TITLE 28.INSURANCE

Part 1. TEXAS DEPARTMENT OF INSURANCE

Chapter 5. PROPERTY AND CASUALTY INSURANCE

Subchapter T. FAIR PLAN

1. PLAN OF OPERATION

28 TAC §§5.9910 - 5.9929

The Commissioner of Insurance adopts new Subchapter T, §§5.9910- 5.9929, concerning the Fair Access to Insurance Requirements (FAIR) Plan of Operation developed by the FAIR Plan Governing Committee and submitted for approval to the Commissioner of Insurance pursuant to the Insurance Code Article 21.49A sec. 3(a). The subchapter is adopted without changes to the proposed text as published in the April 4, 2003, issue of the Texas Register (28 TexReg 2873) and will not be republished.

Several insurance companies who together write over 50% of the Texas homeowners insurance market are not currently writing new homeowners insurance policies. The largest writer of homeowners insurance in Texas with over 30% of the market, has not been writing new homeowners policies for over a year. Another large writer of homeowners insurance with approximately 20% of the homeowners market in force in Texas, is also not writing new homeowners policies. Many other insurers have continued to maintain restrictions or limitations on writing homeowners insurance and some insurers have withdrawn from the market. In addition, according to statistics obtained from the Surplus Lines Stamping Office of Texas, from March 31, 2002, to March 31, 2003, there has been a 169.1% increase in the homeowners premium written by surplus lines insurers, which indicates a significant increase in the writing of homeowners policies by surplus lines insurers. This increase is a clear indication that consumers are having difficulty obtaining or are finding it impossible to obtain homeowners insurance coverage through the voluntary market, and have had to obtain such coverage in the surplus lines market. Based on all of these factors it is possible that in some cases residential property homeowners are having to go without insurance coverage, due to unavailability and other factors. In addition, since the FAIR Plan Association started issuing policies on December 31, 2002, it has issued approximately 15,000 residential property insurance policies, thus further evidencing the need for this program. Considering these facts, it is clear that the consumers seeking new homeowners insurance coverage are facing difficulty in obtaining or finding it impossible to obtain homeowners insurance coverage through the voluntary market. The new sections are necessary to implement Article 21.49A and to ensure that residential property insurance coverage is available to Texas residents.

The purpose of adopted §§5.9910- 5.9929 is to set forth and establish the structure, function, procedures and powers of the Texas FAIR Plan Association. Adopted §5.9910 sets forth the purpose of the Texas FAIR Plan Association (Association) as well as the purpose of the Plan of Operation. Adopted §5.9911 provides the definitions of terms to be used in the subchapter. Adopted §5.9912 provides for the formation and authority of the Governing Committee. Adopted §5.9913 sets forth the role of agents, minimum requirements and performance standards for agents, and the procedure for the payment of commissions. Adopted §5.9914 provides for the maximum limits of liability and other limitations on FAIR Plan policies. Adopted §5.9915 sets forth procedures for the inspections of property to be insured under FAIR Plan policies and the requirements for inspection reports. Adopted §5.9916 provides the procedures for adoption of application forms and approval of underwriting rules, rates, policy forms, and endorsements. Adopted §5.9917 sets forth the documentation the agents are required to maintain regarding an applicant’s eligibility; rules and procedures for issuance or cancellation of binders; and rules and procedures for issuance, renewal, or cancellation of policies. Adopted §5.9918 sets forth the Association’s options for servicing its policies and guidelines for establishing servicing standards. Adopted §5.9919 sets forth the appeals process for an applicant or affected insurer to appeal an action of the Association. Adopted §5.9920 sets out the immunity from liability and indemnification available to insurers, inspectors, the Association, the Governing Committee, their agents and employees, the Association administrator, the Commissioner, and the Commissioner’s authorized representatives. Adopted §5.9921 authorizes the Association to purchase fidelity bonds for the purpose of reimbursing the Association for losses sustained due to fraud or dishonesty on the part of members of the Governing Committee, Association officers, or employees. Adopted §5.9922 describes the member insurers required to participate in the Association, how the proportions of participation are determined, and the procedures for Association and member meetings. If necessary, it provides the procedure for an initial assessment of the member insurers to facilitate the commencement of operations. Adopted §5.9923 sets forth the procedures for member insurer assessments and recoupment of assessments, for reapportioning assessments of an insolvent member insurer, and for assessments of member insurers who cease writing property insurance in Texas. Adopted §5.9924 sets forth the procedures for the Association to cede or purchase reinsurance and acquire other financing. Adopted §5.9925 sets forth the statistical reporting requirements of the Association. Adopted §5.9926 provides for the Association’s treatment of excess funds. Adopted §5.9927 provides for the Association to file annual and quarterly financial statements. Adopted §5.9928 lists the additional powers of the Association and adopted §5.9929 provides for the severability of any section of this subchapter, or the application thereof, if it is determined to be invalid.

No comments were received regarding adoption of the new sections.

The sections are adopted under the Insurance Code Article 21.49A and §36.001. Article 21.49A sec. 3(a) authorizes the FAIR Plan Governing Committee to develop a plan of operation and submit it to the Commissioner of Insurance for his approval. Article 21.49A charges the Commissioner with the authority to supervise the Association and to approve and adopt by rule the plan of operation developed by the Governing Committee. 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.

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 May 8, 2003.

TRD-200302849

Gene C. Jarmon

General Counsel and Chief Clerk

Texas Department of Insurance

Effective date: May 28, 2003

Proposal publication date: April 4, 2003

For further information, please call: (512) 463-6327