HB 3508

AN ACT relating to an insurer's responsibility to review and audit a

House Bill Wharton
Filed

Filed

Bill introduced by legislator

Committee

Hearing

Passed Cmte

Calendar

Passed

Sent

Enrolled

Governor

Signed

89th Regular Session

Jan 14, 2025 - Jun 2, 2025 • Session ended

Awaiting Committee Assignment

Bill filed, pending referral to House committee

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Committee

Not yet assigned

Fiscal Note

Not available

What This Bill Does

Requires insurers to more closely monitor third-party administrators managing benefits for over 100 certificate holders, injured employees, or policyholders. Specifically, insurers must conduct a review of the administrator's operations at least twice a year and perform a comprehensive audit at least every two years to ensure proper management and compliance. The new requirements aim to increase oversight and protect the interests of plan participants by mandating regular operational reviews of administrators.

Subject Areas

Bill Text

relating to an insurer's responsibility to review and audit a
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  The heading to Section 4151.1042, Insurance
Code, is amended to read as follows:
Sec. 4151.1042.  RESPONSIBILITIES OF INSURER; [SEMIANNUAL]
SECTION 2.  Section 4151.1042(c), Insurance Code, is amended
(c)  If an administrator administers benefits for more than
100 certificate holders, injured employees, plan participants, or
policyholders on behalf of an insurer, the insurer shall, at least
semiannually, conduct a review of the operations of the
administrator.  At least biennially, the insurer shall conduct an
[on-site] audit of the operations of the administrator.
SECTION 3.  This Act takes effect September 1, 2025.

Bill History

filed

Bill filed: AN ACT relating to an insurer's responsibility to review and audit a