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
A bill to be entitled
2An act relating to property insurance; amending s.
3215.555, F.S.; extending a repeal date for an exemption of
4medical malpractice insurance premiums from emergency
5assessments; amending s. 624.407, F.S.; specifying an
6additional surplus requirement for certain domestic
7insurers; amending s. 624.408, F.S.; specifying an
8additional surplus requirement for certain domestic
9insurers; deleting obsolete surplus requirement
10provisions; amending s. 626.7452, F.S.; deleting an
11exception to a provision allowing examination of a
12managing general agent; amending s. 627.0613, F.S.;
13revising annual reporting requirements for the consumer
14advocate; providing a definition; amending s. 627.062,
15F.S.; requiring that the Office of Insurance Regulation
16issue an approval rather than a notice of intent to
17approve following its approval of a file and use filing;
18prohibiting the office from, directly or indirectly,
19prohibiting an insurer from paying acquisition costs based
20on the full amount of the premium; prohibiting the office
21from, directly or indirectly, impeding or compromising the
22right of an insurer to acquire policyholders, advertise or
23appoint agents, or regulate agent commissions; requiring
24the office to publish an annual information memorandum
25establishing certain inflation trend factors for certain
26purposes; specifying factor criteria; authorizing an
27insurer to make a rate filing limited to changes in the
28cost of reinsurance, the costs of financing products used
29as a replacement for reinsurance, or changes in an
30inflation trend factor published annually by the office;
31authorizing certain insurers to use a rate different from
32otherwise applicable filed rates; requiring such rates to
33be filed with the office as a separate filing; providing
34requirements and limitations for such separate filings;
35prohibiting the consideration of certain policies when
36making a specified calculation; preserving the authority
37of the office to disapprove rates as inadequate or
38disapprove a rate filing for using certain rating factors;
39authorizing the office to direct an insurer to make a
40specified type of rate filing under certain circumstances;
41providing construction relating to certifications;
42prohibiting the requirement of a new certification upon an
43insurer providing certain additional information;
44specifying nonapplication to certain filings; amending s.
45627.0621, F.S.; revising provisions relating to
46transparency in rate regulation; amending s. 627.0629,
47F.S.; revising legislative intent relating to residential
48property insurance rate filings; deleting a requirement
49that the office develop and make available a method for
50insurers to establish discounts, credits, or rate
51differentials for certain hurricane mitigation measures;
52revising restrictions relating to including the cost of
53reinsurance for certain purposes; requiring the office to
54contract with a private entity to develop a comprehensive
55consumer information program; specifying program criteria;
56requiring the office to conduct a cost benefit analysis on
57a program implementation plan; requiring review and
58approval by the Financial Services Commission; amending s.
59627.351, F.S.; providing requirements for attachment and
60payment of the Citizens policyholder surcharge;
61prohibiting the corporation from levying certain regular
62assessments until after levying the full amount of a
63Citizens policyholder surcharge; providing that certain
64members of Citizens Property Insurance Corporation's board
65of governors are within the scope of an exemption from
66certain conflict of interest provisions for public
67officers; requiring the corporation's plan of operation to
68require agents to obtain an acknowledgement of potential
69surcharge and assessment liability from applicants and
70policyholders; requiring the corporation to permanently
71retain a copy of such acknowledgments; specifying that the
72acknowledgement creates a conclusive presumption of
73understanding and acceptance by the policyholder;
74prohibiting votes on certain measures by board members;
75specifying vote criteria; providing disclosure
76requirements; deleting an obsolete legislative intent
77provision; requiring the Division of Statutory Revision to
78prepare a reviser's bill for the next regular session of
79the Legislature to revise certain terminology; amending s.
80627.4133, F.S.; authorizing an insurer to cancel or
81nonrenew property insurance policies under certain
82circumstances; specifying duties of the office; requiring
83certain notice; creating s. 627.41341, F.S.; specifying
84requirements for a notice of change in policy terms;
85providing definitions; authorizing policy renewals to
86contain a change in policy terms; specifying notice
87requirements; providing procedural requirements; providing
88intent; amending s. 627.7011, F.S.; revising requirements
89and procedures under homeowners' insurance policies for
90replacement cost coverage of a dwelling and personal
91property; providing criteria for initial and subsequent
92replacement cost payments by an insurer; deleting obsolete
93time references; amending s. 627.70131, F.S.; specifying
94application of certain time periods to initial or
95supplemental property insurance claim notices and
96payments; creating s. 627.7031, F.S.; authorizing certain
97insurers to offer or renew policies at rates established
98under certain circumstances; prohibiting certain insurers
99from purchasing TICL option coverage from the Florida
100Hurricane Catastrophe Fund under certain circumstances;
101requiring that certain policies contain a specified rate
102notice; requiring insurers to offer applicants or insureds
103an estimate of the premium for a policy from Citizens
104Property Insurance Corporation reflecting similar
105coverage, limits, and deductibles; requiring applicants or
106insureds to provide a signed premium comparison
107acknowledgement; specifying criteria for insurer
108compliance with certain requirements; specifying
109acknowledgement contents; requiring insurers and agents to
110retain a copy of the acknowledgement for a specified time;
111specifying a presumption created by a signed
112acknowledgement; specifying types of residential property
113insurance policies that are not eligible for certain rates
114or subject to other requirements; requiring written notice
115of certain nonrenewals; preserving insurer authority to
116cancel policies; specifying a criterion for what
117constitutes an offer to renew a policy; amending s.
118627.707, F.S.; revising standards for investigation of
119sinkhole claims by insurers; specifying requirements for
120contracts for repairs to prevent additional damage to
121buildings or structures; providing application; amending
122s. 627.7072, F.S.; specifying requirements for tests
123performed by professional engineers and professional
124geologists for certain purposes; providing application;
125amending s. 627.7073, F.S.; revising requirements for
126sinkhole reports; providing application; amending s.
127627.7074, F.S.; revising requirements and procedures for
128an alternative procedure for resolution of disputed
129sinkhole insurance claims; providing a definition;
130providing criteria and procedures for disqualification of
131neutral evaluators; providing requirements and procedures
132for neutral evaluators to enlist assistance from other
133professionals under certain circumstances; providing
134application; amending s. 627.711, F.S.; deleting a
135provision for a uniform mitigation verification form to be
136certified by the Department of Financial Services;
137revising persons authorized to sign a uniform mitigation
138verification form; authorizing an insurer to accept a
139mitigation verification form from certain other persons;
140providing personal inspection requirements; prohibiting
141misconduct in performing hurricane mitigation inspections
142or completing mitigation verification forms; specifying
143criteria for misconduct; authorizing certain licensing
144boards to commence disciplinary proceedings and impose
145administrative fines and sanctions for certain violations;
146requiring insurers, persons, or other entities obtaining
147evidence of fraud or making false statements to report to
148the Division of Insurance Fraud; specifying immunity from
149liability for making such a report; providing duties and
150responsibilities of the division; specifying a required
151notice for insurance policies issued or renewed in this
152state; providing notice requirements; repealing s.
153627.7065, F.S., relating to database of information
154relating to sinkholes, the Department of Financial
155Services, and the Department of Environmental Protection;
156providing effective dates.
157
158Be It Enacted by the Legislature of the State of Florida:
159
160 Section 1. Paragraph (b) of subsection (6) of section
161215.555, 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
166produced under subsection (5) is insufficient to fund the
167obligations, costs, and expenses of the fund and the
168corporation, including repayment of revenue bonds and that
169portion of the debt service coverage not met by reimbursement
170premiums, the board shall direct the Office of Insurance
171Regulation to levy, by order, an emergency assessment on direct
172premiums for all property and casualty lines of business in this
173state, including property and casualty business of surplus lines
174insurers regulated under part VIII of chapter 626, but not
175including any workers' compensation premiums or medical
176malpractice premiums. As used in this subsection, the term
177"property and casualty business" includes all lines of business
178identified on Form 2, Exhibit of Premiums and Losses, in the
179annual statement required of authorized insurers by s. 624.424
180and any rule adopted under this section, except for those lines
181identified as accident and health insurance and except for
182policies written under the National Flood Insurance Program. The
183assessment shall be specified as a percentage of direct written
184premium and is subject to annual adjustments by the board in
185order to meet debt obligations. The same percentage shall apply
186to all policies in lines of business subject to the assessment
187issued or renewed during the 12-month period beginning on the
188effective date of the assessment.
189 2. A premium is not subject to an annual assessment under
190this paragraph in excess of 6 percent of premium with respect to
191obligations arising out of losses attributable to any one
192contract year, and a premium is not subject to an aggregate
193annual assessment under this paragraph in excess of 10 percent
194of premium. An annual assessment under this paragraph shall
195continue as long as the revenue bonds issued with respect to
196which the assessment was imposed are outstanding, including any
197bonds the proceeds of which were used to refund the revenue
198bonds, unless adequate provision has been made for the payment
199of the bonds under the documents authorizing issuance of the
200bonds.
201 3. Emergency assessments shall be collected from
202policyholders. Emergency assessments shall be remitted by
203insurers as a percentage of direct written premium for the
204preceding calendar quarter as specified in the order from the
205Office of Insurance Regulation. The office shall verify the
206accurate and timely collection and remittance of emergency
207assessments and shall report the information to the board in a
208form and at a time specified by the board. Each insurer
209collecting assessments shall provide the information with
210respect to premiums and collections as may be required by the
211office to enable the office to monitor and verify compliance
212with this paragraph.
213 4. With respect to assessments of surplus lines premiums,
214each surplus lines agent shall collect the assessment at the
215same time as the agent collects the surplus lines tax required
216by s. 626.932, and the surplus lines agent shall remit the
217assessment to the Florida Surplus Lines Service Office created
218by s. 626.921 at the same time as the agent remits the surplus
219lines tax to the Florida Surplus Lines Service Office. The
220emergency assessment on each insured procuring coverage and
221filing under s. 626.938 shall be remitted by the insured to the
222Florida Surplus Lines Service Office at the time the insured
223pays the surplus lines tax to the Florida Surplus Lines Service
224Office. The Florida Surplus Lines Service Office shall remit the
225collected assessments to the fund or corporation as provided in
226the order levied by the Office of Insurance Regulation. The
227Florida Surplus Lines Service Office shall verify the proper
228application of such emergency assessments and shall assist the
229board in ensuring the accurate and timely collection and
230remittance of assessments as required by the board. The Florida
231Surplus Lines Service Office shall annually calculate the
232aggregate written premium on property and casualty business,
233other than workers' compensation and medical malpractice,
234procured through surplus lines agents and insureds procuring
235coverage and filing under s. 626.938 and shall report the
236information to the board in a form and at a time specified by
237the board.
238 5. Any assessment authority not used for a particular
239contract year may be used for a subsequent contract year. If,
240for a subsequent contract year, the board determines that the
241amount of revenue produced under subsection (5) is insufficient
242to fund the obligations, costs, and expenses of the fund and the
243corporation, including repayment of revenue bonds and that
244portion of the debt service coverage not met by reimbursement
245premiums, the board shall direct the Office of Insurance
246Regulation to levy an emergency assessment up to an amount not
247exceeding the amount of unused assessment authority from a
248previous contract year or years, plus an additional 4 percent
249provided that the assessments in the aggregate do not exceed the
250limits specified in subparagraph 2.
251 6. The assessments otherwise payable to the corporation
252under this paragraph shall be paid to the fund unless and until
253the Office of Insurance Regulation and the Florida Surplus Lines
254Service Office have received from the corporation and the fund a
255notice, which shall be conclusive and upon which they may rely
256without further inquiry, that the corporation has issued bonds
257and the fund has no agreements in effect with local governments
258under paragraph (c). On or after the date of the notice and
259until the date the corporation has no bonds outstanding, the
260fund shall have no right, title, or interest in or to the
261assessments, except as provided in the fund's agreement with the
262corporation.
263 7. Emergency assessments are not premium and are not
264subject to the premium tax, to the surplus lines tax, to any
265fees, or to any commissions. An insurer is liable for all
266assessments that it collects and must treat the failure of an
267insured to pay an assessment as a failure to pay the premium. An
268insurer is not liable for uncollectible assessments.
269 8. When an insurer is required to return an unearned
270premium, it shall also return any collected assessment
271attributable to the unearned premium. A credit adjustment to the
272collected assessment may be made by the insurer with regard to
273future remittances that are payable to the fund or corporation,
274but the insurer is not entitled to a refund.
275 9. When a surplus lines insured or an insured who has
276procured coverage and filed under s. 626.938 is entitled to the
277return of an unearned premium, the Florida Surplus Lines Service
278Office shall provide a credit or refund to the agent or such
279insured for the collected assessment attributable to the
280unearned premium prior to remitting the emergency assessment
281collected to the fund or corporation.
282 10. The exemption of medical malpractice insurance
283premiums from emergency assessments under this paragraph is
284repealed May 31, 2013 2010, and medical malpractice insurance
285premiums shall be subject to emergency assessments attributable
286to loss events occurring in the contract years commencing on
287June 1, 2013 2010.
288 Section 2. Subsection (1) of section 624.407, Florida
289Statutes, is amended to read:
290 624.407 Capital funds required; new insurers.-
291 (1) To receive authority to transact any one kind or
292combinations of kinds of insurance, as defined in part V of this
293chapter, an insurer applying for its original certificate of
294authority in this state after the effective date of this section
295shall possess surplus as to policyholders not less than the
296greater of:
297 (a) Except as otherwise provided in this subsection, $5
298five million dollars for a property and casualty insurer, or
299$2.5 million for any other insurer;
300 (b) For life insurers, 4 percent of the insurer's total
301liabilities;
302 (c) For life and health insurers, 4 percent of the
303insurer's total liabilities, plus 6 percent of the insurer's
304liabilities relative to health insurance; or
305 (d) For all insurers other than life insurers and life and
306health insurers, 10 percent of the insurer's total liabilities;
307or
308 (e) For a domestic insurer initially licensed on or after
309July 1, 2010, that transacts residential property insurance and
310is not a wholly owned subsidiary of an insurer domiciled in any
311other state, $15 million; however, this paragraph does not apply
312to a domestic insurer that is a subsidiary or affiliate of a
313domestic property insurer that was licensed before July 1, 2010;
314
315however, a domestic insurer that transacts residential property
316insurance and is a wholly owned subsidiary of an insurer
317domiciled in any other state shall possess surplus as to
318policyholders of at least $50 million, but no insurer shall be
319required under this subsection to have surplus as to
320policyholders greater than $100 million.
321 Section 3. Subsection (1) of section 624.408, Florida
322Statutes, is amended to read:
323 624.408 Surplus as to policyholders required; new and
324existing insurers.-
325 (1)(a) To maintain a certificate of authority to transact
326any one kind or combinations of kinds of insurance, as defined
327in part V of this chapter, an insurer in this state shall at all
328times maintain surplus as to policyholders not less than the
329greater of:
330 (a)1. Except as provided in paragraphs (e) and (f)
331subparagraph 5. and paragraph (b), $1.5 million;
332 (b)2. For life insurers, 4 percent of the insurer's total
333liabilities;
334 (c)3. For life and health insurers, 4 percent of the
335insurer's total liabilities plus 6 percent of the insurer's
336liabilities relative to health insurance; or
337 (d)4. For all insurers other than mortgage guaranty
338insurers, life insurers, and life and health insurers, 10
339percent of the insurer's total liabilities;.
340 (e)5. Except as provided in paragraph (f), for property
341and casualty insurers, $4 million; or.
342 (f) For a domestic insurer initially licensed on or after
343July 1, 2010, that transacts residential property insurance and
344is not a wholly owned subsidiary of an insurer domiciled in any
345other state, $12 million; however, this paragraph does not apply
346to a domestic insurer that is a subsidiary or affiliate of a
347domestic property insurer that was licensed before July 1, 2010.
348 (b) For any property and casualty insurer holding a
349certificate of authority on December 1, 1993, the following
350amounts apply instead of the $4 million required by subparagraph
351(a)5.:
352 1. On December 31, 2001, and until December 30, 2002, $3
353million.
354 2. On December 31, 2002, and until December 30, 2003,
355$3.25 million.
356 3. On December 31, 2003, and until December 30, 2004, $3.6
357million.
358 4. On December 31, 2004, and thereafter, $4 million.
359 Section 4. Section 626.7452, Florida Statutes, is amended
360to read:
361 626.7452 Managing general agents; examination authority.-
362The acts of the managing general agent are considered to be the
363acts of the insurer on whose behalf it is acting. A managing
364general agent may be examined as if it were the insurer except
365in the case where the managing general agent solely represents a
366single domestic insurer.
367 Section 5. Subsection (4) of section 627.0613, Florida
368Statutes, is amended to read:
369 627.0613 Consumer advocate.-The Chief Financial Officer
370must appoint a consumer advocate who must represent the general
371public of the state before the department and the office. The
372consumer advocate must report directly to the Chief Financial
373Officer, but is not otherwise under the authority of the
374department or of any employee of the department. The consumer
375advocate has such powers as are necessary to carry out the
376duties of the office of consumer advocate, including, but not
377limited to, the powers to:
378 (4)(a) By June 1, 2012, and each June 1 thereafter,
379prepare an annual report card for each authorized personal
380residential property insurer, on a form and using a letter-grade
381scale developed by the commission by rule, which objectively
382grades each insurer based on the following factors:
383 1.(a) The number and nature of valid consumer complaints,
384as a market share ratio, received by the department against the
385insurer.
386 2.(b) The disposition of all valid consumer complaints
387received by the department.
388 3.(c) The average length of time for payment of claims by
389the insurer.
390 4.(d) Any other measurable and objective factors the
391commission identifies as capable of assisting policyholders in
392making informed choices about homeowner's insurance.
393 (b) For purposes of this subsection, the term "valid
394consumer complaint" means a written communication, or an oral
395communication that is subsequently converted to a written form,
396from a consumer that expresses dissatisfaction involving a
397personal residential insurance policy with a specific personal
398residential property insurer. However, a valid complaint will
399not arise when in the disposition thereof by the department the
400insurer or agent position is upheld, the policy provision is
401upheld, the coverage is explained, additional information is
402provided, the complaint is withdrawn, the complaint is referred
403outside the department, or when an inquiry has missing or
404insufficient information, is not within the jurisdiction of the
405department, or requests mediation of a claim that is not
406eligible for mediation.
407 Section 6. Paragraphs (a), (i), and (k) of subsection (2)
408of section 627.062, Florida Statutes, are amended, paragraph (l)
409is added to subsection (2), and paragraph (d) of subsection (9)
410of that section is redesignated as paragraph (g) and new
411paragraphs (d), (e), and (f) are added to that subsection, to
412read:
413 627.062 Rate standards.-
414 (2) As to all such classes of insurance:
415 (a) Insurers or rating organizations shall establish and
416use rates, rating schedules, or rating manuals to allow the
417insurer a reasonable rate of return on such classes of insurance
418written in this state. A copy of rates, rating schedules, rating
419manuals, premium credits or discount schedules, and surcharge
420schedules, and changes thereto, shall be filed with the office
421under one of the following procedures except as provided in
422subparagraph 3.:
423 1. If the filing is made at least 90 days before the
424proposed effective date and the filing is not implemented during
425the office's review of the filing and any proceeding and
426judicial review, then such filing shall be considered a "file
427and use" filing. In such case, the office shall finalize its
428review by issuance of an approval a notice of intent to approve
429or a notice of intent to disapprove within 90 days after receipt
430of the filing. The approval notice of intent to approve and the
431notice of intent to disapprove constitute agency action for
432purposes of the Administrative Procedure Act. Requests for
433supporting information, requests for mathematical or mechanical
434corrections, or notification to the insurer by the office of its
435preliminary findings shall not toll the 90-day period during any
436such proceedings and subsequent judicial review. The rate shall
437be deemed approved if the office does not issue an approval a
438notice of intent to approve or a notice of intent to disapprove
439within 90 days after receipt of the filing.
440 2. If the filing is not made in accordance with the
441provisions of subparagraph 1., such filing shall be made as soon
442as practicable, but no later than 30 days after the effective
443date, and shall be considered a "use and file" filing. An
444insurer making a "use and file" filing is potentially subject to
445an order by the office to return to policyholders portions of
446rates found to be excessive, as provided in paragraph (h).
447 3. For all property insurance filings made or submitted
448after January 25, 2007, but before December 31, 2010, an insurer
449seeking a rate that is greater than the rate most recently
450approved by the office shall make a "file and use" filing. For
451purposes of this subparagraph, motor vehicle collision and
452comprehensive coverages are not considered to be property
453coverages.
454 (i)1. Except as otherwise specifically provided in this
455chapter, the office may shall not, directly or indirectly,
456prohibit any insurer, including any residual market plan or
457joint underwriting association, from paying acquisition costs
458based on the full amount of premium, as defined in s. 627.403,
459applicable to any policy, or prohibit, directly or indirectly,
460any such insurer from including the full amount of acquisition
461costs in a rate filing.
462 2. The office may not, directly or indirectly, impede,
463abridge, or otherwise compromise an insurer's right to acquire
464policyholders or advertise, or appoint agents, including, but
465not limited to, the calculation, manner, or amount of such
466agents' commissions, if any.
467 (k)1.a. An insurer may make a separate filing limited
468solely to an adjustment of its rates for reinsurance, financing
469products to replace insurance, or financing costs incurred in
470the purchase of reinsurance and may include an adjustment of its
471rates based upon an inflation trend factor as set forth in
472subparagraph 4. If an insurer chooses to make a separate filing
473under this paragraph, the insurer shall implement the rate in
474such a manner that all previously approved rate increases
475implemented as a result of a separate filing, together with the
476rate increase under a filing made under this paragraph or
477financing products to replace or finance the payment of the
478amount covered by the Temporary Increase in Coverage Limits
479(TICL) portion of the Florida Hurricane Catastrophe Fund
480including replacement reinsurance for the TICL reductions made
481pursuant to s. 215.555(17)(e); the actual cost paid due to the
482application of the TICL premium factor pursuant to s.
483215.555(17)(f); and the actual cost paid due to the application
484of the cash build-up factor pursuant to s. 215.555(5)(b) if the
485insurer:
486 a. Elects to purchase financing products such as a
487liquidity instrument or line of credit, in which case the cost
488included in the filing for the liquidity instrument or line of
489credit may not result in a premium increase exceeding 3 percent
490for any individual policyholder. All costs contained in the
491filing may not result in an overall rate premium increase of
492more than 10 percent for any individual policyholder, excluding
493coverage changes and surcharges.
494 b. An insurer shall include Includes in the filing a copy
495of all of its reinsurance, liquidity instrument, or line of
496credit contracts; proof of the billing or payment for the
497contracts; and the calculation upon which the proposed rate
498change is based demonstrating demonstrates that the costs meet
499the criteria of this section and are not loaded for expenses or
500profit for the insurer making the filing.
501 c. Any such filing may not include Includes no other
502changes to the insurer's its rates in the filing.
503 d. Has not implemented a rate increase within the 6 months
504immediately preceding the filing.
505 e. Does not file for a rate increase under any other
506paragraph within 6 months after making a filing under this
507paragraph.
508 d.f. An insurer that purchases reinsurance or financing
509products from an affiliate may make a filing under affiliated
510company in compliance with this paragraph does so only if the
511costs for such reinsurance or financing products are charged at
512or below charges made for comparable coverage by nonaffiliated
513reinsurers or financial entities making such coverage or
514financing products available in this state.
515 2. An insurer may only make one filing in any 12-month
516period under this paragraph.
517 3. An insurer that elects to implement a rate change under
518this paragraph must file its rate filing with the office at
519least 45 days before the effective date of the rate change.
520After an insurer submits a complete filing that meets all of the
521requirements of this paragraph, the office has 45 days after the
522date of the filing to review the rate filing and determine if
523the rate is excessive, inadequate, or unfairly discriminatory.
524 4. Beginning January 1, 2011, the office shall publish an
525annual informational memorandum to establish one or more inflation
526trend factors which may be stated separately for personal and
527residential property and for building coverage, contents
528coverage, additional living expense coverage, and liability
529coverage, if applicable. Such factors shall represent an estimate
530of cost increases or decreases based on publicly available relevant
531data and economic indices that are identified in the memorandum
532including, but not limited to, overall claim cost data. Such
533factors are exempt from the rulemaking requirements of chapter 120
534and insurers may not be required to adopt the factors. The office
535may publish factors for any line, but is required to annually
536publish a factor only for residential property insurance by March 1
537of each year.
538 (l)1. On or after January 1, 2011, an insurer complying
539with the requirements of s. 627.7031 may use a rate for
540residential property insurance, as defined in s. 627.4025,
541different from the otherwise applicable filed rate as provided
542in this paragraph.
543 2. Policies subject to this paragraph may not be counted
544in the calculation under s. 627.171(2).
545 3. Such rates shall be filed with the office as a separate
546filing. The filing must be accompanied by an actuary's
547certification stating that the filing was prepared in accordance
548with current actuarial standards of practice adopted by the
549Actuarial Standards Board and that the statewide average rate
550change is within a range consistent with applicable actuarial
551principles or, if the percentage limitations of this paragraph
552do not allow for a rate within a range consistent with
553applicable actuarial principles, is below such range. The
554initial rates used by an insurer under this paragraph may not
555provide for rates that represent more than a 10-percent
556statewide average rate increase over the most recently filed and
557approved rate. A rate filing under this paragraph submitted in
558any year following the implementation of such initial rates may
559not provide for rates that represent more than a 10-percent
560statewide average rate increase in any single year over the
561rates in effect under this paragraph at the time of the filing.
562A rate filing under this paragraph may not provide for a
563percentage rate increase as to any single policyholder that
564exceeds two times the statewide average rate increase provided
565in the filing.
566 4. This paragraph does not affect the authority of the
567office to disapprove a rate as inadequate or to disapprove a
568rate filing for charging any insured or applicant a higher
569premium solely because of the insured's or applicant's race,
570color, creed, marital status, sex, or national origin. Upon
571finding that an insurer has used any such factor in charging an
572insured or applicant a higher premium, the office may direct the
573insurer to make a new filing for a new rate that does not use
574such factor.
575
576The provisions of this subsection shall not apply to workers'
577compensation and employer's liability insurance and to motor
578vehicle insurance.
579 (9)
580 (d) A certification under this subsection is not rendered
581false when, after making the subject rate filing, the insurer
582provides the office with additional or supplementary information
583pursuant to a formal or informal request from the office.
584 (e) If an insurer adds additional information to a pending
585filing that has not yet been disapproved by the office, the
586additional information may not be required to include a new
587certification under this subsection.
588 (f) This subsection does not apply to a filing made
589pursuant to paragraph (2)(k).
590 Section 7. Section 627.0621, Florida Statutes, is amended
591to read:
592 627.0621 Transparency in rate regulation.-
593 (1) DEFINITIONS.-As used in this section, the term:
594 (a) "Rate filing" means any original or amended rate
595residential property insurance filing.
596 (b) "Recommendation" means any proposed, preliminary, or
597final recommendation from an office actuary reviewing a rate
598filing with respect to the issue of approval or disapproval of
599the rate filing or with respect to rate indications that the
600office would consider acceptable.
601 (2) WEBSITE FOR PUBLIC ACCESS TO RATE FILING INFORMATION.-
602 (1)(a) With respect to any residential property rate
603filing, the office shall provide the following information on a
604publicly accessible Internet website:
605 (a)1. The overall rate change requested by the insurer.
606 (b)2. The rate change approved by the office along with
607all of the actuary's assumptions and recommendations forming the
608basis of the office's decision.
609 3. Certification by the office's actuary that, based on
610the actuary's knowledge, his or her recommendations are
611consistent with accepted actuarial principles.
612 (2)(b) For any rate filing, whether or not the filing is
613subject to a public hearing, the office shall provide on its
614website a means for any policyholder who may be affected by a
615proposed rate change to send an e-mail regarding the proposed
616rate change. Such e-mail must be accessible to the actuary
617assigned to review the rate filing.
618 Section 8. Subsections (1) and (5) of section 627.0629,
619Florida Statutes, are amended, and subsection (10) is added to
620that section, to read:
621 627.0629 Residential property insurance; rate filings.-
622 (1)(a) It is the intent of the Legislature that insurers
623must provide the most accurate pricing signals available savings
624to encourage consumers who install or implement windstorm damage
625mitigation techniques, alterations, or solutions to their
626properties to prevent windstorm losses. It is also the intent of
627the Legislature that implementation of mitigation discounts not
628result in a loss of income to the insurers granting the
629discounts, so that the aggregate of mitigation discounts should
630not exceed the aggregate of the expected reduction in loss that
631is attributable to the mitigation efforts for which discounts
632are granted. A rate filing for residential property insurance
633must include actuarially reasonable discounts, credits, debits,
634or other rate differentials, or appropriate reductions in
635deductibles, that provide the proper pricing for all properties.
636The rate filing must take into account the presence or absence
637of on which fixtures or construction techniques demonstrated to
638reduce the amount of loss in a windstorm have been installed or
639implemented. The fixtures or construction techniques shall
640include, but not be limited to, fixtures or construction
641techniques that which enhance roof strength, roof covering
642performance, roof-to-wall strength, wall-to-floor-to-foundation
643strength, opening protection, and window, door, and skylight
644strength. Credits, debits, discounts, or other rate
645differentials, or appropriate reductions or increases in
646deductibles, that recognize the presence or absence of for
647fixtures and construction techniques that which meet the minimum
648requirements of the Florida Building Code must be included in
649the rate filing. If an insurer demonstrates that the aggregate
650of its mitigation discounts results in a reduction to revenue
651that exceeds the reduction of the aggregate loss that is
652expected to result from the mitigation, the insurer may recover
653the lost revenue through an increase in its base rates. All
654insurance companies must make a rate filing which includes the
655credits, discounts, or other rate differentials or reductions in
656deductibles by February 28, 2003. By July 1, 2007, the office
657shall reevaluate the discounts, credits, other rate
658differentials, and appropriate reductions in deductibles for
659fixtures and construction techniques that meet the minimum
660requirements of the Florida Building Code, based upon actual
661experience or any other loss relativity studies available to the
662office. The office shall determine the discounts, credits,
663debits, other rate differentials, and appropriate reductions or
664increases in deductibles that reflect the full actuarial value
665of such revaluation, which may be used by insurers in rate
666filings.
667 (b) By February 1, 2011, the Office of Insurance
668Regulation, in consultation with the Department of Financial
669Services and the Department of Community Affairs, shall develop
670and make publicly available a proposed method for insurers to
671establish discounts, credits, or other rate differentials for
672hurricane mitigation measures which directly correlate to the
673numerical rating assigned to a structure pursuant to the uniform
674home grading scale adopted by the Financial Services Commission
675pursuant to s. 215.55865, including any proposed changes to the
676uniform home grading scale. By October 1, 2011, the commission
677shall adopt rules requiring insurers to make rate filings for
678residential property insurance which revise insurers' discounts,
679credits, or other rate differentials for hurricane mitigation
680measures so that such rate differentials correlate directly to
681the uniform home grading scale. The rules may include such
682changes to the uniform home grading scale as the commission
683determines are necessary, and may specify the minimum required
684discounts, credits, or other rate differentials. Such rate
685differentials must be consistent with generally accepted
686actuarial principles and wind-loss mitigation studies. The rules
687shall allow a period of at least 2 years after the effective
688date of the revised mitigation discounts, credits, or other rate
689differentials for a property owner to obtain an inspection or
690otherwise qualify for the revised credit, during which time the
691insurer shall continue to apply the mitigation credit that was
692applied immediately prior to the effective date of the revised
693credit. Discounts, credits, and other rate differentials
694established for rate filings under this paragraph shall
695supersede, after adoption, the discounts, credits, and other
696rate differentials included in rate filings under paragraph (a).
697 (5) In order to provide an appropriate transition period,
698an insurer may, in its sole discretion, implement an approved
699rate filing for residential property insurance over a period of
700years. An insurer electing to phase in its rate filing must
701provide an informational notice to the office setting out its
702schedule for implementation of the phased-in rate filing. An
703insurer may include in its rate the actual cost of private
704market reinsurance that corresponds to available coverage of the
705Temporary Increase in Coverage Limits, TICL, from the Florida
706Hurricane Catastrophe Fund. The insurer may also include the
707cost of reinsurance to replace the TICL reduction implemented
708pursuant to s. 215.555(17)(d)9. However, this cost for
709reinsurance may not include any expense or profit load or result
710in a total annual base rate increase in excess of 10 percent.
711 (10)(a) Contingent upon specific appropriations made to
712implement this subsection, in order to enhance the ability of
713consumers to compare premiums and to increase the accuracy and
714usefulness of rate and product comparison information for
715homeowners' insurance, the office shall develop or contract with
716a private entity to develop a comprehensive program for
717providing the consumer with all available information necessary
718to make an informed purchase of the insurance product that best
719serves the needs of the individual.
720 (b) In developing the comprehensive program, the office
721shall rely as much as is practical on information that is
722currently available and shall consider:
723 1. The most efficient means for developing, hosting, and
724operating a separate website that consolidates all consumer
725information for price comparisons, filed complaints, financial
726strength, underwriting, and receivership information and other
727data useful to consumers.
728 2. Whether all admitted insurers should be required to
729submit additional information to populate the composite website
730and how often such submissions must be made.
731 3. Whether all admitted insurers should be required to
732provide links from the website into each individual insurer's
733website in order to enable consumers to access product rate
734information and apply for quotations.
735 4. Developing a plan to publicize the existence,
736availability, and value of the website.
737 5. Any other provision that would make relevant
738homeowners' insurance information more readily available so that
739consumers can make informed product comparisons and purchasing
740decisions.
741 (c) Before establishing the program or website, the office
742shall conduct a cost-benefit analysis to determine the most
743effective approach for establishing and operating the program
744and website. Based on the results of the analysis, the office
745shall submit a proposed implementation plan for review and
746approval by the Financial Services Commission. The
747implementation plan shall include an estimated timeline for
748establishing the program and website; a description of the data
749and functionality to be provided by the site; a strategy for
750publicizing the website to consumers; a recommended approach for
751developing, hosting, and operating the website; and an estimate
752of all major nonrecurring and recurring costs required to
753establish and operate the website. Upon approval of the plan,
754the 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,
757Florida 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
761lines of business in this state are subject to assessment by the
762corporation and, for the purposes of this subsection, are
763referred to collectively as "assessable insurers." Insurers
764writing one or more subject lines of business in this state
765pursuant to part VIII of chapter 626 are not assessable
766insurers, but insureds who procure one or more subject lines of
767business in this state pursuant to part VIII of chapter 626 are
768subject to assessment by the corporation and are referred to
769collectively as "assessable insureds." An authorized insurer's
770assessment liability shall begin on the first day of the
771calendar year following the year in which the insurer was issued
772a certificate of authority to transact insurance for subject
773lines of business in this state and shall terminate 1 year after
774the end of the first calendar year during which the insurer no
775longer holds a certificate of authority to transact insurance
776for subject lines of business in this state.
777 2.a. All revenues, assets, liabilities, losses, and
778expenses of the corporation shall be divided into three separate
779accounts as follows:
780 (I) A personal lines account for personal residential
781policies issued by the corporation or issued by the Residential
782Property and Casualty Joint Underwriting Association and renewed
783by the corporation that provide comprehensive, multiperil
784coverage on risks that are not located in areas eligible for
785coverage in the Florida Windstorm Underwriting Association as
786those areas were defined on January 1, 2002, and for such
787policies that do not provide coverage for the peril of wind on
788risks that are located in such areas;
789 (II) A commercial lines account for commercial residential
790and commercial nonresidential policies issued by the corporation
791or issued by the Residential Property and Casualty Joint
792Underwriting Association and renewed by the corporation that
793provide coverage for basic property perils on risks that are not
794located in areas eligible for coverage in the Florida Windstorm
795Underwriting Association as those areas were defined on January
7961, 2002, and for such policies that do not provide coverage for
797the peril of wind on risks that are located in such areas; and
798 (III) A high-risk account for personal residential
799policies and commercial residential and commercial
800nonresidential property policies issued by the corporation or
801transferred to the corporation that provide coverage for the
802peril of wind on risks that are located in areas eligible for
803coverage in the Florida Windstorm Underwriting Association as
804those areas were defined on January 1, 2002. The corporation may
805offer policies that provide multiperil coverage and the
806corporation shall continue to offer policies that provide
807coverage only for the peril of wind for risks located in areas
808eligible for coverage in the high-risk account. In issuing
809multiperil coverage, the corporation may use its approved policy
810forms and rates for the personal lines account. An applicant or
811insured who is eligible to purchase a multiperil policy from the
812corporation may purchase a multiperil policy from an authorized
813insurer without prejudice to the applicant's or insured's
814eligibility to prospectively purchase a policy that provides
815coverage only for the peril of wind from the corporation. An
816applicant or insured who is eligible for a corporation policy
817that provides coverage only for the peril of wind may elect to
818purchase or retain such policy and also purchase or retain
819coverage excluding wind from an authorized insurer without
820prejudice to the applicant's or insured's eligibility to
821prospectively purchase a policy that provides multiperil
822coverage from the corporation. It is the goal of the Legislature
823that there would be an overall average savings of 10 percent or
824more for a policyholder who currently has a wind-only policy
825with the corporation, and an ex-wind policy with a voluntary
826insurer or the corporation, and who then obtains a multiperil
827policy from the corporation. It is the intent of the Legislature
828that the offer of multiperil coverage in the high-risk account
829be made and implemented in a manner that does not adversely
830affect the tax-exempt status of the corporation or
831creditworthiness of or security for currently outstanding
832financing obligations or credit facilities of the high-risk
833account, the personal lines account, or the commercial lines
834account. The high-risk account must also include quota share
835primary insurance under subparagraph (c)2. The area eligible for
836coverage under the high-risk account also includes the area
837within Port Canaveral, which is bordered on the south by the
838City of Cape Canaveral, bordered on the west by the Banana
839River, and bordered on the north by Federal Government property.
840 b. The three separate accounts must be maintained as long
841as financing obligations entered into by the Florida Windstorm
842Underwriting Association or Residential Property and Casualty
843Joint Underwriting Association are outstanding, in accordance
844with the terms of the corresponding financing documents. When
845the financing obligations are no longer outstanding, in
846accordance with the terms of the corresponding financing
847documents, the corporation may use a single account for all
848revenues, assets, liabilities, losses, and expenses of the
849corporation. Consistent with the requirement of this
850subparagraph and prudent investment policies that minimize the
851cost of carrying debt, the board shall exercise its best efforts
852to retire existing debt or to obtain approval of necessary
853parties to amend the terms of existing debt, so as to structure
854the most efficient plan to consolidate the three separate
855accounts into a single account. By February 1, 2007, the board
856shall submit a report to the Financial Services Commission, the
857President of the Senate, and the Speaker of the House of
858Representatives which includes an analysis of consolidating the
859accounts, the actions the board has taken to minimize the cost
860of carrying debt, and its recommendations for executing the most
861efficient plan.
862 c. Creditors of the Residential Property and Casualty
863Joint Underwriting Association and of the accounts specified in
864sub-sub-subparagraphs a.(I) and (II) may have a claim against,
865and recourse to, the accounts referred to in sub-sub-
866subparagraphs a.(I) and (II) and shall have no claim against, or
867recourse to, the account referred to in sub-sub-subparagraph
868a.(III). Creditors of the Florida Windstorm Underwriting
869Association shall have a claim against, and recourse to, the
870account referred to in sub-sub-subparagraph a.(III) and shall
871have no claim against, or recourse to, the accounts referred to
872in sub-sub-subparagraphs a.(I) and (II).
873 d. Revenues, assets, liabilities, losses, and expenses not
874attributable to particular accounts shall be prorated among the
875accounts.
876 e. The Legislature finds that the revenues of the
877corporation are revenues that are necessary to meet the
878requirements set forth in documents authorizing the issuance of
879bonds under this subsection.
880 f. No part of the income of the corporation may inure to
881the benefit of any private person.
882 3. With respect to a deficit in an account:
883 a. After accounting for the Citizens policyholder
884surcharge imposed under sub-subparagraph i., when the remaining
885projected deficit incurred in a particular calendar year is not
886greater than 6 percent of the aggregate statewide direct written
887premium for the subject lines of business for the prior calendar
888year, the entire deficit shall be recovered through regular
889assessments of assessable insurers under paragraph (p) and
890assessable insureds.
891 b. After accounting for the Citizens policyholder
892surcharge imposed under sub-subparagraph i., when the remaining
893projected deficit incurred in a particular calendar year exceeds
8946 percent of the aggregate statewide direct written premium for
895the subject lines of business for the prior calendar year, the
896corporation shall levy regular assessments on assessable
897insurers under paragraph (p) and on assessable insureds in an
898amount equal to the greater of 6 percent of the deficit or 6
899percent of the aggregate statewide direct written premium for
900the subject lines of business for the prior calendar year. Any
901remaining deficit shall be recovered through emergency
902assessments under sub-subparagraph d.
903 c. Each assessable insurer's share of the amount being
904assessed under sub-subparagraph a. or sub-subparagraph b. shall
905be in the proportion that the assessable insurer's direct
906written premium for the subject lines of business for the year
907preceding the assessment bears to the aggregate statewide direct
908written premium for the subject lines of business for that year.
909The assessment percentage applicable to each assessable insured
910is the ratio of the amount being assessed under sub-subparagraph
911a. or sub-subparagraph b. to the aggregate statewide direct
912written premium for the subject lines of business for the prior
913year. Assessments levied by the corporation on assessable
914insurers under sub-subparagraphs a. and b. shall be paid as
915required by the corporation's plan of operation and paragraph
916(p). Assessments levied by the corporation on assessable
917insureds under sub-subparagraphs a. and b. shall be collected by
918the surplus lines agent at the time the surplus lines agent
919collects the surplus lines tax required by s. 626.932 and shall
920be paid to the Florida Surplus Lines Service Office at the time
921the surplus lines agent pays the surplus lines tax to the
922Florida Surplus Lines Service Office. Upon receipt of regular
923assessments from surplus lines agents, the Florida Surplus Lines
924Service Office shall transfer the assessments directly to the
925corporation as determined by the corporation.
926 d. Upon a determination by the board of governors that a
927deficit in an account exceeds the amount that will be recovered
928through regular assessments under sub-subparagraph a. or sub-
929subparagraph b., plus the amount that is expected to be
930recovered through surcharges under sub-subparagraph i., as to
931the remaining projected deficit the board shall levy, after
932verification by the office, emergency assessments, for as many
933years as necessary to cover the deficits, to be collected by
934assessable insurers and the corporation and collected from
935assessable insureds upon issuance or renewal of policies for
936subject lines of business, excluding National Flood Insurance
937policies. The amount of the emergency assessment collected in a
938particular year shall be a uniform percentage of that year's
939direct written premium for subject lines of business and all
940accounts of the corporation, excluding National Flood Insurance
941Program policy premiums, as annually determined by the board and
942verified by the office. The office shall verify the arithmetic
943calculations involved in the board's determination within 30
944days after receipt of the information on which the determination
945was based. Notwithstanding any other provision of law, the
946corporation and each assessable insurer that writes subject
947lines of business shall collect emergency assessments from its
948policyholders without such obligation being affected by any
949credit, limitation, exemption, or deferment. Emergency
950assessments levied by the corporation on assessable insureds
951shall be collected by the surplus lines agent at the time the
952surplus lines agent collects the surplus lines tax required by
953s. 626.932 and shall be paid to the Florida Surplus Lines
954Service Office at the time the surplus lines agent pays the
955surplus lines tax to the Florida Surplus Lines Service Office.
956The emergency assessments so collected shall be transferred
957directly to the corporation on a periodic basis as determined by
958the corporation and shall be held by the corporation solely in
959the applicable account. The aggregate amount of emergency
960assessments levied for an account under this sub-subparagraph in
961any calendar year may, at the discretion of the board of
962governors, be less than but may not exceed the greater of 10
963percent of the amount needed to cover the deficit, plus
964interest, fees, commissions, required reserves, and other costs
965associated with financing of the original deficit, or 10 percent
966of the aggregate statewide direct written premium for subject
967lines of business and for all accounts of the corporation for
968the prior year, plus interest, fees, commissions, required
969reserves, and other costs associated with financing the deficit.
970 e. The corporation may pledge the proceeds of assessments,
971projected recoveries from the Florida Hurricane Catastrophe
972Fund, other insurance and reinsurance recoverables, policyholder
973surcharges and other surcharges, and other funds available to
974the corporation as the source of revenue for and to secure bonds
975issued under paragraph (p), bonds or other indebtedness issued
976under subparagraph (c)3., or lines of credit or other financing
977mechanisms issued or created under this subsection, or to retire
978any other debt incurred as a result of deficits or events giving
979rise to deficits, or in any other way that the board determines
980will efficiently recover such deficits. The purpose of the lines
981of credit or other financing mechanisms is to provide additional
982resources to assist the corporation in covering claims and
983expenses attributable to a catastrophe. As used in this
984subsection, the term "assessments" includes regular assessments
985under sub-subparagraph a., sub-subparagraph b., or subparagraph
986(p)1. and emergency assessments under sub-subparagraph d.
987Emergency assessments collected under sub-subparagraph d. are
988not part of an insurer's rates, are not premium, and are not
989subject to premium tax, fees, or commissions; however, failure
990to pay the emergency assessment shall be treated as failure to
991pay premium. The emergency assessments under sub-subparagraph d.
992shall continue as long as any bonds issued or other indebtedness
993incurred with respect to a deficit for which the assessment was
994imposed remain outstanding, unless adequate provision has been
995made for the payment of such bonds or other indebtedness
996pursuant to the documents governing such bonds or other
997indebtedness.
998 f. As used in this subsection for purposes of any deficit
999incurred on or after January 25, 2007, the term "subject lines
1000of business" means insurance written by assessable insurers or
1001procured by assessable insureds for all property and casualty
1002lines of business in this state, but not including workers'
1003compensation or medical malpractice. As used in the sub-
1004subparagraph, the term "property and casualty lines of business"
1005includes all lines of business identified on Form 2, Exhibit of
1006Premiums and Losses, in the annual statement required of
1007authorized insurers by s. 624.424 and any rule adopted under
1008this section, except for those lines identified as accident and
1009health insurance and except for policies written under the
1010National Flood Insurance Program or the Federal Crop Insurance
1011Program. For purposes of this sub-subparagraph, the term
1012"workers' compensation" includes both workers' compensation
1013insurance and excess workers' compensation insurance.
1014 g. The Florida Surplus Lines Service Office shall
1015determine annually the aggregate statewide written premium in
1016subject lines of business procured by assessable insureds and
1017shall report that information to the corporation in a form and
1018at a time the corporation specifies to ensure that the
1019corporation can meet the requirements of this subsection and the
1020corporation's financing obligations.
1021 h. The Florida Surplus Lines Service Office shall verify
1022the proper application by surplus lines agents of assessment
1023percentages for regular assessments and emergency assessments
1024levied under this subparagraph on assessable insureds and shall
1025assist the corporation in ensuring the accurate, timely
1026collection and payment of assessments by surplus lines agents as
1027required by the corporation.
1028 i.(I) If a deficit is incurred in any account in 2008 or
1029thereafter, the board of governors shall levy a Citizens
1030policyholder surcharge against all policyholders of the
1031corporation.
1032 (II) The policyholder's liability for the Citizens
1033policyholder surcharge attaches on the date of the event giving
1034rise to an order levying the surcharge or the date of the order,
1035whichever is earlier. The Citizens policyholder surcharge is
1036payable upon cancellation or termination of the policy, upon
1037renewal of the policy, or upon issuance of a new policy by
1038Citizens within the first 12 months after the date of the levy
1039or the period of time necessary to fully collect the Citizens
1040policyholder surcharge amount.
1041 (III) The Citizens policyholder surcharge for a 12-month
1042period, which shall be levied collected at the time of issuance
1043or renewal of a policy, as a uniform percentage of the premium
1044for the policy of up to 15 percent of such premium, which funds
1045shall be used to offset the deficit.
1046 (IV) The corporation may not levy any regular assessments
1047under sub-subparagraph a. or sub-subparagraph b. with respect to
1048a particular year's deficit until the corporation has first
1049levied a Citizens policyholder surcharge under this sub-
1050subparagraph in the full amount authorized by this sub-
1051subparagraph.
1052 (V) Citizens policyholder surcharges under this sub-
1053subparagraph are not considered premium and are not subject to
1054commissions, fees, or premium taxes. However, failure to pay
1055such surcharges shall be treated as failure to pay premium.
1056 j. If the amount of any assessments or surcharges
1057collected from corporation policyholders, assessable insurers or
1058their policyholders, or assessable insureds exceeds the amount
1059of the deficits, such excess amounts shall be remitted to and
1060retained by the corporation in a reserve to be used by the
1061corporation, as determined by the board of governors and
1062approved by the office, to pay claims or reduce any past,
1063present, or future plan-year deficits or to reduce outstanding
1064debt.
1065 (c) The plan of operation of the corporation:
1066 1. Must provide for adoption of residential property and
1067casualty insurance policy forms and commercial residential and
1068nonresidential property insurance forms, which forms must be
1069approved by the office prior to use. The corporation shall adopt
1070the following policy forms:
1071 a. Standard personal lines policy forms that are
1072comprehensive multiperil policies providing full coverage of a
1073residential property equivalent to the coverage provided in the
1074private insurance market under an HO-3, HO-4, or HO-6 policy.
1075 b. Basic personal lines policy forms that are policies
1076similar to an HO-8 policy or a dwelling fire policy that provide
1077coverage meeting the requirements of the secondary mortgage
1078market, but which coverage is more limited than the coverage
1079under a standard policy.
1080 c. Commercial lines residential and nonresidential policy
1081forms that are generally similar to the basic perils of full
1082coverage obtainable for commercial residential structures and
1083commercial nonresidential structures in the admitted voluntary
1084market.
1085 d. Personal lines and commercial lines residential
1086property insurance forms that cover the peril of wind only. The
1087forms are applicable only to residential properties located in
1088areas eligible for coverage under the high-risk account referred
1089to in sub-subparagraph (b)2.a.
1090 e. Commercial lines nonresidential property insurance
1091forms that cover the peril of wind only. The forms are
1092applicable only to nonresidential properties located in areas
1093eligible for coverage under the high-risk account referred to in
1094sub-subparagraph (b)2.a.
1095 f. The corporation may adopt variations of the policy
1096forms listed in sub-subparagraphs a.-e. that contain more
1097restrictive coverage.
1098 2.a. Must provide that the corporation adopt a program in
1099which the corporation and authorized insurers enter into quota
1100share primary insurance agreements for hurricane coverage, as
1101defined in s. 627.4025(2)(a), for eligible risks, and adopt
1102property insurance forms for eligible risks which cover the
1103peril of wind only. As used in this subsection, the term:
1104 (I) "Quota share primary insurance" means an arrangement
1105in which the primary hurricane coverage of an eligible risk is
1106provided in specified percentages by the corporation and an
1107authorized insurer. The corporation and authorized insurer are
1108each solely responsible for a specified percentage of hurricane
1109coverage of an eligible risk as set forth in a quota share
1110primary insurance agreement between the corporation and an
1111authorized insurer and the insurance contract. The
1112responsibility of the corporation or authorized insurer to pay
1113its specified percentage of hurricane losses of an eligible
1114risk, as set forth in the quota share primary insurance
1115agreement, may not be altered by the inability of the other
1116party to the agreement to pay its specified percentage of
1117hurricane losses. Eligible risks that are provided hurricane
1118coverage through a quota share primary insurance arrangement
1119must be provided policy forms that set forth the obligations of
1120the corporation and authorized insurer under the arrangement,
1121clearly specify the percentages of quota share primary insurance
1122provided by the corporation and authorized insurer, and
1123conspicuously and clearly state that neither the authorized
1124insurer nor the corporation may be held responsible beyond its
1125specified percentage of coverage of hurricane losses.
1126 (II) "Eligible risks" means personal lines residential and
1127commercial lines residential risks that meet the underwriting
1128criteria of the corporation and are located in areas that were
1129eligible for coverage by the Florida Windstorm Underwriting
1130Association on January 1, 2002.
1131 b. The corporation may enter into quota share primary
1132insurance agreements with authorized insurers at corporation
1133coverage levels of 90 percent and 50 percent.
1134 c. If the corporation determines that additional coverage
1135levels are necessary to maximize participation in quota share
1136primary insurance agreements by authorized insurers, the
1137corporation may establish additional coverage levels. However,
1138the corporation's quota share primary insurance coverage level
1139may not exceed 90 percent.
1140 d. Any quota share primary insurance agreement entered
1141into between an authorized insurer and the corporation must
1142provide for a uniform specified percentage of coverage of
1143hurricane losses, by county or territory as set forth by the
1144corporation board, for all eligible risks of the authorized
1145insurer covered under the quota share primary insurance
1146agreement.
1147 e. Any quota share primary insurance agreement entered
1148into between an authorized insurer and the corporation is
1149subject to review and approval by the office. However, such
1150agreement shall be authorized only as to insurance contracts
1151entered into between an authorized insurer and an insured who is
1152already insured by the corporation for wind coverage.
1153 f. For all eligible risks covered under quota share
1154primary insurance agreements, the exposure and coverage levels
1155for both the corporation and authorized insurers shall be
1156reported by the corporation to the Florida Hurricane Catastrophe
1157Fund. For all policies of eligible risks covered under quota
1158share primary insurance agreements, the corporation and the
1159authorized insurer shall maintain complete and accurate records
1160for the purpose of exposure and loss reimbursement audits as
1161required by Florida Hurricane Catastrophe Fund rules. The
1162corporation and the authorized insurer shall each maintain
1163duplicate copies of policy declaration pages and supporting
1164claims documents.
1165 g. The corporation board shall establish in its plan of
1166operation standards for quota share agreements which ensure that
1167there is no discriminatory application among insurers as to the
1168terms of quota share agreements, pricing of quota share
1169agreements, incentive provisions if any, and consideration paid
1170for servicing policies or adjusting claims.
1171 h. The quota share primary insurance agreement between the
1172corporation and an authorized insurer must set forth the
1173specific terms under which coverage is provided, including, but
1174not limited to, the sale and servicing of policies issued under
1175the agreement by the insurance agent of the authorized insurer
1176producing the business, the reporting of information concerning
1177eligible risks, the payment of premium to the corporation, and
1178arrangements for the adjustment and payment of hurricane claims
1179incurred on eligible risks by the claims adjuster and personnel
1180of the authorized insurer. Entering into a quota sharing
1181insurance agreement between the corporation and an authorized
1182insurer shall be voluntary and at the discretion of the
1183authorized insurer.
1184 3. May provide that the corporation may employ or
1185otherwise contract with individuals or other entities to provide
1186administrative or professional services that may be appropriate
1187to effectuate the plan. The corporation shall have the power to
1188borrow funds, by issuing bonds or by incurring other
1189indebtedness, and shall have other powers reasonably necessary
1190to effectuate the requirements of this subsection, including,
1191without limitation, the power to issue bonds and incur other
1192indebtedness in order to refinance outstanding bonds or other
1193indebtedness. The corporation may, but is not required to, seek
1194judicial validation of its bonds or other indebtedness under
1195chapter 75. The corporation may issue bonds or incur other
1196indebtedness, or have bonds issued on its behalf by a unit of
1197local government pursuant to subparagraph (p)2., in the absence
1198of a hurricane or other weather-related event, upon a
1199determination by the corporation, subject to approval by the
1200office, that such action would enable it to efficiently meet the
1201financial obligations of the corporation and that such
1202financings are reasonably necessary to effectuate the
1203requirements of this subsection. The corporation is authorized
1204to take all actions needed to facilitate tax-free status for any
1205such bonds or indebtedness, including formation of trusts or
1206other affiliated entities. The corporation shall have the
1207authority to pledge assessments, projected recoveries from the
1208Florida Hurricane Catastrophe Fund, other reinsurance
1209recoverables, market equalization and other surcharges, and
1210other funds available to the corporation as security for bonds
1211or other indebtedness. In recognition of s. 10, Art. I of the
1212State Constitution, prohibiting the impairment of obligations of
1213contracts, it is the intent of the Legislature that no action be
1214taken whose purpose is to impair any bond indenture or financing
1215agreement or any revenue source committed by contract to such
1216bond or other indebtedness.
1217 4.a. Must require that the corporation operate subject to
1218the supervision and approval of a board of governors consisting
1219of eight individuals who are residents of this state, from
1220different geographical areas of this state. The Governor, the
1221Chief Financial Officer, the President of the Senate, and the
1222Speaker of the House of Representatives shall each appoint two
1223members of the board. At least one of the two members appointed
1224by each appointing officer must have demonstrated expertise in
1225insurance. Members appointed for having a demonstrated expertise
1226in insurance as provided in this subparagraph shall be deemed to
1227be within the scope of the exemption set forth in s.
1228112.313(7)(b). The Chief Financial Officer shall designate one
1229of the appointees as chair. All board members serve at the
1230pleasure of the appointing officer. All members of the board of
1231governors are subject to removal at will by the officers who
1232appointed them. All board members, including the chair, must be
1233appointed to serve for 3-year terms beginning annually on a date
1234designated by the plan. However, for the first term beginning on
1235or after July 1, 2009, each appointing officer shall appoint one
1236member of the board for a 2-year term and one member for a 3-
1237year term. Any board vacancy shall be filled for the unexpired
1238term by the appointing officer. The Chief Financial Officer
1239shall appoint a technical advisory group to provide information
1240and advice to the board of governors in connection with the
1241board's duties under this subsection. The executive director and
1242senior managers of the corporation shall be engaged by the board
1243and serve at the pleasure of the board. Any executive director
1244appointed on or after July 1, 2006, is subject to confirmation
1245by the Senate. The executive director is responsible for
1246employing other staff as the corporation may require, subject to
1247review and concurrence by the board.
1248 b. The board shall create a Market Accountability Advisory
1249Committee to assist the corporation in developing awareness of
1250its rates and its customer and agent service levels in
1251relationship to the voluntary market insurers writing similar
1252coverage. The members of the advisory committee shall consist of
1253the following 11 persons, one of whom must be elected chair by
1254the members of the committee: four representatives, one
1255appointed by the Florida Association of Insurance Agents, one by
1256the Florida Association of Insurance and Financial Advisors, one
1257by the Professional Insurance Agents of Florida, and one by the
1258Latin American Association of Insurance Agencies; three
1259representatives appointed by the insurers with the three highest
1260voluntary market share of residential property insurance
1261business in the state; one representative from the Office of
1262Insurance Regulation; one consumer appointed by the board who is
1263insured by the corporation at the time of appointment to the
1264committee; one representative appointed by the Florida
1265Association of Realtors; and one representative appointed by the
1266Florida Bankers Association. All members must serve for 3-year
1267terms and may serve for consecutive terms. The committee shall
1268report to the corporation at each board meeting on insurance
1269market issues which may include rates and rate competition with
1270the voluntary market; service, including policy issuance, claims
1271processing, and general responsiveness to policyholders,
1272applicants, and agents; and matters relating to depopulation.
1273 5. Must provide a procedure for determining the
1274eligibility of a risk for coverage, as follows:
1275 a. Subject to the provisions of s. 627.3517, with respect
1276to personal lines residential risks, if the risk is offered
1277coverage from an authorized insurer at the insurer's approved
1278rate under either a standard policy including wind coverage or,
1279if consistent with the insurer's underwriting rules as filed
1280with the office, a basic policy including wind coverage, for a
1281new application to the corporation for coverage, the risk is not
1282eligible for any policy issued by the corporation unless the
1283premium for coverage from the authorized insurer is more than 15
1284percent greater than the premium for comparable coverage from
1285the corporation. If the risk is not able to obtain any such
1286offer, the risk is eligible for either a standard policy
1287including wind coverage or a basic policy including wind
1288coverage issued by the corporation; however, if the risk could
1289not be insured under a standard policy including wind coverage
1290regardless of market conditions, the risk shall be eligible for
1291a basic policy including wind coverage unless rejected under
1292subparagraph 8. However, with regard to a policyholder of the
1293corporation or a policyholder removed from the corporation
1294through an assumption agreement until the end of the assumption
1295period, the policyholder remains eligible for coverage from the
1296corporation regardless of any offer of coverage from an
1297authorized insurer or surplus lines insurer. The corporation
1298shall determine the type of policy to be provided on the basis
1299of objective standards specified in the underwriting manual and
1300based on generally accepted underwriting practices.
1301 (I) If the risk accepts an offer of coverage through the
1302market assistance plan or an offer of coverage through a
1303mechanism established by the corporation before a policy is
1304issued to the risk by the corporation or during the first 30
1305days of coverage by the corporation, and the producing agent who
1306submitted the application to the plan or to the corporation is
1307not currently appointed by the insurer, the insurer shall:
1308 (A) Pay to the producing agent of record of the policy,
1309for the first year, an amount that is the greater of the
1310insurer's usual and customary commission for the type of policy
1311written or a fee equal to the usual and customary commission of
1312the corporation; or
1313 (B) Offer to allow the producing agent of record of the
1314policy to continue servicing the policy for a period of not less
1315than 1 year and offer to pay the agent the greater of the
1316insurer's or the corporation's usual and customary commission
1317for the type of policy written.
1318
1319If the producing agent is unwilling or unable to accept
1320appointment, the new insurer shall pay the agent in accordance
1321with sub-sub-sub-subparagraph (A).
1322 (II) When the corporation enters into a contractual
1323agreement for a take-out plan, the producing agent of record of
1324the corporation policy is entitled to retain any unearned
1325commission on the policy, and the insurer shall:
1326 (A) Pay to the producing agent of record of the
1327corporation policy, for the first year, an amount that is the
1328greater of the insurer's usual and customary commission for the
1329type of policy written or a fee equal to the usual and customary
1330commission of the corporation; or
1331 (B) Offer to allow the producing agent of record of the
1332corporation policy to continue servicing the policy for a period
1333of not less than 1 year and offer to pay the agent the greater
1334of the insurer's or the corporation's usual and customary
1335commission for the type of policy written.
1336
1337If the producing agent is unwilling or unable to accept
1338appointment, the new insurer shall pay the agent in accordance
1339with sub-sub-sub-subparagraph (A).
1340 b. With respect to commercial lines residential risks, for
1341a new application to the corporation for coverage, if the risk
1342is offered coverage under a policy including wind coverage from
1343an authorized insurer at its approved rate, the risk is not
1344eligible for any policy issued by the corporation unless the
1345premium for coverage from the authorized insurer is more than 15
1346percent greater than the premium for comparable coverage from
1347the corporation. If the risk is not able to obtain any such
1348offer, the risk is eligible for a policy including wind coverage
1349issued by the corporation. However, with regard to a
1350policyholder of the corporation or a policyholder removed from
1351the corporation through an assumption agreement until the end of
1352the assumption period, the policyholder remains eligible for
1353coverage from the corporation regardless of any offer of
1354coverage from an authorized insurer or surplus lines insurer.
1355 (I) If the risk accepts an offer of coverage through the
1356market assistance plan or an offer of coverage through a
1357mechanism established by the corporation before a policy is
1358issued to the risk by the corporation or during the first 30
1359days of coverage by the corporation, and the producing agent who
1360submitted the application to the plan or the corporation is not
1361currently appointed by the insurer, the insurer shall:
1362 (A) Pay to the producing agent of record of the policy,
1363for the first year, an amount that is the greater of the
1364insurer's usual and customary commission for the type of policy
1365written or a fee equal to the usual and customary commission of
1366the corporation; or
1367 (B) Offer to allow the producing agent of record of the
1368policy to continue servicing the policy for a period of not less
1369than 1 year and offer to pay the agent the greater of the
1370insurer's or the corporation's usual and customary commission
1371for the type of policy written.
1372
1373If the producing agent is unwilling or unable to accept
1374appointment, the new insurer shall pay the agent in accordance
1375with sub-sub-sub-subparagraph (A).
1376 (II) When the corporation enters into a contractual
1377agreement for a take-out plan, the producing agent of record of
1378the corporation policy is entitled to retain any unearned
1379commission on the policy, and the insurer shall:
1380 (A) Pay to the producing agent of record of the
1381corporation policy, for the first year, an amount that is the
1382greater of the insurer's usual and customary commission for the
1383type of policy written or a fee equal to the usual and customary
1384commission of the corporation; or
1385 (B) Offer to allow the producing agent of record of the
1386corporation policy to continue servicing the policy for a period
1387of not less than 1 year and offer to pay the agent the greater
1388of the insurer's or the corporation's usual and customary
1389commission for the type of policy written.
1390
1391If the producing agent is unwilling or unable to accept
1392appointment, the new insurer shall pay the agent in accordance
1393with sub-sub-sub-subparagraph (A).
1394 c. For purposes of determining comparable coverage under
1395sub-subparagraphs a. and b., the comparison shall be based on
1396those forms and coverages that are reasonably comparable. The
1397corporation may rely on a determination of comparable coverage
1398and premium made by the producing agent who submits the
1399application to the corporation, made in the agent's capacity as
1400the corporation's agent. A comparison may be made solely of the
1401premium with respect to the main building or structure only on
1402the following basis: the same coverage A or other building
1403limits; the same percentage hurricane deductible that applies on
1404an annual basis or that applies to each hurricane for commercial
1405residential property; the same percentage of ordinance and law
1406coverage, if the same limit is offered by both the corporation
1407and the authorized insurer; the same mitigation credits, to the
1408extent the same types of credits are offered both by the
1409corporation and the authorized insurer; the same method for loss
1410payment, such as replacement cost or actual cash value, if the
1411same method is offered both by the corporation and the
1412authorized insurer in accordance with underwriting rules; and
1413any other form or coverage that is reasonably comparable as
1414determined by the board. If an application is submitted to the
1415corporation for wind-only coverage in the high-risk account, the
1416premium for the corporation's wind-only policy plus the premium
1417for the ex-wind policy that is offered by an authorized insurer
1418to the applicant shall be compared to the premium for multiperil
1419coverage offered by an authorized insurer, subject to the
1420standards for comparison specified in this subparagraph. If the
1421corporation or the applicant requests from the authorized
1422insurer a breakdown of the premium of the offer by types of
1423coverage so that a comparison may be made by the corporation or
1424its agent and the authorized insurer refuses or is unable to
1425provide such information, the corporation may treat the offer as
1426not being an offer of coverage from an authorized insurer at the
1427insurer's approved rate.
1428 6. Must include rules for classifications of risks and
1429rates therefor.
1430 7. Must provide that if premium and investment income for
1431an account attributable to a particular calendar year are in
1432excess of projected losses and expenses for the account
1433attributable to that year, such excess shall be held in surplus
1434in the account. Such surplus shall be available to defray
1435deficits in that account as to future years and shall be used
1436for that purpose prior to assessing assessable insurers and
1437assessable insureds as to any calendar year.
1438 8. Must provide objective criteria and procedures to be
1439uniformly applied for all applicants in determining whether an
1440individual risk is so hazardous as to be uninsurable. In making
1441this determination and in establishing the criteria and
1442procedures, the following shall be considered:
1443 a. Whether the likelihood of a loss for the individual
1444risk is substantially higher than for other risks of the same
1445class; and
1446 b. Whether the uncertainty associated with the individual
1447risk is such that an appropriate premium cannot be determined.
1448
1449The acceptance or rejection of a risk by the corporation shall
1450be construed as the private placement of insurance, and the
1451provisions of chapter 120 shall not apply.
1452 9. Must provide that the corporation shall make its best
1453efforts to procure catastrophe reinsurance at reasonable rates,
1454to cover its projected 100-year probable maximum loss as
1455determined by the board of governors.
1456 10. The policies issued by the corporation must provide
1457that, if the corporation or the market assistance plan obtains
1458an offer from an authorized insurer to cover the risk at its
1459approved rates, the risk is no longer eligible for renewal
1460through the corporation, except as otherwise provided in this
1461subsection.
1462 11. Corporation policies and applications must include a
1463notice that the corporation policy could, under this section, be
1464replaced with a policy issued by an authorized insurer that does
1465not provide coverage identical to the coverage provided by the
1466corporation. The notice shall also specify that acceptance of
1467corporation coverage creates a conclusive presumption that the
1468applicant or policyholder is aware of this potential.
1469 12. May establish, subject to approval by the office,
1470different eligibility requirements and operational procedures
1471for any line or type of coverage for any specified county or
1472area if the board determines that such changes to the
1473eligibility requirements and operational procedures are
1474justified due to the voluntary market being sufficiently stable
1475and competitive in such area or for such line or type of
1476coverage and that consumers who, in good faith, are unable to
1477obtain insurance through the voluntary market through ordinary
1478methods would continue to have access to coverage from the
1479corporation. When coverage is sought in connection with a real
1480property transfer, such requirements and procedures shall not
1481provide for an effective date of coverage later than the date of
1482the closing of the transfer as established by the transferor,
1483the transferee, and, if applicable, the lender.
1484 13. Must provide that, with respect to the high-risk
1485account, any assessable insurer with a surplus as to
1486policyholders of $25 million or less writing 25 percent or more
1487of its total countrywide property insurance premiums in this
1488state may petition the office, within the first 90 days of each
1489calendar year, to qualify as a limited apportionment company. A
1490regular assessment levied by the corporation on a limited
1491apportionment company for a deficit incurred by the corporation
1492for the high-risk account in 2006 or thereafter may be paid to
1493the corporation on a monthly basis as the assessments are
1494collected by the limited apportionment company from its insureds
1495pursuant to s. 627.3512, but the regular assessment must be paid
1496in full within 12 months after being levied by the corporation.
1497A limited apportionment company shall collect from its
1498policyholders any emergency assessment imposed under sub-
1499subparagraph (b)3.d. The plan shall provide that, if the office
1500determines that any regular assessment will result in an
1501impairment of the surplus of a limited apportionment company,
1502the office may direct that all or part of such assessment be
1503deferred as provided in subparagraph (p)4. However, there shall
1504be no limitation or deferment of an emergency assessment to be
1505collected from policyholders under sub-subparagraph (b)3.d.
1506 14. Must provide that the corporation appoint as its
1507licensed agents only those agents who also hold an appointment
1508as defined in s. 626.015(3) with an insurer who at the time of
1509the agent's initial appointment by the corporation is authorized
1510to write and is actually writing personal lines residential
1511property coverage, commercial residential property coverage, or
1512commercial nonresidential property coverage within the state.
1513 15. Must provide, by July 1, 2007, a premium payment plan
1514option to its policyholders which allows at a minimum for
1515quarterly and semiannual payment of premiums. A monthly payment
1516plan may, but is not required to, be offered.
1517 16. Must limit coverage on mobile homes or manufactured
1518homes built prior to 1994 to actual cash value of the dwelling
1519rather than replacement costs of the dwelling.
1520 17. May provide such limits of coverage as the board
1521determines, consistent with the requirements of this subsection.
1522 18. May require commercial property to meet specified
1523hurricane mitigation construction features as a condition of
1524eligibility for coverage.
1525 19.a. Shall require the agent to obtain from any applicant
1526for coverage the following acknowledgement, signed by the
1527applicant, and shall require the agent of record to obtain the
1528following acknowledgment from each corporation policyholder
1529prior to the policy's first renewal after the effective date of
1530this act:
1531
1532
ACKNOWLEDGEMENT OF POTENTIAL SURCHARGE AND ASSESSMENT
1533
LIABILITY:
1534 1. I UNDERSTAND, AS A CITIZENS PROPERTY
1535INSURANCE CORPORATION POLICYHOLDER, THAT IF THE
1536CORPORATION SUSTAINS A DEFICIT AS A RESULT OF
1537HURRICANE LOSSES OR FOR ANY OTHER REASON, MY POLICY
1538COULD BE SUBJECT TO CITIZENS POLICYHOLDER SURCHARGES,
1539WHICH WOULD BE DUE AND PAYABLE UPON ISSUANCE, RENEWAL,
1540CANCELLATION, OR TERMINATION OF THE POLICY, AND THAT
1541THE SURCHARGES COULD BE AS HIGH AS 15 PERCENT OF MY
1542PREMIUM FOR DEFICITS IN EACH OF THREE CITIZENS
1543ACCOUNTS, OR A DIFFERENT AMOUNT AS ESTABLISHED BY THE
1544FLORIDA LEGISLATURE.
1545 2. I ALSO UNDERSTAND THAT I MAY BE SUBJECT TO
1546EMERGENCY ASSESSMENTS TO THE SAME EXTENT AS
1547POLICYHOLDERS OF OTHER INSURANCE COMPANIES.
1548
1549 b. The corporation shall permanently maintain a signed
1550copy of the signed acknowledgement required by this
1551subparagraph, and the agent may also retain a copy.
1552 c. The signed acknowledgement form creates a conclusive
1553presumption that the policyholder understood and accepted his or
1554her potential surcharge and assessment liability as a Citizens
1555policyholder.
1556 (d)1. All prospective employees for senior management
1557positions, as defined by the plan of operation, are subject to
1558background checks as a prerequisite for employment. The office
1559shall conduct background checks on such prospective employees
1560pursuant to ss. 624.34, 624.404(3), and 628.261.
1561 2. On or before July 1 of each year, employees of the
1562corporation are required to sign and submit a statement
1563attesting that they do not have a conflict of interest, as
1564defined in part III of chapter 112. As a condition of
1565employment, all prospective employees are required to sign and
1566submit to the corporation a conflict-of-interest statement.
1567 3. Senior managers and members of the board of governors
1568are subject to the provisions of part III of chapter 112,
1569including, but not limited to, the code of ethics and public
1570disclosure and reporting of financial interests, pursuant to s.
1571112.3145. Notwithstanding s. 112.3143(2), a board member may not
1572vote upon any measure that would inure to his or her special
1573private gain or loss; that he or she knows would inure to the
1574special private gain or loss of any principal by whom he or she
1575is retained or to the parent organization or subsidiary of a
1576corporate principal by which he or she is retained, other than
1577an agency as defined in s. 112.312(2); or that he or she knows
1578would inure to the special private gain or loss of a relative or
1579business associate of the public officer. Such member shall,
1580prior to the vote being taken, publicly state to the assembly
1581the nature of his or her interest in the matter from which he or
1582she is abstaining from voting and, within 15 days after the vote
1583occurs, disclose the nature of his or her interest as a public
1584record in a memorandum filed with the person responsible for
1585recording the minutes of the meeting, who shall incorporate the
1586memorandum in the minutes. Senior managers and board members are
1587also required to file such disclosures with the Commission on
1588Ethics and the Office of Insurance Regulation. The executive
1589director of the corporation or his or her designee shall notify
1590each newly appointed and existing appointed member of the board
1591of governors and senior managers of their duty to comply with
1592the reporting requirements of part III of chapter 112. At least
1593quarterly, the executive director or his or her designee shall
1594submit to the Commission on Ethics a list of names of the senior
1595managers and members of the board of governors who are subject
1596to the public disclosure requirements under s. 112.3145.
1597 4. Notwithstanding s. 112.3148 or s. 112.3149, or any
1598other provision of law, an employee or board member may not
1599knowingly accept, directly or indirectly, any gift or
1600expenditure from a person or entity, or an employee or
1601representative of such person or entity, that has a contractual
1602relationship with the corporation or who is under consideration
1603for a contract. An employee or board member who fails to comply
1604with subparagraph 3. or this subparagraph is subject to
1605penalties provided under ss. 112.317 and 112.3173.
1606 5. Any senior manager of the corporation who is employed
1607on or after January 1, 2007, regardless of the date of hire, who
1608subsequently retires or terminates employment is prohibited from
1609representing another person or entity before the corporation for
16102 years after retirement or termination of employment from the
1611corporation.
1612 6. Any senior manager of the corporation who is employed
1613on or after January 1, 2007, regardless of the date of hire, who
1614subsequently retires or terminates employment is prohibited from
1615having any employment or contractual relationship for 2 years
1616with an insurer that has entered into a take-out bonus agreement
1617with the corporation.
1618 (y) It is the intent of the Legislature that the
1619amendments to this subsection enacted in 2002 should, over time,
1620reduce the probable maximum windstorm losses in the residual
1621markets and should reduce the potential assessments to be levied
1622on property insurers and policyholders statewide. In furtherance
1623of this intent:
1624 1. The board shall, on or before February 1 of each year,
1625provide a report to the President of the Senate and the Speaker
1626of the House of Representatives showing the reduction or
1627increase in the 100-year probable maximum loss attributable to
1628wind-only coverages and the quota share program under this
1629subsection combined, as compared to the benchmark 100-year
1630probable maximum loss of the Florida Windstorm Underwriting
1631Association. For purposes of this paragraph, the benchmark 100-
1632year probable maximum loss of the Florida Windstorm Underwriting
1633Association shall be the calculation dated February 2001 and
1634based on November 30, 2000, exposures. In order to ensure
1635comparability of data, the board shall use the same methods for
1636calculating its probable maximum loss as were used to calculate
1637the benchmark probable maximum loss.
1638 2. Beginning December 1, 2010, if the report under
1639subparagraph 1. for any year indicates that the 100-year
1640probable maximum loss attributable to wind-only coverages and
1641the quota share program combined does not reflect a reduction of
1642at least 25 percent from the benchmark, the board shall reduce
1643the boundaries of the high-risk area eligible for wind-only
1644coverages under this subsection in a manner calculated to reduce
1645such probable maximum loss to an amount at least 25 percent
1646below the benchmark.
1647 3. Beginning February 1, 2015, if the report under
1648subparagraph 1. for any year indicates that the 100-year
1649probable maximum loss attributable to wind-only coverages and
1650the quota share program combined does not reflect a reduction of
1651at least 50 percent from the benchmark, the boundaries of the
1652high-risk area eligible for wind-only coverages under this
1653subsection shall be reduced by the elimination of any area that
1654is not seaward of a line 1,000 feet inland from the Intracoastal
1655Waterway.
1656 (y)(z) In enacting the provisions of this section, the
1657Legislature recognizes that both the Florida Windstorm
1658Underwriting Association and the Residential Property and
1659Casualty Joint Underwriting Association have entered into
1660financing arrangements that obligate each entity to service its
1661debts and maintain the capacity to repay funds secured under
1662these financing arrangements. It is the intent of the
1663Legislature that nothing in this section be construed to
1664compromise, diminish, or interfere with the rights of creditors
1665under such financing arrangements. It is further the intent of
1666the Legislature to preserve the obligations of the Florida
1667Windstorm Underwriting Association and Residential Property and
1668Casualty Joint Underwriting Association with regard to
1669outstanding financing arrangements, with such obligations
1670passing entirely and unchanged to the corporation and,
1671specifically, to the applicable account of the corporation. So
1672long as any bonds, notes, indebtedness, or other financing
1673obligations of the Florida Windstorm Underwriting Association or
1674the Residential Property and Casualty Joint Underwriting
1675Association are outstanding, under the terms of the financing
1676documents pertaining to them, the governing board of the
1677corporation shall have and shall exercise the authority to levy,
1678charge, collect, and receive all premiums, assessments,
1679surcharges, charges, revenues, and receipts that the
1680associations had authority to levy, charge, collect, or receive
1681under the provisions of subsection (2) and this subsection,
1682respectively, as they existed on January 1, 2002, to provide
1683moneys, without exercise of the authority provided by this
1684subsection, in at least the amounts, and by the times, as would
1685be provided under those former provisions of subsection (2) or
1686this subsection, respectively, so that the value, amount, and
1687collectability of any assets, revenues, or revenue source
1688pledged or committed to, or any lien thereon securing such
1689outstanding bonds, notes, indebtedness, or other financing
1690obligations will not be diminished, impaired, or adversely
1691affected by the amendments made by this act and to permit
1692compliance with all provisions of financing documents pertaining
1693to such bonds, notes, indebtedness, or other financing
1694obligations, or the security or credit enhancement for them, and
1695any reference in this subsection to bonds, notes, indebtedness,
1696financing obligations, or similar obligations, of the
1697corporation shall include like instruments or contracts of the
1698Florida Windstorm Underwriting Association and the Residential
1699Property and Casualty Joint Underwriting Association to the
1700extent not inconsistent with the provisions of the financing
1701documents pertaining to them.
1702 (z)(aa) The corporation shall not require the securing of
1703flood insurance as a condition of coverage if the insured or
1704applicant executes a form approved by the office affirming that
1705flood insurance is not provided by the corporation and that if
1706flood insurance is not secured by the applicant or insured in
1707addition to coverage by the corporation, the risk will not be
1708covered for flood damage. A corporation policyholder electing
1709not to secure flood insurance and executing a form as provided
1710herein making a claim for water damage against the corporation
1711shall have the burden of proving the damage was not caused by
1712flooding. Notwithstanding other provisions of this subsection,
1713the corporation may deny coverage to an applicant or insured who
1714refuses to execute the form described herein.
1715 (aa)(bb) A salaried employee of the corporation who
1716performs policy administration services subsequent to the
1717effectuation of a corporation policy is not required to be
1718licensed as an agent under the provisions of s. 626.112.
1719 (bb)(cc) By February 1, 2007, the corporation shall submit
1720a report to the President of the Senate, the Speaker of the
1721House of Representatives, the minority party leaders of the
1722Senate and the House of Representatives, and the chairs of the
1723standing committees of the Senate and the House of
1724Representatives having jurisdiction over matters relating to
1725property and casualty insurance. In preparing the report, the
1726corporation shall consult with the Office of Insurance
1727Regulation, the Department of Financial Services, and any other
1728party the corporation determines appropriate. The report must
1729include all findings and recommendations on the feasibility of
1730requiring authorized insurers that issue and service personal
1731and commercial residential policies and commercial
1732nonresidential policies that provide coverage for basic property
1733perils except for the peril of wind to issue and service for a
1734fee personal and commercial residential policies and commercial
1735nonresidential policies providing coverage for the peril of wind
1736issued by the corporation. The report must include:
1737 1. The expense savings to the corporation of issuing and
1738servicing such policies as determined by a cost-benefit
1739analysis.
1740 2. The expenses and liability to authorized insurers
1741associated with issuing and servicing such policies.
1742 3. The effect on service to policyholders of the
1743corporation relating to issuing and servicing such policies.
1744 4. The effect on the producing agent of the corporation of
1745issuing and servicing such policies.
1746 5. Recommendations as to the amount of the fee which
1747should be paid to authorized insurers for issuing and servicing
1748such policies.
1749 6. The effect that issuing and servicing such policies
1750will have on the corporation's number of policies, total insured
1751value, and probable maximum loss.
1752 (cc)(dd) There shall be no liability on the part of, and
1753no cause of action of any nature shall arise against, producing
1754agents of record of the corporation or employees of such agents
1755for insolvency of any take-out insurer.
1756 (dd)(ee) The assets of the corporation may be invested and
1757managed by the State Board of Administration.
1758 (ee)(ff) The office may establish a pilot program to offer
1759optional sinkhole coverage in one or more counties or other
1760territories of the corporation for the purpose of implementing
1761s. 627.706, as amended by s. 30, chapter 2007-1, Laws of
1762Florida. Under the pilot program, the corporation is not
1763required to issue a notice of nonrenewal to exclude sinkhole
1764coverage upon the renewal of existing policies, but may exclude
1765such coverage using a notice of coverage change.
1766 Section 10. The Division of Statutory Revision shall
1767prepare a reviser's bill for introduction at the next regular
1768session of the Legislature to change the term "high-risk
1769account" to "coastal account" in s. 627.351(6), Florida
1770Statutes.
1771 Section 11. Paragraph (b) of subsection (2) of section
1772627.4133, Florida Statutes, is amended to read:
1773 627.4133 Notice of cancellation, nonrenewal, or renewal
1774premium.-
1775 (2) With respect to any personal lines or commercial
1776residential property insurance policy, including, but not
1777limited to, any homeowner's, mobile home owner's, farmowner's,
1778condominium association, condominium unit owner's, apartment
1779building, or other policy covering a residential structure or
1780its contents:
1781 (b) The insurer shall give the named insured written
1782notice of nonrenewal, cancellation, or termination at least 100
1783days prior to the effective date of the nonrenewal,
1784cancellation, or termination. However, the insurer shall give at
1785least 100 days' written notice, or written notice by June 1,
1786whichever is earlier, for any nonrenewal, cancellation, or
1787termination that would be effective between June 1 and November
178830. The notice must include the reason or reasons for the
1789nonrenewal, cancellation, or termination, except that:
1790 1. The insurer shall give the named insured written notice
1791of nonrenewal, cancellation, or termination at least 180 days
1792prior to the effective date of the nonrenewal, cancellation, or
1793termination for a named insured whose residential structure has
1794been insured by that insurer or an affiliated insurer for at
1795least a 5-year period immediately prior to the date of the
1796written notice.
1797 2. When cancellation is for nonpayment of premium, at
1798least 10 days' written notice of cancellation accompanied by the
1799reason therefor shall be given. As used in this subparagraph,
1800the term "nonpayment of premium" means failure of the named
1801insured to discharge when due any of her or his obligations in
1802connection with the payment of premiums on a policy or any
1803installment of such premium, whether the premium is payable
1804directly to the insurer or its agent or indirectly under any
1805premium finance plan or extension of credit, or failure to
1806maintain membership in an organization if such membership is a
1807condition precedent to insurance coverage. "Nonpayment of
1808premium" also means the failure of a financial institution to
1809honor an insurance applicant's check after delivery to a
1810licensed agent for payment of a premium, even if the agent has
1811previously delivered or transferred the premium to the insurer.
1812If a dishonored check represents the initial premium payment,
1813the contract and all contractual obligations shall be void ab
1814initio unless the nonpayment is cured within the earlier of 5
1815days after actual notice by certified mail is received by the
1816applicant or 15 days after notice is sent to the applicant by
1817certified mail or registered mail, and if the contract is void,
1818any premium received by the insurer from a third party shall be
1819refunded to that party in full.
1820 3. When such cancellation or termination occurs during the
1821first 90 days during which the insurance is in force and the
1822insurance is canceled or terminated for reasons other than
1823nonpayment of premium, at least 20 days' written notice of
1824cancellation or termination accompanied by the reason therefor
1825shall be given except where there has been a material
1826misstatement or misrepresentation or failure to comply with the
1827underwriting requirements established by the insurer.
1828 4. The requirement for providing written notice of
1829nonrenewal by June 1 of any nonrenewal that would be effective
1830between June 1 and November 30 does not apply to the following
1831situations, but the insurer remains subject to the requirement
1832to provide such notice at least 100 days prior to the effective
1833date of nonrenewal:
1834 a. A policy that is nonrenewed due to a revision in the
1835coverage for sinkhole losses and catastrophic ground cover
1836collapse pursuant to s. 627.706, as amended by s. 30, chapter
18372007-1, Laws of Florida.
1838 b. A policy that is nonrenewed by Citizens Property
1839Insurance Corporation, pursuant to s. 627.351(6), for a policy
1840that has been assumed by an authorized insurer offering
1841replacement or renewal coverage to the policyholder.
1842 5. Notwithstanding any other provision of law, an insurer
1843may cancel or nonrenew a property insurance policy upon a
1844minimum of 45 days' notice if the office finds that the early
1845cancellation of some or all of the insurer's policies is
1846necessary to protect the best interests of the public or
1847policyholders and the office approves the insurer's plan for
1848early cancellation or nonrenewal of some or all of its policies.
1849The office may base such a finding upon the financial condition
1850of the insurer, lack of adequate reinsurance coverage for
1851hurricane risk, or other relevant factors. The office may
1852condition its finding on the consent of the insurer to be placed
1853in administrative supervision pursuant to s. 624.81 or consent
1854to the appointment of a receiver under chapter 631.
1855 6. Citizens Property Insurance Corporation shall give the
1856named insured written notice of nonrenewal, cancellation, or
1857termination at least 45 days before the effective date of the
1858nonrenewal, cancellation, or termination if the policy being
1859nonrenewed, canceled, or terminated has been assumed by an
1860authorized insurer offering coverage to the policyholder.
1861
1862After the policy has been in effect for 90 days, the policy
1863shall not be canceled by the insurer except when there has been
1864a material misstatement, a nonpayment of premium, a failure to
1865comply with underwriting requirements established by the insurer
1866within 90 days of the date of effectuation of coverage, or a
1867substantial change in the risk covered by the policy or when the
1868cancellation is for all insureds under such policies for a given
1869class of insureds. This paragraph does not apply to individually
1870rated risks having a policy term of less than 90 days.
1871 Section 12. Section 627.41341, Florida Statutes, is
1872created 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,
1876addition, or deletion of any term, coverage, duty, or condition
1877from the prior policy. The correction of typographical or
1878scrivener's errors or the application of mandated legislative
1879changes is not a change in policy terms.
1880 (b) "Policy" means a written contract of personal lines
1881insurance or a written agreement for or effecting insurance, or
1882the certificate of such insurance, by whatever name called, and
1883includes all clauses, riders, endorsements, and papers which are
1884a part of such policy. The term "policy" does not include a
1885binder as defined in s. 627.420 unless the duration of the
1886binder period exceeds 60 days.
1887 (c) "Renewal" means the issuance and delivery by an
1888insurer of a policy superseding at the end of the policy period
1889a policy previously issued and delivered by the same insurer or
1890the issuance and delivery of a certificate or notice extending
1891the term of a policy beyond its policy period or term. Any
1892policy with a policy period or term of less than 6 months or any
1893policy with no fixed expiration date shall for the purpose of
1894this section be considered as if written for successive policy
1895periods or terms of 6 months.
1896 (2) A renewal policy may contain a change in policy terms.
1897If a renewal policy contains a change in policy terms, the
1898insurer shall give the named insured a written notice of change
1899in policy terms that shall be enclosed with the written notice
1900of renewal premium required by ss. 627.4133 and 627.728. The
1901notice shall be entitled "Notice of Change in Policy Terms."
1902 (3) Although not required, United States Postal Service
1903proof of mailing or registered mailing of the notice of change
1904in policy terms to the named insured at the address shown in the
1905policy shall be sufficient proof of notice.
1906 (4) Receipt of payment of the premium for the renewal
1907policy by the insurer shall be deemed to be acceptance of the
1908new policy terms by the named insured.
1909 (5) If an insurer fails to provide the notice of change in
1910policy terms required under subsection (2), the original policy
1911terms shall remain in effect until the next renewal and the
1912proper service of the notice of change in policy terms or until
1913the effective date of replacement coverage obtained by the named
1914insured, whichever occurs first.
1915 (6) The intent of this section is to:
1916 (a) Allow an insurer to make a change in policy terms
1917without nonrenewing policyholders that the insurer wishes to
1918continue insuring.
1919 (b) Alleviate the concern and confusion to the
1920policyholders caused by the required policy nonrenewal for the
1921limited issue when an insurer intends to renew the insurance
1922policy but the new policy contains a change in policy terms.
1923 (c) Encourage policyholders to discuss their coverages
1924with their insurance agent.
1925 Section 13. Subsections (1), (3), (4), and (5) of section
1926627.7011, Florida Statutes, are amended to read:
1927 627.7011 Homeowners' policies; offer of replacement cost
1928coverage and law and ordinance coverage.-
1929 (1) Before Prior to issuing or renewing a homeowner's
1930insurance policy on or after October 1, 2005, or prior to the
1931first renewal of a homeowner's insurance policy on or after
1932October 1, 2005, the insurer must offer each of the following:
1933 (a) A policy or endorsement providing that any loss which
1934is repaired or replaced will be adjusted on the basis of
1935replacement costs not exceeding policy limits as to the
1936dwelling, rather than actual cash value, but not including costs
1937necessary to meet applicable laws and ordinances regulating the
1938construction, use, or repair of any property or requiring the
1939tearing down of any property, including the costs of removing
1940debris.
1941 (b) A policy or endorsement providing that, subject to
1942other policy provisions, any loss which is repaired or replaced
1943at any location will be adjusted on the basis of replacement
1944costs not exceeding policy limits as to the dwelling, rather
1945than actual cash value, and also including costs necessary to
1946meet applicable laws and ordinances regulating the construction,
1947use, or repair of any property or requiring the tearing down of
1948any property, including the costs of removing debris; however,
1949such additional costs necessary to meet applicable laws and
1950ordinances may be limited to either 25 percent or 50 percent of
1951the dwelling limit, as selected by the policyholder, and such
1952coverage shall apply only to repairs of the damaged portion of
1953the structure unless the total damage to the structure exceeds
195450 percent of the replacement cost of the structure.
1955
1956An insurer is not required to make the offers required by this
1957subsection with respect to the issuance or renewal of a
1958homeowner's policy that contains the provisions specified in
1959paragraph (b) for law and ordinance coverage limited to 25
1960percent of the dwelling limit, except that the insurer must
1961offer the law and ordinance coverage limited to 50 percent of
1962the dwelling limit. This subsection does not prohibit the offer
1963of a guaranteed replacement cost policy.
1964 (3)(a) If In the event of a loss occurs for which a
1965dwelling or personal property is insured on the basis of
1966replacement costs, the insurer shall initially pay at least the
1967actual cash value of the loss and shall pay the actual cash
1968value of the insured loss, less any applicable deductible. In
1969order to receive payment from an insurer under this paragraph, a
1970policyholder must enter into a contract for the performance of
1971building and structural repairs. The insurer shall pay any
1972remaining amounts necessary to perform such repairs as work is
1973performed and expenses are incurred. Other than incidental
1974expenses to mitigate further damage, the insurer or any
1975contractor or subcontractor may not require the policyholder to
1976advance payment for such repairs or expenses. The insurer may
1977waive the requirement for a contract under this paragraph
1978replacement cost without reservation or holdback of any
1979depreciation in value, whether or not the insured replaces or
1980repairs the dwelling or property.
1981 (b) If a loss occurs for which personal property is
1982insured on the basis of replacement costs, the insurer may limit
1983an initial payment to 50 percent of the replacement cost value
1984of the personal property to be replaced, less any applicable
1985deductible. An insurer may require an insured to provide the
1986receipts for purchases of property financed by the initial 50-
1987percent payment required by this paragraph, and the insurer
1988shall use such receipts to make any remaining payments requested
1989by the insured for the replacement of remaining insured personal
1990property. If a total loss occurs, the insurer shall pay the
1991replacement cost for content coverage without reservation or
1992holdback of any depreciation in value. The insurer may not
1993require the policyholder to advance payment for the replaced
1994property.
1995 (4) A Any homeowner's insurance policy issued or renewed
1996on or after October 1, 2005, must include in bold type no
1997smaller than 18 points the following statement:
1998
1999"LAW AND ORDINANCE COVERAGE IS AN IMPORTANT COVERAGE
2000THAT YOU MAY WISH TO PURCHASE. YOU MAY ALSO NEED TO
2001CONSIDER THE PURCHASE OF FLOOD INSURANCE FROM THE
2002NATIONAL FLOOD INSURANCE PROGRAM. WITHOUT THIS
2003COVERAGE, YOU MAY HAVE UNCOVERED LOSSES. PLEASE
2004DISCUSS THESE COVERAGES WITH YOUR INSURANCE AGENT."
2005
2006The intent of this subsection is to encourage policyholders to
2007purchase sufficient coverage to protect them in case events
2008excluded from the standard homeowners policy, such as law and
2009ordinance enforcement and flood, combine with covered events to
2010produce damage or loss to the insured property. The intent is
2011also to encourage policyholders to discuss these issues with
2012their insurance agent.
2013 (5) Nothing in This section does not shall be construed to
2014apply to policies not considered to be "homeowners' policies,"
2015as that term is commonly understood in the insurance industry.
2016This section specifically does not apply to mobile home
2017policies. Nothing in This section does not limit shall be
2018construed as limiting the ability of any insurer to reject or
2019nonrenew any insured or applicant on the grounds that the
2020structure does not meet underwriting criteria applicable to
2021replacement cost or law and ordinance policies or for other
2022lawful reasons.
2023 Section 14. Paragraph (a) of subsection (5) of section
2024627.70131, Florida Statutes, is amended to read:
2025 627.70131 Insurer's duty to acknowledge communications
2026regarding claims; investigation.-
2027 (5)(a) Within 90 days after an insurer receives notice of
2028an initial or supplemental a property insurance claim from a
2029policyholder, the insurer shall pay or deny such claim or a
2030portion of the claim unless the failure to pay such claim or a
2031portion of the claim is caused by factors beyond the control of
2032the insurer which reasonably prevent such payment. Any payment
2033of an initial or supplemental a claim or portion of such a claim
2034made paid 90 days after the insurer receives notice of the
2035claim, or made paid more than 15 days after there are no longer
2036factors beyond the control of the insurer which reasonably
2037prevented such payment, whichever is later, shall bear interest
2038at the rate set forth in s. 55.03. Interest begins to accrue
2039from the date the insurer receives notice of the claim. The
2040provisions of this subsection may not be waived, voided, or
2041nullified by the terms of the insurance policy. If there is a
2042right to prejudgment interest, the insured shall select whether
2043to receive prejudgment interest or interest under this
2044subsection. Interest is payable when the claim or portion of the
2045claim is paid. Failure to comply with this subsection
2046constitutes a violation of this code. However, failure to comply
2047with this subsection shall not form the sole basis for a private
2048cause of action.
2049 Section 15. Effective January 1, 2011, section 627.7031,
2050Florida Statutes, is created to read:
2051 627.7031 Residential property insurance option.-
2052 (1) An insurer holding a certificate of authority to write
2053property insurance in this state may offer or renew policies at
2054rates established in accordance with s. 627.062(2)(l), subject
2055to all of the requirements and prohibitions of this section.
2056 (2) An insurer offering or renewing policies at rates
2057established in accordance with s. 627.062(2)(l) may not purchase
2058coverage from the Florida Hurricane Catastrophe Fund under the
2059temporary increase in coverage limit option under s.
2060215.555(17).
2061 (3)(a) Before the effective date of a newly issued policy
2062at rates established in accordance with s. 627.062(2)(l) or
2063before the effective date of a renewal policy at rates
2064established in accordance with s. 627.062(2)(l), the applicant
2065or insured must be given the following notice, printed in at
2066least 12-point boldfaced type:
2067
2068 THE RATE FOR THIS POLICY IS NOT SUBJECT TO FULL RATE
2069REGULATION BY THE FLORIDA OFFICE OF INSURANCE REGULATION AND MAY
2070BE HIGHER THAN RATES APPROVED BY THAT OFFICE. A RESIDENTIAL
2071PROPERTY POLICY SUBJECT TO FULL RATE REGULATION REQUIREMENTS MAY
2072BE AVAILABLE FROM THIS INSURER, ANOTHER INSURER, OR CITIZENS
2073PROPERTY INSURANCE CORPORATION. PLEASE DISCUSS YOUR POLICY
2074OPTIONS WITH AN INSURANCE AGENT WHO CAN PROVIDE A CITIZENS
2075QUOTE. YOU MAY WISH TO VIEW THE OFFICE OF INSURANCE REGULATION'S
2076WEBSITE AT WWW.SHOPANDCOMPARERATES.COM FOR MORE INFORMATION
2077ABOUT CHOICES AVAILABLE TO YOU.
2078
2079 (b) For policies renewed at a rate established in
2080accordance with s. 627.062(2)(l), the notice described in
2081paragraph (a) must be provided in writing at the same time as
2082the renewal notice on a document separate from the renewal
2083notice, but may be contained within the same mailing as the
2084renewal notice.
2085 (4) Before the effective date of a newly issued policy at
2086rates established in accordance with s. 627.062(2)(l), or before
2087the effective date of the first renewal at rates established in
2088accordance with s. 627.062(2)(l) of a policy originally issued
2089before the effective date of this section, the applicant or
2090insured must:
2091 (a) Be provided or offered, for comparison purposes, an
2092estimate of the premium for a policy from Citizens Property
2093Insurance Corporation reflecting substantially similar
2094coverages, limits, and deductibles to the extent available.
2095 (b) Provide the insurer or agent with a signed copy of the
2096following acknowledgement form, which must be retained by the
2097insurer or agent for at least 3 years. If the acknowledgement
2098form is signed by the insured or if the insured remits payment
2099in the amount of the rate established in accordance with s.
2100627.062(2)(l) after being mailed, otherwise provided, or offered
2101the comparison specified in paragraph (a), an insurer renewing a
2102policy at such rate shall be deemed to comply with this section,
2103and it is presumed that the insured has been informed and
2104understands the information contained in the comparison and
2105acknowledgement forms:
2106
2107
ACKNOWLEDGEMENT
2108 1. I HAVE REVIEWED THE REQUIRED DISCLOSURES AND THE
2109REQUIRED PREMIUM COMPARISON.
2110 2. I UNDERSTAND THAT THE RATE FOR THIS RESIDENTIAL
2111PROPERTY INSURANCE POLICY IS NOT SUBJECT TO FULL RATE REGULATION
2112BY THE FLORIDA OFFICE OF INSURANCE REGULATION AND MAY BE HIGHER
2113THAN RATES APPROVED BY THAT OFFICE.
2114 3. I UNDERSTAND THAT A RESIDENTIAL PROPERTY INSURANCE
2115POLICY SUBJECT TO FULL RATE REGULATION REQUIREMENTS MAY BE
2116AVAILABLE FROM CITIZENS PROPERTY INSURANCE CORPORATION.
2117 4. I UNDERSTAND THAT THE FLORIDA OFFICE OF INSURANCE
2118REGULATION'S WEBSITE WWW.SHOPANDCOMPARERATES.COM CONTAINS
2119RESIDENTIAL PROPERTY INSURANCE RATE COMPARISON INFORMATION.
2120 5. I UNDERSTAND THAT IF CITIZENS PROPERTY INSURANCE
2121CORPORATION INCURS A DEFICIT BECAUSE OF HURRICANE LOSSES OR
2122OTHER LOSSES, I MAY BE REQUIRED TO PAY AN ASSESSMENT BASED UPON
2123THE PREMIUM FOR THIS POLICY AND THAT A POLICYHOLDER OF CITIZENS
2124PROPERTY INSURANCE CORPORATION MAY BE REQUIRED TO PAY A
2125DIFFERENT ASSESSMENT.
2126
2127 (5) The following types of residential property insurance
2128policies are not eligible for rates established in accordance
2129with s. 627.062(2)(l) and are not subject to the other
2130provisions of this section:
2131 (a) Residential property insurance policies that exclude
2132coverage for the perils of windstorm or hurricane.
2133 (b) Residential property insurance policies that are
2134subject to a consent decree, agreement, understanding, or other
2135arrangement between the insurer and the office relating to rates
2136or premiums for policies removed from Citizens Property
2137Insurance Corporation.
2138 (6) Notwithstanding s. 627.4133, an insurer that has
2139issued a policy under this section shall provide the named
2140insured written notice of nonrenewal at least 180 days before
2141the effective date of the nonrenewal as to subsequent
2142nonrenewals. However, this subsection does not prohibit an
2143insurer from canceling a policy as permitted under s. 627.4133.
2144The offer of a policy at rates authorized by this section
2145constitutes an offer to renew the policy at the rates specified
2146in the offer and does not constitute a nonrenewal.
2147 Section 16. Effective June 1, 2010, and applying only to
2148insurance claims made on or after that date, subsection (1),
2149paragraph (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
2152insurers; nonrenewals.-Upon receipt of a claim for a sinkhole
2153loss, an insurer must meet the following standards in
2154investigating a claim:
2155 (1) The insurer must make an inspection of the insured's
2156premises to determine if there has been physical damage to the
2157structure which is consistent with may be the result of sinkhole
2158loss activity.
2159 (2) Following the insurer's initial inspection, the
2160insurer shall engage a professional engineer or a professional
2161geologist to conduct testing as provided in s. 627.7072 to
2162determine the cause of the loss within a reasonable professional
2163probability and issue a report as provided in s. 627.7073, if:
2164 (b) The policyholder demands testing in accordance with
2165this section or s. 627.7072 and coverage under the policy is
2166available if sinkhole loss is verified.
2167 (5)(a) Subject to paragraph (b), if a sinkhole loss is
2168verified, the insurer shall pay to stabilize the land and
2169building and repair the foundation in accordance with the
2170recommendations of the professional engineer as provided under
2171s. 627.7073, with notice to and in consultation with the
2172policyholder, subject to the coverage and terms of the policy.
2173The insurer shall pay for other repairs to the structure and
2174contents in accordance with the terms of the policy.
2175 (b)1. After a The insurer may limit its payment to the
2176actual cash value of the sinkhole loss, not including
2177underpinning or grouting or any other repair technique performed
2178below the existing foundation of the building, until the
2179policyholder enters into a contract for the performance of
2180building stabilization or foundation repairs, the claim shall be
2181paid up to the full cost of the stabilization or foundation
2182repairs and up to full replacement cost for above-ground repairs
2183as set forth in this paragraph, less the insured's deductible.
2184After the policyholder enters into a contract for the
2185performance of building stabilization or foundation repairs in
2186accordance with the recommendations set forth in s. 627.7073,
2187the insurer may:
2188 a. Limit its initial payment to 10 percent of the
2189estimated costs to implement the building stabilization and
2190foundation repairs.
2191 b. Limit its initial payment to the actual cash value of
2192the sinkhole loss for above-ground repairs to the structure.
2193 2. However, after the policyholder enters into the
2194contract for the performance of building stabilization or
2195foundation repairs, the insurer shall pay the amounts necessary
2196to begin and perform such stabilization and repairs as the work
2197is performed and the expenses are incurred. Final payments for
2198the structural or building stabilization and foundation repair
2199work shall be remitted after such work is complete and finished
2200in accordance with the terms of the policy and the report's
2201recommendations and after final bills or receipts have been
2202submitted to the insurer. The insurer may not require the
2203policyholder to advance payment for such repairs. If repair
2204covered by a personal lines residential property insurance
2205policy has begun and the professional engineer selected or
2206approved by the insurer determines that the repair cannot be
2207completed within the policy limits, the insurer must either
2208complete the professional engineer's recommended repair or
2209tender the policy limits to the policyholder without a reduction
2210for the repair expenses incurred.
2211 (c) The policyholder shall enter into such contract for
2212repairs within 90 days after the insurance company approves
2213coverage for a sinkhole loss to prevent additional damage to the
2214building or structure. The 90-day time period may be extended
2215for an additional reasonable time period if the policyholder is
2216unable to find a qualified person or entity to contract for such
2217repairs within the 90-day time period based upon factors beyond
2218the policyholder's control or the policyholder is actively
2219seeking to retain a professional engineer or geologist as
2220provided in s. 627.7073(1)(c). This time period is tolled if
2221either party invokes neutral evaluation.
2222 (d) The stabilization and all other repairs to the
2223structure and contents must be completed within 12 months after
2224entering into the contract for repairs as described in paragraph
2225(c) unless:
2226 1. There is a mutual agreement between the insurer and the
2227insured;
2228 2. The stabilization and all other repairs cannot be
2229completed due to factors beyond the control of the insured which
2230reasonably prevent completion;
2231 3. The claim is involved with the neutral evaluation
2232process under s. 627.7074;
2233 4. The claim is in litigation; or
2234 5. The claim is under appraisal.
2235 (e)(c) Upon the insurer's obtaining the written approval
2236of the policyholder and any lienholder, the insurer may make
2237payment directly to the persons selected by the policyholder to
2238perform the land and building stabilization and foundation
2239repairs. The decision by the insurer to make payment to such
2240persons does not hold the insurer liable for the work performed.
2241 (7) If the insurer obtains, pursuant to s. 627.7073,
2242written certification that there is no sinkhole loss or that the
2243cause of the damage was not sinkhole activity, and if the
2244policyholder has submitted the sinkhole claim without good faith
2245grounds for submitting such claim, the policyholder shall
2246reimburse the insurer for 50 percent of the actual costs of the
2247analyses and services provided under ss. 627.7072 and 627.7073;
2248however, a policyholder is not required to reimburse an insurer
2249more than $2,500 with respect to any claim. A policyholder is
2250required to pay reimbursement under this subsection only if the
2251insurer, prior to ordering the analysis under s. 627.7072,
2252informs the policyholder in writing of the policyholder's
2253potential liability for reimbursement and gives the policyholder
2254the opportunity to withdraw the claim.
2255 (8) An No insurer may not shall nonrenew any policy of
2256property insurance on the basis of filing of claims for partial
2257loss caused by sinkhole damage or clay shrinkage as long as the
2258total of such payments does not exceed the current policy limits
2259of coverage for property damage for the policy in effect on the
2260date of the loss, or and provided the insured has repaired the
2261structure in accordance with the engineering recommendations
2262upon which any payment or policy proceeds were based.
2263 Section 17. Effective June 1, 2010, and applying only to
2264insurance claims made on or after that date, section 627.7072,
2265Florida Statutes, is amended to read:
2266 627.7072 Testing standards for sinkholes.-
2267 (1) The professional engineer and professional geologist
2268shall perform such tests as sufficient, in their professional
2269opinion, to determine the presence or absence of sinkhole loss
2270or other cause of damage within reasonable professional
2271probability and for the professional engineer to make
2272recommendations regarding necessary building stabilization and
2273foundation repair.
2274 (2) The professional engineer and professional geologist
2275shall perform tests under this section in accordance with
2276Florida Geological Survey Special Publication 57 to determine
2277the presence or absence of sinkhole loss or other cause of
2278damage within a reasonable professional probability.
2279 Section 18. Effective June 1, 2010, and applying only to
2280insurance claims made on or after that date, section 627.7073,
2281Florida Statutes, is amended to read:
2282 627.7073 Sinkhole reports.-
2283 (1) Upon completion of testing as provided in s. 627.7072,
2284the professional engineer or professional geologist shall issue
2285a report and certification to the insurer, with an additional
2286copy and certification for the insurer to forward to and the
2287policyholder as provided in this section.
2288 (a) Sinkhole loss is verified if, based upon tests
2289performed in accordance with s. 627.7072, a professional
2290engineer or a professional geologist issues a written report and
2291certification stating:
2292 1. That the cause of the actual physical and structural
2293damage is sinkhole activity within a reasonable professional
2294probability.
2295 2. That the analyses conducted were of sufficient scope to
2296identify sinkhole activity as the cause of damage within a
2297reasonable professional probability.
2298 3. A description of the tests performed.
2299 4. A recommendation by the professional engineer of
2300methods for stabilizing the land and building and for making
2301repairs to the foundation.
2302 (b) If sinkhole activity is eliminated as the cause of
2303damage to the structure, the professional engineer or
2304professional geologist shall issue a written report and
2305certification to the policyholder and the insurer stating:
2306 1. That the cause of the damage is not sinkhole activity
2307within a reasonable professional probability.
2308 2. That the analyses and tests conducted were of
2309sufficient scope to eliminate sinkhole activity as the cause of
2310damage within a reasonable professional probability.
2311 3. A statement of the cause of the damage within a
2312reasonable professional probability.
2313 4. A description of the tests performed.
2314 (c) If the policyholder disagrees with the findings,
2315opinions, or recommendations of the professional engineer or
2316professional geologist engaged by the insurer, the policyholder
2317may engage a professional engineer or professional geologist, at
2318the policyholder's expense, to conduct testing under s. 627.7072
2319and to render findings, opinions, and recommendations as to the
2320cause of distress to the property and the appropriate method of
2321land and building stabilization and foundation repair and
2322certify such findings, opinions, and recommendations in a report
2323that meets the requirements of this section and forward a copy
2324of the report to the insurer. Unless the policyholder engages a
2325professional engineer or professional geologist as described in
2326this paragraph who disputes the findings of the insurer's
2327engineer or geologist, the respective findings, opinions, and
2328recommendations of the professional engineer or professional
2329geologist as to the cause of distress to the property and the
2330findings, opinions, and recommendations of the insurer's
2331professional engineer as to land and building stabilization and
2332foundation repair as required by s. 627.707(2), shall be
2333presumed correct, which presumption shall shift the burden of
2334proof under s. 90.304.
2335 (2)(a) Any insurer that has paid a claim for a sinkhole
2336loss shall file a copy of the report and certification, prepared
2337pursuant to subsection (1), including the legal description of
2338the real property, and the name of the property owner, and the
2339amount paid by the insurer, with the county clerk of court, who
2340shall record the report and certification. The insurer shall
2341also file a copy of any report prepared on behalf of the insured
2342or the insured's representative that has been provided to the
2343insurer that indicates that sinkhole loss caused the damage
2344claimed. The insurer shall bear the cost of filing and recording
2345of one or more reports the report and certifications
2346certification. There shall be no cause of action or liability
2347against an insurer for compliance with this section. The
2348recording of the report and certification does not:
2349 1. Constitute a lien, encumbrance, or restriction on the
2350title to the real property or constitute a defect in the title
2351to the real property;
2352 2. Create any cause of action or liability against any
2353grantor of the real property for breach of any warranty of good
2354title or warranty against encumbrances; or
2355 3. Create any cause of action or liability against any
2356title insurer that insures the title to the real property.
2357 (b) The seller of real property upon which a sinkhole
2358claim has been made by the seller and paid by the insurer shall
2359disclose to the buyer of such property that a claim has been
2360paid, the amount of the payment, and whether or not the full
2361amount of the proceeds were used to repair the sinkhole damage.
2362The seller shall also provide to the buyer a copy of the report
2363prepared pursuant to subsection (1) and any report prepared on
2364behalf of the insured.
2365 Section 19. Effective June 1, 2010, and applying only to
2366insurance claims made on or after that date, section 627.7074,
2367Florida Statutes, is amended to read:
2368 627.7074 Alternative procedure for resolution of disputed
2369sinkhole insurance claims.-
2370 (1) As used in this section, the term:
2371 (a) "Neutral evaluation" means the alternative dispute
2372resolution provided for in this section.
2373 (b) "Neutral evaluator" means a professional engineer or a
2374professional geologist who has completed a course of study in
2375alternative dispute resolution designed or approved by the
2376department for use in the neutral evaluation process, who is
2377determined to be fair and impartial.
2378 (2)(a) The department shall certify and maintain a list of
2379persons who are neutral evaluators.
2380 (b) The department shall prepare a consumer information
2381pamphlet for distribution by insurers to policyholders which
2382clearly describes the neutral evaluation process and includes
2383information and forms necessary for the policyholder to request
2384a neutral evaluation.
2385 (3) Neutral evaluation is available to either party if a
2386sinkhole report has been issued pursuant to s. 627.7073.
2387Following the receipt of the report provided under s. 627.7073
2388or the denial of a claim for a sinkhole loss, the insurer shall
2389notify the policyholder of his or her right to participate in
2390the neutral evaluation program under this section. Neutral
2391evaluation supersedes the alternative dispute resolution process
2392under s. 627.7015 but does not supersede the appraisal clause if
2393an appraisal clause is provided by the insurance policy. The
2394insurer shall provide to the policyholder the consumer
2395information pamphlet prepared by the department pursuant to
2396paragraph (2)(b).
2397 (4) Neutral evaluation is nonbinding, but mandatory if
2398requested by either party. A request for neutral evaluation may
2399be filed with the department by the policyholder or the insurer
2400on a form approved by the department. The request for neutral
2401evaluation must state the reason for the request and must
2402include an explanation of all the issues in dispute at the time
2403of the request. Filing a request for neutral evaluation tolls
2404the applicable time requirements for filing suit for a period of
240560 days following the conclusion of the neutral evaluation
2406process or the time prescribed in s. 95.11, whichever is later.
2407 (5) Neutral evaluation shall be conducted as an informal
2408process in which formal rules of evidence and procedure need not
2409be observed. A party to neutral evaluation is not required to
2410attend neutral evaluation if a representative of the party
2411attends and has the authority to make a binding decision on
2412behalf of the party. All parties shall participate in the
2413evaluation in good faith.
2414 (6) The insurer shall pay the costs associated with the
2415neutral evaluation.
2416 (7)(a) Upon receipt of a request for neutral evaluation,
2417the department shall provide the parties a list of certified
2418neutral evaluators. The parties shall mutually select a neutral
2419evaluator from the list and promptly inform the department. If
2420the parties cannot agree to a neutral evaluator within 10
2421business days, the department allow the parties to submit
2422requests to disqualify neutral evaluators on the list for cause.
2423For purposes of this subsection, a ground for cause is required
2424to be found by the department only if:
2425 1. A familial relationship exists between the neutral
2426evaluator and either party or a representative of either party
2427within the third degree;
2428 2. The proposed neutral evaluator has, in a professional
2429capacity, previously represented either party or a
2430representative of either party in the same or a substantially
2431related matter;
2432 3. The proposed neutral evaluator has, in a professional
2433capacity, represented another person in the same or a
2434substantially related matter and that person's interests are
2435materially adverse to the interests of the parties;
2436 4. The proposed neutral evaluator works in the same firm
2437or corporation as a person who has, in a professional capacity,
2438previously represented either party or a representative of
2439either party in the same or a substantially related matter; or
2440 5. The proposed neutral evaluator has, within the
2441preceding 5 years, worked as an employee of any party to the
2442case.
2443 (b) The parties shall mutually appoint a neutral evaluator
2444from the department list and promptly inform the department. If
2445the parties cannot agree to a neutral evaluator within 10
2446business days, the department shall appoint a neutral evaluator
2447from the department's list of certified neutral evaluators. The
2448department shall allow each party to disqualify one neutral
2449evaluator without cause. Upon selection or appointment, the
2450department shall promptly refer the request to the neutral
2451evaluator.
2452 (c) Within 5 business days after the referral, the neutral
2453evaluator shall notify the policyholder and the insurer of the
2454date, time, and place of the neutral evaluation conference. The
2455conference may be held by telephone, if feasible and desirable.
2456The neutral evaluation conference shall be held within 90 45
2457days after the receipt of the request by the department. If the
2458neutral evaluator fails to hold a neutral evaluation conference
2459in accordance with this paragraph, the neutral evaluator's fee
2460shall be reduced by 10 percent unless the failure was due to
2461factors beyond the control of the neutral evaluator.
2462 (d) As used in this subsection, the term "substantially
2463related matter" means participation by the neutral evaluator on
2464the same claim, property, or any adjacent property.
2465 (8) The department shall adopt rules of procedure for the
2466neutral evaluation process.
2467 (9) For policyholders not represented by an attorney, a
2468consumer affairs specialist of the department or an employee
2469designated as the primary contact for consumers on issues
2470relating to sinkholes under s. 20.121 shall be available for
2471consultation to the extent that he or she may lawfully do so.
2472 (10) Evidence of an offer to settle a claim during the
2473neutral evaluation process, as well as any relevant conduct or
2474statements made in negotiations concerning the offer to settle a
2475claim, is inadmissible to prove liability or absence of
2476liability for the claim or its value, except as provided in
2477subsection (14) (13).
2478 (11) Regardless of when invoked, any court proceeding
2479related to the subject matter of the neutral evaluation shall be
2480stayed pending completion of the neutral evaluation and for 5
2481days after the filing of the neutral evaluator's report with the
2482court.
2483 (12) If the neutral evaluator, based upon his or her
2484professional training and credentials, is qualified only to
2485determine the causation issue or the method of repair issue, the
2486department shall allow the neutral evaluator to enlist the
2487assistance of another professional from the qualified neutral
2488evaluators list, not previously struck by parties with respect
2489to the subject evaluation, who, based upon his or her
2490professional training and credentials, is able to provide an
2491opinion as to the other disputed issue. Any professional who, if
2492appointed as the neutral evaluator, would be disqualified for
2493any reason listed in subsection (7) must be disqualified. In
2494addition, the neutral evaluator may use the service of other
2495experts or professionals as necessary to ensure that all items
2496in dispute are addressed in order to complete the neutral
2497evaluation. The neutral evaluator may request that the entity
2498that performed testing pursuant to s. 627.7072 perform such
2499additional reasonable testing deemed necessary in the
2500professional opinion of the neutral evaluator to complete the
2501neutral evaluation.
2502 (13)(12) For all matters that are not resolved by the
2503parties at the conclusion of the neutral evaluation, the neutral
2504evaluator shall prepare a report stating that in his or her
2505opinion the sinkhole loss has been verified or eliminated within
2506a reasonable degree of professional probability and, if
2507verified, whether the sinkhole loss has caused structural or
2508cosmetic damage to the building and, if so, the need for and
2509estimated costs of stabilizing the land and any covered
2510structures or buildings and other appropriate remediation or
2511structural repairs that are necessary due to the sinkhole loss.
2512The evaluator's report shall be sent to all parties in
2513attendance at the neutral evaluation and to the department.
2514 (14)(13) The recommendation of the neutral evaluator is
2515not binding on any party, and the parties retain access to
2516court. The neutral evaluator's written recommendation is
2517admissible in any subsequent action or proceeding relating to
2518the claim or to the cause of action giving rise to the claim.
2519 (15)(14) If the neutral evaluator first verifies the
2520existence of a sinkhole and, second, recommends the need for and
2521estimates costs of stabilizing the land and any covered
2522structures or buildings and other appropriate remediation or
2523structural repairs, which costs exceed the amount that the
2524insurer has offered to pay the policyholder, the insurer is
2525liable to the policyholder for up to $2,500 in attorney's fees
2526for the attorney's participation in the neutral evaluation
2527process. For purposes of this subsection, the term "offer to
2528pay" means a written offer signed by the insurer or its legal
2529representative and delivered to the policyholder within 10 days
2530after the insurer receives notice that a request for neutral
2531evaluation has been made under this section.
2532 (16)(15) If the insurer timely agrees in writing to comply
2533and timely complies with the recommendation of the neutral
2534evaluator, but the policyholder declines to resolve the matter
2535in accordance with the recommendation of the neutral evaluator
2536pursuant to this section:
2537 (a) The insurer is not liable for extracontractual damages
2538related to a claim for a sinkhole loss but only as related to
2539the issues determined by the neutral evaluation process. This
2540section does not affect or impair claims for extracontractual
2541damages unrelated to the issues determined by the neutral
2542evaluation process contained in this section; and
2543 (b) The actions of the insurer are not a confession of
2544judgment or an admission of liability, and the insurer may is
2545not be liable for attorney's fees under s. 627.428 or other
2546provisions of the insurance code unless the policyholder obtains
2547a judgment that is more favorable than the recommendation of the
2548neutral evaluator.
2549 (17) If the insurer agrees to comply with the neutral
2550evaluator's report, payment for stabilizing the land and
2551building and repairing the foundation shall be made in
2552accordance with the terms and conditions of the applicable
2553insurance policy.
2554 Section 20. Section 627.711, Florida Statutes, is amended
2555to read:
2556 627.711 Notice of premium discounts for hurricane loss
2557mitigation; uniform mitigation verification inspection form.-
2558 (1) Using a form prescribed by the Office of Insurance
2559Regulation, the insurer shall clearly notify the applicant or
2560policyholder of any personal lines residential property
2561insurance policy, at the time of the issuance of the policy and
2562at each renewal, of the availability and the range of each
2563premium discount, credit, other rate differential, or reduction
2564in deductibles, and combinations of discounts, credits, rate
2565differentials, or reductions in deductibles, for properties on
2566which fixtures or construction techniques demonstrated to reduce
2567the amount of loss in a windstorm can be or have been installed
2568or implemented. The prescribed form shall describe generally
2569what actions the policyholders may be able to take to reduce
2570their windstorm premium. The prescribed form and a list of such
2571ranges approved by the office for each insurer licensed in the
2572state and providing such discounts, credits, other rate
2573differentials, or reductions in deductibles for properties
2574described in this subsection shall be available for electronic
2575viewing and download from the Department of Financial Services'
2576or the Office of Insurance Regulation's Internet website. The
2577Financial Services Commission may adopt rules to implement this
2578subsection.
2579 (2)(a) By July 1, 2007, The Financial Services Commission
2580shall develop by rule a uniform mitigation verification
2581inspection form that shall be used by all insurers when
2582submitted by policyholders for the purpose of factoring
2583discounts for wind insurance. In developing the form, the
2584commission shall seek input from insurance, construction, and
2585building code representatives. Further, the commission shall
2586provide guidance as to the length of time the inspection results
2587are valid. An insurer shall accept as valid a uniform mitigation
2588verification form certified by the Department of Financial
2589Services or signed by:
2590 (a) A hurricane mitigation inspector certified by the My
2591Safe Florida Home program;
2592 1.(b) A building code inspector certified under s.
2593468.607;
2594 2.(c) A general, building, or residential contractor
2595licensed under s. 489.111;
2596 3.(d) A professional engineer licensed under s. 471.015
2597who has passed the appropriate equivalency test of the building
2598code training program as required by s. 553.841; or
2599 4.(e) A professional architect licensed under s. 481.213;
2600or
2601 (f) Any other individual or entity recognized by the
2602insurer as possessing the necessary qualifications to properly
2603complete a uniform mitigation verification form.
2604 (b) An insurer may, but is not required to, accept a
2605mitigation verification form from any other person possessing
2606qualifications and experience acceptable to the insurer.
2607 (3) A person who is authorized to sign a mitigation
2608verification form must inspect the structures referenced by the
2609form personally, not through employees or other persons, and
2610must certify or attest to that person's personal inspection of
2611the structures referenced by the form.
2612 (4) An individual or entity that signs a uniform
2613mitigation form may not commit misconduct in performing
2614hurricane mitigation inspections or in completing a uniform
2615mitigation form that causes financial harm to a customer or the
2616customer's insurer or that jeopardizes a customer's health and
2617safety. Misconduct occurs when an authorized mitigation
2618inspector signs a uniform mitigation verification form that:
2619 (a) Falsely indicates that he or she personally inspected
2620the structures referenced by the form;
2621 (b) Falsely indicates the existence of a feature which
2622entitles an insured to a mitigation discount that the inspector
2623knows does not exist or did not personally inspect;
2624 (c) Contains erroneous information due to the gross
2625negligence of the inspector; or
2626 (d) Contains demonstrably false information relating to
2627the existence of mitigation features that may give an insured a
2628false evaluation of the ability of the structure to withstand
2629major damage from a hurricane endangering the safety of the
2630insured's life and property.
2631 (5) The licensing board of an authorized mitigation
2632inspector who violates subsection (4) may commence disciplinary
2633proceedings and impose administrative fines and other sanctions
2634authorized under the inspector's licensing act.
2635 (6) An insurer, person, or other entity that obtains
2636evidence of fraud or evidence that an inspector has made false
2637statements in the completion of a mitigation inspection form
2638shall file a report with the Division of Insurance Fraud,
2639together with all of the evidence in its possession that
2640supports the allegation of fraud or falsity. An insurer, person,
2641or other entity making the report is immune from liability in
2642accordance with s. 626.989(4) for any statements made in the
2643report, during the investigation, or in connection with the
2644report. The Division of Insurance Fraud shall issue an
2645investigative report if the division finds that probable cause
2646exists to believe that the inspector made intentionally false or
2647fraudulent statements in the inspection form. Upon conclusion of
2648the investigation and a finding of probable cause that a
2649violation has occurred, the Division of Insurance Fraud shall
2650send a copy of the investigative report to the office and a copy
2651to the agency responsible for the professional licensure of the
2652inspector, whether or not a prosecutor takes action based upon
2653the report.
2654 (7) The insurer may require the mitigation inspector or
2655inspection company to provide evidence of the inspector's or
2656inspection company's quality assurance program. At the insurer's
2657expense, the insurer may require that any uniform mitigation
2658verification form provided by a mitigation inspector or
2659inspection company that does not possess or has not provided
2660evidence to the insurer of a quality assurance program be
2661independently verified by an inspector, inspection company, or
2662independent third-party quality assurance provider that
2663possesses a quality assurance program prior to accepting it as
2664valid.
2665 (8)(3) An individual or entity who knowingly provides or
2666utters a false or fraudulent mitigation verification form with
2667the intent to obtain or receive a discount on an insurance
2668premium to which the individual or entity is not entitled
2669commits a misdemeanor of the first degree, punishable as
2670provided in s. 775.082 or s. 775.083.
2671 Section 21. In the interest of full disclosure and
2672transparency to insurance policy owners, and because most
2673insurance policies sold in this state are subject to assessments
2674to make up for the funding deficiencies of the Citizens Property
2675Insurance Corporation, the Florida Insurance Guaranty
2676Association, or the Florida Hurricane Catastrophe Fund, the
2677following warning shall be printed in bold type of not less than
267816 points and shall be displayed on the declarations page or on
2679the renewal notice of every insurance policy sold or issued in
2680this state that is or may be subject to assessment by the
2681Citizens Property Insurance Corporation, the Florida Insurance
2682Guaranty Association, or the Florida Hurricane Catastrophe Fund:
2683
2684
WARNING
2685The premium you are about to pay may NOT be the full cost
2686of this insurance policy. If a hurricane strikes Florida,
2687you may be forced to pay additional moneys to offset the
2688inability of the state-owned Citizens Property Insurance
2689Corporation, the Florida Insurance Guaranty Association,
2690or the Florida Hurricane Catastrophe Fund to pay claims
2691resulting from the losses due to the hurricane.
2692 Section 22. Section 627.7065, Florida Statutes, is
2693repealed.
2694 Section 23. Except as otherwise expressly provided in this
2695act, this act shall take effect July 1, 2010.
CODING: Words stricken are deletions; words underlined are additions.
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