SWAF 2011 Legislative Update Panelists David Durden, Texas Department of Insurance Joe Woods, PCIA Bo Gilbert, USAA Jay Thompson, AFACT, Thompson Coe June.

Slides:



Advertisements
Similar presentations
Texas Health Care Network – Agency Presentation. 2 What’s New Texas House Bill 7 (HB-7) Health Care Networks Coventry Workers’ Comp Network Out of Network.
Advertisements

Claims Follow-up Claim Status Balance Billing Appeals.
A LOOK BACK: Addressing TDI’s Challenges Government Relations & Public Affairs.
Robert Billington October 14,  Passed by Congress in March 2010  Thousands of pages  Hundreds of provisions to be implemented over several years.
Chapter 7 Insurance Companies Types of Insurance Regulation Structure Types of Insurance Regulation Structure.
1 WHAT IT MEANS FOR YOU? April Health Access is the leading voice for health care consumers in California. Founded in 1987, Health Access is the.
Property & Casualty 2008 Compliance Conference. Insurance Advertising in Texas.
CAMET Duties and Responsibilities Presented by the NC Department of Crime Control & Public Safety Division of Emergency Management and the NC Department.
D. Alan Westerlund, Jr. (843) Longshore and Harbor Workers’ Compensation Act Concurrent Jurisdiction.
PROPERTY & CASUALTY DIVISION Who Are We? Bill LacyDir. P & C Division Alexa GrissomPPA Rate & Form Analyst Becky HarringtonHO Rate & Form Analyst Edith.
1 Topic 13: Insurance Terms  Self-insurance: business creates fund to pay own losses Toasters and cell phones Your credit score impacts your cost of insurance.
Personal Finance FIN 235. LEARNING OBJECTIVES A. What is insurance? B. Why do we need insurance? C. What is the risk management process? D. How does insurance.
Healthcare Reform and California Small Businesses Presentation by John Arensmeyer Small Business Majority San Francisco Chamber of Commerce August 24,
 You pay a premium into an insurance pool. In the event that you are sick or injured, the insurance policy pays all or part of your medical expenses.
International Financial Reporting Standards US Health Care Reform: Review and Assessment Ronald S. Hikel.
House Select Committee on Federal Economic Stabilization Funding Modernizing Texas’ Unemployment Insurance System House Select Committee on Federal Economic.
Insurance Fundamentals for Policymakers. Four assignments: Insurance Principles Insurance Coverages: Property and Casualty Insurance Coverages: Life and.
Liberty Mutual AUTO and HOME Voluntary Benefits BigBand Networks.
Southern Association of Workers’ Compensation Administrators Convention 2007 A Texas Perspective Lisa Corless Texas Mutual Insurance Company.
Standard 7.01 Classify types of health insurance and features of types of coverage.
Insurance Options Shelby “Bighoss” Sisco and Mark “Marky Mark” Moyer.
SB19 Study Committee. Montana State Fund is committed to the health and economic prosperity of Montana through superior service, leadership and caring.
Government Regulation of Insurance
Component 1: Introduction to Health Care and Public Health in the U.S. Unit 4: Financing Health Care Lecture 4 This material was developed by Oregon Health.
Medicaid Reform 2011 Florida Association of Counties Legislative Webinar January 28, 2011.
2012 Hurricane Insurance Update Recharged “Partners in Recovery,” - FEPA Mid-Year Work Session- Sam Miller Florida Insurance Council Executive Vice President.
Health Care Reform and its Impact on Michigan Janet Olszewski, Director Michigan Department of Community Health Senate Health Policy Committee May 5, 2010.
Senate Bill 408 Senate Bill 408 makes sweeping changes to laws related to property insurance, primarily residential property insurance.
Insurance Jeopardy AutoInsuranceHomeownersLifeHealth
KLC President and Bowling Green Mayor Elaine Walker KLC First Vice President and Paducah Mayor Bill Paxton.
2005 LEGISLATION Top Five Bills that do not begin with SB 1x.
Health Care Reform Update September 2010 Michael Mayers Ken Preede Policy & Government Advocacy Department.
Report on the Texas Windstorm Insurance Association April 2009 Prepared by Texas Department of Insurance April 21, 2009 For Quarter Ending 03/31/09.
26 November 2002 Stephen Lowe Terrorism Risk Act of 2002 Briefing for Consultants.
The Ins & Outs Of Self-Insurance Southwest Actuarial Forum December 4, 2007 Ed Costner, ACAS, MAAA Casualty Actuarial Consultants, Inc.
Florida Catastrophic Storm Risk Management Center.
Health Reform 2014 Bill Graham VP, Policy & Government Affairs August 17, 2010.
Senate Bill 329 The Healthy Oregon Act 2007 Jeanene Smith Administrator Office for Oregon Health Policy and Research SCI Coverage Institute September 26,
September 11, 2001: Its Impact on the Insurance Industry.
Legislative Reform: Reform or Be Reformed 2003 CAS ANNUAL MEETING Presented by Steven G. Lehmann, FCAS, FSA, FCIA, MAAA Pinnacle Actuarial Resources, Inc.
New Approaches to State Health Reform: Extending Coverage to the Uninsured and Reducing State Health Care Costs Julia M. Eckstein, Director Missouri Department.
Lesson 18 Insurance. Today’s Learning Objective What are the main types of insurance? Insurance Basics Auto Insurance Renter’s Insurance Homeowner’s Insurance.
© 2009 Sedgwick CMS. Confidential – Do not disclose or distribute. Workers’ Compensation National Reform: Affecting and Implementing Jurisdictional Changes.
Patient Centered Health Care – At a Crossroads Alliance for Health Reform Congressman Tom Price, M.D. June 6, 2008.
THE BUDGET… Every year, the President and Congress must appropriate funds Budget – a policy document allocating burdens (taxes) and benefits (expenditures)
Complaint System 28 TAC §10.22 Workers’ Compensation Health Care Networks.
The 82 nd Legislative Session Ben G. Raimer, MD Senior Vice President Health Policy and Legislative Affairs The University of Texas Medical Branch
Terrorism Risk Insurance Act (TRIA) of 2002 Casualty Actuaries of Greater New York June 11, 2003 Samir Shah, FSA, FRM, MAAA.
SB 1330: Residential Property Insurance Introduced by Senator Hays.
Florida Insurance Conference on Financial Reporting September 14, 2011 Florida P&C Guaranty Funds.
BUSINESS LAW ESSENTIAL STANDARD 4.00 OBJECTIVE : Understand types of insurance.
The Texas Bureaucracy III March 1, APPOINTED OFFICIALS Some state agencies are led by officials appointed by the governor. Some agencies are headed.
The Texas Bureaucracy III
The Latest in California Market Conduct
Health Insurance Options and Benefits.
Visit our website at
The Perfect Texas Homeowners Storm
The Texas Bureaucracy III
PROPERTY & CASUALTY DIVISION
HEALTH CARE POLICY.
Health Insurance Personal Finance.
Texas Health Care Network - Employer Presentation
JEFFERSON CHAMBER OF COMMERCE HEALTHCARE CONFERENCE
2017 Industry Trends and Challenges
Bill 30 An Act to Protect the Health and Well Being of Working Albertans.
Review of 2018 legislative activity
Health Insurance Options and Benefits.
SWAF 2011 Legislative Update
2019 State Legislative Update
Legislative Update September 2019
Presentation transcript:

SWAF 2011 Legislative Update Panelists David Durden, Texas Department of Insurance Joe Woods, PCIA Bo Gilbert, USAA Jay Thompson, AFACT, Thompson Coe June 10,2011 Austin, Texas

INTRODUCTION Numerous Difficult Issues Confronted the 2011 Legislature Numerous Difficult Issues Confronted the 2011 Legislature –Budget Deficit –Public School Finance –Funding for Hurricanes after Ike –Education –Health Insurance and Health Care –Immigration

TDI Sunset Legislation HB 1951-Continuation of TDI HB 1951-Continuation of TDI –9 Issues Identified in Sunset Process Issue 1: Rate Regulation for Homeowners Lacks Clarity, Predictability & Transparency Issue 1: Rate Regulation for Homeowners Lacks Clarity, Predictability & Transparency Issue 9: State has a Continuing Need for the TDI Issue 9: State has a Continuing Need for the TDI Senate Amendments Senate Amendments House Amendments House Amendments

Issues Discussed as Amendments to Insurance Sunset –Prior Approval for Homeowners rates –Limit use of rate differences in rating territories –Ban the use of credit scoring –Designated Driver exclusions –Appraisal Clauses in Property Policies –Require standardized homeowners policies –Data Mining

Other Issues Insurance Sunset Other amendments Other amendments –Regulate Silent PPO or PPO Networks –Rescission of Health policies

Division of Workers Compensation Sunset HB 2605 –extended until 2017 HB 2605 –extended until 2017 –Medical Disputes –Complaint Process –Medical Examinations –Designated Doctor Certifications –Contested Supplemental Income Benefits –Medical Quality Review –Other

Other Sunset OFFICE OF PUBLIC INSURANCE COUNSEL SB 647 SB 647 Continued for 12 years-2023 Continued for 12 years-2023 No significant changes No significant changes OFFICE OF INJURED EMPLOYEE COUNSEL HB 1774 Continued until 2017

Property Casualty Insurance Issues TWIA Funding TWIA Funding Tort Reform Issues Tort Reform Issues Auto Insurance Auto Insurance Data Mining Data Mining Rate Regulation Rate Regulation

Life & Annuity Insurance Issues Guaranty Association Model Update— SB 567 Guaranty Association Model Update— SB 567 Annuity Free Look period- HB 1032 Annuity Free Look period- HB 1032 Prepaid Funeral - HB 3004, SB 579, and HB 2277 Prepaid Funeral - HB 3004, SB 579, and HB 2277 Agent CE for annuities & Medicare Supp-HB 2154 Agent CE for annuities & Medicare Supp-HB 2154 Group Life Coverage eligibility of certain Dependents- HB 2172 Group Life Coverage eligibility of certain Dependents- HB 2172 Suitability Of Annuities— HB 2277 Suitability Of Annuities— HB 2277 Life Settlements Regulation-HB 2277 Life Settlements Regulation-HB 2277 Exchanges of Annuities or Life Policies-HB 2277 Exchanges of Annuities or Life Policies-HB 2277

TEXAS WINDSTORM INSURANCE ISSUES HB 272 HB 272 –Funding of future claims –Governance –Claims Handling Issues –Rates and Building Codes

Historical Hurricane Losses TWIA Texas Windstorm Insurance Association Losses Texas Windstorm Insurance Association Losses –Hurricane Ike---$2.3B ???B 2008 Up from –Original estimated $2.1B –Hurricane Dolly--$200 M 2008 –Hurricane Rita--$180 M2005 –Hurricane Alicia--$157M 1983

HB 4409 TWIA Funding TWIA funds and CRTF TWIA funds and CRTF $1B Class 1 Bonds repaid by TWIA $1B Class 1 Bonds repaid by TWIA $1B Class 2 Bonds; 30% repaid by TWIA members; 70% repaid by surcharges on coastal P & C policies $1B Class 2 Bonds; 30% repaid by TWIA members; 70% repaid by surcharges on coastal P & C policies $500M Class 3 Bonds; Repaid by TWIA members $500M Class 3 Bonds; Repaid by TWIA members TWIA may buy reinsurance at any level TWIA may buy reinsurance at any level

Other TWIA Issues Rate Regulation Rate Regulation Use of Territory Rating Use of Territory Rating Mandatory Flood Coverage Zone V Mandatory Flood Coverage Zone V Compliance with Building Codes Compliance with Building Codes Oversight & Future Changes Oversight & Future Changes

TWIA POTENTIAL MAXIMUM LOSSES Texas Windstorm Insurance Association/Expressed in Billions YR 100 YR 250 YR 500 YR 1000 YR

Workers Compensation, Other Property Casualty Legislation Workers Compensation Workers Compensation –HB 800 Data Collection –HB 528-Pharmacy Network –HB 2089 Overpayments & Underpayments Consolidated Insurance-HB 2093 Consolidated Insurance-HB 2093 Loser Pay-HB 274 Loser Pay-HB 274

Other Legislation SB 1274-Roofing Contractor Legislation SB 1274-Roofing Contractor Legislation HB 3589-Extension of deadlines HB 3589-Extension of deadlines SB 1300-Towing and Auto Repairs SB 1300-Towing and Auto Repairs Other Other

Regulatory & Miscellaneous Legislation Holding Company Act Changes-SB 1431 Holding Company Act Changes-SB 1431 Surplus Lines-HB 3410 Surplus Lines-HB 3410 Certificates of Insurance-SB 425 Certificates of Insurance-SB 425 Fraud Immunity Reporting-SB 918 Fraud Immunity Reporting-SB 918 Notices for P & C Policies:_HB 2382; HB 3570; HB 2655 Notices for P & C Policies:_HB 2382; HB 3570; HB 2655 Limited Purpose Life Companies-HB 3161 Limited Purpose Life Companies-HB 3161 Title Insurance Rate Hearings Title Insurance Rate Hearings Workers Comp. Data Reporting-SB 800 Workers Comp. Data Reporting-SB 800 HB 1 Rider 12 HB 1 Rider 12 Other Bills & Bills that Failed Other Bills & Bills that Failed

Health Insurance Oral Cancer Medication-HB 438 Oral Cancer Medication-HB 438 Exclusive Provider-HB 1772 Exclusive Provider-HB 1772 Pharmacy Claim Audit-HB 2292 Pharmacy Claim Audit-HB 2292 Privacy-HB 300 Privacy-HB 300 Interstate Compact & Medicaid-HB 5 Interstate Compact & Medicaid-HB 5 Federal Health Care Implementation Federal Health Care Implementation Other-Medical Reinsurance Facility Other-Medical Reinsurance Facility

CONCLUSIONS