Florida Senate - 2013                        COMMITTEE AMENDMENT
       Bill No. SB 1842
       
       
       
       
       
       
                                Barcode 310484                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/18/2013           .                                
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       The Committee on Appropriations (Benacquisto) recommended the
       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete lines 144 - 305
    4  and insert:
    5         Section 3. Subsection (2) of section 624.34, Florida
    6  Statutes, is amended to read:
    7         624.34 Authority of Department of Law Enforcement to accept
    8  fingerprints of, and exchange criminal history records with
    9  respect to, certain persons.—
   10         (2) The Department of Law Enforcement may accept
   11  fingerprints of individuals who apply for a license as an agent,
   12  customer representative, adjuster, service representative,
   13  navigator, or managing general agent or the fingerprints of the
   14  majority owner, sole proprietor, partners, officers, and
   15  directors of a corporation or other legal entity that applies
   16  for licensure with the department or office under the provisions
   17  of the Florida Insurance Code.
   18         Section 4. The Division of Law Revision and Information is
   19  directed to create part XII of chapter 626, Florida Statutes,
   20  consisting of ss. 626.995-626.9958, Florida Statutes, and to
   21  entitle that part “Navigators.”
   22         Section 5. Section 626.995, Florida Statutes, is created to
   23  read:
   24         626.995 Scope of part.-This part applies only to
   25  navigators.
   26         Section 6. Section 626.9951, Florida Statutes, is created
   27  to read:
   28         626.9951 Definitions.-As used in this part, the term:
   29         (1) “Exchange” means an exchange established for this state
   30  under PPACA.
   31         (2) “Financial services business” means a financial
   32  activity regulated by the Department of Financial Services, the
   33  Office of Insurance Regulation, or the Office of Financial
   34  Regulation.
   35         (3) “Navigator” means an individual authorized by an
   36  exchange to serve as a navigator, or who works on behalf of an
   37  entity authorized by an exchange to serve as a navigator,
   38  pursuant to 42 U.S.C. s. 18031(i)(1), who facilitates the
   39  selection of a qualified health plan through the exchange and
   40  performs any other duties specified under 42 U.S.C. s.
   41  18031(i)(3).
   42         (4) “PPACA” has the same meaning as in s. 627.402.
   43         Section 7. Section 626.9952, Florida Statutes, is created
   44  to read:
   45         626.9952 Registration required; purpose.-
   46         (1) Beginning August 1, 2013, an individual may not act as,
   47  offer to act as, or advertise any service as a navigator unless
   48  registered with the department under this part.
   49         (2) The purpose of registration is to identify qualified
   50  individuals to assist the insurance-buying public in selecting a
   51  qualified health plan through an exchange by providing fair,
   52  accurate, and impartial information regarding qualified health
   53  plans and the availability of premium tax credits and cost
   54  sharing reductions for such plans, and to protect the public
   55  from unauthorized activities or conduct.
   56         Section 8. Sections 626.9953, Florida Statutes, is created
   57  to read:
   58         626.9953 Qualifications for registration; application
   59  required.-
   60         (1) The department may not approve the registration of an
   61  individual as a navigator who is found by the department to be
   62  untrustworthy or incompetent, and who does not meet the
   63  following requirements:
   64         (a) Is a natural person at least 18 years of age;
   65         (b) Is a United States citizen or legal alien who possesses
   66  work authorization from the United States Bureau of Citizenship
   67  and Immigration Services;
   68         (c) Has successfully completed all training for a navigator
   69  as required by the federal government or the exchange.
   70         (2) To be registered as a navigator, an applicant must
   71  submit a sworn, signed, written application to the department on
   72  a form prescribed by the department, meet the qualifications for
   73  registration as a navigator, and make payment in advance of all
   74  applicable fees. Individuals previously disqualified must apply
   75  for reinstatement using the same procedures required for initial
   76  registration.
   77         (3) The applicant must set forth all of the following
   78  information in the application:
   79         (a) His or her full name, age, social security number,
   80  residence address, business address, mailing address, contact
   81  telephone numbers, including a business telephone number if
   82  applicable, and e-mail address.
   83         (b) Whether he or she has been refused a financial services
   84  license or has voluntarily surrendered or has had his or her
   85  financial services license suspended or revoked in this or any
   86  other state.
   87         (c) His or her native language.
   88         (d) His or her highest level of education.
   89         (e) A statement of acknowledgement of conduct that is
   90  prohibited under this part and the penalties associated with
   91  such conduct.
   92         (f) Certification that the training required by the federal
   93  government or the exchange has been successfully completed.
   94         (g) Such additional information as the department may deem
   95  proper to enable it to determine the character, experience,
   96  ability, and other qualifications of the applicant to
   97  participate as a registered navigator.
   98         (4) Each application must be accompanied by payment of a
   99  nonrefundable $50 application filing fee to be deposited in the
  100  Insurance Regulatory Trust Fund.
  101         (5) An applicant must submit a set of his or her
  102  fingerprints to the department and pay the processing fee
  103  established under s. 624.501(24). The department shall submit
  104  the applicants’ fingerprints to the Department of Law
  105  Enforcement for processing state criminal history records checks
  106  and local criminal records checks through local law enforcement
  107  agencies and for forwarding to the Federal Bureau of
  108  Investigation for national criminal history records checks. The
  109  fingerprints shall be taken by a law enforcement agency, a
  110  designated examination center, or another department-approved
  111  entity. The department may not approve an application for
  112  registration as a navigator if fingerprints have not been
  113  submitted.
  114         (6) In addition to information requested in the
  115  application, the department may propound any reasonable
  116  interrogatories to an applicant relating to the applicant’s
  117  qualifications, residence, prospective place of business, and
  118  any other matters that, in the opinion of the department, are
  119  deemed necessary or advisable for the protection of the public
  120  and to ascertain the applicant’s qualifications. In addition to
  121  the submission of fingerprints for criminal background
  122  screening, the department may make such further investigations
  123  as it may deem advisable of the applicant’s character,
  124  experience, background, and fitness for registration as
  125  specified under this part.
  126         (7) Pursuant to the federal Personal Responsibility and
  127  Work Opportunity Reconciliation Act of 1996, an applicant must
  128  provide his or her social security number in accordance with
  129  subsection (3) for the purpose of administering the Title IV-D
  130  program for child support enforcement.
  131         Section 9. Section 626.9954, Florida Statutes, is created
  132  to read:
  133         626.9954 Disqualification from registration.—
  134         (1) As used in this section, the terms “felony of the first
  135  degree” and “capital felony” include all felonies so designated
  136  by the laws of this state, as well as any felony so designated
  137  in the jurisdiction in which the plea is entered or judgment is
  138  rendered.
  139         (2)An applicant who commits a felony of the first degree;
  140  a capital felony; a felony involving money laundering, fraud, or
  141  embezzlement; or a felony directly related to the financial
  142  services business is permanently barred from applying for
  143  registration under this part. This bar applies to convictions,
  144  guilty pleas, or nolo contendere pleas, regardless of
  145  adjudication, by an applicant.
  146         (3)For all other crimes not described in subsection (2),
  147  the department may adopt rules establishing the process and
  148  application of disqualifying periods including:
  149         (a)A 15-year disqualifying period for all felonies
  150  involving moral turpitude which are not specifically included in
  151  subsection (2).
  152         (b)A 7-year disqualifying period for all felonies not
  153  specifically included in subsection (2) or paragraph (a).
  154         (c)A 7-year disqualifying period for all misdemeanors
  155  directly related to the financial services business.
  156         (4)The department may adopt rules providing additional
  157  disqualifying periods due to the commitment of multiple crimes
  158  and other factors reasonably related to the applicant’s criminal
  159  history. The rules must provide for mitigating and aggravating
  160  factors. However, mitigation may not result in a disqualifying
  161  period of less than 7 years and may not mitigate the
  162  disqualifying periods in paragraph (3)(b) or paragraph (3)(c).
  163         (5)For purposes of this section, the disqualifying periods
  164  begin upon the applicant’s final release from supervision or
  165  upon completion of the applicant’s criminal sentence, including
  166  the payment of fines, restitution, and court costs for the crime
  167  for which the disqualifying period applies.
  168         (6)After the disqualifying period has been met, the burden
  169  is on the applicant to demonstrate to the satisfaction of the
  170  department that he or she has been rehabilitated and does not
  171  pose a risk to the insurance-buying public and is otherwise
  172  qualified for registration.
  173         (7)Section 112.011 does not apply to an applicant for
  174  registration as a navigator.
  175         Section 10. Sections 626.9955, Florida Statutes, is created
  176  to read:
  177         626.9955 Registered navigator list.—Upon approval of an
  178  application for registration under this part, the department
  179  shall add the name of the registrant to its publicly available
  180  list of registered navigators in order for operators of an
  181  exchange and other interested parties to validate a navigator’s
  182  registration.
  183         Section 11. Sections 626.9956, Florida Statutes, is created
  184  to read:
  185         626.9956 Notice of change of registrant information.—A
  186  navigator must notify the department, in writing, within 30 days
  187  after a change of name, residence address, principal business
  188  street address, mailing address, contact telephone number,
  189  including a business telephone number, or e-mail address.
  190  Failure to notify the department within the required time is
  191  subject to a fine of up to $250 for the first offense, and a
  192  fine of at least $500 or suspension or revocation for a
  193  subsequent offense. The department may adopt rules to administer
  194  and enforce this section.
  195         Section 12. Sections 626.9957, Florida Statutes, is created
  196  to read:
  197         626.9957 Conduct prohibited; denial, revocation, or
  198  suspension of registration.—
  199         (1) As provided in s. 626.112, only a person licensed as an
  200  insurance agent or customer representative may engage in the
  201  solicitation of insurance. A person who engages in the
  202  solicitation of insurance as described in s. 626.112(1) without
  203  such license is subject to the penalties provided under s.
  204  626.112(9).
  205         (2) Whether licensed by the department as an agent or
  206  customer representative, a navigator may not perform any of the
  207  following while acting as a navigator:
  208         (a) Solicit, negotiate, or sell health insurance; or
  209         (b) Recommend the purchase of a particular health plan or
  210  represent one health plan as preferable over another.
  211         (3) A navigator may not:
  212         (a) Recommend the purchase, assist with enrollment, or
  213  provide services related to health benefit plans or products not
  214  offered through the exchange other than providing information
  215  about Medicaid and the Children’s Health Insurance Program
  216  (CHIP).
  217         (b) Recommend or assist with the cancellation of insurance
  218  coverage purchased outside the exchange; or
  219         (c) Receive compensation or anything of value from an
  220  insurer, health plan, business, or consumer in connection with
  221  performing the activities of a navigator, other than from the
  222  exchange or an entity or individual who has received a navigator
  223  grant pursuant to 45 C.F.R. s. 155.210.
  224         (4) The department may deny an application for registration
  225  as a navigator or suspend or revoke the registration of a
  226  navigator if it finds that any one or more of the following
  227  grounds exist:
  228         (a) Violation of this part or any applicable provision of
  229  this chapter.
  230         (b) Violation of department order or rule.
  231         (c) Having been the subject of disciplinary or other
  232  adverse action by the federal government or an exchange as a
  233  result of a violation of any provision of PPACA.
  234         (d) Lack one or more of the qualifications required under
  235  this part.
  236         (e) Material misstatement, misrepresentation, or fraud in
  237  obtaining or attempting to obtain registration under this part.
  238         (f) Any cause for which issuance of the registration could
  239  have been refused if it had existed and been known to the
  240  department.
  241         (g) Having been found guilty or having pled guilty or nolo
  242  contendere to a felony or a crime punishable by imprisonment of
  243  1 or more years under the law of the United States or any state
  244  thereof or under the law of any country, without regard to
  245  whether a judgment of conviction has been entered by the court
  246  having jurisdiction of such cases.
  247         (h) Failure to inform the department in writing within 30
  248  days after pleading guilty or nolo contendere to, or being
  249  convicted or found guilty of, any felony or crime punishable by
  250  imprisonment of 1 or more years under the law of the United
  251  States or of any state thereof, or under the law of any other
  252  country without regard to whether a judgment of conviction has
  253  been entered by the court having jurisdiction of the case.
  254         (i)Violating or knowingly aiding, assisting, procuring,
  255  advising, or abetting another in violating the insurance code or
  256  any order or rule of the department, commission, or office.
  257         (j) Failure to comply with any civil, criminal, or
  258  administrative action taken by the child support enforcement
  259  program under Title IV-D of the Social Security Act, 42 U.S.C.
  260  ss. 651 et seq., to determine paternity or to establish, modify,
  261  enforce, or collect support.
  262         (5) If the department finds that one or more grounds exist
  263  for the suspension or revocation of a navigator’s registration,
  264  the department may, in lieu of or in addition to suspension or
  265  revocation, impose upon the registrant an administrative penalty
  266  of up to $500, or if the department finds willful misconduct or
  267  a willful violation, an administrative penalty of up to $3,500.
  268         (6) A person who acts as a navigator without being
  269  registered under this part is subject to an administrative
  270  penalty of up to $1,500.
  271         (7)(a) Pursuant to s. 120.569, the department may issue a
  272  cease and desist order or an immediate final order to cease and
  273  desist to any person who violates this section.
  274         (b) A person who violates, or assists in the violation of,
  275  an order of the department while such order is in effect, is, at
  276  the discretion of the department, subject to:
  277         1. A monetary penalty of up to $50,000; or
  278         2. Suspension or revocation of such person’s registration.
  279         (8) If a navigator registered under this part enters a plea
  280  of guilty or nolo contendere, or is convicted by a court of a
  281  violation of this code or a felony, the registration of such
  282  individual shall be immediately revoked by the department. The
  283  individual may subsequently request a hearing pursuant to ss.
  284  120.569 and 120.57, which shall be expedited by the department.
  285  The sole issue at the hearing shall be whether the revocation of
  286  registration should be rescinded because such individual was not
  287  in fact convicted of a violation of this code or a felony.
  288         (9) An order by the department suspending the registration
  289  of a navigator must specify the period during which the
  290  suspension is to be in effect, which may not exceed 2 years. The
  291  registration shall remain suspended during the period specified,
  292  subject to rescission or modification of the order by the
  293  department, or modification or reversal by the court, before
  294  expiration of the suspension period. A registration that has
  295  been suspended may not be reinstated except upon the filing and
  296  approval of an application for reinstatement; however, the
  297  department may not approve an application for reinstatement if
  298  it finds that the circumstance or circumstances for which the
  299  registration was suspended still exist or are likely to recur.
  300  An application for reinstatement is also subject to
  301  disqualification and waiting periods before approval on the same
  302  grounds that apply to applications for registration under s.
  303  626.9954.
  304         (10)An individual whose registration has been revoked may
  305  not apply for registration as a navigator until 2 years after
  306  the effective date of such revocation or, if judicial review of
  307  such revocation is sought, within 2 years after the date of the
  308  final court order or decree affirming the revocation.
  309         (11) Revocation or suspension of the registration of a
  310  navigator under this part shall be immediately reported by the
  311  department to the operator of the exchange. An individual whose
  312  registration has been revoked or suspended may not act as, offer
  313  to act as, or advertise any service as a navigator until the
  314  department reinstates such registration.
  315         (12)The department may adopt rules establishing specific
  316  penalties against registrants in accordance with this section.
  317  The purpose of revocation or suspension is to provide a
  318  sufficient penalty to deter behavior incompatible with the
  319  public health, safety, and welfare. The imposition of a
  320  revocation or the duration of a suspension shall be based on the
  321  type of conduct and the likelihood that the propensity to commit
  322  further illegal conduct has been overcome at the time of
  323  eligibility for reinstatement. The length of suspension may be
  324  adjusted based on aggravating or mitigating factors established
  325  by rule and consistent with this purpose.
  326         Section 13. Section 626.9958, Florida Statutes, is created
  327  to read:
  328         626.9958 Rulemaking.—The department may adopt rules to
  329  administer this part.
  330  
  331  ================= T I T L E  A M E N D M E N T ================
  332         And the title is amended as follows:
  333         Delete lines 18 - 30
  334  and insert:
  335         challenges under ch. 120, F.S.; amending s. 624.34,
  336         F.S.; conforming provisions to changes made by this
  337         act with respect to the registration of navigators
  338         under the Florida Insurance Code; providing a
  339         directive to the Division of Law Revision and
  340         Information; creating ss. 626.995, F.S.; providing the
  341         scope of part XII, ch. 626, F.S.; creating s.
  342         626.9951, F.S.; providing definitions; creating s.
  343         626.9952, F.S.; requiring the registration of
  344         navigators with the Department of Financial Services;
  345         providing the purpose for such registration; creating
  346         s. 626.9953, F.S.; providing qualifications for
  347         registration; providing for submission of a written
  348         application; specifying fees; requiring an applicant
  349         to submit fingerprints and pay a processing fee;
  350         creating s. 626.9954, F.S.; specifying criteria for
  351         disqualification from registration; authorizing the
  352         department to adopt rules establishing disqualifying
  353         time periods; creating s. 626.9955, F.S.; requiring
  354         the department to have a publicly available list of
  355         navigators and to report certain information to the
  356         exchange; creating s. 626.9956, F.S.; requiring a
  357         navigator to notify the department of a change of
  358         specified identifying information; creating s.
  359         626.9957, F.S.; prohibiting specified conduct;
  360         providing grounds for denial, suspension, or
  361         revocation of registration; providing for
  362         administrative fines and other disciplinary actions;
  363         creating s. 626.9958, F.S.; authorizing the department
  364         to adopt rules;