| 1 | A bill to be entitled |
| 2 | An act relating to hurricane preparedness and insurance; |
| 3 | providing a short title; amending s. 624.404, F.S.; |
| 4 | prohibiting certain insurers from transacting residential |
| 5 | property insurance business under certain circumstances; |
| 6 | prohibiting private passenger automobile insurance |
| 7 | insurers from writing such insurance under certain |
| 8 | circumstances; amending s. 624.407, F.S.; revising |
| 9 | capitalization requirements for insurers writing property |
| 10 | insurance; specifying certain minimum surplus amounts; |
| 11 | amending s. 624.408, F.S.; revising surplus requirements |
| 12 | for insurers writing property insurance; creating s. |
| 13 | 626.9542, F.S.; authorizing insurers to provide certain |
| 14 | premium discounts under certain circumstances; providing |
| 15 | criteria; amending s. 627.0613, F.S.; providing additional |
| 16 | duties of the consumer advocate; amending s. 627.062, |
| 17 | F.S.; requiring the filing of a statement of certification |
| 18 | for certain rate filings; providing statement |
| 19 | requirements; providing a penalty; requiring the Office of |
| 20 | Insurance Regulation to adopt rules; providing an |
| 21 | additional rate filing review factor; specifying |
| 22 | arbitrator decision requirements for "use and file" |
| 23 | filings; amending s. 627.0629, F.S.; providing legislative |
| 24 | intent relating to savings to customers for windstorm |
| 25 | mitigation efforts; amending s. 627.4035, F.S.; requiring |
| 26 | insurers to provide certain premium payment plan options |
| 27 | to policyholders; amending s. 627.4133, F.S.; increasing a |
| 28 | period of notice for nonrenewals, cancellations, and |
| 29 | terminations; requiring residential property insurers to |
| 30 | return excess profits to policyholders; providing duties |
| 31 | of the office; transferring, renumbering, and amending s. |
| 32 | 627.4261, F.S.; requiring insurers to pay or deny certain |
| 33 | claims within a time certain; providing an exception; |
| 34 | providing penalties; creating s. 627.70141, F.S.; |
| 35 | providing for additional offers of coverage and exclusions |
| 36 | for personal lines residential policies; requiring notice |
| 37 | of this option to be maintained; providing application; |
| 38 | providing for rules; creating s. 627.7018, F.S.; providing |
| 39 | a prohibition and requirements for insurers in denying |
| 40 | coverage; amending s. 627.711, F.S.; requiring certain |
| 41 | notices to specify combinations of discounts, credits, |
| 42 | rate differentials, and reductions in deductibles; |
| 43 | creating s. 627.713, F.S.; authorizing the office to |
| 44 | require property insurers to report data regarding |
| 45 | hurricane claims and underwriting costs; amending s. |
| 46 | 627.7277, F.S.; requiring certain information to be |
| 47 | included in notices of renewal premium; providing for |
| 48 | rules; amending s. 628.371, F.S.; providing additional |
| 49 | notice requirements for certain domestic stock insurers; |
| 50 | providing additional surplus requirements; amending ss. |
| 51 | 627.311, 627.351, 631.56, 631.716, 631.816, 631.912, and |
| 52 | 766.105, F.S.; revising the memberships and appointing |
| 53 | officers of certain boards of governors; providing |
| 54 | experience requirements; providing for terms and filling |
| 55 | vacancies; amending s. 440.103, F.S.; correcting a cross- |
| 56 | reference; directing the Department of Financial Services |
| 57 | to review certain insurance agent commissions for certain |
| 58 | purposes; providing duties of the office; requiring a |
| 59 | report; providing effective dates. |
| 60 |
|
| 61 | Be It Enacted by the Legislature of the State of Florida: |
| 62 |
|
| 63 | Section 1. This act may be cited as the "Insurance |
| 64 | Industry Accountability and Consumer Protection Act." |
| 65 | Section 2. Subsection (8) is added to section 624.404, |
| 66 | Florida Statutes, to read: |
| 67 | 624.404 General eligibility of insurers for certificate of |
| 68 | authority.--To qualify for and hold authority to transact |
| 69 | insurance in this state, an insurer must be otherwise in |
| 70 | compliance with this code and with its charter powers and must |
| 71 | be an incorporated stock insurer, an incorporated mutual |
| 72 | insurer, or a reciprocal insurer, of the same general type as |
| 73 | may be formed as a domestic insurer under this code; except |
| 74 | that: |
| 75 | (8) Effective January 1, 2008, no new certificate of |
| 76 | authority shall be issued to an insurer domiciled in this state |
| 77 | for the transaction of residential property insurance business |
| 78 | in this state if the insurer is a wholly owned subsidiary of an |
| 79 | insurer authorized in any other state. |
| 80 | Section 3. Effective January 1, 2008, no insurer writing |
| 81 | private passenger automobile insurance in this state may |
| 82 | continue to write such insurance if the insurer writes |
| 83 | homeowners' insurance in another state but not in this state |
| 84 | unless the insurer writing private passenger automobile |
| 85 | insurance in this state is affiliated with an insurer writing |
| 86 | homeowners' insurance in this state. |
| 87 | Section 4. Subsection (1) of section 624.407, Florida |
| 88 | Statutes, is amended to read: |
| 89 | 624.407 Capital funds required; new insurers.-- |
| 90 | (1) To receive authority to transact any one kind or |
| 91 | combinations of kinds of insurance, as defined in part V of this |
| 92 | chapter, an insurer applying for its original certificate of |
| 93 | authority in this state after the effective date of this section |
| 94 | shall possess surplus as to policyholders not less than the |
| 95 | greater of: |
| 96 | (a) Five million dollars for insurers writing casualty |
| 97 | insurance, $12 million for insurers writing property insurance a |
| 98 | property and casualty insurer, or $2.5 million for any other |
| 99 | insurer; |
| 100 | (b) For life insurers, 4 percent of the insurer's total |
| 101 | liabilities; |
| 102 | (c) For life and health insurers, 4 percent of the |
| 103 | insurer's total liabilities, plus 6 percent of the insurer's |
| 104 | liabilities relative to health insurance; or |
| 105 | (d) For all insurers other than life insurers and life and |
| 106 | health insurers, 10 percent of the insurer's total liabilities; |
| 107 |
|
| 108 | however, a domestic insurer that transacts residential property |
| 109 | insurance and is a wholly owned subsidiary of an insurer |
| 110 | authorized to do business in any other state shall possess |
| 111 | surplus as to policyholders of at least $50 million, but no |
| 112 | insurer shall be required under this subsection to have surplus |
| 113 | as to policyholders greater than $100 million. |
| 114 | Section 5. Subsection (1) of section 624.408, Florida |
| 115 | Statutes, is amended to read: |
| 116 | 624.408 Surplus as to policyholders required; new and |
| 117 | existing insurers.-- |
| 118 | (1)(a) To maintain a certificate of authority to transact |
| 119 | any one kind or combinations of kinds of insurance, as defined |
| 120 | in part V of this chapter, an insurer in this state shall at all |
| 121 | times maintain surplus as to policyholders not less than the |
| 122 | greater of: |
| 123 | 1. Except as provided in subparagraphs subparagraph 5. and |
| 124 | 6. and paragraph (b), $1.5 million; |
| 125 | 2. For life insurers, 4 percent of the insurer's total |
| 126 | liabilities; |
| 127 | 3. For life and health insurers, 4 percent of the |
| 128 | insurer's total liabilities plus 6 percent of the insurer's |
| 129 | liabilities relative to health insurance; or |
| 130 | 4. For all insurers other than mortgage guaranty insurers, |
| 131 | life insurers, and life and health insurers, 10 percent of the |
| 132 | insurer's total liabilities;. |
| 133 | 5. For property and casualty insurers writing casualty |
| 134 | insurance, $4 million; or |
| 135 | 6. For insurers writing property insurance, $12 million. |
| 136 | (b) For any property and casualty insurer holding a |
| 137 | certificate of authority on December 30, 2006 1, 1993, the |
| 138 | following amounts apply instead of the $12 $4 million required |
| 139 | by subparagraph (a)6. (a)5.: |
| 140 | 1. On December 31, 2006 2001, and until December 30, 2007 |
| 141 | 2002, $4 $3 million. |
| 142 | 2. On December 31, 2007 2002, and until December 30, 2008 |
| 143 | 2003, $6 $3.25 million. |
| 144 | 3. On December 31, 2008 2003, and until December 30, 2009 |
| 145 | 2004, $8 $3.6 million. |
| 146 | 4. On December 31, 2009 2004, and until December 30, 2010 |
| 147 | thereafter, $10 $4 million. |
| 148 | 5. On December 31, 2010, and thereafter, $12 million. |
| 149 | Section 6. Section 626.9542, Florida Statutes, is created |
| 150 | to read: |
| 151 | 626.9542 Policyholder loss or expense-related premium |
| 152 | discounts.--An insurer or person authorized to engage in the |
| 153 | business of insurance in this state may include, in the premium |
| 154 | charged an insured for any policy, contract, or certificate of |
| 155 | insurance, a discount based on the fact that another policy, |
| 156 | contract, or certificate of any type has been purchased by the |
| 157 | insured; however, such discount must bear a reasonable relation |
| 158 | to a reduction in expected losses or expenses and must be |
| 159 | supported by credible documentation, which may include |
| 160 | reasonable judgment factors as to expense or experience savings |
| 161 | or other administrative cost savings. |
| 162 | Section 7. Section 627.0613, Florida Statutes, is amended |
| 163 | to read: |
| 164 | 627.0613 Consumer advocate.--The Chief Financial Officer |
| 165 | must appoint a consumer advocate who must represent the general |
| 166 | public of the state before the department and the office. The |
| 167 | consumer advocate must report directly to the Chief Financial |
| 168 | Officer, but is not otherwise under the authority of the |
| 169 | department or of any employee of the department. The consumer |
| 170 | advocate has such powers as are necessary to carry out the |
| 171 | duties of the office of consumer advocate, including, but not |
| 172 | limited to, the powers to: |
| 173 | (1) Recommend to the department or office, by petition, |
| 174 | the commencement of any proceeding or action; appear in any |
| 175 | proceeding or action before the department or office; or appear |
| 176 | in any proceeding before the Division of Administrative Hearings |
| 177 | or arbitration panel specified in s. 627.062(6) relating to |
| 178 | subject matter under the jurisdiction of the department or |
| 179 | office. |
| 180 | (2) Have access to and use of all files, records, and data |
| 181 | of the department or office. |
| 182 | (3) Examine rate and form filings submitted to the office, |
| 183 | hire consultants as necessary to aid in the review process, and |
| 184 | recommend to the department or office any position deemed by the |
| 185 | consumer advocate to be in the public interest. |
| 186 | (4) Prepare an annual report card for each authorized |
| 187 | property insurer, on a form and using a letter-grade scale |
| 188 | developed by the commission by rule, which grades each insurer |
| 189 | based on the following factors: |
| 190 | 1. The number and nature of consumer complaints received |
| 191 | by the department against the insurer. |
| 192 | 2. The disposition of all complaints received by the |
| 193 | department. |
| 194 | 3. The average length of time for payment of claims by the |
| 195 | insurer. |
| 196 | 4. Any other factors the commission identifies as |
| 197 | assisting policyholders in making informed choices about |
| 198 | homeowner's insurance. |
| 199 | (5)(4) Prepare an annual budget for presentation to the |
| 200 | Legislature by the department, which budget must be adequate to |
| 201 | carry out the duties of the office of consumer advocate. |
| 202 | Section 8. Paragraphs (a) and (b) of subsection (2) of |
| 203 | section 627.062, Florida Statutes, are amended, and paragraph |
| 204 | (d) is added to subsection (6) of that section, to read: |
| 205 | 627.062 Rate standards.-- |
| 206 | (2) As to all such classes of insurance: |
| 207 | (a) Insurers or rating organizations shall establish and |
| 208 | use rates, rating schedules, or rating manuals to allow the |
| 209 | insurer a reasonable rate of return on such classes of insurance |
| 210 | written in this state. A copy of rates, rating schedules, rating |
| 211 | manuals, premium credits or discount schedules, and surcharge |
| 212 | schedules, and changes thereto, shall be filed with the office |
| 213 | under one of the following procedures: |
| 214 | 1. If the filing is made at least 90 days before the |
| 215 | proposed effective date and the filing is not implemented during |
| 216 | the office's review of the filing and any proceeding and |
| 217 | judicial review, then such filing shall be considered a "file |
| 218 | and use" filing. In such case, the office shall finalize its |
| 219 | review by issuance of a notice of intent to approve or a notice |
| 220 | of intent to disapprove within 90 days after receipt of the |
| 221 | filing. The notice of intent to approve and the notice of intent |
| 222 | to disapprove constitute agency action for purposes of the |
| 223 | Administrative Procedure Act. Requests for supporting |
| 224 | information, requests for mathematical or mechanical |
| 225 | corrections, or notification to the insurer by the office of its |
| 226 | preliminary findings shall not toll the 90-day period during any |
| 227 | such proceedings and subsequent judicial review. The rate shall |
| 228 | be deemed approved if the office does not issue a notice of |
| 229 | intent to approve or a notice of intent to disapprove within 90 |
| 230 | days after receipt of the filing. |
| 231 | 2. If the filing is not made in accordance with the |
| 232 | provisions of subparagraph 1., such filing shall be made as soon |
| 233 | as practicable, but no later than 30 days after the effective |
| 234 | date, and shall be considered a "use and file" filing. An |
| 235 | insurer making a "use and file" filing is potentially subject to |
| 236 | an order by the office to return to policyholders portions of |
| 237 | rates found to be excessive, as provided in paragraph (h). |
| 238 | 3. The insurer's senior officer responsible for insurance |
| 239 | business operations in this state shall sign a sworn statement |
| 240 | of certification given under oath subject to the penalty of |
| 241 | perjury to accompany the rate filing. The statement shall |
| 242 | certify the appropriateness of the information provided in and |
| 243 | with the rate filing and that the information fairly presents, |
| 244 | in all material respects, the basis of the rate filing submitted |
| 245 | by the property and casualty insurer. The insurer shall certify |
| 246 | all of the information and factors described in paragraph (b), |
| 247 | including, but not limited to, investment income. The commission |
| 248 | shall prescribe by rule the form and contents of the statement |
| 249 | of certification. Failure to provide such statement of |
| 250 | certification shall result in the rate filing being disapproved |
| 251 | without prejudice to be refiled but shall not create any private |
| 252 | right of action against the insurer. |
| 253 | (b) Upon receiving a rate filing, the office shall review |
| 254 | the rate filing to determine if a rate is excessive, inadequate, |
| 255 | or unfairly discriminatory. In making that determination, the |
| 256 | office shall, in accordance with generally accepted and |
| 257 | reasonable actuarial techniques, consider the following factors: |
| 258 | 1. Past and prospective loss experience within and without |
| 259 | this state. |
| 260 | 2. Past and prospective expenses. |
| 261 | 3. The degree of competition among insurers for the risk |
| 262 | insured. |
| 263 | 4. Investment income reasonably expected by the insurer, |
| 264 | consistent with the insurer's investment practices, from |
| 265 | investable premiums anticipated in the filing, plus any other |
| 266 | expected income from currently invested assets representing the |
| 267 | amount expected on unearned premium reserves and loss reserves. |
| 268 | The commission may adopt rules utilizing reasonable techniques |
| 269 | of actuarial science and economics to specify the manner in |
| 270 | which insurers shall calculate investment income attributable to |
| 271 | such classes of insurance written in this state and the manner |
| 272 | in which such investment income shall be used in the calculation |
| 273 | of insurance rates. Such manner shall contemplate allowances for |
| 274 | an underwriting profit factor and full consideration of |
| 275 | investment income which produce a reasonable rate of return; |
| 276 | however, investment income from invested surplus shall not be |
| 277 | considered. |
| 278 | 5. The reasonableness of the judgment reflected in the |
| 279 | filing. |
| 280 | 6. Dividends, savings, or unabsorbed premium deposits |
| 281 | allowed or returned to Florida policyholders, members, or |
| 282 | subscribers. |
| 283 | 7. The adequacy of loss reserves. |
| 284 | 8. The cost of reinsurance. |
| 285 | 9. Trend factors, including trends in actual losses per |
| 286 | insured unit for the insurer making the filing. |
| 287 | 10. Conflagration and catastrophe hazards, if applicable. |
| 288 | 11. A reasonable margin for underwriting profit and |
| 289 | contingencies. For that portion of the rate covering the risk of |
| 290 | hurricanes and other catastrophic losses for which the insurer |
| 291 | has not purchased reinsurance and has exposed its capital and |
| 292 | surplus to such risk, the office must approve a rating factor |
| 293 | that provides the insurer a reasonable rate of return that is |
| 294 | commensurate with such risk. |
| 295 | 12. The cost of medical services, if applicable. |
| 296 | 13. For an insurer that is a wholly owned subsidiary of an |
| 297 | insurer authorized to do business in any other state, the |
| 298 | profits of the insurer authorized to do business in any other |
| 299 | state for the most recent reporting year. However, this |
| 300 | subparagraph may not be the sole basis for a rate filing denial. |
| 301 | 14.13. Other relevant factors which impact upon the |
| 302 | frequency or severity of claims or upon expenses. |
| 303 |
|
| 304 | The provisions of this subsection shall not apply to workers' |
| 305 | compensation and employer's liability insurance and to motor |
| 306 | vehicle insurance. |
| 307 | (6) |
| 308 | (d) For any "use and file" filing made in accordance with |
| 309 | subparagraph (2)(a)2., the decision of the arbitrator shall |
| 310 | require a credit or refund of premiums charged each policyholder |
| 311 | constituting the portion of the rate above the rate that was |
| 312 | actuarially justified. |
| 313 | Section 9. Subsection (1) of section 627.0629, Florida |
| 314 | Statutes, is amended to read: |
| 315 | 627.0629 Residential property insurance; rate filings.-- |
| 316 | (1) It is the intent of the Legislature that insurers must |
| 317 | provide savings to consumers who install or implement windstorm |
| 318 | damage mitigation techniques, alterations, or solutions to their |
| 319 | properties to prevent windstorm losses. Effective June 1, 2002, |
| 320 | A rate filing for residential property insurance must include |
| 321 | actuarially reasonable discounts, credits, or other rate |
| 322 | differentials, or appropriate reductions in deductibles, for |
| 323 | properties on which fixtures or construction techniques |
| 324 | demonstrated to reduce the amount of loss in a windstorm have |
| 325 | been installed or implemented. The fixtures or construction |
| 326 | techniques shall include, but not be limited to, fixtures or |
| 327 | construction techniques which enhance roof strength, roof |
| 328 | covering performance, roof-to-wall strength, wall-to-floor-to- |
| 329 | foundation strength, opening protection, and window, door, and |
| 330 | skylight strength. Credits, discounts, or other rate |
| 331 | differentials for fixtures and construction techniques which |
| 332 | meet the minimum requirements of the Florida Building Code must |
| 333 | be included in the rate filing. All insurance companies must |
| 334 | make a rate filing which includes the credits, discounts, or |
| 335 | other rate differentials by February 28, 2003. By July 1, 2007, |
| 336 | the office shall reevaluate the discounts, credits, other rate |
| 337 | differentials, and appropriate reductions in deductibles for |
| 338 | fixtures and construction techniques that meet the minimum |
| 339 | requirements of the Florida Building Code, based upon actual |
| 340 | experience or any other loss relativity studies available to the |
| 341 | office. The office shall determine the discounts, credits, other |
| 342 | rate differentials, and appropriate reductions in deductibles |
| 343 | that reflect the full actuarial value of such revaluation, which |
| 344 | may be used by insurers in rate filings. |
| 345 | Section 10. Subsection (1) of section 627.4035, Florida |
| 346 | Statutes, is amended to read: |
| 347 | 627.4035 Cash payment of premiums; claims.-- |
| 348 | (1) The premiums for insurance contracts issued in this |
| 349 | state or covering risk located in this state shall be paid in |
| 350 | cash consisting of coins, currency, checks, or money orders or |
| 351 | by using a debit card, credit card, automatic electronic funds |
| 352 | transfer, or payroll deduction plan. By July 1, 2007, insurers |
| 353 | issuing personal lines residential and commercial property |
| 354 | policies shall provide a premium payment plan option to their |
| 355 | policyholders which allows for monthly, quarterly, and |
| 356 | semiannual payment of premiums. |
| 357 | Section 11. Paragraph (b) of subsection (2) of section |
| 358 | 627.4133, Florida Statutes, is amended to read: |
| 359 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
| 360 | premium.-- |
| 361 | (2) With respect to any personal lines or commercial |
| 362 | residential property insurance policy, including, but not |
| 363 | limited to, any homeowner's, mobile home owner's, farmowner's, |
| 364 | condominium association, condominium unit owner's, apartment |
| 365 | building, or other policy covering a residential structure or |
| 366 | its contents: |
| 367 | (b) The insurer shall give the named insured written |
| 368 | notice of nonrenewal, cancellation, or termination at least 100 |
| 369 | 90 days prior to the effective date of the nonrenewal, |
| 370 | cancellation, or termination. However, the insurer shall give at |
| 371 | least 100 days' written notice, or written notice by June 1, |
| 372 | whichever is earlier, for any nonrenewal, cancellation, or |
| 373 | termination that would be effective between June 1 and November |
| 374 | 30. The notice must include the reason or reasons for the |
| 375 | nonrenewal, cancellation, or termination, except that: |
| 376 | 1. When cancellation is for nonpayment of premium, at |
| 377 | least 10 days' written notice of cancellation accompanied by the |
| 378 | reason therefor shall be given. As used in this subparagraph, |
| 379 | the term "nonpayment of premium" means failure of the named |
| 380 | insured to discharge when due any of her or his obligations in |
| 381 | connection with the payment of premiums on a policy or any |
| 382 | installment of such premium, whether the premium is payable |
| 383 | directly to the insurer or its agent or indirectly under any |
| 384 | premium finance plan or extension of credit, or failure to |
| 385 | maintain membership in an organization if such membership is a |
| 386 | condition precedent to insurance coverage. "Nonpayment of |
| 387 | premium" also means the failure of a financial institution to |
| 388 | honor an insurance applicant's check after delivery to a |
| 389 | licensed agent for payment of a premium, even if the agent has |
| 390 | previously delivered or transferred the premium to the insurer. |
| 391 | If a dishonored check represents the initial premium payment, |
| 392 | the contract and all contractual obligations shall be void ab |
| 393 | initio unless the nonpayment is cured within the earlier of 5 |
| 394 | days after actual notice by certified mail is received by the |
| 395 | applicant or 15 days after notice is sent to the applicant by |
| 396 | certified mail or registered mail, and if the contract is void, |
| 397 | any premium received by the insurer from a third party shall be |
| 398 | refunded to that party in full. |
| 399 | 2. When such cancellation or termination occurs during the |
| 400 | first 90 days during which the insurance is in force and the |
| 401 | insurance is canceled or terminated for reasons other than |
| 402 | nonpayment of premium, at least 20 days' written notice of |
| 403 | cancellation or termination accompanied by the reason therefor |
| 404 | shall be given except where there has been a material |
| 405 | misstatement or misrepresentation or failure to comply with the |
| 406 | underwriting requirements established by the insurer. |
| 407 |
|
| 408 | After the policy has been in effect for 90 days, the policy |
| 409 | shall not be canceled by the insurer except when there has been |
| 410 | a material misstatement, a nonpayment of premium, a failure to |
| 411 | comply with underwriting requirements established by the insurer |
| 412 | within 90 days of the date of effectuation of coverage, or a |
| 413 | substantial change in the risk covered by the policy or when the |
| 414 | cancellation is for all insureds under such policies for a given |
| 415 | class of insureds. This paragraph does not apply to individually |
| 416 | rated risks having a policy term of less than 90 days. |
| 417 | Section 12. A residential property insurer shall return |
| 418 | all excess profits to policyholders. In determining whether |
| 419 | profits are excessive, the Office of Insurance Regulation shall |
| 420 | consider the profits of national affiliates of Florida-based |
| 421 | subsidiaries. |
| 422 | Section 13. Section 627.4261, Florida Statutes, is |
| 423 | transferred and renumbered as section 627.70131, Florida |
| 424 | Statutes, and subsection (5) is added to that section, to read: |
| 425 | 627.70131 627.4261 Insurer's duty to acknowledge |
| 426 | communications regarding claims; investigation.-- |
| 427 | (5) Within 90 days after an insurer receives notice of a |
| 428 | property insurance claim from a policyholder, the insurer shall |
| 429 | pay or deny such claim unless the failure to pay such claim is |
| 430 | caused by factors beyond the control of the insurer which |
| 431 | reasonably prevent such payment. Failure to comply with this |
| 432 | subsection constitutes a violation of this code. |
| 433 | Section 14. Section 627.70141, Florida Statutes, is |
| 434 | created to read: |
| 435 | 627.70141 Personal lines residential policies; additional |
| 436 | offers of coverage and exclusion.-- |
| 437 | (1) Every insurer offering a personal lines residential |
| 438 | property insurance policy covering windstorm in this state |
| 439 | shall, in addition to a standard comprehensive policy, offer |
| 440 | policy dwelling limits for windstorm which only cover the |
| 441 | outstanding balance of the mortgage. If an applicant or insured |
| 442 | elects policy dwelling limits for windstorm which only cover the |
| 443 | outstanding balance of the mortgage, the insurer shall obtain a |
| 444 | written election of such limited coverage on a form approved by |
| 445 | the office. The form must fully advise the applicant or |
| 446 | policyholder that the coverage the applicant or policyholder is |
| 447 | obtaining is for policy dwelling limits for windstorm which only |
| 448 | cover the outstanding balance of the mortgage. If this form is |
| 449 | signed by the insured, it will be conclusively presumed that |
| 450 | there was an informed, knowing selection of dwelling limits for |
| 451 | windstorm which only cover the outstanding balance of the |
| 452 | mortgage on behalf of all insureds. The failure of the insurer |
| 453 | to obtain a signed selection of coverage renders the selection |
| 454 | void. |
| 455 | (2) Every insurer offering a personal lines residential |
| 456 | property insurance policy covering windstorm in this state |
| 457 | shall, in addition to a standard comprehensive policy, offer a |
| 458 | policy that excludes personal contents coverage. If an applicant |
| 459 | or insured elects to exclude personal contents coverage, the |
| 460 | insurer shall obtain a written rejection of such coverage on a |
| 461 | form approved by the office. The form must fully advise the |
| 462 | applicant or policyholder that the coverage the applicant or |
| 463 | policyholder is obtaining does not contain personal contents |
| 464 | coverage. If this form is signed by the insured, it will be |
| 465 | conclusively presumed that there was an informed, knowing |
| 466 | rejection of personal contents coverage on behalf of all |
| 467 | insureds. The failure of the insurer to obtain a signed |
| 468 | rejection of personal contents coverage renders the selection |
| 469 | void. |
| 470 | (3) On a form approved by the office, the insurer shall |
| 471 | provide notices of the offers specified in subsections (1) and |
| 472 | (2) to the applicant prior to policy issuance and to the |
| 473 | policyholder in conjunction with each policy renewal. The |
| 474 | failure to provide such notice constitutes a violation of this |
| 475 | code but does not affect the coverage provided under the policy. |
| 476 | (4) A signed, written rejection or selection of coverage |
| 477 | shall remain in effect for subsequent renewals unless the |
| 478 | policyholder notifies the insurer in writing of another |
| 479 | selection. |
| 480 | (5) The Financial Services Commission may adopt rules |
| 481 | pursuant to ss. 120.536(1) and 120.54 to implement this section. |
| 482 | Section 15. Section 627.7018, Florida Statutes, is created |
| 483 | to read: |
| 484 | 627.7018 Standards for determining risk of coverage.--In |
| 485 | determining the risk of providing property insurance coverage, |
| 486 | an insurer may not deny coverage solely on the basis of the age |
| 487 | of the property and shall consider the wind resistance of the |
| 488 | structure and measures undertaken by the owner to protect the |
| 489 | property against hurricane loss. |
| 490 | Section 16. Section 627.711, Florida Statutes, is amended |
| 491 | to read: |
| 492 | 627.711 Notice of premium discounts for hurricane loss |
| 493 | mitigation.-- Using a form prescribed by the Office of Insurance |
| 494 | Regulation, the insurer shall clearly notify the applicant or |
| 495 | policyholder of any personal lines residential property |
| 496 | insurance policy, at the time of the issuance of the policy and |
| 497 | at each renewal, of the availability and the range of each |
| 498 | premium discount, credit, other rate differential, or reduction |
| 499 | in deductibles for properties on which fixtures or construction |
| 500 | techniques, and all combinations of discounts, credits, rate |
| 501 | differentials, or reductions in deductibles, demonstrated to |
| 502 | reduce the amount of loss in a windstorm can be or have been |
| 503 | installed or implemented. The prescribed form shall describe |
| 504 | generally what actions the policyholders may be able to take to |
| 505 | reduce their windstorm premium. The prescribed form and a list |
| 506 | of such ranges approved by the office for each insurer licensed |
| 507 | in the state and providing such discounts, credits, other rate |
| 508 | differentials, or reductions in deductibles for properties |
| 509 | described in this subsection shall be available for electronic |
| 510 | viewing and download from the Department of Financial Services' |
| 511 | or the Office of Insurance Regulation's Internet website. The |
| 512 | Financial Services Commission may adopt rules to implement this |
| 513 | subsection. |
| 514 | Section 17. Section 627.713, Florida Statutes, is created |
| 515 | to read: |
| 516 | 627.713 Report of hurricane loss data.--The office may |
| 517 | require property insurers to report data regarding hurricane |
| 518 | claims and underwriting costs, including, but not limited to: |
| 519 | (1) Number of claims. |
| 520 | (2) Amount of claim payments made. |
| 521 | (3) Number and amount of total-loss claims. |
| 522 | (4) Amount and percentage of losses covered by reinsurance |
| 523 | or other loss-transfer agreements. |
| 524 | (5) Amount of losses covered under specified deductibles. |
| 525 | (6) Claims and payments for specified insured values. |
| 526 | (7) Claims and payments for specified dollar values. |
| 527 | (8) Claims and payments for specified types of |
| 528 | construction or mitigation features. |
| 529 | (9) Claims and payments for policies under specified |
| 530 | underwriting criteria. |
| 531 | (10) Claims and payments for contents, additional living |
| 532 | expense, and other specified coverages. |
| 533 | (11) Claims and payments by county for the information |
| 534 | specified in this section. |
| 535 | (12) Any other data that the office requires. |
| 536 | Section 18. Section 627.7277, Florida Statutes, is amended |
| 537 | to read: |
| 538 | 627.7277 Notice of renewal premium.-- |
| 539 | (1) As used in this section, the terms "policy" and |
| 540 | "renewal" have the meaning ascribed in s. 627.728. |
| 541 | (2) An insurer shall mail or deliver to its policyholder |
| 542 | at least 30 days' advance written notice of the renewal premium |
| 543 | for the policy. |
| 544 | (3) If the insurer fails to provide the 30 days' notice of |
| 545 | a renewal premium that results in a premium increase, the |
| 546 | coverage under the policy remains in effect at the existing |
| 547 | rates until 30 days after the notice is given or until the |
| 548 | effective date of replacement coverage obtained by the insured, |
| 549 | whichever occurs first. |
| 550 | (4) Every notice of renewal premium must specify: |
| 551 | (a) The dollar amounts recouped for assessments by the |
| 552 | Florida Hurricane Catastrophe Fund, the Citizens Property |
| 553 | Insurance Corporation, and the Florida Insurance Guaranty |
| 554 | Association. The actual names of the entities must appear next |
| 555 | to the dollar amounts. |
| 556 | (b) The dollar amount of any premium increase that is due |
| 557 | to a rate increase and the dollar amounts that are due to |
| 558 | coverage changes. |
| 559 | (c) For an insurer that is a wholly owned subsidiary of an |
| 560 | insurer authorized to do business in any other state, the dollar |
| 561 | amount of profit or loss for all lines of property insurance for |
| 562 | the wholly owned subsidiary and the parent for the most recent |
| 563 | reporting year. |
| 564 | (5) The Financial Services Commission may adopt rules |
| 565 | pursuant to ss. 120.536(1) and 120.54 to implement this section. |
| 566 | Section 19. Subsection (5) is added to section 628.371, |
| 567 | Florida Statutes, to read: |
| 568 | 628.371 Dividends to stockholders.-- |
| 569 | (5) In addition to the requirements of subsections (2) and |
| 570 | (3), a domestic stock insurer that transacts residential |
| 571 | property insurance in this state shall file notice with the |
| 572 | office 10 business days prior to the payment of any dividend or |
| 573 | distribution of cash or other property to stockholders and shall |
| 574 | have surplus to policyholders equal to or exceeding 133 percent |
| 575 | of the minimum required statutory surplus as to policyholders |
| 576 | after the dividend or distribution is made. |
| 577 | Section 20. Paragraph (e) of subsection (3) and paragraph |
| 578 | (b) of subsection (5) of section 627.311, Florida Statutes, are |
| 579 | amended to read: |
| 580 | 627.311 Joint underwriters and joint reinsurers; public |
| 581 | records and public meetings exemptions.-- |
| 582 | (3) The office may, after consultation with insurers |
| 583 | licensed to write automobile insurance in this state, approve a |
| 584 | joint underwriting plan for purposes of equitable apportionment |
| 585 | or sharing among insurers of automobile liability insurance and |
| 586 | other motor vehicle insurance, as an alternate to the plan |
| 587 | required in s. 627.351(1). All insurers authorized to write |
| 588 | automobile insurance in this state shall subscribe to the plan |
| 589 | and participate therein. The plan shall be subject to continuous |
| 590 | review by the office which may at any time disapprove the entire |
| 591 | plan or any part thereof if it determines that conditions have |
| 592 | changed since prior approval and that in view of the purposes of |
| 593 | the plan changes are warranted. Any disapproval by the office |
| 594 | shall be subject to the provisions of chapter 120. The Florida |
| 595 | Automobile Joint Underwriting Association is created under the |
| 596 | plan. The plan and the association: |
| 597 | (e) Must provide that the joint underwriting association |
| 598 | will operate subject to the supervision and approval of a board |
| 599 | of governors consisting of 16 11 individuals. The Governor, the |
| 600 | Chief Financial Officer, the President of the Senate, and the |
| 601 | Speaker of the House of Representatives shall each appoint four |
| 602 | members of the board. Members appointed by the President of the |
| 603 | Senate and the Speaker of the House of Representatives may not |
| 604 | be members of the Legislature unless they are appointed as ex |
| 605 | officio, nonvoting members. At least one of the members |
| 606 | appointed by each appointing officer must have demonstrated |
| 607 | expertise in insurance. The Chief Financial Officer shall |
| 608 | designate one of the appointees as chair. All board members |
| 609 | serve at the pleasure of the appointing officer. All board |
| 610 | members, including the chair, must be appointed to serve for 3- |
| 611 | year terms beginning annually on a date designated by the plan. |
| 612 | Any board vacancy shall be filled for the unexpired term by the |
| 613 | appointing officer, including 1 who will be elected as chair. |
| 614 | Five members of the board must be appointed by the Chief |
| 615 | Financial Officer. Two of the Chief Financial Officer's |
| 616 | appointees must be chosen from the insurance industry. Any board |
| 617 | member appointed by the Chief Financial Officer may be removed |
| 618 | and replaced by her or him at any time without cause. Six |
| 619 | members of the board must be appointed by the participating |
| 620 | insurers, two of whom must be from the insurance agents' |
| 621 | associations. All board members, including the chair, must be |
| 622 | appointed to serve for 2-year terms beginning annually on a date |
| 623 | designated by the plan. |
| 624 | (5) |
| 625 | (b) The operation of the plan is subject to the |
| 626 | supervision and approval of a 9-member board of governors |
| 627 | consisting of nine individuals. The Governor shall appoint three |
| 628 | members and the Chief Financial Officer, the President of the |
| 629 | Senate, and the Speaker of the House of Representatives shall |
| 630 | each appoint two members of the board. Members appointed by the |
| 631 | President of the Senate and the Speaker of the House of |
| 632 | Representatives may not be members of the Legislature unless |
| 633 | they are appointed as ex officio, nonvoting members. At least |
| 634 | one of the members appointed by each appointing officer must |
| 635 | have demonstrated expertise in insurance. The Chief Financial |
| 636 | Officer shall designate one of the appointees as chair. All |
| 637 | board members serve at the pleasure of the appointing officer. |
| 638 | All board members, including the chair, must be appointed to |
| 639 | serve for 3-year terms beginning annually on a date designated |
| 640 | by the plan. Any board vacancy shall be filled for the unexpired |
| 641 | term by the appointing officer. The board of governors shall be |
| 642 | comprised of: |
| 643 | 1. Three members appointed by the Financial Services |
| 644 | Commission. Each member appointed by the commission shall serve |
| 645 | at the pleasure of the commission; |
| 646 | 2. Two of the 20 domestic insurers, as defined in s. |
| 647 | 624.06(1), having the largest voluntary direct premiums written |
| 648 | in this state for workers' compensation and employer's liability |
| 649 | insurance, which shall be elected by those 20 domestic insurers; |
| 650 | 3. Two of the 20 foreign insurers as defined in s. |
| 651 | 624.06(2) having the largest voluntary direct premiums written |
| 652 | in this state for workers' compensation and employer's liability |
| 653 | insurance, which shall be elected by those 20 foreign insurers; |
| 654 | 4. One person appointed by the largest property and |
| 655 | casualty insurance agents' association in this state; and |
| 656 | 5. The consumer advocate appointed under s. 627.0613 or |
| 657 | the consumer advocate's designee. |
| 658 |
|
| 659 | Each board member shall serve a 4-year term and may serve |
| 660 | consecutive terms. A vacancy on the board shall be filled in the |
| 661 | same manner as the original appointment for the unexpired |
| 662 | portion of the term. The Financial Services Commission shall |
| 663 | designate a member of the board to serve as chair. No board |
| 664 | member shall be an insurer which provides services to the plan |
| 665 | or which has an affiliate which provides services to the plan or |
| 666 | which is serviced by a service company or third-party |
| 667 | administrator which provides services to the plan or which has |
| 668 | an affiliate which provides services to the plan. The minutes, |
| 669 | audits, and procedures of the board of governors are subject to |
| 670 | chapter 119. |
| 671 | Section 21. Paragraph (b) of subsection (5) of section |
| 672 | 627.311, Florida Statutes, as amended by section 1 of chapter |
| 673 | 2003-108, section 1096 of chapter 2003-261, and section 35 of |
| 674 | chapter 2003-412, Laws of Florida, is amended to read: |
| 675 | 627.311 Joint underwriters and joint reinsurers; public |
| 676 | records and public meetings exemptions.-- |
| 677 | (5) |
| 678 | (b) The operation of the plan is subject to the |
| 679 | supervision and approval of a 13-member board of governors |
| 680 | consisting of nine individuals. The Governor shall appoint three |
| 681 | members and the Chief Financial Officer, the President of the |
| 682 | Senate, and the Speaker of the House of Representatives shall |
| 683 | each appoint two members of the board. Members appointed by the |
| 684 | President of the Senate and the Speaker of the House of |
| 685 | Representatives may not be members of the Legislature unless |
| 686 | they are appointed as ex officio, nonvoting members. At least |
| 687 | one of the members appointed by each appointing officer must |
| 688 | have demonstrated expertise in insurance. The Chief Financial |
| 689 | Officer shall designate one of the appointees as chair. All |
| 690 | board members serve at the pleasure of the appointing officer. |
| 691 | All board members, including the chair, must be appointed to |
| 692 | serve for 3-year terms beginning annually on a date designated |
| 693 | by the plan. Any board vacancy shall be filled for the unexpired |
| 694 | term by the appointing officer. The board of governors shall be |
| 695 | comprised of: |
| 696 | 1. Five of the 20 domestic insurers, as defined in s. |
| 697 | 624.06(1), having the largest voluntary direct premiums written |
| 698 | in this state for workers' compensation and employer's liability |
| 699 | insurance, which shall be elected by those 20 domestic insurers; |
| 700 | 2. Five of the 20 foreign insurers as defined in s. |
| 701 | 624.06(2) having the largest voluntary direct premiums written |
| 702 | in this state for workers' compensation and employer's liability |
| 703 | insurance, which shall be elected by those 20 foreign insurers; |
| 704 | 3. One person, who shall serve as the chair, appointed by |
| 705 | the Chief Financial Officer; |
| 706 | 4. One person appointed by the largest property and |
| 707 | casualty insurance agents' association in this state; and |
| 708 | 5. The consumer advocate appointed under s. 627.0613 or |
| 709 | the consumer advocate's designee. |
| 710 |
|
| 711 | Each board member shall serve a 4-year term and may serve |
| 712 | consecutive terms. No board member shall be an insurer which |
| 713 | provides service to the plan or which has an affiliate which |
| 714 | provides services to the plan or which is serviced by a service |
| 715 | company or third-party administrator which provides services to |
| 716 | the plan or which has an affiliate which provides services to |
| 717 | the plan. The minutes, audits, and procedures of the board of |
| 718 | governors are subject to chapter 119. |
| 719 | Section 22. Paragraph (c) of subsection (4) and paragraph |
| 720 | (a) of subsection (5) of section 627.351, Florida Statutes, are |
| 721 | amended to read: |
| 722 | 627.351 Insurance risk apportionment plans.-- |
| 723 | (4) MEDICAL MALPRACTICE RISK APPORTIONMENT.-- |
| 724 | (c) The Joint Underwriting Association shall operate |
| 725 | subject to the supervision and approval of a board of governors |
| 726 | consisting of nine individuals. The Governor shall appoint three |
| 727 | members and the Chief Financial Officer, the President of the |
| 728 | Senate, and the Speaker of the House of Representatives shall |
| 729 | each appoint two members of the board. Members appointed by the |
| 730 | President of the Senate and the Speaker of the House of |
| 731 | Representatives may not be members of the Legislature unless |
| 732 | they are appointed as ex officio, nonvoting members. At least |
| 733 | one of the members appointed by each appointing officer must |
| 734 | have demonstrated expertise in insurance. The Chief Financial |
| 735 | Officer shall designate one of the appointees as chair. All |
| 736 | board members serve at the pleasure of the appointing officer. |
| 737 | All board members, including the chair, must be appointed to |
| 738 | serve for 3-year terms beginning annually on a date designated |
| 739 | by the plan. Any board vacancy shall be filled for the unexpired |
| 740 | term by the appointing officer representatives of five of the |
| 741 | insurers participating in the Joint Underwriting Association, an |
| 742 | attorney to be named by The Florida Bar, a physician to be named |
| 743 | by the Florida Medical Association, a dentist to be named by the |
| 744 | Florida Dental Association, and a hospital representative to be |
| 745 | named by the Florida Hospital Association. The Chief Financial |
| 746 | Officer shall select the representatives of the five insurers. |
| 747 | One insurer representative shall be selected from |
| 748 | recommendations of the American Insurance Association. One |
| 749 | insurer representative shall be selected from recommendations of |
| 750 | the Alliance of American Insurers. One insurer representative |
| 751 | shall be selected from recommendations of the National |
| 752 | Association of Independent Insurers. Two insurer representatives |
| 753 | shall be selected to represent insurers that are not affiliated |
| 754 | with these associations. The board of governors shall choose, |
| 755 | during the first meeting of the board after June 30 of each |
| 756 | year, one of its members to serve as chair of the board and |
| 757 | another member to serve as vice chair of the board. There shall |
| 758 | be no liability on the part of, and no cause of action of any |
| 759 | nature shall arise against, any member insurer, self-insurer, or |
| 760 | its agents or employees, the Joint Underwriting Association or |
| 761 | its agents or employees, members of the board of governors, or |
| 762 | the office or its representatives for any action taken by them |
| 763 | in the performance of their powers and duties under this |
| 764 | subsection. |
| 765 | (5) PROPERTY AND CASUALTY INSURANCE RISK |
| 766 | APPORTIONMENT.--The commission shall adopt by rule a joint |
| 767 | underwriting plan to equitably apportion among insurers |
| 768 | authorized in this state to write property insurance as defined |
| 769 | in s. 624.604 or casualty insurance as defined in s. 624.605, |
| 770 | the underwriting of one or more classes of property insurance or |
| 771 | casualty insurance, except for the types of insurance that are |
| 772 | included within property insurance or casualty insurance for |
| 773 | which an equitable apportionment plan, assigned risk plan, or |
| 774 | joint underwriting plan is authorized under s. 627.311 or |
| 775 | subsection (1), subsection (2), subsection (3), subsection (4), |
| 776 | or subsection (5) and except for risks eligible for flood |
| 777 | insurance written through the federal flood insurance program to |
| 778 | persons with risks eligible under subparagraph (a)1. and who are |
| 779 | in good faith entitled to, but are unable to, obtain such |
| 780 | property or casualty insurance coverage, including excess |
| 781 | coverage, through the voluntary market. For purposes of this |
| 782 | subsection, an adequate level of coverage means that coverage |
| 783 | which is required by state law or by responsible or prudent |
| 784 | business practices. The Joint Underwriting Association shall not |
| 785 | be required to provide coverage for any type of risk for which |
| 786 | there are no insurers providing similar coverage in this state. |
| 787 | The office may designate one or more participating insurers who |
| 788 | agree to provide policyholder and claims service, including the |
| 789 | issuance of policies, on behalf of the participating insurers. |
| 790 | (a) The plan shall provide: |
| 791 | 1. A means of establishing eligibility of a risk for |
| 792 | obtaining insurance through the plan, which provides that: |
| 793 | a. A risk shall be eligible for such property insurance or |
| 794 | casualty insurance as is required by Florida law if the |
| 795 | insurance is unavailable in the voluntary market, including the |
| 796 | market assistance program and the surplus lines market. |
| 797 | b. A commercial risk not eligible under sub-subparagraph |
| 798 | a. shall be eligible for property or casualty insurance if: |
| 799 | (I) The insurance is unavailable in the voluntary market, |
| 800 | including the market assistance plan and the surplus lines |
| 801 | market; |
| 802 | (II) Failure to secure the insurance would substantially |
| 803 | impair the ability of the entity to conduct its affairs; and |
| 804 | (III) The risk is not determined by the Risk Underwriting |
| 805 | Committee to be uninsurable. |
| 806 | c. In the event the Federal Government terminates the |
| 807 | Federal Crime Insurance Program established under 44 C.F.R. ss. |
| 808 | 80-83, Florida commercial and residential risks previously |
| 809 | insured under the federal program shall be eligible under the |
| 810 | plan. |
| 811 | d.(I) In the event a risk is eligible under this paragraph |
| 812 | and in the event the market assistance plan receives a minimum |
| 813 | of 100 applications for coverage within a 3-month period, or 200 |
| 814 | applications for coverage within a 1-year period or less, for a |
| 815 | given class of risk contained in the classification system |
| 816 | defined in the plan of operation of the Joint Underwriting |
| 817 | Association, and unless the market assistance plan provides a |
| 818 | quotation for at least 80 percent of such applicants, such |
| 819 | classification shall immediately be eligible for coverage in the |
| 820 | Joint Underwriting Association. |
| 821 | (II) Any market assistance plan application which is |
| 822 | rejected because an individual risk is so hazardous as to be |
| 823 | practically uninsurable, considering whether the likelihood of a |
| 824 | loss for such a risk is substantially higher than for other |
| 825 | risks of the same class due to individual risk characteristics, |
| 826 | prior loss experience, unwillingness to cooperate with a prior |
| 827 | insurer, physical characteristics and physical location shall |
| 828 | not be included in the minimum percentage calculation provided |
| 829 | above. In the event that there is any legal or administrative |
| 830 | challenge to a determination by the office that the conditions |
| 831 | of this subparagraph have been met for eligibility for coverage |
| 832 | in the Joint Underwriting Association for a given |
| 833 | classification, any eligible risk may obtain coverage during the |
| 834 | pendency of any such challenge. |
| 835 | e. In order to qualify as a quotation for the purpose of |
| 836 | meeting the minimum percentage calculation in this subparagraph, |
| 837 | the quoted premium must meet the following criteria: |
| 838 | (I) In the case of an admitted carrier, the quoted premium |
| 839 | must not exceed the premium available for a given classification |
| 840 | currently in use by the Joint Underwriting Association or the |
| 841 | premium developed by using the rates and rating plans on file |
| 842 | with the office by the quoting insurer, whichever is greater. |
| 843 | (II) In the case of an authorized surplus lines insurer, |
| 844 | the quoted premium must not exceed the premium available for a |
| 845 | given classification currently in use by the Joint Underwriting |
| 846 | Association by more than 25 percent, after consideration of any |
| 847 | individual risk surcharge or credit. |
| 848 | f. Any agent who falsely certifies the unavailability of |
| 849 | coverage as provided by sub-subparagraphs a. and b., is subject |
| 850 | to the penalties provided in s. 626.611. |
| 851 | 2. A means for the equitable apportionment of profits or |
| 852 | losses and expenses among participating insurers. |
| 853 | 3. Rules for the classification of risks and rates which |
| 854 | reflect the past and prospective loss experience. |
| 855 | 4. A rating plan which reasonably reflects the prior |
| 856 | claims experience of the insureds. Such rating plan shall |
| 857 | include at least two levels of rates for risks that have |
| 858 | favorable loss experience and risks that have unfavorable loss |
| 859 | experience, as established by the plan. |
| 860 | 5. Reasonable limits to available amounts of insurance. |
| 861 | Such limits may not be less than the amounts of insurance |
| 862 | required of eligible risks by Florida law. |
| 863 | 6. Risk management requirements for insurance where such |
| 864 | requirements are reasonable and are expected to reduce losses. |
| 865 | 7. Deductibles as may be necessary to meet the needs of |
| 866 | insureds. |
| 867 | 8. Policy forms which are consistent with the forms in use |
| 868 | by the majority of the insurers providing coverage in the |
| 869 | voluntary market for the coverage requested by the applicant. |
| 870 | 9. A means to remove risks from the plan once such risks |
| 871 | no longer meet the eligibility requirements of this paragraph. |
| 872 | For this purpose, the plan shall include the following |
| 873 | requirements: At each 6-month interval after the activation of |
| 874 | any class of insureds, the board of governors or its designated |
| 875 | committee shall review the number of applications to the market |
| 876 | assistance plan for that class. If, based on these latest |
| 877 | numbers, at least 90 percent of such applications have been |
| 878 | provided a quotation, the Joint Underwriting Association shall |
| 879 | cease underwriting new applications for such class within 30 |
| 880 | days, and notification of this decision shall be sent to the |
| 881 | office, the major agents' associations, and the board of |
| 882 | directors of the market assistance plan. A quotation for the |
| 883 | purpose of this subparagraph shall meet the same criteria for a |
| 884 | quotation as provided in sub-subparagraph 1.e. All policies |
| 885 | which were previously written for that class shall continue in |
| 886 | force until their normal expiration date, at which time, subject |
| 887 | to the required timely notification of nonrenewal by the Joint |
| 888 | Underwriting Association, the insured may then elect to reapply |
| 889 | to the Joint Underwriting Association according to the |
| 890 | requirements of eligibility. If, upon reapplication, those |
| 891 | previously insured Joint Underwriting Association risks meet the |
| 892 | eligibility requirements, the Joint Underwriting Association |
| 893 | shall provide the coverage requested. |
| 894 | 10. A means for providing credits to insurers against any |
| 895 | deficit assessment levied pursuant to paragraph (c), for risks |
| 896 | voluntarily written through the market assistance plan by such |
| 897 | insurers. |
| 898 | 11. That the Joint Underwriting Association shall operate |
| 899 | subject to the supervision and approval of a board of governors |
| 900 | consisting of 13 individuals. The Governor shall appoint four |
| 901 | members and the Chief Financial Officer, the President of the |
| 902 | Senate, and the Speaker of the House of Representatives shall |
| 903 | each appoint three members of the board. Members appointed by |
| 904 | the President of the Senate and the Speaker of the House of |
| 905 | Representatives may not be members of the Legislature unless |
| 906 | they are appointed as ex officio, nonvoting members. At least |
| 907 | one of the members appointed by each appointing officer must |
| 908 | have demonstrated expertise in insurance. The Chief Financial |
| 909 | Officer shall designate one of the appointees as chair. All |
| 910 | board members serve at the pleasure of the appointing officer. |
| 911 | All board members, including the chair, must be appointed to |
| 912 | serve for 3-year terms beginning annually on a date designated |
| 913 | by the plan. Any board vacancy shall be filled for the unexpired |
| 914 | term by the appointing officer appointed by the Chief Financial |
| 915 | Officer, and shall have an executive or underwriting committee. |
| 916 | At least four of the members shall be representatives of |
| 917 | insurance trade associations as follows: one member from the |
| 918 | American Insurance Association, one member from the Alliance of |
| 919 | American Insurers, one member from the National Association of |
| 920 | Independent Insurers, and one member from an unaffiliated |
| 921 | insurer writing coverage on a national basis. Two |
| 922 | representatives shall be from two of the statewide agents' |
| 923 | associations. Each board member shall be appointed to serve for |
| 924 | 2-year terms beginning on a date designated by the plan and |
| 925 | shall serve at the pleasure of the Chief Financial Officer. |
| 926 | Members may be reappointed for subsequent terms. |
| 927 | Section 23. Section 631.56, Florida Statutes, is amended |
| 928 | to read: |
| 929 | 631.56 Board of directors.-- |
| 930 | (1) The board of directors of the association shall |
| 931 | consist of eight individuals. The Governor, the Chief Financial |
| 932 | Officer, the President of the Senate, and the Speaker of the |
| 933 | House of Representatives shall each appoint two members of the |
| 934 | board. Members appointed by the President of the Senate and the |
| 935 | Speaker of the House of Representatives may not be members of |
| 936 | the Legislature unless they are appointed as ex officio, |
| 937 | nonvoting members. At least one of the members appointed by each |
| 938 | appointing officer must have demonstrated expertise in |
| 939 | insurance. The Chief Financial Officer shall designate one of |
| 940 | the appointees as chair. All board members serve at the pleasure |
| 941 | of the appointing officer. All board members, including the |
| 942 | chair, must be appointed to serve for 3-year terms beginning |
| 943 | annually on a date designated by the plan. Any board vacancy |
| 944 | shall be filled for the unexpired term by the appointing officer |
| 945 | not less than five or more than nine persons serving terms as |
| 946 | established in the plan of operation. The department shall |
| 947 | approve and appoint to the board persons recommended by the |
| 948 | member insurers. In the event the department finds that any |
| 949 | recommended person does not meet the qualifications for service |
| 950 | on the board, the department shall request the member insurers |
| 951 | to recommend another person. Each member shall serve for a 4- |
| 952 | year term and may be reappointed. Vacancies on the board shall |
| 953 | be filled for the remaining period of the term in the same |
| 954 | manner as initial appointments. |
| 955 | (2) In appointing members to the board, the department |
| 956 | shall consider among other things whether all areas of insurance |
| 957 | covered by this part are fairly represented. |
| 958 | (2)(3) Members of the board may be reimbursed from the |
| 959 | assets of the association for expenses incurred by them as |
| 960 | members of the board of directors. |
| 961 | Section 24. Section 631.716, Florida Statutes, is amended |
| 962 | to read: |
| 963 | 631.716 Board of directors.-- |
| 964 | (1) The board of directors of the association shall be |
| 965 | comprised of eight individuals. The Governor, the Chief |
| 966 | Financial Officer, the President of the Senate, and the Speaker |
| 967 | of the House of Representatives shall each appoint two members |
| 968 | of the board. Members appointed by the President of the Senate |
| 969 | and the Speaker of the House of Representatives may not be |
| 970 | members of the Legislature unless they are appointed as ex |
| 971 | officio, nonvoting members. At least one of the members |
| 972 | appointed by each appointing officer must have demonstrated |
| 973 | expertise in insurance. The Chief Financial Officer shall |
| 974 | designate one of the appointees as chair. All board members |
| 975 | serve at the pleasure of the appointing officer. All board |
| 976 | members, including the chair, must be appointed to serve for 3- |
| 977 | year terms beginning annually on a date designated by the plan. |
| 978 | Any board vacancy shall be filled for the unexpired term by the |
| 979 | appointing officer not fewer than five nor more than nine member |
| 980 | insurers, serving terms as established in the plan of operation. |
| 981 | At all times at least one member of the board shall be a |
| 982 | domestic insurer as defined in s. 624.06(1). The members of the |
| 983 | board shall be elected by member insurers subject to the |
| 984 | approval of the department. A vacancy on the board shall be |
| 985 | filled for the remaining period of the term by a majority vote |
| 986 | of the remaining board members, subject to the approval of the |
| 987 | department. Prior to the selection of the initial board of |
| 988 | directors and the organization of the association, the |
| 989 | department shall give notice to all member insurers of the time |
| 990 | and place of the organizational meeting. At the organizational |
| 991 | meeting, each member insurer shall be entitled to one vote, in |
| 992 | person or by proxy. If the board of directors is not elected |
| 993 | within 60 days after notice of the organizational meeting, the |
| 994 | department may appoint the initial members. |
| 995 | (2) In approving the election of members to the board, or |
| 996 | in appointing members to the board, the department shall |
| 997 | consider, among other things, whether all member insurers are |
| 998 | fairly represented. |
| 999 | (2)(3) Members of the board may be reimbursed from the |
| 1000 | assets of the association for expenses incurred by them as |
| 1001 | members of the board of directors, but members of the board |
| 1002 | shall not otherwise be compensated by the association for their |
| 1003 | services. |
| 1004 | Section 25. Section 631.816, Florida Statutes, is amended |
| 1005 | to read: |
| 1006 | 631.816 Board of directors.-- |
| 1007 | (1) The board of directors of the plan shall consist of |
| 1008 | eight individuals. The Governor, the Chief Financial Officer, |
| 1009 | the President of the Senate, and the Speaker of the House of |
| 1010 | Representatives shall each appoint two members of the board. |
| 1011 | Members appointed by the President of the Senate and the Speaker |
| 1012 | of the House of Representatives may not be members of the |
| 1013 | Legislature unless they are appointed as ex officio, nonvoting |
| 1014 | members. At least one of the members appointed by each |
| 1015 | appointing officer must have demonstrated expertise in |
| 1016 | insurance. The Chief Financial Officer shall designate one of |
| 1017 | the appointees as chair. All board members serve at the pleasure |
| 1018 | of the appointing officer. All board members, including the |
| 1019 | chair, must be appointed to serve for 3-year terms beginning |
| 1020 | annually on a date designated by the plan. Any board vacancy |
| 1021 | shall be filled for the unexpired term by the appointing officer |
| 1022 | not less than five or more than nine persons serving terms as |
| 1023 | established in the plan of operation. The department shall |
| 1024 | approve and appoint to the board persons recommended by the |
| 1025 | member HMOs. In the event the department finds that any |
| 1026 | recommended person does not meet the qualifications for service |
| 1027 | on the board, the department shall request the member HMOs to |
| 1028 | recommend another person. Each member shall serve for a 4-year |
| 1029 | term and may be reappointed, except that terms may be staggered |
| 1030 | as defined in the plan of operation. Vacancies on the board |
| 1031 | shall be filled for the remaining period of the term in the same |
| 1032 | manner as initial appointments. In determining voting rights, |
| 1033 | each HMO is entitled to vote on the basis of cumulative weighted |
| 1034 | voting based on the net written premium for non-Medicare and |
| 1035 | non-Medicaid policies. |
| 1036 | (2) In appointing members to the board, the department |
| 1037 | shall consider, among other things, whether all member HMOs are |
| 1038 | fairly represented. |
| 1039 | (2)(3) Members of the board may be reimbursed from the |
| 1040 | assets of the plan for expenses incurred by them as members of |
| 1041 | the board of directors, but members of the board shall not |
| 1042 | otherwise be compensated by the plan for their services. |
| 1043 | (4) The board of directors shall elect one of its members |
| 1044 | as chair. |
| 1045 | (3)(5) The board may contract with an administrator to |
| 1046 | carry out the provisions of this part; however, this shall not |
| 1047 | relieve the board of its duties and obligations under this part. |
| 1048 | (4)(6) The board shall collect assessments from all HMOs |
| 1049 | as set forth in this part. |
| 1050 | Section 26. Subsection (1) of section 631.912, Florida |
| 1051 | Statutes, is amended to read: |
| 1052 | 631.912 Board of directors.-- |
| 1053 | (1) The board of directors of the corporation shall |
| 1054 | consist of 16 individuals. The Governor, the Chief Financial |
| 1055 | Officer, the President of the Senate, and the Speaker of the |
| 1056 | House of Representatives shall each appoint four members of the |
| 1057 | board. Members appointed by the President of the Senate and the |
| 1058 | Speaker of the House of Representatives may not be members of |
| 1059 | the Legislature unless they are appointed as ex officio, |
| 1060 | nonvoting members. At least one of the members appointed by each |
| 1061 | appointing officer must have demonstrated expertise in |
| 1062 | insurance. The Chief Financial Officer shall designate one of |
| 1063 | the appointees as chair. All board members serve at the pleasure |
| 1064 | of the appointing officer. All board members, including the |
| 1065 | chair, must be appointed to serve for 3-year terms beginning |
| 1066 | annually on a date designated by the plan. Any board vacancy |
| 1067 | shall be filled for the unexpired term by the appointing officer |
| 1068 | 11 persons, 1 of whom is the insurance consumer advocate |
| 1069 | appointed under s. 627.0613 or designee and 1 of whom is |
| 1070 | designated by the Chief Financial Officer. The department shall |
| 1071 | appoint to the board 6 persons selected by private carriers from |
| 1072 | among the 20 workers' compensation insurers with the largest |
| 1073 | amount of net direct written premium as determined by the |
| 1074 | department, and 3 persons selected by the self-insurance funds. |
| 1075 | At least two of the private carriers shall be foreign carriers |
| 1076 | authorized to do business in this state. The board shall elect a |
| 1077 | chairperson from among its members. The Chief Financial Officer |
| 1078 | may remove any board member for cause. Each board member shall |
| 1079 | serve for a 4-year term and may be reappointed. A vacancy on the |
| 1080 | board shall be filled for the remaining period of the term in |
| 1081 | the same manner by which the original appointment was made. |
| 1082 | Section 27. Paragraph (b) of subsection (3) of section |
| 1083 | 766.105, Florida Statutes, is amended to read: |
| 1084 | 766.105 Florida Patient's Compensation Fund.-- |
| 1085 | (3) THE FUND.-- |
| 1086 | (b) Fund administration and operation.-- |
| 1087 | 1. The fund shall operate subject to the supervision and |
| 1088 | approval of a board of governors consisting of 16 individuals. |
| 1089 | The Governor, the Chief Financial Officer, the President of the |
| 1090 | Senate, and the Speaker of the House of Representatives shall |
| 1091 | each appoint four members of the board. Members appointed by the |
| 1092 | President of the Senate and the Speaker of the House of |
| 1093 | Representatives may not be members of the Legislature unless |
| 1094 | they are appointed as ex officio, nonvoting members. At least |
| 1095 | one of the members appointed by each appointing officer must |
| 1096 | have demonstrated expertise in insurance. The Chief Financial |
| 1097 | Officer shall designate one of the appointees as chair. All |
| 1098 | board members serve at the pleasure of the appointing officer. |
| 1099 | All board members, including the chair, must be appointed to |
| 1100 | serve for 3-year terms beginning annually on a date designated |
| 1101 | by the plan. Any board vacancy shall be filled for the unexpired |
| 1102 | term by the appointing officer a representative of the insurance |
| 1103 | industry appointed by the Chief Financial Officer, an attorney |
| 1104 | appointed by The Florida Bar, a representative of physicians |
| 1105 | appointed by the Florida Medical Association, a representative |
| 1106 | of physicians' insurance appointed by the Chief Financial |
| 1107 | Officer, a representative of physicians' self-insurance |
| 1108 | appointed by the Chief Financial Officer, two representatives of |
| 1109 | hospitals appointed by the Florida Hospital Association, a |
| 1110 | representative of hospital insurance appointed by the Chief |
| 1111 | Financial Officer, a representative of hospital self-insurance |
| 1112 | appointed by the Chief Financial Officer, a representative of |
| 1113 | the osteopathic physicians' or podiatric physicians' insurance |
| 1114 | or self-insurance appointed by the Chief Financial Officer, and |
| 1115 | a representative of the general public appointed by the Chief |
| 1116 | Financial Officer. The board of governors shall, during the |
| 1117 | first meeting after June 30 of each year, choose one of its |
| 1118 | members to serve as chair of the board and another member to |
| 1119 | serve as vice chair of the board. The members of the board shall |
| 1120 | be appointed to serve terms of 4 years, except that the initial |
| 1121 | appointments of a representative of the general public by the |
| 1122 | Chief Financial Officer, an attorney by The Florida Bar, a |
| 1123 | representative of physicians by the Florida Medical Association, |
| 1124 | and one of the two representatives of the Florida Hospital |
| 1125 | Association shall be for terms of 3 years; thereafter, such |
| 1126 | representatives shall be appointed for terms of 4 years. |
| 1127 | Subsequent to initial appointments for 4-year terms, the |
| 1128 | representative of the osteopathic physicians' or podiatric |
| 1129 | physicians' insurance or self-insurance appointed by the Chief |
| 1130 | Financial Officer and the representative of hospital self- |
| 1131 | insurance appointed by the Chief Financial Officer shall be |
| 1132 | appointed for 2-year terms; thereafter, such representatives |
| 1133 | shall be appointed for terms of 4 years. Each appointed member |
| 1134 | may designate in writing to the chair an alternate to act in the |
| 1135 | member's absence or incapacity. A member of the board, or the |
| 1136 | member's alternate, may be reimbursed from the assets of the |
| 1137 | fund for expenses incurred by him or her as a member, or |
| 1138 | alternate member, of the board and for committee work, but he or |
| 1139 | she may not otherwise be compensated by the fund for his or her |
| 1140 | service as a board member or alternate. |
| 1141 | 2. There shall be no liability on the part of, and no |
| 1142 | cause of action of any nature shall arise against, the fund or |
| 1143 | its agents or employees, professional advisers or consultants, |
| 1144 | members of the board of governors or their alternates, or the |
| 1145 | Department of Financial Services or the Office of Insurance |
| 1146 | Regulation of the Financial Services Commission or their |
| 1147 | representatives for any action taken by them in the performance |
| 1148 | of their powers and duties pursuant to this section. |
| 1149 | Section 28. Section 440.103, Florida Statutes, is amended |
| 1150 | to read: |
| 1151 | 440.103 Building permits; identification of minimum |
| 1152 | premium policy.--Every employer shall, as a condition to |
| 1153 | applying for and receiving a building permit, show proof and |
| 1154 | certify to the permit issuer that it has secured compensation |
| 1155 | for its employees under this chapter as provided in ss. 440.10 |
| 1156 | and 440.38. Such proof of compensation must be evidenced by a |
| 1157 | certificate of coverage issued by the carrier, a valid exemption |
| 1158 | certificate approved by the department, or a copy of the |
| 1159 | employer's authority to self-insure and shall be presented each |
| 1160 | time the employer applies for a building permit. As provided in |
| 1161 | s. 627.413(6)(5), each certificate of coverage must show, on its |
| 1162 | face, whether or not coverage is secured under the minimum |
| 1163 | premium provisions of rules adopted by rating organizations |
| 1164 | licensed pursuant to s. 627.221. The words "minimum premium |
| 1165 | policy" or equivalent language shall be typed, printed, stamped, |
| 1166 | or legibly handwritten. |
| 1167 | Section 29. The Department of Financial Services shall |
| 1168 | review how insurance agent commissions for the placement and |
| 1169 | renewal of property insurance policies are established and |
| 1170 | applied and shall make recommendations, based on industry best |
| 1171 | practices, for standards to ensure that agent commissions are |
| 1172 | justified on a market basis based on the nature and amount of |
| 1173 | work performed by the agents. The Office of Insurance Regulation |
| 1174 | shall provide the department with all information requested |
| 1175 | pursuant to this section. The department shall report its |
| 1176 | findings and recommendations to the Governor, the President of |
| 1177 | the Senate, and the Speaker of the House of Representatives by |
| 1178 | July 1, 2007. |
| 1179 | Section 30. Except as otherwise expressly provided in this |
| 1180 | act, this act shall take effect upon becoming a law. |