Texas Statutes
Title 10 - Property and Casualty Insurance
Subtitle E - Workers' Compensation Insurance

Section 2051.151. Notice of Claims Information to Policyholder Required; Administrative Penalty - Sec. 2051.151. NOTICE OF CLAIMS INFORMATION TO POLICYHOLDER REQUIRED; ADMINISTRATIVE...

Section 2051.152. Prohibited Acts by Person; Administrative Penalty - Sec. 2051.152. PROHIBITED ACTS BY PERSON; ADMINISTRATIVE PENALTY. (a) A...

Section 2051.153. Liability of Policyholder for Additional Premium - Sec. 2051.153. LIABILITY OF POLICYHOLDER FOR ADDITIONAL PREMIUM. (a) If...

Section 2051.154. Prohibited Act by Insurer; Administrative Penalty - Sec. 2051.154. PROHIBITED ACT BY INSURER; ADMINISTRATIVE PENALTY. (a) An...

Section 2051.155. Sanction of Agent Required - Sec. 2051.155. SANCTION OF AGENT REQUIRED. The commissioner shall impose...

Section 2051.156. Cancellation of Certificate of Authority Required - Sec. 2051.156. CANCELLATION OF CERTIFICATE OF AUTHORITY REQUIRED. The commissioner...

Section 2051.157. Penalty for Certain Violations - Sec. 2051.157. PENALTY FOR CERTAIN VIOLATIONS. An officer or other...

Subchapter E. Rules

Section 2051.201. Rulemaking Authority: Workers' Compensation Insurance - Sec. 2051.201. RULEMAKING AUTHORITY: WORKERS' COMPENSATION INSURANCE. The commissioner may...

Chapter 2052 - Policy Provisions and Forms for Workers' Compensation Insurance

Section 2052.001. Definition - Sec. 2052.001. DEFINITION. In this chapter, "insurance company" means a...

Section 2052.002. Standard Policy Forms and Uniform Policy; Exceptions - Sec. 2052.002. STANDARD POLICY FORMS AND UNIFORM POLICY; EXCEPTIONS. (a)...

Section 2052.003. Agreement Required to Be Contained in Application and Policy - Sec. 2052.003. AGREEMENT REQUIRED TO BE CONTAINED IN APPLICATION AND...

Section 2052.004. Policyholder Dividends - Sec. 2052.004. POLICYHOLDER DIVIDENDS. (a) Subject to Subsections (b) and...

Chapter 2053 - Rates for Workers' Compensation Insurance

Subchapter A. Rate Filings

Section 2053.001. Definitions - Sec. 2053.001. DEFINITIONS. In this subchapter: (1) "Filer" means an...

Section 2053.002. Rate Standards - Sec. 2053.002. RATE STANDARDS. (a) In setting rates, an insurance...

Section 2053.003. Rate Filing and Supporting Information - Sec. 2053.003. RATE FILING AND SUPPORTING INFORMATION. (a) Each insurance...

Section 2053.004. Public Information - Sec. 2053.004. PUBLIC INFORMATION. (a) Each filing made, including any...

Section 2053.005. Effective Date of Rate; Hearing - Sec. 2053.005. EFFECTIVE DATE OF RATE; HEARING. (a) A filer...

Section 2053.006. Disapproval of Rate Filing; Hearing - Sec. 2053.006. DISAPPROVAL OF RATE FILING; HEARING. (a) The commissioner...

Section 2053.007. Disapproval of Rate; Hearing - Sec. 2053.007. DISAPPROVAL OF RATE; HEARING. (a) The commissioner may...

Section 2053.008. Effect of Disapproval Order - Sec. 2053.008. EFFECT OF DISAPPROVAL ORDER. (a) If a workers'...

Section 2053.009. Grievance - Sec. 2053.009. GRIEVANCE. (a) The office of public insurance counsel...

Section 2053.010. Penalties - Sec. 2053.010. PENALTIES. If a workers' compensation insurance policy is...

Section 2053.011. Exclusive Jurisdiction - Sec. 2053.011. EXCLUSIVE JURISDICTION. The department has exclusive jurisdiction over...

Section 2053.013. Review of Rates; Consideration of Other Law - Sec. 2053.013. REVIEW OF RATES; CONSIDERATION OF OTHER LAW. In...

Subchapter A. -1. Underwriting Guidelines

Section 2053.031. Definitions - Sec. 2053.031. DEFINITIONS. In this subchapter: (1) "Insurance company" has...

Section 2053.032. Underwriting Guidelines - Sec. 2053.032. UNDERWRITING GUIDELINES. Each underwriting guideline used by an...

Section 2053.033. Enforcement - Sec. 2053.033. ENFORCEMENT. This subchapter may be enforced in the...

Section 2053.034. Filing Requirements - Sec. 2053.034. FILING REQUIREMENTS. Each insurance company shall file with...

Section 2053.035. Applicability of Section 38 - Sec. 2053.035. APPLICABILITY OF SECTION 38.003. Section 38.003 applies to...

Subchapter B. Rate Administration

Section 2053.051. Hazard Classification System - Sec. 2053.051. HAZARD CLASSIFICATION SYSTEM. (a) For workers' compensation insurance,...

Section 2053.052. Experience Rating Plan - Sec. 2053.052. EXPERIENCE RATING PLAN. (a) The commissioner shall adopt...

Section 2053.054. Use of Incurred Claims Experience in Future Ratings Required - Sec. 2053.054. USE OF INCURRED CLAIMS EXPERIENCE IN FUTURE RATINGS...

Section 2053.055. Rate Adjustment - Sec. 2053.055. RATE ADJUSTMENT. If the commissioner determines that an...

Section 2053.056. Rate Hearings - Sec. 2053.056. RATE HEARINGS. (a) The commissioner may conduct a...

Subchapter C. Statistical Plans; Agent

Section 2053.101. Statistical Plans for Reporting Loss Experience and Other Data - Sec. 2053.101. STATISTICAL PLANS FOR REPORTING LOSS EXPERIENCE AND OTHER...

Section 2053.102. Treatment of Payments Under Statistical Plan - Sec. 2053.102. TREATMENT OF PAYMENTS UNDER STATISTICAL PLAN. A statistical...

Section 2053.103. Statistical Agent - Sec. 2053.103. STATISTICAL AGENT. (a) The commissioner may designate or...

Subchapter D. Reporting Requirements and Exchange of Information

Section 2053.151. Workers' Compensation Claims Reports and Information - Sec. 2053.151. WORKERS' COMPENSATION CLAIMS REPORTS AND INFORMATION. (a) The...

Section 2053.152. Update and Transmission of Claims Reports - Sec. 2053.152. UPDATE AND TRANSMISSION OF CLAIMS REPORTS. (a) An...

Section 2053.153. Exchange of Information and Consultation With Others - Sec. 2053.153. EXCHANGE OF INFORMATION AND CONSULTATION WITH OTHERS. To...

Section 2053.154. Loss Statement and Payroll Report - Sec. 2053.154. LOSS STATEMENT AND PAYROLL REPORT. (a) For purposes...

Subchapter E. Optional Deductible Plans

Section 2053.201. Definition - Sec. 2053.201. DEFINITION. In this subchapter, "insurance company" means a...

Section 2053.202. Establishment of Optional Deductible Plans - Sec. 2053.202. ESTABLISHMENT OF OPTIONAL DEDUCTIBLE PLANS. (a) The department...

Section 2053.203. Payment of Claims; Reimbursement - Sec. 2053.203. PAYMENT OF CLAIMS; REIMBURSEMENT. (a) An insurance company...

Section 2053.204. Rate Reduction - Sec. 2053.204. RATE REDUCTION. (a) The department shall perform an...

Section 2053.205. Prohibited Conduct - Sec. 2053.205. PROHIBITED CONDUCT. A person who is employed by...

Section 2053.206. Violation of Subchapter - Sec. 2053.206. VIOLATION OF SUBCHAPTER. (a) A person commits an...

Subchapter F. Premium Incentives and Surcharge

Section 2053.251. Definitions - Sec. 2053.251. DEFINITIONS. In this subchapter: (1) "Insurance company" means...

Section 2053.252. Plan for Premium Discount and Surcharge - Sec. 2053.252. PLAN FOR PREMIUM DISCOUNT AND SURCHARGE. The commissioner...

Section 2053.253. Eligibility for Premium Discount - Sec. 2053.253. ELIGIBILITY FOR PREMIUM DISCOUNT. (a) A small employer...

Section 2053.254. Assessment of Premium Surcharge - Sec. 2053.254. ASSESSMENT OF PREMIUM SURCHARGE. A small employer who...

Section 2053.255. Maximum Discount and Assessment - Sec. 2053.255. MAXIMUM DISCOUNT AND ASSESSMENT. For any annual premium,...

Section 2053.256. Discounts and Surcharges Not Cumulative - Sec. 2053.256. DISCOUNTS AND SURCHARGES NOT CUMULATIVE. (a) The discounts...

Chapter 2054 - Texas Mutual Insurance Company

Subchapter A. General Provisions

Section 2054.001. Definitions - Sec. 2054.001. DEFINITIONS. In this chapter: (1) "Board" means the...

Section 2054.002. Reference to Texas Workers' Compensation Insurance Fund - Sec. 2054.002. REFERENCE TO TEXAS WORKERS' COMPENSATION INSURANCE FUND. A...

Section 2054.003. Operation as Domestic Mutual Insurance Company - Sec. 2054.003. OPERATION AS DOMESTIC MUTUAL INSURANCE COMPANY. (a) The...

Section 2054.004. Insurance Company Under Texas Workers' Compensation Act - Sec. 2054.004. INSURANCE COMPANY UNDER TEXAS WORKERS' COMPENSATION ACT. The...

Section 2054.005. Applicability of Code - Sec. 2054.005. APPLICABILITY OF CODE. The company is subject to...

Section 2054.006. Authority of Commissioner and Department - Sec. 2054.006. AUTHORITY OF COMMISSIONER AND DEPARTMENT. (a) The commissioner...

Section 2054.007. Open Meetings Law and Open Records Law Not Applicable - Sec. 2054.007. OPEN MEETINGS LAW AND OPEN RECORDS LAW NOT...

Section 2054.008. Investigation Files - Sec. 2054.008. INVESTIGATION FILES. (a) In this section, "investigation file"...

Section 2054.009. Conflicts With Certain Insurance Laws - Sec. 2054.009. CONFLICTS WITH CERTAIN INSURANCE LAWS. To the extent...

Subchapter B. Board of Directors

Section 2054.051. Board of Directors; Composition - Sec. 2054.051. BOARD OF DIRECTORS; COMPOSITION. (a) The company is...

Section 2054.052. Qualifications - Sec. 2054.052. QUALIFICATIONS. (a) Each board member must be a...

Section 2054.053. Presiding Officer; Other Officers - Sec. 2054.053. PRESIDING OFFICER; OTHER OFFICERS. (a) The governor shall...

Section 2054.054. Terms - Sec. 2054.054. TERMS. (a) Board members serve staggered six-year terms,...

Section 2054.055. Vacancies - Sec. 2054.055. VACANCIES. (a) The governor shall fill a vacancy...

Section 2054.056. Grounds for Removal - Sec. 2054.056. GROUNDS FOR REMOVAL. (a) It is a ground...

Section 2054.057. Procedures for Removal - Sec. 2054.057. PROCEDURES FOR REMOVAL. (a) If the president of...

Section 2054.058. Committees and Subcommittees - Sec. 2054.058. COMMITTEES AND SUBCOMMITTEES. The board may create committees...

Section 2054.059. Meetings - Sec. 2054.059. MEETINGS. (a) The board shall hold a meeting...

Section 2054.060. Quorum - Sec. 2054.060. QUORUM. Five board members constitute a quorum. Added...

Section 2054.061. Compensation - Sec. 2054.061. COMPENSATION. A board member is entitled to receive:...

Subchapter C. Management of Company

Section 2054.101. General Powers of Board - Sec. 2054.101. GENERAL POWERS OF BOARD. The board has full...

Section 2054.102. General Duties of Board Relating to Workers' Compensation Insurance - Sec. 2054.102. GENERAL DUTIES OF BOARD RELATING TO WORKERS' COMPENSATION...

Section 2054.103. Appointment of President - Sec. 2054.103. APPOINTMENT OF PRESIDENT. (a) The board shall appoint...

Section 2054.104. Appointment of Internal Auditor - Sec. 2054.104. APPOINTMENT OF INTERNAL AUDITOR. The board shall appoint...

Section 2054.105. Personal Liability of Board Members, Officers, and Employees - Sec. 2054.105. PERSONAL LIABILITY OF BOARD MEMBERS, OFFICERS, AND EMPLOYEES....

Section 2054.106. Principal Office - Sec. 2054.106. PRINCIPAL OFFICE. The board shall maintain the company's...

Section 2054.107. Certain Relationships With Other Insurers Prohibited - Sec. 2054.107. CERTAIN RELATIONSHIPS WITH OTHER INSURERS PROHIBITED. Except as...

Section 2054.108. Program and Facility Accessibility - Sec. 2054.108. PROGRAM AND FACILITY ACCESSIBILITY. (a) The company shall...

Subchapter D. Operation of Company; Financial Administration

Section 2054.151. Purposes of Company - Sec. 2054.151. PURPOSES OF COMPANY. The company shall: (1) serve...

Section 2054.152. Payment of Taxes, Fees, and Other Charges - Sec. 2054.152. PAYMENT OF TAXES, FEES, AND OTHER CHARGES. The...

Section 2054.153. Membership in Texas Property and Casualty Insurance Guaranty Association - Sec. 2054.153. MEMBERSHIP IN TEXAS PROPERTY AND CASUALTY INSURANCE GUARANTY...

Section 2054.154. Company Assets; State Liability - Sec. 2054.154. COMPANY ASSETS; STATE LIABILITY. (a) All money, revenues,...

Section 2054.155. Required Reserves - Sec. 2054.155. REQUIRED RESERVES. The company shall establish and maintain...

Section 2054.156. Ratio of Certain Premiums to Surplus - Sec. 2054.156. RATIO OF CERTAIN PREMIUMS TO SURPLUS. The company...

Section 2054.157. Dissolution Prohibited - Sec. 2054.157. DISSOLUTION PROHIBITED. The company may not be dissolved....

Subchapter E. Examinations, Reports, and Filings

Section 2054.201. Examination by Department - Sec. 2054.201. EXAMINATION BY DEPARTMENT. (a) The department shall examine...

Section 2054.202. Providing Information to Legislature - Sec. 2054.202. PROVIDING INFORMATION TO LEGISLATURE. The company shall provide...

Section 2054.203. Annual Accounting of Money Received and Disbursed - Sec. 2054.203. ANNUAL ACCOUNTING OF MONEY RECEIVED AND DISBURSED. Each...

Section 2054.204. Annual Statements - Sec. 2054.204. ANNUAL STATEMENTS. (a) The company shall file annual...

Section 2054.205. Publication and Filing of Audited Report - Sec. 2054.205. PUBLICATION AND FILING OF AUDITED REPORT. The board...

Section 2054.206. Additional Reports - Sec. 2054.206. ADDITIONAL REPORTS. The company shall file with the...

Section 2054.207. Periodic Reports to Board - Sec. 2054.207. PERIODIC REPORTS TO BOARD. The president shall make...

Subchapter F. General Powers and Duties Relating to Insurance

Section 2054.251. Ratemaking Authority - Sec. 2054.251. RATEMAKING AUTHORITY. (a) Except as provided by this...

Section 2054.252. Amounts of Rates - Sec. 2054.252. AMOUNTS OF RATES. Rates charged by the company...

Section 2054.253. Multitiered Premium Systems - Sec. 2054.253. MULTITIERED PREMIUM SYSTEMS. (a) Notwithstanding any other provision...

Section 2054.254. Cash Dividends; Credit on Renewal Premium - Sec. 2054.254. CASH DIVIDENDS; CREDIT ON RENEWAL PREMIUM. (a) The...

Section 2054.255. Appointment of Agent Not Required - Sec. 2054.255. APPOINTMENT OF AGENT NOT REQUIRED. (a) Notwithstanding any...

Section 2054.256. Work Product Information - Sec. 2054.256. WORK PRODUCT INFORMATION. (a) Information submitted to the...

Section 2054.257. Payment of Commission to Agent - Sec. 2054.257. PAYMENT OF COMMISSION TO AGENT. The company shall...

Subchapter G. Issuance of Coverage

Section 2054.301. Application for Coverage - Sec. 2054.301. APPLICATION FOR COVERAGE. An application to the company...

Section 2054.302. Policy Forms - Sec. 2054.302. POLICY FORMS. The company shall use the uniform...

Section 2054.303. Denial of Coverage Based on Credit Risk - Sec. 2054.303. DENIAL OF COVERAGE BASED ON CREDIT RISK. The...

Section 2054.304. Cancellation and Nonrenewal - Sec. 2054.304. CANCELLATION AND NONRENEWAL. The company may cancel or...

Subchapter H. Company as Insurer of Last Resort

Section 2054.351. Insurer of Last Resort - Sec. 2054.351. INSURER OF LAST RESORT. (a) Except as provided...

Section 2054.352. Required Declination of Certain Risks - Sec. 2054.352. REQUIRED DECLINATION OF CERTAIN RISKS. (a) In this...

Section 2054.353. Required Insurance of Certain Commonly Owned or Controlled Entities - Sec. 2054.353. REQUIRED INSURANCE OF CERTAIN COMMONLY OWNED OR CONTROLLED...

Section 2054.354. Development and Publication of Certain Information - Sec. 2054.354. DEVELOPMENT AND PUBLICATION OF CERTAIN INFORMATION. (a) The...

Subchapter I. Appeals

Section 2054.401. Appeal of Certain Actions and Decisions - Sec. 2054.401. APPEAL OF CERTAIN ACTIONS AND DECISIONS. (a) An...

Section 2054.402. Review of Board Decision by Commissioner - Sec. 2054.402. REVIEW OF BOARD DECISION BY COMMISSIONER. (a) A...

Section 2054.403. Appeal of Commissioner's Decision - Sec. 2054.403. APPEAL OF COMMISSIONER'S DECISION. (a) A person aggrieved...

Subchapter J. Control of Fraud and Other Violations

Section 2054.451. Identification and Investigation Program for Fraud and Other Violations - Sec. 2054.451. IDENTIFICATION AND INVESTIGATION PROGRAM FOR FRAUD AND OTHER...

Section 2054.452. Investigations; Coordination - Sec. 2054.452. INVESTIGATIONS; COORDINATION. (a) The company may investigate cases...

Section 2054.453. Restitution Payable to Company - Sec. 2054.453. RESTITUTION PAYABLE TO COMPANY. Restitution collected under Section...

Section 2054.454. Deposit and Use of Penalties Collected by Division - Sec. 2054.454. DEPOSIT AND USE OF PENALTIES COLLECTED BY DIVISION....

Section 2054.455. Funding Agreements for Criminal Prosecutions - Sec. 2054.455. FUNDING AGREEMENTS FOR CRIMINAL PROSECUTIONS. The company may...

Section 2054.456. Immunity for Certain Actions - Sec. 2054.456. IMMUNITY FOR CERTAIN ACTIONS. The company, the board,...

Subchapter K. Accident Prevention

Section 2054.501. Definition - Sec. 2054.501. DEFINITION. In this subchapter, "division" means the division...

Section 2054.502. Requirements for Prevention of Injuries - Sec. 2054.502. REQUIREMENTS FOR PREVENTION OF INJURIES. The company may...

Section 2054.503. Grounds for Cancellation or Denial of Coverage - Sec. 2054.503. GROUNDS FOR CANCELLATION OR DENIAL OF COVERAGE. A...

Section 2054.504. Safety Consultation for Certain Insureds - Sec. 2054.504. SAFETY CONSULTATION FOR CERTAIN INSUREDS. (a) A policyholder...

Section 2054.505. Safety Consultation Procedures - Sec. 2054.505. SAFETY CONSULTATION PROCEDURES. Not later than the 30th...

Section 2054.506. Safety Consultant Report - Sec. 2054.506. SAFETY CONSULTANT REPORT. A safety consultant acting under...

Section 2054.507. Accident Prevention Plan - Sec. 2054.507. ACCIDENT PREVENTION PLAN. (a) If a safety consultant...

Section 2054.508. Accident Investigations; Other Monitoring - Sec. 2054.508. ACCIDENT INVESTIGATIONS; OTHER MONITORING. The division may: (1)...

Section 2054.509. Follow-Up Inspection - Sec. 2054.509. FOLLOW-UP INSPECTION. (a) Not earlier than the 90th...

Section 2054.510. Cancellation of Coverage by Company; Imposition of Administrative Penalty - Sec. 2054.510. CANCELLATION OF COVERAGE BY COMPANY; IMPOSITION OF ADMINISTRATIVE...

Section 2054.511. Continuing Compliance With Subchapter - Sec. 2054.511. CONTINUING COMPLIANCE WITH SUBCHAPTER. The procedures established under...

Section 2054.512. Fees for Services - Sec. 2054.512. FEES FOR SERVICES. The division shall: (1) charge...

Section 2054.513. Enforcement of Subchapter - Sec. 2054.513. ENFORCEMENT OF SUBCHAPTER. The division shall enforce compliance...

Subchapter L. Public Interest Information and Complaint Procedures

Section 2054.551. Public Interest Information - Sec. 2054.551. PUBLIC INTEREST INFORMATION. (a) The company shall prepare...

Section 2054.552. Complaints - Sec. 2054.552. COMPLAINTS. (a) The company shall establish methods by...

Section 2054.553. Complaint Record - Sec. 2054.553. COMPLAINT RECORD. (a) The company shall keep information...

Subchapter M. Subsidiaries Authorized to Provide Health Benefit Coverage

Section 2054.601. Definition - Sec. 2054.601. DEFINITION. In this subchapter, "alternative health benefit coverage"...

Section 2054.602. Health Benefit Coverage Offered by Subsidiary Authorized - Sec. 2054.602. HEALTH BENEFIT COVERAGE OFFERED BY SUBSIDIARY AUTHORIZED. (a)...

Section 2054.603. Considerations and Guiding Principles for Developing Health Benefit Coverage Offerings - Sec. 2054.603. CONSIDERATIONS AND GUIDING PRINCIPLES FOR DEVELOPING HEALTH BENEFIT...

Section 2054.604. Rules - Sec. 2054.604. RULES. Except with respect to alternative health benefit...

Section 2054.605. Exemption From Other Insurance Laws - Sec. 2054.605. EXEMPTION FROM OTHER INSURANCE LAWS. A provision of...

Section 2054.606. Subsidiary Not Engaged in Business of Insurance - Sec. 2054.606. SUBSIDIARY NOT ENGAGED IN BUSINESS OF INSURANCE. Notwithstanding...

Section 2054.607. Risk Transfer or Coverage - Sec. 2054.607. RISK TRANSFER OR COVERAGE. A subsidiary of the...

Chapter 2055 - Group Purchase of Workers' Compensation Insurance Coverage

Section 2055.001. Definition - Sec. 2055.001. DEFINITION. In this chapter, "business entity" means a...

Section 2055.002. Certification Program - Sec. 2055.002. CERTIFICATION PROGRAM. (a) The department shall: (1) maintain...

Section 2055.003. Formation of Group - Sec. 2055.003. FORMATION OF GROUP. (a) On receipt of a...

Section 2055.004. Plan of Operation - Sec. 2055.004. PLAN OF OPERATION. (a) A group shall: (1)...

Section 2055.005. Group Purchase Authorized - Sec. 2055.005. GROUP PURCHASE AUTHORIZED. A group certified under this...

Section 2055.006. Policy Rates - Sec. 2055.006. POLICY RATES. Rates for policies purchased under this...

Section 2055.007. Group Discount - Sec. 2055.007. GROUP DISCOUNT. (a) A group that purchases a...

Section 2055.008. Applicability of Other Law - Sec. 2055.008. APPLICABILITY OF OTHER LAW. (a) A group established...

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Texas Statutes Title 10 - Property and Casualty Insurance Subtitle E - Workers' Compensation Insurance

Texas Statutes
Title 10 - Property and Casualty Insurance
Subtitle E - Workers' Compensation Insurance