An audited financial report must describe the insurer’s or health maintenance organization’s financial condition, follow prescribed accounting practices, and include specified statements and supporting information.
Sec. 401.009. CONTENTS OF AUDITED FINANCIAL REPORT. (a) An audited financial report required under Section 401.004 must: (1) describe the financial condition of the insurer or health maintenance organization as of the end of the most recent calendar year and the results of the insurer's or health maintenance organization's operations, changes in financial position, and changes in capital and surplus for that year; (2) conform to the statutory accounting practices prescribed or otherwise permitted by the insurance regulator in the insurer's or health maintenance organization's state of domicile; and (3) include: (A) the report of an accountant; (B) a balance sheet that reports admitted assets, liabilities, capital, and surplus; (C) a statement of gain or loss from operations; (D) a statement of cash flows; (E) a statement of changes in capital and surplus; (F) any notes to financial statements; (G) supplementary data and information, including any additional data or information required by the commissioner; and (H) information required by the department to conduct the insurer's or health maintenance organization's examination under Subchapter B. (b) The notes to financial statements required by Subsection (a)(3)(F) must include: (1) a reconciliation of any differences between the audited statutory financial statements and the annual statements filed under this code, with a written description of the nature of those differences; (2) any notes required by the appropriate National Association of Insurance Commissioners annual statement instructions or by generally accepted accounting principles; and (3) a summary of the ownership of the insurer or health maintenance organization and that entity's relationship to any affiliated company. (c) An insurer or health maintenance organization required under Section 401.004 to file an audited financial report that does not retain an independent certified public accountant to perform an annual audit for the previous year may not be required to include in the report audited statements of operations, cash flows, or changes in capital and surplus for the first year. The insurer or health maintenance organization must include those statements in the first-year report and label the statements as unaudited. The insurer or health maintenance organization must include in the first-year report all other reports described by Section 401.004. (d) The commissioner shall adopt rules governing the information to be included in the audited financial report under Subsection (a)(3)(H). Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 1, eff. April 1, 2007.