[Agency Name]
INSURANCE
DISASTER RESPONSE
PLAN
[Date]
Table of Contents
Introduction .............................................................................................................................................................. 4
What this document provides .............................................................................................................................. 4
The purpose of the disaster response plan ......................................................................................................... 4
Information the disaster response plan provides ................................................................................................ 5
NAIC Disaster Assistance Program .................................................................................................................... 5
Ways a jurisdiction can prepare to receive NAIC assistance .............................................................................. 5
NAIC services set-up time after approval of assistance ..................................................................................... 6
Additional information .......................................................................................................................................... 6
Disaster relief call center ..................................................................................................................................... 6
DRC insurance regulator staff ............................................................................................................................. 7
NAIC-hosted insurance department website ....................................................................................................... 7
NAIC-coordinated data call ................................................................................................................................. 7
Preparation .............................................................................................................................................................. 8
The steps to preparation ..................................................................................................................................... 8
Important planning considerations ...................................................................................................................... 8
Available training ................................................................................................................................................. 8
Insurance contact information that a DOI should regularly collect ...................................................................... 9
Insurance company contacts:.............................................................................................................................. 9
Requirements of insurance company contacts ................................................................................................... 9
Other necessary contacts .................................................................................................................................... 9
Types of information that should be ready for dissemination in the event of a disaster ................................... 10
Types of data a DOI should collect regarding disasters ................................................................................... 10
Data collection tools the NAIC can provide ....................................................................................................... 10
The NAIC coordinated data call ........................................................................................................................ 10
Ty
pes of information a DOI, in coordination with Public Affairs, should maintain, update, post on the state’s
website, and distribute via social media ............................................................................................................ 11
Resources required for emergency response ................................................................................................... 11
Brief description of the Major Incident Management Functions (See org chart template - Appendix 1)........... 12
Disaster Response/Incident Management Team .................................................................................................. 13
Incident Commander (IC) (may be the Agency Head or their designee) ....................................................... 13
Public Information Officer (PIO) ........................................................................................................................ 14
Safety Officer (SO) ............................................................................................................................................ 15
Legal Counsel (LC) ........................................................................................................................................... 15
Emergency Liaison Officer (ELO)...................................................................................................................... 15
Roles and Responsibilities .................................................................................................................................... 16
Financial & Administration Section Chief .......................................................................................................... 16
Finance and Administration Section Team Leads ............................................................................................ 17
Logistics Section Chief ...................................................................................................................................... 17
Operations Section Chief .................................................................................................................................. 18
Operation Section Team Leads......................................................................................................................... 18
Planning Section Chief ...................................................................................................................................... 18
Deputy ............................................................................................................................................................... 19
Statistics Operational Network Task Group ...................................................................................................... 19
Consumer Operational Team Lead ................................................................................................................... 20
Communications Operations Task Group ......................................................................................................... 20
Logistics Task Group ......................................................................................................................................... 22
Branch Office(s) ................................................................................................................................................ 22
Appendix 1Business Continuity Org Chart .................................................................................................... 22
Appendix 2Response Levels and Definitions ................................................................................................ 22
Appendix 3Sample Contact Lists .................................................................................................................. 22
Appendix 4 Example Bulletins ........................................................................................................................ 22
Introduction
In the event of a disaster that requires an extraordinary response, the [state insurance
regulatory entity] has adopted the following disaster response plan.
What this document provides
Following a disaster, this document provides a template for departments of insurance
(DOIs) to use when assisting consumers. In advance of a disaster, this document also
provides guidance to insurers and other licensees.
This document details how a DOI can work with other agencies to assist consumers,
including:
Federal agencies
State or local agencies
The NAIC
Other state DOIs
This document does not provide information regarding a Continuity of Operations Plan
(COOP). Check to see if your department has a COOP that provides detailed information
regarding how it is to be implemented.
The purpose of the disaster response plan
The purpose of the disaster response plan is to:
Provide states with information regarding quick and effective responses to meet the
insurance information needs of its citizens.
Provide information regarding the coordination of resources with other state agencies
to mitigate the effects of a disaster.
The disaster response plan will be activated by the commissioner,
director or superintendent. It will be implemented by the disaster or
incident management team.
© 2020 National Association of Insurance Commissioners
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Information the disaster response plan provides
This disaster response plan template provides information to assist state insurance
departments in responding to disasters. This disaster response plan is scalable to
respond to disasters affecting:
Limited areas within the state.
Several locations throughout the state.
The entire state.
NAIC Disaster Assistance Program
The NAIC Disaster Assistance Program is a series of services provided by the NAIC to
any member jurisdiction experiencing the aftermath of a disaster where additional support
is needed.
The NAIC can provide the following services following a disaster:
Disaster Relief Call Center
Disaster Recovery Center (DRC) Insurance Regulator Staff
Communications Services
NAIC Coordinated Data Call
Services are provided once a formal request is made by an NAIC member (a jurisdiction’s
appointed/elected insurance commissioner) to the NAIC officers, asking them to direct
NAIC senior management to allocate budgeted funds and resources toward their need for
disaster relief assistance. The day-to-day project is then overseen by the NAIC Director
of Member Services who coordinates a variety of NAIC department staff overseeing
operations and volunteers throughout the length of services needed.
Ways a jurisdiction can prepare to receive NAIC assistance
Jurisdictions can prepare information that will better facilitate NAIC assistance after a
catastrophic event. These items may be incorporated as part of your jurisdiction’s
Business Continuity Plan. Jurisdictions need to consider how they want calls and
complaints tracked by NAIC volunteers and provide templates, if appropriate.
The following are some high-level action items to do prior to contacting the NAIC:
Identify your critical staff and who will be coordinating with the NAIC.
Assess the level of impact to your staff. This level of impact may determine the support
you need from the NAIC.
Assess the functionality of your systems and facilitiesi.e., phone, internet, other
communications and officeafter the event.
Assess access to power and your critical infrastructure.
Assess business impact analysis; i.e., the minimum you need to function.
If possible, consider the type of assistance you may need: call center overflow, onsite
regulatory staff support, website, or remote office. However, the NAIC is also prepared
to consider new services to meet your unique needs.
Document how a trusted third party may access your communications systems: phone
and internet.
© 2020 National Association of Insurance Commissioners
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Prepare and provide talking points for the NAIC, frequently asked questions (FAQ),
jurisdiction guidelinesi.e., emergency adjuster licensing ruleswhich can be shared
with call center staff and onsite DRC volunteers.
Share jurisdiction-issued bulletins and how we are to handle them.
NAIC services set-up time after approval of assistance
The NAIC is ready to help at any time after a member has requested assistance.
Call center: within 2448 hours after contact.
DRC volunteers may be available within 4872 hours after contact.
Communications services are available within 2448 hours after contact and member
approval of information.
NAIC Coordinated Data Call within 2448 hours after contact.
Additional information
Where possible, the NAIC may reach out to a member jurisdiction prior to an imminent
disaster to offer information about our program or answer any questions they may have
about systems that may be affected in the event of a disaster.
NAIC Research and Government Relations departments are able to participate in
briefings with the Financial and Banking Information Infrastructure Committee (FBIIC), the
Federal Emergency Management Agency (FEMA), and Homeland Security to share
information from, and to, NAIC jurisdictions.
The National Insurance Producer Registry (NIPR) and/or the Interstate Insurance Product
Regulation Commission (Compact) are able to assist affected jurisdictions who may need
emergency adjuster licenses and/or help processing product filings.
Disaster relief call center
The NAIC works with your department’s technical team to connect a 1-800 NAIC
telephone line and/or computer systemState Based Systems (SBS)with your
jurisdiction’s consumer phone line and/or complaint tracking system.
Call center is staffed with experienced insurance department regulator volunteers
capable of answering consumer concerns.
Call center is flexible enough to handle your entire call volume, allowing your staff to
assist people in the field.
Call center may also be set to roll-over to state insurance regulator volunteers
whenever you experience call overflow.
Cost:
There is no cost to your jurisdiction for this service.
The NAIC covers the cost for the 1-800 phone line; call center equipment, facilities
and coordination; and the travel/lodging reservations and expense for state insurance
regulator volunteers.
Your fellow members/commissioners provide their state insurance regulator staff as
volunteers.
© 2020 National Association of Insurance Commissioners
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DRC insurance regulator staff
The NAIC facilitates and coordinates insurance department regulator volunteers to staff
your designated DRC location(s).
Volunteers cover one to two week shift rotations to man the daily operation of the DRC.
The NAIC will arrange travel and lodging for the assigned state insurance regulator
volunteers.
If needed, the NAIC can help provide loaner laptops or cell phones for state insurance
regulator volunteer use at a DRC location.
Cost:
There is no cost to your jurisdiction for this service.
The NAIC covers the cost of the loaner equipment and travel/lodging expenses for the
state insurance regulator volunteers.
Your fellow members/commissioners proffer their state insurance regulator staff as
volunteers.
To deploy this service, an insurance department staff/disaster coordinator contacts Trish
Schoettger, NAIC Director of Member Services at tschoettger@naic.org or 816.783.8506.
She will coordinate a call with the member/commissioner, NAIC President, and NAIC
Chief Executive Officer (CEO) or Chief Operating Officer (COO) to utilize these services.
NAIC-hosted insurance department website
In the case where the affected jurisdiction has lost the use of its facility or their website
becomes inoperable, the NAIC can act as an interim host for the jurisdiction’s insurance
department website. If needed, the NAIC can also serve as a resource to communicate
your updated status to other jurisdictions and/or agencies or change information.
Cost:
There is no cost to your jurisdiction for this service.
The NAIC covers the cost of hosting the site.
NAIC-coordinated data call
The NAIC assists states with data calls related to the collection of claims data following
disasters. Data calls are typically conducted weekly immediately after a disaster and then
biweekly or monthly as a higher percentage of claims close.
© 2020 National Association of Insurance Commissioners
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Preparation
The steps to preparation
A DOI needs to promptly and efficiently respond to a disaster. Effective response to a
disaster requires preparation and planning, including:
Identifying appropriate staff to perform necessary activities.
Training appropriate staff.
Identifying available resources.
Identifying any resource shortfalls and how these might be addressed.
Important planning considerations
Preparedness for disasters requires identifying resources and expertise in advance and
planning how these can be used in a disaster. Planning considerations include:
Putting procedures in place for internal tracking and reimbursement costs expended
by the DOI in response to a disaster.
Designating a team of individuals and assigning responsibilities to ensure that
everyone on the team understands their roles and responsibilities during a disaster
situation.
Updating plans and procedures based upon post-mortem evaluation of the DOI’s
performance in prior disaster response efforts.
Available training
As a part of efforts to prepare for response to disasters, state DOIs and agencies
participate with local jurisdictions and private entities in exercises and training.
Staff should be periodically trained on how to assist consumers during a disaster.
Training regarding information on FEMA assistance programs and the National Flood
Insurance Program (NFIP) is recommended.
FEMA has free courses available to emergency management teams. These courses can
be found by using the following link: https://training.fema.gov/is/.
The NFIP has developed a reference guide on flood-related issues for state insurance
regulators and other officials. This document can be found using the following link:
https://www.fema.gov/media-library-data/1525272377818-
3cb0cf795a73c135c8543d2459e12c80/NFIPDeskReferencev18_508_V4.1.pdf.
© 2020 National Association of Insurance Commissioners
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Insurance contact information that a DOI should regularly
collect
It is important for a DOI to maintain current insurance company contacts for insurers
licensed to do business in the state, including non-admitted surplus lines insurers. Some
states may maintain contact information in SBS, another database, or through a Microsoft
Outlook contact list obtained by an annual request.
Partnerships with private volunteer organizations can also be useful in coordinating
response after a disaster. [State Insurance Department] should identify consumer or non-
profit organizations that would be open to a partnership.
Insurance company contacts:
Following a disaster, a DOI will likely need to contact insurers. The contact information
should include:
Insurers doing business in a state.
A primary contact and a secondary contact (both would likely be a member of the
insurer’s disaster response team).
High-level senior management to respond to questions or issues promptly.
Requirements of insurance company contacts
After a disaster, state insurance regulators will need to be able to contact insurers for
information. Contacts should:
Be able to provide coverage data and loss statistics, by county or region, according to
a standardized format developed by the DOI.
Be knowledgeable regarding their internal information systems and sources and
authorized to access such systems so that applicable and timely information can be
provided upon the request of the DOI.
Be able to respond to requests for information from legislators, the governor’s office,
FEMA officials, or press inquiries.
Other necessary contacts
DOIs will need contacts for local, state and federal officials (these should be maintained
and updated).
Contacts will report other disaster information to the DOI, including lists of
company claim offices and phone numbers, adjuster information, and company
toll-free numbers, etc.
© 2020 National Association of Insurance Commissioners
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Types of information that should be ready for dissemination in
the event of a disaster
Following a disaster, a DOI will be responsible for helping consumers regarding claims.
Some of the items a DOI will want to have on hand to provide to consumers include:
Consumer brochures.
Consumer alerts.
Insurer contacts for consumers.
Other forms of information relating to preparation and response to all types of disasters
(this information should be updated prior to a disaster).
The NAICs Transparency and Readability of Consumer Information (C) Working Group created a
document to help guide consumers through a claim following a disaster. This document can be
passed out following a disaster:
https://content.naic.org/sites/default/files/inline-
files/Claim%20Disaster%20Guide%20-%20Generic%20FINAL%207%2023%202019.pdf.
Types of data a DOI should collect regarding disasters
A DOI should define the appropriate area in their department responsible for creating and
maintaining a database that holds coverage data and loss statistics collected from
insurers. If a DOI does not have the resources to maintain a database, the NAIC can
provide this service.
Information to be collected (generally collected by ZIP code) includes such items as the:
Number of claims reported
Number of claims closed with and without payment
Paid losses
Incurred losses
Data collection tools the NAIC can provide
The NAIC can provide the data template adopted by the NAIC Property and Casualty (C)
Committee and Executive (EX) Committee and Plenary if the DOI does not have its own
data call template. This template can be found on the Catastrophe Insurance (C) Working
Group’s webpage under the Related Documents tab. The link to the webpage is:
https://www.naic.org/cmte_c_catastrophe.htm.
The NAIC coordinated data call
The NAIC assists states with data calls related to the collection of claims data following
disasters. Data calls are typically conducted weekly immediately after a disaster and then
biweekly or monthly as a higher percentage of claims close. The length of time that data
is collected is usually dependent upon the severity of the event. For example, a minor
hurricane, like Irma, will not necessitate weekly reporting, even in the beginning. Having
the NAIC assist with a data call could require a confidentiality agreement if the state does
not already have one that would encompass the data call.
© 2020 National Association of Insurance Commissioners
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Types of information a DOI, in coordination with Public Affairs,
should maintain, update, post on the state’s website, and
distribute via social media
https://www.insureuonline.org/disaster_prep_flood.pdf
https://www.insureuonline.org/disaster_prep_tornado.pdf
https://www.insureuonline.org/disaster_prep_hurricanes.pdf
https://www.insureuonline.org/disaster_prep_wildfires.pdf
https://www.insureuonline.org/disaster_prep_earthquakes.pdf
https://www.insureuonline.org/home_inventory_checklist.pdf
https://www.naic.org/documents/consumer_alert_wake_of_the_storm.htm
https://www.naic.org/documents/consumer_alert_flood_insurance_understanding_risk.htm
Resources required for emergency response
The availability and capability of resources needs to be determined and includes the
following:
People
Facilities
Materials and supplies
Funding
Information regarding threats or hazards
Periodically review resources dedicated to the Disaster Response Team to
make certain that there are enough cell phones, laptops, and other
equipment and materials available for staff.
Disaster Recovery Team Personnel within the DOI should be identified to
act as first responders if the DOI is required to respond to an emergency.
DOI employees are divided into those who will work outside of the office and
those who will work at the DOI in an onsite or offsite call center.
Contact information for members of the team should be maintained.
Employees should receive periodic training and updates on procedures
for assisting consumers in the event of a disaster.
The DOI shall maintain Disaster Recovery supplies and information for use
by the Team.
© 2020 National Association of Insurance Commissioners
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Brief description of the Major Incident Management Functions
(See org chart template - Appendix 1)
COMMAND
Sets the incident objectives, strategies and priorities. Has overall responsibility for the
incident.
OPERATIONS
Conducts operations to reach the incident objectives. Establishes tactics and directs all
operational resources.
PLANNING
Supports the incident action planning process by tracking resources, collecting/analyzing
information, and maintaining documentation.
LOGISTICS
Arranges for resources and needed services to support achievement of the incident
objectives.
FINANCE AND ADMINISTRATION
Monitors costs related to the incident. Provides accounting, procurement, time recording
and cost analysis.
Keep in mind, larger states may have more resources available than smaller
states. See important note to DOIs.
© 2020 National Association of Insurance Commissioners
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Disaster Response/Incident Management Team
Response Leadership Team (Your State Emergency Management Agency would call this
the Command Support Staff)
The purpose of this team is to:
Provide direction before, during and after a disaster.
Ensure periodic review and assessment of the State Disaster Response Plan and hold
the incident management team accountable for implementation.
Test and update the plan on a regular and consistent basis.
Location
This team is located at the [Home office] unless an alternative location is needed.
Duties:
Upon notification of a significant disaster, the commissioner, superintendent or director
will notify this team to begin implementation of the Disaster Response Plan.
Identify which other disaster response units should be activated.
Members:
The response leadership team should include the following:
Incident Commander (IC) (commissioner, director, superintendent, chief deputy or
their designee).
Public Information Officer (PIO) (the person that handles media and communication
requests).
Safety Officer (SO) (this person is the human resources (HR) chief manager).
Finance /Administration Section Chief.
Legal Counsel (LC).
Emergency Operations Center (EOC) Liaison Officer (ELO) (this could be your lead
consumer affairs staff member).
Any other positions, as required, who report directly to the IC (they may have an
assistant or assistants, as needed).
Incident Commander (IC) – (may be the Agency Head or their
designee)
The IC is responsible for all incident action plans (IAPs) and activities to sustain critical
functions and services. These tasks include:
Developing strategies and tactics before the execution of action plans in the event of
a disaster.
Ordering and releasing resources.
Conducting incident operations.
The IC is responsible for:
Managing all incident operations.
Ensuring overall incident safety.
© 2020 National Association of Insurance Commissioners
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Assessing the situation and notifying internal teams and departments.
Appointing others.
Carrying out all ICS management functions until they delegate a function.
Providing information services to internal and external stakeholders.
Managing all operations at the disaster site.
Public Information Officer (PIO)
The PIO is responsible for interfacing with the public, industry, media, and/or other
agencies with incident-related information requirements.
The PIO is responsible for:
Drafting and issuing all public announcements.
Making all press releases.
Establishing an event-specific webpage (if needed).
Sending event-specific updates out via social media and posting them online.
Giving all interviews with the communications media relative to the incident and the
Agency’s action plan to address the situation. The PIO establishes communications with
PIOs in other State Agencies and the Governor’s Media Office to convey situation status,
progress toward resolving the incident, and any actions needed in support of or to address
the situation.
It is possible for the IC to accomplish all management functions during
the aftermath of a small event.
The IC only creates the sections that are needed. If a section is not staffed, the IC
will personally manage those functions.
The PIO works directly with the IC and Agency Head on all sensitive communications and
may seek advice and counsel from other members of the Command Support Staff on
legal or personnel matters and from the Section Chiefs on background relating to the
situation and the actions the Agency are taking.
© 2020 National Association of Insurance Commissioners
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Safety Officer (SO)
The SO monitors incident operations and advises the IC on all matters relating to
operational safety, including the health and safety of agency personnel.
The SO is responsible for:
Monitoring conditions and developing measures for assuring safety of personnel.
Advising the IC about incident safety issues.
Conducting risk analyses.
Implementing safety measures.
Monitoring building accessibility.
Communicating with the IC and staff.
Legal Counsel (LC)
The LC is the member of the Incident Command Support Team who provides legal
counsel to the IC.
Examples of support would include:
Providing advice relative to Agency jurisdiction and contractual obligations.
Completing other tasks as assigned by the IC.
The LC may also be asked to:
Review any public statements to be issued by the PIO.
Provide opinion and guidance on employee relations-based issues.
Provide opinion and guidance on issues that relate to the Agency mission and the
public.
Emergency Liaison Officer (ELO)
The ELO is the point of contact for representatives of other governmental agencies,
nongovernmental organizations, and the private sector.
The ELO provides a liaison between the DOI and the state’s Department of Emergency
Management and Homeland Security (DEMHS), especially when the DEMHS has elected
to activate its EOC.
A close working relationship between the Agency and the EOC is required for timely
communication and action appropriate to directives received. The ELO will represent the
Agency at the EOC and establish ongoing communications and scheduled status reviews
with the Agency Incident Command.
© 2020 National Association of Insurance Commissioners
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Roles and Responsibilities
Financial & Administration Section Chief
The Financial and Administration Section Chief is a member of the Incident Command
General Staff. This person is also the leader of the Administration Section. In the context
of the COOP, the Financial and Administration Section Chief is responsible for the internal
processes within the Agency, including financial and human resource functions, which
are necessary to enable the critical functions being addressed by the Operations Section.
The Administration Section Chief sustains or recovers processes to maintain the fiscal
integrity of the Agency and ensure that essential human resource processes are
sustained. The Administration Section Chief works closely with the Operations and
Logistics Sections to identify requirements and assess available options.
The Finance/Administration Section Chief is responsible for:
Analyzing all financial, administrative and cost aspects of an incident.
Maintaining daily contact with agency administrative headquarters on finance and
administration matters.
Meeting with assisting and cooperating agency representatives.
Advising the IC on financial and administrative matters.
Developing the operating plan for the Finance/Administrative Section.
Coordinating finances at the local level.
Establishing or transitioning into an existing Finance/Administrative Section.
Supervising and configuring section with units to support, as necessary.
Negotiating and monitoring contracts.
Timekeeping.
Analyzing cost.
Compensating for injury or damage to property.
Documenting reimbursement (e.g., under mutual aid agreements and assistance
agreements).
The Finance/Administration Section is set up for any incident that requires incident-
specific financial management.
The Time, Compensation/Claims, Cost and Procurement Units may be established
within this section.
© 2020 National Association of Insurance Commissioners
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Finance and Administration Section Team Leads
The Finance and Administration Section Team Leads should be a qualified member of
the Incident Command General Staff. This person reports to the Administration Section
Chief.
Finance and Administration Section Team Leads are responsible for:
The coordination of the initial action plan execution and recovery efforts for one of the
Administration Section Teams.
Business continuity interruption preparedness.
Response coordination.
Post-interruption corrective action based on lessons learned for the functions that are
part of the normal operational responsibilities of the work group.
Logistics Section Chief
This Logistics Section Chief is a member of the Incident Command General Staff and the
leader of the Logistics Section.
The Logistics Section Chief is responsible for:
Overseeing the resources and processes needed to sustain or recreate the work
environment for Operations and Administration Section functions (in the context of the
COOP), including facility, technology, equipment and supplies.
Addressing plant, tool, technology and information security (including the Health
Insurance Portability and Accountability Act of 1996 [HIPAA]) requirements for the
Incident Command.
Working closely with the Operations and Administration Sections to identify
requirements and assess available options.
The Logistics Section is responsible for all services and support needs,
including:
Ordering, obtaining, maintaining and accounting for essential personnel, equipment
and supplies.
Providing communication planning and resources.
Setting up food services for responders.
Setting up and maintaining incident facilities.
Providing support transportation.
Providing medical services to incident personnel.
In the National Incident Management System (NIMS) these Team Leads often head
branches or divisions.
Section Chiefs will determine the organization appropriate under respective
sections.
© 2020 National Association of Insurance Commissioners
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Operations Section Chief
Typically, the Operations Section Chief is the person with the greatest tactical expertise
in dealing with the problem at hand. The Operations Section Chief is a member of the
Incident Command General Staff and the leader of the Operations Section. This person
is responsible for the sustenance or recovery of the functions within the agency that serve
the citizens of the state. The Operations Section Chief may have one or more Deputies
who are qualified to fill this position.
The Operations Section Chief is responsible for:
Directly managing all incident tactical activities.
Implementing the IAP.
Developing and implementing strategies and tactics to carry out the incident
objectives.
Organizing, assigning and supervising the tactical response resources.
Having one or more Deputies who are qualified to assume these responsibilities. (This
is recommended where multiple shifts are needed, as well as for succession planning).
Operation Section Team Leads
An Operation Section Team Lead is a qualified member of the Incident Command General
Staff who reports to the Operation Section Chief. This individual is responsible for the
coordination of the initial action plan and recovery effort of the Operation Section Teams.
Operation Section Team Leads are responsible for:
Pre-incident preparedness.
IAP coordination.
Post-incident corrective action based on lessons learned for the functions that are part
of the normal operational responsibilities of the work group.
Planning Section Chief
The Planning Section Chief is a member of the Incident Command General Staff and
leader of the Planning Section. This individual is responsible for the development of the
Business Continuity Plan and COOP document and works closely with the IC, General
Staff (other Section Chiefs), and Command Support Staff to ensure that critical functions
and their resource requirements are identified and that preparatory actions are taken. The
Planning Section Chief ensures that communications information needed to execute the
COOP has been captured.
In the continuity plan action period, the Planning Section Chief is
responsible for:
Serving as a coach to Incident Command.
Ensuring that regular crisis action plan review sessions are held.
Ensuring that outstanding issues are identified.
Ensuring that appropriate alternatives are considered.
Ensuring that action assignments are clearly distributed.
© 2020 National Association of Insurance Commissioners
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The Planning Section Chief may have one or more Deputies who are qualified to assume
these responsibilities. This is recommended where multiple shifts are needed, as well as
for succession planning.
The major activities of the Planning Section may include:
Collecting, evaluating and displaying incident intelligence and information.
Preparing and documenting IAPs.
Tracking resources assigned to the incident.
Maintaining incident documentation.
Developing plans for demobilization.
Deputy
The Deputy is a fully qualified individual who, in the absence of a superior, can be
delegated the authority to manage a functional operation or perform a specific task. In
some cases, the Deputy acts as relief for a superior; therefore, the Deputy must be fully
qualified in the position.
Deputies can be assigned to the IC, Command Support Staff, and the Section Chief
positions.
Statistics Operational Network Task Group
The purpose of this group is to facilitate an analysis of a catastrophe with insurance
companies and the [agency name] whenever a catastrophic event occurs.
The Statistics Operational Network Task Group will be located [insert location of home
office or other designated location] unless otherwise chosen due to necessity.
The Statistics Operational Network Task Group is charged with the responsibility of
creating a “contact list” of insurance community liaisons. This contact list will allow for
prompt contact of people within the insurance industry who should be able to provide
coverage data and loss statistics, by region, according to any standardized format
developed by [agency].
The Team Lead should be knowledgeable of company internal information systems and
sources authorized to access such systems so that applicable and timely information can
be provided to [agency] or emergency response agencies upon request.
Members of this Task Group should include divisions that perform data collection/analysis,
market conduct, and financial regulation.
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Consumer Operational Team Lead
The Consumer Operational Team Lead works with the PIO to provide consumers with the
information needed to contact their insurance companies and the fundamentals to file a
claim and convey necessary information to the Emergency Response Team.
A Consumer Information Task Group will be located [insert location of home office or other
designated location] unless otherwise selected by the Disaster Executive Committee due
to necessity.
If a disaster is declared, a consumer hotline should be immediately activated, but
consideration may be needed to relocate it. The hotline:
Should be able to ramp up to provide a 24-hour service.
1
Should operate utilizing four six-hour shifts.
Hotline staff should:
Have a list of 800 numbers of the major property/casualty (P/C) insurers in the state.
Have the list of Emergency Response Task Group key personnel.
Have other emergency agency numbers to be used in the event of a disaster.
Be provided with a communications kit, which will be used to tell consumers about
claim procedures.
Members should include:
Consumer services unit senior management.
Internal resource senior management.
Communications Operations Task Group
The purpose of this group is to work with the PIO to create a central source for media
information relevant to disaster insurance and the disaster plan response activities.
This Group:
Prepares news releases about the steps to take before, during and after a disaster.
Produces brochures about preparedness.
Dispatches speakers to various locations, as needed.
Maintains contact with all media.
1
It may not be necessary to operate 24 hours a day, but it is likely that the hotline may need to be open for hours longer than the agency is
typically open. The agency will need to be prepared for these circumstances.
Branch offices might initially be made operational through the use of cell
phones until other landlines are established.
© 2020 National Association of Insurance Commissioners
Page 17
The Communications Team will be [insert location of home office or other designated
location] unless otherwise chosen by the Disaster Executive Committee due to necessity.
The Communications Operations Task Group is responsible for:
Developing a consistent message to be communicated to consumers.
Distributing advisories and brochures to units of government throughout the state so
that they may reproduce them for local residents. (The NAIC may be contacted for
assistance in bulk reproduction).
The Communications Task Group should:
Be in constant contact with the [State Emergency Management Agency’s
Communications Team] to coordinate media announcements.
Contact news organizations throughout the state with a Media Advisory.
Notify news agencies that [agency name] is the primary source for obtaining and
forwarding information relative to insurance and a disaster.
Be in constant touch with the Emergency Response Task Group and branch offices
to coordinate the information flow.
The Communications Task Group is:
Responsible for ensuring that messaging is consistent.
Responsible for developing an Outreach Team to operate quickly and efficiently in
affected areas to answer questions in town meetings and other informational
gatherings.
Responsible for supplement information provided through the media and other
sources about how to quickly and effectively prepare insurance claims information.
Members include:
Senior media or communications staff.
Legislative personnel.
Key agency staff with public speaking experience.
Much of the information will be obtained from the designated liaison persons of
the Emergency Response Task Group.
This system ensures that information being supplied to the media is consistent,
accurate, and up-to-the-minute.
© 2020 National Association of Insurance Commissioners
Page 18
Logistics Task Group
The purpose of this Task Group is:
To consult with other task groups regarding the DOI’s logistical and technical
capabilities, and requirements, to enable the efficient execution of the DOI’s State
Disaster Response Plan.
To coordinate with the Emergency Response Task Group regarding logistical and
technical capabilities for Emergency Response Task Group and/or field or temporary
offices.
To coordinate with other areas regarding logistical and technical capabilities for hotline
and other consumer communication needs.
The Logistics Task Group will be [insert location of home office or other designated
location] unless otherwise chosen by the Disaster Executive Committee due to necessity.
The duties of the Logistics Task Group are:
To identify resource needs of the other task groups regarding the DOIs logistical and
technical capabilities and requirements to enable the insurance department to respond
better and faster to disasters and include these in the implementation plan.
To coordinate technical requirements for an alternate designated facility to ensure its
immediate activation in case the DOIs home or central office is damaged/destroyed
in a disaster and include these in the implementation plan.
Members include:
Senior staff from internal resource or budget.
Senior staff from the information technology (IT) unit.
Senior staff from any branch office locations.
Branch Office(s)
Branch offices will be responsible for addressing and solving problems where possible and
overseeing operations in their responsibility area.
While the composition and basic duties will be the same as those of the Emergency
Response Task Group, the branch office(s) will deal with the local problems and handle
them from a closer vantage point.
Branch offices will be established at the existing location of the branch offices, unless the
Emergency Response Task Group indicates a more appropriate location.
The branch office will be responsible for:
Channeling information within the zone for which the branch office is responsible.
Forwarding requests for speakers and press contacts to the Communications Task
Group.
Obtaining general insurance information and all written material explaining how to
prepare claims from the Consumer Services Task Group.
© 2020 National Association of Insurance Commissioners
Page 19
Routinely reporting to the Emergency Response Task Group about daily activities.
Sending all problems that cannot be worked out locally to the Emergency Response
Task Group for review.
Obtaining DOI brochures.
Members include senior staff from branch office location(s).
Where serious disputes or problems arise, the branch office will forward these
back to the Emergency Response Task Group; otherwise, the branch office will
manage its own operation and report only.
It is imperative that senior staff remain at the Branch Office Operations center for
command purposes.
These centers fall under the direction of the Emergency Response Task Group.
© 2020 National Association of Insurance Commissioners
Page 20
Appendix 1
Business Continuity Org
Chart
© 2020 National Association of Insurance Commissioners
Page 21
AGENCY HEAD
Insurance
Commissioner
INCIDENT COMMANDER
Commissioner or
Designee
[alt. ]
SAFETY OFFICER
Primary
[alt.]
EOC LIAISON OFFICER
Primary
[alt.
PUBLIC INFORMATION OFFICER
Primary
[alt. ]
LEGAL
Primary
[alt]
FINANCIAL &
ADMINISTRATIVE CHIEF
Primary
[alt.]
LOGISTICS CHIEF
Primary
[alt.]
PLANNING CHIEF
Primary
[alt.
OPERATIONS CHIEF
Primary
[alt.]
IT SUPPORT
Primary
[alt.]
FINANCIAL DIV &
ACTUARIAL STAFF
Primary
[alt.]
LIFE & HEALTH DIV
Primary
[alt.]
CONSUMER SERVICES
Primary
[alt.]
PROPERTY &
CASUALTY DIV
Primary
[alt.]
ADMINISTRATION
Primary [alt]
FINANCIAL
ANALYSIS
Primary
[alt.]
MARKET
CONDUCT
Primary
[alt.]
FRAUD
INVESTIGATION
Primary
[alt.]
LICENSING
Primary
[alt.]
FIELD
ANALYSIS
Primary
[alt.]
[ STATE ] INSURANCE DEPARTMENT
BUSINESS CONTINUITY PLAN - INCIDENT MANAGEMENT TEAM
Command Support Staff
Section Chiefs
Section Team Leads
Agency Head - Executive
Team Lead Support Staff
Rev. 7-25-2019 GBB
HUMAN
RESOURCES
Primary [alt]
BUSINESS OFFICE
Primary [alt]
Consumer Affairs
Primary
[alt.]
CAPTIVES
Primary
[alt.]
MARKET CONDUCT AND
FRAUD INVESTIGATION &
LICENSING
Primary
[alt.]
© 2020 National Association of Insurance Commissioners
Page 22
Appendix2
ResponseLe v elsand
De finitions
© 2020 National Association of Insurance Commissioners
Page 23
RESPONS
E LEVELS
AND
DEFINITIO
NS
Disaster Level 1
Disaster Level 2
Disaster Level 3
Disaster Level 4
Typical
Damage
Exterior Damage to
Private Property
Exterior Damage, Possibly Some
Interior Damage
, and Possibly Some
Structural Damage to Private and
Commercial Property. Infrastructure
Damage to Telephone and Power
Lines.
Exterior Damage, Interior
Damage
, and Structural Damage
to Private and Commercial
Property.
Infrastructure
Damage to Telephone and
Power Lines. Temporary
Interruption of Normal Public
Services.
Significant to Massive Exterior, Interior
and Structural Damage to Private and
Commercial Prop
erty. Infrastructure
Damage to
Telephone and Power Lines
and Possibly Cell Towers.
Communications, Public Services Lost for
Extended Time.
Insured Losses
Less than $100 Million
Between $100 Million and $1 Billion
Between $1 Billion and
$10
Billion
Greater than $10 Billion
Types of
Events
Rural Tornadoes
Rural Hailstorms
Rural Windstorms
Local Flash Floods
Town-leveling tornadoes
Suburban Hail and/or
windstorms
Area
-wide ice storms
Area
-wide flash floods
Rural & Residential
Forest/Wildfires
Region-wide
Region
-wide ice storms
Urban Tornadoes
Major outbreak
multiple tornadoes
Urban Floods
Urban/Suburban
Fires
Significant Blizzards
Moderate
earthquakes
Significant Earthquakes
A major New Madrid EQ
Significant record
-breaking
floods
Major influenza outbreak
Geographical
Extent
Localized
Localized to disbursed
Localized to widespread
Disbursed to widespread
Affected
Population
Small
Small to Moderate
Small to Large
Moderate to Large
Examples
Hoisington, Kansas
F4 Tornado (April 21,
2001) $43 Billion in
Damages
La Plata, Maryland F4 Tornado (April
28, 2002) $100M in Damage
Nashville Flood (May 1, 2010)
$1.5 Billion in Damages
Great Flood of 1993 (Missouri & Mississippi
Rivers) $15
20 Billion in Damages
Haysville/Wichita, Kansas F4 Tornado
(May 3, 1999) $150 Million in
Damage
Oakland/Berkeley Firestorm
(October 19, 1991) $1.54
Billion in Damages
Northridge Earthquake (January 17,
1994) (Mag. 6.7 Mom. Mag.)
$15 Billion in
Damages
Greensburg, Kansas EF5 Tornado
(May 4, 2007) $153 million in
Damage
(Approx. 2
,000 claims)
Tornado Outbreak in KC, Okla.
City (May
2005) F3s & F4s
$3.2 Billion
FEMA Estimate for a Mag. 7.7
Earthquake
in Missouri: $30+ Billion in
Damages
© 2020 National Association of Insurance Commissioners
Page 24
DIRECTOR’S CONTACTS
TOP 20 P/C INDU
STRY CONTACT
LIST
Carrier Name
Director's Contact Name
Director's Contact Title
Director's Contact
Address
Director's
Contact E-mail
Director's
Contact Cell
Phone #
Director's
Contact Fax #
DIRECTOR’S CONTACTS
TOP 20 COMMERCIAL/ALLIED
LINES CONTACT LIST
Carrier Name
Director's Contact Name
Director's Contact Title
Director's Contact
Address
Director's
Contact E-mail
Director's
Contact Cell
Phone #
Director's
Contact Fax #
© 2020 National Association of Insurance Commissioners
Page 25
Appendix 3
Sample Contact Lists
© 2020 National Association of Insurance Commissioners
Page 26
INSURANCE TRADE ASSOCIATION and KEY INDUSTRY GROUPS
CONTACT LIST
STATE INSURANCE TRADE ASSOCIATION (SITA)
Address 1
Address 2
Executive Director:
Phone:
Fax:
E-mail Address:
Internet Address:
STATE INSURANCE AGENT ASSOCIATION
Address 1
Address 2
Executive Director:
Phone:
Fax:
E-mail Address:
Internet Address:
NATIONAL ASSOCIATION OF MUTUAL INSURANCE COMPANIES (NAMIC)
3601 Vincennes Rd
Indianapolis, IN 46268
Key Executive: Charles Chamness, CFO
Phone: 317-875-5250
Fax: 317-879-8408
E-mail Address: lforrester@namic.org or cchamness@namic.org
Internet Address: www.namic.org
© 2020 National Association of Insurance Commissioners
Page 27
INSURANCE SERVICES OFFICE (ISO)
2828 E. Trinity Mills Road, Suite 315
Carrolton, TX 75006
Assistant Regional Manager:
Phone
Fax:
E-mail Address:
Internet Address: www.iso.com
AMERICAN PROPERTY CASUALTY INSURANCE ASSOCIATION (APCIA)
Address:
City, State, Zip:
Contact:
Phone:
Fax:
E-mail Address:
Internet Address: www.pciaa.net
INSURANCE INFORMATION INSTITUTE (III)
110 William Street
New York, NY 10038
Key Executive:
Phone:
Fax:
E-mail Address
Internet Address: www.iii.org
© 2020 National Association of Insurance Commissioners
Page 28
STATE INSURANCE GUARANTY ASSOCIATIONS
Address1
Address 2
Contact:
Phone:
Fax:
E-mail Address:
Internet Address:
NATIONAL ASSOCIATION OF INSURANCE AND FINANCIAL ADVISORS (NAIFA)
Address 1
Address 2
Contact:
Phone:
Fax:
E-mail Address:
Internet Address:
NATIONAL COUNCIL ON COMPENSATION INSURANCE (NCCI)
Address 1
Address 2
Contact:
Phone:
Mobile:
Fax:
E-mail Address:
Internet Address:
© 2020 National Association of Insurance Commissioners
Page 29
STATE PROPERTY RESIDUAL MARKET OR FAIR PLAN
Address 1
Address 2
Manager:
Phone:
Fax:
E-mail Address:
Internet Address:
© 2020 National Association of Insurance Commissioners
Page 30
MEDIA CONTACTS (EXAMPLE FROM MISSOURI Department of Insurance)
Newspapers
Blue Springs Examiner
dbrendel @examiner.net
(816) 229-9161
Boonville Daily News, The
news@boonvillenews.com
(660) 882-5335
Branson Daily News, The
bdn@tri-lakes.ent
(417) 334-3161
Carthage Press, The
(417) 358-2191
Broadcast
Associated Press
pstevens@ap.org
Television Stations
KCTV
kctv@kctv.com
913-677-5555
KETC
letters@ketc.pbs.org
800-729-9966
Radio Stations
KAAN
rodneyh@netins.net
660-425-7575
KAHR
kool967@semo.net
866-917-9797
KALM -
417-264-7211
KAOL
660-542-0404
KBDZ
news@suntimesnews.com
573-547-2980
© 2020 National Association of Insurance Commissioners
Page 31
Appendix 4
Example Bulletins
© 2020 National Association of Insurance Commissioners
Page 32
TableofContents
UnderwritingGuidelinesforPersonalAutoandResidentialPropertyInsurance..................................................34
ExtensionofDeadlineforTWIAClaimantstoDemandAppraisalforClaims.........................................................35
MandatoryDataCallforInformationRegardingClaimsResultingfromHurricaneHarvey...................................36
HurricaneHarvey–UnderwritingGuidelinesforPersonalAutoandResidentialPropertyInsurance..................37
HurricaneHarvey–UnderwritingGuidelinesforPersonalAutoandResidentialPropertyInsurance.................38
HurricaneHarvey–FloodDamagedVehicles........................................................................................................ 39
HurricaneHarvey–PolicyNonrenewal.................................................................................................................40
HurricaneHarvey–RestrictingNewBusinessforPersonalAutoandResidentialPropertyInsurance................41
HurricaneHarvey–SuspensionofCertainLicensingRequirementsandFeesforCertainPersonsandEntities
LivingintheAreasAffectedbytheHarveyDisaster.............................................................................................42
HurricaneHarvey–SuspensionofCertainLicensingRequirementsandFees.....................................................43
HurricaneHarvey–Weather‐RelatedEventthatOccurredAugust25,2017,throughAugust31,2017............44
HurricaneHarvey–DenialofFloodLosses...........................................................................................................45
HurricaneHarvey–Anextraordinaryevent;Workers’compensationissuesconcerninghurricanevictimsor
evacuees................................................................................................................................................................46
Hurricane Harvey – Vacancy Provisions ................................................................................................................48
Hurricane Harvey – Vacancy Provisions ................................................................................................................49
HurricaneHarvey–Denial of Wind Loses ............................................................................................................50
HurricaneHarvey–CreditScoringandCreditInformation..................................................................................51
HurricaneHarvey–PropertyandCasualtyRatingandUnderwriting..................................................................52
HurricaneHarvey–PrescriptionMedicationCoverages......................................................................................53
HurricaneHarvey–CommercialAutomobileInsurance.......................................................................................54
HurricaneHarvey–PreauthorizedHealthCare,Referrals,NotificationofHospitalAdmissions,andMedical
NecessityReviews.................................................................................................................................................55
HurricaneHarvey–ClaimsAdjustingandAdjusters.............................................................................................57
HurricaneHarvey–MedicalEquipmentandServices..........................................................................................59
HurricaneHarvey–PremiumPaymentsGracePeriod.........................................................................................60
Weather‐RelatedEventthatOccurredMarch26,2017throughMarch27,2017...............................................61
© 2020 National Association of Insurance Commissioners
Page 33
UnderwritingGuidelinesforPersonalAutoandResidentialProperty
Insurance
To: ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, FARM MUTUALS,
COUNTY MUTUALS, MUTUALS, RECIPROCALS, ASSOCIATIONS, LLOYDS, OR
OTHER INSURERS WRITING PROPERTY AND CASUALTY INSURANCE IN THE STATE
OF TEXAS; AGENTS AND REPRESENTATIVES; AND THE PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
Under Insurance Code §38.002, insurers must file updated underwriting guidelines with TDI each
time the guidelines change.
TDI also reminds insurers of the following laws related to underwriting:
Insurance Code Chapter 544, particularly §§544.303, 544.353, and 544.553;
Insurance Code §551.113; and
28 TAC §21.1007.
Insurers that do not comply with statutory requirements are subject to enforcement action.
Questions regarding this bulletin should be directed to the Property and Casualty Lines Office by
calling (512) 676-6710, or by email at CommercialPC@tdi.texas.gov.
For more information contact: Commercia[email protected]
© 2020 National Association of Insurance Commissioners
Page 34
ExtensionofDeadlineforTWIAClaimantstoDemandAppraisalforClaims
To: The Texas Windstorm Insurance Association; Agents and Representatives;
Adjusters; and the General Public.
The Texas Department of Insurance recently issued Commissioner's Order No. 2017-5226,
extending the deadline for a policyholder to demand appraisal of a claim arising from the weather-
related event, Hurricane Harvey, which occurred August 25, 2017, through August 31, 2017.
A policy claimant must timely demand appraisal to resolve disputes about the amount of loss
TWIA will pay for an accepted claim or accepted portions of a claim. With the extended deadline,
a claimant will have 120 days to demand appraisal after receiving TWIA’s written notice accepting
all or part of a claim arising from Hurricane Harvey.
TWIA’s appraisal process and requirements are described in Insurance Code §2210.574 and 28
Texas Administrative Code §§5.4211-5.4222, as well as TWIA’s policy contracts.
Commissioner's Order No. 2017-5226 can be found at: http://www.tdi.texas.gov/orders/index.html
For more information contact: Commercia[email protected]
© 2020 National Association of Insurance Commissioners
Page 35
MandatoryDataCallforInformationRegardingClaimsResultingfrom
HurricaneHarvey
To: All Companies, Corporations, Exchanges, Mutuals, County Mutuals, Farm Mutuals,
Reciprocals, Associations, Lloyds, or Other Insurers Writing Property and Casualty
Insurance in the State of Texas, and their Agents and Representatives
The Texas Department of Insurance issues a mandatory data call for certain information related
to claims resulting from Hurricane Harvey in Angelina, Aransas, Atascosa, Austin, Bastrop, Bee,
Bexar, Brazoria, Brazos, Burleson, Caldwell, Calhoun, Cameron, Chambers, Colorado, Comal,
DeWitt, Fayette, Fort Bend, Galveston, Goliad, Gonzales, Grimes, Guadalupe, Hardin, Harris,
Hays, Hidalgo, Jackson, Jasper, Jefferson, Jim Wells, Karnes, Kerr, Kleberg, Lavaca, Lee, Leon,
Liberty, Live Oak, Madison, Matagorda, Montgomery, Newton, Nueces, Orange, Polk, Refugio,
Sabine, San Jacinto, San Patricio, Travis, Trinity, Tyler, Victoria, Walker, Waller, Washington,
Wharton, Willacy, Williamson, and Wilson counties. TDI requests this information under
Insurance Code Chapters 401 and 402.
This call is designed to provide TDI with immediate access to information necessary to determine
the financial and other impacts of claims related to Hurricane Harvey on the various property and
casualty insurers doing business in the State of Texas, and the property and casualty industry as
a whole.
TDI directs all of the above-referenced insurers and their agents and representatives to provide
data using the attached Hurricane Harvey reporting forms and instructions. You must complete
and return your initial response to this data call no later than October 31, 2017. Subsequent
submissions are due monthly.
Certain property and casualty insurers doing business in the State of Texas will be required to file
additional data related to residential property claims.
Please email completed submissions to [email protected].
For questions regarding this bulletin, please contact the Property and Casualty Actuarial Office,
Data Services Team at (512) 676-6690, or HurricaneData@tdi.texas.gov.
Attachments:
Harvey Data Call Reporting Form
Harvey Data Call Instructions
For more information contact: [email protected]exas.gov
© 2020 National Association of Insurance Commissioners
Page 36
HurricaneHarveyUnderwritingGuidelinesforPersonalAutoand
ResidentialPropertyInsurance
To: ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, FARM MUTUALS,
COUNTY MUTUALS, MUTUALS, RECIPROCALS, ASSOCIATIONS, LLOYDS, OR
OTHER INSURERS WRITING PROPERTY AND CASUALTY INSURANCE IN THE STATE
OF TEXAS; AGENTS AND REPRESENTATIVES; AND THE PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
Under Insurance Code §38.002, insurers must file updated underwriting guidelines with TDI each
time the guidelines change.
TDI also reminds insurers of the following laws related to underwriting:
Insurance Code Chapter 544, particularly §§544.303, 544.353, and 544.553;
Insurance Code §551.113; and
28 TAC §21.1007.
Insurers that do not comply with statutory requirements are subject to enforcement action.
Questions regarding this bulletin should be directed to the Property and Casualty Lines Office by
calling (512) 676-6710, or by email at CommercialPC@tdi.texas.gov.
© 2020 National Association of Insurance Commissioners
Page 37
HurricaneHarveyUnderwritingGuidelinesforPersonalAutoand
ResidentialPropertyInsurance
To: ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, COUNTY MUTUALS,
MUTUALS, RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS
WRITING PROPERTY AND CASUALTY INSURANCE IN THE STATE OF TEXAS;
AGENTS AND REPRESENTATIVES; AND THE PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
TDI reminds insurers that the Insurance Code requires that when contemplating reducing
business below the thresholds set out in Insurance Code §827.003, they must file a withdrawal
plan with TDI for prior approval. The withdrawal plan must contain the provisions listed in
Insurance Code §827.004, and TDI's approval process is described in Insurance Code §827.005.
See also 28 TAC Chapter 7, Subchapter R. Insurers file withdrawal plans with the Company
Licensing and Registration Office by email at [email protected].
Insurers that do not comply with statutory requirements are subject to enforcement action.
Questions regarding this bulletin should be directed to the Company Licensing and Registration
Office by calling 512-676-6375, or by email at CompanyLicense@tdi.texas.gov.
For more information contact: ChiefCler[email protected]
© 2020 National Association of Insurance Commissioners
Page 38
HurricaneHarveyFloodDamagedVehicles
To: ALL PROPERTY AND CASUALTY INSURANCE COMPANIES, CORPORATIONS,
EXCHANGES, MUTUALS, COUNTY MUTUALS, RECIPROCALS, ASSOCIATIONS,
LLOYDS INSURERS WRITING PROPERTY AND CASUALTY INSURANCE IN THE
STATE OF TEXAS; AGENTS AND REPRESENTATIVES; AND THE PUBLIC
GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the areas affected by Hurricane Harvey.
Because of the recent heavy rains and flooding across Texas, the Texas Department of
Insurance issues this bulletin to remind insurers of their obligations regarding losses to motor
vehicles due to flood damage. Titles for flood-damaged vehicles must comply with the Texas
Transportation Code.
Under Transportation Code §501.1001(a), an insurance company licensed to conduct business in
Texas that acquires, through payment of a claim, ownership, or possession of a salvage motor
vehicle or nonrepairable motor must surrender the properly assigned evidence of ownership and
apply for the appropriate title under Transportation Code §501.097. Transportation Code
§501.095 prohibits an insurer from selling a motor vehicle to which §501.095 applies unless the
Texas Department of Motor Vehicles (TxDMV) has issued a salvage vehicle title or a
nonrepairable vehicle title for the motor vehicle, or a comparable ownership document has been
issued by another state or jurisdiction for the motor vehicle.
Transportation Code §501.09112(d) and (f) require that a salvage or nonrepairable vehicle title or
a salvage or nonrepairable record of title for a vehicle that is a salvage or nonrepairable motor
vehicle because of damage caused exclusively by flood must bear a notation that the TxDMV
considers appropriate. The TxDMV applies the “FLOOD DAMAGE” notation to these vehicles.
TDI encourages insurers to take measures to ensure that Vehicle Identification Numbers and
other pertinent information are accurate. You can find further information about salvage vehicle
titles and requirements at www.txdmv.gov/salvage-nonrepairable-manual.
Direct questions about this bulletin to the Property and Casualty Lines Office by calling (512) 676-
6710, or by email at Commerc[email protected].
For more information contact: ChiefCler[email protected]
© 2020 National Association of Insurance Commissioners
Page 39
HurricaneHarveyPolicyNonrenewal
To: ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, COUNTY MUTUALS,
FARM MUTUALS, MUTUALS, RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER
INSURERS WRITING PROPERTY AND CASUALTY INSURANCE IN THE STATE OF
TEXAS; AGENTS AND REPRESENTATIVES; AND THE PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
TDI reminds insurers of their obligations under Insurance Code Chapter 551:
Under Insurance Code 551.107 when nonrenewing a standard fire, homeowners, or farm
or ranch owners policy due to a policyholder filing three or more claims under a policy in
any three-year period, insurers may not consider:
losses caused by natural causes;
claims filed but not paid or payable; or
claims history for water damage under Insurance Code §544.353.
Insurers may not consider a customer inquiry as a basis for nonrenewal under Insurance
Code §551.113.
All insurers should remember to comply with the requirements of Insurance Code Chapter
551 as applicable to the lines of coverage they write.
In addition, insurers should remember that practices related to nonrenewal are subject to
restrictions against unfair discrimination under Insurance Code Chapter 544, Subchapters A and
B.
Insurers that do not comply with statutory requirements are subject to enforcement action.
Questions regarding this bulletin should be directed to the Property and Casualty Lines Office by
calling (512) 676-6710, or by email at CommercialPC@tdi.texas.gov.
For more information contact: Commercia[email protected]
© 2020 National Association of Insurance Commissioners
Page 40
HurricaneHarveyRestrictingNewBusinessforPersonalAutoand
ResidentialPropertyInsurance
To: ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, COUNTY MUTUALS,
MUTUALS, RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS
WRITING PROPERTY AND CASUALTY INSURANCE IN THE STATE OF TEXAS;
AGENTS AND REPRESENTATIVES; AND THE PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
TDI reminds insurers that before they may restrict writing new business in response to a
catastrophic natural event, they must file a restriction plan with TDI and obtain prior approval
under Insurance Code §827.008. Insurers file restriction plans with the Company Licensing and
Registration Office by email at [email protected].
Insurers that do not comply with statutory requirements are subject to enforcement action.
Questions regarding this bulletin should be directed to the Company Licensing and Registration
Office by calling 512-676-6375, or by email at CompanyLicense@tdi.texas.gov.
For more information contact: [email protected]as.gov
© 2020 National Association of Insurance Commissioners
Page 41
HurricaneHarveySuspensionofCertainLicensingRequirementsandFees
forCertainPersonsandEntitiesLivingintheAreasAffectedbytheHarvey
Disaster
To: TITLE AGENTS; ESCROW OFFICERS; LIFE SETTLEMENT BROKERS; LIFE
SETTLEMENT PROVIDERS; PREMIUM FINANCE COMPANIES; UTILIZATION REVIEW
AGENTS; AND THE PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under § 418.017 of the Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the areas affected by Hurricane Harvey.
On September 11, 2017, Governor Abbott, in accordance with § 418.016 of the Government
Code, approved suspension of certain licensing requirements and fees in order to allow all Texas-
licensed title agents, escrow officers, life settlement brokers, life settlement providers, premium
finance companies, and utilization review agents living in the areas affected by the Harvey
disaster to focus on recovery from Hurricane Harvey. The effects of the suspensions are:
The period to renew an expired license as described in the following statutes and rules is 150
days for all licenses that expire on or before December 31, 2017: §§ 651.064 and 2651.055(d) of
the Texas Insurance Code, L-2.V.D of the Basic Manual of Rules, Rates and Forms for the
Writing of Title Insurance as adopted by reference 28 Texas Administrative Code § 9.01, and 28
Texas Administrative Code §§ 3.1722(e)(2) and 19.1704(h)(2).
The late renewal fee as described in the following statutes and rules is waived for all licenses that
expire on or before December 31, 2017: §§ 651.064 and 2651.055(d) of the Texas Insurance
Code, L-2.V.D of the Basic Manual of Rules, Rates and Forms for the Writing of Title
Insurance as adopted by reference 28 Texas Administrative Code §§ 9.01, and 28 Texas
Administrative Code § 3.1722(e)(2).
The $50 automatic fine associated with not completing continuing education requirements
described in 28 Texas Administrative Code § 3.1723(h) is waived for the current license period for
all licenses that expire between August 24, 2017, and December 31, 2017.
The suspensions will be in effect until the earlier of the dates noted above, the date the Office of
the Governor terminates the suspension, or until the Harvey disaster declaration is lifted or
expires.
Please direct questions regarding this bulletin to the Licensing Services Section by calling (512)
676-6475, or by email at Licensing_Harv[email protected]exas.gov.
For more information contact: License@tdi.texas.gov
© 2020 National Association of Insurance Commissioners
Page 42
HurricaneHarveySuspensionofCertainLicensingRequirementsandFees
To: ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, MUTUALS,
RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS WRITING
PROPERTY AND CASUALTY INSURANCE IN THE STATE OF TEXAS, INCLUDING
WORKERS' COMPENSATION INSURANCE; AGENTS AND REPRESENTATIVES; AND
ADJUSTERS; AND THE PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under § 418.017 of the Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the areas affected by Hurricane Harvey.
On September 6, 2017, Governor Abbott, in accordance with § 418.016 of the Government Code,
approved suspension of certain licensing requirements and fees in order to allow all
Texas-licensed insurance agents and adjusters who are subject to the provisions listed below to
focus on assisting Texas insureds in recovering from Hurricane Harvey. The effects of the
suspensions are:
The period to renew an expired license described in Insurance Code § 4003.007 is 150 days for
all licenses that expire on or before December 31, 2017.
The $25 late renewal fee described in Insurance Code § 4003.007(a)(2)(B) is waived for all
licenses that expire on or before December 31, 2017.
The $50 automatic fine associated with not completing continuing education requirements
described in § 19.1016(b)(1) of Title 28 of the Texas Administrative Code is waived for the current
license period for all licenses that expire between August 24, 2017, and December 31, 2017.
The suspensions will be in effect until the earlier of the dates noted above, the date the Office of
the Governor terminates the suspension, or until the Harvey disaster declaration is lifted or
expires.
Please direct questions regarding this bulletin to the Agent and Adjuster Licensing Office by
calling (512) 676-6500, or by email at Licensing_Harveyresponse@tdi.texas.gov.
For more information contact: License@tdi.texas.gov
© 2020 National Association of Insurance Commissioners
Page 43
HurricaneHarveyWeatherRelatedEventthatOccurredAugust25,2017,
throughAugust31,2017
To: All Companies, Corporations, Exchanges, Mutuals, Reciprocals, Associations, Lloyds,
or Other Insurers Writing Property and Casualty Insurance in the State of Texas, and
to Other Agents and Representatives and the General Public
Under Insurance Code §542.059 and 28 TAC §5.9303, the Texas Department of Insurance has
issued an order determining that the weather-related event that occurred August 25, 2017,
through August 31, 2017, in Aransas, Atascosa, Austin, Bastrop, Bee, Bexar, Brazoria, Brazos,
Burleson, Caldwell, Calhoun, Cameron, Chambers, Colorado, Comal, DeWitt, Fayette, Fort Bend,
Galveston, Goliad, Gonzales, Grimes, Guadalupe, Hardin, Harris, Hays, Hidalgo, Jackson,
Jasper, Jefferson, Jim Wells, Karnes, Kleberg, Lavaca, Lee, Liberty, Live Oak, Matagorda,
Montgomery, Newton, Nueces, Orange, Polk, Refugio, San Jacinto, San Patricio, Travis, Tyler,
Victoria, Walker, Waller, Washington, Wharton, Williamson, and Wilson counties is a catastrophe
for the purpose of claims processing. The order is available
at www.tdi.texas.gov/orders/index.html.
Claims resulting from the identified catastrophe in the counties listed above will be subject to the
additional time allowed for claims processing authorized by §542.059.
This declaration is necessary due to the large volume of claims resulting directly from this
catastrophe, and based on the further understanding that insurers will continue to promptly
identify, evaluate, and resolve these claims. Insurers must still promptly acknowledge receipt of a
claim and make appropriate assignments for the investigation of a claim. Policyholders should
continue to receive the timely service that they expect and should not experience delays in
receiving the benefits that they deserve because of the additional time.
For more information contact: Commercia[email protected]
© 2020 National Association of Insurance Commissioners
Page 44
HurricaneHarveyDenialofFloodLosses
To: ALL PROPERTY AND CASUALTY INSURERS, THEIR AGENTS, AND THE PUBLIC
GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
Many people have suffered property losses due to flood damage not covered by their insurance
policies. TDI encourages insurers responding to flood loss inquiries and claims to provide
additional information to their insureds about potential Federal Emergency Management Agency
(FEMA) assistance and FEMA contact information including the disasterassistance.gov website.
Questions regarding this bulletin should be directed to the Property and Casualty Lines Office by
calling (512) 676-6710, or by email at CommercialPC@tdi.texas.gov.
For more information contact: Commercia[email protected]
© 2020 National Association of Insurance Commissioners
Page 45
HurricaneHarveyAnextraordinaryevent;Workers’compensationissues
concerninghurricanevictimsorevacuees
To: ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, MUTUALS,
RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS WRITING
WORKERS’ COMPENSATION AND EMPLOYERS’ LIABILITY INSURANCE IN THE
STATE OF TEXAS AND TO AGENTS AND REPRESENTATIVES AND THE PUBLIC
GENERALLY AND ALL WORKERS’ COMPENSATION SYSTEM PARTICIPANTS
Hurricane Harvey has had a catastrophic impact on Texans and their property, and Gov. Greg
Abbott’s disaster proclamation will help Texans rebuild and recover. The proclamation directs that
all necessary measures, both public and private, as authorized under §418.017 of the Texas
Government Code, be implemented to meet that threat.
For the duration of the Governor’s disaster proclamation, and with reference to claims involving
workers’ compensation claimants residing in a county included in the Governor’s disaster
proclamation insurance carriers must provide or continue to provide:
Processing and delivery of benefit checks and necessary medical care, services, and
supplies, including physical therapy, pharmaceutical benefits, and medical equipment,
Waiver of penalties and restrictions related to necessary emergency and non-emergency
health care provided out-of-network,
Coverage of payment for necessary emergency and non-emergency health care services
obtained out-of-network,
Extended deadlines for medical examinations,
Authorize payment to pharmacies for up to a ninety day supply of any prescription
medication, subject to the remaining number of days authorized by the prescribing
provider, for individuals regardless of the date upon which the prescription had most
recently been filled, and
Expedited change of address processing.
For system participants who reside in the counties listed in the Governor’s disaster proclamation,
the Texas workers’ compensation deadlines for the following procedures are tolled through the
duration of the Governor’s disaster proclamation:
Workers’ compensation claim notification and filing deadlines,
Medical billing deadlines,
Medical and income benefit payment deadlines,
Electronic data reporting deadlines, and
Medical and income benefit dispute deadlines.
© 2020 National Association of Insurance Commissioners
Page 46
DWC also recognizes that first responders are currently on the front lines of this disaster, helping
their fellow Texans. Political subdivisions should keep in mind that Section 504.055 of the Texas
Labor Code states that both DWC and political subdivisions shall accelerate and give first priority
to an injured first responder’s claim for workers’ compensation medical benefits if that first
responder sustains a serious bodily injury in the course and scope of employment.
The Office of Injured Employee Counsel has a designated First Responder Liaison, Yolanda
Garcia, who can be reached at 512-804-4173 or FirstResponderHelp@oiec.texas.gov.
Key contact numbers:
To reschedule a benefit review conference or a contested case hearing, call DWC’s local
field office or, if the office is not available, 1-800-252-7031.
For questions related to workers’ compensation health care networks, call 866-554-4926
or 512-676-6400, Option # 7 or contact [email protected].
For other questions related to the disaster, call the Workers’ Compensation Injured
Employee Hotline at 1-800-252–7031.
This supersedes any prior bulletin.
Ryan Brannan
Commissioner of Workers’ Compensation
Texas Department of Insurance-Division of Workers’ Compensation
For more information contact: WorkersCom[email protected]
© 2020 National Association of Insurance Commissioners
Page 47
HurricaneHarveyVacancyProvisions
To: ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, MUTUALS,
RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS WRITING
PROPERTY AND CASUALTY INSURANCE IN THE STATE OF TEXAS; AGENTS AND
REPRESENTATIVES; AND THE PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
The Texas Department of Insurance encourages insurers to provide relief to those residents and
policyholders who have been temporarily displaced, including the suspension of any vacancy
provision in the policy, to allow continuing insurance coverage. This bulletin is not intended to limit
the application of a vacancy provision for policyholders who have moved permanently from their
home or business.
Questions regarding this bulletin should be directed to the Property and Casualty Lines Office by
calling (512) 676-6710, or by email at CommercialPC@tdi.texas.gov.
For more information contact: ChiefCler[email protected]
© 2020 National Association of Insurance Commissioners
Page 48
HurricaneHarveyVacancyProvisions
To: ALLINSURANCE COMPANIES, CORPORATIONS, EXCHANGES, MUTUALS,
RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS WRITING
PROPERTY AND CASUALTY INSURANCE IN THE STATE OF TEXAS; PREMIUM
FINANCE COMPANIES; MANAGING GENERAL AGENTS; ADJUSTERS; AND THE
PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
TDI reminds all persons, including adjusters, building and repair contractors, and insurers, that
pursuant to Insurance Code §543.001, an insurer or its representative, or any other person, may
not misrepresent the terms and provisions of a policy. Further, as stated in 28 Texas
Administrative Code §5.9970(d) and (e), persons insured under a homeowners or dwelling policy
are entitled to have their home repaired by the person of their choice.
Under Insurance Code §542.003(a), an insurer engaging in business in this state may not engage
in an unfair claim settlement practice. Not attempting in good faith to effect a prompt, fair, and
equitable settlement of a claim submitted in which liability has become reasonably clear
constitutes an unfair claim settlement practice under Insurance Code §542.003(b)(4).
If you have questions regarding this bulletin, contact the Consumer Protection Division by calling
(800) 252-3439, or the Fraud Unit at (888) 327-8818.
For more information contact: [email protected]
© 2020 National Association of Insurance Commissioners
Page 49
HurricaneHarveyDenialofWindLoses
To: ALL PROPERTY AND CASUALTY INSURERS AND THEIR AGENTS, AND THE PUBLIC
GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
Insurers who deny coverage for wind losses are encouraged to inform policyholders of potential
coverage under the Texas Windstorm Insurance Association (TWIA) if the loss occurred in the
TWIA coverage area.
Questions regarding this bulletin should be directed to the Property and Casualty Lines Office by
calling (512) 676-6710, or by email at CommercialPC@tdi.texas.gov.
For more information contact: PropertyCasu[email protected]
© 2020 National Association of Insurance Commissioners
Page 50
HurricaneHarveyCreditScoringandCreditInformation
To: ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, MUTUALS,
RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS WRITING
PROPERTY AND CASUALTY INSURANCE IN THE STATE OF TEXAS; AGENTS AND
REPRESENTATIVES; AND THE PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
With the possible relocation of hurricane victims and other personal hardships sustained by
residents of counties covered in the governor's proclamations, the Texas Department of
Insurance reminds carriers of their obligations under §559.103 of the Texas Insurance Code.
These obligations apply to the writing of personal insurance in this state, including the writing of
personal insurance for Texas residents affected by the hurricane.
Section 559.103 allows an insurer to grant an exception to an insurer's rates, rating
classifications, or underwriting rules for an applicant for insurance coverage or an insured for an
extraordinary event. The section also requires that an insurer provide reasonable exceptions for a
consumer whose credit information has been directly influenced by a catastrophic illness or injury;
by the death of a spouse, child, or parent; by temporary loss of employment; by divorce; or by
identity theft, on written request from an applicant for insurance coverage or an insured. The
insurer may consider only credit information not affected by the event or shall assign a neutral
credit score.
The Texas Department of Insurance urges insurers to avoid placing additional burdens on victims
or evacuees of Hurricane Harvey and encourages insurers to accept verbal requests in lieu of
written as stated in §559.103.
Section 559.103 applies to personal insurance, which includes personal automobile, residential
property, residential fire and allied lines insurance policies; or a noncommercial insurance policy
covering a boat, personal watercraft, snowmobile, or recreational vehicle.
Questions regarding this bulletin may be directed to the Property and Casualty Actuarial Office at
(512) 676-6700, or by email to PCA[email protected].
For more information contact: [email protected]
© 2020 National Association of Insurance Commissioners
Page 51
HurricaneHarveyPropertyandCasualtyRatingandUnderwriting
To: ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, MUTUALS,
RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS WRITING
PROPERTY AND CASUALTY INSURANCE IN THE STATE OF TEXAS, INCLUDING
WORKERS' COMPENSATION CARRIERS; AGENTS AND REPRESENTATIVES;
PREMIUM FINANCE COMPANIES; AND THE PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
It is the opinion of the Texas Department of Insurance that it is inappropriate for insurers to re-
rate, cancel, nonrenew, or refuse to provide coverage due solely to a policyholder's status as a
victim or evacuee of Hurricane Harvey. Further, it is not reasonable to change a policyholder's
rating classifications or increase their insurance rates solely because they are a victim or evacuee
of Hurricane Harvey.
A carrier extending coverage has the right to earn premium on that extended coverage in
accordance with statutory requirements of reasonableness.
Questions regarding this bulletin may be directed to the Property and Casualty Actuarial Office by
calling (512) 676-6700, or by email at [email protected]xas.gov.
For more information contact: [email protected]
© 2020 National Association of Insurance Commissioners
Page 52
HurricaneHarveyPrescriptionMedicationCoverages
To: ALL INSURERS LICENSED TO WRITE LIFE AND ACCIDENT AND HEALTH
INSURANCE, HEALTH MAINTENANCE ORGANIZATIONS, WORKERS'
COMPENSATION CARRIERS, AGENTS, THIRD PARTY ADMINISTRATORS,
UTILIZATION REVIEW AGENTS, PREMIUM FINANCE COMPANIES, AND ALL MEWAS
LICENSED IN TEXAS
Re:Hurricane Harvey – Prescription Medication Coverages
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
With the relocation of hurricane victims and other personal hardships sustained by residents of
counties covered in the governor's proclamations, regardless of where those residents have
temporarily relocated, many insureds, enrollees, and certificate holders will be away from their
residence locations and health care service areas. It is the opinion of the Texas Department of
Insurance that all health insurers and health maintenance organizations that provide prescription
medication coverage as part of any policy, certificate, or evidence of coverage should, through
the duration of the governor's proclamations, authorize payment to pharmacies for up to a ninety
day supply of any prescription medication for individuals regardless of the date upon which the
prescription had most recently been filled
Questions regarding this bulletin may be directed to MCQA by calling (512) 676-6400, option #7,
or by email at [email protected].
© 2020 National Association of Insurance Commissioners
Page 53
HurricaneHarveyCommercialAutomobileInsurance
To: ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, MUTUALS,
RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS WRITING
PROPERTY AND CASUALTY INSURANCE IN THE STATE OF TEXAS; AGENTS AND
REPRESENTATIVES; AND THE PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
This bulletin is issued as guidance for those insurers contemplating changes in classification of
commercial auto vehicles from local to intermediate or long haul, cancellation or nonrenewal of
policies, or refusal to provide coverage due solely to participation in the relief effort.
The Texas Department of Insurance is of the opinion that in instances where insureds or potential
insureds are temporary participants in the relief effort of Hurricane Harvey, it is inappropriate for
insurers to re-rate, cancel, nonrenew, or refuse to provide coverage due solely to that
participation.
Questions regarding this bulletin may be directed to Property and Casualty Actuarial Office, by
calling (512) 676-6700, or by email at [email protected]xas.gov.
For more information contact: [email protected]
© 2020 National Association of Insurance Commissioners
Page 54
HurricaneHarveyPreauthorizedHealthCare,Referrals,Notificationof
HospitalAdmissions,andMedicalNecessityReviews
To: ALL INSURERS LICENSED TO WRITE LIFE AND ACCIDENT AND HEALTH
INSURANCE, HEALTH MAINTENANCE ORGANIZATIONS, AGENTS, THIRD-PARTY
ADMINISTRATORS, UTILIZATION REVIEW AGENTS, PREMIUM FINANCE COMPANIES,
EXCLUSIVE PROVIDER PLANS, AND MEWAS LICENSED IN TEXAS
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
Because of the potential storm damage to local, regional, and state-wide utilities and
infrastructure, many insureds, enrollees, or certificate holders could be forced to evacuate their
residence locations and health care service areas. Restrictions on insureds, enrollees, or
certificate holders will result in many storm victims being without necessary health care or dental
services. Insureds, enrollees, or certificate holders should not be left without their necessary
health care or dental services during a disaster or threat of imminent disaster. Under these
circumstances, it is the opinion of the Texas Department of Insurance that all health insurance
companies and health maintenance organizations should waive penalties and restrictions on
insureds, certificate holders, or enrollees when these insureds, enrollees, or certificate holders
obtain necessary emergency and nonemergency health and dental services out-of-network as a
result of the disaster through the duration of the governor's proclamations. Additionally, health
insurance companies and health maintenance organizations should not deny payment for
necessary emergency and nonemergency health and dental services that are obtained out-of-
network as a result of the threat of imminent disaster through the duration of the governor's
proclamations.
The storm damage will also impact physicians and providers, both in the areas that are subject to
evacuation requirements and in the areas to which evacuees are relocated, thus affecting the
provision of health care services and the submission of claims for those services. Insureds,
enrollees, or certificate holders should have access to necessary health care and dental services
during a disaster, and physicians and providers should be able to provide such care and services
without concern for applicable claim filing deadlines. Under these circumstances, it is the opinion
of the Texas Department of Insurance that all health insurance companies and health
maintenance organizations should extend, as necessary, through the duration of the governor's
proclamations, any claim-filing deadlines for providers, insureds, certificate holders, or enrollees,
including those set forth in Insurance Code §§1301.102 and 843.337(a), and 28 Texas
Administrative Code §21.2806(a) and §21.2819.
© 2020 National Association of Insurance Commissioners
Page 55
The Texas Department of Insurance also reminds insurance companies and health maintenance
organizations subject to the prompt payment of claims provisions of the Texas Insurance Code
and the Texas Administrative Code relating to catastrophic events. These provisions allow payors
that experience a catastrophic event to toll applicable prompt payment deadlines upon
communicating to the Texas Department of Insurance the occurrence and circumstances of a
catastrophic event. The payor's initial notice should be in writing and addressed to Managed Care
Quality Assurance Mail Code 103-6A, Texas Department of Insurance, P.O. Box 149104, Austin,
Texas 78701-9104.
In addition, the damage to infrastructure and the increased need for health care services may
frustrate the ability of insureds, enrollees, or certificate holders to comply with health plan
contractual provisions, which could result in many hurricane victims being without necessary
health care or dental services. Insureds, enrollees, or certificate holders should not be left without
their necessary health care or dental services during a catastrophic event. Under these
circumstances, the Texas Department of Insurance is of the opinion that all insurance companies
and health maintenance organizations should waive contractual restrictions that require insureds,
certificate holders, or enrollees to obtain preauthorization, referrals, notification of hospital
admissions, or medical necessity reviews for specified health care or dental services through the
duration of the governor's proclamations.
Questions regarding this bulletin may be directed to MCQA by calling (512) 676-6400, option #7,
or by email at [email protected].
© 2020 National Association of Insurance Commissioners
Page 56
HurricaneHarveyClaimsAdjustingandAdjusters
To: ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, MUTUALS,
RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS WRITING
PROPERTY AND CASUALTY INSURANCE IN THE STATE OF TEXAS, INCLUDING
WORKERS' COMPENSATION INSURANCE; PREMIUM FINANCE COMPANIES;
AGENTS AND REPRESENTATIVES; AND ADJUSTERS; AND THE PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
In the current disaster circumstances, the Texas Department of Insurance reminds carriers that
Insurance Code §4101.002(b) and §4101.101 authorize carriers to immediately use nonresident
and emergency adjusters to handle claims. These provisions are discussed
at: www.tdi.texas.gov/licensing/agent/agemeradj.html.
With the relocation of hurricane victims and other personal hardships sustained by residents of
counties covered in the governor's proclamations, TDI encourages carriers to use all available
means to provide prompt and immediate relief to those residents and policyholders.
Insurance Code §4101.251 prohibits licensed adjusters from adjusting a loss related to roofing
damage on behalf of an insurer if the adjuster is a roofing contractor or otherwise provides roofing
services or roofing products for compensation, or is a controlling person in a roofing-related
business. The section also prohibits a roofing contractor from acting as an adjuster or advertising
to adjust claims for any property for which the roofing contractor is providing or may provide
roofing services, regardless of whether the contractor holds a license under this chapter.
Chapter 4102 of the Insurance Code requires all persons acting as public insurance adjusters to
be licensed by the department. The Insurance Code provides for both civil and criminal penalties
for violating this license requirement.
Insurance Code §4102.001(3) defines a public insurance adjuster as:
A. A person who, for direct, indirect, or any other compensation:
(i) acts on behalf of an insured in negotiating for or effecting the settlement of a claim or
claims for loss or damage under any policy of insurance covering real or personal property;
or
© 2020 National Association of Insurance Commissioners
Page 57
(ii) on behalf of any other public insurance adjuster, investigates, or settles, or adjusts or
advises an insured with a claim or claims for loss or damage under any policy of insurance
covering real or personal property; or
B. A person who advertises, solicits business, or holds himself or herself out to the public as an
adjuster of claims for loss or damage under any policy of insurance covering real or personal
property.
Insurance Code §4102.151 prohibits public insurance adjusters from soliciting or attempting to
solicit clients for employment during the progress of a loss-producing natural disaster occurrence.
Insurance Code §4102.158 prohibits public insurance adjusters from participating directly or
indirectly in the reconstruction, repair, or restoration of damaged property that is the subject of a
claim adjusted by the license holder or engaging in any other activities that may reasonably be
construed as presenting a conflict of interest, including soliciting or accepting any remuneration
from, or having a financial interest in, any salvage firm, repair firm, or other firm that obtains
business in connection with any claim the licensee has a contract or agreement to adjust.
Insurance Code §4102.163 prohibits a roofing contractor from acting as a public adjuster or
advertising to adjust claims for any property for which the contractor is providing or may provide
roofing services, regardless of whether the contractor holds a license under this chapter.
Contractors are not listed among the persons exempt from the licensing requirement in Insurance
Code §4102.002.
Chapter 4102 does not prohibit contractors from providing estimates or discussing those
estimates and other technical information with an insurer or its adjuster.
Questions regarding this bulletin may be directed to the Agent and Adjuster Licensing Office by
calling (512) 676-6500 or the Fraud Unit by calling (888) 327-8818.
For more information contact: License@tdi.texas.gov
© 2020 National Association of Insurance Commissioners
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HurricaneHarveyMedicalEquipmentandServices
To: ALL INSURERS LICENSED TO WRITE LIFE AND ACCIDENT AND HEALTH
INSURANCE, HEALTH MAINTENANCE ORGANIZATIONS, WORKERS'
COMPENSATION CARRIERS, ALL LICENSED AGENTS, ALL THIRD-PARTY
ADMINISTRATORS, ALL UTILIZATION REVIEW AGENTS, EXCLUSIVE PROVIDER
PLANS, AND MEWAS LICENSED IN TEXAS
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
With the possible relocation of hurricane victims and other personal hardships sustained by
residents of counties covered in the governor's proclamations, regardless of where those
residents have temporarily relocated, many insureds, enrollees, certificate holders, and injured
workers may not be able to, or have the ability to, access medical equipment, supplies, and
services necessary to maintain their health. Insureds, enrollees, certificate holders, and injured
workers who are residents of the subject counties, regardless of where those residents may be
temporarily located, should not be without their necessary services, supplies, and equipment to
maintain their health during a disaster or threat of imminent disaster and danger. It is the opinion
of the Texas Department of Insurance that all health insurers and health maintenance
organizations that provide health coverage or cover the payment of medical or other health care
services as a part of any policy or certificate or evidence of coverage should, throughout the
duration of the governor's proclamations, authorize payment for necessary medical equipment,
supplies, and services regardless of the date on which the service, equipment, or supplies were
most recently provided.
Questions regarding this bulletin may be directed to Managed Care Quality Assurance by calling
(512) 676-6400, option #7, or by email at [email protected].
For more information contact: [email protected]
© 2020 National Association of Insurance Commissioners
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HurricaneHarveyPremiumPaymentsGracePeriod
To: ALL INSURERS LICENSED TO WRITE LIFE AND ACCIDENT AND HEALTH
INSURANCE, HEALTH MAINTENANCE ORGANIZATIONS, AGENTS, THIRD-PARTY
ADMINISTRATORS, UTILIZATION REVIEW AGENTS, MEWAS LICENSED IN TEXAS;
ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, MUTUALS,
RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS WRITING
PROPERTY AND CASUALTY INSURANCE IN THE STATE OF TEXAS, INCLUDING
WORKERS' COMPENSATION INSURANCE; AGENTS AND REPRESENTATIVES;
ADJUSTERS; PREMIUM FINANCE COMPANIES; AND THE PUBLIC GENERALLY
Governor Greg Abbott issued a proclamation declaring a disaster due to the effects of Hurricane
Harvey. The proclamation directs that all necessary measures, both public and private, as
authorized under §418.017 of the Texas Government Code, be implemented to meet that threat.
President Donald Trump issued a major disaster declaration and ordered federal aid to
supplement state and local recovery efforts in the area affected by Hurricane Harvey.
TDI encourages carriers to provide relief to those policyholders in counties covered in the
governor's proclamations, including the suspension of premium payments to allow continuing
insurance coverage. In conjunction with this effort and in accordance with the governor's
proclamations, TDI will work with carriers to minimize the regulatory effects of a carrier's
suspension of premium payments, specifically in regard to financial review requirements. The
term "suspension" is not intended to mean the forgiveness of the premium. Carriers are
encouraged to work with policyholders in the collection of premiums, including payment plans
The normal premium debits from financial institutions may continue in place according to a
carrier's written agreement with a policyholder, unless a problem exists with premium debits, or a
policyholder's specific hardship directs a carrier otherwise. This should be weighed against the
potential disruption to a carrier's business model or the inconvenience caused to the policyholder
by multiple payments. It is TDI's expectation that any problems resulting from this issue will be
resolved between the parties without a complaint being filed. This would include a carrier working
with a policyholder to minimize the effects of any penalties or charges associated with premium
debits.
Questions regarding this bulletin may be directed to the Financial Regulation Division, by calling
(512) 676-6365.
For more information contact: ChiefCler[email protected]
© 2020 National Association of Insurance Commissioners
Page 60
WeatherRelatedEventthatOccurredMarch26,2017throughMarch27,
2017
To: All Companies, Corporations, Exchanges, Mutuals, Reciprocals, Associations, Lloyds,
or Other Insurers Writing Property and Casualty Insurance in the State of Texas and to
Other Agents and Representatives and the General Public
Under Insurance Code §542.059 and 28 TAC §5.9303, the commissioner of insurance has issued
an order determining that the weather-related event that occurred March 26, 2017, through March
27, 2017, in the counties of Bell, Collin, Dallas, Denton, Tarrant, and Wise is a catastrophe for the
purpose of claims processing. The order is available at www.tdi.texas.gov/orders/index.html.
Claims resulting directly from the identified catastrophe in the counties listed above will be subject
to the additional time allowed for claims processing authorized by §542.059.
This declaration is necessary due to the large volume of claims resulting directly from this
catastrophe, and based on the further understanding that insurers will continue to promptly
identify, evaluate, and resolve these claims. Insurers must still promptly acknowledge receipt of a
claim and make appropriate assignments for the investigation of a claim. Policyholders should
continue to receive the timely service that they expect and should not experience delays in
receiving the benefits that they deserve because of the additional time.
For more information contact: Commercia[email protected]
© 2020 National Association of Insurance Commissioners
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