TITLE 28.INSURANCE

Part 1. TEXAS DEPARTMENT OF INSURANCE

Chapter 5. PROPERTY AND CASUALTY INSURANCE

Subchapter M. FILING REQUIREMENTS

The Commissioner of Insurance adopts amendments to §§5.9310, 5.9332, 5.9340, 5.9341, and 5.9357, concerning form, rate, underwriting guideline, and reduced filing requirements for certain property and casualty insurers. The amendments to §5.9310 and §5.9332 are adopted with changes to the proposed text published in the May 26, 2006, issue of the Texas Register (31 TexReg 4357) to update statutory references changed as a result of the enactment of the Texas Legislative Council's non-substantive Insurance Code revision by the 78th Texas Legislature, Regular Session, 2003, and 79th Texas Legislature, Regular Session, 2005. The amendments to §5.9357 are adopted with changes to correct minor typographical errors in the proposed text published in the May 26, 2006, issue of the Texas Register (31 TexReg 4357). The amendments to §5.9340 and §5.9341 are adopted without changes to the proposed text.

The adopted amendments are necessary to conform filings made by certain property and casualty insurers pursuant to Insurance Code Articles 5.13-2, 5.55, and 5.55A to legislative amendments that were enacted by the 79th Legislature, Regular Session, in SB 99, HB 7, and HB 2437, and by the 78th Legislature, Regular Session, in SB 14. SB 99 added Chapter 706 to the Insurance Code which authorizes property and casualty insurers to offer insurance coverage for a loss suffered by a policyholder who is a victim of identity theft or attempted identity theft and also amended Insurance Code Article 5.13-2 to add identity theft insurance coverage as a line of insurance subject to Article 5.13-2. Thus, amendments are necessary to §5.9310(b)(7) to add identity theft insurance as a commercial and a personal line of insurance, each of which is subject to the filing requirements of §5.9310. SB 14 amended Insurance Code Article 5.13-2, §4 (Rate Standards) to remove consideration of contingencies in an insurer's setting of rates under Article 5.13-2, but Insurance Code Articles 5.55, §2(b)(4) and 21.50, §1A(g)(1) were not amended to remove contingencies from factors to be considered by insurers in setting rates under these two statutes. Therefore, workers' compensation insurers and mortgage guaranty insurers, which are regulated under these two statutes, must continue to submit supporting information on a reasonable margin for profit and contingencies with rate filings; and the amendment to §5.9332(e)(1)(N) is necessary to reflect this statutory requirement. Amendments are also necessary for consistency with provisions enacted in HB 7. One of these provisions requires that rates filed in accordance with Article 5.55 consider the effect on premiums of individual risk variations based on loss or expense considerations; and accordingly, a new subparagraph (O) has been added to §5.9332(e)(1). Under HB 7, which added Article 5.55A to the Insurance Code, insurers of workers' compensation insurance are required to file their underwriting guidelines with the Department; prior to this enactment, workers' compensation insurers were only required to provide underwriting guidelines to the Department upon request pursuant to the Insurance Code §38.003. Thus, amendments to §5.9340 and §5.9341 are necessary to conform these sections to the statutory underwriting guideline filing requirements of new Article 5.55A. HB 2437 amended Insurance Code Article 5.13-2, §13(h) to provide for reduced filing requirements for certain insurers writing personal automobile insurance and, therefore, it is necessary to amend §5.9357(a) to clarify that subsection §5.9357(a) applies to county mutual insurers writing non-standard personal automobile insurance and to add a new subsection (b) to specify reduced filing requirements for all insurers writing personal automobile insurance that meet the criteria described in Insurance Code Article 5.13-2, §13(h). It is necessary to re-designate the remaining subsections of §5.9357 as subsections (c) and (d) to properly incorporate new §5.9357(b) and to conform the application of re-designated §5.9357(d) to the insurers who qualify for reduced filing requirements specified in subsections (a), (b), or (c) of §5.9357.

The Department has adopted changes to §5.9310 and §5.9332 to delete obsolete statutory citations. Insurance Code Articles 21.35A and 21.35B, which are referenced in the §5.9310(b)(4) definition of Interline filing and also referenced in the §5.9332(a)(3) filing requirements, were repealed in the non-substantive Insurance Code revision, Acts 2003, 78th Legislature, Chapter 1274, §26(a)(1), effective April 1, 2005. Article 21.35A was re-adopted as §§4005.001 - 4005.003 in the same non-substantive Insurance Code revision, and Article 21.35B was re-adopted as §550.001 in the same non-substantive Insurance Code revision. Therefore, the references to the repealed statutes in §5.9310(b)(4) and §5.9332(a)(3) are deleted; and the updated and correct references are substituted. Insurance Code Article 21.49-2U, which is referenced in the §5.9332(a)(1) filing requirements, was repealed in the non-substantive Insurance Code revision, Acts 2005, 79th Legislature, Chapter 728, §11.020(b), effective September 1, 2005. Article 21.49-2U was re-adopted as Chapter 559 in the same non-substantive Insurance Code revision. Therefore, the reference to the repealed statute in §5.9332(a)(1) is deleted; and the updated and correct reference is substituted. Minor changes were also made to §5.9357(b) as proposed in the text published in the May 26, 2006, issue of the Texas Register (31 TexReg 4357) to correct typographical errors of capitalization of the term insurer and the term insurance.

Amended §5.9310(b)(7) adds identity theft insurance as a commercial and a personal line of insurance in accordance with Chapter 706, each of which is subject to the filing requirements of §5.9310. Section 5.9310 specifies the form and content of the filing transmittal form that is to be used with form, rate, rule, underwriting guideline, and credit scoring model filings. Amended §5.9332(e)(1)(N) provides that profit and contingency provisions should be included in the actuarial supporting information that is submitted with a rate filing made in accordance with the Insurance Code Article 5.55 (Workers' Compensation Rates) or Article 21.50 (Mortgage Guaranty Insurance). Amended §5.9332(e)(1) adds subparagraph (O) to require that rates filed in accordance with Article 5.55 consider the effect on premiums of individual risk variations based on loss or expense considerations. Amendments to §5.9340 and §5.9341 regarding underwriting guideline filing requirements for workers' compensation insurance apply the underwriting guideline filing requirements in those sections to workers' compensation insurers. Amended §5.9340 amends the purpose of Division 7, which regulates underwriting guideline filing requirements, to include workers' compensation insurance. Amended §5.9341 provides that the definitions set forth in Insurance Code Article 5.55A apply to insurers filing underwriting guidelines for workers' compensation insurance. Amended §5.9357(a) clarifies that the reduced filing requirements of this subsection apply to county mutual insurers that meet certain criteria, and new subsection (b) specifies reduced filing requirements for all insurers writing personal automobile insurance that meet the criteria described in Insurance Code Article 5.13-2, §13(h). The remaining subsections of §5.9357 are re-designated as subsections (c) and (d).

SUMMARY OF COMMENTS AND AGENCY RESPONSE TO COMMENTS.

Comment: One commenter expresses support of the adoption of the proposed amendments to 28 TAC §5.9340 and §5.9341.

Agency Response: The Department appreciates the support.

NAMES OF THOSE COMMENTING FOR AND AGAINST THE SECTIONS.

For: Insurance Council of Texas.

Against: None.

4. FILINGS MADE EASY--FILING TRANSMITTAL FORM AND REQUIREMENTS FOR PROPERTY AND CASUALTY FORM, RATE, RULE, UNDERWRITING GUIDELINE, AND CREDIT SCORING MODEL FILINGS

28 TAC §5.9310

The amendments are adopted under Insurance Code Articles 5.13-2, 5.55, 5.55A, 5.98, and 21.50, Chapter 706, and §38.003, and §36.001. Article 5.13-2 governs rates and forms for certain property and casualty insurance lines and the respective filing requirements in this state. Article 5.13-2, §4(b)(7) was amended by the 78th Legislature, Regular Session, in SB 14 to delete "contingency provisions" from the factors to be considered by insurers in setting rates under Article 5.13-2 and, therefore, from supporting information that insurers must submit with rate filings under Article 5.13-2. Article 5.13-2 §13 was amended by HB 2437, 79th Legislature, Regular Session, to provide for reduced filing requirements for personal automobile insurers that meet the statutorily specified criteria. Article 5.55 governs workers' compensation rates, and §2(b)(4) of Article 5.55 provides that an insurer in setting rates must consider a reasonable margin for profit and contingencies. Article 5.98 authorizes the Commissioner to adopt reasonable rules that are appropriate to accomplish the purposes of Chapter 5. Article 21.50 governs mortgage guaranty insurance rates, and §1A(g)(1) of Article 21.50 requires insurers to file, with any rate filing, adequate supporting data, including information on a reasonable margin for profit and contingencies. HB 7, 79th Legislature, Regular Session, amended various provisions of the workers' compensation regulatory statutes, including adding subdivision (2-a) to Article 5.55 to define "premium" to mean the amount charged for a workers' compensation insurance policy, including any endorsements, after the application of individual risk variations based on loss or expense considerations. HB 7 also added Article 5.55A to the Insurance Code to require that workers' compensation insurers file their underwriting guidelines with the Department. In accordance with Article 5.55A, §3, Article 5.55A may be enforced in the manner provided by §38.003(g). Chapter 706 was enacted; and Article 5.13-2, §2 was amended in SB 99 by the 79th Legislature, Regular Session, to add specific regulations for identity theft as a commercial insurance product and as a personal insurance product. Section 36.001 provides that the Commissioner of Insurance may adopt any rules necessary and appropriate to implement the powers and duties of the Texas Department of Insurance under the Insurance Code and other laws of this state.

§5.9310.Property and Casualty Filing Transmittal Form.

(a) Purpose. The purpose of this division is to specify the form and content of the filing transmittal form that is to be used for property and casualty form, rate, rule, underwriting guideline, and credit scoring model filings and provide information on obtaining such form.

(b) Definitions. Words and terms not defined in this division may be defined in the Insurance Code Article 5.13-2 and Subchapter D of Chapter 5 and shall have the same meaning when used in this division. The following words and terms when used in this division shall have the following meanings unless the context indicates otherwise:

(1) Department--Texas Department of Insurance (TDI).

(2) TDI file number--The number assigned by the department to a filing submitted by an individual company.

(3) TDI link number--The number assigned by the department to link individual TDI file numbers to a filing which is submitted for more than one company within a group.

(4) Interline filing--A filing submitted for an endorsement that may be used with more than one line of insurance provided the endorsement does not have an impact on rates or a rate filing that may be used with more than one line of insurance that contains only information concerning policy fees, service fees, and other fees that are charged or collected by the insurer under Insurance Code §§4005.001 - 4005.003 or §550.001.

(5) Reference filing--A filing that references the use of adopted or approved policy form(s), endorsement(s), manual rule(s), rate(s), or other acceptable policy form(s), or endorsement(s), manual rule(s), or rate(s), to which the department has assigned a TDI file number.

(6) Dual filing--A monoline filing submitted for a specific line of insurance that may also be written as part of a multi-peril policy.

(7) Line of insurance--For purposes of this section, each of the following is a line of insurance:

(A) automobile-commercial;

(B) automobile-personal;

(C) boiler and machinery;

(D) casualty (personal and commercial);

(E) credit;

(F) credit-involuntary unemployment;

(G) crime;

(H) crop hail;

(I) excess liability;

(J) excess umbrella;

(K) farm and ranch;

(L) farm liability;

(M) farm and ranch owners;

(N) fidelity bonds;

(O) financial guaranty bonds or insurance;

(P) guaranteed auto protection (GAP) (commercial);

(Q) guaranteed auto protection (GAP) (personal);

(R) general liability;

(S) glass;

(T) identity theft (commercial);

(U) identity theft (personal);

(V) inland marine (commercial);

(W) inland marine (personal);

(X) involuntary unemployment;

(Y) miscellaneous casualty;

(Z) miscellaneous liability;

(AA) mortgage guaranty;

(BB) multi-peril;

(CC) personal liability;

(DD) professional liability;

(EE) property-commercial;

(FF) property-residential (dwelling);

(GG) property-residential (homeowners);

(HH) rain;

(II) surety bonds (other than criminal court appearance bonds);

(JJ) umbrella-commercial;

(KK) umbrella-personal; and

(LL) workers' compensation.

(c) Form and content of transmittal form. The filing transmittal form must be typed and contain, at a minimum, the following information:

(1) company name;

(2) NAIC number of the company;

(3) company group name and group NAIC number;

(4) type of filing:

(A) new filing; or

(B) revision or replacement of an existing filing. If revising or replacing an existing filing, the TDI file number or link number of the filing that is being revised or replaced must be provided.

(5) line of insurance:

(A) all filings must specify the line of insurance for which the filing is being made;

(B) interline filings must indicate all lines of insurance to which the filing is applicable;

(C) dual filings must indicate multi-peril insurance and a specific line of insurance to which the filing is applicable;

(6) basic description of the filing:

(A) rate filing, rating manual filing, and rating rule filing;

(B) policy form;

(C) endorsement;

(D) manual rules, other than rating manual rules;

(E) reference filing--must list the TDI file number or TDI link number of the filing being referenced;

(F) credit scoring model; or

(G) underwriting guidelines;

(7) proposed effective date; and

(8) contact person, including name, telephone number, mailing address, fax number, and e-mail address (if available).

(d) Availability of transmittal form. The Filing Transmittal Form (FTF) is a form that is provided by the department for insurers who are making the filings specified in subsection (c)(6) of this section. This form may be obtained from the TDI website at www.tdi.state.tx.us.

(e) Alternative transmittal forms. An insurer may use, as an alternative, a transmittal form published by the National Association of Insurance Commissioners (NAIC) or any other transmittal form if the information included in the transmittal form, or in an addendum to the transmittal form, contains all the information required under subsection (c) of this section.

(f) The department maintains the Filings Made Easy guide to assist insurers in submitting filings and complying with statutory requirements. This guide may be obtained from the TDI website at www.tdi.state.tx.us.

(g) Filings under Divisions 4, 5, 6, 7, 8, and 9 of this subchapter must be submitted to the Texas Department of Insurance, Property & Casualty Intake Unit, 333 Guadalupe, Austin, Texas 78701 or to the Texas Department of Insurance, Property & Casualty Intake Unit, Mail Code 104-3B, P.O. Box 149104, Austin, Texas 78714-9104.

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

Filed with the Office of the Secretary of State on July 24, 2006.

TRD-200603897

Brenda Caldwell

Assistant General Counsel

Texas Department of Insurance

Effective date: August 13, 2006

Proposal publication date: May 26, 2006

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


6. FILINGS MADE EASY--RATE AND RATE MANUAL FILING REQUIREMENTS

28 TAC §5.9332

The amendments are adopted under Insurance Code Articles 5.13-2, 5.55, 5.55A, 5.98, and 21.50, Chapter 706, and §38.003, and §36.001. Article 5.13-2 governs rates and forms for certain property and casualty insurance lines and the respective filing requirements in this state. Article 5.13-2, §4(b)(7) was amended by the 78th Legislature, Regular Session, in SB 14 to delete "contingency provisions" from the factors to be considered by insurers in setting rates under Article 5.13-2 and, therefore, from supporting information that insurers must submit with rate filings under Article 5.13-2. Article 5.13-2, §13 was amended by HB 2437, 79th Legislature, Regular Session, to provide for reduced filing requirements for personal automobile insurers that meet the statutorily specified criteria. Article 5.55 governs workers' compensation rates, and §2(b)(4) of Article 5.55 provides that an insurer in setting rates must consider a reasonable margin for profit and contingencies. Article 5.98 authorizes the Commissioner to adopt reasonable rules that are appropriate to accomplish the purposes of Chapter 5. Article 21.50 governs mortgage guaranty insurance rates; and §1A(g)(1) of Article 21.50 requires insurers to file, with any rate filing, adequate supporting data, including information on a reasonable margin for profit and contingencies. HB 7, 79th Legislature, Regular Session, amended various provisions of the workers' compensation regulatory statutes, including adding subdivision (2-a) to Article 5.55 to define "premium" to mean the amount charged for a workers' compensation insurance policy, including any endorsements, after the application of individual risk variations based on loss or expense considerations. HB 7 also added Article 5.55A to the Insurance Code to require that workers' compensation insurers file their underwriting guidelines with the Department. In accordance with Article 5.55A, §3, Article 5.55A may be enforced in the manner provided by §38.003(g). Chapter 706 was enacted and Article 5.13-2 §2 was amended in SB 99 by the 79th Legislature, Regular Session, to add specific regulations for identity theft as a commercial insurance product and as a personal insurance product. Section 36.001 provides that the Commissioner of Insurance may adopt any rules necessary and appropriate to implement the powers and duties of the Texas Department of Insurance under the Insurance Code and other laws of this state.

§5.9332.Filing Requirements.

(a) An insurer shall keep the following information current with the department and is not required to re-file unless affected by the proposed filing or requested by the department or commissioner:

(1) All prospective loss cost multipliers, rates, and rating manuals as required by Insurance Code Articles 5.13-2, 5.41-3, 5.55, 5.171, 21.50, and Chapter 559 or other articles that impose specific filing requirements for any line of insurance;

(2) Supplementary rating information; and

(3) Information concerning all policy fees, service fees, and other fees that are charged or collected by an insurer under Insurance Code §§4005.001 - 4005.003 or §550.001.

(b) For rates filed pursuant to Insurance Code Article 5.13-2 or 5.41-3, a filing containing rate information must contain the information described in paragraphs (1) - (3) of this subsection:

(1) A filing transmittal form as required in Division 4 of this subchapter (relating to Filings Made Easy--Filing Transmittal Form and Requirements for Property and Casualty Form, Rate, Rule, Underwriting Guideline, and Credit Scoring Model Filings).

(2) The filing memorandum briefly explaining the purpose of the filing, and all material background details relating to the filing including a statement on the overall impact of the filing. For example, a filing memorandum may include one or more of the following, as applicable:

(A) reasons for entry into a new market;

(B) reasons for offering additional coverages;

(C) reasons for offering new discounts or applying new surcharges;

(D) reasons for changing rates;

(E) changes in the insurer's goals and objectives; or

(F) an explanation of changes in insurer or insurer group operations.

(3) Rating information can be any rate pages detailing information described in subsection (a) of this section or any supporting information required by §5.9941 or §5.9960 of this title (relating to Differences in Rates Charged Due Solely to Difference in Credit Scores and Exception to Territory Rating Requirements under Insurance Code Article 5.171) or any other applicable statute or rule.

(4) In accordance with Article 5.41-3, insurers filing commercial group property rates shall clearly identify the group of businesses or the association to be insured.

(c) For rates filed pursuant to Insurance Code Article 5.55, a filing containing rating information must contain the information described in paragraphs (1) - (3) of subsection (b) of this section. An insurer may not make such filing more frequently than every six months in accordance with Insurance Code Article 5.55, §3(a).

(d) For rates filed pursuant to Insurance Code Article 21.50, a filing containing rating information must contain the information described in paragraphs (1) - (3) of subsection (b) of this section. In accordance with Article 21.50 rates must be filed at least 15 days before they are to become effective and must include a certification as described in Article 21.50, §1A(g)(4).

(e) Except as provided in Division 9 of this subchapter (relating to Filings Made Easy--Reduced Filing Requirements for Certain Insurers), insurers must provide supporting information as necessary for the department to establish that a filing produces rates which are adequate, not excessive or unfairly discriminatory for the risks to which they apply. Categories of supporting information are listed in paragraphs (1) - (7) of this subsection, but are not necessarily required for every rate filing. Insurers must only provide sufficient materials to justify specific rates or changes being proposed. To the extent the information originally submitted in a rate filing is insufficient, the department may request additional information as deemed necessary by the department or commissioner.

(1) Actuarial support. Actuarial support generally includes rate indications and support, including the data and methodologies utilized by the insurer to derive such indications. Supporting information that is submitted with a filing should include each of the following to the extent applicable:

(A) premiums at current rate level and applicable on-level factors;

(B) incurred and paid losses;

(C) loss and claim development factors;

(D) premium and loss trend factors;

(E) rate relativities (e.g., classification, territory, amount of insurance);

(F) increased limits factors;

(G) hurricane and non-hurricane catastrophe factors or loss provisions;

(H) definition of a catastrophe and how it has changed over the experience period used to calculate the provisions;

(I) deductible credits and debits;

(J) description and support for discounts and surcharges;

(K) off-balance factors if there have been changes in relativities (e.g., discounts, surcharges, territorial definitions);

(L) credibility;

(M) expense and profit provisions;

(N) for rates filed in accordance with Articles 5.55 or 21.50, profit and contingency provisions; and

(O) for rates filed in accordance with Article 5.55, the effect on premiums of individual risk variations based on loss or expense considerations.

(2) Projected and historical expense information. As applicable to the insurer's filing, the information set out in subparagraphs (A) - (C) of this paragraph should be filed. For Texas, and if applicable, country-wide experience, the insurer should provide projected and historical expense information. The loss adjustment expenses would be shown as a dollar amount as well as a ratio to incurred losses. All other expenses should be shown as a dollar amount as well as a ratio to direct written premium. All expense items should be on a direct basis.

(A) Three years of historical Texas experience for commission and brokerage expenses incurred; taxes, licenses, and fees incurred; losses incurred; and, defense and cost containment expenses incurred. These shall be the amounts, or a subset of the amounts, reported on the Exhibit of Premiums and Losses (Statutory Page 14 Data) in the insurer's Annual Statement.

(B) Three years of historical countrywide experience for commission and brokerage expenses incurred, other acquisition expenses incurred, general expenses incurred, losses incurred, defense and cost containment expenses incurred and adjusting and other loss adjustment expenses incurred. These shall be the amounts reported in the insurer's Insurance Expense Exhibit, Part III (IEE) in the insurer's Annual Statement.

(C) Three years of historical countrywide experience for each category of disallowed expenses shall be the amounts reported in the insurers' response to the annual Texas Department of Insurance Call for Disallowed Expense Data. Total other acquisition expenses and general expenses each adjusted for disallowed expenses should be listed. The total adjusted general expense percentage should reflect any necessary adjustment due to the capping of general expenses at 110% of the industry median for the line of insurance.

(D) To the extent the expense provisions that underlie the rates differ from the historical expenses, support should be provided. For filings submitted under Insurance Code Article 5.13-2, the expense provisions should be net of the disallowed expenses as defined in §5.9331 of this division (relating to Definitions). Provisions for commissions and brokerage expenses; other acquisition expenses; general expenses; taxes, licenses and fees; and profit and contingencies, should be displayed and a sum computed. In addition, a permissible loss and loss adjustment expense ratio shall be computed as unity less the sum of these expense provisions.

(3) Historical experience information. This displays an insurer's most recent five year historical experience for Texas which are the amounts, or a subset of the amounts pertinent to the subline, reported on the Exhibit of Premiums and Losses (Statutory Page 14 Data) in the insurer's Annual Statement. It also includes the most recent five year countrywide experience which are the amounts, or a subset of the amounts pertinent to the subline, reported on the insurer's IEE, part III. Direct premiums written, direct premiums earned, direct losses and defense and cost containment expenses paid, and direct losses and defense and cost containment expenses incurred are shown as well as the ratio of the incurred loss and defense and cost containment expenses incurred to direct earned premiums, for both Texas and countrywide experience.

(4) Profit provision information. A brief description of the methodology and assumptions used to arrive at the profit provisions underlying the proposed rates.

(5) Rate change information. This generally includes a rate change history, the statewide average proposed rate change for each applicable coverage, form, or classification and the total average rate change for all coverages, forms, and classifications combined, even if only the rates for some of the coverages or forms are being changed. For loss cost reference filings, rate change information would include the proposed percentage change in the underlying loss costs, the change in the insurer's loss cost multiplier, and the rate level change (i.e., the product of the change in the loss costs and the loss cost multipliers, expressed as a factor). For workers' compensation filings, change information would include the impact of the change in relativities if the filing includes adopting a new set of relativities using either the insurer's own class distribution or the industry wide distribution, the change in the insurer's deviation, and the rate level change (i.e., the product of the change in the relativities and the deviation, expressed as a factor).

(6) Loss cost reference information. This includes the following:

(A) The TDI file number, link number, or reference number of the loss costs being referenced;

(B) The derivation of the loss cost multiplier proposed including any loss cost modification factor and the following expense and profit provisions:

(i) commission and brokerage expenses;

(ii) other acquisition expenses;

(iii) general expenses;

(iv) taxes, licenses and fees; and

(v) underwriting profit and contingencies;

(C) The loss cost multiplier to be used as of the effective date of the filing; and

(D) For rate change filings, the loss cost multiplier used immediately prior to the effective date of the filing, and the effective rate level change due to any change in loss cost multiplier.

(7) Rate reference information. Rate reference information includes:

(A) A description of the rates being referenced including the line of business and TDI file number or link number;

(B) If an insurer is developing package modification factors, proposed modification factors and supporting data; and

(C) If an insurer is referencing package modification factors, a description of the package modification factor including a TDI file number or link number.

(f) Any filings that do not fully comply with all of the filing requirements described in this division may be considered incomplete and may be returned to the filer for completion with a notice stating that the filing is not complete and shall identify the additional information that is required for completion of the filing.

(g) The department may request additional information as necessary related to a rate filing, including actuarial or other reasonable support of rates as deemed necessary by the department or commissioner.

(h) Filings under this division may be combined with filings made in accordance with Division 5 of this subchapter (relating to Filings Made Easy--Requirements for Property and Casualty Policy Form, Endorsement, and Manual Rule Filings). These combined filings may utilize a single transmittal form. Filings under this division may not be combined with filings made in accordance with Division 7 or 8 of this subchapter (relating to Filings Made Easy--Underwriting Guideline Filing Requirements for Personal Automobile, Residential Property, and Workers' Compensation Insurance and Filings Made Easy--Credit Scoring Models Filing Requirements for Personal Insurance) due to distinct and separate statutes governing underwriting guidelines and credit scoring models.

(i) The department maintains the Filings Made Easy guide to assist insurers with compliance of statutory requirements. Insurers may refer to the Filings Made Easy guide for rate filing forms that insurers may use to display necessary supporting information described in subsection (e) of this section. This guide may be obtained from the TDI website at www.tdi.state.tx.us.

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 July 24, 2006.

TRD-200603898

Brenda Caldwell

Assistant General Counsel

Texas Department of Insurance

Effective date: August 13, 2006

Proposal publication date: May 26, 2006

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


7. FILINGS MADE EASY--UNDERWRITING GUIDELINE FILING REQUIREMENTS FOR PERSONAL AUTOMOBILE, RESIDENTIAL PROPERTY, AND WORKERS' COMPENSATION INSURANCE

28 TAC §5.9340, §5.9341

The amendments are adopted under Insurance Code Articles 5.13-2, 5.55, 5.55A, 5.98, and 21.50, Chapter 706, and §38.003 and §36.001. Article 5.13-2 governs rates and forms for certain property and casualty insurance lines and the respective filing requirements in this state. Article 5.13-2 §4(b)(7) was amended by the 78th Legislature, Regular Session, in SB 14 to delete "contingency provisions" from the factors to be considered by insurers in setting rates under Article 5.13-2 and, therefore, from supporting information that insurers must submit with rate filings under Article 5.13-2. Article 5.13-2, §13 was amended by HB 2437, 79th Legislature, Regular Session, to provide for reduced filing requirements for personal automobile insurers that meet the statutorily specified criteria. Article 5.55 governs workers' compensation rates, and §2(b)(4) of Article 5.55 provides that an insurer in setting rates must consider a reasonable margin for profit and contingencies. Article 5.98 authorizes the Commissioner to adopt reasonable rules that are appropriate to accomplish the purposes of Chapter 5. Article 21.50 governs mortgage guaranty insurance rates; and §1A(g)(1) of Article 21.50 requires insurers to file, with any rate filing, adequate supporting data, including information on a reasonable margin for profit and contingencies. HB 7, 79th Legislature, Regular Session, amended various provisions of the workers' compensation regulatory statutes, including adding subdivision (2-a) to Article 5.55 to define "premium" to mean the amount charged for a workers' compensation insurance policy, including any endorsements, after the application of individual risk variations based on loss or expense considerations. HB 7 also added Article 5.55A to the Insurance Code to require that workers' compensation insurers file their underwriting guidelines with the Department. In accordance with Article 5.55A §3, Article 5.55A may be enforced in the manner provided by §38.003(g). Chapter 706 was enacted and Article 5.13-2 §2 was amended in SB 99 by the 79th Legislature, Regular Session, to add specific regulations for identity theft as a commercial insurance product and as a personal insurance product. Section 36.001 provides that the Commissioner of Insurance may adopt any rules necessary and appropriate to implement the powers and duties of the Texas Department of Insurance under the Insurance Code and other laws of this state.

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 July 24, 2006.

TRD-200603899

Brenda Caldwell

Assistant General Counsel

Texas Department of Insurance

Effective date: August 13, 2006

Proposal publication date: May 26, 2006

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


9. FILINGS MADE EASY--REDUCED FILING REQUIREMENTS FOR CERTAIN INSURERS

28 TAC §5.9357

The amendments are adopted under Insurance Code Articles 5.13-2, 5.55, 5.55A, 5.98, and 21.50, Chapter 706, and §38.003 and §36.001. Article 5.13-2 governs rates and forms for certain property and casualty insurance lines and the respective filing requirements in this state. Article 5.13-2 §4(b)(7) was amended by the 78th Legislature, Regular Session, in SB 14 to delete "contingency provisions" from the factors to be considered by insurers in setting rates under Article 5.13-2 and, therefore, from supporting information that insurers must submit with rate filings under Article 5.13-2. Article 5.13-2, §13 was amended by HB 2437, 79th Legislature, Regular Session, to provide for reduced filing requirements for personal automobile insurers that meet the statutorily specified criteria. Article 5.55 governs workers' compensation rates, and §2(b)(4) of Article 5.55 provides that an insurer in setting rates must consider a reasonable margin for profit and contingencies. Article 5.98 authorizes the Commissioner to adopt reasonable rules that are appropriate to accomplish the purposes of Chapter 5. Article 21.50 governs mortgage guaranty insurance rates; and §1A(g)(1) of Article 21.50 requires insurers to file, with any rate filing, adequate supporting data, including information on a reasonable margin for profit and contingencies. HB 7, 79th Legislature, Regular Session, amended various provisions of the workers' compensation regulatory statutes, including adding subdivision (2-a) to Article 5.55 to define "premium" to mean the amount charged for a workers' compensation insurance policy, including any endorsements, after the application of individual risk variations based on loss or expense considerations. HB 7 also added Article 5.55A to the Insurance Code to require that workers' compensation insurers file their underwriting guidelines with the Department. In accordance with Article 5.55A §3, Article 5.55A may be enforced in the manner provided by §38.003(g). Chapter 706 was enacted and Article 5.13-2, §2 was amended in SB 99 by the 79th Legislature, Regular Session, to add specific regulations for identity theft as a commercial insurance product and as a personal insurance product. Section 36.001 provides that the Commissioner of Insurance may adopt any rules necessary and appropriate to implement the powers and duties of the Texas Department of Insurance under the Insurance Code and other laws of this state.

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 July 24, 2006.

TRD-200603900

Brenda Caldwell

Assistant General Counsel

Texas Department of Insurance

Effective date: August 13, 2006

Proposal publication date: May 26, 2006

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


Chapter 21. TRADE PRACTICES

Subchapter J. PROHIBITED TRADE PRACTICES

28 TAC §21.1007

The Commissioner of Insurance adopts amendments to §21.1007, concerning prohibitions on the use of unfair underwriting guidelines involving water damage claims, previous mold damage, or mold damage claims. The amendments are adopted with changes to the statutory citations in proposed text published in the February 10, 2006, issue of the Texas Register (31 TexReg 792). The Department has made changes to the text of the rule to update statutory references changed as a result of the enactment of the Texas Legislative Council's nonsubstantive Insurance Code revision by the 78th Texas Legislature, Regular Session, 2003 and the 79th Texas Legislature, Regular Session, 2005.

The amendments include a new definition of the term appliance, a mold remediation certification standard consistent with the Occupations Code and the Insurance Code, and updated references to statutory citations and agency nomenclature. The adopted amendments are necessary to implement changes enacted by the 79th Legislature, Regular Session, in HB 941, effective September 1, 2005 and HB 1328, effective May 24, 2005. HB 941 amended Insurance Code Article 5.35-4 §2 by adding a definition of appliance in subdivision (4). HB 1328 amended the Insurance Code Article 21.21-11 §3(4)(A) to be consistent with the Occupations Code §1958.154 by providing that a certificate of mold remediation issued to the property owner must establish with reasonable certainty that the underlying cause of the mold at the property has been remediated.

The new statutory definition of appliance in Insurance Code Article 5.35-4 §2(4) requires amendment of the definition of appliance-related claim in current §21.1007(b)(5). Prior to the enactment of HB 941, the Department's rule excluded the failure of external attachments like hoses from the definition of appliance-related claims. Article 5.35-4 §2(4) defines an appliance as "a household device operated by gas or electric current, including hoses directly attached to the device. The term includes air conditioning units, heating units, refrigerators, dishwashers, icemakers, clothes washers, water heaters, and disposals." Therefore, current §21.1007(b)(5) is amended, in accordance with the new statutory definition of appliance, to provide that the term appliance as defined within the definition of appliance-related claim means a household device operated by gas or electric current, including hoses directly attached to the device.

HB 1328 enacts a consistent standard for evaluating whether or not the underlying cause of mold has been remediated. Under the Occupations Code §1958.154, an assessor must establish with reasonable certainty that the underlying cause of mold has been remediated. Prior to the enactment of HB 1328, under the Insurance Code Article 21.21-11 §3(4)(A), an assessor was required to establish that the underlying cause of mold had been remediated; there was no with reasonable certainty provision. Insurance Code Article 21.21-11 §3(4)(A) was amended in HB 1328 to add the with reasonable certainty provision for consistency with the Occupations Code §1958.154. Therefore, it is necessary to amend §21.1007(e)(1)(D)(i) to incorporate the reasonable certainty standard into the rule.

The adopted amendments also delete obsolete statutory citations and outdated references to state agencies. Section 2, Article 21.49-1, which is referenced in the §21.1007(b)(4) definition of insurer, was repealed by Acts 2001, 77th Legislature, Chapter 1419, §31(a), effective June 1, 2003; therefore, the reference to the repealed statute is deleted, thereby updating the rule to reflect the correct reference to the nonsubstantive revised Insurance Code enacted by the 77th Legislature, effective June 1, 2003. Additional changes are adopted throughout the text of the rule to change the references to the Texas Board of Health and Texas Department of Health to the Department of State Health Services. These changes are necessary because the former Texas Department of Health became part of the Department of State Health Services on September 1, 2004.

Amended §21.1007(b)(5) provides a more expansive definition of the term appliance as defined within the definition of appliance-related claim; as amended, an appliance-related claim pertains to a household device operated by gas or electric current, including hoses directly attached to the device. Amended §21.1007(e)(1)(D)(i) incorporates a standard consistent with the language in the Insurance Code Article 21.21-11 §3(4)(A); it provides that a certificate of mold remediation is issued when it is determined with reasonable certainty that the underlying cause or causes of the mold at the property have been remediated. Amended §21.1007(a)(4), which defines the term insurer, deletes the reference to the obsolete statutory citation for Section 2, Article 21.49-1 of the Insurance Code. Amended §§21.1007(d)(3)(C), 21.1007(e)(1)(d)(i)-(ii), and 21.1007(e)(2) reference the new agency name Department of State Health Services in lieu of the former agency name the Texas Department of Health.

SUMMARY OF COMMENTS AND AGENCY RESPONSE TO COMMENTS.

Comment: One commenter expressed support for the proposed amendments to §21.1007 because it implements statutory changes made by HB 941 and HB 1328. According to the commenter, the specific amendments make the protections afforded by §21.1007 stronger.

Agency Response: The Department agrees and appreciates the supportive comment.

NAMES OF THOSE COMMENTING FOR AND AGAINST THE SECTION.

For: Office of Public Insurance Counsel.

The amendments are adopted pursuant to the Insurance Code Article 5.35-4, Article 21.21-11, and §36.001. Article 5.35-4 §2(4) includes a definition of appliance. Under Article 5.35-4 §4 (enacted as §544.354 as part of the nonsubstantive revision of the Insurance Code by Acts 2005, 79th Legislature, Chapter 728, §11.015(a), effective September 1, 2005), the Commissioner is specifically charged with adopting rules to accomplish the purpose of this subchapter as defined by Article 5.35-4 §1 (enacted as §544.351 as part of the nonsubstantive revision of the Insurance Code by Acts 2005, 79th Legislature, Chapter 728, §11.015(a) effective September 1, 2005). The purpose of §544.351 is to protect people and property from being unfairly stigmatized in obtaining residential property insurance by the filing of a water damage claim or claims under a residential property insurance policy. Article 21.21-11 §3(4) provides that a certificate of mold remediation is evidence of remediation if it has been established with reasonable certainty that the underlying cause of the mold at the property has been remediated. Under Article 21.21-11 §4 (enacted as §544.304 as part of the nonsubstantive revision of the Insurance Code by Acts 2005, 79th Legislature, Chapter 728, §11.014(a) effective September 1, 2005), the Commissioner has specific authority to adopt rules as necessary to implement Chapter 544 Subchapter G relating to Mold Claim or Damage. Section 36.001 provides that the Commissioner of Insurance may adopt any rules necessary and appropriate to implement the powers and duties of the Texas Department of Insurance under the Insurance Code and other laws of this state.

§21.1007.Restrictions on the Use of Underwriting Guidelines Based On a Water Damage Claim(s), Previous Mold Damage or a Mold Damage Claim(s).

(a) Purpose. The purpose of this section is to protect persons and property from being unfairly stigmatized in obtaining residential property insurance by previous mold damage or by the filing of mold damage claims, a water damage claim, or certain appliance-related claims, under a residential property insurance policy.

(b) Definitions. The following words and terms, when used in this section, shall have the following meanings, unless the context clearly indicates otherwise.

(1) Residential property insurance--Insurance against loss to residential real property at a fixed location or tangible personal property provided in a homeowners policy, including a tenant policy, a condominium owners policy, or a residential fire and allied lines policy.

(2) Underwriting guideline--A rule, standard, guideline, or practice; whether written, oral, or electronic; that is used by an insurer or an agent of an insurer to decide whether to accept or reject an application for a residential property insurance policy or to determine how to classify the risks that are accepted for the purpose of determining a rate.

(3) Consumer--The person making the application to insure a property and includes both existing insureds and applicants for insurance.

(4) Insurer--An insurance company, reciprocal or interinsurance exchange, mutual, capital stock company, county mutual insurance company, farm mutual insurance company, association, Lloyd's plan company, or other entity writing residential property insurance in this state. The term includes an affiliate as described by §823.003 of the Insurance Code if that affiliate is authorized to write and is writing residential property insurance in this state. The term does not include the Texas Windstorm Insurance Association, the FAIR Plan, or an eligible surplus lines insurer regulated under Chapter 981.

(5) Appliance-related claim--A request by an insured for indemnification from an insurer for a loss arising from the discharge or leakage of water or steam from an appliance that is the direct result of the failure of the appliance. An appliance means a household device operated by gas or electric current, including hoses directly attached to the device. The term includes air conditioning units, heating units, refrigerators, dishwashers, icemakers, clothes washers, water heaters, and disposals.

(6) Water damage claim--A request by an insured for indemnification from an insurer for a loss arising from the discharge or leakage of water or steam that is the direct result of the failure of a plumbing system or other system that contains water or steam.

(c) Restrictions on the use of a water damage claim in underwriting. An insurer shall not use an underwriting guideline based solely upon a single prior water damage claim either filed by the applicant or on the covered property. Nothing contained herein shall preclude an insurer from the surcharge and renewal provisions of §551.107.

(d) Restrictions on underwriting and rating and the inspection and certification process of appliance-related claims.

(1) Except as provided in §544.353(e) of the Insurance Code an insurer shall not use a prior appliance-related claim as a basis for determining a rate to be paid or for determining whether to issue, renew, or cancel a residential property insurance policy if the consumer complies with the requirements specified in §544.353(c) and §544.353(d) of the Insurance Code. It is the consumer's option whether to have the appliance-related claim inspected and certified, however, it is the consumer's responsibility to bear the cost of such inspection and certification. An appliance-related claim that is not inspected and certified shall be subject to the provisions contained in subsection (c) of this section.

(2) Nothing contained in subsection (d) of this section shall exempt an insurer from the notice provisions contained in §551.107(e). However, appliance-related losses are a special class of non-weather related losses and the notice must be specific to the insured's appliance-related loss history.

(3) The following individuals who hold one or more of the following licenses are inspectors that may have the knowledge and experience in the remediation of water damage to inspect and certify the proper remediation of an appliance-related claim:

(A) inspectors licensed or certified through the Voluntary Inspection Program pursuant to Article 5.33B of the Insurance Code;

(B) persons licensed to perform real estate property inspections under the Real Estate Licensing Act;

(C) persons licensed as assessors or remediators by the Department of State Health Services pursuant to Chapter 1958 of the Occupations Code;

(D) licensed Texas Professional Engineers.

(4) If the consumer has an inspection and certification performed by an inspector under paragraph (3) of this subsection who is not on a list provided by the insurer, the insurer may not reject or challenge the certification unless the insurer re-inspects the property and specifies in writing the areas of deficiency to the consumer. An insurer that re-inspects the property shall maintain all documentation, including documentation that supports the areas of deficiency identified by the inspection and specified in writing to the consumer.

(5) Inspectors shall also include persons who are authorized by insurers to perform appliance-related water damage remediation inspections. An insurer who provides a list of inspectors authorized by the insurer must give verbal notice to any claimant at the time of the claimant's phone call reporting the claim and written notice to the claimant within 15 days of receiving notice of the claim that the claimant has the right to select the inspector including the right to choose an inspector who is not on the insurer's list who will perform the inspection of the appliance-related water damage remediation. If the consumer has the inspection and certification performed by an inspector from the list of inspectors authorized by the insurer then the insurer does not have the right to reject or challenge the certification.

(6) If the inspector determines by a physical inspection of the residential property that the appliance-related water damage has been properly remediated, the inspector shall issue within 10 days of the completion of the inspection a Certificate of Appliance-Related Water Damage Remediation (WDR-1).

(7) The Certificate of Appliance-Related Water Damage Remediation (WDR-1) is a form that is prescribed by the Department for use by inspectors who will provide certifications. This form may be obtained from the Texas Department of Insurance website http://www.tdi.state.tx.us or by requesting such form from the Automobile/Homeowners Section, MC 104-PC, Texas Department of Insurance, P.O. Box 149104, Austin, Texas, 78714-9104.

(8) Information regarding inspectors that may have the knowledge and experience in the remediation of water damage to inspect and certify the proper remediation of an appliance-related claim may be obtained from the Texas Department of Insurance website or by requesting such information from the Automobile/Homeowners Section.

(e) Restrictions on the use of previous mold damage or a claim for mold damage in underwriting residential property insurance.

(1) An insurer shall not use an underwriting guideline regarding a residential property insurance policy based upon previous mold damage or a prior mold damage claim filed either by the applicant or on the covered property if:

(A) the applicant for insurance has property that is eligible for residential property insurance coverage;

(B) the property has had mold damage;

(C) mold remediation has been performed on the property; and

(D) the property was:

(i) remediated in accordance with the requirements specified in Chapter 1958, Subchapter D of the Occupations Code, and any applicable rules promulgated by the Department of State Health Services pursuant to Chapter 1958 of the Occupations Code; and a Certificate of Mold Damage Remediation (MDR-1) is issued to the property owner under Section 1958.154 of the Occupations Code which certifies with reasonable certainty that the underlying cause or causes of the mold at the property have been remediated; or

(ii) inspected by an independent mold assessor or adjuster, who is licensed to perform mold assessment in accordance with rules promulgated by the Department of State Health Services under Chapter 1958 of the Occupations Code and the independent mold assessor or adjuster provides to the property owner written certification on a Certificate of Mold Damage Remediation (MDR-1) that based on the mold assessment inspection, the property does not contain evidence of mold damage.

(2) The Certificate of Mold Damage Remediation (MDR-1) is a form that is prescribed by the Department for use by mold remediators, assessors, and adjusters who will provide certifications. This form may be obtained from the Texas Department of Insurance website http://www.tdi.state.tx.us or by requesting such form from the Automobile/Homeowners Section or from the Department of State Health Services.

(3) Nothing contained herein shall preclude an insurer from the surcharge and renewal provisions of §551.107.

(f) Filing requirements for underwriting guidelines relating to water damage claims, previous mold damage, or mold damage claims.

(1) All underwriting guidelines relating to water damage claims, previous mold damage, or mold damage claims shall be filed with the Department and shall comply with the requirements contained in this section and with any rules relating to underwriting guidelines that may be adopted by the Commissioner.

(2) Underwriting guidelines relating to water damage claims, previous mold damage, or mold damage claims shall be submitted to the Texas Department of Insurance, Property and Casualty Intake Unit, Mail Code 104-3B, P.O. Box 149104, Austin, Texas, 78714-9104 or to the Texas Department of Insurance, Property and Casualty Intake Unit, 333 Guadalupe Street, Austin, Texas 78701.

(g) Subsection (c) of this section applies only to a residential property insurance policy that is delivered or issued for delivery based on an application that is submitted on or after the effective date of this section.

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 July 24, 2006.

TRD-200603901

Brenda Caldwell

Assistant General Counsel

Texas Department of Insurance

Effective date: August 13, 2006

Proposal publication date: February 10, 2006

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


Part 2. TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION

Chapter 133. GENERAL MEDICAL PROVISIONS

Subchapter G. ELECTRONIC MEDICAL BILLING, REIMBURSEMENT, AND DOCUMENTATION

28 TAC §133.500, §133.501

The Commissioner of the Division of Workers' Compensation, Texas Department of Insurance, adopts new Subchapter G, §133.500 and §133.501, concerning electronic medical billing, reimbursement, and documentation. The sections are adopted with changes to the proposed text as published in the February 3, 2006, issue of the Texas Register (31 TexReg 679).

House Bill (HB) 2511, enacted by the 76th Legislature, Regular Session, added Labor Code §401.024, which was amended by HB 7, 79th Legislature, Regular Session, allows or requires electronic transmission of information to be used in lieu of transmitting information via paper format and sets goals for paper reduction in the workers' compensation system. HB 7 enacted Labor Code §408.0251, which requires the commissioner to adopt rules regarding the electronic submission and processing of medical bills by health care providers to insurance carriers. Paper medical bills and related medical documentation account for the majority of paper exchanged in the Texas workers' compensation system. Section 401.024 allows the Division to adopt rules to permit or require electronic transmission in place of established forms, manner, or procedures that require paper processing.

The provisions of Subchapter G are designed to meet the requirements of HB 2511 and HB 7 by establishing procedures for the electronic submission of medical billing and reimbursement data, which will reduce paper in the workers' compensation system. Approximately six to eight million paper medical bills are processed annually in the Texas workers' compensation system. The majority of medical bills in the workers' compensation system are submitted by health care providers on paper forms to insurance carriers, third-party administrators, or medical bill review vendors. Because minimal electronic billing occurs in the system, initial estimates indicate a potential for significant reductions in the administrative costs and handling time for medical bill processing through the use of electronic processing.

Previously, insurance carriers report only professional and hospital bill payment data to the Division in electronic file formats. However, the Division is transitioning from a Texas specific format to a national standard format that will collect pharmacy and dental data as well as professional and hospital data.

The new sections of Subchapter G are part of the Division's Electronic Billing and Reimbursement (eBill) project initiated to identify and implement an electronic billing solution for the Texas workers' compensation system. eBill processing includes the method of transmission; components of the transactions being transmitted; and the structure, organizations, systems, or applications enabling the transmissions. The eBill project is a component of the Division's Business Process Improvement initiative; a coordinated set of projects that use technology to streamline agency processes to meet the requirements of HB 2511 and HB 7.

The new sections were developed in conjunction with a workgroup comprised of insurance carriers and health care providers. Many workgroup member concerns were alleviated during the development of the sections due to the extensive input received from the workgroup.

These adopted sections apply to networks certified under Insurance Code Chapter 1305 and to political subdivisions with contractual relationships under Labor Code §504.053(b)(2).

The Division made changes to the proposed sections. However, neither of the changes introduces new subject matter or affect additional persons other than those subject to the rules as originally published.

Subchapter G encompasses the processes and methods for transmitting electronic medical bill data and documentation related to electronic medical bills between the Division, health care providers, and insurance carriers. The adopted sections establish the method of transmission and the required elements to be contained within an electronic transaction. Standardized formats for data collection improves the integrity of the data collected by the Division and exchanged between system participants. The collected data is used to administer statutory mandates, such as monitoring for compliance, aiding in fee guideline development, and monitoring the effect of networks in the workers' compensation system. The adopted sections are subject to the specific provisions of Chapters 133 and 134.

Section 133.500 specifies the use of specific national standard formats, national implementation guides, and Division implementation guides for transmitting electronic medical bill data and associated transactions between the Division, health care providers, and insurance carriers. These formats and guides allow the Division to define the elements required in a transaction, the applicable code sets, and data edits by reference to the national and Division implementation guides. The section provides flexibility to exchange data in non-prescribed formats when mutually agreed upon by a health care provider and an insurance carrier. The data elements, code sets, and edits in non-prescribed formats must conform to the requirements of the Division prescribed format which will allow flexibility in responding to participants' needs while ensuring consistency of reporting.

Section 133.501 establishes the exclusive process to exchange medical bill and reimbursement data between the Division, health care providers, and insurance carriers. This section establishes applicability, the effective date for electronic billing, and includes provisions that allow health care providers and insurance carriers to contract with other entities to process electronic medical bill data. The section also includes waiver provisions for health care providers and insurance carriers. The waiver provisions exempt health care providers or insurance carriers from the requirement of exchanging medical bill data exclusively by electronic means, if implementing electronic medical bill processing would cause an unreasonable financial burden to the health care provider or insurance carrier. The Division changed subsection (a) to permit waivers based on unreasonable financial burden for health care providers, as well as insurance carriers, on a case-by-case basis. In addition, a health care provider whose workers' compensation business constitutes less than 10 percent of their practice and employs 10 or fewer full time employees also qualifies for a waiver. The intent of the provision is to quantify 10 percent of a practice to include patient volume, bill volume, and dollar volume. If a health care provider believes it qualifies for a waiver under this provision, the health care provider may request a waiver from the Division and continue to use the paper billing process. An insurance carrier that questions a health care provider's paper billing practices may forward a request for review to the Division.

Section 133.501 defines an electronic medical bill and the components of a complete electronic medical bill. The section limits the submission of duplicate electronic medical bills by health care providers. This section also establishes an acknowledgment process for the receipt of an electronic medical bill. Subsection (c) is changed to establish that an insurance carrier must acknowledge receipt of an electronic medical bill within one business day rather than 24-hours. The acknowledgment process is not an admission of insurance carrier liability. The acknowledged acceptance of a complete medical bill does not prohibit an insurance carrier from subsequently rejecting an accepted electronic medical bill based on limited or contested liability.

Section 133.501 also includes provisions for electronic remittance notification from insurance carriers to health care providers that comply with Division rules regarding payment or denial of a medical bill, recoupment request, or acknowledgment of receipt of a refund. An electronic remittance notification must be issued no later than 45 days after receipt of a complete electronic medical bill or within five days of generating a payment. The Division recognizes that in an electronic process, a payment and the electronic remittance notification may not be issued at the same time. The intent is to ensure that there is not an unreasonable delay between the payment and the electronic remittance notification.

Section 133.501 establishes a process for electronically exchanging documentation associated with electronic medical bills by defining the method of transmission and adopting a standard electronic format. This section does not designate documentation as a component of a complete electronic medical bill because the prescribed electronic billing formats do not support electronic documentation in the same billing transaction. Chapters 133 and 134 establish documentation requirements related to health care services provided.

Section 133.500(a): Several commenters recommend offering additional formats to the prescribed formats in §133.500(a).

Agency Response: The Division declines to make the requested change. The Electronic Billing and Reimbursement rules align with HIPAA standards, managed care and Medicare models. In addition, since insurance carriers and health care providers may use non-prescribed formats by mutual agreement as provided in §133.500(d), additional formats will be available without the need to prescribe the formats.

Section 133.500(a) and §133.501(b)(2): Several commenters recommend adding a definition of "reconsideration" and the exclusion of reconsiderations from the electronic billing and reimbursement process. A few commenters state that the rules do not address billing by out-of-network pharmacies and other providers when no pre-arranged method exists for the carrier to receive the bill.

Agency Response: The reconsideration process, as described in §133.250, is not excluded from these rules to avoid unreasonable restrictions on system participants who wish to exchange information in an efficient manner. The Division clarifies that the adopted rules define "electronic billing" as the "exclusive process to exchange medical bill data." Medical bills, including bills for reconsideration, shall be submitted electronically, unless a health care provider meets the waiver criteria, the insurance carrier being billed has obtained a waiver, or a mutual agreement between the two exists. This applies to all system participants, regardless of a provider's network or pharmacy benefit manager status.

Section 133.500(a)(1)(D): A few commenters state that the ANSI 837 format may be needed by pharmacies when billing for durable medical equipment and other supplies and services.

Agency Response: The Division clarifies that the ANSI 837 format is the appropriate format to use when a pharmacy provides and bills durable medical equipment and supplies. The standard billing formats correspond to the type of service performed and billed rather than the specific provider type.

Section 133.500(a)(1)(D): A commenter recommends the rules allow for updates to formats, accept input from external stakeholders, and provide sufficient transition time.

Agency Response: The Division notes that updates to adopted formats require the Division to review the formats to ensure system applicability and determine benefits/costs. To the extent that changes to standard formats or versions of adopted formats necessitate a rule revision, such rule revisions require a formal rulemaking process and a public comment period during which input from external stakeholders is considered and changes are made as appropriate. The rulemaking process for these rules involved substantial input from stakeholders. Additionally, this rule adoption process provides a transition period for system participants.

Sections 133.500(d), 133.501(a)(3) and (4): Several commenters recommend allowing for alternative data exchange methods that would be efficient and cost effective.

Agency Response: The Division points out that §133.500(d) permits insurance carriers and health care providers to exchange data in an alternative method by mutual agreement.

Section 133.500(a)(1)(D): Several commenters support adoption of the NCPDP Telecommunication Standard Version 5.1 and IAIABC 837 Version 4010 formats. Another commenter supports the Department's efforts on implementing electronic billing and states it will benefit the system in the future. A commenter also supports the provision that allows current electronic relationships to continue.

Agency Response: The Division acknowledges the commenters' support.

Section 133.500: Some commenters indicate support for the NCPDP Universal Claim form for paper bill processing but are concerned about the timing of the transition from the DWC-66 paper pharmacy billing form.

Agency Response: The Division clarifies that the adoption of the NCPDP Universal Claim Form for pharmacy paper billing was included in the recently adopted billing and reimbursement rules (Chapters 133 and 134) and is outside the scope of these adopted Electronic Billing and Reimbursement Rules (§133.500 and §133.501). The Division will take into consideration the deadline for transition to the NCPDP Universal Claim Form in another rule initiative.

Section 133.500(b): Several commenters recommend implementation guides be finalized 180 days prior to January 1, 2008 and any subsequent changes reflected in a subsequent version of the format with 90 days notice prior to implementation.

Agency Response: The Division clarifies that the implementation guides adopted by HIPAA rules are currently available to the public, with the exception of the NCPDP format. The Division specification documents will be made available as early as possible for review and comment. It is the Division's goal to comply with the commenters' request for at least 180 days prior notice of the initial implementation guides and, to the extent possible, at least 90 days notice of subsequent changes.

Section 133.501(a)(1): Some commenters recommend changing language in §133.501(a)(1) to "priority" rather than "exclusive" because of potential computer system problems and the cost to implement electronic processes.

Agency Response: The Division declines to make the requested change. The rule includes provisions for health care provider and insurance carrier waivers from the requirement to exchange data electronically and provisions to exchange data in non-prescribed formats by mutual agreement. The Division anticipates that the costs to implement electronic processes are offset by the savings achieved by reducing paper processes. The Division will consider the financial impact when considering waiver requests.

Section 133.501(a)(2) and (3): A commenter supports a January 1, 2008 implementation date. Several commenters support the health care provider waiver requirements.

Agency Response: The Division acknowledges and appreciates the commenters' support.

Section 133.501(a)(5): A commenter recommends that the waiver provision for pharmacies apply only when 10 percent or less of the pharmacy's business is workers' compensation. A commenter states that waiver provisions do not provide leverage to providers or a vehicle for provider input.

Agency Response: The Division has changed subsection (a) to allow the Division to consider waivers based on unreasonable financial burden for health care providers on a case-by-case basis. Additionally, the Division will monitor the impact of the waiver criteria on system participants and, if necessary, will change the waiver requirements. The Division has retained the original proposed waiver criteria as well. The specific provider waiver provisions are intended to be non-arbitrary and eliminate burdensome administrative processes to obtain a waiver. The general waiver approach aligns with HIPAA rules, because the number of employees is a criterion for waiver. The Division added the 10 percent of practice criteria to maximize participation and provide cost effective electronic alternatives to paper processing.

Section 133.501(a)(6): A commenter recommends general guidelines for granting carrier waivers.

Agency Response: The Division believes that it is premature at this point in the project to develop specific criteria prior to identifying potential costs and savings. The preamble indicates that the intent is to allow waivers based on an unreasonable financial burden to the insurance carrier. The Division anticipates that this provision will be monitored and changed, if necessary, based on experience, costs analysis, and voluntary participation.

Section 133.501(a): A commenter recommends adding subsections to require prompt pay and timely acknowledgment, and to prohibit discrimination against providers filing paper medical bills.

Agency Response: The Division declines to make the requested change and clarifies that §133.500 and §133.501 apply to the method and content in the electronic exchange of medical bill data. Medical payment requirements and paper medical bill processing are administered in other sections of Chapters 133 and 134.

Section 133.501(b)(2): Several commenters recommend requiring documentation as a criterion for a complete electronic medical bill. A commenter recommends a medical bill should not be submitted to the insurance carrier until the medical bill is complete.

Agency Response: The Division declines to make the requested change. The medical billing and reimbursement rules, which are elsewhere in Chapter 133, establish the requirements for documentation. A complete electronic or paper medical bill does not contain documentation as part of the billing transaction. However, insurance carriers and payers may deny services if appropriate, or if required documentation is not timely received rather than rejecting the electronic medical bill. The efficiencies and effectiveness of electronic medical billing are artificially limited if documentation is required every time as part of a complete medical bill. The requirement may put an unreasonable burden to match documentation to an electronic bill on insurance carriers that choose to implement an electronic billing solution independently of a clearinghouse. It may also prevent the participation of health care providers that are able to bill electronically but lack the technology to attach documentation electronically. The rules and implementation guides outline the process to reject an electronic medical bill that does not contain all mandatory fields in the electronic file format.

Section 133.501(b)(2): Several commenters recommend adding a "documentation" flag to the definition of a complete medical bill. Other commenters recommend adding specific elements to the definition of a complete medical bill.

Agency Response: The Division declines to make the requested change. The definition of a complete electronic medical bill relates to the bill data in an electronic file format. Documentation requirements are addressed in other sections of Chapter 133. Insurance carriers and payers may deny services if appropriate, or if required documentation is not timely received rather than rejecting the electronic medical bill. The efficiencies and effectiveness of electronic medical billing are artificially limited if documentation is required every time as part of a complete medical bill. Additionally, specific data elements are defined in the national standard implementation guides and Division specification documents.

Section 133.501(c)(3): Several commenters recommend changing the 24-hour acknowledgement requirement to "one business day" and changing "detail" acknowledgement to "functional" acknowledgement.

Agency Response: The Division has changed subsection (c) to reflect that an insurance carrier must acknowledge receipt of an electronic medical bill within one business day rather than by 24-hours, but declines to change "detail" acknowledgement to "functional" acknowledgement. A functional acknowledgment indicates that the insurance carrier accepts or rejects a file in its entirety. A detail acknowledgement indicates the insurance carrier accepts or rejects each transaction within the file.

Section 133.501(c)(3)(B): Several commenters agree with duplicate billing submission provisions and recommend enforcement action if health care providers violate this provision.

Agency Response: The Division acknowledges the support for duplicate billing submission provisions. Health care provider compliance is addressed in Chapter 180, Monitoring and Enforcement, Subchapter B, Medical Benefits Regulation.

Section 133.501(c)(4): A commenter recommends a new proposed section to clarify that all medical bills are still fully subject to the medical bill review and audit process.

Agency Response: The Division declines to make the requested change. Other sections of Chapters 133 and 134 administer the process of medical bill review and reimbursement and need to be read in conjunction with this rule.

Section 133.501(c)(4): A few commenters state that §133.501(c)(4) does not address returning a bill for reasons other than liability.

Agency Response: The Division clarifies that the rules anticipate that electronic medical bills are rejected in a Detail Acknowledgment as specified in §133.501(c)(2), not returned to the provider through a manual, paper process.

Section 133.501(e)(1): A few commenters inquired whether documentation received prior to a bill is considered a first notice of injury.

Agency Response: The Division clarifies that notices of an injury or occupational disease are administered under §§120.2, 122.1, and 124.1.

Section 133.501(e)(3): Some commenters recommend extending the seven-day time frame for health care provider submission of electronic documentation associated with an electronic medical bill to 14 or 21 days.

Agency Response: The Division declines to make the requested change. If there is a known delay before documentation is available, a health care provider may delay submission of the electronic medical bill. Requiring an insurance carrier to hold an electronic medical bill for 14 to 21 days before audit is an unreasonable burden. Insurance carriers may deny an electronic medical bill in a more efficient manner if required documentation is not submitted timely.

Section 133.501: A commenter states that there is no alternative process if the electronic billing system fails and that paper billing is working and economical and should be maintained as the primary billing process or at least as a back up process.

Agency Response: The Division has accounted for the potential for paper billing if electronic billing poses an unreasonable financial burden to individual participants. The waiver provision allows participants that meet the criteria to be excepted from electronic billing processes, using paper billing as a back up process to electronic billing. The adopted rules provide a more efficient and cost effective method for billing and reimbursement in the Texas workers' compensation system. Electronic billing in general, and electronic billing in the pharmacy system, is a proven process that is documented to deliver traceable, efficient, and cost effective processes.

Section 133.501(a): A commenter recommends the electronic billing model be deemed workable and accurate prior to implementation.

Agency Response: The Division clarifies that electronic billing and reimbursement is a proven process with documented efficiencies and cost effectiveness. The adopted rules will provide a significant amount of time to transition to the adopted formats as well as testing electronic billing processes in the Texas workers' compensation system.

Section 133.501(a): A commenter states that in its practice, a pharmacy that provides workers' compensation services exclusively, must implement an extensive process with potentially significant costs without benefit to the patient or to the pharmacy.

Agency Response: The Division clarifies that the potential costs to implement an electronic billing process is expected to be offset by the savings in administrative costs achieved by eliminating paper processes. Electronic billing is documented to be more efficient and provide benefits to both providers and payers, such as faster billing processing and payment.

For: Texas Medical Association.

For, with changes: P2P Link, American Insurance Association, Texas Mutual Insurance Company, Texas Association of School Boards, Texas Pharmacy Association/Texas Association of Drug Stores, The Boeing Company, Insurance Council of Texas, Property and Casualty Insurers of America, Association of Fire and Casualty Insurers of Texas, Working Rx and The Workers' Compensation Pharmacy Alliance.

Against: None.

The sections are adopted under Labor Code §§401.024, 408.025, 408.0251, 408.027, 413.007, 413.008, 413.053, 402.00111, and 402.061. Section 401.024 provides the commissioner the authority to permit or require by rule the use of facsimile or other electronic means to transmit information in the system. Section 408.025 requires the commissioner to specify by rule the reports a health care provider is required to file. Section 408.0251 gives the commissioner the authority to adopt rules in cooperation with the commissioner of insurance regarding the electronic submission and processing of medical bills by health care providers to insurance carriers. Section 408.027 provides for payment of health care providers by insurance carriers and subsection (g) requires the commissioner to adopt rules as necessary to implement the provisions of §408.027 and §408.0271. Section 413.007 directs the Division to maintain a statewide database of medical billing information. Section 413.008 authorizes the Division to collect certain medical bill and payment information from the insurance carrier. Section 413.053 gives the commissioner the authority to establish standards of reporting and billing governing both form and content by rule. Section 402.00111 provides that the commissioner of Workers' Compensation shall exercise all executive authority, including rulemaking authority under Title 5 of the Labor Code and other laws of this state. Section 402.061 provides the commissioner the authority to adopt rules as necessary to implement and enforce the Texas Workers' Compensation Act.

§133.500.Electronic Formats for Electronic Medical Bill Processing.

(a) The Division prescribes standard electronic formats by adopting the following implementation guides for the medical billing transactions:

(1) Billing:

(A) Professional Billing--ANSI x12 837(P) Version 4010.

(B) Institutional/Hospital Billing--ANSI x12 837(I) Version 4010.

(C) Dental Billing--ANSI x12 837(D) Version 4010.

(D) Pharmacy Billing--NCPDP Telecommunications Standard Version 5.1.

(2) Acknowledgment:

(A) Functional Acknowledgment--ANSI x12 997 Version 4010.

(B) Detail Acknowledgment--ANSI x12 824 Version 4010.

(3) Remittance--ANSI x12 835 Version 4010.

(4) Reporting--IAIABC 837 Version 4010.

(5) Documentation--ANSI x12 275 Version 4050.

(b) An implementation guide is a:

(1) specification document for national standard electronic formats as defined in subsection (a) of this section and published by a national standard setting organization that defines data requirements, data transaction sets, and data mapping; or

(2) published specification document that defines specific data requirements, data set transactions, data mapping, or data edits and is intended to accompany national standard implementation guides.

(c) Medical billing transactions must:

(1) contain all fields required in the applicable format implementation guide as set forth in subsection (a) of this section and associated Division implementation guides; and

(2) be populated with current and correct values defined in the applicable implementation guide as set forth in subsection (a) of this section and associated Division implementation guides.

(d) Insurance carriers and health care providers may exchange electronic data in a non-prescribed format by mutual agreement. All data elements required in the Division prescribed formats must be present in a mutually agreed upon format.

§133.501.Electronic Medical Bill Processing.

(a) Applicability.

(1) Electronic medical bill processing is the exclusive process to exchange medical bill data in accordance with §133.500 of this chapter (relating to Electronic Formats for Electronic Medical Bill Processing) for professional, institutional/hospital, pharmacy, and dental services.

(2) Insurance carriers must be able to exchange electronic data by January 1, 2008 unless the insurance carrier is excepted from the process in accordance with paragraph (6) of this subsection.

(3) Health care providers must be able to exchange electronic data by January 1, 2008 unless the health care provider is excepted from the process in accordance with paragraph (5) of this subsection.

(4) Health care providers and insurance carriers may contract with other entities for electronic medical bill processing. Insurance carriers and health care providers are responsible for the acts or omissions of its agents executed in the performance of services for the insurance carrier or health care provider.

(A) Health care provider agent is a person or entity that the health care provider contracts with or utilizes for the purpose of fulfilling the health care provider's obligations for electronic medical bill processing under the Texas Labor Code or Division rules.

(B) Insurance carrier agent is a person or entity that the insurance carrier contracts with or utilizes for the purpose of providing claims service or fulfilling the insurance carrier's obligations for electronic medical bill processing under the Texas Labor Code or Division rules.

(5) A health care provider is waived from the requirement to submit medical bills electronically to an insurance carrier if:

(A) the health care provider employs 10 or fewer full time employees, and workers' compensation constitutes less than 10% of their practice; or

(B) the health care provider requests and the Division approves a waiver. The Division will approve a request on a case-by-case basis and will base the decision on whether or not electronic billing causes an unreasonable financial burden on the health care provider.

(6) An insurance carrier is waived from the requirement to receive medical bills electronically from health care providers on approval from the Division. The Division may grant an exception on a case-by-case basis if an insurance carrier establishes that electronic billing will result in an unreasonable financial burden.

(b) Electronic medical bill.

(1) An electronic medical bill is a medical bill submitted electronically by a health care provider or an agent of the health care provider.

(2) A complete electronic medical bill is an electronic medical bill that:

(A) is submitted in accordance with this chapter, and

(B) identifies the:

(i) injured employee;

(ii) employer;

(iii) insurance carrier;

(iv) health care provider; and

(v) service, supply, or medication.

(3) The received date of an electronic medical bill is the date the bill is electronically transmitted in accordance with §102.4(p) of this title (relating to General Rules for Non-Division Communication). An electronic medical bill is considered received if it meets the criteria of a complete electronic medical bill.

(c) Acknowledgment.

(1) A Functional Acknowledgment is an electronic notification to the sender of an electronic file that the file has been received and:

(A) accepted as a complete, correct file, or

(B) rejected with a valid rejection code.

(2) A Detail Acknowledgment is an electronic notification to the sender of an electronic transaction within an electronic file that the transaction has been received and:

(A) accepted as a complete, correct submission, or

(B) rejected with a valid rejection code.

(3) An insurance carrier must acknowledge receipt of an electronic medical bill by returning a Detail Acknowledgment within one business day of receipt of the electronic submission.

(A) Notification of a rejection is transmitted in a Detail Acknowledgment when an electronic medical bill does not meet the definition of a complete electronic medical bill or does not meet the edits defined in the applicable implementation guide or guides.

(B) A health care provider may not submit a duplicate electronic medical bill earlier than 45 days from the date submitted if an insurance carrier has acknowledged acceptance of the original complete electronic medical bill. A health care provider may submit a corrected medical bill electronically to the insurance carrier after receiving notification of a rejection. The corrected medical bill is submitted as a new, original bill.

(4) Acceptance of a complete medical bill is not an admission of liability by the insurance carrier. An insurance carrier may subsequently reject an accepted electronic medical bill if it is determined that the employer listed on the medical bill is not a policyholder of the insurance carrier.

(A) The subsequent rejection must occur no later than 7 days from the date of receipt of the complete electronic medical bill.

(B) The rejection transaction must clearly indicate the reason for the rejection is due to denial of liability.

(d) Electronic remittance notification.

(1) An electronic remittance notification is an explanation of benefits (EOB), submitted electronically regarding payment or denial of a medical bill, recoupment request, or receipt of a refund.

(2) An insurance carrier must provide an electronic remittance notification no later than 45 days after receipt of a complete electronic medical bill or within 5 days of generating a payment.

(e) Electronic documentation.

(1) Electronic documentation consists of medical reports and/or records submitted electronically that are related to an electronic medical bill.

(2) Complete electronic documentation related to an electronic medical bill:

(A) is submitted by fax, electronic mail, or in an electronic format and

(B) identifies the:

(i) injured employee,

(ii) insurance carrier,

(iii) health care provider;

(iv) related medical bill(s), and

(v) date(s) of service.

(3) When a health care provider submits electronic documentation related to an electronic medical bill, the documentation must be submitted within 7 days of submission of the electronic medical bill.

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 July 21, 2006.

TRD-200603855

Norma Garcia

General Counsel

Texas Department of Insurance, Division of Workers' Compensation

Effective date: August 10, 2006

Proposal publication date: February 3, 2006

For further information, please call: (512) 804-4288