| 1 | A bill to be entitled |
| 2 | An act relating to automobile insurance joint underwriting |
| 3 | plan administration; creating s. 627.3115, F.S.; providing |
| 4 | requirements for administration of an automobile insurance |
| 5 | joint underwriting plan; requiring the plan to establish |
| 6 | an investigation and litigation unit for certain purposes; |
| 7 | providing for funding of the unit; requiring appointment |
| 8 | of new servicing carriers for the plan under certain |
| 9 | circumstances; requiring the plan to obtain actuarial |
| 10 | certification under certain circumstances; requiring the |
| 11 | plan to submit a rate filing to the Office of Insurance |
| 12 | Regulation under certain circumstances; specifying |
| 13 | criteria for members of the plan's board of governors; |
| 14 | authorizing insurance companies to recoup assessments in |
| 15 | rate filings under certain circumstances; providing an |
| 16 | effective date. |
| 17 |
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| 18 | Be It Enacted by the Legislature of the State of Florida: |
| 19 |
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| 20 | Section 1. Section 627.3115, Florida Statutes, is created |
| 21 | to read: |
| 22 | 627.3115 Administration of joint underwriting plan.-- |
| 23 | (1) The joint underwriting plan established by s. 627.311 |
| 24 | shall be administered in a manner to produce a combined loss |
| 25 | ratio that does not exceed 100 percent to avoid assessments to |
| 26 | the extent reasonably achievable, which shall be a priority that |
| 27 | supersedes any provision set forth in s. 627.311. |
| 28 | (2) The joint underwriting plan shall establish a special |
| 29 | investigation and litigation unit that may be an adjunct to the |
| 30 | servicing carrier's claims administration or which may be |
| 31 | separate and distinct from such administration and funded to the |
| 32 | extent considered necessary and appropriate to prevent the |
| 33 | payment of fraudulent claims as determined solely by the plan's |
| 34 | board of governors subject only to the approval of the Office of |
| 35 | Insurance Regulation. |
| 36 | (3) After any fiscal year that the joint underwriting plan |
| 37 | exceeds a combined loss ratio of 100 percent, the board of |
| 38 | governors shall appoint one or more new servicing carriers that |
| 39 | shall be selected on a first priority basis from the insurance |
| 40 | company applicants that have the lowest combined loss ratios |
| 41 | arising from their voluntary business. |
| 42 | (4) If the joint underwriting plan exceeds a combined loss |
| 43 | ratio in any two successive years, a majority of the board of |
| 44 | governors shall be replaced by the Office of Insurance |
| 45 | Regulation with appointees that are among the insurers |
| 46 | maintaining the lowest combined loss ratios in their voluntary |
| 47 | business who are willing to serve as members of the board of |
| 48 | governors. |
| 49 | (5) The combined loss ratio provisions set forth in |
| 50 | subsections (3) and (4) shall apply if any actuarially certified |
| 51 | adverse loss development establishes a combined loss ratio that |
| 52 | exceeds 100 percent. |
| 53 | (6) The joint underwriting plan shall obtain an actuarial |
| 54 | certification of its loss reserves no less than every 6 months |
| 55 | and shall issue policies that are effective for a period of only |
| 56 | 6 months. |
| 57 | (7) If the joint underwriting plan's actuarial |
| 58 | certification of its loss reserves establishes that the plan is |
| 59 | operating at a deficit or has inadequate rates, a rate filing |
| 60 | shall be submitted to the Office of Insurance Regulation for |
| 61 | approval. |
| 62 | (8) The joint underwriting plan's board of governors shall |
| 63 | be comprised of representatives that shall include, but not be |
| 64 | limited to, the Office of Insurance Regulation, the Florida |
| 65 | Property and Casualty Association, the Florida Insurance |
| 66 | Council, the Florida Association of Insurance Agents, the |
| 67 | Specialty Agents' Association, the Latin American Association of |
| 68 | Insurance Agents, and three at-large appointees of the Chief |
| 69 | Financial Officer. |
| 70 | (9) If an assessment results from an operating deficit of |
| 71 | the joint underwriting plan, insurance companies may recoup such |
| 72 | assessments by incorporating such assessments as a factor in |
| 73 | company rate filings. |
| 74 | Section 2. This act shall take effect July 1, 2005. |