B-0007-15

To: ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, MUTUALS, RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS LICENSED TO WRITE PRIVATE PASSENGER NONFLEET AUTOMOBILE, HOMEOWNERS MULTIPLE PERIL, WORKERS’ COMPENSATION, COMMERCIAL FIRE AND ALLIED LINES, COMMERCIAL MULTIPLE PERIL, GENERAL LIABILITY, BOILER AND MACHINERY, COMMERCIAL CRIME, COMMERCIAL GLASS, MEDICAL PROFESSIONAL LIABILITY, OR MISCELLANEOUS PROFESSIONAL LIABILITY INSURANCE IN THE STATE OF TEXAS

Re: CALL FOR FIRST QUARTER EXPERIENCE – 2015 CALL FOR FIRST QUARTER EXPERIENCE – 2015 WORKERS’ COMPENSATION DEDUCTIBLE PLANS

The Texas Department of Insurance issues the attached mandatory data call under Texas Insurance Code Sections 2251.003, 2251.008, and 38.001. This data call is the basis for a report that TDI is required to submit quarterly to the governor and to the Legislature. The data requested is designed to provide TDI with immediate access to market condition information.

You must respond to this data call using the attached instructions no later than May 15, 2015. You also must retain underlying data, individual source documents, and other information used to develop your response until at least May 15, 2017.

If you do not respond to this data call within the time limits specified, you will be in violation of the Texas Insurance Code and subject to the applicable penalties.

You are required to complete the data call using the interactive PDF forms available online at www.tdi.texas.gov/bulletins/index.html. These forms require Adobe Acrobat 7.0 or higher, or a compatible version of Adobe Reader.

Submit separate forms for each company in your group licensed for one or more lines of business covered in this data call.

If you are unable to download the forms or have any questions concerning this data call, please contact Vicky Knox by phone at 512-676-6686, or by email at vicky.knox@tdi.texas.gov.

Iris Saenz

Property and Casualty – Data Services

Form
Affidavit and Instructions