| 1 | Representative Wood offered the following: |
| 2 |
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| 3 | Amendment (with title amendment) |
| 4 | Remove everything after the enacting clause and insert: |
| 5 | Section 1. Subsection (2) of section 95.11, Florida |
| 6 | Statutes, is amended to read: |
| 7 | 95.11 Limitations other than for the recovery of real |
| 8 | property.-Actions other than for recovery of real property shall |
| 9 | be commenced as follows: |
| 10 | (2) WITHIN FIVE YEARS.- |
| 11 | (a) An action on a judgment or decree of any court, not of |
| 12 | record, of this state or any court of the United States, any |
| 13 | other state or territory in the United States, or a foreign |
| 14 | country. |
| 15 | (b) A legal or equitable action on a contract, obligation, |
| 16 | or liability founded on a written instrument, except for an |
| 17 | action to enforce a claim against a payment bond, which shall be |
| 18 | governed by the applicable provisions of ss. 255.05(10) and |
| 19 | 713.23(1)(e). |
| 20 | (c) An action to foreclose a mortgage. |
| 21 | (d) An action alleging a willful violation of s. 448.110. |
| 22 | (e) Notwithstanding paragraph (b), an action for breach of |
| 23 | a property insurance contract, with the period running from the |
| 24 | date of loss. |
| 25 | Section 2. Effective June 1, 2011, paragraph (d) of |
| 26 | subsection (2) of section 215.555, Florida Statutes, is amended |
| 27 | to read: |
| 28 | 215.555 Florida Hurricane Catastrophe Fund.- |
| 29 | (2) DEFINITIONS.-As used in this section: |
| 30 | (d) "Losses" means direct incurred losses under covered |
| 31 | policies, including which shall include losses for additional |
| 32 | living expenses not to exceed 40 percent of the insured value of |
| 33 | a residential structure or its contents and shall exclude loss |
| 34 | adjustment expenses. The term "Losses" does not include: |
| 35 | 1. Losses for fair rental value, loss of rent or rental |
| 36 | income, or business interruption losses; |
| 37 | 2. Losses under liability coverages; |
| 38 | 3. Property losses that are proximately caused by any |
| 39 | peril other than a covered event, including, but not limited to, |
| 40 | fire, theft, flood or rising water, or windstorm that does not |
| 41 | constitute a covered event; |
| 42 | 4. Amounts paid as the result of a voluntary expansion of |
| 43 | coverage by the insurer, including, but not limited to, a waiver |
| 44 | of an applicable deductible; |
| 45 | 5. Amounts paid to reimburse a policyholder for |
| 46 | condominium association or homeowners' association loss |
| 47 | assessments or under similar coverages for contractual |
| 48 | liabilities; |
| 49 | 6. Amounts paid as bad faith awards, punitive damage |
| 50 | awards, or other court-imposed fines, sanctions, or penalties; |
| 51 | 7. Amounts in excess of the coverage limits under the |
| 52 | covered policy; or |
| 53 | 8. Allocated or unallocated loss adjustment expenses. |
| 54 | Section 3. The amendment to s. 215.555, Florida Statutes, |
| 55 | made by this act applies first to the Florida Hurricane |
| 56 | Catastrophe Fund reimbursement contract that takes effect June |
| 57 | 1, 2011. |
| 58 | Section 4. Subsection (12) is added to section 215.5595, |
| 59 | Florida Statutes, to read: |
| 60 | 215.5595 Insurance Capital Build-Up Incentive Program.- |
| 61 | (12) The insurer may request that the board renegotiate |
| 62 | the terms of any surplus note issued under this section before |
| 63 | January 1, 2011. The request must be submitted to the board by |
| 64 | January 1, 2012. If the insurer agrees to accelerate the payment |
| 65 | period of the note by at least 5 years, the board must agree to |
| 66 | exempt the insurer from the premium-to-surplus ratios required |
| 67 | under paragraph (2)(d). If the insurer agrees to an acceleration |
| 68 | of the payment period for less than 5 years, the board may, |
| 69 | after consultation with the Office of Insurance Regulation, |
| 70 | agree to an appropriate revision of the premium-to-surplus |
| 71 | ratios required under paragraph (2)(d) for the remaining term of |
| 72 | the note if the revised ratios are not lower than a minimum |
| 73 | writing ratio of net premium to surplus of at least 1 to 1 and, |
| 74 | alternatively, a minimum writing ratio of gross premium to |
| 75 | surplus of at least 3 to 1. |
| 76 | Section 5. Section 624.407, Florida Statutes, is amended |
| 77 | to read: |
| 78 | 624.407 Surplus Capital funds required; new insurers.- |
| 79 | (1) To receive authority to transact any one kind or |
| 80 | combinations of kinds of insurance, as defined in part V of this |
| 81 | chapter, an insurer applying for its original certificate of |
| 82 | authority in this state after the effective date of this section |
| 83 | shall possess surplus as to policyholders at least not less than |
| 84 | the greater of: |
| 85 | (a) Five million dollars For a property and casualty |
| 86 | insurer, $5 million, or $2.5 million for any other insurer; |
| 87 | (b) For life insurers, 4 percent of the insurer's total |
| 88 | liabilities; |
| 89 | (c) For life and health insurers, 4 percent of the |
| 90 | insurer's total liabilities, plus 6 percent of the insurer's |
| 91 | liabilities relative to health insurance; or |
| 92 | (d) For all insurers other than life insurers and life and |
| 93 | health insurers, 10 percent of the insurer's total liabilities; |
| 94 | or |
| 95 | (e) Notwithstanding paragraph (a) or paragraph (d), for a |
| 96 | domestic insurer that transacts residential property insurance |
| 97 | and is: |
| 98 | 1. Not a wholly owned subsidiary of an insurer domiciled |
| 99 | in any other state, $15 million. |
| 100 | 2. however, a domestic insurer that transacts residential |
| 101 | property insurance and is A wholly owned subsidiary of an |
| 102 | insurer domiciled in any other state, shall possess surplus as |
| 103 | to policyholders of at least $50 million. |
| 104 | (2) Notwithstanding subsection (1), a new insurer may not |
| 105 | be required, but no insurer shall be required under this |
| 106 | subsection to have surplus as to policyholders greater than $100 |
| 107 | million. |
| 108 | (3)(2) The requirements of this section shall be based |
| 109 | upon all the kinds of insurance actually transacted or to be |
| 110 | transacted by the insurer in any and all areas in which it |
| 111 | operates, whether or not only a portion of such kinds of |
| 112 | insurance are to be transacted in this state. |
| 113 | (4)(3) As to surplus as to policyholders required for |
| 114 | qualification to transact one or more kinds of insurance, |
| 115 | domestic mutual insurers are governed by chapter 628, and |
| 116 | domestic reciprocal insurers are governed by chapter 629. |
| 117 | (5)(4) For the purposes of this section, liabilities do |
| 118 | shall not include liabilities required under s. 625.041(4). For |
| 119 | purposes of computing minimum surplus as to policyholders |
| 120 | pursuant to s. 625.305(1), liabilities shall include liabilities |
| 121 | required under s. 625.041(4). |
| 122 | (5) The provisions of this section, as amended by this |
| 123 | act, shall apply only to insurers applying for a certificate of |
| 124 | authority on or after the effective date of this act. |
| 125 | Section 6. Section 624.408, Florida Statutes, is amended |
| 126 | to read: |
| 127 | 624.408 Surplus as to policyholders required; current new |
| 128 | and existing insurers.- |
| 129 | (1)(a) To maintain a certificate of authority to transact |
| 130 | any one kind or combinations of kinds of insurance, as defined |
| 131 | in part V of this chapter, an insurer in this state must shall |
| 132 | at all times maintain surplus as to policyholders at least not |
| 133 | less than the greater of: |
| 134 | (a)1. Except as provided in paragraphs (e), (f), and (g) |
| 135 | subparagraph 5. and paragraph (b), $1.5 million.; |
| 136 | (b)2. For life insurers, 4 percent of the insurer's total |
| 137 | liabilities.; |
| 138 | (c)3. For life and health insurers, 4 percent of the |
| 139 | insurer's total liabilities plus 6 percent of the insurer's |
| 140 | liabilities relative to health insurance.; or |
| 141 | (d)4. For all insurers other than mortgage guaranty |
| 142 | insurers, life insurers, and life and health insurers, 10 |
| 143 | percent of the insurer's total liabilities. |
| 144 | (e)5. For property and casualty insurers, $4 million, |
| 145 | except for property and casualty insurers authorized to |
| 146 | underwrite any line of residential property insurance. |
| 147 | (f)(b) For residential any property insurers not and |
| 148 | casualty insurer holding a certificate of authority before July |
| 149 | 1, 2011 on December 1, 1993, $15 million. the |
| 150 | (g) For residential property insurers holding a |
| 151 | certificate of authority before July 1, 2011, and until June 30, |
| 152 | 2016, $5 million; on or after July 1, 2016, and until June 30, |
| 153 | 2021, $10 million; on or after July 1, 2021, $15 million. |
| 154 |
|
| 155 | The office may reduce the surplus requirement in paragraphs (f) |
| 156 | and (g) if the insurer is not writing new business, has premiums |
| 157 | in force of less than $1 million per year in residential |
| 158 | property insurance, or is a mutual insurance company. following |
| 159 | amounts apply instead of the $4 million required by subparagraph |
| 160 | (a)5.: |
| 161 | 1. On December 31, 2001, and until December 30, 2002, $3 |
| 162 | million. |
| 163 | 2. On December 31, 2002, and until December 30, 2003, |
| 164 | $3.25 million. |
| 165 | 3. On December 31, 2003, and until December 30, 2004, $3.6 |
| 166 | million. |
| 167 | 4. On December 31, 2004, and thereafter, $4 million. |
| 168 | (2) For purposes of this section, liabilities do shall not |
| 169 | include liabilities required under s. 625.041(4). For purposes |
| 170 | of computing minimum surplus as to policyholders pursuant to s. |
| 171 | 625.305(1), liabilities shall include liabilities required under |
| 172 | s. 625.041(4). |
| 173 | (3) This section does not require an No insurer shall be |
| 174 | required under this section to have surplus as to policyholders |
| 175 | greater than $100 million. |
| 176 | (4) A mortgage guaranty insurer shall maintain a minimum |
| 177 | surplus as required by s. 635.042. |
| 178 | Section 7. Subsection (7) is added to section 626.852, |
| 179 | Florida Statutes, to read: |
| 180 | 626.852 Scope of this part.- |
| 181 | (7) Notwithstanding any other provision of law, a person |
| 182 | who provides claims adjusting services solely to institutions |
| 183 | that service or guarantee mortgages with regard to policies |
| 184 | covering the mortgaged properties is exempt from licensure as an |
| 185 | adjuster. This exemption does not apply to any person who |
| 186 | provides insurance or to any affiliate of such person. |
| 187 | Section 8. Effective June 1, 2011, section 626.854, |
| 188 | Florida Statutes, is amended to read: |
| 189 | 626.854 "Public adjuster" defined; prohibitions.-The |
| 190 | Legislature finds that it is necessary for the protection of the |
| 191 | public to regulate public insurance adjusters and to prevent the |
| 192 | unauthorized practice of law. |
| 193 | (1) A "public adjuster" is any person, except a duly |
| 194 | licensed attorney at law as hereinafter in s. 626.860 provided, |
| 195 | who, for money, commission, or any other thing of value, |
| 196 | prepares, completes, or files an insurance claim form for an |
| 197 | insured or third-party claimant or who, for money, commission, |
| 198 | or any other thing of value, acts or aids in any manner on |
| 199 | behalf of an insured or third-party claimant in negotiating for |
| 200 | or effecting the settlement of a claim or claims for loss or |
| 201 | damage covered by an insurance contract or who advertises for |
| 202 | employment as an adjuster of such claims, and also includes any |
| 203 | person who, for money, commission, or any other thing of value, |
| 204 | solicits, investigates, or adjusts such claims on behalf of any |
| 205 | such public adjuster. |
| 206 | (2) This definition does not apply to: |
| 207 | (a) A licensed health care provider or employee thereof |
| 208 | who prepares or files a health insurance claim form on behalf of |
| 209 | a patient. |
| 210 | (b) A person who files a health claim on behalf of another |
| 211 | and does so without compensation. |
| 212 | (3) A public adjuster may not give legal advice. A public |
| 213 | adjuster may not act on behalf of or aid any person in |
| 214 | negotiating or settling a claim relating to bodily injury, |
| 215 | death, or noneconomic damages. |
| 216 | (4) For purposes of this section, the term "insured" |
| 217 | includes only the policyholder and any beneficiaries named or |
| 218 | similarly identified in the policy. |
| 219 | (5) A public adjuster may not directly or indirectly |
| 220 | through any other person or entity solicit an insured or |
| 221 | claimant by any means except on Monday through Saturday of each |
| 222 | week and only between the hours of 8 a.m. and 8 p.m. on those |
| 223 | days. |
| 224 | (6) A public adjuster may not directly or indirectly |
| 225 | through any other person or entity initiate contact or engage in |
| 226 | face-to-face or telephonic solicitation or enter into a contract |
| 227 | with any insured or claimant under an insurance policy until at |
| 228 | least 48 hours after the occurrence of an event that may be the |
| 229 | subject of a claim under the insurance policy unless contact is |
| 230 | initiated by the insured or claimant. |
| 231 | (7) An insured or claimant may cancel a public adjuster's |
| 232 | contract to adjust a claim without penalty or obligation within |
| 233 | 3 business days after the date on which the contract is executed |
| 234 | or within 3 business days after the date on which the insured or |
| 235 | claimant has notified the insurer of the claim, by phone or in |
| 236 | writing, whichever is later. The public adjuster's contract |
| 237 | shall disclose to the insured or claimant his or her right to |
| 238 | cancel the contract and advise the insured or claimant that |
| 239 | notice of cancellation must be submitted in writing and sent by |
| 240 | certified mail, return receipt requested, or other form of |
| 241 | mailing which provides proof thereof, to the public adjuster at |
| 242 | the address specified in the contract; provided, during any |
| 243 | state of emergency as declared by the Governor and for a period |
| 244 | of 1 year after the date of loss, the insured or claimant shall |
| 245 | have 5 business days after the date on which the contract is |
| 246 | executed to cancel a public adjuster's contract. |
| 247 | (8) It is an unfair and deceptive insurance trade practice |
| 248 | pursuant to s. 626.9541 for a public adjuster or any other |
| 249 | person to circulate or disseminate any advertisement, |
| 250 | announcement, or statement containing any assertion, |
| 251 | representation, or statement with respect to the business of |
| 252 | insurance which is untrue, deceptive, or misleading. |
| 253 | (9) A public adjuster, a public adjuster apprentice, or |
| 254 | any person or entity acting on behalf of a public adjuster or |
| 255 | public adjuster apprentice may not give or offer to give a |
| 256 | monetary loan or advance to a client or prospective client. |
| 257 | (10) A public adjuster, public adjuster apprentice, or any |
| 258 | individual or entity acting on behalf of a public adjuster or |
| 259 | public adjuster apprentice may not give or offer to give, |
| 260 | directly or indirectly, any article of merchandise having a |
| 261 | value in excess of $25 to any individual for the purpose of |
| 262 | advertising or as an inducement to entering into a contract with |
| 263 | a public adjuster. |
| 264 | (11)(a) If a public adjuster enters into a contract with |
| 265 | an insured or claimant to reopen a claim or to file a |
| 266 | supplemental claim that seeks additional payments for a claim |
| 267 | that has been previously paid in part or in full or settled by |
| 268 | the insurer, the public adjuster may not charge, agree to, or |
| 269 | accept any compensation, payment, commission, fee, or other |
| 270 | thing of value based on a previous settlement or previous claim |
| 271 | payments by the insurer for the same cause of loss. The charge, |
| 272 | compensation, payment, commission, fee, or other thing of value |
| 273 | may be based only on the claim payments or settlement obtained |
| 274 | through the work of the public adjuster after entering into the |
| 275 | contract with the insured or claimant. Compensation for the |
| 276 | reopened or supplemental claim may not exceed 20 percent of the |
| 277 | reopened or supplemental claim payment. The contracts described |
| 278 | in this paragraph are not subject to the limitations in |
| 279 | paragraph (b). |
| 280 | (b) A public adjuster may not charge, agree to, or accept |
| 281 | any compensation, payment, commission, fee, or other thing of |
| 282 | value in excess of: |
| 283 | 1. Ten percent of the amount of insurance claim payments |
| 284 | made by the insurer for claims based on events that are the |
| 285 | subject of a declaration of a state of emergency by the |
| 286 | Governor. This provision applies to claims made during the |
| 287 | period of 1 year after the declaration of emergency. After that |
| 288 | 1-year period, 20 percent of the amount of insurance claim |
| 289 | payments made by the insurer. |
| 290 | 2. Twenty percent of the amount of all other insurance |
| 291 | claim payments made by the insurer for claims that are not based |
| 292 | on events that are the subject of a declaration of a state of |
| 293 | emergency by the Governor. |
| 294 | (12) Each public adjuster shall provide to the claimant or |
| 295 | insured a written estimate of the loss to assist in the |
| 296 | submission of a proof of loss or any other claim for payment of |
| 297 | insurance proceeds. The public adjuster shall retain such |
| 298 | written estimate for at least 5 years and shall make such |
| 299 | estimate available to the claimant or insured and the department |
| 300 | upon request. |
| 301 | (13) A public adjuster, public adjuster apprentice, or any |
| 302 | person acting on behalf of a public adjuster or apprentice may |
| 303 | not accept referrals of business from any person with whom the |
| 304 | public adjuster conducts business if there is any form or manner |
| 305 | of agreement to compensate the person, whether directly or |
| 306 | indirectly, for referring business to the public adjuster. A |
| 307 | public adjuster may not compensate any person, except for |
| 308 | another public adjuster, whether directly or indirectly, for the |
| 309 | principal purpose of referring business to the public adjuster. |
| 310 |
|
| 311 | The provisions of subsections (5)-(13) apply only to residential |
| 312 | property insurance policies and condominium unit owner |
| 313 | association policies as defined in s. 718.111(11). |
| 314 | Section 9. Effective January 1, 2012, section 626.854, |
| 315 | Florida Statutes, as amended by this act, is amended to read: |
| 316 | 626.854 "Public adjuster" defined; prohibitions.-The |
| 317 | Legislature finds that it is necessary for the protection of the |
| 318 | public to regulate public insurance adjusters and to prevent the |
| 319 | unauthorized practice of law. |
| 320 | (1) A "public adjuster" is any person, except a duly |
| 321 | licensed attorney at law as exempted under hereinafter in s. |
| 322 | 626.860 provided, who, for money, commission, or any other thing |
| 323 | of value, prepares, completes, or files an insurance claim form |
| 324 | for an insured or third-party claimant or who, for money, |
| 325 | commission, or any other thing of value, acts or aids in any |
| 326 | manner on behalf of, or aids an insured or third-party claimant |
| 327 | in negotiating for or effecting the settlement of a claim or |
| 328 | claims for loss or damage covered by an insurance contract or |
| 329 | who advertises for employment as an adjuster of such claims. The |
| 330 | term, and also includes any person who, for money, commission, |
| 331 | or any other thing of value, solicits, investigates, or adjusts |
| 332 | such claims on behalf of a any such public adjuster. |
| 333 | (2) This definition does not apply to: |
| 334 | (a) A licensed health care provider or employee thereof |
| 335 | who prepares or files a health insurance claim form on behalf of |
| 336 | a patient. |
| 337 | (b) A person who files a health claim on behalf of another |
| 338 | and does so without compensation. |
| 339 | (3) A public adjuster may not give legal advice or. A |
| 340 | public adjuster may not act on behalf of or aid any person in |
| 341 | negotiating or settling a claim relating to bodily injury, |
| 342 | death, or noneconomic damages. |
| 343 | (4) For purposes of this section, the term "insured" |
| 344 | includes only the policyholder and any beneficiaries named or |
| 345 | similarly identified in the policy. |
| 346 | (5) A public adjuster may not directly or indirectly |
| 347 | through any other person or entity solicit an insured or |
| 348 | claimant by any means except on Monday through Saturday of each |
| 349 | week and only between the hours of 8 a.m. and 8 p.m. on those |
| 350 | days. |
| 351 | (6) A public adjuster may not directly or indirectly |
| 352 | through any other person or entity initiate contact or engage in |
| 353 | face-to-face or telephonic solicitation or enter into a contract |
| 354 | with any insured or claimant under an insurance policy until at |
| 355 | least 48 hours after the occurrence of an event that may be the |
| 356 | subject of a claim under the insurance policy unless contact is |
| 357 | initiated by the insured or claimant. |
| 358 | (7) An insured or claimant may cancel a public adjuster's |
| 359 | contract to adjust a claim without penalty or obligation within |
| 360 | 3 business days after the date on which the contract is executed |
| 361 | or within 3 business days after the date on which the insured or |
| 362 | claimant has notified the insurer of the claim, by phone or in |
| 363 | writing, whichever is later. The public adjuster's contract must |
| 364 | shall disclose to the insured or claimant his or her right to |
| 365 | cancel the contract and advise the insured or claimant that |
| 366 | notice of cancellation must be submitted in writing and sent by |
| 367 | certified mail, return receipt requested, or other form of |
| 368 | mailing that which provides proof thereof, to the public |
| 369 | adjuster at the address specified in the contract; provided, |
| 370 | during any state of emergency as declared by the Governor and |
| 371 | for a period of 1 year after the date of loss, the insured or |
| 372 | claimant has shall have 5 business days after the date on which |
| 373 | the contract is executed to cancel a public adjuster's contract. |
| 374 | (8) It is an unfair and deceptive insurance trade practice |
| 375 | pursuant to s. 626.9541 for a public adjuster or any other |
| 376 | person to circulate or disseminate any advertisement, |
| 377 | announcement, or statement containing any assertion, |
| 378 | representation, or statement with respect to the business of |
| 379 | insurance which is untrue, deceptive, or misleading. |
| 380 | (a) The following statements, made in any public |
| 381 | adjuster's advertisement or solicitation, are considered |
| 382 | deceptive or misleading: |
| 383 | 1. A statement or representation that invites an insured |
| 384 | policyholder to submit a claim when the policyholder does not |
| 385 | have covered damage to insured property. |
| 386 | 2. A statement or representation that invites an insured |
| 387 | policyholder to submit a claim by offering monetary or other |
| 388 | valuable inducement. |
| 389 | 3. A statement or representation that invites an insured |
| 390 | policyholder to submit a claim by stating that there is "no |
| 391 | risk" to the policyholder by submitting such claim. |
| 392 | 4. A statement or representation, or use of a logo or |
| 393 | shield, that implies or could mistakenly be construed to imply |
| 394 | that the solicitation was issued or distributed by a |
| 395 | governmental agency or is sanctioned or endorsed by a |
| 396 | governmental agency. |
| 397 | (b) For purposes of this paragraph, the term "written |
| 398 | advertisement" includes only newspapers, magazines, flyers, and |
| 399 | bulk mailers. The following disclaimer, which is not required to |
| 400 | be printed on standard size business cards, must be added in |
| 401 | bold print and capital letters in typeface no smaller than the |
| 402 | typeface of the body of the text to all written advertisements |
| 403 | by a public adjuster: |
| 404 | "THIS IS A SOLICITATION FOR BUSINESS. IF YOU HAVE HAD |
| 405 | A CLAIM FOR AN INSURED PROPERTY LOSS OR DAMAGE AND YOU |
| 406 | ARE SATISFIED WITH THE PAYMENT BY YOUR INSURER, YOU |
| 407 | MAY DISREGARD THIS ADVERTISEMENT." |
| 408 |
|
| 409 | (9) A public adjuster, a public adjuster apprentice, or |
| 410 | any person or entity acting on behalf of a public adjuster or |
| 411 | public adjuster apprentice may not give or offer to give a |
| 412 | monetary loan or advance to a client or prospective client. |
| 413 | (10) A public adjuster, public adjuster apprentice, or any |
| 414 | individual or entity acting on behalf of a public adjuster or |
| 415 | public adjuster apprentice may not give or offer to give, |
| 416 | directly or indirectly, any article of merchandise having a |
| 417 | value in excess of $25 to any individual for the purpose of |
| 418 | advertising or as an inducement to entering into a contract with |
| 419 | a public adjuster. |
| 420 | (11)(a) If a public adjuster enters into a contract with |
| 421 | an insured or claimant to reopen a claim or file a supplemental |
| 422 | claim that seeks additional payments for a claim that has been |
| 423 | previously paid in part or in full or settled by the insurer, |
| 424 | the public adjuster may not charge, agree to, or accept any |
| 425 | compensation, payment, commission, fee, or other thing of value |
| 426 | based on a previous settlement or previous claim payments by the |
| 427 | insurer for the same cause of loss. The charge, compensation, |
| 428 | payment, commission, fee, or other thing of value must be based |
| 429 | only on the claim payments or settlement obtained through the |
| 430 | work of the public adjuster after entering into the contract |
| 431 | with the insured or claimant. Compensation for the reopened or |
| 432 | supplemental claim may not exceed 20 percent of the reopened or |
| 433 | supplemental claim payment. The contracts described in this |
| 434 | paragraph are not subject to the limitations in paragraph (b). |
| 435 | (b) A public adjuster may not charge, agree to, or accept |
| 436 | any compensation, payment, commission, fee, or other thing of |
| 437 | value in excess of: |
| 438 | 1. Ten percent of the amount of insurance claim payments |
| 439 | made by the insurer for claims based on events that are the |
| 440 | subject of a declaration of a state of emergency by the |
| 441 | Governor. This provision applies to claims made during the year |
| 442 | after the declaration of emergency. After that year, the |
| 443 | limitations in subparagraph 2. apply. |
| 444 | 2. Twenty percent of the amount of insurance claim |
| 445 | payments made by the insurer for claims that are not based on |
| 446 | events that are the subject of a declaration of a state of |
| 447 | emergency by the Governor. |
| 448 | (12) Each public adjuster must shall provide to the |
| 449 | claimant or insured a written estimate of the loss to assist in |
| 450 | the submission of a proof of loss or any other claim for payment |
| 451 | of insurance proceeds. The public adjuster shall retain such |
| 452 | written estimate for at least 5 years and shall make the such |
| 453 | estimate available to the claimant or insured, the insurer, and |
| 454 | the department upon request. |
| 455 | (13) A public adjuster, public adjuster apprentice, or any |
| 456 | person acting on behalf of a public adjuster or apprentice may |
| 457 | not accept referrals of business from any person with whom the |
| 458 | public adjuster conducts business if there is any form or manner |
| 459 | of agreement to compensate the person, whether directly or |
| 460 | indirectly, for referring business to the public adjuster. A |
| 461 | public adjuster may not compensate any person, except for |
| 462 | another public adjuster, whether directly or indirectly, for the |
| 463 | principal purpose of referring business to the public adjuster. |
| 464 | (14) A company employee adjuster, independent adjuster, |
| 465 | attorney, investigator, or other persons acting on behalf of an |
| 466 | insurer that needs access to an insured or claimant or to the |
| 467 | insured property that is the subject of a claim must provide at |
| 468 | least 48 hours' notice to the insured or claimant, public |
| 469 | adjuster, or legal representative before scheduling a meeting |
| 470 | with the claimant or an onsite inspection of the insured |
| 471 | property. The insured or claimant may deny access to the |
| 472 | property if the notice has not been provided. The insured or |
| 473 | claimant may waive the 48-hour notice. |
| 474 | (15) A public adjuster must ensure prompt notice of |
| 475 | property loss claims submitted to an insurer by or through a |
| 476 | public adjuster or on which a public adjuster represents the |
| 477 | insured at the time the claim or notice of loss is submitted to |
| 478 | the insurer. The public adjuster must ensure that notice is |
| 479 | given to the insurer, the public adjuster's contract is provided |
| 480 | to the insurer, the property is available for inspection of the |
| 481 | loss or damage by the insurer, and the insurer is given an |
| 482 | opportunity to interview the insured directly about the loss and |
| 483 | claim. The insurer must be allowed to obtain necessary |
| 484 | information to investigate and respond to the claim. |
| 485 | (a) The insurer may not exclude the public adjuster from |
| 486 | its in-person meetings with the insured. The insurer shall meet |
| 487 | or communicate with the public adjuster in an effort to reach |
| 488 | agreement as to the scope of the covered loss under the |
| 489 | insurance policy. This section does not impair the terms and |
| 490 | conditions of the insurance policy in effect at the time the |
| 491 | claim is filed. |
| 492 | (b) A public adjuster may not restrict or prevent an |
| 493 | insurer, company employee adjuster, independent adjuster, |
| 494 | attorney, investigator, or other person acting on behalf of the |
| 495 | insurer from having reasonable access at reasonable times to an |
| 496 | insured or claimant or to the insured property that is the |
| 497 | subject of a claim. |
| 498 | (c) A public adjuster may not act or fail to reasonably |
| 499 | act in any manner that obstructs or prevents an insurer or |
| 500 | insurer's adjuster from timely conducting an inspection of any |
| 501 | part of the insured property for which there is a claim for loss |
| 502 | or damage. The public adjuster representing the insured may be |
| 503 | present for the insurer's inspection, but if the unavailability |
| 504 | of the public adjuster otherwise delays the insurer's timely |
| 505 | inspection of the property, the public adjuster or the insured |
| 506 | must allow the insurer to have access to the property without |
| 507 | the participation or presence of the public adjuster or insured |
| 508 | in order to facilitate the insurer's prompt inspection of the |
| 509 | loss or damage. |
| 510 | (16) A licensed contractor under part I of chapter 489, or |
| 511 | a subcontractor, may not adjust a claim on behalf of an insured |
| 512 | unless licensed and compliant as a public adjuster under this |
| 513 | chapter. However, the contractor may discuss or explain a bid |
| 514 | for construction or repair of covered property with the |
| 515 | residential property owner who has suffered loss or damage |
| 516 | covered by a property insurance policy, or the insurer of such |
| 517 | property, if the contractor is doing so for the usual and |
| 518 | customary fees applicable to the work to be performed as stated |
| 519 | in the contract between the contractor and the insured. |
| 520 | (17) The provisions of subsections (5)-(16) (5)-(13) apply |
| 521 | only to residential property insurance policies and condominium |
| 522 | unit owner policies as defined in s. 718.111(11). |
| 523 | Section 10. Effective January 1, 2012, section 626.8796, |
| 524 | Florida Statutes, is amended to read: |
| 525 | 626.8796 Public adjuster contracts; fraud statement.- |
| 526 | (1) All contracts for public adjuster services must be in |
| 527 | writing and must prominently display the following statement on |
| 528 | the contract: "Pursuant to s. 817.234, Florida Statutes, any |
| 529 | person who, with the intent to injure, defraud, or deceive an |
| 530 | any insurer or insured, prepares, presents, or causes to be |
| 531 | presented a proof of loss or estimate of cost or repair of |
| 532 | damaged property in support of a claim under an insurance policy |
| 533 | knowing that the proof of loss or estimate of claim or repairs |
| 534 | contains any false, incomplete, or misleading information |
| 535 | concerning any fact or thing material to the claim commits a |
| 536 | felony of the third degree, punishable as provided in s. |
| 537 | 775.082, s. 775.083, or s. 775.084, Florida Statutes." |
| 538 | (2) A public adjuster contract relating to a property and |
| 539 | casualty claim must contain the full name, permanent business |
| 540 | address, and license number of the public adjuster; the full |
| 541 | name of the public adjusting firm; and the insured's full name |
| 542 | and street address, together with a brief description of the |
| 543 | loss. The contract must state the percentage of compensation for |
| 544 | the public adjuster's services; the type of claim, including an |
| 545 | emergency claim, nonemergency claim, or supplemental claim; the |
| 546 | signatures of the public adjuster and all named insureds; and |
| 547 | the signature date. If all of the named insureds signatures are |
| 548 | not available, the public adjuster must submit an affidavit |
| 549 | signed by the available named insureds attesting that they have |
| 550 | authority to enter into the contract and settle all claim issues |
| 551 | on behalf of the named insureds. An unaltered copy of the |
| 552 | executed contract must be remitted to the insurer within 30 days |
| 553 | after execution. |
| 554 | Section 11. Effective June 1, 2011, section 626.70132, |
| 555 | Florida Statutes, is created to read: |
| 556 | 626.70132 Notice of windstorm or hurricane claim.-A claim, |
| 557 | supplemental claim, or reopened claim under an insurance policy |
| 558 | that provides property insurance, as defined in s. 624.604, for |
| 559 | loss or damage caused by the peril of windstorm or hurricane is |
| 560 | barred unless notice of the claim, supplemental claim, or |
| 561 | reopened claim was given to the insurer in accordance with the |
| 562 | terms of the policy within 3 years after the hurricane first |
| 563 | made landfall or the windstorm caused the covered damage. For |
| 564 | purposes of this section, the term "supplemental claim" or |
| 565 | "reopened claim" means any additional claim for recovery from |
| 566 | the insurer for losses from the same hurricane or windstorm |
| 567 | which the insurer has previously adjusted pursuant to the |
| 568 | initial claim. This section does not affect any applicable |
| 569 | limitation on civil actions provided in s. 95.11 for claims, |
| 570 | supplemental claims, or reopened claims timely filed under this |
| 571 | section. |
| 572 | Section 12. Subsection (4) of section 627.0613, Florida |
| 573 | Statutes, is repealed. |
| 574 | Section 13. Section 627.062, Florida Statutes, is amended |
| 575 | to read: |
| 576 | 627.062 Rate standards.- |
| 577 | (1) The rates for all classes of insurance to which the |
| 578 | provisions of this part are applicable may shall not be |
| 579 | excessive, inadequate, or unfairly discriminatory. |
| 580 | (2) As to all such classes of insurance: |
| 581 | (a) Insurers or rating organizations shall establish and |
| 582 | use rates, rating schedules, or rating manuals that to allow the |
| 583 | insurer a reasonable rate of return on the such classes of |
| 584 | insurance written in this state. A copy of rates, rating |
| 585 | schedules, rating manuals, premium credits or discount |
| 586 | schedules, and surcharge schedules, and changes thereto, must |
| 587 | shall be filed with the office under one of the following |
| 588 | procedures except as provided in subparagraph 3.: |
| 589 | 1. If the filing is made at least 90 days before the |
| 590 | proposed effective date and the filing is not implemented during |
| 591 | the office's review of the filing and any proceeding and |
| 592 | judicial review, then such filing is shall be considered a "file |
| 593 | and use" filing. In such case, the office shall finalize its |
| 594 | review by issuance of a notice of intent to approve or a notice |
| 595 | of intent to disapprove within 90 days after receipt of the |
| 596 | filing. The notice of intent to approve and the notice of intent |
| 597 | to disapprove constitute agency action for purposes of the |
| 598 | Administrative Procedure Act. Requests for supporting |
| 599 | information, requests for mathematical or mechanical |
| 600 | corrections, or notification to the insurer by the office of its |
| 601 | preliminary findings does shall not toll the 90-day period |
| 602 | during any such proceedings and subsequent judicial review. The |
| 603 | rate shall be deemed approved if the office does not issue a |
| 604 | notice of intent to approve or a notice of intent to disapprove |
| 605 | within 90 days after receipt of the filing. |
| 606 | 2. If the filing is not made in accordance with the |
| 607 | provisions of subparagraph 1., such filing must shall be made as |
| 608 | soon as practicable, but within no later than 30 days after the |
| 609 | effective date, and is shall be considered a "use and file" |
| 610 | filing. An insurer making a "use and file" filing is potentially |
| 611 | subject to an order by the office to return to policyholders |
| 612 | those portions of rates found to be excessive, as provided in |
| 613 | paragraph (h). |
| 614 | 3. For all property insurance filings made or submitted |
| 615 | after January 25, 2007, but before May 1, 2012 December 31, |
| 616 | 2010, an insurer seeking a rate that is greater than the rate |
| 617 | most recently approved by the office shall make a "file and use" |
| 618 | filing. For purposes of this subparagraph, motor vehicle |
| 619 | collision and comprehensive coverages are not considered to be |
| 620 | property coverages. |
| 621 | (b) Upon receiving a rate filing, the office shall review |
| 622 | the rate filing to determine if a rate is excessive, inadequate, |
| 623 | or unfairly discriminatory. In making that determination, the |
| 624 | office shall, in accordance with generally accepted and |
| 625 | reasonable actuarial techniques, consider the following factors: |
| 626 | 1. Past and prospective loss experience within and without |
| 627 | this state. |
| 628 | 2. Past and prospective expenses. |
| 629 | 3. The degree of competition among insurers for the risk |
| 630 | insured. |
| 631 | 4. Investment income reasonably expected by the insurer, |
| 632 | consistent with the insurer's investment practices, from |
| 633 | investable premiums anticipated in the filing, plus any other |
| 634 | expected income from currently invested assets representing the |
| 635 | amount expected on unearned premium reserves and loss reserves. |
| 636 | The commission may adopt rules using reasonable techniques of |
| 637 | actuarial science and economics to specify the manner in which |
| 638 | insurers shall calculate investment income attributable to such |
| 639 | classes of insurance written in this state and the manner in |
| 640 | which such investment income is shall be used to calculate |
| 641 | insurance rates. Such manner must shall contemplate allowances |
| 642 | for an underwriting profit factor and full consideration of |
| 643 | investment income which produce a reasonable rate of return; |
| 644 | however, investment income from invested surplus may not be |
| 645 | considered. |
| 646 | 5. The reasonableness of the judgment reflected in the |
| 647 | filing. |
| 648 | 6. Dividends, savings, or unabsorbed premium deposits |
| 649 | allowed or returned to Florida policyholders, members, or |
| 650 | subscribers. |
| 651 | 7. The adequacy of loss reserves. |
| 652 | 8. The cost of reinsurance. The office may shall not |
| 653 | disapprove a rate as excessive solely due to the insurer having |
| 654 | obtained catastrophic reinsurance to cover the insurer's |
| 655 | estimated 250-year probable maximum loss or any lower level of |
| 656 | loss. |
| 657 | 9. Trend factors, including trends in actual losses per |
| 658 | insured unit for the insurer making the filing. |
| 659 | 10. Conflagration and catastrophe hazards, if applicable. |
| 660 | 11. Projected hurricane losses, if applicable, which must |
| 661 | be estimated using a model or method found to be acceptable or |
| 662 | reliable by the Florida Commission on Hurricane Loss Projection |
| 663 | Methodology, and as further provided in s. 627.0628. |
| 664 | 12. A reasonable margin for underwriting profit and |
| 665 | contingencies. |
| 666 | 13. The cost of medical services, if applicable. |
| 667 | 14. Other relevant factors that affect which impact upon |
| 668 | the frequency or severity of claims or upon expenses. |
| 669 | (c) In the case of fire insurance rates, consideration |
| 670 | must shall be given to the availability of water supplies and |
| 671 | the experience of the fire insurance business during a period of |
| 672 | not less than the most recent 5-year period for which such |
| 673 | experience is available. |
| 674 | (d) If conflagration or catastrophe hazards are considered |
| 675 | given consideration by an insurer in its rates or rating plan, |
| 676 | including surcharges and discounts, the insurer shall establish |
| 677 | a reserve for that portion of the premium allocated to such |
| 678 | hazard and shall maintain the premium in a catastrophe reserve. |
| 679 | Any Removal of such premiums from the reserve for purposes other |
| 680 | than paying claims associated with a catastrophe or purchasing |
| 681 | reinsurance for catastrophes must be approved by shall be |
| 682 | subject to approval of the office. Any ceding commission |
| 683 | received by an insurer purchasing reinsurance for catastrophes |
| 684 | must shall be placed in the catastrophe reserve. |
| 685 | (e) After consideration of the rate factors provided in |
| 686 | paragraphs (b), (c), and (d), the office may find a rate may be |
| 687 | found by the office to be excessive, inadequate, or unfairly |
| 688 | discriminatory based upon the following standards: |
| 689 | 1. Rates shall be deemed excessive if they are likely to |
| 690 | produce a profit from Florida business which that is |
| 691 | unreasonably high in relation to the risk involved in the class |
| 692 | of business or if expenses are unreasonably high in relation to |
| 693 | services rendered. |
| 694 | 2. Rates shall be deemed excessive if, among other things, |
| 695 | the rate structure established by a stock insurance company |
| 696 | provides for replenishment of surpluses from premiums, if when |
| 697 | the replenishment is attributable to investment losses. |
| 698 | 3. Rates shall be deemed inadequate if they are clearly |
| 699 | insufficient, together with the investment income attributable |
| 700 | to them, to sustain projected losses and expenses in the class |
| 701 | of business to which they apply. |
| 702 | 4. A rating plan, including discounts, credits, or |
| 703 | surcharges, shall be deemed unfairly discriminatory if it fails |
| 704 | to clearly and equitably reflect consideration of the |
| 705 | policyholder's participation in a risk management program |
| 706 | adopted pursuant to s. 627.0625. |
| 707 | 5. A rate shall be deemed inadequate as to the premium |
| 708 | charged to a risk or group of risks if discounts or credits are |
| 709 | allowed which exceed a reasonable reflection of expense savings |
| 710 | and reasonably expected loss experience from the risk or group |
| 711 | of risks. |
| 712 | 6. A rate shall be deemed unfairly discriminatory as to a |
| 713 | risk or group of risks if the application of premium discounts, |
| 714 | credits, or surcharges among such risks does not bear a |
| 715 | reasonable relationship to the expected loss and expense |
| 716 | experience among the various risks. |
| 717 | (f) In reviewing a rate filing, the office may require the |
| 718 | insurer to provide, at the insurer's expense, all information |
| 719 | necessary to evaluate the condition of the company and the |
| 720 | reasonableness of the filing according to the criteria |
| 721 | enumerated in this section. |
| 722 | (g) The office may at any time review a rate, rating |
| 723 | schedule, rating manual, or rate change; the pertinent records |
| 724 | of the insurer; and market conditions. If the office finds on a |
| 725 | preliminary basis that a rate may be excessive, inadequate, or |
| 726 | unfairly discriminatory, the office shall initiate proceedings |
| 727 | to disapprove the rate and shall so notify the insurer. However, |
| 728 | the office may not disapprove as excessive any rate for which it |
| 729 | has given final approval or which has been deemed approved for a |
| 730 | period of 1 year after the effective date of the filing unless |
| 731 | the office finds that a material misrepresentation or material |
| 732 | error was made by the insurer or was contained in the filing. |
| 733 | Upon being so notified, the insurer or rating organization |
| 734 | shall, within 60 days, file with the office all information that |
| 735 | which, in the belief of the insurer or organization, proves the |
| 736 | reasonableness, adequacy, and fairness of the rate or rate |
| 737 | change. The office shall issue a notice of intent to approve or |
| 738 | a notice of intent to disapprove pursuant to the procedures of |
| 739 | paragraph (a) within 90 days after receipt of the insurer's |
| 740 | initial response. In such instances and in any administrative |
| 741 | proceeding relating to the legality of the rate, the insurer or |
| 742 | rating organization shall carry the burden of proof by a |
| 743 | preponderance of the evidence to show that the rate is not |
| 744 | excessive, inadequate, or unfairly discriminatory. After the |
| 745 | office notifies an insurer that a rate may be excessive, |
| 746 | inadequate, or unfairly discriminatory, unless the office |
| 747 | withdraws the notification, the insurer may shall not alter the |
| 748 | rate except to conform to with the office's notice until the |
| 749 | earlier of 120 days after the date the notification was provided |
| 750 | or 180 days after the date of implementing the implementation of |
| 751 | the rate. The office may, subject to chapter 120, may disapprove |
| 752 | without the 60-day notification any rate increase filed by an |
| 753 | insurer within the prohibited time period or during the time |
| 754 | that the legality of the increased rate is being contested. |
| 755 | (h) If In the event the office finds that a rate or rate |
| 756 | change is excessive, inadequate, or unfairly discriminatory, the |
| 757 | office shall issue an order of disapproval specifying that a new |
| 758 | rate or rate schedule, which responds to the findings of the |
| 759 | office, be filed by the insurer. The office shall further order, |
| 760 | for any "use and file" filing made in accordance with |
| 761 | subparagraph (a)2., that premiums charged each policyholder |
| 762 | constituting the portion of the rate above that which was |
| 763 | actuarially justified be returned to the such policyholder in |
| 764 | the form of a credit or refund. If the office finds that an |
| 765 | insurer's rate or rate change is inadequate, the new rate or |
| 766 | rate schedule filed with the office in response to such a |
| 767 | finding is shall be applicable only to new or renewal business |
| 768 | of the insurer written on or after the effective date of the |
| 769 | responsive filing. |
| 770 | (i) Except as otherwise specifically provided in this |
| 771 | chapter, for property and casualty insurance the office may |
| 772 | shall not directly or indirectly: |
| 773 | 1. Prohibit any insurer, including any residual market |
| 774 | plan or joint underwriting association, from paying acquisition |
| 775 | costs based on the full amount of premium, as defined in s. |
| 776 | 627.403, applicable to any policy, or prohibit any such insurer |
| 777 | from including the full amount of acquisition costs in a rate |
| 778 | filing; or. |
| 779 | 2. Impede, abridge, or otherwise compromise an insurer's |
| 780 | right to acquire policyholders, advertise, or appoint agents, |
| 781 | including the calculation, manner, or amount of such agent |
| 782 | commissions, if any. |
| 783 | (j) With respect to residential property insurance rate |
| 784 | filings, the rate filing must account for mitigation measures |
| 785 | undertaken by policyholders to reduce hurricane losses. |
| 786 | (k)1. A residential property An insurer may make a |
| 787 | separate filing limited solely to an adjustment of its rates for |
| 788 | reinsurance, the cost of financing products used as a |
| 789 | replacement for reinsurance, or financing costs incurred in the |
| 790 | purchase of reinsurance, or financing products to replace or |
| 791 | finance the payment of the amount covered by the Temporary |
| 792 | Increase in Coverage Limits (TICL) portion of the Florida |
| 793 | Hurricane Catastrophe Fund including replacement reinsurance for |
| 794 | the TICL reductions made pursuant to s. 215.555(17)(e); the |
| 795 | actual cost paid due to the application of the TICL premium |
| 796 | factor pursuant to s. 215.555(17)(f); and the actual cost paid |
| 797 | due to the application of the cash build-up factor pursuant to |
| 798 | s. 215.555(5)(b) if the insurer: |
| 799 | a. Elects to purchase financing products such as a |
| 800 | liquidity instrument or line of credit, in which case the cost |
| 801 | included in the filing for the liquidity instrument or line of |
| 802 | credit may not result in a premium increase exceeding 3 percent |
| 803 | for any individual policyholder. All costs contained in the |
| 804 | filing may not result in an overall premium increase of more |
| 805 | than 15 10 percent for any individual policyholder. |
| 806 | b. Includes in the filing a copy of all of its |
| 807 | reinsurance, liquidity instrument, or line of credit contracts; |
| 808 | proof of the billing or payment for the contracts; and the |
| 809 | calculation upon which the proposed rate change is based |
| 810 | demonstrating demonstrates that the costs meet the criteria of |
| 811 | this section and are not loaded for expenses or profit for the |
| 812 | insurer making the filing. |
| 813 | c. Includes no other changes to its rates in the filing. |
| 814 | d. Has not implemented a rate increase within the 6 months |
| 815 | immediately preceding the filing. |
| 816 | e. Does not file for a rate increase under any other |
| 817 | paragraph within 6 months after making a filing under this |
| 818 | paragraph. |
| 819 | 2.f. An insurer that purchases reinsurance or financing |
| 820 | products from an affiliated company may make a separate filing |
| 821 | in compliance with this paragraph does so only if the costs for |
| 822 | such reinsurance or financing products are charged at or below |
| 823 | charges made for comparable coverage by nonaffiliated reinsurers |
| 824 | or financial entities making such coverage or financing products |
| 825 | available in this state. |
| 826 | 3.2. An insurer may only make only one filing per in any |
| 827 | 12-month period under this paragraph. |
| 828 | 4.3. An insurer that elects to implement a rate change |
| 829 | under this paragraph must file its rate filing with the office |
| 830 | at least 45 days before the effective date of the rate change. |
| 831 | After an insurer submits a complete filing that meets all of the |
| 832 | requirements of this paragraph, the office has 45 days after the |
| 833 | date of the filing to review the rate filing and determine if |
| 834 | the rate is excessive, inadequate, or unfairly discriminatory. |
| 835 |
|
| 836 | The provisions of this subsection do shall not apply to workers' |
| 837 | compensation, and employer's liability insurance, and to motor |
| 838 | vehicle insurance. |
| 839 | (3)(a) For individual risks that are not rated in |
| 840 | accordance with the insurer's rates, rating schedules, rating |
| 841 | manuals, and underwriting rules filed with the office and that |
| 842 | which have been submitted to the insurer for individual rating, |
| 843 | the insurer must maintain documentation on each risk subject to |
| 844 | individual risk rating. The documentation must identify the |
| 845 | named insured and specify the characteristics and classification |
| 846 | of the risk supporting the reason for the risk being |
| 847 | individually risk rated, including any modifications to existing |
| 848 | approved forms to be used on the risk. The insurer must maintain |
| 849 | these records for a period of at least 5 years after the |
| 850 | effective date of the policy. |
| 851 | (b) Individual risk rates and modifications to existing |
| 852 | approved forms are not subject to this part or part II, except |
| 853 | for paragraph (a) and ss. 627.402, 627.403, 627.4035, 627.404, |
| 854 | 627.405, 627.406, 627.407, 627.4085, 627.409, 627.4132, |
| 855 | 627.4133, 627.415, 627.416, 627.417, 627.419, 627.425, 627.426, |
| 856 | 627.4265, 627.427, and 627.428, but are subject to all other |
| 857 | applicable provisions of this code and rules adopted thereunder. |
| 858 | (c) This subsection does not apply to private passenger |
| 859 | motor vehicle insurance. |
| 860 | (d)1. The following categories or kinds of insurance and |
| 861 | types of commercial lines risks are not subject to paragraph |
| 862 | (2)(a) or paragraph (2)(f): |
| 863 | a. Excess or umbrella. |
| 864 | b. Surety and fidelity. |
| 865 | c. Boiler and machinery and leakage and fire extinguishing |
| 866 | equipment. |
| 867 | d. Errors and omissions. |
| 868 | e. Directors and officers, employment practices, and |
| 869 | management liability. |
| 870 | f. Intellectual property and patent infringement |
| 871 | liability. |
| 872 | g. Advertising injury and Internet liability insurance. |
| 873 | h. Property risks rated under a highly protected risks |
| 874 | rating plan. |
| 875 | i. Any other commercial lines categories or kinds of |
| 876 | insurance or types of commercial lines risks that the office |
| 877 | determines should not be subject to paragraph (2)(a) or |
| 878 | paragraph (2)(f) because of the existence of a competitive |
| 879 | market for such insurance, similarity of such insurance to other |
| 880 | categories or kinds of insurance not subject to paragraph (2)(a) |
| 881 | or paragraph (2)(f), or to improve the general operational |
| 882 | efficiency of the office. |
| 883 | 2. Insurers or rating organizations shall establish and |
| 884 | use rates, rating schedules, or rating manuals to allow the |
| 885 | insurer a reasonable rate of return on insurance and risks |
| 886 | described in subparagraph 1. which are written in this state. |
| 887 | 3. An insurer must notify the office of any changes to |
| 888 | rates for insurance and risks described in subparagraph 1. |
| 889 | within no later than 30 days after the effective date of the |
| 890 | change. The notice must include the name of the insurer, the |
| 891 | type or kind of insurance subject to rate change, total premium |
| 892 | written during the immediately preceding year by the insurer for |
| 893 | the type or kind of insurance subject to the rate change, and |
| 894 | the average statewide percentage change in rates. Underwriting |
| 895 | files, premiums, losses, and expense statistics with regard to |
| 896 | such insurance and risks described in subparagraph 1. written by |
| 897 | an insurer must shall be maintained by the insurer and subject |
| 898 | to examination by the office. Upon examination, the office |
| 899 | shall, in accordance with generally accepted and reasonable |
| 900 | actuarial techniques, shall consider the rate factors in |
| 901 | paragraphs (2)(b), (c), and (d) and the standards in paragraph |
| 902 | (2)(e) to determine if the rate is excessive, inadequate, or |
| 903 | unfairly discriminatory. |
| 904 | 4. A rating organization must notify the office of any |
| 905 | changes to loss cost for insurance and risks described in |
| 906 | subparagraph 1. within no later than 30 days after the effective |
| 907 | date of the change. The notice must include the name of the |
| 908 | rating organization, the type or kind of insurance subject to a |
| 909 | loss cost change, loss costs during the immediately preceding |
| 910 | year for the type or kind of insurance subject to the loss cost |
| 911 | change, and the average statewide percentage change in loss |
| 912 | cost. Loss and exposure statistics with regard to risks |
| 913 | applicable to loss costs for a rating organization not subject |
| 914 | to paragraph (2)(a) or paragraph (2)(f) must shall be maintained |
| 915 | by the rating organization and are subject to examination by the |
| 916 | office. Upon examination, the office shall, in accordance with |
| 917 | generally accepted and reasonable actuarial techniques, shall |
| 918 | consider the rate factors in paragraphs (2)(b)-(d) and the |
| 919 | standards in paragraph (2)(e) to determine if the rate is |
| 920 | excessive, inadequate, or unfairly discriminatory. |
| 921 | 5. In reviewing a rate, the office may require the insurer |
| 922 | to provide, at the insurer's expense, all information necessary |
| 923 | to evaluate the condition of the company and the reasonableness |
| 924 | of the rate according to the applicable criteria described in |
| 925 | this section. |
| 926 | (4) The establishment of any rate, rating classification, |
| 927 | rating plan or schedule, or variation thereof in violation of |
| 928 | part IX of chapter 626 is also in violation of this section. In |
| 929 | order to enhance the ability of consumers to compare premiums |
| 930 | and to increase the accuracy and usefulness of rate-comparison |
| 931 | information provided by the office to the public, the office |
| 932 | shall develop a proposed standard rating territory plan to be |
| 933 | used by all authorized property and casualty insurers for |
| 934 | residential property insurance. In adopting the proposed plan, |
| 935 | the office may consider geographical characteristics relevant to |
| 936 | risk, county lines, major roadways, existing rating territories |
| 937 | used by a significant segment of the market, and other relevant |
| 938 | factors. Such plan shall be submitted to the President of the |
| 939 | Senate and the Speaker of the House of Representatives by |
| 940 | January 15, 2006. The plan may not be implemented unless |
| 941 | authorized by further act of the Legislature. |
| 942 | (5) With respect to a rate filing involving coverage of |
| 943 | the type for which the insurer is required to pay a |
| 944 | reimbursement premium to the Florida Hurricane Catastrophe Fund, |
| 945 | the insurer may fully recoup in its property insurance premiums |
| 946 | any reimbursement premiums paid to the Florida Hurricane |
| 947 | Catastrophe fund, together with reasonable costs of other |
| 948 | reinsurance; however, but except as otherwise provided in this |
| 949 | section, the insurer may not recoup reinsurance costs that |
| 950 | duplicate coverage provided by the Florida Hurricane Catastrophe |
| 951 | fund. An insurer may not recoup more than 1 year of |
| 952 | reimbursement premium at a time. Any under-recoupment from the |
| 953 | prior year may be added to the following year's reimbursement |
| 954 | premium, and any over-recoupment must shall be subtracted from |
| 955 | the following year's reimbursement premium. |
| 956 | (6)(a) If an insurer requests an administrative hearing |
| 957 | pursuant to s. 120.57 related to a rate filing under this |
| 958 | section, the director of the Division of Administrative Hearings |
| 959 | shall expedite the hearing and assign an administrative law |
| 960 | judge who shall commence the hearing within 30 days after the |
| 961 | receipt of the formal request and shall enter a recommended |
| 962 | order within 30 days after the hearing or within 30 days after |
| 963 | receipt of the hearing transcript by the administrative law |
| 964 | judge, whichever is later. Each party shall have be allowed 10 |
| 965 | days in which to submit written exceptions to the recommended |
| 966 | order. The office shall enter a final order within 30 days after |
| 967 | the entry of the recommended order. The provisions of this |
| 968 | paragraph may be waived upon stipulation of all parties. |
| 969 | (b) Upon entry of a final order, the insurer may request a |
| 970 | expedited appellate review pursuant to the Florida Rules of |
| 971 | Appellate Procedure. It is the intent of the Legislature that |
| 972 | the First District Court of Appeal grant an insurer's request |
| 973 | for an expedited appellate review. |
| 974 | (7)(a) The provisions of this subsection apply only with |
| 975 | respect to rates for medical malpractice insurance and shall |
| 976 | control to the extent of any conflict with other provisions of |
| 977 | this section. |
| 978 | (a)(b) Any portion of a judgment entered or settlement |
| 979 | paid as a result of a statutory or common-law bad faith action |
| 980 | and any portion of a judgment entered which awards punitive |
| 981 | damages against an insurer may not be included in the insurer's |
| 982 | rate base, and shall not be used to justify a rate or rate |
| 983 | change. Any common-law bad faith action identified as such, any |
| 984 | portion of a settlement entered as a result of a statutory or |
| 985 | common-law action, or any portion of a settlement wherein an |
| 986 | insurer agrees to pay specific punitive damages may not be used |
| 987 | to justify a rate or rate change. The portion of the taxable |
| 988 | costs and attorney's fees which is identified as being related |
| 989 | to the bad faith and punitive damages in these judgments and |
| 990 | settlements may not be included in the insurer's rate base and |
| 991 | used may not be utilized to justify a rate or rate change. |
| 992 | (b)(c) Upon reviewing a rate filing and determining |
| 993 | whether the rate is excessive, inadequate, or unfairly |
| 994 | discriminatory, the office shall consider, in accordance with |
| 995 | generally accepted and reasonable actuarial techniques, past and |
| 996 | present prospective loss experience, either using loss |
| 997 | experience solely for this state or giving greater credibility |
| 998 | to this state's loss data after applying actuarially sound |
| 999 | methods of assigning credibility to such data. |
| 1000 | (c)(d) Rates shall be deemed excessive if, among other |
| 1001 | standards established by this section, the rate structure |
| 1002 | provides for replenishment of reserves or surpluses from |
| 1003 | premiums when the replenishment is attributable to investment |
| 1004 | losses. |
| 1005 | (d)(e) The insurer must apply a discount or surcharge |
| 1006 | based on the health care provider's loss experience or shall |
| 1007 | establish an alternative method giving due consideration to the |
| 1008 | provider's loss experience. The insurer must include in the |
| 1009 | filing a copy of the surcharge or discount schedule or a |
| 1010 | description of the alternative method used, and must provide a |
| 1011 | copy of such schedule or description, as approved by the office, |
| 1012 | to policyholders at the time of renewal and to prospective |
| 1013 | policyholders at the time of application for coverage. |
| 1014 | (e)(f) Each medical malpractice insurer must make a rate |
| 1015 | filing under this section, sworn to by at least two executive |
| 1016 | officers of the insurer, at least once each calendar year. |
| 1017 | (8)(a)1. No later than 60 days after the effective date of |
| 1018 | medical malpractice legislation enacted during the 2003 Special |
| 1019 | Session D of the Florida Legislature, the office shall calculate |
| 1020 | a presumed factor that reflects the impact that the changes |
| 1021 | contained in such legislation will have on rates for medical |
| 1022 | malpractice insurance and shall issue a notice informing all |
| 1023 | insurers writing medical malpractice coverage of such presumed |
| 1024 | factor. In determining the presumed factor, the office shall use |
| 1025 | generally accepted actuarial techniques and standards provided |
| 1026 | in this section in determining the expected impact on losses, |
| 1027 | expenses, and investment income of the insurer. To the extent |
| 1028 | that the operation of a provision of medical malpractice |
| 1029 | legislation enacted during the 2003 Special Session D of the |
| 1030 | Florida Legislature is stayed pending a constitutional |
| 1031 | challenge, the impact of that provision shall not be included in |
| 1032 | the calculation of a presumed factor under this subparagraph. |
| 1033 | 2. No later than 60 days after the office issues its |
| 1034 | notice of the presumed rate change factor under subparagraph 1., |
| 1035 | each insurer writing medical malpractice coverage in this state |
| 1036 | shall submit to the office a rate filing for medical malpractice |
| 1037 | insurance, which will take effect no later than January 1, 2004, |
| 1038 | and apply retroactively to policies issued or renewed on or |
| 1039 | after the effective date of medical malpractice legislation |
| 1040 | enacted during the 2003 Special Session D of the Florida |
| 1041 | Legislature. Except as authorized under paragraph (b), the |
| 1042 | filing shall reflect an overall rate reduction at least as great |
| 1043 | as the presumed factor determined under subparagraph 1. With |
| 1044 | respect to policies issued on or after the effective date of |
| 1045 | such legislation and prior to the effective date of the rate |
| 1046 | filing required by this subsection, the office shall order the |
| 1047 | insurer to make a refund of the amount that was charged in |
| 1048 | excess of the rate that is approved. |
| 1049 | (b) Any insurer or rating organization that contends that |
| 1050 | the rate provided for in paragraph (a) is excessive, inadequate, |
| 1051 | or unfairly discriminatory shall separately state in its filing |
| 1052 | the rate it contends is appropriate and shall state with |
| 1053 | specificity the factors or data that it contends should be |
| 1054 | considered in order to produce such appropriate rate. The |
| 1055 | insurer or rating organization shall be permitted to use all of |
| 1056 | the generally accepted actuarial techniques provided in this |
| 1057 | section in making any filing pursuant to this subsection. The |
| 1058 | office shall review each such exception and approve or |
| 1059 | disapprove it prior to use. It shall be the insurer's burden to |
| 1060 | actuarially justify any deviations from the rates required to be |
| 1061 | filed under paragraph (a). The insurer making a filing under |
| 1062 | this paragraph shall include in the filing the expected impact |
| 1063 | of medical malpractice legislation enacted during the 2003 |
| 1064 | Special Session D of the Florida Legislature on losses, |
| 1065 | expenses, and rates. |
| 1066 | (c) If any provision of medical malpractice legislation |
| 1067 | enacted during the 2003 Special Session D of the Florida |
| 1068 | Legislature is held invalid by a court of competent |
| 1069 | jurisdiction, the office shall permit an adjustment of all |
| 1070 | medical malpractice rates filed under this section to reflect |
| 1071 | the impact of such holding on such rates so as to ensure that |
| 1072 | the rates are not excessive, inadequate, or unfairly |
| 1073 | discriminatory. |
| 1074 | (d) Rates approved on or before July 1, 2003, for medical |
| 1075 | malpractice insurance shall remain in effect until the effective |
| 1076 | date of a new rate filing approved under this subsection. |
| 1077 | (e) The calculation and notice by the office of the |
| 1078 | presumed factor pursuant to paragraph (a) is not an order or |
| 1079 | rule that is subject to chapter 120. If the office enters into a |
| 1080 | contract with an independent consultant to assist the office in |
| 1081 | calculating the presumed factor, such contract shall not be |
| 1082 | subject to the competitive solicitation requirements of s. |
| 1083 | 287.057. |
| 1084 | (8)(9)(a) The chief executive officer or chief financial |
| 1085 | officer of a property insurer and the chief actuary of a |
| 1086 | property insurer must certify under oath and subject to the |
| 1087 | penalty of perjury, on a form approved by the commission, the |
| 1088 | following information, which must accompany a rate filing: |
| 1089 | 1. The signing officer and actuary have reviewed the rate |
| 1090 | filing; |
| 1091 | 2. Based on the signing officer's and actuary's knowledge, |
| 1092 | the rate filing does not contain any untrue statement of a |
| 1093 | material fact or omit to state a material fact necessary in |
| 1094 | order to make the statements made, in light of the circumstances |
| 1095 | under which such statements were made, not misleading; |
| 1096 | 3. Based on the signing officer's and actuary's knowledge, |
| 1097 | the information and other factors described in paragraph (2)(b), |
| 1098 | including, but not limited to, investment income, fairly present |
| 1099 | in all material respects the basis of the rate filing for the |
| 1100 | periods presented in the filing; and |
| 1101 | 4. Based on the signing officer's and actuary's knowledge, |
| 1102 | the rate filing reflects all premium savings that are reasonably |
| 1103 | expected to result from legislative enactments and are in |
| 1104 | accordance with generally accepted and reasonable actuarial |
| 1105 | techniques. |
| 1106 | (b) A signing officer or actuary who knowingly makes |
| 1107 | making a false certification under this subsection commits a |
| 1108 | violation of s. 626.9541(1)(e) and is subject to the penalties |
| 1109 | under s. 626.9521. |
| 1110 | (c) Failure to provide such certification by the officer |
| 1111 | and actuary shall result in the rate filing being disapproved |
| 1112 | without prejudice to be refiled. |
| 1113 | (d) The certification made pursuant to paragraph (a) is |
| 1114 | not rendered false if, after making the subject rate filing, the |
| 1115 | insurer provides the office with additional or supplementary |
| 1116 | information pursuant to a formal or informal request from the |
| 1117 | office. However, the actuary who is primarily responsible for |
| 1118 | preparing and submitting such information must certify the |
| 1119 | information in accordance with the certification required under |
| 1120 | paragraph (a) and the penalties in paragraph (b), except that |
| 1121 | the chief executive officer, chief financial officer, or chief |
| 1122 | actuary need not certify the additional or supplementary |
| 1123 | information. |
| 1124 | (e)(d) The commission may adopt rules and forms pursuant |
| 1125 | to ss. 120.536(1) and 120.54 to administer this subsection. |
| 1126 | (9)(10) The burden is on the office to establish that |
| 1127 | rates are excessive for personal lines residential coverage with |
| 1128 | a dwelling replacement cost of $1 million or more or for a |
| 1129 | single condominium unit with a combined dwelling and contents |
| 1130 | replacement cost of $1 million or more. Upon request of the |
| 1131 | office, the insurer shall provide to the office such loss and |
| 1132 | expense information as the office reasonably needs to meet this |
| 1133 | burden. |
| 1134 | (10)(11) Any interest paid pursuant to s. 627.70131(5) may |
| 1135 | not be included in the insurer's rate base and may not be used |
| 1136 | to justify a rate or rate change. |
| 1137 | Section 14. Paragraph (b) of subsection (3) of section |
| 1138 | 627.06281, Florida Statutes, is amended to read: |
| 1139 | 627.06281 Public hurricane loss projection model; |
| 1140 | reporting of data by insurers.- |
| 1141 | (3) |
| 1142 | (b) The fees charged for private sector access and use of |
| 1143 | the model shall be the reasonable costs associated with the |
| 1144 | operation and maintenance of the model by the office. Such fees |
| 1145 | do not apply to access and use of the model by the office. By |
| 1146 | January 1, 2009, The office shall establish by rule a fee |
| 1147 | schedule for access to and the use of the model. The fee |
| 1148 | schedule must be reasonably calculated to cover only the actual |
| 1149 | costs of providing access to and the use of the model. |
| 1150 | Section 15. Subsections (1) and (5) of section 627.0629, |
| 1151 | Florida Statutes, are amended to read: |
| 1152 | 627.0629 Residential property insurance; rate filings.- |
| 1153 | (1)(a) It is the intent of the Legislature that insurers |
| 1154 | must provide savings to consumers who install or implement |
| 1155 | windstorm damage mitigation techniques, alterations, or |
| 1156 | solutions to their properties to prevent windstorm losses. A |
| 1157 | rate filing for residential property insurance must include |
| 1158 | actuarially reasonable discounts, credits, or other rate |
| 1159 | differentials, or appropriate reductions in deductibles, for |
| 1160 | properties on which fixtures or construction techniques |
| 1161 | demonstrated to reduce the amount of loss in a windstorm have |
| 1162 | been installed or implemented. The fixtures or construction |
| 1163 | techniques must shall include, but are not be limited to, |
| 1164 | fixtures or construction techniques that which enhance roof |
| 1165 | strength, roof covering performance, roof-to-wall strength, |
| 1166 | wall-to-floor-to-foundation strength, opening protection, and |
| 1167 | window, door, and skylight strength. Credits, discounts, or |
| 1168 | other rate differentials, or appropriate reductions in |
| 1169 | deductibles, for fixtures and construction techniques that which |
| 1170 | meet the minimum requirements of the Florida Building Code must |
| 1171 | be included in the rate filing. All insurance companies must |
| 1172 | make a rate filing which includes the credits, discounts, or |
| 1173 | other rate differentials or reductions in deductibles by |
| 1174 | February 28, 2003. By July 1, 2007, the office shall reevaluate |
| 1175 | the discounts, credits, other rate differentials, and |
| 1176 | appropriate reductions in deductibles for fixtures and |
| 1177 | construction techniques that meet the minimum requirements of |
| 1178 | the Florida Building Code, based upon actual experience or any |
| 1179 | other loss relativity studies available to the office. The |
| 1180 | office shall determine the discounts, credits, other rate |
| 1181 | differentials, and appropriate reductions in deductibles that |
| 1182 | reflect the full actuarial value of such revaluation, which may |
| 1183 | be used by insurers in rate filings. |
| 1184 | (b) By February 1, 2011, the Office of Insurance |
| 1185 | Regulation, in consultation with the Department of Financial |
| 1186 | Services and the Department of Community Affairs, shall develop |
| 1187 | and make publicly available a proposed method for insurers to |
| 1188 | establish discounts, credits, or other rate differentials for |
| 1189 | hurricane mitigation measures which directly correlate to the |
| 1190 | numerical rating assigned to a structure pursuant to the uniform |
| 1191 | home grading scale adopted by the Financial Services Commission |
| 1192 | pursuant to s. 215.55865, including any proposed changes to the |
| 1193 | uniform home grading scale. By October 1, 2011, the commission |
| 1194 | shall adopt rules requiring insurers to make rate filings for |
| 1195 | residential property insurance which revise insurers' discounts, |
| 1196 | credits, or other rate differentials for hurricane mitigation |
| 1197 | measures so that such rate differentials correlate directly to |
| 1198 | the uniform home grading scale. The rules may include such |
| 1199 | changes to the uniform home grading scale as the commission |
| 1200 | determines are necessary, and may specify the minimum required |
| 1201 | discounts, credits, or other rate differentials. Such rate |
| 1202 | differentials must be consistent with generally accepted |
| 1203 | actuarial principles and wind-loss mitigation studies. The rules |
| 1204 | shall allow a period of at least 2 years after the effective |
| 1205 | date of the revised mitigation discounts, credits, or other rate |
| 1206 | differentials for a property owner to obtain an inspection or |
| 1207 | otherwise qualify for the revised credit, during which time the |
| 1208 | insurer shall continue to apply the mitigation credit that was |
| 1209 | applied immediately prior to the effective date of the revised |
| 1210 | credit. Discounts, credits, and other rate differentials |
| 1211 | established for rate filings under this paragraph shall |
| 1212 | supersede, after adoption, the discounts, credits, and other |
| 1213 | rate differentials included in rate filings under paragraph (a). |
| 1214 | (5) In order to provide an appropriate transition period, |
| 1215 | an insurer may, in its sole discretion, implement an approved |
| 1216 | rate filing for residential property insurance over a period of |
| 1217 | years. Such An insurer electing to phase in its rate filing must |
| 1218 | provide an informational notice to the office setting out its |
| 1219 | schedule for implementation of the phased-in rate filing. The An |
| 1220 | insurer may include in its rate the actual cost of private |
| 1221 | market reinsurance that corresponds to available coverage of the |
| 1222 | Temporary Increase in Coverage Limits, TICL, from the Florida |
| 1223 | Hurricane Catastrophe Fund. The insurer may also include the |
| 1224 | cost of reinsurance to replace the TICL reduction implemented |
| 1225 | pursuant to s. 215.555(17)(d)9. However, this cost for |
| 1226 | reinsurance may not include any expense or profit load or result |
| 1227 | in a total annual base rate increase in excess of 10 percent. |
| 1228 | Section 16. Paragraphs (a), (b), (c), (d), (n), (v), and |
| 1229 | (y) of subsection (6) of section 627.351, Florida Statutes, are |
| 1230 | amended to read: |
| 1231 | 627.351 Insurance risk apportionment plans.- |
| 1232 | (6) CITIZENS PROPERTY INSURANCE CORPORATION.- |
| 1233 | (a)1. It is The public purpose of this subsection is to |
| 1234 | ensure that there is the existence of an orderly market for |
| 1235 | property insurance for residents Floridians and Florida |
| 1236 | businesses of this state. |
| 1237 | 1. The Legislature finds that private insurers are |
| 1238 | unwilling or unable to provide affordable property insurance |
| 1239 | coverage in this state to the extent sought and needed. The |
| 1240 | absence of affordable property insurance threatens the public |
| 1241 | health, safety, and welfare and likewise threatens the economic |
| 1242 | health of the state. The state therefore has a compelling public |
| 1243 | interest and a public purpose to assist in assuring that |
| 1244 | property in the state is insured and that it is insured at |
| 1245 | affordable rates so as to facilitate the remediation, |
| 1246 | reconstruction, and replacement of damaged or destroyed property |
| 1247 | in order to reduce or avoid the negative effects otherwise |
| 1248 | resulting to the public health, safety, and welfare, to the |
| 1249 | economy of the state, and to the revenues of the state and local |
| 1250 | governments which are needed to provide for the public welfare. |
| 1251 | It is necessary, therefore, to provide affordable property |
| 1252 | insurance to applicants who are in good faith entitled to |
| 1253 | procure insurance through the voluntary market but are unable to |
| 1254 | do so. The Legislature intends, therefore, by this subsection |
| 1255 | that affordable property insurance be provided and that it |
| 1256 | continue to be provided, as long as necessary, through Citizens |
| 1257 | Property Insurance Corporation, a government entity that is an |
| 1258 | integral part of the state, and that is not a private insurance |
| 1259 | company. To that end, the Citizens Property Insurance |
| 1260 | corporation shall strive to increase the availability of |
| 1261 | affordable property insurance in this state, while achieving |
| 1262 | efficiencies and economies, and while providing service to |
| 1263 | policyholders, applicants, and agents which is no less than the |
| 1264 | quality generally provided in the voluntary market, for the |
| 1265 | achievement of the foregoing public purposes. Because it is |
| 1266 | essential for this government entity to have the maximum |
| 1267 | financial resources to pay claims following a catastrophic |
| 1268 | hurricane, it is the intent of the Legislature that the Citizens |
| 1269 | Property Insurance corporation continue to be an integral part |
| 1270 | of the state and that the income of the corporation be exempt |
| 1271 | from federal income taxation and that interest on the debt |
| 1272 | obligations issued by the corporation be exempt from federal |
| 1273 | income taxation. |
| 1274 | 2. The Residential Property and Casualty Joint |
| 1275 | Underwriting Association originally created by this statute |
| 1276 | shall be known, as of July 1, 2002, as the Citizens Property |
| 1277 | Insurance Corporation. The corporation shall provide insurance |
| 1278 | for residential and commercial property, for applicants who are |
| 1279 | in good faith entitled, but, in good faith, are unable, to |
| 1280 | procure insurance through the voluntary market. The corporation |
| 1281 | shall operate pursuant to a plan of operation approved by order |
| 1282 | of the Financial Services Commission. The plan is subject to |
| 1283 | continuous review by the commission. The commission may, by |
| 1284 | order, withdraw approval of all or part of a plan if the |
| 1285 | commission determines that conditions have changed since |
| 1286 | approval was granted and that the purposes of the plan require |
| 1287 | changes in the plan. The corporation shall continue to operate |
| 1288 | pursuant to the plan of operation approved by the Office of |
| 1289 | Insurance Regulation until October 1, 2006. For the purposes of |
| 1290 | this subsection, residential coverage includes both personal |
| 1291 | lines residential coverage, which consists of the type of |
| 1292 | coverage provided by homeowner's, mobile home owner's, dwelling, |
| 1293 | tenant's, condominium unit owner's, and similar policies;, and |
| 1294 | commercial lines residential coverage, which consists of the |
| 1295 | type of coverage provided by condominium association, apartment |
| 1296 | building, and similar policies. |
| 1297 | 3. Effective January 1, 2009, a personal lines residential |
| 1298 | structure that has a dwelling replacement cost of $2 million or |
| 1299 | more, or a single condominium unit that has a combined dwelling |
| 1300 | and contents content replacement cost of $2 million or more is |
| 1301 | not eligible for coverage by the corporation. Such dwellings |
| 1302 | insured by the corporation on December 31, 2008, may continue to |
| 1303 | be covered by the corporation until the end of the policy term. |
| 1304 | However, such dwellings that are insured by the corporation and |
| 1305 | become ineligible for coverage due to the provisions of this |
| 1306 | subparagraph may reapply and obtain coverage if the property |
| 1307 | owner provides the corporation with a sworn affidavit from one |
| 1308 | or more insurance agents, on a form provided by the corporation, |
| 1309 | stating that the agents have made their best efforts to obtain |
| 1310 | coverage and that the property has been rejected for coverage by |
| 1311 | at least one authorized insurer and at least three surplus lines |
| 1312 | insurers. If such conditions are met, the dwelling may be |
| 1313 | insured by the corporation for up to 3 years, after which time |
| 1314 | the dwelling is ineligible for coverage. The office shall |
| 1315 | approve the method used by the corporation for valuing the |
| 1316 | dwelling replacement cost for the purposes of this subparagraph. |
| 1317 | If a policyholder is insured by the corporation prior to being |
| 1318 | determined to be ineligible pursuant to this subparagraph and |
| 1319 | such policyholder files a lawsuit challenging the determination, |
| 1320 | the policyholder may remain insured by the corporation until the |
| 1321 | conclusion of the litigation. |
| 1322 | 4. It is the intent of the Legislature that policyholders, |
| 1323 | applicants, and agents of the corporation receive service and |
| 1324 | treatment of the highest possible level but never less than that |
| 1325 | generally provided in the voluntary market. It is also is |
| 1326 | intended that the corporation be held to service standards no |
| 1327 | less than those applied to insurers in the voluntary market by |
| 1328 | the office with respect to responsiveness, timeliness, customer |
| 1329 | courtesy, and overall dealings with policyholders, applicants, |
| 1330 | or agents of the corporation. |
| 1331 | 5. Effective January 1, 2009, a personal lines residential |
| 1332 | structure that is located in the "wind-borne debris region," as |
| 1333 | defined in s. 1609.2, International Building Code (2006), and |
| 1334 | that has an insured value on the structure of $750,000 or more |
| 1335 | is not eligible for coverage by the corporation unless the |
| 1336 | structure has opening protections as required under the Florida |
| 1337 | Building Code for a newly constructed residential structure in |
| 1338 | that area. A residential structure shall be deemed to comply |
| 1339 | with the requirements of this subparagraph if it has shutters or |
| 1340 | opening protections on all openings and if such opening |
| 1341 | protections complied with the Florida Building Code at the time |
| 1342 | they were installed. |
| 1343 | 6. For any claim filed under any policy of the |
| 1344 | corporation, a public adjuster may not charge, agree to, or |
| 1345 | accept any compensation, payment, commission, fee, or other |
| 1346 | thing of value greater than 10 percent of the additional amount |
| 1347 | actually paid over the amount that was originally offered by the |
| 1348 | corporation for any one claim. |
| 1349 | (b)1. All insurers authorized to write one or more subject |
| 1350 | lines of business in this state are subject to assessment by the |
| 1351 | corporation and, for the purposes of this subsection, are |
| 1352 | referred to collectively as "assessable insurers." Insurers |
| 1353 | writing one or more subject lines of business in this state |
| 1354 | pursuant to part VIII of chapter 626 are not assessable |
| 1355 | insurers, but insureds who procure one or more subject lines of |
| 1356 | business in this state pursuant to part VIII of chapter 626 are |
| 1357 | subject to assessment by the corporation and are referred to |
| 1358 | collectively as "assessable insureds." An authorized insurer's |
| 1359 | assessment liability begins shall begin on the first day of the |
| 1360 | calendar year following the year in which the insurer was issued |
| 1361 | a certificate of authority to transact insurance for subject |
| 1362 | lines of business in this state and terminates shall terminate 1 |
| 1363 | year after the end of the first calendar year during which the |
| 1364 | insurer no longer holds a certificate of authority to transact |
| 1365 | insurance for subject lines of business in this state. |
| 1366 | 2.a. All revenues, assets, liabilities, losses, and |
| 1367 | expenses of the corporation shall be divided into three separate |
| 1368 | accounts as follows: |
| 1369 | (I) A personal lines account for personal residential |
| 1370 | policies issued by the corporation, or issued by the Residential |
| 1371 | Property and Casualty Joint Underwriting Association and renewed |
| 1372 | by the corporation, which provides that provide comprehensive, |
| 1373 | multiperil coverage on risks that are not located in areas |
| 1374 | eligible for coverage by in the Florida Windstorm Underwriting |
| 1375 | Association as those areas were defined on January 1, 2002, and |
| 1376 | for such policies that do not provide coverage for the peril of |
| 1377 | wind on risks that are located in such areas; |
| 1378 | (II) A commercial lines account for commercial residential |
| 1379 | and commercial nonresidential policies issued by the |
| 1380 | corporation, or issued by the Residential Property and Casualty |
| 1381 | Joint Underwriting Association and renewed by the corporation, |
| 1382 | which provides that provide coverage for basic property perils |
| 1383 | on risks that are not located in areas eligible for coverage by |
| 1384 | in the Florida Windstorm Underwriting Association as those areas |
| 1385 | were defined on January 1, 2002, and for such policies that do |
| 1386 | not provide coverage for the peril of wind on risks that are |
| 1387 | located in such areas; and |
| 1388 | (III) A coastal high-risk account for personal residential |
| 1389 | policies and commercial residential and commercial |
| 1390 | nonresidential property policies issued by the corporation, or |
| 1391 | transferred to the corporation, which provides that provide |
| 1392 | coverage for the peril of wind on risks that are located in |
| 1393 | areas eligible for coverage by in the Florida Windstorm |
| 1394 | Underwriting Association as those areas were defined on January |
| 1395 | 1, 2002. The corporation may offer policies that provide |
| 1396 | multiperil coverage and the corporation shall continue to offer |
| 1397 | policies that provide coverage only for the peril of wind for |
| 1398 | risks located in areas eligible for coverage in the coastal |
| 1399 | high-risk account. In issuing multiperil coverage, the |
| 1400 | corporation may use its approved policy forms and rates for the |
| 1401 | personal lines account. An applicant or insured who is eligible |
| 1402 | to purchase a multiperil policy from the corporation may |
| 1403 | purchase a multiperil policy from an authorized insurer without |
| 1404 | prejudice to the applicant's or insured's eligibility to |
| 1405 | prospectively purchase a policy that provides coverage only for |
| 1406 | the peril of wind from the corporation. An applicant or insured |
| 1407 | who is eligible for a corporation policy that provides coverage |
| 1408 | only for the peril of wind may elect to purchase or retain such |
| 1409 | policy and also purchase or retain coverage excluding wind from |
| 1410 | an authorized insurer without prejudice to the applicant's or |
| 1411 | insured's eligibility to prospectively purchase a policy that |
| 1412 | provides multiperil coverage from the corporation. It is the |
| 1413 | goal of the Legislature that there would be an overall average |
| 1414 | savings of 10 percent or more for a policyholder who currently |
| 1415 | has a wind-only policy with the corporation, and an ex-wind |
| 1416 | policy with a voluntary insurer or the corporation, and who then |
| 1417 | obtains a multiperil policy from the corporation. It is the |
| 1418 | intent of the Legislature that the offer of multiperil coverage |
| 1419 | in the coastal high-risk account be made and implemented in a |
| 1420 | manner that does not adversely affect the tax-exempt status of |
| 1421 | the corporation or creditworthiness of or security for currently |
| 1422 | outstanding financing obligations or credit facilities of the |
| 1423 | coastal high-risk account, the personal lines account, or the |
| 1424 | commercial lines account. The coastal high-risk account must |
| 1425 | also include quota share primary insurance under subparagraph |
| 1426 | (c)2. The area eligible for coverage under the coastal high-risk |
| 1427 | account also includes the area within Port Canaveral, which is |
| 1428 | bordered on the south by the City of Cape Canaveral, bordered on |
| 1429 | the west by the Banana River, and bordered on the north by |
| 1430 | Federal Government property. |
| 1431 | b. The three separate accounts must be maintained as long |
| 1432 | as financing obligations entered into by the Florida Windstorm |
| 1433 | Underwriting Association or Residential Property and Casualty |
| 1434 | Joint Underwriting Association are outstanding, in accordance |
| 1435 | with the terms of the corresponding financing documents. If When |
| 1436 | the financing obligations are no longer outstanding, in |
| 1437 | accordance with the terms of the corresponding financing |
| 1438 | documents, the corporation may use a single account for all |
| 1439 | revenues, assets, liabilities, losses, and expenses of the |
| 1440 | corporation. Consistent with the requirement of this |
| 1441 | subparagraph and prudent investment policies that minimize the |
| 1442 | cost of carrying debt, the board shall exercise its best efforts |
| 1443 | to retire existing debt or to obtain the approval of necessary |
| 1444 | parties to amend the terms of existing debt, so as to structure |
| 1445 | the most efficient plan to consolidate the three separate |
| 1446 | accounts into a single account. |
| 1447 | c. Creditors of the Residential Property and Casualty |
| 1448 | Joint Underwriting Association and of the accounts specified in |
| 1449 | sub-sub-subparagraphs a.(I) and (II) may have a claim against, |
| 1450 | and recourse to, those the accounts referred to in sub-sub- |
| 1451 | subparagraphs a.(I) and (II) and shall have no claim against, or |
| 1452 | recourse to, the account referred to in sub-sub-subparagraph |
| 1453 | a.(III). Creditors of the Florida Windstorm Underwriting |
| 1454 | Association shall have a claim against, and recourse to, the |
| 1455 | account referred to in sub-sub-subparagraph a.(III) and shall |
| 1456 | have no claim against, or recourse to, the accounts referred to |
| 1457 | in sub-sub-subparagraphs a.(I) and (II). |
| 1458 | d. Revenues, assets, liabilities, losses, and expenses not |
| 1459 | attributable to particular accounts shall be prorated among the |
| 1460 | accounts. |
| 1461 | e. The Legislature finds that the revenues of the |
| 1462 | corporation are revenues that are necessary to meet the |
| 1463 | requirements set forth in documents authorizing the issuance of |
| 1464 | bonds under this subsection. |
| 1465 | f. No part of the income of the corporation may inure to |
| 1466 | the benefit of any private person. |
| 1467 | 3. With respect to a deficit in an account: |
| 1468 | a. After accounting for the Citizens policyholder |
| 1469 | surcharge imposed under sub-subparagraph h. i., if when the |
| 1470 | remaining projected deficit incurred in a particular calendar |
| 1471 | year: |
| 1472 | (I) Is not greater than 6 percent of the aggregate |
| 1473 | statewide direct written premium for the subject lines of |
| 1474 | business for the prior calendar year, the entire deficit shall |
| 1475 | be recovered through regular assessments of assessable insurers |
| 1476 | under paragraph (q) and assessable insureds. |
| 1477 | (II)b. After accounting for the Citizens policyholder |
| 1478 | surcharge imposed under sub-subparagraph i., when the remaining |
| 1479 | projected deficit incurred in a particular calendar year Exceeds |
| 1480 | 6 percent of the aggregate statewide direct written premium for |
| 1481 | the subject lines of business for the prior calendar year, the |
| 1482 | corporation shall levy regular assessments on assessable |
| 1483 | insurers under paragraph (q) and on assessable insureds in an |
| 1484 | amount equal to the greater of 6 percent of the deficit or 6 |
| 1485 | percent of the aggregate statewide direct written premium for |
| 1486 | the subject lines of business for the prior calendar year. Any |
| 1487 | remaining deficit shall be recovered through emergency |
| 1488 | assessments under sub-subparagraph c. d. |
| 1489 | b.c. Each assessable insurer's share of the amount being |
| 1490 | assessed under sub-subparagraph a. must or sub-subparagraph b. |
| 1491 | shall be in the proportion that the assessable insurer's direct |
| 1492 | written premium for the subject lines of business for the year |
| 1493 | preceding the assessment bears to the aggregate statewide direct |
| 1494 | written premium for the subject lines of business for that year. |
| 1495 | The applicable assessment percentage applicable to each |
| 1496 | assessable insured is the ratio of the amount being assessed |
| 1497 | under sub-subparagraph a. or sub-subparagraph b. to the |
| 1498 | aggregate statewide direct written premium for the subject lines |
| 1499 | of business for the prior year. Assessments levied by the |
| 1500 | corporation on assessable insurers under sub-subparagraph a. |
| 1501 | must sub-subparagraphs a. and b. shall be paid as required by |
| 1502 | the corporation's plan of operation and paragraph (q). |
| 1503 | Assessments levied by the corporation on assessable insureds |
| 1504 | under sub-subparagraph a. sub-subparagraphs a. and b. shall be |
| 1505 | collected by the surplus lines agent at the time the surplus |
| 1506 | lines agent collects the surplus lines tax required by s. |
| 1507 | 626.932, and shall be paid to the Florida Surplus Lines Service |
| 1508 | Office at the time the surplus lines agent pays the surplus |
| 1509 | lines tax to that the Florida Surplus Lines Service office. Upon |
| 1510 | receipt of regular assessments from surplus lines agents, the |
| 1511 | Florida Surplus Lines Service Office shall transfer the |
| 1512 | assessments directly to the corporation as determined by the |
| 1513 | corporation. |
| 1514 | c.d. Upon a determination by the board of governors that a |
| 1515 | deficit in an account exceeds the amount that will be recovered |
| 1516 | through regular assessments under sub-subparagraph a. or sub- |
| 1517 | subparagraph b., plus the amount that is expected to be |
| 1518 | recovered through surcharges under sub-subparagraph h. i., as to |
| 1519 | the remaining projected deficit the board shall levy, after |
| 1520 | verification by the office, shall levy emergency assessments, |
| 1521 | for as many years as necessary to cover the deficits, to be |
| 1522 | collected by assessable insurers and the corporation and |
| 1523 | collected from assessable insureds upon issuance or renewal of |
| 1524 | policies for subject lines of business, excluding National Flood |
| 1525 | Insurance policies. The amount of the emergency assessment |
| 1526 | collected in a particular year must shall be a uniform |
| 1527 | percentage of that year's direct written premium for subject |
| 1528 | lines of business and all accounts of the corporation, excluding |
| 1529 | National Flood Insurance Program policy premiums, as annually |
| 1530 | determined by the board and verified by the office. The office |
| 1531 | shall verify the arithmetic calculations involved in the board's |
| 1532 | determination within 30 days after receipt of the information on |
| 1533 | which the determination was based. Notwithstanding any other |
| 1534 | provision of law, the corporation and each assessable insurer |
| 1535 | that writes subject lines of business shall collect emergency |
| 1536 | assessments from its policyholders without such obligation being |
| 1537 | affected by any credit, limitation, exemption, or deferment. |
| 1538 | Emergency assessments levied by the corporation on assessable |
| 1539 | insureds shall be collected by the surplus lines agent at the |
| 1540 | time the surplus lines agent collects the surplus lines tax |
| 1541 | required by s. 626.932 and shall be paid to the Florida Surplus |
| 1542 | Lines Service Office at the time the surplus lines agent pays |
| 1543 | the surplus lines tax to that the Florida Surplus Lines Service |
| 1544 | office. The emergency assessments so collected shall be |
| 1545 | transferred directly to the corporation on a periodic basis as |
| 1546 | determined by the corporation and shall be held by the |
| 1547 | corporation solely in the applicable account. The aggregate |
| 1548 | amount of emergency assessments levied for an account under this |
| 1549 | sub-subparagraph in any calendar year may, at the discretion of |
| 1550 | the board of governors, be less than but may not exceed the |
| 1551 | greater of 10 percent of the amount needed to cover the deficit, |
| 1552 | plus interest, fees, commissions, required reserves, and other |
| 1553 | costs associated with financing of the original deficit, or 10 |
| 1554 | percent of the aggregate statewide direct written premium for |
| 1555 | subject lines of business and for all accounts of the |
| 1556 | corporation for the prior year, plus interest, fees, |
| 1557 | commissions, required reserves, and other costs associated with |
| 1558 | financing the deficit. |
| 1559 | d.e. The corporation may pledge the proceeds of |
| 1560 | assessments, projected recoveries from the Florida Hurricane |
| 1561 | Catastrophe Fund, other insurance and reinsurance recoverables, |
| 1562 | policyholder surcharges and other surcharges, and other funds |
| 1563 | available to the corporation as the source of revenue for and to |
| 1564 | secure bonds issued under paragraph (q), bonds or other |
| 1565 | indebtedness issued under subparagraph (c)3., or lines of credit |
| 1566 | or other financing mechanisms issued or created under this |
| 1567 | subsection, or to retire any other debt incurred as a result of |
| 1568 | deficits or events giving rise to deficits, or in any other way |
| 1569 | that the board determines will efficiently recover such |
| 1570 | deficits. The purpose of the lines of credit or other financing |
| 1571 | mechanisms is to provide additional resources to assist the |
| 1572 | corporation in covering claims and expenses attributable to a |
| 1573 | catastrophe. As used in this subsection, the term "assessments" |
| 1574 | includes regular assessments under sub-subparagraph a., sub- |
| 1575 | subparagraph b., or subparagraph (q)1. and emergency assessments |
| 1576 | under sub-subparagraph d. Emergency assessments collected under |
| 1577 | sub-subparagraph d. are not part of an insurer's rates, are not |
| 1578 | premium, and are not subject to premium tax, fees, or |
| 1579 | commissions; however, failure to pay the emergency assessment |
| 1580 | shall be treated as failure to pay premium. The emergency |
| 1581 | assessments under sub-subparagraph c. d. shall continue as long |
| 1582 | as any bonds issued or other indebtedness incurred with respect |
| 1583 | to a deficit for which the assessment was imposed remain |
| 1584 | outstanding, unless adequate provision has been made for the |
| 1585 | payment of such bonds or other indebtedness pursuant to the |
| 1586 | documents governing such bonds or other indebtedness. |
| 1587 | e.f. As used in this subsection for purposes of any |
| 1588 | deficit incurred on or after January 25, 2007, the term "subject |
| 1589 | lines of business" means insurance written by assessable |
| 1590 | insurers or procured by assessable insureds for all property and |
| 1591 | casualty lines of business in this state, but not including |
| 1592 | workers' compensation or medical malpractice. As used in this |
| 1593 | the sub-subparagraph, the term "property and casualty lines of |
| 1594 | business" includes all lines of business identified on Form 2, |
| 1595 | Exhibit of Premiums and Losses, in the annual statement required |
| 1596 | of authorized insurers under by s. 624.424 and any rule adopted |
| 1597 | under this section, except for those lines identified as |
| 1598 | accident and health insurance and except for policies written |
| 1599 | under the National Flood Insurance Program or the Federal Crop |
| 1600 | Insurance Program. For purposes of this sub-subparagraph, the |
| 1601 | term "workers' compensation" includes both workers' compensation |
| 1602 | insurance and excess workers' compensation insurance. |
| 1603 | f.g. The Florida Surplus Lines Service Office shall |
| 1604 | determine annually the aggregate statewide written premium in |
| 1605 | subject lines of business procured by assessable insureds and |
| 1606 | shall report that information to the corporation in a form and |
| 1607 | at a time the corporation specifies to ensure that the |
| 1608 | corporation can meet the requirements of this subsection and the |
| 1609 | corporation's financing obligations. |
| 1610 | g.h. The Florida Surplus Lines Service Office shall verify |
| 1611 | the proper application by surplus lines agents of assessment |
| 1612 | percentages for regular assessments and emergency assessments |
| 1613 | levied under this subparagraph on assessable insureds and shall |
| 1614 | assist the corporation in ensuring the accurate, timely |
| 1615 | collection and payment of assessments by surplus lines agents as |
| 1616 | required by the corporation. |
| 1617 | h.i. If a deficit is incurred in any account in 2008 or |
| 1618 | thereafter, the board of governors shall levy a Citizens |
| 1619 | policyholder surcharge against all policyholders of the |
| 1620 | corporation. for a 12-month period, which |
| 1621 | (I) The surcharge shall be levied collected at the time of |
| 1622 | issuance or renewal of a policy, as a uniform percentage of the |
| 1623 | premium for the policy of up to 15 percent of such premium, |
| 1624 | which funds shall be used to offset the deficit. |
| 1625 | (II) The surcharge is payable upon cancellation or |
| 1626 | termination of the policy, upon renewal of the policy, or upon |
| 1627 | issuance of a new policy by the corporation within the first 12 |
| 1628 | months after the date of the levy or the period of time |
| 1629 | necessary to fully collect the surcharge amount. |
| 1630 | (III) The corporation may not levy any regular assessments |
| 1631 | under paragraph (q) pursuant to sub-subparagraph a. or sub- |
| 1632 | subparagraph b. with respect to a particular year's deficit |
| 1633 | until the corporation has first levied the full amount of the |
| 1634 | surcharge authorized by this sub-subparagraph. |
| 1635 | (IV) The surcharge is Citizens policyholder surcharges |
| 1636 | under this sub-subparagraph are not considered premium and is |
| 1637 | are not subject to commissions, fees, or premium taxes. However, |
| 1638 | failure to pay the surcharge such surcharges shall be treated as |
| 1639 | failure to pay premium. |
| 1640 | i.j. If the amount of any assessments or surcharges |
| 1641 | collected from corporation policyholders, assessable insurers or |
| 1642 | their policyholders, or assessable insureds exceeds the amount |
| 1643 | of the deficits, such excess amounts shall be remitted to and |
| 1644 | retained by the corporation in a reserve to be used by the |
| 1645 | corporation, as determined by the board of governors and |
| 1646 | approved by the office, to pay claims or reduce any past, |
| 1647 | present, or future plan-year deficits or to reduce outstanding |
| 1648 | debt. |
| 1649 | (c) The corporation's plan of operation of the |
| 1650 | corporation: |
| 1651 | 1. Must provide for adoption of residential property and |
| 1652 | casualty insurance policy forms and commercial residential and |
| 1653 | nonresidential property insurance forms, which forms must be |
| 1654 | approved by the office before prior to use. The corporation |
| 1655 | shall adopt the following policy forms: |
| 1656 | a. Standard personal lines policy forms that are |
| 1657 | comprehensive multiperil policies providing full coverage of a |
| 1658 | residential property equivalent to the coverage provided in the |
| 1659 | private insurance market under an HO-3, HO-4, or HO-6 policy. |
| 1660 | b. Basic personal lines policy forms that are policies |
| 1661 | similar to an HO-8 policy or a dwelling fire policy that provide |
| 1662 | coverage meeting the requirements of the secondary mortgage |
| 1663 | market, but which coverage is more limited than the coverage |
| 1664 | under a standard policy. |
| 1665 | c. Commercial lines residential and nonresidential policy |
| 1666 | forms that are generally similar to the basic perils of full |
| 1667 | coverage obtainable for commercial residential structures and |
| 1668 | commercial nonresidential structures in the admitted voluntary |
| 1669 | market. |
| 1670 | d. Personal lines and commercial lines residential |
| 1671 | property insurance forms that cover the peril of wind only. The |
| 1672 | forms are applicable only to residential properties located in |
| 1673 | areas eligible for coverage under the coastal high-risk account |
| 1674 | referred to in sub-subparagraph (b)2.a. |
| 1675 | e. Commercial lines nonresidential property insurance |
| 1676 | forms that cover the peril of wind only. The forms are |
| 1677 | applicable only to nonresidential properties located in areas |
| 1678 | eligible for coverage under the coastal high-risk account |
| 1679 | referred to in sub-subparagraph (b)2.a. |
| 1680 | f. The corporation may adopt variations of the policy |
| 1681 | forms listed in sub-subparagraphs a.-e. which that contain more |
| 1682 | restrictive coverage. |
| 1683 | 2.a. Must provide that the corporation adopt a program in |
| 1684 | which the corporation and authorized insurers enter into quota |
| 1685 | share primary insurance agreements for hurricane coverage, as |
| 1686 | defined in s. 627.4025(2)(a), for eligible risks, and adopt |
| 1687 | property insurance forms for eligible risks which cover the |
| 1688 | peril of wind only. |
| 1689 | a. As used in this subsection, the term: |
| 1690 | (I) "Quota share primary insurance" means an arrangement |
| 1691 | in which the primary hurricane coverage of an eligible risk is |
| 1692 | provided in specified percentages by the corporation and an |
| 1693 | authorized insurer. The corporation and authorized insurer are |
| 1694 | each solely responsible for a specified percentage of hurricane |
| 1695 | coverage of an eligible risk as set forth in a quota share |
| 1696 | primary insurance agreement between the corporation and an |
| 1697 | authorized insurer and the insurance contract. The |
| 1698 | responsibility of the corporation or authorized insurer to pay |
| 1699 | its specified percentage of hurricane losses of an eligible |
| 1700 | risk, as set forth in the quota share primary insurance |
| 1701 | agreement, may not be altered by the inability of the other |
| 1702 | party to the agreement to pay its specified percentage of |
| 1703 | hurricane losses. Eligible risks that are provided hurricane |
| 1704 | coverage through a quota share primary insurance arrangement |
| 1705 | must be provided policy forms that set forth the obligations of |
| 1706 | the corporation and authorized insurer under the arrangement, |
| 1707 | clearly specify the percentages of quota share primary insurance |
| 1708 | provided by the corporation and authorized insurer, and |
| 1709 | conspicuously and clearly state that neither the authorized |
| 1710 | insurer and nor the corporation may not be held responsible |
| 1711 | beyond their its specified percentage of coverage of hurricane |
| 1712 | losses. |
| 1713 | (II) "Eligible risks" means personal lines residential and |
| 1714 | commercial lines residential risks that meet the underwriting |
| 1715 | criteria of the corporation and are located in areas that were |
| 1716 | eligible for coverage by the Florida Windstorm Underwriting |
| 1717 | Association on January 1, 2002. |
| 1718 | b. The corporation may enter into quota share primary |
| 1719 | insurance agreements with authorized insurers at corporation |
| 1720 | coverage levels of 90 percent and 50 percent. |
| 1721 | c. If the corporation determines that additional coverage |
| 1722 | levels are necessary to maximize participation in quota share |
| 1723 | primary insurance agreements by authorized insurers, the |
| 1724 | corporation may establish additional coverage levels. However, |
| 1725 | the corporation's quota share primary insurance coverage level |
| 1726 | may not exceed 90 percent. |
| 1727 | d. Any quota share primary insurance agreement entered |
| 1728 | into between an authorized insurer and the corporation must |
| 1729 | provide for a uniform specified percentage of coverage of |
| 1730 | hurricane losses, by county or territory as set forth by the |
| 1731 | corporation board, for all eligible risks of the authorized |
| 1732 | insurer covered under the quota share primary insurance |
| 1733 | agreement. |
| 1734 | e. Any quota share primary insurance agreement entered |
| 1735 | into between an authorized insurer and the corporation is |
| 1736 | subject to review and approval by the office. However, such |
| 1737 | agreement shall be authorized only as to insurance contracts |
| 1738 | entered into between an authorized insurer and an insured who is |
| 1739 | already insured by the corporation for wind coverage. |
| 1740 | f. For all eligible risks covered under quota share |
| 1741 | primary insurance agreements, the exposure and coverage levels |
| 1742 | for both the corporation and authorized insurers shall be |
| 1743 | reported by the corporation to the Florida Hurricane Catastrophe |
| 1744 | Fund. For all policies of eligible risks covered under such |
| 1745 | quota share primary insurance agreements, the corporation and |
| 1746 | the authorized insurer must shall maintain complete and accurate |
| 1747 | records for the purpose of exposure and loss reimbursement |
| 1748 | audits as required by Florida Hurricane Catastrophe fund rules. |
| 1749 | The corporation and the authorized insurer shall each maintain |
| 1750 | duplicate copies of policy declaration pages and supporting |
| 1751 | claims documents. |
| 1752 | g. The corporation board shall establish in its plan of |
| 1753 | operation standards for quota share agreements which ensure that |
| 1754 | there is no discriminatory application among insurers as to the |
| 1755 | terms of the quota share agreements, pricing of the quota share |
| 1756 | agreements, incentive provisions if any, and consideration paid |
| 1757 | for servicing policies or adjusting claims. |
| 1758 | h. The quota share primary insurance agreement between the |
| 1759 | corporation and an authorized insurer must set forth the |
| 1760 | specific terms under which coverage is provided, including, but |
| 1761 | not limited to, the sale and servicing of policies issued under |
| 1762 | the agreement by the insurance agent of the authorized insurer |
| 1763 | producing the business, the reporting of information concerning |
| 1764 | eligible risks, the payment of premium to the corporation, and |
| 1765 | arrangements for the adjustment and payment of hurricane claims |
| 1766 | incurred on eligible risks by the claims adjuster and personnel |
| 1767 | of the authorized insurer. Entering into a quota sharing |
| 1768 | insurance agreement between the corporation and an authorized |
| 1769 | insurer is shall be voluntary and at the discretion of the |
| 1770 | authorized insurer. |
| 1771 | 3.a. May provide that the corporation may employ or |
| 1772 | otherwise contract with individuals or other entities to provide |
| 1773 | administrative or professional services that may be appropriate |
| 1774 | to effectuate the plan. The corporation may shall have the power |
| 1775 | to borrow funds, by issuing bonds or by incurring other |
| 1776 | indebtedness, and shall have other powers reasonably necessary |
| 1777 | to effectuate the requirements of this subsection, including, |
| 1778 | without limitation, the power to issue bonds and incur other |
| 1779 | indebtedness in order to refinance outstanding bonds or other |
| 1780 | indebtedness. The corporation may, but is not required to, seek |
| 1781 | judicial validation of its bonds or other indebtedness under |
| 1782 | chapter 75. The corporation may issue bonds or incur other |
| 1783 | indebtedness, or have bonds issued on its behalf by a unit of |
| 1784 | local government pursuant to subparagraph (q)2., in the absence |
| 1785 | of a hurricane or other weather-related event, upon a |
| 1786 | determination by the corporation, subject to approval by the |
| 1787 | office, that such action would enable it to efficiently meet the |
| 1788 | financial obligations of the corporation and that such |
| 1789 | financings are reasonably necessary to effectuate the |
| 1790 | requirements of this subsection. The corporation may is |
| 1791 | authorized to take all actions needed to facilitate tax-free |
| 1792 | status for any such bonds or indebtedness, including formation |
| 1793 | of trusts or other affiliated entities. The corporation may |
| 1794 | shall have the authority to pledge assessments, projected |
| 1795 | recoveries from the Florida Hurricane Catastrophe Fund, other |
| 1796 | reinsurance recoverables, market equalization and other |
| 1797 | surcharges, and other funds available to the corporation as |
| 1798 | security for bonds or other indebtedness. In recognition of s. |
| 1799 | 10, Art. I of the State Constitution, prohibiting the impairment |
| 1800 | of obligations of contracts, it is the intent of the Legislature |
| 1801 | that no action be taken whose purpose is to impair any bond |
| 1802 | indenture or financing agreement or any revenue source committed |
| 1803 | by contract to such bond or other indebtedness. |
| 1804 | b. To ensure that the corporation is operating in an |
| 1805 | efficient and economic manner while providing quality service to |
| 1806 | policyholders, applicants, and agents, the board shall |
| 1807 | commission an independent third-party consultant having |
| 1808 | expertise in insurance company management or insurance company |
| 1809 | management consulting to prepare a report and make |
| 1810 | recommendations on the relative costs and benefits of |
| 1811 | outsourcing various policy issuance and service functions to |
| 1812 | private servicing carriers or entities performing similar |
| 1813 | functions in the private market for a fee, rather than |
| 1814 | performing such functions in house. In making such |
| 1815 | recommendations, the consultant shall consider how other |
| 1816 | residual markets, both in this state and around the country, |
| 1817 | outsource appropriate functions or use servicing carriers to |
| 1818 | better match expenses with revenues that fluctuate based on a |
| 1819 | widely varying policy count. The report must be completed by |
| 1820 | July 1, 2012. Upon receiving the report, the board shall develop |
| 1821 | a plan to implement the report and submit the plan for review, |
| 1822 | modification, and approval to the Financial Services Commission. |
| 1823 | Upon the commission's approval of the plan, the board shall |
| 1824 | begin implementing the plan by January 1, 2013. |
| 1825 | 4.a. Must require that the corporation operate subject to |
| 1826 | the supervision and approval of a board of governors consisting |
| 1827 | of eight individuals who are residents of this state, from |
| 1828 | different geographical areas of this state. |
| 1829 | a. The Governor, the Chief Financial Officer, the |
| 1830 | President of the Senate, and the Speaker of the House of |
| 1831 | Representatives shall each appoint two members of the board. At |
| 1832 | least one of the two members appointed by each appointing |
| 1833 | officer must have demonstrated expertise in insurance, and is |
| 1834 | deemed to be within the scope of the exemption provided in s. |
| 1835 | 112.313(7)(b). The Chief Financial Officer shall designate one |
| 1836 | of the appointees as chair. All board members serve at the |
| 1837 | pleasure of the appointing officer. All members of the board of |
| 1838 | governors are subject to removal at will by the officers who |
| 1839 | appointed them. All board members, including the chair, must be |
| 1840 | appointed to serve for 3-year terms beginning annually on a date |
| 1841 | designated by the plan. However, for the first term beginning on |
| 1842 | or after July 1, 2009, each appointing officer shall appoint one |
| 1843 | member of the board for a 2-year term and one member for a 3- |
| 1844 | year term. A Any board vacancy shall be filled for the unexpired |
| 1845 | term by the appointing officer. The Chief Financial Officer |
| 1846 | shall appoint a technical advisory group to provide information |
| 1847 | and advice to the board of governors in connection with the |
| 1848 | board's duties under this subsection. The executive director and |
| 1849 | senior managers of the corporation shall be engaged by the board |
| 1850 | and serve at the pleasure of the board. Any executive director |
| 1851 | appointed on or after July 1, 2006, is subject to confirmation |
| 1852 | by the Senate. The executive director is responsible for |
| 1853 | employing other staff as the corporation may require, subject to |
| 1854 | review and concurrence by the board. |
| 1855 | b. The board shall create a Market Accountability Advisory |
| 1856 | Committee to assist the corporation in developing awareness of |
| 1857 | its rates and its customer and agent service levels in |
| 1858 | relationship to the voluntary market insurers writing similar |
| 1859 | coverage. |
| 1860 | (I) The members of the advisory committee shall consist of |
| 1861 | the following 11 persons, one of whom must be elected chair by |
| 1862 | the members of the committee: four representatives, one |
| 1863 | appointed by the Florida Association of Insurance Agents, one by |
| 1864 | the Florida Association of Insurance and Financial Advisors, one |
| 1865 | by the Professional Insurance Agents of Florida, and one by the |
| 1866 | Latin American Association of Insurance Agencies; three |
| 1867 | representatives appointed by the insurers with the three highest |
| 1868 | voluntary market share of residential property insurance |
| 1869 | business in the state; one representative from the Office of |
| 1870 | Insurance Regulation; one consumer appointed by the board who is |
| 1871 | insured by the corporation at the time of appointment to the |
| 1872 | committee; one representative appointed by the Florida |
| 1873 | Association of Realtors; and one representative appointed by the |
| 1874 | Florida Bankers Association. All members shall be appointed to |
| 1875 | must serve for 3-year terms and may serve for consecutive terms. |
| 1876 | (II) The committee shall report to the corporation at each |
| 1877 | board meeting on insurance market issues which may include rates |
| 1878 | and rate competition with the voluntary market; service, |
| 1879 | including policy issuance, claims processing, and general |
| 1880 | responsiveness to policyholders, applicants, and agents; and |
| 1881 | matters relating to depopulation. |
| 1882 | 5. Must provide a procedure for determining the |
| 1883 | eligibility of a risk for coverage, as follows: |
| 1884 | a. Subject to the provisions of s. 627.3517, with respect |
| 1885 | to personal lines residential risks, if the risk is offered |
| 1886 | coverage from an authorized insurer at the insurer's approved |
| 1887 | rate under either a standard policy including wind coverage or, |
| 1888 | if consistent with the insurer's underwriting rules as filed |
| 1889 | with the office, a basic policy including wind coverage, for a |
| 1890 | new application to the corporation for coverage, the risk is not |
| 1891 | eligible for any policy issued by the corporation unless the |
| 1892 | premium for coverage from the authorized insurer is more than 15 |
| 1893 | percent greater than the premium for comparable coverage from |
| 1894 | the corporation. If the risk is not able to obtain any such |
| 1895 | offer, the risk is eligible for either a standard policy |
| 1896 | including wind coverage or a basic policy including wind |
| 1897 | coverage issued by the corporation; however, if the risk could |
| 1898 | not be insured under a standard policy including wind coverage |
| 1899 | regardless of market conditions, the risk is shall be eligible |
| 1900 | for a basic policy including wind coverage unless rejected under |
| 1901 | subparagraph 8. However, with regard to a policyholder of the |
| 1902 | corporation or a policyholder removed from the corporation |
| 1903 | through an assumption agreement until the end of the assumption |
| 1904 | period, the policyholder remains eligible for coverage from the |
| 1905 | corporation regardless of any offer of coverage from an |
| 1906 | authorized insurer or surplus lines insurer. The corporation |
| 1907 | shall determine the type of policy to be provided on the basis |
| 1908 | of objective standards specified in the underwriting manual and |
| 1909 | based on generally accepted underwriting practices. |
| 1910 | (I) If the risk accepts an offer of coverage through the |
| 1911 | market assistance plan or an offer of coverage through a |
| 1912 | mechanism established by the corporation before a policy is |
| 1913 | issued to the risk by the corporation or during the first 30 |
| 1914 | days of coverage by the corporation, and the producing agent who |
| 1915 | submitted the application to the plan or to the corporation is |
| 1916 | not currently appointed by the insurer, the insurer shall: |
| 1917 | (A) Pay to the producing agent of record of the policy, |
| 1918 | for the first year, an amount that is the greater of the |
| 1919 | insurer's usual and customary commission for the type of policy |
| 1920 | written or a fee equal to the usual and customary commission of |
| 1921 | the corporation; or |
| 1922 | (B) Offer to allow the producing agent of record of the |
| 1923 | policy to continue servicing the policy for at least a period of |
| 1924 | not less than 1 year and offer to pay the agent the greater of |
| 1925 | the insurer's or the corporation's usual and customary |
| 1926 | commission for the type of policy written. |
| 1927 |
|
| 1928 | If the producing agent is unwilling or unable to accept |
| 1929 | appointment, the new insurer shall pay the agent in accordance |
| 1930 | with sub-sub-sub-subparagraph (A). |
| 1931 | (II) If When the corporation enters into a contractual |
| 1932 | agreement for a take-out plan, the producing agent of record of |
| 1933 | the corporation policy is entitled to retain any unearned |
| 1934 | commission on the policy, and the insurer shall: |
| 1935 | (A) Pay to the producing agent of record of the |
| 1936 | corporation policy, for the first year, an amount that is the |
| 1937 | greater of the insurer's usual and customary commission for the |
| 1938 | type of policy written or a fee equal to the usual and customary |
| 1939 | commission of the corporation; or |
| 1940 | (B) Offer to allow the producing agent of record of the |
| 1941 | corporation policy to continue servicing the policy for at least |
| 1942 | a period of not less than 1 year and offer to pay the agent the |
| 1943 | greater of the insurer's or the corporation's usual and |
| 1944 | customary commission for the type of policy written. |
| 1945 |
|
| 1946 | If the producing agent is unwilling or unable to accept |
| 1947 | appointment, the new insurer shall pay the agent in accordance |
| 1948 | with sub-sub-sub-subparagraph (A). |
| 1949 | b. With respect to commercial lines residential risks, for |
| 1950 | a new application to the corporation for coverage, if the risk |
| 1951 | is offered coverage under a policy including wind coverage from |
| 1952 | an authorized insurer at its approved rate, the risk is not |
| 1953 | eligible for a any policy issued by the corporation unless the |
| 1954 | premium for coverage from the authorized insurer is more than 15 |
| 1955 | percent greater than the premium for comparable coverage from |
| 1956 | the corporation. If the risk is not able to obtain any such |
| 1957 | offer, the risk is eligible for a policy including wind coverage |
| 1958 | issued by the corporation. However, with regard to a |
| 1959 | policyholder of the corporation or a policyholder removed from |
| 1960 | the corporation through an assumption agreement until the end of |
| 1961 | the assumption period, the policyholder remains eligible for |
| 1962 | coverage from the corporation regardless of an any offer of |
| 1963 | coverage from an authorized insurer or surplus lines insurer. |
| 1964 | (I) If the risk accepts an offer of coverage through the |
| 1965 | market assistance plan or an offer of coverage through a |
| 1966 | mechanism established by the corporation before a policy is |
| 1967 | issued to the risk by the corporation or during the first 30 |
| 1968 | days of coverage by the corporation, and the producing agent who |
| 1969 | submitted the application to the plan or the corporation is not |
| 1970 | currently appointed by the insurer, the insurer shall: |
| 1971 | (A) Pay to the producing agent of record of the policy, |
| 1972 | for the first year, an amount that is the greater of the |
| 1973 | insurer's usual and customary commission for the type of policy |
| 1974 | written or a fee equal to the usual and customary commission of |
| 1975 | the corporation; or |
| 1976 | (B) Offer to allow the producing agent of record of the |
| 1977 | policy to continue servicing the policy for at least a period of |
| 1978 | not less than 1 year and offer to pay the agent the greater of |
| 1979 | the insurer's or the corporation's usual and customary |
| 1980 | commission for the type of policy written. |
| 1981 |
|
| 1982 | If the producing agent is unwilling or unable to accept |
| 1983 | appointment, the new insurer shall pay the agent in accordance |
| 1984 | with sub-sub-sub-subparagraph (A). |
| 1985 | (II) If When the corporation enters into a contractual |
| 1986 | agreement for a take-out plan, the producing agent of record of |
| 1987 | the corporation policy is entitled to retain any unearned |
| 1988 | commission on the policy, and the insurer shall: |
| 1989 | (A) Pay to the producing agent of record of the |
| 1990 | corporation policy, for the first year, an amount that is the |
| 1991 | greater of the insurer's usual and customary commission for the |
| 1992 | type of policy written or a fee equal to the usual and customary |
| 1993 | commission of the corporation; or |
| 1994 | (B) Offer to allow the producing agent of record of the |
| 1995 | corporation policy to continue servicing the policy for at least |
| 1996 | a period of not less than 1 year and offer to pay the agent the |
| 1997 | greater of the insurer's or the corporation's usual and |
| 1998 | customary commission for the type of policy written. |
| 1999 |
|
| 2000 | If the producing agent is unwilling or unable to accept |
| 2001 | appointment, the new insurer shall pay the agent in accordance |
| 2002 | with sub-sub-sub-subparagraph (A). |
| 2003 | c. For purposes of determining comparable coverage under |
| 2004 | sub-subparagraphs a. and b., the comparison must shall be based |
| 2005 | on those forms and coverages that are reasonably comparable. The |
| 2006 | corporation may rely on a determination of comparable coverage |
| 2007 | and premium made by the producing agent who submits the |
| 2008 | application to the corporation, made in the agent's capacity as |
| 2009 | the corporation's agent. A comparison may be made solely of the |
| 2010 | premium with respect to the main building or structure only on |
| 2011 | the following basis: the same coverage A or other building |
| 2012 | limits; the same percentage hurricane deductible that applies on |
| 2013 | an annual basis or that applies to each hurricane for commercial |
| 2014 | residential property; the same percentage of ordinance and law |
| 2015 | coverage, if the same limit is offered by both the corporation |
| 2016 | and the authorized insurer; the same mitigation credits, to the |
| 2017 | extent the same types of credits are offered both by the |
| 2018 | corporation and the authorized insurer; the same method for loss |
| 2019 | payment, such as replacement cost or actual cash value, if the |
| 2020 | same method is offered both by the corporation and the |
| 2021 | authorized insurer in accordance with underwriting rules; and |
| 2022 | any other form or coverage that is reasonably comparable as |
| 2023 | determined by the board. If an application is submitted to the |
| 2024 | corporation for wind-only coverage in the coastal high-risk |
| 2025 | account, the premium for the corporation's wind-only policy plus |
| 2026 | the premium for the ex-wind policy that is offered by an |
| 2027 | authorized insurer to the applicant must shall be compared to |
| 2028 | the premium for multiperil coverage offered by an authorized |
| 2029 | insurer, subject to the standards for comparison specified in |
| 2030 | this subparagraph. If the corporation or the applicant requests |
| 2031 | from the authorized insurer a breakdown of the premium of the |
| 2032 | offer by types of coverage so that a comparison may be made by |
| 2033 | the corporation or its agent and the authorized insurer refuses |
| 2034 | or is unable to provide such information, the corporation may |
| 2035 | treat the offer as not being an offer of coverage from an |
| 2036 | authorized insurer at the insurer's approved rate. |
| 2037 | 6. Must include rules for classifications of risks and |
| 2038 | rates therefor. |
| 2039 | 7. Must provide that if premium and investment income for |
| 2040 | an account attributable to a particular calendar year are in |
| 2041 | excess of projected losses and expenses for the account |
| 2042 | attributable to that year, such excess shall be held in surplus |
| 2043 | in the account. Such surplus must shall be available to defray |
| 2044 | deficits in that account as to future years and shall be used |
| 2045 | for that purpose before prior to assessing assessable insurers |
| 2046 | and assessable insureds as to any calendar year. |
| 2047 | 8. Must provide objective criteria and procedures to be |
| 2048 | uniformly applied to for all applicants in determining whether |
| 2049 | an individual risk is so hazardous as to be uninsurable. In |
| 2050 | making this determination and in establishing the criteria and |
| 2051 | procedures, the following must shall be considered: |
| 2052 | a. Whether the likelihood of a loss for the individual |
| 2053 | risk is substantially higher than for other risks of the same |
| 2054 | class; and |
| 2055 | b. Whether the uncertainty associated with the individual |
| 2056 | risk is such that an appropriate premium cannot be determined. |
| 2057 |
|
| 2058 | The acceptance or rejection of a risk by the corporation shall |
| 2059 | be construed as the private placement of insurance, and the |
| 2060 | provisions of chapter 120 do shall not apply. |
| 2061 | 9. Must provide that the corporation shall make its best |
| 2062 | efforts to procure catastrophe reinsurance at reasonable rates, |
| 2063 | to cover its projected 100-year probable maximum loss as |
| 2064 | determined by the board of governors. |
| 2065 | 10. The policies issued by the corporation must provide |
| 2066 | that, if the corporation or the market assistance plan obtains |
| 2067 | an offer from an authorized insurer to cover the risk at its |
| 2068 | approved rates, the risk is no longer eligible for renewal |
| 2069 | through the corporation, except as otherwise provided in this |
| 2070 | subsection. |
| 2071 | 11. Corporation policies and applications must include a |
| 2072 | notice that the corporation policy could, under this section, be |
| 2073 | replaced with a policy issued by an authorized insurer which |
| 2074 | that does not provide coverage identical to the coverage |
| 2075 | provided by the corporation. The notice must shall also specify |
| 2076 | that acceptance of corporation coverage creates a conclusive |
| 2077 | presumption that the applicant or policyholder is aware of this |
| 2078 | potential. |
| 2079 | 12. May establish, subject to approval by the office, |
| 2080 | different eligibility requirements and operational procedures |
| 2081 | for any line or type of coverage for any specified county or |
| 2082 | area if the board determines that such changes to the |
| 2083 | eligibility requirements and operational procedures are |
| 2084 | justified due to the voluntary market being sufficiently stable |
| 2085 | and competitive in such area or for such line or type of |
| 2086 | coverage and that consumers who, in good faith, are unable to |
| 2087 | obtain insurance through the voluntary market through ordinary |
| 2088 | methods would continue to have access to coverage from the |
| 2089 | corporation. If When coverage is sought in connection with a |
| 2090 | real property transfer, the such requirements and procedures may |
| 2091 | shall not provide for an effective date of coverage later than |
| 2092 | the date of the closing of the transfer as established by the |
| 2093 | transferor, the transferee, and, if applicable, the lender. |
| 2094 | 13. Must provide that, with respect to the coastal high- |
| 2095 | risk account, any assessable insurer with a surplus as to |
| 2096 | policyholders of $25 million or less writing 25 percent or more |
| 2097 | of its total countrywide property insurance premiums in this |
| 2098 | state may petition the office, within the first 90 days of each |
| 2099 | calendar year, to qualify as a limited apportionment company. A |
| 2100 | regular assessment levied by the corporation on a limited |
| 2101 | apportionment company for a deficit incurred by the corporation |
| 2102 | for the coastal high-risk account in 2006 or thereafter may be |
| 2103 | paid to the corporation on a monthly basis as the assessments |
| 2104 | are collected by the limited apportionment company from its |
| 2105 | insureds pursuant to s. 627.3512, but the regular assessment |
| 2106 | must be paid in full within 12 months after being levied by the |
| 2107 | corporation. A limited apportionment company shall collect from |
| 2108 | its policyholders any emergency assessment imposed under sub- |
| 2109 | subparagraph (b)3.d. The plan must shall provide that, if the |
| 2110 | office determines that any regular assessment will result in an |
| 2111 | impairment of the surplus of a limited apportionment company, |
| 2112 | the office may direct that all or part of such assessment be |
| 2113 | deferred as provided in subparagraph (q)4. However, there shall |
| 2114 | be no limitation or deferment of an emergency assessment to be |
| 2115 | collected from policyholders under sub-subparagraph (b)3.d. may |
| 2116 | not be limited or deferred. |
| 2117 | 14. Must provide that the corporation appoint as its |
| 2118 | licensed agents only those agents who also hold an appointment |
| 2119 | as defined in s. 626.015(3) with an insurer who at the time of |
| 2120 | the agent's initial appointment by the corporation is authorized |
| 2121 | to write and is actually writing personal lines residential |
| 2122 | property coverage, commercial residential property coverage, or |
| 2123 | commercial nonresidential property coverage within the state. |
| 2124 | 15. Must provide, by July 1, 2007, a premium payment plan |
| 2125 | option to its policyholders which, allows at a minimum, allows |
| 2126 | for quarterly and semiannual payment of premiums. A monthly |
| 2127 | payment plan may, but is not required to, be offered. |
| 2128 | 16. Must limit coverage on mobile homes or manufactured |
| 2129 | homes built before prior to 1994 to actual cash value of the |
| 2130 | dwelling rather than replacement costs of the dwelling. |
| 2131 | 17. May provide such limits of coverage as the board |
| 2132 | determines, consistent with the requirements of this subsection. |
| 2133 | 18. May require commercial property to meet specified |
| 2134 | hurricane mitigation construction features as a condition of |
| 2135 | eligibility for coverage. |
| 2136 | 19. Must provide that new or renewal policies issued by |
| 2137 | the corporation on or after January 1, 2012, which cover |
| 2138 | sinkhole loss do not include coverage for any loss to |
| 2139 | appurtenant structures, driveways, sidewalks, decks, or patios |
| 2140 | that are directly or indirectly caused by sinkhole activity. The |
| 2141 | corporation shall exclude such coverage using a notice of |
| 2142 | coverage change, which may be included with the policy renewal, |
| 2143 | and not by issuance of a notice of nonrenewal of the excluded |
| 2144 | coverage upon renewal of the current policy. |
| 2145 | 20. As of January 1, 2012, must require that the agent |
| 2146 | obtain from an applicant for coverage from the corporation an |
| 2147 | acknowledgement signed by the applicant, which includes, at a |
| 2148 | minimum, the following statement: |
| 2149 |
|
| 2150 | ACKNOWLEDGEMENT OF POTENTIAL SURCHARGE |
| 2151 | AND ASSESSMENT LIABILITY: |
| 2152 |
|
| 2153 | 1. AS A POLICYHOLDER OF CITIZENS PROPERTY |
| 2154 | INSURANCE CORPORATION, I UNDERSTAND THAT IF THE |
| 2155 | CORPORATION SUSTAINS A DEFICIT AS A RESULT OF |
| 2156 | HURRICANE LOSSES OR FOR ANY OTHER REASON, MY POLICY |
| 2157 | COULD BE SUBJECT TO SURCHARGES, WHICH WILL BE DUE AND |
| 2158 | PAYABLE UPON RENEWAL, CANCELLATION, OR TERMINATION OF |
| 2159 | THE POLICY, AND THAT THE SURCHARGES COULD BE AS HIGH |
| 2160 | AS 45 PERCENT OF MY PREMIUM, OR A DIFFERENT AMOUNT AS |
| 2161 | IMPOSED BY THE FLORIDA LEGISLATURE. |
| 2162 | 2. I ALSO UNDERSTAND THAT I MAY BE SUBJECT TO |
| 2163 | EMERGENCY ASSESSMENTS TO THE SAME EXTENT AS |
| 2164 | POLICYHOLDERS OF OTHER INSURANCE COMPANIES, OR A |
| 2165 | DIFFERENT AMOUNT AS IMPOSED BY THE FLORIDA |
| 2166 | LEGISLATURE. |
| 2167 | 3. I ALSO UNDERSTAND THAT CITIZENS PROPERTY |
| 2168 | INSURANCE CORPORATION IS NOT SUPPORTED BY THE FULL |
| 2169 | FAITH AND CREDIT OF THE STATE OF FLORIDA. |
| 2170 |
|
| 2171 | a. The corporation shall maintain, in electronic format or |
| 2172 | otherwise, a copy of the applicant's signed acknowledgement and |
| 2173 | provide a copy of the statement to the policyholder as part of |
| 2174 | the first renewal after the effective date of this subparagraph. |
| 2175 | b. The signed acknowledgement form creates a conclusive |
| 2176 | presumption that the policyholder understood and accepted his or |
| 2177 | her potential surcharge and assessment liability as a |
| 2178 | policyholder of the corporation. |
| 2179 | (d)1. All prospective employees for senior management |
| 2180 | positions, as defined by the plan of operation, are subject to |
| 2181 | background checks as a prerequisite for employment. The office |
| 2182 | shall conduct the background checks on such prospective |
| 2183 | employees pursuant to ss. 624.34, 624.404(3), and 628.261. |
| 2184 | 2. On or before July 1 of each year, employees of the |
| 2185 | corporation must are required to sign and submit a statement |
| 2186 | attesting that they do not have a conflict of interest, as |
| 2187 | defined in part III of chapter 112. As a condition of |
| 2188 | employment, all prospective employees must are required to sign |
| 2189 | and submit to the corporation a conflict-of-interest statement. |
| 2190 | 3. Senior managers and members of the board of governors |
| 2191 | are subject to the provisions of part III of chapter 112, |
| 2192 | including, but not limited to, the code of ethics and public |
| 2193 | disclosure and reporting of financial interests, pursuant to s. |
| 2194 | 112.3145. Notwithstanding s. 112.3143(2), a board member may not |
| 2195 | vote on any measure that would inure to his or her special |
| 2196 | private gain or loss; that he or she knows would inure to the |
| 2197 | special private gain or loss of any principal by whom he or she |
| 2198 | is retained or to the parent organization or subsidiary of a |
| 2199 | corporate principal by which he or she is retained, other than |
| 2200 | an agency as defined in s. 112.312; or that he or she knows |
| 2201 | would inure to the special private gain or loss of a relative or |
| 2202 | business associate of the public officer. Before the vote is |
| 2203 | taken, such member shall publicly state to the assembly the |
| 2204 | nature of his or her interest in the matter from which he or she |
| 2205 | is abstaining from voting and, within 15 days after the vote |
| 2206 | occurs, disclose the nature of his or her interest as a public |
| 2207 | record in a memorandum filed with the person responsible for |
| 2208 | recording the minutes of the meeting, who shall incorporate the |
| 2209 | memorandum in the minutes. Senior managers and board members are |
| 2210 | also required to file such disclosures with the Commission on |
| 2211 | Ethics and the Office of Insurance Regulation. The executive |
| 2212 | director of the corporation or his or her designee shall notify |
| 2213 | each existing and newly appointed and existing appointed member |
| 2214 | of the board of governors and senior managers of their duty to |
| 2215 | comply with the reporting requirements of part III of chapter |
| 2216 | 112. At least quarterly, the executive director or his or her |
| 2217 | designee shall submit to the Commission on Ethics a list of |
| 2218 | names of the senior managers and members of the board of |
| 2219 | governors who are subject to the public disclosure requirements |
| 2220 | under s. 112.3145. |
| 2221 | 4. Notwithstanding s. 112.3148 or s. 112.3149, or any |
| 2222 | other provision of law, an employee or board member may not |
| 2223 | knowingly accept, directly or indirectly, any gift or |
| 2224 | expenditure from a person or entity, or an employee or |
| 2225 | representative of such person or entity, which that has a |
| 2226 | contractual relationship with the corporation or who is under |
| 2227 | consideration for a contract. An employee or board member who |
| 2228 | fails to comply with subparagraph 3. or this subparagraph is |
| 2229 | subject to penalties provided under ss. 112.317 and 112.3173. |
| 2230 | 5. Any senior manager of the corporation who is employed |
| 2231 | on or after January 1, 2007, regardless of the date of hire, who |
| 2232 | subsequently retires or terminates employment is prohibited from |
| 2233 | representing another person or entity before the corporation for |
| 2234 | 2 years after retirement or termination of employment from the |
| 2235 | corporation. |
| 2236 | 6. Any senior manager of the corporation who is employed |
| 2237 | on or after January 1, 2007, regardless of the date of hire, who |
| 2238 | subsequently retires or terminates employment is prohibited from |
| 2239 | having any employment or contractual relationship for 2 years |
| 2240 | with an insurer that has entered into a take-out bonus agreement |
| 2241 | with the corporation. |
| 2242 | (n)1. Rates for coverage provided by the corporation must |
| 2243 | shall be actuarially sound and subject to the requirements of s. |
| 2244 | 627.062, except as otherwise provided in this paragraph. The |
| 2245 | corporation shall file its recommended rates with the office at |
| 2246 | least annually. The corporation shall provide any additional |
| 2247 | information regarding the rates which the office requires. The |
| 2248 | office shall consider the recommendations of the board and issue |
| 2249 | a final order establishing the rates for the corporation within |
| 2250 | 45 days after the recommended rates are filed. The corporation |
| 2251 | may not pursue an administrative challenge or judicial review of |
| 2252 | the final order of the office. |
| 2253 | 2. In addition to the rates otherwise determined pursuant |
| 2254 | to this paragraph, the corporation shall impose and collect an |
| 2255 | amount equal to the premium tax provided for in s. 624.509 to |
| 2256 | augment the financial resources of the corporation. |
| 2257 | 3. After the public hurricane loss-projection model under |
| 2258 | s. 627.06281 has been found to be accurate and reliable by the |
| 2259 | Florida Commission on Hurricane Loss Projection Methodology, the |
| 2260 | that model shall serve as the minimum benchmark for determining |
| 2261 | the windstorm portion of the corporation's rates. This |
| 2262 | subparagraph does not require or allow the corporation to adopt |
| 2263 | rates lower than the rates otherwise required or allowed by this |
| 2264 | paragraph. |
| 2265 | 4. The rate filings for the corporation which were |
| 2266 | approved by the office and which took effect January 1, 2007, |
| 2267 | are rescinded, except for those rates that were lowered. As soon |
| 2268 | as possible, the corporation shall begin using the lower rates |
| 2269 | that were in effect on December 31, 2006, and shall provide |
| 2270 | refunds to policyholders who have paid higher rates as a result |
| 2271 | of that rate filing. The rates in effect on December 31, 2006, |
| 2272 | shall remain in effect for the 2007 and 2008 calendar years |
| 2273 | except for any rate change that results in a lower rate. The |
| 2274 | next rate change that may increase rates shall take effect |
| 2275 | pursuant to a new rate filing recommended by the corporation and |
| 2276 | established by the office, subject to the requirements of this |
| 2277 | paragraph. |
| 2278 | 5. Beginning on July 15, 2009, and annually each year |
| 2279 | thereafter, the corporation must make a recommended actuarially |
| 2280 | sound rate filing for each personal and commercial line of |
| 2281 | business it writes, to be effective no earlier than January 1, |
| 2282 | 2010. |
| 2283 | 6. Beginning on or after January 1, 2010, and |
| 2284 | notwithstanding the board's recommended rates and the office's |
| 2285 | final order regarding the corporation's filed rates under |
| 2286 | subparagraph 1., the corporation shall annually implement a rate |
| 2287 | increase each year which, except for sinkhole coverage, does not |
| 2288 | exceed 10 percent for any single policy issued by the |
| 2289 | corporation, excluding coverage changes and surcharges. |
| 2290 | 7. The corporation may also implement an increase to |
| 2291 | reflect the effect on the corporation of the cash buildup factor |
| 2292 | pursuant to s. 215.555(5)(b). |
| 2293 | 8. The corporation's implementation of rates as prescribed |
| 2294 | in subparagraph 6. shall cease for any line of business written |
| 2295 | by the corporation upon the corporation's implementation of |
| 2296 | actuarially sound rates. Thereafter, the corporation shall |
| 2297 | annually make a recommended actuarially sound rate filing for |
| 2298 | each commercial and personal line of business the corporation |
| 2299 | writes. |
| 2300 | (v)1. Effective July 1, 2002, policies of the Residential |
| 2301 | Property and Casualty Joint Underwriting Association shall |
| 2302 | become policies of the corporation. All obligations, rights, |
| 2303 | assets and liabilities of the Residential Property and Casualty |
| 2304 | Joint Underwriting association, including bonds, note and debt |
| 2305 | obligations, and the financing documents pertaining to them |
| 2306 | become those of the corporation as of July 1, 2002. The |
| 2307 | corporation is not required to issue endorsements or |
| 2308 | certificates of assumption to insureds during the remaining term |
| 2309 | of in-force transferred policies. |
| 2310 | 2. Effective July 1, 2002, policies of the Florida |
| 2311 | Windstorm Underwriting Association are transferred to the |
| 2312 | corporation and shall become policies of the corporation. All |
| 2313 | obligations, rights, assets, and liabilities of the Florida |
| 2314 | Windstorm Underwriting association, including bonds, note and |
| 2315 | debt obligations, and the financing documents pertaining to them |
| 2316 | are transferred to and assumed by the corporation on July 1, |
| 2317 | 2002. The corporation is not required to issue endorsements or |
| 2318 | certificates of assumption to insureds during the remaining term |
| 2319 | of in-force transferred policies. |
| 2320 | 3. The Florida Windstorm Underwriting Association and the |
| 2321 | Residential Property and Casualty Joint Underwriting Association |
| 2322 | shall take all actions necessary as may be proper to further |
| 2323 | evidence the transfers and shall provide the documents and |
| 2324 | instruments of further assurance as may reasonably be requested |
| 2325 | by the corporation for that purpose. The corporation shall |
| 2326 | execute assumptions and instruments as the trustees or other |
| 2327 | parties to the financing documents of the Florida Windstorm |
| 2328 | Underwriting Association or the Residential Property and |
| 2329 | Casualty Joint Underwriting Association may reasonably request |
| 2330 | to further evidence the transfers and assumptions, which |
| 2331 | transfers and assumptions, however, are effective on the date |
| 2332 | provided under this paragraph whether or not, and regardless of |
| 2333 | the date on which, the assumptions or instruments are executed |
| 2334 | by the corporation. Subject to the relevant financing documents |
| 2335 | pertaining to their outstanding bonds, notes, indebtedness, or |
| 2336 | other financing obligations, the moneys, investments, |
| 2337 | receivables, choses in action, and other intangibles of the |
| 2338 | Florida Windstorm Underwriting Association shall be credited to |
| 2339 | the coastal high-risk account of the corporation, and those of |
| 2340 | the personal lines residential coverage account and the |
| 2341 | commercial lines residential coverage account of the Residential |
| 2342 | Property and Casualty Joint Underwriting Association shall be |
| 2343 | credited to the personal lines account and the commercial lines |
| 2344 | account, respectively, of the corporation. |
| 2345 | 4. Effective July 1, 2002, a new applicant for property |
| 2346 | insurance coverage who would otherwise have been eligible for |
| 2347 | coverage in the Florida Windstorm Underwriting Association is |
| 2348 | eligible for coverage from the corporation as provided in this |
| 2349 | subsection. |
| 2350 | 5. The transfer of all policies, obligations, rights, |
| 2351 | assets, and liabilities from the Florida Windstorm Underwriting |
| 2352 | Association to the corporation and the renaming of the |
| 2353 | Residential Property and Casualty Joint Underwriting Association |
| 2354 | as the corporation does not shall in no way affect the coverage |
| 2355 | with respect to covered policies as defined in s. 215.555(2)(c) |
| 2356 | provided to these entities by the Florida Hurricane Catastrophe |
| 2357 | Fund. The coverage provided by the Florida Hurricane Catastrophe |
| 2358 | fund to the Florida Windstorm Underwriting Association based on |
| 2359 | its exposures as of June 30, 2002, and each June 30 thereafter |
| 2360 | shall be redesignated as coverage for the coastal high-risk |
| 2361 | account of the corporation. Notwithstanding any other provision |
| 2362 | of law, the coverage provided by the Florida Hurricane |
| 2363 | Catastrophe fund to the Residential Property and Casualty Joint |
| 2364 | Underwriting Association based on its exposures as of June 30, |
| 2365 | 2002, and each June 30 thereafter shall be transferred to the |
| 2366 | personal lines account and the commercial lines account of the |
| 2367 | corporation. Notwithstanding any other provision of law, the |
| 2368 | coastal high-risk account shall be treated, for all Florida |
| 2369 | Hurricane Catastrophe Fund purposes, as if it were a separate |
| 2370 | participating insurer with its own exposures, reimbursement |
| 2371 | premium, and loss reimbursement. Likewise, the personal lines |
| 2372 | and commercial lines accounts shall be viewed together, for all |
| 2373 | Florida Hurricane Catastrophe fund purposes, as if the two |
| 2374 | accounts were one and represent a single, separate participating |
| 2375 | insurer with its own exposures, reimbursement premium, and loss |
| 2376 | reimbursement. The coverage provided by the Florida Hurricane |
| 2377 | Catastrophe fund to the corporation shall constitute and operate |
| 2378 | as a full transfer of coverage from the Florida Windstorm |
| 2379 | Underwriting Association and Residential Property and Casualty |
| 2380 | Joint Underwriting to the corporation. |
| 2381 | (y) It is the intent of the Legislature that the |
| 2382 | amendments to this subsection enacted in 2002 should, over time, |
| 2383 | reduce the probable maximum windstorm losses in the residual |
| 2384 | markets and should reduce the potential assessments to be levied |
| 2385 | on property insurers and policyholders statewide. In furtherance |
| 2386 | of this intent: |
| 2387 | 1. the board shall, on or before February 1 of each year, |
| 2388 | provide a report to the President of the Senate and the Speaker |
| 2389 | of the House of Representatives showing the reduction or |
| 2390 | increase in the 100-year probable maximum loss attributable to |
| 2391 | wind-only coverages and the quota share program under this |
| 2392 | subsection combined, as compared to the benchmark 100-year |
| 2393 | probable maximum loss of the Florida Windstorm Underwriting |
| 2394 | Association. For purposes of this paragraph, the benchmark 100- |
| 2395 | year probable maximum loss of the Florida Windstorm Underwriting |
| 2396 | Association shall be the calculation dated February 2001 and |
| 2397 | based on November 30, 2000, exposures. In order to ensure |
| 2398 | comparability of data, the board shall use the same methods for |
| 2399 | calculating its probable maximum loss as were used to calculate |
| 2400 | the benchmark probable maximum loss. |
| 2401 | 2. Beginning December 1, 2010, if the report under |
| 2402 | subparagraph 1. for any year indicates that the 100-year |
| 2403 | probable maximum loss attributable to wind-only coverages and |
| 2404 | the quota share program combined does not reflect a reduction of |
| 2405 | at least 25 percent from the benchmark, the board shall reduce |
| 2406 | the boundaries of the high-risk area eligible for wind-only |
| 2407 | coverages under this subsection in a manner calculated to reduce |
| 2408 | such probable maximum loss to an amount at least 25 percent |
| 2409 | below the benchmark. |
| 2410 | 3. Beginning February 1, 2015, if the report under |
| 2411 | subparagraph 1. for any year indicates that the 100-year |
| 2412 | probable maximum loss attributable to wind-only coverages and |
| 2413 | the quota share program combined does not reflect a reduction of |
| 2414 | at least 50 percent from the benchmark, the boundaries of the |
| 2415 | high-risk area eligible for wind-only coverages under this |
| 2416 | subsection shall be reduced by the elimination of any area that |
| 2417 | is not seaward of a line 1,000 feet inland from the Intracoastal |
| 2418 | Waterway. |
| 2419 | Section 17. Paragraph (a) of subsection (5) of section |
| 2420 | 627.3511, Florida Statutes, is amended to read: |
| 2421 | 627.3511 Depopulation of Citizens Property Insurance |
| 2422 | Corporation.- |
| 2423 | (5) APPLICABILITY.- |
| 2424 | (a) The take-out bonus provided by subsection (2) and the |
| 2425 | exemption from assessment provided by paragraph (3)(a) apply |
| 2426 | only if the corporation policy is replaced by either a standard |
| 2427 | policy including wind coverage or, if consistent with the |
| 2428 | insurer's underwriting rules as filed with the office, a basic |
| 2429 | policy including wind coverage; however, for with respect to |
| 2430 | risks located in areas where coverage through the coastal high- |
| 2431 | risk account of the corporation is available, the replacement |
| 2432 | policy need not provide wind coverage. The insurer must renew |
| 2433 | the replacement policy at approved rates on substantially |
| 2434 | similar terms for four additional 1-year terms, unless canceled |
| 2435 | or not renewed by the policyholder. If an insurer assumes the |
| 2436 | corporation's obligations for a policy, it must issue a |
| 2437 | replacement policy for a 1-year term upon expiration of the |
| 2438 | corporation policy and must renew the replacement policy at |
| 2439 | approved rates on substantially similar terms for four |
| 2440 | additional 1-year terms, unless canceled or not renewed by the |
| 2441 | policyholder. For each replacement policy canceled or nonrenewed |
| 2442 | by the insurer for any reason during the 5-year coverage period |
| 2443 | required by this paragraph, the insurer must remove from the |
| 2444 | corporation one additional policy covering a risk similar to the |
| 2445 | risk covered by the canceled or nonrenewed policy. In addition |
| 2446 | to these requirements, the corporation must place the bonus |
| 2447 | moneys in escrow for a period of 5 years; such moneys may be |
| 2448 | released from escrow only to pay claims. If the policy is |
| 2449 | canceled or nonrenewed before the end of the 5-year period, the |
| 2450 | amount of the take-out bonus must be prorated for the time |
| 2451 | period the policy was insured. A take-out bonus provided by |
| 2452 | subsection (2) or subsection (6) is shall not be considered |
| 2453 | premium income for purposes of taxes and assessments under the |
| 2454 | Florida Insurance Code and shall remain the property of the |
| 2455 | corporation, subject to the prior security interest of the |
| 2456 | insurer under the escrow agreement until it is released from |
| 2457 | escrow;, and after it is released from escrow it is shall be |
| 2458 | considered an asset of the insurer and credited to the insurer's |
| 2459 | capital and surplus. |
| 2460 | Section 18. Paragraph (b) of subsection (2) of section |
| 2461 | 627.4133, Florida Statutes, is amended to read: |
| 2462 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
| 2463 | premium.- |
| 2464 | (2) With respect to any personal lines or commercial |
| 2465 | residential property insurance policy, including, but not |
| 2466 | limited to, any homeowner's, mobile home owner's, farmowner's, |
| 2467 | condominium association, condominium unit owner's, apartment |
| 2468 | building, or other policy covering a residential structure or |
| 2469 | its contents: |
| 2470 | (b) The insurer shall give the named insured written |
| 2471 | notice of nonrenewal, cancellation, or termination at least 100 |
| 2472 | days before prior to the effective date of the nonrenewal, |
| 2473 | cancellation, or termination. However, the insurer shall give at |
| 2474 | least 100 days' written notice, or written notice by June 1, |
| 2475 | whichever is earlier, for any nonrenewal, cancellation, or |
| 2476 | termination that would be effective between June 1 and November |
| 2477 | 30. The notice must include the reason or reasons for the |
| 2478 | nonrenewal, cancellation, or termination, except that: |
| 2479 | 1. The insurer shall give the named insured written notice |
| 2480 | of nonrenewal, cancellation, or termination at least 120 180 |
| 2481 | days prior to the effective date of the nonrenewal, |
| 2482 | cancellation, or termination for a named insured whose |
| 2483 | residential structure has been insured by that insurer or an |
| 2484 | affiliated insurer for at least a 5-year period immediately |
| 2485 | prior to the date of the written notice. |
| 2486 | 2. If When cancellation is for nonpayment of premium, at |
| 2487 | least 10 days' written notice of cancellation accompanied by the |
| 2488 | reason therefor must shall be given. As used in this |
| 2489 | subparagraph, the term "nonpayment of premium" means failure of |
| 2490 | the named insured to discharge when due any of her or his |
| 2491 | obligations in connection with the payment of premiums on a |
| 2492 | policy or any installment of such premium, whether the premium |
| 2493 | is payable directly to the insurer or its agent or indirectly |
| 2494 | under any premium finance plan or extension of credit, or |
| 2495 | failure to maintain membership in an organization if such |
| 2496 | membership is a condition precedent to insurance coverage. The |
| 2497 | term "Nonpayment of premium" also means the failure of a |
| 2498 | financial institution to honor an insurance applicant's check |
| 2499 | after delivery to a licensed agent for payment of a premium, |
| 2500 | even if the agent has previously delivered or transferred the |
| 2501 | premium to the insurer. If a dishonored check represents the |
| 2502 | initial premium payment, the contract and all contractual |
| 2503 | obligations are shall be void ab initio unless the nonpayment is |
| 2504 | cured within the earlier of 5 days after actual notice by |
| 2505 | certified mail is received by the applicant or 15 days after |
| 2506 | notice is sent to the applicant by certified mail or registered |
| 2507 | mail, and if the contract is void, any premium received by the |
| 2508 | insurer from a third party must shall be refunded to that party |
| 2509 | in full. |
| 2510 | 3. If When such cancellation or termination occurs during |
| 2511 | the first 90 days during which the insurance is in force and the |
| 2512 | insurance is canceled or terminated for reasons other than |
| 2513 | nonpayment of premium, at least 20 days' written notice of |
| 2514 | cancellation or termination accompanied by the reason therefor |
| 2515 | must shall be given unless except where there has been a |
| 2516 | material misstatement or misrepresentation or failure to comply |
| 2517 | with the underwriting requirements established by the insurer. |
| 2518 | 4. The requirement for providing written notice of |
| 2519 | nonrenewal by June 1 of any nonrenewal that would be effective |
| 2520 | between June 1 and November 30 does not apply to the following |
| 2521 | situations, but the insurer remains subject to the requirement |
| 2522 | to provide such notice at least 100 days before prior to the |
| 2523 | effective date of nonrenewal: |
| 2524 | a. A policy that is nonrenewed due to a revision in the |
| 2525 | coverage for sinkhole losses and catastrophic ground cover |
| 2526 | collapse pursuant to s. 627.706, as amended by s. 30, chapter |
| 2527 | 2007-1, Laws of Florida. |
| 2528 | b. A policy that is nonrenewed by Citizens Property |
| 2529 | Insurance Corporation, pursuant to s. 627.351(6), for a policy |
| 2530 | that has been assumed by an authorized insurer offering |
| 2531 | replacement or renewal coverage to the policyholder is exempt |
| 2532 | from the notice requirements of paragraph (a) and this |
| 2533 | paragraph. In such cases, the corporation must give the named |
| 2534 | insured written notice of nonrenewal at least 45 days before the |
| 2535 | effective date of the nonrenewal. |
| 2536 |
|
| 2537 | After the policy has been in effect for 90 days, the policy may |
| 2538 | shall not be canceled by the insurer unless except when there |
| 2539 | has been a material misstatement, a nonpayment of premium, a |
| 2540 | failure to comply with underwriting requirements established by |
| 2541 | the insurer within 90 days after of the date of effectuation of |
| 2542 | coverage, or a substantial change in the risk covered by the |
| 2543 | policy or if when the cancellation is for all insureds under |
| 2544 | such policies for a given class of insureds. This paragraph does |
| 2545 | not apply to individually rated risks having a policy term of |
| 2546 | less than 90 days. |
| 2547 | 5. Notwithstanding any other provision of law, an insurer |
| 2548 | may cancel or nonrenew a property insurance policy after at |
| 2549 | least 45 days' notice if the office finds that the early |
| 2550 | cancellation of some or all of the insurer's policies is |
| 2551 | necessary to protect the best interests of the public or |
| 2552 | policyholders and the office approves the insurer's plan for |
| 2553 | early cancellation or nonrenewal of some or all of its policies. |
| 2554 | The office may base such finding upon the financial condition of |
| 2555 | the insurer, lack of adequate reinsurance coverage for hurricane |
| 2556 | risk, or other relevant factors. The office may condition its |
| 2557 | finding on the consent of the insurer to be placed under |
| 2558 | administrative supervision pursuant to s. 624.81 or to the |
| 2559 | appointment of a receiver under chapter 631. |
| 2560 | 6. A policy covering both a home and motor vehicle may be |
| 2561 | nonrenewed for any reason applicable to either the property or |
| 2562 | motor vehicle insurance after providing 90 days' notice. |
| 2563 | Section 19. Section 627.43141, Florida Statutes, is |
| 2564 | created to read: |
| 2565 | 627.43141 Notice of change in policy terms.- |
| 2566 | (1) As used in this section, the term: |
| 2567 | (a) "Change in policy terms" means the modification, |
| 2568 | addition, or deletion of any term, coverage, duty, or condition |
| 2569 | from the previous policy. The correction of typographical or |
| 2570 | scrivener's errors or the application of mandated legislative |
| 2571 | changes is not a change in policy terms. |
| 2572 | (b) "Policy" means a written contract of property and |
| 2573 | casualty insurance or written agreement for such insurance, by |
| 2574 | whatever name called, and includes all clauses, riders, |
| 2575 | endorsements, and papers that are a part of such policy. The |
| 2576 | term does not include a binder as defined in s. 627.420 unless |
| 2577 | the duration of the binder period exceeds 60 days. |
| 2578 | (c) "Renewal" means the issuance and delivery by an |
| 2579 | insurer of a policy superseding at the end of the policy period |
| 2580 | a policy previously issued and delivered by the same insurer or |
| 2581 | the issuance and delivery of a certificate or notice extending |
| 2582 | the term of a policy beyond its policy period or term. Any |
| 2583 | policy that has a policy period or term of less than 6 months or |
| 2584 | that does not have a fixed expiration date shall, for purposes |
| 2585 | of this section, be considered as written for successive policy |
| 2586 | periods or terms of 6 months. |
| 2587 | (2) A renewal policy may contain a change in policy terms. |
| 2588 | If a renewal policy does contains such change, the insurer must |
| 2589 | give the named insured written notice of the change, which must |
| 2590 | be enclosed along with the written notice of renewal premium |
| 2591 | required by ss. 627.4133 and 627.728. Such notice shall be |
| 2592 | entitled "Notice of Change in Policy Terms." |
| 2593 | (3) Although not required, proof of mailing or registered |
| 2594 | mailing through the United States Postal Service of the Notice |
| 2595 | of Change in Policy Terms to the named insured at the address |
| 2596 | shown in the policy is sufficient proof of notice. |
| 2597 | (4) Receipt of the premium payment for the renewal policy |
| 2598 | by the insurer is deemed to be acceptance of the new policy |
| 2599 | terms by the named insured. |
| 2600 | (5) If an insurer fails to provide the notice required in |
| 2601 | subsection (2), the original policy terms remain in effect until |
| 2602 | the next renewal and the proper service of the notice, or until |
| 2603 | the effective date of replacement coverage obtained by the named |
| 2604 | insured, whichever occurs first. |
| 2605 | (6) The intent of this section is to: |
| 2606 | (a) Allow an insurer to make a change in policy terms |
| 2607 | without nonrenewing those policyholders that the insurer wishes |
| 2608 | to continue insuring. |
| 2609 | (b) Alleviate concern and confusion to the policyholder |
| 2610 | caused by the required policy nonrenewal for the limited issue |
| 2611 | if an insurer intends to renew the insurance policy, but the new |
| 2612 | policy contains a change in policy terms. |
| 2613 | (c) Encourage policyholders to discuss their coverages |
| 2614 | with their insurance agents. |
| 2615 | Section 20. Section 627.7011, Florida Statutes, is amended |
| 2616 | to read: |
| 2617 | 627.7011 Homeowners' policies; offer of replacement cost |
| 2618 | coverage and law and ordinance coverage.- |
| 2619 | (1) Prior to issuing a homeowner's insurance policy on or |
| 2620 | after October 1, 2005, or prior to the first renewal of a |
| 2621 | homeowner's insurance policy on or after October 1, 2005, the |
| 2622 | insurer must offer each of the following: |
| 2623 | (a) A policy or endorsement providing that any loss that |
| 2624 | which is repaired or replaced will be adjusted on the basis of |
| 2625 | replacement costs to the dwelling not exceeding policy limits as |
| 2626 | to the dwelling, rather than actual cash value, but not |
| 2627 | including costs necessary to meet applicable laws and ordinances |
| 2628 | regulating the construction, use, or repair of any property or |
| 2629 | requiring the tearing down of any property, including the costs |
| 2630 | of removing debris. |
| 2631 | (b) A policy or endorsement providing that, subject to |
| 2632 | other policy provisions, any loss that which is repaired or |
| 2633 | replaced at any location will be adjusted on the basis of |
| 2634 | replacement costs to the dwelling not exceeding policy limits as |
| 2635 | to the dwelling, rather than actual cash value, and also |
| 2636 | including costs necessary to meet applicable laws and ordinances |
| 2637 | regulating the construction, use, or repair of any property or |
| 2638 | requiring the tearing down of any property, including the costs |
| 2639 | of removing debris.; However, such additional costs necessary to |
| 2640 | meet applicable laws and ordinances may be limited to either 25 |
| 2641 | percent or 50 percent of the dwelling limit, as selected by the |
| 2642 | policyholder, and such coverage applies shall apply only to |
| 2643 | repairs of the damaged portion of the structure unless the total |
| 2644 | damage to the structure exceeds 50 percent of the replacement |
| 2645 | cost of the structure. |
| 2646 |
|
| 2647 | An insurer is not required to make the offers required by this |
| 2648 | subsection with respect to the issuance or renewal of a |
| 2649 | homeowner's policy that contains the provisions specified in |
| 2650 | paragraph (b) for law and ordinance coverage limited to 25 |
| 2651 | percent of the dwelling limit, except that the insurer must |
| 2652 | offer the law and ordinance coverage limited to 50 percent of |
| 2653 | the dwelling limit. This subsection does not prohibit the offer |
| 2654 | of a guaranteed replacement cost policy. |
| 2655 | (2) Unless the insurer obtains the policyholder's written |
| 2656 | refusal of the policies or endorsements specified in subsection |
| 2657 | (1), any policy covering the dwelling is deemed to include the |
| 2658 | law and ordinance coverage limited to 25 percent of the dwelling |
| 2659 | limit. The rejection or selection of alternative coverage shall |
| 2660 | be made on a form approved by the office. The form must shall |
| 2661 | fully advise the applicant of the nature of the coverage being |
| 2662 | rejected. If this form is signed by a named insured, it is will |
| 2663 | be conclusively presumed that there was an informed, knowing |
| 2664 | rejection of the coverage or election of the alternative |
| 2665 | coverage on behalf of all insureds. Unless the policyholder |
| 2666 | requests in writing the coverage specified in this section, it |
| 2667 | need not be provided in or supplemental to any other policy that |
| 2668 | renews, insures, extends, changes, supersedes, or replaces an |
| 2669 | existing policy if when the policyholder has rejected the |
| 2670 | coverage specified in this section or has selected alternative |
| 2671 | coverage. The insurer must provide the such policyholder with |
| 2672 | notice of the availability of such coverage in a form approved |
| 2673 | by the office at least once every 3 years. The failure to |
| 2674 | provide such notice constitutes a violation of this code, but |
| 2675 | does not affect the coverage provided under the policy. |
| 2676 | (3) In the event of a loss for which a dwelling or |
| 2677 | personal property is insured on the basis of replacement costs: |
| 2678 | (a) For a dwelling, the insurer must initially pay at |
| 2679 | least the actual cash value of the insured loss, less any |
| 2680 | applicable deductible. The insurer shall pay any remaining |
| 2681 | amounts necessary to perform such repairs as work is performed |
| 2682 | and expenses are incurred. If a total loss of a dwelling occurs, |
| 2683 | the insurer shall pay the replacement cost coverage without |
| 2684 | reservation or holdback of any depreciation in value, pursuant |
| 2685 | to s. 627.702. |
| 2686 | (b) For personal property: |
| 2687 | 1. The insurer must offer coverage under which the insurer |
| 2688 | is obligated to pay the replacement cost without reservation or |
| 2689 | holdback for any depreciation in value, whether or not the |
| 2690 | insured replaces the property. |
| 2691 | 2. The insurer may also offer coverage under which the |
| 2692 | insurer may limit the initial payment to the actual cash value |
| 2693 | of the personal property to be replaced, require the insured to |
| 2694 | provide receipts for the purchase of the property financed by |
| 2695 | the initial payment, use such receipts to make the next payment |
| 2696 | requested by the insured for the replacement of insured |
| 2697 | property, and continue this process until the insured remits all |
| 2698 | receipts up to the policy limits for replacement costs. The |
| 2699 | insurer must provide clear notice of this process before the |
| 2700 | policy is bound. A policyholder must be provided an actuarially |
| 2701 | reasonable premium credit or discount for this coverage. The |
| 2702 | insurer may not require the policyholder to advance payment for |
| 2703 | the replaced property, the insurer shall pay the replacement |
| 2704 | cost without reservation or holdback of any depreciation in |
| 2705 | value, whether or not the insured replaces or repairs the |
| 2706 | dwelling or property. |
| 2707 | (4) A Any homeowner's insurance policy issued or renewed |
| 2708 | on or after October 1, 2005, must include in bold type no |
| 2709 | smaller than 18 points the following statement: |
| 2710 | "LAW AND ORDINANCE COVERAGE IS AN IMPORTANT COVERAGE |
| 2711 | THAT YOU MAY WISH TO PURCHASE. YOU MAY ALSO NEED TO |
| 2712 | CONSIDER THE PURCHASE OF FLOOD INSURANCE FROM THE |
| 2713 | NATIONAL FLOOD INSURANCE PROGRAM. WITHOUT THIS |
| 2714 | COVERAGE, YOU MAY HAVE UNCOVERED LOSSES. PLEASE |
| 2715 | DISCUSS THESE COVERAGES WITH YOUR INSURANCE AGENT." |
| 2716 |
|
| 2717 | The intent of this subsection is to encourage policyholders to |
| 2718 | purchase sufficient coverage to protect them in case events |
| 2719 | excluded from the standard homeowners policy, such as law and |
| 2720 | ordinance enforcement and flood, combine with covered events to |
| 2721 | produce damage or loss to the insured property. The intent is |
| 2722 | also to encourage policyholders to discuss these issues with |
| 2723 | their insurance agent. |
| 2724 | (5) Nothing in This section does not: shall be construed |
| 2725 | to |
| 2726 | (a) Apply to policies not considered to be "homeowners' |
| 2727 | policies," as that term is commonly understood in the insurance |
| 2728 | industry. This section specifically does not |
| 2729 | (b) Apply to mobile home policies. Nothing in this section |
| 2730 | (c) Limit shall be construed as limiting the ability of an |
| 2731 | any insurer to reject or nonrenew any insured or applicant on |
| 2732 | the grounds that the structure does not meet underwriting |
| 2733 | criteria applicable to replacement cost or law and ordinance |
| 2734 | policies or for other lawful reasons. |
| 2735 | (d)(6) This section does not Prohibit an insurer from |
| 2736 | limiting its liability under a policy or endorsement providing |
| 2737 | that loss will be adjusted on the basis of replacement costs to |
| 2738 | the lesser of: |
| 2739 | 1.(a) The limit of liability shown on the policy |
| 2740 | declarations page; |
| 2741 | 2.(b) The reasonable and necessary cost to repair the |
| 2742 | damaged, destroyed, or stolen covered property; or |
| 2743 | 3.(c) The reasonable and necessary cost to replace the |
| 2744 | damaged, destroyed, or stolen covered property. |
| 2745 | (e)(7) This section does not Prohibit an insurer from |
| 2746 | exercising its right to repair damaged property in compliance |
| 2747 | with its policy and s. 627.702(7). |
| 2748 | Section 21. Paragraph (a) of subsection (5) of section |
| 2749 | 627.70131, Florida Statutes, is amended to read: |
| 2750 | 627.70131 Insurer's duty to acknowledge communications |
| 2751 | regarding claims; investigation.- |
| 2752 | (5)(a) Within 90 days after an insurer receives notice of |
| 2753 | an initial, reopened, or supplemental a property insurance claim |
| 2754 | from a policyholder, the insurer shall pay or deny such claim or |
| 2755 | a portion of the claim unless the failure to pay such claim or a |
| 2756 | portion of the claim is caused by factors beyond the control of |
| 2757 | the insurer which reasonably prevent such payment. Any payment |
| 2758 | of an initial or supplemental a claim or portion of such a claim |
| 2759 | made paid 90 days after the insurer receives notice of the |
| 2760 | claim, or made paid more than 15 days after there are no longer |
| 2761 | factors beyond the control of the insurer which reasonably |
| 2762 | prevented such payment, whichever is later, bears shall bear |
| 2763 | interest at the rate set forth in s. 55.03. Interest begins to |
| 2764 | accrue from the date the insurer receives notice of the claim. |
| 2765 | The provisions of this subsection may not be waived, voided, or |
| 2766 | nullified by the terms of the insurance policy. If there is a |
| 2767 | right to prejudgment interest, the insured shall select whether |
| 2768 | to receive prejudgment interest or interest under this |
| 2769 | subsection. Interest is payable when the claim or portion of the |
| 2770 | claim is paid. Failure to comply with this subsection |
| 2771 | constitutes a violation of this code. However, failure to comply |
| 2772 | with this subsection does shall not form the sole basis for a |
| 2773 | private cause of action. |
| 2774 | Section 22. The Legislature finds and declares: |
| 2775 | (1) There is a compelling state interest in maintaining a |
| 2776 | viable and orderly private-sector market for property insurance |
| 2777 | in this state. The lack of a viable and orderly property market |
| 2778 | reduces the availability of property insurance coverage to state |
| 2779 | residents, increases the cost of property insurance, and |
| 2780 | increases the state's reliance on a residual property insurance |
| 2781 | market and its potential for imposing assessments on |
| 2782 | policyholders throughout the state. |
| 2783 | (2) In 2005, the Legislature revised ss. 627.706-627.7074, |
| 2784 | Florida Statutes, to adopt certain geological or technical |
| 2785 | terms; to increase reliance on objective, scientific testing |
| 2786 | requirements; and generally to reduce the number of sinkhole |
| 2787 | claims and related disputes arising under prior law. The |
| 2788 | Legislature determined that since the enactment of these |
| 2789 | statutory revisions, both private-sector insurers and Citizens |
| 2790 | Property Insurance Corporation have, nevertheless, continued to |
| 2791 | experience high claims frequency and severity for sinkhole |
| 2792 | insurance claims. In addition, many properties remain unrepaired |
| 2793 | even after loss payments, which reduces the local property tax |
| 2794 | base and adversely affects the real estate market. Therefore, |
| 2795 | the Legislature finds that losses associated with sinkhole |
| 2796 | claims adversely affect the public health, safety, and welfare |
| 2797 | of this state and its citizens. |
| 2798 | (3) Pursuant to sections 23 through 28 of this act, |
| 2799 | technical or scientific definitions adopted in the 2005 |
| 2800 | legislation are clarified to implement and advance the |
| 2801 | Legislature's intended reduction of sinkhole claims and |
| 2802 | disputes. Certain other revisions to ss. 627.706-627.7074, |
| 2803 | Florida Statutes, are enacted to advance legislative intent to |
| 2804 | rely on scientific or technical determinations relating to |
| 2805 | sinkholes and sinkhole claims, reduce the number and cost of |
| 2806 | disputes relating to sinkhole claims, and ensure that repairs |
| 2807 | are made commensurate with the scientific and technical |
| 2808 | determinations and insurance claims payments. |
| 2809 | Section 23. Section 627.706, Florida Statutes, is |
| 2810 | reordered and amended to read: |
| 2811 | 627.706 Sinkhole insurance; catastrophic ground cover |
| 2812 | collapse; definitions.- |
| 2813 | (1)(a) Every insurer authorized to transact property |
| 2814 | insurance in this state must shall provide coverage for a |
| 2815 | catastrophic ground cover collapse. |
| 2816 | (b) The insurer and shall make available, for an |
| 2817 | appropriate additional premium, coverage for sinkhole losses on |
| 2818 | any structure, including the contents of personal property |
| 2819 | contained therein, to the extent provided in the form to which |
| 2820 | the coverage attaches. The insurer may require an inspection of |
| 2821 | the property before issuance of sinkhole loss coverage. A policy |
| 2822 | for residential property insurance may include a deductible |
| 2823 | amount applicable to sinkhole losses equal to 1 percent, 2 |
| 2824 | percent, 5 percent, or 10 percent of the policy dwelling limits, |
| 2825 | with appropriate premium discounts offered with each deductible |
| 2826 | amount. |
| 2827 | (c) The insurer may restrict catastrophic ground cover |
| 2828 | collapse and sinkhole loss coverage to the principal building, |
| 2829 | as defined in the applicable policy. |
| 2830 | (2) As used in ss. 627.706-627.7074, and as used in |
| 2831 | connection with any policy providing coverage for a catastrophic |
| 2832 | ground cover collapse or for sinkhole losses, the term: |
| 2833 | (a) "Catastrophic ground cover collapse" means geological |
| 2834 | activity that results in all the following: |
| 2835 | 1. The abrupt collapse of the ground cover; |
| 2836 | 2. A depression in the ground cover clearly visible to the |
| 2837 | naked eye; |
| 2838 | 3. Structural damage to the covered building, including |
| 2839 | the foundation; and |
| 2840 | 4. The insured structure being condemned and ordered to be |
| 2841 | vacated by the governmental agency authorized by law to issue |
| 2842 | such an order for that structure. |
| 2843 |
|
| 2844 | Contents coverage applies if there is a loss resulting from a |
| 2845 | catastrophic ground cover collapse. Structural Damage consisting |
| 2846 | merely of the settling or cracking of a foundation, structure, |
| 2847 | or building does not constitute a loss resulting from a |
| 2848 | catastrophic ground cover collapse. |
| 2849 | (b) "Neutral evaluation" means the alternative dispute |
| 2850 | resolution provided in s. 627.7074. |
| 2851 | (c) "Neutral evaluator" means a professional engineer or a |
| 2852 | professional geologist who has completed a course of study in |
| 2853 | alternative dispute resolution designed or approved by the |
| 2854 | department for use in the neutral evaluation process and who is |
| 2855 | determined by the department to be fair and impartial. |
| 2856 | (h)(b) "Sinkhole" means a landform created by subsidence |
| 2857 | of soil, sediment, or rock as underlying strata are dissolved by |
| 2858 | groundwater. A sinkhole forms may form by collapse into |
| 2859 | subterranean voids created by dissolution of limestone or |
| 2860 | dolostone or by subsidence as these strata are dissolved. |
| 2861 | (j)(c) "Sinkhole loss" means structural damage to the |
| 2862 | covered building, including the foundation, caused by sinkhole |
| 2863 | activity. Contents coverage and additional living expenses shall |
| 2864 | apply only if there is structural damage to the covered building |
| 2865 | caused by sinkhole activity. |
| 2866 | (i)(d) "Sinkhole activity" means settlement or systematic |
| 2867 | weakening of the earth supporting the covered building such |
| 2868 | property only if the when such settlement or systematic |
| 2869 | weakening results from contemporaneous movement or raveling of |
| 2870 | soils, sediments, or rock materials into subterranean voids |
| 2871 | created by the effect of water on a limestone or similar rock |
| 2872 | formation. |
| 2873 | (f)(e) "Professional engineer" means a person, as defined |
| 2874 | in s. 471.005, who has a bachelor's degree or higher in |
| 2875 | engineering with a specialty in the geotechnical engineering |
| 2876 | field. A professional engineer must also have geotechnical |
| 2877 | experience and expertise in the identification of sinkhole |
| 2878 | activity as well as other potential causes of structural damage |
| 2879 | to the structure. |
| 2880 | (g)(f) "Professional geologist" means a person, as defined |
| 2881 | in by s. 492.102, who has a bachelor's degree or higher in |
| 2882 | geology or related earth science and with expertise in the |
| 2883 | geology of Florida. A professional geologist must have |
| 2884 | geological experience and expertise in the identification of |
| 2885 | sinkhole activity as well as other potential geologic causes of |
| 2886 | structural damage to the structure. |
| 2887 | (k) "Structural damage" means a covered building, |
| 2888 | regardless of the date of its construction, has experienced the |
| 2889 | following: |
| 2890 | 1. Interior floor displacement or deflection in excess of |
| 2891 | acceptable variances as defined in ACI 117-90 or the Florida |
| 2892 | Building Code, which results in settlement related damage to the |
| 2893 | interior such that the interior building structure or members |
| 2894 | become unfit for service or represents a safety hazard as |
| 2895 | defined within the Florida Building Code; |
| 2896 | 2. Foundation displacement or deflection in excess of |
| 2897 | acceptable variances as defined in ACI 318-95 or the Florida |
| 2898 | Building Code, which results in settlement related damage to the |
| 2899 | primary structural members or primary structural systems that |
| 2900 | prevents those members or systems from supporting the loads and |
| 2901 | forces they were designed to support to the extent that stresses |
| 2902 | in those primary structural members or primary structural |
| 2903 | systems exceeds one and one-third the nominal strength allowed |
| 2904 | under the Florida Building Code for new buildings of similar |
| 2905 | structure, purpose, or location; |
| 2906 | 3. Damage that results in listing, leaning, or buckling of |
| 2907 | the exterior load bearing walls or other vertical primary |
| 2908 | structural members to such an extent that a plumb line passing |
| 2909 | through the center of gravity does not fall inside the middle |
| 2910 | one-third of the base as defined within the Florida Building |
| 2911 | Code; |
| 2912 | 4. Damage that results in the building, or any portion of |
| 2913 | the building containing primary structural members or primary |
| 2914 | structural systems, being significantly likely to imminently |
| 2915 | collapse because of the movement or instability of the ground |
| 2916 | within the influence zone of the supporting ground within the |
| 2917 | sheer plane necessary for the purpose of supporting such |
| 2918 | building as defined within the Florida Building Code; or |
| 2919 | 5. Damage occurring on or after October 15, 2005, that |
| 2920 | qualifies as "substantial structural damage" as defined in the |
| 2921 | Florida Building Code. |
| 2922 | (d) "Primary structural member" means a structural element |
| 2923 | designed to provide support and stability for the vertical or |
| 2924 | lateral loads of the overall structure. |
| 2925 | (e) "Primary structural system" means an assemblage of |
| 2926 | primary structural members. |
| 2927 | (3) On or before June 1, 2007, Every insurer authorized to |
| 2928 | transact property insurance in this state shall make a proper |
| 2929 | filing with the office for the purpose of extending the |
| 2930 | appropriate forms of property insurance to include coverage for |
| 2931 | catastrophic ground cover collapse or for sinkhole losses. |
| 2932 | coverage for catastrophic ground cover collapse may not go into |
| 2933 | effect until the effective date provided for in the filing |
| 2934 | approved by the office. |
| 2935 | (3)(4) Insurers offering policies that exclude coverage |
| 2936 | for sinkhole losses must shall inform policyholders in bold type |
| 2937 | of not less than 14 points as follows: "YOUR POLICY PROVIDES |
| 2938 | COVERAGE FOR A CATASTROPHIC GROUND COVER COLLAPSE THAT RESULTS |
| 2939 | IN THE PROPERTY BEING CONDEMNED AND UNINHABITABLE. OTHERWISE, |
| 2940 | YOUR POLICY DOES NOT PROVIDE COVERAGE FOR SINKHOLE LOSSES. YOU |
| 2941 | MAY PURCHASE ADDITIONAL COVERAGE FOR SINKHOLE LOSSES FOR AN |
| 2942 | ADDITIONAL PREMIUM." |
| 2943 | (4)(5) An insurer offering sinkhole coverage to |
| 2944 | policyholders before or after the adoption of s. 30, chapter |
| 2945 | 2007-1, Laws of Florida, may nonrenew the policies of |
| 2946 | policyholders maintaining sinkhole coverage in Pasco County or |
| 2947 | Hernando County, at the option of the insurer, and provide an |
| 2948 | offer of coverage that to such policyholders which includes |
| 2949 | catastrophic ground cover collapse and excludes sinkhole |
| 2950 | coverage. Insurers acting in accordance with this subsection are |
| 2951 | subject to the following requirements: |
| 2952 | (a) Policyholders must be notified that a nonrenewal is |
| 2953 | for purposes of removing sinkhole coverage, and that the |
| 2954 | policyholder is still being offered a policy that provides |
| 2955 | coverage for catastrophic ground cover collapse. |
| 2956 | (b) Policyholders must be provided an actuarially |
| 2957 | reasonable premium credit or discount for the removal of |
| 2958 | sinkhole coverage and provision of only catastrophic ground |
| 2959 | cover collapse. |
| 2960 | (c) Subject to the provisions of this subsection and the |
| 2961 | insurer's approved underwriting or insurability guidelines, the |
| 2962 | insurer shall provide each policyholder with the opportunity to |
| 2963 | purchase an endorsement to his or her policy providing sinkhole |
| 2964 | coverage and may require an inspection of the property before |
| 2965 | issuance of a sinkhole coverage endorsement. |
| 2966 | (d) Section 624.4305 does not apply to nonrenewal notices |
| 2967 | issued pursuant to this subsection. |
| 2968 | (5) Any claim, including, but not limited to, initial, |
| 2969 | supplemental, and reopened claims under an insurance policy that |
| 2970 | provides sinkhole coverage is barred unless notice of the claim |
| 2971 | was given to the insurer in accordance with the terms of the |
| 2972 | policy within 2 years after the policyholder knew or reasonably |
| 2973 | should have known about the sinkhole loss. |
| 2974 | Section 24. Section 627.7061, Florida Statutes, is amended |
| 2975 | to read: |
| 2976 | 627.7061 Coverage inquiries.-Inquiries about coverage on a |
| 2977 | property insurance contract are not claim activity, unless an |
| 2978 | actual claim is filed by the policyholder which insured that |
| 2979 | results in a company investigation of the claim. |
| 2980 | Section 25. Section 627.7065, Florida Statutes, is |
| 2981 | repealed. |
| 2982 | Section 26. Section 627.707, Florida Statutes, is amended |
| 2983 | to read: |
| 2984 | 627.707 Standards for Investigation of sinkhole claims by |
| 2985 | insurers; insurer payment; nonrenewals.-Upon receipt of a claim |
| 2986 | for a sinkhole loss to a covered building, an insurer must meet |
| 2987 | the following standards in investigating a claim: |
| 2988 | (1) The insurer must inspect make an inspection of the |
| 2989 | policyholder's insured's premises to determine if there is |
| 2990 | structural has been physical damage that to the structure which |
| 2991 | may be the result of sinkhole activity. |
| 2992 | (2) If the insurer confirms that structural damage exists |
| 2993 | but is unable to identify a valid cause of such damage or |
| 2994 | discovers that such damage is consistent with sinkhole loss |
| 2995 | Following the insurer's initial inspection, the insurer shall |
| 2996 | engage a professional engineer or a professional geologist to |
| 2997 | conduct testing as provided in s. 627.7072 to determine the |
| 2998 | cause of the loss within a reasonable professional probability |
| 2999 | and issue a report as provided in s. 627.7073, only if sinkhole |
| 3000 | loss is covered under the policy. Except as provided in |
| 3001 | subsections (4) and (6), the fees and costs of the professional |
| 3002 | engineer or professional geologist shall be paid by the |
| 3003 | insurer.: |
| 3004 | (a) The insurer is unable to identify a valid cause of the |
| 3005 | damage or discovers damage to the structure which is consistent |
| 3006 | with sinkhole loss; or |
| 3007 | (b) The policyholder demands testing in accordance with |
| 3008 | this section or s. 627.7072. |
| 3009 | (3) Following the initial inspection of the policyholder's |
| 3010 | insured premises, the insurer shall provide written notice to |
| 3011 | the policyholder disclosing the following information: |
| 3012 | (a) What the insurer has determined to be the cause of |
| 3013 | damage, if the insurer has made such a determination. |
| 3014 | (b) A statement of the circumstances under which the |
| 3015 | insurer is required to engage a professional engineer or a |
| 3016 | professional geologist to verify or eliminate sinkhole loss and |
| 3017 | to engage a professional engineer to make recommendations |
| 3018 | regarding land and building stabilization and foundation repair. |
| 3019 | (c) A statement regarding the right of the policyholder to |
| 3020 | request testing by a professional engineer or a professional |
| 3021 | geologist, and the circumstances under which the policyholder |
| 3022 | may demand certain testing, and the circumstances under which |
| 3023 | the policyholder may incur costs associated with testing. |
| 3024 | (4)(a) If the insurer determines that there is no sinkhole |
| 3025 | loss, the insurer may deny the claim. |
| 3026 | (b) If coverage for sinkhole loss is available and If the |
| 3027 | insurer denies the claim, without performing testing under s. |
| 3028 | 627.7072, the policyholder may demand testing by the insurer |
| 3029 | under s. 627.7072. |
| 3030 | 1. The policyholder's demand for testing must be |
| 3031 | communicated to the insurer in writing within 60 days after the |
| 3032 | policyholder's receipt of the insurer's denial of the claim. |
| 3033 | 2. The policyholder shall pay 50 percent of the actual |
| 3034 | costs of the analyses and services provided under ss. 627.7072 |
| 3035 | and 627.7073 or $2,500, whichever is less. |
| 3036 | 3. The insurer shall reimburse the policyholder for the |
| 3037 | costs if the insurer's engineer or geologist provides written |
| 3038 | certification pursuant to s. 627.7073 that there is sinkhole |
| 3039 | loss. |
| 3040 | (5)(a) Subject to paragraph (b), If a sinkhole loss is |
| 3041 | verified, the insurer shall pay to stabilize the land and |
| 3042 | building and repair the foundation in accordance with the |
| 3043 | recommendations of the professional engineer retained pursuant |
| 3044 | to subsection (2), as provided under s. 627.7073, and in |
| 3045 | consultation with notice to the policyholder, subject to the |
| 3046 | coverage and terms of the policy. The insurer shall pay for |
| 3047 | other repairs to the structure and contents in accordance with |
| 3048 | the terms of the policy. |
| 3049 | (a)(b) The insurer may limit its total claims payment to |
| 3050 | the actual cash value of the sinkhole loss, which does not |
| 3051 | include including underpinning or grouting or any other repair |
| 3052 | technique performed below the existing foundation of the |
| 3053 | building, until the policyholder enters into a contract for the |
| 3054 | performance of building stabilization or foundation repairs in |
| 3055 | accordance with the recommendations set forth in the insurer's |
| 3056 | report issued pursuant to s. 627.7073. |
| 3057 | (b) In order to prevent additional damage to the building |
| 3058 | or structure, the policyholder must enter into a contract for |
| 3059 | the performance of building stabilization and foundation repairs |
| 3060 | within 90 days after the insurance company confirms coverage for |
| 3061 | the sinkhole loss and notifies the policyholder of such |
| 3062 | confirmation. This time period is tolled if either party invokes |
| 3063 | the neutral evaluation process, and begins again 10 days after |
| 3064 | the conclusion of the neutral evaluation process. |
| 3065 | (c) After the policyholder enters into the contract for |
| 3066 | the performance of building stabilization and foundation |
| 3067 | repairs, the insurer shall pay the amounts necessary to begin |
| 3068 | and perform such repairs as the work is performed and the |
| 3069 | expenses are incurred. The insurer may not require the |
| 3070 | policyholder to advance payment for such repairs. If repair |
| 3071 | covered by a personal lines residential property insurance |
| 3072 | policy has begun and the professional engineer selected or |
| 3073 | approved by the insurer determines that the repair cannot be |
| 3074 | completed within the policy limits, the insurer must either |
| 3075 | complete the professional engineer's recommended repair or |
| 3076 | tender the policy limits to the policyholder without a reduction |
| 3077 | for the repair expenses incurred. |
| 3078 | (d) The stabilization and all other repairs to the |
| 3079 | structure and contents must be completed within 12 months after |
| 3080 | entering into the contract for repairs described in paragraph |
| 3081 | (b) unless: |
| 3082 | 1. There is a mutual agreement between the insurer and the |
| 3083 | policyholder; |
| 3084 | 2. The claim is involved with the neutral evaluation |
| 3085 | process; |
| 3086 | 3. The claim is in litigation; or |
| 3087 | 4. The claim is under appraisal or mediation. |
| 3088 | (e)(c) Upon the insurer's obtaining the written approval |
| 3089 | of the policyholder and any lienholder, the insurer may make |
| 3090 | payment directly to the persons selected by the policyholder to |
| 3091 | perform the land and building stabilization and foundation |
| 3092 | repairs. The decision by the insurer to make payment to such |
| 3093 | persons does not hold the insurer liable for the work performed. |
| 3094 | The policyholder may not accept a rebate from any person |
| 3095 | performing the repairs specified in this section. If a |
| 3096 | policyholder does receive a rebate, coverage is void and the |
| 3097 | policyholder must refund the amount of the rebate to the |
| 3098 | insurer. Any person making the repairs specified in this section |
| 3099 | who offers a rebate commits insurance fraud punishable as a |
| 3100 | third degree felony as provided in s. 775.082, s. 775.083, or s. |
| 3101 | 775.084. |
| 3102 | (6) Except as provided in subsection (7), the fees and |
| 3103 | costs of the professional engineer or the professional geologist |
| 3104 | shall be paid by the insurer. |
| 3105 | (6)(7) If the insurer obtains, pursuant to s. 627.7073, |
| 3106 | written certification that there is no sinkhole loss or that the |
| 3107 | cause of the damage was not sinkhole activity, and if the |
| 3108 | policyholder has submitted the sinkhole claim without good faith |
| 3109 | grounds for submitting such claim, the policyholder shall |
| 3110 | reimburse the insurer for 50 percent of the actual costs of the |
| 3111 | analyses and services provided under ss. 627.7072 and 627.7073; |
| 3112 | however, a policyholder is not required to reimburse an insurer |
| 3113 | more than $2,500 with respect to any claim. A policyholder is |
| 3114 | required to pay reimbursement under this subsection only if the |
| 3115 | policyholder requested the analysis and services provided under |
| 3116 | ss. 627.7072 and 627.7073 and the insurer, before prior to |
| 3117 | ordering the analysis under s. 627.7072, informs the |
| 3118 | policyholder in writing of the policyholder's potential |
| 3119 | liability for reimbursement and gives the policyholder the |
| 3120 | opportunity to withdraw the claim. |
| 3121 | (7)(8) An No insurer may not shall nonrenew any policy of |
| 3122 | property insurance on the basis of filing of claims for sinkhole |
| 3123 | partial loss if caused by sinkhole damage or clay shrinkage as |
| 3124 | long as the total of such payments does not equal or exceed the |
| 3125 | current policy limits of coverage for the policy in effect on |
| 3126 | the date of loss, for property damage to the covered building, |
| 3127 | as set forth on the declarations page, or if and provided the |
| 3128 | policyholder insured has repaired the structure in accordance |
| 3129 | with the engineering recommendations made pursuant to subsection |
| 3130 | (2) upon which any payment or policy proceeds were based. If the |
| 3131 | insurer pays such limits, it may nonrenew the policy. |
| 3132 | (8)(9) The insurer may engage a professional structural |
| 3133 | engineer to make recommendations as to the repair of the |
| 3134 | structure. |
| 3135 | Section 27. Section 627.7073, Florida Statutes, is amended |
| 3136 | to read: |
| 3137 | 627.7073 Sinkhole reports.- |
| 3138 | (1) Upon completion of testing as provided in s. 627.7072, |
| 3139 | the professional engineer or professional geologist shall issue |
| 3140 | a report and certification to the insurer and the policyholder |
| 3141 | as provided in this section. |
| 3142 | (a) Sinkhole loss is verified if, based upon tests |
| 3143 | performed in accordance with s. 627.7072, a professional |
| 3144 | engineer or a professional geologist issues a written report and |
| 3145 | certification stating: |
| 3146 | 1. That structural damage to the covered building has been |
| 3147 | identified within a reasonable professional probability. |
| 3148 | 2.1. That the cause of the actual physical and structural |
| 3149 | damage is sinkhole activity within a reasonable professional |
| 3150 | probability. |
| 3151 | 3.2. That the analyses conducted were of sufficient scope |
| 3152 | to identify sinkhole activity as the cause of damage within a |
| 3153 | reasonable professional probability. |
| 3154 | 4.3. A description of the tests performed. |
| 3155 | 5.4. A recommendation by the professional engineer of |
| 3156 | methods for stabilizing the land and building and for making |
| 3157 | repairs to the foundation. |
| 3158 | (b) If there is no structural damage or if sinkhole |
| 3159 | activity is eliminated as the cause of such damage to the |
| 3160 | covered building structure, the professional engineer or |
| 3161 | professional geologist shall issue a written report and |
| 3162 | certification to the policyholder and the insurer stating: |
| 3163 | 1. That there is no structural damage or the cause of such |
| 3164 | the damage is not sinkhole activity within a reasonable |
| 3165 | professional probability. |
| 3166 | 2. That the analyses and tests conducted were of |
| 3167 | sufficient scope to eliminate sinkhole activity as the cause of |
| 3168 | the structural damage within a reasonable professional |
| 3169 | probability. |
| 3170 | 3. A statement of the cause of the structural damage |
| 3171 | within a reasonable professional probability. |
| 3172 | 4. A description of the tests performed. |
| 3173 | (c) The respective findings, opinions, and recommendations |
| 3174 | of the insurer's professional engineer or professional geologist |
| 3175 | as to the cause of distress to the property and the findings, |
| 3176 | opinions, and recommendations of the insurer's professional |
| 3177 | engineer as to land and building stabilization and foundation |
| 3178 | repair set forth by s. 627.7072 shall be presumed correct. |
| 3179 | (2)(a) An Any insurer that has paid a claim for a sinkhole |
| 3180 | loss shall file a copy of the report and certification, prepared |
| 3181 | pursuant to subsection (1), including the legal description of |
| 3182 | the real property and the name of the property owner, the |
| 3183 | neutral evaluator's report, if any, which indicates that |
| 3184 | sinkhole activity caused the damage claimed, a copy of the |
| 3185 | certification indicating that stabilization has been completed, |
| 3186 | if applicable, and the amount of the payment, with the county |
| 3187 | clerk of court, who shall record the report and certification. |
| 3188 | The insurer shall bear the cost of filing and recording one or |
| 3189 | more reports and certifications the report and certification. |
| 3190 | There shall be no cause of action or liability against an |
| 3191 | insurer for compliance with this section. |
| 3192 | (a) The recording of the report and certification does |
| 3193 | not: |
| 3194 | 1. Constitute a lien, encumbrance, or restriction on the |
| 3195 | title to the real property or constitute a defect in the title |
| 3196 | to the real property; |
| 3197 | 2. Create any cause of action or liability against any |
| 3198 | grantor of the real property for breach of any warranty of good |
| 3199 | title or warranty against encumbrances; or |
| 3200 | 3. Create any cause of action or liability against any |
| 3201 | title insurer that insures the title to the real property. |
| 3202 | (b) As a precondition to accepting payment for a sinkhole |
| 3203 | loss, the policyholder must file a copy of any sinkhole report |
| 3204 | regarding the insured property which was prepared on behalf or |
| 3205 | at the request of the policyholder. The policyholder shall bear |
| 3206 | the cost of filing and recording the sinkhole report. The |
| 3207 | recording of the report does not: |
| 3208 | 1. Constitute a lien, encumbrance, or restriction on the |
| 3209 | title to the real property or constitute a defect in the title |
| 3210 | to the real property; |
| 3211 | 2. Create any cause of action or liability against any |
| 3212 | grantor of the real property for breach of any warranty of good |
| 3213 | title or warranty against encumbrances; or |
| 3214 | 3. Create any cause of action or liability against a title |
| 3215 | insurer that insures the title to the real property. |
| 3216 | (c)(b) The seller of real property upon which a sinkhole |
| 3217 | claim has been made by the seller and paid by the insurer must |
| 3218 | shall disclose to the buyer of such property, before the |
| 3219 | closing, that a claim has been paid and whether or not the full |
| 3220 | amount of the proceeds were used to repair the sinkhole damage. |
| 3221 | (3) Upon completion of any building stabilization or |
| 3222 | foundation repairs for a verified sinkhole loss, the |
| 3223 | professional engineer responsible for monitoring the repairs |
| 3224 | shall issue a report to the property owner which specifies what |
| 3225 | repairs have been performed and certifies within a reasonable |
| 3226 | degree of professional probability that such repairs have been |
| 3227 | properly performed. The professional engineer issuing the report |
| 3228 | shall file a copy of the report and certification, which |
| 3229 | includes a legal description of the real property and the name |
| 3230 | of the property owner, with the county clerk of the court, who |
| 3231 | shall record the report and certification. This subsection does |
| 3232 | not create liability for an insurer based on any representation |
| 3233 | or certification by a professional engineer related to the |
| 3234 | stabilization or foundation repairs for the verified sinkhole |
| 3235 | loss. |
| 3236 | Section 28. Section 627.7074, Florida Statutes, is amended |
| 3237 | to read: |
| 3238 | 627.7074 Alternative procedure for resolution of disputed |
| 3239 | sinkhole insurance claims.- |
| 3240 | (1) As used in this section, the term: |
| 3241 | (a) "Neutral evaluation" means the alternative dispute |
| 3242 | resolution provided for in this section. |
| 3243 | (b) "Neutral evaluator" means a professional engineer or a |
| 3244 | professional geologist who has completed a course of study in |
| 3245 | alternative dispute resolution designed or approved by the |
| 3246 | department for use in the neutral evaluation process, who is |
| 3247 | determined to be fair and impartial. |
| 3248 | (1)(2)(a) The department shall: |
| 3249 | (a) Certify and maintain a list of persons who are neutral |
| 3250 | evaluators. |
| 3251 | (b) The department shall Prepare a consumer information |
| 3252 | pamphlet for distribution by insurers to policyholders which |
| 3253 | clearly describes the neutral evaluation process and includes |
| 3254 | information and forms necessary for the policyholder to request |
| 3255 | a neutral evaluation. |
| 3256 | (2) Neutral evaluation is available to either party if a |
| 3257 | sinkhole report has been issued pursuant to s. 627.7073. At a |
| 3258 | minimum, neutral evaluation must determine: |
| 3259 | (a) Causation; |
| 3260 | (b) All methods of stabilization and repair both above and |
| 3261 | below ground; |
| 3262 | (c) The costs for stabilization and all repairs; and |
| 3263 | (d) Information necessary to carry out subsection (12). |
| 3264 | (3) Following the receipt of the report provided under s. |
| 3265 | 627.7073 or the denial of a claim for a sinkhole loss, the |
| 3266 | insurer shall notify the policyholder of his or her right to |
| 3267 | participate in the neutral evaluation program under this |
| 3268 | section. Neutral evaluation supersedes the alternative dispute |
| 3269 | resolution process under s. 627.7015, but does not invalidate |
| 3270 | the appraisal clause of the insurance policy. The insurer shall |
| 3271 | provide to the policyholder the consumer information pamphlet |
| 3272 | prepared by the department pursuant to subsection (1) |
| 3273 | electronically or by United States mail paragraph (2)(b). |
| 3274 | (4) Neutral evaluation is nonbinding, but mandatory if |
| 3275 | requested by either party. A request for neutral evaluation may |
| 3276 | be filed with the department by the policyholder or the insurer |
| 3277 | on a form approved by the department. The request for neutral |
| 3278 | evaluation must state the reason for the request and must |
| 3279 | include an explanation of all the issues in dispute at the time |
| 3280 | of the request. Filing a request for neutral evaluation tolls |
| 3281 | the applicable time requirements for filing suit for a period of |
| 3282 | 60 days following the conclusion of the neutral evaluation |
| 3283 | process or the time prescribed in s. 95.11, whichever is later. |
| 3284 | (5) Neutral evaluation shall be conducted as an informal |
| 3285 | process in which formal rules of evidence and procedure need not |
| 3286 | be observed. A party to neutral evaluation is not required to |
| 3287 | attend neutral evaluation if a representative of the party |
| 3288 | attends and has the authority to make a binding decision on |
| 3289 | behalf of the party. All parties shall participate in the |
| 3290 | evaluation in good faith. The neutral evaluator must be allowed |
| 3291 | reasonable access to the interior and exterior of insured |
| 3292 | structures to be evaluated or for which a claim has been made. |
| 3293 | Any reports initiated by the policyholder, or an agent of the |
| 3294 | policyholder, confirming a sinkhole loss or disputing another |
| 3295 | sinkhole report regarding insured structures must be provided to |
| 3296 | the neutral evaluator before the evaluator's physical inspection |
| 3297 | of the insured property. |
| 3298 | (6) The insurer shall pay reasonable the costs associated |
| 3299 | with the neutral evaluation. However, if a party chooses to hire |
| 3300 | a court reporter or stenographer to contemporaneously record and |
| 3301 | document the neutral evaluation, that party must bear such |
| 3302 | costs. |
| 3303 | (7) Upon receipt of a request for neutral evaluation, the |
| 3304 | department shall provide the parties a list of certified neutral |
| 3305 | evaluators. The parties shall mutually select a neutral |
| 3306 | evaluator from the list and promptly inform the department. If |
| 3307 | the parties cannot agree to a neutral evaluator within 10 |
| 3308 | business days, The department shall allow the parties to submit |
| 3309 | requests to disqualify evaluators on the list for cause. |
| 3310 | (a) The department shall disqualify neutral evaluators for |
| 3311 | cause based only on any of the following grounds: |
| 3312 | 1. A familial relationship exists between the neutral |
| 3313 | evaluator and either party or a representative of either party |
| 3314 | within the third degree. |
| 3315 | 2. The proposed neutral evaluator has, in a professional |
| 3316 | capacity, previously represented either party or a |
| 3317 | representative of either party, in the same or a substantially |
| 3318 | related matter. |
| 3319 | 3. The proposed neutral evaluator has, in a professional |
| 3320 | capacity, represented another person in the same or a |
| 3321 | substantially related matter and that person's interests are |
| 3322 | materially adverse to the interests of the parties. The term |
| 3323 | "substantially related matter" means participation by the |
| 3324 | neutral evaluator on the same claim, property, or adjacent |
| 3325 | property. |
| 3326 | 4. The proposed neutral evaluator has, within the |
| 3327 | preceding 5 years, worked as an employer or employee of any |
| 3328 | party to the case. |
| 3329 | (b) The parties shall appoint a neutral evaluator from the |
| 3330 | department list and promptly inform the department. If the |
| 3331 | parties cannot agree to a neutral evaluator within 14 business |
| 3332 | days, the department shall appoint a neutral evaluator from the |
| 3333 | list of certified neutral evaluators. The department shall allow |
| 3334 | each party to disqualify two neutral evaluators without cause. |
| 3335 | Upon selection or appointment, the department shall promptly |
| 3336 | refer the request to the neutral evaluator. |
| 3337 | (c) Within 14 5 business days after the referral, the |
| 3338 | neutral evaluator shall notify the policyholder and the insurer |
| 3339 | of the date, time, and place of the neutral evaluation |
| 3340 | conference. The conference may be held by telephone, if feasible |
| 3341 | and desirable. The neutral evaluator shall make reasonable |
| 3342 | efforts to hold the neutral evaluation conference shall be held |
| 3343 | within 90 45 days after the receipt of the request by the |
| 3344 | department. Failure of the neutral evaluator to hold the |
| 3345 | conference within 90 days does not invalidate either party's |
| 3346 | right to neutral evaluation or to a neutral evaluation |
| 3347 | conference held outside this timeframe. |
| 3348 | (8) The department shall adopt rules of procedure for the |
| 3349 | neutral evaluation process. |
| 3350 | (8)(9) For policyholders not represented by an attorney, a |
| 3351 | consumer affairs specialist of the department or an employee |
| 3352 | designated as the primary contact for consumers on issues |
| 3353 | relating to sinkholes under s. 20.121 shall be available for |
| 3354 | consultation to the extent that he or she may lawfully do so. |
| 3355 | (9)(10) Evidence of an offer to settle a claim during the |
| 3356 | neutral evaluation process, as well as any relevant conduct or |
| 3357 | statements made in negotiations concerning the offer to settle a |
| 3358 | claim, is inadmissible to prove liability or absence of |
| 3359 | liability for the claim or its value, except as provided in |
| 3360 | subsection (14) (13). |
| 3361 | (10)(11) Regardless of when noticed, any court proceeding |
| 3362 | related to the subject matter of the neutral evaluation shall be |
| 3363 | stayed pending completion of the neutral evaluation and for 5 |
| 3364 | days after the filing of the neutral evaluator's report with the |
| 3365 | court. |
| 3366 | (11) If, based upon his or her professional training and |
| 3367 | credentials, a neutral evaluator is qualified to determine only |
| 3368 | disputes relating to causation or method of repair, the |
| 3369 | department shall allow the neutral evaluator to enlist the |
| 3370 | assistance of another professional from the neutral evaluators |
| 3371 | list not previously stricken, who, based upon his or her |
| 3372 | professional training and credentials, is able to provide an |
| 3373 | opinion as to other disputed issues. A professional who would be |
| 3374 | disqualified for any reason listed in subsection (7) must be |
| 3375 | disqualified. The neutral evaluator may also use the services of |
| 3376 | professional engineers and professional geologists who are not |
| 3377 | certified as neutral evaluators, as well as licensed building |
| 3378 | contractors, in order to ensure that all items in dispute are |
| 3379 | addressed and the neutral evaluation can be completed. Any |
| 3380 | professional engineer, professional geologist, or licensed |
| 3381 | building contractor retained may be disqualified for any of the |
| 3382 | reasons listed in subsection (7). The neutral evaluator may |
| 3383 | request the entity that performed the investigation pursuant to |
| 3384 | s. 627.7072 perform such additional and reasonable testing as |
| 3385 | deemed necessary in the professional opinion of the neutral |
| 3386 | evaluator. |
| 3387 | (12) At For matters that are not resolved by the parties |
| 3388 | at the conclusion of the neutral evaluation, the neutral |
| 3389 | evaluator shall prepare a report describing all matters that are |
| 3390 | the subject of the neutral evaluation, including whether, |
| 3391 | stating that in his or her opinion, the sinkhole loss has been |
| 3392 | verified or eliminated within a reasonable degree of |
| 3393 | professional probability and, if verified, whether the sinkhole |
| 3394 | activity caused structural damage to the covered building, and |
| 3395 | if so, the need for and estimated costs of stabilizing the land |
| 3396 | and any covered structures or buildings and other appropriate |
| 3397 | remediation or necessary building structural repairs due to the |
| 3398 | sinkhole loss. The evaluator's report shall be sent to all |
| 3399 | parties in attendance at the neutral evaluation and to the |
| 3400 | department, within 14 days after completing the neutral |
| 3401 | evaluation conference. |
| 3402 | (13) The recommendation of the neutral evaluator is not |
| 3403 | binding on any party, and the parties retain access to the |
| 3404 | court. The neutral evaluator's written recommendation is |
| 3405 | admissible in any subsequent action, litigation, or proceeding |
| 3406 | relating to the claim or to the cause of action giving rise to |
| 3407 | the claim. |
| 3408 | (14) If the neutral evaluator first verifies the existence |
| 3409 | of a sinkhole that caused structural damage and, second, |
| 3410 | recommends the need for and estimates costs of stabilizing the |
| 3411 | land and any covered structures or buildings and other |
| 3412 | appropriate remediation or building structural repairs, which |
| 3413 | costs exceed the amount that the insurer has offered to pay the |
| 3414 | policyholder, the insurer is liable to the policyholder for up |
| 3415 | to $2,500 in attorney's fees for the attorney's participation in |
| 3416 | the neutral evaluation process. For purposes of this subsection, |
| 3417 | the term "offer to pay" means a written offer signed by the |
| 3418 | insurer or its legal representative and delivered to the |
| 3419 | policyholder within 10 days after the insurer receives notice |
| 3420 | that a request for neutral evaluation has been made under this |
| 3421 | section. |
| 3422 | (15) If the insurer timely agrees in writing to comply and |
| 3423 | timely complies with the recommendation of the neutral |
| 3424 | evaluator, but the policyholder declines to resolve the matter |
| 3425 | in accordance with the recommendation of the neutral evaluator |
| 3426 | pursuant to this section: |
| 3427 | (a) The insurer is not liable for extracontractual damages |
| 3428 | related to a claim for a sinkhole loss but only as related to |
| 3429 | the issues determined by the neutral evaluation process. This |
| 3430 | section does not affect or impair claims for extracontractual |
| 3431 | damages unrelated to the issues determined by the neutral |
| 3432 | evaluation process contained in this section; and |
| 3433 | (b) The actions of the insurer are not a confession of |
| 3434 | judgment or admission of liability, and the insurer is not |
| 3435 | liable for attorney's fees under s. 627.428 or other provisions |
| 3436 | of the insurance code unless the policyholder obtains a judgment |
| 3437 | that is more favorable than the recommendation of the neutral |
| 3438 | evaluator. |
| 3439 | (16) If the insurer agrees to comply with the neutral |
| 3440 | evaluator's report, payments shall be made in accordance with |
| 3441 | the terms and conditions of the applicable insurance policy |
| 3442 | pursuant to s. 627.707(5). |
| 3443 | (17) Neutral evaluators are deemed to be agents of the |
| 3444 | department and have immunity from suit as provided in s. 44.107. |
| 3445 | (18) The department shall adopt rules of procedure for the |
| 3446 | neutral evaluation process. |
| 3447 | Section 29. Subsection (8) of section 627.711, Florida |
| 3448 | Statutes, is amended to read: |
| 3449 | 627.711 Notice of premium discounts for hurricane loss |
| 3450 | mitigation; uniform mitigation verification inspection form.- |
| 3451 | (8) At its expense, the insurer may require that a any |
| 3452 | uniform mitigation verification form provided by a policyholder, |
| 3453 | a policyholder's agent, or an authorized mitigation inspector or |
| 3454 | inspection company be independently verified by an inspector, an |
| 3455 | inspection company, or an independent third-party quality |
| 3456 | assurance provider which possesses does possess a quality |
| 3457 | assurance program before prior to accepting the uniform |
| 3458 | mitigation verification form as valid. |
| 3459 | Section 30. Subsection (1) of section 627.712, Florida |
| 3460 | Statutes, is amended to read: |
| 3461 | 627.712 Residential windstorm coverage required; |
| 3462 | availability of exclusions for windstorm or contents.- |
| 3463 | (1) An insurer issuing a residential property insurance |
| 3464 | policy must provide windstorm coverage. Except as provided in |
| 3465 | paragraph (2)(c), this section does not apply with respect to |
| 3466 | risks that are eligible for wind-only coverage from Citizens |
| 3467 | Property Insurance Corporation under s. 627.351(6), and with |
| 3468 | respect to risks that are not eligible for coverage from |
| 3469 | Citizens Property Insurance Corporation under s. 627.351(6)(a)3. |
| 3470 | or 5. A risk ineligible for Citizens coverage by the corporation |
| 3471 | under s. 627.351(6)(a)3. or 5. is exempt from the requirements |
| 3472 | of this section only if the risk is located within the |
| 3473 | boundaries of the coastal high-risk account of the corporation. |
| 3474 | Section 31. Subsection (3) of section 631.54, Florida |
| 3475 | Statutes, is amended to read: |
| 3476 | 631.54 Definitions.-As used in this part: |
| 3477 | (3) "Covered claim" means an unpaid claim, including one |
| 3478 | of unearned premiums, which arises out of, and is within the |
| 3479 | coverage, and not in excess of, the applicable limits of an |
| 3480 | insurance policy to which this part applies, issued by an |
| 3481 | insurer, if such insurer becomes an insolvent insurer and the |
| 3482 | claimant or insured is a resident of this state at the time of |
| 3483 | the insured event or the property from which the claim arises is |
| 3484 | permanently located in this state. For entities other than |
| 3485 | individuals, the residence of a claimant, insured, or |
| 3486 | policyholder is the state in which the entity's principal place |
| 3487 | of business is located at the time of the insured event. The |
| 3488 | term does "Covered claim" shall not include: |
| 3489 | (a) Any amount due any reinsurer, insurer, insurance pool, |
| 3490 | or underwriting association, sought directly or indirectly |
| 3491 | through a third party, as subrogation, contribution, |
| 3492 | indemnification, or otherwise; or |
| 3493 | (b) Any claim that would otherwise be a covered claim |
| 3494 | under this part that has been rejected by any other state |
| 3495 | guaranty fund on the grounds that an insured's net worth is |
| 3496 | greater than that allowed under that state's guaranty law. |
| 3497 | Member insurers shall have no right of subrogation, |
| 3498 | contribution, indemnification, or otherwise, sought directly or |
| 3499 | indirectly through a third party, against the insured of any |
| 3500 | insolvent member; or |
| 3501 | (c) Any amount payable for a sinkhole loss other than |
| 3502 | testing deemed appropriate by the association or payable for the |
| 3503 | actual repair of the loss, except that the association may not |
| 3504 | pay for attorney's fees or public adjuster's fees in connection |
| 3505 | with a sinkhole loss or pay the policyholder. The association |
| 3506 | may pay for actual repairs to the property, but is not liable |
| 3507 | for amounts in excess of policy limits. |
| 3508 | Section 32. If any provision of this act, or the |
| 3509 | application thereof to any person or circumstance is held |
| 3510 | invalid, such invalidity shall not affect other provisions or |
| 3511 | applications of this act which can be given effect without the |
| 3512 | invalid provision or application. It is the express intent of |
| 3513 | the Legislature to enact multiple important, but independent, |
| 3514 | reforms to Florida law relating to sinkhole insurance coverage |
| 3515 | and related claims. The Legislature further intends that the |
| 3516 | multiple reforms in the act could and should be enforced if one |
| 3517 | or more provisions are held invalid. To this end, the provisions |
| 3518 | of this act are declared to be severable. |
| 3519 | Section 33. Except as otherwise expressly provided in this |
| 3520 | act, this act shall take effect upon becoming a law. |
| 3521 |
|
| 3522 |
|
| 3523 | ----------------------------------------------------- |
| 3524 | T I T L E A M E N D M E N T |
| 3525 | Remove the entire title and insert: |
| 3526 | A bill to be entitled |
| 3527 | An act relating to property and casualty insurance; |
| 3528 | amending s. 95.11, F.S.; specifying a statute of |
| 3529 | limitation for a breach of a property insurance contract |
| 3530 | runs from the date of loss; amending s. 215.555, F.S.; |
| 3531 | revising the definition of "losses," relating to the |
| 3532 | Florida Hurricane Catastrophe Fund, to exclude certain |
| 3533 | losses; providing applicability; amending s. 215.5595, |
| 3534 | F.S.; authorizing an insurer to renegotiate the terms a |
| 3535 | surplus note issued before a certain date; providing |
| 3536 | limitations; amending s. 624.407, F.S.; revising the |
| 3537 | amount of surplus funds required for domestic insurers |
| 3538 | applying for a certificate of authority; amending s. |
| 3539 | 624.408, F.S.; revising the minimum surplus that must be |
| 3540 | maintained by certain insurers; authorizing the Office of |
| 3541 | Insurance Regulation to reduce the surplus requirement |
| 3542 | under specified circumstances; amending s. 626.852, F.S.; |
| 3543 | providing an exemption from licensure as an adjuster to |
| 3544 | persons who provide mortgage-related claims adjusting |
| 3545 | services to certain institutions; providing an exception |
| 3546 | to the exemption; amending s. 626.854, F.S.; providing |
| 3547 | limitations on the amount of compensation that may be |
| 3548 | received by a public adjuster for a reopened or |
| 3549 | supplemental claim; providing limitations on the amount of |
| 3550 | compensation that may be received by a public adjuster for |
| 3551 | a claim; applying specified provisions regulating the |
| 3552 | conduct of public adjusters to condominium unit owners |
| 3553 | rather than to condominium associations as is currently |
| 3554 | required; providing statements that may be considered |
| 3555 | deceptive or misleading if made in any public adjuster's |
| 3556 | advertisement or solicitation; providing a definition for |
| 3557 | the term "written advertisement"; requiring that a |
| 3558 | disclaimer be included in any public adjuster's written |
| 3559 | advertisement; providing requirements for such disclaimer; |
| 3560 | requiring certain persons who act on behalf of an insurer |
| 3561 | to provide notice to the insurer, claimant, public |
| 3562 | adjuster, or legal representative for an onsite inspection |
| 3563 | of the insured property; authorizing the insured or |
| 3564 | claimant to deny access to the property if notice is not |
| 3565 | provided; requiring the public adjuster to ensure prompt |
| 3566 | notice of certain property loss claims; providing that an |
| 3567 | insurer be allowed to interview the insured directly about |
| 3568 | the loss claim; prohibiting the insurer from obstructing |
| 3569 | or preventing the public adjuster from communicating with |
| 3570 | the insured; requiring that the insurer communicate with |
| 3571 | the public adjuster in an effort to reach an agreement as |
| 3572 | to the scope of the covered loss under the insurance |
| 3573 | policy; prohibiting a public adjuster from restricting or |
| 3574 | preventing persons acting on behalf of the insured from |
| 3575 | having reasonable access to the insured or the insured's |
| 3576 | property; prohibiting a public adjuster from restricting |
| 3577 | or preventing the insured's adjuster from having |
| 3578 | reasonable access to or inspecting the insured's property; |
| 3579 | authorizing the insured's adjuster to be present for the |
| 3580 | inspection; prohibiting a licensed contractor or |
| 3581 | subcontractor from adjusting a claim on behalf of an |
| 3582 | insured if such contractor or subcontractor is not a |
| 3583 | licensed public adjuster; providing an exception; amending |
| 3584 | s. 626.8796, F.S.; providing requirements for a public |
| 3585 | adjuster contract; creating s. 626.70132, F.S.; requiring |
| 3586 | that notice of a claim, supplemental claim, or reopened |
| 3587 | claim be given to the insurer within a specified period |
| 3588 | after a windstorm or hurricane occurs; providing a |
| 3589 | definition for the terms "supplemental claim" or "reopened |
| 3590 | claim"; providing applicability; repealing s. 627.0613(4), |
| 3591 | F.S., relating to the requirement that the consumer |
| 3592 | advocate for the Chief Financial Officer prepare an annual |
| 3593 | report card for each personal residential property |
| 3594 | insurer; amending s. 627.062, F.S.; extending the |
| 3595 | expiration date for making a "file and use" filing; |
| 3596 | prohibiting the Office of Insurance Regulation from, |
| 3597 | directly or indirectly, impeding the right of an insurer |
| 3598 | to acquire policyholders, advertise or appoint agents, or |
| 3599 | regulate agent commissions; revising the information that |
| 3600 | must be included in a rate filing relating to certain |
| 3601 | reinsurance or financing products; deleting a provision |
| 3602 | that prohibited an insurer from making certain rate |
| 3603 | filings within a certain period of time after a rate |
| 3604 | increase; deleting a provision prohibiting an insurer from |
| 3605 | filing for a rate increase within 6 months after it makes |
| 3606 | certain rate filings; deleting obsolete provisions |
| 3607 | relating to legislation enacted during the 2003 Special |
| 3608 | Session D of the Legislature; providing for the submission |
| 3609 | of additional or supplementary information pursuant to a |
| 3610 | rate filing; revising provisions relating to the |
| 3611 | certifications that are required to be made under oath by |
| 3612 | certain officers or actuaries of an insurer regarding |
| 3613 | information that must accompany a rate filing; amending s. |
| 3614 | 627.06281, F.S.; providing limitations on fees charged for |
| 3615 | use of the public hurricane model; amending s. 627.0629, |
| 3616 | F.S.; deleting obsolete provisions; deleting a requirement |
| 3617 | that the Office of Insurance Regulation propose a method |
| 3618 | for establishing discounts, debits, credits, and other |
| 3619 | rate differentials for hurricane mitigation by a certain |
| 3620 | date; conforming provisions to changes made by the act; |
| 3621 | amending s. 627.351, F.S.; limiting an adjuster's fee for |
| 3622 | a claim against the corporation; renaming the "high-risk |
| 3623 | account" as the "coastal account"; revising the conditions |
| 3624 | under which the Citizens policyholder surcharge may be |
| 3625 | imposed; providing that members of the Citizens Property |
| 3626 | Insurance Corporation Board of Governors are not |
| 3627 | prohibited from practicing in a certain profession if not |
| 3628 | prohibited by law or ordinance; requiring the corporation |
| 3629 | to commission a consultant to prepare a report on |
| 3630 | outsourcing various functions and to submit such report to |
| 3631 | the Financial Services Commission by a certain date; |
| 3632 | limiting coverage for damage from sinkholes after a |
| 3633 | certain date; requiring the policyholders to sign a |
| 3634 | statement acknowledging that they may be assessed |
| 3635 | surcharges to cover corporate deficits; prohibiting board |
| 3636 | members from voting on certain measures; exempting |
| 3637 | sinkhole coverage from the corporation's annual rate |
| 3638 | increase requirements; deleting a requirement that the |
| 3639 | board provide an annual report to the Legislature relating |
| 3640 | to certain coverages; deleting a requirement that the |
| 3641 | board reduce the boundaries of certain high-risk areas |
| 3642 | eligible for wind-only coverages under certain |
| 3643 | circumstances; amending s. 627.3511, F.S.; conforming |
| 3644 | provisions to changes made by the act; amending s. |
| 3645 | 627.4133, F.S.; revising the requirements for providing an |
| 3646 | insured with notice of nonrenewal, cancellation, or |
| 3647 | termination of personal lines or commercial residential |
| 3648 | property insurance; authorizing an insurer to cancel |
| 3649 | policies after 45 days' notice if the Office of Insurance |
| 3650 | Regulation determines that the cancellation of policies is |
| 3651 | necessary to protect the interests of the public or |
| 3652 | policyholders; authorizing the Office of Insurance |
| 3653 | Regulation to place an insurer under administrative |
| 3654 | supervision or appoint a receiver upon the consent of the |
| 3655 | insurer under certain circumstances; providing criteria |
| 3656 | and notice requirements relating to the nonrenewal of |
| 3657 | policy covering both a home and motor vehicle; creating s. |
| 3658 | 627.43141, F.S.; providing definitions; requiring the |
| 3659 | delivery of a "Notice of Change in Policy Terms" under |
| 3660 | certain circumstances; specifying requirements for such |
| 3661 | notice; specifying actions constituting proof of notice; |
| 3662 | authorizing policy renewals to contain a change in policy |
| 3663 | terms; providing that receipt of payment by an insurer is |
| 3664 | deemed acceptance of new policy terms by an insured; |
| 3665 | providing that the original policy remains in effect until |
| 3666 | the occurrence of specified events if an insurer fails to |
| 3667 | provide notice; providing intent; amending s. 627.7011, |
| 3668 | F.S.; requiring the insurer to pay the actual cash value |
| 3669 | of an insured loss for a dwelling, less any applicable |
| 3670 | deductible; requiring the insurer to offer coverage under |
| 3671 | which the insurer is obligated to pay replacement costs; |
| 3672 | authorizing the insurer to offer coverage that limits the |
| 3673 | initial payment for personal property to the actual cash |
| 3674 | value of the property to be replaced and to require the |
| 3675 | insured to provide receipts for purchases; requiring the |
| 3676 | insurer to provide notice of this process before the |
| 3677 | policy is bound; requiring certain premium credits or |
| 3678 | discounts for such coverage; prohibiting an insurer from |
| 3679 | requiring the insured to advance payment; amending s. |
| 3680 | 627.70131, F.S.; specifying application of certain time |
| 3681 | periods to initial or supplemental property insurance |
| 3682 | claim notices and payments; providing legislative findings |
| 3683 | with respect to 2005 statutory changes relating to |
| 3684 | sinkhole insurance coverage and statutory changes in this |
| 3685 | act; amending s. 627.706, F.S.; authorizing an insurer to |
| 3686 | limit coverage for catastrophic ground cover collapse to |
| 3687 | the principal building; authorizing an insurer to require |
| 3688 | an inspection before issuance of sinkhole loss coverage; |
| 3689 | revising definitions; defining the term "structural |
| 3690 | damage"; placing a 2-year statute of repose on claims for |
| 3691 | sinkhole coverage; amending s. 627.7061, F.S.; conforming |
| 3692 | provisions to changes made by the act; repealing s. |
| 3693 | 627.7065, F.S., relating to the establishment of a |
| 3694 | sinkhole database; amending s. 627.707, F.S.; revising |
| 3695 | provisions relating to the investigation of sinkholes by |
| 3696 | insurers; providing a time limitation for demanding |
| 3697 | sinkhole testing by a policyholder and entering into a |
| 3698 | contract for repairs; requiring all repairs to be |
| 3699 | completed within a certain time; providing exceptions; |
| 3700 | providing criminal penalties for a person performing |
| 3701 | repairs who offers a rebate; amending s. 627.7073, F.S.; |
| 3702 | revising provisions relating to inspection reports; |
| 3703 | revising the reports that an insurer must file with the |
| 3704 | clerk of the court; requiring the policyholder to file |
| 3705 | certain reports as a precondition to accepting payment; |
| 3706 | requiring the professional engineer responsible for |
| 3707 | monitoring sinkhole repairs to issue a report and |
| 3708 | certification to the property owner and file such report |
| 3709 | with the court; providing that the act does not create |
| 3710 | liability for an insurer based on a representation or |
| 3711 | certification by the engineer; amending s. 627.7074, F.S.; |
| 3712 | revising provisions relating to neutral evaluation; |
| 3713 | requiring evaluation in order to make certain |
| 3714 | determinations; requiring that the neutral evaluator be |
| 3715 | allowed access to structures being evaluated; providing |
| 3716 | grounds for disqualifying an evaluator; allowing the |
| 3717 | Department of Financial Services to appoint an evaluator |
| 3718 | if the parties cannot come to agreement; revising the |
| 3719 | timeframes for scheduling a neutral evaluation conference; |
| 3720 | authorizing an evaluator to enlist another evaluator or |
| 3721 | other professionals; providing a time certain for issuing |
| 3722 | a report; revising provisions relating to compliance with |
| 3723 | the evaluator's recommendations; providing that the |
| 3724 | evaluator is an agent of the department for the purposes |
| 3725 | of immunity from suit; requiring the department to adopt |
| 3726 | rules; amending s. 627.711, F.S.; revising the requirement |
| 3727 | that the insurer pay for verification of a uniform |
| 3728 | mitigation verification form that the insurer requires; |
| 3729 | amending s. 627.712, F.S.; conforming provisions to |
| 3730 | changes made by the act; amending s. 631.54, F.S.; |
| 3731 | revising the definition of the term "covered claim" for |
| 3732 | purposes of the Florida Insurance Guaranty Association |
| 3733 | Act; providing for applicability; providing severability; |
| 3734 | providing effective dates. |