| 1 | A bill to be entitled |
| 2 | An act relating to insurance; amending s. 626.9541, F.S.; |
| 3 | prohibiting an insurer that issues motor vehicle insurance |
| 4 | from using a rate, rating schedule, rating manual, or an |
| 5 | underwriting rule that is not contained in a rating manual |
| 6 | and is determined in whole or in part on the basis of |
| 7 | certain characteristics of an insured; including the |
| 8 | refusal to insure or continue to insure any individual or |
| 9 | risk because of educational level, trade, business, |
| 10 | occupation, profession, credit report, credit score, or |
| 11 | certain forms of lawful employment among the list of |
| 12 | activities constituting unfair methods of competition and |
| 13 | unfair or deceptive acts; amending s. 626.9741, F.S.; |
| 14 | prohibiting the use by insurers of credit reports and |
| 15 | credit scores in making rating determinations; deleting |
| 16 | provisions limiting and regulating the use of credit |
| 17 | scores by insurers when making rating determinations; |
| 18 | deleting the definitions of the terms "adverse decision" |
| 19 | and "tier"; deleting provisions authorizing the Financial |
| 20 | Services Commission to adopt rules; providing an effective |
| 21 | date. |
| 22 |
|
| 23 | Be It Enacted by the Legislature of the State of Florida: |
| 24 |
|
| 25 | Section 1. Paragraphs (o) and (x) of subsection (1) of |
| 26 | section 626.9541, Florida Statutes, are amended to read: |
| 27 | 626.9541 Unfair methods of competition and unfair or |
| 28 | deceptive acts or practices defined.- |
| 29 | (1) UNFAIR METHODS OF COMPETITION AND UNFAIR OR DECEPTIVE |
| 30 | ACTS.-The following are defined as unfair methods of competition |
| 31 | and unfair or deceptive acts or practices: |
| 32 | (o) Illegal dealings in premiums; excess or reduced |
| 33 | charges for insurance.- |
| 34 | 1. Knowingly collecting any sum as a premium or charge for |
| 35 | insurance, which is not then provided, or is not in due course |
| 36 | to be provided, subject to acceptance of the risk by the |
| 37 | insurer, by an insurance policy issued by an insurer as |
| 38 | permitted by this code. |
| 39 | 2. Knowingly collecting as a premium or charge for |
| 40 | insurance any sum in excess of or less than the premium or |
| 41 | charge applicable to such insurance, in accordance with the |
| 42 | applicable classifications and rates as filed with and approved |
| 43 | by the office, and as specified in the policy; or, in cases when |
| 44 | classifications, premiums, or rates are not required by this |
| 45 | code to be so filed and approved, premiums and charges collected |
| 46 | from a Florida resident in excess of or less than those |
| 47 | specified in the policy and as fixed by the insurer. This |
| 48 | provision does shall not be deemed to prohibit the charging and |
| 49 | collection, by surplus lines agents licensed under part VIII of |
| 50 | this chapter, of the amount of applicable state and federal |
| 51 | taxes, or fees as authorized by s. 626.916(4), in addition to |
| 52 | the premium required by the insurer or the charging and |
| 53 | collection, by licensed agents, of the exact amount of any |
| 54 | discount or other such fee charged by a credit card facility in |
| 55 | connection with the use of a credit card, as authorized by |
| 56 | subparagraph (q)3., in addition to the premium required by the |
| 57 | insurer. This subparagraph does shall not be construed to |
| 58 | prohibit collection of a premium for a universal life or a |
| 59 | variable or indeterminate value insurance policy made in |
| 60 | accordance with the terms of the contract. |
| 61 | 3.a. Imposing or requesting an additional premium for a |
| 62 | policy of motor vehicle liability, personal injury protection, |
| 63 | medical payment, or collision insurance or any combination |
| 64 | thereof or refusing to renew the policy solely because the |
| 65 | insured was involved in a motor vehicle accident unless the |
| 66 | insurer's file contains information from which the insurer in |
| 67 | good faith determines that the insured was substantially at |
| 68 | fault in the accident. |
| 69 | b. An insurer that which imposes and collects such a |
| 70 | surcharge or which refuses to renew such policy shall, in |
| 71 | conjunction with the notice of premium due or notice of |
| 72 | nonrenewal, notify the named insured that he or she is entitled |
| 73 | to reimbursement of such amount or renewal of the policy under |
| 74 | the conditions listed below and will subsequently reimburse him |
| 75 | or her or renew the policy, if the named insured demonstrates |
| 76 | that the operator involved in the accident was: |
| 77 | (I) Lawfully parked; |
| 78 | (II) Reimbursed by, or on behalf of, a person responsible |
| 79 | for the accident or has a judgment against such person; |
| 80 | (III) Struck in the rear by another vehicle headed in the |
| 81 | same direction and was not convicted of a moving traffic |
| 82 | violation in connection with the accident; |
| 83 | (IV) Hit by a "hit-and-run" driver, if the accident was |
| 84 | reported to the proper authorities within 24 hours after |
| 85 | discovering the accident; |
| 86 | (V) Not convicted of a moving traffic violation in |
| 87 | connection with the accident, but the operator of the other |
| 88 | automobile involved in such accident was convicted of a moving |
| 89 | traffic violation; |
| 90 | (VI) Finally adjudicated not to be liable by a court of |
| 91 | competent jurisdiction; |
| 92 | (VII) In receipt of a traffic citation which was dismissed |
| 93 | or nolle prossed; or |
| 94 | (VIII) Not at fault as evidenced by a written statement |
| 95 | from the insured establishing facts demonstrating lack of fault |
| 96 | which are not rebutted by information in the insurer's file from |
| 97 | which the insurer in good faith determines that the insured was |
| 98 | substantially at fault. |
| 99 | c. In addition to the other provisions of this |
| 100 | subparagraph, an insurer may not fail to renew a policy if the |
| 101 | insured has had only one accident in which he or she was at |
| 102 | fault within the current 3-year period. However, an insurer may |
| 103 | nonrenew a policy for reasons other than accidents in accordance |
| 104 | with s. 627.728. This subparagraph does not prohibit nonrenewal |
| 105 | of a policy under which the insured has had three or more |
| 106 | accidents, regardless of fault, during the most recent 3-year |
| 107 | period. |
| 108 | 4. Imposing or requesting an additional premium for, or |
| 109 | refusing to renew, a policy for motor vehicle insurance solely |
| 110 | because the insured committed a noncriminal traffic infraction |
| 111 | as described in s. 318.14 unless the infraction is: |
| 112 | a. A second infraction committed within an 18-month |
| 113 | period, or a third or subsequent infraction committed within a |
| 114 | 36-month period. |
| 115 | b. A violation of s. 316.183, when such violation is a |
| 116 | result of exceeding the lawful speed limit by more than 15 miles |
| 117 | per hour. |
| 118 | 5. Upon the request of the insured, the insurer and |
| 119 | licensed agent shall supply to the insured the complete proof of |
| 120 | fault or other criteria that which justifies the additional |
| 121 | charge or cancellation. |
| 122 | 6. An No insurer may not shall impose or request an |
| 123 | additional premium for motor vehicle insurance, cancel or refuse |
| 124 | to issue a policy, or refuse to renew a policy because the |
| 125 | insured or the applicant is a handicapped or physically disabled |
| 126 | person, so long as such handicap or physical disability does not |
| 127 | substantially impair such person's mechanically assisted driving |
| 128 | ability. |
| 129 | 7. An No insurer may not cancel or otherwise terminate any |
| 130 | insurance contract or coverage, or require execution of a |
| 131 | consent to rate endorsement, during the stated policy term for |
| 132 | the purpose of offering to issue, or issuing, a similar or |
| 133 | identical contract or coverage to the same insured with the same |
| 134 | exposure at a higher premium rate or continuing an existing |
| 135 | contract or coverage with the same exposure at an increased |
| 136 | premium. |
| 137 | 8. An No insurer may not issue a nonrenewal notice on any |
| 138 | insurance contract or coverage, or require execution of a |
| 139 | consent to rate endorsement, for the purpose of offering to |
| 140 | issue, or issuing, a similar or identical contract or coverage |
| 141 | to the same insured at a higher premium rate or continuing an |
| 142 | existing contract or coverage at an increased premium without |
| 143 | meeting any applicable notice requirements. |
| 144 | 9. An No insurer may not shall, with respect to premiums |
| 145 | charged for motor vehicle insurance, unfairly discriminate |
| 146 | solely on the basis of age, sex, marital status, or scholastic |
| 147 | achievement. |
| 148 | 10. An insurer may not, with respect to premiums charged |
| 149 | for motor vehicle insurance, use any rate, rating schedule, |
| 150 | rating manual, or underwriting rule that is not contained in a |
| 151 | rating manual and that is determined in whole or in part on the |
| 152 | basis of any of the following as they relate to an insured: |
| 153 | a. Educational level. |
| 154 | b. Trade, business, occupation, profession, or any lawful |
| 155 | form of employment that does not directly involve the use of one |
| 156 | or more vehicles specifically insured or identified in the |
| 157 | insurance policy. |
| 158 | c. Credit report or credit score as defined in s. |
| 159 | 626.9741. |
| 160 | 11.10. Imposing or requesting an additional premium for |
| 161 | motor vehicle comprehensive or uninsured motorist coverage |
| 162 | solely because the insured was involved in a motor vehicle |
| 163 | accident or was convicted of a moving traffic violation. |
| 164 | 12.11. An No insurer may not shall cancel or issue a |
| 165 | nonrenewal notice on any insurance policy or contract without |
| 166 | complying with any applicable cancellation or nonrenewal |
| 167 | provision required under the Florida Insurance Code. |
| 168 | 13.12. An No insurer may not shall impose or request an |
| 169 | additional premium, cancel a policy, or issue a nonrenewal |
| 170 | notice on any insurance policy or contract because of any |
| 171 | traffic infraction when adjudication has been withheld and no |
| 172 | points have been assessed pursuant to s. 318.14(9) and (10). |
| 173 | However, this subparagraph does not apply to traffic infractions |
| 174 | involving accidents in which the insurer has incurred a loss due |
| 175 | to the fault of the insured. |
| 176 | (x) Refusal to insure.-In addition to other provisions of |
| 177 | this code, the refusal to insure, or continue to insure, any |
| 178 | individual or risk because of the individual's educational |
| 179 | level, trade, business, occupation, profession, any form of |
| 180 | lawful employment, or credit report or credit score as defined |
| 181 | in s. 626.9741, or solely because of: |
| 182 | 1. Race, color, creed, marital status, gender sex, or |
| 183 | national origin; |
| 184 | 2. The residence or, age, or lawful occupation of the |
| 185 | individual or the location of the risk, unless there is a |
| 186 | reasonable relationship between the residence or, age, or lawful |
| 187 | occupation of the individual or the location of the risk and the |
| 188 | coverage issued or to be issued; |
| 189 | 3. The insured's or applicant's failure to agree to place |
| 190 | collateral business with any insurer, unless the coverage |
| 191 | applied for would provide liability coverage which is excess |
| 192 | over that provided in policies maintained on property or motor |
| 193 | vehicles; |
| 194 | 4. The insured's or applicant's failure to purchase |
| 195 | noninsurance services or commodities, including automobile |
| 196 | services as defined in s. 624.124; |
| 197 | 5. The fact that the insured or applicant is a public |
| 198 | official; or |
| 199 | 6. The fact that the insured or applicant had been |
| 200 | previously refused insurance coverage by any insurer, when such |
| 201 | refusal to insure or continue to insure for this reason occurs |
| 202 | with such frequency as to indicate a general business practice. |
| 203 | Section 2. Section 626.9741, Florida Statutes, is amended |
| 204 | to read: |
| 205 | 626.9741 Use of credit reports and credit scores by |
| 206 | insurers.-An insurer may not use credit reports or credit scores |
| 207 | in making rating determinations. For purposes of this section, |
| 208 | the term: |
| 209 | (1) The purpose of this section is to regulate and limit |
| 210 | the use of credit reports and credit scores by insurers for |
| 211 | underwriting and rating purposes. This section applies only to |
| 212 | personal lines motor vehicle insurance and personal lines |
| 213 | residential insurance, which includes homeowners, mobile home |
| 214 | owners' dwelling, tenants, condominium unit owners, cooperative |
| 215 | unit owners, and similar types of insurance. |
| 216 | (2) As used in this section, the term: |
| 217 | (a) "Adverse decision" means a decision to refuse to issue |
| 218 | or renew a policy of insurance; to issue a policy with |
| 219 | exclusions or restrictions; to increase the rates or premium |
| 220 | charged for a policy of insurance; to place an insured or |
| 221 | applicant in a rating tier that does not have the lowest |
| 222 | available rates for which that insured or applicant is otherwise |
| 223 | eligible; or to place an applicant or insured with a company |
| 224 | operating under common management, control, or ownership which |
| 225 | does not offer the lowest rates available, within the affiliate |
| 226 | group of insurance companies, for which that insured or |
| 227 | applicant is otherwise eligible. |
| 228 | (1)(b) "Credit report" means any written, oral, or other |
| 229 | communication of any information by a consumer reporting agency, |
| 230 | as defined in the federal Fair Credit Reporting Act, 15 U.S.C. |
| 231 | ss. 1681 et seq., bearing on a consumer's credit worthiness, |
| 232 | credit standing, or credit capacity, which is used or expected |
| 233 | to be used or collected as a factor to establish a person's |
| 234 | eligibility for credit or insurance, or any other purpose |
| 235 | authorized pursuant to the applicable provision of such federal |
| 236 | act. A credit score alone, as calculated by a credit reporting |
| 237 | agency or by or for the insurer, may not be considered a credit |
| 238 | report. |
| 239 | (2)(c) "Credit score" means a score, grade, or value that |
| 240 | is derived by using any or all data from a credit report in any |
| 241 | type of model, method, or program, whether electronically, in an |
| 242 | algorithm, computer software or program, or any other process, |
| 243 | for the purpose of grading or ranking credit report data. |
| 244 | (d) "Tier" means a category within a single insurer into |
| 245 | which insureds with substantially similar risk, exposure, or |
| 246 | expense factors are placed for purposes of determining rate or |
| 247 | premium. |
| 248 | (3) An insurer must inform an applicant or insured, in the |
| 249 | same medium as the application is taken, that a credit report or |
| 250 | score is being requested for underwriting or rating purposes. An |
| 251 | insurer that makes an adverse decision based, in whole or in |
| 252 | part, upon a credit report must provide at no charge, a copy of |
| 253 | the credit report to the applicant or insured or provide the |
| 254 | applicant or insured with the name, address, and telephone |
| 255 | number of the consumer reporting agency from which the insured |
| 256 | or applicant may obtain the credit report. The insurer must |
| 257 | provide notification to the consumer explaining the reasons for |
| 258 | the adverse decision. The reasons must be provided in |
| 259 | sufficiently clear and specific language so that a person can |
| 260 | identify the basis for the insurer's adverse decision. Such |
| 261 | notification shall include a description of the four primary |
| 262 | reasons, or such fewer number as existed, which were the primary |
| 263 | influences of the adverse decision. The use of generalized terms |
| 264 | such as "poor credit history," "poor credit rating," or "poor |
| 265 | insurance score" does not meet the explanation requirements of |
| 266 | this subsection. A credit score may not be used in underwriting |
| 267 | or rating insurance unless the scoring process produces |
| 268 | information in sufficient detail to permit compliance with the |
| 269 | requirements of this subsection. It shall not be deemed an |
| 270 | adverse decision if, due to the insured's credit report or |
| 271 | credit score, the insured continues to receive a less favorable |
| 272 | rate or placement in a less favorable tier or company at the |
| 273 | time of renewal except for renewals or reunderwriting required |
| 274 | by this section. |
| 275 | (4)(a) An insurer may not request a credit report or score |
| 276 | based upon the race, color, religion, marital status, age, |
| 277 | gender, income, national origin, or place of residence of the |
| 278 | applicant or insured. |
| 279 | (b) An insurer may not make an adverse decision solely |
| 280 | because of information contained in a credit report or score |
| 281 | without consideration of any other underwriting or rating |
| 282 | factor. |
| 283 | (c) An insurer may not make an adverse decision or use a |
| 284 | credit score that could lead to such a decision if based, in |
| 285 | whole or in part, on: |
| 286 | 1. The absence of, or an insufficient, credit history, in |
| 287 | which instance the insurer shall: |
| 288 | a. Treat the consumer as otherwise approved by the Office |
| 289 | of Insurance Regulation if the insurer presents information that |
| 290 | such an absence or inability is related to the risk for the |
| 291 | insurer; |
| 292 | b. Treat the consumer as if the applicant or insured had |
| 293 | neutral credit information, as defined by the insurer; |
| 294 | c. Exclude the use of credit information as a factor and |
| 295 | use only other underwriting criteria; |
| 296 | 2. Collection accounts with a medical industry code, if so |
| 297 | identified on the consumer's credit report; |
| 298 | 3. Place of residence; or |
| 299 | 4. Any other circumstance that the Financial Services |
| 300 | Commission determines, by rule, lacks sufficient statistical |
| 301 | correlation and actuarial justification as a predictor of |
| 302 | insurance risk. |
| 303 | (d) An insurer may use the number of credit inquiries |
| 304 | requested or made regarding the applicant or insured except for: |
| 305 | 1. Credit inquiries not initiated by the consumer or |
| 306 | inquiries requested by the consumer for his or her own credit |
| 307 | information. |
| 308 | 2. Inquiries relating to insurance coverage, if so |
| 309 | identified on a consumer's credit report. |
| 310 | 3. Collection accounts with a medical industry code, if so |
| 311 | identified on the consumer's credit report. |
| 312 | 4. Multiple lender inquiries, if coded by the consumer |
| 313 | reporting agency on the consumer's credit report as being from |
| 314 | the home mortgage industry and made within 30 days of one |
| 315 | another, unless only one inquiry is considered. |
| 316 | 5. Multiple lender inquiries, if coded by the consumer |
| 317 | reporting agency on the consumer's credit report as being from |
| 318 | the automobile lending industry and made within 30 days of one |
| 319 | another, unless only one inquiry is considered. |
| 320 | (e) An insurer must, upon the request of an applicant or |
| 321 | insured, provide a means of appeal for an applicant or insured |
| 322 | whose credit report or credit score is unduly influenced by a |
| 323 | dissolution of marriage, the death of a spouse, or temporary |
| 324 | loss of employment. The insurer must complete its review within |
| 325 | 10 business days after the request by the applicant or insured |
| 326 | and receipt of reasonable documentation requested by the |
| 327 | insurer, and, if the insurer determines that the credit report |
| 328 | or credit score was unduly influenced by any of such factors, |
| 329 | the insurer shall treat the applicant or insured as if the |
| 330 | applicant or insured had neutral credit information or shall |
| 331 | exclude the credit information, as defined by the insurer, |
| 332 | whichever is more favorable to the applicant or insured. An |
| 333 | insurer shall not be considered out of compliance with its |
| 334 | underwriting rules or rates or forms filed with the Office of |
| 335 | Insurance Regulation or out of compliance with any other state |
| 336 | law or rule as a result of granting any exceptions pursuant to |
| 337 | this subsection. |
| 338 | (5) A rate filing that uses credit reports or credit |
| 339 | scores must comply with the requirements of s. 627.062 or s. |
| 340 | 627.0651 to ensure that rates are not excessive, inadequate, or |
| 341 | unfairly discriminatory. |
| 342 | (6) An insurer that requests or uses credit reports and |
| 343 | credit scoring in its underwriting and rating methods shall |
| 344 | maintain and adhere to established written procedures that |
| 345 | reflect the restrictions set forth in the federal Fair Credit |
| 346 | Reporting Act, this section, and all rules related thereto. |
| 347 | (7)(a) An insurer shall establish procedures to review the |
| 348 | credit history of an insured who was adversely affected by the |
| 349 | use of the insured's credit history at the initial rating of the |
| 350 | policy, or at a subsequent renewal thereof. This review must be |
| 351 | performed at a minimum of once every 2 years or at the request |
| 352 | of the insured, whichever is sooner, and the insurer shall |
| 353 | adjust the premium of the insured to reflect any improvement in |
| 354 | the credit history. The procedures must provide that, with |
| 355 | respect to existing policyholders, the review of a credit report |
| 356 | will not be used by the insurer to cancel, refuse to renew, or |
| 357 | require a change in the method of payment or payment plan. |
| 358 | (b) However, as an alternative to the requirements of |
| 359 | paragraph (a), an insurer that used a credit report or credit |
| 360 | score for an insured upon inception of a policy, who will not |
| 361 | use a credit report or score for reunderwriting, shall |
| 362 | reevaluate the insured within the first 3 years after inception, |
| 363 | based on other allowable underwriting or rating factors, |
| 364 | excluding credit information if the insurer does not increase |
| 365 | the rates or premium charged to the insured based on the |
| 366 | exclusion of credit reports or credit scores. |
| 367 | (8) The commission may adopt rules to administer this |
| 368 | section. The rules may include, but need not be limited to: |
| 369 | (a) Information that must be included in filings to |
| 370 | demonstrate compliance with subsection (3). |
| 371 | (b) Statistical detail that insurers using credit reports |
| 372 | or scores under subsection (5) must retain and report annually |
| 373 | to the Office of Insurance Regulation. |
| 374 | (c) Standards that ensure that rates or premiums |
| 375 | associated with the use of a credit report or score are not |
| 376 | unfairly discriminatory, based upon race, color, religion, |
| 377 | marital status, age, gender, income, national origin, or place |
| 378 | of residence. |
| 379 | (d) Standards for review of models, methods, programs, or |
| 380 | any other process by which to grade or rank credit report data |
| 381 | and which may produce credit scores in order to ensure that the |
| 382 | insurer demonstrates that such grading, ranking, or scoring is |
| 383 | valid in predicting insurance risk of an applicant or insured. |
| 384 | Section 3. This act shall take effect July 1, 2010. |