TITLE exempt-filings

Texas Department of Insurance

Final Action on Rules

EXEMPT FILING NOTIFICATION PURSUANT TO THE INSURANCE CODE CHAPTER 5, SUBCHAPTER L, ARTICLE 5.96 IMPLEMENTATION OF A MILE-BASED RATING PLAN, TEXAS AUTOMOBILE RULES AND RATING MANUAL, RULE 82 AND ENDORSEMENT 505

The Commissioner of Insurance, at a public hearing under Docket No. 2509 held at 9:30 a.m., January 22, 2002 in Room 100 of the William P. Hobby Jr. State Office Building, 333 Guadalupe Street in Austin, Texas, adopted amendments proposed by Staff to the Texas Automobile Rules and Rating Manual (the Manual). These amendments add a new Rule 82 and new Endorsement 505 in order to establish a rule that provides for an optional mile-based rating plan that insurers may use with the Texas Personal Auto Policy. This action implements new Insurance Code Article 5.01-4, enacted by the 77th Legislature in HB 45. Staff's petition (Ref. No. A-1201-21-I) was published in the December 21, 2001 issue of the Texas Register (26 TexReg 10627).

This order adopts a new Manual Rule 82 that will allow an insurer the option to use a mile-based rating plan for the Texas Personal Auto Policy. The policy form used under the mile-based rating plan will be the same as the form used for other policies, except it will be amended by the Mile-Based Rating Plan Endorsement (Endorsement 505), which is also adopted. New Rule 82, as provided in Insurance Code Article 5.01-4, specifies that each insurer that offers the mile-based rating plan shall annually file with the Department for approval a schedule of the rates to be used for that plan.

As specified in Insurance Code Article 5.01-4, Section 5(b)(3), the rule and the endorsement provide for the insurer to audit the mileage of a covered auto at any time by checking the odometer or using some other method to determine whether coverage is in effect. A policy issued through the mile-based rating plan must comply with Manual Rule 6, Policy Term and Renewal Certificate, except coverage will terminate on the expiration date shown in the Declarations or upon a "covered auto" or autos exceeding specified mileage, whichever comes first. If the specified mileage is exceeded prior to the policy's expiration date, coverage for that auto terminates, but the policy will remain in effect until the expiration date of the policy. Coverage will continue until the expiration date in the Declarations for covered autos that have not exceeded their specified mileage. The insured may purchase additional mileage, during the current policy period, for an auto in exchange for additional premium. For any unused mileage that may exist on the termination date of the policy, the insurer, according to its rating plan, may give the insured a refund of unearned premium or a credit to be applied to the renewal policy.

New Manual Rule 82 provides that no other rating rule in the Manual shall apply to a mile-based rating plan. The following Manual rules are applicable to a mile-based rating plan: Rule 6 (Policy Term and Renewal Certificate), Rule 12 (Continuation of Coverage - Cancelled or Terminated Policy), Rule 13 (Cancellations), Rule 14 (Installments for Premium Payments), Rule 15 (Automobile Theft Prevention Authority Pass-Through Fee), Rule 71 (Definitions), Rule 72 (Personal Auto Policy and Coverage - Eligibility).

Insurance Code Article 5.01-4, which became effective September 1, 2001 requires the Commissioner to "adopt rules as necessary or appropriate to govern the use of a mile-based rating plan...." Article 5.01-4, which expires September 1, 2005, applies only to a policy that becomes effective on or after January 1, 2002.

Although the statute provides that an insurer's rates under the mile-based rating plan are exempt from Insurance Code Article 5.101, the Commissioner has the authority to approve such rates under Article 5.01-4, or to reject them if the filed rates are found to be excessive in comparison to rates charged for similar coverage under the current rating plan used by the insurer. Such rejection cannot be later than the 60th day after the rates are filed. Prior to any rejection, the insurer must be given notice and an opportunity for a hearing.

Although the provisions of Insurance Code Article 5.01-4 may be read to contemplate that a mile-based rating plan policy is to be written for a term that expires when the covered auto has been driven a specified number of miles, such a provision must be read in conjunction with Insurance Code Article 21.49-2B, concerning cancellation and nonrenewal. For example, if coverage under a mile-based rating plan policy were to expire after a specified number of miles driven, an insurer could not know in advance the number of miles to be driven, in order to provide the required 30 days notice of nonrenewal set forth in Article 21.49-2B, Section 5. Article 21.49-2B will apply to a policy issued through the mile-based rating plan, as the legislature did not choose to amend the existing statute with regard to policies written on a mile-based rating plan. Conversely, if a policy's term were to be determined by the number of miles driven, the policy would never expire if the specified number of miles were never driven. It would be impossible to determine a fair rate for a policy that may never expire and that an insurer could not terminate, even for a driver with multiple at-fault accidents.

In this proceeding, the filed comments resulting in changes to Staff's proposals, as well as the Commissioner's responses are as follows:

One commenter indicated that proposed Endorsement 505 should be amended by moving "PART F - GENERAL PROVISIONS" to precede the Policy Period and Territory language. The commenter also suggested amending the schedule in this endorsement by adding a "VIN" column for vehicle identification numbers and by changing the caption of one column from "MILES" to "MILES PURCHASED." The Commissioner agrees with all of these comments and adopts an amended Endorsement 505 incorporating these changes. The amended endorsement was introduced at the hearing.

The amendments as adopted by the Commissioner of Insurance are shown in exhibits on file with the Chief Clerk under Ref. No. A-1201-21-I, which are incorporated by reference into Commissioner's Order No. 02-0062.

The Commissioner of Insurance has jurisdiction over this matter pursuant to Insurance Code Articles 5.01-4, 5.06, 5.10, 5.96, 5.98, and 5.101.

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

Consistent with Insurance Code Article 5.96(h), the Department will notify all insurers writing automobile insurance of this adoption by letter summarizing the Commissioner's action.

IT IS THEREFORE THE ORDER of the Commissioner of Insurance that the Manual is amended as described herein, and the amendments are adopted to become effective on the 15th day after publication of the notification of the Commissioner's action in the Texas Register and optionally applicable to policies that become effective on and after such date.

TRD-200200339

Lynda H. Nesenholtz

General Counsel and Chief Clerk

Texas Department of Insurance

Filed: January 23, 2002