Senate Bill sb2518e1

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    CS for SB 2518                           First Engrossed (ntc)



  1                      A bill to be entitled

  2         An act relating to insurance; amending s.

  3         624.310, F.S.; revising definitions; conforming

  4         provisions to a revised definition; conforming

  5         provisions to certain governmental

  6         reorganization; prohibiting affiliated parties

  7         from certain activities constituting a conflict

  8         of interest; providing exceptions; authorizing

  9         the Office of Insurance Regulation to require

10         certain disclosures of personal interest;

11         specifying certain restrictions governing

12         affiliated party conduct; amending s. 624.316,

13         F.S.; deleting provisions providing for an

14         examination of an insurer pursuant to an

15         agreement between the Department of Financial

16         Services and the insurer; requiring such

17         examinations according to rules of the

18         department; amending s. 624.4095, F.S.;

19         conforming provisions to certain governmental

20         reorganization; providing for calculating

21         certain surplus for certain insurers; amending

22         s. 624.610, F.S.; conforming provisions to

23         certain governmental reorganization; revising

24         requirements for securities of a trust fund for

25         a single assuming insurer; amending ss. 628.461

26         and 628.4615, F.S.; specifying additional

27         nonapplication of acquisition of controlling

28         stock provisions to changes of ownership of a

29         domestic insurer or specialty insurer,

30         respectively, under certain circumstances;

31         creating ss. 634.042, 627.8401, 634.3076,


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    CS for SB 2518                           First Engrossed (ntc)



 1         634.4062, and 651.029, F.S.; prohibiting

 2         certain investments by motor vehicle service

 3         agreement companies, premium finance companies,

 4         home warranty associations, service warranty

 5         associations, and continuing care providers,

 6         respectively; amending s. 440.20, F.S.;

 7         correcting a cross-reference; providing an

 8         effective date.

 9  

10  Be It Enacted by the Legislature of the State of Florida:

11  

12         Section 1.  Section 624.310, Florida Statutes, is

13  amended to read:

14         624.310  Enforcement; cease and desist orders; removal

15  of certain persons; fines.--

16         (1)  DEFINITIONS.--For the purposes of this section,

17  the term:

18         (a)  "Affiliated party of a licensee" means any person

19  who directs or participates in the conduct of the affairs of a

20  licensee and who is:

21         1.  A director, officer, employee, trustee, committee

22  member, or controlling stockholder of a licensee or a

23  subsidiary or service corporation of the licensee, other than

24  a controlling stockholder which is a holding company, or an

25  agent of a licensee or a subsidiary or service corporation of

26  the licensee;

27         2.  A person who has filed or is required to file a

28  statement or any other information required to be filed under

29  s. 628.461 or s. 628.4615;

30  

31  


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    CS for SB 2518                           First Engrossed (ntc)



 1         3.  A stockholder, other than a stockholder that is a

 2  holding company of the licensee, who participates in the

 3  conduct of the affairs of the licensee; or

 4         4.  An independent contractor who:

 5         a.  Renders a written opinion required by the laws of

 6  this state under her or his professional credentials on behalf

 7  of the licensee, which opinion is reasonably relied on by the

 8  department or office in the performance of its duties; or

 9         b.  Affirmatively and knowingly conceals facts, through

10  a written misrepresentation to the department or office, with

11  knowledge that such misrepresentation:

12         (I)  Constitutes a violation of the insurance code or a

13  lawful rule or order of the department or office; and

14         (II)  Directly and materially endangers the ability of

15  the licensee to meet its obligations to policyholders.

16  

17  For the purposes of this subparagraph, any representation of

18  fact made by an independent contractor on behalf of a

19  licensee, affirmatively communicated as a representation of

20  the licensee to the independent contractor, shall not be

21  considered a misrepresentation by the independent contractor

22  to the department or office.

23         (b)  "Licensee" means a person issued a license or

24  certificate of authority or approval under this code or a

25  person registered under a provision of this code.

26         (2)  ENFORCEMENT GENERALLY.--The department or office

27  may institute such suits or other legal proceedings as may be

28  required to enforce any provision of this code. If it appears

29  that any person has violated any provision of this code for

30  which criminal prosecution is provided, the department or

31  office shall provide the appropriate state attorney or other


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    CS for SB 2518                           First Engrossed (ntc)



 1  prosecuting agency having jurisdiction with respect to such

 2  prosecution with the relevant information in its possession.

 3         (3)  CEASE AND DESIST ORDERS.--

 4         (a)  The department or office may issue and serve a

 5  complaint stating charges upon any licensee or upon any

 6  affiliated party of a licensee, whenever the department or

 7  office has reasonable cause to believe that the person or

 8  individual named therein is engaging in or has engaged in

 9  conduct that is:

10         1.  An act that demonstrates a lack of fitness or

11  trustworthiness to engage in the business of insurance, is

12  hazardous to the insurance buying public, or constitutes

13  business operations that are a detriment to policyholders,

14  stockholders, investors, creditors, or the public;

15         2.  A violation of any provision of the Florida

16  Insurance Code;

17         3.  A violation of any rule of the department or

18  office;

19         4.  A violation of any order of the department or

20  office; or

21         5.  A breach of any written agreement with the

22  department or office.

23         (b)  The complaint shall contain a statement of facts

24  and notice of opportunity for a hearing pursuant to ss.

25  120.569 and 120.57.

26         (c)  If no hearing is requested within the time allowed

27  by ss. 120.569 and 120.57, or if a hearing is held and the

28  department or office finds that any of the charges are proven,

29  the department or office may enter an order directing the

30  licensee or the affiliated party of a licensee named in the

31  complaint to cease and desist from engaging in the conduct


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    CS for SB 2518                           First Engrossed (ntc)



 1  complained of and take corrective action to remedy the effects

 2  of past improper conduct and assure future compliance.

 3         (d)  If the licensee or affiliated party of a licensee

 4  named in the order fails to respond to the complaint within

 5  the time allotted by ss. 120.569 and 120.57, the failure

 6  constitutes a default and justifies the entry of a cease and

 7  desist order.

 8         (e)  A contested or default cease and desist order is

 9  effective when reduced to writing and served upon the licensee

10  or affiliated party of a licensee named therein. An

11  uncontested cease and desist order is effective as agreed.

12         (f)  Whenever the department or office finds that

13  conduct described in paragraph (a) is likely to cause

14  insolvency, substantial dissipation or misvaluation of assets

15  or earnings of the licensee, substantial inability to pay

16  claims on a timely basis, or substantial prejudice to

17  prospective or existing insureds, policyholders, subscribers,

18  or the public, it may issue an emergency cease and desist

19  order requiring the licensee or any affiliated party of a

20  licensee to immediately cease and desist from engaging in the

21  conduct complained of and to take corrective and remedial

22  action. The emergency order is effective immediately upon

23  service of a copy of the order upon the licensee or affiliated

24  party of a licensee named therein and remains effective for 90

25  days. If the department or office begins nonemergency cease

26  and desist proceedings under this subsection, the emergency

27  order remains effective until the conclusion of the

28  proceedings under ss. 120.569 and 120.57. Any emergency order

29  entered under this subsection is exempt from s. 119.07(1) and

30  is confidential until it is made permanent unless the

31  department or office finds that the confidentiality will


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    CS for SB 2518                           First Engrossed (ntc)



 1  result in substantial risk of financial loss to the public.

 2  All emergency cease and desist orders that are not made

 3  permanent are available for public inspection 1 year from the

 4  date the emergency cease and desist order expires; however,

 5  portions of an emergency cease and desist order remain

 6  confidential and exempt from the provisions of s. 119.07(1) if

 7  disclosure would:

 8         1.  Jeopardize the integrity of another active

 9  investigation;

10         2.  Impair the safety and financial soundness of the

11  licensee or affiliated party of a licensee;

12         3.  Reveal personal financial information;

13         4.  Reveal the identity of a confidential source;

14         5.  Defame or cause unwarranted damage to the good name

15  or reputation of an individual or jeopardize the safety of an

16  individual; or

17         6.  Reveal investigative techniques or procedures.

18         (4)  REMOVAL OF AFFILIATED PARTIES OF A LICENSEE BY THE

19  DEPARTMENT OR OFFICE.--

20         (a)  The department or office may issue and serve a

21  complaint stating charges upon any affiliated party of a

22  licensee and upon the licensee involved, whenever the

23  department or office has reason to believe that an affiliated

24  party of a licensee is engaging in or has engaged in conduct

25  that constitutes:

26         1.  An act that demonstrates a lack of fitness or

27  trustworthiness to engage in the business of insurance through

28  engaging in illegal activity or mismanagement of business

29  activities;

30         2.  A willful violation of any law relating to the

31  business of insurance; however, if the violation constitutes a


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    CS for SB 2518                           First Engrossed (ntc)



 1  misdemeanor, no complaint shall be served as provided in this

 2  section until the affiliated party of a licensee is notified

 3  in writing of the matter of the violation and has been

 4  afforded a reasonable period of time, as set forth in the

 5  notice, to correct the violation and has failed to do so;

 6         3.  A violation of any other law involving fraud or

 7  moral turpitude that constitutes a felony;

 8         4.  A willful violation of any rule of the department

 9  or office;

10         5.  A willful violation of any order of the department

11  or office;

12         6.  A material misrepresentation of fact, made

13  knowingly and willfully or made with reckless disregard for

14  the truth of the matter; or

15         7.  An act of commission or omission or a practice

16  which is a breach of trust or a breach of fiduciary duty.

17         (b)  The complaint shall contain a statement of facts

18  and notice of opportunity for a hearing pursuant to ss.

19  120.569 and 120.57.

20         (c)  If no hearing is requested within the time

21  allotted by ss. 120.569 and 120.57, or if a hearing is held

22  and the department or office finds that any of the charges in

23  the complaint are proven true and that:

24         1.  The licensee has suffered or will likely suffer

25  loss or other damage;

26         2.  The interests of the policyholders, creditors, or

27  public are, or could be, seriously prejudiced by reason of the

28  violation or act or breach of fiduciary duty;

29         3.  The affiliated party of a licensee has received

30  financial gain by reason of the violation, act, or breach of

31  fiduciary duty; or


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    CS for SB 2518                           First Engrossed (ntc)



 1         4.  The violation, act, or breach of fiduciary duty is

 2  one involving personal dishonesty on the part of the

 3  affiliated party of a licensee or the conduct jeopardizes or

 4  could reasonably be anticipated to jeopardize the financial

 5  soundness of the licensee,

 6  

 7  The department or office may enter an order removing the

 8  affiliated party of a licensee or restricting or prohibiting

 9  participation by the person in the affairs of that particular

10  licensee or of any other licensee.

11         (d)  If the affiliated party of a licensee fails to

12  respond to the complaint within the time allotted by ss.

13  120.569 and 120.57, the failure constitutes a default and

14  justifies the entry of an order of removal, suspension, or

15  restriction.

16         (e)  A contested or default order of removal,

17  restriction, or prohibition is effective when reduced to

18  writing and served on the licensee and the affiliated party of

19  a licensee. An uncontested order of removal, restriction, or

20  prohibition is effective as agreed.

21         (f)1.  The chief executive officer, or the person

22  holding the equivalent office, of a licensee shall promptly

23  notify the department or office if she or he has actual

24  knowledge that any affiliated party of a licensee is charged

25  with a felony in a state or federal court.

26         2.  Whenever any affiliated party of a licensee is

27  charged with a felony in a state or federal court or with the

28  equivalent of a felony in the courts of any foreign country

29  with which the United States maintains diplomatic relations,

30  and the charge alleges violation of any law involving fraud,

31  theft, or moral turpitude, the department or office may enter


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    CS for SB 2518                           First Engrossed (ntc)



 1  an emergency order suspending the affiliated party of a

 2  licensee or restricting or prohibiting participation by the

 3  affiliated party of a licensee in the affairs of the

 4  particular licensee or of any other licensee upon service of

 5  the order upon the licensee and the affiliated party of a

 6  licensee charged. The order shall contain notice of

 7  opportunity for a hearing pursuant to ss. 120.569 and 120.57,

 8  where the affiliated party of a licensee may request a

 9  postsuspension hearing to show that continued service to or

10  participation in the affairs of the licensee does not pose a

11  threat to the interests of the licensee's policyholders or

12  creditors and does not threaten to impair public confidence in

13  the licensee. In accordance with applicable departmental or

14  office rules, the department or office shall notify the

15  affiliated party of a licensee whether the order suspending or

16  prohibiting the person from participation in the affairs of a

17  licensee will be rescinded or otherwise modified. The

18  emergency order remains in effect, unless otherwise modified

19  by the department or office, until the criminal charge is

20  disposed of. The acquittal of the person charged, or the

21  final, unappealed dismissal of all charges against the person,

22  dissolves the emergency order, but does not prohibit the

23  department or office from instituting proceedings under

24  paragraph (a). If the person charged is convicted or pleads

25  guilty or nolo contendere, whether or not an adjudication of

26  guilt is entered by the court, the emergency order shall

27  become final.

28         (g)  Any affiliated party of a licensee removed from

29  office pursuant to this section is not eligible for reelection

30  or appointment to the position or to any other official

31  position in any licensee in this state except upon the written


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    CS for SB 2518                           First Engrossed (ntc)



 1  consent of the department or office. Any affiliated party of a

 2  licensee who is removed, restricted, or prohibited from

 3  participation in the affairs of a licensee pursuant to this

 4  section may petition the department or office for modification

 5  or termination of the removal, restriction, or prohibition.

 6         (h)  Resignation or termination of an affiliated party

 7  of a licensee does not affect the department's or office's

 8  jurisdiction to proceed under this subsection.

 9         (5)(a)  CONFLICT OF INTEREST.--An affiliated party of a

10  licensee may not engage or participate, directly or

11  indirectly, in any business or transaction conducted on behalf

12  of or involving the licensee, subsidiary, or service

13  corporation that would result in a conflict of the party's own

14  personal interests with those of the licensee, subsidiary, or

15  service corporation with which he or she is affiliated,

16  unless:

17         1.  Such business or transactions are conducted in good

18  faith and are honest, fair, and reasonable to the licensee,

19  subsidiary, or service corporation and are on terms no more

20  favorable than would be offered to a disinterested third

21  party.

22         2.  A full disclosure of such business or transaction,

23  and the nature of the interest of the affiliated party of the

24  licensee, is made to the board of directors.

25         3.  Such business or transactions are approved in good

26  faith by the board of directors and any interested director

27  abstaining and such approval is recorded in the minutes.

28         4.  Any profits inuring to the affiliated party of a

29  licensee are not at the expense of the licensee, subsidiary,

30  or service corporation and do not prejudice the best interests

31  


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    CS for SB 2518                           First Engrossed (ntc)



 1  of the licensee, subsidiary, or service corporation in any

 2  way.

 3         5.  Such business or transactions do not represent a

 4  breach of the fiduciary duty of an affiliated party of a

 5  licensee and are not fraudulent, illegal, or ultra vires.

 6         (b)  Without limitation by any of the specific

 7  provisions of this section, the office may require the

 8  disclosure by affiliated parties of a licensee of their

 9  personal interests, directly or indirectly, in any business or

10  transactions on behalf of or involving the licensee,

11  subsidiary, or service corporation and of their control of or

12  active participation in enterprises having activities related

13  to the business of the licensee, subsidiary, or service

14  corporation.

15         (c)  The following restrictions governing the conduct

16  of affiliated parties of a licensee are expressly specified,

17  but such specification is not to be construed in any manner as

18  excusing such parties from the observance of any other aspect

19  of the general fiduciary duty owed by such parties to the

20  licensee which they serve:

21         1.  A director of a licensee may not accept director

22  fees unless the director fees have been previously approved by

23  the board of directors and such fees represent reasonable

24  compensation for service as a director or member of a

25  committee. This subparagraph does not limit or preclude

26  reasonable compensation as otherwise authorized by paragraph

27  (a) for a director who also provides goods or services to the

28  licensee.

29         2.  An affiliated party of a licensee may not purchase

30  or otherwise obtain ownership of any asset of the licensee or

31  subsidiary at less than fair market value of such asset.


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    CS for SB 2518                           First Engrossed (ntc)



 1         3.  An affiliated party of a licensee may not have any

 2  interest, direct or indirect, of any evidence of indebtedness

 3  of the licensee or subsidiary.

 4         4.  An affiliated party of a licensee acting as proxy

 5  for a stockholder of a licensee, subsidiary, or service

 6  corporation may not, directly or indirectly, exercise,

 7  transfer, or delegate such vote or votes in any consideration

 8  of a private benefit or advantage. The voting rights of

 9  stockholders and directors may not be the subject of sale,

10  barter, exchange, or similar transaction, directly or

11  indirectly. Any affiliated party of a licensee who violates

12  the provisions of this subparagraph is accountable to the

13  licensee, subsidiary, or service corporation for any

14  increment.

15         (d)  This subsection does not apply to foreign or alien

16  insurers.

17         (e)  This subsection does not apply to a transaction

18  with an affiliated party if the transaction is reported to the

19  office pursuant to the requirements of s. 628.801.

20         (6)(5)  ADMINISTRATIVE FINES; ENFORCEMENT.--

21         (a)  The department or office may, in a proceeding

22  initiated pursuant to chapter 120, impose an administrative

23  fine against any person found in the proceeding to have

24  violated any provision of this code, a cease and desist order

25  of the department or office, or any written agreement with the

26  department or office. No proceeding shall be initiated and no

27  fine shall accrue until after the person has been notified in

28  writing of the nature of the violation and has been afforded a

29  reasonable period of time, as set forth in the notice, to

30  correct the violation and has failed to do so.

31  


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    CS for SB 2518                           First Engrossed (ntc)



 1         (b)  A fine imposed under this subsection may not

 2  exceed the amounts specified in s. 624.4211, per violation.

 3         (c)  The department or office may, in addition to the

 4  imposition of an administrative fine under this subsection,

 5  also suspend or revoke the license or certificate of authority

 6  of the licensee fined under this subsection.

 7         (d)  Any administrative fine levied by the department

 8  or office under this subsection may be enforced by the

 9  department or office by appropriate proceedings in the circuit

10  court of the county in which the person resides or in which

11  the principal office of a licensee is located, or, in the case

12  of a foreign insurer or person not residing in this state, in

13  Leon County. In any administrative or judicial proceeding

14  arising under this section, a party may elect to correct the

15  violation asserted by the department or office, and, upon

16  doing so, any fine shall cease to accrue; however, the

17  election to correct the violation does not render any

18  administrative or judicial proceeding moot. All fines

19  collected under this section shall be paid to the Insurance

20  Commissioner's Regulatory Trust Fund.

21         (e)  In imposing any administrative penalty or remedy

22  provided for under this section, the department or office

23  shall take into account the appropriateness of the penalty

24  with respect to the size of the financial resources and the

25  good faith of the person charged, the gravity of the

26  violation, the history of previous violations, and other

27  matters as justice may require.

28         (f)  The imposition of an administrative fine under

29  this subsection may be in addition to any other penalty or

30  administrative fine authorized under this code.

31  


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    CS for SB 2518                           First Engrossed (ntc)



 1         (7)(6)  ADMINISTRATIVE PROCEDURES.--All administrative

 2  proceedings brought under this section subsections (3), (4),

 3  and (5) shall be conducted in accordance with chapter 120. Any

 4  service required or authorized to be made by the department or

 5  office under this code shall be made by certified mail, return

 6  receipt requested, delivered to the addressee only; by

 7  personal delivery; or in accordance with chapter 48. The

 8  service provided for herein shall be effective from the date

 9  of delivery.

10         (8)(7)  OTHER LAWS NOT SUPERSEDED.--The provisions of

11  this section are in addition to other provisions of this code,

12  and shall not be construed to curtail, impede, replace, or

13  delete any other similar provision or power of the department

14  or office under the insurance code as defined in s. 624.01 or

15  any power of the department or office which may exist under

16  the common law of this state. The procedures set forth in s.

17  626.9581 do not apply to regulatory action taken pursuant to

18  the provisions of this section.

19         Section 2.  Paragraph (e) of subsection (2) of section

20  624.316, Florida Statutes, is amended to read:

21         624.316  Examination of insurers.--

22         (2)

23         (e)  The commission department shall adopt rules

24  providing that, upon agreement between the department and the

25  insurer, an examination under this section may be conducted by

26  independent certified public accountants, actuaries,

27  investment specialists, information technology specialists

28  meeting criteria specified by rule, and reinsurance

29  specialists meeting criteria specified by rule. The rules

30  shall provide:

31  


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    CS for SB 2518                           First Engrossed (ntc)



 1         1.  That the agreement of the insurer is not required

 2  if the department reasonably suspects criminal misconduct on

 3  the part of the insurer.

 4         2.  That the department shall provide the insurer with

 5  a list of three firms acceptable to the department, and that

 6  the insurer shall select the firm to conduct the examination

 7  from the list provided by the department.

 8         1.3.  That the insurer being examined must make payment

 9  for the examination directly to the firm performing the

10  examination in accordance with the rates and terms established

11  agreed to by the office department, the insurer, and the firm

12  performing the examination.

13         2.  That the rates charged to the insurer being

14  examined are consistent with rates charged by other firms in a

15  similar profession.

16         3.  That the firm selected by the office to perform the

17  examination has no conflicts of interest that might affect its

18  ability to independently perform its responsibilities on the

19  examination.

20         4.  That if the examination is conducted without the

21  consent of the insurer, the insurer must pay all reasonable

22  charges of the examining firm if the examination finds

23  impairment, insolvency, or criminal misconduct on the part of

24  the insurer.

25         Section 3.  Section 624.4095, Florida Statutes, is

26  amended to read:

27         624.4095  Premiums written; restrictions.--

28         (1)  Whenever an insurer's ratio of actual or projected

29  annual written premiums as adjusted in accordance with

30  subsection (5)(4) to current or projected surplus as to

31  policyholders as adjusted in accordance with subsection (6)(5)


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    CS for SB 2518                           First Engrossed (ntc)



 1  exceeds 10 to 1 for gross written premiums or exceeds 4 to 1

 2  for net written premiums, the office department shall suspend

 3  the insurer's certificate of authority or establish by order

 4  maximum gross or net annual premiums to be written by the

 5  insurer consistent with maintaining the ratios specified

 6  herein unless the insurer demonstrates to the office's

 7  department's satisfaction that exceeding the ratios of this

 8  section does not endanger the financial condition of the

 9  insurer or endanger the interests of the insurer's

10  policyholders.

11         (2)  Projected annual net or gross premiums shall be

12  based on the actual writings to date for the insurer's current

13  calendar year or the insurer's writings for the previous

14  calendar year or both. Ratios shall be computed on an

15  annualized basis.

16         (3)  For the purposes of this section, gross premiums

17  written means direct premiums written and reinsurance assumed.

18         (4)  For the purposes of this section, surplus as to

19  policyholders for property and casualty insurers shall be

20  calculated as follows: (actual surplus as to policyholders)

21  minus (surplus as to policyholders of all subsidiary insurers

22  as allowed pursuant to s. 625.325).

23         (5)(4)  For the purposes of this section, for the

24  calendar year ending December 31, 1990, and each subsequent

25  year, premiums shall be calculated as the product of the

26  actual or projected premiums and the following:

27         (a)  For property insurance, 0.90.

28         (b)  For casualty insurance, 1.25.

29         (c)  For health insurance, 0.80.

30         (d)  For all other kinds of insurance, 1.00.

31         (6)(5)  This section shall not apply to:


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    CS for SB 2518                           First Engrossed (ntc)



 1         (a)  Life insurance written by life or life and health

 2  insurers; or

 3         (b)  Life and health insurers which have a surplus as

 4  to policyholders greater than $40 million and which have

 5  written health insurance during each of the immediately

 6  preceding five calendar years.

 7         (7)(6)  For the purposes of this section, surplus as to

 8  policyholders for life and health insurers shall be calculated

 9  as follows: (actual or projected surplus as to policyholders)

10  minus (surplus as to policyholders required to be maintained

11  under s. 624.408 for liabilities relating to life insurance)

12  and minus (surplus as to policyholders of all subsidiary

13  insurers as allowed pursuant to s. 625.325).

14         Section 4.  Paragraph (c) of subsection (3) of section

15  624.610, Florida Statutes, is amended to read:

16         624.610  Reinsurance.--

17         (3)

18         (c)1.  Credit must be allowed when the reinsurance is

19  ceded to an assuming insurer that maintains a trust fund in a

20  qualified United States financial institution, as defined in

21  paragraph (5)(b), for the payment of the valid claims of its

22  United States ceding insurers and their assigns and successors

23  in interest. To enable the office department to determine the

24  sufficiency of the trust fund, the assuming insurer shall

25  report annually to the office department information

26  substantially the same as that required to be reported on the

27  NAIC Annual Statement form by authorized insurers. The

28  assuming insurer shall submit to examination of its books and

29  records by the office department and bear the expense of

30  examination.

31  


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    CS for SB 2518                           First Engrossed (ntc)



 1         2.a.  Credit for reinsurance must not be granted under

 2  this subsection unless the form of the trust and any

 3  amendments to the trust have been approved by:

 4         (I)  The commissioner of the state in which the trust

 5  is domiciled; or

 6         (II)  The commissioner of another state who, pursuant

 7  to the terms of the trust instrument, has accepted principal

 8  regulatory oversight of the trust.

 9         b.  The form of the trust and any trust amendments must

10  be filed with the commissioner of every state in which the

11  ceding insurer beneficiaries of the trust are domiciled. The

12  trust instrument must provide that contested claims are valid

13  and enforceable upon the final order of any court of competent

14  jurisdiction in the United States. The trust must vest legal

15  title to its assets in its trustees for the benefit of the

16  assuming insurer's United States ceding insurers and their

17  assigns and successors in interest. The trust and the assuming

18  insurer are subject to examination as determined by the

19  commissioner.

20         c.  The trust remains in effect for as long as the

21  assuming insurer has outstanding obligations due under the

22  reinsurance agreements subject to the trust. No later than

23  February 28 of each year, the trustee of the trust shall

24  report to the commissioner in writing the balance of the trust

25  and list the trust's investments at the preceding year end,

26  and shall certify that the trust will not expire prior to the

27  following December 31.

28         3.  The following requirements apply to the following

29  categories of assuming insurer:

30         a.  The trust fund for a single assuming insurer

31  consists of funds in trust in an amount not less than the


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    CS for SB 2518                           First Engrossed (ntc)



 1  assuming insurer's liabilities attributable to reinsurance

 2  ceded by United States ceding insurers, and, in addition, the

 3  assuming insurer shall maintain a trusteed surplus of not less

 4  than $20 million. Not less than 50 percent of the funds in the

 5  trust covering the assuming insurer's liabilities attributable

 6  to reinsurance ceded by United States ceding insurers and

 7  trusteed surplus shall consist of assets of a quality

 8  substantially similar to that required in part II of chapter

 9  625. Clean, irrevocable, unconditional, and evergreen letters

10  of credit, issued or confirmed by a qualified United States

11  financial institution, as defined in paragraph (5)(a),

12  effective no later than December 31 of the year for which the

13  filing is made, and in the possession of the trust on or

14  before the filing date of its annual statement, may be used to

15  fund the remainder of the trust fund and trusteed surplus.

16         b.(I)  In the case of a group including incorporated

17  and individual unincorporated underwriters:

18         (A)  For reinsurance ceded under reinsurance agreements

19  with an inception, amendment, or renewal date on or after

20  August 1, 1995, the trust consists of a trusteed account in an

21  amount not less than the group's several liabilities

22  attributable to business ceded by United States domiciled

23  ceding insurers to any member of the group;

24         (B)  For reinsurance ceded under reinsurance agreements

25  with an inception date on or before July 31, 1995, and not

26  amended or renewed after that date, notwithstanding the other

27  provisions of this section, the trust consists of a trusteed

28  account in an amount not less than the group's several

29  insurance and reinsurance liabilities attributable to business

30  written in the United States; and

31  


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    CS for SB 2518                           First Engrossed (ntc)



 1         (C)  In addition to these trusts, the group shall

 2  maintain in trust a trusteed surplus of which $100 million

 3  must be held jointly for the benefit of the United States

 4  domiciled ceding insurers of any member of the group for all

 5  years of account.

 6         (II)  The incorporated members of the group must not be

 7  engaged in any business other than underwriting of a member of

 8  the group, and are subject to the same level of regulation and

 9  solvency control by the group's domiciliary regulator as the

10  unincorporated members.

11         (III)  Within 90 days after its financial statements

12  are due to be filed with the group's domiciliary regulator,

13  the group shall provide to the commissioner an annual

14  certification by the group's domiciliary regulator of the

15  solvency of each underwriter member or, if a certification is

16  unavailable, financial statements, prepared by independent

17  public accountants, of each underwriter member of the group.

18         Section 5.  Section 627.8401, Florida Statutes, is

19  created to read:

20         627.8401  Prohibited investments and loans.--A premium

21  finance company shall not directly or indirectly invest in or

22  lend its funds upon the security of any note or other evidence

23  of indebtedness of any director, officer, or controlling

24  stockholder of the premium finance company.

25         Section 6.  Subsection (2) of section 628.461, Florida

26  Statutes, is amended to read:

27         628.461  Acquisition of controlling stock.--

28         (2)  This section does not apply to any acquisition of

29  voting securities of a domestic stock insurer or of a

30  controlling company by any person who, on July 1, 1976, is the

31  owner of a majority of such voting securities or who, on or


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    CS for SB 2518                           First Engrossed (ntc)



 1  after July 1, 1976, becomes the owner of a majority of such

 2  voting securities with the approval of the department pursuant

 3  to this section. Further, the provisions of this section shall

 4  not apply to a change of ownership of a domestic insurer

 5  resulting from changes within an insurance holding company of

 6  which the insurer is a member, provided the insurer

 7  establishes that no new person or entity will have the ability

 8  to influence or control the activities of the insurer and that

 9  the reorganization will not result in any changes in the

10  officers, directors, or business plan of the domestic insurer.

11         Section 7.  Subsection (3) of section 628.4615, Florida

12  Statutes, is amended to read:

13         628.4615  Specialty insurers; acquisition of

14  controlling stock, ownership interest, assets, or control;

15  merger or consolidation.--

16         (3)  This section does not apply to any acquisition of

17  voting securities or ownership interest of a specialty insurer

18  or of a controlling company by any person who, on July 9,

19  1986, is the owner of a majority of such voting securities or

20  ownership interest or who, on or after July 9, 1986, becomes

21  the owner of a majority of such voting securities or ownership

22  interest with the approval of the department pursuant to this

23  section. Further, the provisions of this section shall not

24  apply to a change of ownership of a specialty insurer

25  resulting from changes within a holding company of which the

26  specialty insurer is a member, provided the specialty insurer

27  establishes that no new person or entity will have the ability

28  to influence or control the activities of the specialty

29  insurer and that the reorganization will not result in any

30  changes in the officers, directors, or business plan of the

31  specialty insurer.


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    CS for SB 2518                           First Engrossed (ntc)



 1         Section 8.  Section 634.042, Florida Statutes, is

 2  created to read:

 3         634.042  Prohibited investments and loans.--A motor

 4  vehicle service agreement company shall not directly or

 5  indirectly invest in or lend its funds upon the security of

 6  any note or other evidence of indebtedness of any director,

 7  officer, or controlling stockholder of the motor vehicle

 8  service agreement company.

 9         Section 9.  Section 634.3076, Florida Statutes, is

10  created to read:

11         634.3076  Prohibited investments and loans.--A home

12  warranty association shall not directly or indirectly invest

13  in or lend its funds upon the security of any note or other

14  evidence of indebtedness of any director, officer, or

15  controlling stockholder of the home warranty association.

16         Section 10.  Section 634.4062, Florida Statutes, is

17  created to read:

18         634.4062  Prohibited investments and loans.--A service

19  warranty association shall not directly or indirectly invest

20  in or lend its funds upon the security of any note or other

21  evidence of indebtedness of any director, officer, or

22  controlling stockholder of the service warranty association.

23         Section 11.  Section 651.029, Florida Statutes, is

24  created to read:

25         651.029  Prohibited investments and loans.--A provider

26  shall not directly or indirectly invest in or lend its funds

27  upon the security of any note or other evidence of

28  indebtedness of any director, officer, or controlling

29  stockholder of the provider.

30         Section 12.  Paragraph (a) of subsection (15) of

31  section 440.20, Florida Statutes, is amended to read:


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    CS for SB 2518                           First Engrossed (ntc)



 1         440.20  Time for payment of compensation; penalties for

 2  late payment.--

 3         (15)(a)  The department shall examine on an ongoing

 4  basis claims files in accordance with s. 624.3161 and may

 5  impose fines pursuant to s. 624.310(6)(5) and this chapter in

 6  order to identify questionable claims-handling techniques,

 7  questionable patterns or practices of claims, or a pattern of

 8  repeated unreasonably controverted claims by carriers, as

 9  defined in s. 440.02, providing services to employees pursuant

10  to this chapter. If the department finds such questionable

11  techniques, patterns, or repeated unreasonably controverted

12  claims as constitute a general business practice of a carrier,

13  as defined in s. 440.02, the department shall take appropriate

14  action so as to bring such general business practices to a

15  halt pursuant to s. 440.38(3) or may impose penalties pursuant

16  to s. 624.4211. The department may initiate investigations of

17  questionable techniques, patterns, practices, or repeated

18  unreasonably controverted claims. The department may by rule

19  establish forms and procedures for corrective action plans and

20  for auditing carriers.

21         Section 13.  This act shall take effect October 1,

22  2003.

23  

24  

25  

26  

27  

28  

29  

30  

31  


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