" the "Consumer Bill of Rights for Homeowners, Dwelling and Renters Insurance;" the Texas Automobile Rules and Rating Manual, Section I, General Rules, 16; the Texas Standard Provisions for Automobile Policies, Special Instructions for the Texas Personal Auto Policy, new number 12; the Texas Personal Lines Manual, Homeowners Section V. General Requirements, F; the Texas Personal Lines Manual, Dwelling Section V. General Requirements, new item I; and the Spanish translations of the proposed Bills of Rights, as well as copies of the amended petitions filed by OPIC, are all available for review in the office of the Chief Clerk of the Texas Department of Insurance, 333 Guadalupe Street, Austin, Texas. For further information or to request copies of any of the petitions, please contact Sylvia Gutierrez at (512) 463-6327; refer to Ref. No. AP-0201-02-I for the staff's petition and to Ref. No. A-1200-32 for the OPIC Personal Automobile amended petition and to Ref. No. P-1200-33 for the OPIC Homeowners, Dwelling and Renters amended petition.

To be considered, written comments on the proposed changes must be submitted no later than 5 p.m. on March 26, 2001, to Lynda H. Nesenholtz, General Counsel and Chief Clerk, Mail Code 113-2A, Texas Department of Insurance, P.O. Box 149104, Austin, Texas 78714-9104. An additional copy of the comments must be submitted simultaneously to Marilyn Hamilton, Associate Commissioner, Property and Casualty Division, Mail Code 104-PC, Texas Department of Insurance, P.O. Box 149104, Austin, Texas 78714-9104.

This notification is made pursuant to the Insurance Code Article 5.96, which exempts it from the requirements of the Government Code Chapter 2001 (Administrative Procedure Act).

TRD-200100923

Lynda Nesenholtz

General Counsel and Chief Clerk

Texas Department of Insurance

Filed: February 13, 2001


Texas Department of Insurance

Final Action on Rules

The Commissioner of Insurance has adopted new mandatory endorsements to the Texas Dwelling Policies (TDP) and Texas Homeowners Policies (HO); new optional endorsements for use with the TDP and HO policies; and amendments to the Texas Personal Lines Manual (Manual) relating to coverage for the increased cost of construction when an ordinance, law, or the building specifications of the Texas Windstorm Insurance Association's (TWIA) plan of operation imposes specific requirements on the repair or replacement of insured, damaged property. The endorsements, manual rules, and rates were requested by the Insurance Council of Texas (ICT) in a petition filed with the Department on May 12, 2000. Supplements to the May 12, 2000 petition were filed on October 17, 2000, and November 22, 2000. Notice of this petition (Reference No. P-0500-11) was published in the December 8, 2000, issue of the Texas Register (25 TexReg 12189). The endorsements and Manual rules were considered at a public hearing held January 9, 2001 at 9:00 a.m. under Docket No. 2479 in Room 100 of the William P. Hobby Jr. State Office Building, 333 Guadalupe Street, Austin, Texas.

The Commissioner has adopted, without changes to the proposal as noticed in the Texas Register, three amendatory mandatory endorsements for use as applicable to the TDP and HO policies. Insurers must attach the amendatory mandatory endorsements to the TDP and HO policies as follows: Endorsement No. TDP-024 Dwelling Amendatory Mandatory Endorsement for Increased Cost of Construction - Building Laws is applicable to Forms TDP-1 and TDP-2; Endorsement No. TDP-025 Dwelling Amendatory Mandatory Endorsement for Increased Cost of Construction - Building Laws is applicable to Form TDP-3; and Endorsement No. HO-134 Homeowners Amendatory Mandatory Endorsement for Increased Cost of Construction - Building Laws is applicable to Forms HO-A, HO-B, and HO-C.

The attachment of one of the amendatory mandatory endorsements (TPD-024, TPD-025, or HO-134) to the appropriate dwelling or homeowners policy modifies the general policy exclusion regarding Building Laws to provide coverage to the extent described under Perils Insured Against. These endorsements provide $5,000 of coverage (at no additional premium) for the increased construction costs that the insured incurs due to the enforcement of any ordinance, law, or building specifications of the TWIA plan of operation. Additionally, the coverage provides that the insured may use all or part of the $5,000 in increased coverage for the increased costs incurred to remove debris resulting from the construction, repair, or replacement of damaged, covered property. These endorsements specify that the coverage is additional insurance and does not reduce the dwelling limit of liability. These endorsements include limitations on the building ordinance or law coverage that are as follows: the insurer will not pay the increased cost of construction (1) if the building is not rebuilt or repaired, (2) if the rebuilt or repaired building is not intended for similar occupancy, (3) until the building is repaired or rebuilt at the same premises, or (4) unless the rebuilding or repairs are made as soon as is reasonably possible after the loss not to exceed 365 days after the loss, except, that the insured may request in writing an extension of an additional 180 days. These endorsements exclude the loss in value to any covered building due to the requirements of any ordinance or law, and the cost to comply with any ordinance or law, that involves the effects of pollutants on any covered building. These endorsements expressly provide that for property located in an area which is eligible for coverage through TWIA, the additional coverage applies to the increased costs incurred that are required for the repair or replacement of the dwelling to comply with building specifications of the TWIA plan of operation.

The Commissioner has adopted, without changes to the proposal as noticed in the Texas Register, three optional endorsements for use with the TDP and HO policies, as follows: Endorsement No. TDP-026 Increased Cost of Construction - Building Laws may be attached to Forms TDP-1 and TDP-2; Endorsement No. TDP-027 Increased Cost of Construction - Building Laws may be attached to Form TDP-3; and Endorsement No. HO-135 Increased Cost of Construction - Building Laws may be attached to Forms HO-A, HO-B, and HO-C.

The attachment of one of the optional endorsements (TPD-026, TPD-027, or HO-135) to the appropriate dwelling or homeowners policy amends the general policy exclusion regarding Building Laws to provide additional optional coverage in the amounts of 10%, 15%, or 25% of the limit of liability that applies to Coverage A -- Dwelling. These endorsements specify that an additional premium is to be paid for the percentage of coverage that is selected by the insured and that this coverage is additional insurance above the $5,000 that is included in the policy and the limit of liability that applies to Coverage A -- Dwelling.

The Commissioner has adopted, without changes to the proposal as noticed in the Texas Register, two new Manual rules, two new premium charts, and three new policy rating examples. The two new Manual rules are: (1) Subsection O, entitled "Increased Cost of Construction - Building Laws" is added to Section IV, entitled "Optional Endorsements" in the Dwelling Section of the Manual and (2) Subsection 20, entitled "Increased Cost of Construction - Building Laws" is added to Section IV, entitled "Optional Additional Coverages & Endorsements", and to subpart A, entitled "Section I Endorsements" in the Homeowners Section of the Manual. These rules provide that an optional endorsement may be attached to a residential property policy to provide a selected percentage (10%, 15%, or 25% of the dwelling limit of liability above the $5,000 included in the policy) for the increased cost of construction an insured may incur to repair or rebuild an insured structure in accordance with any ordinance, law, or TWIA code. The rules also reference the appropriate premium chart for determining the applicable premium. The two new premium charts are: (1) Premium Chart 19, added to the Dwelling Section of the Manual and (2) Premium Chart 40, added to the Homeowners Section of the Manual. These premium charts will be used to calculate the additional premium to be charged when optional endorsements TDP-026, TDP-027, or HO-135 are attached to the appropriate residential property policy. Three new policy rating examples were added to the Homeowners and Dwelling Sections of the Manual. These new policy rating examples will assist with the calculation of the premium that will be charged for the increased cost of construction that an insured incurs due to the enforcement of any ordinance, law, or building specifications of the TWIA plan of operation.

The Commissioner has determined that these endorsements and Manual rules are necessary to provide consumers with $5,000 in new building ordinance or law coverage at no additional charge and with the option of purchasing an additional amount of building ordinance or law coverage, which is a coverage that is currently excluded in residential property policies. Many cities, towns, and counties have building laws or ordinances requiring minimum building standards for new construction, reconstruction, or repair of dwellings within their jurisdiction. Currently, in standard residential property policies, the "Building Laws" exclusion places the risk upon the insured for any additional costs of repairing or rebuilding a covered structure that are the result of building laws or ordinances. The adopted new coverage will benefit insureds by providing a minimum of $5,000 coverage. Further, insureds will have the option to purchase an additional amount of coverage if they desire to transfer an additional portion of the risk to the insurer.

In commenting on the proposal, one insurer that currently has an approved endorsement for building law or ordinance coverage expressed concern that the department would require all insurers to use the new coverage forms and not allow insurers to continue to use their approved building ordinance or law endorsements currently in use. The department believes that insurers who currently have approved endorsements for building law or ordinance coverage may continue to use their approved endorsements so long as those endorsements conform with the endorsement approval requirements of Article 5.35. The same insurer expressed concern that approval of the new coverage would create statistical reporting problems if the department wants statistical reporting at the 10% coverage level because the insurer does not code any premium at the 10% level since under its approved endorsement the first 10% of coverage is offered at no additional charge. The department believes that this will not create a statistical reporting problem. Since the insurer's coverage provides 10% coverage built into the homeowners policy subject to the base premium, it will need to report this as a variance to the homeowners statistical plan. This will eliminate the need for the insurer to report any data at the optional 10% level adopted in the new coverage. These new endorsements and Manual changes also require an amendment to the residential statistical plan to capture data so that future rates can be based on actual data. These changes to the statistical plan will be addressed in a separate proceeding. An insurer expressed concern that the wording of the pollution exclusion in the new endorsements is confusing because it is unclear whether it is intended to exclude pollution cleanup as a covered loss or whether it is intended to exclude coverage for building ordinance or law claims which result from the enforcement of pollution standards. The department believes that the intent of the pollution exclusion in the new endorsement is clear because the exclusion specifies that the endorsement will not cover "the costs to comply with any ordinance or law which requires any insured or others to test for, monitor, cleanup, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, pollutants on any covered building or other structure." The new endorsement also specifies that all other terms of the policy apply. Therefore, the department believes that the pollution exclusion clearly applies only to increased costs to comply with any ordinance or law and has no other effect on the covered loss.

The Commissioner of Insurance has jurisdiction over this matter pursuant to the Insurance Code, Articles 5.35, 5.96, 5.98, and 5.101.

The endorsements and Manual rules as adopted by the Commissioner of Insurance are on file in the Chief Clerk's Office of the Texas Department of Insurance and are incorporated by reference in the Manual by Commissioner's Order No. 01-0108.

This notification is made pursuant to the Insurance Code, Article 5.96, which exempts action taken under Article 5.96 from the requirements of the Government Code, Chapter 2001 (Administrative Procedure Act). Consistent with the Insurance Code, Article 5.96(h), prior to the effective date of this action, the Texas Department of Insurance will notify all insurers affected by this action.

IT IS THEREFORE THE ORDER of the Commissioner of Insurance that three amendatory mandatory endorsements to be attached to certain residential property insurance policies, Endorsement No. TDP-024 Dwelling Amendatory Mandatory Endorsement for Increased Cost of Construction - Building Laws which is applicable to Forms TDP-1 and TDP-2; Endorsement No. TDP-025 Dwelling Amendatory Mandatory Endorsement for Increased Cost of Construction - Building Laws which is applicable to Form TDP-3; and Endorsement No. HO-134 Homeowners Amendatory Mandatory Endorsement for Increased Cost of Construction - Building Laws which is applicable to Forms HO-A, HO-B, and HO-C, as specified herein and which are attached to this Order and incorporated into this Order by reference, are adopted to be effective on and after April 1, 2001.

IT IS FURTHER ORDERED that three optional endorsements to be attached to certain residential property insurance policies, Endorsement No. TDP-026 Increased Cost of Construction - Building Laws which may be attached to Forms TDP-1 and TDP-2; Endorsement No. TDP-027 Increased Cost of Construction - Building Laws which may be attached to Form TDP-3; and Endorsement No. HO-135 Increased Cost of Construction - Building Laws which may be attached to Forms HO-A, HO-B, and HO-C, as specified herein and which are attached to this Order and incorporated into this Order by reference, are adopted to be effective on and after April 1, 2001.

IT IS FURTHER ORDERED that two Texas Personal Lines Manual Rules, Rule IV-A-20 in the Homeowners Section and Rule IV-O in the Dwelling Section, as specified herein and which are attached to this Order and incorporated into this Order by reference, are adopted to be effective on and after April 1, 2001.

IT IS FURTHER ORDERED that two premium charts, Premium Chart 19 in the Homeowners Section of the Manual and Premium Chart 40 in the Dwelling Section of the Manual, as specified herein and which are attached to this Order and incorporated into this Order by reference, are adopted to be effective on and after April 1, 2001.

IT IS FURTHER ORDERED that three policy rating examples that were added to the Homeowners and Dwelling Sections of the Manual, as specified herein and which are attached to this Order and incorporated into this Order by reference, are adopted to be effective on and after April 1, 2001.

TRD-200100838

Lynda Nesenholtz

General Counsel and Chief Clerk

Texas Department of Insurance

Filed: February 8, 2001