- (a) The Texas Department of Insurance (department) will provide to the public through its toll-free telephone number the information specified by the Insurance Code §521.052, including information collected or maintained by the department relating to the number and disposition of complaints received against an insurer that are justified, verified as accurate, and documented as valid, expressed as a percentage of the total number of insurance policies written by the insurer and in force on December 31 of the preceding year.
- (b) The department considers a complaint justified if the complaint is a confirmed complaint.
(c) A "confirmed complaint" is a complaint for which the department receives information indicating that:
(1) an insurer committed any violation of:
- (A) an applicable state insurance law or regulation;
- (B) a federal requirement the department has authority to enforce; or
- (C) the term or condition of an insurance policy or certificate; or
- (2) the complaint and insurer's response, considered together, suggest that the insurer was in error or that the complainant had a valid reason for the complaint.
Source Note:The provisions of this §1.603 adopted to be effective October 22, 2012, 37 TexReg 8320.