Texas Department of Insurance
TEXAS DEPARTMENT OF INSURANCE
Organization and Functions Related to Parity Compliance
Commissioner
Administrative Operations
Agency Affairs
General Counsel
Internal Audit
Public Affairs Compliance
Financial Regulation
Legal & Enforcement
Regulatory Policy
State Fire Marshal
REGULATORY POLICY
Regulatory Policy
Operations and Planning
Life and Health Life and Health
Actuarial
Lines
Property and Casualty Lines
Property and Casualty Actuarial
Inspections
Actuarial Rate Review
Regulatory Initiatives
Filings Intake
Actuarial Rate Review
Loss Control
Data Services
Filings Intake
Form Review
Data Services
Windstorm Inspections
Accident and Health
Engineering Services
Life, Annuity, and Credit
Accident and Health reviews health policy forms for compliance with Texas requirements, including new parity standards in TIC Chapter 1355
Regulatory Initiatives leads rulemaking projects related to Life and Health, including updating rules at 28 TAC Chapter 21, Subchapter P
Data Services manages data collection projects related to Life and Health, including implementing Section 3 of HB 10, 85R
Compliance
Consumer Protection
Section
Fraud Unit
Property and Casualty
Life, Accident, and Health
Public Education
Region 1
Region 2
Prosecution Team
Administrative Operations
COMPLIANCE
CP's Life, Accident, and Health area handles consumer phone calls and complaints related to health insurance products. All complaints are coded with reasons and keywords to support queries of complaint data
CP's Public Education area develops publications and web content, and attends events around the state to support Texas consumers
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FINANCIAL REGULATION
Financial Regulation
Licensing Services
Financial Analysis
Examinations
Company Licensing & Registration
Agent & Adjuster Licensing
Managed Care Quality
Assurance
Supervisory Interventions
Actuarial
Market Conduct Exams
Automated Exams
Title Exams
MCQA is responsible for HMO, PPO, and EPO annual network adequacy reports and access plan filings, provider contracts, and overseeing URAs and IROs
Quality of Care Exams look at each HMO on a triennial basis and an EPBP no less than once every five years
Market Conduct Exams look at all company types, and may do targeted exams when appropriate
Quality of Care Exams
LEGAL & ENFORCEMENT
Legal & Enforcement
Legal Section
Enforcement Section
Office of Financial Counsel
Office of Policy Development Counsel
Life Health Litigation
Licensing Litigation
Property Casualty Litigation
Policy Development Counsel attorneys are responsible for rulemaking projects, in partnership with applicable program areas
Life and Health Litigation pursues enforcement actions
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