Part I.
Texas Department of Insurance
Chapter 1.
General Administration
Subchapter C. Maintenance Taxes and Fees
28 TAC §1.415
The Texas Department of Insurance proposes an amendment to
§1.415 concerning the maintenance tax surcharge authorized under Texas
Insurance Code, Article 5.76-5, for the Texas Workers' Compensation Fund.
The funds collected by the surcharge are used to service the bonded indebtedness
of the Texas Workers' Compensation Insurance Fund (Fund). The proposed amendment
will reduce the previously adopted 1999 rate of assessment against the gross
workers' compensation premium written in Texas to zero. The elimination of
the 1999 assessment for the Fund's bonded indebtedness is necessary to reflect
the Fund's decision to defease $63.2 million of its outstanding bonded indebtedness.
The prepayment will be made from the Fund's accumulated earnings; therefore,
this year, the Fund does not need the funds collected from the maintenance
tax surcharge to service its bonded indebtedness. Since insurers writing workers'
compensation insurance in Texas have already been assessed at the rate previously
adopted on January 7, 1999, the elimination of the assessment for 1999 will
be implemented by refunding the funds collected pursuant to the 1999 workers'
compensation maintenance tax surcharge.
Karen A. Phillips, Chief Financial Officer, has determined that for the
first five-year period the proposed amendment is in effect, there will be
no fiscal implications for state or local government as a result of enforcing
or administering the section. The Comptroller of Public Accounts will refund
the estimated $10,708,389 generated from the workers' compensation maintenance
tax surcharge assessed earlier this year. The surcharge is assessed for the
purpose of providing funds that will meet the debt service requirements of
the bonded indebtedness of the Texas Workers' Compensation Insurance Fund.
There will be no effect on local employment or the local economy.
Ms. Phillips also has determined that for each year of the first five years
the amended section is in effect, the public benefit anticipated as a result
of the elimination of the 1999 workers' compensation maintenance tax surcharge
will be the elimination of one of the elements of the cost of workers' compensation
insurance for policyholders Generally, insurers pass the surcharge through
to their insureds pursuant to Insurance Code, Article 5.76-5, §10(d).
Since there will be no surcharge in 1999, there will be no cost to pass through
to workers' compensation insurance policyholders. This will benefit policyholders
with policies issued from June 1, 1999, to May 31, 2000. On January 7, 1999,
the commissioner adopted an assessment rate of .350% of an insurer's correctly
reported gross workers' compensation insurance premiums for the calendar year
1998. As a result of the Texas Workers' Compensation Fund's subsequent decision
to prepay a portion of the indebtedness, the rate of assessment is proposed
to be reduced to 0.0%. If the amendment is adopted, the Comptroller of Public
Accounts will refund an estimated $10,708,389 of insurer payments for the
1999 workers' compensation insurance maintenance tax surcharge. Since the
outstanding bonded indebtedness will have been defeased, this will eliminate
the assessment on the insurance industry, providing an additional public benefit.
Comments on the proposal must be submitted in writing within 30 days after
publication of the proposed section in the
Texas
Register
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 should be submitted to Karen
A. Phillips, Chief Financial Officer, Mail Code #108-1A, Texas Department
of Insurance, P.O. Box 149104, Austin, Texas, 78714-9104.
The amendment is proposed under the Insurance Code, Articles
5.76-3, 5.76-5, 5.68 and 1.03A and the Texas Labor Code, §403.002. The
Insurance Code, Article 5.76-3 establishes the Texas Workers' Compensation
Insurance Fund. Article 5.76-5 establishes the maintenance tax surcharge.
Article 5.68 establishes the maintenance tax based on premiums for workers'
compensation coverage. Article 1.03A authorizes the commissioner of insurance
to adopt rules and regulations for the conduct and execution of the duties
and functions of the department as authorized by statute. The Texas Labor
Code, §403.002 establishes the maintenance tax for workers' compensation
insurance companies.
The following Texas statutes are affected by this rule: Insurance Code,
Articles 5.12, 5.55C, 5.68, 5.76-3, 5.76-5, 21.46, and 21.54 and Texas Labor
Code, §§403.002, 403.003 and 404.003.
§1.415.Maintenance Tax Surcharge for the Texas Workers' Compensation Insurance Fund, 1999.
(a)
The maintenance tax surcharge is levied against each insurance
carrier writing workers' compensation insurance in this state, at the rate
of
0.0%
[
(b)
The maintenance tax surcharge shall be payable and due
to the Comptroller of Public Accounts, Austin, Texas 78774-0100 on March 1,
1999.
This agency hereby certifies that the proposal has been reviewed
by legal counsel and found to be within the agency's legal authority to adopt.
Filed with the Office of the Secretary of State, on
March 15, 1999.
TRD-9901603
Lynda H. Nesenholtz
General Counsel and Chief Clerk
Texas Department of Insurance
Earliest possible date of adoption: April 25, 1999
For further information, please call: (512) 463-6327
Subchapter E. Texas Windstorm Insurance Association
Division 3. [
28 TAC §5.4101
The Texas Department of Insurance proposes amendments to
§5.4101 concerning the adoption by reference of two new policy forms
for windstorm and hail insurance coverage by the Texas Windstorm Insurance
Association ("Association" or "TWIA"). Created in 1971 by the Texas Legislature
as the Texas Catastrophe Property Insurance Association, the Association is
composed of all insurers authorized to transact property insurance in Texas
and operates pursuant to Article 21.49 of the Insurance Code. The Texas Legislature
in House Bill 1632 (Acts 1997, 75th Legislature, chapter 438, §1, effective
September 1, 1997) changed the name of the Texas Catastrophe Property Insurance
Association to the Texas Windstorm Insurance Association. The purpose of the
Association is to provide windstorm and hail insurance coverage to residents
in designated catastrophe areas who are unable to obtain such coverage in
the voluntary market. Since its inception, the Association has provided this
coverage to residents of 14 coastal counties: Aransas, Brazoria, Calhoun,
Cameron, Chambers, Galveston, Jefferson, Kenedy, Kleberg, Matagorda, Nueces,
Refugio, San Patricio and Willacy. The Association also provides coverage
to certain designated catastrophe areas in Harris County: (i) since March
1, 1996, the area located east of a boundary line of State Highway 146 and
inside the city limits of the City of Seabrook and the area located east of
the boundary line of State Highway 146 and inside the city limits of the City
of La Porte (Commissioner's Order Number 95-1200, November 14, 1995); (ii)
since June 1, 1996, the City of Morgan's Point (Commissioner's Order Number
96-0380, April 5, 1996); and (iii) since April 1, 1997, the areas located
east of State Highway 146 and inside the city limits of the City of Shoreacres
and the City of Pasadena (Commissioner's Order Number 97-0225, March 11,
1997). Pursuant to Commissioner's Order Number 97-0626 (June 30, 1997), the
Commissioner adopted by reference in §5.4008 of this title the Building
Code for Windstorm Resistant Construction (Building Code) to specify building
standards for structures located in certain designated catastrophe areas which
were constructed, repaired, or to which additions were made on and after June
1, 1998, to qualify for coverage from the Association. Pursuant to Commissioner's
Order Number 98-0803 (July 8, 1998), the Commissioner adopted a change in
the effective date of these building standards from June 1, 1998, to September
1, 1998. The Commissioner adopted on an emergency basis amendments to §5.4008
under Commissioner's Order Number 98-1025, effective September 3, 1998. These
amendments were adopted on a permanent basis under Commissioner's Order Number
98-1376, effective December 31, 1998. The adoption of two new policy forms
has been requested by the Association in a petition filed with the department
on October 24, 1997 (Ref. No. P-1197-34). The Association's petition also
requests the adoption of new endorsement forms and revised endorsement forms
along with the repeal of certain current endorsement forms, and the proposal
regarding these endorsement forms is set forth for adoption in 28 TAC §5.4201,
which is published separately in this edition of the
Texas Register
. Additionally, there are proposed revisions to the manual
rules and regulations for the Association, which are proposed for adoption
under amendments to 28 TAC §5.4501, which are published in a separate
rule proposal in this edition of the
Texas Register
. Copies of the petition are available for review in the Office of
the Chief Clerk, Texas Department of Insurance, 333 Guadalupe Street, Austin,
Texas, 78714-9104. To request a copy of the petition, please contact Angela
Arizpe at 512/322-4147. The department staff supports the proposed policy
forms as filed by the Association with proposed modifications agreed upon
by both department staff and the Association. These new forms are necessary
because of the need: (i) to address separately the specific coverage needs
of the residential windstorm market and the commercial windstorm market; (ii)
to provide other coverages available in the voluntary market but not currently
available through the Association; (iii) to provide simplified language; (iv)
to provide for conformity with companion policies issued by the voluntary
market; (v) to incorporate various terms, conditions, and coverages currently
provided by endorsements; and (vi) to provide for the implementation of new
legislation. The policy form currently used by the Association to insure properties
located in the designated catastrophe areas has not been substantially changed
since the inception of the Association in 1972. Changes in the methods of
writing property insurance in the voluntary market require changes to the
methods of providing windstorm and hail insurance through the Association,
for the following reasons: (i) It is recognized in the insurance marketplace
that the needs for insuring residences differ from the needs for insuring
commercial risks. This is evidenced by the issuance of distinctively different
policy forms for insuring a residence from that of a commercial establishment
in the voluntary insurance market. For example, residential policies will
automatically include a replacement cost provision in the policy form whereas
commercial policies provide such coverage on an optional basis by endorsement.
Residential policies also address only the insuring of property that is usual
to the property of a residence while commercial policies are designed to insure
stocks of merchandise, machinery, store fixtures, and other types of business
property. These exposures require different terms and conditions, different
coverages, and different exclusions within a policy. The issuance of separate
policies will provide for the tailoring of coverage for the specific risks
and will also provide consumers with a more readily understandable policy.
(ii) The coverage available in the voluntary market is broader than the coverage
available from the Association. Hence, the new policy forms provide additional
coverages that are available in the voluntary market but that are not currently
provided by the Association. The significant additional coverages provided
in the new dwelling policy include a limited extension for property located
off premises; new pro rata cancellation provisions; an increased number of
days for coverage of property removed to another location due to the property
being endangered by windstorm or hail; expanded coverage to include certain
motor vehicles, such as those used for assisting the disabled, power mowers,
golf carts, and vehicles used for recreational purposes while on the described
premises; and new coverage for removal of trees that damage covered property
when windstorm or hail cause the tree to fall. The significant additional
coverages in the new commercial policy include coverage to a landlord for
fire extinguishing equipment in the covered building and appliances used for
refrigerating, ventilating, cooking, dishwashing, or laundry; coverage for
improvements and betterments belonging to the owner of a commercial condominium
unit; and expanded coverage to include certain motor vehicles, such as those
used for assisting the disabled, power mowers, golf carts, forklifts, and
vehicles used for recreational purposes while on the described premises. (iii)
The language in the current TWIA policy form is outdated and inconsistent
with the language used in the voluntary market policies. The new policy forms
are simplified in language, format, and organization and are patterned on
policy forms currently used in the voluntary market. (iv) The TWIA is an insurance
market of last resort for the providing of windstorm and hail insurance on
properties located in the designated catastrophe areas. Consumers who purchase
homeowners or commercial insurance on property located in the catastrophe
area will in many instances be offered a homeowners or commercial insurance
policy that provides all the standard coverages but will exclude the peril
of windstorm and hail, causing the consumer to seek windstorm and hail insurance
coverage from the Association. Property policies written to provide insurance
coverage without windstorm and hail coverage are commonly referred to as companion
policies to the Association's policy. While most companion policies, both
residential and commercial, have been updated to reflect changes in coverages,
terms, and conditions and reformatted and simplified for ease of reading and
understanding, the Association's policy has not undergone these types of changes
since the Association's inception in 1972. The policy is written in the old
conventional language, and the single policy serves as a policy for both residential
and commercial property. Under current regulation of the voluntary property
insurance market in Texas, different policy forms are used for insuring residential
risks from those used for insuring commercial risks. The approach of using
a single policy to provide coverage to both residential and commercial risks
in conjunction with the use of separate companion policies for insuring residential
and commercial risks by the voluntary market results in a number of gaps in
coverage between the Association policy and the companion policy issued in
the voluntary market. The new policy forms are designed to address many of
the gaps in coverage that may occur when windstorm coverage is excluded from
the companion policy that is written in the voluntary market. This will assure
that policyholders will have more appropriate coverage under the Association's
policy for insured property for the peril of windstorm and hail. (v) The current
form requires the attachment of several endorsements which makes it more difficult
to understand the coverage provided under the policy. The new policy forms
will incorporate various terms, conditions, and coverages that are currently
provided by endorsement as a means of eliminating the need for attachment
of those endorsements. (vi) The new policy forms will also have a declarations
page that replaces the current form and that is simpler and easier to use
than the current form. The declarations page as published in this proposal
represents the one as modified by department staff, in that "Policy Period"
is used instead of "Policy Term" since "Policy Period" is what is used in
the policies, and department staff has also inserted the terms "Inception",
"Expiration", and "Standard Time." (vii) The Texas legislature in 1997 enacted
House Bill 1853 which amended Article 21.49, §8A and §8D, and House
Bill 1632 which amended Article 21.49 to change the name of the Association.
Section 8A was amended to provide replacement cost coverage for outbuildings
for which coverage is provided as part of a dwelling extension in the policy.
The new dwelling policy incorporates under the loss settlement provision of
the policy a provision to allow settlement of losses to outbuildings to be
on a replacement cost basis in lieu of actual cash value under the current
policy. Section 8D was amended to allow coverage to be extended for property
located away from the insured premises for all risks except public buildings.
The new dwelling and commercial policy forms provide such coverage. The new
policy forms reflect the name change of the Association from the Texas Catastrophe
Property Insurance Association to the Texas Windstorm Insurance Association.
Proposed Dwelling Policy Form. In addition to rewriting the current policy
form into readable simplified language, the proposed new dwelling policy form
is reformatted and reorganized to specifically insure dwellings only. This
new form differs from the current policy form as follows: (i) Coverage is
provided for building equipment and outdoor equipment used for the service
of and located on the location described in the policy. This expands coverage
by removing the requirement that machinery or equipment must service the building
as opposed to the described location. (ii) The proposed policy modifies coverage
extended to property belonging to the landlord by providing coverage for maintenance
equipment only; the current policy covers the landlord's maintenance equipment
and supplies. This coverage is consistent with coverage under current dwelling
policies issued in the voluntary market. (iii) The extension of coverage for
property located off the insured premises is expanded to cover property anywhere
in the world instead of being limited to locations within the U.S., Canada,
and Mexico, and this is consistent with the policies issued in the voluntary
market. (iv) Coverage is excluded for business property located away from
the premises as provided in the off-premise coverage extension. The current
policy does not contain this restriction; however, other residential policies
written in the voluntary market have this restriction, and the proposed new
dwelling policy is consistent with these other residential policies. (v) Coverage
for watercraft located on land in a fully enclosed building on the location
described on the policy is expanded coverage. The current policy only covers
watercraft in a building that is actually described on the policy. For example,
a boat located in an outbuilding that is not described on the policy is automatically
covered under the proposed policy, but would not be covered under the current
policy unless the outbuilding was described on the policy. (vi) Under the
proposed new policy, covered property is broadened to include motor vehicles
such as devices and equipment for assisting the disabled, power mowers, golf
carts, and vehicles used for recreational purposes while located on the described
location. (vii) The proposed new policy provides coverage for model or hobby
aircraft not used or designed to carry people or cargo. (viii) The new policy
provides, under the debris removal extension, coverage for removal of trees
that have damaged covered property if windstorm or hail caused the tree to
fall. (ix) The proposed new policy provides a new extension of coverage for
improvements, alterations, and additions for tenants up to the limits of coverage
in the policy. (x) The proposed new policy adds an extension of coverage for
alterations, fixtures, installations, and additions for the owner of a residential
condominium. (xi) The proposed new policy amends the "removal" clause under
the current policy and is renamed "Property Removed" to track the Texas homeowners
policy. The property removed clause of the new policy extends coverage for
a 30-day period for the removal of property when endangered by windstorm or
hail, in lieu of the current 5-day period. (xii) The proposed new policy contains
a deductible provision in the policy form and requires that the deductible
amount be shown on the declaration page in lieu of the current requirement
to attach separate deductible endorsements to the policy. (xiii) The proposed
new policy in the Duties after Loss condition requires "prompt" written notice
of a claim to the Association in lieu of the current requirement of "immediate"
written notice. This change is made for consistency with companion policies.
The words "reasonable" and "necessary" have been added to the temporary repairs
provision. (xiv) The proposed new policy changes the replacement cost coverage
to include replacement cost coverage for outbuildings which are insured under
the dwelling extension. This broadening of replacement cost coverage is a
result of the enactment of House Bill 1853 amending Article 21.49, §8A(a).
(xv) The proposed new policy provides in the appraisal clause for the selection
of a competent, independent appraiser; the current policy provides for the
selection of a competent and disinterested appraiser. This change conforms
the proposed new policy to the Texas homeowners policy. The appraisal clause
also adds the item "cost of repair or replacement" to the list of items on
which there may be failure to agree, in which event either side can make a
written demand for appraisal. (xvi) The proposed new policy includes a liberalization
clause that allows a change that broadens or extends coverage under the policy
without additional premium and within 45 days prior to or during the policy
period to immediately apply to the policy. This change is made for consistency
with companion policies. (xvii) The proposed new policy provides in the cancellation
condition that unearned premium refund in the event of cancellation of a policy
is calculated on a pro rata basis only. Under the current policy, when the
insured cancels, the unearned premium refund is calculated on a short-rate
basis, which is not the most favorable to the insured. (xviii) The proposed
new policy amends the assignment clause of the policy to allow the insured
to assign the rights and duties under the policy without the prior written
consent of the Association in the event of the death of an insured or due
to the sale of the property. The Association retains the right to verify a
decedent's legal representative, and in the event of assignment due to the
sale of the property, the insured, the new owner, or the local recording agent
must notify the Association in writing of the change in ownership within 30
days after the real estate closing. (xix) The proposed new policy includes
the residential community property clause, which is required by Article 5.35-1
of the Insurance Code to be included in all homeowners and fire policies.
This change conforms the proposed new policy to the Texas homeowners policy
forms. (xx) The proposed new policy deletes the unearned premium clause. This
clause requires the refund of any unearned premium on an item of property
that has been damaged or destroyed or requires the reinstatement of the coverage.
This clause is not applicable to the Association because the Association is
required to continue to insure the risk, which results in automatic reinstatement
of the coverage. (xxi) Under the EXTENSIONS OF COVERAGE section, the proposed
new policy adds "Reasonable Repairs" to track the Texas homeowners policy.
(xxii) The EXCLUSIONS section of the proposed new policy contains exclusions
from various locations in the current policy and adds descriptions, clarifying
language, and changes in terminology. (xxiii) The proposed new policy adds
provisions of the current endorsement form No. 300, Mandatory Breakaway Wall
Exclusion, to the body of the policy under the "Property Not Covered" section,
thus eliminating the need for the endorsement. This section also contains
the restriction for property covered by other insurance and comes from the
current policy definitions, EXCESS INSURANCE. (xxiv) The proposed new policy
adds an example of the COINSURANCE penalty. (xxv) The proposed new policy
rewrites the DISPUTE RESOLUTION section in simplified language, separating
sections 9 and 9A of Article 21.49, Insurance Code and adding wording from
that statute. (xxvi) The proposed new policy adds the word "organization"
as well as "person" to the SUBROGATION section and also changes the word "assignment"
to "transfer" in describing the transfer of rights of recovery to the Association.
(xxvii) The proposed new policy rewrites and adds language to the WAIVER OR
CHANGE OF POLICY PROVISIONS section to clarify, among other things, that the
policy contains all the agreements between the insured and the Association
concerning the insurance afforded and that any changes in policy terms must
be by consent of the Association. (xxviii) The proposed new policy also updates
the MORTGAGE CLAUSE. (xxix) The proposed new policy will replace "perils insured
against" with "windstorm or hail" to emphasize that the policy covers only
the named perils of wind and hail.
Proposed Commercial Policy Form. The proposed new commercial policy form
has also been rewritten into readable simplified language and is reformatted
and reorganized to specifically insure commercial risks, including farm and
ranch structures other than the farm and ranch dwellings. This new form differs
from the current single policy that insures both dwelling and commercial risks
as follows: (i) The proposed new policy adds coverage for a landlord under
building coverage for fire extinguishing equipment and provides coverage for
appliances used for refrigerating, ventilating, cooking, dishwashing, or laundry.
(ii) The proposed new policy provides a dwelling extension when coverage is
provided for multi-family dwellings which must be insured on a commercial
basis. Dwelling extensions include such property as outdoor fixtures, garages,
and employees' quarters. (iii) The proposed new policy provides coverage on
all business personal property for consistency with companion policies. The
current policy itemizes the types of property, such as stocks of merchandise,
furniture, fixtures and machinery. (iv) The proposed new policy provides coverage
to a unit owner for improvements and betterments made to a commercial condominium,
including fixtures, alterations, installations, or additions. (v) The proposed
new policy provides for "covered causes of loss" in lieu of "perils insured
against." For example, under the current policy, windstorm and hail is the
peril insured against while under the new policy windstorm and hail is the
covered cause of loss. This change is only a change in terminology and has
no substantive effect on any coverage provided under the policy. (vi) The
proposed new policy provides in the cancellation condition that unearned premium
refund in the event of cancellation of a policy is calculated on a pro rata
basis only. Under the current policy, when the insured cancels, the unearned
premium refund is calculated on a short-rate basis, which is not the most
favorable to the insured. (vii) The proposed new policy amends the preservation
of property clause of the policy (the "removal clause" under the current policy),
which extends coverage for a 30-day period for the removal of property when
endangered by windstorm or hail, in lieu of the current five-day period. (viii)
The proposed new policy contains a deductible provision in the policy form
and requires that the deductible amount be shown on the declaration page in
lieu of the current requirement to attach separate deductible endorsements
to the policy. This proposed change does not affect the requirement of attaching
a deductible endorsement when an optional large deductible is selected by
the insured. (ix) The proposed new policy in the Duties after Loss condition
requires "prompt" written notice of a claim to the Association in lieu of
the current requirement of "immediate" written notice. This change is made
for consistency with companion policies. The words "reasonable" and "necessary"
have been added to the temporary repairs provision. (x) The proposed new policy
provides in the appraisal clause for the selection of a competent, independent
appraiser; the current policy provides for the selection of a competent and
disinterested appraiser. This change conforms the proposed new commercial
policy to the proposed new dwelling policy. The appraisal clause also adds
the item "cost of repair or replacement" to the list of items on which there
may be failure to agree, in which event either side can make a written demand
for appraisal. (xi) The proposed new policy includes a liberalization clause
that allows a change that broadens or extends coverage under the policy without
additional premium and within 45 days prior to or during the policy period
to immediately apply to the policy. This change is made for consistency with
companion policies. (xii) The proposed new policy amends the assignment clause
of the policy to allow the insured to assign the rights and duties under the
policy without the prior written consent of the Association in the event of
the death of an insured or due to the sale of the property. The Association
retains the right to verify a decedent's legal representative, and in the
event of assignment due to the sale of the property, the insured, the new
owner, or the local recording agent must notify the Association in writing
of the change in ownership within 30 days after the real estate closing. (xiii)
The proposed new policy deletes the unearned premium clause. This clause requires
the refund of any unearned premium on an item of property that has been damaged
or destroyed or requires the reinstatement of the coverage. This clause is
not applicable to the Association because the Association is required to continue
to insure the risk, which results in automatic reinstatement of the coverage.
(xiv) Under the EXTENSIONS OF COVERAGE section, the proposed new policy adds
"Reasonable Repairs" to track the proposed Association dwelling policy. (xv)
The EXCLUSIONS section of the proposed new policy contains exclusions from
various places in the current policy and adds descriptions, clarifying language,
and changes in terminology. (xvi) The proposed new policy adds provisions
of the current endorsement form No. 300, Mandatory Breakaway Wall Exclusion,
to the body of the policy under the "Property Not Covered" section, thus eliminating
the need for the endorsement. This section also contains the restriction for
property covered by other insurance and comes from the current policy definitions,
EXCESS INSURANCE. (xvii) The proposed new policy adds an example of the COINSURANCE
penalty. (xviii) The proposed new policy rewrites the DISPUTE RESOLUTION section
in simplified language, separating sections 9 and 9A of Article 21.49, Insurance
Code and adding wording from that statute. (xxix) The proposed new policy
adds the word "organization" as well as "person" to the SUBROGATION section
and also changes the word "assignment" to "transfer" in describing the transfer
of rights of recovery to the Association. (xx) The proposed new policy rewrites
and adds language to the WAIVER OR CHANGE OF POLICY PROVISIONS section to
clarify, among other things, that the policy contains all the agreements between
the insured and the Association concerning the insurance afforded and that
any changes in policy terms must be by consent of the Association. (xxi) The
proposed new policy also updates the MORTGAGE CLAUSE.
The effective date stated in the proposed amendments is June 1, 1999; however,
that date may change depending on the date on which any amendments are adopted.
The department will consider the adoption of amendments to §5.4101
in a public hearing under Docket Number 2403, scheduled for 9:00 a.m. on April
29, 1999, in Room 100 of the William P. Hobby, Jr. State Office Building,
333 Guadalupe Street, Austin, Texas.
David Durden, deputy commissioner for the automobile and homeowners division,
has determined that for each year of the first five years that the proposed
amendments will be in effect, there will be no fiscal implications for state
or local government as a result of enforcing or administering the section.
Mr. Durden has also determined that there will be no adverse effect on local
employment or the local economy.
Mr. Durden has also determined that for each year of the first five years
the amended section is in effect, the public benefit anticipated as a result
of adopting this amended section will be the availability of windstorm and
hail insurance coverage from the Association in the form of a policy to specifically
address coverage needs for dwelling risks and a policy to specifically address
coverage needs for commercial risks. The proposed amendments also provide
consumers with consistent coverage by making each of the proposed policies
consistent with companion policies issued in the voluntary market. That consistency
allows for compatibility of policy forms and policy conditions and eliminates
the potential for gaps in coverage through new coverage provisions in the
proposed policies which are not currently contained under the Association's
policy. Consumers also benefit with policy forms that are in simplified language
and are reorganized and reformatted for ease of reading and understanding.
There are costs for persons required to comply with the proposed rule. The
Association will incur costs for printing the new policies; however, the Association
has agreed to bear such costs by filing the petition. The Association will
also have increased costs for payment of losses for additional coverages mandated
by law and/or not previously provided under the Association's windstorm and
hail insurance policy. The amount of increased costs for payable losses by
the Association under the new policy forms is dependent on the types of losses
and severity of losses that may be caused by windstorms (hurricanes) or hail
storms; however, the Association has agreed to bear such increased costs due
to increased coverages by filing the petition. These increased costs for payable
losses may over time be reflected in the premium rate for consumers, again
being dependent on the types of losses and severity of losses that may be
caused by windstorms (hurricanes) or hail storms. It is therefore difficult
to predict any amount of increase as it is difficult to predict hurricanes
and hail storms, and it is important to note that the possibility of an increase
based on payment of losses over time is outweighed by the overall benefit,
required by law, of providing available insurance in areas to consumers who
are unable to obtain such coverage in the voluntary market. The same analysis
applies to potential increases in deductibles for commercial risks over the
current $100 deductible in use by the Association. Additionally, the Association
will provide the consumer a rate credit as set forth in the proposed manual
rules and regulations for the Association, which are proposed for adoption
in 28 TAC §5.4501, which is published separately in this edition of the
Comments on the proposed amendments to be considered by the department
must be submitted within 30 days after publication of the proposed section
in the
Texas Register
to Lynda H. Nesenholtz,
General Counsel and Chief Clerk, MC 113-2A, Texas Department of Insurance,
P.O. Box 149104, Austin, Texas 78714-9104. An additional copy of the comment
should be submitted to David Durden, Deputy Commissioner, Automobile and Homeowners
Division, MC 104-5A, Texas Department of Insurance, P.O. Box 149104, Austin,
Texas 78714-9104. Article 21.49, §5A of the Insurance Code requires a
hearing to be held before any orders may be issued pursuant to Article 21.49
and provides that any person may appear and testify for or against the adoption
of the proposed order.
The amendments are proposed pursuant to the Insurance Code, Articles
21.49 and 1.03A, and in accordance with the Government Code, §§2001.004-2001.038.
Pursuant to Article 21.49, §8, the Commissioner is authorized to promulgate
policy forms for use by the Association in providing windstorm and hail insurance
coverage without regard to other forms filed with, approved by, or promulgated
by the Commissioner for use in this state. Article 21.49, §5A provides
that the Commissioner may, after notice and hearing, issue any orders which
the Commissioner considers necessary to carry out the purposes of Article
21.49, including, but not limited to, maximum rates, competitive rates, and
policy forms. Article 21.49, §8A(a) provides that a policy of windstorm
and hail insurance issued by the Association may include replacement cost
coverage for one and two-family dwellings, including outbuildings, as provided
under the dwelling extension coverage in the policy, subject to any applicable
deductibles and the limits for coverage purchased by the insured. Article
21.49, §8D(a) provides that the maximum limits of liability approved
by the Commissioner for any one insurable property shall be for (i) a dwelling,
including an individually owned townhouse unit, and the corporeal movable
property located in or about the dwelling, and as an extension of coverage,
away from those premises, as provided under the policy; (ii) for a building
and the corporeal movable property located in the building that is owned by,
and at least 75 percent of which is occupied by, a governmental entity, or
that is not owned by, but is wholly and exclusively occupied by, a governmental
entity; (iii) for individually owned corporeal movable property located in
an apartment unit, residential condominium unit, or townhouse unit that is
occupied by the owner of that property, and as an extension of coverage, away
from those premises, as provided under the policy; and (iv) for a structure
other than a dwelling or a public building and the corporeal movable property
located in that structure and, as an extension of coverage, away from those
premises, as provided under the policy. The Texas Legislature in House Bill
1632 (Acts 1997, 75th Legislature, chapter 438, §1, eff. September 1,
1997) amended Article 21.49 to change the name of the Texas Catastrophe Property
Insurance Association to the Texas Windstorm Insurance Association. Article
1.03A authorizes the Commissioner of Insurance to adopt rules and regulations,
which must be for general and uniform application, for the conduct and execution
of the duties and functions of the Texas Department of Insurance only as authorized
by a statute. The Government Code, §§2001.004-2001.038 (Administrative
Procedure Act), authorize and require each state agency to adopt rules of
practice stating the nature and requirements of available formal and informal
procedures and prescribe the procedures for adoption of rules by a state agency.
The following statute is affected by this proposal: Insurance Code, Article
21.49.
§5.4101. Association Dwelling and Commercial [
The
Texas Department
[
This agency hereby certifies that the proposal has been reviewed
by legal counsel and found to be within the agency's legal authority to adopt.
Filed with the Office of the Secretary of State, on
March 12, 1999.
TRD-9901521
Lynda H. Nesenholtz
General Counsel and Chief Clerk
Texas Department of Insurance
Earliest possible date of adoption: April 25, 1999
For further information, please call: (512) 463-6327
28 TAC §5.4201
The Texas Department of Insurance proposes amendments to
§5.4201 concerning endorsements for use with policy forms issued by the
Texas Windstorm Insurance Association ("Association" or "TWIA"). Created in
1971 by the Texas Legislature as the Texas Catastrophe Property Insurance
Association, the Association is composed of all insurers authorized to transact
property insurance in Texas and operates pursuant to Article 21.49 of the
Insurance Code. The Texas Legislature in House Bill 1632 (Acts 1997, 75th
Legislature, chapter 438, §1, effective September 1, 1997) changed the
name of the Texas Catastrophe Property Insurance Association to the Texas
Windstorm Insurance Association. The purpose of the Association is to provide
windstorm and hail insurance coverage to residents in designated catastrophe
areas who are unable to obtain such coverage in the voluntary market. Since
its inception, the Association has provided this coverage to residents of
14 coastal counties: Aransas, Brazoria, Calhoun, Cameron, Chambers, Galveston,
Jefferson, Kenedy, Kleberg, Matagorda, Nueces, Refugio, San Patricio and Willacy.
The Association also provides coverage to certain designated catastrophe areas
in Harris County: (i) since March 1, 1996, the area located east of a boundary
line of State Highway 146 and inside the city limits of the City of Seabrook
and the area located east of the boundary line of State Highway 146 and inside
the city limits of the City of La Porte (Commissioner's Order Number 95-1200,
November 14, 1995); (ii) since June 1, 1996, the City of Morgan's Point (Commissioner's
Order Number 96-0380, April 5, 1996); and (iii) since April 1, 1997, the areas
located east of State Highway 146 and inside the city limits of the City of
Shoreacres and the City of Pasadena (Commissioner's Order Number 97-0225,
March 11, 1997). Pursuant to Commissioner's Order Number 97-0626 (June 30,
1997), the Commissioner adopted by reference in §5.4008 of this title
the Building Code for Windstorm Resistant Construction (Building Code) to
specify building standards for structures located in certain designated catastrophe
areas which were constructed, repaired, or to which additions were made on
and after June 1, 1998, to qualify for coverage from the Association. Pursuant
to Commissioner's Order Number 98-0803 (July 8, 1998), the Commissioner adopted
a change in the effective date of these building standards from June 1, 1998,
to September 1, 1998. The Commissioner adopted on an emergency basis amendments
to §5.4008 under Commissioner's Order Number 98-1025, effective September
3, 1998. These amendments were adopted on a permanent basis under Commissioner's
Order Number 98-1376, effective December 31, 1998. The adoption of new endorsement
forms and revised endorsement forms along with the repeal of certain current
endorsement forms has been requested by the Association in a petition filed
with the department on October 24, 1997 (Ref. No. P-1197-34). The Association's
petition also requests the adoption of two new policy forms, and the proposal
regarding these policy forms is set forth for adoption in 28 TAC §5.4101,
which is published separately in this edition of the
Texas Register
. The adoption of a new endorsement form providing for
the addition of an extension of coverage to pay for the increased cost in
construction resulting from the requirement to repair or rebuild to the new
building code has been requested by the Association in a petition filed with
the department on November 12, 1998 (Ref. No. P-1198-29). Copies of the petitions
are available for review in the Office of the Chief Clerk, Texas Department
of Insurance, 333 Guadalupe Street, Austin, Texas, 78714-9104. To request
a copy of the petitions, please contact Angela Arizpe at 512/322-4147. The
department staff supports the proposed new and revised endorsement forms and
the repeal of certain current endorsement forms as filed by the Association
with proposed modifications agreed upon by both department staff and the Association,
except that the actual cash value endorsement as published in this proposal
represents the one as modified by department staff. The proposal includes
(i) adoption of new endorsement forms for use with the proposed new TWIA dwelling
policy and TWIA commercial policy, the TWIA farm and ranch dwelling policy
and the TWIA mobile home policy; (ii) repeal of certain existing TWIA endorsement
forms which are no longer necessary or applicable for use with the new proposed
TWIA policy forms; (iii) amendment of certain existing TWIA endorsement forms
to be used with the new proposed TWIA policy forms; (iv) withdrawal of certain
Texas Standard endorsement forms as forms that can be used with the TWIA policies;
and (v) categorization of endorsement forms for use with the TWIA mobile home
policy. These changes are necessary because of the need to (i) provide certain
types of coverage by endorsement for the residential windstorm market and
the commercial windstorm market; (ii) provide simplified language; (iii) eliminate
those endorsements whose terms, conditions, or coverage have been incorporated
into the proposed new policy forms; and (iv) implement legislation enacted
by the 75th Texas Legislature. The proposed new TWIA policy forms are proposed
for adoption in a separate proposal published in this edition of the
I. New Forms. The proposed new endorsement forms for use with the proposed
new TWIA Dwelling Policy and TWIA Commercial Policy, the TWIA Farm and Ranch
Dwelling Policy, and the TWIA mobile home policy are as follows:
A. Endorsements used in conjunction with a TWIA Dwelling Policy.
Form No. TWIA-410, Conversion to Farm and Ranch Dwelling Policy. This proposed
endorsement amends the property covered section and the property not covered
section of the TWIA Dwelling Policy to convert coverage from a standard dwelling
structure to a farm and ranch dwelling structure. In addition, the form converts
the name of the TWIA Dwelling Policy to the TWIA Farm and Ranch Dwelling Policy.
This conversion endorsement is necessary because the regulation of farm and
ranch insurance was changed by Senate Bill 1499, enacted by the 75th Legislature,
to transfer the regulation from residential insurance to commercial insurance.
This change requires the regulation of farm and ranch insurance as provided
by the TWIA to also be amended to reflect that farm and ranch insurance is
subject to a commercial insurance policy. The TWIA Dwelling Policy required
converting to a TWIA Farm and Ranch Dwelling Policy to provide a method of
insuring a farm and ranch dwelling as a commercial risk. The proposed Form
No. TWIA-410 is intended to accomplish the conversion.
B. Endorsements used in conjunction with the TWIA Dwelling Policy and the
TWIA Farm and Ranch Dwelling Policy.
1. Form No. TWIA-400, Actual Cash Value - Roofs (One or Two Family Dwellings).
This proposed form implements Senate Bill 1387, enacted by the 75th Legislature,
which provides the commissioner with the authority to adopt rules to authorize
the Association to provide actual cash value coverage on residential roofs
in lieu of replacement cost coverage when insuring a residential structure
under an Association windstorm and hail insurance policy. This proposed endorsement
form will provide such coverage.
2. Form No. TWIA-420, Exclusion of Cosmetic Damage to Roof Coverings Caused
by Hail. This proposed form allows for the exclusion of cosmetic damage to
a roof covering when a roof premium credit is provided for the installation
of an impact resistant roof covering.
C. Endorsements used in conjunction with a TWIA Commercial Policy.
1. Form No. TWIA-18, Builders Risk-Stated Value Form. This proposed endorsement
replaces the Texas standard endorsement Form No. 18, Builders Risk Form, which
is currently used by the Association on a windstorm and hail insurance policy.
The proposed new form contains simplified language and is patterned after
the country-wide ISO builders risk form, with no substantive changes to the
coverage provided by the form. The section for scheduling information for
each property was removed from the form since this information will be shown
on the declarations page of the policy.
2. Form No. TWIA-21, Builders Risk-Actual Completed Value Form. This proposed
endorsement replaces the Texas standard endorsement Form No. 21, Builders
Risk-Actual Completed Value Form, which is currently used by the Association
on a windstorm and hail insurance policy. The proposed new form contains simplified
language and is patterned after the country-wide ISO builders risk form, with
no substantive changes to the coverage provided by the form. The section for
scheduling information for each property was removed from the form since this
information will be shown on the declarations page of the policy.
3. Form No. TWIA-26, Church Form. This proposed form replaces the Texas
standard Form No. 26, Church Form, which is currently used by the Association
on a windstorm and hail insurance policy. The proposed new form contains simplified
language and is patterned after the country-wide ISO church form with no substantive
changes to the coverage provided by the form. The reference to "contents"
in the form is amended to "business personal property" to be consistent with
the language of the proposed new windstorm and hail insurance policy. The
section for scheduling information for each property was removed from the
form since this information will be shown on the declarations page of the
policy.
4. Form No. TWIA-65, Large Deductible Endorsement. This proposed form replaces
the Texas standard Form No. 65, Large Deductible Endorsement, which is currently
used by the Association on a windstorm and hail insurance policy. The proposed
new form contains simplified language with no substantive changes to the coverage
provided by the form. The proposed new form eliminates reference to time element
coverage under the form because such coverage is not provided on commercial
property insured by the Association.
5. Form No. TWIA-115, Lumber Form-Specific--Retail Yard. This proposed
form replaces the Texas standard Form No. 115, Lumber Form Specific-Retail--Yard,
which is currently used by the Association on a windstorm and hail insurance
policy. The amount of insurance and description of property blocks in the
form were removed since this information will be shown on the declarations
page of the proposed new windstorm and hail insurance policy.
6. Form No. TWIA-164, Replacement Cost Endorsement. This proposed form
replaces the Texas standard Forms No. 164, Replacement Cost Endorsement and
No. 165, Replacement Cost Endorsement, which are currently used by the Association
on a windstorm and hail insurance policy. The proposed new form contains simplified
language with no substantive changes to the coverage provided by the form.
Paragraph 2 regarding coinsurance contained in the current forms has been
removed from the proposed new form since that condition is contained in the
proposed new windstorm and hail insurance policy coverage forms. There is
no change in the coverage provided by the proposed new form from that provided
by the current forms.
7. Form No. TWIA-176, School Form. This proposed form replaces the Texas
standard Form No. 176, School Form, which is currently used by the Association
on a windstorm and hail insurance policy. The proposed new form contains simplified
language and is patterned after the country-wide ISO school form with no substantive
changes to the coverage provided by the form. The reference to "contents"
in the form is amended to "business personal property" to be consistent with
the language of the proposed new windstorm and hail insurance policy. The
section for scheduling information for each property was removed since this
information will be shown on the declarations page of the policy.
8. Form No. TWIA-280, Condominium Property Form-Additional Policy Provisions.
This proposed form replaces the current Texas Catastrophe Property Insurance
Association form TCPIA Form 280. The proposed new form incorporates the provisions
of the Uniform Condominium Act. The language of the proposed new form has
been simplified, and the form has been reformatted, and the name has been
changed to TWIA.
D. Endorsements used in conjunction with the proposed new TWIA Dwelling
Policy and TWIA Commercial Policy and the TWIA Farm and Ranch Dwelling Policy.
1. Form No. TWIA-1, Blank Schedule Form. This proposed new form replaces
the Texas standard Blank Schedule Form and designates the proposed new form
as Form No. TWIA-1, since the current form does not have a form number.
2. Form No. TWIA-430, Extension of Coverage-Increased Cost in Construction.
This proposed form provides for the addition of an extension of coverage to
pay for the increased cost of reconstructing or repairing damage to existing
structures to meet the Association's wind resistant building codes. An insured
structure that is damaged or destroyed must be repaired or rebuilt in accordance
with the Association's wind resistant building code. The increased cost in
construction resulting from the requirement to repair or rebuild to the new
building code is not currently a covered loss under the Association's windstorm
and hail insurance policy. The proposed endorsement provides an insured the
option of purchasing coverage to pay for increased cost of construction due
to the requirement to repair or rebuild a structure to the new building code.
An insured may select a limit of liability of 5% of the Coverage A limit of
liability, 10% of the Coverage A limit of liability or 15% of the Coverage
A limit of liability. The coverage is additional insurance and does not reduce
the limit of liability applicable to the dwelling subject to the maximum limit
of liability permitted by law. An appropriate premium is charged for the proposed
new endorsement.
E. Endorsements used in conjunction with the proposed new TWIA Dwelling
Policy and TWIA Commercial Policy, the TWIA Farm and Ranch Dwelling Policy
and the TWIA mobile home policy.
1. Form No. TWIA-12, Assignment of Interest or Change in Mortgagee or Trustee.
This proposed new form replaces the Texas standard Form No. 12, Assignment
of Interest or Change in Mortgagee or Trustee with no proposed changes made
to the form other than to renumber as a TWIA form.
2. Form No. TWIA-23, Cancellation Report. This proposed new form replaces
the current Texas standard Form No. 23, Cancellation Report. The proposed
new form eliminates all reference to a short rate cancellation since the provision
for short rate cancellation is removed from the proposed new TWIA policies.
The text of the proposed new form differs from the current form because of
the removal of references to perils other than windstorm and hail. Since the
Association only insures against the perils of windstorm and hail, reference
to other perils is not necessary.
3. Form No. TWIA-77, General Change Endorsement. This proposed new form
replaces the current Texas standard Form No. 77, General Change Endorsement
used on a windstorm and hail insurance policy. The proposed new form removes
the grid describing changes to the policy because such a grid is not necessary
for the windstorm and hail policy. The proposed new endorsement allows the
Association to describe technical changes to the policy in narrative format.
This form will be used to change the name of an insured or mortgagee, add
or delete a location, and make similar changes related to servicing or correcting
the policy.
4. Form No. TWIA-112, Loss Payable Clause. This proposed new form replaces
the current Texas standard Form No. 112, Loss Payable Clause. No substantive
changes are proposed to the new form except to simplify the language and renumber
as a TWIA form.
5. Form No. TWIA-113, Lost Policy Voucher. This proposed new form replaces
the current Texas standard Form No. 113, Lost Policy Voucher used on a windstorm
and hail insurance policy. The proposed new form is in a simplified format
and the grid describing the perils and premiums for cancellation has been
removed from the proposed new form. The grid contained references to perils
other than windstorm and hail which are not necessary under a policy providing
coverage for the perils of windstorm and hail. In addition, reference to short
rate cancellation has been removed from the proposed new form since short
rate cancellation will not apply to the proposed new windstorm and hail insurance
policy.
6. Form No. TWIA-130, Mortgage Clause (Without Contribution). This proposed
new form replaces the current Texas standard Form No. 130, Mortgage Clause
(Without Contribution). No changes are proposed to the new form except to
simplify the language and renumber as a TWIA form.
7. Form No. TWIA-151A, Premium Assignment Clause. This proposed new form
replaces the current Texas standard Form No. 151A, Premium Assignment Clause.
The proposed new form contains simplified language with no substantive changes
to the language in the form.
8. Form No. TWIA-175, Sale Contract Clause. This proposed new form replaces
the current Texas standard Form No. 175, Sale Contract Clause. The proposed
new form contains simplified language with no substantive changes to the provisions
in the form.
9. Form No. TWIA-195, Sworn Statement in Proof of Loss. This proposed form
replaces the current Texas standard Accord Property Loss Form that is being
withdrawn.
II. Revised Forms. The proposed revised forms for use with the TWIA Dwelling
Policy and the TWIA Commercial Policy are as follows:
A. Revised endorsements used in conjunction with the TWIA Dwelling Policy.
1. Form No. TWIA-310, Extensions of Coverage. This proposed revised form
may be attached to a TWIA Dwelling Policy if a companion homeowners policy
(Form HO-A or its equivalent) has been issued that excludes the coverage provided
by this proposed revised form. The revised form has been reformatted and simplified
without substantive changes to the coverage. Because the use of new residential
property forms is allowed in Texas and the policy issued as a companion policy
to the TWIA Dwelling Policy may be other than a standard Texas Homeowners
Policy, the sole reference to the Texas Homeowners Policy Form HO-A in the
current endorsement is incorrect. The proposed revised form adds new language
indicating the companion policy may be a Form HO-A or its equivalent, which
will allow this form to be used when the companion policy is other than a
Texas Homeowners Form HO-A policy. In addition, the proposed revised form
amends the term "household goods" to "personal property" to be consistent
with the proposed new TWIA Dwelling Policy.
2. Form No. TWIA-315, Extensions of Coverage. This proposed revised form
may be attached to a TWIA Dwelling Policy if a companion homeowners policy
(Form HO-B or its equivalent) has been issued that excludes the coverage provided
by this proposed revised form. The revised form has been reformatted and simplified
without substantive changes to the coverage. Because the use of new residential
property forms is allowed in Texas and the policy issued as a companion policy
to the TWIA Dwelling Policy may be other than a standard Texas Homeowners
Policy, the sole reference to the Texas Homeowners Policy Form HO-B in the
current endorsement is incorrect. The proposed revised form adds new language
indicating the companion policy may be a Form HO-B or its equivalent, which
will allow this form to be used when the companion policy is other than a
Texas Homeowners Form HO-B policy. In addition, the proposed revised form
amends the term "household goods" to "personal property" to be consistent
with the proposed new TWIA Dwelling Policy.
3. Form No. TWIA-320, Extensions of Coverage. This proposed revised form
may be attached to a TWIA Dwelling Policy if a companion homeowners policy
(Form HO-C or its equivalent) has been issued that excludes the coverage provided
by this proposed revised form. The revised form has been reformatted and simplified
without substantive changes to the coverage. Because the use of new residential
property forms is allowed in Texas and the policy issued as a companion policy
to the TWIA Dwelling Policy may be other than a standard Texas Homeowners
Policy, the sole reference to the Texas Homeowners Policy Form HO-C in the
current endorsement is incorrect. The proposed revised form adds new language
indicating the companion policy may be a Form HO-C or its equivalent, which
will allow this form to be used when the companion policy is other than a
Texas Homeowners Form HO-C policy. In addition, the proposed revised form
amends the term "household goods" to "personal property" to be consistent
with the proposed new TWIA Dwelling Policy.
4. Form No. TWIA-325, Extensions of Coverage. This proposed revised form
may be attached to a TWIA Dwelling Policy if a companion homeowners policy
(Form HO-BT or HO-CT or its equivalent) has been issued that excludes the
coverage provided by this proposed revised form. The revised form has been
reformatted and simplified without substantive changes to the coverage. Because
the use of new residential property forms is allowed in Texas and the policy
issued as a companion policy to the TWIA Dwelling Policy may be other than
a standard Texas Homeowners Policy, the sole reference to the Texas Homeowners
Policy Form HO-BT or HO-CT in the current endorsement is incorrect. The proposed
revised form adds new language indicating the companion policy may be a Form
HO-BT or Form HO-CT or its equivalent, which will allow this form to be used
when the companion policy is other than a Texas Homeowners Form HO-BT or Form
HO-CT policy. In addition, the proposed revised form amends the term "household
goods" to "personal property" to be consistent with the proposed new TWIA
Dwelling Policy.
5. Form No. TWIA-326, Extensions of Coverage. This proposed revised form
may be attached to a TWIA Dwelling Policy if a companion homeowners policy
(Form HO-CON-B or its equivalent) has been issued that excludes the coverage
provided by this proposed revised form. The revised form has been reformatted
and simplified without substantive changes to the coverage. Because the use
of new residential property forms is allowed in Texas and the policy issued
as a companion policy to the TWIA Dwelling Policy may be other than a standard
Texas Homeowners Policy, the sole reference to the Texas Homeowners Policy
Form HO-CON-B in the current endorsement is incorrect. The proposed revised
form adds new language indicating the companion policy may be a Form HO-CON-B
or its equivalent, which will allow this form to be used when the companion
policy is other than a Texas Homeowners Form HO-CON-B policy. In addition,
the proposed revised form amends the term "household goods" to "personal property"
to be consistent with the proposed new TWIA Dwelling Policy.
6. Form No. TWIA-328, Extensions of Coverage. This proposed revised form
may be attached to a TWIA Dwelling Policy if a companion homeowners policy
(Form HO-CON-C or its equivalent) has been issued that excludes the coverage
provided by this proposed revised form. The revised form has been reformatted
and simplified without substantive changes to the coverage. Because the use
of new residential property forms is allowed in Texas and the policy issued
as a companion policy to the TWIA Dwelling Policy may be other than a standard
Texas Homeowners Policy, the sole reference to the Texas Homeowners Policy
Form HO-CON-C in the current endorsement is incorrect. The proposed revised
form adds new language indicating the companion policy may be a Form HO-CON-C
or its equivalent, which will allow this form to be used when the companion
policy is other than a Texas Homeowners Form HO-CON-C policy. In addition,
the proposed revised form amends the term "household goods" to "personal property"
to be consistent with the proposed new TWIA Dwelling Policy.
B. Revised endorsements for use with the TWIA Dwelling Policy and the TWIA
Farm and Ranch Dwelling Policy.
1. Form No. TWIA-330, Extensions of Coverage. This proposed revised form
may be attached to a TWIA Dwelling Policy if a companion dwelling policy (Form
TDP-1 or Form TDP-2 or its equivalent) or a companion farm and ranch policy
(Form TFR-1 or Form TFR-2 or its equivalent) has been issued that excludes
the coverage provided by this proposed revised form. The revised form has
been reformatted and simplified without substantive changes to the coverage.
Because the use of new residential property forms is allowed in Texas and
the policy issued as a companion policy to the TWIA Dwelling Policy may be
other than a standard Texas Dwelling Policy, the sole reference to the Texas
Dwelling Policy Form TDP-1 or Form TDP-2 in the current endorsement is incorrect.
Because farm and ranch dwellings may now be insured under a commercial policy
and the policy issued as a companion policy to the TWIA Farm and Ranch Dwelling
Policy may be other than a standard Texas policy for farm and ranch properties,
the sole reference to the current Farm and Ranch Policy Form TFR-1 or Form
TFR-2 in the current endorsement is incorrect. The proposed revised form adds
new language indicating the companion policy may be a Form TDP-1 or Form TDP-2
or its equivalent, or a Form TFR-1 or Form TFR-2 or its equivalent, which
will allow this form to be used when the companion policy is other than a
standard Texas dwelling policy with Form TDP-1 or Form TDP-2 attached or other
than a standard farm and ranch policy with Form TFR-1 or TFR-2 attached. In
addition, the proposed revised form amends the term "contents" to "personal
property" to be consistent with the proposed new TWIA Dwelling Policy and
the TWIA Farm and Ranch Dwelling Policy.
2. Form No. TWIA-335, Extensions of Coverage. This proposed revised form
may be attached to a TWIA Dwelling Policy if a companion dwelling policy (Form
TDP-3 or its equivalent) or a companion farm and ranch policy (Form TFR-3
its equivalent) has been issued that excludes the coverage provided by this
proposed revised form. The revised form has been reformatted and simplified
without substantive changes to the coverage. Because the use of new residential
property forms is allowed in Texas and the policy issued as a companion policy
to the TWIA Dwelling Policy may be other than a standard Texas Dwelling Policy,
the sole reference to the Texas Dwelling Policy Form TDP-3 in the current
endorsement is incorrect. Because farm and ranch dwellings may now be insured
under a commercial policy and the policy issued as a companion policy to the
TWIA Farm and Ranch Dwelling Policy may be other than a standard Texas policy
for farm and ranch properties, the sole reference to the current Farm and
Ranch Policy Form TFR-3 in the current endorsement is incorrect. The proposed
revised form adds new language indicating the companion policy may be a Form
TDP-3 or its equivalent, or a Form TFR-3 or its equivalent, which will allow
this form to be used when the companion policy is other than a standard Texas
dwelling policy with Form TDP-3 attached or other than a standard farm and
ranch policy with Form TFR-3 attached. In addition, the proposed revised form
amends the term "household goods" to "personal property" to be consistent
with the proposed new TWIA Dwelling Policy and the TWIA Farm and Ranch Dwelling
Policy.
3. Form No. TWIA-340, Extensions of Coverage. This proposed revised form
may be attached to a TWIA Farm and Ranch Dwelling Policy when a companion
farm and ranch owners policy (Form FRO-A or its equivalent) has been issued
that excludes the coverage provided by this proposed revised form. The revised
form has been reformatted and simplified without substantive changes to the
coverage. Because farm and ranch dwellings may now be insured under a commercial
policy and the policy issued as a companion policy to the TWIA Farm and Ranch
Dwelling Policy may be other than a standard Texas policy for farm and ranch
properties, the sole reference to the current Farm and Ranch Owners Policy
Form FRO-A in the current endorsement is incorrect. The proposed revised form
adds new language indicating the companion policy may be a Form FRO-A or its
equivalent, which will allow this form to be used when the companion policy
is other than a standard farm and ranch owners policy with Form FRO-A attached.
In addition, the proposed revised form amends the term "household goods" to
"personal property" to be consistent with the proposed new TWIA Farm and Ranch
Dwelling Policy.
4. Form No. TWIA-345, Extensions of Coverage. This proposed revised form
may be attached to a TWIA Farm and Ranch Dwelling Policy when a companion
farm and ranch owners policy (Form FRO-B or its equivalent) has been issued
that excludes the coverage provided by this proposed revised form. The revised
form has been reformatted and simplified without substantive changes to the
coverage. Because farm and ranch dwellings may now be insured under a commercial
policy and the policy issued as a companion policy to the TWIA Farm and Ranch
Dwelling Policy may be other than a standard Texas policy for farm and ranch
properties, the sole reference to the current Farm and Ranch Owners Policy
Form FRO-B in the current endorsement is incorrect. The proposed revised form
adds new language indicating the companion policy may be a Form FRO-B or its
equivalent, which will allow this form to be used when the companion policy
is other than a standard farm and ranch owners policy with Form FRO-B attached.
In addition, the proposed revised form amends the term "contents" to "personal
property" to be consistent with the proposed new TWIA Farm and Ranch Dwelling
Policy.
5. Form No. TWIA-350, Extensions of Coverage. This proposed revised form
may be attached to a TWIA Farm and Ranch Dwelling Policy when a companion
farm and ranch owners policy (Form FRO-B with Form 480 attached or its equivalent)
has been issued that excludes the coverage provided by this proposed revised
form. The revised form has been reformatted and simplified without substantive
changes to the coverage. Because farm and ranch dwellings may now be insured
under a commercial policy and the policy issued as a companion policy to the
TWIA Farm and Ranch Dwelling Policy may be other than a standard Texas policy
for farm and ranch properties, the sole reference to the current Farm and
Ranch Owners Policy Form FRO-B with Form 480 attached in the current endorsement
is incorrect. The proposed revised form adds new language indicating the companion
policy may be a Form FRO-B with Form 480 attached or its equivalent, which
will allow this form to be used when the companion policy is other than a
standard farm and ranch owners policy with Form FRO-B with Form 480 attached.
In addition, the proposed revised form amends the term "household goods" to
"personal property" to be consistent with the proposed new TWIA Farm and Ranch
Dwelling Policy. The percentage of additional living expense coverage provided
in the form has been increased from 10% to 20% to be consistent with the percentage
of additional living expense coverage provided by a companion policy.
6. Form No. TWIA-365, Replacement Cost Endorsement - Personal Property.
This revised form has been reformatted and simplified without substantive
changes to the coverage. The term "household goods" has been changed to the
term "personal property" to be consistent with the language used in the proposed
new TWIA Dwelling Policy and TWIA Farm and Ranch Policy.
C. Revised endorsements used in conjunction with the TWIA Commercial Policy.
Form No. TWIA-282, Condominium Property Form-Additional Policy Provisions.
The language of this proposed revised form has been simplified, the title
has been revised, and the name has been changed to TWIA.
III. Withdrawn and Repealed Forms. The following Texas standard forms,
which have been available for use by the Association, are proposed to be withdrawn
for use by the Association as they are not now used by the Association in
writing windstorm and hail insurance:
A. Texas standard forms that are not used by the Association:
1. Accord Property Loss Form.
2. Certified Mail Cancellation Notices.
3. Form No. 30, Commodity Form.
4. Form No. 37, Cotton Gin Form.
5. Form No. 38, Cotton Gin Stocks.
6. Form No. 39, Baled Cotton Specific Form.
7. Form No. 44, Cotton Compress-Building and Machinery Form.
8. Form No. 46, Choice A-Value Cotton Endorsement-For use with Non-Reporting
Policies.
9. Form No. 50A, Special Cotton Endorsement.
10. Form No. 51, Cotton Seed Oil Mill-Building and Machinery Form - Special.
11. Form No. 52, Cotton Seed Oil Mill-Blanket Building and Machinery-Blanket.
12. Form No. 53, Cotton Seed and Cotton Seed Products at Oil Mill.
13. Form No. 54, Cotton Seed Oil Mills-Market Value Clause.
14. Form No. 166, Revised Amount Endorsement.
15. Form No. 170, Rice Value Clause.
16. Form No. 179, Theatre Form.
17. Form No. TDP-015, Contract of Sale (Dwelling only).
B. Texas standard forms withdrawn because the provisions of the endorsements
are added to the proposed TWIA policy forms and/or endorsements.
1. Form No. 105, Improvements and Betterments Endorsement. The provisions
of this endorsement have been added to the TWIA policy provisions.
2. Form No. 165, Replacement Cost Endorsement No. 1. The provisions of
this endorsement have been added to the proposed new Form No. TWIA-164, Replacement
Cost Endorsement, which is to be used in conjunction with the TWIA commercial
policy.
C. Current Association endorsement forms repealed because of incorporation
into the TWIA policy form provisions.
1. TCPIA Form 300---mandatory breakaway wall exclusion endorsement.
2. TCPIA Form 500---$100 deductible clause other than one or two-family
dwellings.
3. TCPIA Form 510---dwelling percentage deductible clause.
4. TCPIA Form 520---dwelling $100 deductible clause.
5. TCPIA Form 530---dwelling $250 deductible clause.
6. TCPIA Form 525---dwelling optional large deductible clause.
D. Current Association endorsement form repealed because of incorporation
into the new Form No. TWIA-280, Condominium Property Form-Additional Policy
Provisions.
TCPIA Form 280-condominium property form.
IV. Category of endorsement forms for use with the TWIA mobile home policy.
The following forms 570 and 575 relating to the mobile home percentage deductible
clause are being redesignated as TWIA forms instead of TCPIA forms because
of the change in name of the Association, but there are no other amendments
at this time since these forms apply only to the mobile home policy. Because
the provisions of the following form 29, mandatory endorsement, are incorporated
into the TWIA dwelling and commercial policy forms, this form will now only
be used with the mobile home policy, and the form is being redesignated as
a TWIA form because of the change in name of the Association. The forms are
thus categorized in the amended section for use with the TWIA mobile home
policy.
A. Form No. TWIA-29, Mandatory Endorsement
B. Form No. TWIA-570, Mobile Home Percentage Deductible Clause.
C. Form No. TWIA-575, Mobile Home Percentage Deductible Clause.
V. Summary.
The following list shows the status of the Association forms referred to
in this proposal.
Proposed---New
Form No. TWIA-1, Blank Schedule Form
Form No. TWIA-12, Assignment of Interest or Change in Mortgagee or Trustee
Form No. TWIA-18, Builders Risk-Stated Value Form
Form No. TWIA-21, Builders Risk-Actual Completed Value Form
Form No. TWIA-23, Cancellation Report
Form No. TWIA-26, Church Form
Form No. TWIA-65, Large Deductible Endorsement
Form No. TWIA-77, General Change Endorsement
Form No. TWIA-112, Loss Payable Clause
Form No. TWIA-113, Lost Policy Voucher
Form No. TWIA-115, Lumber Form---Specific---Retail Yard
Form No. TWIA-130, Mortgage Clause (Without Contribution)
Form No. TWIA-151A, Premium Assignment Clause
Form No. TWIA-164, Replacement Cost Endorsement
Form No. TWIA-175, Sale Contract Clause
Form No. TWIA-176, School Form
Form No. TWIA-195, Sworn Statement in Proof of Loss
Form No. TWIA-280, Condominium Property Form-Additional Policy Provisions
Form No. TWIA-400, Actual Cash Value-Roofs (One or Two Family Dwellings)
Form No. TWIA-410, Conversion to Farm and Ranch Dwelling Policy
Form No. TWIA-420, Exclusion of Cosmetic Damage to Roof Coverings Caused
by Hail
Form No. TWIA-430, Extension of Coverage-Increased Cost in Construction
Proposed-Amended
Form No. TWIA-29, Mandatory Endorsement
Form No. TWIA-282, Condominium Property Form---Additional Policy Provisions
Form No. TWIA-310, Extensions of Coverage
Form No. TWIA-315, Extensions of Coverage
Form No. TWIA-320, Extensions of Coverage
Form No. TWIA-325, Extensions of Coverage
Form No. TWIA-326, Extensions of Coverage
Form No. TWIA-328, Extensions of Coverage
Form No. TWIA-330, Extensions of Coverage
Form No. TWIA-335, Extensions of Coverage
Form No. TWIA-340, Extensions of Coverage
Form No. TWIA-345, Extensions of Coverage
Form No. TWIA-350, Extensions of Coverage
Form No. TWIA-365, Replacement Cost Endorsement---Personal Property
Form No. TWIA-570, Mobile Home Percentage Deductible Clause
Form No. TWIA-575, Mobile Home Percentage Deductible Clause
Proposed for Repeal
TCPIA Form 280---Condominium Property Form
TCPIA Form 300---Mandatory Breakaway Wall Exclusion Endorsement
TCPIA Form 500---One Hundred Dollar Deductible Clause Other Than One Or
Two Family Dwellings
TCPIA Form 510---Dwelling Percentage Deductible Clause
TCPIA Form 520---Dwelling One Hundred Dollar Deductible Clause
TCPIA Form 525---Dwelling Optional Large Deductible Clause
TCPIA Form 530---Dwelling $250 Deductible Clause
The effective date stated in the proposed amendments is June 1, 1999; however,
that date may change depending on the date on which any amendments are adopted.
The department will consider the adoption of amendments to §5.4201
in a public hearing under Docket Number 2404, scheduled for 9:00 a.m. on April
29, 1999, in Room 100 of the William P. Hobby, Jr. State Office Building,
333 Guadalupe Street, Austin, Texas.
David Durden, deputy commissioner for the automobile and homeowners division,
has determined that for each year of the first five years that the proposed
amendments will be in effect, there will be no fiscal implications for state
or local government as a result of enforcing or administering the section.
Mr. Durden has also determined that there will be no adverse effect on local
employment or the local economy.
Mr. Durden has further determined that for each year of the first five
years the proposed amendments are in effect, the public benefit anticipated
as a result of administering the proposed amendments will be the availability
of windstorm and hail insurance coverage from the Association that provides
endorsements to specifically address coverage needs for dwelling risks and
commercial risks. The proposed amendments also provide consumers with more
consistent coverage by providing appropriate endorsements to track the proposed
new policy forms and eliminating unnecessary endorsements that are not needed
in writing windstorm and hail insurance through the Association. The new endorsements
and revised endorsements provide consumers with more consistency with companion
policies that are issued in the voluntary market. That consistency allows
for compatibility of policy forms and endorsements and policy conditions.
In addition, consumers benefit from the availability of new coverage to pay
losses not currently included as covered losses under the Association's windstorm
and hail insurance policy. The new and revised endorsements which provide
increased coverages will produce an increased cost for consumers; however,
the endorsements are optional for selection by the consumer, and any increased
cost would be based on the consumer opting to purchase additional coverage.
Consumers also benefit with endorsement forms that are in simplified language
and are reorganized and reformatted for ease of reading and understanding.
There are costs for persons required to comply with the proposed rule. The
Association will have costs for printing the new and revised endorsements;
however, the Association has agreed to bear such costs by filing the petition.
There is no additional coverage being provided by these endorsements except
for the extension of coverage for law and ordinance, Form No. TWIA-430; however,
this is an optional coverage endorsement for which there will be a premium
charge. Also, as set forth in the analysis in the proposal for the manual
rules and regulations, published separately in this edition of the
Texas Register
under 28 TAC §5.4501, the Association's petition
proposing this endorsement reflects its determination that the proposed rates
will be sufficient to cover any potential losses that the Association must
pay. It is the case that the TWIA policy forms to which these endorsements
may be attached could result in increased costs for payment of losses because
of the additional coverages in the policies. As set forth in the new policy
forms proposal published separately in this edition of the
Texas Register
under 28 TAC §5.4101, the amount of increased costs
for payable losses by the Association is dependent on the types of losses
and severity of losses that may be caused by windstorms (hurricanes) or hail
storms; however, the Association, by filing a petition for new policy forms
and endorsements, has agreed to bear such increased costs due to increased
coverages. These increased costs for payable losses may over time be reflected
in the premium rate for consumers, again being dependent on the types of losses
and severity of losses that may be caused by windstorms (hurricanes) or hail
storms. It is therefore difficult to predict any amount of increase as it
is difficult to predict hurricanes and hail storms, and it is important to
note that the possibility of an increase based on payment of losses over time
is outweighed by the overall benefit, required by law, of providing available
insurance in areas to consumers who are unable to obtain such coverage in
the voluntary market. The same analysis applies to potential increases in
deductibles for commercial risks over the current $100 deductible in use by
the Association. Additionally, the Association will provide the consumer a
rate credit as set forth in the proposed manual rules and regulations for
the Association, which are proposed for adoption in 28 TAC §5.4501, which
is published separately in this edition of the
Texas
Register
. Government Code §2006.011 defines "small business" in
pertinent part as a legal entity, including a corporation, partnership, or
sole proprietorship that is formed for the purpose of making a profit. Since
the Association was not formed for the purpose of making a profit, it does
not meet the definition of "small business", and thus it is not necessary
to include a small business analysis in this proposal. Further, since the
Association is the entity affected by this proposal, the impact on the Association
has been discussed.
Comments on the proposed amendments to be considered by the department
must be submitted within 30 days after publication of the proposed section
in the
Texas Register
to Lynda H. Nesenholtz,
General Counsel and Chief Clerk, MC 113-2A, Texas Department of Insurance,
P. O. Box 149104, Austin, Texas 78714-9104. An additional copy of the comment
should be submitted to David Durden, Deputy Commissioner, Automobile and Homeowners
Division, MC 104-5A, Texas Department of Insurance, P. O. Box 149104, Austin,
Texas 78714-9104. Article 21.49, §5A of the Insurance Code requires a
hearing to be held before any orders may be issued pursuant to Article 21.49
and provides that any person may appear and testify for or against the adoption
of the proposed order.
The amendments are proposed pursuant to the Insurance Code, Articles
21.49 and 1.03A, and in accordance with the Government Code, §§2001.004-2001.038.
Pursuant to Article 21.49, §§7 and 8, the Commissioner is authorized
to prepare endorsements and forms applicable to the standard policies which
he has promulgated for use by the Association in providing windstorm and hail
insurance coverage without regard to other forms filed with, approved by,
or promulgated by the Commissioner for use in this state. Article 21.49, §5A
provides that the Commissioner may, after notice and hearing, issue any orders
which the Commissioner considers necessary to carry out the purposes of Article
21.49, including, but not limited to, maximum rates, competitive rates, and
policy forms. Article 21.49, §8A(a) provides that a policy of windstorm
and hail insurance issued by the Association may include replacement cost
coverage for one and two-family dwellings, including outbuildings, as provided
under the dwelling extension coverage in the policy, subject to any applicable
deductibles and the limits for coverage purchased by the insured. Article
21.49, §8A(b), among other things, allows the commissioner to adopt rules
to authorize the Association to provide actual cash value coverage instead
of replacement cost coverage on the roof covering of a building insured by
the Association. Article 21.49, §8A(c) provides that the commissioner
may promulgate such rules and regulations as necessary to implement this section
8A. The Texas Legislature in House Bill 1632 (Acts 1997, 75th Legislature,
chapter 438, §1, effective September 1, 1997) amended Article 21.49 to
change the name of the Texas Catastrophe Property Insurance Association to
the Texas Windstorm Insurance Association. Article 1.03A authorizes the Commissioner
of Insurance to adopt rules and regulations, which must be for general and
uniform application, for the conduct and execution of the duties and functions
of the Texas Department of Insurance only as authorized by a statute. The
Government Code, §§2001.004-2001.038 (Administrative Procedure Act),
authorize and require each state agency to adopt rules of practice stating
the nature and requirements of available formal and informal procedures and
prescribe the procedures for adoption of rules by a state agency.
The following statutes are affected by this proposal: Statute Insurance
Code, Article 21.49.
§5.4201. Endorsements for Use with [
The Commissioner of Insurance adopts by reference
endorsements
for use with the Texas Windstorm Insurance Association Policy Forms
[
(1)
Endorsements for use with the Association
Dwelling Policy and the Association Commercial Policy and the Association
Farm and Ranch Dwelling Policy.
(A)
Form No. TWIA-1, Blank Schedule Form, effective June 1,
1999.
(B)
Form No. TWIA-430, Extension of Coverage--Increased Cost
in Construction, effective June 1, 1999.
(2)
Endorsements for use with the
Association Dwelling Policy and the Association Commercial Policy and the
Association Farm and Ranch Dwelling Policy and the Texas Special Mobile Home
Windstorm and Hail Insurance Policy.
(A)
Form No. TWIA-12, Assignment of Interest or Change in Mortgagee
or Trustee, effective June 1, 1999.
(B)
Form No. TWIA-23, Cancellation Report, effective June 1,
1999.
(C)
Form No. TWIA-77, General Change Endorsement, effective
June 1, 1999.
(D)
Form No. TWIA-112, Loss Payable Clause, effective June
1, 1999.
(E)
Form No. TWIA-113, Lost Policy Voucher, effective June
1, 1999.
(F)
Form No. TWIA-130, Mortgage Clause (Without Contribution),
effective June 1, 1999.
(G)
Form No. TWIA-151A, Premium Assignment Clause, effective
June 1, 1999.
(H)
Form No. TWIA-175, Sale Contract Clause, effective June
1, 1999.
(I)
Form No. TWIA-195, Sworn Statement in Proof of Loss, effective
June 1, 1999.
(3)
Endorsements for use with the
Association Commercial Policy.
(A)
Form No. TWIA-18, Builders Risk--Stated Value Form, effective
June 1, 1999.
(B)
Form No. TWIA-21, Builders Risk--Actual Completed Value
Form, effective June 1, 1999.
(C)
Form No. TWIA-26, Church Form, effective June 1, 1999.
(D)
Form No. TWIA-65, Large Deductible Endorsement, effective
June 1, 1999.
(E)
Form No. TWIA-115, Lumber Form---Specific---Retail Yard,
effective June 1, 1999.
(F)
Form No. TWIA-164, Replacement Cost Endorsement, effective
June 1, 1999.
(G)
Form No. TWIA-176, School Form, effective June 1, 1999.
(H)
Form No. TWIA-280, Condominium Property Form---Additional
Policy Provisions, effective June 1, 1999.
(I)
Form No. TWIA-282, Condominium Property Form---Additional
Policy Provisions, amended June 1, 1999.
(4)
Endorsements for use with the
Association Dwelling Policy.
(A)
Form No. TWIA-310, Extensions of Coverage, amended June
1, 1999.
(B)
Form No. TWIA-315, Extensions of Coverage, amended June
1, 1999.
(C)
Form No. TWIA-320, Extensions of Coverage, amended June
1, 1999.
(D)
Form No. TWIA-325, Extensions of Coverage, amended June
1, 1999.
(E)
Form No. TWIA-326, Extensions of Coverage, amended June
1, 1999.
(F)
Form No. TWIA-328, Extensions of Coverage, amended June
1, 1999.
(G)
Form No. TWIA-410, Conversion to Farm and Ranch Dwelling
Policy, effective June 1, 1999.
(5)
Endorsements for use with the
Association Dwelling Policy and the Association Farm and Ranch Dwelling Policy.
(A)
Form No. TWIA-330, Extensions of Coverage, amended June
1, 1999.
(B)
Form No. TWIA-335, Extensions of Coverage, amended June
1, 1999.
(C)
Form No. TWIA-340, Extensions of Coverage, amended June
1, 1999.
(D)
Form No. TWIA-345, Extensions of Coverage, amended June
1, 1999.
(E)
Form No. TWIA-350, Extensions of Coverage, amended June
1, 1999.
(F)
Form No. TWIA-365, Replacement Cost Endorsement---Personal
Property, amended June 1, 1999.
(G)
Form No. TWIA-400, Actual Cash Value---Roofs (One or Two
Family Dwellings), effective June 1, 1999.
(H)
Form No. TWIA-420, Exclusion of Cosmetic Damage to Roof
Coverings Caused by Hail, effective June 1, 1999.
(6)
Endorsements for
use with the Association Mobile Home Policy-Texas Special Mobile Home Windstorm
and Hail Insurance Policy.
(A)
[
[(2)
TCPIA Form 300--mandatory breakaway
wall exclusion endorsement. Effective July 1, 1987.]
[(3)
TCPIA Form 365--replacement cost
endorsement--household goods. Effective January 1, 1994.]
[(4)
TCPIA Form 500--$100 deductible
clause other than one or two-family dwellings. Effective March 15, 1973.]
[(5)
TCPIA Form 510--dwelling percentage
deductible clause. Effective May 1, 1972.]
[(6)
TCPIA Form 520--dwelling $100 deductible
clause. Effective May 1, 1972.]
[(7)
(B)
[
(C)
[
[(10)
TCPIA Form 280--condominium
property form. Effective January 1, 1991.]
[(11)
TCPIA Form 282--condominium endorsement.
Effective January 1, 1991.]
[(12)
TCPIA Form 310 (HO)--extensions
of coverage, windstorm and hail. Effective January 1, 1994.]
[(13)
TCPIA Form 315 (HO)--extensions
of coverage, windstorm and hail. Effective January 1, 1994.]
[(14)
TCPIA Form 320 (HO)--extensions
of coverage, windstorm and hail. Effective January 1, 1994.]
[(15)
TCPIA Form 325 (HO-Tenant)--extensions
of coverage, windstorm and hail. Effective January 1, 1994.]
[(16)
TCPIA Form 326 (HO-CONDO)--extensions
of coverage, windstorm and hail. Effective January 1, 1994.]
[(17)
TCPIA Form 328 (HO-CONDO)--extensions
of coverage, windstorm and hail. Effective January 1, 1994.]
[(18)
TCPIA Form 330 (TDP and TFR)--extensions
of coverage, windstorm and hail. Effective January 1, 1994.]
[(19)
TCPIA Form 335 (TDP and TFR)--extensions
of coverage, windstorm and hail. Effective January 1, 1994.] [
[(21)
TCPIA Form 345 (FRO)--extensions
of coverage, windstorm and hail. Effective January 1, 1994.]
[(22)
TCPIA Form 350 (FRO)--extensions
of coverage, windstorm and hail. Effective January 1, 1994.]
[(23)
TCPIA FORM 525--dwelling optional
large deductible clause. Effective May 1, 1996.]
This agency hereby certifies that the proposal has been
reviewed by legal counsel and found to be within the agency's legal authority
to adopt.
Filed with the Office of the Secretary of State, on
March 12, 1999.
TRD-9901520
Lynda H. Nesenholtz
General Counsel and Chief Clerk
Texas Department of Insurance
Earliest possible date of adoption: April 25, 1999
For further information, please call: (512) 463-6327
28 TAC §5.4501
The Texas Department of Insurance proposes amendments to
§5.4501 concerning the adoption by reference of a revised manual of rules
governing the writing of windstorm and hail insurance coverage by the Texas
Windstorm Insurance Association (Association). Created in 1971 by the Texas
legislature as the Texas Catastrophe Property Insurance Association, the Association
is composed of all insurers authorized to transact property insurance in Texas
and operates pursuant to Article 21.49 of the Insurance Code. The Texas legislature
in House Bill 1632 (Acts 1997, 75th Legislature, chapter 438, §1, p.
1707, effective September 1, 1997) changed the name of the Texas Catastrophe
Property Insurance Association to the Texas Windstorm Insurance Association.
The purpose of the Association is to provide windstorm and hail insurance
coverage to residents in designated catastrophe areas who are unable to obtain
such coverage in the voluntary market. Since its inception, the Association
has provided this coverage to residents of 14 coastal counties: Aransas, Brazoria,
Calhoun, Cameron, Chambers, Galveston, Jefferson, Kenedy, Kleberg, Matagorda,
Nueces, Refugio, San Patricio and Willacy. The Association also provides coverage
to certain designated catastrophe areas in Harris County: (i) effective March
1, 1996, the area located east of a boundary line of State Highway 146 and
inside the city limits of the City of Seabrook and the area located east of
the boundary line of State Highway 146 and inside the city limits of the City
of La Porte (Commissioner's Order Number 95-1200, November 14, 1995); (ii)
effective June 1, 1996, the City of Morgan's Point (Commissioner's Order Number
96-0380, April 5, 1996); and (iii) effective April 1, 1997, the areas located
east of State Highway 146 and inside the city limits of the City of Shoreacres
and the City of Pasadena (Commissioner's Order Number 97-0225, March 11, 1997).
These proposed revisions to the manual are necessary (i) to simplify and clarify
current manual rules and to reorganize and reformat the rules for ease of
reading and understanding; (ii) to revise the current rules for writing windstorm
and hail insurance to apply to the new policy forms proposed for adoption
under amendments to 28 TAC §5.4101 and to the new and revised endorsement
forms proposed for adoption under amendments to 28 TAC §5.4201, both
of which are published in separate rule proposals in this edition of the
Proposed New Rules. Five new rules that have not previously been adopted
for use by the Association are proposed for inclusion in the revised manual.
New Rule II-B-3 is proposed to govern the writing of the new Actual Cash
Value--Roofs (Dwelling) Endorsement Form No. TWIA-400, proposed for adoption
under 28 TAC §5.4201, which is published separately in this edition of
the
Texas Register
. The proposed endorsement
and rule are necessary to implement Senate Bill 1837 (Acts 1997, 75th Legislature,
chapter 1000, §2, effective January 1, 1998) by the 75th Legislature
that amended Article 21.49, §8A(b) of the Insurance Code to authorize
the Commissioner, after notice and hearing, to adopt rules to authorize the
Association to provide actual cash value coverage instead of replacement cost
coverage on the roof covering of a dwelling insured by the Association and
to determine the conditions under which the Association may provide the actual
cash value coverage, the appropriate premium reductions, and the disclosure
that must be provided to the policyholder. The proposed rule specifies the
eligibility requirements for attachment of the endorsement to the Association's
dwelling policy; defines roof covering in accordance with §8A(e) of Article
21.49; proposes a premium credit of 15 percent when the endorsement is attached
to a dwelling policy; limits the deduction for depreciation to a maximum of
50 percent except in certain specified instances; prohibits the attachment
of the endorsement to a policy insuring a dwelling with a roof covering qualifying
for and receiving a mandatory roof covering credit because the roof covering
meets an impact resistant test; and requires a disclosure on the face of the
policy to notify the insured that the coverage under the policy is restricted
to actual cash value on roof coverings. Under the proposed rule, the endorsement
form may only be attached to a policy insuring a dwelling and only if the
deductible amount for the coverage on the dwelling is 1 percent or less of
the Coverage A (Dwelling) limit of liability and on roof coverings that meet
the criteria specified in the proposed rule, including significant deterioration,
improper installation or repair, and 15 years of age or older. The proposed
rule defines roof covering to mean the roofing material exposed to the weather,
the underlayments applied for moisture protection, and all flashings required
in the replacement of a roof covering. The proposed rule governs the premium
calculation and proposes a premium credit of 15 percent for all rating territories
in the designated catastrophe areas to be applied to the modified extended
coverage premium before any other adjustments are made to the modified extended
coverage premium. The proposed 15 percent credit is based on an actuarial
review of likely savings under the actual cash value endorsement. The first
step in the estimation of savings was to assume that approximately 20 percent
of the Association's expected losses would be due to non-hurricane related
claims and that 80 percent would be due to hurricane related claims. This
is essentially the same relationship between the two categories of loss as
has been assumed previously by Department staff in pricings related to the
Association's business. Given whether a loss was produced by a non-hurricane
or a hurricane event, estimates of the proportion of total losses that would
be due to damages to the roof covering were made. These were adopted from
a study made by a major insurer of savings under a similar, though not identical,
actual cash value endorsement that insurer proposed to introduce in Texas.
Given that the criteria for eligibility for the endorsement include that the
roof show significant deterioration, improper installation or repair, and
be 15 years of age or older, which serve to increase the general damageability
of the roof coverings, the Department staff felt that these assumptions were
reasonable. Also, because of these criteria, as well as the fact that under
the proposed rule the maximum depreciation allowed for adjusting a loss to
a roof covering under the endorsement is 50 percent except in certain specified
instances, the Department staff felt that the average depreciation would likely
approximate 50 percent. (Under an actual cash value policy or endorsement,
the amount of loss is calculated as replacement cost of the affected part
of the property less depreciation.) Based on these assumptions, savings in
expected losses were calculated. Using the loss and expense provisions underlying
the extended coverage benchmark rate for the first tier of coastal counties,
anticipated savings were then expressed as a percentage of the rate. The indicated
savings were 14.3 percent of premium. This was rounded to 15 percent. Under
the proposed rule, the percentage of depreciation allowed for adjusting the
loss to a roof covering on an actual cash value basis is a maximum of 50 percent,
except that depreciation can be greater than 50 percent if at the time of
the event causing the loss the roof covering was not performing its intended
function of keeping out the elements.
New Rule II-B-4 is proposed to regulate the writing of the optional Exclusion
of Cosmetic Damage to Roof Coverings Caused by Hail endorsement (Form No.
TWIA-420). This endorsement excludes cosmetic loss or damage from coverage
under the policy in the event any loss occurs to a hail resistant roof covering
for which the policyholder is receiving a premium credit for the installation
of an impact resistant roof covering as provided under proposed Rule III-C-2.
The endorsement may be attached by the Association to a dwelling policy that
insures a risk eligible for and receiving the mandatory roof covering premium
credit provided in proposed new Rule III-C-2. This exclusionary endorsement
is similar to the exclusionary endorsement available under a Texas homeowners
or dwelling policy (adopted pursuant to Commissioner's Order Number 98-0390,
effective May 2, 1998). Under the proposed rule, the endorsement may be attached
at the inception date of a new policy, the inception date of a renewal policy,
or during the term of the policy on the date a roof covering premium credit
is applied to the policy. The proposed rule requires that the endorsement
be signed by the insured to be effective. The proposed rule requires the Association
to inform the consumer of the possibility that cosmetic loss or damage may
be excluded from the policy in the event any loss occurs to a roof and the
damaged roof is replaced with a hail resistant roof covering.
New Rule III-C-2 is proposed to provide mandatory premium credits for dwelling
risks with residential roof coverings that comply with certain impact resistance
testing criteria of the Underwriters Laboratories (U.L. Standard 2218). The
proposed rule is substantially the same as adopted in Commissioner's Order
Number 98-0390 (April 8, 1998) to provide mandatory credits for residential
roof coverings insured under the Texas homeowners and dwelling policies. The
proposed mandatory premium credits, which vary from 4 percent to 14 percent
based on impact resistance classifications specified by the U.L., would be
applied to the dwelling modified extended coverage premium before any other
adjustments. The proposed rule requires that the installer of the roof covering
provide the policyholder with a completed certificate of installation promulgated
by the Department. This proposed certificate of installation is in Appendix
B of the proposed revised manual. The policyholder would then submit the certificate
to the Association, but submission of the certificate would not preclude the
Association from inspecting the risk for verification of roof covering installation.
The proposed rule also specifies product labeling requirements for roofing
manufacturers. Premium credits for qualified impact resistant roof coverings
installed prior to June 1, 1999, the proposed effective date of the manual,
are optional with the Association. The proposed premium credits are based
primarily on actuarial review of statistical information underlying the credits
adopted for homeowners and dwelling policies pursuant to Commissioner's Order
Number 98-0390. In order to determine single discounts by U.L. category of
roof for the territories in the designated catastrophe area, an average of
the discounts adopted by the Commissioner for extended coverage in Commissioner's
Order Number 98-0390, weighted by the Association's most recent distribution
of residential property coverage by county, was calculated. Extended coverage
protects against certain perils other that hurricane, windstorm, and hail,
including smoke, explosion, aircraft, vehicles, and riot or civil commotion;
the Association only covers losses arising out of hurricanes, windstorms,
and hail. Because of this, Article 21.49, §8(h)(2) of the Insurance Code
requires that the extended coverage rate promulgated by the Commissioner in
accordance with Chapter 5 of the Insurance Code be reduced by 10 percent in
calculating the dwelling property rates of the Association. This, in theory,
eliminates the losses and premium needs for perils that the Association does
not cover. In calculating the discounts adopted by the Commissioner, these
other perils were taken into account. It was assumed that the only damage
to roofs occurs under the perils covered by the Association. Since the Association's
rates only cover hurricane, windstorm, and hail, the average discounts calculated
were divided by .9 and rounded to the nearest whole percent in order to obtain
the proposed discounts.
New Rule II-B-7 is proposed to govern the writing of a new endorsement
(TWIA-430) proposed to provide coverage for the increased cost in construction
due to the requirement to rebuild or repair a structure in accordance with
the windstorm resistant building code applicable to the area in which the
structure is located. The new endorsement is proposed for adoption under 28
TAC §5.4201, which is published separately in this edition of the
Three new standard deductible amounts are proposed for commercial and public
building risks in new Rule I-J-2: (i) a $250 deductible for policies with
a limit of liability up to $49,999, (ii) a $500 deductible for policies with
a limit of liability of $50,000 to $99,999, and (iii) a $1,000 deductible
for policies with a limit of liability of $100,000 and over. These new deductibles
are necessary because the current standard deductible available for commercial
risks and public building risks is $100, regardless of the limit of liability
of the policy. This $100 deductible is not consistent with the standard deductibles
available in the voluntary market for commercial risks. The proposed new standard
deductibles will eliminate the payment of minor losses and thereby reduce
the amount of losses paid by the Association for commercial risks. Also, the
application of proposed rate credits for the new standard deductibles will
reduce insurance costs for commercial risks. A 12 percent premium credit is
proposed for each of the three new standard deductible amounts. The 12 percent
credit was recommended in a petition (Reference Number P-0399-03) filed by
the Association on September 3, 1997. This recommendation, according to the
petition, is based on the fact that 12 percent is the current credit allowed
for a $1,000 deductible. The Department staff supports the proposed 12 percent
credit for each of the new standard deductible amounts. It is the Department's
position that this credit is reasonable in that the proposed deductibles bear
approximately the same relationship to the corresponding policy limits intervals.
The premium charged by the Association is directly proportional to the limits
purchased; therefore, if the amount of the deductible is roughly proportional
to the limits, it is reasonable that the percentage credit should be the same.
The amounts noted in this proposal may change based on evidence adduced
at the hearing and/or comments received regarding this proposal.
Proposed Amendments and Rule Repeals. The following amendments and repeal
of current rules are proposed:
I--General Rules
Rule I-A: An amendment is proposed to Rule I-A to provide that the manual
applies to all policies issued by the Association. This amendment is necessary
because currently there is only one policy form issued by the Association;
however, a new commercial policy form and a new dwelling policy form are proposed
for adoption in 28 TAC §5.4101, which is published separately in this
edition of the
Texas Register
.
Rule I-B: Rule I-B on Eligibility is proposed to specify that windstorm
and hail insurance may be provided by the Association only on property located
in the designated catastrophe areas and to specify the type of risks that
can be insured and the policy form applicable to each type of risk. This rule
is necessary because of the new policy forms proposed for adoption in 28 TAC
§5.4101, which is published separately in this edition of the
Texas Register
, and because the Legislature enacted Senate Bill 1499
(Acts 1997, 75th Legislature, p. 5030, ch. 1330, §1, effective September
1, 1997) to provide that effective January 1, 1998, farm and ranch and farm
and ranch owners insurance are no longer regulated as personal lines coverage
pursuant to Articles 5.35 and 5.101 of the Insurance Code, but rather are
to be regulated as commercial property insurance under Article 5.13-2 of the
Insurance Code. As provided under proposed Rule I-B-2b, farm and ranch property,
except farm and ranch dwellings, will be insured under the Association commercial
policy form, and as provided under proposed Rule I-B-2c, the farm and ranch
dwelling will be insured under the Association dwelling policy form with Endorsement
No. TWIA-410 attached for Conversion to Farm and Ranch Dwelling Policy. Endorsement
No. TWIA-410 is proposed for adoption in 28 TAC §5.4201, which is published
separately in this edition of the
Texas Register
.
Rule I-C: In the Definitions subsection, current definitions have been
clarified and reformatted to be consistent with the new policy forms proposed
for adoption in 28 TAC §5.4101, which is published separately in this
edition of the
Texas Register
and the new
endorsement forms proposed for adoption in 28 TAC §5.4201, which is published
separately in this edition of the
Texas Register
. An amendment is proposed to the Definitions subsection to provide
a new definition for farm and ranch risks to clearly provide that all buildings
and structures located on a farm and ranch, including the dwelling, are commercial
buildings. This amendment is necessary because the 75th Texas Legislature
enacted Senate Bill 1499 (Acts 1997, 75th Legislature, p. 5030, chapter 1330,
§1, effective September 1, 1997) to provide that effective January 1,
1998, farm and ranch and farm and ranch owners insurance are no longer regulated
as personal lines coverage pursuant to Articles 5.35 and 5.101 of the Insurance
Code, but rather are to be regulated as commercial property insurance under
Article 5.13-2 of the Insurance Code. Also, a new definition for public buildings
is proposed to differentiate between public buildings and commercial risks.
Rule I-D: An amendment is proposed to redesignate Current Rule I-C, Determination
of Territory (Catastrophe Areas), as Rule I-D; no changes are proposed to
the text of the current rule.
Rule I-E: Rule I-E (Rating Territories) is proposed to include the designation
of the rating territories for each of the counties located in the designated
catastrophe areas and the applicable territory number for each county for
rating purposes. The rule contains no changes to the current rating territories
for the counties located in the designated catastrophe areas. This rule is
proposed for inclusion in the revised manual for purposes of efficiency and
convenience.
Rule I-F: Current Rule I-D (Insurable Property) is proposed to be redesignated
as Rule I-F. The only amendment proposed to newly designated Rule F is to
change "TCPIA" to "Association."
Rule I-G: Current Rule I-E (Policy Term) is proposed to be redesignated
as Rule I-G; there are no substantive changes proposed to the rule.
Rule I-H: The current Rule I-F on Coinsurance is redesignated as Rule I-H,
and amendments to the rule are proposed to clarify the applicable coinsurance
for each type of risk and to change the term "contents" to either "business
personal property" for commercial risks or "personal property" for dwelling
risks to conform with the new policy forms proposed for adoption in 28 TAC
§5.4101, which is published separately in this edition of the
Texas Register
and new endorsement forms proposed for adoption in 28
TAC §5.4201, which is published separately in this edition of the
Rule I-I: Current Rule I-G on New or Increased Coverage and Renewal Applications
is redesignated as Rule I-I. Changes are proposed to provide that, in addition
to the current provisions, the effective date for new or increased coverage
is on the date mailed if sent by other similar mailing procedure as approved
by the Association's Board of Directors.
Rule I-J: The current Rule I-H on Deductibles is redesignated as Rule I-J.
In addition, amendments are proposed to conform the rule with the proposed
new dwelling and commercial policy forms proposed for adoption in 28 TAC §5.4101,
which is published separately in this edition of the
Texas Register
. The proposed new forms specify the applicable deductible
in the policy form itself rather than in an endorsement. Amendments are proposed
to address separately the available deductibles for dwellings and the available
deductibles for commercial and public buildings. While there are no substantive
changes to the current rules on deductibles and applicable credits for dwellings,
three new standard deductible amounts are proposed for commercial and public
building risks; these new deductibles and credits are discussed under the
"Proposed New Rules" subheading of this preamble. There are no changes proposed
to the current credits for the current optional large deductibles for commercial
and public building risks. An amendment is proposed to Rule I-J-2b, Optional
Large Deductible for Commercial Risks and Public Buildings, to delete the
provision "on a per occurrence basis" when Form No. TWIA-65 may be attached
to provide a large deductible. This amendment does not change the available
deductibles or how they can be applied because optional large deductibles
can be provided on an occurrence or on a per item basis.
New Rule I-K: Current Rule I-I on Cancellations is redesignated Rule I-K.
Amendments are proposed to change the cancellation procedures for Association
policies from short rate cancellation to pro rata cancellation. This means
that under the proposed rules Association insureds who cancel their policies
would no longer be penalized for canceling their policy during the policy
term by losing part of the unearned premium. This change is necessary to conform
the Association's cancellation procedures to those of companies in the voluntary
market. Amendments are proposed to Rule I-K-3 to clarify that the Association
may not initiate flat cancellation for any reason. Rule I-K-4 is proposed
to be repealed because builder's risk policies would no longer be treated
differently from other Association policies.
Current Rule I-K: Current Rule I-K on Excluded Property is proposed for
repeal because the rule is no longer necessary. The rule excludes mobile homes
and automobiles from eligibility for insurance under a windstorm and hail
insurance policy. Mobile homes are now insured by the Association (Section
IV of the proposed revised manual). Article 5.01 of the Insurance Code limits
automobile insurance to motor vehicle or automobile insurance written pursuant
to Chapter 5 of the Insurance Code.
Rule I-L: Current Rule I-J on Maximum Limits of Liability is proposed to
be redesignated as Rule I-L in the revised manual. Amendments are proposed
to reorganize and simplify Rule I-L to specify what is covered under the maximum
limits of liability for dwellings, commercial risks, and public buildings.
The rule is also changed to incorporate the current maximum limits of liability
approved by the Commissioner under Commissioner's Order Number 98-1500 (effective
January 1, 1999). Because of the enactment of Senate Bill 1499 (Acts 1997,
75th Legislature, p. 5030, ch. 1330, §1, effective September 1, 1997),
farm and ranch property is considered commercial property for rating purposes.
However, Article 21.49, §8D(a)(1) provides the statutory minimum for
the maximum limits of liability for a dwelling, and §8D(a)(4) provides
the statutory minimum for the maximum limits of liability for a structure
other than a dwelling or a public building. Article 21.49, §8D(a) also
provides that the maximum limits of liability shall be proposed by the Association's
board of directors and approved by the Commissioner. Pursuant to Commissioner's
Order Number 98-1500, the maximum limit of liability for a farm and ranch
dwelling is $365,000 (the same as for other dwellings), and the maximum limit
of liability for other farm and ranch buildings/structures is $1,584,000 (the
same as for a structure other than a dwelling or a public building). Amendments
are proposed to change the term "corporeal movable property" to "personal
property" for dwellings and to "business personal property" for commercial
risks and public buildings to conform to new policy forms proposed under 28
TAC §5.4101 and to new and amended endorsement forms proposed under 28
TAC §5.4201, both of which are published separately in this edition of
the
Texas Register
.
Rule I-M: Current Rule I-L on Minimum Premium is redesignated as Rule I-M.
No changes are proposed to the rule except to change the reference to "TCPIA"
to the "Association."
Rule I-N: Current Rule I-M on the applicability of rules from the Texas
General Basis Schedules is redesignated as Rule I-N, and amendments are proposed
to provide that the rules of the Texas General Basis Schedules approved prior
to and in effect on October 1, 1991, that are applicable in whole or in part
to risks insured by the Association are contained in new Appendix C.
II--Policy Forms and Endorsements
Rule II-A: Amendments are proposed to the Policy Forms and Endorsements
section of the proposed revised manual to specify in Rule II-A-1 the policy
forms that may be used by the Association in writing windstorm and hail insurance.
The new policy forms are proposed for adoption and the current policy forms
are proposed for repeal under amendments to 28 TAC §5.4101 which is published
in a separate rule proposal in this edition of the
Texas Register
. Amendments are proposed to specify in Rule II-A-2 the
endorsement forms that may be used by the Association in writing windstorm
and hail insurance. New endorsement forms are proposed for adoption and current
endorsement forms are proposed to be amended or repealed in 28 TAC §5.4201
which is published in a separate rule proposal in this edition of the
Rule II-B: The current rules governing the attachment of certain endorsements
have been organized under a newly designated Rule II-B. The proposed changes
to Rule II-B are necessary to conform the rule to the amended, repealed, and
new endorsement forms proposed in 28 TAC §5.4201, which is published
in a separate rule proposal in this edition of the
Texas Register
. These changes include: (i) amendments to Rule II-B-1
(currently Rule II-C), which governs the writing of the Replacement Cost Endorsement
No. TWIA-365 to change references to "household goods" to "personal property";
(ii) amendments to Rule II-B-2 (currently Rule II-E) governing the 11 Extensions
of Coverage Endorsements that are attached to an Association policy when companion
policies are issued that exclude the coverage provided by these endorsements;
(iii) proposed new Rule II-B-3 on Actual Cash Value--Roofs (Dwellings), Endorsement
Form No. TWIA-400; see discussion of this rule under "Proposed New Rules"
subheading of this preamble; (iv) proposed new Rule II-B-4 on Exclusion of
Cosmetic Damage to Roof Coverings Caused by Hail, Endorsement Form No. TWIA
400; see discussion of this new rule under "Proposed New Rules" subheading
of this preamble; (v) proposed new Rule II-B-7 on Extension of Coverage--Increased
Cost in Construction Form No. TWIA-430; see discussion of this rule under
"Proposed New Rules" subheading of this preamble and (vi) proposed Rules II-B-5
and II-B-6 on Builder's Risk Form No. TWIA-21 and Builder's Risk Form No.
TWIA-18. Rules II-B-5 and II-B-6 governing the writing of builder's risk coverage
under a windstorm and hail policy using either an Actual Completed Value Form
(Form No. TWIA-21) or a Stated Value Form (Form No. TWIA-18) are proposed
for incorporation into the manual. Existing rules for writing builders risk
policies through the Association are contained in the Texas General Basis
Schedules which are adopted by reference in the current manual (Rule I-M).
These existing rules are proposed to be incorporated into the manual for purposes
of efficiency and convenience. The proposed rules contain no substantive changes
from the current rules, but the rules have been technically edited for readability
and to eliminate requirements and conditions for writing builder's risk policies
that are not applicable to the writing of a builder's risk through the Association.
Current Rule II-B: Under the proposed revisions to the manual, current
Rule II-B governing the writing of the Windstorm, Hurricane and Hail Deductible
Endorsement Form No. 66 is proposed for repeal because it is no longer necessary.
Association insureds who purchase excess windstorm and hail insurance above
the maximum limits of liability obtain such coverage in the voluntary market.
The Association does not provide excess windstorm and hail coverage to which
deductible Endorsement Form No. 66 would be attached.
Current Rule II-C: Current Rule II-C is redesignated as Rule II-B-1.
Current Rule II-D: Current Rule II-D is proposed to be repealed. This rule
governs the use of the Mandatory Breakaway Wall Exclusion Endorsement Form
No. TCPIA-300 which is proposed for repeal under 28 TAC §5.4201, which
is published in a separate rule proposal in this edition of the
Texas Register
. This endorsement is no longer necessary because the
exclusion is incorporated into the Association's new policy forms proposed
for adoption in 28 TAC §5.4101, which is published separately in this
edition of the
Texas Register
.
Current Rule II-E: This rule is proposed to be redesignated as Rule II-B-2,
Extensions of Coverage Endorsements. These endorsements are attached to an
Association policy when companion policies are issued that exclude the coverage
provided by these endorsements. Amendments are proposed to reference "equivalent"
policy forms to the various Texas standard residential property policy forms
to take into account that the companion policy may be an existing Texas standard
policy coverage form or an equivalent coverage form. This change is necessary
because of the enactment of Senate Bill 1499 (Acts 1997, 75th Leg., R.S.,
ch. 1330, §13, eff. Sept. 1, 1997) which authorizes the Commissioner
in Article 5.35 of the Insurance Code to adopt policy forms and endorsements
of national insurers or a national organization of insurance companies or
similar organization on policy forms and endorsements. Amendments are also
proposed to reference the proposed new Association policies to which the extensions
of coverage may be attached.
III--Rating Rules. The proposed revisions to the manual include the reorganization
and amendment of the Rating Rules in Section III to address in separate rules
commercial risks, including buildings/structures that are occupied for business,
professional, or manufacturing purposes (including apartments), farm and ranch
property, townhouses and condominiums; public buildings; and dwellings. There
are no substantive changes to the rating rules except to those rules that
govern the rating of dwellings and farm and ranch property.
Rule III-A-1: Amendments to Rule III-A-1 governing the rating of buildings/structures
that are occupied for business, professional, or manufacturing purposes are
proposed to change the reference in the exception for determining the annual
extended coverage rate of apartments from "contents" to "business personal
property/personal property" of apartments for consistency with the Association's
new policy forms proposed for adoption in 28 TAC §5.4101, which is published
separately in this edition of the
Texas Register
. Amendments are also proposed to specify the appendix references for
the Special Index, (Appendix A-1) the Special Supplements Index (Appendix
A-2), and the General Index (Appendix A-3). These references are necessary
because the proposed revisions to the manual include placement of these indices
in an appendix with no changes to the indices.
Rule III-A-2: Current Rule III-D governing the rating of farm and ranch
property is proposed to be redesignated as Rule III-A-2 and amended to provide
that these rates are to be determined in accordance with a new Appendix D.
The Legislature last session enacted Senate Bill 1499 (Acts 1997, 75th Leg.,
ch. 1330, §1, p. 5030, eff. Sept. 1, 1997) to provide that effective
January 1, 1998, farm and ranch and farm and ranch owners insurance lines
are no longer regulated as personal lines coverage pursuant to Articles 5.35
and 5.101 of the Insurance Code, but rather are to be regulated as commercial
property insurance under Article 5.13-2 of the Insurance Code. The current
rating rules in Rule III-D provide that the premium and rate charts contained
in the Farm and Ranch Section of the Texas Personal Lines Manual are to be
used in determining the appropriate modified extended coverage premium for
a windstorm and hail policy insuring farm and ranch property. Because farm
and ranch insurance is now regulated as commercial insurance pursuant to Article
5.13-2 of the Insurance Code, the current rules referencing the Farm and Ranch
Section of the Texas Personal Lines Manual are no longer appropriate. A new
Appendix D is proposed to be included in the manual to specify the rates and
rules governing the writing of farm and ranch properties insured under an
Association policy. Pursuant to Article 5.13-2, §5, the Association is
required to file commercial farm and ranch rates. The current rates are contained
in Appendix D of the proposed revised manual. These rates were adopted in
Commissioner's Order Number 98-1258 to be effective January 1, 1999.
Rule III-A-3: Current Rule III-B governing the rating of townhouses and
condominiums is proposed be redesignated as Rule III-A-3 and amended to change
the reference in the exception for determining the annual extended coverage
rate of apartments from "contents" to "business personal property/personal
property" of apartments for consistency with the Association's new policy
forms proposed for adoption in 28 TAC §5.4101, which is published separately
in this edition of the
Texas Register
.
Rule III-B: That part of current Rule III-A-1 governing the rating of public
buildings is redesignated as Rule III-B, and amendments are proposed to specify
the appendix references for the Special Index (Appendix A-1), the Special
Supplements Index (Appendix A-2), and the General Index (Appendix A-3). These
references are necessary because the proposed revisions to the manual include
placement of these indices in an appendix with no changes to the indices.
Rule III-C: Amendments to Rule III-C governing the rating of dwellings
are proposed to divide the rules into two major areas: (i) rules on premium
calculation for determining the applicable windstorm premium for the insured
dwelling, and extensions of coverage that require a modification in the calculation
of the applicable windstorm premium; there are no substantive changes to these
rating rules; and (ii) a proposed new rule to provide mandatory premium credits
for dwelling risks with residential roof coverings that comply with certain
impact resistance testing criteria of the Underwriters Laboratories (U.L.
Standard 2218). This proposed new rule is discussed under the "Proposed New
Rules" subheading of this preamble.
Rule III-C-3: The proposed manual is revised to incorporate the rule on
mandatory building code credits that was adopted in 28 TAC §5.4700 pursuant
to Commissioner's Order Number 99-0215 (February 4, 1999). This rule is effective
on policies issued on and after February 28, 1999. The rule provides mandatory
credits for new residential construction, excluding additions or repairs to
existing structures, constructed to the standards of the Building Code for
Windstorm Resistant Construction or to higher standards than the Building
Code for Windstorm Resistant Construction and requires that these the credits
be applied to the modified extended coverage premium. The rule provides mandatory
credits for residential structures in any of the designated catastrophe areas
which were constructed prior to September 1, 1998, in which all exterior openings
have been retro-fitted with exterior opening protections that meet the windborne
debris criteria standards of the Building Code for Windstorm Resistant Construction,
or equivalent criteria recognized by the Texas Department of Insurance and
requires that these credits be applied to the modified extended coverage premium.
Current Rule III-F: The proposed manual is revised to move current Rule
III-F on Calculation of Premium When Value Exceeds Pool Limits or the Deductible
Amount to Rule I-H-2 and Rule I-H-3 with no substantive changes to the rule.
Under this rule, when the value exceeds the maximum Association limit or the
deductible amount, the Association may waive the coinsurance requirements
and charge a premium in accordance with the first loss scale formula. This
reorganization is proposed for purposes of readability and efficiency in the
organization of the manual.
IV--Rate Tables. Amendments to the commercial Rate Tables A, B, and C contained
in the current manual are proposed to incorporate the most current approved
commercial rates (adopted in Commissioner's Order Number 98-1258 to be effective
January 1, 1999) and to add a footnote to Rate Tables A and B containing rating
rules relating to excess areas. This footnote is not included in the current
rate tables and must be obtained from the Texas General Basis Schedule. Including
the footnote in the rate tables in the manual eliminates the need to reference
another manual for necessary rating rules. Amendments are proposed to Rate
Table C to reflect that the table applies to the rating of "business personal
property" and "personal property" in lieu of "contents" for consistency with
the Association's new commercial policy form proposed for adoption in 28 TAC
§5.4101, which is published in a separate rule proposal in this edition
of the
Texas Register
.
V--Manufactured Housing (Mobile Homes). The current form and rating rules
governing the writing of windstorm and hail insurance by the Association on
manufactured housing (mobile homes) are proposed to be included in the revised
manual. These current rules are contained in a bulletin issued by the Association
to its member companies and are not currently part of the manual. The inclusion
of these rules in the Association's manual will centralize all of the form
and rating rules for the various Association policy forms into one publication
and thereby make it easier and more efficient for agents writing coverage
through the Association.
Rule V-A: This rule specifies the eligibility requirements for a manufactured
home to be insured by the Association for windstorm and hail insurance.
Rule V-B: This rule regulates the rating of additions made to a mobile
home and requires all site-built additions attached to a mobile home to rate
as part of the mobile home. A building certification is required from the
Texas Department of Insurance for any site-built addition to a mobile home.
In addition, the rule provides that any separate structures on the premises
of a mobile home are not eligible for coverage under a mobile home policy
issued by the Association. A separate dwelling policy issued by the Association
is required on all structures not connected to the mobile home, and such structures
must meet the eligibility requirements for insurance under a dwelling policy
issued by the Association.
Rule V-C: This rule provides that the maximum limit of liability for a
mobile home insured by the Association is $84,000 for the mobile home, including
any site-built additions attached to the home and any household goods located
in the mobile home.
Rule V-D: This rule governs the deductibles applicable to mobile homes
insured under a windstorm and hail insurance policy. For mobile homes located
inland of the Intracoastal Canal, the deductible is 1 percent of the limit
of liability with a $250 minimum. For mobile homes located seaward of the
Intracoastal Canal, the deductible is 2 percent of the limit of liability
with a $250 minimum. In addition, the rule provides that deductibles apply
separately to the mobile home and the household goods.
Rule V-E: Rule V-E specifies the policy form and endorsements that may
be used to provide coverage for mobile homes.
Rule V-F: This rule specifies the rates applicable to mobile homes and
household goods located in a mobile home. These rates are $2.50 per $100 coverage
for risks located inland of the Intracoastal Canal and $5.00 per $100 coverage
for risks located seaward of the Intracoastal Canal. These are the rates currently
in effect and are simply being provided in rule form in the revised manual.
The revised manual is proposed to be effective on June 1, 1999; however,
that date may change depending on the date on which any amendments are adopted.
The Commissioner will consider the adoption of the proposed revised manual
(adopted by reference in §5.4501) in a public hearing under Docket Number
2405, at 9:00 a.m. on April 29, 1999, in Room 100 of the William P. Hobby,
Jr. State Office Building, 333 Guadalupe Street, Austin, Texas.
David Durden, deputy commissioner of the automobile and homeowners group
of the Texas Department of Insurance, has determined that for each year of
the first five years the proposed amendments are in effect, there will be
no fiscal implications to local government as a result of enforcing or administering
the amended section. Any costs incurred by the Department in reproducing or
printing the revised manual will be recouped through charges to purchasers
of the manual. There will be no adverse effect on local employment or the
local economy as a result of enforcing or administering the amended section.
Mr. Durden has further determined that for each year of the first five
years the proposed amendments are in effect, the public benefit anticipated
as a result of administering the proposed amendments and the probable economic
costs to persons required to comply with the proposed revised manual and those
proposed new rules contained in the manual which involve costs for compliance
are as follows: (i) The proposed revised rating manual is simplified and reorganized
to allow for ease of use and understanding by agents required to use the manual
in writing windstorm and hail insurance. Rules that are currently in other
publications, such as the Texas General Basis Schedules and Association mobile
home bulletins, have been included in the proposed revised manual. The simplified
language and improved organization of the revised manual will benefit Association
policyholders by reducing the number of errors made by agents who use the
manual in quoting coverage for a windstorm and hail insurance policy written
through the Association. The Association will incur costs in printing the
revised manual; however, the Association filed a petition (Reference Number
P-1197-34) requesting the adoption of new policy forms and new endorsement
forms which resulted in the need for much of the revision of the current manual,
and the Association has participated in the development and drafting of the
revised manual and has agreed to bear any costs for printing and distribution
of the manual which are not recouped through charges to purchasers of the
manual. Agents who need the manual to write policies through the Association
will be required to purchase the manual from the Association or pay reproduction
costs for a copy of the manual from the Department. The cost of the manual
will be no greater than $50 per copy and will be the same cost for all persons
and companies, including small and large businesses, who purchase the manual.
The cost to an agent or agency qualifying as a small business under the Government
Code §2006.001 will be the same as the cost to the largest business because
the cost is not dependent upon the size of the business but rather is the
same price for all purchasers of the manual. The cost to purchase the manual
may not be waived for an agent or agency qualifying as a small business under
the Government Code §2006.001 because any agent who writes windstorm
and hail insurance through the Association must use the manual to write such
coverage. Government Code §2006.001 defines "small business" in pertinent
part as a legal entity, including a corporation, partnership, or sole proprietorship
that is formed for the purpose of making a profit. The Association was not
formed for the purpose of making a profit and operates accordingly, and therefore,
does not meet the definition of "small business." Therefore, it is not necessary
to include a small business analysis for this component of the cost note.
Even so, the economic impact on the Association is addressed. (ii) Under proposed
new Rule II-B-3, homeowners with older, deteriorating roofs will pay 15 percent
less premium when the Association attaches the proposed new Actual Cash Value--Roofs
(Dwelling) Endorsement Form No. TWIA-400 to their policy. Due to the application
of a depreciation percentage schedule to the damaged property, the policyholders,
however, who have this endorsement attached to their policy will have to pay
more of the loss when their roofs are damaged up to a maximum of 50 percent
of the cost to repair or replace the damaged roof (this amount is over and
above the amount of the deductible the insured would have to pay under the
policy), and if there is clear evidence that the roof covering was not performing
at the time of loss its intended function of keeping out the elements, the
policyholder may have to pay more than 50 percent of the cost to repair or
replace the damaged roof. The amount that each homeowner will have to pay
will vary depending on the roofing material and size. The Association will
have a reduction in premium volume due to the premium credit provided to policyholders.
The Association will also pay less in losses on those risks with the endorsement
attached to the policy because of the allowable depreciation of up to 50 percent
and even more in certain instances. However, it is the opinion of the Department
that the decrease in premium volume resulting from the premium credit will
be offset by the decrease in losses and expenses to be paid out by the Association.
Government Code §2006.001 defines "small business" in pertinent part
as a legal entity, including a corporation, partnership, or sole proprietorship
that is formed for the purpose of making a profit. The Association was not
formed for the purpose of making a profit and operates accordingly, and therefore,
does not meet the definition of "small business." Therefore, it is not necessary
to include a small business analysis for this component of the cost note.
Even so, the economic impact on the Association is addressed, and the Association
is the only business entity affected by this cost component. (iii) Under proposed
new Rule III-C-2, policyholders will receive mandatory premium credits for
dwelling risks with residential roof coverings that comply with certain impact
resistance testing criteria of the Underwriters Laboratories. Under proposed
new Rule II-B-4, an optional Exclusion of Cosmetic Damage to Roof Coverings
Caused by Hail endorsement (Form No. TWIA-420) may be attached by the Association
to a dwelling policy that insures a risk eligible for and receiving the mandatory
roof covering premium credit. This endorsement excludes cosmetic loss or damage
from the policy in the event any cosmetic loss occurs to a hail resistant
roof covering for which the policyholder is receiving premium credit as provided
under proposed Rule III-C-2. The policyholder may elect to refuse the cosmetic
damage exclusion and thereby not be eligible for the mandatory roof covering
credit provided in proposed new Rule III-C-2. Policyholders who opt to install
roof coverings that comply with certain impact resistance testing criteria
of the Underwriters Laboratories will pay from 4 percent to 13.8 percent less
premium based on the rating territory and the four impact resistance classifications
specified by the Underwriters Laboratories. In exchange for the reduced premium,
policyholders may pay a greater cost to replace an existing damaged roof with
a new impact resistant roof; however, future hail damage losses should be
reduced with the installation of impact resistant roof coverings. Ultimately,
this will result in reduced overall costs to both the policyholder and the
Association. Policyholders who do not choose to install the impact resistant
roof coverings will have no change in premium under this rule. The Association
may attach the proposed new Exclusion of Cosmetic Damage to Roof Coverings
Caused by Hail endorsement (Form No. TWIA-420) to a dwelling policy that insures
a risk eligible for and receiving the mandatory roof covering premium credit.
Under this endorsement, the Association will not pay for cosmetic loss or
damage to a hail resistant roof covering. The policyholder who wishes to have
his/her cosmetically damaged roof repaired or replaced will have to absorb
the costs of such repair or replacement. Thus, while the Association will
have a reduction in premium volume due to the premium credit provided to policyholders
under proposed new Rule III-C-2, the Association will also pay fewer losses
on those risks with the impact resistant roof coverings. Also, the attachment
of the endorsement excluding cosmetic loss or damage to such roof coverings,
which is at the option of the Association, will result in the Association
paying even fewer losses on those risks with the impact resistant roof coverings.
Therefore, it is the opinion of the Department that the resulting decrease
in premium volume will be offset by the decrease in losses to be paid out
by the Association because of the use of the impact resistant roof coverings
and the attachment of the endorsement excluding cosmetic loss or damage to
such roof coverings. Government Code, §2006.001 defines "small business"
in pertinent part as a legal entity, including a corporation, partnership,
or sole proprietorship that is formed for the purpose of making a profit.
The Association was not formed for the purpose of making a profit and operates
accordingly, and therefore, does not meet the definition of "small business"
under §2006.001 of the Government Code. Therefore, it is not necessary
to include a small business analysis for the Association for this component
of the cost note; however, the economic effect on the Association is addressed.
In addition, under proposed new Rule III-C-2, roofing manufacturers are required
to label roof coverings meeting the required impact resistant testing criteria
in order for the roof covering credits to be applicable to a dwelling policy
issued by the Association. For those roof coverings installed on and after
June 1, 1999, all individual shingles, tiles, shakes, panels, sheets, etc.
must bear the testing laboratory's label, the manufacturer's name, the year
manufactured, and the brand name. For those roof coverings installed before
June 1, 1999, the same information is required on the packaging of the roof
covering products. These product labeling specifications are currently required
under Commissioner's Order Nos. 98-0069 (January 15, 1998) and 98-0390 (April
8, 1998) for purposes of providing the same type of premium credits for residential
roof coverings insured under the Texas standard homeowners and dwelling policies.
Therefore, there will be no additional costs to roofing manufacturers as a
result of the adoption of proposed new Rule III-C-2. For those roofing manufacturers
qualifying as a "small business" under the Government Code, §2006.001
who must comply with the product labeling requirements in proposed new Rule
III-C-2, there also will be no additional costs to comply with the labeling
requirements as these small business roofing manufacturers are currently required
to comply with the product labeling requirements under Commissioner's Order
Nos. 98-0069 (January 15, 1998) and 98-0390 (April 8, 1998). Also, under proposed
new Rule III-C-2, installers of the impact resistant roof coverings must provide
the policyholder with a certificate of installation promulgated by the Department
(in Appendix B of the proposed revised manual). Installers of the roof coverings
will incur costs for photocopying or printing the installation form. Costs
will vary depending on the number of forms photocopied or printed, but costs
are estimated to not exceed 50 cents per form with total costs varying from
installer to installer based on number of roofs installed. For those installers
qualifying as a "small business" under the Government Code §2006.001,
the estimated costs to comply with the labeling requirements under proposed
new Rule III-C-2 are the same as for large business installers. Both small
business installers and large business installers would incur approximately
the same costs for the same number of forms printed. Also, cost per hour of
labor for copying and completing the form would be approximately the same
for the small and large roofing installer. The costs to roofing manufacturers
who qualify as a small business under the Government Code, §2006.001
to comply with the product labeling requirements under proposed new Rule III-C-2
and the costs to roofing installers who qualify as a small business under
the Government Code, §2006.001 to provide the certificate of installation
required under proposed new Rule III-C-2 may not be waived because their compliance
is required in order for all Association policyholders, and not just those
who utilize large business roofing manufacturers and roofing installers, to
qualify for the premium credits for impact resistant roof coverings authorized
in the rule. (iv) Under proposed new Rule II-B-7, residential and commercial
policyholders will have the option to purchase coverage for the increased
cost in construction due to the requirement to rebuild or repair a structure
in accordance with the windstorm resistant building code applicable to the
area in which the structure is located. Policyholders who purchase this coverage
will have either no out-of-pocket costs or less out-of-pocket costs when they
have a loss and are required to build to higher building code standards to
qualify for coverage through the Association than those building code standards
applicable to the damaged or destroyed building. Policyholders will pay additional
premium costs for this coverage, and the amount paid will vary based on the
percentage of Coverage A limit of liability selected by the insured and the
insured value of the building. Those policyholders selecting 5% of building
coverage will pay at a rate of .02 per $100 of dwelling amount; those selecting
10% of building coverage will pay at a rate of .035 per $100 of dwelling amount;
and those selecting 15% of building coverage will pay at a rate of .05 per
$100 of dwelling amount.
Figure: 28 TAC Chapter 5--Preamble
The proposed new rates for the attachment of Endorsement No. TWIA-430 as
provided in proposed new Rule II-B-7 were proposed by the Association in a
petition filed with the Department on November 12, 1998. Therefore, it is
the Association's determination that these proposed rates will be sufficient
to cover any losses that the Association must pay as a result of the adoption
of Rule II-B-7. Government Code, §2006.001 defines "small business" in
pertinent part as a legal entity, including a corporation, partnership, or
sole proprietorship that is formed for the purpose of making a profit. The
Association was not formed for the purpose of making a profit and operates
accordingly, and therefore, does not meet the definition of "small business"
under §2006.001 of the Government Code. Therefore, it is not necessary
to include a small business analysis for the Association for this component
of the cost note; however, the economic effect on the Association is addressed.
Commercial risks qualifying as a small business under the Government Code, §2006.001,
who opt to purchase this coverage will pay the same rate for this coverage
as a large business. No business is required to purchase this coverage. (v)
Under proposed new Rule I-J-2, policyholders of commercial risks and public
building risks insured under a policy written through the Association will
have the option of three new standard deductibles: (a) a $250 deductible for
policies with a limit of liability up to $49,999, (b) a $500 deductible for
policies with a limit of liability of $50,000 to $99,999, and (c) a $1,000
deductible for policies with a limit of liability of $100,000 and over. Currently,
only a $100 deductible is available to policyholders of commercial risks and
public building risks. While the availability of the higher deductibles will
result in reduced premium costs for these types of risks, it will also mean
that minor losses for these types of risks, as well as the higher deductible
amount for more major losses, will be absorbed by the policyholder. How much
these losses will cost policyholders will depend on the amount of the loss
and the amount of the deductible selected by the policyholder. The Association
will receive less premium but the Association's losses will also be reduced
because the Association will no longer be paying for the amount of losses
between $100 and the new higher deductibles. It is the Department's opinion
that the reduced premium volume resulting from the adoption of these deductibles
will be offset by the decrease in losses to be paid by the Association. In
addition, the Association recommended the 12 percent credit in a petition
(Reference Number P-0399-03) filed on September 3, 1997. Government Code §2006.001
defines "small business" in pertinent part as a legal entity, including a
corporation, partnership, or sole proprietorship that is formed for the purpose
of making a profit. The Association was not formed for the purpose of making
a profit and operates accordingly, and therefore, does not meet the definition
of "small business." Therefore, it is not necessary to include a small business
analysis for the Association for this component of the cost note; however,
the economic effect on the Association is addressed. The premium for policyholders
with commercial risks qualifying as a small business under the Government
Code, §2006.001, who opt for one of the three standard deductibles proposed
in new Rule I-J-2 will not be calculated at a higher rate than the premium
for policyholders with large business commercial risks. The same factors are
used to calculate the rate of small business commercial risks as large business
commercial risks. No business is required to choose any particular deductible
but rather all businesses, both large and small, may choose the deductible
that best suits their business and financial situation. Again, these costs
are determined by the coverage choices selected by the policyholders.
Comments on the proposal must be submitted within 30 days after publication
of the proposal in the
Texas Register
to the
Office of the Chief Clerk, Texas Department of Insurance, P. O. Box 149104,
MC #113-2A, Austin, Texas 78714-9104. An additional copy of the comment is
to be submitted to David Durden, Deputy Commissioner, Property and Casualty
Program, Texas Department of Insurance, P. O. Box 149104, MC #104-5A, Austin,
Texas 78714-9104. Article 21.49, §5A of the Insurance Code requires a
hearing to be held before any orders may be issued pursuant to Article 21.49
and provides that any person may appear and testify for or against the adoption
of the proposal.
The amendments to §5.4501, which adopts by reference the
rules manual for the Texas Windstorm Insurance Association, are proposed pursuant
to the Insurance Code, Articles 21.49 and 1.03A, and in accordance with the
Government Code §§2001.004-2001.038. Article 21.49, §8 authorizes
the Commissioner of Insurance to approve, modify, or disapprove every manual
of classifications, rules, rates, rating plans, and every modification of
any of the foregoing used by the Association. Article 21.49, §5A authorizes
the Commissioner of Insurance to issue after notice and hearing, any orders
which are considered necessary to carry out the purposes of Article 21.49,
including, but not limited to, maximum rates, competitive rates, and policy
forms. Article 21.49, §§5A and 8, by their terms, delegate the foregoing
authority to the State Board of Insurance. However, under Article 1.02 of
the Insurance Code, as amended by the 73rd Texas Legislature in House Bill
1461 (Acts 1993, 73rd Leg., ch. 685, §1.01, eff. Sept. 1, 1993), a reference
in the Insurance Code or another insurance law to the State Board of Insurance
means the Commissioner of Insurance or the Texas Department of Insurance,
as consistent with the respective powers and duties of the Commissioner and
the Department under Article 1.02. Article 21.49, §8A(b) of the Insurance
Code authorizes the Commissioner, after notice and hearing, to adopt rules
to authorize the Association to provide actual cash value coverage instead
of replacement cost coverage on the roof covering of a dwelling insured by
the Association and to determine the conditions under which the Association
may provide the actual cash value coverage, the appropriate premium reductions,
and the disclosure that must be provided to the policyholder. Article 1.03A
authorizes the Commissioner of Insurance to adopt rules and regulations, which
must be for general and uniform application, for the conduct and execution
of the duties and functions of the Texas Department of Insurance only as authorized
by a statute. The Government Code §§2001.004-2001.038 (Administrative
Procedure Act) authorize and require each state agency to adopt rules of practice
stating the nature and requirements of available formal and informal procedures
and prescribe the procedures for adoption of rules by a state agency.
The following statutes are affected by this proposal: Insurance Code, Article
21.49
§5.4501.Rules and Regulations for the Texas Windstorm [
The Texas Department of Insurance adopts by reference a rules manual
for the
Texas Windstorm Insurance Association
[
This agency hereby certifies that the proposal has been reviewed
by legal counsel and found to be within the agency's legal authority to adopt.
Filed with the Office of the Secretary of State, on
March 12, 1999.
TRD-9901519
Lynda H. Nesenholtz
General Counsel and Chief Clerk
Texas Department of Insurance
Earliest possible date of adoption: April 28, 1999
For further information, please call: (512) 463-6327
Chapter 129.
Income Benefits--Temporary Income Benefits
.350%
] of the correctly reported gross workers'
compensation insurance premiums for the calendar year 1998 to cover debt service
for bonds issued on behalf of the Texas Workers' Compensation Insurance Fund.
Chapter 5.
Property and Casualty InsuranceTexas Standard] Policy[-]Forms [Windstorm and Hail]
Texas Catastrophe Property Insurance] Policy Forms [for Windstorm and Hail]
State Board
] of Insurance
adopts by reference the Texas
Windstorm Insurance Association Dwelling
Policy and the Texas Windstorm Insurance Association Commercial Policy effective
June 1, 1999
[
catastrophe property insurance policy for windstorm
and hail as amended January 1, 1994
].
These documents are
[
This document is
] published by and available from the Texas
Windstorm
[
Catastrophe Property
] Insurance Association, P.O.
Box 2930, Austin, Texas
78768-2930
[
78769
].
They
[
It
] may also be obtained by contacting the
Automobile
and Homeowners
[
Property and Casualty
] Division, Mail Code
104-5A
[
103-1A
], Texas Department of Insurance, 333 Guadalupe
Street, P.O. Box 149104, Austin, Texas 78714-9104.
Division 4. Endorsements [Standard Policy Forms--Windstorm and Hail]
Standard Texas Catastrophe Property Insurance] Association Policy Forms [ for Windstorm and Hail ]
the standard Texas Catastrophe Property Insurance Association forms
for windstorm and hail
]. Specimen copies of these
endorsement
forms are available from the Texas
Windstorm
[
Catastrophe
Property
] Insurance Association, P.O. Box 2930, Austin, Texas
78768-2930
[
78767
]. They are also available from the
Automobile and Homeowners
[
Property and Casualty
] Division,
Mail Code 104-5A
[
MC #103-1A
], Texas Department of Insurance,
333 Guadalupe Street, P.O. Box 149104, Austin, Texas 78714-9104. The
endorsement
forms are more specifically identified as follows.
(1) TCPIA
] Form
No. TWIA-29,
Mandatory Endorsement, effective June 1, 1999.
[
29--mandatory endorsement.
Effective September 1, 1991.
]
TCPIA Form 530--dwelling
$250 deductible clause. Effective May 1, 1972.]
(8) TCPIA
] Form
No. TWIA-570, Mobile
Home Percentage Deductible Clause, effective June 1, 1999.
[
570--mobile
home percentage deductible clause. Effective August 17, 1976.
]
(9) TCPIA
] Form
No. TWIA-575,
Mobile Home Percentage Deductible Clause, effective June 1, 1999
. [
575--mobile home percentage deductible clause. Effective August 17, 1976.
]
20) TCPIA
Form 340 (FRO)--extensions of coverage, windstorm and hail. Effective January
1, 1994.
]
Division 6. Manual
Catastrophe Property ] Insurance Association [ (association) ]
association
] as amended, effective
June 1, 1999
[
April 1, 1997
]. Copies of the rules manual may be obtained by contacting the
Automobile and Homeowners
[
Property/Casualty
] Division, Mail
Code
104-5A
[
103-1A
], Texas Department of Insurance,
333 Guadalupe Street, P.O. Box 149104, Austin, Texas 78714-9104.
Part II.
Texas Workers' Compensation Commission