TEXAS DEPARTMENT OF INSURANCENotification Pursuant to the Insurance Code, Chapter 5, Subchapter LAs required by the Insurance Code, Article 5.96 and 5.97, the Texas Register publishes notice of proposed actions by the Texas Board of Insurance. Notice of action proposed under Article 5.96 must be published in the Texas Register not later than the 30th day before the board adopts the proposal. Notice of action proposed under Article 5.97 must be published in the Texas Register not later than the 10th day before the Board of Insurance adopts the proposal. The Administrative Procedure Act, the Government Code, Chapters 2001 and 2002, does not apply to board action under Articles 5.96 and 5.97. The complete text of the proposal summarized here may be examined in the offices of the Texas Department of Insurance, 333 Guadalupe Street, Austin, Texas 78714- 9104.) This notification is made pursuant to the Insurance Code, Article 5.96, which exempts it from the requirements of the Administrative Procedure Act. Texas Department of Insurance Exempt Filings Notification Pursuant to the Texas Insurance Code, Chapter 5, Article Subchapter L, Article 5.96 PROPOSED The Commissioner of Insurance or his designee at a public hearing under Docket Number 2260, scheduled for November 26, 1996 at 9:00 a.m. in Room 100 of the Texas Department of Insurance Building, 333 Guadalupe Street in Austin Texas will consider amendments proposed by the staff of the Workers' Compensation Division to the Texas Basic Manual of Rules, Classifications and Experience Rating Plan for Workers' Compensation and Employers' Liability Insurance (Manual). The purpose of these amendments to the Manual is to eliminate conflicting language within the Manual and to provide clarification to rules, classifications, endorsements and forms by amending the language. The proposed changes by the staff are summarized as follows: Clarify the rules to reflect that the effective date of the policy determines the rules and rates applicable to the policy and the anniversary rating date determines the date the experience modifier applies and the Experience Rating Plan rules applicable to the policy. Amend the language in the rules to reflect the language of the standard workers' compensation policy as amended in November, 1995. Show the order of calculation of workers' compensation policy costs in a rule and delete all other examples in the rules of how the policy costs are determined in order to eliminate conflicts. Clarify the rules to reflect that the payroll limitations for executive officers apply regardless of the classification applicable to that executive officer. Clarify the rules to reflect that business allowance, such as automobile, housing, etc., per diem expenses in excess of IRS guidelines, and automobile mileage reimbursements in excess of IRS guidelines are included in the definition of remuneration. Amend the maximum minimum premium from $500 to $250. State in the rules that "test modifiers" cannot be applied to the policy and cannot be negotiated. Add a rule to define Schedule Rating. Amend the language concerning premium discount as it applies to workers' compensation policies written through the group purchase program and allow the insurance company and the group administrator to agree on how to determine the final premium discount for the group even though not all of the policies have been audited. Delete obsolete language from Rule IX. E. Employee Leasing Arrangements and allow the completion of the Employee Provider Form EP-1, Employee Provider Form EP-1A and the Employee Provider/Client Company Endorsement to be optional with the insuring company, which includes the Texas Workers' Compensation Insurance Fund. Amend Rule IX Deductible Programs to discontinue the filing of the Deductible Notice of Election form with the Texas Department of Insurance, but require the insuring company to have the completed Deductible Notice of Election form in the file for each insured so that it is available to the Department upon specific request. Amend Section I A. of the Experience Rating Plan to clarify which insurance company is responsible for calculating the experience modifier for a risk when there are multiple insurers writing the risk. Amend Section I A. of the Experience Rating Plan to require upon receipt of a written request, an insurance company to provide unit statistical data to the insurance company responsible for calculating the experience modifier for an insured or the entity calculating experience modifiers on behalf of the that insurance company. In addition, upon request, an insurance company must provide a copy of the modifier calculation of an insured to another insurance company. All requests must include either the current policy information page for the insured or a letter of authority signed by the insured. Amend Section 1 C. 4. of the Experience Rating Plan to clarify how the anniversary rating date is established when there are multiple policies for the same risk. Amend Section I C. of the Experience Rating Plan to set forth ways to establish a different anniversary rating date. Clarify Section III A. of the Experience Rating Plan that only experience developed under a workers' compensation policy or as a certified self-insurer can be used to determine eligibility for experience rating and to actually calculate the experience modifier. Amend Section V E. of the Experience Rating Plan to indicate what experience modifier applies when there is no modifier calculated at the time the policy is issued; to indicate that whenever there is a decrease in the premium as a result of an experience modifier being added to the policy, the decrease in premium is always applicable to the effective date of the policy or to the anniversary rating date, if different than effective date of the policy and to indicate when an increase in premium as a result in adding the experience modifier is applicable to the policy. Amend Section V F. of the Experience Rating Plan to clarify that when the unit statistical data is received by the insuring company, the experience modifier will be recalculated and the application of the revised modifier is governed by Section G. of the Experience Rating Plan. Amend the Introduction to the Endorsements & Forms section to require insurance companies to either show an endorsement issue date or a sequential number on each endorsement in order to determine the order of issuance. Amend the Texas Amendatory Endorsement WC 42 03 01 to delete the reference to the short rate cancellation penalty being applied at the time of final payroll audit since short rate cancellations are no longer applicable. Delete the following endorsements as they are no longer applicable: Texas Assigned Risk Pool--Maritime Coverage Endorsement (Limited Coverage for Masters or Members of the Crews of Vessels) WC 42 02 01; Texas Workers' Compensation Insurance Fund-Other States Endorsement (Reimbursement for Temporary Operations Only) WC 42 03 07; and Senate Bill 1 Litigation Surcharge Endorsement WC 42 04 05; Amend Texas Waiver of Our Right to Recover From Others Endorsement WC 42 03 04 to include language to clarify that nothing in the endorsement shall be construed as a limit on the insurance companies' right of subrogation for advances against future benefits, including medical benefits received by claimants under the Texas Workers' Compensation Act as long as that right exists under the Act or common law. Amend Employee Provider/Client Company Endorsement WC 42 04 06A to substitute the Fund for the Facility in the wording of the endorsement and to delete Section 12 of the endorsement in its entirety since it is in conflict with the Statute. Amend the language in form DNE-1 to track the language in the rule and the endorsements pertaining to the deductible to eliminate the conflicts. Amend the timing of the filing requirements for the filing of form GPP-2 for groups participating in the group purchase program. Elimination of the Workers' Compensation Negotiated Experience Modifier form. Editorial changes throughout the Manual to correct punctuation, typographical errors, reference to the Statutes, and reference to rules contained in the Manual. Editorial changes to the footnotes and classification wordings in the Classification Section of the Manual. Addition of several classification wordings that were inadvertently left out when then classifications were reduced and combined effective January 1, 1994. Divide the Wrecking Classification Code 5701 into the following classifications: Concrete or Concrete Encased Steel & Drivers-Code 5213; Iron or Steel & Drivers- Code 5057; Masonry & Drivers-Code 5022 and Wooden - including dwellings & Drivers-Code 5403. Changes in the following classifications to classifications with lower relativities: Appraisers - Tax from Code 4511 to Code 8742; Breakwater or Jetty Construction from Code 6219 to Code 6045; Dike or Revetment Construction & Drivers from Code 6219 to Code 6045; Kennel Employees & Drivers from Code 0113 to Code 8831; Forestry Personnel-Planting & Supervision of Timber Forest from Code 0042 to Code 0005; Inspection of Risks for Insurance or Valuation Purposes from Code 4511 to Code 8742; Plant Rental or Maintenance from Code 0035 to Code 8017; Satellite Dish Installation from Code 5l90 to Code 7600; and Service Station Wash Pit Cleaning from Code 9402 to Code 7219. The Commissioner has jurisdiction over this matter pursuant to the Insurance Code, Articles 5.56, 5.57, 5.60 and 5.96. A copy of the amendments containing the full text of the proposed amendments is available for review in the office of the Chief Clerk of the Texas Department of Insurance, 333 Guadalupe Street, Austin, Texas 78714-9104. For further information or to request copies of the amendments, please contact Angie Arizpe (512) 322-4147, (refer to Reference Number W-1096-44-I). The staff and the Commissioner request that written comments to these proposed amendments be submitted prior to the public hearing on November 26, 1996. The written comments should be directed to Caroline Scott, General Counsel and Chief Clerk, Texas Department of Insurance, P.O. Box 149104, MC 113-2A, Austin, Texas 78714-9104. An additional copy of the comments is to be submitted to Nancy Moore, Deputy Commissioner, Workers' Compensation, Texas Department of Insurance, P.O. Box 149092, Austin, Texas 78701-9092. Public testimony at the hearing on November 26, 1996, is also invited and encouraged. This notification is made pursuant to the Insurance Code, Article 5.96, which exempts it from the requirements of the Government Code, Chapter 2001 (Administrative Procedure Act). The agency hereby certifies that the proposal has been reviewed by the legal counsel and found to be within the agency's authority to adopt. Issued in Austin, Texas, on October 16, 1996. TRD-9615142 Caroline Scott General Counsel Texas Department of Insurance Filed: October 16, 1996 PROPOSED The Commissioner of Insurance or his designee at a public hearing under Docket Number 2261, scheduled for November 26, 1996, at 9:00 a.m. in Room 100 of the Texas Department of Insurance Building, 333 Guadalupe Street in Austin, Texas, will consider amendments to Rule IX A. and B, the deletion of Partners, Officers and Others Exclusion Endorsement WC 00 03 08 and Sole Proprietors and Others Coverage Endorsement WC 00 03 10 and the addition of Partners, Officers and Others Exclusion Endorsement WC 42 03 08 and Sole Proprietors, Partners, Officers and Others Coverage Endorsement WC 42 03 10 of the Texas Basic Manual of Rules, Classifications and Experience Rating Plan for Workers' Compensation and Employers' Liability Insurance (the Manual). The purpose of this amendment is to implement the provisions of Subchapter F, Chapter sec.406.097, Labor Code as added by the 74th Legislature in House Bill 1089. Section 406.097, Labor Code, provides that a sole proprietor, partner, or corporate executive officer of a business entity that has elected to provide workers' compensation coverage is entitled to benefits under that coverage as an employee unless the sole proprietor, partner, or corporate executive officer is specifically excluded from coverage through an endorsement to the policy or certificate of authority to self-insure. In addition, a corporate executive officer(s) of the named insured with at least 25% equity ownership in the named insured may be excluded from coverage. Lastly, a sole proprietor or partner of a covered business or a corporate officer with an equity ownership in a covered business of at least 25% may be excluded from coverage even though building or construction contracts require the contractor to provide workers' compensation coverage when work is being performed for a governmental entity. In addition to the proposed changes to Rule IX A. and B, two endorsements are being recommended for deletion, and two new endorsements that are Texas specific endorsements are being recommended. The Commissioner has jurisdiction over this matter pursuant to the Insurance Code, Article 5.96. A copy of the amendments containing the full text of the proposed amendments is available for review in the office of the Chief Clerk of the Texas Department of Insurance, 333 Guadalupe Street, Austin, Texas 78714-9104. For further information or to request copies of the amendments, please contact Angie Arizpe (512) 322-4147, (refer to Reference Number W-1096-45-I). The staff and the Commissioner request that written comments to these proposed amendments be submitted prior to the public hearing on November 26, 1996. The written comments should be directed to Caroline Scott, General Counsel and Chief Clerk, Texas Department of Insurance, P.O. Box 149104, MC 113-2A, Austin, Texas 78714-9104. An additional copy of the comments is to be submitted to Nancy Moore, Deputy Commissioner, Workers' Compensation, Texas Department of Insurance, P.O. Box 149092, Austin, Texas 78701-9092. Public testimony at the hearing on November 26, 1996, is also invited and encouraged. This notification is made pursuant to the Insurance Code, Article 5.96, which exempts it from the requirements of the Government Code, Chapter 2001 (Administrative Procedure Act). The agency hereby certifies that the proposal has been reviewed by the legal counsel and found to be within the agency's authority to adopt. Issued in Austin, Texas, on October 16, 1996. TRD-9615141 Caroline Scott General Counsel Texas Department of Insurance Filed: October 16, 1996 PROPOSED The Commissioner of Insurance or his designee at a public hearing under Docket Number 2262, scheduled for November 26, 1996, at 9:00 a.m. in Room 100 of the Texas Department of Insurance Building, 333 Guadalupe Street in Austin, Texas, will consider amendments to Section D of the Appendix and Sections III and X of the Texas Experience Rating Plan of the Texas Basic Manual of Rules, Classifications and Experience Rating Plan for Workers' Compensation and Employers' Liability Insurance (the Manual). These recommended changes are necessary due to the Commissioner appointing the National Council on Compensation Insurance as the statistical agent for workers' compensation. The proposed change to Section D of the Appendix of the Manual deletes the reference to the Department and requires insuring companies to automatically file with the designated statistical agent all data required by the Texas Workers' Compensation Statistical Plan in accordance with its provisions. The change to Section III of the Texas Experience Rating Plan of the Manual amends part D. to require experience to be used in the calculation of the experience modifier to be reported to the designated statistical agent. The change to Section X of the Texas Experience Rating Plan of the Manual requires insuring companies to automatically file with the designated statistical agent all data required by the Texas Workers' Compensation Statistical Plan in accordance with its provisions. The Commissioner has jurisdiction over this matter pursuant to the Insurance Code, Article 5.96. A copy of the amendments containing the full text of the proposed amendments is available for review in the office of the Chief Clerk of the Texas Department of Insurance, 333 Guadalupe Street, Austin, Texas 78714-9104. For further information or to request copies of the amendments, please contact Angie Arizpe (512) 322-4147, (refer to Reference Number W-1096-46-I). This notification is made pursuant to the Insurance Code, Article 5.96, which exempts it from the requirements of the Government Code, Chapter 2001 (Administrative Procedure Act). The agency hereby certifies that the proposal has been reviewed by the legal counsel and found to be within the agency's authority to adopt. Issued in Austin, Texas, on October 16, 1996. TRD-9615140 Caroline Scott General Counsel Texas Department of Insurance Filed: October 16, 1996 PROPOSED The Commissioner of Insurance or his designee at a public hearing under Docket Number 2263, scheduled for November 26, 1996, at 9:00 a.m. in Room 100 of the Texas Department of Insurance Building, 333 Guadalupe Street in Austin, Texas, will consider amendments to the Texas Workers' Compensation Relativity, Expected Loss Rate and Discount Ratio for Code 8837-Charitable or Religious Organization- All Operations & Drivers. Under Board Order Number 59621 dated June 2, 1992, Code 8837 was amended from a classification with a promulgated rate or relativity to an "a" rated classification due to the wide variance of work performed by the various charitable or religious organizations being classified under that code. By making Code 8837 an "a" rated classification, the insurance company writing coverage for this classification can use rates reflective of the various activities performed by specific entities classified under this classification. Therefore, a fixed relativity, expected loss rate and discount ratio for Code 8837 is not proper. This amendment is proposed to eliminate the revised classification relativity, the revised expected loss rate and discount ratio related to Code 8837 which were adopted by the Commissioner in Commissioner's Order Number 96-1038 dated September 10, 1996. The Commissioner has jurisdiction over this matter pursuant to the Insurance Code, Article 5.96. A copy of the amendments containing the full text of the proposed amendments is available for review in the office of the Chief Clerk of the Texas Department of Insurance, 333 Guadalupe Street, Austin, Texas 78714-9104. For further information or to request copies of the amendments, please contact Angie Arizpe (512) 322-4147, (refer to Reference Number W-1096-47-I). This notification is made pursuant to the Insurance Code, Article 5.96, which exempts it from the requirements of the Government Code, Chapter 2001 (Administrative Procedure Act). The agency hereby certifies that the proposal has been reviewed by the legal counsel and found to be within the agency's authority to adopt. Issued in Austin, Texas, on October 16, 1996. TRD-9615151 Caroline Scott General Counsel Texas Department of Insurance Filed: October 16, 1996