Part 1.
TEXAS DEPARTMENT OF INSURANCE
Chapter 3.
LIFE, ACCIDENT, AND HEALTH INSURANCE ANNUITIES
Subchapter T. MINIMUM STANDARDS FOR MEDICARE SUPPLEMENT POLICIES
28 TAC §§3.3306, 3.3308, 3.3312
The Commissioner of Insurance adopts amendments to §§3.3306,
3.3308 and 3.3312 concerning minimum benefit standards for issuers of Medicare
supplement policies and guaranteed issuance of Medicare supplement policies
to eligible beneficiaries. The amended sections are adopted without changes
to the proposed text as published in the January 25, 2002 issue of the
The amendments to §§3.3306, 3.3308, 3.3312 are necessary to implement
changes made to the Social Security Act (Act) by Medicare, Medicaid, and State
Children's Health Insurance Program Benefits Improvement and Protection Act
of 2000 (BIPA) and subsequent changes made to the National Association of
Insurance Commissioners (NAIC) Model Regulation to implement the NAIC Medicare
Supplement Insurance Minimum Standards Model Act. The Model Regulation was
accepted by the Centers for Medicare and Medicaid Services (CMS), as it is
the agency that administers Medicare.
The amendment to §3.3306(1)(G)(ii) requires Medicare supplement policies
and certificates to include provisions that allow benefits and premiums to
be suspended for any period that may be provided by federal regulations. The
amendments to §§3.3306(2)(E) and 3.3308 clarify that the copayment
amount for hospital outpatient services paid under the prospective payment
system is a basic core benefit. The amendment to §3.3306(3)(I)(ii)(II)
corrects a misspelling. As the federal government has changed the name of
the agency that governs Medicare supplement policies from Health Care Financing
Administration to the Centers for Medicare and Medicaid Services, this name
change is reflected in the amendment to §3.3308(a)(6).
The amendments to §3.3312 include changing the language of subsection
(a)(1) to use the wording of the Act "seek to enroll"; however, the change
does not affect the meaning of that paragraph. The amendments to subsection
(b)(2)(A) and (B) delete language that is no longer applicable due to BIPA
changes. The amendments to subsection (b)(3) and (5) clarify that the subparagraphs
refer to the Act and to reflect a change in the language used by the Act relating
to Medicare cost versus risk. The amendments to subsection (b)(5) and (6)
change the wording from "PACE program" to "PACE provider" to distinguish that
the enrollee enrolls with an entity that provides services rather than the
program that oversees the entity that provides the services. Paragraphs (1)(A)
and (2) through (5) of subsection (d) explain guaranteed issue periods for
individuals under certain scenarios in compliance with changes in federal
law (BIPA). As allowed by federal law and as suggested by the NAIC and supported
by CMS paragraph (1)(A) provides greater protection by delaying the guaranteed
issue time period to the later of the date of termination of coverage or notice
of termination (or denial of a claim because of such termination. Corresponding
changes are adopted to paragraph (1)(B) inasmuch as existing §3.3312(b)(1)
previously extended protections for guaranteed issuance beyond those required
by federal law. Subsection (e) complies with federal law and explains interrupted
trial periods to an enrollee during these periods.
No comments were received regarding adoption of these amendments.
The amendments are adopted under the Insurance Code Article 3.74,
and §36.001. Article 3.74 provides that the Texas Department of Insurance
shall adopt rules in accordance with federal law applicable to the regulation
of Medicare supplement insurance coverage that are necessary for the state
to obtain or retain certification as a state with approved regulatory program
under 42 U.S.C. 1395ss. Section 36.001 provides that the Commissioner of Insurance
may adopt rules to execute the duties and functions of the Texas Department
of Insurance as authorized by statute.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of
the Secretary of State on March 15, 2002.
TRD-200201649
Lynda Nesenholtz
General Counsel and Chief Clerk
Texas Department of Insurance
Effective date: April 4, 2002
Proposal publication date: January 25, 2002
For further information, please call: (512) 463-6327
The Commissioner of Insurance adopts amendments to §9.1 and §9.401
which concern the adoption by reference of certain amendments to the Basic
Manual of Rules, Rates and Forms for the Writing of Title Insurance in the
State of Texas (Basic Manual) and to the Texas Title Insurance Statistical
Plan (Statistical Plan). The amended sections are adopted with changes to
the proposed text and to the items adopted by reference as published in the
December 28, 2001, issue of the
Texas Register
(26 TexReg 10780).
The amendments reflect changes to the Basic Manual and the Statistical
Plan which the amended sections adopt by reference and which were considered
at the rulemaking phase of the 2000 Texas Title Insurance Biennial Hearing.
Adopting new rules and forms and modifying or replacing currently existing
rules and forms in the Basic Manual and Statistical Plan facilitate the administration
and regulation of title insurance in this state. The amendments to the Basic
Manual and Statistical Plan clarify and standardize the rules and forms regulating
title insurance. The amendments to the Basic Manual and Statistical Plan are
identified by item number and result from consideration at the 2000 Texas
Title Insurance Biennial Hearing, Rulemaking Phase, Docket Number 2470, (rulemaking
hearing), held on November 27, 2001. Of the remaining agenda items, Items
2000-20, 2000-21, 2000-22, 2000-23, 2000-24, 2000-25, 2000-31, 2000-E, 2000-G,
2000-H, and 2000-K were withdrawn at the rulemaking hearing by their respective
submitters, and Items 2000-17, 2000-F, and 2000-J, were not adopted, which
decision was set forth in a separate Commissioner's Order.
The effective date of the sections as published in the proposal was February
28, 2002; the effective date of the sections has been changed to April 4,
2002. The department has made typographical corrections to the items adopted
by reference, and based on comments, the department has changed Agenda Item
2000-27 by eliminating from the new language in P-22(B) the phrase, "is a
Title Insurance Agent or Title Insurance Company and who" to make the reference
to "Person" in that paragraph consistent with the reference in P-22(A) and
by adding to the beginning of the new language, the phrase, "If the parties
to the transaction are located in different counties," to clarify the intention
to accommodate multi-county transactions. Also in response to comments, the
department has corrected the inadvertent omission of the word "Improvements"
from the term "Tenant Leasehold Improvements" in paragraph 3.d of Agenda Item
2000-16. Further in response to comments, Agenda Item 2000-I relating to amendments
to Procedural Rule P-24 is not adopted; however, the department will propose
amendments in a subsequent rule proposal upon additional study and recommendations
concerning workable realistic parameters governing the division of premiums
between entities performing title services.
The items which are the subject of this adoption are as follows:
Eleven items relate to mortgagee policy endorsements. The purpose of these
endorsements is to streamline the mortgage lending process by allowing lenders
to efficiently and economically close and package real estate loans for resale
in the secondary lending market. This reflects a nationwide trend regarding
uniformity of these types of endorsements so lenders can readily identify
the types of coverages available on each particular loan. The department has
made corrective and clarifying changes to these items and has assigned form
numbers to each item. A brief description of each item follows its listing:
Item 2000-1 - Adoption of a new First Loss Endorsement (Form T-14). This
endorsement will be available for mortgagee policies and will typically be
used in large commercial transactions. It will allow a lender to make a claim
on its policy, without having to first foreclose on its lien, if appraisals
show there has been a diminution in value of at least 10%.
Item 2000-2 - Adoption of a new Last Dollar Endorsement (Form T-15). This
endorsement will be available for mortgagee policies. Normally, policy limits
are reduced as the principle is paid down. With this endorsement, loan payments
will be applied first against the value of any personal property or non-Texas
realty securing the loan and will not reduce the policy limits unless and
until the loan amount secured by those other properties has been paid down
completely.
Item 2000-3 - Adoption of a new Mortgagee Policy Aggregation Endorsement
(Form T-16). When a loan is secured by land in multiple states, this endorsement
for mortgagee's policies will allow any claim on any piece of property to
be paid out of the aggregate coverage from all the title policies involved.
Coverage will be reduced 'pro tanto', meaning dollar for dollar.
Item 2000-4 - Adoption of a new Planned Unit Development Endorsement (Form
T-17). This endorsement for mortgagee's policies will give expanded coverage
for restrictions, assessments, rights of first refusal, and forcible removal
of structures. Planned Unit Developments are organized in such a way that
facilitates the sort of search/due diligence that would be required in underwriting
such risks.
Item 2000-5 - Adoption of an amendment to Procedural Rule P-9, Endorsement
of Owner or Mortgagee Policies. This procedural rule will authorize the use
of the endorsements described in Items 2000-1 through 2000-4.
Item 2000-6 - Adoption of a new Restrictions, Encroachments, Minerals Endorsement
(Form T-19). This endorsement provides coverage for losses arising out of
restrictions which have established easements, or provided for an option to
purchase, a right of first refusal or the prior approval of a future purchaser
or occupant, as well as building setback line violations. Also covered is
damage to existing buildings located or encroaching upon any portion of the
land subject to any easement excepted in Schedule B that results from the
future exercise of any right existing on the date of the policy to use the
surface of the land for the extraction or development of minerals excepted
from the description of the land or excepted in Schedule B and from a final
court order or judgment requiring removal from the land adjoining the insured
land of any encroachment, other than fences, landscaping or driveways, excepted
in Schedule B.
Item 2000-7 - Adoption of a new procedural rule (P-50) for the new Restrictions,
Encroachments, Minerals Endorsement. This procedural rule authorizes the use
of the endorsement described in Item 2000-6.
Item 2000-8 - Adoption of a Texas Short Form Residential Mortgagee Policy
of Title Insurance (T-2R) and Addendum (T-2R Addendum). This short form will
aid in logistics and speed the delivery of policies by giving the insured
a checklist by which to elect various endorsements and make the language more
consistent with American Land Title Association forms.
Three items will implement the short form checklist policy and provide
clean up language in certain rules and forms as detailed herein:
Item 2000-9 - Adoption of an amendment to Procedural Rule P-1 to make reference
to direct operations and the new Texas Short Form Residential Mortgagee Policy.
Item 2000-10 - Adoption of a new procedural rule (P-51) to implement the
new Texas Short Form Residential Mortgagee Policy.
Item 2000-11 - Adoption of an amendment to Schedules A and B of the Commitment
for Title Insurance (Form T-7) to reference application of the new Texas Short
Form Residential Mortgagee Policy.
Item 2000-12 - Adoption of an amendment to Procedural Rule P-17, Electronically
Produced Endorsement Forms. This amendment will allow title companies to electronically
produce forms and endorsements and make allowance for electronic signatures
while preserving safeguards for document retention and audit.
Item 2000-13 - Adoption of an amendment to paragraph 1 of the Conditions
and Stipulations of the Texas Owner Policy of Title Insurance (Form T-1).
This item amends the definition of insureds to add limited liability companies
and limited liability partnerships. Such companies were not authorized in
Texas when the form was last revised.
Three items amend existing leasehold endorsements to incorporate the language
of recent revisions to the American Land Title Association forms, including
changes in the definition of valuation of an estate:
Item 2000-14 - Adoption of an amendment to the Leasehold Owner Policy Endorsement
(Form T-4).
Item 2000-15 - Adoption of an amendment to the Residential Leasehold Endorsement
(Form T-4R).
Item 2000-16 - Adoption of an amendment to the Leasehold Mortgagee Policy
Endorsement (Form T-5) should allow more flexibility in calculating damages
in an eviction.
Two items concern amendments regarding the use of surveys in title insurance.
Existing Procedural Rule P-2 provides that a current survey must be purchased
as a prerequisite for the survey deletion, except in residential refinances
in which a seven year old survey can be used. The 77th Legislature enacted
Senate Bill 1707, which added Insurance Code Article 9.07C to provide that
a survey of any age can be used if it is acceptable to the underwriter and
an affidavit verifying the existing survey is provided. The adopted amendments
will implement the legislation and make conforming amendments to the title
commitment form. Further, the department has noted on the promulgated residential
real property affidavit that it may also be modified as appropriate for commercial
transactions.
Item 2000-18 - Adoption of an amendment to Procedural Rule P-2, Amendment
of Exception to Area and Boundaries.
Item 2000-19 - Adoption of an amendment to the Commitment for Title Insurance
(Form T-7).
The following six items correct typographical errors, update minimum escrow
requirements, clarify the good funds rule, revise the Statistical Plan, and
establish document retention rules:
Item 2000-26 - Adoption of an amendment to the Minimum Standards, Specific
Instructions and Report Forms for Audit of Trust Funds Required of Texas Title
Insurance Agents, Direct Operations, Title Attorneys and Attorneys Licensed
as Escrow Officers. This amendment to the Minimum Escrow Procedures clarifies
issues related to escrow accounts and copies of checks and clarifies reporting
deadlines.
Item 2000-27 - Adoption of an amendment to Procedural Rule P-22 to be more
consistent with Procedural Rules P-1 and P-24. This amendment clarifies issues
related to the payment of fees for examination and closing and also accommodates
multi-county transactions.
Item 2000-28 - Adoption of an amendment to Procedural Rule P-27, Disbursement
from Trust Fund Accounts. This amendment clarifies "good funds" requirements
to aid in preserving the integrity of escrow accounts.
Item 2000-29 - Adoption of an amendment to Procedural Rule P-28 to correct
an address of the department.
Item 2000-30 - Adoption of a new Procedural Rule P-32 regarding document
retention. This amendment clarifies document retention requirements in light
of emerging electronic data storage technologies, while maintaining the department's
ability to audit and verify information. Title policies must be kept indefinitely;
hard copies of evidence of insurability must be kept for 3 years and thereafter
can be electronically scanned and kept for the remainder of the 15 year retention
period as required by Article 9.34, and escrow documentation is subject to
a 3 year retention schedule. Read in conjunction with the amendments to P-17
(Agenda Item 2000-12), documents which are initially computer generated or
electronically produced may be retained in that medium.
Item 2000-32 - Adoption of an amendment to the Texas Title Insurance Statistical
Plan updates and revises reporting codes.
Item 2000-A - Adoption of a new Procedural Rule P-52 regarding delivery
of pro forma policies and promulgated forms. This procedural rule will allow
companies to issue pro forma policies in commercial transactions in excess
of $500,000.
The following three items are designed to allow consumers to obtain title
insurance on manufactured housing characterized as real property pursuant
to recent legislative changes:
Item 2000-B - Adoption of a Supplemental Coverage Manufactured Housing
Unit Endorsement (Form T-31.1).
Item 2000-C - Adoption of an amendment to Procedural Rule 9.b.(7) to implement
the adoption of the Supplemental Coverage Manufactured Housing Unit Endorsement
(Form T-31.1).
Item 2000-D - Adoption of an amendment to Procedural Rule 9.a. to implement
the adoption of the Supplemental Coverage Manufactured Housing Unit Endorsement
(Form T-31.1).
The department has filed a copy of each of the adopted items with the Secretary
of State's Texas Register section. Persons desiring copies of the adopted
items can obtain them from the Office of the Chief Clerk, Texas Department
of Insurance, 333 Guadalupe Street, Austin, Texas, 78714-9104. To request
copies, please contact Sylvia Gutierrez at 512/463-6327.
Agenda Items 2000-1 through 2000-5:
Comment: Two commenters expressed concerns about the impact of these endorsements
and the implementing procedural rule in terms of solvency, including impact
on the title insurance guaranty fund, and reverse competition. The commenters
would like to see loss experience on these endorsements and would like to
see the endorsements incorporated into the standard policies. One commenter
felt that these endorsements should be issued on owner policies as well as
mortgagee policies and stated that residential consumers will be subsidizing
commercial lenders. The commenter also stated that the first loss endorsement
will help big commercial lenders and give them a special benefit that is not
given to small consumers.
Agency Response: The department appreciates the commenters' concerns regarding
solvency and reverse competition and intends to monitor the use of these endorsements.
Experience with commercial lenders will assist the department in determining
whether and to what extent the use of similar endorsements should be expanded
at a later date. The department believes that it will be beneficial to make
these endorsements, with which national lenders are familiar, available to
allow for the efficient closing and transfer of real estate in Texas.
Comment: A commenter supported the endorsements and stated that not all
of them will be used in every real estate transaction. The commenter felt
that if the endorsements are included in the standard mortgagee policy, then
it will be difficult to exclude them when necessary and then to try and price
the policy by trying to determine how many policies had one endorsement eliminated
versus another endorsement eliminated. The commenter further stated that having
endorsements that lenders are familiar with will streamline the process.
Agency Response: The department agrees that streamlining the real estate
transaction process is a good goal, and that experience with these endorsements
will help the department determine whether the frequent use of these endorsements
warrants their incorporation into standard policies.
Comment: Another commenter pointed out that incorporation of these endorsements
to all mortgagee and owner policies would not be appropriate because of inapplicability
in many instances. The commenter also spoke to the relationship of the mortgagee
policy aggregation endorsement and the title insurance guaranty fund by pointing
out that the guaranty fund caps would still be in place and that a title insurer
would still be subject to statutory premium reserve requirements. The commenter
also stated that this aggregation endorsement may possibly reduce exposure
in Texas for the guaranty fund if a loss occurs in another state and all liability
limits are used there.
Agency Response: The department agrees with the analysis, and as noted,
the department hopes to gain further information based on experience with
the use of these endorsements.
Agenda Items 2000-6 through 2000-7:
Comment: Two commenters stated their belief that the restrictions, encroachments,
and minerals endorsement and its implementing procedural rule will increase
costs, and they suggested that the loss experience be studied with this endorsement.
They further suggested that if the losses do not prove to be significant then
the coverage should be put in the policy instead of in an endorsement. They
also stated that the endorsement overlaps with survey coverage and with the
planned unit development endorsement.
Agency Response: The department restates its willingness to consider expanding
the use of the endorsement if appropriate. The department is persuaded of
the benefit of this nationally recognized endorsement whose purpose is to
protect a lender's priority of lien against covenants, conditions, and restrictions.
Agenda Items 2000-8 through 2000-11:
Comment: Two commenters expressed their concerns that this new short form
residential mortgagee policy, while of benefit to the lenders, will not benefit
the owner-consumers who are actually paying for these policies. The commenters
stated the necessity to look at costs in terms of passing these along to consumers.
Agency Response: The department appreciates these concerns; however, the
department believes that it is beneficial to make this short form policy available
to allow for efficient closing and transfer of real estate in Texas. The department
will also consider the impact of this product on title industry costs as experience
is gained.
Comment: One commenter expressed support for the adoption of a Texas Short
Form Residential Mortgagee Policy of Title Insurance. The commenter stated
that the short form will expedite production by lenders and title companies.
The commenter further referenced information from a national mortgage association
that use of the short form may reduce the possibility of fraudulent or non-existent
loans being placed in pools. Another commenter urged adoption of Agenda Item
2000-8 as allowing companies to make better use of technology and reduce cost,
and suggested allowing an underwriter, at its option and with the prior approval
of its insured, to issue electronic policies and endorsements and other promulgated
forms without reproducing the "boilerplate" language but incorporating it
by reference.
Agency Response: The department agrees as to the apparent advantages of
the short form, subject to the monitoring issues raised in the comment process.
The department agrees with a commenter's statements about making better use
of technology, but declines the suggestion regarding referencing of boilerplate
language on a global basis as being contrary to Insurance Code Article 9.07.
Agenda Item 2000-12:
Comment: Several commenters supported this agenda item dealing with electronically
produced forms and noted its consistency with federal and state electronic
transactions legislation. One commenter suggested adding a requirement that
endorsements also be numbered for statistical reports so the department has
the opportunity to audit the money that is being spent by consumers for those
endorsements, although another commenter stated that this would be immensely
expensive, time consuming, and extremely difficult to put in place. Another
commenter inquired as to whether licensed title agents and escrow officers
can authorize an unlicensed individual to execute their electronic signature.
Another commenter suggested allowing an underwriter, at its option and with
the prior approval of its insured, to issue electronic policies and endorsements
and other promulgated forms without reproducing the "boilerplate" language
but incorporating it by reference.
Agency Response: The department agrees that these amendments regarding
electronically produced forms and safeguarded electronic signatures are appropriate
initial steps into the era of electronic commerce. The department intends
to monitor closely the use of this procedural rule and will act accordingly
if the electronic process is not safeguarded. In this regard, the department
notes that the amendments call for a "safeguarded electronic signature"; therefore,
just as licensed individuals cannot delegate the signing of their original
signature, it is the department's position that an electronic signature can
likewise not be delegated. As to the suggestion regarding numbering endorsements
for audit purposes, the department points out that endorsements are tracked
by category and premium in the statistical plan, and therefore, individual
numbering of endorsements would not add to that audit function. Additionally,
the department recognizes the response of a commenter that individually numbering
endorsements would be very expensive and time-consuming. The department declines
the suggestion regarding referencing of boilerplate language on a global basis
as being contrary to Insurance Code Article 9.07.
Agenda Item 2000-13:
Comment: Two commenters supported this amendment to the owner policy of
title insurance to include limited liability companies and limited liability
partnerships as successors in interest to a named insured. The commenters
stated that this is mostly a technical amendment to update the kinds of commercial
entities doing business in Texas and that it clarifies the definition of "insured."
Agency Response: The department appreciates the support and agrees that
it is primarily a technical amendment.
Agenda Items 2000-14 through 2000-16:
Comment: Several commenters stated support of these leasehold endorsement
forms that conform to the recently adopted leasehold endorsement forms by
the American Land Title Association. The commenters detailed some of the provisions
of the forms, including a change in the method of valuation of the leasehold
estate in the event of loss to include damages from loss of tenant improvement
and a change which increased the distance coverage of moving costs of personal
property as a result of eviction of the lessee. A commenter has also pointed
out the inadvertent omission of the word "Improvements" from the term "Tenant
Leasehold Improvements" in paragraph 3.d of Agenda Item 2000-16.
Agency Response: The department appreciates the comments and has corrected
paragraph 3.d of Agenda Item 2000-16.
Agenda Items 2000-18 through 2000-19:
Comment: Several commenters supported agenda item 2000-18 dealing with
the use of surveys as being the preferable approach in line with Senate Bill
1707, as enacted by the 77th Legislature, which added Insurance Code Article
9.07C to provide that a survey of any age can be used if it is acceptable
to the underwriter and an affidavit verifying the existing survey is provided.
The commenters also stated that the agenda item provides consumer protections.
One commenter noted that this amendment to Procedural Rule P-2 will require
a survey in all instances, and that will clarify an interpretation that some
companies had, that evidence other than a survey could be relied on. The commenter
stated that this amendment dispels that interpretation.
Agency Response: The department agrees.
Comment: Several commenters opposed agenda item 2000-18 and stated that
2000-18 does not define the required elements of a survey, does not deal with
copyright problems that may exist with using prior surveys, and allows an
affidavit by persons not in privity of contract. Another commenter stated
that the proposal denigrates the quality of information that consumers get
and suggested that the amendment just define "current." The commenter also
suggested encouraging owners to get the survey exception deleted by reducing
the rate that consumers must pay. One commenter suggested a task force to
resolve the issues regarding the survey. One commenter stated that the Texas
Real Estate Commission's amended earnest money contract form for one-to-four
family residential resales has language regarding use of existing surveys
along with a requirement of the seller's affidavit acceptable to the title
company for approval of the survey that the commenter suggested be used in
the amendment to Procedural Rule P-2.
Agency Response: The department disagrees. The amendment to Procedural
Rule P-2 is consistent with Insurance Code Article 9.07C, provides and preserves
various consumer protections, and seeks to require accurate information. As
noted by other commenters, the procedural rule and statute are permissive;
in lieu of requiring a new survey, a title insurance company may accept evidence
of an existing survey with an affidavit verifying same, notwithstanding the
age of the survey or the identity of the person for whom the survey was prepared.
In any event, the survey must be acceptable to the title insurance company,
and this is consistent with the statute and apparently consistent with a commenter's
quoted provision from the Texas Real Estate Commission's amended earnest money
contract form for one-to-four family residential resales. The department also
notes that copyright law will control the use of new and existing surveys,
and this procedural rule does not impinge on that law. The department believes
that this amendment is an acceptable compromise to the survey issue as well
as being consistent with the legislative action; therefore, a task force will
not be needed.
Agenda Items 2000-20 through 2000-22:
Comment: Although these agenda items concerning a proposed Residential
Homeowner's Endorsement and corresponding procedural rule and form were withdrawn
by the submitter, several commenters spoke in support of these types of coverages
as being pro consumer and as being available in all states except four. There
were also recommendations to consider a task force to review these types of
coverages.
Agency Response: The department is amenable to consideration of how to
make available pro consumer coverages while at the same time keeping those
coverages within the definition of "title insurance" set forth in Article
9 of the Insurance Code. The department notes that it has encouraged all interested
persons to continue to work together to resolve the issues concerning residential
homeowner's coverages.
Comment: One commenter objected to the approval of certain of the coverages
contained in the proposed endorsement as being too expensive and time consuming
for title plants to index and update or as being not traditional title insurance,
or as expanding to cover post policy matters and therefore being casualty
insurance.
Agency Response: The department reiterates that all interested persons
should continue to work together to resolve the issues concerning residential
homeowner's coverages, and as noted, the department is amenable to consideration
of how to make available pro consumer coverages while at the same time keeping
those coverages within the definition of "title insurance" set forth in Article
9 of the Insurance Code.
Agenda Item 2000-26 through 2000-30 and 2000-32:
Comment: Several commenters supported these agenda items. One commenter
specifically referenced agenda items 2000-26 through 2000-28 as promoting
clarification and consistency with banking practices and the closing of transactions.
One commenter suggested adding a requirement to agenda item 2000-30 to require
that policies be electronically indexed by street address, insured's name,
buyer and seller, and the lender's name so as to locate the policy quickly,
although several commenters responded that with computerized forms, a word
search could find these categories, and beyond that, the imposition of such
a requirement would be too onerous and costly on a system that is indexed
by land and not all of the information, such as street addresses, may be known
at the time of the transaction.
Agency Response: The department appreciates the statements of support and
agrees with those commenters who pointed out the inherent problems in imposing
a different indexing system to locate policies. The movement toward computerization
of documents will alleviate some of the concerns about ease of locating policies,
and the current system of indexing by land is workable for title examination.
Comment: One commenter, in regard to Agenda Item 2000-27, pointed out that
the amendments to Procedural Rule P-22 concerning new language in P-22(B)
does not include a reference to an attorney at law such as is contained in
P-22(A). The commenter stated that in several counties there exist arrangements
for payments to attorneys for performing a portion of the closing, which the
commenter noted have been determined by the department to be a violation of
Insurance Code Article 9.30(B). The commenter further stated the commenter's
belief that this portion of Agenda Item 2000-27 was intended to resolve this
matter, but failed to address payment to an attorney.
Agency Response: The department disagrees with the commenter's interpretation
of that particular purpose of Agenda Item 2000-27. The portion of Agenda Item
2000-27 concerning payments to persons who perform all of the closing services
for either the seller, buyer, mortgagor, or mortgagee is intended to accommodate
multi-county transactions in which for example, the seller and buyer are each
located in different counties and do not want to travel to the other's county
for the closing. The amendment to P-22(B) was to allow payment to the person
closing the transaction as long as the person performs all of the closing
services for either the seller or the buyer in closing the transaction (or
for either the mortgagor or mortgagee as the case may be). This is different
from the commenter's description of arrangements in which a person performs
only a portion of the closing, which would be a violation of Article 9.30(B).
The department recognizes, however, the commenter's point about omitting the
reference to an attorney at law which makes P-22(B) inconsistent with P-22(A);
therefore, the department has clarified the new language in P-22(B) by deleting
the phrase, "is a Title Insurance Agent or Title Insurance Company and who"
to make consistent paragraphs (A) and (B) of P-22.
Comment: Another commenter stated the need to clarify the new language
in Procedural Rule P-22(B) to conform to its intention to accommodate multi-county
transactions.
Agency Response: The department agrees and has added to the beginning of
the new language, the phrase, "If the parties to the transaction are located
in different counties," to clarify the intention to accommodate multi-county
transactions.
Agenda Item 2000-A:
Comment: Several commenters supported this agenda item dealing with pro-forma
policies. Two commenters stated that although they had initial concerns about
the scope of the application and about compliance with the promulgated form
requirements of Insurance Code Article 9.07, these concerns have been eased
by the limitation to commercial policies and the disclosure provisions concerning
translation and disclaimers.
Agency Response: The department agrees.
Comment: One commenter opposed the agenda item stating that pro forma policies
can be subject to fraud and further expressed concern over the impact on the
title insurance guaranty fund. The commenter also stated that valid recorded
liens should be shown on any pro-forma policy or promulgated form. Another
commenter responded to these concerns by stating that issuance without exception
to outstanding mortgages will not be authorized since the rule requires a
disclosure that it does not reflect the existing status of title. The responding
commenter also noted that the preparation of pro forma policies is very common
in commercial transactions in other states and is commonly requested on large
commercial transactions.
Agency Response: The department appreciates the concerns regarding fraud
and the impact on the title insurance guaranty fund; accordingly, this agenda
item is adopted with the various limitations, disclosures, and disclaimers.
The department will also monitor the use of pro forma policies to determine
whether their continued use is justified or whether additional limitations
are needed.
Agenda Items 2000-B, 2000-C, and 2000-D:
Comment: Several commenters supported this group of agenda items that implement
House Bill 1869, enacted by the 77th Legislature, to allow loans on manufactured
homes and loans on real property to be combined. One commenter stated that
these endorsements are consumer friendly.
Agency Response: The department agrees.
Agenda Item 2000-I:
Comment: Many commenters supported this agenda item dealing with determining
the split of premium between the title agent controlling the premium and another
title agent. The commenters stated that eliminating the "unless" clause, concerning
a prior written agreement, in Procedural Rule P-24 will prevent what has been
a negotiation of the premium split on each deal that the commenters said resulted
in minimizing the percentage of premiums paid to the agents owning and maintaining
title plants that generate the product being sold, and that this mainly falls
on the local and rural agents. One commenter refuted the argument that Insurance
Code Article 9.30(b)(2) prevents setting a split in P-24 as constituting a
prohibited minimum by stating that setting a maximum does not establish a
minimum. Another commenter stated that the "prior written agreement" exception
allows an underwriter or whoever controls the title order to get a share of
the work product portion of the title premium, and some commenters stated
that the history of the "prior written agreement" provision was to preserve
those agreements that were already in place when P-24 was first adopted. Another
commenter stated that the only exception to striking the "prior written agreement"
provision would be one that is truly based on a long term relationship, documented
fully in writing and filed with the department. Other commenters stated that
the "prior written agreement" exception allows a portion of the premium to
go to marketing and further allows other states to take advantage of the Texas
rates. Several commenters opposed the suggestion for creation of a task force
made by opponents of the agenda item, or suggested that if there is a task
force, to adopt the agenda item pending the work of the task force. One commenter
stated that the actual issue involved is a matter of negotiation of a share
of money based on the legislature's regulation of premium.
Many commenters opposed this agenda item and stated that Procedural Rule
P-24 has withstood the test of time and that the issue is more a question
of competition and addressing new business models. Some commenters disagreed
that the "prior written agreement" language was for pre-existing arrangements
only and stated the belief that the language was promulgated to allow companies
to transact business in the free market place they choose. The commenters
also said that any amendment would have to account for existing arrangements
that have been in place for years and suggested a study group or committee
to discuss any amendment to P-24. Several commenters stated that metropolitan
agents rely on the ability to negotiate with willing agents across county
lines without having to buy a title plant. Some commenters stated that consumer
negotiation should be allowed also. Some commenters supported facilitating
across-county cooperation and referenced prior committee work on this issue
to separate rural and metropolitan agents. These commenters opposed the agenda
item in its present form. The commenters believed that no one solution is
available for all agents and encouraged assigning this issue for study by
a committee comprised of representatives of the department, title insurance
underwriters, rural county title agents, and metropolitan area title agents.
The commenters believe that removing the negotiation provision will put independent
agents at a disadvantage with attorneys and underwriters' direct agent operations.
The commenters also stated that setting fair and reasonable premium splits
for agents in smaller counties will ensure their longevity and protect the
integrity of title policies, while allowing metropolitan agents to negotiate
splits will benefit consumers by reducing overall costs. Another commenter
stated the belief that any separation between rural and metropolitan agents
would be discriminatory. Several commenters called for the appointment of
a task force with defined charges to present a compromise within a specified
time.
Agency Response: The department is mindful of the circumstances in which
P-24 is sometimes used to reduce the percentage of premiums paid to the agents
owning and maintaining title plants that generate the product being sold,
and that this many times can fall on the local and rural agents. The department
is also aware, however, that the percentages and parameters which resulted
from the discussions and development of P-24 have been used over the years,
and each person has been making business decisions within that environment.
The department further recognizes that differences between types of agents
can create different needs and that current and developing business models
require flexibility in the percentage of division of premiums between entities
performing title services. Accordingly, Agenda Item 2000-I is not adopted;
however, the department will propose amendments in a subsequent rule proposal
upon additional study and recommendations concerning workable realistic parameters
governing the division of premiums between entities performing title services.
General comment:
Comment: One commenter stated that he would like to be able to accept major
credit cards for the payment of closing costs with the $1,500.00 limitation
that now exists for personal checks. The commenter feels that this will allow
modern sales procedures in line with public expectations.
Agency Response: The department disagrees since a credit card consumer
has a longer period of time to cancel the transaction thus exposing the integrity
of the escrow closing fund process.
For with changes: Texas Land Title Association; Stewart Title Guaranty
Company; Office of Public Insurance Counsel; Individual consumers; Columbian
National Title Insurance Company; Southern Texas Title Company; Sierra Title
Company, Inc., Metro Title Company, Inc., d/b/a Sierra Title of Cameron &
Willacy Counties, Sierra Title of North Texas, Inc., Sierra Title of Corpus
Christi, L.L.C., and Sierra Title of Hidalgo County, Inc. (Sierra Group);
Franklin County Abstract; Chambers County Abstract Company, Inc.; Stone Title
Company; Security Land Title Company; Rusk County Abstract Company; Moseley
Abstract Company; Farwell Abstract Company and Muleshoe Abstract Company;
Cass County Title Company; West Texas Abstract & Title Company; South
Plains Abstract Company; Lubbock Abstract & Title Company; Ector County
Abstract & Title Company, Inc.; Archer Title Company, Inc.; Southwest
Abstract Company, Inc.; Service Title Company; Western Abstract and Title
Company; Panola County Abstract & Title Company; Yoakum County Abstract
Company; Elliott and Waldron Abstract Company of Pecos; Border Title Group;
Pittsburg Title Company; Andrews Abstract Company; Bay City Abstract &
Title Company; The Hays County Abstract Company; Throckmorton County Abstract,
Inc.; Spiller Abstract Company, Inc.; Hockley County Abstract Company, Inc.;
Countywide Abstract & Title, Inc.; Jordan & McCollum Abstracters,
Inc.; West Texas Title Company, Inc.; Eastland Title Company; Sabine Title
Company; Professional Title Services, Inc.; Crossroads Abstract & Title
Company, Inc.; San Jacinto Title Services of Corpus Christi, LLC; Jefferson
County Title; Huntsville Abstract & Title Company; American Land Title,
Inc.; Bedgood Abstract & Title Co.; Lynn County Abstract; Arnold Abstract
Company (Rusk County) and Attorneys Land & Title Company (Wood County);
Mid-Coast Title Co., Inc.; Texas Association of Abstractors & Title Agents;
The Brown County Abstract Co., Inc.; Washington County Abstract Company; Service
Title Company (San Antonio); Hopkins County Abstract Company; Harrison Title;
United General Title; Professional Land Title Company; Cole Title Company;
legislators; several independent title agents.
Against with changes: Office of Public Insurance Counsel; Individual consumers;
Texas Society of Professional Surveyors; real estate lawyers; registered professional
land surveyor; North American Title Insurance Corporation; Travis Title Company;
Safeco Land Title (Dallas); First American Title Insurance Company of Texas;
Commerce Land Title and Centex Corporation; DRH Title Company of Texas, Ltd;
Georgetown Title Company, Inc.; Lone Star Title, Inc.; Realty Executives;
Lone Star Realty; Lone Star Title of El Paso; Reagan County Abstract &
Title Company; Longhorn Title Company, Inc.; Ryland Title; Netco, Inc.; West
Star National Title Company, LLC; legislators; Title Insurance Company of
America; First Fidelity Title; Commerce Title Co. (Coppell); Commerce Title
Company (San Antonio); Title Resources Guaranty Co.
Neither for or against (Procedural Rule P-24): Independent Metropolitan
Title Insurance Agents of Texas; Texas Land Title Association.
Subchapter A. BASIC MANUAL OF RULES, RATES, AND FORMS FOR THE WRITING OF TITLE INSURANCE IN THE STATE OF TEXAS
28 TAC §9.1
These amended sections are adopted pursuant to Insurance Code
Articles 9.07, 9.07C, 9.21, and §36.001, and House Bill (HB) 1869 concerning
changes to the Texas Manufactured Housing Standards Act and the Texas Property
Code. Article 9.07 authorizes and requires the commissioner to promulgate
or approve rules and policy forms of title insurance and otherwise to provide
for the regulation of the business of title insurance. Article 9.07C provides
that a survey of any age can be used if it is acceptable to the underwriter.
Article 9.21 authorizes the commissioner to promulgate and enforce rules prescribing
underwriting standards and practices, and to promulgate and enforce all other
rules necessary to accomplish the purposes of chapter 9, concerning regulation
of title insurance. HB 1869 establishes new requirements for "permanently
affixed" manufactured homes that allow a loan on a manufactured home and a
loan on real property to be combined. Section 36.001 authorizes the Commissioner
of Insurance to adopt rules for the conduct and execution of the duties and
functions of the Texas Department of Insurance only as authorized by statute.
§9.1.Basic Manual Of Rules, Rates, and Forms for the Writing of Title Insurance in the State of Texas.
The Texas Department of Insurance adopts by reference the Basic Manual
of Rules, Rates, and Forms for the Writing of Title Insurance in the State
of Texas as amended effective April 4, 2002. The document is available from
and on file at the Texas Department of Insurance, Title Division, Mail Code
106-2T, 333 Guadalupe Street, Austin, Texas 78701-1998.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of
the Secretary of State on March 15, 2002.
TRD-200201647
Lynda Nesenholtz
General Counsel and Chief Clerk
Texas Department of Insurance
Effective date: April 4, 2002
Proposal publication date: December 28, 2001
For further information, please call: (512) 463-6327
28 TAC §9.401
These amended sections are adopted pursuant to Insurance Code
Articles 9.07, 9.07C, 9.21, and §36.001, and House Bill (HB) 1869 concerning
changes to the Texas Manufactured Housing Standards Act and the Texas Property
Code. Article 9.07 authorizes and requires the commissioner to promulgate
or approve rules and policy forms of title insurance and otherwise to provide
for the regulation of the business of title insurance. Article 9.07C provides
that a survey of any age can be used if it is acceptable to the underwriter.
Article 9.21 authorizes the commissioner to promulgate and enforce rules prescribing
underwriting standards and practices, and to promulgate and enforce all other
rules necessary to accomplish the purposes of chapter 9, concerning regulation
of title insurance. HB 1869 establishes new requirements for "permanently
affixed" manufactured homes that allow a loan on a manufactured home and a
loan on real property to be combined. Section 36.001 authorizes the Commissioner
of Insurance to adopt rules for the conduct and execution of the duties and
functions of the Texas Department of Insurance only as authorized by statute.
§9.401.Texas Title Insurance Statistical Plan.
The Texas Department of Insurance adopts by reference the rules contained
in the Texas Title Insurance Statistical Plan as amended effective April 4,
2002. This document is published by the Texas Department of Insurance and
is available from the Property and Casualty Data Services Division, Mail Code
105-5D, Texas Department of Insurance, William P. Hobby, Jr. State Office
Building, 333 Guadalupe Street, P.O. Box 149104, Austin, Texas 78714-9104.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed
with the Office of the Secretary of State on March 15, 2002.
TRD-200201648
Lynda Nesenholtz
General Counsel and Chief Clerk
Texas Department of Insurance
Effective date: April 4, 2002
Proposal publication date: December 28, 2001
For further information, please call: (512) 463-6327
Subchapter M. MANDATORY BENEFIT NOTICE REQUIREMENTS
28 TAC §§21.2101 - 21.2103, 21.2105, 21.2106
The Commissioner of Insurance adopts amendments to §§21.2101
- 21.2103, 21.2105 and 21.2106 concerning mandatory notice of coverage of
certain tests for the detection of colorectal cancer. Section 21.2106 is adopted
with changes to the proposed text as published in the December 28, 2001, issue
of the
Texas Register
(26 TexReg 10783). Sections
21.2101 - 21.2103 and 21.2105 are adopted without changes and will not be
republished.
The amendments are necessary to implement Senate Bill 1467 enacted by the
77th Legislature which added new Article 21.53S to the Texas Insurance Code
mandating certain benefits related to the detection of colorectal cancer.
Article 21.53S also contains mandatory notice requirements. The amendments
to the notice provisions in subchapter M implement the notice requirements
contained in Article 21.53S.
The amendments to §21.2101 clarify the scope of the subchapter to
include requiring notice to enrollees of a health benefit plan of coverage
and/or benefits for certain tests for the detection of colorectal cancer.
The amendments to §21.2101 also clarify that the notice applies to a
carrier issuing, delivering or renewing a plan on or after January 1, 2002.
Section 21.2102 adds two types of entities, Lloyd's plans operating under
Chapter 18 of the Insurance Code and risk pools created under Chapter 172,
Local Government Code, to the definition of "carrier" only for the purposes
of notices relating to coverage and/or benefits for the detection of colorectal
cancer. Section 21.2102 also clarifies that the requirements related to notice
for coverage and/or benefits for detection of colorectal cancer do not apply
to a small employer health benefit plan, a plan providing specified disease
coverage or other limited benefits, or coverage only for indenmity for hospital
confinement. Amendments to §21.2103 require a carrier providing coverage
and/or benefits for screening medical procedures to issue a notice containing
the language required in §21.2106(b). Section 21.2103 also clarifies
that a notice of coverage or benefits for detection of colorectal cancer issued
before the effective date of these amendments is sufficient notice under these
rules. Amendments to §21.2105 make certain that the timing requirements
in subsection (a)(1) are not applicable to the notice for tests for the detection
of colorectal cancer. Section 21.2106 includes the form for notice to be provided
by carriers relating to tests for the detection of colorectal cancer.
§21.2106: Numerous commenters requested that §21.2106(b)(6) be
changed to include the term "physician/patient team's" as a modifier of the
word "choice" so that it is clear that each insured/enrollee may choose between
the coverage/benefits described in subsections (a) and (b) of the Notice of
Mandatory Benefits. Similarly, one commenter suggested that §21.2106(b)(6)
be changed to read "Benefits include:" prior to the list of benefits in order
to eliminate any ambiguity regarding which party may choose from the benefits
listed. These commenters expressed concern that the wording of the notice
as proposed would allow third party payors to default to the least expensive
and least effective screening method.
AGENCY RESPONSE: The department agrees that additional language is needed
to clarify the party that may choose from the required benefits. The department
has changed the language in §21.2106(b)(6) to clarify that it is the
insured/enrollee who is allowed to choose from the required coverage/benefits.
§21.2106: One commenter suggested that the coverage/benefits provided
should more closely follow the guidelines adopted by the American Medical
Association so that all of the tests described in the proposed notice should
be provided instead of a choice of the tests.
AGENCY RESPONSE: The Mandatory Notice of Benefits reflects the language
of the statute; therefore, no change has been made.
For With Changes: Numerous members of the American Cancer Society, Fredricksburg
Gastroenterology, P.A., Gastroenterology Consultants of San Antonio, P.A.,
Texas Society for Gastroenterology and Endoscopy, Gastroenterology Consultants,
Rose Medical Group, Gastroenterology Clinic of San Antonio, P.A, Abdominal
Specialists of South Texas, P.A., San Antonio Digestive Disease Consultants,
P.A., Gastroenterology Associates of North Texas, Digestive Health Center,
Austin Gastroenterology, Texas Gastroenterology, P.A., John Peter Smith Hospital,
Bexar County Medical Society, Texarkana Family Practice, P.A., and Office
of the Honorable Mike Moncrief.
The amendments are adopted under the Insurance Code Article 21.53S
and Section 36.001. Article 21.53S provides rulemaking authority to the Commissioner
of Insurance for the purpose of administering the statute and directs the
Commissioner to adopt rules for the provision of a notice under the statute.
Section 36.001 provides that the Commissioner of Insurance may adopt rules
to execute the duties and functions of the Texas Department of Insurance only
as authorized by statute.
§21.2106.Forms.
(a)
The forms identified in §21.2103 of this title (relating
to Mandatory Benefit Notices) for notices of mandatory benefits are included
in subsection (b) of this section in their entirety and have been filed with
the Office of the Secretary of State. The forms can be obtained from the Texas
Department of Insurance, Life/Health Division, MC 106-1A, P.O. Box 149104,
Austin, Texas 78714-9104, or from the department's Web site, www.tdi.state.tx.us.
(b)
The forms referenced in this chapter are as follow:
(1)
Figure Number 1: Form Number 349 Mastectomy:
Figure: 28 TAC §21.2106(b)(1) (No change.)
(2)
Figure Number 2: Form Number 1764 Reconstructive Surgery
After Mastectomy-Enrollment:
Figure: 28 TAC §21.2106(b)(2) (No change.)
(3)
Figure Number 3: Form Number 1764 Reconstructive Surgery
After Mastectomy-Annual:
Figure: 28 TAC §21.2106(b)(3) (No change.)
(4)
Figure Number 4: Form Number 258 Prostate:
Figure: 28 TAC §21.2106(b)(4) (No change.)
(5)
Figure Number 5: Form Number 102 Maternity:
Figure: 28 TAC §21.2106(b)(5) (No change.)
(6)
Figure Number 6: Form Number 1467 Colorectal Cancer Screening:
Figure: 28 TAC §21.2106(b)(6)
This agency hereby certifies that the adoption has been
reviewed by legal counsel and found to be a valid exercise of the agency's
legal authority.
Filed with the Office of
the Secretary of State on March 13, 2002.
TRD-200201578
Lynda Nesenholtz
General Counsel and Chief Clerk
Texas Department of Insurance
Effective date: April 2, 2002
Proposal publication date: December 28, 2001
For further information, please call: (512) 463-6327
28 TAC §21.2107
The Commissioner of Insurance adopts amendments to §21.2107
concerning the rights of eligible beneficiaries to notice under §3.3312.
The amended sections are adopted without changes to the proposed text as published
in the January 25, 2002, issue of the
Texas Register
(27 TexReg 570) and will not be republished.
The amendments are necessary to implement changes made to the Social Security
Act (Act) by Medicare, Medicaid, and State Children's Health Insurance Program
Benefits Improvement and Protection Act of 2000 (BIPA) and subsequent changes
made to the National Association of Insurance Commissioners (NAIC) Model Regulation
to Implement the NAIC Medicare Supplement Insurance Minimum Standards Model
Act. The Model Regulation was accepted by the Centers for Medicare and Medicaid
Services (CMS), the agency which administers Medicare programs.
The amendments to §21.2107 are necessary to notify entities described
in §3.3312 of the requirement to disclose to individuals their right
to extended Medicare supplement access if their enrollment is interrupted
within their trial period due to involuntary termination.
No comments were received regarding adoption of these amendments.
The amendments are adopted under the Insurance Code Articles
3.74, 20A.22, and §36.001. Article 3.74 provides that the Texas Department
of Insurance shall adopt rules in accordance with federal law applicable to
the regulation of Medicare supplement insurance coverage that are necessary
for the state to obtain or retain certification as a state with approved regulatory
program under §1882 of the Social Security Act (42 U.S.C. 1395ss). Article
20A.22 provides that the Commissioner is specifically authorized to promulgate
rules to meet the requirements of federal laws and regulations. Section 36.001
provides that the Commissioner of Insurance may adopt rules to execute the
duties and functions of the Texas Department of Insurance as authorized by
statute.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of
the Secretary of State on March 15, 2002.
TRD-200201655
Lynda Nesenholtz
General Counsel and Chief Clerk
Texas Department of Insurance
Effective date: April 4, 2002
Proposal publication date: January 25, 2002
For further information, please call: (512) 463-6327
Subchapter C. AUDIT COVERAGES REQUIRED FOR GUARANTY ASSOCIATIONS
Chapter 9.
TITLE INSURANCE
Subchapter C. TEXAS TITLE INSURANCE STATISTICAL PLAN
Chapter 21.
TRADE PRACTICES
Chapter 31.
LIQUIDATION