Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 7 - CORPORATE AND FINANCIAL REGULATION
Subchapter B - INSURANCE HOLDING COMPANY SYSTEMS
Section 7.202 - Definitions
Universal Citation: 28 TX Admin Code § 7.202
Current through Reg. 50, No. 26; June 27, 2025
(a) The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise.
(1) Act--The Insurance
Code, Chapter 823.
(2)
Affiliate--An affiliate of, or person affiliated with, a specific person is a
person that directly, or indirectly through one or more intermediaries,
controls, or is controlled by, or is under common control with, the person
specified. If the controlling person includes a member of the immediate family
of a person, any other person that is an affiliate of the family member is
deemed to be an affiliate of the controlling person.
(3) Commercially domiciled insurer--A foreign
or alien insurer authorized to do business in this state, that during its three
preceding fiscal years taken together, or any lesser period if it has been
licensed to transact business in this state only for that lesser period, has
written an average of more gross premiums in this state than it has written in
its state of domicile during the same period, and such gross premiums
constitute 30 percent or more of its total gross premiums everywhere in the
United States for that three-year or lesser period, as reported in its three
most recent annual statements. To determine if an insurer is a commercially
domiciled insurer, the annual average ratio for premium receipts addressed in
subparagraphs (A) and (B) of this paragraph must be calculated, as follows:
(A) total Texas premium for the preceding
three fiscal years (or any lesser period if licensed in Texas less than three
years) divided by total premium countrywide for the preceding three years; and
(B) total premium in the state of
domicile for the preceding three years divided by total premium countrywide for
the preceding three years.
(4) Commissioner--The commissioner of
insurance of the State of Texas, the commissioner's associates or deputies, or
their designees, as appropriate.
(5) Control--The term "control," including
the terms "controlling," "controlled by," and "under common control with,"
means the power, direct or indirect, to direct or cause the direction of the
management and policies of a person, whether through the ownership of voting
securities, by contract other than a commercial contract for goods or
nonmanagement services, or otherwise, unless the power is the result of an
official position with or corporate office held by the person. Control is
presumed to exist if any person, directly or indirectly, or with members of the
person's immediate family, owns, controls, or holds the power to vote, or if
any person other than a corporate officer or director of a person holds proxies
representing 10 percent or more of the voting securities or authority of any
other person, or if any person by contract or agreement is designated as an
attorney-in-fact for a Lloyd's plan insurer under Insurance Code Chapter 941,
or for a reciprocal or interinsurance exchange under Insurance Code Chapter
942. This presumption may be rebutted by a showing made in the manner provided
by Insurance Code §
823.005, that control
does not exist in fact. The commissioner may determine, after furnishing all
persons in interest with notice and opportunity to be heard and making specific
findings of fact to support the determination, that control exists in fact,
notwithstanding the absence of a presumption to that effect, where a person
exercises, directly or indirectly, either alone or under an agreement with one
or more other persons such a controlling influence over the management or
policies of an authorized insurer as to make it necessary or appropriate in the
public interest or for the protection of the policyholders of the insurer that
the person be deemed to control the insurer.
(6) Controlled insurer--An insurer controlled
directly or indirectly by a holding company (as a holding company is defined in
this section).
(7) Controlled
person--Any person, other than a controlled insurer, who is controlled directly
or indirectly by a holding company (as a holding company is defined in this
section).
(8) Controlling
producer--An insurance broker or brokers or any person, firm, association, or
corporation domiciled, licensed, or operating in a state other than Texas,
when, for any compensation, commission, or other thing of value, the person,
firm, association, or corporation acts or aids in any manner in soliciting,
negotiating, or procuring the making of any insurance contract on behalf of an
insured other than the person, firm, association, or corporation, and who,
directly or indirectly:
(A) controls or seeks
to control a property and casualty insurer as the term control is defined in
paragraph (5) of this subsection; and
(B) writes or places, in any calendar year,
an aggregate amount of gross written premiums with the controlled property and
casualty insurer which is equal to or greater than 5.0 percent of the admitted
assets of the insurer as reported in the insurer's quarterly statement filed as
of September 30 of the prior year. The term "producer" or "controlling
producer" as used in these sections is not intended to include an agent or any
independent agent acting on behalf of the controlled insurer, licensed under
Insurance Code Chapter 4001, Subchapter A, and any subagent or representative
of the agent, who acts in the solicitation of, negotiation for, or procurement
or making of an insurance contract, if the agent is not also acting on behalf
of an insured as set forth in this paragraph, in the transaction in question.
The term "producer" or "controlling producer" as used in these sections is not
intended to include an attorney-in-fact acting on behalf of a licensed Lloyd's
or licensed reciprocal or interinsurance exchange.
(9) Director--A person elected or appointed
as a member of a board of directors responsible for the management of an
insurer. The term must also include an attorney-in-fact of a Lloyds or
reciprocal or interinsurance exchange who is charged with responsibility for
the management of an insurer.
(10)
Divesting person--A person who has control of a domestic insurer and who
intends to divest control of the domestic insurer.
(11) Divestiture--An abandonment of control
of a domestic insurer by a divesting person that does not result in the
transfer of control to another person.
(12) Enterprise risk--Any activity,
circumstance, event, or series of events involving one or more affiliates of an
insurer that, if not remedied promptly, is likely to have a material adverse
effect on the financial condition or liquidity of the insurer or its insurance
holding company system as a whole, including anything:
(A) that would cause the insurer's risk-based
capital to fall into company action level; or
(B) that would cause the insurer to be in
hazardous financial condition.
(13) Executive officer--The chairman of the
board of directors, the president, any vice-president of an applicant in charge
of a principal business unit, division, or function (such as sales,
administration, finance, or underwriting), any other officer who performs a
policy-making function, or any other person who performs similar policy-making
functions for an applicant. Executive officers of subsidiaries may be deemed
executive officers of an applicant if they perform policy-making functions for
an applicant.
(14) Foreign
insurer--Includes an alien insurer.
(15) Holding company--Any person who directly
or indirectly controls any insurer, but not including any agency, authority, or
instrumentality of the United States, its possessions and territories, the
Commonwealth of Puerto Rico, the District of Columbia, or a state or political
subdivision of a state or any corporation which is wholly owned, directly or
indirectly, by any of them.
(16)
Immediate family--A person's spouse, father, mother, children, brothers,
sisters, and grandchildren, the father, mother, brothers, and sisters of the
person's spouse, and the spouse of the person's child, brother, sister, mother,
father, or grandparent.
(17)
Insurance holding company system--Two or more affiliated persons, one or more
of which is an insurer.
(18)
Insurer--Includes all insurance companies organized or chartered under the laws
of this state, commercially domiciled insurers, or insurers licensed to do
business in this state, including capital stock companies, mutual companies,
farm mutual insurance companies, title insurance companies, fraternal benefit
societies, local mutual aid associations, local mutual burial associations,
statewide mutual assessment companies, county mutual insurance companies,
Lloyds' plan companies, reciprocal or interinsurance exchanges, stipulated
premium insurance companies, group hospital service companies and health
maintenance organizations, and any other entity which is subject to Insurance
Code Chapter 823 by applicable law, but does not include agencies, authorities,
or instrumentalities of the United States, its possessions and territories, the
Commonwealth of Puerto Rico, the District of Columbia, or a state or political
subdivision of a state.
(19)
Person--An individual, corporation, partnership, association, joint stock
company, trust, unincorporated organization, or similar entity or combination
of them acting in concert, but not a securities broker performing only the
usual and customary broker's function.
(20) Security holder of a specified
person--One who owns any security of the person, including common stock,
preferred stock, debt obligations, and any other security convertible into or
evidencing the right to acquire any of the foregoing. The term "debt
obligation" does not include trade, commercial, or open accounts, matured
claims, or agents' commissions.
(21) Subsidiary of a specified person--An
affiliate controlled by the person directly or indirectly through one or more
intermediaries.
(22) Ultimate
controlling person--That person which is not controlled by another person (as
defined in this subsection).
(23)
Voting security--Any security or other instrument giving or granting to the
holder the power to vote at a meeting of shareholders, for or against the
election of directors, or any other matter involving the direction of the
management and policies of the person, or any other security or instrument the
department deems to be of similar nature including, but not limited to, those
described in the rules and regulations the department may prescribe in the
public interest as a voting security.
(b) Exemption--Commercially Domiciled Insurer.
(1) The commissioner may exempt from
the provisions of Insurance Code Chapter 823 and these sections, except the
registration requirement, any commercially domiciled insurer if the
commissioner determines the insurer has assets physically located in this state
or an asset to liability ratio sufficient to justify the conclusion that there
is no reasonable danger that the operations or conduct of the business of the
insurer could present a danger of loss to the policyholders of this state. The
exemption granted under this subsection must set forth the specific criteria
under which it is granted and will be subject to annual review. The
commissioner may, after notice and opportunity for hearing, rescind an
exemption granted to a commercially domiciled insurer under the provisions of
Insurance Code Chapter 823 and these sections. A rescission of an exemption
must set forth the rationale for the rescission. Requests for an exemption
under this subsection must be filed with Financial Analysis, Mail Code 303-1A,
Texas Department of Insurance, P.O. Box 149104, 333 Guadalupe, Austin, Texas
78714-9104. The request must contain a signed and notarized affidavit of an
executive officer of the insurer that, should the exemption be granted, the
insurer will notify Financial Analysis within 10 days after it no longer meets
the criteria set out in this section on which the exemption is based. In
determining that a commercially domiciled insurer has sufficient assets to
justify the conclusion that there is no reasonable danger that the operations
or conduct of the business of the insurer could present a danger of loss to
policyholders of this state, the commissioner must give consideration to the
matters contacted in subparagraphs (A) - (D) of this paragraph in connection
with an exemption requested under Insurance Code §
823.015, and these
sections.
(A) Assets in Texas, which are
either:
(i) permanent, free, and unencumbered
and physically located in Texas in an amount equal to the total unpaid losses
attributable to Texas risks; or
(ii) qualifying authorized investments under
the Insurance Code comprising 20 percent of the insurer's admitted assets and
physically located in Texas.
(B) Adequacy of policyholder surplus, based
upon:
(i) an asset-to-liability ratio of two
to one, if the insurer is a property and casualty insurer;
(ii) an asset-to-liability ratio of one and
one-half to one, if the insurer is a life, accident and health insurer;
(iii) the insurer having capital
and surplus equal to 250 percent of the minimum risk-based capital described in
§
7.402 of this title (relating to
Risk-Based Capital and Surplus Requirements for Insurers and HMOs); or
(iv) the insurer having total
capital and surplus of at least $50 million.
(C) Consideration may be given to financial
conditions specified in §
8.3 of this title (relating to
Hazardous Conditions) to justify the conclusion that there is no reasonable
danger that the operations or conduct of the business of the insurer could
present a danger of loss to the policyholders of this state.
(D) Consideration may be given to other
positive factors with regard to an insurer's operations or conduct.
(2) The provisions of
this subchapter do not apply to a foreign or alien insurer if the commissioner
has approved a total withdrawal plan from writing all lines of insurance for
the insurer under Insurance Code Chapter 827.
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