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Texas Insurance Code - Chapter 38 Data Collection And Reports

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  • Texas Insurance Code Section 38.001 - Inquiries
    (a) In this section, "authorization" means a permit, certificate of registration, or other authorization issued or existing under this code. (b) The department may address ...
  • Texas Insurance Code Section 38.002 - Underwriting Guidelines For Personal Automobile And Residential Property Insurance; Filing; Confidentiality
    (a) In this section: (1) "Insurer" means an insurance company, reciprocal or interinsurance exchange, mutual insurance company, capital stock company, county mutual insurance company, Lloyd's ...
  • Texas Insurance Code Section 38.003 - Underwriting Guidelines For Other Lines; Confidentiality
    (a) This section applies to all underwriting guidelines that are not subject to Section 38.002. (b) For purposes of this section, "insurer" means a reciprocal ...
  • Texas Insurance Code Section 38.051 - Definition
    In this subchapter, "health benefit plan provider" means an insurance company, group hospital service corporation, or health maintenance organization that issues: (1) an individual, group, ...
  • Texas Insurance Code Section 38.052 - Required Information; Rules
    (a) A health benefit plan provider shall submit information required by the department relating to the health benefit plan provider's: (1) loss experience; (2) overhead; ...
  • Texas Insurance Code Section 38.101 - Definitions
    In this subchapter: (1) "HIV" and "AIDS" have the meanings assigned by Section 81.101, Health and Safety Code. (2) "Health benefit plan coverage" means a ...
  • Texas Insurance Code Section 38.102 - Purpose
    The purpose of this subchapter is to: (1) ensure that adequate health insurance and benefits coverage is available to the citizens of this state; (2) ...
  • Texas Insurance Code Section 38.103 - Data Collection Program
    (a) The department shall maintain a program to gather data and information relating to the effect of HIV and AIDS on the availability, adequacy, and ...
  • Texas Insurance Code Section 38.104 - Compilation Of Data And Information; Report
    (a) The department shall compile the data and information included in reports required by this subchapter into composite form and shall prepare at least annually ...
  • Texas Insurance Code Section 38.105 - Recommendations And Reports To Legislature
    (a) The commissioner may submit to the legislature written recommendations for legislation the commissioner considers necessary to resolve problems related to the effect of HIV ...
  • Texas Insurance Code Section 38.106 - Information Confidential
    (a) If the commissioner determines that information or reports submitted under this subchapter would reveal or might reveal the identity of an individual or associate ...
  • Texas Insurance Code Section 38.151 - Definitions
    In this subchapter: (1) "Insurer" means: (A) an insurance company or other entity that is admitted to do business and authorized to write liability insurance ...
  • Texas Insurance Code Section 38.152 - Exemption
    This subchapter does not apply to a farm mutual insurance company or to a county mutual fire insurance company writing exclusively industrial fire insurance as ...
  • Texas Insurance Code Section 38.153 - Closed Claim Report
    (a) Not later than the 10th day after the last day of the calendar quarter in which a claim for recovery under a liability insurance ...
  • Texas Insurance Code Section 38.154 - Content Of Closed Claim Report Form
    (a) The closed claim report form adopted by the commissioner for a report under Section 38.153 must require information relating to: (1) the identity of ...
  • Texas Insurance Code Section 38.155 - Summary Closed Claim Report
    (a) An insurer shall file with the department a summary closed claim report for a claim for recovery under a liability insurance policy if the ...
  • Texas Insurance Code Section 38.156 - Content Of Summary Closed Claim Report Form
    The summary closed claim report form adopted by the commissioner for a report under Section 38.155 must require information relating to: (1) the identity of ...
  • Texas Insurance Code Section 38.157 - Aggregate Report
    (a) An insurer shall file with the department one report containing the information required under this section for all claims closed within the calendar year ...
  • Texas Insurance Code Section 38.158 - Alternative Reporting
    After notice and public hearing, the commissioner may provide for alternative reporting in the form of sampling of the required closed claim data instead of ...
  • Texas Insurance Code Section 38.159 - Compilation Of Data; Report
    The department shall compile the data included in individual closed claim reports and summary closed claim reports into a composite form and shall prepare annually ...
  • Texas Insurance Code Section 38.160 - Electronic Database
    The commissioner may: (1) establish an electronic database composed of reports filed with the department under this subchapter; (2) provide the public with access to ...
  • Texas Insurance Code Section 38.161 - Report To Legislature
    (a) The department shall submit copies of the report required by Section 38.159 to the presiding officers of each house of the legislature. (b) The ...
  • Texas Insurance Code Section 38.162 - Information Confidential
    (a) Information included in an individual closed claim report or an individual summary closed claim report submitted by an insurer under this subchapter is confidential ...
  • Texas Insurance Code Section 38.163 - Rules And Forms
    The commissioner may adopt necessary rules to: (1) implement this subchapter; (2) define terminology, criteria, content, and other matters relating to the reports required under ...
  • Texas Insurance Code Section 38.201 - Definition
    In this subchapter, "designated statistical agent" means an organization designated or contracted with by the commissioner under Section 38.202. Added by Acts 1999, 76th Leg., ...
  • Texas Insurance Code Section 38.202 - Statistical Agent
    The commissioner may, for a line or subline of insurance, designate or contract with a qualified organization to serve as the statistical agent for the ...
  • Texas Insurance Code Section 38.203 - Qualifications Of Statistical Agent
    To qualify as a statistical agent, an organization must demonstrate at least five years of experience in data collection, data maintenance, data quality control, accounting, ...
  • Texas Insurance Code Section 38.204 - Powers And Duties Of Statistical Agent
    (a) A designated statistical agent shall collect data from reporting insurers under a statistical plan adopted by the commissioner. (b) The statistical agent may provide ...
  • Texas Insurance Code Section 38.205 - Duty Of Insurer
    An insurer shall provide all premium and loss cost data to the commissioner or the designated statistical agent as the commissioner or agent requires. Added ...
  • Texas Insurance Code Section 38.206 - Fees
    (a) A designated statistical agent may collect from a reporting insurer any fees necessary for the agent to recover the necessary and reasonable costs of ...
  • Texas Insurance Code Section 38.207 - Rules
    The commissioner may adopt rules necessary to accomplish the purposes of this subchapter. Added by Acts 1999, 76th Leg., ch. 101, § 1, eff. Sept. ...
  • Texas Insurance Code Section 38.251 - Applicability
    This subchapter applies to any issuer of a health benefit plan that is subject to this code that provides benefits for medical or surgical expenses ...
  • Texas Insurance Code Section 38.252 - Collection Of Information; Report
    (a) The commissioner shall require a health benefit plan issuer to collect and report cost and utilization data for each mandated health benefit and mandated ...
  • Texas Insurance Code Section 38.253 - Maintenance Of Information
    Each health benefit plan issuer shall maintain at its principal place of business all data collected pursuant to this subchapter, including information and supporting documentation ...
  • Texas Insurance Code Section 38.254 - Utilization And Cost Data To Commissioner
    (a) Upon request from the commissioner, the Texas Health and Human Services Commission shall provide to the commissioner data, including utilization and cost data, which ...
  • Texas Insurance Code Section 38.301 - Insurer Data Reporting
    (a) Each insurer that writes professional liability insurance policies for nursing institutions licensed under Chapter 242, Health and Safety Code, including an insurer whose rates ...
  • Texas Insurance Code Section 38.302 - Recommendations To Legislature
    The commissioner shall assemble information and take other appropriate measures to assess and evaluate changes in the marketplace resulting from the implementation of the legislation ...
  • Last modified: August 11, 2007