| 1 | A bill to be entitled |
| 2 | An act relating to civil actions against insurers; |
| 3 | amending s. 624.155, F.S.; authorizing an insured to bring |
| 4 | a civil action against an insurer when the insured is |
| 5 | damaged by the commission of certain acts by the insurer; |
| 6 | requiring the insured and any person demanding settlement |
| 7 | to cooperate with the insurer with regard to facilitating |
| 8 | the settlement; revising notice requirements related to |
| 9 | such civil actions; requiring that notice of such actions |
| 10 | contain certain information; deleting an exemption for a |
| 11 | third-party claimant; requiring the Department of |
| 12 | Financial Services to return such notice within a |
| 13 | specified period after receipt under certain |
| 14 | circumstances; providing that no action shall lie if |
| 15 | damages are paid or the circumstances giving rise to the |
| 16 | insurer's violation are corrected within a specified |
| 17 | period; extending the period for which the applicable |
| 18 | statute of limitations may be tolled under certain |
| 19 | circumstances; providing for the preemption of other civil |
| 20 | remedies; requiring that an insured prove, by clear and |
| 21 | convincing evidence, that the insurer's refusal to settle |
| 22 | was unreasonable in an action arising from an allegation |
| 23 | that the insurer failed to settle a claim for liability |
| 24 | insurance coverage; providing that the insurer of an |
| 25 | insured or insureds is not liable for extracontractual |
| 26 | damages for failing to pay the insurer's policy limits |
| 27 | under certain circumstances; providing that an insurer |
| 28 | that tenders its policy limits is entitled to a release |
| 29 | from its insured if the claimant accepts the tender; |
| 30 | providing circumstances under which a civil cause of |
| 31 | action does not exist; providing that an insured is not |
| 32 | prohibited from assigning the cause of action to an |
| 33 | injured third-party claimant for the insurer's failure to |
| 34 | act fairly and honestly toward its insured and with due |
| 35 | regard for the insured's interest; providing for |
| 36 | applicability; providing an effective date. |
| 37 |
|
| 38 | Be It Enacted by the Legislature of the State of Florida: |
| 39 |
|
| 40 | Section 1. Subsections (1), (3), and (8) of section |
| 41 | 624.155, Florida Statutes, are amended, and subsections (10) |
| 42 | through (15) are added to that section, to read: |
| 43 | 624.155 Civil remedy.-- |
| 44 | (1) An insured Any person may bring a civil action against |
| 45 | an insurer when such insured person is damaged: |
| 46 | (a) By a violation of any of the following provisions by |
| 47 | the insurer: |
| 48 | 1. Section 626.9541(1)(i), (o), or (x); |
| 49 | 2. Section 626.9551; |
| 50 | 3. Section 626.9705; |
| 51 | 4. Section 626.9706; |
| 52 | 5. Section 626.9707; or |
| 53 | 6. Section 627.7283. |
| 54 | (b) By the commission of any of the following acts by the |
| 55 | insurer: |
| 56 | 1. Not attempting in good faith to settle claims when, |
| 57 | under all the circumstances, it could and should have done so, |
| 58 | had it acted fairly and honestly toward its insured and with due |
| 59 | regard for her or his interests. However, both the insured and |
| 60 | any person asserting a demand for such settlement owe a similar |
| 61 | duty to the insurer to cooperate fully with the insurer, and it |
| 62 | is a defense to any action brought under this section if the |
| 63 | court finds that the insured or other person demanding |
| 64 | settlement failed to cooperate fully with regard to facilitating |
| 65 | the settlement; |
| 66 | 2. Making claims payments to insureds or beneficiaries not |
| 67 | accompanied by a statement setting forth the coverage under |
| 68 | which payments are being made; or |
| 69 | 3. Except as to liability coverages, failing to promptly |
| 70 | settle claims, when the obligation to settle a claim has become |
| 71 | reasonably clear, under one portion of the insurance policy |
| 72 | coverage in order to influence settlements under other portions |
| 73 | of the insurance policy coverage. |
| 74 |
|
| 75 | Notwithstanding the provisions of the above to the contrary, a |
| 76 | person pursuing a remedy under this section need not prove that |
| 77 | such act was committed or performed with such frequency as to |
| 78 | indicate a general business practice. |
| 79 | (3)(a) As a condition precedent to bringing an action |
| 80 | under this section, the department and the authorized insurer |
| 81 | must have been given 90 60 days' written notice of the |
| 82 | violation. If the department returns a notice for lack of |
| 83 | specificity, the 90-day 60-day time period shall not begin until |
| 84 | a proper notice is filed. |
| 85 | (b) The notice shall be on a form provided by the |
| 86 | department and shall state with specificity the following |
| 87 | information, and such other information as the department may |
| 88 | require: |
| 89 | 1. The statutory provision, including the specific |
| 90 | language of the statute, which the authorized insurer allegedly |
| 91 | violated. |
| 92 | 2. The facts and circumstances giving rise to the |
| 93 | violation and any amount in dispute. |
| 94 | 3. The name of any individual involved in the violation. |
| 95 | 4. Reference to specific policy language that is relevant |
| 96 | to the violation, if any. If the person bringing the civil |
| 97 | action is a third party claimant, she or he shall not be |
| 98 | required to reference the specific policy language if the |
| 99 | authorized insurer has not provided a copy of the policy to the |
| 100 | third party claimant pursuant to written request. |
| 101 | 5. A statement that the notice is given in order to |
| 102 | perfect the right to pursue the civil remedy authorized by this |
| 103 | section. |
| 104 | (c) Within 30 20 days after the date on which the |
| 105 | department receives of receipt of the notice, the department |
| 106 | shall may return any notice that does not provide the specific |
| 107 | information required by this section, and the department shall |
| 108 | indicate the specific deficiencies contained in the notice. A |
| 109 | determination by the department to return a notice for lack of |
| 110 | specificity is shall be exempt from the requirements of chapter |
| 111 | 120. |
| 112 | (d) No action shall lie if, within 90 60 days after filing |
| 113 | notice, the damages are paid or the circumstances giving rise to |
| 114 | the violation are corrected. |
| 115 | (e) The authorized insurer that is the recipient of a |
| 116 | notice filed pursuant to this section shall report to the |
| 117 | department on the disposition of the alleged violation. |
| 118 | (f) The applicable statute of limitations for an action |
| 119 | under this section shall be tolled for a period of 95 65 days by |
| 120 | the mailing of the notice required by this subsection or the |
| 121 | mailing of a subsequent notice required by this subsection. |
| 122 | (8) The civil remedy specified in this section preempts |
| 123 | all does not preempt any other remedies or causes remedy or |
| 124 | cause of action for extracontractual damages for failing to |
| 125 | settle under an insurance contract that are provided for |
| 126 | pursuant to any other statute or pursuant to the common law of |
| 127 | this state. Any person may obtain a judgment under either the |
| 128 | common-law remedy of bad faith or this statutory remedy, but |
| 129 | shall not be entitled to a judgment under both remedies. This |
| 130 | section does shall not be construed to create a common-law cause |
| 131 | of action. The damages recoverable pursuant to this section |
| 132 | shall include those damages which are a reasonably foreseeable |
| 133 | result of a specified violation of this section by the |
| 134 | authorized insurer and may include an award or judgment in an |
| 135 | amount that exceeds the policy limits. |
| 136 | (10) In any action against an insurer arising from an |
| 137 | allegation that the insurer failed to settle a claim for |
| 138 | liability insurance coverage, the insured has the burden to |
| 139 | prove, by clear and convincing evidence, that the insurer's |
| 140 | refusal to settle was unreasonable. |
| 141 | (11) If multiple claimants seek compensation from the same |
| 142 | insured or multiple insureds or if a single claimant seeks |
| 143 | compensation from multiple insureds for damages arising from the |
| 144 | same occurrence, and such compensation in the aggregate exceeds |
| 145 | the policy limits of the insurer, the insurer of the insured or |
| 146 | insureds is not liable for extracontractual damages for failing |
| 147 | to pay the insurer's policy limits if the insurer makes a |
| 148 | written offer of its policy limits within the timeframe set |
| 149 | forth in this section to all known potential claimants in |
| 150 | exchange for releases of all claims against all insureds or |
| 151 | tenders such limits to the court for apportionment to the |
| 152 | claimants. |
| 153 | (12) An insurer that tenders its policy limits is entitled |
| 154 | to a release from its insured if the claimant accepts the |
| 155 | tender. |
| 156 | (13) A cause of action does not exist under this section |
| 157 | if an insurer remedies the alleged violation contained in the |
| 158 | notice issued under subsection (3) within 90 days after the date |
| 159 | on which such notice was issued if such notice meets all |
| 160 | requirements of that subsection. |
| 161 | (14) This section does not prohibit an insured from |
| 162 | assigning the cause of action to an injured third-party claimant |
| 163 | for the insurer's failure to act fairly and honestly toward its |
| 164 | insured or with due regard for the insured's interest. |
| 165 | (15) This section applies to all actions involving medical |
| 166 | malpractice claims unless such claims arise under or are |
| 167 | controlled by s. 766.1185. |
| 168 | Section 2. This act shall take effect July 1, 2009. |