|   |
|   |
|
|
A BILL TO BE ENTITLED
|
|
|
AN ACT
|
|
|
relating to an appraisal procedure for disputed losses under |
|
|
certain property and casualty insurance policies. |
|
|
       BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
|
       SECTION 1.  Subtitle A, Title 10, Insurance Code, is amended |
|
|
by adding Chapter 1813 to read as follows: |
|
|
CHAPTER 1813. APPRAISAL PROCEDURES |
|
|
SUBCHAPTER A. GENERAL PROVISIONS |
|
|
       Sec. 1813.001.  APPLICABILITY OF CHAPTER. (a) This chapter |
|
|
applies only to an insurer writing a property or casualty insurance |
|
|
policy, including the FAIR Plan Association, the Texas Automobile |
|
|
Insurance Plan Association, a Lloyd's plan, a reciprocal or |
|
|
interinsurance exchange, a farm mutual insurance company, and a |
|
|
county mutual insurance company. |
|
|
       (b)  This chapter does not apply to the Texas Windstorm |
|
|
Insurance Association. |
|
|
       Sec. 1813.002.  RULES. The commissioner may adopt rules |
|
|
necessary to implement this chapter. |
|
|
       Sec. 1813.003.  REQUIRED POLICY PROVISION: APPRAISAL |
|
|
PROCEDURE. An insurance policy described by Section 1813.001 must |
|
|
contain an appraisal procedure that complies with this chapter. |
|
|
SUBCHAPTER B. APPRAISAL PROCEDURES |
|
|
       Sec. 1813.051.  APPRAISAL DEMAND. If the policyholder and |
|
|
insurer fail to agree to the amount of a loss covered by the policy, |
|
|
the policyholder or insurer may provide a written demand for an |
|
|
appraisal to the other party. |
|
|
       Sec. 1813.052.  SELECTION OF APPRAISERS. Not later than the |
|
|
20th day after the date an appraisal demand is provided under |
|
|
Section 1813.051, the policyholder and insurer shall each: |
|
|
             (1)  select a competent appraiser; and |
|
|
             (2)  provide written notice to the other party of the |
|
|
appraiser's identity. |
|
|
       Sec. 1813.053.  APPRAISAL OF LOSS BY APPRAISERS; SELECTION |
|
|
OF UMPIRE. (a)  The appraisers shall appraise the loss that is the |
|
|
subject of the appraisal not later than the 30th day after the date |
|
|
both the policyholder and insurer have complied with Section |
|
|
1813.052. |
|
|
       (b)  The appraisers may extend the deadline described by |
|
|
Subsection (a) for a period not to exceed 60 days on agreement by |
|
|
the appraisers, policyholder, and insurer. |
|
|
       (c)  If the appraisers agree on the amount of the loss: |
|
|
             (1)  the appraisers shall provide written notice of the |
|
|
agreement to the policyholder and insurer; and |
|
|
             (2)  the agreed amount is set as the amount of the loss. |
|
|
       (d)  If the appraisers fail to agree on the amount of the |
|
|
loss, the appraisers shall select a competent and impartial umpire.   |
|
|
If the appraisers do not agree on an umpire before the 20th day |
|
|
after the deadline for the appraisers to determine the amount of the |
|
|
loss under this section, a judge of a court in the county in which |
|
|
the policyholder resides shall select the umpire on the request of |
|
|
the policyholder or insurer. |
|
|
       (e)  After the umpire is selected under Subsection (d), the |
|
|
appraisers shall provide written notice to the umpire that |
|
|
includes: |
|
|
             (1)  the amount each appraiser sets for the loss; and |
|
|
             (2)  any supporting documentation. |
|
|
       Sec. 1813.054.  APPRAISAL SELECTION BY UMPIRE. (a)  The |
|
|
umpire shall determine the amount of the loss not later than the |
|
|
30th day after the date the umpire receives the notice described by |
|
|
Section 1813.053(e) by selecting one of the amounts submitted to |
|
|
the umpire. |
|
|
       (b)  The umpire may extend the deadline described by |
|
|
Subsection (a) for a period not to exceed 60 days on agreement by |
|
|
the appraisers, policyholder, and insurer. |
|
|
       (c)  On deciding on the amount of the loss, the umpire shall |
|
|
provide a written determination to the policyholder and insurer |
|
|
that: |
|
|
             (1)  sets the amount of the loss; and |
|
|
             (2)  is signed by the umpire and the appraiser whose |
|
|
appraisal amount is selected by the umpire. |
|
|
       (d)  A determination provided under Subsection (c) does not |
Statutes affected: Introduced: ()
|