Texas Insurance Code - Not Codified - Article 5.04-1. Report Of Basic Limits Losses
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Art. 5.04-1. REPORT OF BASIC LIMITS LOSSES. (a) A report
filed under Article 5.01(a) of this code must include the
information necessary to compute a Texas automobile experience
modifier as provided by this code or a rule adopted by the State
Board of Insurance. In reporting losses under Article 5.01(a) of
this code, an insurer may include only the following as basic limits
losses:
(1) indemnity losses, up to the basic limits for the losses;
(2) losses based on payments for immediate medical or
surgical treatment;
(3) fees paid to an attorney who is not an employee of the
insurer, if the fees were for services rendered in the trial of an
action arising under a covered claim;
(4) specific expenses incurred as a direct result of
defending an action in connection with which the expense is
claimed;
(5) specific expenses, other than claims adjustment
expenses, incurred in connection with the settlement of a claim
with respect to which the expense is claimed;
(6) all medical payments coverage; and
(7) personal injury protection coverage losses.
(b) In reporting its basic limits losses to the State Board
of Insurance, each insurer shall disclose the specific nature of
each loss expense claimed and shall show to the Board's
satisfaction that each specific expense claimed was necessary with
respect to the specific risk involved.
Added by Acts 1991, 72nd Leg., ch. 750, Sec. 2, eff. Sept. 1, 1991.
Article: 5.01C 5.01-1 5.01-3 5.02 5.03 5.03-1 5.04 5.04-1 5.05 5.06 5.06-1 5.06-2 5.06-3 5.06-4 5.06-5
Last modified: August 11, 2007
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