<?xml version="1.0" encoding="UTF-8" ?><!-- generator=Zoho Sites --><rss version="2.0" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:content="http://purl.org/rss/1.0/modules/content/"><channel><atom:link href="https://www.claimattorney.com/blogs/tag/texas-insurance-code/feed" rel="self" type="application/rss+xml"/><title>The Claim Attorney - Blog #Texas Insurance Code</title><description>The Claim Attorney - Blog #Texas Insurance Code</description><link>https://www.claimattorney.com/blogs/tag/texas-insurance-code</link><lastBuildDate>Thu, 17 Sep 2026 04:36:52 -0700</lastBuildDate><generator>http://zoho.com/sites/</generator><item><title><![CDATA[What Contractors Can and Cannot Do in a Texas Insurance Claim]]></title><link>https://www.claimattorney.com/blogs/post/what-contractors-can-do-texas-insurance-claims</link><description><![CDATA[<img align="left" hspace="5" src="https://www.claimattorney.com/images/pexels-photo-15964928.jpeg"/>Texas contractors can estimate, document, and testify on insurance claims, but cannot act as public adjusters or waive deductibles. See where the lines are.]]></description><content:encoded><![CDATA[<div class="zpcontent-container blogpost-container "><div data-element-id="elm_MzjjtIbESUmzzsz1fVu3dQ" data-element-type="section" class="zpsection "><style type="text/css"></style><div class="zpcontainer-fluid zpcontainer"><div data-element-id="elm_KKfpMmJyS2GZS018o89g-g" data-element-type="row" class="zprow zprow-container zpalign-items-flex-start zpjustify-content- " data-equal-column="false"><style type="text/css"></style><div data-element-id="elm_FB5gzP2GTYelZcBAB6mNZQ" data-element-type="column" class="zpelem-col zpcol-12 zpcol-md-12 zpcol-sm-12 zpalign-self- "><style type="text/css"></style><div data-element-id="elm_U-OXOu7u-pg3g5eOrzST-Q" data-element-type="image" class="zpelement zpelem-image "><style> @media (min-width: 992px) { [data-element-id="elm_U-OXOu7u-pg3g5eOrzST-Q"] .zpimage-container figure img { width: 1240px !important ; height: 347px !important ; } } </style><div data-caption-color="" data-size-tablet="" data-size-mobile="" data-align="center" data-tablet-image-separate="false" data-mobile-image-separate="false" class="zpimage-container zpimage-align-center zpimage-tablet-align-center zpimage-mobile-align-center zpimage-size-custom zpimage-tablet-fallback-fit zpimage-mobile-fallback-fit hb-lightbox " data-lightbox-options="
                type:fullscreen,
                theme:dark"><figure role="none" class="zpimage-data-ref"><span class="zpimage-anchor" role="link" tabindex="0" aria-label="Open Lightbox" style="cursor:pointer;"><picture><img class="zpimage zpimage-style-none zpimage-space-none " src="https://images.unsplash.com/photo-1633759593085-1eaeb724fc88?ixid=M3w0NTc5N3wwfDF8c2VhcmNofDN8fHJvb2ZpbmclMjBjb250cmFjdG9yfGVufDB8fHx8MTc4OTYwMzY5OHww&amp;ixlib=rb-4.1.0&amp;auto=format&amp;fit=crop&amp;w=1400&amp;h=700&amp;q=80" size="custom" alt="What Contractors Can and Cannot Do in a Texas Insurance Claim" data-lightbox="true"/></picture></span></figure></div>
</div><div data-element-id="elm_IFZa9aQWbDUUu85UAuKcBA" data-element-type="text" class="zpelement zpelem-text "><style></style><div class="zptext zptext-align-left zptext-align-mobile-left zptext-align-tablet-left " data-editor="true"><p style="text-align:justify;"><span style="font-size:18px;">When a hailstorm or hurricane hits a Texas neighborhood, the first person on the roof who actually knows how to rebuild it is usually a contractor, not an insurance adjuster. The insurer's estimate is written by an adjuster working from pricing software. The contractor is the one who has to tear off the old roof, replace the rotted decking, meet the city's building code, and do it for a price that suppliers and crews will accept. That real-world knowledge is valuable to a homeowner trying to get a claim paid correctly.</span></p><p style="text-align:justify;"><span style="font-size:18px;">Texas law does not shut contractors out of the claims process. It does draw firm lines around what they can do. My view is simple: a contractor who stays inside those lines helps policyholders, and a contractor who crosses them puts both the homeowner and the business at risk. This article explains where the lines are.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">Why contractor input matters in a Texas claim</span></h2><p style="text-align:justify;"><span style="font-size:18px;">Before I practiced law, I previously held licenses in Florida as a contractor, roofer, and public adjuster. I saw the same pattern repeatedly: the insurer's estimate and the actual cost to rebuild were often far apart, and the person who could explain the difference was the contractor. A good contractor adds value in at least three ways:</span></p><ul><li><span style="font-size:18px;"><strong>Scope.</strong> A contractor knows what a proper repair actually requires, including tear-off, underlayment, flashing, drip edge, decking, and matching materials. Items like these are often missing from a first estimate.</span></li><li><span style="font-size:18px;"><strong>Code requirements.</strong> Local building codes can require work that the damaged structure never had. Whether the policy pays for those upgrades depends on its ordinance-or-law coverage, but someone has to identify the requirement first. That is usually the contractor.</span></li><li><span style="font-size:18px;"><strong>Pricing evidence.</strong> Supplier quotes, subcontractor bids, and invoices from comparable jobs show what the work really costs in that market at that time. That evidence is often more persuasive than a software price list.</span></li></ul><p style="text-align:justify;"><span style="font-size:18px;">This matters even more if a claim ends up in a lawsuit. Before filing most property claim suits, Texas law requires the policyholder to give written notice at least 61 days in advance, stating &quot;the specific amount alleged to be owed by the insurer on the claim.&quot; <a href="https://statutes.capitol.texas.gov/Docs/IN/htm/IN.542A.htm#542A.003" target="_blank" rel="noopener">Tex. Ins. Code § 542A.003(a)-(b)</a>. The attorney's fees a court can award are then tied to how the judgment compares with that demand. If the judgment is less than 20 percent of the amount demanded, the court may not award attorney's fees at all. <a href="https://statutes.capitol.texas.gov/Docs/IN/htm/IN.542A.htm#542A.007" target="_blank" rel="noopener">Tex. Ins. Code § 542A.007(a)(3), (c)</a>. A demand built on a careful, well-supported contractor estimate is far safer than a number pulled from the air.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">The legal line: public adjusting is a licensed activity</span></h2><p style="text-align:justify;"><span style="font-size:18px;">Texas regulates public insurance adjusters under Chapter 4102 of the Insurance Code. A &quot;public insurance adjuster&quot; includes a person who, for compensation, &quot;acts on behalf of an insured in negotiating for or effecting the settlement of a claim&quot; for property damage, or who advertises or holds himself out as an adjuster of those claims. <a href="https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4102.htm#4102.001" target="_blank" rel="noopener">Tex. Ins. Code § 4102.001(3)</a>. No one may act as a public adjuster, or claim to be one, without a license. <a href="https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4102.htm#4102.051" target="_blank" rel="noopener">Tex. Ins. Code § 4102.051(a)</a>. Licensed Texas attorneys are exempt, and so are property and casualty agents acting for an insured on a policy the agent issued. <a href="https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4102.htm#4102.051" target="_blank" rel="noopener">§ 4102.051(b)</a>.</span></p><p style="text-align:justify;"><span style="font-size:18px;">Contractors face an additional rule. Under <a href="https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4102.htm#4102.163" target="_blank" rel="noopener">Tex. Ins. Code § 4102.163(a)</a>, a contractor &quot;may not act as a public adjuster or advertise to adjust claims for any property for which the contractor is providing or may provide contracting services.&quot; The rule applies whether or not the contractor holds a public adjuster license, and whether or not the homeowner has given the contractor a power of attorney or other authorization. In other words, a contractor cannot solve the problem by getting licensed or by having the homeowner sign a document. On any job the contractor is doing or may do, the contractor cannot be the adjuster.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The Texas Supreme Court upheld this framework against a constitutional challenge in <a href="https://www.txcourts.gov/media/1458705/220427.pdf" target="_blank" rel="noopener"><em>Texas Department of Insurance v. Stonewater Roofing, Ltd. Co.</em>, 696 S.W.3d 646 (Tex. 2024)</a>. The Court held that the licensing requirement and the contractor restriction regulate conduct, meaning the role a person takes on in a business transaction, not speech. The Court also made clear that the statute does not stop contractors from talking with their customers or insurers about repairs connected to a pending claim or from sharing their knowledge about repairs. That point matters. The law limits the contractor's role. It does not silence the contractor.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">What happens when a contractor crosses the line</span></h2><p style="text-align:justify;"><span style="font-size:18px;">The consequences are serious:</span></p><ul><li><span style="font-size:18px;"><strong>The contract can be voided.</strong> A contract for services regulated by Chapter 4102 with a person violating § 4102.051 &quot;may be voided at the option of the insured.&quot; If the insured voids it, the insured is not liable for past or future services by that person. <a href="https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4102.htm#4102.207" target="_blank" rel="noopener">Tex. Ins. Code § 4102.207</a>.</span></li><li><span style="font-size:18px;"><strong>Criminal and administrative exposure.</strong> Violating Chapter 4102 is a Class B misdemeanor, and the violator is also subject to sanctions under Insurance Code §§ 541.108-.110. <a href="https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4102.htm#4102.206" target="_blank" rel="noopener">Tex. Ins. Code § 4102.206</a>.</span></li></ul><p style="text-align:justify;"><span style="font-size:18px;">The Houston Fourteenth Court of Appeals showed how this plays out in <a href="https://law.justia.com/cases/texas/fourteenth-court-of-appeals/2023/14-22-00579-cv.html" target="_blank" rel="noopener"><em>Wolfe's Carpet, Tile &amp; Remodeling, LLC v. Bourelle</em>, No. 14-22-00579-CV (Tex. App.—Houston [14th Dist.] July 27, 2023)</a>. The contractor's agreement authorized it to &quot;negotiate to said Insurance Company . . . on [the homeowners'] behalf a quick and fair settlement.&quot; The court held that this language fell squarely within what § 4102.051 prohibits. The homeowners voided the contract under § 4102.207, and the court affirmed a judgment that defeated the contractor's claims for breach of contract, quantum meruit, and unjust enrichment. The trial court also removed the contractor's lien on the property. One sentence in a form contract cost the contractor the job's payment.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">What a Texas contractor can do</span></h2><p style="text-align:justify;"><span style="font-size:18px;">Within those limits, a contractor still has plenty of room to help. Based on the statute, <em>Stonewater</em>, and guidance from the Texas Department of Insurance (TDI), a contractor can:</span></p><ul><li><span style="font-size:18px;"><strong>Inspect and document the damage.</strong> This includes photographs, measurements, test squares, and notes on the materials and how the building was put together.</span></li><li><span style="font-size:18px;"><strong>Prepare a detailed repair estimate</strong> with line items, quantities, and pricing.</span></li><li><span style="font-size:18px;"><strong>Discuss the estimate with the homeowner and the insurer.</strong> TDI's published FAQ on unlicensed adjusting says a roofer or contractor may discuss the scope of work in its repair estimate, and supplements and clarifications to a revised estimate, with the consumer or the consumer's insurance company. <a href="https://www.tdi.texas.gov/bulletins/2014/documents/unlicensedfaq.pdf" target="_blank" rel="noopener">TDI FAQ on Unlicensed Individuals and Entities Adjusting Claims (2014)</a>.</span></li><li><span style="font-size:18px;"><strong>Explain code requirements and construction methods,</strong> and back them up with the code section, the manufacturer's installation instructions, or the local permit requirement.</span></li><li><span style="font-size:18px;"><strong>Provide pricing support</strong> such as supplier quotes, subcontractor bids, and invoices.</span></li><li><span style="font-size:18px;"><strong>Testify.</strong> If a claim goes to litigation, a contractor can testify as a fact witness about what the contractor saw, did, and charged. A contractor with the right qualifications can also be retained to give opinions on construction and repair costs. Either way, the contractor is providing evidence, not negotiating the claim.</span></li></ul><h2 style="text-align:left;"><span style="font-size:26px;">What a Texas contractor cannot do</span></h2><ul><li><span style="font-size:18px;"><strong>Negotiate the settlement for the homeowner,</strong> or tell the insurer that the contractor represents the homeowner or speaks for the homeowner on coverage. TDI lists that conduct as prohibited. <a href="https://www.tdi.texas.gov/CONSUMER/storms/roofing-and-insurance-know-the-law.html" target="_blank" rel="noopener">TDI, Roofing and insurance: Know the law</a>.</span></li><li><span style="font-size:18px;"><strong>Advocate on coverage.</strong> TDI's FAQ says a contractor may not advocate for a consumer and discuss policy coverages and exclusions.</span></li><li><span style="font-size:18px;"><strong>Advertise claim handling.</strong> TDI gives examples of prohibited advertising, including offering to negotiate settlements or file a claim for the policyholder and promising to recover &quot;every dime you are owed.&quot;</span></li><li><span style="font-size:18px;"><strong>Take a power of attorney or other authorization to handle the claim.</strong> Section 4102.163 applies regardless of that authorization.</span></li><li><span style="font-size:18px;"><strong>Waive, absorb, or rebate the deductible.</strong> The homeowner must pay any deductible that applies to a first-party property claim. <a href="https://statutes.capitol.texas.gov/Docs/IN/htm/IN.707.htm#707.002" target="_blank" rel="noopener">Tex. Ins. Code § 707.002</a>. An insurer with replacement cost coverage may withhold recoverable depreciation until it receives reasonable proof that the deductible was paid. <a href="https://statutes.capitol.texas.gov/Docs/IN/htm/IN.707.htm#707.004" target="_blank" rel="noopener">§ 707.004</a>. The prohibition on contractors comes from the Business and Commerce Code. It is a Class B misdemeanor for a seller of goods or services to advertise, promise, or actually pay, waive, absorb, rebate, or credit the insured's deductible, or otherwise help the insured avoid paying it, without the insurer's consent. <a href="https://statutes.capitol.texas.gov/Docs/BC/htm/BC.27.htm#27.02" target="_blank" rel="noopener">Tex. Bus. &amp; Com. Code § 27.02(c)-(d)</a>. Contracts of $1,000 or more that are expected to be paid from property insurance proceeds must include a statutory deductible notice in at least 12-point bold type. <a href="https://statutes.capitol.texas.gov/Docs/BC/htm/BC.27.htm#27.02" target="_blank" rel="noopener">§ 27.02(b)</a>.</span></li></ul><h2 style="text-align:left;"><span style="font-size:26px;">A word about contingency agreements</span></h2><p style="text-align:justify;"><span style="font-size:18px;">Many restoration contractors use agreements that make the job contingent on the insurer's approval. Our article on contingency contracts covers those agreements in detail. For this discussion, the key point is that the wording matters. Language that uses the insurer's approved estimate to set the price is a construction pricing term. Language that has the contractor pursue, negotiate, or settle the claim for the homeowner is public adjusting. <em>Wolfe's Carpet</em> shows what happens when a contract contains the second kind of language.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">How homeowners can use contractor input the right way</span></h2><ol><li><span style="font-size:18px;"><strong>Keep control of the claim.</strong> Submit the contractor's estimate and photos yourself, or through a licensed public adjuster or attorney. Let the contractor answer technical questions about the estimate.</span></li><li><span style="font-size:18px;"><strong>Ask for the contractor's documentation in writing.</strong> A detailed estimate with photos, code references, and pricing support is far more useful than a single total.</span></li><li><span style="font-size:18px;"><strong>Pay your deductible.</strong> A contractor who offers to &quot;take care of&quot; your deductible is offering to break the law, and that should make you question everything else the contractor tells you.</span></li><li><span style="font-size:18px;"><strong>Get a licensed advocate when the dispute is about coverage or money.</strong> A public adjuster cannot also do the repairs. <a href="https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4102.htm#4102.158" target="_blank" rel="noopener">Tex. Ins. Code § 4102.158(a)</a>. Keeping the advocate separate from the builder is how Texas protects the homeowner.</span></li><li><span style="font-size:18px;"><strong>Watch the deadlines.</strong> The 61-day pre-suit notice and the limitation periods in your policy and the Insurance Code do not stop running while a contractor and an adjuster trade estimates.</span></li></ol><h2 style="text-align:left;"><span style="font-size:26px;">Where Texas law and my view line up, and where they differ</span></h2><p style="text-align:justify;"><span style="font-size:18px;">I believe policyholders are better off when the people who actually build things are part of the conversation about what a repair costs. Texas law largely agrees. It lets contractors estimate, explain, document, and testify. Where Texas differs from a view that would give contractors a bigger role is the dual-capacity rule. After <em>Stonewater</em>, a contractor in Texas cannot be both the builder and the advocate on the same property, even with a public adjuster license. I would not expect that rule to change soon, so the practical answer is to work within it. Contractors who understand the lines can still add real value to a claim.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">Key takeaways</span></h2><ul><li><span style="font-size:18px;">Contractors bring scope, code, and pricing knowledge that often closes the gap between an insurer's estimate and the actual cost to rebuild.</span></li><li><span style="font-size:18px;">A contractor may not act as a public adjuster, or advertise to adjust claims, on any property where it is or may be doing the work, even with a license or a power of attorney (Tex. Ins. Code § 4102.163).</span></li><li><span style="font-size:18px;">Contractors may inspect, document, estimate, discuss their estimates and supplements with the homeowner and insurer, and testify.</span></li><li><span style="font-size:18px;">A contract that has the contractor negotiate the claim can be voided by the homeowner, and the contractor can lose its right to be paid (Tex. Ins. Code § 4102.207).</span></li><li><span style="font-size:18px;">Waiving or rebating a deductible is a crime in Texas (Tex. Bus. &amp; Com. Code § 27.02), and the homeowner must pay it (Tex. Ins. Code § 707.002).</span></li></ul><p style="text-align:justify;"><span style="font-size:18px;">If you have questions about a Texas property insurance claim, contact The Claim Attorney for a free case review. Attorneys interested in co-counsel on Texas property insurance matters are also welcome to reach out.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">Related reading</span></h2><ul><li><span style="font-size:18px;"><a href="/blogs/post/texas-insurance-contingency-construction-contracts">Are Insurance Contingency Roofing Contracts Legal in Texas?</a></span></li><li><span style="font-size:18px;"><a href="/blogs/post/texas-public-adjuster-licensing-requirements-reform">Texas Public Adjuster Licensing: Low Barrier, High Stakes</a></span></li><li><span style="font-size:18px;"><a href="/blogs/post/better-claim-documentation-faster-settlements">Better Claim Documentation Means Faster Texas Settlements</a></span></li></ul><hr/><p style="text-align:justify;"><span style="font-size:14px;"><em>Adapted for Texas law in September 2026 from an article Michael Bowman originally published on LinkedIn.</em></span></p><p style="text-align:justify;"><span style="font-size:14px;"><em>This article is general information, not legal advice, and reading it does not create an attorney-client relationship. Laws change, and results depend on the facts of each case and the language of each policy. Michael P. Bowman is licensed to practice law in Texas and Alabama only. Responsible attorney: Michael P. Bowman, Law Office of Michael P. Bowman PLLC, Austin, Texas.</em></span></p></div>
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</div></div></div></div></div></div> ]]></content:encoded><pubDate>Thu, 17 Sep 2026 00:17:20 +0000</pubDate></item><item><title><![CDATA[A Fictional Texas Trial: Can an Insurer Aid Unlicensed Adjusting?]]></title><link>https://www.claimattorney.com/blogs/post/fictional-trial-insurer-unlicensed-public-adjusting-texas</link><description><![CDATA[A fictional closing argument testing how Texas Penal Code party-liability rules might apply to unlicensed public adjusting under Insurance Code Chapter 4102.]]></description><content:encoded><![CDATA[<div class="zpcontent-container blogpost-container "><div data-element-id="elm_MzjjtIbESUmzzsz1fVu3dQ" data-element-type="section" class="zpsection "><style type="text/css"></style><div class="zpcontainer-fluid zpcontainer"><div data-element-id="elm_KKfpMmJyS2GZS018o89g-g" data-element-type="row" class="zprow zprow-container zpalign-items-flex-start zpjustify-content- " data-equal-column="false"><style type="text/css"></style><div data-element-id="elm_FB5gzP2GTYelZcBAB6mNZQ" data-element-type="column" class="zpelem-col zpcol-12 zpcol-md-12 zpcol-sm-12 zpalign-self- "><style type="text/css"></style><div data-element-id="elm_U-OXOu7u-pg3g5eOrzST-Q" data-element-type="image" class="zpelement zpelem-image "><style> @media (min-width: 992px) { [data-element-id="elm_U-OXOu7u-pg3g5eOrzST-Q"] .zpimage-container figure img { width: 1240px !important ; height: 347px !important ; } } </style><div data-caption-color="" data-size-tablet="" data-size-mobile="" data-align="center" data-tablet-image-separate="false" data-mobile-image-separate="false" class="zpimage-container zpimage-align-center zpimage-tablet-align-center zpimage-mobile-align-center zpimage-size-custom zpimage-tablet-fallback-fit zpimage-mobile-fallback-fit hb-lightbox " data-lightbox-options="
                type:fullscreen,
                theme:dark"><figure role="none" class="zpimage-data-ref"><span class="zpimage-anchor" role="link" tabindex="0" aria-label="Open Lightbox" style="cursor:pointer;"><picture><img class="zpimage zpimage-style-none zpimage-space-none " src="https://images.unsplash.com/photo-1697650230856-e5b0f9949feb?ixid=M3w0NTc5N3wwfDF8c2VhcmNofDV8fGNvdXJ0cm9vbXxlbnwwfHx8fDE3ODk2MDM3MDN8MA&amp;ixlib=rb-4.1.0&amp;auto=format&amp;fit=crop&amp;w=1400&amp;h=700&amp;q=80" size="custom" alt="A Fictional Texas Trial: Can an Insurer Aid Unlicensed Adjusting?" data-lightbox="true"/></picture></span></figure></div>
</div><div data-element-id="elm_IFZa9aQWbDUUu85UAuKcBA" data-element-type="text" class="zpelement zpelem-text "><style></style><div class="zptext zptext-align-left zptext-align-mobile-left zptext-align-tablet-left " data-editor="true"><p style="text-align:justify;"><span style="font-size:18px;"><strong>A note before you read:</strong> What follows is a fictional closing argument in an imaginary criminal case. “No Indemnity For You Insurance Company” is a made-up name. It does not refer to any real insurer, and nothing here describes a real case, a real prosecution, or a finding against any company or person. This is not a statement of how any court has ruled. I wrote it as a thought experiment to show how the party-liability rules in Chapter 7 of the Texas Penal Code might be argued alongside the public adjuster licensing law in Chapter 4102 of the Texas Insurance Code.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The real statutes quoted in the argument are summarized accurately below, with links in the Sources list. The facts, the parties, and the proceeding are invented.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">The Fictional Proceeding: Closing Argument for the State</span></h2><p style="text-align:justify;"><span style="font-size:18px;">May it please the Court. Counsel. Ladies and gentlemen of the jury,</span></p><p style="text-align:justify;"><span style="font-size:18px;">Nobody is above the law. That includes the defendant.</span></p><p style="text-align:justify;"><span style="font-size:18px;">This case is not complicated. It is not abstract. It is statutory.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The underlying offense is unlicensed public adjusting: acting on behalf of an insured in negotiating a property insurance claim, for compensation, without a license, in violation of Texas Insurance Code Chapter 4102. Chapter 4102 defines a public insurance adjuster to include a person who, for compensation, “acts on behalf of an insured in negotiating for or effecting the settlement of a claim” under a property insurance policy. It says a person may not act as a public insurance adjuster in Texas without a license, and it makes a violation of the chapter a Class B misdemeanor.</span></p><p style="text-align:justify;"><span style="font-size:18px;">You have heard the definition. You have seen the conduct. The only real question left is responsibility.</span></p><p style="text-align:justify;"><span style="font-size:18px;">And Texas law answers that question in Chapter 7 of the Penal Code.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">The Defendant Cannot Claim It Was a Bystander</span></h2><p style="text-align:justify;"><span style="font-size:18px;">Penal Code § 7.01 abolishes the traditional distinctions between principals and accomplices.</span></p><p style="text-align:justify;"><span style="font-size:18px;">It says plainly:</span></p><blockquote style="border-left:4px solid rgb(23, 54, 93);margin:16px 0;padding:4px 16px;"><p style="text-align:justify;"><span style="font-size:18px;">“A person is criminally responsible as a party to an offense if the offense is committed by his own conduct, by the conduct of another for which he is criminally responsible, or by both.”</span></p></blockquote><p style="text-align:justify;"><span style="font-size:18px;">There are no sidelines in criminal participation. There is no “I was just there.” There is no “I didn’t start it.”</span></p><p style="text-align:justify;"><span style="font-size:18px;">If you aid it with the intent to help it happen, you own it.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">Section 7.02(a)(2) Makes This Even Clearer</span></h2><p style="text-align:justify;"><span style="font-size:18px;">A person is criminally responsible for another’s conduct if, acting with intent to promote or assist the commission of the offense, he:</span></p><ul><li><span style="font-size:18px;">solicits,</span></li><li><span style="font-size:18px;">encourages,</span></li><li><span style="font-size:18px;">directs,</span></li><li><span style="font-size:18px;">aids, or</span></li><li><span style="font-size:18px;">attempts to aid</span></li></ul><p style="text-align:justify;"><span style="font-size:18px;">the other person to commit the offense.</span></p><p style="text-align:justify;"><span style="font-size:18px;">Now apply that to the conduct you heard about.</span></p><p style="text-align:justify;"><span style="font-size:18px;">Negotiation requires a proposal. A counterproposal. A response. A revision.</span></p><p style="text-align:justify;"><span style="font-size:18px;">It requires participation.</span></p><p style="text-align:justify;"><span style="font-size:18px;">If a contractor sends a proposal and no one responds, the negotiation dies. If an adjuster responds, counters, revises, and continues the exchange, the negotiation lives.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The adjuster’s participation is not passive. It is the oxygen that allows the offense to breathe.</span></p><p style="text-align:justify;"><span style="font-size:18px;">Without the adjuster’s counter, there is no negotiation. Without negotiation, there is no violation.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The State’s position is that when an adjuster knows the other side is unlicensed and responds, counters, and keeps the exchange going for the purpose of reaching a settlement through that person, the adjuster is doing what § 7.02(a)(2) describes: aiding and encouraging the very act the statute prohibits, with the intent that it be carried out. That intent is an element the State must prove. Knowledge alone is not enough.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">The Defense Will Say, “We Couldn’t Commit the Offense Ourselves”</span></h2><p style="text-align:justify;"><span style="font-size:18px;">You may hear the argument:</span></p><p style="text-align:justify;"><span style="font-size:18px;">“Chapter 4102 targets unlicensed public adjusters. We’re not public adjusters. We can’t commit that offense ourselves.”</span></p><p style="text-align:justify;"><span style="font-size:18px;">Texas anticipated that defense.</span></p><p style="text-align:justify;"><span style="font-size:18px;">Penal Code § 7.03 says that, in a prosecution where the actor’s responsibility is based on the conduct of another, it is no defense:</span></p><blockquote style="border-left:4px solid rgb(23, 54, 93);margin:16px 0;padding:4px 16px;"><p style="text-align:justify;"><span style="font-size:18px;">“that the actor belongs to a class of persons that by definition of the offense is legally incapable of committing the offense in an individual capacity.”</span></p></blockquote><p style="text-align:justify;"><span style="font-size:18px;">Read that again.</span></p><p style="text-align:justify;"><span style="font-size:18px;">Even if the statute is aimed at one class of actor, another person who is a party to the offense under Chapter 7 can still be held criminally responsible.</span></p><p style="text-align:justify;"><span style="font-size:18px;">You cannot stand behind statutory drafting and claim immunity while intentionally facilitating the prohibited conduct.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The Legislature closed that door.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">The Defense Will Say the Company Is Not Responsible for Its Adjuster</span></h2><p style="text-align:justify;"><span style="font-size:18px;">Now consider the corporate structure.</span></p><p style="text-align:justify;"><span style="font-size:18px;">Penal Code § 7.22(a) provides that when conduct constituting an offense is performed by an agent acting on behalf of a corporation or other business entity and within the scope of the agent’s office or employment, the entity is criminally responsible for certain categories of offenses. For an offense defined outside the Penal Code, like this one, that means an offense where a legislative purpose to impose criminal responsibility on business entities plainly appears, or a strict-liability offense where a legislative purpose not to impose that responsibility does not plainly appear.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The State must show the offense fits one of those categories. If it does, look at the evidence.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The adjuster was acting within the scope of employment.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The responses were sent in the company’s name.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The counterproposals were issued under corporate authority.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The negotiation, the reciprocal exchange, was conducted as corporate business.</span></p><p style="text-align:justify;"><span style="font-size:18px;">In that situation, the company answers for its agent’s conduct. There is no insulation in delegation.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">Here Is the Logic</span></h2><p style="text-align:justify;"><span style="font-size:18px;">The defense wants you to believe this offense was unilateral.</span></p><p style="text-align:justify;"><span style="font-size:18px;">It was not.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The statute prohibits unlicensed negotiation on behalf of an insured.</span></p><p style="text-align:justify;"><span style="font-size:18px;">Negotiation cannot occur alone.</span></p><p style="text-align:justify;"><span style="font-size:18px;">If it occurred, it occurred because both sides engaged.</span></p><p style="text-align:justify;"><span style="font-size:18px;">And if one side engaged with the intent to promote or assist that unlicensed negotiation, Chapter 7 assigns responsibility.</span></p><p style="text-align:justify;"><span style="font-size:18px;">This is not about expanding the law. This is about applying it as written.</span></p><p style="text-align:justify;"><span style="font-size:18px;">When you participate in conduct that completes an offense, with the intent to promote or assist it, you are a party to that offense.</span></p><p style="text-align:justify;"><span style="font-size:18px;">When your agent does so within the scope of employment, and the offense is one the law allows to be charged against a business entity, the company answers for it.</span></p><p style="text-align:justify;"><span style="font-size:18px;">Ladies and gentlemen, Texas law does not allow someone to intentionally help complete a prohibited act and then step back and say, “That wasn’t mine.”</span></p><p style="text-align:justify;"><span style="font-size:18px;">If the unlawful negotiation occurred, it occurred through reciprocal participation. And reciprocal participation intended to aid the offense is responsibility under Chapter 7.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The statutes are clear. Apply them.</span></p><p style="text-align:justify;"><span style="font-size:18px;">Thank you.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">Stepping Out of the Courtroom</span></h2><p style="text-align:justify;"><span style="font-size:18px;">Again, this was a fictional argument. Whether a prosecutor would ever bring a case like this, and whether a court would accept the theory, are open questions. Party liability under § 7.02(a)(2) requires proof of intent to promote or assist the offense, and corporate liability under § 7.22 is limited to the categories the statute lists. Those are real hurdles.</span></p><p style="text-align:justify;"><span style="font-size:18px;">The practical point for contractors is real, though. Texas requires a license to act on behalf of an insured in negotiating a property insurance claim for compensation, and the licensing statute carries criminal penalties. If you are a contractor, talk scope and pricing for your own work, but be careful about stepping into the role of negotiating the policyholder’s claim.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">Key takeaways</span></h2><ul><li><span style="font-size:18px;">This article is a fictional, illustrative closing argument. The insurer named in it is made up, and no real company or case is described.</span></li><li><span style="font-size:18px;">Texas Insurance Code Chapter 4102 requires a license to act as a public insurance adjuster, and a violation of the chapter is a Class B misdemeanor.</span></li><li><span style="font-size:18px;">Under Penal Code § 7.02(a)(2), a person can be criminally responsible for another’s offense if, with intent to promote or assist it, the person solicits, encourages, directs, aids, or attempts to aid it.</span></li><li><span style="font-size:18px;">Penal Code § 7.03 says it is no defense that the actor belongs to a class of persons legally incapable of committing the offense individually.</span></li><li><span style="font-size:18px;">Penal Code § 7.22 makes business entities criminally responsible for their agents’ conduct only for the categories of offenses the statute lists.</span></li><li><span style="font-size:18px;">Contractors should avoid negotiating a policyholder’s insurance claim unless they hold the required license.</span></li></ul><h2 style="text-align:left;"><span style="font-size:26px;">Sources</span></h2><ul><li><span style="font-size:18px;"><a href="https://law.justia.com/codes/texas/insurance-code/title-13/subtitle-c/chapter-4102/subchapter-a/section-4102-001/" target="_blank" rel="noopener">Texas Insurance Code § 4102.001 (definitions)</a></span></li><li><span style="font-size:18px;"><a href="https://law.justia.com/codes/texas/insurance-code/title-13/subtitle-c/chapter-4102/subchapter-b/section-4102-051/" target="_blank" rel="noopener">Texas Insurance Code § 4102.051 (license required)</a></span></li><li><span style="font-size:18px;"><a href="https://law.justia.com/codes/texas/insurance-code/title-13/subtitle-c/chapter-4102/subchapter-e/section-4102-206/" target="_blank" rel="noopener">Texas Insurance Code § 4102.206 (criminal penalty)</a></span></li><li><span style="font-size:18px;"><a href="https://texas.public.law/statutes/tex._penal_code_section_7.01" target="_blank" rel="noopener">Texas Penal Code § 7.01</a></span></li><li><span style="font-size:18px;"><a href="https://texas.public.law/statutes/tex._penal_code_section_7.02" target="_blank" rel="noopener">Texas Penal Code § 7.02</a></span></li><li><span style="font-size:18px;"><a href="https://texas.public.law/statutes/tex._penal_code_section_7.03" target="_blank" rel="noopener">Texas Penal Code § 7.03</a></span></li><li><span style="font-size:18px;"><a href="https://texas.public.law/statutes/tex._penal_code_section_7.22" target="_blank" rel="noopener">Texas Penal Code § 7.22</a></span></li></ul><p style="text-align:justify;"><span style="font-size:18px;">If you are a contractor or public adjuster with questions about where the licensing lines fall on a Texas property insurance claim, or a policyholder with questions about your claim, contact The Claim Attorney for a free case review. Attorneys interested in co-counsel on Texas property insurance matters are welcome to reach out as well.</span></p><h2 style="text-align:left;"><span style="font-size:26px;">Related reading</span></h2><ul><li><span style="font-size:18px;"><a href="/blogs/post/texas-public-adjuster-licensing-requirements-reform">Texas Public Adjuster Licensing: Low Barrier, High Stakes</a></span></li><li><span style="font-size:18px;"><a href="/blogs/post/what-contractors-can-do-texas-insurance-claims">What Contractors Can and Cannot Do in a Texas Insurance Claim</a></span></li><li><span style="font-size:18px;"><a href="/blogs/post/texas-insurance-contingency-construction-contracts">Are Insurance Contingency Roofing Contracts Legal in Texas?</a></span></li></ul><hr/><p style="text-align:justify;"><span style="font-size:14px;"><em>Originally published on LinkedIn on February 17, 2026. Reviewed and updated September 2026.</em></span></p><p style="text-align:justify;"><span style="font-size:14px;"><em>This article is general information, not legal advice, and reading it does not create an attorney-client relationship. Laws change, and results depend on the facts of each case and the language of each policy. Michael P. Bowman is licensed to practice law in Texas and Alabama only. Responsible attorney: Michael P. Bowman, Law Office of Michael P. Bowman PLLC, Austin, Texas.</em></span></p></div>
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