Law:Title 5. Protection Of Consumer Interests. Subtitle C. Deceptive, Unfair, And Prohibited Practices from Chapter 543. Prohibited Practices Related To Policy Or Certificate Of Membership (Texas)

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Subtitle C. Deceptive, Unfair, And Prohibited Practices

Contents

Chapter 543. Prohibited Practices Related To Policy Or Certificate Of Membership

Subchapter A. Prohibitions

Section  543.001.  Misrepresentation Prohibited.

(a) In this section, "life, health, or casualty insurer" includes a corporation operating on a cooperative or assessment plan, a mutual insurance company, a fraternal benefit society, and any other society or association authorized to issue an insurance policy in this state.

(b)  A life, health, or casualty insurer, an officer, director, agent, or representative of that insurer, or any other person, corporation, or copartnership may not:

(1)  issue, circulate, or cause or permit to be issued or circulated any statement, including an illustration or estimate, that misrepresents:

(A)  the terms of a policy or certificate of membership issued by a life, health, or casualty insurer;

(B)  other benefits or advantages provided by the policy or certificate; or

(C)  the dividends or share of surplus to be received on the policy or certificate;

(2)  use a name or title of a policy, policy class, certificate of membership, or certificate class that misrepresents the policy, certificate, or class; or

(3)  make a misleading representation or incomplete comparison of a policy or certificate of membership to an insured or member for the purpose of inducing or tending to induce the insured or member to forfeit, surrender, or allow the lapse of the insurance or membership.

(c)  The commissioner may adopt and enforce reasonable rules as provided by Subchapter I, Chapter 541, to accomplish the purposes of Subsection (b)(1) as those purposes relate to life insurance companies.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1, 2005.



Section  543.002.  Contract Expressed In Policy Only.

An insurer or an agent of an insurer may not make an insurance contract or an agreement relating to an insurance contract other than as expressed in the policy issued in connection with the contract.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1, 2005.



Section  543.003.  Thing Of Value Not Specified In Policy.

An insurer or an officer, agent, or representative of an insurer may not:

(1)  directly or indirectly pay, allow, or give or offer to pay, allow, or give as an inducement to insurance a thing of value or other inducement that is not specified in the policy, including:

(A)  a rebate of premium payable on the policy;

(B)  a special favor or advantage in the dividends or other benefits to accrue on the policy; or

(C)  paid employment or a contract for service; or

(2)  give, sell, or purchase or offer to give, sell, or purchase as an inducement to insurance or in connection with insurance a thing of value that is not specified in the policy, including:

(A)  stocks, bonds, or other securities of an insurer or other corporation, association, or partnership; or

(B)  dividends or profits to accrue on the stocks, bonds, or other securities of an insurer or other corporation, association, or partnership.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1, 2005.



Section  543.004.  Sharing Of Or Participation In Special Fund Prohibited.

An insurer or an officer, agent, or representative of an insurer may not issue a policy that contains a special or board contract or similar provision by the terms of which the policy will share or participate in a special fund derived from a tax or a charge against any portion of the premium on another policy.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1, 2005.



Subchapter B. Enforcement; Penalty

Section  543.051.  Suspension Or Revocation Of Certificate, Charter, Permit, Or License.

(a) On a hearing, the commissioner may suspend or revoke the certificate, charter, permit, or license to engage in the business of insurance of A society, association, corporation, or person that violates Subchapter A.

(b)  The commissioner must give 10 days' notice of the hearing by certified mail to the society, association, corporation, or person.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1, 2005.



Section  543.052.  Criminal Penalty.

(a) A person commits an offense if the person violates Subchapter A.

(b)  An offense under this section is a Class A misdemeanor.

(c)  The penalty provided by this section is in addition to any other penalty specifically provided by law.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1, 2005.


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