Bill Text: FL H0447 | 2010 | Regular Session | Engrossed
Bill Title: Property Insurance
Spectrum: Strong Partisan Bill (Republican 37-3)
Status: (Introduced - Dead) 2010-04-30 - Died on Calendar, companion bill(s) passed, see CS/CS/CS/CS/HB 663 (Ch. 2010-176), HB 7217 (Ch. 2010-141) [H0447 Detail]
Download: Florida-2010-H0447-Engrossed.html
CS/CS/HB 447 |
1 | |
2 | An act relating to property insurance; amending s. |
3 | 215.555, F.S.; extending a repeal date for an exemption of |
4 | medical malpractice insurance premiums from emergency |
5 | assessments; amending s. 624.407, F.S.; specifying an |
6 | additional surplus requirement for certain domestic |
7 | insurers; amending s. 624.408, F.S.; specifying an |
8 | additional surplus requirement for certain domestic |
9 | insurers; deleting obsolete surplus requirement |
10 | provisions; amending s. 626.7452, F.S.; deleting an |
11 | exception to a provision allowing examination of a |
12 | managing general agent; amending s. 627.0613, F.S.; |
13 | revising annual reporting requirements for the consumer |
14 | advocate; providing a definition; amending s. 627.062, |
15 | F.S.; requiring that the Office of Insurance Regulation |
16 | issue an approval rather than a notice of intent to |
17 | approve following its approval of a file and use filing; |
18 | prohibiting the office from, directly or indirectly, |
19 | prohibiting an insurer from paying acquisition costs based |
20 | on the full amount of the premium; prohibiting the office |
21 | from, directly or indirectly, impeding or compromising the |
22 | right of an insurer to acquire policyholders, advertise or |
23 | appoint agents, or regulate agent commissions; requiring |
24 | the office to publish an annual information memorandum |
25 | establishing certain inflation trend factors for certain |
26 | purposes; specifying factor criteria; authorizing an |
27 | insurer to make a rate filing limited to changes in the |
28 | cost of reinsurance, the costs of financing products used |
29 | as a replacement for reinsurance, or changes in an |
30 | inflation trend factor published annually by the office; |
31 | authorizing certain insurers to use a rate different from |
32 | otherwise applicable filed rates; requiring such rates to |
33 | be filed with the office as a separate filing; providing |
34 | requirements and limitations for such separate filings; |
35 | prohibiting the consideration of certain policies when |
36 | making a specified calculation; preserving the authority |
37 | of the office to disapprove rates as inadequate or |
38 | disapprove a rate filing for using certain rating factors; |
39 | authorizing the office to direct an insurer to make a |
40 | specified type of rate filing under certain circumstances; |
41 | providing construction relating to certifications; |
42 | prohibiting the requirement of a new certification upon an |
43 | insurer providing certain additional information; |
44 | specifying nonapplication to certain filings; amending s. |
45 | 627.0621, F.S.; revising provisions relating to |
46 | transparency in rate regulation; amending s. 627.0629, |
47 | F.S.; revising legislative intent relating to residential |
48 | property insurance rate filings; deleting a requirement |
49 | that the office develop and make available a method for |
50 | insurers to establish discounts, credits, or rate |
51 | differentials for certain hurricane mitigation measures; |
52 | revising restrictions relating to including the cost of |
53 | reinsurance for certain purposes; requiring the office to |
54 | contract with a private entity to develop a comprehensive |
55 | consumer information program; specifying program criteria; |
56 | requiring the office to conduct a cost benefit analysis on |
57 | a program implementation plan; requiring review and |
58 | approval by the Financial Services Commission; amending s. |
59 | 627.351, F.S.; providing requirements for attachment and |
60 | payment of the Citizens policyholder surcharge; |
61 | prohibiting the corporation from levying certain regular |
62 | assessments until after levying the full amount of a |
63 | Citizens policyholder surcharge; providing that certain |
64 | members of Citizens Property Insurance Corporation's board |
65 | of governors are within the scope of an exemption from |
66 | certain conflict of interest provisions for public |
67 | officers; requiring the corporation's plan of operation to |
68 | require agents to obtain an acknowledgement of potential |
69 | surcharge and assessment liability from applicants and |
70 | policyholders; requiring the corporation to permanently |
71 | retain a copy of such acknowledgments; specifying that the |
72 | acknowledgement creates a conclusive presumption of |
73 | understanding and acceptance by the policyholder; |
74 | prohibiting votes on certain measures by board members; |
75 | specifying vote criteria; providing disclosure |
76 | requirements; deleting an obsolete legislative intent |
77 | provision; requiring the Division of Statutory Revision to |
78 | prepare a reviser's bill for the next regular session of |
79 | the Legislature to revise certain terminology; amending s. |
80 | 627.4133, F.S.; authorizing an insurer to cancel or |
81 | nonrenew property insurance policies under certain |
82 | circumstances; specifying duties of the office; requiring |
83 | certain notice; creating s. 627.41341, F.S.; specifying |
84 | requirements for a notice of change in policy terms; |
85 | providing definitions; authorizing policy renewals to |
86 | contain a change in policy terms; specifying notice |
87 | requirements; providing procedural requirements; providing |
88 | intent; amending s. 627.7011, F.S.; revising requirements |
89 | and procedures under homeowners' insurance policies for |
90 | replacement cost coverage of a dwelling and personal |
91 | property; providing criteria for initial and subsequent |
92 | replacement cost payments by an insurer; deleting obsolete |
93 | time references; amending s. 627.70131, F.S.; specifying |
94 | application of certain time periods to initial or |
95 | supplemental property insurance claim notices and |
96 | payments; creating s. 627.7031, F.S.; authorizing certain |
97 | insurers to offer or renew policies at rates established |
98 | under certain circumstances; prohibiting certain insurers |
99 | from purchasing TICL option coverage from the Florida |
100 | Hurricane Catastrophe Fund under certain circumstances; |
101 | requiring that certain policies contain a specified rate |
102 | notice; requiring insurers to offer applicants or insureds |
103 | an estimate of the premium for a policy from Citizens |
104 | Property Insurance Corporation reflecting similar |
105 | coverage, limits, and deductibles; requiring applicants or |
106 | insureds to provide a signed premium comparison |
107 | acknowledgement; specifying criteria for insurer |
108 | compliance with certain requirements; specifying |
109 | acknowledgement contents; requiring insurers and agents to |
110 | retain a copy of the acknowledgement for a specified time; |
111 | specifying a presumption created by a signed |
112 | acknowledgement; specifying types of residential property |
113 | insurance policies that are not eligible for certain rates |
114 | or subject to other requirements; requiring written notice |
115 | of certain nonrenewals; preserving insurer authority to |
116 | cancel policies; specifying a criterion for what |
117 | constitutes an offer to renew a policy; amending s. |
118 | 627.707, F.S.; revising standards for investigation of |
119 | sinkhole claims by insurers; specifying requirements for |
120 | contracts for repairs to prevent additional damage to |
121 | buildings or structures; providing application; amending |
122 | s. 627.7072, F.S.; specifying requirements for tests |
123 | performed by professional engineers and professional |
124 | geologists for certain purposes; providing application; |
125 | amending s. 627.7073, F.S.; revising requirements for |
126 | sinkhole reports; providing application; amending s. |
127 | 627.7074, F.S.; revising requirements and procedures for |
128 | an alternative procedure for resolution of disputed |
129 | sinkhole insurance claims; providing a definition; |
130 | providing criteria and procedures for disqualification of |
131 | neutral evaluators; providing requirements and procedures |
132 | for neutral evaluators to enlist assistance from other |
133 | professionals under certain circumstances; providing |
134 | application; amending s. 627.711, F.S.; deleting a |
135 | provision for a uniform mitigation verification form to be |
136 | certified by the Department of Financial Services; |
137 | revising persons authorized to sign a uniform mitigation |
138 | verification form; authorizing an insurer to accept a |
139 | mitigation verification form from certain other persons; |
140 | providing personal inspection requirements; prohibiting |
141 | misconduct in performing hurricane mitigation inspections |
142 | or completing mitigation verification forms; specifying |
143 | criteria for misconduct; authorizing certain licensing |
144 | boards to commence disciplinary proceedings and impose |
145 | administrative fines and sanctions for certain violations; |
146 | requiring insurers, persons, or other entities obtaining |
147 | evidence of fraud or making false statements to report to |
148 | the Division of Insurance Fraud; specifying immunity from |
149 | liability for making such a report; providing duties and |
150 | responsibilities of the division; specifying a required |
151 | notice for insurance policies issued or renewed in this |
152 | state; providing notice requirements; repealing s. |
153 | 627.7065, F.S., relating to database of information |
154 | relating to sinkholes, the Department of Financial |
155 | Services, and the Department of Environmental Protection; |
156 | providing effective dates. |
157 | |
158 | Be It Enacted by the Legislature of the State of Florida: |
159 | |
160 | Section 1. Paragraph (b) of subsection (6) of section |
161 | 215.555, Florida Statutes, is amended to read: |
162 | 215.555 Florida Hurricane Catastrophe Fund.- |
163 | (6) REVENUE BONDS.- |
164 | (b) Emergency assessments.- |
165 | 1. If the board determines that the amount of revenue |
166 | produced under subsection (5) is insufficient to fund the |
167 | obligations, costs, and expenses of the fund and the |
168 | corporation, including repayment of revenue bonds and that |
169 | portion of the debt service coverage not met by reimbursement |
170 | premiums, the board shall direct the Office of Insurance |
171 | Regulation to levy, by order, an emergency assessment on direct |
172 | premiums for all property and casualty lines of business in this |
173 | state, including property and casualty business of surplus lines |
174 | insurers regulated under part VIII of chapter 626, but not |
175 | including any workers' compensation premiums or medical |
176 | malpractice premiums. As used in this subsection, the term |
177 | "property and casualty business" includes all lines of business |
178 | identified on Form 2, Exhibit of Premiums and Losses, in the |
179 | annual statement required of authorized insurers by s. 624.424 |
180 | and any rule adopted under this section, except for those lines |
181 | identified as accident and health insurance and except for |
182 | policies written under the National Flood Insurance Program. The |
183 | assessment shall be specified as a percentage of direct written |
184 | premium and is subject to annual adjustments by the board in |
185 | order to meet debt obligations. The same percentage shall apply |
186 | to all policies in lines of business subject to the assessment |
187 | issued or renewed during the 12-month period beginning on the |
188 | effective date of the assessment. |
189 | 2. A premium is not subject to an annual assessment under |
190 | this paragraph in excess of 6 percent of premium with respect to |
191 | obligations arising out of losses attributable to any one |
192 | contract year, and a premium is not subject to an aggregate |
193 | annual assessment under this paragraph in excess of 10 percent |
194 | of premium. An annual assessment under this paragraph shall |
195 | continue as long as the revenue bonds issued with respect to |
196 | which the assessment was imposed are outstanding, including any |
197 | bonds the proceeds of which were used to refund the revenue |
198 | bonds, unless adequate provision has been made for the payment |
199 | of the bonds under the documents authorizing issuance of the |
200 | bonds. |
201 | 3. Emergency assessments shall be collected from |
202 | policyholders. Emergency assessments shall be remitted by |
203 | insurers as a percentage of direct written premium for the |
204 | preceding calendar quarter as specified in the order from the |
205 | Office of Insurance Regulation. The office shall verify the |
206 | accurate and timely collection and remittance of emergency |
207 | assessments and shall report the information to the board in a |
208 | form and at a time specified by the board. Each insurer |
209 | collecting assessments shall provide the information with |
210 | respect to premiums and collections as may be required by the |
211 | office to enable the office to monitor and verify compliance |
212 | with this paragraph. |
213 | 4. With respect to assessments of surplus lines premiums, |
214 | each surplus lines agent shall collect the assessment at the |
215 | same time as the agent collects the surplus lines tax required |
216 | by s. 626.932, and the surplus lines agent shall remit the |
217 | assessment to the Florida Surplus Lines Service Office created |
218 | by s. 626.921 at the same time as the agent remits the surplus |
219 | lines tax to the Florida Surplus Lines Service Office. The |
220 | emergency assessment on each insured procuring coverage and |
221 | filing under s. 626.938 shall be remitted by the insured to the |
222 | Florida Surplus Lines Service Office at the time the insured |
223 | pays the surplus lines tax to the Florida Surplus Lines Service |
224 | Office. The Florida Surplus Lines Service Office shall remit the |
225 | collected assessments to the fund or corporation as provided in |
226 | the order levied by the Office of Insurance Regulation. The |
227 | Florida Surplus Lines Service Office shall verify the proper |
228 | application of such emergency assessments and shall assist the |
229 | board in ensuring the accurate and timely collection and |
230 | remittance of assessments as required by the board. The Florida |
231 | Surplus Lines Service Office shall annually calculate the |
232 | aggregate written premium on property and casualty business, |
233 | other than workers' compensation and medical malpractice, |
234 | procured through surplus lines agents and insureds procuring |
235 | coverage and filing under s. 626.938 and shall report the |
236 | information to the board in a form and at a time specified by |
237 | the board. |
238 | 5. Any assessment authority not used for a particular |
239 | contract year may be used for a subsequent contract year. If, |
240 | for a subsequent contract year, the board determines that the |
241 | amount of revenue produced under subsection (5) is insufficient |
242 | to fund the obligations, costs, and expenses of the fund and the |
243 | corporation, including repayment of revenue bonds and that |
244 | portion of the debt service coverage not met by reimbursement |
245 | premiums, the board shall direct the Office of Insurance |
246 | Regulation to levy an emergency assessment up to an amount not |
247 | exceeding the amount of unused assessment authority from a |
248 | previous contract year or years, plus an additional 4 percent |
249 | provided that the assessments in the aggregate do not exceed the |
250 | limits specified in subparagraph 2. |
251 | 6. The assessments otherwise payable to the corporation |
252 | under this paragraph shall be paid to the fund unless and until |
253 | the Office of Insurance Regulation and the Florida Surplus Lines |
254 | Service Office have received from the corporation and the fund a |
255 | notice, which shall be conclusive and upon which they may rely |
256 | without further inquiry, that the corporation has issued bonds |
257 | and the fund has no agreements in effect with local governments |
258 | under paragraph (c). On or after the date of the notice and |
259 | until the date the corporation has no bonds outstanding, the |
260 | fund shall have no right, title, or interest in or to the |
261 | assessments, except as provided in the fund's agreement with the |
262 | corporation. |
263 | 7. Emergency assessments are not premium and are not |
264 | subject to the premium tax, to the surplus lines tax, to any |
265 | fees, or to any commissions. An insurer is liable for all |
266 | assessments that it collects and must treat the failure of an |
267 | insured to pay an assessment as a failure to pay the premium. An |
268 | insurer is not liable for uncollectible assessments. |
269 | 8. When an insurer is required to return an unearned |
270 | premium, it shall also return any collected assessment |
271 | attributable to the unearned premium. A credit adjustment to the |
272 | collected assessment may be made by the insurer with regard to |
273 | future remittances that are payable to the fund or corporation, |
274 | but the insurer is not entitled to a refund. |
275 | 9. When a surplus lines insured or an insured who has |
276 | procured coverage and filed under s. 626.938 is entitled to the |
277 | return of an unearned premium, the Florida Surplus Lines Service |
278 | Office shall provide a credit or refund to the agent or such |
279 | insured for the collected assessment attributable to the |
280 | unearned premium prior to remitting the emergency assessment |
281 | collected to the fund or corporation. |
282 | 10. The exemption of medical malpractice insurance |
283 | premiums from emergency assessments under this paragraph is |
284 | repealed May 31, 2013 |
285 | premiums shall be subject to emergency assessments attributable |
286 | to loss events occurring in the contract years commencing on |
287 | June 1, 2013 |
288 | Section 2. Subsection (1) of section 624.407, Florida |
289 | Statutes, is amended to read: |
290 | 624.407 Capital funds required; new insurers.- |
291 | (1) To receive authority to transact any one kind or |
292 | combinations of kinds of insurance, as defined in part V of this |
293 | chapter, an insurer applying for its original certificate of |
294 | authority in this state after the effective date of this section |
295 | shall possess surplus as to policyholders not less than the |
296 | greater of: |
297 | (a) Except as otherwise provided in this subsection, $5 |
298 | |
299 | $2.5 million for any other insurer; |
300 | (b) For life insurers, 4 percent of the insurer's total |
301 | liabilities; |
302 | (c) For life and health insurers, 4 percent of the |
303 | insurer's total liabilities, plus 6 percent of the insurer's |
304 | liabilities relative to health insurance; |
305 | (d) For all insurers other than life insurers and life and |
306 | health insurers, 10 percent of the insurer's total liabilities; |
307 | or |
308 | (e) For a domestic insurer initially licensed on or after |
309 | July 1, 2010, that transacts residential property insurance and |
310 | is not a wholly owned subsidiary of an insurer domiciled in any |
311 | other state, $15 million; however, this paragraph does not apply |
312 | to a domestic insurer that is a subsidiary or affiliate of a |
313 | domestic property insurer that was licensed before July 1, 2010; |
314 | |
315 | however, a domestic insurer that transacts residential property |
316 | insurance and is a wholly owned subsidiary of an insurer |
317 | domiciled in any other state shall possess surplus as to |
318 | policyholders of at least $50 million, but no insurer shall be |
319 | required under this subsection to have surplus as to |
320 | policyholders greater than $100 million. |
321 | Section 3. Subsection (1) of section 624.408, Florida |
322 | Statutes, is amended to read: |
323 | 624.408 Surplus as to policyholders required; new and |
324 | existing insurers.- |
325 | (1) |
326 | any one kind or combinations of kinds of insurance, as defined |
327 | in part V of this chapter, an insurer in this state shall at all |
328 | times maintain surplus as to policyholders not less than the |
329 | greater of: |
330 | (a) |
331 | |
332 | (b) |
333 | liabilities; |
334 | (c) |
335 | insurer's total liabilities plus 6 percent of the insurer's |
336 | liabilities relative to health insurance; |
337 | (d) |
338 | insurers, life insurers, and life and health insurers, 10 |
339 | percent of the insurer's total liabilities; |
340 | (e) |
341 | and casualty insurers, $4 million; or |
342 | (f) For a domestic insurer initially licensed on or after |
343 | July 1, 2010, that transacts residential property insurance and |
344 | is not a wholly owned subsidiary of an insurer domiciled in any |
345 | other state, $12 million; however, this paragraph does not apply |
346 | to a domestic insurer that is a subsidiary or affiliate of a |
347 | domestic property insurer that was licensed before July 1, 2010. |
348 | |
349 | |
350 | |
351 | |
352 | |
353 | |
354 | |
355 | |
356 | |
357 | |
358 | |
359 | Section 4. Section 626.7452, Florida Statutes, is amended |
360 | to read: |
361 | 626.7452 Managing general agents; examination authority.- |
362 | The acts of the managing general agent are considered to be the |
363 | acts of the insurer on whose behalf it is acting. A managing |
364 | general agent may be examined as if it were the insurer |
365 | |
366 | |
367 | Section 5. Subsection (4) of section 627.0613, Florida |
368 | Statutes, is amended to read: |
369 | 627.0613 Consumer advocate.-The Chief Financial Officer |
370 | must appoint a consumer advocate who must represent the general |
371 | public of the state before the department and the office. The |
372 | consumer advocate must report directly to the Chief Financial |
373 | Officer, but is not otherwise under the authority of the |
374 | department or of any employee of the department. The consumer |
375 | advocate has such powers as are necessary to carry out the |
376 | duties of the office of consumer advocate, including, but not |
377 | limited to, the powers to: |
378 | (4)(a) By June 1, 2012, and each June 1 thereafter, |
379 | prepare an annual report card for each authorized personal |
380 | residential property insurer, on a form and using a letter-grade |
381 | scale developed by the commission by rule, which objectively |
382 | grades each insurer based on the following factors: |
383 | 1. |
384 | as a market share ratio, received by the department against the |
385 | insurer. |
386 | 2. |
387 | received by the department. |
388 | 3. |
389 | the insurer. |
390 | 4. |
391 | commission identifies as capable of assisting policyholders in |
392 | making informed choices about homeowner's insurance. |
393 | (b) For purposes of this subsection, the term "valid |
394 | consumer complaint" means a written communication, or an oral |
395 | communication that is subsequently converted to a written form, |
396 | from a consumer that expresses dissatisfaction involving a |
397 | personal residential insurance policy with a specific personal |
398 | residential property insurer. However, a valid complaint will |
399 | not arise when in the disposition thereof by the department the |
400 | insurer or agent position is upheld, the policy provision is |
401 | upheld, the coverage is explained, additional information is |
402 | provided, the complaint is withdrawn, the complaint is referred |
403 | outside the department, or when an inquiry has missing or |
404 | insufficient information, is not within the jurisdiction of the |
405 | department, or requests mediation of a claim that is not |
406 | eligible for mediation. |
407 | Section 6. Paragraphs (a), (i), and (k) of subsection (2) |
408 | of section 627.062, Florida Statutes, are amended, paragraph (l) |
409 | is added to subsection (2), and paragraph (d) of subsection (9) |
410 | of that section is redesignated as paragraph (g) and new |
411 | paragraphs (d), (e), and (f) are added to that subsection, to |
412 | read: |
413 | 627.062 Rate standards.- |
414 | (2) As to all such classes of insurance: |
415 | (a) Insurers or rating organizations shall establish and |
416 | use rates, rating schedules, or rating manuals to allow the |
417 | insurer a reasonable rate of return on such classes of insurance |
418 | written in this state. A copy of rates, rating schedules, rating |
419 | manuals, premium credits or discount schedules, and surcharge |
420 | schedules, and changes thereto, shall be filed with the office |
421 | under one of the following procedures except as provided in |
422 | subparagraph 3.: |
423 | 1. If the filing is made at least 90 days before the |
424 | proposed effective date and the filing is not implemented during |
425 | the office's review of the filing and any proceeding and |
426 | judicial review, then such filing shall be considered a "file |
427 | and use" filing. In such case, the office shall finalize its |
428 | review by issuance of an approval |
429 | or a notice of intent to disapprove within 90 days after receipt |
430 | of the filing. The approval |
431 | notice of intent to disapprove constitute agency action for |
432 | purposes of the Administrative Procedure Act. Requests for |
433 | supporting information, requests for mathematical or mechanical |
434 | corrections, or notification to the insurer by the office of its |
435 | preliminary findings shall not toll the 90-day period during any |
436 | such proceedings and subsequent judicial review. The rate shall |
437 | be deemed approved if the office does not issue an approval |
438 | |
439 | within 90 days after receipt of the filing. |
440 | 2. If the filing is not made in accordance with the |
441 | provisions of subparagraph 1., such filing shall be made as soon |
442 | as practicable, but no later than 30 days after the effective |
443 | date, and shall be considered a "use and file" filing. An |
444 | insurer making a "use and file" filing is potentially subject to |
445 | an order by the office to return to policyholders portions of |
446 | rates found to be excessive, as provided in paragraph (h). |
447 | 3. For all property insurance filings made or submitted |
448 | after January 25, 2007, but before December 31, 2010, an insurer |
449 | seeking a rate that is greater than the rate most recently |
450 | approved by the office shall make a "file and use" filing. For |
451 | purposes of this subparagraph, motor vehicle collision and |
452 | comprehensive coverages are not considered to be property |
453 | coverages. |
454 | (i)1. Except as otherwise specifically provided in this |
455 | chapter, the office may |
456 | prohibit any insurer, including any residual market plan or |
457 | joint underwriting association, from paying acquisition costs |
458 | based on the full amount of premium, as defined in s. 627.403, |
459 | applicable to any policy, or prohibit, directly or indirectly, |
460 | any such insurer from including the full amount of acquisition |
461 | costs in a rate filing. |
462 | 2. The office may not, directly or indirectly, impede, |
463 | abridge, or otherwise compromise an insurer's right to acquire |
464 | policyholders or advertise, or appoint agents, including, but |
465 | not limited to, the calculation, manner, or amount of such |
466 | agents' commissions, if any. |
467 | (k)1.a. An insurer may make a separate filing limited |
468 | solely to an adjustment of its rates for reinsurance, financing |
469 | products to replace insurance, or financing costs incurred in |
470 | the purchase of reinsurance and may include an adjustment of its |
471 | rates based upon an inflation trend factor as set forth in |
472 | subparagraph 4. If an insurer chooses to make a separate filing |
473 | under this paragraph, the insurer shall implement the rate in |
474 | such a manner that all previously approved rate increases |
475 | implemented as a result of a separate filing, together with the |
476 | rate increase under a filing made under this paragraph |
477 | |
478 | |
479 | |
480 | |
481 | |
482 | |
483 | |
484 | |
485 | |
486 | |
487 | |
488 | |
489 | |
490 | |
491 | |
492 | more than 10 percent for any individual policyholder, excluding |
493 | coverage changes and surcharges. |
494 | b. An insurer shall include |
495 | of all of its reinsurance, liquidity instrument, or line of |
496 | credit contracts; proof of the billing or payment for the |
497 | contracts; and the calculation upon which the proposed rate |
498 | change is based demonstrating |
499 | the criteria of this section |
500 | |
501 | c. Any such filing may not include |
502 | changes to the insurer's |
503 | |
504 | |
505 | |
506 | |
507 | |
508 | d. |
509 | products from an affiliate may make a filing under |
510 | |
511 | costs for such reinsurance or financing products are charged at |
512 | or below charges made for comparable coverage by nonaffiliated |
513 | reinsurers or financial entities making such coverage or |
514 | financing products available in this state. |
515 | 2. An insurer may only make one filing in any 12-month |
516 | period under this paragraph. |
517 | 3. An insurer that elects to implement a rate change under |
518 | this paragraph must file its rate filing with the office at |
519 | least 45 days before the effective date of the rate change. |
520 | After an insurer submits a complete filing that meets all of the |
521 | requirements of this paragraph, the office has 45 days after the |
522 | date of the filing to review the rate filing and determine if |
523 | the rate is excessive, inadequate, or unfairly discriminatory. |
524 | 4. Beginning January 1, 2011, the office shall publish an |
525 | annual informational memorandum to establish one or more inflation |
526 | trend factors which may be stated separately for personal and |
527 | residential property and for building coverage, contents |
528 | coverage, additional living expense coverage, and liability |
529 | coverage, if applicable. Such factors shall represent an estimate |
530 | of cost increases or decreases based on publicly available relevant |
531 | data and economic indices that are identified in the memorandum |
532 | including, but not limited to, overall claim cost data. Such |
533 | factors are exempt from the rulemaking requirements of chapter 120 |
534 | and insurers may not be required to adopt the factors. The office |
535 | may publish factors for any line, but is required to annually |
536 | publish a factor only for residential property insurance by March 1 |
537 | of each year. |
538 | (l)1. On or after January 1, 2011, an insurer complying |
539 | with the requirements of s. 627.7031 may use a rate for |
540 | residential property insurance, as defined in s. 627.4025, |
541 | different from the otherwise applicable filed rate as provided |
542 | in this paragraph. |
543 | 2. Policies subject to this paragraph may not be counted |
544 | in the calculation under s. 627.171(2). |
545 | 3. Such rates shall be filed with the office as a separate |
546 | filing. The filing must be accompanied by an actuary's |
547 | certification stating that the filing was prepared in accordance |
548 | with current actuarial standards of practice adopted by the |
549 | Actuarial Standards Board and that the statewide average rate |
550 | change is within a range consistent with applicable actuarial |
551 | principles or, if the percentage limitations of this paragraph |
552 | do not allow for a rate within a range consistent with |
553 | applicable actuarial principles, is below such range. The |
554 | initial rates used by an insurer under this paragraph may not |
555 | provide for rates that represent more than a 10-percent |
556 | statewide average rate increase over the most recently filed and |
557 | approved rate. A rate filing under this paragraph submitted in |
558 | any year following the implementation of such initial rates may |
559 | not provide for rates that represent more than a 10-percent |
560 | statewide average rate increase in any single year over the |
561 | rates in effect under this paragraph at the time of the filing. |
562 | A rate filing under this paragraph may not provide for a |
563 | percentage rate increase as to any single policyholder that |
564 | exceeds two times the statewide average rate increase provided |
565 | in the filing. |
566 | 4. This paragraph does not affect the authority of the |
567 | office to disapprove a rate as inadequate or to disapprove a |
568 | rate filing for charging any insured or applicant a higher |
569 | premium solely because of the insured's or applicant's race, |
570 | color, creed, marital status, sex, or national origin. Upon |
571 | finding that an insurer has used any such factor in charging an |
572 | insured or applicant a higher premium, the office may direct the |
573 | insurer to make a new filing for a new rate that does not use |
574 | such factor. |
575 | |
576 | The provisions of this subsection shall not apply to workers' |
577 | compensation and employer's liability insurance and to motor |
578 | vehicle insurance. |
579 | (9) |
580 | (d) A certification under this subsection is not rendered |
581 | false when, after making the subject rate filing, the insurer |
582 | provides the office with additional or supplementary information |
583 | pursuant to a formal or informal request from the office. |
584 | (e) If an insurer adds additional information to a pending |
585 | filing that has not yet been disapproved by the office, the |
586 | additional information may not be required to include a new |
587 | certification under this subsection. |
588 | (f) This subsection does not apply to a filing made |
589 | pursuant to paragraph (2)(k). |
590 | Section 7. Section 627.0621, Florida Statutes, is amended |
591 | to read: |
592 | 627.0621 Transparency in rate regulation.- |
593 | |
594 | |
595 | |
596 | |
597 | |
598 | |
599 | |
600 | |
601 | |
602 | (1) |
603 | filing, the office shall provide the following information on a |
604 | publicly accessible Internet website: |
605 | (a) |
606 | (b) |
607 | all of the actuary's assumptions and recommendations forming the |
608 | basis of the office's decision. |
609 | |
610 | |
611 | |
612 | (2) |
613 | subject to a public hearing, the office shall provide on its |
614 | website a means for any policyholder who may be affected by a |
615 | proposed rate change to send an e-mail regarding the proposed |
616 | rate change. Such e-mail must be accessible to the actuary |
617 | assigned to review the rate filing. |
618 | Section 8. Subsections (1) and (5) of section 627.0629, |
619 | Florida Statutes, are amended, and subsection (10) is added to |
620 | that section, to read: |
621 | 627.0629 Residential property insurance; rate filings.- |
622 | (1) |
623 | |
624 | to encourage consumers who install or implement windstorm damage |
625 | mitigation techniques, alterations, or solutions to their |
626 | properties to prevent windstorm losses. It is also the intent of |
627 | the Legislature that implementation of mitigation discounts not |
628 | result in a loss of income to the insurers granting the |
629 | discounts, so that the aggregate of mitigation discounts should |
630 | not exceed the aggregate of the expected reduction in loss that |
631 | is attributable to the mitigation efforts for which discounts |
632 | are granted. A rate filing for residential property insurance |
633 | must include actuarially reasonable discounts, credits, debits, |
634 | or other rate differentials, or appropriate reductions in |
635 | deductibles, that provide the proper pricing for all properties. |
636 | The rate filing must take into account the presence or absence |
637 | of |
638 | reduce the amount of loss in a windstorm have been installed or |
639 | implemented. The fixtures or construction techniques shall |
640 | include, but not be limited to, fixtures or construction |
641 | techniques that |
642 | performance, roof-to-wall strength, wall-to-floor-to-foundation |
643 | strength, opening protection, and window, door, and skylight |
644 | strength. Credits, debits, discounts, or other rate |
645 | differentials, or appropriate reductions or increases in |
646 | deductibles, that recognize the presence or absence of |
647 | fixtures and construction techniques that |
648 | requirements of the Florida Building Code must be included in |
649 | the rate filing. If an insurer demonstrates that the aggregate |
650 | of its mitigation discounts results in a reduction to revenue |
651 | that exceeds the reduction of the aggregate loss that is |
652 | expected to result from the mitigation, the insurer may recover |
653 | the lost revenue through an increase in its base rates. |
654 | |
655 | |
656 | |
657 | shall reevaluate the discounts, credits, other rate |
658 | differentials, and appropriate reductions in deductibles for |
659 | fixtures and construction techniques that meet the minimum |
660 | requirements of the Florida Building Code, based upon actual |
661 | experience or any other loss relativity studies available to the |
662 | office. The office shall determine the discounts, credits, |
663 | debits, other rate differentials, and appropriate reductions or |
664 | increases in deductibles that reflect the full actuarial value |
665 | of such revaluation, which may be used by insurers in rate |
666 | filings. |
667 | |
668 | |
669 | |
670 | |
671 | |
672 | |
673 | |
674 | |
675 | |
676 | |
677 | |
678 | |
679 | |
680 | |
681 | |
682 | |
683 | |
684 | |
685 | |
686 | |
687 | |
688 | |
689 | |
690 | |
691 | |
692 | |
693 | |
694 | |
695 | |
696 | |
697 | (5) In order to provide an appropriate transition period, |
698 | an insurer may, in its sole discretion, implement an approved |
699 | rate filing for residential property insurance over a period of |
700 | years. An insurer electing to phase in its rate filing must |
701 | provide an informational notice to the office setting out its |
702 | schedule for implementation of the phased-in rate filing. An |
703 | insurer may include in its rate the actual cost of private |
704 | market reinsurance that corresponds to available coverage of the |
705 | Temporary Increase in Coverage Limits, TICL, from the Florida |
706 | Hurricane Catastrophe Fund. The insurer may also include the |
707 | cost of reinsurance to replace the TICL reduction implemented |
708 | pursuant to s. 215.555(17)(d)9. However, this cost for |
709 | reinsurance may not |
710 | in a total annual base rate increase in excess of 10 percent. |
711 | (10)(a) Contingent upon specific appropriations made to |
712 | implement this subsection, in order to enhance the ability of |
713 | consumers to compare premiums and to increase the accuracy and |
714 | usefulness of rate and product comparison information for |
715 | homeowners' insurance, the office shall develop or contract with |
716 | a private entity to develop a comprehensive program for |
717 | providing the consumer with all available information necessary |
718 | to make an informed purchase of the insurance product that best |
719 | serves the needs of the individual. |
720 | (b) In developing the comprehensive program, the office |
721 | shall rely as much as is practical on information that is |
722 | currently available and shall consider: |
723 | 1. The most efficient means for developing, hosting, and |
724 | operating a separate website that consolidates all consumer |
725 | information for price comparisons, filed complaints, financial |
726 | strength, underwriting, and receivership information and other |
727 | data useful to consumers. |
728 | 2. Whether all admitted insurers should be required to |
729 | submit additional information to populate the composite website |
730 | and how often such submissions must be made. |
731 | 3. Whether all admitted insurers should be required to |
732 | provide links from the website into each individual insurer's |
733 | website in order to enable consumers to access product rate |
734 | information and apply for quotations. |
735 | 4. Developing a plan to publicize the existence, |
736 | availability, and value of the website. |
737 | 5. Any other provision that would make relevant |
738 | homeowners' insurance information more readily available so that |
739 | consumers can make informed product comparisons and purchasing |
740 | decisions. |
741 | (c) Before establishing the program or website, the office |
742 | shall conduct a cost-benefit analysis to determine the most |
743 | effective approach for establishing and operating the program |
744 | and website. Based on the results of the analysis, the office |
745 | shall submit a proposed implementation plan for review and |
746 | approval by the Financial Services Commission. The |
747 | implementation plan shall include an estimated timeline for |
748 | establishing the program and website; a description of the data |
749 | and functionality to be provided by the site; a strategy for |
750 | publicizing the website to consumers; a recommended approach for |
751 | developing, hosting, and operating the website; and an estimate |
752 | of all major nonrecurring and recurring costs required to |
753 | establish and operate the website. Upon approval of the plan, |
754 | the office may initiate the establishment of the program. |
755 | Section 9. Paragraphs (b), (c), (d), (y), (z), (aa), (bb), |
756 | (cc), (dd), (ee), and (ff) of subsection (6) of section 627.351, |
757 | Florida Statutes, are amended to read: |
758 | 627.351 Insurance risk apportionment plans.- |
759 | (6) CITIZENS PROPERTY INSURANCE CORPORATION.- |
760 | (b)1. All insurers authorized to write one or more subject |
761 | lines of business in this state are subject to assessment by the |
762 | corporation and, for the purposes of this subsection, are |
763 | referred to collectively as "assessable insurers." Insurers |
764 | writing one or more subject lines of business in this state |
765 | pursuant to part VIII of chapter 626 are not assessable |
766 | insurers, but insureds who procure one or more subject lines of |
767 | business in this state pursuant to part VIII of chapter 626 are |
768 | subject to assessment by the corporation and are referred to |
769 | collectively as "assessable insureds." An authorized insurer's |
770 | assessment liability shall begin on the first day of the |
771 | calendar year following the year in which the insurer was issued |
772 | a certificate of authority to transact insurance for subject |
773 | lines of business in this state and shall terminate 1 year after |
774 | the end of the first calendar year during which the insurer no |
775 | longer holds a certificate of authority to transact insurance |
776 | for subject lines of business in this state. |
777 | 2.a. All revenues, assets, liabilities, losses, and |
778 | expenses of the corporation shall be divided into three separate |
779 | accounts as follows: |
780 | (I) A personal lines account for personal residential |
781 | policies issued by the corporation or issued by the Residential |
782 | Property and Casualty Joint Underwriting Association and renewed |
783 | by the corporation that provide comprehensive, multiperil |
784 | coverage on risks that are not located in areas eligible for |
785 | coverage in the Florida Windstorm Underwriting Association as |
786 | those areas were defined on January 1, 2002, and for such |
787 | policies that do not provide coverage for the peril of wind on |
788 | risks that are located in such areas; |
789 | (II) A commercial lines account for commercial residential |
790 | and commercial nonresidential policies issued by the corporation |
791 | or issued by the Residential Property and Casualty Joint |
792 | Underwriting Association and renewed by the corporation that |
793 | provide coverage for basic property perils on risks that are not |
794 | located in areas eligible for coverage in the Florida Windstorm |
795 | Underwriting Association as those areas were defined on January |
796 | 1, 2002, and for such policies that do not provide coverage for |
797 | the peril of wind on risks that are located in such areas; and |
798 | (III) A high-risk account for personal residential |
799 | policies and commercial residential and commercial |
800 | nonresidential property policies issued by the corporation or |
801 | transferred to the corporation that provide coverage for the |
802 | peril of wind on risks that are located in areas eligible for |
803 | coverage in the Florida Windstorm Underwriting Association as |
804 | those areas were defined on January 1, 2002. The corporation may |
805 | offer policies that provide multiperil coverage and the |
806 | corporation shall continue to offer policies that provide |
807 | coverage only for the peril of wind for risks located in areas |
808 | eligible for coverage in the high-risk account. In issuing |
809 | multiperil coverage, the corporation may use its approved policy |
810 | forms and rates for the personal lines account. An applicant or |
811 | insured who is eligible to purchase a multiperil policy from the |
812 | corporation may purchase a multiperil policy from an authorized |
813 | insurer without prejudice to the applicant's or insured's |
814 | eligibility to prospectively purchase a policy that provides |
815 | coverage only for the peril of wind from the corporation. An |
816 | applicant or insured who is eligible for a corporation policy |
817 | that provides coverage only for the peril of wind may elect to |
818 | purchase or retain such policy and also purchase or retain |
819 | coverage excluding wind from an authorized insurer without |
820 | prejudice to the applicant's or insured's eligibility to |
821 | prospectively purchase a policy that provides multiperil |
822 | coverage from the corporation. It is the goal of the Legislature |
823 | that there would be an overall average savings of 10 percent or |
824 | more for a policyholder who currently has a wind-only policy |
825 | with the corporation, and an ex-wind policy with a voluntary |
826 | insurer or the corporation, and who then obtains a multiperil |
827 | policy from the corporation. It is the intent of the Legislature |
828 | that the offer of multiperil coverage in the high-risk account |
829 | be made and implemented in a manner that does not adversely |
830 | affect the tax-exempt status of the corporation or |
831 | creditworthiness of or security for currently outstanding |
832 | financing obligations or credit facilities of the high-risk |
833 | account, the personal lines account, or the commercial lines |
834 | account. The high-risk account must also include quota share |
835 | primary insurance under subparagraph (c)2. The area eligible for |
836 | coverage under the high-risk account also includes the area |
837 | within Port Canaveral, which is bordered on the south by the |
838 | City of Cape Canaveral, bordered on the west by the Banana |
839 | River, and bordered on the north by Federal Government property. |
840 | b. The three separate accounts must be maintained as long |
841 | as financing obligations entered into by the Florida Windstorm |
842 | Underwriting Association or Residential Property and Casualty |
843 | Joint Underwriting Association are outstanding, in accordance |
844 | with the terms of the corresponding financing documents. When |
845 | the financing obligations are no longer outstanding, in |
846 | accordance with the terms of the corresponding financing |
847 | documents, the corporation may use a single account for all |
848 | revenues, assets, liabilities, losses, and expenses of the |
849 | corporation. Consistent with the requirement of this |
850 | subparagraph and prudent investment policies that minimize the |
851 | cost of carrying debt, the board shall exercise its best efforts |
852 | to retire existing debt or to obtain approval of necessary |
853 | parties to amend the terms of existing debt, so as to structure |
854 | the most efficient plan to consolidate the three separate |
855 | accounts into a single account. By February 1, 2007, the board |
856 | shall submit a report to the Financial Services Commission, the |
857 | President of the Senate, and the Speaker of the House of |
858 | Representatives which includes an analysis of consolidating the |
859 | accounts, the actions the board has taken to minimize the cost |
860 | of carrying debt, and its recommendations for executing the most |
861 | efficient plan. |
862 | c. Creditors of the Residential Property and Casualty |
863 | Joint Underwriting Association and of the accounts specified in |
864 | sub-sub-subparagraphs a.(I) and (II) may have a claim against, |
865 | and recourse to, the accounts referred to in sub-sub- |
866 | subparagraphs a.(I) and (II) and shall have no claim against, or |
867 | recourse to, the account referred to in sub-sub-subparagraph |
868 | a.(III). Creditors of the Florida Windstorm Underwriting |
869 | Association shall have a claim against, and recourse to, the |
870 | account referred to in sub-sub-subparagraph a.(III) and shall |
871 | have no claim against, or recourse to, the accounts referred to |
872 | in sub-sub-subparagraphs a.(I) and (II). |
873 | d. Revenues, assets, liabilities, losses, and expenses not |
874 | attributable to particular accounts shall be prorated among the |
875 | accounts. |
876 | e. The Legislature finds that the revenues of the |
877 | corporation are revenues that are necessary to meet the |
878 | requirements set forth in documents authorizing the issuance of |
879 | bonds under this subsection. |
880 | f. No part of the income of the corporation may inure to |
881 | the benefit of any private person. |
882 | 3. With respect to a deficit in an account: |
883 | a. After accounting for the Citizens policyholder |
884 | surcharge imposed under sub-subparagraph i., when the remaining |
885 | projected deficit incurred in a particular calendar year is not |
886 | greater than 6 percent of the aggregate statewide direct written |
887 | premium for the subject lines of business for the prior calendar |
888 | year, the entire deficit shall be recovered through regular |
889 | assessments of assessable insurers under paragraph (p) and |
890 | assessable insureds. |
891 | b. After accounting for the Citizens policyholder |
892 | surcharge imposed under sub-subparagraph i., when the remaining |
893 | projected deficit incurred in a particular calendar year exceeds |
894 | 6 percent of the aggregate statewide direct written premium for |
895 | the subject lines of business for the prior calendar year, the |
896 | corporation shall levy regular assessments on assessable |
897 | insurers under paragraph (p) and on assessable insureds in an |
898 | amount equal to the greater of 6 percent of the deficit or 6 |
899 | percent of the aggregate statewide direct written premium for |
900 | the subject lines of business for the prior calendar year. Any |
901 | remaining deficit shall be recovered through emergency |
902 | assessments under sub-subparagraph d. |
903 | c. Each assessable insurer's share of the amount being |
904 | assessed under sub-subparagraph a. or sub-subparagraph b. shall |
905 | be in the proportion that the assessable insurer's direct |
906 | written premium for the subject lines of business for the year |
907 | preceding the assessment bears to the aggregate statewide direct |
908 | written premium for the subject lines of business for that year. |
909 | The assessment percentage applicable to each assessable insured |
910 | is the ratio of the amount being assessed under sub-subparagraph |
911 | a. or sub-subparagraph b. to the aggregate statewide direct |
912 | written premium for the subject lines of business for the prior |
913 | year. Assessments levied by the corporation on assessable |
914 | insurers under sub-subparagraphs a. and b. shall be paid as |
915 | required by the corporation's plan of operation and paragraph |
916 | (p). Assessments levied by the corporation on assessable |
917 | insureds under sub-subparagraphs a. and b. shall be collected by |
918 | the surplus lines agent at the time the surplus lines agent |
919 | collects the surplus lines tax required by s. 626.932 and shall |
920 | be paid to the Florida Surplus Lines Service Office at the time |
921 | the surplus lines agent pays the surplus lines tax to the |
922 | Florida Surplus Lines Service Office. Upon receipt of regular |
923 | assessments from surplus lines agents, the Florida Surplus Lines |
924 | Service Office shall transfer the assessments directly to the |
925 | corporation as determined by the corporation. |
926 | d. Upon a determination by the board of governors that a |
927 | deficit in an account exceeds the amount that will be recovered |
928 | through regular assessments under sub-subparagraph a. or sub- |
929 | subparagraph b., plus the amount that is expected to be |
930 | recovered through surcharges under sub-subparagraph i., as to |
931 | the remaining projected deficit the board shall levy, after |
932 | verification by the office, emergency assessments, for as many |
933 | years as necessary to cover the deficits, to be collected by |
934 | assessable insurers and the corporation and collected from |
935 | assessable insureds upon issuance or renewal of policies for |
936 | subject lines of business, excluding National Flood Insurance |
937 | policies. The amount of the emergency assessment collected in a |
938 | particular year shall be a uniform percentage of that year's |
939 | direct written premium for subject lines of business and all |
940 | accounts of the corporation, excluding National Flood Insurance |
941 | Program policy premiums, as annually determined by the board and |
942 | verified by the office. The office shall verify the arithmetic |
943 | calculations involved in the board's determination within 30 |
944 | days after receipt of the information on which the determination |
945 | was based. Notwithstanding any other provision of law, the |
946 | corporation and each assessable insurer that writes subject |
947 | lines of business shall collect emergency assessments from its |
948 | policyholders without such obligation being affected by any |
949 | credit, limitation, exemption, or deferment. Emergency |
950 | assessments levied by the corporation on assessable insureds |
951 | shall be collected by the surplus lines agent at the time the |
952 | surplus lines agent collects the surplus lines tax required by |
953 | s. 626.932 and shall be paid to the Florida Surplus Lines |
954 | Service Office at the time the surplus lines agent pays the |
955 | surplus lines tax to the Florida Surplus Lines Service Office. |
956 | The emergency assessments so collected shall be transferred |
957 | directly to the corporation on a periodic basis as determined by |
958 | the corporation and shall be held by the corporation solely in |
959 | the applicable account. The aggregate amount of emergency |
960 | assessments levied for an account under this sub-subparagraph in |
961 | any calendar year may, at the discretion of the board of |
962 | governors, be less than but may not exceed the greater of 10 |
963 | percent of the amount needed to cover the deficit, plus |
964 | interest, fees, commissions, required reserves, and other costs |
965 | associated with financing of the original deficit, or 10 percent |
966 | of the aggregate statewide direct written premium for subject |
967 | lines of business and for all accounts of the corporation for |
968 | the prior year, plus interest, fees, commissions, required |
969 | reserves, and other costs associated with financing the deficit. |
970 | e. The corporation may pledge the proceeds of assessments, |
971 | projected recoveries from the Florida Hurricane Catastrophe |
972 | Fund, other insurance and reinsurance recoverables, policyholder |
973 | surcharges and other surcharges, and other funds available to |
974 | the corporation as the source of revenue for and to secure bonds |
975 | issued under paragraph (p), bonds or other indebtedness issued |
976 | under subparagraph (c)3., or lines of credit or other financing |
977 | mechanisms issued or created under this subsection, or to retire |
978 | any other debt incurred as a result of deficits or events giving |
979 | rise to deficits, or in any other way that the board determines |
980 | will efficiently recover such deficits. The purpose of the lines |
981 | of credit or other financing mechanisms is to provide additional |
982 | resources to assist the corporation in covering claims and |
983 | expenses attributable to a catastrophe. As used in this |
984 | subsection, the term "assessments" includes regular assessments |
985 | under sub-subparagraph a., sub-subparagraph b., or subparagraph |
986 | (p)1. and emergency assessments under sub-subparagraph d. |
987 | Emergency assessments collected under sub-subparagraph d. are |
988 | not part of an insurer's rates, are not premium, and are not |
989 | subject to premium tax, fees, or commissions; however, failure |
990 | to pay the emergency assessment shall be treated as failure to |
991 | pay premium. The emergency assessments under sub-subparagraph d. |
992 | shall continue as long as any bonds issued or other indebtedness |
993 | incurred with respect to a deficit for which the assessment was |
994 | imposed remain outstanding, unless adequate provision has been |
995 | made for the payment of such bonds or other indebtedness |
996 | pursuant to the documents governing such bonds or other |
997 | indebtedness. |
998 | f. As used in this subsection for purposes of any deficit |
999 | incurred on or after January 25, 2007, the term "subject lines |
1000 | of business" means insurance written by assessable insurers or |
1001 | procured by assessable insureds for all property and casualty |
1002 | lines of business in this state, but not including workers' |
1003 | compensation or medical malpractice. As used in the sub- |
1004 | subparagraph, the term "property and casualty lines of business" |
1005 | includes all lines of business identified on Form 2, Exhibit of |
1006 | Premiums and Losses, in the annual statement required of |
1007 | authorized insurers by s. 624.424 and any rule adopted under |
1008 | this section, except for those lines identified as accident and |
1009 | health insurance and except for policies written under the |
1010 | National Flood Insurance Program or the Federal Crop Insurance |
1011 | Program. For purposes of this sub-subparagraph, the term |
1012 | "workers' compensation" includes both workers' compensation |
1013 | insurance and excess workers' compensation insurance. |
1014 | g. The Florida Surplus Lines Service Office shall |
1015 | determine annually the aggregate statewide written premium in |
1016 | subject lines of business procured by assessable insureds and |
1017 | shall report that information to the corporation in a form and |
1018 | at a time the corporation specifies to ensure that the |
1019 | corporation can meet the requirements of this subsection and the |
1020 | corporation's financing obligations. |
1021 | h. The Florida Surplus Lines Service Office shall verify |
1022 | the proper application by surplus lines agents of assessment |
1023 | percentages for regular assessments and emergency assessments |
1024 | levied under this subparagraph on assessable insureds and shall |
1025 | assist the corporation in ensuring the accurate, timely |
1026 | collection and payment of assessments by surplus lines agents as |
1027 | required by the corporation. |
1028 | i.(I) If a deficit is incurred in any account in 2008 or |
1029 | thereafter, the board of governors shall levy a Citizens |
1030 | policyholder surcharge against all policyholders of the |
1031 | corporation. |
1032 | (II) The policyholder's liability for the Citizens |
1033 | policyholder surcharge attaches on the date of the event giving |
1034 | rise to an order levying the surcharge or the date of the order, |
1035 | whichever is earlier. The Citizens policyholder surcharge is |
1036 | payable upon cancellation or termination of the policy, upon |
1037 | renewal of the policy, or upon issuance of a new policy by |
1038 | Citizens within the first 12 months after the date of the levy |
1039 | or the period of time necessary to fully collect the Citizens |
1040 | policyholder surcharge amount. |
1041 | (III) The Citizens policyholder surcharge |
1042 | |
1043 | |
1044 | for the policy of up to 15 percent of such premium, which funds |
1045 | shall be used to offset the deficit. |
1046 | (IV) The corporation may not levy any regular assessments |
1047 | under sub-subparagraph a. or sub-subparagraph b. with respect to |
1048 | a particular year's deficit until the corporation has first |
1049 | levied a Citizens policyholder surcharge under this sub- |
1050 | subparagraph in the full amount authorized by this sub- |
1051 | subparagraph. |
1052 | (V) Citizens policyholder surcharges under this sub- |
1053 | subparagraph are not considered premium and are not subject to |
1054 | commissions, fees, or premium taxes. However, failure to pay |
1055 | such surcharges shall be treated as failure to pay premium. |
1056 | j. If the amount of any assessments or surcharges |
1057 | collected from corporation policyholders, assessable insurers or |
1058 | their policyholders, or assessable insureds exceeds the amount |
1059 | of the deficits, such excess amounts shall be remitted to and |
1060 | retained by the corporation in a reserve to be used by the |
1061 | corporation, as determined by the board of governors and |
1062 | approved by the office, to pay claims or reduce any past, |
1063 | present, or future plan-year deficits or to reduce outstanding |
1064 | debt. |
1065 | (c) The plan of operation of the corporation: |
1066 | 1. Must provide for adoption of residential property and |
1067 | casualty insurance policy forms and commercial residential and |
1068 | nonresidential property insurance forms, which forms must be |
1069 | approved by the office prior to use. The corporation shall adopt |
1070 | the following policy forms: |
1071 | a. Standard personal lines policy forms that are |
1072 | comprehensive multiperil policies providing full coverage of a |
1073 | residential property equivalent to the coverage provided in the |
1074 | private insurance market under an HO-3, HO-4, or HO-6 policy. |
1075 | b. Basic personal lines policy forms that are policies |
1076 | similar to an HO-8 policy or a dwelling fire policy that provide |
1077 | coverage meeting the requirements of the secondary mortgage |
1078 | market, but which coverage is more limited than the coverage |
1079 | under a standard policy. |
1080 | c. Commercial lines residential and nonresidential policy |
1081 | forms that are generally similar to the basic perils of full |
1082 | coverage obtainable for commercial residential structures and |
1083 | commercial nonresidential structures in the admitted voluntary |
1084 | market. |
1085 | d. Personal lines and commercial lines residential |
1086 | property insurance forms that cover the peril of wind only. The |
1087 | forms are applicable only to residential properties located in |
1088 | areas eligible for coverage under the high-risk account referred |
1089 | to in sub-subparagraph (b)2.a. |
1090 | e. Commercial lines nonresidential property insurance |
1091 | forms that cover the peril of wind only. The forms are |
1092 | applicable only to nonresidential properties located in areas |
1093 | eligible for coverage under the high-risk account referred to in |
1094 | sub-subparagraph (b)2.a. |
1095 | f. The corporation may adopt variations of the policy |
1096 | forms listed in sub-subparagraphs a.-e. that contain more |
1097 | restrictive coverage. |
1098 | 2.a. Must provide that the corporation adopt a program in |
1099 | which the corporation and authorized insurers enter into quota |
1100 | share primary insurance agreements for hurricane coverage, as |
1101 | defined in s. 627.4025(2)(a), for eligible risks, and adopt |
1102 | property insurance forms for eligible risks which cover the |
1103 | peril of wind only. As used in this subsection, the term: |
1104 | (I) "Quota share primary insurance" means an arrangement |
1105 | in which the primary hurricane coverage of an eligible risk is |
1106 | provided in specified percentages by the corporation and an |
1107 | authorized insurer. The corporation and authorized insurer are |
1108 | each solely responsible for a specified percentage of hurricane |
1109 | coverage of an eligible risk as set forth in a quota share |
1110 | primary insurance agreement between the corporation and an |
1111 | authorized insurer and the insurance contract. The |
1112 | responsibility of the corporation or authorized insurer to pay |
1113 | its specified percentage of hurricane losses of an eligible |
1114 | risk, as set forth in the quota share primary insurance |
1115 | agreement, may not be altered by the inability of the other |
1116 | party to the agreement to pay its specified percentage of |
1117 | hurricane losses. Eligible risks that are provided hurricane |
1118 | coverage through a quota share primary insurance arrangement |
1119 | must be provided policy forms that set forth the obligations of |
1120 | the corporation and authorized insurer under the arrangement, |
1121 | clearly specify the percentages of quota share primary insurance |
1122 | provided by the corporation and authorized insurer, and |
1123 | conspicuously and clearly state that neither the authorized |
1124 | insurer nor the corporation may be held responsible beyond its |
1125 | specified percentage of coverage of hurricane losses. |
1126 | (II) "Eligible risks" means personal lines residential and |
1127 | commercial lines residential risks that meet the underwriting |
1128 | criteria of the corporation and are located in areas that were |
1129 | eligible for coverage by the Florida Windstorm Underwriting |
1130 | Association on January 1, 2002. |
1131 | b. The corporation may enter into quota share primary |
1132 | insurance agreements with authorized insurers at corporation |
1133 | coverage levels of 90 percent and 50 percent. |
1134 | c. If the corporation determines that additional coverage |
1135 | levels are necessary to maximize participation in quota share |
1136 | primary insurance agreements by authorized insurers, the |
1137 | corporation may establish additional coverage levels. However, |
1138 | the corporation's quota share primary insurance coverage level |
1139 | may not exceed 90 percent. |
1140 | d. Any quota share primary insurance agreement entered |
1141 | into between an authorized insurer and the corporation must |
1142 | provide for a uniform specified percentage of coverage of |
1143 | hurricane losses, by county or territory as set forth by the |
1144 | corporation board, for all eligible risks of the authorized |
1145 | insurer covered under the quota share primary insurance |
1146 | agreement. |
1147 | e. Any quota share primary insurance agreement entered |
1148 | into between an authorized insurer and the corporation is |
1149 | subject to review and approval by the office. However, such |
1150 | agreement shall be authorized only as to insurance contracts |
1151 | entered into between an authorized insurer and an insured who is |
1152 | already insured by the corporation for wind coverage. |
1153 | f. For all eligible risks covered under quota share |
1154 | primary insurance agreements, the exposure and coverage levels |
1155 | for both the corporation and authorized insurers shall be |
1156 | reported by the corporation to the Florida Hurricane Catastrophe |
1157 | Fund. For all policies of eligible risks covered under quota |
1158 | share primary insurance agreements, the corporation and the |
1159 | authorized insurer shall maintain complete and accurate records |
1160 | for the purpose of exposure and loss reimbursement audits as |
1161 | required by Florida Hurricane Catastrophe Fund rules. The |
1162 | corporation and the authorized insurer shall each maintain |
1163 | duplicate copies of policy declaration pages and supporting |
1164 | claims documents. |
1165 | g. The corporation board shall establish in its plan of |
1166 | operation standards for quota share agreements which ensure that |
1167 | there is no discriminatory application among insurers as to the |
1168 | terms of quota share agreements, pricing of quota share |
1169 | agreements, incentive provisions if any, and consideration paid |
1170 | for servicing policies or adjusting claims. |
1171 | h. The quota share primary insurance agreement between the |
1172 | corporation and an authorized insurer must set forth the |
1173 | specific terms under which coverage is provided, including, but |
1174 | not limited to, the sale and servicing of policies issued under |
1175 | the agreement by the insurance agent of the authorized insurer |
1176 | producing the business, the reporting of information concerning |
1177 | eligible risks, the payment of premium to the corporation, and |
1178 | arrangements for the adjustment and payment of hurricane claims |
1179 | incurred on eligible risks by the claims adjuster and personnel |
1180 | of the authorized insurer. Entering into a quota sharing |
1181 | insurance agreement between the corporation and an authorized |
1182 | insurer shall be voluntary and at the discretion of the |
1183 | authorized insurer. |
1184 | 3. May provide that the corporation may employ or |
1185 | otherwise contract with individuals or other entities to provide |
1186 | administrative or professional services that may be appropriate |
1187 | to effectuate the plan. The corporation shall have the power to |
1188 | borrow funds, by issuing bonds or by incurring other |
1189 | indebtedness, and shall have other powers reasonably necessary |
1190 | to effectuate the requirements of this subsection, including, |
1191 | without limitation, the power to issue bonds and incur other |
1192 | indebtedness in order to refinance outstanding bonds or other |
1193 | indebtedness. The corporation may, but is not required to, seek |
1194 | judicial validation of its bonds or other indebtedness under |
1195 | chapter 75. The corporation may issue bonds or incur other |
1196 | indebtedness, or have bonds issued on its behalf by a unit of |
1197 | local government pursuant to subparagraph (p)2., in the absence |
1198 | of a hurricane or other weather-related event, upon a |
1199 | determination by the corporation, subject to approval by the |
1200 | office, that such action would enable it to efficiently meet the |
1201 | financial obligations of the corporation and that such |
1202 | financings are reasonably necessary to effectuate the |
1203 | requirements of this subsection. The corporation is authorized |
1204 | to take all actions needed to facilitate tax-free status for any |
1205 | such bonds or indebtedness, including formation of trusts or |
1206 | other affiliated entities. The corporation shall have the |
1207 | authority to pledge assessments, projected recoveries from the |
1208 | Florida Hurricane Catastrophe Fund, other reinsurance |
1209 | recoverables, market equalization and other surcharges, and |
1210 | other funds available to the corporation as security for bonds |
1211 | or other indebtedness. In recognition of s. 10, Art. I of the |
1212 | State Constitution, prohibiting the impairment of obligations of |
1213 | contracts, it is the intent of the Legislature that no action be |
1214 | taken whose purpose is to impair any bond indenture or financing |
1215 | agreement or any revenue source committed by contract to such |
1216 | bond or other indebtedness. |
1217 | 4.a. Must require that the corporation operate subject to |
1218 | the supervision and approval of a board of governors consisting |
1219 | of eight individuals who are residents of this state, from |
1220 | different geographical areas of this state. The Governor, the |
1221 | Chief Financial Officer, the President of the Senate, and the |
1222 | Speaker of the House of Representatives shall each appoint two |
1223 | members of the board. At least one of the two members appointed |
1224 | by each appointing officer must have demonstrated expertise in |
1225 | insurance. Members appointed for having a demonstrated expertise |
1226 | in insurance as provided in this subparagraph shall be deemed to |
1227 | be within the scope of the exemption set forth in s. |
1228 | 112.313(7)(b). The Chief Financial Officer shall designate one |
1229 | of the appointees as chair. All board members serve at the |
1230 | pleasure of the appointing officer. All members of the board of |
1231 | governors are subject to removal at will by the officers who |
1232 | appointed them. All board members, including the chair, must be |
1233 | appointed to serve for 3-year terms beginning annually on a date |
1234 | designated by the plan. However, for the first term beginning on |
1235 | or after July 1, 2009, each appointing officer shall appoint one |
1236 | member of the board for a 2-year term and one member for a 3- |
1237 | year term. Any board vacancy shall be filled for the unexpired |
1238 | term by the appointing officer. The Chief Financial Officer |
1239 | shall appoint a technical advisory group to provide information |
1240 | and advice to the board of governors in connection with the |
1241 | board's duties under this subsection. The executive director and |
1242 | senior managers of the corporation shall be engaged by the board |
1243 | and serve at the pleasure of the board. Any executive director |
1244 | appointed on or after July 1, 2006, is subject to confirmation |
1245 | by the Senate. The executive director is responsible for |
1246 | employing other staff as the corporation may require, subject to |
1247 | review and concurrence by the board. |
1248 | b. The board shall create a Market Accountability Advisory |
1249 | Committee to assist the corporation in developing awareness of |
1250 | its rates and its customer and agent service levels in |
1251 | relationship to the voluntary market insurers writing similar |
1252 | coverage. The members of the advisory committee shall consist of |
1253 | the following 11 persons, one of whom must be elected chair by |
1254 | the members of the committee: four representatives, one |
1255 | appointed by the Florida Association of Insurance Agents, one by |
1256 | the Florida Association of Insurance and Financial Advisors, one |
1257 | by the Professional Insurance Agents of Florida, and one by the |
1258 | Latin American Association of Insurance Agencies; three |
1259 | representatives appointed by the insurers with the three highest |
1260 | voluntary market share of residential property insurance |
1261 | business in the state; one representative from the Office of |
1262 | Insurance Regulation; one consumer appointed by the board who is |
1263 | insured by the corporation at the time of appointment to the |
1264 | committee; one representative appointed by the Florida |
1265 | Association of Realtors; and one representative appointed by the |
1266 | Florida Bankers Association. All members must serve for 3-year |
1267 | terms and may serve for consecutive terms. The committee shall |
1268 | report to the corporation at each board meeting on insurance |
1269 | market issues which may include rates and rate competition with |
1270 | the voluntary market; service, including policy issuance, claims |
1271 | processing, and general responsiveness to policyholders, |
1272 | applicants, and agents; and matters relating to depopulation. |
1273 | 5. Must provide a procedure for determining the |
1274 | eligibility of a risk for coverage, as follows: |
1275 | a. Subject to the provisions of s. 627.3517, with respect |
1276 | to personal lines residential risks, if the risk is offered |
1277 | coverage from an authorized insurer at the insurer's approved |
1278 | rate under either a standard policy including wind coverage or, |
1279 | if consistent with the insurer's underwriting rules as filed |
1280 | with the office, a basic policy including wind coverage, for a |
1281 | new application to the corporation for coverage, the risk is not |
1282 | eligible for any policy issued by the corporation unless the |
1283 | premium for coverage from the authorized insurer is more than 15 |
1284 | percent greater than the premium for comparable coverage from |
1285 | the corporation. If the risk is not able to obtain any such |
1286 | offer, the risk is eligible for either a standard policy |
1287 | including wind coverage or a basic policy including wind |
1288 | coverage issued by the corporation; however, if the risk could |
1289 | not be insured under a standard policy including wind coverage |
1290 | regardless of market conditions, the risk shall be eligible for |
1291 | a basic policy including wind coverage unless rejected under |
1292 | subparagraph 8. However, with regard to a policyholder of the |
1293 | corporation or a policyholder removed from the corporation |
1294 | through an assumption agreement until the end of the assumption |
1295 | period, the policyholder remains eligible for coverage from the |
1296 | corporation regardless of any offer of coverage from an |
1297 | authorized insurer or surplus lines insurer. The corporation |
1298 | shall determine the type of policy to be provided on the basis |
1299 | of objective standards specified in the underwriting manual and |
1300 | based on generally accepted underwriting practices. |
1301 | (I) If the risk accepts an offer of coverage through the |
1302 | market assistance plan or an offer of coverage through a |
1303 | mechanism established by the corporation before a policy is |
1304 | issued to the risk by the corporation or during the first 30 |
1305 | days of coverage by the corporation, and the producing agent who |
1306 | submitted the application to the plan or to the corporation is |
1307 | not currently appointed by the insurer, the insurer shall: |
1308 | (A) Pay to the producing agent of record of the policy, |
1309 | for the first year, an amount that is the greater of the |
1310 | insurer's usual and customary commission for the type of policy |
1311 | written or a fee equal to the usual and customary commission of |
1312 | the corporation; or |
1313 | (B) Offer to allow the producing agent of record of the |
1314 | policy to continue servicing the policy for a period of not less |
1315 | than 1 year and offer to pay the agent the greater of the |
1316 | insurer's or the corporation's usual and customary commission |
1317 | for the type of policy written. |
1318 | |
1319 | If the producing agent is unwilling or unable to accept |
1320 | appointment, the new insurer shall pay the agent in accordance |
1321 | with sub-sub-sub-subparagraph (A). |
1322 | (II) When the corporation enters into a contractual |
1323 | agreement for a take-out plan, the producing agent of record of |
1324 | the corporation policy is entitled to retain any unearned |
1325 | commission on the policy, and the insurer shall: |
1326 | (A) Pay to the producing agent of record of the |
1327 | corporation policy, for the first year, an amount that is the |
1328 | greater of the insurer's usual and customary commission for the |
1329 | type of policy written or a fee equal to the usual and customary |
1330 | commission of the corporation; or |
1331 | (B) Offer to allow the producing agent of record of the |
1332 | corporation policy to continue servicing the policy for a period |
1333 | of not less than 1 year and offer to pay the agent the greater |
1334 | of the insurer's or the corporation's usual and customary |
1335 | commission for the type of policy written. |
1336 | |
1337 | If the producing agent is unwilling or unable to accept |
1338 | appointment, the new insurer shall pay the agent in accordance |
1339 | with sub-sub-sub-subparagraph (A). |
1340 | b. With respect to commercial lines residential risks, for |
1341 | a new application to the corporation for coverage, if the risk |
1342 | is offered coverage under a policy including wind coverage from |
1343 | an authorized insurer at its approved rate, the risk is not |
1344 | eligible for any policy issued by the corporation unless the |
1345 | premium for coverage from the authorized insurer is more than 15 |
1346 | percent greater than the premium for comparable coverage from |
1347 | the corporation. If the risk is not able to obtain any such |
1348 | offer, the risk is eligible for a policy including wind coverage |
1349 | issued by the corporation. However, with regard to a |
1350 | policyholder of the corporation or a policyholder removed from |
1351 | the corporation through an assumption agreement until the end of |
1352 | the assumption period, the policyholder remains eligible for |
1353 | coverage from the corporation regardless of any offer of |
1354 | coverage from an authorized insurer or surplus lines insurer. |
1355 | (I) If the risk accepts an offer of coverage through the |
1356 | market assistance plan or an offer of coverage through a |
1357 | mechanism established by the corporation before a policy is |
1358 | issued to the risk by the corporation or during the first 30 |
1359 | days of coverage by the corporation, and the producing agent who |
1360 | submitted the application to the plan or the corporation is not |
1361 | currently appointed by the insurer, the insurer shall: |
1362 | (A) Pay to the producing agent of record of the policy, |
1363 | for the first year, an amount that is the greater of the |
1364 | insurer's usual and customary commission for the type of policy |
1365 | written or a fee equal to the usual and customary commission of |
1366 | the corporation; or |
1367 | (B) Offer to allow the producing agent of record of the |
1368 | policy to continue servicing the policy for a period of not less |
1369 | than 1 year and offer to pay the agent the greater of the |
1370 | insurer's or the corporation's usual and customary commission |
1371 | for the type of policy written. |
1372 | |
1373 | If the producing agent is unwilling or unable to accept |
1374 | appointment, the new insurer shall pay the agent in accordance |
1375 | with sub-sub-sub-subparagraph (A). |
1376 | (II) When the corporation enters into a contractual |
1377 | agreement for a take-out plan, the producing agent of record of |
1378 | the corporation policy is entitled to retain any unearned |
1379 | commission on the policy, and the insurer shall: |
1380 | (A) Pay to the producing agent of record of the |
1381 | corporation policy, for the first year, an amount that is the |
1382 | greater of the insurer's usual and customary commission for the |
1383 | type of policy written or a fee equal to the usual and customary |
1384 | commission of the corporation; or |
1385 | (B) Offer to allow the producing agent of record of the |
1386 | corporation policy to continue servicing the policy for a period |
1387 | of not less than 1 year and offer to pay the agent the greater |
1388 | of the insurer's or the corporation's usual and customary |
1389 | commission for the type of policy written. |
1390 | |
1391 | If the producing agent is unwilling or unable to accept |
1392 | appointment, the new insurer shall pay the agent in accordance |
1393 | with sub-sub-sub-subparagraph (A). |
1394 | c. For purposes of determining comparable coverage under |
1395 | sub-subparagraphs a. and b., the comparison shall be based on |
1396 | those forms and coverages that are reasonably comparable. The |
1397 | corporation may rely on a determination of comparable coverage |
1398 | and premium made by the producing agent who submits the |
1399 | application to the corporation, made in the agent's capacity as |
1400 | the corporation's agent. A comparison may be made solely of the |
1401 | premium with respect to the main building or structure only on |
1402 | the following basis: the same coverage A or other building |
1403 | limits; the same percentage hurricane deductible that applies on |
1404 | an annual basis or that applies to each hurricane for commercial |
1405 | residential property; the same percentage of ordinance and law |
1406 | coverage, if the same limit is offered by both the corporation |
1407 | and the authorized insurer; the same mitigation credits, to the |
1408 | extent the same types of credits are offered both by the |
1409 | corporation and the authorized insurer; the same method for loss |
1410 | payment, such as replacement cost or actual cash value, if the |
1411 | same method is offered both by the corporation and the |
1412 | authorized insurer in accordance with underwriting rules; and |
1413 | any other form or coverage that is reasonably comparable as |
1414 | determined by the board. If an application is submitted to the |
1415 | corporation for wind-only coverage in the high-risk account, the |
1416 | premium for the corporation's wind-only policy plus the premium |
1417 | for the ex-wind policy that is offered by an authorized insurer |
1418 | to the applicant shall be compared to the premium for multiperil |
1419 | coverage offered by an authorized insurer, subject to the |
1420 | standards for comparison specified in this subparagraph. If the |
1421 | corporation or the applicant requests from the authorized |
1422 | insurer a breakdown of the premium of the offer by types of |
1423 | coverage so that a comparison may be made by the corporation or |
1424 | its agent and the authorized insurer refuses or is unable to |
1425 | provide such information, the corporation may treat the offer as |
1426 | not being an offer of coverage from an authorized insurer at the |
1427 | insurer's approved rate. |
1428 | 6. Must include rules for classifications of risks and |
1429 | rates therefor. |
1430 | 7. Must provide that if premium and investment income for |
1431 | an account attributable to a particular calendar year are in |
1432 | excess of projected losses and expenses for the account |
1433 | attributable to that year, such excess shall be held in surplus |
1434 | in the account. Such surplus shall be available to defray |
1435 | deficits in that account as to future years and shall be used |
1436 | for that purpose prior to assessing assessable insurers and |
1437 | assessable insureds as to any calendar year. |
1438 | 8. Must provide objective criteria and procedures to be |
1439 | uniformly applied for all applicants in determining whether an |
1440 | individual risk is so hazardous as to be uninsurable. In making |
1441 | this determination and in establishing the criteria and |
1442 | procedures, the following shall be considered: |
1443 | a. Whether the likelihood of a loss for the individual |
1444 | risk is substantially higher than for other risks of the same |
1445 | class; and |
1446 | b. Whether the uncertainty associated with the individual |
1447 | risk is such that an appropriate premium cannot be determined. |
1448 | |
1449 | The acceptance or rejection of a risk by the corporation shall |
1450 | be construed as the private placement of insurance, and the |
1451 | provisions of chapter 120 shall not apply. |
1452 | 9. Must provide that the corporation shall make its best |
1453 | efforts to procure catastrophe reinsurance at reasonable rates, |
1454 | to cover its projected 100-year probable maximum loss as |
1455 | determined by the board of governors. |
1456 | 10. The policies issued by the corporation must provide |
1457 | that, if the corporation or the market assistance plan obtains |
1458 | an offer from an authorized insurer to cover the risk at its |
1459 | approved rates, the risk is no longer eligible for renewal |
1460 | through the corporation, except as otherwise provided in this |
1461 | subsection. |
1462 | 11. Corporation policies and applications must include a |
1463 | notice that the corporation policy could, under this section, be |
1464 | replaced with a policy issued by an authorized insurer that does |
1465 | not provide coverage identical to the coverage provided by the |
1466 | corporation. The notice shall also specify that acceptance of |
1467 | corporation coverage creates a conclusive presumption that the |
1468 | applicant or policyholder is aware of this potential. |
1469 | 12. May establish, subject to approval by the office, |
1470 | different eligibility requirements and operational procedures |
1471 | for any line or type of coverage for any specified county or |
1472 | area if the board determines that such changes to the |
1473 | eligibility requirements and operational procedures are |
1474 | justified due to the voluntary market being sufficiently stable |
1475 | and competitive in such area or for such line or type of |
1476 | coverage and that consumers who, in good faith, are unable to |
1477 | obtain insurance through the voluntary market through ordinary |
1478 | methods would continue to have access to coverage from the |
1479 | corporation. When coverage is sought in connection with a real |
1480 | property transfer, such requirements and procedures shall not |
1481 | provide for an effective date of coverage later than the date of |
1482 | the closing of the transfer as established by the transferor, |
1483 | the transferee, and, if applicable, the lender. |
1484 | 13. Must provide that, with respect to the high-risk |
1485 | account, any assessable insurer with a surplus as to |
1486 | policyholders of $25 million or less writing 25 percent or more |
1487 | of its total countrywide property insurance premiums in this |
1488 | state may petition the office, within the first 90 days of each |
1489 | calendar year, to qualify as a limited apportionment company. A |
1490 | regular assessment levied by the corporation on a limited |
1491 | apportionment company for a deficit incurred by the corporation |
1492 | for the high-risk account in 2006 or thereafter may be paid to |
1493 | the corporation on a monthly basis as the assessments are |
1494 | collected by the limited apportionment company from its insureds |
1495 | pursuant to s. 627.3512, but the regular assessment must be paid |
1496 | in full within 12 months after being levied by the corporation. |
1497 | A limited apportionment company shall collect from its |
1498 | policyholders any emergency assessment imposed under sub- |
1499 | subparagraph (b)3.d. The plan shall provide that, if the office |
1500 | determines that any regular assessment will result in an |
1501 | impairment of the surplus of a limited apportionment company, |
1502 | the office may direct that all or part of such assessment be |
1503 | deferred as provided in subparagraph (p)4. However, there shall |
1504 | be no limitation or deferment of an emergency assessment to be |
1505 | collected from policyholders under sub-subparagraph (b)3.d. |
1506 | 14. Must provide that the corporation appoint as its |
1507 | licensed agents only those agents who also hold an appointment |
1508 | as defined in s. 626.015(3) with an insurer who at the time of |
1509 | the agent's initial appointment by the corporation is authorized |
1510 | to write and is actually writing personal lines residential |
1511 | property coverage, commercial residential property coverage, or |
1512 | commercial nonresidential property coverage within the state. |
1513 | 15. Must provide, by July 1, 2007, a premium payment plan |
1514 | option to its policyholders which allows at a minimum for |
1515 | quarterly and semiannual payment of premiums. A monthly payment |
1516 | plan may, but is not required to, be offered. |
1517 | 16. Must limit coverage on mobile homes or manufactured |
1518 | homes built prior to 1994 to actual cash value of the dwelling |
1519 | rather than replacement costs of the dwelling. |
1520 | 17. May provide such limits of coverage as the board |
1521 | determines, consistent with the requirements of this subsection. |
1522 | 18. May require commercial property to meet specified |
1523 | hurricane mitigation construction features as a condition of |
1524 | eligibility for coverage. |
1525 | 19.a. Shall require the agent to obtain from any applicant |
1526 | for coverage the following acknowledgement, signed by the |
1527 | applicant, and shall require the agent of record to obtain the |
1528 | following acknowledgment from each corporation policyholder |
1529 | prior to the policy's first renewal after the effective date of |
1530 | this act: |
1531 | |
1532 | |
1533 | |
1534 | 1. I UNDERSTAND, AS A CITIZENS PROPERTY |
1535 | INSURANCE CORPORATION POLICYHOLDER, THAT IF THE |
1536 | CORPORATION SUSTAINS A DEFICIT AS A RESULT OF |
1537 | HURRICANE LOSSES OR FOR ANY OTHER REASON, MY POLICY |
1538 | COULD BE SUBJECT TO CITIZENS POLICYHOLDER SURCHARGES, |
1539 | WHICH WOULD BE DUE AND PAYABLE UPON ISSUANCE, RENEWAL, |
1540 | CANCELLATION, OR TERMINATION OF THE POLICY, AND THAT |
1541 | THE SURCHARGES COULD BE AS HIGH AS 15 PERCENT OF MY |
1542 | PREMIUM FOR DEFICITS IN EACH OF THREE CITIZENS |
1543 | ACCOUNTS, OR A DIFFERENT AMOUNT AS ESTABLISHED BY THE |
1544 | FLORIDA LEGISLATURE. |
1545 | 2. I ALSO UNDERSTAND THAT I MAY BE SUBJECT TO |
1546 | EMERGENCY ASSESSMENTS TO THE SAME EXTENT AS |
1547 | POLICYHOLDERS OF OTHER INSURANCE COMPANIES. |
1548 | |
1549 | b. The corporation shall permanently maintain a signed |
1550 | copy of the signed acknowledgement required by this |
1551 | subparagraph, and the agent may also retain a copy. |
1552 | c. The signed acknowledgement form creates a conclusive |
1553 | presumption that the policyholder understood and accepted his or |
1554 | her potential surcharge and assessment liability as a Citizens |
1555 | policyholder. |
1556 | (d)1. All prospective employees for senior management |
1557 | positions, as defined by the plan of operation, are subject to |
1558 | background checks as a prerequisite for employment. The office |
1559 | shall conduct background checks on such prospective employees |
1560 | pursuant to ss. 624.34, 624.404(3), and 628.261. |
1561 | 2. On or before July 1 of each year, employees of the |
1562 | corporation are required to sign and submit a statement |
1563 | attesting that they do not have a conflict of interest, as |
1564 | defined in part III of chapter 112. As a condition of |
1565 | employment, all prospective employees are required to sign and |
1566 | submit to the corporation a conflict-of-interest statement. |
1567 | 3. Senior managers and members of the board of governors |
1568 | are subject to the provisions of part III of chapter 112, |
1569 | including, but not limited to, the code of ethics and public |
1570 | disclosure and reporting of financial interests, pursuant to s. |
1571 | 112.3145. Notwithstanding s. 112.3143(2), a board member may not |
1572 | vote upon any measure that would inure to his or her special |
1573 | private gain or loss; that he or she knows would inure to the |
1574 | special private gain or loss of any principal by whom he or she |
1575 | is retained or to the parent organization or subsidiary of a |
1576 | corporate principal by which he or she is retained, other than |
1577 | an agency as defined in s. 112.312(2); or that he or she knows |
1578 | would inure to the special private gain or loss of a relative or |
1579 | business associate of the public officer. Such member shall, |
1580 | prior to the vote being taken, publicly state to the assembly |
1581 | the nature of his or her interest in the matter from which he or |
1582 | she is abstaining from voting and, within 15 days after the vote |
1583 | occurs, disclose the nature of his or her interest as a public |
1584 | record in a memorandum filed with the person responsible for |
1585 | recording the minutes of the meeting, who shall incorporate the |
1586 | memorandum in the minutes. Senior managers and board members are |
1587 | also required to file such disclosures with the Commission on |
1588 | Ethics and the Office of Insurance Regulation. The executive |
1589 | director of the corporation or his or her designee shall notify |
1590 | each newly appointed and existing appointed member of the board |
1591 | of governors and senior managers of their duty to comply with |
1592 | the reporting requirements of part III of chapter 112. At least |
1593 | quarterly, the executive director or his or her designee shall |
1594 | submit to the Commission on Ethics a list of names of the senior |
1595 | managers and members of the board of governors who are subject |
1596 | to the public disclosure requirements under s. 112.3145. |
1597 | 4. Notwithstanding s. 112.3148 or s. 112.3149, or any |
1598 | other provision of law, an employee or board member may not |
1599 | knowingly accept, directly or indirectly, any gift or |
1600 | expenditure from a person or entity, or an employee or |
1601 | representative of such person or entity, that has a contractual |
1602 | relationship with the corporation or who is under consideration |
1603 | for a contract. An employee or board member who fails to comply |
1604 | with subparagraph 3. or this subparagraph is subject to |
1605 | penalties provided under ss. 112.317 and 112.3173. |
1606 | 5. Any senior manager of the corporation who is employed |
1607 | on or after January 1, 2007, regardless of the date of hire, who |
1608 | subsequently retires or terminates employment is prohibited from |
1609 | representing another person or entity before the corporation for |
1610 | 2 years after retirement or termination of employment from the |
1611 | corporation. |
1612 | 6. Any senior manager of the corporation who is employed |
1613 | on or after January 1, 2007, regardless of the date of hire, who |
1614 | subsequently retires or terminates employment is prohibited from |
1615 | having any employment or contractual relationship for 2 years |
1616 | with an insurer that has entered into a take-out bonus agreement |
1617 | with the corporation. |
1618 | |
1619 | |
1620 | |
1621 | |
1622 | |
1623 | |
1624 | |
1625 | |
1626 | |
1627 | |
1628 | |
1629 | |
1630 | |
1631 | |
1632 | |
1633 | |
1634 | |
1635 | |
1636 | |
1637 | |
1638 | |
1639 | |
1640 | |
1641 | |
1642 | |
1643 | |
1644 | |
1645 | |
1646 | |
1647 | |
1648 | |
1649 | |
1650 | |
1651 | |
1652 | |
1653 | |
1654 | |
1655 | |
1656 | (y) |
1657 | Legislature recognizes that both the Florida Windstorm |
1658 | Underwriting Association and the Residential Property and |
1659 | Casualty Joint Underwriting Association have entered into |
1660 | financing arrangements that obligate each entity to service its |
1661 | debts and maintain the capacity to repay funds secured under |
1662 | these financing arrangements. It is the intent of the |
1663 | Legislature that nothing in this section be construed to |
1664 | compromise, diminish, or interfere with the rights of creditors |
1665 | under such financing arrangements. It is further the intent of |
1666 | the Legislature to preserve the obligations of the Florida |
1667 | Windstorm Underwriting Association and Residential Property and |
1668 | Casualty Joint Underwriting Association with regard to |
1669 | outstanding financing arrangements, with such obligations |
1670 | passing entirely and unchanged to the corporation and, |
1671 | specifically, to the applicable account of the corporation. So |
1672 | long as any bonds, notes, indebtedness, or other financing |
1673 | obligations of the Florida Windstorm Underwriting Association or |
1674 | the Residential Property and Casualty Joint Underwriting |
1675 | Association are outstanding, under the terms of the financing |
1676 | documents pertaining to them, the governing board of the |
1677 | corporation shall have and shall exercise the authority to levy, |
1678 | charge, collect, and receive all premiums, assessments, |
1679 | surcharges, charges, revenues, and receipts that the |
1680 | associations had authority to levy, charge, collect, or receive |
1681 | under the provisions of subsection (2) and this subsection, |
1682 | respectively, as they existed on January 1, 2002, to provide |
1683 | moneys, without exercise of the authority provided by this |
1684 | subsection, in at least the amounts, and by the times, as would |
1685 | be provided under those former provisions of subsection (2) or |
1686 | this subsection, respectively, so that the value, amount, and |
1687 | collectability of any assets, revenues, or revenue source |
1688 | pledged or committed to, or any lien thereon securing such |
1689 | outstanding bonds, notes, indebtedness, or other financing |
1690 | obligations will not be diminished, impaired, or adversely |
1691 | affected by the amendments made by this act and to permit |
1692 | compliance with all provisions of financing documents pertaining |
1693 | to such bonds, notes, indebtedness, or other financing |
1694 | obligations, or the security or credit enhancement for them, and |
1695 | any reference in this subsection to bonds, notes, indebtedness, |
1696 | financing obligations, or similar obligations, of the |
1697 | corporation shall include like instruments or contracts of the |
1698 | Florida Windstorm Underwriting Association and the Residential |
1699 | Property and Casualty Joint Underwriting Association to the |
1700 | extent not inconsistent with the provisions of the financing |
1701 | documents pertaining to them. |
1702 | (z) |
1703 | flood insurance as a condition of coverage if the insured or |
1704 | applicant executes a form approved by the office affirming that |
1705 | flood insurance is not provided by the corporation and that if |
1706 | flood insurance is not secured by the applicant or insured in |
1707 | addition to coverage by the corporation, the risk will not be |
1708 | covered for flood damage. A corporation policyholder electing |
1709 | not to secure flood insurance and executing a form as provided |
1710 | herein making a claim for water damage against the corporation |
1711 | shall have the burden of proving the damage was not caused by |
1712 | flooding. Notwithstanding other provisions of this subsection, |
1713 | the corporation may deny coverage to an applicant or insured who |
1714 | refuses to execute the form described herein. |
1715 | (aa) |
1716 | performs policy administration services subsequent to the |
1717 | effectuation of a corporation policy is not required to be |
1718 | licensed as an agent under the provisions of s. 626.112. |
1719 | (bb) |
1720 | a report to the President of the Senate, the Speaker of the |
1721 | House of Representatives, the minority party leaders of the |
1722 | Senate and the House of Representatives, and the chairs of the |
1723 | standing committees of the Senate and the House of |
1724 | Representatives having jurisdiction over matters relating to |
1725 | property and casualty insurance. In preparing the report, the |
1726 | corporation shall consult with the Office of Insurance |
1727 | Regulation, the Department of Financial Services, and any other |
1728 | party the corporation determines appropriate. The report must |
1729 | include all findings and recommendations on the feasibility of |
1730 | requiring authorized insurers that issue and service personal |
1731 | and commercial residential policies and commercial |
1732 | nonresidential policies that provide coverage for basic property |
1733 | perils except for the peril of wind to issue and service for a |
1734 | fee personal and commercial residential policies and commercial |
1735 | nonresidential policies providing coverage for the peril of wind |
1736 | issued by the corporation. The report must include: |
1737 | 1. The expense savings to the corporation of issuing and |
1738 | servicing such policies as determined by a cost-benefit |
1739 | analysis. |
1740 | 2. The expenses and liability to authorized insurers |
1741 | associated with issuing and servicing such policies. |
1742 | 3. The effect on service to policyholders of the |
1743 | corporation relating to issuing and servicing such policies. |
1744 | 4. The effect on the producing agent of the corporation of |
1745 | issuing and servicing such policies. |
1746 | 5. Recommendations as to the amount of the fee which |
1747 | should be paid to authorized insurers for issuing and servicing |
1748 | such policies. |
1749 | 6. The effect that issuing and servicing such policies |
1750 | will have on the corporation's number of policies, total insured |
1751 | value, and probable maximum loss. |
1752 | (cc) |
1753 | no cause of action of any nature shall arise against, producing |
1754 | agents of record of the corporation or employees of such agents |
1755 | for insolvency of any take-out insurer. |
1756 | (dd) |
1757 | managed by the State Board of Administration. |
1758 | (ee) |
1759 | optional sinkhole coverage in one or more counties or other |
1760 | territories of the corporation for the purpose of implementing |
1761 | s. 627.706, as amended by s. 30, chapter 2007-1, Laws of |
1762 | Florida. Under the pilot program, the corporation is not |
1763 | required to issue a notice of nonrenewal to exclude sinkhole |
1764 | coverage upon the renewal of existing policies, but may exclude |
1765 | such coverage using a notice of coverage change. |
1766 | Section 10. The Division of Statutory Revision shall |
1767 | prepare a reviser's bill for introduction at the next regular |
1768 | session of the Legislature to change the term "high-risk |
1769 | account" to "coastal account" in s. 627.351(6), Florida |
1770 | Statutes. |
1771 | Section 11. Paragraph (b) of subsection (2) of section |
1772 | 627.4133, Florida Statutes, is amended to read: |
1773 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
1774 | premium.- |
1775 | (2) With respect to any personal lines or commercial |
1776 | residential property insurance policy, including, but not |
1777 | limited to, any homeowner's, mobile home owner's, farmowner's, |
1778 | condominium association, condominium unit owner's, apartment |
1779 | building, or other policy covering a residential structure or |
1780 | its contents: |
1781 | (b) The insurer shall give the named insured written |
1782 | notice of nonrenewal, cancellation, or termination at least 100 |
1783 | days prior to the effective date of the nonrenewal, |
1784 | cancellation, or termination. However, the insurer shall give at |
1785 | least 100 days' written notice, or written notice by June 1, |
1786 | whichever is earlier, for any nonrenewal, cancellation, or |
1787 | termination that would be effective between June 1 and November |
1788 | 30. The notice must include the reason or reasons for the |
1789 | nonrenewal, cancellation, or termination, except that: |
1790 | 1. The insurer shall give the named insured written notice |
1791 | of nonrenewal, cancellation, or termination at least 180 days |
1792 | prior to the effective date of the nonrenewal, cancellation, or |
1793 | termination for a named insured whose residential structure has |
1794 | been insured by that insurer or an affiliated insurer for at |
1795 | least a 5-year period immediately prior to the date of the |
1796 | written notice. |
1797 | 2. When cancellation is for nonpayment of premium, at |
1798 | least 10 days' written notice of cancellation accompanied by the |
1799 | reason therefor shall be given. As used in this subparagraph, |
1800 | the term "nonpayment of premium" means failure of the named |
1801 | insured to discharge when due any of her or his obligations in |
1802 | connection with the payment of premiums on a policy or any |
1803 | installment of such premium, whether the premium is payable |
1804 | directly to the insurer or its agent or indirectly under any |
1805 | premium finance plan or extension of credit, or failure to |
1806 | maintain membership in an organization if such membership is a |
1807 | condition precedent to insurance coverage. "Nonpayment of |
1808 | premium" also means the failure of a financial institution to |
1809 | honor an insurance applicant's check after delivery to a |
1810 | licensed agent for payment of a premium, even if the agent has |
1811 | previously delivered or transferred the premium to the insurer. |
1812 | If a dishonored check represents the initial premium payment, |
1813 | the contract and all contractual obligations shall be void ab |
1814 | initio unless the nonpayment is cured within the earlier of 5 |
1815 | days after actual notice by certified mail is received by the |
1816 | applicant or 15 days after notice is sent to the applicant by |
1817 | certified mail or registered mail, and if the contract is void, |
1818 | any premium received by the insurer from a third party shall be |
1819 | refunded to that party in full. |
1820 | 3. When such cancellation or termination occurs during the |
1821 | first 90 days during which the insurance is in force and the |
1822 | insurance is canceled or terminated for reasons other than |
1823 | nonpayment of premium, at least 20 days' written notice of |
1824 | cancellation or termination accompanied by the reason therefor |
1825 | shall be given except where there has been a material |
1826 | misstatement or misrepresentation or failure to comply with the |
1827 | underwriting requirements established by the insurer. |
1828 | 4. The requirement for providing written notice of |
1829 | nonrenewal by June 1 of any nonrenewal that would be effective |
1830 | between June 1 and November 30 does not apply to the following |
1831 | situations, but the insurer remains subject to the requirement |
1832 | to provide such notice at least 100 days prior to the effective |
1833 | date of nonrenewal: |
1834 | a. A policy that is nonrenewed due to a revision in the |
1835 | coverage for sinkhole losses and catastrophic ground cover |
1836 | collapse pursuant to s. 627.706, as amended by s. 30, chapter |
1837 | 2007-1, Laws of Florida. |
1838 | b. A policy that is nonrenewed by Citizens Property |
1839 | Insurance Corporation, pursuant to s. 627.351(6), for a policy |
1840 | that has been assumed by an authorized insurer offering |
1841 | replacement or renewal coverage to the policyholder. |
1842 | 5. Notwithstanding any other provision of law, an insurer |
1843 | may cancel or nonrenew a property insurance policy upon a |
1844 | minimum of 45 days' notice if the office finds that the early |
1845 | cancellation of some or all of the insurer's policies is |
1846 | necessary to protect the best interests of the public or |
1847 | policyholders and the office approves the insurer's plan for |
1848 | early cancellation or nonrenewal of some or all of its policies. |
1849 | The office may base such a finding upon the financial condition |
1850 | of the insurer, lack of adequate reinsurance coverage for |
1851 | hurricane risk, or other relevant factors. The office may |
1852 | condition its finding on the consent of the insurer to be placed |
1853 | in administrative supervision pursuant to s. 624.81 or consent |
1854 | to the appointment of a receiver under chapter 631. |
1855 | 6. Citizens Property Insurance Corporation shall give the |
1856 | named insured written notice of nonrenewal, cancellation, or |
1857 | termination at least 45 days before the effective date of the |
1858 | nonrenewal, cancellation, or termination if the policy being |
1859 | nonrenewed, canceled, or terminated has been assumed by an |
1860 | authorized insurer offering coverage to the policyholder. |
1861 | |
1862 | After the policy has been in effect for 90 days, the policy |
1863 | shall not be canceled by the insurer except when there has been |
1864 | a material misstatement, a nonpayment of premium, a failure to |
1865 | comply with underwriting requirements established by the insurer |
1866 | within 90 days of the date of effectuation of coverage, or a |
1867 | substantial change in the risk covered by the policy or when the |
1868 | cancellation is for all insureds under such policies for a given |
1869 | class of insureds. This paragraph does not apply to individually |
1870 | rated risks having a policy term of less than 90 days. |
1871 | Section 12. Section 627.41341, Florida Statutes, is |
1872 | created to read: |
1873 | 627.41341 Notice of change in policy terms.- |
1874 | (1) As used in this section, the term: |
1875 | (a) "Change in policy terms" means the modification, |
1876 | addition, or deletion of any term, coverage, duty, or condition |
1877 | from the prior policy. The correction of typographical or |
1878 | scrivener's errors or the application of mandated legislative |
1879 | changes is not a change in policy terms. |
1880 | (b) "Policy" means a written contract of personal lines |
1881 | insurance or a written agreement for or effecting insurance, or |
1882 | the certificate of such insurance, by whatever name called, and |
1883 | includes all clauses, riders, endorsements, and papers which are |
1884 | a part of such policy. The term "policy" does not include a |
1885 | binder as defined in s. 627.420 unless the duration of the |
1886 | binder period exceeds 60 days. |
1887 | (c) "Renewal" means the issuance and delivery by an |
1888 | insurer of a policy superseding at the end of the policy period |
1889 | a policy previously issued and delivered by the same insurer or |
1890 | the issuance and delivery of a certificate or notice extending |
1891 | the term of a policy beyond its policy period or term. Any |
1892 | policy with a policy period or term of less than 6 months or any |
1893 | policy with no fixed expiration date shall for the purpose of |
1894 | this section be considered as if written for successive policy |
1895 | periods or terms of 6 months. |
1896 | (2) A renewal policy may contain a change in policy terms. |
1897 | If a renewal policy contains a change in policy terms, the |
1898 | insurer shall give the named insured a written notice of change |
1899 | in policy terms that shall be enclosed with the written notice |
1900 | of renewal premium required by ss. 627.4133 and 627.728. The |
1901 | notice shall be entitled "Notice of Change in Policy Terms." |
1902 | (3) Although not required, United States Postal Service |
1903 | proof of mailing or registered mailing of the notice of change |
1904 | in policy terms to the named insured at the address shown in the |
1905 | policy shall be sufficient proof of notice. |
1906 | (4) Receipt of payment of the premium for the renewal |
1907 | policy by the insurer shall be deemed to be acceptance of the |
1908 | new policy terms by the named insured. |
1909 | (5) If an insurer fails to provide the notice of change in |
1910 | policy terms required under subsection (2), the original policy |
1911 | terms shall remain in effect until the next renewal and the |
1912 | proper service of the notice of change in policy terms or until |
1913 | the effective date of replacement coverage obtained by the named |
1914 | insured, whichever occurs first. |
1915 | (6) The intent of this section is to: |
1916 | (a) Allow an insurer to make a change in policy terms |
1917 | without nonrenewing policyholders that the insurer wishes to |
1918 | continue insuring. |
1919 | (b) Alleviate the concern and confusion to the |
1920 | policyholders caused by the required policy nonrenewal for the |
1921 | limited issue when an insurer intends to renew the insurance |
1922 | policy but the new policy contains a change in policy terms. |
1923 | (c) Encourage policyholders to discuss their coverages |
1924 | with their insurance agent. |
1925 | Section 13. Subsections (1), (3), (4), and (5) of section |
1926 | 627.7011, Florida Statutes, are amended to read: |
1927 | 627.7011 Homeowners' policies; offer of replacement cost |
1928 | coverage and law and ordinance coverage.- |
1929 | (1) Before |
1930 | insurance policy |
1931 | |
1932 | |
1933 | (a) A policy or endorsement providing that any loss which |
1934 | is repaired or replaced will be adjusted on the basis of |
1935 | replacement costs not exceeding policy limits as to the |
1936 | dwelling, rather than actual cash value, but not including costs |
1937 | necessary to meet applicable laws and ordinances regulating the |
1938 | construction, use, or repair of any property or requiring the |
1939 | tearing down of any property, including the costs of removing |
1940 | debris. |
1941 | (b) A policy or endorsement providing that, subject to |
1942 | other policy provisions, any loss which is repaired or replaced |
1943 | at any location will be adjusted on the basis of replacement |
1944 | costs not exceeding policy limits as to the dwelling, rather |
1945 | than actual cash value, and also including costs necessary to |
1946 | meet applicable laws and ordinances regulating the construction, |
1947 | use, or repair of any property or requiring the tearing down of |
1948 | any property, including the costs of removing debris; however, |
1949 | such additional costs necessary to meet applicable laws and |
1950 | ordinances may be limited to either 25 percent or 50 percent of |
1951 | the dwelling limit, as selected by the policyholder, and such |
1952 | coverage shall apply only to repairs of the damaged portion of |
1953 | the structure unless the total damage to the structure exceeds |
1954 | 50 percent of the replacement cost of the structure. |
1955 | |
1956 | An insurer is not required to make the offers required by this |
1957 | subsection with respect to the issuance or renewal of a |
1958 | homeowner's policy that contains the provisions specified in |
1959 | paragraph (b) for law and ordinance coverage limited to 25 |
1960 | percent of the dwelling limit, except that the insurer must |
1961 | offer the law and ordinance coverage limited to 50 percent of |
1962 | the dwelling limit. This subsection does not prohibit the offer |
1963 | of a guaranteed replacement cost policy. |
1964 | (3)(a) If |
1965 | dwelling |
1966 | replacement costs, the insurer shall initially pay at least the |
1967 | actual cash value of the loss and shall pay the actual cash |
1968 | value of the insured loss, less any applicable deductible. In |
1969 | order to receive payment from an insurer under this paragraph, a |
1970 | policyholder must enter into a contract for the performance of |
1971 | building and structural repairs. The insurer shall pay any |
1972 | remaining amounts necessary to perform such repairs as work is |
1973 | performed and expenses are incurred. Other than incidental |
1974 | expenses to mitigate further damage, the insurer or any |
1975 | contractor or subcontractor may not require the policyholder to |
1976 | advance payment for such repairs or expenses. The insurer may |
1977 | waive the requirement for a contract under this paragraph |
1978 | |
1979 | |
1980 | |
1981 | (b) If a loss occurs for which personal property is |
1982 | insured on the basis of replacement costs, the insurer may limit |
1983 | an initial payment to 50 percent of the replacement cost value |
1984 | of the personal property to be replaced, less any applicable |
1985 | deductible. An insurer may require an insured to provide the |
1986 | receipts for purchases of property financed by the initial 50- |
1987 | percent payment required by this paragraph, and the insurer |
1988 | shall use such receipts to make any remaining payments requested |
1989 | by the insured for the replacement of remaining insured personal |
1990 | property. If a total loss occurs, the insurer shall pay the |
1991 | replacement cost for content coverage without reservation or |
1992 | holdback of any depreciation in value. The insurer may not |
1993 | require the policyholder to advance payment for the replaced |
1994 | property. |
1995 | (4) A |
1996 | |
1997 | smaller than 18 points the following statement: |
1998 | |
1999 | "LAW AND ORDINANCE COVERAGE IS AN IMPORTANT COVERAGE |
2000 | THAT YOU MAY WISH TO PURCHASE. YOU MAY ALSO NEED TO |
2001 | CONSIDER THE PURCHASE OF FLOOD INSURANCE FROM THE |
2002 | NATIONAL FLOOD INSURANCE PROGRAM. WITHOUT THIS |
2003 | COVERAGE, YOU MAY HAVE UNCOVERED LOSSES. PLEASE |
2004 | DISCUSS THESE COVERAGES WITH YOUR INSURANCE AGENT." |
2005 | |
2006 | The intent of this subsection is to encourage policyholders to |
2007 | purchase sufficient coverage to protect them in case events |
2008 | excluded from the standard homeowners policy, such as law and |
2009 | ordinance enforcement and flood, combine with covered events to |
2010 | produce damage or loss to the insured property. The intent is |
2011 | also to encourage policyholders to discuss these issues with |
2012 | their insurance agent. |
2013 | (5) |
2014 | apply to policies not considered to be "homeowners' policies," |
2015 | as that term is commonly understood in the insurance industry. |
2016 | This section specifically does not apply to mobile home |
2017 | policies. |
2018 | |
2019 | nonrenew any insured or applicant on the grounds that the |
2020 | structure does not meet underwriting criteria applicable to |
2021 | replacement cost or law and ordinance policies or for other |
2022 | lawful reasons. |
2023 | Section 14. Paragraph (a) of subsection (5) of section |
2024 | 627.70131, Florida Statutes, is amended to read: |
2025 | 627.70131 Insurer's duty to acknowledge communications |
2026 | regarding claims; investigation.- |
2027 | (5)(a) Within 90 days after an insurer receives notice of |
2028 | an initial or supplemental |
2029 | policyholder, the insurer shall pay or deny such claim or a |
2030 | portion of the claim unless the failure to pay such claim or a |
2031 | portion of the claim is caused by factors beyond the control of |
2032 | the insurer which reasonably prevent such payment. Any payment |
2033 | of an initial or supplemental |
2034 | made |
2035 | claim, or made |
2036 | factors beyond the control of the insurer which reasonably |
2037 | prevented such payment, whichever is later, shall bear interest |
2038 | at the rate set forth in s. 55.03. Interest begins to accrue |
2039 | from the date the insurer receives notice of the claim. The |
2040 | provisions of this subsection may not be waived, voided, or |
2041 | nullified by the terms of the insurance policy. If there is a |
2042 | right to prejudgment interest, the insured shall select whether |
2043 | to receive prejudgment interest or interest under this |
2044 | subsection. Interest is payable when the claim or portion of the |
2045 | claim is paid. Failure to comply with this subsection |
2046 | constitutes a violation of this code. However, failure to comply |
2047 | with this subsection shall not form the sole basis for a private |
2048 | cause of action. |
2049 | Section 15. Effective January 1, 2011, section 627.7031, |
2050 | Florida Statutes, is created to read: |
2051 | 627.7031 Residential property insurance option.- |
2052 | (1) An insurer holding a certificate of authority to write |
2053 | property insurance in this state may offer or renew policies at |
2054 | rates established in accordance with s. 627.062(2)(l), subject |
2055 | to all of the requirements and prohibitions of this section. |
2056 | (2) An insurer offering or renewing policies at rates |
2057 | established in accordance with s. 627.062(2)(l) may not purchase |
2058 | coverage from the Florida Hurricane Catastrophe Fund under the |
2059 | temporary increase in coverage limit option under s. |
2060 | 215.555(17). |
2061 | (3)(a) Before the effective date of a newly issued policy |
2062 | at rates established in accordance with s. 627.062(2)(l) or |
2063 | before the effective date of a renewal policy at rates |
2064 | established in accordance with s. 627.062(2)(l), the applicant |
2065 | or insured must be given the following notice, printed in at |
2066 | least 12-point boldfaced type: |
2067 | |
2068 | THE RATE FOR THIS POLICY IS NOT SUBJECT TO FULL RATE |
2069 | REGULATION BY THE FLORIDA OFFICE OF INSURANCE REGULATION AND MAY |
2070 | BE HIGHER THAN RATES APPROVED BY THAT OFFICE. A RESIDENTIAL |
2071 | PROPERTY POLICY SUBJECT TO FULL RATE REGULATION REQUIREMENTS MAY |
2072 | BE AVAILABLE FROM THIS INSURER, ANOTHER INSURER, OR CITIZENS |
2073 | PROPERTY INSURANCE CORPORATION. PLEASE DISCUSS YOUR POLICY |
2074 | OPTIONS WITH AN INSURANCE AGENT WHO CAN PROVIDE A CITIZENS |
2075 | QUOTE. YOU MAY WISH TO VIEW THE OFFICE OF INSURANCE REGULATION'S |
2076 | WEBSITE AT WWW.SHOPANDCOMPARERATES.COM FOR MORE INFORMATION |
2077 | ABOUT CHOICES AVAILABLE TO YOU. |
2078 | |
2079 | (b) For policies renewed at a rate established in |
2080 | accordance with s. 627.062(2)(l), the notice described in |
2081 | paragraph (a) must be provided in writing at the same time as |
2082 | the renewal notice on a document separate from the renewal |
2083 | notice, but may be contained within the same mailing as the |
2084 | renewal notice. |
2085 | (4) Before the effective date of a newly issued policy at |
2086 | rates established in accordance with s. 627.062(2)(l), or before |
2087 | the effective date of the first renewal at rates established in |
2088 | accordance with s. 627.062(2)(l) of a policy originally issued |
2089 | before the effective date of this section, the applicant or |
2090 | insured must: |
2091 | (a) Be provided or offered, for comparison purposes, an |
2092 | estimate of the premium for a policy from Citizens Property |
2093 | Insurance Corporation reflecting substantially similar |
2094 | coverages, limits, and deductibles to the extent available. |
2095 | (b) Provide the insurer or agent with a signed copy of the |
2096 | following acknowledgement form, which must be retained by the |
2097 | insurer or agent for at least 3 years. If the acknowledgement |
2098 | form is signed by the insured or if the insured remits payment |
2099 | in the amount of the rate established in accordance with s. |
2100 | 627.062(2)(l) after being mailed, otherwise provided, or offered |
2101 | the comparison specified in paragraph (a), an insurer renewing a |
2102 | policy at such rate shall be deemed to comply with this section, |
2103 | and it is presumed that the insured has been informed and |
2104 | understands the information contained in the comparison and |
2105 | acknowledgement forms: |
2106 | |
2107 | |
2108 | 1. I HAVE REVIEWED THE REQUIRED DISCLOSURES AND THE |
2109 | REQUIRED PREMIUM COMPARISON. |
2110 | 2. I UNDERSTAND THAT THE RATE FOR THIS RESIDENTIAL |
2111 | PROPERTY INSURANCE POLICY IS NOT SUBJECT TO FULL RATE REGULATION |
2112 | BY THE FLORIDA OFFICE OF INSURANCE REGULATION AND MAY BE HIGHER |
2113 | THAN RATES APPROVED BY THAT OFFICE. |
2114 | 3. I UNDERSTAND THAT A RESIDENTIAL PROPERTY INSURANCE |
2115 | POLICY SUBJECT TO FULL RATE REGULATION REQUIREMENTS MAY BE |
2116 | AVAILABLE FROM CITIZENS PROPERTY INSURANCE CORPORATION. |
2117 | 4. I UNDERSTAND THAT THE FLORIDA OFFICE OF INSURANCE |
2118 | REGULATION'S WEBSITE WWW.SHOPANDCOMPARERATES.COM CONTAINS |
2119 | RESIDENTIAL PROPERTY INSURANCE RATE COMPARISON INFORMATION. |
2120 | 5. I UNDERSTAND THAT IF CITIZENS PROPERTY INSURANCE |
2121 | CORPORATION INCURS A DEFICIT BECAUSE OF HURRICANE LOSSES OR |
2122 | OTHER LOSSES, I MAY BE REQUIRED TO PAY AN ASSESSMENT BASED UPON |
2123 | THE PREMIUM FOR THIS POLICY AND THAT A POLICYHOLDER OF CITIZENS |
2124 | PROPERTY INSURANCE CORPORATION MAY BE REQUIRED TO PAY A |
2125 | DIFFERENT ASSESSMENT. |
2126 | |
2127 | (5) The following types of residential property insurance |
2128 | policies are not eligible for rates established in accordance |
2129 | with s. 627.062(2)(l) and are not subject to the other |
2130 | provisions of this section: |
2131 | (a) Residential property insurance policies that exclude |
2132 | coverage for the perils of windstorm or hurricane. |
2133 | (b) Residential property insurance policies that are |
2134 | subject to a consent decree, agreement, understanding, or other |
2135 | arrangement between the insurer and the office relating to rates |
2136 | or premiums for policies removed from Citizens Property |
2137 | Insurance Corporation. |
2138 | (6) Notwithstanding s. 627.4133, an insurer that has |
2139 | issued a policy under this section shall provide the named |
2140 | insured written notice of nonrenewal at least 180 days before |
2141 | the effective date of the nonrenewal as to subsequent |
2142 | nonrenewals. However, this subsection does not prohibit an |
2143 | insurer from canceling a policy as permitted under s. 627.4133. |
2144 | The offer of a policy at rates authorized by this section |
2145 | constitutes an offer to renew the policy at the rates specified |
2146 | in the offer and does not constitute a nonrenewal. |
2147 | Section 16. Effective June 1, 2010, and applying only to |
2148 | insurance claims made on or after that date, subsection (1), |
2149 | paragraph (b) of subsection (2), and subsections (5), (7), and |
2150 | (8) of section 627.707, Florida Statutes, are amended to read: |
2151 | 627.707 Standards for investigation of sinkhole claims by |
2152 | insurers; nonrenewals.-Upon receipt of a claim for a sinkhole |
2153 | loss, an insurer must meet the following standards in |
2154 | investigating a claim: |
2155 | (1) The insurer must make an inspection of the insured's |
2156 | premises to determine if there has been physical damage to the |
2157 | structure which is consistent with |
2158 | loss |
2159 | (2) Following the insurer's initial inspection, the |
2160 | insurer shall engage a professional engineer or a professional |
2161 | geologist to conduct testing as provided in s. 627.7072 to |
2162 | determine the cause of the loss within a reasonable professional |
2163 | probability and issue a report as provided in s. 627.7073, if: |
2164 | (b) The policyholder demands testing in accordance with |
2165 | this section or s. 627.7072 and coverage under the policy is |
2166 | available if sinkhole loss is verified. |
2167 | (5)(a) Subject to paragraph (b), if a sinkhole loss is |
2168 | verified, the insurer shall pay to stabilize the land and |
2169 | building and repair the foundation in accordance with the |
2170 | recommendations of the professional engineer as provided under |
2171 | s. 627.7073, with notice to |
2172 | policyholder, subject to the coverage and terms of the policy. |
2173 | The insurer shall pay for other repairs to the structure and |
2174 | contents in accordance with the terms of the policy. |
2175 | (b)1. After a |
2176 | |
2177 | |
2178 | |
2179 | policyholder enters into a contract for the performance of |
2180 | building stabilization or foundation repairs, the claim shall be |
2181 | paid up to the full cost of the stabilization or foundation |
2182 | repairs and up to full replacement cost for above-ground repairs |
2183 | as set forth in this paragraph, less the insured's deductible. |
2184 | After the policyholder enters into a contract for the |
2185 | performance of building stabilization or foundation repairs in |
2186 | accordance with the recommendations set forth in s. 627.7073, |
2187 | the insurer may: |
2188 | a. Limit its initial payment to 10 percent of the |
2189 | estimated costs to implement the building stabilization and |
2190 | foundation repairs. |
2191 | b. Limit its initial payment to the actual cash value of |
2192 | the sinkhole loss for above-ground repairs to the structure. |
2193 | 2. However, after the policyholder enters into the |
2194 | contract for the performance of building stabilization or |
2195 | foundation repairs, the insurer shall pay the amounts necessary |
2196 | to |
2197 | is performed and the expenses are incurred. Final payments for |
2198 | the structural or building stabilization and foundation repair |
2199 | work shall be remitted after such work is complete and finished |
2200 | in accordance with the terms of the policy and the report's |
2201 | recommendations and after final bills or receipts have been |
2202 | submitted to the insurer. The insurer may not require the |
2203 | policyholder to advance payment for such repairs. If repair |
2204 | covered by a personal lines residential property insurance |
2205 | policy has begun and the professional engineer selected or |
2206 | approved by the insurer determines that the repair cannot be |
2207 | completed within the policy limits, the insurer must either |
2208 | complete the professional engineer's recommended repair or |
2209 | tender the policy limits to the policyholder without a reduction |
2210 | for the repair expenses incurred. |
2211 | (c) The policyholder shall enter into such contract for |
2212 | repairs within 90 days after the insurance company approves |
2213 | coverage for a sinkhole loss to prevent additional damage to the |
2214 | building or structure. The 90-day time period may be extended |
2215 | for an additional reasonable time period if the policyholder is |
2216 | unable to find a qualified person or entity to contract for such |
2217 | repairs within the 90-day time period based upon factors beyond |
2218 | the policyholder's control or the policyholder is actively |
2219 | seeking to retain a professional engineer or geologist as |
2220 | provided in s. 627.7073(1)(c). This time period is tolled if |
2221 | either party invokes neutral evaluation. |
2222 | (d) The stabilization and all other repairs to the |
2223 | structure and contents must be completed within 12 months after |
2224 | entering into the contract for repairs as described in paragraph |
2225 | (c) unless: |
2226 | 1. There is a mutual agreement between the insurer and the |
2227 | insured; |
2228 | 2. The stabilization and all other repairs cannot be |
2229 | completed due to factors beyond the control of the insured which |
2230 | reasonably prevent completion; |
2231 | 3. The claim is involved with the neutral evaluation |
2232 | process under s. 627.7074; |
2233 | 4. The claim is in litigation; or |
2234 | 5. The claim is under appraisal. |
2235 | (e) |
2236 | of the policyholder and any lienholder, the insurer may make |
2237 | payment directly to the persons selected by the policyholder to |
2238 | perform the land and building stabilization and foundation |
2239 | repairs. The decision by the insurer to make payment to such |
2240 | persons does not hold the insurer liable for the work performed. |
2241 | (7) If the insurer obtains, pursuant to s. 627.7073, |
2242 | written certification that there is no sinkhole loss |
2243 | |
2244 | policyholder has submitted the sinkhole claim without good faith |
2245 | grounds for submitting such claim, the policyholder shall |
2246 | reimburse the insurer for 50 percent of the actual costs of the |
2247 | analyses and services provided under ss. 627.7072 and 627.7073; |
2248 | however, a policyholder is not required to reimburse an insurer |
2249 | more than $2,500 with respect to any claim. A policyholder is |
2250 | required to pay reimbursement under this subsection only if the |
2251 | insurer, prior to ordering the analysis under s. 627.7072, |
2252 | informs the policyholder in writing of the policyholder's |
2253 | potential liability for reimbursement and gives the policyholder |
2254 | the opportunity to withdraw the claim. |
2255 | (8) An |
2256 | property insurance on the basis of filing of claims for partial |
2257 | loss caused by sinkhole damage or clay shrinkage as long as the |
2258 | total of such payments does not exceed the |
2259 | of coverage for property damage for the policy in effect on the |
2260 | date of the loss, or |
2261 | structure in accordance with the engineering recommendations |
2262 | upon which any payment or policy proceeds were based. |
2263 | Section 17. Effective June 1, 2010, and applying only to |
2264 | insurance claims made on or after that date, section 627.7072, |
2265 | Florida Statutes, is amended to read: |
2266 | 627.7072 Testing standards for sinkholes.- |
2267 | (1) The professional engineer and professional geologist |
2268 | shall perform such tests as sufficient, in their professional |
2269 | opinion, to determine the presence or absence of sinkhole loss |
2270 | or other cause of damage within reasonable professional |
2271 | probability and for the professional engineer to make |
2272 | recommendations regarding necessary building stabilization and |
2273 | foundation repair. |
2274 | (2) The professional engineer and professional geologist |
2275 | shall perform tests under this section in accordance with |
2276 | Florida Geological Survey Special Publication 57 to determine |
2277 | the presence or absence of sinkhole loss or other cause of |
2278 | damage within a reasonable professional probability. |
2279 | Section 18. Effective June 1, 2010, and applying only to |
2280 | insurance claims made on or after that date, section 627.7073, |
2281 | Florida Statutes, is amended to read: |
2282 | 627.7073 Sinkhole reports.- |
2283 | (1) Upon completion of testing as provided in s. 627.7072, |
2284 | the professional engineer or professional geologist shall issue |
2285 | a report and certification to the insurer, with an additional |
2286 | copy and certification for the insurer to forward to |
2287 | policyholder as provided in this section. |
2288 | (a) Sinkhole loss is verified if, based upon tests |
2289 | performed in accordance with s. 627.7072, a professional |
2290 | engineer or a professional geologist issues a written report and |
2291 | certification stating: |
2292 | 1. That the cause of the actual physical and structural |
2293 | damage is sinkhole activity within a reasonable professional |
2294 | probability. |
2295 | 2. That the analyses conducted were of sufficient scope to |
2296 | identify sinkhole activity as the cause of damage within a |
2297 | reasonable professional probability. |
2298 | 3. A description of the tests performed. |
2299 | 4. A recommendation by the professional engineer of |
2300 | methods for stabilizing the land and building and for making |
2301 | repairs to the foundation. |
2302 | (b) If sinkhole activity is eliminated as the cause of |
2303 | damage to the structure, the professional engineer or |
2304 | professional geologist shall issue a written report and |
2305 | certification to the policyholder and the insurer stating: |
2306 | 1. That the cause of the damage is not sinkhole activity |
2307 | within a reasonable professional probability. |
2308 | 2. That the analyses and tests conducted were of |
2309 | sufficient scope to eliminate sinkhole activity as the cause of |
2310 | damage within a reasonable professional probability. |
2311 | 3. A statement of the cause of the damage within a |
2312 | reasonable professional probability. |
2313 | 4. A description of the tests performed. |
2314 | (c) If the policyholder disagrees with the findings, |
2315 | opinions, or recommendations of the professional engineer or |
2316 | professional geologist engaged by the insurer, the policyholder |
2317 | may engage a professional engineer or professional geologist, at |
2318 | the policyholder's expense, to conduct testing under s. 627.7072 |
2319 | and to render findings, opinions, and recommendations as to the |
2320 | cause of distress to the property and the appropriate method of |
2321 | land and building stabilization and foundation repair and |
2322 | certify such findings, opinions, and recommendations in a report |
2323 | that meets the requirements of this section and forward a copy |
2324 | of the report to the insurer. Unless the policyholder engages a |
2325 | professional engineer or professional geologist as described in |
2326 | this paragraph who disputes the findings of the insurer's |
2327 | engineer or geologist, the respective findings, opinions, and |
2328 | recommendations of the professional engineer or professional |
2329 | geologist as to the cause of distress to the property and the |
2330 | findings, opinions, and recommendations of the insurer's |
2331 | professional engineer as to land and building stabilization and |
2332 | foundation repair as required by s. 627.707(2), shall be |
2333 | presumed correct, which presumption shall shift the burden of |
2334 | proof under s. 90.304. |
2335 | (2)(a) Any insurer that has paid a claim for a sinkhole |
2336 | loss shall file a copy of the report and certification, prepared |
2337 | pursuant to subsection (1), including the legal description of |
2338 | the real property, |
2339 | amount paid by the insurer, with the county clerk of court, who |
2340 | shall record the report and certification. The insurer shall |
2341 | also file a copy of any report prepared on behalf of the insured |
2342 | or the insured's representative that has been provided to the |
2343 | insurer that indicates that sinkhole loss caused the damage |
2344 | claimed. The insurer shall bear the cost of filing and recording |
2345 | of one or more reports |
2346 | |
2347 | against an insurer for compliance with this section. The |
2348 | recording of the report and certification does not: |
2349 | 1. Constitute a lien, encumbrance, or restriction on the |
2350 | title to the real property or constitute a defect in the title |
2351 | to the real property; |
2352 | 2. Create any cause of action or liability against any |
2353 | grantor of the real property for breach of any warranty of good |
2354 | title or warranty against encumbrances; or |
2355 | 3. Create any cause of action or liability against any |
2356 | title insurer that insures the title to the real property. |
2357 | (b) The seller of real property upon which a sinkhole |
2358 | claim has been made by the seller and paid by the insurer shall |
2359 | disclose to the buyer of such property that a claim has been |
2360 | paid, the amount of the payment, and whether or not the full |
2361 | amount of the proceeds were used to repair the sinkhole damage. |
2362 | The seller shall also provide to the buyer a copy of the report |
2363 | prepared pursuant to subsection (1) and any report prepared on |
2364 | behalf of the insured. |
2365 | Section 19. Effective June 1, 2010, and applying only to |
2366 | insurance claims made on or after that date, section 627.7074, |
2367 | Florida Statutes, is amended to read: |
2368 | 627.7074 Alternative procedure for resolution of disputed |
2369 | sinkhole insurance claims.- |
2370 | (1) As used in this section, the term: |
2371 | (a) "Neutral evaluation" means the alternative dispute |
2372 | resolution provided for in this section. |
2373 | (b) "Neutral evaluator" means a professional engineer or a |
2374 | professional geologist who has completed a course of study in |
2375 | alternative dispute resolution designed or approved by the |
2376 | department for use in the neutral evaluation process, who is |
2377 | determined to be fair and impartial. |
2378 | (2)(a) The department shall certify and maintain a list of |
2379 | persons who are neutral evaluators. |
2380 | (b) The department shall prepare a consumer information |
2381 | pamphlet for distribution by insurers to policyholders which |
2382 | clearly describes the neutral evaluation process and includes |
2383 | information and forms necessary for the policyholder to request |
2384 | a neutral evaluation. |
2385 | (3) Neutral evaluation is available to either party if a |
2386 | sinkhole report has been issued pursuant to s. 627.7073. |
2387 | Following the receipt of the report provided under s. 627.7073 |
2388 | or the denial of a claim for a sinkhole loss, the insurer shall |
2389 | notify the policyholder of his or her right to participate in |
2390 | the neutral evaluation program under this section. Neutral |
2391 | evaluation supersedes the alternative dispute resolution process |
2392 | under s. 627.7015 but does not supersede the appraisal clause if |
2393 | an appraisal clause is provided by the insurance policy. The |
2394 | insurer shall provide to the policyholder the consumer |
2395 | information pamphlet prepared by the department pursuant to |
2396 | paragraph (2)(b). |
2397 | (4) Neutral evaluation is nonbinding, but mandatory if |
2398 | requested by either party. A request for neutral evaluation may |
2399 | be filed with the department by the policyholder or the insurer |
2400 | on a form approved by the department. The request for neutral |
2401 | evaluation must state the reason for the request and must |
2402 | include an explanation of all the issues in dispute at the time |
2403 | of the request. Filing a request for neutral evaluation tolls |
2404 | the applicable time requirements for filing suit for a period of |
2405 | 60 days following the conclusion of the neutral evaluation |
2406 | process or the time prescribed in s. 95.11, whichever is later. |
2407 | (5) Neutral evaluation shall be conducted as an informal |
2408 | process in which formal rules of evidence and procedure need not |
2409 | be observed. A party to neutral evaluation is not required to |
2410 | attend neutral evaluation if a representative of the party |
2411 | attends and has the authority to make a binding decision on |
2412 | behalf of the party. All parties shall participate in the |
2413 | evaluation in good faith. |
2414 | (6) The insurer shall pay the costs associated with the |
2415 | neutral evaluation. |
2416 | (7)(a) Upon receipt of a request for neutral evaluation, |
2417 | the department shall |
2418 | |
2419 | |
2420 | |
2421 | |
2422 | requests to disqualify neutral evaluators on the list for cause. |
2423 | For purposes of this subsection, a ground for cause is required |
2424 | to be found by the department only if: |
2425 | 1. A familial relationship exists between the neutral |
2426 | evaluator and either party or a representative of either party |
2427 | within the third degree; |
2428 | 2. The proposed neutral evaluator has, in a professional |
2429 | capacity, previously represented either party or a |
2430 | representative of either party in the same or a substantially |
2431 | related matter; |
2432 | 3. The proposed neutral evaluator has, in a professional |
2433 | capacity, represented another person in the same or a |
2434 | substantially related matter and that person's interests are |
2435 | materially adverse to the interests of the parties; |
2436 | 4. The proposed neutral evaluator works in the same firm |
2437 | or corporation as a person who has, in a professional capacity, |
2438 | previously represented either party or a representative of |
2439 | either party in the same or a substantially related matter; or |
2440 | 5. The proposed neutral evaluator has, within the |
2441 | preceding 5 years, worked as an employee of any party to the |
2442 | case. |
2443 | (b) The parties shall mutually appoint a neutral evaluator |
2444 | from the |
2445 | the parties cannot agree to a neutral evaluator within 10 |
2446 | business days, the department shall appoint a neutral evaluator |
2447 | from the department's list of certified neutral evaluators. The |
2448 | department shall allow each party to disqualify one neutral |
2449 | evaluator without cause. Upon selection or appointment, the |
2450 | department shall promptly refer the request to the neutral |
2451 | evaluator. |
2452 | (c) Within 5 business days after the referral, the neutral |
2453 | evaluator shall notify the policyholder and the insurer of the |
2454 | date, time, and place of the neutral evaluation conference. The |
2455 | conference may be held by telephone, if feasible and desirable. |
2456 | The neutral evaluation conference shall be held within 90 |
2457 | days after the receipt of the request by the department. If the |
2458 | neutral evaluator fails to hold a neutral evaluation conference |
2459 | in accordance with this paragraph, the neutral evaluator's fee |
2460 | shall be reduced by 10 percent unless the failure was due to |
2461 | factors beyond the control of the neutral evaluator. |
2462 | (d) As used in this subsection, the term "substantially |
2463 | related matter" means participation by the neutral evaluator on |
2464 | the same claim, property, or any adjacent property. |
2465 | (8) The department shall adopt rules of procedure for the |
2466 | neutral evaluation process. |
2467 | (9) For policyholders not represented by an attorney, a |
2468 | consumer affairs specialist of the department or an employee |
2469 | designated as the primary contact for consumers on issues |
2470 | relating to sinkholes under s. 20.121 shall be available for |
2471 | consultation to the extent that he or she may lawfully do so. |
2472 | (10) Evidence of an offer to settle a claim during the |
2473 | neutral evaluation process, as well as any relevant conduct or |
2474 | statements made in negotiations concerning the offer to settle a |
2475 | claim, is inadmissible to prove liability or absence of |
2476 | liability for the claim or its value, except as provided in |
2477 | subsection (14) |
2478 | (11) Regardless of when invoked, any court proceeding |
2479 | related to the subject matter of the neutral evaluation shall be |
2480 | stayed pending completion of the neutral evaluation and for 5 |
2481 | days after the filing of the neutral evaluator's report with the |
2482 | court. |
2483 | (12) If the neutral evaluator, based upon his or her |
2484 | professional training and credentials, is qualified only to |
2485 | determine the causation issue or the method of repair issue, the |
2486 | department shall allow the neutral evaluator to enlist the |
2487 | assistance of another professional from the qualified neutral |
2488 | evaluators list, not previously struck by parties with respect |
2489 | to the subject evaluation, who, based upon his or her |
2490 | professional training and credentials, is able to provide an |
2491 | opinion as to the other disputed issue. Any professional who, if |
2492 | appointed as the neutral evaluator, would be disqualified for |
2493 | any reason listed in subsection (7) must be disqualified. In |
2494 | addition, the neutral evaluator may use the service of other |
2495 | experts or professionals as necessary to ensure that all items |
2496 | in dispute are addressed in order to complete the neutral |
2497 | evaluation. The neutral evaluator may request that the entity |
2498 | that performed testing pursuant to s. 627.7072 perform such |
2499 | additional reasonable testing deemed necessary in the |
2500 | professional opinion of the neutral evaluator to complete the |
2501 | neutral evaluation. |
2502 | (13) |
2503 | parties at the conclusion of the neutral evaluation, the neutral |
2504 | evaluator shall prepare a report stating that in his or her |
2505 | opinion the sinkhole loss has been verified or eliminated within |
2506 | a reasonable degree of professional probability and, if |
2507 | verified, whether the sinkhole loss has caused structural or |
2508 | cosmetic damage to the building and, if so, the need for and |
2509 | estimated costs of stabilizing the land and any covered |
2510 | structures or buildings and other appropriate remediation or |
2511 | structural repairs that are necessary due to the sinkhole loss. |
2512 | The evaluator's report shall be sent to all parties in |
2513 | attendance at the neutral evaluation and to the department. |
2514 | (14) |
2515 | not binding on any party, and the parties retain access to |
2516 | court. The neutral evaluator's written recommendation is |
2517 | admissible in any |
2518 | the claim or to the cause of action giving rise to the claim. |
2519 | (15) |
2520 | existence of a sinkhole and, second, recommends the need for and |
2521 | estimates costs of stabilizing the land and any covered |
2522 | structures or buildings and other appropriate remediation or |
2523 | structural repairs, which costs exceed the amount that the |
2524 | insurer has offered to pay the policyholder, the insurer is |
2525 | liable to the policyholder for up to $2,500 in attorney's fees |
2526 | for the attorney's participation in the neutral evaluation |
2527 | process. For purposes of this subsection, the term "offer to |
2528 | pay" means a written offer signed by the insurer or its legal |
2529 | representative and delivered to the policyholder within 10 days |
2530 | after the insurer receives notice that a request for neutral |
2531 | evaluation has been made under this section. |
2532 | (16) |
2533 | and timely complies with the recommendation of the neutral |
2534 | evaluator, but the policyholder declines to resolve the matter |
2535 | in accordance with the recommendation of the neutral evaluator |
2536 | pursuant to this section: |
2537 | (a) The insurer is not liable for extracontractual damages |
2538 | related to a claim for a sinkhole loss but only as related to |
2539 | the issues determined by the neutral evaluation process. This |
2540 | section does not affect or impair claims for extracontractual |
2541 | damages unrelated to the issues determined by the neutral |
2542 | evaluation process contained in this section; and |
2543 | (b) The actions of the insurer are not a confession of |
2544 | judgment or an admission of liability, and the insurer may |
2545 | not be liable for attorney's fees under s. 627.428 or other |
2546 | provisions of the insurance code unless the policyholder obtains |
2547 | a judgment that is more favorable than the recommendation of the |
2548 | neutral evaluator. |
2549 | (17) If the insurer agrees to comply with the neutral |
2550 | evaluator's report, payment for stabilizing the land and |
2551 | building and repairing the foundation shall be made in |
2552 | accordance with the terms and conditions of the applicable |
2553 | insurance policy. |
2554 | Section 20. Section 627.711, Florida Statutes, is amended |
2555 | to read: |
2556 | 627.711 Notice of premium discounts for hurricane loss |
2557 | mitigation; uniform mitigation verification inspection form.- |
2558 | (1) Using a form prescribed by the Office of Insurance |
2559 | Regulation, the insurer shall clearly notify the applicant or |
2560 | policyholder of any personal lines residential property |
2561 | insurance policy, at the time of the issuance of the policy and |
2562 | at each renewal, of the availability and the range of each |
2563 | premium discount, credit, other rate differential, or reduction |
2564 | in deductibles, and combinations of discounts, credits, rate |
2565 | differentials, or reductions in deductibles, for properties on |
2566 | which fixtures or construction techniques demonstrated to reduce |
2567 | the amount of loss in a windstorm can be or have been installed |
2568 | or implemented. The prescribed form shall describe generally |
2569 | what actions the policyholders may be able to take to reduce |
2570 | their windstorm premium. The prescribed form and a list of such |
2571 | ranges approved by the office for each insurer licensed in the |
2572 | state and providing such discounts, credits, other rate |
2573 | differentials, or reductions in deductibles for properties |
2574 | described in this subsection shall be available for electronic |
2575 | viewing and download from the Department of Financial Services' |
2576 | or the Office of Insurance Regulation's Internet website. The |
2577 | Financial Services Commission may adopt rules to implement this |
2578 | subsection. |
2579 | (2)(a) |
2580 | shall develop by rule a uniform mitigation verification |
2581 | inspection form that shall be used by all insurers when |
2582 | submitted by policyholders for the purpose of factoring |
2583 | discounts for wind insurance. In developing the form, the |
2584 | commission shall seek input from insurance, construction, and |
2585 | building code representatives. Further, the commission shall |
2586 | provide guidance as to the length of time the inspection results |
2587 | are valid. An insurer shall accept as valid a uniform mitigation |
2588 | verification form |
2589 | |
2590 | |
2591 | |
2592 | 1. |
2593 | 468.607; |
2594 | 2. |
2595 | licensed under s. 489.111; |
2596 | 3. |
2597 | who has passed the appropriate equivalency test of the building |
2598 | code training program as required by s. 553.841; or |
2599 | 4. |
2600 | |
2601 | |
2602 | |
2603 | |
2604 | (b) An insurer may, but is not required to, accept a |
2605 | mitigation verification form from any other person possessing |
2606 | qualifications and experience acceptable to the insurer. |
2607 | (3) A person who is authorized to sign a mitigation |
2608 | verification form must inspect the structures referenced by the |
2609 | form personally, not through employees or other persons, and |
2610 | must certify or attest to that person's personal inspection of |
2611 | the structures referenced by the form. |
2612 | (4) An individual or entity that signs a uniform |
2613 | mitigation form may not commit misconduct in performing |
2614 | hurricane mitigation inspections or in completing a uniform |
2615 | mitigation form that causes financial harm to a customer or the |
2616 | customer's insurer or that jeopardizes a customer's health and |
2617 | safety. Misconduct occurs when an authorized mitigation |
2618 | inspector signs a uniform mitigation verification form that: |
2619 | (a) Falsely indicates that he or she personally inspected |
2620 | the structures referenced by the form; |
2621 | (b) Falsely indicates the existence of a feature which |
2622 | entitles an insured to a mitigation discount that the inspector |
2623 | knows does not exist or did not personally inspect; |
2624 | (c) Contains erroneous information due to the gross |
2625 | negligence of the inspector; or |
2626 | (d) Contains demonstrably false information relating to |
2627 | the existence of mitigation features that may give an insured a |
2628 | false evaluation of the ability of the structure to withstand |
2629 | major damage from a hurricane endangering the safety of the |
2630 | insured's life and property. |
2631 | (5) The licensing board of an authorized mitigation |
2632 | inspector who violates subsection (4) may commence disciplinary |
2633 | proceedings and impose administrative fines and other sanctions |
2634 | authorized under the inspector's licensing act. |
2635 | (6) An insurer, person, or other entity that obtains |
2636 | evidence of fraud or evidence that an inspector has made false |
2637 | statements in the completion of a mitigation inspection form |
2638 | shall file a report with the Division of Insurance Fraud, |
2639 | together with all of the evidence in its possession that |
2640 | supports the allegation of fraud or falsity. An insurer, person, |
2641 | or other entity making the report is immune from liability in |
2642 | accordance with s. 626.989(4) for any statements made in the |
2643 | report, during the investigation, or in connection with the |
2644 | report. The Division of Insurance Fraud shall issue an |
2645 | investigative report if the division finds that probable cause |
2646 | exists to believe that the inspector made intentionally false or |
2647 | fraudulent statements in the inspection form. Upon conclusion of |
2648 | the investigation and a finding of probable cause that a |
2649 | violation has occurred, the Division of Insurance Fraud shall |
2650 | send a copy of the investigative report to the office and a copy |
2651 | to the agency responsible for the professional licensure of the |
2652 | inspector, whether or not a prosecutor takes action based upon |
2653 | the report. |
2654 | (7) The insurer may require the mitigation inspector or |
2655 | inspection company to provide evidence of the inspector's or |
2656 | inspection company's quality assurance program. At the insurer's |
2657 | expense, the insurer may require that any uniform mitigation |
2658 | verification form provided by a mitigation inspector or |
2659 | inspection company that does not possess or has not provided |
2660 | evidence to the insurer of a quality assurance program be |
2661 | independently verified by an inspector, inspection company, or |
2662 | independent third-party quality assurance provider that |
2663 | possesses a quality assurance program prior to accepting it as |
2664 | valid. |
2665 | (8) |
2666 | utters a false or fraudulent mitigation verification form with |
2667 | the intent to obtain or receive a discount on an insurance |
2668 | premium to which the individual or entity is not entitled |
2669 | commits a misdemeanor of the first degree, punishable as |
2670 | provided in s. 775.082 or s. 775.083. |
2671 | Section 21. In the interest of full disclosure and |
2672 | transparency to insurance policy owners, and because most |
2673 | insurance policies sold in this state are subject to assessments |
2674 | to make up for the funding deficiencies of the Citizens Property |
2675 | Insurance Corporation, the Florida Insurance Guaranty |
2676 | Association, or the Florida Hurricane Catastrophe Fund, the |
2677 | following warning shall be printed in bold type of not less than |
2678 | 16 points and shall be displayed on the declarations page or on |
2679 | the renewal notice of every insurance policy sold or issued in |
2680 | this state that is or may be subject to assessment by the |
2681 | Citizens Property Insurance Corporation, the Florida Insurance |
2682 | Guaranty Association, or the Florida Hurricane Catastrophe Fund: |
2683 | |
2684 | |
2685 | The premium you are about to pay may NOT be the full cost |
2686 | of this insurance policy. If a hurricane strikes Florida, |
2687 | you may be forced to pay additional moneys to offset the |
2688 | inability of the state-owned Citizens Property Insurance |
2689 | Corporation, the Florida Insurance Guaranty Association, |
2690 | or the Florida Hurricane Catastrophe Fund to pay claims |
2691 | resulting from the losses due to the hurricane. |
2692 | Section 22. Section 627.7065, Florida Statutes, is |
2693 | repealed. |
2694 | Section 23. Except as otherwise expressly provided in this |
2695 | act, this act shall take effect July 1, 2010. |
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