TITLE 28.INSURANCE

Part 1. TEXAS DEPARTMENT OF INSURANCE

Chapter 7. CORPORATE AND FINANCIAL REGULATION

Subchapter A. EXAMINATION AND FINANCIAL ANALYSIS

28 TAC §7.9

The Commissioner of Insurance adopts new §7.9, concerning the examination of the actuarial opinion of an insurer that is required to file an actuarial opinion with its property and casualty annual statement. The new section is adopted without changes to the proposed text as published in the October 28, 2005, issue of the Texas Register (30 TexReg 6999).

The new section is necessary to facilitate the examination of an actuarial opinion submitted in accordance with Insurance Code §802.002 which requires an actuarial opinion to be submitted with an insurer's annual statement. The new section will assist the department in identifying insurers requiring further analysis to determine their financial condition. Conversely, it will help the department determine which insurers do not need further examination.

The adopted section requires a domestic property and casualty insurer to submit to the department annually, on or before March 15th, an Actuarial Opinion Summary which will facilitate the examination of the actuarial opinion submitted with an insurer's annual statement as required by Insurance Code §802.002. The section further provides that the Actuarial Opinion Summary and the Actuarial Report and Workpapers be completed in accordance with the National Association of Insurance Commissioners' Annual Statement Instructions, Property and Casualty (Instructions) that are adopted annually by the department in conjunction with its adoption of the annual statement forms. The Actuarial Opinion Summary is a recapitulation of the Actuarial Report and Workpapers and will provide information on the opining actuary's point estimate and/or range of reasonable estimates, explanation of any exceptional adverse development, and other information required by the Instructions. In addition, the section provides that the commissioner may request a domestic property and casualty insurer to furnish its Actuarial Report and Workpapers and a foreign insurer to furnish its Actuarial Opinion Summary and Actuarial Report and Workpapers. Finally, the section provides that the Actuarial Opinion Summary; Actuarial Report and Workpapers; and any documents, materials or other information provided by an insurer will be used by the department to examine a company's financial condition, and, therefore, such documents will be considered information obtained during the course of an examination under Insurance Code Article 1.15, §8(b) which provides that such information is confidential and may not be disclosed to the public.

No comments were received regarding the new section.

The new section is adopted under the Insurance Code Articles 1.15, 1.32, 21.39, 21.54 and §§802.001, 802.002, 861.254, 862.001, 883.203, 883.204, 885.401, 911.002, 911.304, 912.301, 941.252, 942.201, 982.004, 984.153, 984.202, and 36.001. Article 1.15 authorizes the Commissioner to examine each insurer doing business in this state. Article 1.32 authorizes the Commissioner to establish criteria for hazardous conditions. Article 21.39 requires insurers to establish adequate reserves and provides for the adoption of each current formula for establishing reserves applicable to each line of insurance. Section 802.001 authorizes the Commissioner to make changes in the forms of the annual statements required of insurance companies of any kind, as shall seem best adapted to elicit a true exhibit of their condition and methods of transacting business. Section 802.002 requires an insurance company's annual statement to include an actuarial opinion relating to the loss and loss adjustment expense reserves for property and casualty risks. Article 21.54 and §§861.254, 862.001, 883.203, 883.204, 885.401, 911.002, 911.304, 912.301, 941.252, 942.201, 982.004, 984.153, and 984.202 require insurers subject to the adopted section to file an annual statement, other financial reports and other information and provide specific rulemaking authority of the Commissioner relating to those insurers. Section 36.001 provides that the Commissioner 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 January 6, 2006.

TRD-200600106

Gene C. Jarmon

General Counsel and Chief Clerk

Texas Department of Insurance

Effective date: January 26, 2006

Proposal publication date: October 28, 2005

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


28 TAC §7.68

The Commissioner of Insurance adopts the repeal of §7.68 concerning the 1998 annual statement and 1999 quarterly statements, other reporting forms, and diskettes necessary to report information concerning the financial condition and business operations and activities of insurers and other entities regulated by the department. The repeal of the section is adopted without changes to the proposal as published in the October 28, 2005, issue of the Texas Register (30 TexReg 7000).

The repeal of the section is necessary to permit the simultaneous adoption of a new §7.68 that is also published in this issue of the Texas Register. The new §7.68 adopts by reference the 2005 annual and quarterly statement blanks, other reporting forms, electronic data filings with the National Association of Insurance Commissioners and instructions to be used by insurers and certain other entities regulated by the Texas Department of Insurance when reporting their financial condition and business operations and activities of the 2005 calendar year.

The repeal of the section will eliminate an obsolete section. The reporting forms adopted under the repealed section have been filed and the due dates for filing the 1998 annual statements, 1999 quarterly statements and other reports have passed; therefore, the repealed section is no longer necessary.

No comments were received.

The repeal of the section is adopted under Insurance Code §§802.001 - 802.003 and 802.051 - 802.056 and 36.001. Sections 802.001 - 802.003 and 802.051 - 802.056 authorize the commissioner to make changes in the forms of the annual statements required of insurance companies of any kind, as shall seem best adapted to elicit a true exhibit of their condition and methods of transacting business. Section 36.001 provides that the commissioner 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 January 6, 2006.

TRD-200600105

Gene C. Jarmon

General Counsel and Chief Clerk

Texas Department of Insurance

Effective date: January 26, 2006

Proposal publication date: October 28, 2005

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


28 TAC §7.68

The Commissioner of Insurance adopts new §7.68 concerning the adoption by reference of reporting forms, electronic data filings with the National Association of Insurance Commissioners (NAIC) and instructions to be used by insurers, health maintenance organizations (HMOs), nonprofit legal service corporations, Texas Health Insurance Risk Pool, Texas Fair Plan Association and Texas Windstorm Insurance Association. The reporting forms include the 2005 annual and quarterly statement blanks, stockholder information supplement, management discussion and analysis, supplemental compensation exhibit, overhead assessment for insurance company examination expenses, analysis of surplus, separate accounts, supplemental information for county mutuals and HMOs, release of contributions, reserve summary, inventory of insurance in force, and summary of insurance in force. The new section is adopted without changes to the proposed text as published in the October 28, 2005, issue of the Texas Register (30 TexReg 7000).

The new section is necessary to adopt the reporting forms and instructions to be used by insurers and certain other entities regulated by the department when reporting their financial condition, business operations, and activities during 2005 and to adopt the requirement to file such completed statement blanks and other reporting forms, including diskettes or electronic filings, with the NAIC. The information provided by the completion of the forms is necessary to allow the department to monitor the solvency, business activities, and statutory compliance of the insurers and the other entities regulated by the department.

The new section defines terms relevant to the statement blanks and reporting forms; provides the dates by which certain reports are to be filed; adopts by reference the NAIC 2005 annual and quarterly statement blanks, other reporting forms and instructions for reporting the financial condition and business operations and activities; and requires insurance companies and other regulated entities to file such annual and quarterly statements and other reporting forms with the department and/or the NAIC as directed. Most of the forms adopted by the section have been promulgated by the NAIC and are used by other state insurance regulators. The use of these forms promotes uniformity and efficiency in the regulation of insurance companies and other entities regulated by the department. The required documents will provide financial information to the public and regulatory agencies, and will be used by the department to monitor the financial condition of insurers and other regulated entities licensed in Texas to assure financial solvency and compliance with applicable laws and accounting requirements. Subsection (a) explains the purpose of the section and adopts by reference the forms described in the section. Subsection (b) provides that the term "Texas Edition" refers to the blanks and forms promulgated by the Commissioner. Subsection (c) specifies the hierarchy of laws in the event of a conflict between the Insurance Code, this new section and other department regulations and the NAIC instructions specified in the new section. Subsections (d) - (l) describe the forms, instructions and filing requirements for the various types of insurers and other regulated entities. Subsection (m) provides that the department may request financial reports other than those specified in this section.

No comments were received.

The new section is adopted under the Insurance Code §§802.001 - 802.003 and 802.051 - 802.056, which authorize the commissioner to make changes in the forms of the annual statements required of insurance companies of any kind, as shall seem best adapted to elicit a true exhibit of their condition and methods of transacting business and require certain insurers to make filings with the National Association of Insurance Commissioners; Articles 21.49 and 21.54 and §§841.255, 842.003, 842.201, 842.202, 843.151, 843.155, 861.254, 861.255, 862.001, 862.003, 882.001, 882.003, 883.002, 883.204, 884.256, 885.401, 885.403 - 885.406, 887.009, 887.060, 887.401 - 887.407, 911.001, 911.304, 912.002, 912.201 - 912.203, 912.301, 941.252, 942.201, 961.002, 961.003, 961.052, 961.202, 982.004, 982.251 - 982.254, 982.004, 982.101, 982.103, 984.101 - 984.103, 984.153, 984.201, 984.202, 1506.057, 2551.001, which require the filing of financial reports and other information by insurers and other regulated entities and provide specific rulemaking authority to the Commissioner relating to those insurers and other regulated entities; §§982.001, 982.002, 982.004, 982.052, 982.102 - 982.104, 982.106, 982.108, 982.110 - 982.112, 982.201 - 982.204, 982.251 - 982.255, 982.302 - 982.306, which provide the conditions under which foreign insurers are permitted to do business in this state and require foreign insurers to comply with the provisions of the Insurance Code; §§844.001 - 844.005, 844.051 - 844.054, and 844.101, which authorize the Commissioner to adopt rules to implement the regulation of nonprofit health corporations holding a certificate of authority under Insurance Code, Title 2, Chapter 844; Article 21.39, which requires insurers to establish adequate reserves and provides for the adoption of each current formula for establishing reserves applicable to each line of insurance; §32.041, which requires the department to furnish the statement blanks and other reporting forms necessary for companies to comply with the filing requirements; and §36.001, which provides that the Commissioner 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 January 6, 2006.

TRD-200600104

Gene C. Jarmon

General Counsel and Chief Clerk

Texas Department of Insurance

Effective date: January 26, 2006

Proposal publication date: October 28, 2005

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