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A BILL TO BE ENTITLED
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AN ACT
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relating to the operation and regulation of certain consolidated |
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insurance programs. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Title 2, Insurance Code, is amended by adding |
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Subtitle C to read as follows: |
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SUBTITLE C. PROGRAMS AFFECTING MULTIPLE LINES OF INSURANCE |
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CHAPTER 151. CONSOLIDATED INSURANCE PROGRAMS |
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SUBCHAPTER A. GENERAL PROVISIONS |
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Sec. 151.001. DEFINITIONS. In this chapter: |
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(1) "Administrator" means a person who operates and |
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manages a consolidated insurance program on behalf of a principal. |
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The administrator can be a person that, in the regular course of |
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business, operates and manages a consolidated insurance program as |
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an agent of a principal. |
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(2) "Consolidated insurance program" means a program |
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under which a principal, for a contractor or contractors on a |
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construction project, provides insurance coverages that are |
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bundled into one insurance program for a single construction |
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project or multiple construction projects. The consolidated |
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insurance program may include only one type of insurance. |
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(3) "Construction project" means construction, |
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remodeling, maintenance, or repair of improvements to real |
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property. |
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(4) "Contractor" includes: |
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(A) a prime contractor; |
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(B) a general contractor; |
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(C) a subcontractor; and |
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(D) any other person who receives insurance |
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coverage under an insurance policy or contract subject to this |
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chapter. |
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(5) "Insurance credit" means a discount on a contract |
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price offered to a principal by a contractor bidding on a |
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construction project contract in consideration of the principal's |
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providing insurance coverage for the construction project that |
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covers the contractor. |
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(6) "Principal" means the person who procures an |
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insurance contract or policy and is responsible for the payment of |
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the premium on the insurance coverage. The principal is typically |
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the first-named insured on the insurance contract or policy. |
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(7) "Residential" means a single-family house, a |
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duplex, a triplex, a quadruplex, or a unit in a multiunit structure |
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used for residential purposes that is: |
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(A) owned by one or more adult persons; and |
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(B) used or intended to be used as a dwelling by |
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one of the owners; or |
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(C) being or intended to be newly constructed |
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with the purpose and intention of selling such to a person described |
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by Paragraph (A). |
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[Sections 151.002-151.050 reserved for expansion] |
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SUBCHAPTER B. GENERAL REQUIREMENTS FOR A |
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CONSOLIDATED INSURANCE PROGRAM |
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Sec. 151.051. GENERAL REQUIREMENTS. An insurance contract |
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or policy issued under a consolidated insurance program must: |
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(1) provide coverages in the manner required by the |
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department under this code; and |
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(2) comply with the requirements adopted under this |
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chapter. |
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Sec. 151.052. REQUIRED COVERAGES. (a) An insurance policy |
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or contract issued under a consolidated insurance program must |
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provide coverages for all operations on the construction project |
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site that are necessary and incidental to the construction project |
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to the extent of the general type of insurance that is being |
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provided under the policy or contract. For purposes of this |
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subsection, the construction project site is the immediate area of |
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construction and adjacent areas such as sidewalks, streets, storage |
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areas, temporary construction yards, and staging areas. |
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(b) This chapter may not be interpreted to prevent a |
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contractor from obtaining, and charging to the principal the cost |
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of, any insurance coverage not provided by the consolidated |
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insurance program in order to protect the contractor and the |
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construction project. |
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(c) Except as provided by Subsection (d), after the |
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execution of a construction contract by the principal, the |
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operations or coverages under the consolidated insurance program |
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may not be materially changed, nonrenewed, or canceled without |
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written notice provided to the principal and all contractors not |
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later than the 60th day before the effective date of the material |
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change, nonrenewal, or cancellation. |
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(d) A notice to cancel coverage due to nonpayment of premium |
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shall be effective only after written notice is provided to the |
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principal not later than the 10th day before the effective date of |
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the cancellation due to nonpayment of premium. |
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(e) If any coverage is canceled, the insurer or |
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administrator shall notify each contractor in writing that coverage |
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has been canceled. Such notice shall be sent not later than the |
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date of cancellation of coverage. |
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(f) If the operations or coverages under a consolidated |
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insurance program are materially changed, nonrenewed, or canceled |
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and not replaced by the principal with equivalent operations or |
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coverages, a contractor shall be: |
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(1) entitled to an increase in its construction |
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project contract price to cover: |
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(A) the contractor's cost of insurance and the |
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overhead cost of procuring coverage to replace the coverage |
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provided by the consolidated insurance program; or |
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(B) the contractor's typical standard insurance |
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coverage for the same general type of coverages provided under the |
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consolidated insurance program; or |
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(2) entitled to suspend its construction project |
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contract without recourse or liability for damages to any person |
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provided that: |
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(A) the contractor has made a reasonable effort |
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to obtain replacement coverage under this subsection; and |
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(B) the principal or contractor will not agree to |
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a reasonable change as provided by this subsection. |
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(g) For purposes of Subsection (f), equivalent operations |
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or coverages includes, where applicable: |
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(1) an insurer that meets the requirements of Section |
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151.059; or |
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(2) if no insurer that meets the requirements of |
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Section 151.059 will provide replacement coverage, an insurer with |
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a financial strength of at least A- and a financial size rating of |
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not less than XI. |
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(h) Subsection (f)(2) does not apply to work not covered by |
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the consolidated insurance program. |
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(i) A contractor that elects to suspend its construction |
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project contract under Subsection (f)(2) shall: |
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(1) provide written notification of the suspension to |
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the principal or other contractor covered under the consolidated |
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insurance program with whom it has a direct contractual |
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relationship; and |
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(2) be entitled to payment for all properly performed |
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labor or properly furnished materials and equipment, including |
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overhead cost and profit for such labor, material, and equipment, |
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supplied by the contractor to the construction project before the |
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effective date of suspension of its construction project contract. |
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(j) A contractor that suspends a construction project |
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contract under Subsection (f)(2) and is paid under Subsection (i) |
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shall be responsible for the labor, materials, and equipment for |
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which the contractor is paid as if the contract were not suspended. |
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Sec. 151.053. COVERAGE OF CONTRACTORS; EFFECT OF SEPARATE |
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COVERAGE. (a) Each contractor on a construction project covered |
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by a consolidated insurance program must be a named insured on each |
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insurance policy and contract under this program and have equal |
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rights under the policy or contract with the principal and other |
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contractors, subject to the industry standard differences between a |
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first-named insured and a named insured. This subsection does not |
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apply to a policy or contract that is issued individually in the |
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name of the contractor as the first-named insured under a |
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consolidated insurance program. |
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(b) The principal or a contractor may not require a |
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contractor to obtain an additional insured endorsement on the |
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contractor's separately maintained insurance contract or policy |
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that is of the same general type as the insurance coverage provided |
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by the consolidated insurance program except for off-site work for |
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ongoing operations related to the project that is not covered by the |
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consolidated insurance program. |
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(c) The coverages under the consolidated insurance program |
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must be primary and noncontributory to any insurance policy or |
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contract separately maintained by a contractor covered by the |
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consolidated insurance program that is of the same general type as |
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the insurance coverages provided by the consolidated insurance |
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program. |
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Sec. 151.054. COMPLIANCE BY PRINCIPAL. (a) A principal |
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under a consolidated insurance program who does not comply with the |
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requirements of this chapter may not, directly or indirectly, |
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including by deduction from a payment or by requesting an insurance |
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credit, charge a contractor for any insurance coverage provided to |
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the contractor by the program. Similarly, a contractor who |
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contracts with a lower-tier contractor may not charge the |
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lower-tier contractor for any insurance coverage when the principal |
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has failed to comply with the requirements of this chapter. |
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(b) For purposes of this section, noncompliance by a |
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principal includes material or significant matters but does not |
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include inadvertent errors that are not repeated in a way that would |
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cause a reasonable person to believe they are habitual or |
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premeditated. Dates set as deadlines in this chapter shall be |
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interpreted to be material matters. |
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Sec. 151.055. SUBROGATION. (a) The principal and a |
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contractor do not have subrogation rights against each other for a |
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claim covered by the consolidated insurance program. |
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(b) A contractor and another contractor do not have |
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subrogation rights against each other for a claim covered by the |
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consolidated insurance program. |
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Sec. 151.056. LIMITS OF COVERAGE. (a) Subject to Section |
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151.058, aggregate and per-occurrence limits of all insurance |
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coverages under a consolidated insurance program apply to all |
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contractors under the program for the term of each construction |
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project covered by the program. |
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(b) For a residential construction project, the |
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per-occurrence limit shall be not less than the greater of: |
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(1) 20 percent of the overall construction project |
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value; or |
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(2) $5 million. |
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(c) For a nonresidential construction project that has an |
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overall construction project value that does not exceed $400 |
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million the per-occurrence limit shall be not less than the greater |
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of: |
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(1) 25 percent of the overall construction project |
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value; or |
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(2) $50 million. |
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(d) For a nonresidential construction project that has an |
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overall construction project value that exceeds $400 million the |
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per-occurrence limit shall be not less than $100 million. |
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(e) A consolidated insurance program must reinstate |
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annually the liability limits for each policy or contract subject |
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to the program or be replaced by other policies or contracts that |
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provide equivalent coverage and limits. This subsection does not |
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apply to completed operations coverage upon completion of the |
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construction project. |
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(f) The insurer shall notify all contractors in writing not |
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later than the 10th day after the date the total monetary limit of |
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liability coverage for any type of coverage issued under the |
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consolidated insurance program is reduced by: |
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(1) 50 percent; and |
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(2) after the initial 50 percent reduction, each |
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additional 10 percentage point reduction. |
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(g) The reduction in monetary limit in Subsection (f) shall |
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be calculated based on incurred losses and expenses. |
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(h) The notice under Subsection (f) shall describe the |
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initial monetary limit of liability coverage and the monetary limit |
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of liability coverage that remains as of the notice date. |
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(i) For limits on coverages that have been extended by other |
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policies, the notice under Subsection (f) is required only if the |
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combined monetary limit of all policies providing such coverage has |
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been reached. |
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(j) The monetary limit of liability shall not be reduced if |
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the insurer fails to comply properly with Subsection (f). |
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Sec. 151.057. APPLICATION TO GENERAL LIABILITY COVERAGE. |
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If a consolidated insurance program includes general liability |
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coverage, coverage for the construction project must be provided |
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for: |
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(1) a negligent act of a contractor, regardless of |
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whether the negligent act is caused by a direct act of the |
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contractor or assumed under a contract; and |
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(2) the contractor's ongoing operations and its |
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completed operations. |
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Sec. 151.058. DURATION OF COVERAGE. (a) A consolidated |
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insurance program that provides general liability coverage must |
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continue completed operations insurance coverage until the last |
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date for bringing a suit for damages as defined in Chapter 16, Civil |
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Practice and Remedies Code. |
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(b) A contractor's separately maintained insurance may not |
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exclude coverage for ongoing operations of the contractor for |
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warranty or punch-out work on a construction project covered by a |
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consolidated insurance program that occurs after the contractor has |
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received written notice from the principal, insurer, or |
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administrator that the consolidated insurance program has ended. |
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Sec. 151.059. INSURER REQUIREMENTS; INSURER RATINGS. |
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(a) Insurance coverages under a consolidated insurance program |
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for a nonresidential construction project must be provided by an |
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insurer that has: |
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(1) a financial strength rating of at least A- and a |
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financial size rating of at least Class XIII, as currently reported |
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by the A. M. Best Company; or |
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(2) an equivalent rating made by a similar rating |
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organization recognized by the commissioner. |
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(b) Insurance coverages under a consolidated insurance |
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program for a residential construction project must be provided by |
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an insurer that has: |
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(1) a financial strength rating of at least A- and a |
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financial size rating of at least Class XIII, as currently reported |
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by the A. M. Best Company; or |
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(2) an equivalent rating made by a similar rating |
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organization recognized by the commissioner. |
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(c) Insurance policies or contracts providing coverage |
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under the consolidated insurance program must be issued to the |
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first-named insured not later than the 30th day after coverage has |
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been bound or otherwise agreed to by the insurer. |
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(d) The requirements of this subsection must be maintained |
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for the duration of the construction project. |
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Sec. 151.060. INDEMNIFICATION. (a) On a construction |
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project covered by a consolidated insurance program, the |
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consolidated insurance program must provide liability insurance to |
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cover the obligation of a contractor insured under the consolidated |
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insurance program to indemnify, hold harmless, or defend another |
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person for any action that results in bodily injury or property |
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damage. |
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(b) The minimum liability insurance coverage required under |
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Subsection (a) must be at least equal to the general liability |
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coverage provided by the current standard form promulgated by the |
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Insurance Service Office. |
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(c) A contractor on a construction project on which a |
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consolidated insurance program is used in which the contractor |
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participates may not be required to indemnify, hold harmless, or |
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defend any claim for any action that would be covered under the |
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general liability coverage provided by the current standard form |
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promulgated by the Insurance Service Office unless the general |
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liability coverage provided by the consolidated insurance program |
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provides complete coverage for such obligation, and any such |
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requirement in a construction project contract pertaining to a |
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construction project covered by a consolidated insurance program in |
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which the contractor participates is void. |
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Sec. 151.061. DEFENSE COVERAGE FOR CLAIM OR SUIT. (a) In |
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the event of a lawsuit or arbitration proceeding that is covered by |
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a consolidated insurance program, the insurance policy or contract |
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must provide coverage for the defense of each contractor. |
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(b) A contractor covered by a consolidated insurance |
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program has standing in any hearing or proceeding involving |
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workers' compensation or liability claims, including any claim |
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adjustment and settlement negotiations, provided that such |
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coverage is part of the consolidated insurance program, and the |
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contractor is entitled to representation at any such hearing or |
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proceeding by: |
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(1) an employee or agent of the contractor; and |
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(2) on request of the contractor, legal counsel |
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covered by the consolidated insurance program. |
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Sec. 151.062. PAYMENT OF CERTAIN DEDUCTIBLES, LOSSES, OR |
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PENALTIES. (a) Subject to Subsection (b), a principal shall pay: |
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(1) any coverage deductibles or losses in a |
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retrospective rating plan or other loss-sensitive rating plan under |
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a consolidated insurance program; |
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(2) any penalties incurred under the consolidated |
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insurance program; and |
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(3) all deductibles applicable to any policy provided |
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under the consolidated insurance program. |
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(b) A principal may charge a contractor a small, reasonable |
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deductible for a property damage loss that is caused by the |
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contractor's direct negligence and is covered by the general |
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liability contract or policy of the consolidated insurance program |
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if the deductible amount and purpose is included in the disclosure |
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made at bid solicitation. The purpose of the deductible is to |
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encourage safe operations by the contractor. The deductible shall |
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be in proportion to the size and severity of the loss, not to exceed |
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$5,000. |
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Sec. 151.063. PREMIUMS ASSESSED TO CONTRACTOR. If any |
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premiums for coverage under a consolidated insurance program on a |
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single or multiple construction project are assessed to a |
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contractor, the contractor's most recent experience modifier, as of |
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the date on which the construction project begins, must be used in |
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the computation of the premium to be assessed to the contractor and |
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the premium shall be adjusted annually to reflect any change in the |
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contractor's experience modifier. |
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Sec. 151.064. AUDIT REQUIREMENTS. (a) Any required audit |
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of a contractor covered by a consolidated insurance program who is |
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subject to a premium charge for the coverage must be completed not |
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later than the 60th day after the date on which the contractor |
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completes its work on the construction project. |
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(b) The audit completion date provided by Subsection (a) |
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shall be extended by one day for each day the contractor subject to |
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the audit delays completion of the audit by failing to provide the |
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auditor with access to the contractor's records after the |
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contractor has received written notice from the administrator, |
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insurer, or auditor stating the date the audit is to be conducted. |
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Sec. 151.065. DATA REPORTS FOR WORKERS' COMPENSATION. |
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(a) At least quarterly, the program administrator shall report to |
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a contractor in detail the loss and payroll data that pertains to |
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that contractor. |
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(b) The initial report under Subsection (a) must be sent not |
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later than the 30th day after the last day of the calendar quarter |
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on which work begins on the construction project, with subsequent |
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quarterly reports to be sent not later than the 15th day of the |
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month following the end of the quarter covered by the report. |
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(c) The insurer shall report to the appropriate rating |
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bureau annually, not later than the 60th day after the ending date |
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of the experience rating period of a contractor that is the subject |
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of the report, the loss and payroll data that pertains to the |
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contractor, with a final report not later than the 60th day after |
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the completion date of the construction project. |
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(d) A report under Subsection (c) must include data that has |
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been corrected after the investigation of any discrepancies |
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reported by a contractor. |
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(e) On receipt of written notice of any erroneous |
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information submitted to a rating bureau, the insurer shall notify |
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the rating bureau of the correct information not later than the 30th |
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day after the date on which the written notice is received by the |
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insurer. |
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(f) The reporting and notification deadlines provided by |
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Subsections (b), (c), and (e) shall be extended by one day for each |
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day the contractor that is the subject of the report delays |
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completion of any necessary audit by failing to provide the auditor |
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with access to the contractor's records after the contractor has |
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received written notice from the administrator, insurer, or auditor |
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stating the date the audit is to be conducted. |
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[Sections 151.066-151.100 reserved for expansion] |
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SUBCHAPTER C. DISCLOSURE REQUIREMENTS FOR ADMINISTRATION OF A |
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CONSOLIDATED INSURANCE PROGRAM |
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Sec. 151.101. REQUIRED DISCLOSURE AT BID SOLICITATION. At |
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the time a principal or contractor is soliciting bids for a |
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construction project, the principal or contractor must disclose |
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prominently in the project plans, specifications, and any request |
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for bids or proposals that the project may be covered by a |
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consolidated insurance program subject to this chapter. |
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Sec. 151.102. GENERAL ELEMENTS OF BID SOLICITATION |
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DISCLOSURE. A disclosure made under Section 151.101 must include: |
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(1) the scope of coverage and limits for each |
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insurance policy or contract under the consolidated insurance |
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program, including an accurate specimen copy of full and complete |
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declarations, policy conditions, limitations, coverages, and |
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endorsements; |
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(2) the scope of coverage and limits for each policy or |
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contract of excess insurance covering the consolidated insurance |
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program, including a statement that the excess policy or contract |
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will follow form as to the primary policy or contract, with any |
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material exceptions listed; and |
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(3) a complete description of the safety program |
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required by Subchapter D. |
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Sec. 151.103. REQUIRED DISCLOSURE PRIOR TO CONTRACT |
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EXECUTION. (a) A principal may establish for a construction |
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project a minimum construction contract amount in order for a |
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contractor to be included in a consolidated insurance program. |
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(b) A contractor who submits a price proposal for work on a |
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construction project under a consolidated insurance program is |
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entitled to written notification from the principal or other |
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contractor of any material change in the consolidated insurance |
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program not later than the 10th day before the date the contractor |
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executes the contract for work on the construction project. |
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(c) After receipt of notice of any adverse material change |
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under Subsection (b), a contractor may without recourse or |
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liability for damages to any person: |
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(1) withdraw its price proposal for work on the |
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construction project; or |
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(2) modify the price for the insurance component of |
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the proposal for work on the construction project. |
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(d) Not later than the seventh day before the date a |
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principal or contractor executes a contract for a construction |
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project covered by a consolidated insurance program, the principal |
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or contractor must make a written disclosure to the contractor |
|
submitting the price proposal that contains detailed information |
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concerning the consolidated insurance program. |
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Sec. 151.104. GENERAL ELEMENTS OF PRE-CONTRACT DISCLOSURE. |
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Each disclosure made under Section 151.103 must include: |
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(1) the name and address of each insurer providing an |
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insurance policy or contract under the consolidated insurance |
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program and identification of the coverage each insurer will |
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provide; |
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(2) the name, address, and telephone number of the |
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insurance producer, if any, acting as agent for the insurer; |
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(3) the name of the primary contact person of the |
|
insurance producer for the consolidated insurance program; |
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(4) the name, primary contact name, street address, |
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city, state, and zip code of the administrator of the consolidated |
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insurance program; |
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(5) a specimen copy of each form, including enrollment |
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forms, claim forms, and payroll forms, that a contractor may be |
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required to submit to the principal, program administrator, or |
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insurer; |
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(6) the number, frequency, and subject matter of any |
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audits of the contractor required by the insurer, administrator, or |
|
principal; and |
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(7) a detailed description of any differences in the |
|
items disclosed under Section 151.102 and the actual scope and |
|
limits of coverage for the consolidated insurance program, |
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including any deviations from the specimen copy provided. |
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Sec. 151.105. FORMULA FOR INSURANCE CREDITS. (a) The |
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disclosure required under Section 151.101 must include the formula |
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to be used by a contractor in computing any insurance credits. |
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(b) The formula must include: |
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(1) the discounts, credits, and rate variances used by |
|
the contractor; |
|
(2) examples of credit computations; and |
|
(3) a method for incorporating any scheduled credits, |
|
premium discounts, or other items of credit or discount that apply |
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specifically to the contractor. |
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(c) A principal may not require an insurance credit from a |
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contractor for coverage provided under the consolidated insurance |
|
program that is of the same type as flat-rate coverages maintained |
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by the contractor. |
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Sec. 151.106. CONTRACT AWARD; BASIS. (a) The disclosure |
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required under Section 151.101 must state a specific explanation of |
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how any premium overruns or underruns will be applied and whether |
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the contract award will be made on a basis that: |
|
(1) excludes the cost of insurance coverages; or |
|
(2) includes the cost of insurance coverage. |
|
(b) A contractor awarding a contract to another contractor |
|
must use the basis described under Subsection (a) for any |
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contractor insured under the consolidated insurance program. |
|
[Sections 151.107-151.150 reserved for expansion] |
|
SUBCHAPTER D. SAFETY PROGRAM AND INJURED WORKERS |
|
Sec. 151.151. APPLICATION. This subchapter applies only if |
|
workers' compensation is a coverage provided by the consolidated |
|
insurance program. |
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Sec. 151.152. SAFETY PROGRAM REQUIRED. (a) A principal |
|
shall adopt a comprehensive safety program designed to reduce the |
|
frequency and severity of worker injuries. The principal shall |
|
require participation in the safety program by all persons working |
|
on the construction project. |
|
(b) The safety program must include a program for detection |
|
of drug use and other substance abuse. |
|
(c) A qualified third-party safety company may administer |
|
and operate a safety program required under this section. |
|
Sec. 151.153. SAFETY PROFESSIONALS. (a) This section sets |
|
forth minimum safety staffing requirements for a consolidated |
|
insurance program. The principal, directly or through its contract |
|
with a contractor, shall maintain safety policies and a level of |
|
safety staffing commensurate with the expected and actual hazards |
|
of the construction project. |
|
(b) A safety program conducted under this subchapter must |
|
have at least one qualified safety professional assigned to the |
|
construction project for primary safety responsibility. If the |
|
construction project value exceeds $25 million, a safety |
|
professional must work not less than 40 hours per week at the work |
|
site of the construction project and no work may take place at the |
|
work site unless at least one qualified safety professional is |
|
present at the work site. |
|
(c) Except as provided by Subsection (d), to be qualified to |
|
serve as a safety professional under Subsection (b), a person must |
|
have demonstrable knowledge of Title 29, Code of Federal |
|
Regulations, and related regulations adopted by the federal |
|
Occupational Safety and Health Administration and not less than: |
|
(1) 10 years of primary safety responsibility |
|
experience in the construction industry; or |
|
(2) five years of primary safety responsibility |
|
experience in the construction industry; and |
|
(A) hold a bachelor of science degree conferred |
|
by an accredited institution of higher education, with a major in |
|
safety engineering, industrial hygiene, or a related field; |
|
(B) hold an associate's degree conferred by an |
|
accredited institution of higher education, with a major in safety |
|
engineering, industrial hygiene, or a related field; or |
|
(C) hold a current certification as a certified |
|
safety professional issued by an entity recognized by the |
|
commissioner. |
|
(d) To be qualified to serve as a safety professional under |
|
Subsection (b) for a nonresidential construction project that is |
|
solely for the maintenance or remodeling of an existing industrial |
|
plant facility that maintains an ongoing consolidated insurance |
|
program in its regular course of business for such maintenance or |
|
remodeling work at the industrial plant facility, a person must |
|
have demonstrable knowledge of Title 29, Code of Federal |
|
Regulations, and related regulations adopted by the federal |
|
Occupational Safety and Health Administration and not less than: |
|
(1) 10 years of primary safety responsibility |
|
experience in an industrial plant facility; or |
|
(2) five years of primary safety responsibility |
|
experience in an industrial plant facility; and |
|
(A) hold a bachelor of science degree conferred |
|
by an accredited institution of higher education, with a major in |
|
safety engineering, industrial hygiene, or a related field; |
|
(B) hold an associate's degree conferred by an |
|
accredited institution of higher education, with a major in safety |
|
engineering, industrial hygiene, or a related field; or |
|
(C) hold a current certification as a certified |
|
safety professional issued by an entity recognized by the |
|
commissioner. |
|
Sec. 151.154. INJURED EMPLOYEES. The disclosure required |
|
under Section 151.101 must fully describe any light duty |
|
return-to-work program required for a contractor's injured |
|
employees. A return-to-work program must provide a reasonable |
|
length of time during which any required light-duty program would |
|
be in place for an injured employee. The period that is considered |
|
a reasonable length of time for light-duty work may vary depending |
|
on the type of injury. |
|
Sec. 151.155. LIGHT DUTY STANDARDS. The consolidated |
|
insurance program may require the employer of an injured employee |
|
to provide alternative duty for an injured employee when: |
|
(1) the work status report, or similar report, of the |
|
division of workers' compensation of the department completed by |
|
the injured employee's examining doctor specifies the injured |
|
employee's physical restrictions or limitations; |
|
(2) the examining doctor recommends that the injured |
|
employee return to work on a limited basis in compliance with the |
|
doctor's restrictions or limitations; |
|
(3) the alternate duty position is reasonably |
|
available and such activity provides a benefit for the employer; |
|
and |
|
(4) the cost to the contractor for any modifications |
|
to the workplace necessary in facilitating the injured employee's |
|
return to work based on restrictions or limitations identified by |
|
the examining doctor is reasonable. |
|
[Sections 151.156-151.200 reserved for expansion] |
|
SUBCHAPTER E. PROGRAM ADMINISTRATION |
|
Sec. 151.201. PROGRAM ADMINISTRATOR. (a) Each principal |
|
shall appoint a qualified administrator for the consolidated |
|
insurance program whose only duty is administration of the program. |
|
(b) To be eligible to serve as the program administrator, a |
|
person must: |
|
(1) hold a risk manager license under Chapter 4153, a |
|
general property and casualty agent license under Chapter 4051, or |
|
another license as an insurance professional that is: |
|
(A) recognized as appropriate by the |
|
commissioner; and |
|
(B) issued under Title 13; and |
|
(2) have been licensed under this code for at least the |
|
five years preceding the date of the appointment as program |
|
administrator. |
|
(c) Subsection (b) does not apply to a person that provides |
|
assistance to the program administrator for support duties such as |
|
clerical or bookkeeping services. |
|
Sec. 151.202. POWERS AND DUTIES OF PROGRAM ADMINISTRATOR; |
|
RELATIONSHIP WITH CONTRACTORS. For purposes of this chapter, each |
|
contractor covered under the consolidated insurance program is |
|
considered a client of the program administrator. A program |
|
administrator shall in a timely manner: |
|
(1) enroll all contractors covered by the consolidated |
|
insurance program to assure immediate coverage; |
|
(2) maintain a current consolidated insurance program |
|
manual that contains a detailed description of the consolidated |
|
insurance program and provide all contractors with a current copy |
|
of the manual on the contractor's enrollment in the program and not |
|
later than the seventh day after any updates are made; |
|
(3) issue a certificate of insurance on behalf of a |
|
contractor to represent the coverages and limits provided by the |
|
consolidated insurance program not later than the fifth day after |
|
receipt of a request from the contractor; |
|
(4) provided that the insurer has issued insurance |
|
policies or contracts, ensure that all contractors receive |
|
insurance policies or contracts, or renewal certificates for |
|
previously issued policies or contracts, for all coverages provided |
|
by the consolidated insurance program by the date that is the |
|
earlier of the 30th day after the date of enrollment in the program |
|
or the date the contractor begins work on the project; |
|
(5) coordinate any regular reporting required of the |
|
contractors and any audits required of the contractors; |
|
(6) coordinate all meetings with the insurer, whether |
|
with the principal, the contractors, or other parties; |
|
(7) maintain an organized paper and electronic file |
|
system that is available for immediate access; |
|
(8) establish and disseminate to contractors clear |
|
procedures for contractors on how to file claims properly and what |
|
loss control procedures need to be implemented; |
|
(9) coordinate availability and communication between |
|
contractors and any on-site medical facilities; |
|
(10) ensure that all insurance coverages provided by |
|
the consolidated insurance program are maintained; |
|
(11) ensure that all contractors are notified in |
|
writing promptly of any changes or cancellation in coverages |
|
provided by the consolidated insurance program; |
|
(12) monitor the financial standing of the insurer as |
|
provided by Section 151.059 and provide written notice to the |
|
principal and all contractors of any significant negative change |
|
not later than the 10th day after the date of the negative change; |
|
(13) prepare and present to the principal, on at least |
|
a monthly basis, any required payroll reports, claim reviews, and |
|
loss control reviews; and |
|
(14) provide oversight and management of claims for |
|
the principal and any affected contractor until all claims are |
|
closed. |
|
Sec. 151.203. CONTRACTOR AS BENEFICIARY. For purposes of |
|
this chapter and insurance benefits under the consolidated |
|
insurance program, each contractor is considered a beneficiary of |
|
the administrator, and the administrator owes a fiduciary duty to |
|
each contractor that participates in the program. |
|
[Sections 151.204-151.250 reserved for expansion] |
|
SUBCHAPTER F. RULE MAKING AUTHORITY |
|
Sec. 151.251. RULES. The commissioner shall adopt rules as |
|
necessary to implement and enforce this chapter and its purpose and |
|
intent and to provide for the protection of policyholders, |
|
insureds, and workers under a consolidated insurance program. |
|
SECTION 2. Chapter 151, Insurance Code, as added by this |
|
Act, applies only to a consolidated insurance program for a |
|
construction project that begins on or after January 1, 2008. A |
|
consolidated insurance program for a construction project that |
|
begins before January 1, 2008, is governed by the law as it existed |
|
immediately before the effective date of this Act, and that law is |
|
continued in effect for this purpose. |
|
SECTION 3. This Act takes effect September 1, 2007. |