| 1 | A bill to be entitled |
| 2 | An act relating to property and casualty insurance; |
| 3 | transferring, renumbering, and amending ss. 350.061, |
| 4 | 350.0611, 350.0612, 350.0613, and 350.0614, F.S.; |
| 5 | authorizing the Public Counsel to represent the general |
| 6 | public before the Office of Insurance Regulation; |
| 7 | including certain proceedings related to rules and rate |
| 8 | filings for residential property insurance; authorizing |
| 9 | the Public Counsel to have access to files of the office, |
| 10 | to seek review of orders of the office, to issue reports, |
| 11 | recommendations, and proposed orders to the office; |
| 12 | specifying where the Public Counsel shall maintain his or |
| 13 | her office; authorizing the Joint Legislative Auditing |
| 14 | Committee to authorize the Public Counsel to employ |
| 15 | certain types of employees; requiring the Office of |
| 16 | Insurance Regulation to provide copies of certain filings |
| 17 | to the Public Counsel; amending s. 112.3145, F.S.; |
| 18 | conforming a cross-reference; amending s. 215.559, F.S.; |
| 19 | revising the distribution of funds in the Hurricane Loss |
| 20 | Mitigation Program; revising provisions relating to a low- |
| 21 | interest loan program; amending s. 408.40, F.S.; |
| 22 | conforming a cross-reference; amending s. 624.319, F.S.; |
| 23 | authorizing the Public Counsel to have access to certain |
| 24 | confidential information held by the Department of |
| 25 | Financial Services or the Office of Insurance Regulation; |
| 26 | amending s. 627.062, F.S.; deleting provisions that allow |
| 27 | an insurer to require arbitration of a rate filing for |
| 28 | property and casualty insurance; amending s. 627.0629, |
| 29 | F.S.; requiring underwriting rules for homeowners' |
| 30 | insurance to be filed with and approved by the Office of |
| 31 | Insurance Regulation; providing for filing and approval |
| 32 | provisions; amending s. 627.0651, F.S.; abolishing "use |
| 33 | and file" rate filings; deleting reference to the filing |
| 34 | of specified underwriting rules for homeowners' insurance; |
| 35 | amending s. 627.311, F.S.; abolishing "use and file" rate |
| 36 | filings; amending s. 627.351, F.S.; deleting a provision |
| 37 | authorizing a windstorm underwriting association to |
| 38 | require arbitration of a rate filing; amending s. |
| 39 | 627.4025, F.S.; redefining the term "hurricane coverage" |
| 40 | to include coverage for damage from wind-driven water; |
| 41 | amending s. 627.4133, F.S.; prohibiting an insurer from |
| 42 | canceling or nonrenewing a residential property insurance |
| 43 | policy for certain reasons; amending s. 627.4145, F.S.; |
| 44 | increasing the minimum score on the reading ease test for |
| 45 | insurance policies; creating s. 627.41494, F.S.; providing |
| 46 | for consumer participation in review of insurance rate |
| 47 | changes; providing for public inspection of rate filings; |
| 48 | providing for adoption of rules by the Financial Services |
| 49 | Commission; requiring insurers to pay costs of consumer |
| 50 | advocacy groups under certain circumstances; amending s. |
| 51 | 627.701, F.S.; revising the hurricane deductibles that |
| 52 | insurers must offer for personal lines residential |
| 53 | property insurance policies; creating s. 627.70105, F.S.; |
| 54 | requiring payment of living expenses required due to |
| 55 | uninhabitability of insured property within a specified |
| 56 | time; providing an appropriation; providing effective |
| 57 | dates. |
| 58 |
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| 59 | Be It Enacted by the Legislature of the State of Florida: |
| 60 |
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| 61 | Section 1. This act may be cited as the "Homeowners' |
| 62 | Defense Act." |
| 63 | Section 2. Section 350.061, Florida Statutes, is |
| 64 | transferred, renumbered as section 11.402, Florida Statutes, and |
| 65 | subsection (1) of that section is amended to read: |
| 66 | 11.402 350.061 Public Counsel; appointment; oath; |
| 67 | restrictions on Public Counsel and his or her employees.-- |
| 68 | (1) The Committee on Public Service Commission Oversight |
| 69 | shall appoint a Public Counsel by majority vote of the members |
| 70 | of the committee to represent the general public of Florida |
| 71 | before the Florida Public Service Commission and the Office of |
| 72 | Insurance Regulation. The Public Counsel shall be an attorney |
| 73 | admitted to practice before the Florida Supreme Court and shall |
| 74 | serve at the pleasure of the Committee on Public Service |
| 75 | Commission Oversight, subject to biennial reconfirmation by the |
| 76 | committee. The Public Counsel shall perform his or her duties |
| 77 | independently. Vacancies in the office shall be filled in the |
| 78 | same manner as the original appointment. |
| 79 | Section 3. Section 350.0611, Florida Statutes, is |
| 80 | transferred, renumbered as section 11.403, Florida Statutes, and |
| 81 | amended to read: |
| 82 | 11.403 350.0611 Public Counsel; duties and powers.--It |
| 83 | shall be the duty of the Public Counsel to provide legal |
| 84 | representation for the people of the state in proceedings before |
| 85 | the Public Service Commission and the Office of Insurance |
| 86 | Regulation and in proceedings before counties pursuant to s. |
| 87 | 367.171(8). The Public Counsel shall have such powers as are |
| 88 | necessary to carry out the duties of his or her office, |
| 89 | including, but not limited to, the following specific powers: |
| 90 | (1) To recommend to the Public Service Commission or the |
| 91 | counties, by petition, the commencement of any proceeding or |
| 92 | action or to appear, in the name of the state or its citizens, |
| 93 | in any proceeding or action before the commission or the |
| 94 | counties. |
| 95 | (2) To recommend to the Office of Insurance Regulation, by |
| 96 | petition, the commencement of, and to appear in the name of the |
| 97 | state or its citizens in, any proceeding or action before the |
| 98 | office relating to: |
| 99 | (a) Rules governing residential property insurance; or |
| 100 | (b) Rate filings for residential property insurance which, |
| 101 | pursuant to standards determined by the office, request an |
| 102 | average statewide rate increase of 10 percent or greater as |
| 103 | compared to the current rates in effect or the rates in effect |
| 104 | 12 months prior to the proposed effective date. |
| 105 |
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| 106 | The Public Counsel may not stay any final order of the Office of |
| 107 | Insurance Regulation. |
| 108 | (3) To and urge in any proceeding or action to which he or |
| 109 | she is a party therein any position that which he or she deems |
| 110 | to be in the public interest, whether consistent or inconsistent |
| 111 | with positions previously adopted by the commission, or the |
| 112 | counties, or the office, and use utilize therein all forms of |
| 113 | discovery available to attorneys in civil actions generally, |
| 114 | subject to protective orders of the commission, or the counties, |
| 115 | or the office, which shall be reviewable by summary procedure in |
| 116 | the circuit courts of this state.; |
| 117 | (4)(2) To have access to and use of all files, records, |
| 118 | and data of the commission, or the counties, or the office |
| 119 | available to any other attorney representing parties in a |
| 120 | proceeding before the commission, or the counties, or the |
| 121 | office.; |
| 122 | (5)(3) In any proceeding in which he or she has |
| 123 | participated as a party, to seek review of any determination, |
| 124 | finding, or order of the commission, or the counties, or the |
| 125 | office, or of any hearing examiner designated by the commission, |
| 126 | or the counties, or the office, in the name of the state or its |
| 127 | citizens.; |
| 128 | (6)(4) To prepare and issue reports, recommendations, and |
| 129 | proposed orders to the commission or office, the Governor, and |
| 130 | the Legislature on any matter or subject within the jurisdiction |
| 131 | of the commission or office, and to make such recommendations as |
| 132 | he or she deems appropriate for legislation relative to |
| 133 | commission or office procedures, rules, jurisdiction, personnel, |
| 134 | and functions.; and |
| 135 | (7)(5) To appear before other state agencies, federal |
| 136 | agencies, and state and federal courts in connection with |
| 137 | matters under the jurisdiction of the commission or office, in |
| 138 | the name of the state or its citizens. |
| 139 | Section 4. Section 350.0612, Florida Statutes, is |
| 140 | transferred, renumbered as section 11.404, Florida Statutes, and |
| 141 | amended to read: |
| 142 | 11.404 350.0612 Public Counsel; location.--The Public |
| 143 | Counsel shall maintain his or her office in Leon County on the |
| 144 | premises of the commission or, if suitable space there cannot be |
| 145 | provided, at such other place convenient to the offices of the |
| 146 | Public Services Commission or the Office of Insurance Regulation |
| 147 | commissioners as will enable him or her to carry out |
| 148 | expeditiously the duties and functions of his or her office. |
| 149 | Section 5. Section 350.0613, Florida Statutes, is |
| 150 | transferred, renumbered as section 11.405, Florida Statutes, and |
| 151 | amended to read: |
| 152 | 11.405 350.0613 Public Counsel; employees; receipt of |
| 153 | pleadings.--The Joint Legislative Auditing Committee may |
| 154 | authorize the Public Counsel to employ clerical and technical |
| 155 | assistants whose qualifications, duties, and responsibilities |
| 156 | the committee shall from time to time prescribe. The committee |
| 157 | may from time to time authorize retention of the services of |
| 158 | additional attorneys, actuaries, economists, or experts to the |
| 159 | extent that the best interests of the people of the state will |
| 160 | be better served thereby, including the retention of expert |
| 161 | witnesses and other technical personnel for participation in |
| 162 | contested proceedings before the Public Service Commission or |
| 163 | Office of Insurance Regulation. The commission shall furnish the |
| 164 | Public Counsel with copies of the initial pleadings in all |
| 165 | proceedings before the commission. The office shall furnish the |
| 166 | Public Counsel with copies of all filings that relate to the |
| 167 | jurisdiction of the Public Counsel pursuant to s. 11.403(2)., |
| 168 | and If the Public Counsel intervenes as a party in any |
| 169 | proceeding he or she shall be served with copies of all |
| 170 | subsequent pleadings, exhibits, and prepared testimony, if used. |
| 171 | Upon filing notice of intervention, the Public Counsel shall |
| 172 | serve all interested parties with copies of such notice and all |
| 173 | of his or her subsequent pleadings and exhibits. |
| 174 | Section 6. Section 350.0614, Florida Statutes, is |
| 175 | transferred and renumbered as section 11.406, Florida Statutes. |
| 176 | Section 7. Paragraph (b) of subsection (1) of section |
| 177 | 112.3145, Florida Statutes, is amended to read: |
| 178 | 112.3145 Disclosure of financial interests and clients |
| 179 | represented before agencies.-- |
| 180 | (1) For purposes of this section, unless the context |
| 181 | otherwise requires, the term: |
| 182 | (b) "Specified state employee" means: |
| 183 | 1. Public counsel created by chapter 11 350, an assistant |
| 184 | state attorney, an assistant public defender, a full-time state |
| 185 | employee who serves as counsel or assistant counsel to any state |
| 186 | agency, the Deputy Chief Judge of Compensation Claims, a judge |
| 187 | of compensation claims, an administrative law judge, or a |
| 188 | hearing officer. |
| 189 | 2. Any person employed in the office of the Governor or in |
| 190 | the office of any member of the Cabinet if that person is exempt |
| 191 | from the Career Service System, except persons employed in |
| 192 | clerical, secretarial, or similar positions. |
| 193 | 3. Each appointed secretary, assistant secretary, deputy |
| 194 | secretary, executive director, assistant executive director, or |
| 195 | deputy executive director of each state department, commission, |
| 196 | board, or council; unless otherwise provided, the division |
| 197 | director, assistant division director, deputy director, bureau |
| 198 | chief, and assistant bureau chief of any state department or |
| 199 | division; or any person having the power normally conferred upon |
| 200 | such persons, by whatever title. |
| 201 | 4. The superintendent or institute director of a state |
| 202 | mental health institute established for training and research in |
| 203 | the mental health field or the warden or director of any major |
| 204 | state institution or facility established for corrections, |
| 205 | training, treatment, or rehabilitation. |
| 206 | 5. Business managers, purchasing agents having the power |
| 207 | to make any purchase exceeding the threshold amount provided for |
| 208 | in s. 287.017 for CATEGORY ONE, finance and accounting |
| 209 | directors, personnel officers, or grants coordinators for any |
| 210 | state agency. |
| 211 | 6. Any person, other than a legislative assistant exempted |
| 212 | by the presiding officer of the house by which the legislative |
| 213 | assistant is employed, who is employed in the legislative branch |
| 214 | of government, except persons employed in maintenance, clerical, |
| 215 | secretarial, or similar positions. |
| 216 | 7. Each employee of the Commission on Ethics. |
| 217 | Section 8. Section 215.559, Florida Statutes, is amended |
| 218 | to read: |
| 219 | 215.559 Hurricane Loss Mitigation Program.-- |
| 220 | (1) There is created a Hurricane Loss Mitigation Program. |
| 221 | The Legislature shall annually appropriate $10 million of the |
| 222 | moneys authorized for appropriation under s. 215.555(7)(c) from |
| 223 | the Florida Hurricane Catastrophe Fund to the Department of |
| 224 | Community Affairs for the purposes set forth in this section. |
| 225 | (2)(a) One Seven million dollars in funds provided in |
| 226 | subsection (1) shall be used for programs to improve the wind |
| 227 | resistance of residences and mobile homes, including loans, |
| 228 | subsidies, grants, demonstration projects, and direct |
| 229 | assistance; cooperative programs with local governments and the |
| 230 | Federal Government; and other efforts to prevent or reduce |
| 231 | losses or reduce the cost of rebuilding after a disaster. |
| 232 | (b) Six million dollars of the funds provided in |
| 233 | subsection (1) shall be used for programs to improve the wind |
| 234 | resistance of residences to prevent or reduce losses or reduce |
| 235 | the cost of rebuilding after a disaster. |
| 236 | (c) The department shall, with the funds authorized in |
| 237 | paragraphs (a) and (b), establish a program of low-interest |
| 238 | loans to qualified owners of residences and qualified owners of |
| 239 | mobile homes. For the purpose of this section, the term "low- |
| 240 | interest loan" means any direct loan or loan guarantee issued or |
| 241 | backed by such authorized funds to a qualified owner to finance |
| 242 | efforts to prevent or reduce losses or reduce the cost of |
| 243 | rebuilding after a disaster with a requirement for repayment by |
| 244 | the owner. Loans provided under this section shall be made at a |
| 245 | rate of up to 2 percent below the qualified loan rate as |
| 246 | determined by the department. The terms and conditions of the |
| 247 | low-interest loan program, including loan incentive provisions, |
| 248 | and the qualifications required of owners of residences and |
| 249 | owners of mobile homes shall be determined by the department. |
| 250 | (d)(b) Three million dollars in funds provided in |
| 251 | subsection (1) shall be used to retrofit existing facilities |
| 252 | used as public hurricane shelters. The department must |
| 253 | prioritize the use of these funds for projects included in the |
| 254 | September 1, 2000, version of the Shelter Retrofit Report |
| 255 | prepared in accordance with s. 252.385(3), and each annual |
| 256 | report thereafter. The department must give funding priority to |
| 257 | projects in regional planning council regions that have shelter |
| 258 | deficits and to projects that maximize use of state funds. |
| 259 | (3) By the 2006-2007 fiscal year, the Department of |
| 260 | Community Affairs shall develop a low-interest loan program for |
| 261 | homeowners and mobile home owners to retrofit their homes with |
| 262 | fixtures or apply construction techniques that have been |
| 263 | demonstrated to reduce the amount of damage or loss due to a |
| 264 | hurricane. Funding for the program shall be used to subsidize or |
| 265 | guaranty private-sector loans for this purpose to qualified |
| 266 | homeowners by financial institutions chartered by the state or |
| 267 | Federal Government. The department may enter into contracts with |
| 268 | financial institutions for this purpose. The department shall |
| 269 | establish criteria for determining eligibility for the loans and |
| 270 | selecting recipients, standards for retrofitting homes or mobile |
| 271 | homes, limitations on loan subsidies and loan guaranties, and |
| 272 | other terms and conditions of the program, which must be |
| 273 | specified in the department's report to the Legislature on |
| 274 | January 1, 2006, required by subsection (8). For the 2005-2006 |
| 275 | fiscal year, the Department of Community Affairs may use up to |
| 276 | $1 million of the funds appropriated pursuant to paragraph |
| 277 | (2)(a) to begin the low-interest loan program as a pilot project |
| 278 | in one or more counties. The Department of Financial Services, |
| 279 | the Office of Financial Regulation, the Florida Housing Finance |
| 280 | Corporation, and the Office of Tourism, Trade, and Economic |
| 281 | Development shall assist the Department of Community Affairs in |
| 282 | establishing the program and pilot project. The department may |
| 283 | use up to 2.5 percent of the funds appropriated in any given |
| 284 | fiscal year for administering the loan program. The department |
| 285 | may adopt rules to implement the program. |
| 286 | (3)(4) Forty percent of the total appropriation in |
| 287 | paragraph (2)(a) shall be used to inspect and improve tie-downs |
| 288 | for mobile homes. Within 30 days after the effective date of |
| 289 | that appropriation, the department shall contract with a public |
| 290 | higher educational institution in this state which has previous |
| 291 | experience in administering the programs set forth in this |
| 292 | subsection to serve as the administrative entity and fiscal |
| 293 | agent pursuant to s. 216.346 for the purpose of administering |
| 294 | the programs set forth in this subsection in accordance with |
| 295 | established policy and procedures. The administrative entity |
| 296 | working with the advisory council set up under subsection (5) |
| 297 | (6) shall develop a list of mobile home parks and counties that |
| 298 | may be eligible to participate in the tie-down program. |
| 299 | (4)(5) Of moneys provided to the Department of Community |
| 300 | Affairs in paragraphs paragraph (2)(a) and (b), 10 percent shall |
| 301 | be allocated to a Type I Center within the State University |
| 302 | System dedicated to hurricane research. The Type I Center shall |
| 303 | develop a preliminary work plan approved by the advisory council |
| 304 | set forth in subsection (5) (6) to eliminate the state and local |
| 305 | barriers to upgrading existing residences, mobile homes, and |
| 306 | communities;, research and develop a program for the recycling |
| 307 | of existing older mobile homes;, and support programs of |
| 308 | research and development relating to hurricane loss reduction |
| 309 | devices and techniques for site-built residences. The State |
| 310 | University System also shall consult with the Department of |
| 311 | Community Affairs and assist the department with the report |
| 312 | required under subsection (7) (8). |
| 313 | (5)(6) The Department of Community Affairs shall develop |
| 314 | the programs set forth in this section in consultation with an |
| 315 | advisory council consisting of a representative designated by |
| 316 | the Chief Financial Officer, a representative designated by the |
| 317 | Florida Home Builders Association, a representative designated |
| 318 | by the Florida Insurance Council, a representative designated by |
| 319 | the Federation of Manufactured Home Owners, a representative |
| 320 | designated by the Florida Association of Counties, and a |
| 321 | representative designated by the Florida Manufactured Housing |
| 322 | Association. |
| 323 | (6)(7) Moneys provided to the Department of Community |
| 324 | Affairs under this section are intended to supplement other |
| 325 | funding sources of the Department of Community Affairs and may |
| 326 | not supplant other funding sources of the Department of |
| 327 | Community Affairs. |
| 328 | (7)(8) On January 1st of each year, the Department of |
| 329 | Community Affairs shall provide a full report and accounting of |
| 330 | activities under this section and an evaluation of such |
| 331 | activities to the Speaker of the House of Representatives, the |
| 332 | President of the Senate, and the Majority and Minority Leaders |
| 333 | of the House of Representatives and the Senate. |
| 334 | (8)(9) This section is repealed June 30, 2011. |
| 335 | Section 9. Subsection (1) of section 408.40, Florida |
| 336 | Statutes, is amended to read: |
| 337 | 408.40 Public Counsel.-- |
| 338 | (1) Notwithstanding any other provisions of this chapter, |
| 339 | the Public Counsel shall represent the public in any proceeding |
| 340 | before the agency or its advisory panels in any administrative |
| 341 | hearing conducted pursuant to chapter 120 or before any other |
| 342 | state and federal agencies and courts in any issue before the |
| 343 | agency, any court, or any agency. With respect to any such |
| 344 | proceeding, the Public Counsel is subject to the provisions of |
| 345 | and may use the powers granted to him or her by ss. 11.402- |
| 346 | 11.406 350.061-350.0614. |
| 347 | Section 10. Paragraph (b) of subsection (3) of section |
| 348 | 624.319, Florida Statutes, is amended to read: |
| 349 | 624.319 Examination and investigation reports.-- |
| 350 | (3) |
| 351 | (b) Workpapers and other information held by the |
| 352 | department or office, and workpapers and other information |
| 353 | received from another governmental entity or the National |
| 354 | Association of Insurance Commissioners, for the department's or |
| 355 | office's use in the performance of its examination or |
| 356 | investigation duties pursuant to this section and ss. 624.316, |
| 357 | 624.3161, 624.317, and 624.318 are confidential and exempt from |
| 358 | the provisions of s. 119.07(1) and s. 24(a), Art. I of the State |
| 359 | Constitution. This exemption applies to workpapers and other |
| 360 | information held by the department or office before, on, or |
| 361 | after the effective date of this exemption. Such confidential |
| 362 | and exempt information may be disclosed to another governmental |
| 363 | entity, if disclosure is necessary for the receiving entity to |
| 364 | perform its duties and responsibilities, and may be disclosed to |
| 365 | the National Association of Insurance Commissioners. The Public |
| 366 | Counsel shall have access to such confidential and exempt |
| 367 | information pertaining to residential property insurance at any |
| 368 | time. The receiving governmental entity or the association must |
| 369 | maintain the confidential and exempt status of the information. |
| 370 | The information made confidential and exempt by this paragraph |
| 371 | may be used in a criminal, civil, or administrative proceeding |
| 372 | so long as the confidential and exempt status of such |
| 373 | information is maintained. This paragraph is subject to the Open |
| 374 | Government Sunset Review Act of 1995 in accordance with s. |
| 375 | 119.15 and shall stand repealed on October 2, 2007, unless |
| 376 | reviewed and saved from repeal through reenactment by the |
| 377 | Legislature. |
| 378 | Section 11. Subsection (2) of section 627.062, Florida |
| 379 | Statutes, is amended to read: |
| 380 | 627.062 Rate standards.-- |
| 381 | (2) As to all such classes of insurance: |
| 382 | (a) Insurers or rating organizations shall establish and |
| 383 | use rates, rating schedules, or rating manuals to allow the |
| 384 | insurer a reasonable rate of return on such classes of insurance |
| 385 | written in this state. A copy of rates, rating schedules, rating |
| 386 | manuals, premium credits or discount schedules, and surcharge |
| 387 | schedules, and changes thereto, shall be filed with the office |
| 388 | under one of the following procedures: |
| 389 | 1. If the filing is made at least 90 days before the |
| 390 | proposed effective date. and The filing may is not be |
| 391 | implemented during the office's review of the filing and any |
| 392 | proceeding and judicial review., then Such filing is shall be |
| 393 | considered a "file and use" filing. In such case, The office |
| 394 | shall finalize its review by issuance of a notice of intent to |
| 395 | approve or a notice of intent to disapprove within 90 days after |
| 396 | receipt of the filing. The notice of intent to approve and the |
| 397 | notice of intent to disapprove constitute agency action for |
| 398 | purposes of the Administrative Procedure Act. Requests for |
| 399 | supporting information, requests for mathematical or mechanical |
| 400 | corrections, or notification to the insurer by the office of its |
| 401 | preliminary findings shall not toll the 90-day period during any |
| 402 | such proceedings and subsequent judicial review. The rate shall |
| 403 | be deemed approved if the office does not issue a notice of |
| 404 | intent to approve or a notice of intent to disapprove within 90 |
| 405 | days after receipt of the filing. |
| 406 | 2. If the filing is not made in accordance with the |
| 407 | provisions of subparagraph 1., such filing shall be made as soon |
| 408 | as practicable, but no later than 30 days after the effective |
| 409 | date, and shall be considered a "use and file" filing. An |
| 410 | insurer making a "use and file" filing is potentially subject to |
| 411 | an order by the office to return to policyholders portions of |
| 412 | rates found to be excessive, as provided in paragraph (h). |
| 413 | (b) Upon receiving a rate filing, the office shall review |
| 414 | the rate filing to determine if a rate is excessive, inadequate, |
| 415 | or unfairly discriminatory. In making that determination, the |
| 416 | office shall, in accordance with generally accepted and |
| 417 | reasonable actuarial techniques, consider the following factors: |
| 418 | 1. Past and prospective loss experience within and without |
| 419 | this state. |
| 420 | 2. Past and prospective expenses. |
| 421 | 3. The degree of competition among insurers for the risk |
| 422 | insured. |
| 423 | 4. Investment income reasonably expected by the insurer, |
| 424 | consistent with the insurer's investment practices, from |
| 425 | investable premiums anticipated in the filing, plus any other |
| 426 | expected income from currently invested assets representing the |
| 427 | amount expected on unearned premium reserves and loss reserves. |
| 428 | The commission may adopt rules utilizing reasonable techniques |
| 429 | of actuarial science and economics to specify the manner in |
| 430 | which insurers shall calculate investment income attributable to |
| 431 | such classes of insurance written in this state and the manner |
| 432 | in which such investment income shall be used in the calculation |
| 433 | of insurance rates. Such manner shall contemplate allowances for |
| 434 | an underwriting profit factor and full consideration of |
| 435 | investment income which produce a reasonable rate of return; |
| 436 | however, investment income from invested surplus shall not be |
| 437 | considered. |
| 438 | 5. The reasonableness of the judgment reflected in the |
| 439 | filing. |
| 440 | 6. Dividends, savings, or unabsorbed premium deposits |
| 441 | allowed or returned to Florida policyholders, members, or |
| 442 | subscribers. |
| 443 | 7. The adequacy of loss reserves. |
| 444 | 8. The cost of reinsurance. |
| 445 | 9. Trend factors, including trends in actual losses per |
| 446 | insured unit for the insurer making the filing. |
| 447 | 10. Conflagration and catastrophe hazards, if applicable. |
| 448 | 11. A reasonable margin for underwriting profit and |
| 449 | contingencies. |
| 450 | 12. The cost of medical services, if applicable. |
| 451 | 13. Other relevant factors which impact upon the frequency |
| 452 | or severity of claims or upon expenses. |
| 453 | (c) In the case of fire insurance rates, consideration |
| 454 | shall be given to the availability of water supplies and the |
| 455 | experience of the fire insurance business during a period of not |
| 456 | less than the most recent 5-year period for which such |
| 457 | experience is available. |
| 458 | (d) If conflagration or catastrophe hazards are given |
| 459 | consideration by an insurer in its rates or rating plan, |
| 460 | including surcharges and discounts, the insurer shall establish |
| 461 | a reserve for that portion of the premium allocated to such |
| 462 | hazard and shall maintain the premium in a catastrophe reserve. |
| 463 | Any removal of such premiums from the reserve for purposes other |
| 464 | than paying claims associated with a catastrophe or purchasing |
| 465 | reinsurance for catastrophes shall be subject to approval of the |
| 466 | office. Any ceding commission received by an insurer purchasing |
| 467 | reinsurance for catastrophes shall be placed in the catastrophe |
| 468 | reserve. |
| 469 | (e) After consideration of the rate factors provided in |
| 470 | paragraphs (b), (c), and (d), a rate may be found by the office |
| 471 | to be excessive, inadequate, or unfairly discriminatory based |
| 472 | upon the following standards: |
| 473 | 1. Rates shall be deemed excessive if they are likely to |
| 474 | produce a profit from Florida business that is unreasonably high |
| 475 | in relation to the risk involved in the class of business or if |
| 476 | expenses are unreasonably high in relation to services rendered. |
| 477 | 2. Rates shall be deemed excessive if, among other things, |
| 478 | the rate structure established by a stock insurance company |
| 479 | provides for replenishment of surpluses from premiums, when the |
| 480 | replenishment is attributable to investment losses. |
| 481 | 3. Rates shall be deemed inadequate if they are clearly |
| 482 | insufficient, together with the investment income attributable |
| 483 | to them, to sustain projected losses and expenses in the class |
| 484 | of business to which they apply. |
| 485 | 4. A rating plan, including discounts, credits, or |
| 486 | surcharges, shall be deemed unfairly discriminatory if it fails |
| 487 | to clearly and equitably reflect consideration of the |
| 488 | policyholder's participation in a risk management program |
| 489 | adopted pursuant to s. 627.0625. |
| 490 | 5. A rate shall be deemed inadequate as to the premium |
| 491 | charged to a risk or group of risks if discounts or credits are |
| 492 | allowed which exceed a reasonable reflection of expense savings |
| 493 | and reasonably expected loss experience from the risk or group |
| 494 | of risks. |
| 495 | 6. A rate shall be deemed unfairly discriminatory as to a |
| 496 | risk or group of risks if the application of premium discounts, |
| 497 | credits, or surcharges among such risks does not bear a |
| 498 | reasonable relationship to the expected loss and expense |
| 499 | experience among the various risks. |
| 500 | (f) In reviewing a rate filing, the office may require the |
| 501 | insurer to provide at the insurer's expense all information |
| 502 | necessary to evaluate the condition of the company and the |
| 503 | reasonableness of the filing according to the criteria |
| 504 | enumerated in this section. |
| 505 | (g) The office may at any time review a rate, rating |
| 506 | schedule, rating manual, or rate change; the pertinent records |
| 507 | of the insurer; and market conditions. If the office finds on a |
| 508 | preliminary basis that a rate may be excessive, inadequate, or |
| 509 | unfairly discriminatory, the office shall initiate proceedings |
| 510 | to disapprove the rate and shall so notify the insurer. However, |
| 511 | the office may not disapprove as excessive any rate for which it |
| 512 | has given final approval or which has been deemed approved for a |
| 513 | period of 1 year after the effective date of the filing unless |
| 514 | the office finds that a material misrepresentation or material |
| 515 | error was made by the insurer or was contained in the filing. |
| 516 | Upon being so notified, the insurer or rating organization |
| 517 | shall, within 60 days, file with the office all information |
| 518 | which, in the belief of the insurer or organization, proves the |
| 519 | reasonableness, adequacy, and fairness of the rate or rate |
| 520 | change. The office shall issue a notice of intent to approve or |
| 521 | a notice of intent to disapprove pursuant to the procedures of |
| 522 | paragraph (a) within 90 days after receipt of the insurer's |
| 523 | initial response. In such instances and in any administrative |
| 524 | proceeding relating to the legality of the rate, the insurer or |
| 525 | rating organization shall carry the burden of proof by a |
| 526 | preponderance of the evidence to show that the rate is not |
| 527 | excessive, inadequate, or unfairly discriminatory. After the |
| 528 | office notifies an insurer that a rate may be excessive, |
| 529 | inadequate, or unfairly discriminatory, unless the office |
| 530 | withdraws the notification, the insurer shall not alter the rate |
| 531 | except to conform with the office's notice until the earlier of |
| 532 | 120 days after the date the notification was provided or 180 |
| 533 | days after the date of the implementation of the rate. The |
| 534 | office may, subject to chapter 120, disapprove without the 60- |
| 535 | day notification any rate increase filed by an insurer within |
| 536 | the prohibited time period or during the time that the legality |
| 537 | of the increased rate is being contested. |
| 538 | (h) If In the event the office finds that a rate or rate |
| 539 | change is excessive, inadequate, or unfairly discriminatory, the |
| 540 | office shall issue an order of disapproval specifying that a new |
| 541 | rate or rate schedule which responds to the findings of the |
| 542 | office be filed by the insurer. The office shall further order, |
| 543 | for any "use and file" filing made in accordance with |
| 544 | subparagraph (a)2., that premiums charged each policyholder |
| 545 | constituting the portion of the rate above that which was |
| 546 | actuarially justified be returned to such policyholder in the |
| 547 | form of a credit or refund. If the office finds that an |
| 548 | insurer's rate or rate change is inadequate, the new rate or |
| 549 | rate schedule filed with the office in response to such a |
| 550 | finding shall be applicable only to new or renewal business of |
| 551 | the insurer written on or after the effective date of the |
| 552 | responsive filing. |
| 553 | (i) Except as otherwise specifically provided in this |
| 554 | chapter, the office shall not prohibit any insurer, including |
| 555 | any residual market plan or joint underwriting association, from |
| 556 | paying acquisition costs based on the full amount of premium, as |
| 557 | defined in s. 627.403, applicable to any policy, or prohibit any |
| 558 | such insurer from including the full amount of acquisition costs |
| 559 | in a rate filing. |
| 560 |
|
| 561 | The provisions of This subsection does shall not apply to |
| 562 | workers' compensation and employer's liability insurance and to |
| 563 | motor vehicle insurance. |
| 564 | Section 12. Effective upon this act becoming a law, |
| 565 | subsections (6), (7), and (8) of section 627.062, Florida |
| 566 | Statutes, are amended to read: |
| 567 | 627.062 Rate standards.-- |
| 568 | (6)(a) After any action with respect to a rate filing that |
| 569 | constitutes agency action for purposes of the Administrative |
| 570 | Procedure Act, except for a rate filing for medical malpractice, |
| 571 | an insurer may, in lieu of demanding a hearing under s. 120.57, |
| 572 | require arbitration of the rate filing. Arbitration shall be |
| 573 | conducted by a board of arbitrators consisting of an arbitrator |
| 574 | selected by the office, an arbitrator selected by the insurer, |
| 575 | and an arbitrator selected jointly by the other two arbitrators. |
| 576 | Each arbitrator must be certified by the American Arbitration |
| 577 | Association. A decision is valid only upon the affirmative vote |
| 578 | of at least two of the arbitrators. No arbitrator may be an |
| 579 | employee of any insurance regulator or regulatory body or of any |
| 580 | insurer, regardless of whether or not the employing insurer does |
| 581 | business in this state. The office and the insurer must treat |
| 582 | the decision of the arbitrators as the final approval of a rate |
| 583 | filing. Costs of arbitration shall be paid by the insurer. |
| 584 | (b) Arbitration under this subsection shall be conducted |
| 585 | pursuant to the procedures specified in ss. 682.06-682.10. |
| 586 | Either party may apply to the circuit court to vacate or modify |
| 587 | the decision pursuant to s. 682.13 or s. 682.14. The commission |
| 588 | shall adopt rules for arbitration under this subsection, which |
| 589 | rules may not be inconsistent with the arbitration rules of the |
| 590 | American Arbitration Association as of January 1, 1996. |
| 591 | (c) Upon initiation of the arbitration process, the |
| 592 | insurer waives all rights to challenge the action of the office |
| 593 | under the Administrative Procedure Act or any other provision of |
| 594 | law; however, such rights are restored to the insurer if the |
| 595 | arbitrators fail to render a decision within 90 days after |
| 596 | initiation of the arbitration process. |
| 597 | (6)(7)(a) The provisions of this subsection apply only |
| 598 | with respect to rates for medical malpractice insurance and |
| 599 | shall control to the extent of any conflict with other |
| 600 | provisions of this section. |
| 601 | (b) Any portion of a judgment entered or settlement paid |
| 602 | as a result of a statutory or common-law bad faith action and |
| 603 | any portion of a judgment entered which awards punitive damages |
| 604 | against an insurer may not be included in the insurer's rate |
| 605 | base, and shall not be used to justify a rate or rate change. |
| 606 | Any common-law bad faith action identified as such, any portion |
| 607 | of a settlement entered as a result of a statutory or common-law |
| 608 | action, or any portion of a settlement wherein an insurer agrees |
| 609 | to pay specific punitive damages may not be used to justify a |
| 610 | rate or rate change. The portion of the taxable costs and |
| 611 | attorney's fees which is identified as being related to the bad |
| 612 | faith and punitive damages in these judgments and settlements |
| 613 | may not be included in the insurer's rate base and may not be |
| 614 | utilized to justify a rate or rate change. |
| 615 | (c) Upon reviewing a rate filing and determining whether |
| 616 | the rate is excessive, inadequate, or unfairly discriminatory, |
| 617 | the office shall consider, in accordance with generally accepted |
| 618 | and reasonable actuarial techniques, past and present |
| 619 | prospective loss experience, either using loss experience solely |
| 620 | for this state or giving greater credibility to this state's |
| 621 | loss data after applying actuarially sound methods of assigning |
| 622 | credibility to such data. |
| 623 | (d) Rates shall be deemed excessive if, among other |
| 624 | standards established by this section, the rate structure |
| 625 | provides for replenishment of reserves or surpluses from |
| 626 | premiums when the replenishment is attributable to investment |
| 627 | losses. |
| 628 | (e) The insurer must apply a discount or surcharge based |
| 629 | on the health care provider's loss experience or shall establish |
| 630 | an alternative method giving due consideration to the provider's |
| 631 | loss experience. The insurer must include in the filing a copy |
| 632 | of the surcharge or discount schedule or a description of the |
| 633 | alternative method used, and must provide a copy of such |
| 634 | schedule or description, as approved by the office, to |
| 635 | policyholders at the time of renewal and to prospective |
| 636 | policyholders at the time of application for coverage. |
| 637 | (f) Each medical malpractice insurer must make a rate |
| 638 | filing under this section, sworn to by at least two executive |
| 639 | officers of the insurer, at least once each calendar year. |
| 640 | (7)(8)(a)1. No later than 60 days after the effective date |
| 641 | of medical malpractice legislation enacted during the 2003 |
| 642 | Special Session D of the Florida Legislature, the office shall |
| 643 | calculate a presumed factor that reflects the impact that the |
| 644 | changes contained in such legislation will have on rates for |
| 645 | medical malpractice insurance and shall issue a notice informing |
| 646 | all insurers writing medical malpractice coverage of such |
| 647 | presumed factor. In determining the presumed factor, the office |
| 648 | shall use generally accepted actuarial techniques and standards |
| 649 | provided in this section in determining the expected impact on |
| 650 | losses, expenses, and investment income of the insurer. To the |
| 651 | extent that the operation of a provision of medical malpractice |
| 652 | legislation enacted during the 2003 Special Session D of the |
| 653 | Florida Legislature is stayed pending a constitutional |
| 654 | challenge, the impact of that provision shall not be included in |
| 655 | the calculation of a presumed factor under this subparagraph. |
| 656 | 2. No later than 60 days after the office issues its |
| 657 | notice of the presumed rate change factor under subparagraph 1., |
| 658 | each insurer writing medical malpractice coverage in this state |
| 659 | shall submit to the office a rate filing for medical malpractice |
| 660 | insurance, which will take effect no later than January 1, 2004, |
| 661 | and apply retroactively to policies issued or renewed on or |
| 662 | after the effective date of medical malpractice legislation |
| 663 | enacted during the 2003 Special Session D of the Florida |
| 664 | Legislature. Except as authorized under paragraph (b), the |
| 665 | filing shall reflect an overall rate reduction at least as great |
| 666 | as the presumed factor determined under subparagraph 1. With |
| 667 | respect to policies issued on or after the effective date of |
| 668 | such legislation and prior to the effective date of the rate |
| 669 | filing required by this subsection, the office shall order the |
| 670 | insurer to make a refund of the amount that was charged in |
| 671 | excess of the rate that is approved. |
| 672 | (b) Any insurer or rating organization that contends that |
| 673 | the rate provided for in paragraph (a) is excessive, inadequate, |
| 674 | or unfairly discriminatory shall separately state in its filing |
| 675 | the rate it contends is appropriate and shall state with |
| 676 | specificity the factors or data that it contends should be |
| 677 | considered in order to produce such appropriate rate. The |
| 678 | insurer or rating organization shall be permitted to use all of |
| 679 | the generally accepted actuarial techniques provided in this |
| 680 | section in making any filing pursuant to this subsection. The |
| 681 | office shall review each such exception and approve or |
| 682 | disapprove it prior to use. It shall be the insurer's burden to |
| 683 | actuarially justify any deviations from the rates required to be |
| 684 | filed under paragraph (a). The insurer making a filing under |
| 685 | this paragraph shall include in the filing the expected impact |
| 686 | of medical malpractice legislation enacted during the 2003 |
| 687 | Special Session D of the Florida Legislature on losses, |
| 688 | expenses, and rates. |
| 689 | (c) If any provision of medical malpractice legislation |
| 690 | enacted during the 2003 Special Session D of the Florida |
| 691 | Legislature is held invalid by a court of competent |
| 692 | jurisdiction, the office shall permit an adjustment of all |
| 693 | medical malpractice rates filed under this section to reflect |
| 694 | the impact of such holding on such rates so as to ensure that |
| 695 | the rates are not excessive, inadequate, or unfairly |
| 696 | discriminatory. |
| 697 | (d) Rates approved on or before July 1, 2003, for medical |
| 698 | malpractice insurance shall remain in effect until the effective |
| 699 | date of a new rate filing approved under this subsection. |
| 700 | (e) The calculation and notice by the office of the |
| 701 | presumed factor pursuant to paragraph (a) is not an order or |
| 702 | rule that is subject to chapter 120. If the office enters into a |
| 703 | contract with an independent consultant to assist the office in |
| 704 | calculating the presumed factor, such contract shall not be |
| 705 | subject to the competitive solicitation requirements of s. |
| 706 | 287.057. |
| 707 | Section 13. Subsection (11) is added to section 627.0629, |
| 708 | Florida Statutes, to read: |
| 709 | 627.0629 Residential property insurance; rate filings; |
| 710 | underwriting rules.-- |
| 711 | (11) The underwriting rules for homeowners' insurance not |
| 712 | contained in rating manuals shall be filed with the office. All |
| 713 | underwriting rules for homeowners' insurance must be approved by |
| 714 | the office and be reasonable and comply with applicable |
| 715 | provisions of law. The filing and form-approval provisions under |
| 716 | s. 627.410 apply to the filing and approval of underwriting |
| 717 | rules for homeowners' insurance. |
| 718 | Section 14. Subsections (1), (11), and (13) of section |
| 719 | 627.0651, Florida Statutes, are amended to read: |
| 720 | 627.0651 Making and use of rates for motor vehicle |
| 721 | insurance.-- |
| 722 | (1) Insurers shall establish and use rates, rating |
| 723 | schedules, or rating manuals to allow the insurer a reasonable |
| 724 | rate of return on motor vehicle insurance written in this state. |
| 725 | A copy of rates, rating schedules, and rating manuals, and |
| 726 | changes therein, shall be filed with the office under one of the |
| 727 | following procedures: |
| 728 | (a) If the filing is made at least 60 days before the |
| 729 | proposed effective date. and The filing may is not be |
| 730 | implemented during the office's review of the filing and any |
| 731 | proceeding and judicial review., Such filing is shall be |
| 732 | considered a "file and use" filing. In such case, the office |
| 733 | shall initiate proceedings to disapprove the rate and so notify |
| 734 | the insurer or shall finalize its review within 60 days after |
| 735 | receipt of the filing. Notification to the insurer by the office |
| 736 | of its preliminary findings shall toll the 60-day period during |
| 737 | any such proceedings and subsequent judicial review. The rate |
| 738 | shall be deemed approved if the office does not issue notice to |
| 739 | the insurer of its preliminary findings within 60 days after the |
| 740 | filing. |
| 741 | (b) If the filing is not made in accordance with the |
| 742 | provisions of paragraph (a), such filing shall be made as soon |
| 743 | as practicable, but no later than 30 days after the effective |
| 744 | date, and shall be considered a "use and file" filing. An |
| 745 | insurer making a "use and file" filing is potentially subject to |
| 746 | an order by the office to return to policyholders portions of |
| 747 | rates found to be excessive, as provided in subsection (11). |
| 748 | (11) If In the event the office finds that a rate or rate |
| 749 | change is excessive, inadequate, or unfairly discriminatory, the |
| 750 | office shall issue an order of disapproval specifying that a new |
| 751 | rate or rate schedule which responds to the findings of the |
| 752 | office be filed by the insurer. The office shall further order |
| 753 | for any "use and file" filing made in accordance with paragraph |
| 754 | (1)(b), that premiums charged each policyholder constituting the |
| 755 | portion of the rate above that which was actuarially justified |
| 756 | be returned to such policyholder in the form of a credit or |
| 757 | refund. If the office finds that an insurer's rate or rate |
| 758 | change is inadequate, the new rate or rate schedule filed with |
| 759 | the office in response to such a finding shall be applicable |
| 760 | only to new or renewal business of the insurer written on or |
| 761 | after the effective date of the responsive filing. |
| 762 | (13)(a) Underwriting rules not contained in rating manuals |
| 763 | shall be filed for private passenger automobile insurance and |
| 764 | homeowners' insurance. |
| 765 | (b) The submission of rates, rating schedules, and rating |
| 766 | manuals to the office by a licensed rating organization of which |
| 767 | an insurer is a member or subscriber will be sufficient |
| 768 | compliance with this subsection for any insurer maintaining |
| 769 | membership or subscribership in such organization, to the extent |
| 770 | that the insurer uses the rates, rating schedules, and rating |
| 771 | manuals of such organization. All such information shall be |
| 772 | available for public inspection, upon receipt by the office, |
| 773 | during usual business hours. |
| 774 | Section 15. Paragraph (e) of subsection (5) of section |
| 775 | 627.311, Florida Statutes, is amended to read: |
| 776 | 627.311 Joint underwriters and joint reinsurers; public |
| 777 | records and public meetings exemptions.-- |
| 778 | (5) |
| 779 | (e) The plan shall establish and use its rates and rating |
| 780 | plans, and the plan may establish and use changes in rating |
| 781 | plans at any time, but no more frequently than two times per any |
| 782 | rating class for any calendar year. By December 1, 1993, and |
| 783 | December 1 of each year thereafter, except as provided in |
| 784 | subparagraph (c)22., the board shall establish and use |
| 785 | actuarially sound rates for use by the plan to assure that the |
| 786 | plan is self-funding while those rates are in effect. Such rates |
| 787 | and rating plans must be filed with the office as provided in s. |
| 788 | 627.062(2)(a) within 30 calendar days after their effective |
| 789 | dates, and shall be considered a "use and file" filing. Any |
| 790 | disapproval by the office must have an effective date that is at |
| 791 | least 60 days from the date of disapproval of the rates and |
| 792 | rating plan and must have prospective effect only. The plan may |
| 793 | not be subject to any order by the office to return to |
| 794 | policyholders any portion of the rates disapproved by the |
| 795 | office. The office may not disapprove any rates or rating plans |
| 796 | unless it demonstrates that such rates and rating plans are |
| 797 | excessive, inadequate, or unfairly discriminatory. |
| 798 | Section 16. Effective upon this act becoming a law, |
| 799 | paragraph (b) of subsection (2) of section 627.351, Florida |
| 800 | Statutes, is amended to read: |
| 801 | 627.351 Insurance risk apportionment plans.-- |
| 802 | (2) WINDSTORM INSURANCE RISK APPORTIONMENT.-- |
| 803 | (b) The department shall require all insurers holding a |
| 804 | certificate of authority to transact property insurance on a |
| 805 | direct basis in this state, other than joint underwriting |
| 806 | associations and other entities formed pursuant to this section, |
| 807 | to provide windstorm coverage to applicants from areas |
| 808 | determined to be eligible pursuant to paragraph (c) who in good |
| 809 | faith are entitled to, but are unable to procure, such coverage |
| 810 | through ordinary means; or it shall adopt a reasonable plan or |
| 811 | plans for the equitable apportionment or sharing among such |
| 812 | insurers of windstorm coverage, which may include formation of |
| 813 | an association for this purpose. As used in this subsection, the |
| 814 | term "property insurance" means insurance on real or personal |
| 815 | property, as defined in s. 624.604, including insurance for |
| 816 | fire, industrial fire, allied lines, farmowners multiperil, |
| 817 | homeowners' multiperil, commercial multiperil, and mobile homes, |
| 818 | and including liability coverages on all such insurance, but |
| 819 | excluding inland marine as defined in s. 624.607(3) and |
| 820 | excluding vehicle insurance as defined in s. 624.605(1)(a) other |
| 821 | than insurance on mobile homes used as permanent dwellings. The |
| 822 | department shall adopt rules that provide a formula for the |
| 823 | recovery and repayment of any deferred assessments. |
| 824 | 1. For the purpose of this section, properties eligible |
| 825 | for such windstorm coverage are defined as dwellings, buildings, |
| 826 | and other structures, including mobile homes which are used as |
| 827 | dwellings and which are tied down in compliance with mobile home |
| 828 | tie-down requirements prescribed by the Department of Highway |
| 829 | Safety and Motor Vehicles pursuant to s. 320.8325, and the |
| 830 | contents of all such properties. An applicant or policyholder is |
| 831 | eligible for coverage only if an offer of coverage cannot be |
| 832 | obtained by or for the applicant or policyholder from an |
| 833 | admitted insurer at approved rates. |
| 834 | 2.a.(I) All insurers required to be members of such |
| 835 | association shall participate in its writings, expenses, and |
| 836 | losses. Surplus of the association shall be retained for the |
| 837 | payment of claims and shall not be distributed to the member |
| 838 | insurers. Such participation by member insurers shall be in the |
| 839 | proportion that the net direct premiums of each member insurer |
| 840 | written for property insurance in this state during the |
| 841 | preceding calendar year bear to the aggregate net direct |
| 842 | premiums for property insurance of all member insurers, as |
| 843 | reduced by any credits for voluntary writings, in this state |
| 844 | during the preceding calendar year. For the purposes of this |
| 845 | subsection, the term "net direct premiums" means direct written |
| 846 | premiums for property insurance, reduced by premium for |
| 847 | liability coverage and for the following if included in allied |
| 848 | lines: rain and hail on growing crops; livestock; association |
| 849 | direct premiums booked; National Flood Insurance Program direct |
| 850 | premiums; and similar deductions specifically authorized by the |
| 851 | plan of operation and approved by the department. A member's |
| 852 | participation shall begin on the first day of the calendar year |
| 853 | following the year in which it is issued a certificate of |
| 854 | authority to transact property insurance in the state and shall |
| 855 | terminate 1 year after the end of the calendar year during which |
| 856 | it no longer holds a certificate of authority to transact |
| 857 | property insurance in the state. The commissioner, after review |
| 858 | of annual statements, other reports, and any other statistics |
| 859 | that the commissioner deems necessary, shall certify to the |
| 860 | association the aggregate direct premiums written for property |
| 861 | insurance in this state by all member insurers. |
| 862 | (II) Effective July 1, 2002, the association shall operate |
| 863 | subject to the supervision and approval of a board of governors |
| 864 | who are the same individuals that have been appointed by the |
| 865 | Treasurer to serve on the board of governors of the Citizens |
| 866 | Property Insurance Corporation. |
| 867 | (III) The plan of operation shall provide a formula |
| 868 | whereby a company voluntarily providing windstorm coverage in |
| 869 | affected areas will be relieved wholly or partially from |
| 870 | apportionment of a regular assessment pursuant to sub-sub- |
| 871 | subparagraph d.(I) or sub-sub-subparagraph d.(II). |
| 872 | (IV) A company which is a member of a group of companies |
| 873 | under common management may elect to have its credits applied on |
| 874 | a group basis, and any company or group may elect to have its |
| 875 | credits applied to any other company or group. |
| 876 | (V) There shall be no credits or relief from apportionment |
| 877 | to a company for emergency assessments collected from its |
| 878 | policyholders under sub-sub-subparagraph d.(III). |
| 879 | (VI) The plan of operation may also provide for the award |
| 880 | of credits, for a period not to exceed 3 years, from a regular |
| 881 | assessment pursuant to sub-sub-subparagraph d.(I) or sub-sub- |
| 882 | subparagraph d.(II) as an incentive for taking policies out of |
| 883 | the Residential Property and Casualty Joint Underwriting |
| 884 | Association. In order to qualify for the exemption under this |
| 885 | sub-sub-subparagraph, the take-out plan must provide that at |
| 886 | least 40 percent of the policies removed from the Residential |
| 887 | Property and Casualty Joint Underwriting Association cover risks |
| 888 | located in Dade, Broward, and Palm Beach Counties or at least 30 |
| 889 | percent of the policies so removed cover risks located in Dade, |
| 890 | Broward, and Palm Beach Counties and an additional 50 percent of |
| 891 | the policies so removed cover risks located in other coastal |
| 892 | counties, and must also provide that no more than 15 percent of |
| 893 | the policies so removed may exclude windstorm coverage. With the |
| 894 | approval of the department, the association may waive these |
| 895 | geographic criteria for a take-out plan that removes at least |
| 896 | the lesser of 100,000 Residential Property and Casualty Joint |
| 897 | Underwriting Association policies or 15 percent of the total |
| 898 | number of Residential Property and Casualty Joint Underwriting |
| 899 | Association policies, provided the governing board of the |
| 900 | Residential Property and Casualty Joint Underwriting Association |
| 901 | certifies that the take-out plan will materially reduce the |
| 902 | Residential Property and Casualty Joint Underwriting |
| 903 | Association's 100-year probable maximum loss from hurricanes. |
| 904 | With the approval of the department, the board may extend such |
| 905 | credits for an additional year if the insurer guarantees an |
| 906 | additional year of renewability for all policies removed from |
| 907 | the Residential Property and Casualty Joint Underwriting |
| 908 | Association, or for 2 additional years if the insurer guarantees |
| 909 | 2 additional years of renewability for all policies removed from |
| 910 | the Residential Property and Casualty Joint Underwriting |
| 911 | Association. |
| 912 | b. Assessments to pay deficits in the association under |
| 913 | this subparagraph shall be included as an appropriate factor in |
| 914 | the making of rates as provided in s. 627.3512. |
| 915 | c. The Legislature finds that the potential for unlimited |
| 916 | deficit assessments under this subparagraph may induce insurers |
| 917 | to attempt to reduce their writings in the voluntary market, and |
| 918 | that such actions would worsen the availability problems that |
| 919 | the association was created to remedy. It is the intent of the |
| 920 | Legislature that insurers remain fully responsible for paying |
| 921 | regular assessments and collecting emergency assessments for any |
| 922 | deficits of the association; however, it is also the intent of |
| 923 | the Legislature to provide a means by which assessment |
| 924 | liabilities may be amortized over a period of years. |
| 925 | d.(I) When the deficit incurred in a particular calendar |
| 926 | year is 10 percent or less of the aggregate statewide direct |
| 927 | written premium for property insurance for the prior calendar |
| 928 | year for all member insurers, the association shall levy an |
| 929 | assessment on member insurers in an amount equal to the deficit. |
| 930 | (II) When the deficit incurred in a particular calendar |
| 931 | year exceeds 10 percent of the aggregate statewide direct |
| 932 | written premium for property insurance for the prior calendar |
| 933 | year for all member insurers, the association shall levy an |
| 934 | assessment on member insurers in an amount equal to the greater |
| 935 | of 10 percent of the deficit or 10 percent of the aggregate |
| 936 | statewide direct written premium for property insurance for the |
| 937 | prior calendar year for member insurers. Any remaining deficit |
| 938 | shall be recovered through emergency assessments under sub-sub- |
| 939 | subparagraph (III). |
| 940 | (III) Upon a determination by the board of directors that |
| 941 | a deficit exceeds the amount that will be recovered through |
| 942 | regular assessments on member insurers, pursuant to sub-sub- |
| 943 | subparagraph (I) or sub-sub-subparagraph (II), the board shall |
| 944 | levy, after verification by the department, emergency |
| 945 | assessments to be collected by member insurers and by |
| 946 | underwriting associations created pursuant to this section which |
| 947 | write property insurance, upon issuance or renewal of property |
| 948 | insurance policies other than National Flood Insurance policies |
| 949 | in the year or years following levy of the regular assessments. |
| 950 | The amount of the emergency assessment collected in a particular |
| 951 | year shall be a uniform percentage of that year's direct written |
| 952 | premium for property insurance for all member insurers and |
| 953 | underwriting associations, excluding National Flood Insurance |
| 954 | policy premiums, as annually determined by the board and |
| 955 | verified by the department. The department shall verify the |
| 956 | arithmetic calculations involved in the board's determination |
| 957 | within 30 days after receipt of the information on which the |
| 958 | determination was based. Notwithstanding any other provision of |
| 959 | law, each member insurer and each underwriting association |
| 960 | created pursuant to this section shall collect emergency |
| 961 | assessments from its policyholders without such obligation being |
| 962 | affected by any credit, limitation, exemption, or deferment. The |
| 963 | emergency assessments so collected shall be transferred directly |
| 964 | to the association on a periodic basis as determined by the |
| 965 | association. The aggregate amount of emergency assessments |
| 966 | levied under this sub-sub-subparagraph in any calendar year may |
| 967 | not exceed the greater of 10 percent of the amount needed to |
| 968 | cover the original deficit, plus interest, fees, commissions, |
| 969 | required reserves, and other costs associated with financing of |
| 970 | the original deficit, or 10 percent of the aggregate statewide |
| 971 | direct written premium for property insurance written by member |
| 972 | insurers and underwriting associations for the prior year, plus |
| 973 | interest, fees, commissions, required reserves, and other costs |
| 974 | associated with financing the original deficit. The board may |
| 975 | pledge the proceeds of the emergency assessments under this sub- |
| 976 | sub-subparagraph as the source of revenue for bonds, to retire |
| 977 | any other debt incurred as a result of the deficit or events |
| 978 | giving rise to the deficit, or in any other way that the board |
| 979 | determines will efficiently recover the deficit. The emergency |
| 980 | assessments under this sub-sub-subparagraph shall continue as |
| 981 | long as any bonds issued or other indebtedness incurred with |
| 982 | respect to a deficit for which the assessment was imposed remain |
| 983 | outstanding, unless adequate provision has been made for the |
| 984 | payment of such bonds or other indebtedness pursuant to the |
| 985 | document governing such bonds or other indebtedness. Emergency |
| 986 | assessments collected under this sub-sub-subparagraph are not |
| 987 | part of an insurer's rates, are not premium, and are not subject |
| 988 | to premium tax, fees, or commissions; however, failure to pay |
| 989 | the emergency assessment shall be treated as failure to pay |
| 990 | premium. |
| 991 | (IV) Each member insurer's share of the total regular |
| 992 | assessments under sub-sub-subparagraph (I) or sub-sub- |
| 993 | subparagraph (II) shall be in the proportion that the insurer's |
| 994 | net direct premium for property insurance in this state, for the |
| 995 | year preceding the assessment bears to the aggregate statewide |
| 996 | net direct premium for property insurance of all member |
| 997 | insurers, as reduced by any credits for voluntary writings for |
| 998 | that year. |
| 999 | (V) If regular deficit assessments are made under sub-sub- |
| 1000 | subparagraph (I) or sub-sub-subparagraph (II), or by the |
| 1001 | Residential Property and Casualty Joint Underwriting Association |
| 1002 | under sub-subparagraph (6)(b)3.a. or sub-subparagraph |
| 1003 | (6)(b)3.b., the association shall levy upon the association's |
| 1004 | policyholders, as part of its next rate filing, or by a separate |
| 1005 | rate filing solely for this purpose, a market equalization |
| 1006 | surcharge in a percentage equal to the total amount of such |
| 1007 | regular assessments divided by the aggregate statewide direct |
| 1008 | written premium for property insurance for member insurers for |
| 1009 | the prior calendar year. Market equalization surcharges under |
| 1010 | this sub-sub-subparagraph are not considered premium and are not |
| 1011 | subject to commissions, fees, or premium taxes; however, failure |
| 1012 | to pay a market equalization surcharge shall be treated as |
| 1013 | failure to pay premium. |
| 1014 | e. The governing body of any unit of local government, any |
| 1015 | residents of which are insured under the plan, may issue bonds |
| 1016 | as defined in s. 125.013 or s. 166.101 to fund an assistance |
| 1017 | program, in conjunction with the association, for the purpose of |
| 1018 | defraying deficits of the association. In order to avoid |
| 1019 | needless and indiscriminate proliferation, duplication, and |
| 1020 | fragmentation of such assistance programs, any unit of local |
| 1021 | government, any residents of which are insured by the |
| 1022 | association, may provide for the payment of losses, regardless |
| 1023 | of whether or not the losses occurred within or outside of the |
| 1024 | territorial jurisdiction of the local government. Revenue bonds |
| 1025 | may not be issued until validated pursuant to chapter 75, unless |
| 1026 | a state of emergency is declared by executive order or |
| 1027 | proclamation of the Governor pursuant to s. 252.36 making such |
| 1028 | findings as are necessary to determine that it is in the best |
| 1029 | interests of, and necessary for, the protection of the public |
| 1030 | health, safety, and general welfare of residents of this state |
| 1031 | and the protection and preservation of the economic stability of |
| 1032 | insurers operating in this state, and declaring it an essential |
| 1033 | public purpose to permit certain municipalities or counties to |
| 1034 | issue bonds as will provide relief to claimants and |
| 1035 | policyholders of the association and insurers responsible for |
| 1036 | apportionment of plan losses. Any such unit of local government |
| 1037 | may enter into such contracts with the association and with any |
| 1038 | other entity created pursuant to this subsection as are |
| 1039 | necessary to carry out this paragraph. Any bonds issued under |
| 1040 | this sub-subparagraph shall be payable from and secured by |
| 1041 | moneys received by the association from assessments under this |
| 1042 | subparagraph, and assigned and pledged to or on behalf of the |
| 1043 | unit of local government for the benefit of the holders of such |
| 1044 | bonds. The funds, credit, property, and taxing power of the |
| 1045 | state or of the unit of local government shall not be pledged |
| 1046 | for the payment of such bonds. If any of the bonds remain unsold |
| 1047 | 60 days after issuance, the department shall require all |
| 1048 | insurers subject to assessment to purchase the bonds, which |
| 1049 | shall be treated as admitted assets; each insurer shall be |
| 1050 | required to purchase that percentage of the unsold portion of |
| 1051 | the bond issue that equals the insurer's relative share of |
| 1052 | assessment liability under this subsection. An insurer shall not |
| 1053 | be required to purchase the bonds to the extent that the |
| 1054 | department determines that the purchase would endanger or impair |
| 1055 | the solvency of the insurer. The authority granted by this sub- |
| 1056 | subparagraph is additional to any bonding authority granted by |
| 1057 | subparagraph 6. |
| 1058 | 3. The plan shall also provide that any member with a |
| 1059 | surplus as to policyholders of $20 million or less writing 25 |
| 1060 | percent or more of its total countrywide property insurance |
| 1061 | premiums in this state may petition the department, within the |
| 1062 | first 90 days of each calendar year, to qualify as a limited |
| 1063 | apportionment company. The apportionment of such a member |
| 1064 | company in any calendar year for which it is qualified shall not |
| 1065 | exceed its gross participation, which shall not be affected by |
| 1066 | the formula for voluntary writings. In no event shall a limited |
| 1067 | apportionment company be required to participate in any |
| 1068 | apportionment of losses pursuant to sub-sub-subparagraph 2.d.(I) |
| 1069 | or sub-sub-subparagraph 2.d.(II) in the aggregate which exceeds |
| 1070 | $50 million after payment of available plan funds in any |
| 1071 | calendar year. However, a limited apportionment company shall |
| 1072 | collect from its policyholders any emergency assessment imposed |
| 1073 | under sub-sub-subparagraph 2.d.(III). The plan shall provide |
| 1074 | that, if the department determines that any regular assessment |
| 1075 | will result in an impairment of the surplus of a limited |
| 1076 | apportionment company, the department may direct that all or |
| 1077 | part of such assessment be deferred. However, there shall be no |
| 1078 | limitation or deferment of an emergency assessment to be |
| 1079 | collected from policyholders under sub-sub-subparagraph |
| 1080 | 2.d.(III). |
| 1081 | 4. The plan shall provide for the deferment, in whole or |
| 1082 | in part, of a regular assessment of a member insurer under sub- |
| 1083 | sub-subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II), but |
| 1084 | not for an emergency assessment collected from policyholders |
| 1085 | under sub-sub-subparagraph 2.d.(III), if, in the opinion of the |
| 1086 | commissioner, payment of such regular assessment would endanger |
| 1087 | or impair the solvency of the member insurer. In the event a |
| 1088 | regular assessment against a member insurer is deferred in whole |
| 1089 | or in part, the amount by which such assessment is deferred may |
| 1090 | be assessed against the other member insurers in a manner |
| 1091 | consistent with the basis for assessments set forth in sub-sub- |
| 1092 | subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II). |
| 1093 | 5.a. The plan of operation may include deductibles and |
| 1094 | rules for classification of risks and rate modifications |
| 1095 | consistent with the objective of providing and maintaining funds |
| 1096 | sufficient to pay catastrophe losses. |
| 1097 | b. The association may require arbitration of a rate |
| 1098 | filing under s. 627.062(6). It is the intent of the Legislature |
| 1099 | that the rates for coverage provided by the association be |
| 1100 | actuarially sound and not competitive with approved rates |
| 1101 | charged in the admitted voluntary market such that the |
| 1102 | association functions as a residual market mechanism to provide |
| 1103 | insurance only when the insurance cannot be procured in the |
| 1104 | voluntary market. The plan of operation shall provide a |
| 1105 | mechanism to assure that, beginning no later than January 1, |
| 1106 | 1999, the rates charged by the association for each line of |
| 1107 | business are reflective of approved rates in the voluntary |
| 1108 | market for hurricane coverage for each line of business in the |
| 1109 | various areas eligible for association coverage. |
| 1110 | c. The association shall provide for windstorm coverage on |
| 1111 | residential properties in limits up to $10 million for |
| 1112 | commercial lines residential risks and up to $1 million for |
| 1113 | personal lines residential risks. If coverage with the |
| 1114 | association is sought for a residential risk valued in excess of |
| 1115 | these limits, coverage shall be available to the risk up to the |
| 1116 | replacement cost or actual cash value of the property, at the |
| 1117 | option of the insured, if coverage for the risk cannot be |
| 1118 | located in the authorized market. The association must accept a |
| 1119 | commercial lines residential risk with limits above $10 million |
| 1120 | or a personal lines residential risk with limits above $1 |
| 1121 | million if coverage is not available in the authorized market. |
| 1122 | The association may write coverage above the limits specified in |
| 1123 | this subparagraph with or without facultative or other |
| 1124 | reinsurance coverage, as the association determines appropriate. |
| 1125 | d. The plan of operation must provide objective criteria |
| 1126 | and procedures, approved by the department, to be uniformly |
| 1127 | applied for all applicants in determining whether an individual |
| 1128 | risk is so hazardous as to be uninsurable. In making this |
| 1129 | determination and in establishing the criteria and procedures, |
| 1130 | the following shall be considered: |
| 1131 | (I) Whether the likelihood of a loss for the individual |
| 1132 | risk is substantially higher than for other risks of the same |
| 1133 | class; and |
| 1134 | (II) Whether the uncertainty associated with the |
| 1135 | individual risk is such that an appropriate premium cannot be |
| 1136 | determined. |
| 1137 |
|
| 1138 | The acceptance or rejection of a risk by the association |
| 1139 | pursuant to such criteria and procedures must be construed as |
| 1140 | the private placement of insurance, and the provisions of |
| 1141 | chapter 120 do not apply. |
| 1142 | e. If the risk accepts an offer of coverage through the |
| 1143 | market assistance program or through a mechanism established by |
| 1144 | the association, either before the policy is issued by the |
| 1145 | association or during the first 30 days of coverage by the |
| 1146 | association, and the producing agent who submitted the |
| 1147 | application to the association is not currently appointed by the |
| 1148 | insurer, the insurer shall: |
| 1149 | (I) Pay to the producing agent of record of the policy, |
| 1150 | for the first year, an amount that is the greater of the |
| 1151 | insurer's usual and customary commission for the type of policy |
| 1152 | written or a fee equal to the usual and customary commission of |
| 1153 | the association; or |
| 1154 | (II) Offer to allow the producing agent of record of the |
| 1155 | policy to continue servicing the policy for a period of not less |
| 1156 | than 1 year and offer to pay the agent the greater of the |
| 1157 | insurer's or the association's usual and customary commission |
| 1158 | for the type of policy written. |
| 1159 |
|
| 1160 | If the producing agent is unwilling or unable to accept |
| 1161 | appointment, the new insurer shall pay the agent in accordance |
| 1162 | with sub-sub-subparagraph (I). Subject to the provisions of s. |
| 1163 | 627.3517, the policies issued by the association must provide |
| 1164 | that if the association obtains an offer from an authorized |
| 1165 | insurer to cover the risk at its approved rates under either a |
| 1166 | standard policy including wind coverage or, if consistent with |
| 1167 | the insurer's underwriting rules as filed with the department, a |
| 1168 | basic policy including wind coverage, the risk is no longer |
| 1169 | eligible for coverage through the association. Upon termination |
| 1170 | of eligibility, the association shall provide written notice to |
| 1171 | the policyholder and agent of record stating that the |
| 1172 | association policy must be canceled as of 60 days after the date |
| 1173 | of the notice because of the offer of coverage from an |
| 1174 | authorized insurer. Other provisions of the insurance code |
| 1175 | relating to cancellation and notice of cancellation do not apply |
| 1176 | to actions under this sub-subparagraph. |
| 1177 | f. When the association enters into a contractual |
| 1178 | agreement for a take-out plan, the producing agent of record of |
| 1179 | the association policy is entitled to retain any unearned |
| 1180 | commission on the policy, and the insurer shall: |
| 1181 | (I) Pay to the producing agent of record of the |
| 1182 | association policy, for the first year, an amount that is the |
| 1183 | greater of the insurer's usual and customary commission for the |
| 1184 | type of policy written or a fee equal to the usual and customary |
| 1185 | commission of the association; or |
| 1186 | (II) Offer to allow the producing agent of record of the |
| 1187 | association policy to continue servicing the policy for a period |
| 1188 | of not less than 1 year and offer to pay the agent the greater |
| 1189 | of the insurer's or the association's usual and customary |
| 1190 | commission for the type of policy written. |
| 1191 |
|
| 1192 | If the producing agent is unwilling or unable to accept |
| 1193 | appointment, the new insurer shall pay the agent in accordance |
| 1194 | with sub-sub-subparagraph (I). |
| 1195 | 6.a. The plan of operation may authorize the formation of |
| 1196 | a private nonprofit corporation, a private nonprofit |
| 1197 | unincorporated association, a partnership, a trust, a limited |
| 1198 | liability company, or a nonprofit mutual company which may be |
| 1199 | empowered, among other things, to borrow money by issuing bonds |
| 1200 | or by incurring other indebtedness and to accumulate reserves or |
| 1201 | funds to be used for the payment of insured catastrophe losses. |
| 1202 | The plan may authorize all actions necessary to facilitate the |
| 1203 | issuance of bonds, including the pledging of assessments or |
| 1204 | other revenues. |
| 1205 | b. Any entity created under this subsection, or any entity |
| 1206 | formed for the purposes of this subsection, may sue and be sued, |
| 1207 | may borrow money; issue bonds, notes, or debt instruments; |
| 1208 | pledge or sell assessments, market equalization surcharges and |
| 1209 | other surcharges, rights, premiums, contractual rights, |
| 1210 | projected recoveries from the Florida Hurricane Catastrophe |
| 1211 | Fund, other reinsurance recoverables, and other assets as |
| 1212 | security for such bonds, notes, or debt instruments; enter into |
| 1213 | any contracts or agreements necessary or proper to accomplish |
| 1214 | such borrowings; and take other actions necessary to carry out |
| 1215 | the purposes of this subsection. The association may issue bonds |
| 1216 | or incur other indebtedness, or have bonds issued on its behalf |
| 1217 | by a unit of local government pursuant to subparagraph (6)(g)2., |
| 1218 | in the absence of a hurricane or other weather-related event, |
| 1219 | upon a determination by the association subject to approval by |
| 1220 | the department that such action would enable it to efficiently |
| 1221 | meet the financial obligations of the association and that such |
| 1222 | financings are reasonably necessary to effectuate the |
| 1223 | requirements of this subsection. Any such entity may accumulate |
| 1224 | reserves and retain surpluses as of the end of any association |
| 1225 | year to provide for the payment of losses incurred by the |
| 1226 | association during that year or any future year. The association |
| 1227 | shall incorporate and continue the plan of operation and |
| 1228 | articles of agreement in effect on the effective date of chapter |
| 1229 | 76-96, Laws of Florida, to the extent that it is not |
| 1230 | inconsistent with chapter 76-96, and as subsequently modified |
| 1231 | consistent with chapter 76-96. The board of directors and |
| 1232 | officers currently serving shall continue to serve until their |
| 1233 | successors are duly qualified as provided under the plan. The |
| 1234 | assets and obligations of the plan in effect immediately prior |
| 1235 | to the effective date of chapter 76-96 shall be construed to be |
| 1236 | the assets and obligations of the successor plan created herein. |
| 1237 | c. In recognition of s. 10, Art. I of the State |
| 1238 | Constitution, prohibiting the impairment of obligations of |
| 1239 | contracts, it is the intent of the Legislature that no action be |
| 1240 | taken whose purpose is to impair any bond indenture or financing |
| 1241 | agreement or any revenue source committed by contract to such |
| 1242 | bond or other indebtedness issued or incurred by the association |
| 1243 | or any other entity created under this subsection. |
| 1244 | 7. On such coverage, an agent's remuneration shall be that |
| 1245 | amount of money payable to the agent by the terms of his or her |
| 1246 | contract with the company with which the business is placed. |
| 1247 | However, no commission will be paid on that portion of the |
| 1248 | premium which is in excess of the standard premium of that |
| 1249 | company. |
| 1250 | 8. Subject to approval by the department, the association |
| 1251 | may establish different eligibility requirements and operational |
| 1252 | procedures for any line or type of coverage for any specified |
| 1253 | eligible area or portion of an eligible area if the board |
| 1254 | determines that such changes to the eligibility requirements and |
| 1255 | operational procedures are justified due to the voluntary market |
| 1256 | being sufficiently stable and competitive in such area or for |
| 1257 | such line or type of coverage and that consumers who, in good |
| 1258 | faith, are unable to obtain insurance through the voluntary |
| 1259 | market through ordinary methods would continue to have access to |
| 1260 | coverage from the association. When coverage is sought in |
| 1261 | connection with a real property transfer, such requirements and |
| 1262 | procedures shall not provide for an effective date of coverage |
| 1263 | later than the date of the closing of the transfer as |
| 1264 | established by the transferor, the transferee, and, if |
| 1265 | applicable, the lender. |
| 1266 | 9. Notwithstanding any other provision of law: |
| 1267 | a. The pledge or sale of, the lien upon, and the security |
| 1268 | interest in any rights, revenues, or other assets of the |
| 1269 | association created or purported to be created pursuant to any |
| 1270 | financing documents to secure any bonds or other indebtedness of |
| 1271 | the association shall be and remain valid and enforceable, |
| 1272 | notwithstanding the commencement of and during the continuation |
| 1273 | of, and after, any rehabilitation, insolvency, liquidation, |
| 1274 | bankruptcy, receivership, conservatorship, reorganization, or |
| 1275 | similar proceeding against the association under the laws of |
| 1276 | this state or any other applicable laws. |
| 1277 | b. No such proceeding shall relieve the association of its |
| 1278 | obligation, or otherwise affect its ability to perform its |
| 1279 | obligation, to continue to collect, or levy and collect, |
| 1280 | assessments, market equalization or other surcharges, projected |
| 1281 | recoveries from the Florida Hurricane Catastrophe Fund, |
| 1282 | reinsurance recoverables, or any other rights, revenues, or |
| 1283 | other assets of the association pledged. |
| 1284 | c. Each such pledge or sale of, lien upon, and security |
| 1285 | interest in, including the priority of such pledge, lien, or |
| 1286 | security interest, any such assessments, emergency assessments, |
| 1287 | market equalization or renewal surcharges, projected recoveries |
| 1288 | from the Florida Hurricane Catastrophe Fund, reinsurance |
| 1289 | recoverables, or other rights, revenues, or other assets which |
| 1290 | are collected, or levied and collected, after the commencement |
| 1291 | of and during the pendency of or after any such proceeding shall |
| 1292 | continue unaffected by such proceeding. |
| 1293 | d. As used in this subsection, the term "financing |
| 1294 | documents" means any agreement, instrument, or other document |
| 1295 | now existing or hereafter created evidencing any bonds or other |
| 1296 | indebtedness of the association or pursuant to which any such |
| 1297 | bonds or other indebtedness has been or may be issued and |
| 1298 | pursuant to which any rights, revenues, or other assets of the |
| 1299 | association are pledged or sold to secure the repayment of such |
| 1300 | bonds or indebtedness, together with the payment of interest on |
| 1301 | such bonds or such indebtedness, or the payment of any other |
| 1302 | obligation of the association related to such bonds or |
| 1303 | indebtedness. |
| 1304 | e. Any such pledge or sale of assessments, revenues, |
| 1305 | contract rights or other rights or assets of the association |
| 1306 | shall constitute a lien and security interest, or sale, as the |
| 1307 | case may be, that is immediately effective and attaches to such |
| 1308 | assessments, revenues, contract, or other rights or assets, |
| 1309 | whether or not imposed or collected at the time the pledge or |
| 1310 | sale is made. Any such pledge or sale is effective, valid, |
| 1311 | binding, and enforceable against the association or other entity |
| 1312 | making such pledge or sale, and valid and binding against and |
| 1313 | superior to any competing claims or obligations owed to any |
| 1314 | other person or entity, including policyholders in this state, |
| 1315 | asserting rights in any such assessments, revenues, contract, or |
| 1316 | other rights or assets to the extent set forth in and in |
| 1317 | accordance with the terms of the pledge or sale contained in the |
| 1318 | applicable financing documents, whether or not any such person |
| 1319 | or entity has notice of such pledge or sale and without the need |
| 1320 | for any physical delivery, recordation, filing, or other action. |
| 1321 | f. There shall be no liability on the part of, and no |
| 1322 | cause of action of any nature shall arise against, any member |
| 1323 | insurer or its agents or employees, agents or employees of the |
| 1324 | association, members of the board of directors of the |
| 1325 | association, or the department or its representatives, for any |
| 1326 | action taken by them in the performance of their duties or |
| 1327 | responsibilities under this subsection. Such immunity does not |
| 1328 | apply to actions for breach of any contract or agreement |
| 1329 | pertaining to insurance, or any willful tort. |
| 1330 | Section 17. Paragraph (a) of subsection (2) of section |
| 1331 | 627.4025, Florida Statutes, is amended to read: |
| 1332 | 627.4025 Residential coverage and hurricane coverage |
| 1333 | defined.-- |
| 1334 | (2) As used in policies providing residential coverage: |
| 1335 | (a) "Hurricane coverage" is coverage for loss or damage |
| 1336 | caused by the peril of windstorm during a hurricane. The term |
| 1337 | includes ensuing damage to the interior of a building, or to |
| 1338 | property inside a building, caused by rain, snow, sleet, hail, |
| 1339 | sand, or dust if the direct force of the windstorm first damages |
| 1340 | the building, causing an opening through which rain, snow, |
| 1341 | sleet, hail, sand, or dust enters and causes damage. The term |
| 1342 | also includes coverage for damage to the interior of a building, |
| 1343 | or to property inside a building, which is caused by wind-driven |
| 1344 | water entering the building during a hurricane. |
| 1345 | Section 18. Effective upon this act becoming a law, |
| 1346 | subsection (7) is added to section 627.4133, Florida Statutes, |
| 1347 | to read: |
| 1348 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
| 1349 | premium.-- |
| 1350 | (7) An insurer may not cancel or nonrenew a residential |
| 1351 | property insurance policy for any reason other than a fraudulent |
| 1352 | act by the policyholder with respect to that or any other |
| 1353 | policy, for a policyholder who has been continuously insured |
| 1354 | with that insurer or with an insurer within the same insurance |
| 1355 | group for 3 years or longer. |
| 1356 | Section 19. Subsection (1) of section 627.4145, Florida |
| 1357 | Statutes, is amended to read: |
| 1358 | 627.4145 Readable language in insurance policies.-- |
| 1359 | (1) Every policy shall be readable as required by this |
| 1360 | section. For the purposes of this section, the term "policy" |
| 1361 | means a policy form or endorsement. A policy is deemed readable |
| 1362 | if: |
| 1363 | (a) The text achieves a minimum score of 50 45 on the |
| 1364 | Flesch reading ease test as computed in subsection (5) or an |
| 1365 | equivalent score on any other test comparable in result and |
| 1366 | approved by the office.; |
| 1367 | (b) It uses layout and spacing which separate the |
| 1368 | paragraphs from each other and from the border of the paper.; |
| 1369 | (c) It has section titles that are captioned in boldfaced |
| 1370 | type or that otherwise stand out significantly from the text.; |
| 1371 | (d) It avoids the use of unnecessarily long, complicated, |
| 1372 | or obscure words, sentences, paragraphs, or constructions.; |
| 1373 | (e) The style, arrangement, and overall appearance of the |
| 1374 | policy give no undue prominence to any portion of the text of |
| 1375 | the policy or to any endorsements or riders.; and |
| 1376 | (f) It contains a table of contents or an index of the |
| 1377 | principal sections of the policy, if the policy has more than |
| 1378 | 3,000 words or more than three pages. |
| 1379 | Section 20. Section 627.41494, Florida Statutes, is |
| 1380 | created to read: |
| 1381 | 627.41494 Consumer participation in rate review.-- |
| 1382 | (1) Upon the filing of a proposed rate change for |
| 1383 | residential property insurance by an insurer under s. 627.062, |
| 1384 | which filing would, pursuant to standards determined by the |
| 1385 | office, result in an average statewide increase of 10 percent or |
| 1386 | more as compared to the rates in effect at that time or the |
| 1387 | rates in effect 12 months prior to the proposed effective date, |
| 1388 | the insurer shall mail notice of such filing to each of its |
| 1389 | policyholders or members. |
| 1390 | (2) The rate filing shall be available for public |
| 1391 | inspection. If any policyholder or member requests the office |
| 1392 | within 30 days after the mailing of such notification pursuant |
| 1393 | to subsection (1) to hold a hearing, the office shall hold a |
| 1394 | hearing within 30 days after such request. Any consumer advocacy |
| 1395 | group or the Public Counsel under chapter 11 may participate in |
| 1396 | such hearing, and the commission may adopt rules governing such |
| 1397 | participation. |
| 1398 | (3) For purposes of this section, the term "consumer |
| 1399 | advocacy group" means an organization with a membership of at |
| 1400 | least 1,000 individuals, the purpose of which is to represent |
| 1401 | the best interests of the public in matters relating, but not |
| 1402 | limited, to insurance rate filings before the office. The |
| 1403 | consumer advocacy group may: |
| 1404 | (a) Appear in any proceeding or action before the |
| 1405 | department or office or appear in any proceeding before the |
| 1406 | Division of Administrative Hearings relating to rate filings |
| 1407 | subject to subsection (1). |
| 1408 | (b) Have access to and use of all files, records, and data |
| 1409 | of the office relating to such rate filings. |
| 1410 | (c) Examine such rate and form filings submitted to the |
| 1411 | office. |
| 1412 | (d) Recommend to the office any position deemed by the |
| 1413 | group to be in the best interest of the public in matters |
| 1414 | relating to such rate filings. |
| 1415 |
|
| 1416 | This subsection does not limit the rights of a consumer advocacy |
| 1417 | group to have access to records of the office as otherwise |
| 1418 | available pursuant to law. |
| 1419 | (4) The office shall order the insurer to pay the |
| 1420 | reasonable costs of the consumer advocacy group if the office |
| 1421 | determines that the consumer advocacy group made a relevant and |
| 1422 | substantial contribution to the final order on the rate filing. |
| 1423 | In determining the reasonable costs the insurer shall pay the |
| 1424 | consumer advocacy group, the office shall consider, among other |
| 1425 | things, the time, labor, fees, and expenses incurred by the |
| 1426 | advocacy group. |
| 1427 | Section 21. Effective upon this act becoming a law, |
| 1428 | subsection (3) of section 627.701, Florida Statutes, is amended |
| 1429 | to read: |
| 1430 | 627.701 Liability of insureds; coinsurance; deductibles.-- |
| 1431 | (3)(a) A policy of residential property insurance shall |
| 1432 | include a deductible amount applicable to hurricane losses no |
| 1433 | lower than $500 and no higher than 5 2 percent of the policy |
| 1434 | dwelling limits with respect to personal lines residential |
| 1435 | risks, and no higher than 3 percent of the policy limits with |
| 1436 | respect to commercial lines residential risks; however, if a |
| 1437 | risk was covered on August 24, 1992, under a policy having a |
| 1438 | higher deductible than the deductibles allowed by this |
| 1439 | paragraph, a policy covering such risk may include a deductible |
| 1440 | no higher than the deductible in effect on August 24, 1992. |
| 1441 | Notwithstanding the other provisions of this paragraph, a |
| 1442 | personal lines residential policy covering a risk valued at |
| 1443 | $50,000 or less may include a deductible amount attributable to |
| 1444 | hurricane losses no lower than $250, and a personal lines |
| 1445 | residential policy covering a risk valued at $100,000 or more |
| 1446 | may include a deductible amount attributable to hurricane losses |
| 1447 | no higher than 10 percent of the policy limits unless subject to |
| 1448 | a higher deductible on August 24, 1992; however, no maximum |
| 1449 | deductible is required with respect to a personal lines |
| 1450 | residential policy covering a risk valued at more than $500,000. |
| 1451 | An insurer may require a higher deductible, provided such |
| 1452 | deductible is the same as or similar to a deductible program |
| 1453 | lawfully in effect on June 14, 1995. In addition to the |
| 1454 | deductible amounts authorized by this paragraph, an insurer may |
| 1455 | also offer policies with a copayment provision under which, |
| 1456 | after exhaustion of the deductible, the policyholder is |
| 1457 | responsible for 10 percent of the next $10,000 of insured |
| 1458 | hurricane losses. |
| 1459 | (b)1. Except as otherwise provided in this paragraph, |
| 1460 | prior to issuing a personal lines residential property insurance |
| 1461 | policy on or after July January 1, 2006, or prior to the first |
| 1462 | renewal of a residential property insurance policy on or after |
| 1463 | July January 1, 2006, the insurer must offer alternative |
| 1464 | deductible amounts applicable to hurricane losses equal to $500, |
| 1465 | 1 percent, 2 percent, 5 percent, and 10 percent of the policy |
| 1466 | dwelling limits, but it need not offer a deductible expressed as |
| 1467 | a percentage when that unless the specific percentage deductible |
| 1468 | is less than $500. The written notice of the offer shall specify |
| 1469 | the hurricane or wind deductible to be applied in the event that |
| 1470 | the applicant or policyholder fails to affirmatively choose a |
| 1471 | hurricane deductible. The insurer must provide such policyholder |
| 1472 | with notice of the availability of the deductible amounts |
| 1473 | specified in this paragraph in a form approved by the office in |
| 1474 | conjunction with each renewal of the policy. The failure to |
| 1475 | provide such notice constitutes a violation of this code but |
| 1476 | does not affect the coverage provided under the policy. |
| 1477 | 2. This paragraph does not apply with respect to a |
| 1478 | deductible program lawfully in effect on June 14, 1995, or to |
| 1479 | any similar deductible program, if the deductible program |
| 1480 | requires a minimum deductible amount of no less than 1 2 percent |
| 1481 | of the policy limits. |
| 1482 | 3. With respect to a policy covering a risk with dwelling |
| 1483 | limits of at least $100,000, but less than $250,000, the insurer |
| 1484 | may, in lieu of offering a policy with a $500 hurricane or wind |
| 1485 | deductible as required by subparagraph 1., offer a policy that |
| 1486 | the insurer guarantees it will not nonrenew for reasons of |
| 1487 | reducing hurricane loss for one renewal period and that contains |
| 1488 | up to a 2 percent hurricane or wind deductible as required by |
| 1489 | subparagraph 1. |
| 1490 | 3.4. With respect to a policy covering a risk with |
| 1491 | dwelling limits of $250,000 or more, the insurer need not offer |
| 1492 | the $500 hurricane deductible as required by subparagraph 1., |
| 1493 | but must, except as otherwise provided in this subsection, offer |
| 1494 | the other hurricane deductibles as required by subparagraph 1. |
| 1495 | Section 22. Section 627.70105, Florida Statutes, is |
| 1496 | created to read: |
| 1497 | 627.70105 Hurricane coverage; additional |
| 1498 | requirement.--Each insurance contract providing hurricane |
| 1499 | coverage must include a provision that, if insured residential |
| 1500 | property becomes uninhabitable due to damage from a hurricane |
| 1501 | and the insurer is liable for living expenses of the insured |
| 1502 | while the covered property remains uninhabitable, initial living |
| 1503 | expense payments must be delivered to the insured no later than |
| 1504 | 48 hours after a claim therefor is made with the insurer. |
| 1505 | Section 23. The sum of $50 million is appropriated for |
| 1506 | fiscal year 2006-2007 on a nonrecurring basis from the General |
| 1507 | Revenue Fund to the Department of Community Affairs in the |
| 1508 | special appropriation category "Residential Hurricane Mitigation |
| 1509 | Low-Interest Loan Program" for low-interest loans to qualified |
| 1510 | owners of residences and qualified owners of mobile homes to |
| 1511 | finance efforts to improve the wind resistance of residences to |
| 1512 | prevent or reduce losses or reduce the cost of rebuilding after |
| 1513 | a disaster with a requirement of repayment by the owner, as |
| 1514 | provided in section 8. These funds shall be subject to the |
| 1515 | release provisions of chapter 216, Florida Statutes. Up to 0.5 |
| 1516 | percent of this appropriation may be used by the department for |
| 1517 | administration of the loan program. |
| 1518 | Section 24. Except as otherwise expressly provided in this |
| 1519 | act, this act shall take effect July 1, 2006. |