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Texas Department of Insurance
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Commissioner’s Bulletin # B-0040-17

November 17, 2017


To:   All Insurance Companies, Corporations, Exchanges, County Mutuals, Mutuals, Reciprocals, Associations, Lloyds, or Other Insurers Licensed to Write Private Passenger Nonfleet Automobile, Commercial Automobile, Homeowners Multiple Peril, Workers' Compensation, Commercial Fire and Allied Lines, Residential Fire and Allied Lines, Commercial Multiple Peril, General Liability, Boiler and Machinery, Commercial Crime, Commercial Glass, Surety, Inland Marine, Medical Professional Liability, or Miscellaneous Professional Liability Insurance in the State of Texas

Re:   Call for Annual Experience – 2017 Call for Annual Experience – 2017 Workers' Compensation Deductible Plans


The Texas Department of Insurance issues the attached mandatory data call under 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 annually to the governor, lieutenant governor, the speaker, the Legislature, and the public.

You must respond to this data call using the instructions linked to this bulletin no later than February 9, 2018. You also must retain underlying data, individual source documents, and other information used to develop your response until at least February 9, 2020.

Please note these changes to the 2017 Call for Annual Experience data call.

The following lines of business have been added to the data call:

  • Commercial Auto (voluntary liability, assigned risk, and physical damage);
  • Residential Fire and Allied Lines;
  • Surety (excluding criminal court appearance bonds); and
  • Inland Marine.

You must complete the data call using the PDF form included as a link in this bulletin. This form requires Adobe Acrobat Standard 7.0, Adobe Professional 7.0, Adobe Reader 7.0, or a higher (more recent) version.

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 PCDataCallAnnual@tdi.texas.gov.

Affidavit

Instructions

PDF form


For more information, contact: DataCall@tdi.texas.gov

Last updated: 7/16/2018