Texas Insurance Codes 5.65A
From Wcc
§ 5.65A Notification to Policyholder
| (a) A company or association that writes workers' compensation insurance in this state shall notify each policyholder of any claim that is filed against the policy. Thereafter a company shall notify the policyholder of any proposal to settle a claim or, on receipt of a written request from the policyholder, of any administrative or
judicial proceeding relating to the resolution of a claim, including a benefit review conference conducted by the Texas Workers' Compensation Commission. (b) Each company or association that writes workers' compensation insurance in this state, on the written request of the policyholder, shall provide the policyholder with a list of claims charged against the policy, payments made and reserves established on each claim, and a statement explaining the effect of claims on premium rates. The company or association shall provide the information to the policyholder in writing not later than the 30th day after the date on which the company or association receives the policyholder's written request for the information. The information is considered to be provided on the date that the information is received by the United States Postal Service or personally delivered. (c) An insurance carrier that fails to comply with this article commits a Class D administrative violation under the Texas Workers' Compensation Act (S.B. No. 1, Acts of the 71st Legislature, 2nd Called Session, 1989). (d) Any policyholder may elect to waive the notification required by Subsection (a) of this article. Added by Acts 1989, 71st Leg., 2nd C.S., ch. 1, Sec. 13.08, eff. Jan. 1, 1991. Subsec. (b) amended by Acts 1995, 74th Leg., ch. 813, Sec. 1, eff. Sept. 1, 1995. |
