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Texas Insurance Code - Not Codified - Article 21.49-11. Texas Public Entity Excess Insurance Pool

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Art. 21.49-11. TEXAS PUBLIC ENTITY EXCESS INSURANCE POOL. Article repealed effective April 1, 2007 Definitions Sec. 1. In this article: (1) "Pool" means the Texas public entity excess insurance pool. (2) "Fund" means the Texas public entity excess insurance fund. (3) "Board" means the board of trustees of the pool. (4) "Public entity" means a city or a group of cities who have formed an insurance pool under the provisions of The Interlocal Cooperation Act (Article 4413(32c), Vernon's Texas Civil Statutes). (5) "Association" means an association whose governing board is designated by this article to administer the pool. (6) "Insurance" means liability insurance or workers' compensation insurance. Creation of pool Sec. 2. (a) On written agreement of the presiding officers of not fewer than 25 public entities in this state, the Texas public entity excess insurance pool is created to provide excess liability and workers' compensation insurance coverage to a public entity and its officers and employees as provided by this article. (b) Under the excess insurance coverage, the pool shall pay that portion of a claim against a public entity and its officers and employees that is finally determined or settled or is included in a final judgment of a court and that is in excess of $1 million, but the amount paid by the pool may not be in excess of the amount determined by the board to be actuarially sound for the pool. (c) Under the insurance coverage, the pool may participate in the evaluation or defense of any claim. Participation in pool Sec. 3. A public entity is entitled to coverage from the pool on: (1) submitting a complete application; (2) providing any other relevant information required by the pool; (3) meeting the underwriting guidelines established by the pool; and (4) paying the premiums required for the coverage. Payment of contributions and premiums Sec. 4. A public entity purchasing excess insurance coverage from the pool may use funds of the public entity to pay any contributions or premiums required by the pool for the coverage. Board of trustees Sec. 5. (a) The members of the governing board of an association that has been in operation providing pooled self-insurance within this state for more than five years on the effective date of this article and that has as its members the public entities that entered into the written agreement under Section 2 of this article shall serve as the board of trustees of the pool and shall administer the pool. (b) Members of the board are not entitled to compensation for their service on the board. (c) Members of the board must represent members of the pool. (d) The persons who serve as officers of the governing board of the association shall serve as officers of the board. (e) The board shall hold meetings at the call of the chairman and at times established by its rules. (f) A majority of the members of the board constitutes a quorum. (g) In addition to other duties provided by this article and the plan of operation, the board shall: (1) approve contracts other than excess insurance contracts issued to public entities by the pool; (2) consider and adopt premium rate schedules for the pool; (3) consider and adopt policy forms for the pool; (4) receive service of summons on behalf of the pool; and (5) appoint and supervise the activities of the pool manager. (h) In addition to other authority provided by this article, the board may: (1) adopt necessary rules; (2) delegate specific responsibilities to the pool manager; and (3) amend the plan of operation to assure the orderly management and operation of the pool. (i) A member of the board is not liable with respect to any claim or judgment for which coverage is provided by the pool or for any claim or judgment against a public entity covered by the pool against whom a claim is made. Plan of operation Sec. 6. (a) Within 30 days after creation of the pool under Section 2(a) of this article, the board shall meet to prepare a detailed plan of operation for the pool. (b) The plan of operation may include any matters relating to the organization and operation of the pool and the pool's finances. The plan must include: (1) the organizational structure of the pool, the method of procedure and operation of the board, and a summary of the method for managing and operating the pool; (2) a description of the financial arrangements necessary to cover the initial expenses of the pool and estimates supported by statistical data of the amounts of those contributions or other financial arrangements; (3) underwriting guidelines and procedures for the evaluation of risks; (4) procedures for purchase of reinsurance; (5) methods, procedures, and guidelines for establishing rates for premiums for and maximum limits of excess coverage available from the pool; (6) procedures for the processing and payment of claims; (7) methods and procedures for defraying any losses and expenses of the pool; (8) methods, procedures, and guidelines for the management and investment of the fund; and (9) guidelines for nonrenewal of coverage. Pool manager Sec. 7. (a) The board shall appoint a pool manager who shall serve at the pleasure of the board. (b) The pool manager is entitled to receive the compensation authorized by the board. (c) The pool manager shall manage and conduct the affairs of the pool under the general supervision of the board and shall perform any other duties directed by the board. (d) In addition to any other duties provided by this article or by the board, the pool manager shall: (1) receive and pass on applications from public entities for insurance coverage from the pool; (2) negotiate contracts for the pool; (3) prepare premium rate schedules for the approval of the board; (4) collect and compile statistical data relating to the insurance coverage provided by the pool, including relevant loss, expense, and premium data, and make that information available to the board; and (5) prepare and submit to the board for approval proposed policy forms for pool coverage. (e) The pool manager may refuse to renew the coverage of any public entity insured by the pool based on the guidelines provided by the plan of operation. Employees and other personnel Sec. 8. (a) The pool manager shall employ or contract with persons necessary to assist the board and pool manager in carrying out the powers and duties of the pool. (b) The board shall approve compensation paid to employees of the pool and contracts made with other persons under this section. (c) The board may require any employee or person with whom it contracts under this section to execute a bond in an amount determined by the board, payable to the board, and conditioned on the faithful performance of the employee's or person's duties or responsibilities to the pool. (d) An employee or person with whom the pool has contracted under this section is not liable with respect to any claim or judgment for which coverage is provided by the pool or for any claim or judgment against any public entity covered by the pool against whom a claim is made. Office Sec. 9. (a) The pool shall maintain its principal office in Austin, Texas. (b) The records, files, and other documents and information relating to the pool must be maintained in the pool's principal office. Rules Sec. 10. The board may adopt and amend rules to carry out this article. General powers and duties Sec. 11. (a) The pool shall: (1) issue insurance coverage to each public entity entitled to coverage under this article; (2) collect premiums for coverage issued or renewed by the pool; (3) process and pay valid claims; and (4) maintain detailed data regarding the pool. (b) The pool may: (1) enter into contracts; (2) purchase reinsurance; (3) cancel or refuse to renew coverage; and (4) perform any other acts necessary to carry out this article, the plan of operation, and the rules adopted by the board. Texas public entity excess insurance fund Sec. 12. (a) On creation of the pool, the board shall create the Texas public entity excess insurance fund. (b) The fund is composed of: (1) premiums paid by public entities for coverage by the pool; (2) proceeds from bonds and other money received by the pool to cover the expenses of the fund; (3) investments and money earned from investments of the fund; and (4) any other money received by the pool. (c) The pool manager shall manage the fund under the general supervision of the board. (d) Administrative expenses of the pool may be paid from the fund. (e) Money in the fund may not be used to pay punitive damages, fines or penalties for violation of a civil or criminal statute, or fines or penalties imposed for violation of an administrative rule or regulation or a public entity order or ordinance. (f) Money for a claim may not be paid from the fund under excess insurance coverage unless and until all benefits payable under any other underlying policy or self-insurance covering the claim or judgment are exhausted. (g) The board may select one or more banks to serve as depository for money of the fund. Before the pool manager deposits fund money in a depository bank in an amount that exceeds the maximum amount secured by the Federal Deposit Insurance Corporation, the bank must execute a bond or provide other security in an amount sufficient to secure from loss the fund money that exceeds the amount secured by the Federal Deposit Insurance Corporation. Investments Sec. 13. (a) The fund manager, under the general supervision of the board, shall manage and invest the money in the fund in the manner provided by the plan of operation. (b) Money earned by investment of money in the fund must be deposited in the fund or reinvested for the fund. Premium rates; limits of coverage Sec. 14. (a) The board shall determine the rates for premiums that will be charged and the maximum limits of coverage provided to assure that the pool is actuarially sound. (b) The pool manager shall prepare the statistical data and other information and the proposed rate schedules and maximum limits of insurance coverage for consideration of the board. (c) The board shall periodically reexamine the rate schedules and the maximum limits of insurance coverage as conditions change. Coverage period Sec. 15. (a) On accepting insurance coverage from the pool, a public entity is authorized to and shall maintain that coverage for a period not less than 35 calendar months following the month the coverage is issued. (b) A public entity that voluntarily discontinues insurance coverage in the pool may not again obtain coverage from the pool for at least 36 calendar months following the month in which the coverage was discontinued. Coverage Sec. 16. Excess coverage provided by the pool may be provided on a claims-made or an occurrence basis. Punitive damages Sec. 17. Excess coverage provided by the pool may not provide coverage for punitive damages. Nonrenewal Sec. 18. (a) The pool may refuse to renew the insurance coverage of any public entity that fails to comply with the pool's underwriting or risk management guidelines. (b) A public entity whose insurance coverage is not renewed by the pool is not eligible to apply for new coverage during the 11 calendar months beginning after the month in which the pool gave written notice that it would not renew the coverage. Shortage of available money Sec. 19. (a) If money in the fund will be exhausted by payment of all final and settled claims and final judgments during the fiscal year, the amount paid by the pool to each person having a claim or judgment shall be prorated, with each person receiving an amount that is equal to the percentage the amount owed to him by the pool bears to the total amount owed, outstanding, and payable by the pool. (b) The remaining amount that is due and unpaid to a person who receives prorated payment under Subsection (a) of this section must be paid by the member city incurring the original liability. Application of other laws Sec. 20. (a) Except as provided by Subsection (b) of this section, the pool is not considered insurance under the Insurance Code and other laws of this state, and the State Board of Insurance has no jurisdiction over the pool. (b) The pool is subject to Articles 1.24A, 1.24B, and 21.21 of this code. Sec. 21. Expired. Added by Acts 1987, 70th Leg., 1st C.S., ch. 1, Sec. 5.09, eff. Sept. 2, 1987.

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Last modified: August 11, 2007