| (a) This section does not relieve any insurer or other
licensee from complying with the Insurance Code or the rules and regulations
of the Texas Department of Insurance.
(b) Insurers must cause all forms to comply with all
required provisions of all applicable law including but not limited
to the Insurance Code and the rules and regulations of the department.
In addition to other legal requirements:
(1) forms may not contain any ambiguous, deceptive,
misleading, unfair, inequitable or unjust wording or terminology;
(2) title headings or other indications of a form's
provisions may not be misleading;
(3) forms may not contain any exception, exclusion,
limitation, or reduction that is deceptive, unjust, unfair, encourages
misrepresentation, or inequitable or that would deceptively affect
the risk purported to be assumed in the general coverage of the contract;
and
(4) forms may not be printed or otherwise reproduced
in such a manner as to render any provision of the form substantially
illegible or not easily legible to persons of normal vision.
(c) Every filing exempted from review by this subchapter
must be accompanied by each item of information set out in paragraphs
(1) - (3) of this subsection.
(1) A signed copy of the certification form which is
entitled "TEXAS POLICY FORM CERTIFICATIONS, Multi-Use Form," which
also is to be utilized for filing certifications for file-and-use
under Insurance Code §1701.052, as well as for corrections, resubmissions,
substitutions, and filings for previously approved similar forms.
Form "TEXAS POLICY FORM CERTIFICATIONS" is available from the Life
and Health Division, has been filed with the Texas Register Division
of the Secretary of State for public inspection, and is adopted by
reference in this subchapter. The form also is reproduced in full
as Figure 1 in §3.4020 of this title (relating to Appendix).
(2) Any additional information or documentation generally
required under the provisions of Chapter 3, Subchapter A of this title
(relating to Submission Requirements for Filings and Departmental
Actions Related to Such Filings).
(3) A cover letter setting out the items in subparagraphs
(A) - (C), as follows:
(A) that the filing is exempt;
(B) the particular section, paragraph and subparagraph
of the section under which the filing is exempt; and
(C) a brief description of the benefits provided by
the form.
|
| Source Note: The provisions of this §3.4005 adopted to be effective April 14, 1983, 8 TexReg 1067; amended to be effective March 12, 1996, 21 TexReg 1673; amended to be effective May 11, 2022, 47 TexReg 2758 |
