Sec. 887.208. CONTESTED CLAIMS. (a) An association may not contest a claim:
(1) only for delay or for a captious or inconsequential reason; or
(2) to force settlement at less than full payment.
(b) An association shall notify a claimant of the association's intent to deny liability on a claim not later than the 60th day after the date the association receives due proof of claim.
(c) An association that does not notify a claimant as provided by Subsection (b) is presumed as a matter of law to have accepted liability on the claim.
(d) The commissioner shall revoke the certificate of authority of any association the commissioner finds is operating fraudulently or improperly contesting claims.
(e) An association shall report to the department the costs of contests in the annual statement under Section 887.060. The report must be verified by an officer of the association.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.
Structure Texas Statutes
Title 6 - Organization of Insurers and Related Entities
Subtitle E - Mutual and Fraternal Companies and Related Entities
Chapter 887 - Provisions Applicable to Certain Mutual Assessment Companies
Subchapter E. Powers and Duties Relating to Insurance and Coverages
Section 887.201. Limit on Life Insurance
Section 887.202. Stipulated Premium Plan; Deduction of Unpaid Premium Balance
Section 887.203. Issuance of Life Insurance Policy by Certain Associations
Section 887.204. Renewal or Reinstatement of Insurance Certificate
Section 887.205. Life Insurance Certificate Beneficiaries
Section 887.206. Payment of Claim; Proof of Claim
Section 887.207. Exception to Full Payment Requirement: Assessment-as-Needed Associations