INSURANCE CODE
CHAPTER 543. PROHIBITED PRACTICES RELATED TO POLICY OR CERTIFICATE
OF MEMBERSHIP
SUBCHAPTER A. PROHIBITIONS
§ 543.001. MISREPRESENTATION PROHIBITED. (a) In this
section, "life, health, or casualty insurer" includes a corporation
operating on a cooperative or assessment plan, a mutual insurance
company, a fraternal benefit society, and any other society or
association authorized to issue an insurance policy in this state.
(b) A life, health, or casualty insurer, an officer,
director, agent, or representative of that insurer, or any other
person, corporation, or copartnership may not:
(1) issue, circulate, or cause or permit to be issued
or circulated any statement, including an illustration or estimate,
that misrepresents:
(A) the terms of a policy or certificate of
membership issued by a life, health, or casualty insurer;
(B) other benefits or advantages provided by the
policy or certificate; or
(C) the dividends or share of surplus to be
received on the policy or certificate;
(2) use a name or title of a policy, policy class,
certificate of membership, or certificate class that misrepresents
the policy, certificate, or class; or
(3) make a misleading representation or incomplete
comparison of a policy or certificate of membership to an insured or
member for the purpose of inducing or tending to induce the insured
or member to forfeit, surrender, or allow the lapse of the insurance
or membership.
(c) The commissioner may adopt and enforce reasonable rules
as provided by Subchapter I, Chapter 541, to accomplish the
purposes of Subsection (b)(1) as those purposes relate to life
insurance companies.
Added by Acts 2003, 78th Leg., ch. 1274, § 2, eff. April 1, 2005.
§ 543.002. CONTRACT EXPRESSED IN POLICY ONLY. An
insurer or an agent of an insurer may not make an insurance contract
or an agreement relating to an insurance contract other than as
expressed in the policy issued in connection with the contract.
Added by Acts 2003, 78th Leg., ch. 1274, § 2, eff. April 1, 2005.
§ 543.003. THING OF VALUE NOT SPECIFIED IN POLICY. An
insurer or an officer, agent, or representative of an insurer may
not:
(1) directly or indirectly pay, allow, or give or
offer to pay, allow, or give as an inducement to insurance a thing
of value or other inducement that is not specified in the policy,
including:
(A) a rebate of premium payable on the policy;
(B) a special favor or advantage in the dividends
or other benefits to accrue on the policy; or
(C) paid employment or a contract for service;
or
(2) give, sell, or purchase or offer to give, sell, or
purchase as an inducement to insurance or in connection with
insurance a thing of value that is not specified in the policy,
including:
(A) stocks, bonds, or other securities of an
insurer or other corporation, association, or partnership; or
(B) dividends or profits to accrue on the stocks,
bonds, or other securities of an insurer or other corporation,
association, or partnership.
Added by Acts 2003, 78th Leg., ch. 1274, § 2, eff. April 1, 2005.
§ 543.004. SHARING OF OR PARTICIPATION IN SPECIAL FUND
PROHIBITED. An insurer or an officer, agent, or representative of
an insurer may not issue a policy that contains a special or board
contract or similar provision by the terms of which the policy will
share or participate in a special fund derived from a tax or a
charge against any portion of the premium on another policy.
Added by Acts 2003, 78th Leg., ch. 1274, § 2, eff. April 1, 2005.
SUBCHAPTER B. ENFORCEMENT; PENALTY
§ 543.051. SUSPENSION OR REVOCATION OF CERTIFICATE,
CHARTER, PERMIT, OR LICENSE. (a) On a hearing, the commissioner
may suspend or revoke the certificate, charter, permit, or license
to engage in the business of insurance of A society, association,
corporation, or person that violates Subchapter A.
(b) The commissioner must give 10 days' notice of the
hearing by certified mail to the society, association, corporation,
or person.
Added by Acts 2003, 78th Leg., ch. 1274, § 2, eff. April 1, 2005.
§ 543.052. CRIMINAL PENALTY. (a) A person commits an
offense if the person violates Subchapter A.
(b) An offense under this section is a Class A misdemeanor.
(c) The penalty provided by this section is in addition to
any other penalty specifically provided by law.
Added by Acts 2003, 78th Leg., ch. 1274, § 2, eff. April 1, 2005.