Texas Statutes
Title 13 - Regulation of Professionals
Subtitle D - Other Professionals

Section 4151.004. Applicability to Certain Insurers and Health Maintenance Organizations - Sec. 4151.004. APPLICABILITY TO CERTAIN INSURERS AND HEALTH MAINTENANCE ORGANIZATIONS....

Section 4151.005. Administrator Not Insurance Agent - Sec. 4151.005. ADMINISTRATOR NOT INSURANCE AGENT. (a) An administrator licensed...

Section 4151.0051. Referral to Adjuster by Administrator - Sec. 4151.0051. REFERRAL TO ADJUSTER BY ADMINISTRATOR. (a) An administrator...

Section 4151.006. Rules - Sec. 4151.006. RULES. The commissioner may adopt, in the manner...

Subchapter B. Certificate of Authority

Section 4151.051. Certificate of Authority Required - Sec. 4151.051. CERTIFICATE OF AUTHORITY REQUIRED. (a) An individual, corporation,...

Section 4151.052. Application - Sec. 4151.052. APPLICATION. (a) An application for a certificate of...

Section 4151.053. Approval of Application - Sec. 4151.053. APPROVAL OF APPLICATION. The commissioner shall approve an...

Section 4151.054. Denial of Application - Sec. 4151.054. DENIAL OF APPLICATION. (a) If the commissioner is...

Section 4151.055. Fidelity Bond Required - Sec. 4151.055. FIDELITY BOND REQUIRED. (a) If the commissioner approves...

Section 4151.056. Duration of Certificate of Authority - Sec. 4151.056. DURATION OF CERTIFICATE OF AUTHORITY. A certificate of...

Subchapter C. Powers and Duties of Administrators and Insurers

Section 4151.101. Written Agreement With Insurer or Plan Sponsor Required - Sec. 4151.101. WRITTEN AGREEMENT WITH INSURER OR PLAN SPONSOR REQUIRED....

Section 4151.102. Contents of Written Agreement - Sec. 4151.102. CONTENTS OF WRITTEN AGREEMENT. (a) The written agreement...

Section 4151.103. Retention of Written Agreement; Inspection by Commissioner - Sec. 4151.103. RETENTION OF WRITTEN AGREEMENT; INSPECTION BY COMMISSIONER. (a)...

Section 4151.104. Notice of Use of Administrator's Services - Sec. 4151.104. NOTICE OF USE OF ADMINISTRATOR'S SERVICES. (a) If...

Section 4151.1041. Referral by Insurer - Sec. 4151.1041. REFERRAL BY INSURER. (a) An insurer may not...

Section 4151.1042. Responsibilities of Insurer; Semiannual Audit - Sec. 4151.1042. RESPONSIBILITIES OF INSURER; SEMIANNUAL AUDIT. (a) If an...

Section 4151.105. Payments to Administrator - Sec. 4151.105. PAYMENTS TO ADMINISTRATOR. (a) If an insurer, plan,...

Section 4151.106. Certain Funds Collected or Received by Administrator - Sec. 4151.106. CERTAIN FUNDS COLLECTED OR RECEIVED BY ADMINISTRATOR. (a)...

Section 4151.107. Delivery or Deposit of Certain Funds Received by Administrator - Sec. 4151.107. DELIVERY OR DEPOSIT OF CERTAIN FUNDS RECEIVED BY...

Section 4151.108. Withdrawals From Fiduciary Account - Sec. 4151.108. WITHDRAWALS FROM FIDUCIARY ACCOUNT. A withdrawal from a...

Section 4151.109. Payment of Claims From Fiduciary Account Prohibited - Sec. 4151.109. PAYMENT OF CLAIMS FROM FIDUCIARY ACCOUNT PROHIBITED. An...

Section 4151.110. Underwriting Standards - Sec. 4151.110. UNDERWRITING STANDARDS. If an administrator has the authority...

Section 4151.111. Adjudication of Claims - Sec. 4151.111. ADJUDICATION OF CLAIMS. (a) An administrator shall adjudicate...

Section 4151.112. Maintenance of Books and Records - Sec. 4151.112. MAINTENANCE OF BOOKS AND RECORDS. (a) An administrator...

Section 4151.113. Access to Books and Records - Sec. 4151.113. ACCESS TO BOOKS AND RECORDS. (a) For the...

Section 4151.114. Disposition of Books and Records on Termination of Written Agreement - Sec. 4151.114. DISPOSITION OF BOOKS AND RECORDS ON TERMINATION OF...

Section 4151.115. Confidentiality of Personal Information - Sec. 4151.115. CONFIDENTIALITY OF PERSONAL INFORMATION. (a) Information that identifies...

Section 4151.116. Advertising - Sec. 4151.116. ADVERTISING. Before an administrator uses advertising relating to...

Section 4151.117. Compensation of Administrator - Sec. 4151.117. COMPENSATION OF ADMINISTRATOR. (a) An administrator's compensation may...

Subchapter D. Pharmacy Benefit Plans

Section 4151.151. Definition - Sec. 4151.151. DEFINITION. In this subchapter, "pharmacy benefit manager" means...

Section 4151.152. Identification Cards - Sec. 4151.152. IDENTIFICATION CARDS. (a) Except as provided by rules...

Section 4151.153. Disclosure of Certain Patient Information Prohibited - Sec. 4151.153. DISCLOSURE OF CERTAIN PATIENT INFORMATION PROHIBITED. (a) A...

Section 4151.154. Discount Health Care Programs - Sec. 4151.154. DISCOUNT HEALTH CARE PROGRAMS. A pharmacy benefit manager...

Subchapter E. Department Regulation of Administrators

Section 4151.201. Examination of Administrator - Sec. 4151.201. EXAMINATION OF ADMINISTRATOR. (a) The commissioner may examine...

Section 4151.202. Contents of Examination; On-Site Evaluation - Sec. 4151.202. CONTENTS OF EXAMINATION; ON-SITE EVALUATION. (a) An examination...

Section 4151.203. Cost of Examination - Sec. 4151.203. COST OF EXAMINATION. The cost of an examination...

Section 4151.204. Examination Under Oath - Sec. 4151.204. EXAMINATION UNDER OATH. If necessary to make a...

Section 4151.205. Annual Report - Sec. 4151.205. ANNUAL REPORT. (a) An administrator shall annually, not...

Section 4151.206. Fees - Sec. 4151.206. FEES. (a) The commissioner shall collect and an...

Section 4151.210. Effect of Revocation of Other Certificates - Sec. 4151.210. EFFECT OF REVOCATION OF OTHER CERTIFICATES. An officer...

Section 4151.211. Restrictions on Acquisition of Ownership Interest - Sec. 4151.211. RESTRICTIONS ON ACQUISITION OF OWNERSHIP INTEREST. (a) A...

Section 4151.212. Maintenance of Qualifications Required - Sec. 4151.212. MAINTENANCE OF QUALIFICATIONS REQUIRED. The department may, in...

Subchapter F. Workers' Compensation Benefit Plans

Section 4151.251. Definition - Sec. 4151.251. DEFINITION. For purposes of this subchapter only, "insurance...

Section 4151.252. Application - Sec. 4151.252. APPLICATION. (a) This subchapter applies to the administration...

Section 4151.253. Agreements Between Administrators and Carriers - Sec. 4151.253. AGREEMENTS BETWEEN ADMINISTRATORS AND CARRIERS. (a) An administrator...

Section 4151.254. Agreements Between Administrators and Employers - Sec. 4151.254. AGREEMENTS BETWEEN ADMINISTRATORS AND EMPLOYERS. (a) In addition...

Section 4151.255. Administrator Compensation - Sec. 4151.255. ADMINISTRATOR COMPENSATION. Except as provided by Section 4151.117,...

Section 4151.256. Large Deductible Policies - Sec. 4151.256. LARGE DEDUCTIBLE POLICIES. An employer who enters into...

Section 4151.257. Rules - Sec. 4151.257. RULES. The commissioner shall adopt rules to implement...

Subchapter G. Disciplinary Actions; Penalties

Section 4151.301. Grounds for Denial, Suspension, or Revocation of Certificate of Authority - Sec. 4151.301. GROUNDS FOR DENIAL, SUSPENSION, OR REVOCATION OF CERTIFICATE...

Section 4151.302. Remedies for Violation of Insurance Laws or Commissioner Rules - Sec. 4151.302. REMEDIES FOR VIOLATION OF INSURANCE LAWS OR COMMISSIONER...

Section 4151.303. Probated Suspension - Sec. 4151.303. PROBATED SUSPENSION. If the suspension of a certificate...

Section 4151.304. Hearing - Sec. 4151.304. HEARING. If the department proposes to deny an...

Section 4151.305. Application for Certificate of Authority After Denial or Revocation - Sec. 4151.305. APPLICATION FOR CERTIFICATE OF AUTHORITY AFTER DENIAL OR...

Section 4151.306. Disciplinary Proceeding for Conduct Committed Before Surrender or Forfeiture of Certificate - Sec. 4151.306. DISCIPLINARY PROCEEDING FOR CONDUCT COMMITTED BEFORE SURRENDER OR...

Section 4151.307. Emergency Certificate Suspension - Sec. 4151.307. EMERGENCY CERTIFICATE SUSPENSION. (a) The commissioner may suspend...

Section 4151.308. General Administrative Sanctions - Sec. 4151.308. GENERAL ADMINISTRATIVE SANCTIONS. An administrator or other person...

Section 4151.309. Criminal Penalty - Sec. 4151.309. CRIMINAL PENALTY. (a) An administrator commits an offense...

Chapter 4152 - Reinsurance Intermediaries

Subchapter A. General Provisions

Section 4152.001. Definitions - Sec. 4152.001. DEFINITIONS. In this chapter: (1) "Actuary" means a...

Section 4152.002. Classification as Commercially Domiciled Insurer - Sec. 4152.002. CLASSIFICATION AS COMMERCIALLY DOMICILED INSURER. (a) For purposes...

Section 4152.003. Rights of Third Parties Not Affected - Sec. 4152.003. RIGHTS OF THIRD PARTIES NOT AFFECTED. This chapter...

Section 4152.004. Rules - Sec. 4152.004. RULES. The commissioner may adopt reasonable rules as...

Subchapter B. License Requirements

Section 4152.051. License Required - Sec. 4152.051. LICENSE REQUIRED. (a) A person may not act...

Section 4152.052. Qualifications - Sec. 4152.052. QUALIFICATIONS. The commissioner may establish qualifications for a...

Section 4152.053. Application - Sec. 4152.053. APPLICATION. (a) An application for a reinsurance intermediary...

Section 4152.054. Service of Notice, Orders, and Process - Sec. 4152.054. SERVICE OF NOTICE, ORDERS, AND PROCESS. (a) An...

Section 4152.055. Fees - Sec. 4152.055. FEES. (a) The department shall collect a nonrefundable...

Section 4152.056. License Issuance - Sec. 4152.056. LICENSE ISSUANCE. The commissioner shall issue a reinsurance...

Section 4152.057. Persons Authorized to Act Under License - Sec. 4152.057. PERSONS AUTHORIZED TO ACT UNDER LICENSE. (a) A...

Section 4152.058. Bond or Errors and Omissions Policy - Sec. 4152.058. BOND OR ERRORS AND OMISSIONS POLICY. (a) The...

Section 4152.059. License Expiration and Renewal - Sec. 4152.059. LICENSE EXPIRATION AND RENEWAL. (a) A reinsurance intermediary...

Subchapter C. Examination of Reinsurance Intermediaries

Section 4152.101. Examination by Commissioner - Sec. 4152.101. EXAMINATION BY COMMISSIONER. (a) A reinsurance intermediary is...

Section 4152.102. Access to and Maintenance of Books, Bank Accounts, and Records - Sec. 4152.102. ACCESS TO AND MAINTENANCE OF BOOKS, BANK ACCOUNTS,...

Section 4152.103. Conduct of Examination - Sec. 4152.103. CONDUCT OF EXAMINATION. The commissioner, one or more...

Section 4152.104. Examination Expense - Sec. 4152.104. EXAMINATION EXPENSE. (a) A reinsurance intermediary who is...

Subchapter D. Requirements Relating to Brokers

Section 4152.151. Contract Between Broker and Insurer - Sec. 4152.151. CONTRACT BETWEEN BROKER AND INSURER. (a) A broker...

Section 4152.152. Placement of Reinsurance With Unauthorized Reinsurer - Sec. 4152.152. PLACEMENT OF REINSURANCE WITH UNAUTHORIZED REINSURER. Unless the...

Section 4152.153. Transaction Records - Sec. 4152.153. TRANSACTION RECORDS. (a) For at least 10 years...

Section 4152.154. Employment of Person by Insurer and Broker - Sec. 4152.154. EMPLOYMENT OF PERSON BY INSURER AND BROKER. A...

Subchapter E. Requirements Relating to Managers

Section 4152.201. Contract Between Manager and Insurer - Sec. 4152.201. CONTRACT BETWEEN MANAGER AND INSURER. (a) A manager...

Section 4152.202. Termination of Contract - Sec. 4152.202. TERMINATION OF CONTRACT. An insurer may: (1) terminate...

Section 4152.203. Accounting for Transactions - Sec. 4152.203. ACCOUNTING FOR TRANSACTIONS. A manager who enters into...

Section 4152.204. Management of Money - Sec. 4152.204. MANAGEMENT OF MONEY. (a) A manager shall pay...

Section 4152.205. Transaction Records - Sec. 4152.205. TRANSACTION RECORDS. (a) For at least 10 years...

Section 4152.206. Contract Assignment Prohibited - Sec. 4152.206. CONTRACT ASSIGNMENT PROHIBITED. A manager may not assign...

Section 4152.207. Compliance With Underwriting and Rating Standards of Insurer - Sec. 4152.207. COMPLIANCE WITH UNDERWRITING AND RATING STANDARDS OF INSURER....

Section 4152.208. Settlement of Claims - Sec. 4152.208. SETTLEMENT OF CLAIMS. (a) This section applies only...

Section 4152.209. Payment of Interim Profits - Sec. 4152.209. PAYMENT OF INTERIM PROFITS. If a contract entered...

Section 4152.210. Audited Statement of Manager's Financial Condition - Sec. 4152.210. AUDITED STATEMENT OF MANAGER'S FINANCIAL CONDITION. (a) A...

Section 4152.211. Disclosure of Relationships With Other Insurers - Sec. 4152.211. DISCLOSURE OF RELATIONSHIPS WITH OTHER INSURERS. Before ceding...

Section 4152.212. Acts of Manager Considered Acts of Insurer - Sec. 4152.212. ACTS OF MANAGER CONSIDERED ACTS OF INSURER. The...

Section 4152.213. Actuary's Opinion on Adequacy of Loss Reserves - Sec. 4152.213. ACTUARY'S OPINION ON ADEQUACY OF LOSS RESERVES. In...

Section 4152.214. Placement of Reinsurance With Unauthorized Reinsurer - Sec. 4152.214. PLACEMENT OF REINSURANCE WITH UNAUTHORIZED REINSURER. (a) Unless...

Section 4152.215. Prohibitions - Sec. 4152.215. PROHIBITIONS. (a) A reinsurance intermediary acting as a...

Section 4152.216. Employment of Person by Insurer and Manager - Sec. 4152.216. EMPLOYMENT OF PERSON BY INSURER AND MANAGER. A...

Subchapter F. Requirements Relating to Insurers

Section 4152.251. Engagement of Services of Unlicensed Broker or Manager - Sec. 4152.251. ENGAGEMENT OF SERVICES OF UNLICENSED BROKER OR MANAGER....

Section 4152.252. Audited Statement of Manager's Financial Condition - Sec. 4152.252. AUDITED STATEMENT OF MANAGER'S FINANCIAL CONDITION. An insurer...

Section 4152.253. Review of Underwriting and Claims Processing Operations - Sec. 4152.253. REVIEW OF UNDERWRITING AND CLAIMS PROCESSING OPERATIONS. An...

Section 4152.254. Authority for Retrocessional Contracts or Participation in Reinsurance Syndicates - Sec. 4152.254. AUTHORITY FOR RETROCESSIONAL CONTRACTS OR PARTICIPATION IN REINSURANCE...

Section 4152.255. Notification of Termination of Manager's Contract - Sec. 4152.255. NOTIFICATION OF TERMINATION OF MANAGER'S CONTRACT. (a) Not...

Section 4152.256. Appointment of Certain Persons to Board of Directors Prohibited - Sec. 4152.256. APPOINTMENT OF CERTAIN PERSONS TO BOARD OF DIRECTORS...

Subchapter G. Discipline and Enforcement

Section 4152.301. Grounds for License Denial or Disciplinary Action - Sec. 4152.301. GROUNDS FOR LICENSE DENIAL OR DISCIPLINARY ACTION. The...

Section 4152.302. Imposition of Sanctions - Sec. 4152.302. IMPOSITION OF SANCTIONS. (a) The commissioner may impose...

Chapter 4153 - Risk Managers

Subchapter A. General Provisions

Section 4153.001. Definition - Sec. 4153.001. DEFINITION. In this chapter, "risk manager" means a...

Section 4153.002. Exemptions - Sec. 4153.002. EXEMPTIONS. This chapter does not apply to a...

Section 4153.003. Rules - Sec. 4153.003. RULES. The commissioner may adopt rules necessary to...

Subchapter B. License Requirements

Section 4153.051. License Required - Sec. 4153.051. LICENSE REQUIRED. A person may not act as...

Section 4153.052. Application - Sec. 4153.052. APPLICATION. (a) To obtain a license to act...

Section 4153.053. Qualifications - Sec. 4153.053. QUALIFICATIONS. To qualify for a risk manager's license,...

Section 4153.054. Examination - Sec. 4153.054. EXAMINATION. (a) Except as provided by Sections 4153.055...

Section 4153.055. Exemptions From Examination and Continuing Education Requirement - Sec. 4153.055. EXEMPTIONS FROM EXAMINATION AND CONTINUING EDUCATION REQUIREMENT. (a)...

Section 4153.056. Reexamination - Sec. 4153.056. REEXAMINATION. (a) An applicant who fails the examination...

Section 4153.057. Fees - Sec. 4153.057. FEES. (a) The commissioner shall set and collect...

Section 4153.058. Reciprocal License - Sec. 4153.058. RECIPROCAL LICENSE. On submission of an application and...

Section 4153.059. License Expiration - Sec. 4153.059. LICENSE EXPIRATION. Except as otherwise provided by a...

Section 4153.060. License Renewal - Sec. 4153.060. LICENSE RENEWAL. (a) A license holder may renew...

Subchapter C. Powers and Duties of Risk Managers

Section 4153.101. Place of Business - Sec. 4153.101. PLACE OF BUSINESS. A license holder shall maintain...

Section 4153.102. Notification of Change of Place of Business - Sec. 4153.102. NOTIFICATION OF CHANGE OF PLACE OF BUSINESS. A...

Subchapter D. Disciplinary Action

Section 4153.151. Grounds for Disciplinary Action - Sec. 4153.151. GROUNDS FOR DISCIPLINARY ACTION. The department may discipline...

Section 4153.152. License Suspension - Sec. 4153.152. LICENSE SUSPENSION. (a) An order suspending a license...

Section 4153.153. Reinstatement or Reissuance of License - Sec. 4153.153. REINSTATEMENT OR REISSUANCE OF LICENSE. The commissioner may...

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Texas Statutes Title 13 - Regulation of Professionals Subtitle D - Other Professionals

Texas Statutes
Title 13 - Regulation of Professionals
Subtitle D - Other Professionals