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Ex. AGY-ST-INSURANCE-BANKING-014 Order Primary source read

Commissioner's Bulletin # B-0007-20

COVID-19: Claim-handling deadlines and premium payments

Commissioner of Insurance Kent Sullivan · Texas; Texas Department of Insurance (Sector regulator)

The COVID Project

The record

Jurisdiction
Texas; Texas Department of Insurance · Texas
Level
Sector regulator
Authority
Tex. Ins. Code § 542.059(b); Governor's suspension of March 20, 2020
Issued
2020-03-23 Mar. 23, 2020
Effective
2020-03-23
End
2021-09-20 (canceled and superseded by Bulletin B-0020-21, Ex. 022, for claims submitted on or after September 20, 2021) (read as 2021-09-20)
In force
Mar. 23, 2020 to Sept. 20, 2021
Quarters
2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Limitation types
Other
Addressees
  • all life, accident and health insurers, HMOs, agents, TPAs, utilization review agents, MEWAs
  • all property and casualty insurers including workers' compensation insurers
  • adjusters
  • premium finance companies
Functions reached
  • IN insurers (claims handling, billing, cancellation)
  • CB policyholders (grace periods) and health care providers awaiting prompt payment
  • OP
Collection
State insurance and banking regulators AGY-ST-INSURANCE-BANKING

Operative words

On March 20, 2020, Governor Greg Abbott suspended certain claim-handling deadlines imposed by law. Additionally, the Commissioner of Insurance has determined that the COVID-19 pandemic is a disaster under Texas Insurance Code Section 542.059(b)... Taken together, the Governor's suspension and the Commissioner's declaration have the effect of extending claim-handling deadlines imposed by the state's prompt payment laws for an additional 15 days to help carriers respond to the COVID-19 outbreak. This extension will be in effect until the Governor's suspension and Commissioner's declaration are lifted... TDI expects all carriers to work with policyholders who may experience financial hardships due to the COVID-19 outbreak. TDI encourages carriers to use grace periods for payments, temporary suspension of premium payments, payment plans, and other actions to allow continuing insurance coverage as appropriate.

Enforcement

Tex. Ins. Code ch. 542 (prompt payment), chs. 82, 84

Notes

In force on the first and last day of every claimable quarter;

Retrieval note

Correction for TX-042: instrument number should read B-0007-20.