Tex. Ins. Code Section 846.052
Application for Initial Certificate of Authority


(a)

A person who wants to establish an employee welfare benefit plan that is a multiple employer welfare arrangement must apply for an initial certificate of authority on an application form prescribed by the commissioner.

(b)

The application form must be completed and submitted along with all information required by the commissioner, including:

(1)

a copy of each organizational document;

(2)

current financial statements of the arrangement;

(3)

a fully detailed statement indicating the plan under which the arrangement proposes to transact business;

(4)

an initial actuarial opinion in compliance with the requirements of Section 846.153 (Required Filings)(a)(2) and subject to Section 846.157 (Renewal of Certificate; Additional Actuarial Review)(b); and

(5)

demonstration by the applicant that the arrangement is in compliance with all applicable federal and state laws, as determined by the commissioner.

(c)

The application must be accompanied by proof of a fidelity bond that:

(1)

protects against acts of fraud or dishonesty in servicing the multiple employer welfare arrangement;

(2)

covers each person responsible for servicing the employee welfare benefit plan; and

(3)

is in an amount equal to the greater of 10 percent of the premiums and contributions received by the arrangement or 10 percent of the benefits paid, during the preceding calendar year, with a minimum of $10,000 and a maximum of $500,000.

(d)

A third-party administrator licensed to engage in business in this state is not required to submit a fidelity bond under Subsection (c).

(e)

The commissioner shall promptly examine the application and documents submitted by the applicant and may:

(1)

conduct any investigation that the commissioner considers necessary; and

(2)

examine under oath any person interested in or connected with the multiple employer welfare arrangement.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 117 (H.B. 290), Sec. 2, eff. September 1, 2023.

Source: Section 846.052 — Application for Initial Certificate of Authority, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­846.­htm#846.­052 (accessed Apr. 29, 2024).

846.001
Definitions
846.002
Applicability of Chapter
846.003
Limited Exemption from Insurance Laws
846.004
Late-participating Employee or Dependent
846.005
Rules
846.006
Appeal of Orders
846.007
Premium Rates
846.0035
Applicability of Certain Laws to Association Providing Health Benefits
846.051
Certificate of Authority Required
846.052
Application for Initial Certificate of Authority
846.053
Eligibility Requirements for Initial Certificate of Authority
846.054
Issuance of Initial Certificate of Authority
846.055
Extension of Term of Initial Certificate of Authority
846.056
Final Certificate of Authority
846.057
Denial of Final Certificate of Authority
846.058
Disqualification
846.059
Fees
846.060
Suspension, Revocation, or Limitation of Certificate of Authority
846.061
Action by Attorney General
846.101
Board Members
846.102
Duties of Board Members
846.103
Limitation on Action Against Board Member
846.104
Compensation of Board Members
846.105
Officers
846.106
Compensation of Officers, Agents, and Employees
846.107
Receipt of Thing of Value
846.151
General Powers
846.152
Filing of Organizational Documents
846.153
Required Filings
846.154
Cash Reserve Requirements
846.155
Adjustment of Contributions
846.156
Waiver or Reduction of Required Stop-loss Insurance or Cash Reserves
846.157
Renewal of Certificate
846.158
Examination of Multiple Employer Welfare Arrangements
846.159
Name of Multiple Employer Welfare Arrangement
846.160
Evidence of Existence
846.201
Benefits Allowed
846.202
Preexisting Condition Provision
846.203
Treatment of Certain Conditions as Preexisting Prohibited
846.204
Waiting Period Permitted
846.205
Certain Limitations or Exclusions of Coverage Prohibited
846.206
Renewability of Coverage
846.207
Refusal to Renew
846.208
Notice to Covered Persons
846.209
Written Statement of Denial, Cancellation, or Refusal to Renew
846.251
Participation Criteria
846.252
Coverage Requirements
846.253
Prohibition on Exclusion of Eligible Employee or Dependent
846.254
Written Notice to Employees Covered
846.255
Declining Coverage
846.256
Minimum Contribution or Participation Requirements
846.257
Enrollment
846.258
Coverage for Newborn Children
846.259
Coverage for Adopted Children
846.260
Limiting Age Applicable to Unmarried Child
846.301
Marketing Requirements
846.302
Additional Reporting Requirements
846.303
Applicability to Third-party Administrator

Accessed:
Apr. 29, 2024

§ 846.052’s source at texas​.gov