1 | A bill to be entitled |
2 | An act relating to Citizens Property Insurance |
3 | Corporation; amending s. 627.351, F.S.; revising |
4 | legislative intent; providing that certain residential |
5 | structures are not eligible for coverage by the |
6 | corporation after a certain date; specifying the |
7 | percentage amount of emergency assessments; revising |
8 | provisions relating to policyholder surcharges; |
9 | prohibiting the corporation from levying certain |
10 | assessments with respect to a year's deficit until the |
11 | corporation has first levied a specified surcharge; |
12 | deleting obsolete provisions relating to the corporation's |
13 | plan of operation; requiring the corporation to commission |
14 | a consultant to prepare a report on outsourcing various |
15 | functions and to submit such report to the Financial |
16 | Services Commission by a certain date; revising provisions |
17 | relating to wind coverage; specifying that the |
18 | corporation's insurance policies must provide that a |
19 | surplus lines insurer's offer to cover risks at approved |
20 | rates makes the policy ineligible for renewal through the |
21 | corporation under certain circumstances; requiring the |
22 | policyholders to sign a statement acknowledging that they |
23 | may be assessed surcharges to cover corporate deficits; |
24 | providing for termination of an agent for violation of |
25 | provisions relating to unlawful rebates; providing that |
26 | policies do not include coverage for screen enclosures and |
27 | limiting coverage for damage from sinkholes after a |
28 | certain date; requiring members of the board of governors |
29 | to abstain from voting on issues on which they have a |
30 | personal interest; requiring such members to disclose the |
31 | nature of their interest as a public record; providing |
32 | that the corporation operates as a residual market |
33 | mechanism; revising provisions relating to corporation |
34 | rates; providing that surplus lines insurers may |
35 | participate in depopulation, take-out, or keep-out |
36 | programs relating to the corporation under certain |
37 | circumstances; providing requirements that a surplus lines |
38 | insurer must meet in order to participate in such |
39 | programs; clarifying that the corporation is immune from |
40 | certain liabilities; authorizing the release of |
41 | confidential claims files to an insurer who removes a risk |
42 | from the corporation under certain circumstances; deleting |
43 | a requirement for an annual report to the Legislature on |
44 | losses attributable to wind-only coverages; requiring |
45 | owners of properties in Special Flood Hazard Areas to |
46 | maintain a separate flood insurance policy after a certain |
47 | date; providing exceptions; deleting a provision relating |
48 | to a pilot program for optional sinkhole coverage; |
49 | amending s. 627.712, F.S.; conforming cross-references; |
50 | providing an effective date. |
51 |
|
52 | Be It Enacted by the Legislature of the State of Florida: |
53 |
|
54 | Section 1. Paragraphs (a), (b), (c), (d), (n), (o), (q), |
55 | (s), (w), (x), (y), (aa), and (ee) of subsection (6) of section |
56 | 627.351, Florida Statutes, are amended to read: |
57 | 627.351 Insurance risk apportionment plans.- |
58 | (6) CITIZENS PROPERTY INSURANCE CORPORATION.- |
59 | (a)1. It is The public purpose of this subsection is to |
60 | ensure that there is the existence of an orderly market for |
61 | property insurance for residents Floridians and Florida |
62 | businesses of this state. |
63 | 1. The Legislature finds that actual and threatened |
64 | catastrophic losses to property from hurricanes in this state |
65 | have caused insurers to be unwilling or unable to provide |
66 | property insurance coverage to the extent sought and needed. The |
67 | Legislature declares that it is in the public interest and |
68 | serves a public purpose that property in this state be |
69 | adequately insured in order to facilitate the remediation, |
70 | reconstruction, and replacement of damaged or destroyed |
71 | property. Such efforts are necessary in order to avoid or reduce |
72 | negative effects to the public health, safety, and welfare; the |
73 | economy of the state; and the revenues of state and local |
74 | governments. It is necessary, therefore, to provide property |
75 | insurance to applicants who are entitled to procure insurance |
76 | through the voluntary market but who, in good faith, are unable |
77 | to do so. The Legislature finds that private insurers are |
78 | unwilling or unable to provide affordable property insurance |
79 | coverage in this state to the extent sought and needed. The |
80 | absence of affordable property insurance threatens the public |
81 | health, safety, and welfare and likewise threatens the economic |
82 | health of the state. The state therefore has a compelling public |
83 | interest and a public purpose to assist in assuring that |
84 | property in the state is insured and that it is insured at |
85 | affordable rates so as to facilitate the remediation, |
86 | reconstruction, and replacement of damaged or destroyed property |
87 | in order to reduce or avoid the negative effects otherwise |
88 | resulting to the public health, safety, and welfare, to the |
89 | economy of the state, and to the revenues of the state and local |
90 | governments which are needed to provide for the public welfare. |
91 | It is necessary, therefore, to provide affordable property |
92 | insurance to applicants who are in good faith entitled to |
93 | procure insurance through the voluntary market but are unable to |
94 | do so. The Legislature intends, therefore, by this subsection |
95 | that affordable property insurance be provided and that it |
96 | continue to be provided, as long as necessary, through Citizens |
97 | Property Insurance Corporation, a government entity that is an |
98 | integral part of the state, and that is not a private insurance |
99 | company. To that end, Citizens Property Insurance Corporation |
100 | shall strive to increase the availability of affordable property |
101 | insurance in this state, while achieving efficiencies and |
102 | economies, and while providing service to policyholders, |
103 | applicants, and agents which is no less than the quality |
104 | generally provided in the voluntary market, for the achievement |
105 | of the foregoing public purposes. Because it is essential for |
106 | this government entity to have the maximum financial resources |
107 | to pay claims following a catastrophic hurricane, it is the |
108 | intent of the Legislature that Citizens Property Insurance |
109 | Corporation continue to be an integral part of the state and |
110 | that the income of the corporation be exempt from federal income |
111 | taxation and that interest on the debt obligations issued by the |
112 | corporation be exempt from federal income taxation. |
113 | a. It is also the intent of the Legislature that |
114 | policyholders, applicants, and agents of the corporation receive |
115 | service and treatment of the highest possible level and never |
116 | less than that generally provided in the voluntary market. The |
117 | corporation must be held to service standards no less than those |
118 | applied to insurers in the voluntary market by the office with |
119 | respect to responsiveness, timeliness, customer courtesy, and |
120 | overall dealings with policyholders, applicants, or agents of |
121 | the corporation. It is also the intent of the Legislature that |
122 | the corporation operate efficiently and economically. |
123 | b. Because it is essential that the corporation have the |
124 | maximum financial resources necessary to pay claims following a |
125 | catastrophic hurricane, the Legislature also intends that the |
126 | income of the corporation and interest on the debt obligations |
127 | issued by the corporation be exempt from federal income |
128 | taxation. |
129 | 2. The Residential Property and Casualty Joint |
130 | Underwriting Association originally created by this statute |
131 | shall be known, as of July 1, 2002, as the Citizens Property |
132 | Insurance Corporation. The corporation shall provide insurance |
133 | for residential and commercial property, for applicants who are |
134 | in good faith entitled, but, in good faith, are unable, to |
135 | procure insurance through the voluntary market. The corporation |
136 | shall operate pursuant to a plan of operation approved by order |
137 | of the Financial Services Commission. The plan is subject to |
138 | continuous review by the commission. The commission may, by |
139 | order, withdraw approval of all or part of a plan if the |
140 | commission determines that conditions have changed since |
141 | approval was granted and that the purposes of the plan require |
142 | changes in the plan. The corporation shall continue to operate |
143 | pursuant to the plan of operation approved by the Office of |
144 | Insurance Regulation until October 1, 2006. For the purposes of |
145 | this subsection, residential coverage includes both personal |
146 | lines residential coverage, which consists of the type of |
147 | coverage provided by homeowner's, mobile home owner's, dwelling, |
148 | tenant's, condominium unit owner's, and similar policies;, and |
149 | commercial lines residential coverage, which consists of the |
150 | type of coverage provided by condominium association, apartment |
151 | building, and similar policies. |
152 | 3. With respect to coverage for personal lines residential |
153 | structures: |
154 | a. Effective January 1, 2009, a personal lines residential |
155 | structure that has a dwelling replacement cost of $2 million or |
156 | more, or a single condominium unit that has a combined dwelling |
157 | and contents content replacement cost of $2 million or more is |
158 | not eligible for coverage by the corporation. Such dwellings |
159 | insured by the corporation on December 31, 2008, may continue to |
160 | be covered by the corporation until the end of the policy term. |
161 | However, such dwellings that are insured by the corporation and |
162 | become ineligible for coverage due to the provisions of this |
163 | subparagraph may reapply and obtain coverage if the property |
164 | owner provides the corporation with a sworn affidavit from one |
165 | or more insurance agents, on a form provided by the corporation, |
166 | stating that the agents have made their best efforts to obtain |
167 | coverage and that the property has been rejected for coverage by |
168 | at least one authorized insurer and at least three surplus lines |
169 | insurers. If such conditions are met, the dwelling may be |
170 | insured by the corporation for up to 3 years, after which time |
171 | the dwelling is ineligible for coverage. The office shall |
172 | approve the method used by the corporation for valuing the |
173 | dwelling replacement cost for the purposes of this subparagraph. |
174 | If a policyholder is insured by the corporation prior to being |
175 | determined to be ineligible pursuant to this subparagraph and |
176 | such policyholder files a lawsuit challenging the determination, |
177 | the policyholder may remain insured by the corporation until the |
178 | conclusion of the litigation. |
179 | b. Effective January 1, 2012, a structure that has a |
180 | dwelling replacement cost of $1 million or more, or a single |
181 | condominium unit that has a combined dwelling and contents |
182 | replacement cost of $1 million or more, is not eligible for |
183 | coverage by the corporation. Such dwellings insured by the |
184 | corporation on December 31, 2011, may continue to be covered by |
185 | the corporation only until the end of the policy term. |
186 | c. Effective January 1, 2014, a structure that has a |
187 | dwelling replacement cost of $750,000 or more, or a single |
188 | condominium unit that has a combined dwelling and contents |
189 | replacement cost of $750,000 or more, is not eligible for |
190 | coverage by the corporation. Such dwellings insured by the |
191 | corporation on December 31, 2013, may continue to be covered by |
192 | the corporation until the end of the policy term. |
193 | d. Effective January 1, 2016, a structure that has a |
194 | dwelling replacement cost of $500,000 or more, or a single |
195 | condominium unit that has a combined dwelling and contents |
196 | replacement cost of $500,000 or more, is not eligible for |
197 | coverage by the corporation. Such dwellings insured by the |
198 | corporation on December 31, 2015, may continue to be covered by |
199 | the corporation until the end of the policy term. |
200 | 4. It is the intent of the Legislature that policyholders, |
201 | applicants, and agents of the corporation receive service and |
202 | treatment of the highest possible level but never less than that |
203 | generally provided in the voluntary market. It also is intended |
204 | that the corporation be held to service standards no less than |
205 | those applied to insurers in the voluntary market by the office |
206 | with respect to responsiveness, timeliness, customer courtesy, |
207 | and overall dealings with policyholders, applicants, or agents |
208 | of the corporation. |
209 | 4.5. Effective January 1, 2009, a personal lines |
210 | residential structure that is located in the "wind-borne debris |
211 | region," as defined in s. 1609.2, International Building Code |
212 | (2006), and that has an insured value on the structure of |
213 | $750,000 or more is not eligible for coverage by the corporation |
214 | unless the structure has opening protections as required under |
215 | the Florida Building Code for a newly constructed residential |
216 | structure in that area. A residential structure shall be deemed |
217 | to comply with the requirements of this subparagraph if it has |
218 | shutters or opening protections on all openings and if such |
219 | opening protections complied with the Florida Building Code at |
220 | the time they were installed. |
221 | (b)1. All insurers authorized to write one or more subject |
222 | lines of business in this state are subject to assessment by the |
223 | corporation and, for the purposes of this subsection, are |
224 | referred to collectively as "assessable insurers." Insurers |
225 | writing one or more subject lines of business in this state |
226 | pursuant to part VIII of chapter 626 are not assessable |
227 | insurers, but insureds who procure one or more subject lines of |
228 | business in this state pursuant to part VIII of chapter 626 are |
229 | subject to assessment by the corporation and are referred to |
230 | collectively as "assessable insureds." An authorized insurer's |
231 | assessment liability begins shall begin on the first day of the |
232 | calendar year following the year in which the insurer was issued |
233 | a certificate of authority to transact insurance for subject |
234 | lines of business in this state and terminates shall terminate 1 |
235 | year after the end of the first calendar year during which the |
236 | insurer no longer holds a certificate of authority to transact |
237 | insurance for subject lines of business in this state. |
238 | 2.a. All revenues, assets, liabilities, losses, and |
239 | expenses of the corporation shall be divided into three separate |
240 | accounts as follows: |
241 | (I) A personal lines account for personal residential |
242 | policies issued by the corporation, or issued by the Residential |
243 | Property and Casualty Joint Underwriting Association and renewed |
244 | by the corporation, which provides that provide comprehensive, |
245 | multiperil coverage on risks that are not located in areas |
246 | eligible for coverage by in the Florida Windstorm Underwriting |
247 | Association as those areas were defined on January 1, 2002, and |
248 | for such policies that do not provide coverage for the peril of |
249 | wind on risks that are located in such areas; |
250 | (II) A commercial lines account for commercial residential |
251 | and commercial nonresidential policies issued by the |
252 | corporation, or issued by the Residential Property and Casualty |
253 | Joint Underwriting Association and renewed by the corporation, |
254 | which provides that provide coverage for basic property perils |
255 | on risks that are not located in areas eligible for coverage by |
256 | in the Florida Windstorm Underwriting Association as those areas |
257 | were defined on January 1, 2002, and for such policies that do |
258 | not provide coverage for the peril of wind on risks that are |
259 | located in such areas; and |
260 | (III) A high-risk account for personal residential |
261 | policies and commercial residential and commercial |
262 | nonresidential property policies issued by the corporation, or |
263 | transferred to the corporation, which provides that provide |
264 | coverage for the peril of wind on risks that are located in |
265 | areas eligible for coverage by in the Florida Windstorm |
266 | Underwriting Association as those areas were defined on January |
267 | 1, 2002. The corporation may offer policies that provide |
268 | multiperil coverage and the corporation shall continue to offer |
269 | policies that provide coverage only for the peril of wind for |
270 | risks located in areas eligible for coverage in the high-risk |
271 | account. In issuing multiperil coverage, the corporation may use |
272 | its approved policy forms and rates for the personal lines |
273 | account. An applicant or insured who is eligible to purchase a |
274 | multiperil policy from the corporation may purchase a multiperil |
275 | policy from an authorized insurer without prejudice to the |
276 | applicant's or insured's eligibility to prospectively purchase a |
277 | policy that provides coverage only for the peril of wind from |
278 | the corporation. An applicant or insured who is eligible for a |
279 | corporation policy that provides coverage only for the peril of |
280 | wind may elect to purchase or retain such policy and also |
281 | purchase or retain coverage excluding wind from an authorized |
282 | insurer without prejudice to the applicant's or insured's |
283 | eligibility to prospectively purchase a policy that provides |
284 | multiperil coverage from the corporation. It is the goal of the |
285 | Legislature that there would be an overall average savings of 10 |
286 | percent or more for a policyholder who currently has a wind-only |
287 | policy with the corporation, and an ex-wind policy with a |
288 | voluntary insurer or the corporation, and who then obtains a |
289 | multiperil policy from the corporation. It is the intent of the |
290 | Legislature that the offer of multiperil coverage in the high- |
291 | risk account be made and implemented in a manner that does not |
292 | adversely affect the tax-exempt status of the corporation or |
293 | creditworthiness of or security for currently outstanding |
294 | financing obligations or credit facilities of the high-risk |
295 | account, the personal lines account, or the commercial lines |
296 | account. The high-risk account must also include quota share |
297 | primary insurance under subparagraph (c)2. The area eligible for |
298 | coverage under the high-risk account also includes the area |
299 | within Port Canaveral, which is bordered on the south by the |
300 | City of Cape Canaveral, bordered on the west by the Banana |
301 | River, and bordered on the north by Federal Government property. |
302 | b. The three separate accounts must be maintained as long |
303 | as financing obligations entered into by the Florida Windstorm |
304 | Underwriting Association or Residential Property and Casualty |
305 | Joint Underwriting Association are outstanding, in accordance |
306 | with the terms of the corresponding financing documents. If When |
307 | the financing obligations are no longer outstanding, in |
308 | accordance with the terms of the corresponding financing |
309 | documents, the corporation may use a single account for all |
310 | revenues, assets, liabilities, losses, and expenses of the |
311 | corporation. Consistent with the requirement of this |
312 | subparagraph and prudent investment policies that minimize the |
313 | cost of carrying debt, the board shall exercise its best efforts |
314 | to retire existing debt or to obtain the approval of necessary |
315 | parties to amend the terms of existing debt, so as to structure |
316 | the most efficient plan to consolidate the three separate |
317 | accounts into a single account. |
318 | c. Creditors of the Residential Property and Casualty |
319 | Joint Underwriting Association and of the accounts specified in |
320 | sub-sub-subparagraphs a.(I) and (II) may have a claim against, |
321 | and recourse to, those the accounts referred to in sub-sub- |
322 | subparagraphs a.(I) and (II) and shall have no claim against, or |
323 | recourse to, the account referred to in sub-sub-subparagraph |
324 | a.(III). Creditors of the Florida Windstorm Underwriting |
325 | Association shall have a claim against, and recourse to, the |
326 | account referred to in sub-sub-subparagraph a.(III) and shall |
327 | have no claim against, or recourse to, the accounts referred to |
328 | in sub-sub-subparagraphs a.(I) and (II). |
329 | d. Revenues, assets, liabilities, losses, and expenses not |
330 | attributable to particular accounts shall be prorated among the |
331 | accounts. |
332 | e. The Legislature finds that the revenues of the |
333 | corporation are revenues that are necessary to meet the |
334 | requirements set forth in documents authorizing the issuance of |
335 | bonds under this subsection. |
336 | f. No part of the income of the corporation may inure to |
337 | the benefit of any private person. |
338 | 3. With respect to a deficit in an account: |
339 | a. After accounting for the Citizens policyholder |
340 | surcharge imposed under sub-subparagraph i., if when the |
341 | remaining projected deficit incurred in a particular calendar |
342 | year is not greater than 6 percent of the aggregate statewide |
343 | direct written premium for the subject lines of business for the |
344 | prior calendar year, the entire deficit shall be recovered |
345 | through regular assessments of assessable insurers under |
346 | paragraph (q) and assessable insureds. |
347 | b. After accounting for the Citizens policyholder |
348 | surcharge imposed under sub-subparagraph i., when the remaining |
349 | projected deficit incurred in a particular calendar year exceeds |
350 | 6 percent of the aggregate statewide direct written premium for |
351 | the subject lines of business for the prior calendar year, the |
352 | corporation shall levy regular assessments on assessable |
353 | insurers under paragraph (q) and on assessable insureds in an |
354 | amount equal to the greater of 6 percent of the deficit or 6 |
355 | percent of the aggregate statewide direct written premium for |
356 | the subject lines of business for the prior calendar year. Any |
357 | remaining deficit shall be recovered through emergency |
358 | assessments under sub-subparagraph d. |
359 | c. Each assessable insurer's share of the amount being |
360 | assessed under sub-subparagraph a. or sub-subparagraph b. must |
361 | shall be in the proportion that the assessable insurer's direct |
362 | written premium for the subject lines of business for the year |
363 | preceding the assessment bears to the aggregate statewide direct |
364 | written premium for the subject lines of business for that year. |
365 | The applicable assessment percentage applicable to each |
366 | assessable insured is the ratio of the amount being assessed |
367 | under sub-subparagraph a. or sub-subparagraph b. to the |
368 | aggregate statewide direct written premium for the subject lines |
369 | of business for the prior year. Assessments levied by the |
370 | corporation on assessable insurers under sub-subparagraphs a. |
371 | and b. must shall be paid as required by the corporation's plan |
372 | of operation and paragraph (q). Assessments levied by the |
373 | corporation on assessable insureds under sub-subparagraphs a. |
374 | and b. shall be collected by the surplus lines agent at the time |
375 | the surplus lines agent collects the surplus lines tax required |
376 | by s. 626.932 and shall be paid to the Florida Surplus Lines |
377 | Service Office at the time the surplus lines agent pays the |
378 | surplus lines tax to that the Florida Surplus Lines Service |
379 | office. Upon receipt of regular assessments from surplus lines |
380 | agents, the Florida Surplus Lines Service Office shall transfer |
381 | the assessments directly to the corporation as determined by the |
382 | corporation. |
383 | d. Upon a determination by the board of governors that a |
384 | deficit in an account exceeds the amount that will be recovered |
385 | through regular assessments under sub-subparagraph a. or sub- |
386 | subparagraph b., plus the amount that is expected to be |
387 | recovered through surcharges under sub-subparagraph i., as to |
388 | the remaining projected deficit the board shall levy, after |
389 | verification by the office, shall levy emergency assessments, |
390 | for as many years as necessary to cover the deficits, to be |
391 | collected by assessable insurers and the corporation and |
392 | collected from assessable insureds upon issuance or renewal of |
393 | policies for subject lines of business, excluding National Flood |
394 | Insurance policies. The amount of the emergency assessment |
395 | collected in a particular year must shall be a uniform |
396 | percentage of that year's direct written premium for subject |
397 | lines of business and all accounts of the corporation, excluding |
398 | National Flood Insurance Program policy premiums, as annually |
399 | determined by the board and verified by the office. For all |
400 | accounts of the corporation, the amount of the emergency |
401 | assessment levied in a particular year must be a uniform |
402 | percentage equal to 1 1/2 times the uniform percentage emergency |
403 | assessment levied on subject lines of business. The office shall |
404 | verify the arithmetic calculations involved in the board's |
405 | determination within 30 days after receipt of the information on |
406 | which the determination was based. Notwithstanding any other |
407 | provision of law, the corporation and each assessable insurer |
408 | that writes subject lines of business shall collect emergency |
409 | assessments from its policyholders without such obligation being |
410 | affected by any credit, limitation, exemption, or deferment. |
411 | Emergency assessments levied by the corporation on assessable |
412 | insureds shall be collected by the surplus lines agent at the |
413 | time the surplus lines agent collects the surplus lines tax |
414 | required by s. 626.932 and shall be paid to the Florida Surplus |
415 | Lines Service Office at the time the surplus lines agent pays |
416 | the surplus lines tax to that the Florida Surplus Lines Service |
417 | office. The emergency assessments so collected shall be |
418 | transferred directly to the corporation on a periodic basis as |
419 | determined by the corporation and shall be held by the |
420 | corporation solely in the applicable account. The aggregate |
421 | amount of emergency assessments levied for an account under this |
422 | sub-subparagraph in any calendar year may, at the discretion of |
423 | the board of governors, be less than but may not exceed the |
424 | greater of 10 percent of the amount needed to cover the deficit, |
425 | plus interest, fees, commissions, required reserves, and other |
426 | costs associated with financing of the original deficit, or 10 |
427 | percent of the aggregate statewide direct written premium for |
428 | subject lines of business and 15 percent for all accounts of the |
429 | corporation for the prior year, plus interest, fees, |
430 | commissions, required reserves, and other costs associated with |
431 | financing the deficit. |
432 | e. The corporation may pledge the proceeds of assessments, |
433 | projected recoveries from the Florida Hurricane Catastrophe |
434 | Fund, other insurance and reinsurance recoverables, policyholder |
435 | surcharges and other surcharges, and other funds available to |
436 | the corporation as the source of revenue for and to secure bonds |
437 | issued under paragraph (q), bonds or other indebtedness issued |
438 | under subparagraph (c)2.3., or lines of credit or other |
439 | financing mechanisms issued or created under this subsection, or |
440 | to retire any other debt incurred as a result of deficits or |
441 | events giving rise to deficits, or in any other way that the |
442 | board determines will efficiently recover such deficits. The |
443 | purpose of the lines of credit or other financing mechanisms is |
444 | to provide additional resources to assist the corporation in |
445 | covering claims and expenses attributable to a catastrophe. As |
446 | used in this subsection, the term "assessments" includes regular |
447 | assessments under sub-subparagraph a., sub-subparagraph b., or |
448 | subparagraph (q)1. and emergency assessments under sub- |
449 | subparagraph d. Emergency assessments collected under sub- |
450 | subparagraph d. are not part of an insurer's rates, are not |
451 | premium, and are not subject to premium tax, fees, or |
452 | commissions; however, failure to pay the emergency assessment |
453 | shall be treated as failure to pay premium. The emergency |
454 | assessments under sub-subparagraph d. shall continue as long as |
455 | any bonds issued or other indebtedness incurred with respect to |
456 | a deficit for which the assessment was imposed remain |
457 | outstanding, unless adequate provision has been made for the |
458 | payment of such bonds or other indebtedness pursuant to the |
459 | documents governing such bonds or other indebtedness. |
460 | f. As used in this subsection for purposes of any deficit |
461 | incurred on or after January 25, 2007, the term "subject lines |
462 | of business" means insurance written by assessable insurers or |
463 | procured by assessable insureds for all property and casualty |
464 | lines of business in this state, but not including workers' |
465 | compensation or medical malpractice. As used in this the sub- |
466 | subparagraph, the term "property and casualty lines of business" |
467 | includes all lines of business identified on Form 2, Exhibit of |
468 | Premiums and Losses, in the annual statement required of |
469 | authorized insurers under by s. 624.424 and any rule adopted |
470 | under this section, except for those lines identified as |
471 | accident and health insurance and except for policies written |
472 | under the National Flood Insurance Program or the Federal Crop |
473 | Insurance Program. For purposes of this sub-subparagraph, the |
474 | term "workers' compensation" includes both workers' compensation |
475 | insurance and excess workers' compensation insurance. |
476 | g. The Florida Surplus Lines Service Office shall |
477 | determine annually the aggregate statewide written premium in |
478 | subject lines of business procured by assessable insureds and |
479 | shall report that information to the corporation in a form and |
480 | at a time the corporation specifies to ensure that the |
481 | corporation can meet the requirements of this subsection and the |
482 | corporation's financing obligations. |
483 | h. The Florida Surplus Lines Service Office shall verify |
484 | the proper application by surplus lines agents of assessment |
485 | percentages for regular assessments and emergency assessments |
486 | levied under this subparagraph on assessable insureds and shall |
487 | assist the corporation in ensuring the accurate, timely |
488 | collection and payment of assessments by surplus lines agents as |
489 | required by the corporation. |
490 | i. If a deficit is incurred in any account in 2011 2008 or |
491 | thereafter, the board of governors shall levy a Citizens |
492 | policyholder surcharge against all policyholders of the |
493 | corporation. |
494 | (I) The surcharge for a 12-month period, which shall be |
495 | levied collected at the time of issuance or renewal of a policy, |
496 | as a uniform percentage of the premium for the policy of up to |
497 | 15 percent of such premium, which funds shall be used to offset |
498 | the deficit. |
499 | (II) It is the intent of the Legislature that the |
500 | policyholder's liability for the surcharge attach on the date of |
501 | the order levying the surcharge. The surcharge is payable upon |
502 | cancellation or termination of the policy, upon renewal of the |
503 | policy, or upon issuance of a new policy by the corporation |
504 | within the first 12 months after the date of the levy or the |
505 | period of time necessary to fully collect the surcharge amount. |
506 | (III) The corporation may not levy any regular assessments |
507 | under paragraph (q) pursuant to sub-subparagraph a. or sub- |
508 | subparagraph b. with respect to a particular year's deficit |
509 | until the corporation has first levied a surcharge under this |
510 | sub-subparagraph in the full amount authorized by this sub- |
511 | subparagraph. |
512 | (IV) The Citizens policyholder surcharge is surcharges |
513 | under this sub-subparagraph are not considered premium and is |
514 | are not subject to commissions, fees, or premium taxes. However, |
515 | failure to pay the surcharge such surcharges shall be treated as |
516 | failure to pay premium. |
517 | j. If the amount of any assessments or surcharges |
518 | collected from corporation policyholders, assessable insurers or |
519 | their policyholders, or assessable insureds exceeds the amount |
520 | of the deficits, such excess amounts shall be remitted to and |
521 | retained by the corporation in a reserve to be used by the |
522 | corporation, as determined by the board of governors and |
523 | approved by the office, to pay claims or reduce any past, |
524 | present, or future plan-year deficits or to reduce outstanding |
525 | debt. |
526 | (c) The plan of operation of the corporation: |
527 | 1. Must provide for adoption of residential property and |
528 | casualty insurance policy forms and commercial residential and |
529 | nonresidential property insurance forms, which forms must be |
530 | approved by the office before prior to use. The corporation |
531 | shall adopt the following policy forms: |
532 | a. Standard personal lines policy forms that are |
533 | comprehensive multiperil policies providing full coverage of a |
534 | residential property equivalent to the coverage provided in the |
535 | private insurance market under an HO-3, HO-4, or HO-6 policy. |
536 | b. Basic personal lines policy forms that are policies |
537 | similar to an HO-8 policy or a dwelling fire policy that provide |
538 | coverage meeting the requirements of the secondary mortgage |
539 | market, but which coverage is more limited than the coverage |
540 | under a standard policy. |
541 | c. Commercial lines residential and nonresidential policy |
542 | forms that are generally similar to the basic perils of full |
543 | coverage obtainable for commercial residential structures and |
544 | commercial nonresidential structures in the admitted voluntary |
545 | market. |
546 | d. Personal lines and commercial lines residential |
547 | property insurance forms that cover the peril of wind only. The |
548 | forms are applicable only to residential properties located in |
549 | areas eligible for coverage under the high-risk account referred |
550 | to in sub-subparagraph (b)2.a. |
551 | e. Commercial lines nonresidential property insurance |
552 | forms that cover the peril of wind only. The forms are |
553 | applicable only to nonresidential properties located in areas |
554 | eligible for coverage under the high-risk account referred to in |
555 | sub-subparagraph (b)2.a. |
556 | f. The corporation may adopt variations of the policy |
557 | forms listed in sub-subparagraphs a.-e. which that contain more |
558 | restrictive coverage. |
559 | 2.a. Must provide that the corporation adopt a program in |
560 | which the corporation and authorized insurers enter into quota |
561 | share primary insurance agreements for hurricane coverage, as |
562 | defined in s. 627.4025(2)(a), for eligible risks, and adopt |
563 | property insurance forms for eligible risks which cover the |
564 | peril of wind only. As used in this subsection, the term: |
565 | (I) "Quota share primary insurance" means an arrangement |
566 | in which the primary hurricane coverage of an eligible risk is |
567 | provided in specified percentages by the corporation and an |
568 | authorized insurer. The corporation and authorized insurer are |
569 | each solely responsible for a specified percentage of hurricane |
570 | coverage of an eligible risk as set forth in a quota share |
571 | primary insurance agreement between the corporation and an |
572 | authorized insurer and the insurance contract. The |
573 | responsibility of the corporation or authorized insurer to pay |
574 | its specified percentage of hurricane losses of an eligible |
575 | risk, as set forth in the quota share primary insurance |
576 | agreement, may not be altered by the inability of the other |
577 | party to the agreement to pay its specified percentage of |
578 | hurricane losses. Eligible risks that are provided hurricane |
579 | coverage through a quota share primary insurance arrangement |
580 | must be provided policy forms that set forth the obligations of |
581 | the corporation and authorized insurer under the arrangement, |
582 | clearly specify the percentages of quota share primary insurance |
583 | provided by the corporation and authorized insurer, and |
584 | conspicuously and clearly state that neither the authorized |
585 | insurer nor the corporation may be held responsible beyond its |
586 | specified percentage of coverage of hurricane losses. |
587 | (II) "Eligible risks" means personal lines residential and |
588 | commercial lines residential risks that meet the underwriting |
589 | criteria of the corporation and are located in areas that were |
590 | eligible for coverage by the Florida Windstorm Underwriting |
591 | Association on January 1, 2002. |
592 | b. The corporation may enter into quota share primary |
593 | insurance agreements with authorized insurers at corporation |
594 | coverage levels of 90 percent and 50 percent. |
595 | c. If the corporation determines that additional coverage |
596 | levels are necessary to maximize participation in quota share |
597 | primary insurance agreements by authorized insurers, the |
598 | corporation may establish additional coverage levels. However, |
599 | the corporation's quota share primary insurance coverage level |
600 | may not exceed 90 percent. |
601 | d. Any quota share primary insurance agreement entered |
602 | into between an authorized insurer and the corporation must |
603 | provide for a uniform specified percentage of coverage of |
604 | hurricane losses, by county or territory as set forth by the |
605 | corporation board, for all eligible risks of the authorized |
606 | insurer covered under the quota share primary insurance |
607 | agreement. |
608 | e. Any quota share primary insurance agreement entered |
609 | into between an authorized insurer and the corporation is |
610 | subject to review and approval by the office. However, such |
611 | agreement shall be authorized only as to insurance contracts |
612 | entered into between an authorized insurer and an insured who is |
613 | already insured by the corporation for wind coverage. |
614 | f. For all eligible risks covered under quota share |
615 | primary insurance agreements, the exposure and coverage levels |
616 | for both the corporation and authorized insurers shall be |
617 | reported by the corporation to the Florida Hurricane Catastrophe |
618 | Fund. For all policies of eligible risks covered under quota |
619 | share primary insurance agreements, the corporation and the |
620 | authorized insurer shall maintain complete and accurate records |
621 | for the purpose of exposure and loss reimbursement audits as |
622 | required by Florida Hurricane Catastrophe Fund rules. The |
623 | corporation and the authorized insurer shall each maintain |
624 | duplicate copies of policy declaration pages and supporting |
625 | claims documents. |
626 | g. The corporation board shall establish in its plan of |
627 | operation standards for quota share agreements which ensure that |
628 | there is no discriminatory application among insurers as to the |
629 | terms of quota share agreements, pricing of quota share |
630 | agreements, incentive provisions if any, and consideration paid |
631 | for servicing policies or adjusting claims. |
632 | h. The quota share primary insurance agreement between the |
633 | corporation and an authorized insurer must set forth the |
634 | specific terms under which coverage is provided, including, but |
635 | not limited to, the sale and servicing of policies issued under |
636 | the agreement by the insurance agent of the authorized insurer |
637 | producing the business, the reporting of information concerning |
638 | eligible risks, the payment of premium to the corporation, and |
639 | arrangements for the adjustment and payment of hurricane claims |
640 | incurred on eligible risks by the claims adjuster and personnel |
641 | of the authorized insurer. Entering into a quota sharing |
642 | insurance agreement between the corporation and an authorized |
643 | insurer shall be voluntary and at the discretion of the |
644 | authorized insurer. |
645 | 2.3. May provide that the corporation may employ or |
646 | otherwise contract with individuals or other entities to provide |
647 | administrative or professional services that may be appropriate |
648 | to effectuate the plan. |
649 | a. The corporation may shall have the power to borrow |
650 | funds, by issuing bonds or by incurring other indebtedness, and |
651 | shall have other powers reasonably necessary to effectuate the |
652 | requirements of this subsection, including, without limitation, |
653 | the power to issue bonds and incur other indebtedness in order |
654 | to refinance outstanding bonds or other indebtedness. The |
655 | corporation may, but is not required to, seek judicial |
656 | validation of its bonds or other indebtedness under chapter 75. |
657 | The corporation may issue bonds or incur other indebtedness, or |
658 | have bonds issued on its behalf by a unit of local government |
659 | pursuant to subparagraph (q)2., in the absence of a hurricane or |
660 | other weather-related event, upon a determination by the |
661 | corporation, subject to approval by the office, that such action |
662 | would enable it to efficiently meet the financial obligations of |
663 | the corporation and that such financings are reasonably |
664 | necessary to effectuate the requirements of this subsection. The |
665 | corporation may is authorized to take all actions needed to |
666 | facilitate tax-free status for any such bonds or indebtedness, |
667 | including formation of trusts or other affiliated entities. The |
668 | corporation may shall have the authority to pledge assessments, |
669 | projected recoveries from the Florida Hurricane Catastrophe |
670 | Fund, other reinsurance recoverables, market equalization and |
671 | other surcharges, and other funds available to the corporation |
672 | as security for bonds or other indebtedness. In recognition of |
673 | s. 10, Art. I of the State Constitution, prohibiting the |
674 | impairment of obligations of contracts, it is the intent of the |
675 | Legislature that no action be taken whose purpose is to impair |
676 | any bond indenture or financing agreement or any revenue source |
677 | committed by contract to such bond or other indebtedness. |
678 | b. To ensure that the corporation is operating in an |
679 | efficient and economic manner while providing quality service to |
680 | policyholders, applicants, and agents, the board shall |
681 | commission an independent third-party consultant having |
682 | expertise in insurance company management or insurance company |
683 | management consulting to prepare a report and make |
684 | recommendations on the relative costs and benefits of |
685 | outsourcing various policy issuance and service functions to |
686 | private servicing carriers or entities performing similar |
687 | functions in the private market for a fee, rather than |
688 | performing such functions in house. In making such |
689 | recommendations, the consultant shall consider how other |
690 | residual markets, both in this state and around the country, |
691 | outsource appropriate functions or use servicing carriers to |
692 | better match expenses with revenues that fluctuate based on a |
693 | widely varying policy count. The report must be completed by |
694 | July 1, 2012. Upon receiving the report, the board shall develop |
695 | a plan to implement the report and submit the plan for review, |
696 | modification, and approval to the Financial Services Commission. |
697 | Upon the commission's approval of the plan, the board shall |
698 | begin implementing the plan by January 1, 2013. |
699 | 3.4.a. Must require that the corporation operate subject |
700 | to the supervision and approval of a board of governors |
701 | consisting of eight individuals who are residents of this state, |
702 | from different geographical areas of this state. |
703 | a. The Governor, the Chief Financial Officer, the |
704 | President of the Senate, and the Speaker of the House of |
705 | Representatives shall each appoint two members of the board. At |
706 | least one of the two members appointed by each appointing |
707 | officer must have demonstrated expertise in insurance and be |
708 | within the scope of the exemption provided in s. 112.313(7)(b). |
709 | The Chief Financial Officer shall designate one of the |
710 | appointees as chair. All board members serve at the pleasure of |
711 | the appointing officer. All members of the board of governors |
712 | are subject to removal at will by the officers who appointed |
713 | them. All board members, including the chair, must be appointed |
714 | to serve for 3-year terms beginning annually on a date |
715 | designated by the plan. However, for the first term beginning on |
716 | or after July 1, 2009, each appointing officer shall appoint one |
717 | member of the board for a 2-year term and one member for a 3- |
718 | year term. A Any board vacancy shall be filled for the unexpired |
719 | term by the appointing officer. The Chief Financial Officer |
720 | shall appoint a technical advisory group to provide information |
721 | and advice to the board of governors in connection with the |
722 | board's duties under this subsection. The executive director and |
723 | senior managers of the corporation shall be engaged by the board |
724 | and serve at the pleasure of the board. Any executive director |
725 | appointed on or after July 1, 2006, is subject to confirmation |
726 | by the Senate. The executive director is responsible for |
727 | employing other staff as the corporation may require, subject to |
728 | review and concurrence by the board. |
729 | b. The board shall create a Market Accountability Advisory |
730 | Committee to assist the corporation in developing awareness of |
731 | its rates and its customer and agent service levels in |
732 | relationship to the voluntary market insurers writing similar |
733 | coverage and to provide advice on issues regarding agent |
734 | appointments and compensation. |
735 | (I) The members of the advisory committee shall consist of |
736 | the following 11 persons, one of whom must be elected chair by |
737 | the members of the committee: four representatives, one |
738 | appointed by the Florida Association of Insurance Agents, one by |
739 | the National Florida Association of Insurance and Financial |
740 | Advisors-Florida Advisors, one by the Professional Insurance |
741 | Agents of Florida, and one by the Latin American Association of |
742 | Insurance Agencies; three representatives appointed by the |
743 | insurers with the three highest voluntary market share of |
744 | residential property insurance business in the state; one |
745 | representative from the Office of Insurance Regulation; one |
746 | consumer appointed by the board who is insured by the |
747 | corporation at the time of appointment to the committee; one |
748 | representative appointed by the Florida Association of Realtors; |
749 | and one representative appointed by the Florida Bankers |
750 | Association. All members shall be appointed to must serve for 3- |
751 | year terms and may serve for consecutive terms. |
752 | (II) The committee shall report to the corporation at each |
753 | board meeting on insurance market issues which may include rates |
754 | and rate competition with the voluntary market; service, |
755 | including policy issuance, claims processing, and general |
756 | responsiveness to policyholders, applicants, and agents; and |
757 | matters relating to depopulation, producer compensation, or |
758 | agency agreements. |
759 | 4.5. Must provide a procedure for determining the |
760 | eligibility of a risk for coverage, as follows: |
761 | a. Subject to the provisions of s. 627.3517, with respect |
762 | to personal lines residential risks, if the risk is offered |
763 | coverage from an authorized insurer at the insurer's approved |
764 | rate under either a standard policy including wind coverage or, |
765 | if consistent with the insurer's underwriting rules as filed |
766 | with the office, a basic policy including wind coverage, for a |
767 | new application to the corporation for coverage, the risk is not |
768 | eligible for any policy issued by the corporation unless the |
769 | premium for coverage from the authorized insurer is more than 15 |
770 | percent greater than the premium for comparable coverage from |
771 | the corporation. If the risk is not able to obtain any such |
772 | offer, the risk is eligible for either a standard policy |
773 | including wind coverage or a basic policy including wind |
774 | coverage issued by the corporation; however, if the risk could |
775 | not be insured under a standard policy including wind coverage |
776 | regardless of market conditions, the risk is shall be eligible |
777 | for a basic policy including wind coverage unless rejected under |
778 | subparagraph 7. 8. Notwithstanding these limitations, an |
779 | application for coverage having an effective date before January |
780 | 1, 2015, is eligible for coverage by the corporation if the |
781 | premium for coverage from an authorized insurer exceeds the |
782 | premium for comparable coverage from the corporation by more |
783 | than 25 percent. However, with regard to a policyholder of the |
784 | corporation or a policyholder removed from the corporation |
785 | through an assumption agreement until the end of the assumption |
786 | period, the policyholder remains eligible for coverage from the |
787 | corporation regardless of any offer of coverage from an |
788 | authorized insurer or surplus lines insurer. The corporation |
789 | shall determine the type of policy to be provided on the basis |
790 | of objective standards specified in the underwriting manual and |
791 | based on generally accepted underwriting practices. |
792 | (I) If the risk accepts an offer of coverage through the |
793 | market assistance plan or an offer of coverage through a |
794 | mechanism established by the corporation before a policy is |
795 | issued to the risk by the corporation or during the first 30 |
796 | days of coverage by the corporation, and the producing agent who |
797 | submitted the application to the plan or to the corporation is |
798 | not currently appointed by the insurer, the insurer shall: |
799 | (A) Pay to the producing agent of record of the policy, |
800 | for the first year, an amount that is the greater of the |
801 | insurer's usual and customary commission for the type of policy |
802 | written or a fee equal to the usual and customary commission of |
803 | the corporation; or |
804 | (B) Offer to allow the producing agent of record of the |
805 | policy to continue servicing the policy for at least a period of |
806 | not less than 1 year and offer to pay the agent the greater of |
807 | the insurer's or the corporation's usual and customary |
808 | commission for the type of policy written. |
809 |
|
810 | If the producing agent is unwilling or unable to accept |
811 | appointment, the new insurer shall pay the agent in accordance |
812 | with sub-sub-sub-subparagraph (A). |
813 | (II) If When the corporation enters into a contractual |
814 | agreement for a take-out plan, the producing agent of record of |
815 | the corporation policy is entitled to retain any unearned |
816 | commission on the policy, and the insurer shall: |
817 | (A) Pay to the producing agent of record of the |
818 | corporation policy, for the first year, an amount that is the |
819 | greater of the insurer's usual and customary commission for the |
820 | type of policy written or a fee equal to the usual and customary |
821 | commission of the corporation; or |
822 | (B) Offer to allow the producing agent of record of the |
823 | corporation policy to continue servicing the policy for at least |
824 | a period of not less than 1 year and offer to pay the agent the |
825 | greater of the insurer's or the corporation's usual and |
826 | customary commission for the type of policy written. |
827 |
|
828 | If the producing agent is unwilling or unable to accept |
829 | appointment, the new insurer shall pay the agent in accordance |
830 | with sub-sub-sub-subparagraph (A). |
831 | b. Subject to s. 627.3517, with respect to commercial |
832 | lines residential risks, for a new application to the |
833 | corporation for coverage, if the risk is offered coverage under |
834 | a policy including wind coverage from an authorized insurer at |
835 | its approved rate, the risk is not eligible for a any policy |
836 | issued by the corporation unless the premium for coverage from |
837 | the authorized insurer is more than 15 percent greater than the |
838 | premium for comparable coverage from the corporation. If the |
839 | risk is not able to obtain any such offer, the risk is eligible |
840 | for a policy including wind coverage issued by the corporation. |
841 | Notwithstanding these limitations, an application for coverage |
842 | having an effective date before January 1, 2015, is eligible for |
843 | coverage by the corporation if the premium for coverage from an |
844 | authorized insurer exceeds the premium for comparable coverage |
845 | from the corporation by more than 25 percent. However, with |
846 | regard to a policyholder of the corporation or a policyholder |
847 | removed from the corporation through an assumption agreement |
848 | until the end of the assumption period, the policyholder remains |
849 | eligible for coverage from the corporation regardless of any |
850 | offer of coverage from an authorized insurer or surplus lines |
851 | insurer. |
852 | (I) If the risk accepts an offer of coverage through the |
853 | market assistance plan or an offer of coverage through a |
854 | mechanism established by the corporation before a policy is |
855 | issued to the risk by the corporation or during the first 30 |
856 | days of coverage by the corporation, and the producing agent who |
857 | submitted the application to the plan or the corporation is not |
858 | currently appointed by the insurer, the insurer shall: |
859 | (A) Pay to the producing agent of record of the policy, |
860 | for the first year, an amount that is the greater of the |
861 | insurer's usual and customary commission for the type of policy |
862 | written or a fee equal to the usual and customary commission of |
863 | the corporation; or |
864 | (B) Offer to allow the producing agent of record of the |
865 | policy to continue servicing the policy for at least a period of |
866 | not less than 1 year and offer to pay the agent the greater of |
867 | the insurer's or the corporation's usual and customary |
868 | commission for the type of policy written. |
869 |
|
870 | If the producing agent is unwilling or unable to accept |
871 | appointment, the new insurer shall pay the agent in accordance |
872 | with sub-sub-sub-subparagraph (A). |
873 | (II) If When the corporation enters into a contractual |
874 | agreement for a take-out plan, the producing agent of record of |
875 | the corporation policy is entitled to retain any unearned |
876 | commission on the policy, and the insurer shall: |
877 | (A) Pay to the producing agent of record of the |
878 | corporation policy, for the first year, an amount that is the |
879 | greater of the insurer's usual and customary commission for the |
880 | type of policy written or a fee equal to the usual and customary |
881 | commission of the corporation; or |
882 | (B) Offer to allow the producing agent of record of the |
883 | corporation policy to continue servicing the policy for at least |
884 | a period of not less than 1 year and offer to pay the agent the |
885 | greater of the insurer's or the corporation's usual and |
886 | customary commission for the type of policy written. |
887 |
|
888 | If the producing agent is unwilling or unable to accept |
889 | appointment, the new insurer shall pay the agent in accordance |
890 | with sub-sub-sub-subparagraph (A). |
891 | c. For purposes of determining comparable coverage under |
892 | sub-subparagraphs a. and b., the comparison shall be based on |
893 | those forms and coverages that are reasonably comparable. The |
894 | corporation may rely on a determination of comparable coverage |
895 | and premium made by the producing agent who submits the |
896 | application to the corporation, made in the agent's capacity as |
897 | the corporation's agent. A comparison may be made solely of the |
898 | premium with respect to the main building or structure only on |
899 | the following basis: the same coverage A or other building |
900 | limits; the same percentage hurricane deductible that applies on |
901 | an annual basis or that applies to each hurricane for commercial |
902 | residential property; the same percentage of ordinance and law |
903 | coverage, if the same limit is offered by both the corporation |
904 | and the authorized insurer; the same mitigation credits, to the |
905 | extent the same types of credits are offered both by the |
906 | corporation and the authorized insurer; the same method for loss |
907 | payment, such as replacement cost or actual cash value, if the |
908 | same method is offered both by the corporation and the |
909 | authorized insurer in accordance with underwriting rules; and |
910 | any other form or coverage that is reasonably comparable as |
911 | determined by the board. If an application is submitted to the |
912 | corporation for wind-only coverage in the high-risk account, the |
913 | premium for the corporation's wind-only policy plus the premium |
914 | for the ex-wind policy that is offered by an authorized insurer |
915 | to the applicant shall be compared to the premium for multiperil |
916 | coverage offered by an authorized insurer, subject to the |
917 | standards for comparison specified in this subparagraph. If the |
918 | corporation or the applicant requests from the authorized |
919 | insurer a breakdown of the premium of the offer by types of |
920 | coverage so that a comparison may be made by the corporation or |
921 | its agent and the authorized insurer refuses or is unable to |
922 | provide such information, the corporation may treat the offer as |
923 | not being an offer of coverage from an authorized insurer at the |
924 | insurer's approved rate. |
925 | 5.6. Must include rules for classifications of risks and |
926 | rates therefor. |
927 | 6.7. Must provide that if premium and investment income |
928 | for an account attributable to a particular calendar year are in |
929 | excess of projected losses and expenses for the account |
930 | attributable to that year, such excess shall be held in surplus |
931 | in the account. Such surplus must shall be available to defray |
932 | deficits in that account as to future years and shall be used |
933 | for that purpose before prior to assessing assessable insurers |
934 | and assessable insureds as to any calendar year. |
935 | 7.8. Must provide objective criteria and procedures to be |
936 | uniformly applied to for all applicants in determining whether |
937 | an individual risk is so hazardous as to be uninsurable. In |
938 | making this determination and in establishing the criteria and |
939 | procedures, the following must shall be considered: |
940 | a. Whether the likelihood of a loss for the individual |
941 | risk is substantially higher than for other risks of the same |
942 | class; and |
943 | b. Whether the uncertainty associated with the individual |
944 | risk is such that an appropriate premium cannot be determined. |
945 |
|
946 | The acceptance or rejection of a risk by the corporation shall |
947 | be construed as the private placement of insurance, and the |
948 | provisions of chapter 120 do shall not apply. |
949 | 8.9. Must provide that the corporation Shall make its best |
950 | efforts to procure catastrophe reinsurance at reasonable rates, |
951 | to cover its projected 100-year probable maximum loss as |
952 | determined by the board of governors. |
953 | 9.10. Must issue The policies that issued by the |
954 | corporation must provide that, if the corporation or the market |
955 | assistance plan obtains an offer from an authorized insurer to |
956 | cover the risk at its approved rates or from a surplus lines |
957 | insurer, the risk is no longer eligible for renewal through the |
958 | corporation, except as otherwise provided in this subsection. |
959 | 10.11. Must Corporation Policies and applications must |
960 | include a notice in the corporation policies and applications |
961 | that the corporation policy could, under this section, be |
962 | replaced with a policy issued by an authorized insurer which |
963 | that does not provide coverage identical to the coverage |
964 | provided by the corporation. The notice must shall also specify |
965 | that acceptance of corporation coverage creates a conclusive |
966 | presumption that the applicant or policyholder is aware of this |
967 | potential. |
968 | 11.12. May establish, subject to approval by the office, |
969 | different eligibility requirements and operational procedures |
970 | for any line or type of coverage for any specified county or |
971 | area if the board determines that such changes to the |
972 | eligibility requirements and operational procedures are |
973 | justified due to the voluntary market being sufficiently stable |
974 | and competitive in such area or for such line or type of |
975 | coverage and that consumers who, in good faith, are unable to |
976 | obtain insurance through the voluntary market through ordinary |
977 | methods would continue to have access to coverage from the |
978 | corporation. If When coverage is sought in connection with a |
979 | real property transfer, the such requirements and procedures may |
980 | shall not provide for an effective date of coverage later than |
981 | the date of the closing of the transfer as established by the |
982 | transferor, the transferee, and, if applicable, the lender. |
983 | 12.13. Must provide that, with respect to the high-risk |
984 | account, any assessable insurer with a surplus as to |
985 | policyholders of $25 million or less writing 25 percent or more |
986 | of its total countrywide property insurance premiums in this |
987 | state may petition the office, within the first 90 days of each |
988 | calendar year, to qualify as a limited apportionment company. A |
989 | regular assessment levied by the corporation on a limited |
990 | apportionment company for a deficit incurred by the corporation |
991 | for the high-risk account in 2006 or thereafter may be paid to |
992 | the corporation on a monthly basis as the assessments are |
993 | collected by the limited apportionment company from its insureds |
994 | pursuant to s. 627.3512, but the regular assessment must be paid |
995 | in full within 12 months after being levied by the corporation. |
996 | A limited apportionment company shall collect from its |
997 | policyholders any emergency assessment imposed under sub- |
998 | subparagraph (b)3.d. The plan shall provide that, If the office |
999 | determines that any regular assessment will result in an |
1000 | impairment of the surplus of a limited apportionment company, |
1001 | the office may direct that all or part of such assessment be |
1002 | deferred as provided in subparagraph (q)4. However, there shall |
1003 | be no limitation or deferment of an emergency assessment to be |
1004 | collected from policyholders under sub-subparagraph (b)3.d. may |
1005 | not be limited or deferred. |
1006 | 13.14. Effective January 1, 2012, must provide that the |
1007 | corporation appoint as its licensed agents only those agents who |
1008 | also hold an appointment as defined in s. 626.015(3) with an |
1009 | insurer who at the time of the agent's initial appointment by |
1010 | the corporation is authorized to write and is actually writing |
1011 | personal lines residential property coverage, commercial |
1012 | residential property coverage, or commercial nonresidential |
1013 | property coverage within the state. |
1014 | 14.15. Must provide, by July 1, 2007, a premium payment |
1015 | plan option to its policyholders which, allows at a minimum, |
1016 | allows for quarterly and semiannual payment of premiums. A |
1017 | monthly payment plan may, but is not required to, be offered. |
1018 | 15.16. Must limit coverage on mobile homes or manufactured |
1019 | homes built before prior to 1994 to actual cash value of the |
1020 | dwelling rather than replacement costs of the dwelling. |
1021 | 16.17. May provide such limits of coverage as the board |
1022 | determines, consistent with the requirements of this subsection. |
1023 | 17.18. May require commercial property to meet specified |
1024 | hurricane mitigation construction features as a condition of |
1025 | eligibility for coverage. |
1026 | 18. As of January 1, 2012, must require that the agent |
1027 | obtain from an applicant for coverage from the corporation an |
1028 | acknowledgement signed by the applicant, which includes, at a |
1029 | minimum, the following statement: |
1030 |
|
1031 | ACKNOWLEDGEMENT OF POTENTIAL SURCHARGE AND ASSESSMENT LIABILITY: |
1032 |
|
1033 | 1. AS A POLICYHOLDER OF CITIZENS PROPERTY INSURANCE |
1034 | CORPORATION, I UNDERSTAND THAT IF THE CORPORATION SUSTAINS A |
1035 | DEFICIT AS A RESULT OF HURRICANE LOSSES OR FOR ANY OTHER REASON, |
1036 | MY POLICY COULD BE SUBJECT TO SURCHARGES, WHICH WILL BE DUE AND |
1037 | PAYABLE UPON RENEWAL, CANCELLATION, OR TERMINATION OF THE |
1038 | POLICY, AND THAT THE SURCHARGES COULD BE AS HIGH AS 45 PERCENT |
1039 | OF MY PREMIUM, OR A DIFFERENT AMOUNT AS IMPOSED BY THE FLORIDA |
1040 | LEGISLATURE. |
1041 | 2. I ALSO UNDERSTAND THAT I MAY BE SUBJECT TO EMERGENCY |
1042 | ASSESSMENTS TO THE SAME EXTENT AS POLICYHOLDERS OF OTHER |
1043 | INSURANCE COMPANIES, OR A DIFFERENT AMOUNT AS IMPOSED BY THE |
1044 | FLORIDA LEGISLATURE. |
1045 | 3. I ALSO UNDERSTAND THAT CITIZENS PROPERTY INSURANCE |
1046 | CORPORATION IS NOT SUPPORTED BY THE FULL FAITH AND CREDIT OF THE |
1047 | STATE OF FLORIDA. |
1048 |
|
1049 | a. The corporation shall maintain, in electronic format or |
1050 | otherwise, a copy of the applicant's signed acknowledgement and |
1051 | provide a copy of the statement to the policyholder as part of |
1052 | the first renewal after the effective date of this subparagraph. |
1053 | b. The signed acknowledgement form creates a conclusive |
1054 | presumption that the policyholder understood and accepted his or |
1055 | her potential surcharge and assessment liability as a |
1056 | policyholder of the corporation. |
1057 | 19. Upon notice and determination by the department that |
1058 | an agent appointed by the corporation has violated s. |
1059 | 626.9541(1)(h), must immediately terminate the agent's |
1060 | appointment to represent the corporation. |
1061 | 20. Must provide that new or renewal policies issued by |
1062 | the corporation on or after January 1, 2012, do not include |
1063 | coverage for attached or detached screen enclosures. The |
1064 | corporation is not required to issue a notice of nonrenewal to |
1065 | exclude this coverage upon the renewal of current policies, but |
1066 | shall exclude such coverage using a notice of coverage change. |
1067 | 21. Must provide that new or renewal policies issued by |
1068 | the corporation on or after January 1, 2012, which cover |
1069 | sinkhole loss do not include coverage for any loss to |
1070 | appurtenant structures, driveways, sidewalks, decks, or patios |
1071 | which is caused directly or indirectly by sinkhole activity. The |
1072 | corporation is not required to issue a notice of nonrenewal to |
1073 | exclude this coverage upon the renewal of current policies, but |
1074 | shall exclude such coverage using a notice of coverage change |
1075 | which may be included with the policy renewal. |
1076 | (d)1. All prospective employees for senior management |
1077 | positions, as defined by the plan of operation, are subject to |
1078 | background checks as a prerequisite for employment. The office |
1079 | shall conduct the background checks on such prospective |
1080 | employees pursuant to ss. 624.34, 624.404(3), and 628.261. |
1081 | 2. On or before July 1 of each year, employees of the |
1082 | corporation must are required to sign and submit a statement |
1083 | attesting that they do not have a conflict of interest, as |
1084 | defined in part III of chapter 112. As a condition of |
1085 | employment, all prospective employees must are required to sign |
1086 | and submit to the corporation a conflict-of-interest statement. |
1087 | 3. Senior managers and members of the board of governors |
1088 | are subject to the provisions of part III of chapter 112, |
1089 | including, but not limited to, the code of ethics and public |
1090 | disclosure and reporting of financial interests, pursuant to s. |
1091 | 112.3145. |
1092 | a. Senior managers and board members are also required to |
1093 | file such disclosures with the Commission on Ethics and the |
1094 | Office of Insurance Regulation. The executive director of the |
1095 | corporation or his or her designee shall notify each existing |
1096 | and newly appointed and existing appointed member of the board |
1097 | of governors and senior managers of their duty to comply with |
1098 | the reporting requirements of part III of chapter 112. At least |
1099 | quarterly, the executive director or his or her designee shall |
1100 | submit to the Commission on Ethics a list of names of the senior |
1101 | managers and members of the board of governors who are subject |
1102 | to the public disclosure requirements under s. 112.3145. |
1103 | b. Notwithstanding s. 112.3143(2), a board member may not |
1104 | vote on any measure that would inure to his or her special |
1105 | private gain or loss; that he or she knows would inure to the |
1106 | special private gain or loss of any principal by whom he or she |
1107 | is retained or to the parent organization or subsidiary of a |
1108 | corporate principal by which he or she is retained, other than |
1109 | an agency as defined in s. 112.312; or that he or she knows |
1110 | would inure to the special private gain or loss of a relative or |
1111 | business associate of the public officer. Before the vote is |
1112 | taken, such member must publicly state to the assembly the |
1113 | nature of his or her interest in the matter from which he or she |
1114 | is abstaining and, within 15 days after the vote occurs, |
1115 | disclose the nature of his or her interest as a public record in |
1116 | a memorandum filed with the person responsible for recording the |
1117 | minutes of the meeting, who shall incorporate the memorandum in |
1118 | the minutes. |
1119 | 4. Notwithstanding s. 112.3148 or s. 112.3149, or any |
1120 | other provision of law, an employee or board member may not |
1121 | knowingly accept, directly or indirectly, any gift or |
1122 | expenditure from a person or entity, or an employee or |
1123 | representative of such person or entity, which that has a |
1124 | contractual relationship with the corporation or who is under |
1125 | consideration for a contract. An employee or board member who |
1126 | fails to comply with subparagraph 3. or this subparagraph is |
1127 | subject to penalties provided under ss. 112.317 and 112.3173. |
1128 | 5. Any senior manager of the corporation who is employed |
1129 | on or after January 1, 2007, regardless of the date of hire, who |
1130 | subsequently retires or terminates employment is prohibited from |
1131 | representing another person or entity before the corporation for |
1132 | 2 years after retirement or termination of employment from the |
1133 | corporation. |
1134 | 6. Any senior manager of the corporation who is employed |
1135 | on or after January 1, 2007, regardless of the date of hire, who |
1136 | subsequently retires or terminates employment is prohibited from |
1137 | having any employment or contractual relationship for 2 years |
1138 | with an insurer that has entered into a take-out bonus agreement |
1139 | with the corporation. |
1140 | (n)1. It is the intent of the Legislature that the rates |
1141 | for coverage provided by the corporation be actuarially |
1142 | determined and not be competitive with rates charged in the |
1143 | admitted voluntary market such that the corporation functions as |
1144 | a residual market mechanism that provides insurance only if such |
1145 | insurance cannot be procured in the voluntary market. To achieve |
1146 | this goal, for any rate filing made by the corporation on or |
1147 | after July 1, 2011: |
1148 | 1. Rates for coverage provided by the corporation shall be |
1149 | actuarially sound and subject to the requirements of s. 627.062, |
1150 | except as otherwise provided in this paragraph. The corporation |
1151 | shall file its recommended rates with the office at least |
1152 | annually. The office shall consider the recommended rates and |
1153 | issue a final order establishing the rates within 45 days after |
1154 | the recommended rates are filed. The corporation shall provide |
1155 | any additional information regarding the rates which the office |
1156 | requires. The office shall consider the recommendations of the |
1157 | board and issue a final order establishing the rates for the |
1158 | corporation within 45 days after the recommended rates are |
1159 | filed. The corporation may not pursue an administrative |
1160 | challenge or judicial review of the final order of the office. |
1161 | 2. In developing its rates, the corporation shall use an |
1162 | appropriate industry expense equalization factor to ensure that |
1163 | its rates include standard industry ratemaking expense |
1164 | provisions. The industry expense equalization factor must |
1165 | include a catastrophe risk load, a provision for taxes, a market |
1166 | provision for reinsurance costs, and an industry expense |
1167 | provision for general expenses, acquisition expenses, and |
1168 | commissions. |
1169 | 3. The corporation shall implement a rate increase each |
1170 | year, which may not exceed 15 percent for any single policy, |
1171 | excluding coverage changes and surcharges. This subparagraph |
1172 | expires January 1, 2015, and does not apply to rates for |
1173 | sinkhole coverage or costs for the purchase of private |
1174 | reinsurance, if any. |
1175 | 4.2. In addition to the rates otherwise determined |
1176 | pursuant to this paragraph, the corporation shall impose and |
1177 | collect an amount equal to the premium tax provided for in s. |
1178 | 624.509 to augment the financial resources of the corporation. |
1179 | 3. After the public hurricane loss-projection model under |
1180 | s. 627.06281 has been found to be accurate and reliable by the |
1181 | Florida Commission on Hurricane Loss Projection Methodology, |
1182 | that model shall serve as the minimum benchmark for determining |
1183 | the windstorm portion of the corporation's rates. This |
1184 | subparagraph does not require or allow the corporation to adopt |
1185 | rates lower than the rates otherwise required or allowed by this |
1186 | paragraph. |
1187 | 4. The rate filings for the corporation which were |
1188 | approved by the office and which took effect January 1, 2007, |
1189 | are rescinded, except for those rates that were lowered. As soon |
1190 | as possible, the corporation shall begin using the lower rates |
1191 | that were in effect on December 31, 2006, and shall provide |
1192 | refunds to policyholders who have paid higher rates as a result |
1193 | of that rate filing. The rates in effect on December 31, 2006, |
1194 | shall remain in effect for the 2007 and 2008 calendar years |
1195 | except for any rate change that results in a lower rate. The |
1196 | next rate change that may increase rates shall take effect |
1197 | pursuant to a new rate filing recommended by the corporation and |
1198 | established by the office, subject to the requirements of this |
1199 | paragraph. |
1200 | 5. Beginning on July 15, 2009, and each year thereafter, |
1201 | the corporation must make a recommended actuarially sound rate |
1202 | filing for each personal and commercial line of business it |
1203 | writes, to be effective no earlier than January 1, 2010. |
1204 | 6. Beginning on or after January 1, 2010, and |
1205 | notwithstanding the board's recommended rates and the office's |
1206 | final order regarding the corporation's filed rates under |
1207 | subparagraph 1., the corporation shall implement a rate increase |
1208 | each year which does not exceed 10 percent for any single policy |
1209 | issued by the corporation, excluding coverage changes and |
1210 | surcharges. |
1211 | 5.7. The corporation may also implement an increase to |
1212 | reflect the effect on the corporation of the cash buildup factor |
1213 | pursuant to s. 215.555(5)(b). |
1214 | 8. The corporation's implementation of rates as prescribed |
1215 | in subparagraph 6. shall cease for any line of business written |
1216 | by the corporation upon the corporation's implementation of |
1217 | actuarially sound rates. Thereafter, the corporation shall |
1218 | annually make a recommended actuarially sound rate filing for |
1219 | each commercial and personal line of business the corporation |
1220 | writes. |
1221 | (o) If coverage in an account is deactivated pursuant to |
1222 | paragraph (p), coverage through the corporation shall be |
1223 | reactivated by order of the office only under one of the |
1224 | following circumstances: |
1225 | 1. If the market assistance plan receives a minimum of 100 |
1226 | applications for coverage within a 3-month period, or 200 |
1227 | applications for coverage within a 1-year period or less for |
1228 | residential coverage, unless the market assistance plan provides |
1229 | a quotation from admitted carriers at their filed rates for at |
1230 | least 90 percent of such applicants. A Any market assistance |
1231 | plan application that is rejected because an individual risk is |
1232 | so hazardous as to be uninsurable using the criteria specified |
1233 | in subparagraph (c)7. may (c)8. shall not be included in the |
1234 | minimum percentage calculation provided herein. If In the event |
1235 | that there is a legal or administrative challenge to a |
1236 | determination by the office that the conditions of this |
1237 | subparagraph have been met for eligibility for coverage by in |
1238 | the corporation, an any eligible risk may obtain coverage during |
1239 | the pendency of such challenge. |
1240 | 2. In response to a state of emergency declared by the |
1241 | Governor under s. 252.36, the office may activate coverage by |
1242 | order during for the period of the emergency upon a finding by |
1243 | the office that the emergency significantly affects the |
1244 | availability of residential property insurance. |
1245 | (q)1. The corporation shall certify to the office its |
1246 | needs for annual assessments as to a particular calendar year, |
1247 | and for any interim assessments that it deems to be necessary to |
1248 | sustain operations as to a particular year pending the receipt |
1249 | of annual assessments. Upon verification, the office shall |
1250 | approve such certification, and the corporation shall levy such |
1251 | annual or interim assessments. Such assessments shall be |
1252 | prorated as provided in paragraph (b). The corporation shall |
1253 | take all reasonable and prudent steps necessary to collect the |
1254 | amount of assessment due from each assessable insurer, |
1255 | including, if prudent, filing suit to collect such assessment. |
1256 | If the corporation is unable to collect an assessment from any |
1257 | assessable insurer, the uncollected assessments shall be levied |
1258 | as an additional assessment against the assessable insurers and |
1259 | any assessable insurer required to pay an additional assessment |
1260 | as a result of such failure to pay shall have a cause of action |
1261 | against such nonpaying assessable insurer. Assessments shall be |
1262 | included as an appropriate factor in the making of rates. The |
1263 | failure of a surplus lines agent to collect and remit any |
1264 | regular or emergency assessment levied by the corporation is |
1265 | considered to be a violation of s. 626.936 and subjects the |
1266 | surplus lines agent to the penalties provided in that section. |
1267 | 2. The governing body of any unit of local government, any |
1268 | residents of which are insured by the corporation, may issue |
1269 | bonds as defined in s. 125.013 or s. 166.101 from time to time |
1270 | to fund an assistance program, in conjunction with the |
1271 | corporation, for the purpose of defraying deficits of the |
1272 | corporation. In order to avoid needless and indiscriminate |
1273 | proliferation, duplication, and fragmentation of such assistance |
1274 | programs, any unit of local government, any residents of which |
1275 | are insured by the corporation, may provide for the payment of |
1276 | losses, regardless of whether or not the losses occurred within |
1277 | or outside of the territorial jurisdiction of the local |
1278 | government. Revenue bonds under this subparagraph may not be |
1279 | issued until validated pursuant to chapter 75, unless a state of |
1280 | emergency is declared by executive order or proclamation of the |
1281 | Governor pursuant to s. 252.36 making such findings as are |
1282 | necessary to determine that it is in the best interests of, and |
1283 | necessary for, the protection of the public health, safety, and |
1284 | general welfare of residents of this state and declaring it an |
1285 | essential public purpose to permit certain municipalities or |
1286 | counties to issue such bonds as will permit relief to claimants |
1287 | and policyholders of the corporation. Any such unit of local |
1288 | government may enter into such contracts with the corporation |
1289 | and with any other entity created pursuant to this subsection as |
1290 | are necessary to carry out this paragraph. Any bonds issued |
1291 | under this subparagraph shall be payable from and secured by |
1292 | moneys received by the corporation from emergency assessments |
1293 | under sub-subparagraph (b)3.d., and assigned and pledged to or |
1294 | on behalf of the unit of local government for the benefit of the |
1295 | holders of such bonds. The funds, credit, property, and taxing |
1296 | power of the state or of the unit of local government shall not |
1297 | be pledged for the payment of such bonds. |
1298 | 3.a. The corporation shall adopt one or more programs |
1299 | subject to approval by the office for the reduction of both new |
1300 | and renewal writings in the corporation. Beginning January 1, |
1301 | 2008, any program the corporation adopts for the payment of |
1302 | bonuses to an insurer for each risk the insurer removes from the |
1303 | corporation shall comply with s. 627.3511(2) and may not exceed |
1304 | the amount referenced in s. 627.3511(2) for each risk removed. |
1305 | The corporation may consider any prudent and not unfairly |
1306 | discriminatory approach to reducing corporation writings, and |
1307 | may adopt a credit against assessment liability or other |
1308 | liability that provides an incentive for insurers to take risks |
1309 | out of the corporation and to keep risks out of the corporation |
1310 | by maintaining or increasing voluntary writings in counties or |
1311 | areas in which corporation risks are highly concentrated and a |
1312 | program to provide a formula under which an insurer voluntarily |
1313 | taking risks out of the corporation by maintaining or increasing |
1314 | voluntary writings will be relieved wholly or partially from |
1315 | assessments under sub-subparagraphs (b)3.a. and b. However, any |
1316 | "take-out bonus" or payment to an insurer must be conditioned on |
1317 | the property being insured for at least 5 years by the insurer, |
1318 | unless canceled or nonrenewed by the policyholder. If the policy |
1319 | is canceled or nonrenewed by the policyholder before the end of |
1320 | the 5-year period, the amount of the take-out bonus must be |
1321 | prorated for the time period the policy was insured. When the |
1322 | corporation enters into a contractual agreement for a take-out |
1323 | plan, the producing agent of record of the corporation policy is |
1324 | entitled to retain any unearned commission on such policy, and |
1325 | the insurer shall either: |
1326 | (I) Pay to the producing agent of record of the policy, |
1327 | for the first year, an amount which is the greater of the |
1328 | insurer's usual and customary commission for the type of policy |
1329 | written or a policy fee equal to the usual and customary |
1330 | commission of the corporation; or |
1331 | (II) Offer to allow the producing agent of record of the |
1332 | policy to continue servicing the policy for a period of not less |
1333 | than 1 year and offer to pay the agent the insurer's usual and |
1334 | customary commission for the type of policy written. If the |
1335 | producing agent is unwilling or unable to accept appointment by |
1336 | the new insurer, the new insurer shall pay the agent in |
1337 | accordance with sub-sub-subparagraph (I). |
1338 | b. Any credit or exemption from regular assessments |
1339 | adopted under this subparagraph shall last no longer than the 3 |
1340 | years following the cancellation or expiration of the policy by |
1341 | the corporation. With the approval of the office, the board may |
1342 | extend such credits for an additional year if the insurer |
1343 | guarantees an additional year of renewability for all policies |
1344 | removed from the corporation, or for 2 additional years if the |
1345 | insurer guarantees 2 additional years of renewability for all |
1346 | policies so removed. |
1347 | c. There shall be no credit, limitation, exemption, or |
1348 | deferment from emergency assessments to be collected from |
1349 | policyholders pursuant to sub-subparagraph (b)3.d. |
1350 | d. Notwithstanding any other provision of law, for |
1351 | purposes of a depopulation, take-out, or keep-out program |
1352 | adopted by the corporation, including an initial or renewal |
1353 | offer of coverage made to a policyholder removed from the |
1354 | corporation pursuant to a depopulation, take-out, or keep-out |
1355 | program, an eligible surplus lines insurer may participate in a |
1356 | depopulation, take-out, or keep-out program in the same manner |
1357 | and on the same terms as an authorized insurer, except as |
1358 | provided under this sub-subparagraph. To qualify to participate |
1359 | in a depopulation, take-out, or keep-out program, an eligible |
1360 | surplus lines insurer must first obtain approval from the office |
1361 | for a depopulation, take-out, or keep-out plan and must then |
1362 | comply with all of the corporation's requirements for the |
1363 | depopulation, take-out, or keep-out plan applicable to admitted |
1364 | insurers and with all statutory provisions applicable to the |
1365 | removal of policies from the corporation. With regard to a |
1366 | policyholder removed from the corporation through an assumption |
1367 | agreement, until the end of the assumption period, the |
1368 | policyholder remains eligible for coverage from the corporation |
1369 | regardless of any offer of coverage from a surplus lines |
1370 | insurer. In considering a surplus lines insurer's request for |
1371 | approval for a depopulation, take-out, or keep-out plan, the |
1372 | office must determine that the surplus lines insurer meets the |
1373 | following requirements: |
1374 | (I) The surplus lines insurer maintains a surplus to |
1375 | policyholders of at least $50 million on a company or pooled |
1376 | basis; |
1377 | (II) The surplus lines insurer maintains an A.M. Best |
1378 | Financial Strength Rating of A minus or better; |
1379 | (III) The surplus lines insurer maintains reserves, |
1380 | surplus, reinsurance, and reinsurance equivalents sufficient to |
1381 | cover the insurer's 100-year probable maximum hurricane loss at |
1382 | least twice in a single hurricane season. In addition, the |
1383 | surplus lines insurer must submit such reinsurance to the office |
1384 | to review for purposes of the takeout; |
1385 | (IV) The surplus lines insurer provides prominent notice |
1386 | to the policyholder before the assumption of the policy that |
1387 | surplus lines policies are not provided coverage by the Florida |
1388 | Insurance Guaranty Association and an outline of any substantial |
1389 | differences in coverage between the existing policy and the |
1390 | policy being offered to the insured; and |
1391 | (V) The surplus lines insurer provides similar policy |
1392 | coverage. |
1393 |
|
1394 | This sub-subparagraph does not subject any surplus lines insurer |
1395 | to requirements in addition to the requirements contained in |
1396 | part VIII of chapter 626. A surplus lines broker who makes an |
1397 | offer of coverage under this sub-subparagraph is not required to |
1398 | comply with s. 626.916(1)(a), (b), (c), and (e). |
1399 | 4. The plan shall provide for the deferment, in whole or |
1400 | in part, of the assessment of an assessable insurer, other than |
1401 | an emergency assessment collected from policyholders pursuant to |
1402 | sub-subparagraph (b)3.d., if the office finds that payment of |
1403 | the assessment would endanger or impair the solvency of the |
1404 | insurer. In the event an assessment against an assessable |
1405 | insurer is deferred in whole or in part, the amount by which |
1406 | such assessment is deferred may be assessed against the other |
1407 | assessable insurers in a manner consistent with the basis for |
1408 | assessments set forth in paragraph (b). |
1409 | 5. Effective July 1, 2007, in order to evaluate the costs |
1410 | and benefits of approved take-out plans, if the corporation pays |
1411 | a bonus or other payment to an insurer for an approved take-out |
1412 | plan, it shall maintain a record of the address or such other |
1413 | identifying information on the property or risk removed in order |
1414 | to track if and when the property or risk is later insured by |
1415 | the corporation. |
1416 | 6. Any policy taken out, assumed, or removed from the |
1417 | corporation is, as of the effective date of the take-out, |
1418 | assumption, or removal, direct insurance issued by the insurer |
1419 | and not by the corporation, even if the corporation continues to |
1420 | service the policies. This subparagraph applies to policies of |
1421 | the corporation and not policies taken out, assumed, or removed |
1422 | from any other entity. |
1423 | (s)1. There is shall be no liability on the part of, and |
1424 | no cause of action of any nature shall arise against, any |
1425 | assessable insurer or its agents or employees, the corporation |
1426 | or its agents or employees, members of the board of governors or |
1427 | their respective designees at a board meeting, corporation |
1428 | committee members, or the office or its representatives, for any |
1429 | action taken by them in the performance of their duties or |
1430 | responsibilities under this subsection. |
1431 | a. As part of the immunity, the corporation, as a |
1432 | governmental entity serving a public purpose, is not liable for |
1433 | any claim for bad faith whether or not brought pursuant to s. |
1434 | 624.155, and this subsection or any other provision of law does |
1435 | not create liability or a cause of action for bad faith or a |
1436 | claim for extracontractual damages. |
1437 | b. Such immunity does not apply to: |
1438 | (I)a. Any of the foregoing persons or entities for any |
1439 | willful tort; |
1440 | (II)b. The corporation or its producing agents for breach |
1441 | of any contract or agreement pertaining to insurance coverage; |
1442 | (III)c. The corporation with respect to issuance or |
1443 | payment of debt; |
1444 | (IV)d. An Any assessable insurer with respect to any |
1445 | action to enforce an assessable insurer's obligations to the |
1446 | corporation under this subsection; or |
1447 | (V)e. The corporation in any pending or future action for |
1448 | breach of contract or for benefits under a policy issued by the |
1449 | corporation.; In any such action, the corporation is shall be |
1450 | liable to the policyholders and beneficiaries for attorney's |
1451 | fees under s. 627.428. |
1452 | 2. The corporation shall manage its claim employees, |
1453 | independent adjusters, and others who handle claims to ensure |
1454 | they carry out the corporation's duty to its policyholders to |
1455 | handle claims carefully, timely, diligently, and in good faith, |
1456 | balanced against the corporation's duty to the state to manage |
1457 | its assets responsibly in order to minimize its assessment |
1458 | potential. |
1459 | (w) Notwithstanding any other provision of law: |
1460 | 1. The pledge or sale of, the lien upon, and the security |
1461 | interest in any rights, revenues, or other assets of the |
1462 | corporation created or purported to be created pursuant to any |
1463 | financing documents to secure any bonds or other indebtedness of |
1464 | the corporation shall be and remain valid and enforceable, |
1465 | notwithstanding the commencement of and during the continuation |
1466 | of, and after, any rehabilitation, insolvency, liquidation, |
1467 | bankruptcy, receivership, conservatorship, reorganization, or |
1468 | similar proceeding against the corporation under the laws of |
1469 | this state. |
1470 | 2. No Such proceeding does not shall relieve the |
1471 | corporation of its obligation, or otherwise affect its ability |
1472 | to perform its obligation, to continue to collect, or levy and |
1473 | collect, assessments, market equalization or other surcharges |
1474 | under subparagraph (c)10., or any other rights, revenues, or |
1475 | other assets of the corporation pledged pursuant to any |
1476 | financing documents. |
1477 | 3. Each such pledge or sale of, lien upon, and security |
1478 | interest in, including the priority of such pledge, lien, or |
1479 | security interest, any such assessments, market equalization or |
1480 | other surcharges, or other rights, revenues, or other assets |
1481 | which are collected, or levied and collected, after the |
1482 | commencement of and during the pendency of, or after, any such |
1483 | proceeding continues shall continue unaffected by such |
1484 | proceeding. As used in this subsection, the term "financing |
1485 | documents" means any agreement or agreements, instrument or |
1486 | instruments, or other document or documents now existing or |
1487 | hereafter created evidencing any bonds or other indebtedness of |
1488 | the corporation or pursuant to which any such bonds or other |
1489 | indebtedness has been or may be issued and pursuant to which any |
1490 | rights, revenues, or other assets of the corporation are pledged |
1491 | or sold to secure the repayment of such bonds or indebtedness, |
1492 | together with the payment of interest on such bonds or such |
1493 | indebtedness, or the payment of any other obligation or |
1494 | financial product, as defined in the plan of operation of the |
1495 | corporation related to such bonds or indebtedness. |
1496 | 4. Any such pledge or sale of assessments, revenues, |
1497 | contract rights, or other rights or assets of the corporation |
1498 | constitutes shall constitute a lien and security interest, or |
1499 | sale, as the case may be, that is immediately effective and |
1500 | attaches to such assessments, revenues, or contract rights or |
1501 | other rights or assets, whether or not imposed or collected at |
1502 | the time the pledge or sale is made. Any Such pledge or sale is |
1503 | effective, valid, binding, and enforceable against the |
1504 | corporation or other entity making such pledge or sale, and |
1505 | valid and binding against and superior to any competing claims |
1506 | or obligations owed to any other person or entity, including |
1507 | policyholders in this state, asserting rights in any such |
1508 | assessments, revenues, or contract rights or other rights or |
1509 | assets to the extent set forth in and in accordance with the |
1510 | terms of the pledge or sale contained in the applicable |
1511 | financing documents, whether or not any such person or entity |
1512 | has notice of such pledge or sale and without the need for any |
1513 | physical delivery, recordation, filing, or other action. |
1514 | 5. If As long as the corporation has any bonds |
1515 | outstanding, the corporation may not file a voluntary petition |
1516 | under chapter 9 of the federal Bankruptcy Code or such |
1517 | corresponding chapter or sections as may be in effect, from time |
1518 | to time, and a public officer or any organization, entity, or |
1519 | other person may not authorize the corporation to be or become a |
1520 | debtor under chapter 9 of the federal Bankruptcy Code or such |
1521 | corresponding chapter or sections as may be in effect, from time |
1522 | to time, during any such period. |
1523 | 6. If ordered by a court of competent jurisdiction, the |
1524 | corporation may assume policies or otherwise provide coverage |
1525 | for policyholders of an insurer placed in liquidation under |
1526 | chapter 631, under such forms, rates, terms, and conditions as |
1527 | the corporation deems appropriate, subject to approval by the |
1528 | office. |
1529 | (x)1. The following records of the corporation are |
1530 | confidential and exempt from the provisions of s. 119.07(1) and |
1531 | s. 24(a), Art. I of the State Constitution: |
1532 | a. Underwriting files, except that a policyholder or an |
1533 | applicant shall have access to his or her own underwriting |
1534 | files. Confidential and exempt underwriting file records may |
1535 | also be released to other governmental agencies upon written |
1536 | request and demonstration of need; such records held by the |
1537 | receiving agency remain confidential and exempt as provided |
1538 | herein. |
1539 | b. Claims files, until termination of all litigation and |
1540 | settlement of all claims arising out of the same incident, |
1541 | although portions of the claims files may remain exempt, as |
1542 | otherwise provided by law. Confidential and exempt claims file |
1543 | records may be released to other governmental agencies upon |
1544 | written request and demonstration of need; such records held by |
1545 | the receiving agency remain confidential and exempt as provided |
1546 | herein. |
1547 | c. Records obtained or generated by an internal auditor |
1548 | pursuant to a routine audit, until the audit is completed, or if |
1549 | the audit is conducted as part of an investigation, until the |
1550 | investigation is closed or ceases to be active. An investigation |
1551 | is considered "active" while the investigation is being |
1552 | conducted with a reasonable, good faith belief that it could |
1553 | lead to the filing of administrative, civil, or criminal |
1554 | proceedings. |
1555 | d. Matters reasonably encompassed in privileged attorney- |
1556 | client communications. |
1557 | e. Proprietary information licensed to the corporation |
1558 | under contract and the contract provides for the confidentiality |
1559 | of such proprietary information. |
1560 | f. All information relating to the medical condition or |
1561 | medical status of a corporation employee which is not relevant |
1562 | to the employee's capacity to perform his or her duties, except |
1563 | as otherwise provided in this paragraph. Information that is |
1564 | exempt shall include, but is not limited to, information |
1565 | relating to workers' compensation, insurance benefits, and |
1566 | retirement or disability benefits. |
1567 | g. Upon an employee's entrance into the employee |
1568 | assistance program, a program to assist any employee who has a |
1569 | behavioral or medical disorder, substance abuse problem, or |
1570 | emotional difficulty which affects the employee's job |
1571 | performance, all records relative to that participation shall be |
1572 | confidential and exempt from the provisions of s. 119.07(1) and |
1573 | s. 24(a), Art. I of the State Constitution, except as otherwise |
1574 | provided in s. 112.0455(11). |
1575 | h. Information relating to negotiations for financing, |
1576 | reinsurance, depopulation, or contractual services, until the |
1577 | conclusion of the negotiations. |
1578 | i. Minutes of closed meetings regarding underwriting |
1579 | files, and minutes of closed meetings regarding an open claims |
1580 | file until termination of all litigation and settlement of all |
1581 | claims with regard to that claim, except that information |
1582 | otherwise confidential or exempt by law shall be redacted. |
1583 | 2. If an authorized insurer is considering underwriting a |
1584 | risk insured by the corporation or has removed a risk from the |
1585 | corporation, relevant underwriting files and confidential claims |
1586 | files may be released to the insurer provided the insurer agrees |
1587 | in writing, notarized and under oath, to maintain the |
1588 | confidentiality of such files. If a file is transferred to an |
1589 | insurer, that file is no longer a public record because it is |
1590 | not held by an agency subject to the provisions of the public |
1591 | records law. Underwriting files and confidential claims files |
1592 | may also be released to staff and the board of governors of the |
1593 | market assistance plan established pursuant to s. 627.3515, who |
1594 | must retain the confidentiality of such files, except such files |
1595 | may be released to authorized insurers that are considering |
1596 | assuming the risks to which the files apply, provided the |
1597 | insurer agrees in writing, notarized and under oath, to maintain |
1598 | the confidentiality of such files. Finally, the corporation or |
1599 | the board or staff of the market assistance plan may make the |
1600 | following information obtained from underwriting files and |
1601 | confidential claims files available to licensed general lines |
1602 | insurance agents: name, address, and telephone number of the |
1603 | residential property owner or insured; location of the risk; |
1604 | rating information; loss history; and policy type. The receiving |
1605 | licensed general lines insurance agent must retain the |
1606 | confidentiality of the information received. |
1607 | 3. A policyholder who has filed suit against the |
1608 | corporation has the right to discover the contents of his or her |
1609 | own claims file to the same extent that discovery of such |
1610 | contents would be available from a private insurer in litigation |
1611 | as provided by the Florida Rules of Civil Procedure, the Florida |
1612 | Evidence Code, and other applicable law. Pursuant to subpoena, a |
1613 | third party has the right to discover the contents of an |
1614 | insured's or applicant's underwriting or claims file to the same |
1615 | extent that discovery of such contents would be available from a |
1616 | private insurer by subpoena as provided by the Florida Rules of |
1617 | Civil Procedure, the Florida Evidence Code, and other applicable |
1618 | law, and subject to any confidentiality protections requested by |
1619 | the corporation and agreed to by the seeking party or ordered by |
1620 | the court. The corporation may release confidential underwriting |
1621 | and claims file contents and information as it deems necessary |
1622 | and appropriate to underwrite or service insurance policies and |
1623 | claims, subject to any confidentiality protections deemed |
1624 | necessary and appropriate by the corporation. |
1625 | 4. Portions of meetings of the corporation are exempt from |
1626 | the provisions of s. 286.011 and s. 24(b), Art. I of the State |
1627 | Constitution wherein confidential underwriting files or |
1628 | confidential open claims files are discussed. All portions of |
1629 | corporation meetings which are closed to the public shall be |
1630 | recorded by a court reporter. The court reporter shall record |
1631 | the times of commencement and termination of the meeting, all |
1632 | discussion and proceedings, the names of all persons present at |
1633 | any time, and the names of all persons speaking. No portion of |
1634 | any closed meeting shall be off the record. Subject to the |
1635 | provisions hereof and s. 119.07(1)(d)-(f), the court reporter's |
1636 | notes of any closed meeting shall be retained by the corporation |
1637 | for a minimum of 5 years. A copy of the transcript, less any |
1638 | exempt matters, of any closed meeting wherein claims are |
1639 | discussed shall become public as to individual claims after |
1640 | settlement of the claim. |
1641 | (y) It is the intent of the Legislature that the |
1642 | amendments to this subsection enacted in 2002 should, over time, |
1643 | reduce the probable maximum windstorm losses in the residual |
1644 | markets and should reduce the potential assessments to be levied |
1645 | on property insurers and policyholders statewide. In furtherance |
1646 | of this intent: |
1647 | 1. The board shall, on or before February 1 of each year, |
1648 | provide a report to the President of the Senate and the Speaker |
1649 | of the House of Representatives showing the reduction or |
1650 | increase in the 100-year probable maximum loss attributable to |
1651 | wind-only coverages and the quota share program under this |
1652 | subsection combined, as compared to the benchmark 100-year |
1653 | probable maximum loss of the Florida Windstorm Underwriting |
1654 | Association. For purposes of this paragraph, the benchmark 100- |
1655 | year probable maximum loss of the Florida Windstorm Underwriting |
1656 | Association shall be the calculation dated February 2001 and |
1657 | based on November 30, 2000, exposures. In order to ensure |
1658 | comparability of data, the board shall use the same methods for |
1659 | calculating its probable maximum loss as were used to calculate |
1660 | the benchmark probable maximum loss. |
1661 | 2. Beginning December 1, 2010, if the report under |
1662 | subparagraph 1. for any year indicates that the 100-year |
1663 | probable maximum loss attributable to wind-only coverages and |
1664 | the quota share program combined does not reflect a reduction of |
1665 | at least 25 percent from the benchmark, the board shall reduce |
1666 | the boundaries of the high-risk area eligible for wind-only |
1667 | coverages under this subsection in a manner calculated to reduce |
1668 | such probable maximum loss to an amount at least 25 percent |
1669 | below the benchmark. |
1670 | 3. Beginning February 1, 2015, if the report under |
1671 | subparagraph 1. for any year indicates that the 100-year |
1672 | probable maximum loss attributable to wind-only coverages and |
1673 | the quota share program combined does not reflect a reduction of |
1674 | at least 50 percent from the benchmark, the boundaries of the |
1675 | high-risk area eligible for wind-only coverages under this |
1676 | subsection shall be reduced by the elimination of any area that |
1677 | is not seaward of a line 1,000 feet inland from the Intracoastal |
1678 | Waterway. |
1679 | (aa) As a condition of eligibility for coverage by the |
1680 | corporation, an applicant or insured of a property located in a |
1681 | Special Flood Hazard Area, as defined by the National Flood |
1682 | Insurance Program, must maintain in effect a separate flood |
1683 | insurance policy having coverage limits for building and |
1684 | contents at least equal to those provided under the |
1685 | corporation's policy, subject to the maximum limits available |
1686 | under the National Flood Insurance Program policy. This |
1687 | requirement does not apply to an insured who is a tenant or a |
1688 | condominium unit owner above the ground floor; a policy issued |
1689 | by the corporation which excludes wind and hail coverage; a risk |
1690 | that is not eligible for flood coverage under the National Flood |
1691 | Insurance Program; or a mobile home that is located more than 2 |
1692 | miles from open water, including the ocean, the gulf, a bay, a |
1693 | river, or the intracoastal waterway. This paragraph applies to |
1694 | new policies issued by the corporation on or after January 1, |
1695 | 2012, and to policies renewed by the corporation on or after |
1696 | January 1, 2013. The corporation shall not require the securing |
1697 | of flood insurance as a condition of coverage if the insured or |
1698 | applicant executes a form approved by the office affirming that |
1699 | flood insurance is not provided by the corporation and that if |
1700 | flood insurance is not secured by the applicant or insured in |
1701 | addition to coverage by the corporation, the risk will not be |
1702 | covered for flood damage. A corporation policyholder electing |
1703 | not to secure flood insurance and executing a form as provided |
1704 | herein making a claim for water damage against the corporation |
1705 | shall have the burden of proving the damage was not caused by |
1706 | flooding. Notwithstanding other provisions of this subsection, |
1707 | the corporation may deny coverage to an applicant or insured who |
1708 | refuses to execute the form described herein. |
1709 | (ee) The office may establish a pilot program to offer |
1710 | optional sinkhole coverage in one or more counties or other |
1711 | territories of the corporation for the purpose of implementing |
1712 | s. 627.706, as amended by s. 30, chapter 2007-1, Laws of |
1713 | Florida. Under the pilot program, the corporation is not |
1714 | required to issue a notice of nonrenewal to exclude sinkhole |
1715 | coverage upon the renewal of existing policies, but may exclude |
1716 | such coverage using a notice of coverage change. |
1717 | Section 2. Subsection (1) of section 627.712, Florida |
1718 | Statutes, is amended to read: |
1719 | 627.712 Residential windstorm coverage required; |
1720 | availability of exclusions for windstorm or contents.- |
1721 | (1) An insurer issuing a residential property insurance |
1722 | policy must provide windstorm coverage. Except as provided in |
1723 | paragraph (2)(c), this section does not apply with respect to |
1724 | risks that are eligible for wind-only coverage from Citizens |
1725 | Property Insurance Corporation under s. 627.351(6), and with |
1726 | respect to risks that are not eligible for coverage from |
1727 | Citizens Property Insurance Corporation under s. 627.351(6)(a)3. |
1728 | or 4. 5. A risk ineligible for Citizens coverage under s. |
1729 | 627.351(6)(a)3. or 4. 5. is exempt from the requirements of this |
1730 | section only if the risk is located within the boundaries of the |
1731 | high-risk account of the corporation. |
1732 | Section 3. This act shall take effect upon becoming a law. |