2004 Policy Count Exhibit

Commissioner’s Bulletin # B-0001-05

January 10, 2005

TO:

ALL INSURERS AND HEALTH MAINTENANCE ORGANIZATIONS AUTHORIZED TO DO BUSINESS IN TEXAS

RE:

2004 POLICY COUNT EXHIBIT

The Texas Department of Insurance (TDI) is required to provide consumers with complaint ratios. These ratios must be computed as "the number of justified, verified as accurate, and documented as valid complaints" received against a company "as a percentage of the number of insurance policies... in force on the preceding December 31...." (Article 1.35D(b)(1), Texas Insurance Code). In order to satisfy this mandate regarding 2004 complaints, TDI must require companies to report the number of policies in force as of December 31, 2004.

Please read, then complete and file the attached form to report the required information.

The filing is due no later than February 4, 2005.

This request is made pursuant to Section 38.001 of the Texas Insurance Code.

This filing is

not

for the combined reporting of a group of affiliated companies. A separate filing is required for

each

company licensed in Texas as of December 31, 2004. A separate notice is being sent to each licensed company.

Please see the Instructions sheet for details.

For your convenience, you may file the completed form either by mail, fax, or electronically via the Internet. If you file the form by fax or the Internet, please

do not

mail the form to TDI.

If you have any questions regarding the form or its filing, please contact Melissa Hield via e-mail at Melissa.Hield@tdi.state.tx.us or call her at 512-305-8194. Thank you for assisting us in providing accurate information to Texas consumers.

Sincerely,

Jose Montemayor

Commissioner of Insurance

Instructions for Texas Policy Count Exhibit

Find your TDI Company Number: If you do not know your company s TDI company number, please look it up on TDI s Web site at https://wwwapps.tdi.state.tx.us/pcci/pcci_search.jsp.

Print or type numerical values in each blank for each line of coverage

s in providing accurate information to Texas consumers.

Sincerely,

Jose Montemayor

Commissioner of Insurance

Instructions for Texas Policy Count Exhibit

Find your TDI Company Number: If you do not know your company s TDI company number, please look it up on TDI s Web site at https://wwwapps.tdi.state.tx.us/pcci/pcci_search.jsp.

Print or type numerical values in each blank for each line of coverage.

Enter "0" if the company had no policies/contracts/certificates in force covering Texas risks as of December 31, 2004.

Special instructions for TITLE insurers:

Enter the

total

number of policies

written

during the preceding five (5) calendar years (2000-2004). This figure is required in lieu of a count of policies in force as of December 31, 2004.

Submit your filing

one

of the following ways:

Online:

Both the Username and Password are your TDI company number. Look up your TDI company number at https://wwwapps.tdi.state.tx.us/pcci/pcci_search.jsp.

After you log in the first time, you will be prompted to create a unique password.

To go to the online application, click on the link below:

https://wwwapps.tdi.state.tx.us/inter/asproot/consumer/policy_count/pol_login.asp

Or fax it to:

Melissa Hield at 512-305-7463 (Fax)

Or mail it to:

Melissa Hield

Consumer Protection MC 111-1A

Texas Department of Insurance

P O Box 149104

Austin TX 78714-9104

Important:

If you file online or by fax, please

do not

mail a paper copy of the filing.

Questions? Contact Melissa Hield via e-mail Melissa.Hield@tdi.state.tx.us or call 512-305-8194.

DEFINITIONS

Lines of Coverage

Life - all forms of coverage on the life of a person (whole, universal, term, credit, etc.).

Annuities - fixed and variable annuities.

Medicare Supplement/Select - all contracts providing health benefits and/or services to fill the gaps in the protection provided by the Medicare program

ntact Melissa Hield via e-mail Melissa.Hield@tdi.state.tx.us or call 512-305-8194.

DEFINITIONS

Lines of Coverage

Life - all forms of coverage on the life of a person (whole, universal, term, credit, etc.).

Annuities - fixed and variable annuities.

Medicare Supplement/Select - all contracts providing health benefits and/or services to fill the gaps in the protection provided by the Medicare program.

All other Health and Accident - all contracts providing or arranging for health care services or covering or indemnifying health care expenses (indemnity/insurance), including disability, credit health/accident/disability, HMO and other managed care contracts, and long-term care contracts, other than Medicare Supplement or Medicare Select.

Personal Motor Vehicle - all personal automobile policies covering any type of vehicle, including policies written by assignment through the Texas Automobile Insurance Plan Association (TAIPA).

Commercial Motor Vehicle - all motor vehicle coverages other than those issued under personal automobile policies, including policies written by assignment through the Texas Automobile Insurance Plan Association (TAIPA).

Dwelling - all forms of homeowners, renters (tenant), and dwelling fire coverage.

Workers Compensation - policies issued to employers and which indemnify employees for health care expenses and/or their loss of income, where such result from injuries sustained within the course and scope of their employment.

Other Property, Casualty, Surety and/or Title - all captioned lines, including credit property and credit involuntary unemployment, and farmowners and ranchowners. Exclude motor vehicle, dwelling, and workers' compensation, as described above.

Policies, Contracts and Certificates

Individual Policies/Contracts - all policies and contracts not issued to or through a group.

Group Contracts (or "master contracts") - all group policies or contracts issued to groups having members (or certificate-holders) located in Texas

mployment, and farmowners and ranchowners. Exclude motor vehicle, dwelling, and workers' compensation, as described above.

Policies, Contracts and Certificates

Individual Policies/Contracts - all policies and contracts not issued to or through a group.

Group Contracts (or "master contracts") - all group policies or contracts issued to groups having members (or certificate-holders) located in Texas.

Group Certificates - the number of Texas members (or, for HMOs, "subscribers") covered under any group contract.

**Submit your company policy count online**

For more information, contact:

Last updated: 01/06/2025