79R11219 KCR-F
By: Wentworth S.B. No. 1822
A BILL TO BE ENTITLED
AN ACT
relating to competition in certain insurance markets.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Article 1.02, Insurance Code, is amended by
amending Subsection (c) and adding Subsection (d) to read as
follows:
(c) Except as otherwise provided by this code and subject to
Subsection (d) of this article, for [For] purposes of this code
[article], a rate is:
(1) excessive if the rate is likely to produce a
long-term profit that is unreasonably high in relation to the
insurance coverage provided;
(2) inadequate if the rate is insufficient to sustain
projected losses and expenses to which the rate applies, and
continued use of the rate:
(A) endangers the solvency of an insurer using
the rate; or
(B) has the effect of substantially lessening
competition or creating a monopoly within any market; or
(3) unfairly discriminatory if the rate:
(A) is not based on sound actuarial principles;
(B) does not bear a reasonable relationship to
the expected loss and expense experience among risks; or
(C) is based in whole or in part on the race,
creed, color, ethnicity, or national origin of the policyholder or
an insured.
(d) For purposes of Subsection (c)(1) of this article and
subject to Article 1.03 of this code, rates for a particular line of
insurance are presumed not to be excessive, unless the commissioner
has determined that the market for that line of insurance is
noncompetitive under Article 1.03. In a noncompetitive market,
rates are excessive if:
(1) the rates produce or are likely to produce a
long-term profit that is unreasonably high in relation to the
insurance coverage provided; or
(2) expenses associated with the insurance coverage
provided are unreasonably high in relation to services rendered or
coverage provided.
SECTION 2. Chapter 1, Insurance Code, is amended by adding
Article 1.03 to read as follows:
Art. 1.03. MARKET COMPETITIVENESS. (a) This article
applies only to a line of insurance for which rates are regulated
under this code.
(b) The department shall periodically evaluate the
competitiveness of the market for each line of insurance described
by Subsection (a) of this article to determine whether a sufficient
degree of market competition exists within each line to give
consumers a reasonable choice in obtaining insurance coverage in
that line of insurance. In determining whether a sufficient degree
of market competition exists, the department shall presume a market
to be competitive and shall consider all factors relevant to market
competition, including:
(1) the number, market share, and concentration of
insurers actively engaged in writing business in that line of
insurance;
(2) the existence of rate differentials in that line
of insurance;
(3) ease of entry into the market for that line of
insurance; and
(4) whether the long-term profitability of insurers in
that line of insurance is unreasonable in relation to the risks
covered.
(c) After the department has evaluated the competitiveness
of the market for a particular line of insurance, the commissioner
may, after notice and hearing, issue an order stating that the
market for the particular line of insurance is noncompetitive.
(d) An order issued under Subsection (c) of this article
expires on the first anniversary of the date on which the order is
issued, unless, before the order expires, the commissioner holds a
subsequent hearing and determines that the market for that
particular line of insurance remains noncompetitive, in which case
the order expires on the first anniversary of the subsequent
hearing.
SECTION 3. Section 4(d), Article 5.13-2, Insurance Code, is
amended to read as follows:
(d) Rates established under this article may not be
excessive, inadequate, unreasonable, or unfairly discriminatory
for the risks to which they apply. For purposes of this article,
Articles 1.02(c) and (d) and Article 1.03 of this code govern
whether a rate is excessive.
SECTION 4. The changes in law made by this Act apply only to
a rate in effect on or after January 1, 2006. A rate in effect
before January 1, 2006, is governed by the law in effect immediately
before the effective date of this Act, and that law is continued in
effect for that purpose.
SECTION 5. This Act takes effect September 1, 2005.