| 1 | A bill to be entitled |
| 2 | An act relating to insurance rate filings; amending s. |
| 3 | 627.062, F.S.; deleting authorization and procedures for |
| 4 | use and file rate filings; revising requirements for |
| 5 | making rate filings for all classes of insurance; amending |
| 6 | s. 627.0651, F.S.; deleting authorization and procedures |
| 7 | for use and file rate filings; revising requirements for |
| 8 | making rate filings for motor vehicle insurance; amending |
| 9 | s. 627.311, F.S.; deleting authorization and procedures |
| 10 | for use and file rate filings; revising requirements for |
| 11 | filing rate plans by joint underwriters and joint |
| 12 | reinsurers; providing an effective date. |
| 13 |
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| 14 | Be It Enacted by the Legislature of the State of Florida: |
| 15 |
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| 16 | Section 1. Paragraphs (a) and (h) of subsection (2) of |
| 17 | section 627.062, Florida Statutes, are amended to read: |
| 18 | 627.062 Rate standards.- |
| 19 | (2) As to all such classes of insurance: |
| 20 | (a) Insurers or rating organizations shall establish and |
| 21 | use rates, rating schedules, or rating manuals to allow the |
| 22 | insurer a reasonable rate of return on such classes of insurance |
| 23 | written in this state. A copy of rates, rating schedules, rating |
| 24 | manuals, premium credits or discount schedules, and surcharge |
| 25 | schedules, and changes thereto, shall be filed with the office. |
| 26 | under one of the following procedures except as provided in |
| 27 | subparagraph 3.: |
| 28 | 1. All filings must be If the filing is made at least 90 |
| 29 | days before the proposed effective date and the filing may is |
| 30 | not be implemented during the office's review of the filing and |
| 31 | any proceeding and judicial review, then such filing shall be |
| 32 | considered a "file and use" filing. In such case, The office |
| 33 | shall finalize its review by issuance of a notice of intent to |
| 34 | approve or a notice of intent to disapprove within 90 days after |
| 35 | receipt of the filing. The notice of intent to approve and the |
| 36 | notice of intent to disapprove constitute agency action for |
| 37 | purposes of the Administrative Procedure Act. Requests for |
| 38 | supporting information, requests for mathematical or mechanical |
| 39 | corrections, or notification to the insurer by the office of its |
| 40 | preliminary findings shall not toll the 90-day period during any |
| 41 | such proceedings and subsequent judicial review. The rate shall |
| 42 | be deemed approved if the office does not issue a notice of |
| 43 | intent to approve or a notice of intent to disapprove within 90 |
| 44 | days after receipt of the filing. |
| 45 | 2. If the filing is not made in accordance with the |
| 46 | provisions of subparagraph 1., such filing shall be made as soon |
| 47 | as practicable, but no later than 30 days after the effective |
| 48 | date, and shall be considered a "use and file" filing. An |
| 49 | insurer making a "use and file" filing is potentially subject to |
| 50 | an order by the office to return to policyholders portions of |
| 51 | rates found to be excessive, as provided in paragraph (h). |
| 52 | 3. For all property insurance filings made or submitted |
| 53 | after January 25, 2007, but before December 31, 2010, an insurer |
| 54 | seeking a rate that is greater than the rate most recently |
| 55 | approved by the office shall make a "file and use" filing. For |
| 56 | purposes of this subparagraph, motor vehicle collision and |
| 57 | comprehensive coverages are not considered to be property |
| 58 | coverages. |
| 59 | (h) If In the event the office finds that a rate or rate |
| 60 | change is excessive, inadequate, or unfairly discriminatory, the |
| 61 | office shall issue an order of disapproval specifying that a new |
| 62 | rate or rate schedule which responds to the findings of the |
| 63 | office be filed by the insurer. The office shall further order, |
| 64 | for any "use and file" filing made in accordance with |
| 65 | subparagraph (a)2., that premiums charged each policyholder |
| 66 | constituting the portion of the rate above that which was |
| 67 | actuarially justified be returned to such policyholder in the |
| 68 | form of a credit or refund. If the office finds that an |
| 69 | insurer's rate or rate change is inadequate, the new rate or |
| 70 | rate schedule filed with the office in response to such a |
| 71 | finding shall be applicable only to new or renewal business of |
| 72 | the insurer written on or after the effective date of the |
| 73 | responsive filing. |
| 74 |
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| 75 | The provisions of this subsection shall not apply to workers' |
| 76 | compensation and employer's liability insurance and to motor |
| 77 | vehicle insurance. |
| 78 | Section 2. Subsections (1) and (11) of section 627.0651, |
| 79 | Florida Statutes, are amended to read: |
| 80 | 627.0651 Making and use of rates for motor vehicle |
| 81 | insurance.- |
| 82 | (1) Insurers shall establish and use rates, rating |
| 83 | schedules, or rating manuals to allow the insurer a reasonable |
| 84 | rate of return on motor vehicle insurance written in this state. |
| 85 | A copy of rates, rating schedules, and rating manuals, and |
| 86 | changes therein, shall be filed with the office. under one of |
| 87 | the following procedures: |
| 88 | (a) If The filing must be is made at least 60 days before |
| 89 | the proposed effective date and the filing may is not be |
| 90 | implemented during the office's review of the filing and any |
| 91 | proceeding and judicial review, such filing shall be considered |
| 92 | a "file and use" filing. In such case, The office shall initiate |
| 93 | proceedings to disapprove the rate and so notify the insurer or |
| 94 | shall finalize its review within 60 days after receipt of the |
| 95 | filing. Notification to the insurer by the office of its |
| 96 | preliminary findings shall toll the 60-day period during any |
| 97 | such proceedings and subsequent judicial review. The rate shall |
| 98 | be deemed approved if the office does not issue notice to the |
| 99 | insurer of its preliminary findings within 60 days after the |
| 100 | filing. |
| 101 | (b) If the filing is not made in accordance with the |
| 102 | provisions of paragraph (a), such filing shall be made as soon |
| 103 | as practicable, but no later than 30 days after the effective |
| 104 | date, and shall be considered a "use and file" filing. An |
| 105 | insurer making a "use and file" filing is potentially subject to |
| 106 | an order by the office to return to policyholders portions of |
| 107 | rates found to be excessive, as provided in subsection (11). |
| 108 | (11) If In the event the office finds that a rate or rate |
| 109 | change is excessive, inadequate, or unfairly discriminatory, the |
| 110 | office shall issue an order of disapproval specifying that a new |
| 111 | rate or rate schedule which responds to the findings of the |
| 112 | office be filed by the insurer. The office shall further order |
| 113 | for any "use and file" filing made in accordance with paragraph |
| 114 | (1)(b), that premiums charged each policyholder constituting the |
| 115 | portion of the rate above that which was actuarially justified |
| 116 | be returned to such policyholder in the form of a credit or |
| 117 | refund. If the office finds that an insurer's rate or rate |
| 118 | change is inadequate, the new rate or rate schedule filed with |
| 119 | the office in response to such a finding shall be applicable |
| 120 | only to new or renewal business of the insurer written on or |
| 121 | after the effective date of the responsive filing. |
| 122 | Section 3. Paragraph (e) of subsection (5) of section |
| 123 | 627.311, Florida Statutes, is amended to read: |
| 124 | 627.311 Joint underwriters and joint reinsurers; public |
| 125 | records and public meetings exemptions.- |
| 126 | (5) |
| 127 | (e) For rates and rating plans effective on or after |
| 128 | January 1, 2008, the plan shall establish and use its rates and |
| 129 | rating plans, and the plan may establish and use changes in |
| 130 | rating plans at any time, but no more frequently than two times |
| 131 | per any rating class for any calendar year. By December 1 of |
| 132 | each year thereafter, except as provided in subparagraph (c)22., |
| 133 | the board shall establish and use actuarially sound rates for |
| 134 | use by the plan to assure that the plan is self-funding while |
| 135 | those rates are in effect. Such rates and rating plans must be |
| 136 | filed with the office at least 60 within 30 calendar days before |
| 137 | after their effective dates, and shall be considered a "use and |
| 138 | file" filing. Any disapproval by the office must have an |
| 139 | effective date that is at least 60 days from the date of |
| 140 | disapproval of the rates and rating plan and must have |
| 141 | prospective effect only. The plan shall be subject to any order |
| 142 | by the office to return to policyholders any portion of the |
| 143 | rates disapproved by the office. The office may not disapprove |
| 144 | any rates or rating plans unless it demonstrates that such rates |
| 145 | and rating plans are excessive, inadequate, or unfairly |
| 146 | discriminatory. |
| 147 | Section 4. This act shall take effect January 1, 2011. |