Tex.
Ins. Code Section 1109.012
Duties Regarding Death Master File Match
(a)
For each Death Master File match, the insurer shall, not later than the 90th day after the date the insurer identifies the match:(1)
complete a documented good faith effort to confirm the death of the insured or retained asset account holder against other available records and information;(2)
review the insurer’s records to determine whether the deceased individual had purchased or was otherwise covered by any of the insurer’s other products; and(3)
determine whether proceeds may be due in accordance with the applicable policy or contract or terms governing the applicable account.(b)
For group life insurance or a group annuity contract, an insurer is required to confirm the possible death of an insured or retained asset account holder under this section only if the insurer provides recordkeeping services for the group policy or group annuity contract.(c)
If the insurer determines under Subsection (a)(3) that proceeds may be due and a beneficiary or other authorized representative has not communicated with the insurer on or before the 90th day after the date the insurer identifies a Death Master File match, the insurer shall:(1)
complete a documented good faith effort to locate and contact each beneficiary or other authorized representative on the relevant policy, contract, or account; and(2)
provide to the beneficiary or authorized representative the appropriate claim forms, instructions, or information to make a claim, including information about any need to provide an official death certificate or show proof of death under the applicable policy or contract or terms governing the applicable account.(d)
If an insurer is unable to confirm the death of an insured or retained asset account holder after the insurer identifies a Death Master File match, the insurer may consider the relevant policy, contract, or account to remain in force according to its terms.(e)
To the extent permitted by law, the insurer may disclose minimum necessary personal information about the insured, retained asset account holder, or beneficiary to a person the insurer reasonably believes may be able to assist the insurer in locating a person entitled to payment of the claim proceeds.(f)
An insurer or the insurer’s service provider may not charge an insured, retained asset account holder, beneficiary, or authorized representative any fees or costs associated with conducting a Death Master File comparison under this subchapter or verifying a Death Master File match under this subchapter.
Source:
Section 1109.012 — Duties Regarding Death Master File Match, https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1109.htm#1109.012 (accessed May 25, 2024).
