State Codes and Statutes
Statutes > Texas > Labor-code > Title-5-workers-compensation > Chapter-403-division-financing
LABOR CODE
TITLE 5. WORKERS' COMPENSATION
SUBTITLE A. TEXAS WORKERS' COMPENSATION ACT
CHAPTER 403. DIVISION FINANCING
Sec. 403.001. FUNDS. (a) Except as provided by Sections
403.006 and 403.007 or as otherwise provided by law, money
collected under this subtitle, including administrative penalties
and advance deposits for purchase of services, shall be deposited
in the general revenue fund of the state treasury to the credit
of the Texas Department of Insurance operating account.
(b) The money may be spent as authorized by legislative
appropriation on warrants issued by the comptroller under
requisitions made by the commissioner of insurance.
(c) Money deposited in the general revenue fund under this
section may be used to satisfy the requirements of Section
201.052, Insurance Code.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 1995, 74th Leg., ch. 76, Sec. 9.44(a), eff. Sept.
1, 1995.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.010, eff. September 1, 2005.
Sec. 403.002. MAINTENANCE TAXES. (a) Each insurance carrier,
other than a governmental entity, shall pay an annual maintenance
tax to pay the costs of administering this subtitle and to
support the prosecution of workers' compensation insurance fraud
in this state.
(b) The assessment may not exceed an amount equal to two percent
of the correctly reported gross workers' compensation insurance
premiums, including the modified annual premium of a policyholder
that purchases an optional deductible plan under Article 5.55C,
Insurance Code. The rate of assessment shall be applied to the
modified annual premium before application of a deductible
premium credit.
(c) A workers' compensation insurance company is taxed at the
rate established under Section 403.003. The tax shall be
collected in the manner provided for collection of other taxes on
gross premiums from a workers' compensation insurance company as
provided in Chapter 255, Insurance Code.
(d) Each certified self-insurer shall pay a fee and maintenance
taxes as provided by Subchapter F, Chapter 407.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 1997, 75th Leg., ch. 1443, Sec. 3, eff. Sept. 1,
1997; Acts 2003, 78th Leg., ch. 1274, Sec. 21, eff. April 1,
2005.
Amended by:
Acts 2005, 79th Leg., Ch.
728, Sec. 11.134, eff. September 1, 2005.
Sec. 403.003. RATE OF ASSESSMENT. (a) The commissioner of
insurance shall set and certify to the comptroller the rate of
maintenance tax assessment taking into account:
(1) any expenditure projected as necessary for the division and
the office of injured employee counsel to:
(A) administer this subtitle during the fiscal year for which
the rate of assessment is set; and
(B) reimburse the general revenue fund as provided by Section
201.052, Insurance Code;
(2) projected employee benefits paid from general revenues;
(3) a surplus or deficit produced by the tax in the preceding
year;
(4) revenue recovered from other sources, including
reappropriated receipts, grants, payments, fees, gifts, and
penalties recovered under this subtitle; and
(5) expenditures projected as necessary to support the
prosecution of workers' compensation insurance fraud.
(b) In setting the rate of assessment, the commissioner of
insurance may not consider revenue or expenditures related to:
(1) the State Office of Risk Management;
(2) the workers' compensation research functions of the
department under Chapter 405; or
(3) any other revenue or expenditure excluded from consideration
by law.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 1995, 74th Leg., ch. 76, Sec. 9.45(a), eff. Sept.
1, 1995; Acts 1997, 75th Leg., ch. 1098, Sec. 8, eff. Sept. 1,
1997; Acts 1997, 75th Leg., ch. 1443, Sec. 4, eff. Sept. 1, 1997.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.011, eff. September 1, 2005.
Sec. 403.004. COLLECTION OF TAX AFTER WITHDRAWAL FROM BUSINESS.
The commissioner or the commissioner of insurance immediately
shall proceed to collect taxes due under this chapter from an
insurance carrier that withdraws from business in this state,
using legal process as necessary.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.012, eff. September 1, 2005.
Sec. 403.005. TAX RATE. The commissioner of insurance shall
annually adjust the rate of assessment of the maintenance tax
imposed under Section 403.003 so that the tax imposed that year,
together with any unexpended funds produced by the tax, produces
the amount the commissioner of insurance determines is necessary
to pay the expenses of administering this subtitle.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.013, eff. September 1, 2005.
Sec. 403.006. SUBSEQUENT INJURY FUND. (a) The subsequent
injury fund is a dedicated account in the general revenue fund.
Money in the account may be appropriated only for the purposes of
this section or as provided by other law. Section 403.095,
Government Code, does not apply to the subsequent injury fund.
(b) The subsequent injury fund is liable for:
(1) the payment of compensation as provided by Section 408.162;
(2) reimbursement of insurance carrier claims of overpayment of
benefits made under an interlocutory order or decision of the
commissioner as provided by this subtitle, consistent with the
priorities established by rule by the commissioner;
(3) reimbursement of insurance carrier claims as provided by
Sections 408.042 and 413.0141, consistent with the priorities
established by rule by the commissioner; and
(4) the reimbursement of an insurance carrier as provided by
Section 408.0041(f-1).
(c) The commissioner shall appoint an administrator for the
subsequent injury fund.
(d) Based on an actuarial assessment of the funding available
under Section 403.007(e), the commissioner may make partial
payment of insurance carrier claims under Subsection (b)(3).
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 2001, 77th Leg., ch. 1456, Sec. 10.01, eff. June
17, 2001; Acts 2003, 78th Leg., ch. 211, Sec. 2.01, eff. June 16,
2003; Acts 2003, 78th Leg., ch. 1296, Sec. 5(a), eff. June 20,
2003.
Reenacted and amended by Acts 2005, 79th Leg., Ch.
265, Sec. 3.014, eff. September 1, 2005.
Amended by:
Acts 2007, 80th Leg., R.S., Ch.
1150, Sec. 3, eff. September 1, 2007.
Sec. 403.007. FUNDING OF SUBSEQUENT INJURY FUND. (a) If a
compensable death occurs and no legal beneficiary survives or a
claim for death benefits is not timely made, the insurance
carrier shall pay to the division for deposit to the credit of
the subsequent injury fund an amount equal to 364 weeks of the
death benefits otherwise payable.
(b) The insurance carrier may elect or the commissioner may
order that death benefits payable to the fund be commuted on
written approval of the commissioner. The commutation may be
discounted for present payment at the rate established in Section
401.023, compounded annually.
(c) If a claim for death benefits is not filed with the division
by a legal beneficiary on or before the first anniversary of the
date of the death of the employee, it is presumed, for purposes
of this section only, that no legal beneficiary survived the
deceased employee. The presumption does not apply against a
minor beneficiary or an incompetent beneficiary for whom a
guardian has not been appointed.
(d) If the insurance carrier makes payment to the subsequent
injury fund and it is later determined by a final award of the
commissioner or the final judgment of a court of competent
jurisdiction that a legal beneficiary is entitled to the death
benefits, the commissioner shall order the fund to reimburse the
insurance carrier for the amount overpaid to the fund.
(e) If the commissioner determines that the funding under
Subsection (a) is not adequate to meet the expected obligations
of the subsequent injury fund established under Section 403.006,
the fund shall be supplemented by the collection of a maintenance
tax paid by insurance carriers, other than a governmental entity,
as provided by Sections 403.002 and 403.003. The rate of
assessment must be adequate to provide 120 percent of the
projected unfunded liabilities of the fund for the next biennium
as certified by an independent actuary or financial advisor.
(f) The commissioner's actuary or financial advisor shall report
biannually to the department on the financial condition and
projected assets and liabilities of the subsequent injury fund.
The commissioner shall make the reports available to members of
the legislature and the public. The division may purchase
annuities to provide for payments due to claimants under this
subtitle if the commissioner determines that the purchase of
annuities is financially prudent for the administration of the
fund.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 2001, 77th Leg., ch. 1456, Sec. 10.02, eff. June
17, 2001.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.015, eff. September 1, 2005.
State Codes and Statutes
Statutes > Texas > Labor-code > Title-5-workers-compensation > Chapter-403-division-financing
LABOR CODE
TITLE 5. WORKERS' COMPENSATION
SUBTITLE A. TEXAS WORKERS' COMPENSATION ACT
CHAPTER 403. DIVISION FINANCING
Sec. 403.001. FUNDS. (a) Except as provided by Sections
403.006 and 403.007 or as otherwise provided by law, money
collected under this subtitle, including administrative penalties
and advance deposits for purchase of services, shall be deposited
in the general revenue fund of the state treasury to the credit
of the Texas Department of Insurance operating account.
(b) The money may be spent as authorized by legislative
appropriation on warrants issued by the comptroller under
requisitions made by the commissioner of insurance.
(c) Money deposited in the general revenue fund under this
section may be used to satisfy the requirements of Section
201.052, Insurance Code.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 1995, 74th Leg., ch. 76, Sec. 9.44(a), eff. Sept.
1, 1995.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.010, eff. September 1, 2005.
Sec. 403.002. MAINTENANCE TAXES. (a) Each insurance carrier,
other than a governmental entity, shall pay an annual maintenance
tax to pay the costs of administering this subtitle and to
support the prosecution of workers' compensation insurance fraud
in this state.
(b) The assessment may not exceed an amount equal to two percent
of the correctly reported gross workers' compensation insurance
premiums, including the modified annual premium of a policyholder
that purchases an optional deductible plan under Article 5.55C,
Insurance Code. The rate of assessment shall be applied to the
modified annual premium before application of a deductible
premium credit.
(c) A workers' compensation insurance company is taxed at the
rate established under Section 403.003. The tax shall be
collected in the manner provided for collection of other taxes on
gross premiums from a workers' compensation insurance company as
provided in Chapter 255, Insurance Code.
(d) Each certified self-insurer shall pay a fee and maintenance
taxes as provided by Subchapter F, Chapter 407.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 1997, 75th Leg., ch. 1443, Sec. 3, eff. Sept. 1,
1997; Acts 2003, 78th Leg., ch. 1274, Sec. 21, eff. April 1,
2005.
Amended by:
Acts 2005, 79th Leg., Ch.
728, Sec. 11.134, eff. September 1, 2005.
Sec. 403.003. RATE OF ASSESSMENT. (a) The commissioner of
insurance shall set and certify to the comptroller the rate of
maintenance tax assessment taking into account:
(1) any expenditure projected as necessary for the division and
the office of injured employee counsel to:
(A) administer this subtitle during the fiscal year for which
the rate of assessment is set; and
(B) reimburse the general revenue fund as provided by Section
201.052, Insurance Code;
(2) projected employee benefits paid from general revenues;
(3) a surplus or deficit produced by the tax in the preceding
year;
(4) revenue recovered from other sources, including
reappropriated receipts, grants, payments, fees, gifts, and
penalties recovered under this subtitle; and
(5) expenditures projected as necessary to support the
prosecution of workers' compensation insurance fraud.
(b) In setting the rate of assessment, the commissioner of
insurance may not consider revenue or expenditures related to:
(1) the State Office of Risk Management;
(2) the workers' compensation research functions of the
department under Chapter 405; or
(3) any other revenue or expenditure excluded from consideration
by law.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 1995, 74th Leg., ch. 76, Sec. 9.45(a), eff. Sept.
1, 1995; Acts 1997, 75th Leg., ch. 1098, Sec. 8, eff. Sept. 1,
1997; Acts 1997, 75th Leg., ch. 1443, Sec. 4, eff. Sept. 1, 1997.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.011, eff. September 1, 2005.
Sec. 403.004. COLLECTION OF TAX AFTER WITHDRAWAL FROM BUSINESS.
The commissioner or the commissioner of insurance immediately
shall proceed to collect taxes due under this chapter from an
insurance carrier that withdraws from business in this state,
using legal process as necessary.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.012, eff. September 1, 2005.
Sec. 403.005. TAX RATE. The commissioner of insurance shall
annually adjust the rate of assessment of the maintenance tax
imposed under Section 403.003 so that the tax imposed that year,
together with any unexpended funds produced by the tax, produces
the amount the commissioner of insurance determines is necessary
to pay the expenses of administering this subtitle.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.013, eff. September 1, 2005.
Sec. 403.006. SUBSEQUENT INJURY FUND. (a) The subsequent
injury fund is a dedicated account in the general revenue fund.
Money in the account may be appropriated only for the purposes of
this section or as provided by other law. Section 403.095,
Government Code, does not apply to the subsequent injury fund.
(b) The subsequent injury fund is liable for:
(1) the payment of compensation as provided by Section 408.162;
(2) reimbursement of insurance carrier claims of overpayment of
benefits made under an interlocutory order or decision of the
commissioner as provided by this subtitle, consistent with the
priorities established by rule by the commissioner;
(3) reimbursement of insurance carrier claims as provided by
Sections 408.042 and 413.0141, consistent with the priorities
established by rule by the commissioner; and
(4) the reimbursement of an insurance carrier as provided by
Section 408.0041(f-1).
(c) The commissioner shall appoint an administrator for the
subsequent injury fund.
(d) Based on an actuarial assessment of the funding available
under Section 403.007(e), the commissioner may make partial
payment of insurance carrier claims under Subsection (b)(3).
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 2001, 77th Leg., ch. 1456, Sec. 10.01, eff. June
17, 2001; Acts 2003, 78th Leg., ch. 211, Sec. 2.01, eff. June 16,
2003; Acts 2003, 78th Leg., ch. 1296, Sec. 5(a), eff. June 20,
2003.
Reenacted and amended by Acts 2005, 79th Leg., Ch.
265, Sec. 3.014, eff. September 1, 2005.
Amended by:
Acts 2007, 80th Leg., R.S., Ch.
1150, Sec. 3, eff. September 1, 2007.
Sec. 403.007. FUNDING OF SUBSEQUENT INJURY FUND. (a) If a
compensable death occurs and no legal beneficiary survives or a
claim for death benefits is not timely made, the insurance
carrier shall pay to the division for deposit to the credit of
the subsequent injury fund an amount equal to 364 weeks of the
death benefits otherwise payable.
(b) The insurance carrier may elect or the commissioner may
order that death benefits payable to the fund be commuted on
written approval of the commissioner. The commutation may be
discounted for present payment at the rate established in Section
401.023, compounded annually.
(c) If a claim for death benefits is not filed with the division
by a legal beneficiary on or before the first anniversary of the
date of the death of the employee, it is presumed, for purposes
of this section only, that no legal beneficiary survived the
deceased employee. The presumption does not apply against a
minor beneficiary or an incompetent beneficiary for whom a
guardian has not been appointed.
(d) If the insurance carrier makes payment to the subsequent
injury fund and it is later determined by a final award of the
commissioner or the final judgment of a court of competent
jurisdiction that a legal beneficiary is entitled to the death
benefits, the commissioner shall order the fund to reimburse the
insurance carrier for the amount overpaid to the fund.
(e) If the commissioner determines that the funding under
Subsection (a) is not adequate to meet the expected obligations
of the subsequent injury fund established under Section 403.006,
the fund shall be supplemented by the collection of a maintenance
tax paid by insurance carriers, other than a governmental entity,
as provided by Sections 403.002 and 403.003. The rate of
assessment must be adequate to provide 120 percent of the
projected unfunded liabilities of the fund for the next biennium
as certified by an independent actuary or financial advisor.
(f) The commissioner's actuary or financial advisor shall report
biannually to the department on the financial condition and
projected assets and liabilities of the subsequent injury fund.
The commissioner shall make the reports available to members of
the legislature and the public. The division may purchase
annuities to provide for payments due to claimants under this
subtitle if the commissioner determines that the purchase of
annuities is financially prudent for the administration of the
fund.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 2001, 77th Leg., ch. 1456, Sec. 10.02, eff. June
17, 2001.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.015, eff. September 1, 2005.
State Codes and Statutes
Statutes >
Texas >
Labor-code >
Title-5-workers-compensation >
Chapter-403-division-financing LABOR CODE
TITLE 5. WORKERS' COMPENSATION
SUBTITLE A. TEXAS WORKERS' COMPENSATION ACT
CHAPTER 403. DIVISION FINANCING
Sec. 403.001. FUNDS. (a) Except as provided by Sections
403.006 and 403.007 or as otherwise provided by law, money
collected under this subtitle, including administrative penalties
and advance deposits for purchase of services, shall be deposited
in the general revenue fund of the state treasury to the credit
of the Texas Department of Insurance operating account.
(b) The money may be spent as authorized by legislative
appropriation on warrants issued by the comptroller under
requisitions made by the commissioner of insurance.
(c) Money deposited in the general revenue fund under this
section may be used to satisfy the requirements of Section
201.052, Insurance Code.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 1995, 74th Leg., ch. 76, Sec. 9.44(a), eff. Sept.
1, 1995.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.010, eff. September 1, 2005.
Sec. 403.002. MAINTENANCE TAXES. (a) Each insurance carrier,
other than a governmental entity, shall pay an annual maintenance
tax to pay the costs of administering this subtitle and to
support the prosecution of workers' compensation insurance fraud
in this state.
(b) The assessment may not exceed an amount equal to two percent
of the correctly reported gross workers' compensation insurance
premiums, including the modified annual premium of a policyholder
that purchases an optional deductible plan under Article 5.55C,
Insurance Code. The rate of assessment shall be applied to the
modified annual premium before application of a deductible
premium credit.
(c) A workers' compensation insurance company is taxed at the
rate established under Section 403.003. The tax shall be
collected in the manner provided for collection of other taxes on
gross premiums from a workers' compensation insurance company as
provided in Chapter 255, Insurance Code.
(d) Each certified self-insurer shall pay a fee and maintenance
taxes as provided by Subchapter F, Chapter 407.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 1997, 75th Leg., ch. 1443, Sec. 3, eff. Sept. 1,
1997; Acts 2003, 78th Leg., ch. 1274, Sec. 21, eff. April 1,
2005.
Amended by:
Acts 2005, 79th Leg., Ch.
728, Sec. 11.134, eff. September 1, 2005.
Sec. 403.003. RATE OF ASSESSMENT. (a) The commissioner of
insurance shall set and certify to the comptroller the rate of
maintenance tax assessment taking into account:
(1) any expenditure projected as necessary for the division and
the office of injured employee counsel to:
(A) administer this subtitle during the fiscal year for which
the rate of assessment is set; and
(B) reimburse the general revenue fund as provided by Section
201.052, Insurance Code;
(2) projected employee benefits paid from general revenues;
(3) a surplus or deficit produced by the tax in the preceding
year;
(4) revenue recovered from other sources, including
reappropriated receipts, grants, payments, fees, gifts, and
penalties recovered under this subtitle; and
(5) expenditures projected as necessary to support the
prosecution of workers' compensation insurance fraud.
(b) In setting the rate of assessment, the commissioner of
insurance may not consider revenue or expenditures related to:
(1) the State Office of Risk Management;
(2) the workers' compensation research functions of the
department under Chapter 405; or
(3) any other revenue or expenditure excluded from consideration
by law.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 1995, 74th Leg., ch. 76, Sec. 9.45(a), eff. Sept.
1, 1995; Acts 1997, 75th Leg., ch. 1098, Sec. 8, eff. Sept. 1,
1997; Acts 1997, 75th Leg., ch. 1443, Sec. 4, eff. Sept. 1, 1997.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.011, eff. September 1, 2005.
Sec. 403.004. COLLECTION OF TAX AFTER WITHDRAWAL FROM BUSINESS.
The commissioner or the commissioner of insurance immediately
shall proceed to collect taxes due under this chapter from an
insurance carrier that withdraws from business in this state,
using legal process as necessary.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.012, eff. September 1, 2005.
Sec. 403.005. TAX RATE. The commissioner of insurance shall
annually adjust the rate of assessment of the maintenance tax
imposed under Section 403.003 so that the tax imposed that year,
together with any unexpended funds produced by the tax, produces
the amount the commissioner of insurance determines is necessary
to pay the expenses of administering this subtitle.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.013, eff. September 1, 2005.
Sec. 403.006. SUBSEQUENT INJURY FUND. (a) The subsequent
injury fund is a dedicated account in the general revenue fund.
Money in the account may be appropriated only for the purposes of
this section or as provided by other law. Section 403.095,
Government Code, does not apply to the subsequent injury fund.
(b) The subsequent injury fund is liable for:
(1) the payment of compensation as provided by Section 408.162;
(2) reimbursement of insurance carrier claims of overpayment of
benefits made under an interlocutory order or decision of the
commissioner as provided by this subtitle, consistent with the
priorities established by rule by the commissioner;
(3) reimbursement of insurance carrier claims as provided by
Sections 408.042 and 413.0141, consistent with the priorities
established by rule by the commissioner; and
(4) the reimbursement of an insurance carrier as provided by
Section 408.0041(f-1).
(c) The commissioner shall appoint an administrator for the
subsequent injury fund.
(d) Based on an actuarial assessment of the funding available
under Section 403.007(e), the commissioner may make partial
payment of insurance carrier claims under Subsection (b)(3).
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 2001, 77th Leg., ch. 1456, Sec. 10.01, eff. June
17, 2001; Acts 2003, 78th Leg., ch. 211, Sec. 2.01, eff. June 16,
2003; Acts 2003, 78th Leg., ch. 1296, Sec. 5(a), eff. June 20,
2003.
Reenacted and amended by Acts 2005, 79th Leg., Ch.
265, Sec. 3.014, eff. September 1, 2005.
Amended by:
Acts 2007, 80th Leg., R.S., Ch.
1150, Sec. 3, eff. September 1, 2007.
Sec. 403.007. FUNDING OF SUBSEQUENT INJURY FUND. (a) If a
compensable death occurs and no legal beneficiary survives or a
claim for death benefits is not timely made, the insurance
carrier shall pay to the division for deposit to the credit of
the subsequent injury fund an amount equal to 364 weeks of the
death benefits otherwise payable.
(b) The insurance carrier may elect or the commissioner may
order that death benefits payable to the fund be commuted on
written approval of the commissioner. The commutation may be
discounted for present payment at the rate established in Section
401.023, compounded annually.
(c) If a claim for death benefits is not filed with the division
by a legal beneficiary on or before the first anniversary of the
date of the death of the employee, it is presumed, for purposes
of this section only, that no legal beneficiary survived the
deceased employee. The presumption does not apply against a
minor beneficiary or an incompetent beneficiary for whom a
guardian has not been appointed.
(d) If the insurance carrier makes payment to the subsequent
injury fund and it is later determined by a final award of the
commissioner or the final judgment of a court of competent
jurisdiction that a legal beneficiary is entitled to the death
benefits, the commissioner shall order the fund to reimburse the
insurance carrier for the amount overpaid to the fund.
(e) If the commissioner determines that the funding under
Subsection (a) is not adequate to meet the expected obligations
of the subsequent injury fund established under Section 403.006,
the fund shall be supplemented by the collection of a maintenance
tax paid by insurance carriers, other than a governmental entity,
as provided by Sections 403.002 and 403.003. The rate of
assessment must be adequate to provide 120 percent of the
projected unfunded liabilities of the fund for the next biennium
as certified by an independent actuary or financial advisor.
(f) The commissioner's actuary or financial advisor shall report
biannually to the department on the financial condition and
projected assets and liabilities of the subsequent injury fund.
The commissioner shall make the reports available to members of
the legislature and the public. The division may purchase
annuities to provide for payments due to claimants under this
subtitle if the commissioner determines that the purchase of
annuities is financially prudent for the administration of the
fund.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by Acts 2001, 77th Leg., ch. 1456, Sec. 10.02, eff. June
17, 2001.
Amended by:
Acts 2005, 79th Leg., Ch.
265, Sec. 3.015, eff. September 1, 2005.
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