Texas Administrative Code
Title 7 - BANKING AND SECURITIES
Part 2 - TEXAS DEPARTMENT OF BANKING
Chapter 25 - PREPAID FUNERAL CONTRACTS
Subchapter B - REGULATION OF LICENSES
Section 25.19 - Guaranty Fund Claims
Universal Citation: 7 TX Admin Code ยง 25.19
Current through Reg. 49, No. 38; September 20, 2024
(a) Claims not eligible. In addition to claims excluded under Finance Code § RSA 154.359, the following claims are not eligible for payment from the Prepaid Funeral Guaranty Fund:
(1) a claim based on a trust-funded
prepaid funeral benefits contract that was purchased prior to August 31,
1987;
(2) a claim based on a
prepaid funeral benefits contract purchased from a contract seller that did not
hold a permit to sell prepaid funeral benefits at the time of sale;
(3) a claim based on a prepaid funeral
benefits contract purchased under a plan that does not pay assessments to the
guaranty fund, such as the plan litigated in Sexton v. Mount Olivet
Cemetery Association, 720 S.W.2d 129 (Tex. App.-Austin 1986, no writ)
(specifically including, but not limited to, any prepaid funeral benefits
purchased from Mount Olivet Cemetery Association);
(4) a claim under an insurance-funded prepaid
funeral contract for a loss arising from or relating to the occurrence of one
of the following events:
(A) default of a
funeral provider under a contract written prior to June 19, 2011;
(B) contract default of a permit holder that
occurred prior to September 1, 2009;
(C) the suspensionor revocation of a permit
under Chapter 154 of the Finance Code prior to September 1, 2009; or
(D) the bankruptcy, receivership, seizure, or
other failure of the permit holder prior to September 1, 2009.
(b) Claimant's filings. A claimant shall file with the department a completed claim form prescribed by the department together with the following documents and information:
(1) a copy of the prepaid funeral contract
and any amendments thereto;
(2)
evidence of the amount paid on the prepaid funeral contract;
(3) a copy of a certified copy of the death
certificate for the contract beneficiary, if applicable;
(4) if the claimant is not the purchaser of
the contract, evidence of the claimant's authority to file a claim and receive
any funds awarded;
(5) if claimant
is acting for the benefit of a group of purchasers as part of a plan to arrange
for a successor permit holder, a copy of the plan, and information required by
Finance Code §
RSA
154.3595(c);
(6) a statement setting forth any special
circumstances that may bear on the claim; and
(7) other information that may be pertinent
to the claim that is requested by the department.
(c) Claims review process.
(1) The Guaranty Fund Advisory Council may
delegate to the commissioner the authority to settle and determine claims
against the Prepaid Funeral Guaranty Fund up to such amount and with such
restrictions as the council may from time to time determine.
(2) A claimant may request that the Guaranty
Fund Advisory Council review a determination by the commissioner regarding a
claim against the Prepaid Funeral Guaranty Fund by submitting a request for
review of the action to the Guaranty Fund Advisory Council within 30 days of
receipt of notice of the commissioner's action. Such request shall be addressed
to the Guaranty Fund Advisory Council in care of the commissioner and filed
with the commissioner on or before the close of business on the last day of the
30-day period. The Guaranty Fund Advisory Council shall review and may revise
the commissioner's determination.
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