HBA-TBM, SEP H.B. 186 77(R)    BILL ANALYSIS


Office of House Bill AnalysisH.B. 186
By: Burnam, Lon
Insurance
2/9/2001
Introduced



BACKGROUND AND PURPOSE 

Under current law, fire marshals, fire chiefs, and police officers are
authorized to request insurance companies to release certain information
regarding a fire loss of $1,000 or more as a means to investigate possible
insurance fraud.  House Bill 186 expands the insurance fraud investigative
powers of police officers, fire chiefs, and fire marshals to include the
investigation of possible insurance fraud in cases of burglary, robbery,
and death claims.   

RULEMAKING AUTHORITY

It is the opinion of the Office of House Bill Analysis that this bill does
not expressly delegate any additional rulemaking authority to a state
officer, department, agency, or institution. 

ANALYSIS

House Bill 186 amends the Insurance Code to provide that, in the course of
a criminal investigation,  the state fire marshal, the fire marshal of a
political subdivision in this state, the chief of a fire department in this
state, a chief of police of a municipality in this state, or a sheriff
(official) in this state may make a written request that an insurance
company (company) release information relating to a claimed burglary or
robbery loss or a death claim seeking life insurance proceeds.  The company
is required to release the information and to cooperate with any official
authorized to request information relating to a claim.  The bill also
provides that an official who requests information is only authorized to
request an insurance policy relevant to an insurance claim under
investigation and the application for that policy; policy premium payment
records; the history of previous claims made by the insured; and material
relating to the investigation of the insurance claim, including statements
of any person, proof of loss, or other relevant evidence.  The bill
provides that a public official or agency is not authorized to adopt or
require any form of periodic report by an insurer and requires officials
and department personnel  who receive the information to maintain its
confidence until the release of the information is required by a criminal
or civil proceeding.   

 The bill provides that if the insurance company receives a request for
information  regarding a claim the company believes is false, fraudulent,
or exaggerated, the company is required to: notify the requesting official,
furnish that official with all relevant material acquired during the
company's investigation, cooperate and take action as requested by any law
enforcement agency, and permit an inspection of the company's records
relating to the policy and the loss by any person ordered by a court to
inspect those records.  In the absence of fraud and malice, neither an
insurance company nor a person who provides information on behalf of an
insurance company is liable for damages in a civil action or subject to
criminal prosecution for an oral or written statement made, or any other
action taken, that is necessary to supply appropriate information.  The
bill further provides that an official may be required to testify regarding
information in the official's possession relating to the insurance claim in
a civil action in which a person seeks recovery under an insurance policy
against an insurance company for the insurance claim.  The bill prohibits
an insurer or the insurer's representative from intentionally refusing to
follow or violating the prescribed requirements regarding the insurance
investigations of burglary, robbery losses, or death claims.  


 

EFFECTIVE DATE

September 1, 2001.