TITLE insurance

Part I. Texas Department of Insurance

Chapter 5. Property and Casualty Insurance

Subchapter D. Fire and Allied Lines Insurance

1. Prohibited Practices by Insurers Subject to the Insurance Code, Article 5.26

28 TAC §§5.3001-5.3004

The Texas Department of Insurance adopts the repeal of §§5.3001-5.3004, relating to the prohibition against regulated and nonregulated insurers entering into guaranty agreements, indemnity agreements, or reinsurance agreements designed to circumvent the application of Article 5.26 to regulated insurers.

The repeal of §§5.3001-5.3004 is necessary because the enactment of Articles 18.23A and 19.12A adequately address the problems these sections were designed to address and therefore have rendered §§5.3001-5.3004 unnecessary. Sections 5.3001 and 5.3002 describe certain practices that insurers were engaging in to circumvent the promulgated rating system established by Article 5.26. These sections focused on the practice of nonregulated insurers issuing policies at rates less than those authorized for use by regulated insurers and these blocks of policies were being assumed by the rate regulated insurers through guaranty, indemnity, or reinsurance agreements. Through these arrangements, the regulated insurers were charging rates that were inadequate and not actuarially sound and the board was concerned that such practices could lead to insurer insolvency. The board was particularly concerned with the practice of regulated insurers establishing affiliated Lloyds companies and reciprocal exchanges expressly for the purpose of writing policies below the promulgated rate and then ceding those policies to the regulated affiliate. Section 5.3002 specified these practices to be in violation of Articles 5.26 and 5.41, issued a mandate to insurers to cease and desist from such practices, and issued a directive to the commissioner to investigate insurers engaging in such practices. Sections 5.3003 and 5.3004 included multi-peril policies under the prohibitions described in §§5.3001 and 5.3002 if the multi-peril policy included coverage that was regulated under Article 5.26. In 1991, Articles 5.26 and 5.41 were amended to reflect that a new benchmark rating system, outlined in Subchapter M, would be used to regulate residential property insurance rates instead of the promulgated rating system. Simultaneous with these amendments to Articles 5.26 and 5.41, Article 5.101 was enacted to establish the benchmark rating system. The effect of these legislative changes was that the benchmark rating system supplanted the promulgated rating system for residential property insurance rates. Also in 1991, Articles 18.23A and 19.12A were enacted to address the problem of affiliated Lloyds and reciprocal exchanges being used to circumvent the promulgated rating system. These statutes mandate that an insurer who is subject to rate regulation through the benchmark rating system may not assume a risk written by an affiliated Lloyds or reciprocal exchange if the risk is written at a lower rate in the affiliated Lloyds or reciprocal exchange than the rate charged by the regulated company that would be assuming the risk. The problem that the sections are designed to address is addressed by the statutes by prohibiting the reinsurer from assuming a risk written by the affiliated company at a rate below the reinsurer's filed flex rate. Since the problem of circumventing rate regulation through the use of affiliated companies has been adequately addressed by the enactment of Articles 18.23A and 19.12A, §§5.3001-5.3004 are unnecessary and are being repealed.

The adoption of the repeals will result in the elimination of sections that are unnecessary and no longer serve a useful purpose. Moreover, the repeals will contribute generally to a streamlining of Chapter 5 of the Texas Administrative Code by elimination of sections which have become obsolete.

The agency did receive comments from one commentor, however, these comments were subsequently withdrawn.

The repeals are adopted under the Insurance Code, Articles 5.98 and 1.03A; and the Government Code §§2001.001 et seq. Article 5.98 provides that the Commissioner of Insurance may adopt reasonable rules that are appropriate to accomplish the purposes of Chapter 5, Texas Insurance Code entitled Rating and Policy Forms, and which contains statutes governing fire insurance and allied lines. Article 1.03A authorizes the commissioner to adopt rules and regulations for the conduct and execution of the duties and functions of the department as authorized by statute. The Government Code §§2001.001 et seq. (Administrative Procedure Code) authorizes and requires each state agency to adopt rules of practice setting forth the nature and requirements of available procedures and to prescribe the procedure for adoption of rules by a state administrative agency.

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 February 18, 1999.

TRD-9901008

Lynda H. Nesenholtz

General Counsel and Chief Clerk

Texas Department of Insurance

Effective date: March 10, 1999

Proposal publication date: August 28, 1998

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