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A BILL TO BE ENTITLED
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AN ACT
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relating to repealing the maintenance tax and creating an overhead |
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assessment for certain insurers participating in the workers' |
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compensation system; imposing an assessment. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Title 3, Insurance Code, is amended by adding |
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Subtitle F to read as follows: |
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SUBTITLE F. OVERHEAD ASSESSMENTS |
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CHAPTER 291. WORKERS' COMPENSATION INSURANCE OVERHEAD ASSESSMENT |
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Sec. 291.001. OVERHEAD ASSESSMENT IMPOSED. (a) An |
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overhead assessment is imposed on each authorized insurer with |
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gross premiums subject to assessment under Section 291.003, |
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including a: |
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(1) stock insurance company; |
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(2) mutual insurance company; |
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(3) reciprocal or interinsurance exchange; and |
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(4) Lloyd's plan. |
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(b) The overhead assessment required by this chapter is in |
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addition to other taxes imposed that are not in conflict with this |
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chapter. |
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Sec. 291.002. MAXIMUM RATE; ANNUAL ADJUSTMENT. (a) The |
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rate of assessment set by the commissioner may not exceed 0.6 |
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percent of the gross premiums subject to the overhead assessment |
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under Section 291.003. |
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(b) The commissioner shall annually adjust the rate of |
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assessment of the overhead assessment so that the assessment |
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imposed that year, together with any unexpended funds produced by |
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the assessment, produces the amount the commissioner determines is |
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necessary to pay the expenses during the succeeding year of |
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regulating workers' compensation insurance. |
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Sec. 291.003. PREMIUMS SUBJECT TO OVERHEAD ASSESSMENT. (a) |
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An insurer shall pay an overhead assessment under this chapter on |
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the correctly reported gross workers' compensation insurance |
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premiums from writing workers' compensation insurance in this |
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state, including the modified annual premium of a policyholder that |
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purchases an optional deductible plan under Subchapter E, Chapter |
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2053. |
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(b) The rate of assessment shall be applied to the modified |
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annual premium before application of a deductible premium credit. |
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Sec. 291.004. OVERHEAD ASSESSMENT DUE DATES. (a) The |
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insurer shall pay the overhead assessment annually or semiannually. |
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(b) The comptroller may require semiannual payment only |
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from an insurer whose overhead assessment liability under this |
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chapter for the previous tax year was at least $2,000. |
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(b-1) For the initial overhead assessment imposed on or |
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after January 1, 2016, the comptroller may require semiannual |
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payment under Subsection (b) from an insurer whose maintenance tax |
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liability for the previous tax year under former Chapter 255 was at |
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least $2,000. This subsection expires September 1, 2017. |
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Sec. 291.005. APPLICABILITY OF OTHER LAW. The requirements |
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of Chapter 251 apply to overhead assessments imposed under this |
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chapter. |
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Sec. 291.006. RECOVERY OF OVERHEAD ASSESSMENT. An insurer |
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may recover an overhead assessment paid by the insurer under this |
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chapter by: |
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(1) reflecting the overhead assessment as an expense |
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in a rate filing required under this code; or |
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(2) charging the insurer's policyholders. |
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SECTION 2. Section 402.076(b), Labor Code, is amended to |
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read as follows: |
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(b) The operations of the division under this section are |
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funded through the overhead assessment [maintenance tax assessed] |
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under Section 403.002. |
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SECTION 3. The heading to Section 403.002, Labor Code, is |
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amended to read as follows: |
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Sec. 403.002. OVERHEAD ASSESSMENT [MAINTENANCE TAXES]. |
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SECTION 4. Sections 403.002(a), (b), and (c), Labor Code, |
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are amended to read as follows: |
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(a) Each insurance carrier, other than a governmental |
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entity, shall pay an annual overhead assessment [maintenance tax] |
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to pay the costs of administering this subtitle and to support the |
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prosecution of workers' compensation insurance fraud in this state. |
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(b) The overhead assessment may not exceed an amount equal |
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to two percent of the correctly reported gross workers' |
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compensation insurance premiums, including the modified annual |
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premium of a policyholder that purchases an optional deductible |
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plan under Subchapter E, Chapter 2053 [Article 5.55C], Insurance |
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Code. The rate of the overhead assessment shall be applied to the |
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modified annual premium before application of a deductible premium |
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credit. |
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(c) A workers' compensation insurance company is assessed |
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[taxed] at the rate established under Section 403.003. The |
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overhead assessment [tax] shall be collected in the manner provided |
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for collection of other assessments [taxes] on gross premiums from |
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a workers' compensation insurance company as provided in Chapter |
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291 [255], Insurance Code. |
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SECTION 5. Section 403.003, Labor Code, is amended by |
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amending Subsection (a) and adding Subsection (a-1) to read as |
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follows: |
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(a) The commissioner of insurance shall set and certify to |
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the comptroller the rate of the overhead [maintenance tax] |
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assessment taking into account: |
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(1) any expenditure projected as necessary for the |
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division and the office of injured employee counsel to: |
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(A) administer this subtitle during the fiscal |
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year for which the rate of assessment is set; and |
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(B) reimburse the general revenue fund as |
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provided by Section 201.052, Insurance Code; |
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(2) projected employee benefits paid from general |
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revenues; |
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(3) a surplus or deficit produced by the overhead |
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assessment [tax] in the preceding year; |
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(4) revenue recovered from other sources, including |
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reappropriated receipts, grants, payments, fees, gifts, and |
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penalties recovered under this subtitle; and |
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(5) expenditures projected as necessary to support the |
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prosecution of workers' compensation insurance fraud. |
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(a-1) For the initial overhead assessment imposed on or |
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after January 1, 2016, the commissioner of insurance shall take |
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into account under Subsection (a)(3) a surplus or deficit produced |
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by the maintenance tax under former Chapter 255, Insurance Code, in |
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the preceding year. This subsection expires September 1, 2017. |
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SECTION 6. Section 403.004, Labor Code, is amended to read |
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as follows: |
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Sec. 403.004. COLLECTION OF OVERHEAD ASSESSMENT [TAX] AFTER |
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WITHDRAWAL FROM BUSINESS. The commissioner or the commissioner of |
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insurance immediately shall proceed to collect overhead |
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assessments [taxes] due under this chapter from an insurance |
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carrier that withdraws from business in this state, using legal |
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process as necessary. |
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SECTION 7. Chapter 403, Labor Code, is amended by adding |
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Section 403.0041 to read as follows: |
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Sec. 403.0041. COLLECTION OF MAINTENANCE TAXES AFTER |
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WITHDRAWAL FROM BUSINESS. The commissioner or the commissioner of |
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insurance immediately shall proceed to collect prior maintenance |
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taxes due under former Chapter 255, Insurance Code, from an |
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insurance carrier that withdraws from business in this state, using |
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legal process as necessary. |
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SECTION 8. Section 403.005, Labor Code, is amended to read |
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as follows: |
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Sec. 403.005. OVERHEAD ASSESSMENT [TAX] RATE. The |
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commissioner of insurance shall annually adjust the rate of the |
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overhead assessment [of the maintenance tax] imposed under Section |
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403.003 so that the overhead assessment [tax] imposed that year, |
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together with any unexpended funds produced by the overhead |
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assessment [tax], produces the amount the commissioner of insurance |
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determines is necessary to pay the expenses of administering this |
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subtitle. |
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SECTION 9. Section 403.007(e), Labor Code, is amended to |
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read as follows: |
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(e) If the commissioner determines that the funding under |
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Subsection (a) is not adequate to meet the expected obligations of |
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the subsequent injury fund established under Section 403.006, the |
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fund shall be supplemented by the collection of an overhead |
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assessment [a maintenance tax] paid by insurance carriers, other |
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than a governmental entity, as provided by Sections 403.002 and |
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403.003. The rate of assessment must be adequate to provide 120 |
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percent of the projected unfunded liabilities of the fund for the |
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next biennium as certified by an independent actuary or financial |
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advisor. |
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SECTION 10. Chapter 403, Labor Code, is amended by adding |
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Section 403.009 to read as follows: |
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Sec. 403.009. RECOVERY OF OVERHEAD ASSESSMENT. An insurer |
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may recover an overhead assessment paid by the insurer under this |
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chapter by: |
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(1) reflecting the overhead assessment as an expense |
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in a rate filing; or |
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(2) charging the insurer's policyholders. |
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SECTION 11. The heading to Section 405.003, Labor Code, is |
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amended to read as follows: |
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Sec. 405.003. FUNDING; MAINTENANCE TAX; OVERHEAD |
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ASSESSMENT. |
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SECTION 12. Sections 405.003(a), (b), (c), and (d), Labor |
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Code, are amended to read as follows: |
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(a) The group's duties under this chapter are funded through |
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the imposition of an overhead assessment and [of] a maintenance |
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tax, as applicable, collected annually from all insurance carriers, |
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and self-insurance groups that hold certificates of approval under |
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Chapter 407A, except governmental entities. |
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(b) The department shall set the rate of the overhead |
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assessment and maintenance tax based on the expenditures authorized |
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and the receipts anticipated in legislative appropriations. The |
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[tax] rate of the overhead assessment for insurance companies may |
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not exceed one-tenth of one percent of the correctly reported gross |
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workers' compensation insurance premiums. The tax rate for |
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certified self-insurers may not exceed one-tenth of one percent of |
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the total tax base of all certified self-insurers, as computed |
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under Section 407.103(b). The tax rate for self-insurance groups |
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described by Subsection (a) may not exceed one-tenth of one percent |
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of the group's gross premium for the group's retention, excluding |
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premium collected by the group for excess insurance. |
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(c) The overhead assessment [tax] imposed under Subsection |
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(a) is in addition to all other assessments and taxes imposed on |
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those insurance carriers for workers' compensation purposes. |
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(d) The overhead assessment and tax, as applicable, on |
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insurance companies and on self-insurance groups described by |
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Subsection (a) shall be assessed, collected, and paid in the same |
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manner and at the same time as the overhead assessment [maintenance
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tax] established for the support of the department under Chapter |
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291 [255], Insurance Code. The tax on certified self-insurers |
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shall be assessed, collected, and paid in the same manner and at the |
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same time as the self-insurer maintenance tax collected under |
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Section 407.104. |
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SECTION 13. Chapter 405, Labor Code, is amended by adding |
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Section 405.0031 to read as follows: |
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Sec. 405.0031. RECOVERY OF OVERHEAD ASSESSMENT. An insurer |
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may recover an overhead assessment paid by the insurer under this |
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chapter by: |
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(1) reflecting the overhead assessment as an expense |
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in a rate filing; or |
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(2) charging the insurer's policyholders. |
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SECTION 14. Sections 407.103(c) and (d), Labor Code, are |
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amended to read as follows: |
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(c) The tax liability of a certified self-insurer under this |
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section is the tax base computed under Subsection (b) multiplied by |
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the overhead assessment rate for [assessed] workers' compensation |
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insurance companies under Sections 403.002 and 403.003. |
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(d) In setting the rate of the overhead [maintenance tax] |
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assessment for insurance companies, the commissioner of insurance |
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may not consider revenue or expenditures related to the operation |
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of the self-insurer program under this chapter. |
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SECTION 15. Sections 407A.301(b), (c), and (e), Labor Code, |
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are amended to read as follows: |
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(b) The tax liability of a group under Subsections (a)(1) |
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and (2) is based on gross premium for the group's retention |
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multiplied by the overhead assessment rate for [assessed] insurance |
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carriers under Sections 403.002 and 403.003. |
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(c) The tax liability of a group under Subsection (a)(3) is |
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based on gross premium for the group's retention multiplied by the |
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overhead assessment rate for [assessed] insurance carriers under |
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Section 405.003. |
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(e) The tax under this section shall be collected by the |
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comptroller as provided by Section 201.051 and in the manner of the |
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collection of an overhead assessment under Chapter 291 [255], |
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Insurance Code. |
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SECTION 16. Sections 407A.302(a) and (c), Labor Code, are |
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amended to read as follows: |
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(a) Subject to Subsection (b), each group shall pay the |
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maintenance tax at the rate and in the manner prescribed [imposed] |
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under Chapter 291 [255], Insurance Code, for the administrative |
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costs incurred by the department in implementing this chapter. |
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(c) The maintenance tax assessed under this section [is
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subject to Chapter 255, Insurance Code, and] shall be collected by |
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the comptroller in the manner provided for an overhead assessment |
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by Chapter 291, Insurance Code [that chapter]. |
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SECTION 17. Chapter 255, Insurance Code, is repealed. |
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SECTION 18. This Act takes effect January 1, 2016. |