- (a) Each applicant for a TPA certificate of authority will complete TPA Form 2 in compliance with the requirements in the Insurance Code, Article 21.07-6, and this subchapter. TPA Form 2 will be completed as prescribed and accompanied by such documents, statements, notices, and attachments necessary to support the application. Applicants with a relationship or affiliation such as a commonality of management, ownership, and/or consolidated financial information may, upon written request and approval of the commissioner, be permitted to submit only one copy of the required information to avoid duplicative filings by such related or affiliated applicants. Applicants will be provided a listing of documents required to complete their application.
- (b) Each applicant must reserve its name by completing TPA Form 1. The name of the entity on TPA Form 1 must agree in complete detail with the actual legal name of the applicant. A TPA shall transact business in its own name, which shall not closely resemble the name of any other insurer or TPA doing business in this state. If the name does resemble the name of any other insurer or TPA, the applicant TPA may do business under a trade name. If a trade name is to be used in this state, the applicant must complete TPA Form 1A to reserve the use of the trade name.
- (c) One complete, originally signed copy of each statement, notice, form, or application, including exhibits and all other papers and documents filed as a part thereof, shall be filed with the commissioner of insurance and addressed to: Third Party Administrator Unit, Mail Code 105-6A, Texas Department of Insurance, 333 Guadalupe, P.O. Box 149104, Austin, Texas 78714-9104.
- (d) Statements, notices, forms, and applications should be prepared on paper 8 1/2 inches by 11 inches in size. All copies of any statement, notice, application, exhibit, or financial statement shall be clear, easily readable, and suitable for microfilming and photocopying. Debits in credit categories and credits in debit categories shall be designated so as to be clearly distinguishable as such on microfilm and photocopies. Statements, notices, and applications shall be stated in the English language and monetary values shall be stated in United States currency. If any exhibit or other paper or document filed with a statement, notice, or application is in a foreign language, it shall be accompanied by an accurate English language translation, and any monetary value other than in United States currency shall be converted into United States currency and the rate of exchange used shall be as of the date of the financial statement filed by the applicant.
Source Note:The provisions of this §7.1605 adopted to be effective September 14, 1994, 19 TexReg 6855.