79R4968 PB-F

By:  Taylor                                                       H.B. No. 3373


A BILL TO BE ENTITLED
AN ACT
relating to insurance fraud reporting requirements. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 701.051, Insurance Code, as effective April 1, 2005, is amended to read as follows: Sec. 701.051. DUTY TO REPORT. (a) Not later than the 30th day after the date the person makes the determination or has reasonable grounds for suspicion, a [A] person who determines or reasonably suspects that a fraudulent insurance act has been or is about to be committed: (1) shall report the information in writing to the insurance fraud unit of the department, in the format prescribed by the fraud unit; and (2) may also report the information to another [or an] authorized governmental agency [not later than the 30th day after the date the person makes the determination]. (b) A report made to [one authorized governmental agency or] the insurance fraud unit [department] constitutes notice to each other appropriate authorized governmental agency [and the department]. SECTION 2. Section 701.052(b), Insurance Code, as effective April 1, 2005, is amended to read as follows: (b) A person may furnish information as described in Subsection (a) orally or in writing, including through publishing, disseminating, or filing a bulletin or report. A person may furnish the information anonymously. SECTION 3. Section 701.108, Insurance Code, as effective April 1, 2005, is amended to read as follows: Sec. 701.108. [INSURER'S] DUTY TO PROVIDE INFORMATION. On the written request of an authorized governmental agency, an insurer, or a person authorized to act on behalf of the insurer, shall provide to the agency any relevant information or material relating to a matter under investigation. SECTION 4. Section 701.109, Insurance Code, as effective April 1, 2005, is amended to read as follows: Sec. 701.109. REQUEST FOR INVESTIGATION BY INSURER. (a) An insurer who conducts [must complete] an independent investigation of suspected insurance claim fraud is not required to complete that investigation [and draft a report of the insurer's findings] before requesting that the commissioner conduct an investigation. (b) The insurer shall draft a report of the insurer's findings and [must] submit the report and any [the] related investigation file to the commissioner as soon as practicable on the conclusion [as part] of the insurer's independent [request that the commissioner conduct an] investigation. SECTION 5. Section 701.052(f), Insurance Code, as effective April 1, 2005, is repealed. SECTION 6. This Act takes effect September 1, 2005.