(a) An insurer or health maintenance organization described by Section 401.001(3) or (4) that is required to file an audited financial report under this subchapter may apply in writing to the commissioner for approval to file audited combined or consolidated financial statements instead of separate audited financial reports if the insurer or health maintenance organization:
(1) is part of a group of insurers or health maintenance organizations that uses a pooling arrangement or 100 percent reinsurance agreement that affects the solvency and integrity of the insurer’s or health maintenance organization’s reserves; and
(2) cedes all of the insurer’s or health maintenance organization’s direct and assumed business to the pool.
(b) An insurer or health maintenance organization must file an application under Subsection (a) not later than December 31 of the calendar year for which the audited combined or consolidated financial statements are to be filed.

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Terms Used In Texas Insurance Code 401.016


(c) An insurer or health maintenance organization that receives approval from the commissioner under this section shall file a columnar combining or consolidating worksheet for the audited combined or consolidated financial statements that includes:
(1) the amounts shown on the audited combined or consolidated financial statements;
(2) the amounts for each insurer or health maintenance organization stated separately;
(3) the noninsurance operations shown on a combined or individual basis;
(4) explanations of consolidating and eliminating entries; and
(5) a reconciliation of any differences between the amounts shown in the individual insurer or health maintenance organization columns of the worksheet and comparable amounts shown on the insurer’s or health maintenance organization’s annual statements.
(d) An insurer or health maintenance organization that does not receive approval from the commissioner to file audited combined or consolidated financial statements for the insurer or health maintenance organization and any of the insurer’s or health maintenance organization’s subsidiaries or affiliates shall file a separate audited financial report.