TITLE 28.INSURANCE

Part 1. TEXAS DEPARTMENT OF INSURANCE

Chapter 5. PROPERTY AND CASUALTY INSURANCE

Subchapter C. TEXAS MEDICAL LIABILITY INSURANCE UNDERWRITING ASSOCIATION

28 TAC §5.2006

The Commissioner of Insurance adopts new §5.2006 concerning reinsurance in the operation of the Texas Medical Liability Insurance Underwriting Association (JUA). The new section is adopted without changes to the proposed text as published in the April 21, 2000, issue of the Texas Register (25 TexReg 3410) and will not be republished.

The adopted section is necessary to implement Insurance Code Article 21.49-3, §3(b)(4) concerning the authority of the JUA to cede and purchase reinsurance. The JUA is established by Insurance Code Article 21.49-3 to provide medical liability insurance on a self-supporting basis to physicians and health care providers who are in one of the named categories eligible for such coverage. Article 21.49-3, §3A(a) provides that the Commissioner of Insurance shall establish by order the categories of physicians and health care providers eligible to obtain coverage from the JUA and may revise his order to include or exclude from eligibility particular categories of such physicians and health care providers. In accord with Article 21.49-3, §3(b)(4), the JUA shall have the power on behalf of its members to, among other things, cede and purchase reinsurance, and rules governing the JUA provide that such reinsurance shall be governed by rules promulgated by the commissioner. By Commissioner's Order No. 00-0175, dated February 14, 2000, the commissioner ordered that not-for-profit nursing homes shall be included as a category of providers eligible to obtain insurance coverage from the JUA pursuant to Insurance Code Article 21.49-3. The adopted section governs the JUA's authority to cede and purchase reinsurance in order to (i) accommodate the inclusion of not-for-profit nursing homes as a category of providers eligible to obtain insurance coverage from the JUA, (ii) maintain the statutory purpose of the JUA to provide medical liability insurance on a self-supporting basis, (iii) protect the operations of the JUA and the policyholder's stabilization reserve fund, and (iv) protect the general revenue of the State of Texas.

New §5.2006 sets forth the purpose of the section as necessary to implement Insurance Code Article 21.49-3, §3(b)(4) and allows the JUA to develop a reinsurance program, subject to prior approval by the commissioner. The section further sets forth some of the elements to be included in the reinsurance program, among which are the proposed reinsurance program structure and terms, including the reinsurance proposal and proposed reinsurance contract terms and conditions; cost of the proposed reinsurance program; the recommended percentage of reinsured business to be assumed by each individual reinsurer; a summary of the financial condition of each recommended reinsurer; the JUA's costs to administer the reinsurance program; compliance with §§7.601 - 7.615 of Title 28, Administrative Code (relating to Reinsurance), to the extent that such provisions do not conflict with the section or Article 21.49-3 of the Insurance Code, or unless such provisions are waived by the commissioner; and any other information the commissioner deems necessary to enable the commissioner to determine whether to approve or disapprove the reinsurance program. The section also contains time periods for submission to the commissioner of a renewal program or any amendments to any existing reinsurance contract.

Comments were received regarding adoption of this new section.

The new section is adopted pursuant to the Insurance Code Article 21.49-3 and §36.001. Article 21.49-3 provides that the JUA shall have the power on behalf of its members to, among other things, cede and purchase reinsurance; such reinsurance shall be governed by the plan of operation promulgated by the Commissioner of Insurance. Insurance Code §36.001 authorizes the Commissioner of Insurance to adopt rules for the conduct and execution of the duties and functions of the Texas Department of Insurance only as authorized by statute.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on May 24, 2000.

TRD-200003664

Lynda Nesenholtz

General Counsel and Chief Clerk

Texas Department of Insurance

Effective date: June 13, 2000

Proposal publication date: April 21, 2000

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