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Chapter 701 - Insurance Fraud Investigations
Subchapter A. General Provisions
Section 701.001. Definitions - Sec. 701.001. DEFINITIONS. In this chapter: (1) "Authorized governmental agency"...
Section 701.002. Business of Insurance - Sec. 701.002. BUSINESS OF INSURANCE. A person is engaged in...
Section 701.003. Effect of Chapter - Sec. 701.003. EFFECT OF CHAPTER. This chapter does not: (1)...
Section 701.004. Antifraud Education - Sec. 701.004. ANTIFRAUD EDUCATION. The commissioner, through the insurance fraud...
Section 701.005. Gifts, Grants, and Donations - Sec. 701.005. GIFTS, GRANTS, AND DONATIONS. (a) The insurance fraud...
Subchapter B. Reporting Fraudulent Insurance Acts
Section 701.051. Duty to Report - Sec. 701.051. DUTY TO REPORT. (a) Not later than the...
Section 701.052. Immunity for Furnishing Information Relating to a Fraudulent Insurance Act - Sec. 701.052. IMMUNITY FOR FURNISHING INFORMATION RELATING TO A FRAUDULENT...
Subchapter C. Investigations
Section 701.101. Insurance Fraud Unit - Sec. 701.101. INSURANCE FRAUD UNIT. (a) The purpose of the...
Section 701.102. Investigation of Certain Acts of Fraud - Sec. 701.102. INVESTIGATION OF CERTAIN ACTS OF FRAUD. If the...
Section 701.103. Disciplinary Action; Report to Other Agencies - Sec. 701.103. DISCIPLINARY ACTION; REPORT TO OTHER AGENCIES. (a) The...
Section 701.104. Department Investigators - Sec. 701.104. DEPARTMENT INVESTIGATORS. (a) The commissioner may: (1) employ...
Section 701.105. Assistance From Law Enforcement - Sec. 701.105. ASSISTANCE FROM LAW ENFORCEMENT. An investigator employed by...
Section 701.106. Subpoena Authority - Sec. 701.106. SUBPOENA AUTHORITY. (a) The commissioner may issue a...
Section 701.107. Certain Agencies' Duty to Provide Information - Sec. 701.107. CERTAIN AGENCIES' DUTY TO PROVIDE INFORMATION. (a) On...
Section 701.108. Insurer's Duty to Provide Information - Sec. 701.108. INSURER'S DUTY TO PROVIDE INFORMATION. (a) On the...
Section 701.109. Request for Investigation by Insurer - Sec. 701.109. REQUEST FOR INVESTIGATION BY INSURER. (a) An insurer...
Subchapter D. Insurance Fraud Information; Confidentiality
Section 701.151. Confidentiality of Department Information - Sec. 701.151. CONFIDENTIALITY OF DEPARTMENT INFORMATION. (a) Information or material...
Section 701.152. Confidentiality of Authorized Governmental Agency Information - Sec. 701.152. CONFIDENTIALITY OF AUTHORIZED GOVERNMENTAL AGENCY INFORMATION. Information or...
Section 701.153. Disclosure of Information to Certain Agencies - Sec. 701.153. DISCLOSURE OF INFORMATION TO CERTAIN AGENCIES. An authorized...
Section 701.154. Disclosure of Information to Public - Sec. 701.154. DISCLOSURE OF INFORMATION TO PUBLIC. (a) Except as...
Chapter 703 - Covered Entity's Antifraud Action
Section 703.001. Definition - Sec. 703.001. DEFINITION. In this chapter, "covered entity" means a...
Section 703.002. Right of Intervention - Sec. 703.002. RIGHT OF INTERVENTION. This chapter does not affect...
Subchapter B. Antifraud Action; Certification
Section 703.051. Antifraud Action Authorized - Sec. 703.051. ANTIFRAUD ACTION AUTHORIZED. (a) A covered entity acting...
Section 703.052. Request for Certification - Sec. 703.052. REQUEST FOR CERTIFICATION. A covered entity may request...
Section 703.053. Notice of Request for Certification - Sec. 703.053. NOTICE OF REQUEST FOR CERTIFICATION. (a) When a...
Section 703.054. Hearing on Request for Certification - Sec. 703.054. HEARING ON REQUEST FOR CERTIFICATION. As soon as...
Section 703.055. Certification - Sec. 703.055. CERTIFICATION. The court shall certify that the action...
Subchapter C. Expenses of Antifraud Action
Section 703.101. Determination of Expenses - Sec. 703.101. DETERMINATION OF EXPENSES. (a) The court that certifies...
Section 703.102. Deduction or Offset for Expenses; Reimbursement - Sec. 703.102. DEDUCTION OR OFFSET FOR EXPENSES; REIMBURSEMENT. (a) Subject...
Section 703.103. Assignment of Deduction or Offset - Sec. 703.103. ASSIGNMENT OF DEDUCTION OR OFFSET. The covered entity...
Section 703.104. Treatment of Deduction or Offset as Admitted Asset - Sec. 703.104. TREATMENT OF DEDUCTION OR OFFSET AS ADMITTED ASSET....
Chapter 704 - Antifraud Programs
Section 704.001. Definition - Sec. 704.001. DEFINITION. In this chapter, "plan issuer" means: (1)...
Section 704.002. Notice Relating to False or Fraudulent Claims Required - Sec. 704.002. NOTICE RELATING TO FALSE OR FRAUDULENT CLAIMS REQUIRED....
Subchapter B. Antifraud Plans
Section 704.051. Antifraud Plan Required for Certain Plan Issuers - Sec. 704.051. ANTIFRAUD PLAN REQUIRED FOR CERTAIN PLAN ISSUERS. A...
Section 704.052. Antifraud Plan Requirements - Sec. 704.052. ANTIFRAUD PLAN REQUIREMENTS. An antifraud plan adopted by...
Section 704.053. Filing of Antifraud Plan - Sec. 704.053. FILING OF ANTIFRAUD PLAN. A plan issuer may...
Section 704.054. Fraud and Abuse Plans Under Certain State Programs; Enforcement - Sec. 704.054. FRAUD AND ABUSE PLANS UNDER CERTAIN STATE PROGRAMS;...
Chapter 705 - Misrepresentations by Policyholders
Section 705.001. Definition - Sec. 705.001. DEFINITION. In this subchapter, "insurance policy" means a...
Section 705.002. Applicability of Subchapter - Sec. 705.002. APPLICABILITY OF SUBCHAPTER. Except as provided by Section...
Section 705.003. Policy Provision: Misrepresentation in Proof of Loss or Death - Sec. 705.003. POLICY PROVISION: MISREPRESENTATION IN PROOF OF LOSS OR...
Section 705.004. Policy Provision: Misrepresentation in Policy Application - Sec. 705.004. POLICY PROVISION: MISREPRESENTATION IN POLICY APPLICATION. (a) An...
Section 705.005. Notice to Insured of Misrepresentations - Sec. 705.005. NOTICE TO INSURED OF MISREPRESENTATIONS. (a) This section...
Subchapter B. Special Provisions Related to Life, Accident, and Health Insurance Policies
Section 705.051. Immaterial Misrepresentation in Life, Accident, or Health Insurance Application - Sec. 705.051. IMMATERIAL MISREPRESENTATION IN LIFE, ACCIDENT, OR HEALTH INSURANCE...
Subchapter C. Special Provisions Related to Life Insurance Policies
Section 705.101. Definition - Sec. 705.101. DEFINITION. In this subchapter, "insurance policy" means a...
Section 705.102. Applicability of Subchapter - Sec. 705.102. APPLICABILITY OF SUBCHAPTER. This subchapter applies to any...
Section 705.103. Documents to Accompany Policy - Sec. 705.103. DOCUMENTS TO ACCOMPANY POLICY. Except as otherwise provided...
Section 705.104. Misrepresentation in Application for Life Insurance - Sec. 705.104. MISREPRESENTATION IN APPLICATION FOR LIFE INSURANCE. A defense...
Section 705.105. Applicability of Other Law - Sec. 705.105. APPLICABILITY OF OTHER LAW. Subchapter A does not...
Chapter 706 - Identity Theft Insurance
Section 706.001. Definitions - Sec. 706.001. DEFINITIONS. (a) The definitions adopted under Sections 2251.002...
Section 706.002. Coverage Authorized - Sec. 706.002. COVERAGE AUTHORIZED. (a) An insurer authorized to write...
Section 706.003. Eligible Policyholders - Sec. 706.003. ELIGIBLE POLICYHOLDERS. (a) An insurer may issue coverage...
Section 706.004. Rates and Forms - Sec. 706.004. RATES AND FORMS. Notwithstanding any other law, rates...
Section 706.005. Rules - Sec. 706.005. RULES. The commissioner may adopt rules as necessary...
Chapter 707 - Payment of Insurance Deductible
Section 707.001. Definitions - Sec. 707.001. DEFINITIONS. In this chapter: (1) "Person" means an...
Section 707.002. Payment of Deductible Required - Sec. 707.002. PAYMENT OF DEDUCTIBLE REQUIRED. A person insured under...
Section 707.003. Consumer Education - Sec. 707.003. CONSUMER EDUCATION. The department, in coordination with other...
Section 707.004. Reasonable Proof of Payment - Sec. 707.004. REASONABLE PROOF OF PAYMENT. An insurer that issues...
Section 707.005. Rulemaking - Sec. 707.005. RULEMAKING. The commissioner may adopt rules as necessary...