Florida Senate - 2008 SB 1018

By Senator Fasano

11-00537C-08 20081018__

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A bill to be entitled

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An act relating to property insurance appraisal umpires;

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amending s. 624.501, F.S.; providing filing fees regarding

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the application for and issuance of a license, as well as

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the biennial renewal or continuation thereof, by a

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property insurance appraisal umpire; amending s. 626.015,

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F.S.; defining the terms "property insurance loss

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appraiser" and "property insurance appraisal umpire" for

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purposes of the Licensing Procedures Law; amending s.

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626.016, F.S.; providing that property insurance appraisal

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umpires are subject to the powers of the Department of

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Financial Services, the Financial Services Commission, and

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the Office of Insurance Regulation; amending s. 626.022,

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F.S.; expanding the scope of part I of ch. 626, F.S., to

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include property insurance appraisal umpires; amending s.

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626.112, F.S.; requiring that property insurance appraisal

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umpires operating in this state be licensed by the

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department; creating part XII of ch. 626, F.S.; creating

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s. 626.9931, F.S.; providing a legislative finding and

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purpose; creating s. 626.9932, F.S.; providing the scope

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and parameters for application; creating s. 626.9933,

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F.S.; providing definitions; creating s. 626.9934, F.S.;

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providing procedures for the application for licensure as

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a property insurance appraisal umpire; requiring that all

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applicants be fingerprinted by a law enforcement agency or

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other entity approved by the department at the time of

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application; requiring the department to develop and

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maintain an updated list of licensed umpires; creating s.

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626.9935, F.S.; authorizing the department to adopt rules;

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creating s. 626.9936, F.S.; providing qualifications for

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licensure as a property insurance appraisal umpire;

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creating s. 626.9937, F.S.; providing requirements for

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licensure as a property insurance appraisal umpire;

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creating s. 626.9938, F.S.; providing for the regulation

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of umpire course providers, instructors, and courses;

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requiring the department to adopt rules establishing

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standards for providers, instructors, and courses;

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requiring the department to adopt rules establishing a

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process for determining compliance with certain

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prelicensure requirements and adopting forms to be used

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for the administration of such requirements; creating s.

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626.9939, F.S.; providing grounds for the compulsory

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refusal, suspension, or revocation of an umpire's license;

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creating s. 626.9940, F.S.; providing grounds for the

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discretionary refusal, suspension, or revocation of an

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umpire's license; creating s. 626.9941, F.S.; providing

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ethical standards for property insurance loss appraisal

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umpires; creating s. 626.9942, F.S.; requiring that a

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licensed property insurance appraisal umpire retain

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certain records for a specified period; requiring that

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umpires make such records available for inspection and

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copying by the department; requiring that appraisals that

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are the subject of litigation or have been admitted as

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evidence in a lawsuit be retained for a specified period;

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creating s. 627.4141, F.S.; providing procedures that must

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be followed if a residential or commercial property

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insurance contract provides that either party may submit a

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written demand to enter into the process of appraisal when

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the insured and the insurer fail to mutually agree to the

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actual cash value, the amount of loss, or the cost of

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repair or replacement of property for which a claim has

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been filed; providing an exception upon which an insurer

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may refuse to accept such demand; authorizing each party

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to select a competent and independent appraiser and to

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notify the opposing party within a specified period;

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requiring the appraisers to select an umpire from the

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department's list of licensed umpires; authorizing either

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party to file a petition, in a county or circuit court in

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the jurisdiction in which the covered property is located,

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to designate an umpire if the appraisers cannot agree on

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the selection of an umpire; providing that appraisal

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proceedings are informal unless the insurer and the

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insured agree otherwise; defining and providing the scope

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of the term "informal" for purposes of appraisal

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proceedings; requiring each appraiser to submit a written

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report to the other appraisers; requiring that any

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differences in findings among the appraisers which cannot

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be resolved by the appraisers themselves be submitted to

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the umpire for review; requiring the umpire to submit his

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or her conclusions regarding any unresolved differences in

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the findings of the appraisers within a specified period;

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providing that if either appraiser agrees with the

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conclusions of the umpire, an itemized written appraisal

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award signed by the umpire and appraiser shall be filed

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with the insurer and shall determine the amount of the

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loss; providing that the appraisal award is binding upon

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the insurer and the insured; providing for compensation of

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the appraisers and the umpire; providing that the Florida

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Arbitration Code does not apply to residential or

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commercial property insurance loss appraisal proceedings;

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prohibiting the appraisal process from addressing issues

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involving coverage or lack thereof under an insurance

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contract; authorizing the umpire and appraisers to

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consider causation issues when necessary to determine the

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amount of loss; providing an effective date.

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Be It Enacted by the Legislature of the State of Florida:

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     Section 1.  Subsection (5) of section 624.501, Florida

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Statutes, is amended, and subsection (29) is added to that

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section, to read:

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     624.501  Filing, license, appointment, and miscellaneous

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fees.--The department, commission, or office, as appropriate,

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shall collect in advance, and persons so served shall pay to it

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in advance, fees, licenses, and miscellaneous charges as follows:

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     (5) All insurance representatives and property insurance

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appraisal umpires, application for license, each filing, filing

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fee....$50.00

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     (29) All property insurance appraisal umpires, fees for

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issuance of original license and for biennial renewal or

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continuation thereof...........$50.00

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     Section 2.  Present subsections (16), (17), and (18) of

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section 626.015, Florida Statutes, are redesignated as

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subsections (18), (19), and (20), respectively, and new

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subsections (16) and (17) are added to that section, to read:

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     626.015  Definitions.--As used in this part:

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     (16) "Property insurance loss appraiser" has the same

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meaning as in s. 626.9933.

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     (17) "Property insurance appraisal umpire" has the same

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meaning as in s. 626.9933.

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     Section 3.  Subsection (1) of section 626.016, Florida

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Statutes, is amended to read:

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     626.016  Powers and duties of department, commission, and

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office.--

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     (1)  The powers and duties of the Chief Financial Officer

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and the department specified in this part apply only with respect

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to insurance agents, insurance agencies, managing general agents,

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insurance adjusters, reinsurance intermediaries, viatical

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settlement brokers, customer representatives, service

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representatives, and property insurance appraisal umpires

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agencies.

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     Section 4.  Subsection (1) of section 626.022, Florida

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Statutes, is amended to read:

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     626.022  Scope of part.--

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     (1)  This part applies as to insurance agents, service

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representatives, adjusters, property insurance appraisal umpires,

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and insurance agencies; as to any and all kinds of insurance; and

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as to stock insurers, mutual insurers, reciprocal insurers, and

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all other types of insurers, except that:

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     (a)  It does not apply as to reinsurance, except that ss.

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626.011-626.022, ss. 626.112-626.181, ss. 626.191-626.211, ss.

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626.291-626.301, s. 626.331, ss. 626.342-626.521, ss. 626.541-

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626.591, and ss. 626.601-626.711 shall apply as to reinsurance

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intermediaries as defined in s. 626.7492.

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     (b)  The applicability of this chapter as to fraternal

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benefit societies shall be as provided in chapter 632.

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     (c)  It does not apply to a bail bond agent, as defined in

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s. 648.25, except as provided in chapter 648 or chapter 903.

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     (d)  This part does not apply to a certified public

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accountant licensed under chapter 473 who is acting within the

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scope of the practice of public accounting, as defined in s.

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473.302, provided that the activities of the certified public

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accountant are limited to advising a client of the necessity of

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obtaining insurance, the amount of insurance needed, or the line

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of coverage needed, and provided that the certified public

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accountant does not directly or indirectly receive or share in

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any commission or referral fee.

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     Section 5.  Section 626.112, Florida Statutes, is amended to

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read:

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     626.112  License and appointment required; agents, customer

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representatives, adjusters, insurance agencies, service

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representatives, managing general agents, and property insurance

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appraisal umpires.--

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     (1)(a)  No person may be, act as, or advertise or hold

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himself or herself out to be an insurance agent, insurance

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adjuster, or customer representative unless he or she is

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currently licensed by the department and appointed by an

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appropriate appointing entity or person.

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     (b)  Except as provided in subsection (6) or in applicable

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department rules, and in addition to other conduct described in

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this chapter with respect to particular types of agents, a

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license as an insurance agent, service representative, customer

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representative, or limited customer representative is required in

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order to engage in the solicitation of insurance. For purposes of

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this requirement, as applicable to any of the license types

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described in this section, the solicitation of insurance is the

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attempt to persuade any person to purchase an insurance product

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by:

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     1.  Describing the benefits or terms of insurance coverage,

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including premiums or rates of return;

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     2.  Distributing an invitation to contract to prospective

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purchasers;

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     3.  Making general or specific recommendations as to

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insurance products;

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     4.  Completing orders or applications for insurance

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products;

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     5.  Comparing insurance products, advising as to insurance

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matters, or interpreting policies or coverages; or

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     6.  Offering or attempting to negotiate on behalf of another

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person a viatical settlement contract as defined in s. 626.9911.

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However, an employee leasing company licensed pursuant to chapter

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468 which is seeking to enter into a contract with an employer

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that identifies products and services offered to employees may

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deliver proposals for the purchase of employee leasing services

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to prospective clients of the employee leasing company setting

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forth the terms and conditions of doing business; classify

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employees as permitted by s. 468.529; collect information from

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prospective clients and other sources as necessary to perform due

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diligence on the prospective client and to prepare a proposal for

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services; provide and receive enrollment forms, plans, and other

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documents; and discuss or explain in general terms the

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conditions, limitations, options, or exclusions of insurance

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benefit plans available to the client or employees of the

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employee leasing company were the client to contract with the

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employee leasing company. Any advertising materials or other

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documents describing specific insurance coverages must identify

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and be from a licensed insurer or its licensed agent or a

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licensed and appointed agent employed by the employee leasing

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company. The employee leasing company may not advise or inform

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the prospective business client or individual employees of

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specific coverage provisions, exclusions, or limitations of

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particular plans. As to clients for which the employee leasing

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company is providing services pursuant to s. 468.525(4), the

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employee leasing company may engage in activities permitted by

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ss. 626.7315, 626.7845, and 626.8305, subject to the restrictions

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specified in those sections. If a prospective client requests

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more specific information concerning the insurance provided by

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the employee leasing company, the employee leasing company must

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refer the prospective business client to the insurer or its

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licensed agent or to a licensed and appointed agent employed by

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the employee leasing company.

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     (2)  No agent or customer representative shall solicit or

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otherwise transact as agent or customer representative, or

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represent or hold himself or herself out to be an agent or

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customer representative as to, any kind or kinds of insurance as

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to which he or she is not then licensed and appointed.

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     (3)  No person shall act as an adjuster as to any class of

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business for which he or she is not then licensed and appointed.

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     (4)  No person shall be, act as, or represent or hold

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himself or herself out to be a service representative unless he

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or she then holds a currently effective service representative

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license and appointment. This subsection does not apply as to

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similar representatives or employees of casualty insurers whose

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duties are restricted to health insurance.

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     (5)  No person shall be, act as, or represent or hold

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himself or herself out to be a managing general agent unless he

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or she then holds a currently effective managing general agent

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license and appointment.

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     (6)  An individual employed by a life or health insurer as

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an officer or other salaried representative may solicit and

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effect contracts of life insurance or annuities or of health

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insurance, without being licensed as an agent, when and only when

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he or she is accompanied by and solicits for and on the behalf of

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a licensed and appointed agent.

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     (7)(a)  Effective October 1, 2006, no individual, firm,

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partnership, corporation, association, or any other entity shall

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act in its own name or under a trade name, directly or

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indirectly, as an insurance agency, unless it complies with s.

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626.172 with respect to possessing an insurance agency license

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for each place of business at which it engages in any activity

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which may be performed only by a licensed insurance agent. Each

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agency engaged in business in this state before January 1, 2003,

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which is wholly owned by insurance agents currently licensed and

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appointed under this chapter, each incorporated agency whose

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voting shares are traded on a securities exchange, each agency

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designated and subject to supervision and inspection as a branch

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office under the rules of the National Association of Securities

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Dealers, and each agency whose primary function is offering

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insurance as a service or member benefit to members of a

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nonprofit corporation may file an application for registration in

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lieu of licensure in accordance with s. 626.172(3). Each agency

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engaged in business before October 1, 2006, shall file an

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application for licensure or registration on or before October 1,

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2006.

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     1.  If an agency is required to be licensed but fails to

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file an application for licensure in accordance with this

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section, the department shall impose on the agency an

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administrative penalty in an amount of up to $10,000.

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     2.  If an agency is eligible for registration but fails to

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file an application for registration or an application for

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licensure in accordance with this section, the department shall

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impose on the agency an administrative penalty in an amount of up

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to $5,000.

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     (b)  A registered insurance agency shall, as a condition

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precedent to continuing business, obtain an insurance agency

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license if the department finds that, with respect to any

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majority owner, partner, manager, director, officer, or other

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person who manages or controls the agency, any person has:

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     1.  Been found guilty of, or has pleaded guilty or nolo

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contendere to, a felony in this state or any other state relating

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to the business of insurance or to an insurance agency, without

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regard to whether a judgment of conviction has been entered by

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the court having jurisdiction of the cases.

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     2.  Employed any individual in a managerial capacity or in a

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capacity dealing with the public who is under an order of

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revocation or suspension issued by the department. An insurance

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agency may request, on forms prescribed by the department,

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verification of any person's license status. If a request is

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mailed within 5 working days after an employee is hired, and the

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employee's license is currently suspended or revoked, the agency

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shall not be required to obtain a license, if the unlicensed

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person's employment is immediately terminated.

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     3.  Operated the agency or permitted the agency to be

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operated in violation of s. 626.747.

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     4.  With such frequency as to have made the operation of the

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agency hazardous to the insurance-buying public or other persons:

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     a.  Solicited or handled controlled business. This

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subparagraph shall not prohibit the licensing of any lending or

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financing institution or creditor, with respect to insurance

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only, under credit life or disability insurance policies of

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borrowers from the institutions, which policies are subject to

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part IX of chapter 627.

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     b.  Misappropriated, converted, or unlawfully withheld

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moneys belonging to insurers, insureds, beneficiaries, or others

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and received in the conduct of business under the license.

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     c.  Unlawfully rebated, attempted to unlawfully rebate, or

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unlawfully divided or offered to divide commissions with another.

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     d.  Misrepresented any insurance policy or annuity contract,

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or used deception with regard to any policy or contract, done

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either in person or by any form of dissemination of information

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or advertising.

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     e.  Violated any provision of this code or any other law

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applicable to the business of insurance in the course of dealing

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under the license.

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     f.  Violated any lawful order or rule of the department.

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     g.  Failed or refused, upon demand, to pay over to any

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insurer he or she represents or has represented any money coming

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into his or her hands belonging to the insurer.

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     h.  Violated the provision against twisting as defined in s.

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626.9541(1)(l).

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     i.  In the conduct of business, engaged in unfair methods of

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competition or in unfair or deceptive acts or practices, as

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prohibited under part IX of this chapter.

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     j.  Willfully overinsured any property insurance risk.

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     k.  Engaged in fraudulent or dishonest practices in the

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conduct of business arising out of activities related to

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insurance or the insurance agency.

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     l.  Demonstrated lack of fitness or trustworthiness to

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engage in the business of insurance arising out of activities

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related to insurance or the insurance agency.

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     m.  Authorized or knowingly allowed individuals to transact

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insurance who were not then licensed as required by this code.

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     5.  Knowingly employed any person who within the preceding 3

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years has had his or her relationship with an agency terminated

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in accordance with paragraph (d).

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     6.  Willfully circumvented the requirements or prohibitions

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of this code.

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     (8)  No insurance agent, insurance agency, or other person

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licensed under the Insurance Code may pay any fee or other

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consideration to an unlicensed person other than an insurance

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agency for the referral of prospective purchasers to an insurance

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agent which is in any way dependent upon whether the referral

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results in the purchase of an insurance product.

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     (9)  Any person who knowingly transacts insurance or

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otherwise engages in insurance activities in this state without a

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license in violation of this section commits a felony of the

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third degree, punishable as provided in s. 775.082, s. 775.083,

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or s. 775.084.

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     (10) Effective July 1, 2009, a person may not act as,

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represent himself or herself as, or hold himself or herself out

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to be a property insurance appraisal umpire unless he or she

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holds a current property insurance appraisal umpire license

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issued by the department.

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     Section 6.  Part XII of chapter 626, Florida Statutes,

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consisting of sections 626.9931, 626.9932, 626.9933, 626.9934,

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626.9935, 626.9936, 626.9937, 626.9938, 626.9939, 626.9940,

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626.9941, and 626.9942, is created to read:

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     626.9931 Purpose.--The Legislature finds that it is in the

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interest of the public welfare to regulate property insurance

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appraisal umpires in this state.

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     626.9932 Scope of part.--The provisions of this part apply

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to residential and commercial residential property insurance

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contracts that contain an appraisal clause and to the umpires and

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appraisers who participate in the appraisal process as a result

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of an appraisal clause.

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     626.9933 Definitions.--As used in this part, the term:

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     (1) "Appraisal" means the process of estimating or

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evaluating actual cash value, the amount of loss, or the cost of

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repair or replacement of property for the purpose of quantifying

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the monetary value of a property loss claim when an insurer and

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an insured have failed to mutually agree on the value of the loss

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pursuant to a residential or commercial residential property

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insurance contract that permits the resolution of a claim dispute

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by appraisal.

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     (2) "Property insurance appraisal umpire" and "umpire" mean

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a competent, independent, and impartial third party selected by

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the appraisers for the insurer and insured to resolve issues for

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which the appraisers are unable to reach an agreement in the

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course of the appraisal process pursuant to a residential or

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commercial residential property insurance contract that permits

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the resolution of a claim dispute by appraisal.

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     (3) "Property insurance loss appraiser" and "appraiser"

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mean a competent and independent third party selected by an

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insurer or an insured to develop an appraisal for purposes of the

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appraisal process under a residential or commercial residential

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property insurance contract that permits the resolution of a

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claim dispute by appraisal.

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     626.9934 Appraisal umpire application; fingerprinting

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required; umpire list.--

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     (1) Application for a license under this part shall be made

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as provided in s. 626.171 and related sections of this code.

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     (2) At the time of application, the applicant must be

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fingerprinted by a law enforcement agency or other entity

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approved by the department and must pay the fingerprint

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processing fee specified in s. 624.501. Fingerprints must be

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processed in accordance with s. 624.34.

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     (3) The department shall develop and maintain as a public

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record a current list of licensed property insurance appraisal

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umpires.

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     626.9935 Rulemaking authority.--The department may adopt

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rules to administer the requirements of this part pursuant to ss.

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120.536(1) and 120.54.

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     626.9936 Qualifications for licensure as a property

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insurance appraisal umpire.--The department may not issue a

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license as a property insurance appraisal umpire to any

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individual found by it to be untrustworthy or incompetent, or who

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does not meet the following qualifications:

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     (a) The applicant has filed an application with the

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department in accordance with s. 626.171;

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     (b) The applicant is a natural person who is at least 18

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years of age;

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     (c) The applicant is a United States citizen or legal alien

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who possesses work authorization from the United States Bureau of

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Citizenship and Immigration Services; and

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     (d) The applicant has completed the education, experience,

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or licensing requirements in s. 626.9937.

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     (2) An incomplete application expires 6 months after the

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date on which it is received.

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     (3) An applicant seeking to become licensed under this part

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may not be rejected solely by virtue of membership or lack of

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membership in any particular appraisal organization.

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     626.9937 Requirements as to licensure, education,

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experience, or instruction for applicants seeking licensure as a

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property insurance appraisal umpire.--The department may not

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issue a license to an applicant for licensure as a property

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insurance appraisal umpire unless the applicant meets one of the

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following requirements:

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     (1) The applicant is currently licensed, registered,

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certified, or approved as an engineer as defined in s. 471.005,

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or as a retired professional engineer as defined in s. 471.005,

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and has taught or successfully completed 4 hours of classroom

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coursework, approved by the department, specifically related to

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construction, building codes, appraisal procedure, appraisal

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preparation, and any other related material deemed appropriate by

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the department.

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     (2) The applicant is currently or, within the 5 years

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immediately preceding the date on which the application is filed

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with the department, has been licensed, registered, certified, or

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approved as a general contractor, building contractor, or

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residential contractor as defined in s. 489.105, and has taught

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or successfully completed 4 hours of classroom coursework,

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approved by the department, specifically related to construction,

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building codes, appraisal procedure, appraisal preparation, and

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any other related material deemed appropriate by the department.

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     (3) The applicant is currently or, within the 5 years

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immediately preceding the date on which the application is filed

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with the department, has been licensed or registered as an

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architect to engage in the practice of architecture pursuant to

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part I of chapter 481 and has taught or successfully completed 4

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hours of classroom coursework, approved by the department,

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specifically related to construction, building codes, appraisal

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procedure, appraisal preparation, and any other related material

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deemed appropriate by the department.

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     (4) The applicant is currently or, within the 5 years

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immediately preceding the date on which the application is filed

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with the department, has been a qualified geologist or

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professional geologist as defined in s. 492.102 and has taught or

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successfully completed 4 hours of classroom coursework, approved

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by the department, specifically related to construction, building

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codes, appraisal procedure, appraisal preparation, and any other

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related material deemed appropriate by the department.

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     (5) The applicant is currently or, within the 5 years

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immediately preceding the date on which the application is filed

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with the department, has been licensed as a certified public

466

accountant as defined in s. 473.302, and has taught or

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successfully completed 4 hours of classroom coursework, approved

468

by the department, specifically related to construction, building

469

codes, appraisal procedure, appraisal preparation, and any other

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related material deemed appropriate by the department.

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     (6) The applicant is currently or, within the 5 years

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immediately preceding the date on which the application is filed

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with the department, has been licensed as an attorney at law in

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this state and has taught or successfully completed 4 hours of

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classroom coursework, approved by the department, specifically

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related to construction, building codes, appraisal procedure,

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appraisal preparation, and any other related material deemed

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appropriate by the department.

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     (7) The applicant has received a baccalaureate degree from

480

an accredited 4-year college in the field of engineering,

481

architecture, or building construction and has taught or

482

successfully completed 4 hours of classroom coursework, approved

483

by the department, specifically related to construction, building

484

codes, appraisal procedure, appraisal preparation, and any other

485

related material deemed appropriate by the department.

486

     (8) The applicant is currently licensed as an all-lines or

487

property and casualty adjuster pursuant to part VI and:

488

     (a) Has 1 year of proven experience as an employee of a

489

general contractor, building contractor, or residential

490

contractor;

491

     (b) Has received a minimum of 8 semester hours or 12

492

quarter hours of credit from an accredited college in the field

493

of accounting, geology, engineering, architecture, or building

494

construction;

495

     (c) Has taught or successfully completed 24 hours of

496

classroom coursework, approved by the department, specifically

497

related to construction, building codes, appraisal procedure,

498

appraisal preparation, and any other related material deemed

499

appropriate by the department; or

500

     (d) Has acted as an appraiser or umpire in a minimum of 20

501

appraisal proceedings under a property insurance contract within

502

the 4 years immediately preceding the date on which an insurer or

503

insured demands an appraisal.

504

     (9) The applicant has successfully completed 40 hours of

505

classroom coursework, approved by the department, specifically

506

related to construction, building codes, appraisal procedure,

507

appraisal preparation, property insurance, and any other related

508

material deemed appropriate by the department.

509

626.9938 Regulation of umpire course providers, instructors

510

and courses.--

511

     (1) Each umpire course provider, instructor, and classroom

512

course must be approved by and registered with the department

513

before prelicensure courses for property insurance appraisal

514

umpires may be offered. Each classroom course must include a

515

written examination at the conclusion of the course and must

516

cover all of the material contained in the course. A student may

517

not receive credit for the course unless the student achieves a

518

grade of not less than 75 on the examination.

519

     (2) The department shall adopt rules establishing standards

520

for the approval, registration, discipline, or removal from

521

registration of course providers, instructors, and courses. The

522

standards must be designed to ensure that instructors have the

523

knowledge, competence, and integrity to fulfill the educational

524

objectives of the prelicensure requirements of this part.

525

     (3) The department shall adopt rules to establish a process

526

for determining compliance with the prelicensure requirements of

527

this part. The department shall adopt rules prescribing the forms

528

necessary to administer the prelicensure requirements of this

529

part.

530

     (4) Approval to teach prescribed or approved appraisal

531

courses does not entitle the instructor to teach any courses

532

outside the scope of this part.

533

     626.9939 Grounds for compulsory refusal, suspension, or

534

revocation of an umpire's license.--In addition to the grounds

535

set forth in s. 626.611, the department shall deny an application

536

for, and suspend, revoke, or refuse to renew or continue, a

537

license as a property insurance appraisal umpire if it finds that

538

the licensee has:

539

     (1) Violated a duty imposed upon her or him by law or by

540

the terms of a contract, whether written, oral, express, or

541

implied, in an appraisal; has aided, assisted, or conspired with

542

any other person engaged in any such misconduct and in

543

furtherance thereof; or has formed an intent, design, or scheme

544

to engage in such misconduct and committed an overt act in

545

furtherance of such intent, design, or scheme. It is immaterial

546

to a finding that a licensee has committed a violation of this

547

subsection that the victim or intended victim of the misconduct

548

has sustained no damage or loss, that the damage or loss has been

549

settled and paid after the discovery of misconduct, or that such

550

victim or intended victim was a customer or a person in a

551

confidential relation with the licensee or was an identified

552

member of the general public.

553

     (2) Violated any provision of this part or any lawful order

554

or rule of the department.

555

     (3) Had a registration, license, or certification as an

556

appraiser revoked, suspended, or otherwise acted against; has had

557

his or her registration, license, or certificate to practice or

558

conduct any regulated profession, business, or vocation revoked

559

or suspended by this or any other state, any nation, or any

560

possession or district of the United States; or has had an

561

application for such registration, licensure, or certification to

562

practice or conduct any regulated profession, business, or

563

vocation denied by this or any other state, any nation, or any

564

possession or district of the United States.

565

     (4) Made or filed a report or record, either written or

566

oral, which the licensee knows to be false; has willfully failed

567

to file a report or record required by state or federal law; has

568

willfully impeded or obstructed such filing; or has induced

569

another person to impede or obstruct such filing.

570

     (5) Accepted an appointment as an umpire if the appointment

571

itself is contingent upon the umpire reporting a predetermined

572

result, analysis, or opinion, or if the fee to be paid for the

573

services of the umpire is contingent upon the opinion,

574

conclusion, or valuation reached by the umpire.

575

     626.9940 Grounds for discretionary denial, suspension, or

576

revocation of a license as a property insurance appraisal

577

umpire.--In addition to the applicable grounds set forth in s.

578

626.621, the department may deny an application for and suspend,

579

revoke, or refuse to renew or continue a license as a property

580

insurance appraisal umpire, if it finds that the umpire has:

581

     (1) Failed to timely communicate with the appraisers

582

without good cause.

583

     (2) Failed or refused to exercise reasonable diligence in

584

submitting recommendations to the appraisers.

585

     (3) Violated any ethical standard for property insurance

586

appraisal umpires set forth in s. 626.9941.

587

     (4) Failed to inform the department in writing within 30

588

days after pleading guilty or nolo contendere to, or being

589

convicted or found guilty of, any felony.

590

     (5) Failed to timely notify the department of any change in

591

business location, or has failed to fully disclose all business

592

locations from which he or she operates as a property insurance

593

appraisal umpire.

594

     626.9941 Ethical standards for property insurance appraisal

595

umpires.--

596

     (1) IMPARTIALITY.--An umpire shall be neutral and maintain

597

impartiality throughout the appraisal process. Impartiality means

598

freedom from favoritism or bias in word, action, or appearance.

599

An umpire shall withdraw from appraisal if the umpire is no

600

longer impartial.

601

     (2) GIFTS AND SOLICITATION.--An umpire may not give or

602

accept any gift, favor, loan, or other item of value in an

603

appraisal process. During the appraisal process, an umpire may

604

not solicit or otherwise attempt to procure future professional

605

services.

606

     (3) CONFLICTS OF INTEREST.--An umpire may not participate

607

in a matter that presents a clear or undisclosed conflict of

608

interest. A conflict of interest arises when any relationship

609

between the umpire and the appraisal participants or the subject

610

matter of the dispute compromises, or appears to compromise, the

611

umpire's impartiality.

612

     (4) BURDEN OF DISCLOSURE.--The burden of disclosure of any

613

potential conflict of interest rests on the umpire. Disclosure

614

must be made as soon as practical after the umpire becomes aware

615

of the interest or relationship giving rise to the potential

616

conflict of interest.

617

     (5) EFFECT OF DISCLOSURE.--After appropriate disclosure,

618

the umpire may serve if all parties agree. However, if a conflict

619

of interest clearly impairs an umpire's impartiality, the umpire

620

shall withdraw regardless of the express agreement of the

621

parties.

622

     (6) CONFIDENTIALITY.--An umpire shall maintain

623

confidentiality of all information revealed during an appraisal

624

except where disclosure is required by law.

625

     (7) RECORDKEEPING.--An umpire shall maintain

626

confidentiality in the storage and disposal of records and may

627

not disclose any identifying information when materials are used

628

for research, training, or statistical compilations.

629

     (8) FEES AND EXPENSES.--An umpire holds a position of

630

trust. Fees charged for appraisal services shall be reasonable

631

and consistent with the nature of the case. An umpire shall be

632

guided by the following general principles in determining fees:

633

     (a) Any charges for services as an umpire based on time may

634

not exceed actual time spent or allocated;

635

     (b) Charges for costs shall be for those actually incurred;

636

and

637

     (c) An umpire may not charge, agree to, or accept as

638

compensation or reimbursement any payment, commission, or fee

639

that is based on a percentage basis, or that is contingent upon

640

arriving at a particular value or any future happening or outcome

641

of the assignment.

642

     (9) MAINTENANCE OF RECORDS.--An umpire shall maintain

643

records necessary to support charges for services and expenses

644

and upon request shall provide an accounting of all applicable

645

charges to the parties.

646

     (10) ADVERTISING.--An umpire may not engage in marketing

647

practices that contain false or misleading information. An umpire

648

shall ensure that any advertisements of the umpire's

649

qualifications, services to be rendered, or the appraisal process

650

are accurate and honest. An umpire may not make claims of

651

achieving specific outcomes or promises implying favoritism for

652

the purpose of obtaining business.

653

     (11) INTEGRITY AND IMPARTIALITY.--An umpire may not accept

654

any engagement, provide any service, or perform any act that

655

would compromise the umpire's integrity or impartiality.

656

     (12) SKILL AND EXPERIENCE.--An umpire shall decline an

657

appointment or selection, withdraw, or request appropriate

658

assistance when the facts and circumstances of the appraisal are

659

beyond the umpire's skill or experience.

660

     626.9942 Retention of records.--An umpire licensed under

661

this part shall retain for at least 5 years original or true

662

copies of any contracts engaging the umpire's services, appraisal

663

reports, and supporting data assembled and formulated by the

664

umpire in preparing appraisal reports. The period for retaining

665

the records applicable to each engagement of the services of the

666

umpire starts on the date of the submission of the appraisal

667

report to the client. These records must be made available by the

668

umpire for inspection and copying by the department upon

669

reasonable notice to the umpire. If an appraisal has been the

670

subject of, or has been admitted as evidence in, a lawsuit,

671

reports and records must be retained for at least 2 years after

672

the date on which the trial ends.

673

     Section 7.  Section 627.4141, Florida Statutes, is created

674

to read:

675

     627.4141 Residential or commercial property insurance loss

676

appraisal.--If a residential or commercial residential property

677

insurance contract provides that either party may submit a

678

written demand to enter into the process of appraisal if the

679

insured and the insurer fail to mutually agree as to the actual

680

cash value, the amount of loss, or the cost of repair or

681

replacement of property for which a claim has been filed, that

682

process shall be governed by this section. The insurer may refuse

683

to accept the demand only if the insured materially failed to

684

comply with the post-loss obligations of the insured as set forth

685

in the policy conditions.

686

     (1) Each party shall select a competent and independent

687

appraiser and notify the other party of the appraiser selected

688

within 20 days after the date of the demand for appraisal. The

689

appraisers shall select a competent, independent, and impartial

690

umpire who is on the department's list of licensed property

691

insurance appraisal umpires. If the appraisers are unable to

692

agree on an umpire within 15 days, the insured or the insurer may

693

file a petition with a county or circuit court in the

694

jurisdiction in which the covered property is located to

695

designate a licensed property insurance appraisal umpire for the

696

appraisal.

697

     (2) Appraisal proceedings are informal unless the insured

698

and the insurer mutually agree otherwise. For purposes of this

699

section, "informal" means that no formal discovery shall be

700

conducted, including depositions, interrogatories, requests for

701

admission, or other forms of formal civil discovery; no formal

702

rules of evidence shall be applied; and no court reporter shall

703

be used for the proceedings.

704

     (3) Each appraiser shall appraise the loss and submit a

705

written report to the other appraiser, separately stating the

706

cost of the loss, the actual cash value, or the cost to repair or

707

replace each item. The appraisers shall attempt to resolve any

708

differences in their appraisals and reach a mutual agreement on

709

all matters. If the appraisers are unable to agree, they shall

710

submit the differences in their findings to the umpire.

711

     (4) The umpire shall review any differences in appraisals

712

submitted by the appraisers and determine the amount of the loss

713

for each item submitted. Within 10 days after receipt of any

714

differences in appraisals, the umpire shall submit the umpire's

715

conclusions in writing to each appraiser.

716

     (5) If either appraiser agrees with the conclusions of the

717

umpire, an itemized written appraisal award signed by the umpire

718

and the appraiser shall be filed with the insurer and shall

719

determine the amount of the loss.

720

     (6) The appraisal award is binding on the insurer and the

721

insured with regard to the amount of the loss. The insurer

722

retains the right to enforce policy terms, conditions, and

723

exclusions with regard to coverage issues.

724

     (7) Each appraiser shall be paid by the party who selects

725

the appraiser and the expenses of the appraisal and fees of the

726

umpire shall be paid by the parties equally except, if the final

727

determination of the amount of the loss exceeds 50 percent of the

728

insurer's original appraisal, the insurer shall pay all of the

729

expenses, including any fees and expenses charged by the

730

insured's appraiser and all fees and expenses of the umpire.

731

     (8) The provisions of the Florida Arbitration Code do not

732

apply to residential and commercial property insurance loss

733

appraisal proceedings.

734

     (9) The appraisal process may not address issues involving

735

whether or not the loss or damage is covered under the terms of

736

the insurance contract. However, the appraisers and the umpire

737

may consider causation issues, when necessary, to determine the

738

amount of loss.

739

     Section 8.  This act shall take effect July 1, 2008.

CODING: Words stricken are deletions; words underlined are additions.