HB 803

1
A bill to be entitled
2An act relating to property and casualty insurance;
3amending s. 624.407, F.S.; revising the amount of surplus
4funds required for domestic insurers applying for a
5certificate of authority after a certain date; amending s.
6624.408, F.S.; revising the minimum surplus that must be
7maintained by certain insurers; authorizing the Office of
8Insurance Regulation to reduce the surplus requirement
9under specified circumstances; amending s. 624.4095, F.S.;
10excluding certain premiums for federal multiple-peril crop
11insurance from calculations for an insurer's gross writing
12ratio; requiring insurers to disclose the gross written
13premiums for federal multiple-peril crop insurance in a
14financial statement; amending s. 624.424; revising the
15frequency that an insurer may use the same accountant or
16partner to prepare an annual audited financial report;
17amending s. 626.854, F.S.; providing limitations on the
18amount of compensation that may be received by a public
19adjuster for a reopened or supplemental claim; providing
20statements that may be considered deceptive or misleading
21if made in any public adjuster's advertisement or
22solicitation; providing a definition for the term "written
23advertisement"; requiring that a disclaimer be included in
24any public adjuster's written advertisement; providing
25requirements for such disclaimer; requiring certain
26persons who act on behalf of an insurer to provide notice
27to the insurer, claimant, public adjuster, or legal
28representative for an onsite inspection of the insured
29property; authorizing the insured or claimant to deny
30access to the property if notice is not provided;
31requiring the public adjuster to ensure prompt notice of
32certain property loss claims; providing that an insurer be
33allowed to interview the insured directly about the loss
34claim; prohibiting the insurer from obstructing or
35preventing the public adjuster from communicating with the
36insured; requiring that the insurer communicate with the
37public adjuster in an effort to reach an agreement as to
38the scope of the covered loss under the insurance policy;
39prohibiting a public adjuster from restricting or
40preventing persons acting on behalf of the insured from
41having reasonable access to the insured or the insured's
42property; prohibiting a public adjuster from restricting
43or preventing the insured's adjuster from having
44reasonable access to or inspecting the insured's property;
45authorizing the insured's adjuster to be present for the
46inspection; prohibiting a licensed contractor or
47subcontractor from adjusting a claim on behalf of an
48insured if such contractor or subcontractor is not a
49licensed public adjuster; providing an exception; amending
50s. 626.8651, F.S.; requiring that a public adjuster
51apprentice complete a minimum number of hours of
52continuing education to qualify for licensure; amending s.
53626.8796, F.S.; providing requirements for a public
54adjuster contract; creating s. 626.70132, F.S.; requiring
55that notice of a claim, supplemental claim, or reopened
56claim be given to the insurer within a specified period
57after a windstorm or hurricane occurs; providing a
58definition for the terms "supplemental claim" or "reopened
59claim"; providing applicability; amending s. 627.0613,
60F.S.; deleting the duty of the consumer advocate to
61prepare an annual report card for each authorized personal
62residential property insurer; amending s. 627.062, F.S.;
63requiring that the office issue an approval rather than a
64notice of intent to approve following its approval of a
65file and use filing; deleting an obsolete provision;
66prohibiting the Office of Insurance Regulation from,
67directly or indirectly, impeding the right of an insurer
68to acquire policyholders, advertise or appoint agents, or
69regulate agent commissions; revising the information that
70must be included in a rate filing relating to certain
71reinsurance or financing products; deleting a provision
72that prohibited an insurer from making certain rate
73filings within a certain period of time after a rate
74increase; deleting a provision prohibiting an insurer from
75filing for a rate increase within 6 months after it makes
76certain rate filings; deleting obsolete provisions
77relating to legislation enacted during the 2003 Special
78Session D of the Legislature; amending s. 627.0629, F.S.;
79providing legislative intent that insurers provide
80consumers with accurate pricing signals for alterations in
81order to minimize losses, but that mitigation discounts
82not result in a loss of income for the insurer; requiring
83rate filings for residential property insurance to include
84actuarially reasonable debits that provide proper pricing;
85providing for an increase in base rates if mitigation
86discounts exceed the aggregate reduction in expected
87losses; deleting obsolete provisions; deleting a
88requirement that the Office of Insurance Regulation
89propose a method for establishing discounts, debits,
90credits, and other rate differentials for hurricane
91mitigation by a certain date; requiring the Financial
92Services Commission to adopt rules relating to such debits
93by a certain date; deleting a provision that prohibits an
94insurer from including an expense or profit load in the
95cost of reinsurance to replace the Temporary Increase in
96Coverage Limits; conforming provisions to changes made by
97the act; amending s. 627.351, F.S.; renaming the "high-
98risk account" as the "coastal account"; revising the
99conditions under which the Citizens policyholder surcharge
100may be imposed; providing that members of the Citizens
101Property Insurance Corporation Board of Governors are not
102prohibited from practicing in a certain profession if not
103prohibited by law or ordinance; prohibiting board members
104from voting on certain measures; changing the date on
105which the boundaries of high-risk areas eligible for
106certain wind-only coverages will be reduced if certain
107circumstances exist; amending s. 627.3511, F.S.;
108conforming provisions to changes made by the act; amending
109s. 627.4133, F.S.; reducing the amount of time before a
110policy nonrenewal, cancellation, or termination is allowed
111to take effect after notification of an insured; deleting
112a prior notification period applicable to the nonrenewal,
113cancellation, or termination of certain policies in effect
114for a specified duration; authorizing an insurer to cancel
115policies after 45 days' notice if the Office of Insurance
116Regulation determines that the cancellation of policies is
117necessary to protect the interests of the public or
118policyholders; authorizing the Office of Insurance
119Regulation to place an insurer under administrative
120supervision or appoint a receiver upon the consent of the
121insurer under certain circumstances; creating s.
122627.43141, F.S.; providing definitions; requiring the
123delivery of a "Notice of Change in Policy Terms" under
124certain circumstances; specifying requirements for such
125notice; specifying actions constituting proof of notice;
126authorizing policy renewals to contain a change in policy
127terms; providing that receipt of payment by an insurer is
128deemed acceptance of new policy terms by an insured;
129providing that the original policy remains in effect until
130the occurrence of specified events if an insurer fails to
131provide notice; providing intent; amending s. 627.7011,
132F.S.; requiring that an insurer pay the actual cash value
133of an insured loss for a dwelling, less any applicable
134deductible, under certain circumstances; requiring that a
135policyholder enter into a contract for the performance of
136building and structural repairs in order to receive
137payment; requiring that an insurer pay certain remaining
138amounts; restricting insurers and contractors from
139requiring advance payments for certain repairs and
140expenses; providing an exception to requiring advance
141payments; requiring an insurer to pay the replacement
142costs if a total loss occurs; allowing an insurer to limit
143its initial payment for losses to personal property;
144authorizing an insurer to require an insured to provide
145receipts for the purchase of property financed with
146certain actual cash value payments; requiring an insurer
147to use the receipts in a specified manner and as part of a
148continuing process; requiring notice of the process in the
149insurance contract; amending s. 627.70131, F.S.;
150specifying application of certain time periods to initial
151or supplemental property insurance claim notices and
152payments; providing legislative findings with respect to
1532005 statutory changes relating to sinkhole insurance
154coverage and statutory changes in this act; amending s.
155627.706, F.S.; authorizing an insurer to limit coverage
156for catastrophic ground cover collapse to the principal
157building and to have discretion to provide additional
158coverage; allowing the deductible to include costs
159relating to an investigation of whether sinkhole activity
160is present; revising definitions; defining the term
161"structural damage"; placing a 2-year statute of repose on
162claims for sinkhole coverage; amending s. 627.7061, F.S.;
163conforming provisions to changes made by the act;
164repealing s. 627.7065, F.S., relating to the establishment
165of a sinkhole database; amending s. 627.707, F.S.;
166revising provisions relating to the investigation of
167sinkholes by insurers; deleting a requirement that the
168insurer provide a policyholder with a statement regarding
169testing for sinkhole activity; providing a time limitation
170for demanding sinkhole testing by a policyholder and
171entering into a contract for repairs; requiring all
172repairs to be completed within a certain time; providing
173exceptions; prohibiting rebates to policyholders from
174persons performing repairs; voiding coverage if a rebate
175is received; requiring policyholders to refund rebates
176from persons performing repairs to insurers; providing a
177criminal penalty on a policyholder for accepting rebates
178from persons performing repairs; limiting a policyholder's
179liability for reimbursement of the costs related to
180certain analyses and services; amending s. 627.7073, F.S.;
181revising provisions relating to inspection reports;
182providing that the presumption that the report is correct
183shifts the burden of proof; requiring an insurer to file a
184neutral evaluator's report and other specific information;
185requiring the policyholder to file certain reports as a
186precondition to accepting payment; requiring certain
187filing and recording costs to be borne by a policyholder;
188specifying that a policyholder's recording of a report
189does not legally affect title or create certain causes of
190action relating to real property; requiring a seller of
191real property to provide a buyer with a copy of any
192inspection reports and certifications; amending s.
193627.7074, F.S.; revising provisions relating to neutral
194evaluation; requiring evaluation in order to make certain
195determinations; requiring that the neutral evaluator be
196allowed access to structures being evaluated; providing
197grounds for disqualifying an evaluator; allowing the
198Department of Financial Services to appoint an evaluator
199if the parties cannot come to agreement; revising the
200timeframes for scheduling a neutral evaluation conference;
201authorizing an evaluator to enlist another evaluator or
202other professionals; providing a time certain for issuing
203a report; providing that certain information is
204confidential; revising provisions relating to compliance
205with the evaluator's recommendations; providing that the
206evaluator is an agent of the department for the purposes
207of immunity from suit; requiring the department to adopt
208rules; amending s. 627.712, F.S.; conforming provisions to
209changes made by the act; providing legislative intent;
210providing severability; providing effective dates.
211
212Be It Enacted by the Legislature of the State of Florida:
213
214     Section 1.  Section 624.407, Florida Statutes, is amended
215to read:
216     624.407  Surplus Capital funds required; new insurers.-
217     (1)  To receive authority to transact any one kind or
218combinations of kinds of insurance, as defined in part V of this
219chapter, an insurer applying for its original certificate of
220authority in this state after November 10, 1993, the effective
221date of this section shall possess surplus funds as to
222policyholders at least not less than the greater of:
223     (a)  Five million dollars For a property and casualty
224insurer, $5 million, or $2.5 million for any other insurer;
225     (b)  For life insurers, 4 percent of the insurer's total
226liabilities;
227     (c)  For life and health insurers, 4 percent of the
228insurer's total liabilities, plus 6 percent of the insurer's
229liabilities relative to health insurance; or
230     (d)  For all insurers other than life insurers and life and
231health insurers, 10 percent of the insurer's total liabilities;
232or
233     (e)  Notwithstanding paragraph (a) or paragraph (d), for a
234domestic insurer that transacts residential property insurance
235and is:
236     1.  Not a wholly owned subsidiary of an insurer domiciled
237in any other state on or before July 1, 2011, and until June 30,
2382016, $5 million; on or after July 1, 2016, and until June 30,
2392021, $10 million; and on or after July 1, 2021, $15 million.
240     2.  however, a domestic insurer that transacts residential
241property insurance and is A wholly owned subsidiary of an
242insurer domiciled in any other state, shall possess surplus as
243to policyholders of at least $50 million.
244     (3)  Notwithstanding subsections (1) and (2), a new insurer
245may not be required, but no insurer shall be required under this
246subsection to have surplus as to policyholders greater than $100
247million.
248     (4)(2)  The requirements of this section shall be based
249upon all the kinds of insurance actually transacted or to be
250transacted by the insurer in any and all areas in which it
251operates, whether or not only a portion of such kinds of
252insurance are to be transacted in this state.
253     (5)(3)  As to surplus funds as to policyholders required
254for qualification to transact one or more kinds of insurance,
255domestic mutual insurers are governed by chapter 628, and
256domestic reciprocal insurers are governed by chapter 629.
257     (6)(4)  For the purposes of this section, liabilities do
258shall not include liabilities required under s. 625.041(4). For
259purposes of computing minimum surplus funds as to policyholders
260pursuant to s. 625.305(1), liabilities shall include liabilities
261required under s. 625.041(4).
262     (7)(5)  The provisions of this section, as amended by
263chapter 89-360, Laws of Florida this act, shall apply only to
264insurers applying for a certificate of authority on or after
265October 1, 1989 the effective date of this act.
266     Section 2.  Section 624.408, Florida Statutes, is amended
267to read:
268     624.408  Surplus funds as to policyholders required;
269current new and existing insurers.-
270     (1)(a)  To maintain a certificate of authority to transact
271any one kind or combinations of kinds of insurance, as defined
272in part V of this chapter, an insurer in this state must shall
273at all times maintain surplus funds as to policyholders at least
274not less than the greater of:
275     (a)1.  Except as provided in paragraphs (e),(f), and (g)
276subparagraph 5. and paragraph (b), $1.5 million.;
277     (b)2.  For life insurers, 4 percent of the insurer's total
278liabilities.;
279     (c)3.  For life and health insurers, 4 percent of the
280insurer's total liabilities plus 6 percent of the insurer's
281liabilities relative to health insurance.; or
282     (d)4.  For all insurers other than mortgage guaranty
283insurers, life insurers, and life and health insurers, 10
284percent of the insurer's total liabilities.
285     (e)5.  For property and casualty insurers, $4 million,
286except for property and casualty insurers authorized to
287underwrite any line of residential property insurance.
288     (f)(b)  For residential any property insurers not and
289casualty insurer holding a certificate of authority before July
2901, 2011 on December 1, 1993, $15 million. the
291     (g)  For residential property insurers holding a
292certificate of authority before July 1, 2011, and until June 30,
2932016, $5 million; on or after July 1, 2016, and until June 30,
2942021, $10 million; on or after July 1, 2021, $15 million. The
295office may reduce this surplus requirement if the insurer is not
296writing new business, has premiums in force of less than $1
297million per year in residential property insurance, or is a
298mutual insurance company. following amounts apply instead of the
299$4 million required by subparagraph (a)5.:
300     1.  On December 31, 2001, and until December 30, 2002, $3
301million.
302     2.  On December 31, 2002, and until December 30, 2003,
303$3.25 million.
304     3.  On December 31, 2003, and until December 30, 2004, $3.6
305million.
306     4.  On December 31, 2004, and thereafter, $4 million.
307     (2)  For purposes of this section, liabilities do shall not
308include liabilities required under s. 625.041(4). For purposes
309of computing minimum surplus as to policyholders pursuant to s.
310625.305(1), liabilities shall include liabilities required under
311s. 625.041(4).
312     (3)  This section does not require an No insurer shall be
313required under this section to have surplus as to policyholders
314greater than $100 million.
315     (4)  A mortgage guaranty insurer shall maintain a minimum
316surplus as required by s. 635.042.
317     Section 3.  Subsection (7) is added to section 624.4095,
318Florida Statutes, to read:
319     624.4095  Premiums written; restrictions.-
320     (7)  For the purposes of this section and ss. 624.407 and
321624.408, with respect to capital and surplus requirements, gross
322written premiums for federal multiple-peril crop insurance which
323are ceded to the Federal Crop Insurance Corporation or
324authorized reinsurers may not be included in the calculation of
325an insurer's gross writing ratio. The liabilities for ceded
326reinsurance premiums payable for federal multiple-peril crop
327insurance ceded to the Federal Crop Insurance Corporation and
328authorized reinsurers shall be netted against the asset for
329amounts recoverable from reinsurers. Each insurer that writes
330other insurance products together with federal multiple-peril
331crop insurance must disclose in the notes to its annual and
332quarterly financial statements, or in a supplement to those
333statements, the gross written premiums for federal multiple-
334peril crop insurance.
335     Section 4.  Paragraph (d) of subsection (8) of section
336624.424, Florida Statutes, is amended to read:
337     624.424  Annual statement and other information.-
338     (8)
339     (d)  An insurer may not use the same accountant or partner
340of an accounting firm responsible for preparing the report
341required by this subsection for more than 5 7 consecutive years.
342Following this period, the insurer may not use such accountant
343or partner for a period of 5 2 years, but may use another
344accountant or partner of the same firm. An insurer may request
345the office to waive this prohibition based upon an unusual
346hardship to the insurer and a determination that the accountant
347is exercising independent judgment that is not unduly influenced
348by the insurer considering such factors as the number of
349partners, expertise of the partners or the number of insurance
350clients of the accounting firm; the premium volume of the
351insurer; and the number of jurisdictions in which the insurer
352transacts business.
353     Section 5.  Effective June 1, 2011, subsection (11) of
354section 626.854, Florida Statutes, is amended to read:
355     626.854  "Public adjuster" defined; prohibitions.-The
356Legislature finds that it is necessary for the protection of the
357public to regulate public insurance adjusters and to prevent the
358unauthorized practice of law.
359     (11)(a)  If a public adjuster enters into a contract with
360an insured or claimant to reopen a claim or to file a
361supplemental claim that seeks additional payments for a claim
362that has been previously paid in part or in full or settled by
363the insurer, the public adjuster may not charge, agree to, or
364accept any compensation, payment, commission, fee, or other
365thing of value based on a previous settlement or previous claim
366payments by the insurer for the same cause of loss. The charge,
367compensation, payment, commission, fee, or other thing of value
368must may be based only on the claim payments or settlement
369obtained through the work of the public adjuster after entering
370into the contract with the insured or claimant. Compensation for
371the reopened or supplemental claim may not exceed 20 percent of
372the reopened or supplemental claim payment. The contracts
373described in this paragraph are not subject to the limitations
374in paragraph (b).
375     (b)  A public adjuster may not charge, agree to, or accept
376any compensation, payment, commission, fee, or other thing of
377value in excess of:
378     1.  Ten percent of the amount of insurance claim payments
379made by the insurer for claims based on events that are the
380subject of a declaration of a state of emergency by the
381Governor. This provision applies to claims made during the
382period of 1 year after the declaration of emergency. After that
383year, the limitations in subparagraph 2. apply.
384     2.  Twenty percent of the amount of all other insurance
385claim payments made by the insurer for claims that are not based
386on events that are the subject of a declaration of a state of
387emergency by the Governor.
388
389The provisions of subsections (5)-(13) apply only to residential
390property insurance policies and condominium association policies
391as defined in s. 718.111(11).
392     Section 6.  Effective January 1, 2012, section 626.854,
393Florida Statutes, as amended by this act, is amended to read:
394     626.854  "Public adjuster" defined; prohibitions.-The
395Legislature finds that it is necessary for the protection of the
396public to regulate public insurance adjusters and to prevent the
397unauthorized practice of law.
398     (1)  A "public adjuster" is any person, except a duly
399licensed attorney at law as exempted under hereinafter in s.
400626.860 provided, who, for money, commission, or any other thing
401of value, prepares, completes, or files an insurance claim form
402for an insured or third-party claimant or who, for money,
403commission, or any other thing of value, acts or aids in any
404manner on behalf of, or aids an insured or third-party claimant
405in negotiating for or effecting the settlement of a claim or
406claims for loss or damage covered by an insurance contract or
407who advertises for employment as an adjuster of such claims. The
408term, and also includes any person who, for money, commission,
409or any other thing of value, solicits, investigates, or adjusts
410such claims on behalf of a any such public adjuster.
411     (2)  This definition does not apply to:
412     (a)  A licensed health care provider or employee thereof
413who prepares or files a health insurance claim form on behalf of
414a patient.
415     (b)  A person who files a health claim on behalf of another
416and does so without compensation.
417     (3)  A public adjuster may not give legal advice or. A
418public adjuster may not act on behalf of or aid any person in
419negotiating or settling a claim relating to bodily injury,
420death, or noneconomic damages.
421     (4)  For purposes of this section, the term "insured"
422includes only the policyholder and any beneficiaries named or
423similarly identified in the policy.
424     (5)  A public adjuster may not directly or indirectly
425through any other person or entity solicit an insured or
426claimant by any means except on Monday through Saturday of each
427week and only between the hours of 8 a.m. and 8 p.m. on those
428days.
429     (6)  A public adjuster may not directly or indirectly
430through any other person or entity initiate contact or engage in
431face-to-face or telephonic solicitation or enter into a contract
432with any insured or claimant under an insurance policy until at
433least 48 hours after the occurrence of an event that may be the
434subject of a claim under the insurance policy unless contact is
435initiated by the insured or claimant.
436     (7)  An insured or claimant may cancel a public adjuster's
437contract to adjust a claim without penalty or obligation within
4383 business days after the date on which the contract is executed
439or within 3 business days after the date on which the insured or
440claimant has notified the insurer of the claim, by phone or in
441writing, whichever is later. The public adjuster's contract must
442shall disclose to the insured or claimant his or her right to
443cancel the contract and advise the insured or claimant that
444notice of cancellation must be submitted in writing and sent by
445certified mail, return receipt requested, or other form of
446mailing that which provides proof thereof, to the public
447adjuster at the address specified in the contract; provided,
448during any state of emergency as declared by the Governor and
449for a period of 1 year after the date of loss, the insured or
450claimant has shall have 5 business days after the date on which
451the contract is executed to cancel a public adjuster's contract.
452     (8)  It is an unfair and deceptive insurance trade practice
453pursuant to s. 626.9541 for a public adjuster or any other
454person to circulate or disseminate any advertisement,
455announcement, or statement containing any assertion,
456representation, or statement with respect to the business of
457insurance which is untrue, deceptive, or misleading.
458     (a)  The following statements, made in any public
459adjuster's advertisement or solicitation, are considered
460deceptive or misleading:
461     1.  A statement or representation that invites an insured
462policyholder to submit a claim when the policyholder does not
463have covered damage to insured property.
464     2.  A statement or representation that invites an insured
465policyholder to submit a claim by offering monetary or other
466valuable inducement.
467     3.  A statement or representation that invites an insured
468policyholder to submit a claim by stating that there is "no
469risk" to the policyholder by submitting such claim.
470     4.  A statement or representation, or use of a logo or
471shield, that implies or could mistakenly be construed to imply
472that the solicitation was issued or distributed by a
473governmental agency or is sanctioned or endorsed by a
474governmental agency.
475     (b)  For purposes of this paragraph, the term "written
476advertisement" includes only newspapers, magazines, flyers, and
477bulk mailers. The following disclaimer, which is not required to
478be printed on standard size business cards, must be added in
479bold print and capital letters in typeface no smaller than the
480typeface of the body of the text to all written advertisements
481by a public adjuster:
482"THIS IS A SOLICITATION FOR BUSINESS. IF YOU HAVE HAD
483A CLAIM FOR AN INSURED PROPERTY LOSS OR DAMAGE AND YOU
484ARE SATISFIED WITH THE PAYMENT BY YOUR INSURER, YOU
485MAY DISREGARD THIS ADVERTISEMENT."
486
487     (9)  A public adjuster, a public adjuster apprentice, or
488any person or entity acting on behalf of a public adjuster or
489public adjuster apprentice may not give or offer to give a
490monetary loan or advance to a client or prospective client.
491     (10)  A public adjuster, public adjuster apprentice, or any
492individual or entity acting on behalf of a public adjuster or
493public adjuster apprentice may not give or offer to give,
494directly or indirectly, any article of merchandise having a
495value in excess of $25 to any individual for the purpose of
496advertising or as an inducement to entering into a contract with
497a public adjuster.
498     (11)(a)  If a public adjuster enters into a contract with
499an insured or claimant to reopen a claim or file a supplemental
500claim that seeks additional payments for a claim that has been
501previously paid in part or in full or settled by the insurer,
502the public adjuster may not charge, agree to, or accept any
503compensation, payment, commission, fee, or other thing of value
504based on a previous settlement or previous claim payments by the
505insurer for the same cause of loss. The charge, compensation,
506payment, commission, fee, or other thing of value must be based
507only on the claim payments or settlement obtained through the
508work of the public adjuster after entering into the contract
509with the insured or claimant. Compensation for the reopened or
510supplemental claim may not exceed 20 percent of the reopened or
511supplemental claim payment. The contracts described in this
512paragraph are not subject to the limitations in paragraph (b).
513     (b)  A public adjuster may not charge, agree to, or accept
514any compensation, payment, commission, fee, or other thing of
515value in excess of:
516     1.  Ten percent of the amount of insurance claim payments
517made by the insurer for claims based on events that are the
518subject of a declaration of a state of emergency by the
519Governor. This provision applies to claims made during the year
520after the declaration of emergency. After that year, the
521limitations in subparagraph 2. apply.
522     2.  Twenty percent of the amount of insurance claim
523payments made by the insurer for claims that are not based on
524events that are the subject of a declaration of a state of
525emergency by the Governor.
526     (12)  Each public adjuster must shall provide to the
527claimant or insured a written estimate of the loss to assist in
528the submission of a proof of loss or any other claim for payment
529of insurance proceeds. The public adjuster shall retain such
530written estimate for at least 5 years and shall make the such
531estimate available to the claimant or insured and the department
532upon request.
533     (13)  A public adjuster, public adjuster apprentice, or any
534person acting on behalf of a public adjuster or apprentice may
535not accept referrals of business from any person with whom the
536public adjuster conducts business if there is any form or manner
537of agreement to compensate the person, whether directly or
538indirectly, for referring business to the public adjuster. A
539public adjuster may not compensate any person, except for
540another public adjuster, whether directly or indirectly, for the
541principal purpose of referring business to the public adjuster.
542     (14)  A company employee adjuster, independent adjuster,
543attorney, investigator, or other persons acting on behalf of an
544insurer that needs access to an insured or claimant or to the
545insured property that is the subject of a claim must provide at
546least 48 hours' notice to the insured or claimant, public
547adjuster, or legal representative before scheduling a meeting
548with the claimant or an onsite inspection of the insured
549property. The insured or claimant may deny access to the
550property if the notice has not been provided. The insured or
551claimant may waive the 48-hour notice.
552     (15)  A public adjuster must ensure prompt notice of
553property loss claims submitted to an insurer by or through a
554public adjuster or on which a public adjuster represents the
555insured at the time the claim or notice of loss is submitted to
556the insurer. The public adjuster must ensure that notice is
557given to the insurer, the public adjuster's contract is provided
558to the insurer, the property is available for inspection of the
559loss or damage by the insurer, and the insurer is given an
560opportunity to interview the insured directly about the loss and
561claim. The insurer must be allowed to obtain necessary
562information to investigate and respond to the claim.
563     (a)  The insurer may not exclude the public adjuster from
564its in-person meetings with the insured. The insurer shall meet
565or communicate with the public adjuster in an effort to reach
566agreement as to the scope of the covered loss under the
567insurance policy. This section does not impair the terms and
568conditions of the insurance policy in effect at the time the
569claim is filed.
570     (b)  A public adjuster may not restrict or prevent an
571insurer, company employee adjuster, independent adjuster,
572attorney, investigator, or other person acting on behalf of the
573insurer from having reasonable access at reasonable times to an
574insured or claimant or to the insured property that is the
575subject of a claim.
576     (c)  A public adjuster may not act or fail to reasonably
577act in any manner that obstructs or prevents an insurer or
578insurer's adjuster from timely conducting an inspection of any
579part of the insured property for which there is a claim for loss
580or damage. The public adjuster representing the insured may be
581present for the insurer's inspection, but if the unavailability
582of the public adjuster otherwise delays the insurer's timely
583inspection of the property, the public adjuster or the insured
584must allow the insurer to have access to the property without
585the participation or presence of the public adjuster or insured
586in order to facilitate the insurer's prompt inspection of the
587loss or damage.
588     (16)  A licensed contractor under part I of chapter 489, or
589a subcontractor, may not adjust a claim on behalf of an insured
590unless licensed and compliant as a public adjuster under this
591chapter. However, the contractor may discuss or explain a bid
592for construction or repair of covered property with the
593residential property owner who has suffered loss or damage
594covered by a property insurance policy, or the insurer of such
595property, if the contractor is doing so for the usual and
596customary fees applicable to the work to be performed as stated
597in the contract between the contractor and the insured.
598     (17)  The provisions of subsections (5)-(16) (5)-(13) apply
599only to residential property insurance policies and condominium
600unit owner association policies as defined in s. 718.111(11).
601     Section 7.  Effective January 1, 2012, subsection (6) of
602section 626.8651, Florida Statutes, is amended to read:
603     626.8651  Public adjuster apprentice license;
604qualifications.-
605     (6)  To qualify for licensure as a public adjuster, a
606public adjuster apprentice must shall complete: at
607     (a)  A minimum of 100 hours of employment per month for 12
608months of employment under the supervision of a licensed and
609appointed all-lines public adjuster in order to qualify for
610licensure as a public adjuster. The department may adopt rules
611that establish standards for such employment requirements.
612     (b)  A minimum of 8 hours of continuing education specific
613to the practice of a public adjuster, 2 hours of which must
614relate to ethics. The continuing education must be designed to
615inform the licensee about the current insurance laws of this
616state for the purpose of enabling him or her to engage in
617business as an insurance adjuster fairly and without injury to
618the public and to adjust all claims in accordance with the
619insurance contract and the laws of this state.
620     Section 8.  Effective January 1, 2012, section 626.8796,
621Florida Statutes, is amended to read:
622     626.8796  Public adjuster contracts; fraud statement.-
623     (1)  All contracts for public adjuster services must be in
624writing and must prominently display the following statement on
625the contract: "Pursuant to s. 817.234, Florida Statutes, any
626person who, with the intent to injure, defraud, or deceive an
627any insurer or insured, prepares, presents, or causes to be
628presented a proof of loss or estimate of cost or repair of
629damaged property in support of a claim under an insurance policy
630knowing that the proof of loss or estimate of claim or repairs
631contains any false, incomplete, or misleading information
632concerning any fact or thing material to the claim commits a
633felony of the third degree, punishable as provided in s.
634775.082, s. 775.083, or s. 775.084, Florida Statutes."
635     (2)  A public adjuster contract must contain the full name,
636permanent business address, and license number of the public
637adjuster; the full name of the public adjusting firm; and the
638insured's full name and street address, together with a brief
639description of the loss. The contract must state the percentage
640of compensation for the public adjuster's services; the type of
641claim, including an emergency claim, nonemergency claim, or
642supplemental claim; the signatures of the public adjuster and
643all named insureds; and the signature date. If all of the named
644insureds' signatures are not available, the public adjuster must
645submit an affidavit signed by the available named insureds
646attesting that they have authority to enter into the contract
647and settle all claim issues on behalf of the named insureds. An
648unaltered copy of the executed contract must be remitted to the
649insurer within 30 days after execution.
650     Section 9.  Effective June 1, 2011, section 626.70132,
651Florida Statutes, is created to read:
652     626.70132  Notice of windstorm or hurricane claim.-A claim,
653supplemental claim, or reopened claim under an insurance policy
654that provides personal lines residential coverage, as defined in
655s. 627.4025, for loss or damage caused by the peril of windstorm
656or hurricane is barred unless notice of the claim, supplemental
657claim, or reopened claim was given to the insurer in accordance
658with the terms of the policy within 3 years after the hurricane
659first made landfall or the windstorm caused the covered damage.
660For purposes of this section, the term "supplemental claim" or
661"reopened claim" means any additional claim for recovery from
662the insurer for losses from the same hurricane or windstorm
663which the insurer has previously adjusted pursuant to the
664initial claim. This section does not affect any applicable
665limitation on civil actions provided in s. 95.11 for claims,
666supplemental claims, or reopened claims timely filed under this
667section.
668     Section 10.  Subsections (4) and (5) of section 627.0613,
669Florida Statutes, are amended to read:
670     627.0613  Consumer advocate.-The Chief Financial Officer
671must appoint a consumer advocate who must represent the general
672public of the state before the department and the office. The
673consumer advocate must report directly to the Chief Financial
674Officer, but is not otherwise under the authority of the
675department or of any employee of the department. The consumer
676advocate has such powers as are necessary to carry out the
677duties of the office of consumer advocate, including, but not
678limited to, the powers to:
679     (4)  Prepare an annual report card for each authorized
680personal residential property insurer, on a form and using a
681letter-grade scale developed by the commission by rule, which
682grades each insurer based on the following factors:
683     (a)  The number and nature of consumer complaints, as a
684market share ratio, received by the department against the
685insurer.
686     (b)  The disposition of all complaints received by the
687department.
688     (c)  The average length of time for payment of claims by
689the insurer.
690     (d)  Any other factors the commission identifies as
691assisting policyholders in making informed choices about
692homeowner's insurance.
693     (5)  Prepare an annual budget for presentation to the
694Legislature by the department, which budget must be adequate to
695carry out the duties of the office of consumer advocate.
696     Section 11.  Section 627.062, Florida Statutes, is amended
697to read:
698     627.062  Rate standards.-
699     (1)  The rates for all classes of insurance to which the
700provisions of this part are applicable may shall not be
701excessive, inadequate, or unfairly discriminatory.
702     (2)  As to all such classes of insurance:
703     (a)  Insurers or rating organizations shall establish and
704use rates, rating schedules, or rating manuals that to allow the
705insurer a reasonable rate of return on the such classes of
706insurance written in this state. A copy of rates, rating
707schedules, rating manuals, premium credits or discount
708schedules, and surcharge schedules, and changes thereto, must
709shall be filed with the office under one of the following
710procedures except as provided in subparagraph 3.:
711     1.  If the filing is made at least 90 days before the
712proposed effective date and the filing is not implemented during
713the office's review of the filing and any proceeding and
714judicial review, then such filing is shall be considered a "file
715and use" filing. In such case, the office shall finalize its
716review by issuance of an approval a notice of intent to approve
717or a notice of intent to disapprove within 90 days after receipt
718of the filing. The approval notice of intent to approve and the
719notice of intent to disapprove constitute agency action for
720purposes of the Administrative Procedure Act. Requests for
721supporting information, requests for mathematical or mechanical
722corrections, or notification to the insurer by the office of its
723preliminary findings does shall not toll the 90-day period
724during any such proceedings and subsequent judicial review. The
725rate shall be deemed approved if the office does not issue an
726approval a notice of intent to approve or a notice of intent to
727disapprove within 90 days after receipt of the filing.
728     2.  If the filing is not made in accordance with the
729provisions of subparagraph 1., such filing must shall be made as
730soon as practicable, but within no later than 30 days after the
731effective date, and is shall be considered a "use and file"
732filing. An insurer making a "use and file" filing is potentially
733subject to an order by the office to return to policyholders
734those portions of rates found to be excessive, as provided in
735paragraph (h).
736     3.  For all property insurance filings made or submitted
737after January 25, 2007, but before December 31, 2010, an insurer
738seeking a rate that is greater than the rate most recently
739approved by the office shall make a "file and use" filing. For
740purposes of this subparagraph, motor vehicle collision and
741comprehensive coverages are not considered to be property
742coverages.
743     (b)  Upon receiving a rate filing, the office shall review
744the rate filing to determine if a rate is excessive, inadequate,
745or unfairly discriminatory. In making that determination, the
746office shall, in accordance with generally accepted and
747reasonable actuarial techniques, consider the following factors:
748     1.  Past and prospective loss experience within and without
749this state.
750     2.  Past and prospective expenses.
751     3.  The degree of competition among insurers for the risk
752insured.
753     4.  Investment income reasonably expected by the insurer,
754consistent with the insurer's investment practices, from
755investable premiums anticipated in the filing, plus any other
756expected income from currently invested assets representing the
757amount expected on unearned premium reserves and loss reserves.
758The commission may adopt rules using reasonable techniques of
759actuarial science and economics to specify the manner in which
760insurers shall calculate investment income attributable to such
761classes of insurance written in this state and the manner in
762which such investment income is shall be used to calculate
763insurance rates. Such manner must shall contemplate allowances
764for an underwriting profit factor and full consideration of
765investment income which produce a reasonable rate of return;
766however, investment income from invested surplus may not be
767considered.
768     5.  The reasonableness of the judgment reflected in the
769filing.
770     6.  Dividends, savings, or unabsorbed premium deposits
771allowed or returned to Florida policyholders, members, or
772subscribers.
773     7.  The adequacy of loss reserves.
774     8.  The cost of reinsurance. The office may shall not
775disapprove a rate as excessive solely due to the insurer having
776obtained catastrophic reinsurance to cover the insurer's
777estimated 250-year probable maximum loss or any lower level of
778loss.
779     9.  Trend factors, including trends in actual losses per
780insured unit for the insurer making the filing.
781     10.  Conflagration and catastrophe hazards, if applicable.
782     11.  Projected hurricane losses, if applicable, which must
783be estimated using a model or method found to be acceptable or
784reliable by the Florida Commission on Hurricane Loss Projection
785Methodology, and as further provided in s. 627.0628.
786     12.  A reasonable margin for underwriting profit and
787contingencies.
788     13.  The cost of medical services, if applicable.
789     14.  Other relevant factors that affect which impact upon
790the frequency or severity of claims or upon expenses.
791     (c)  In the case of fire insurance rates, consideration
792must shall be given to the availability of water supplies and
793the experience of the fire insurance business during a period of
794not less than the most recent 5-year period for which such
795experience is available.
796     (d)  If conflagration or catastrophe hazards are considered
797given consideration by an insurer in its rates or rating plan,
798including surcharges and discounts, the insurer shall establish
799a reserve for that portion of the premium allocated to such
800hazard and shall maintain the premium in a catastrophe reserve.
801Any Removal of such premiums from the reserve for purposes other
802than paying claims associated with a catastrophe or purchasing
803reinsurance for catastrophes must be approved by shall be
804subject to approval of the office. Any ceding commission
805received by an insurer purchasing reinsurance for catastrophes
806must shall be placed in the catastrophe reserve.
807     (e)  After consideration of the rate factors provided in
808paragraphs (b), (c), and (d), the office may find a rate may be
809found by the office to be excessive, inadequate, or unfairly
810discriminatory based upon the following standards:
811     1.  Rates shall be deemed excessive if they are likely to
812produce a profit from Florida business which that is
813unreasonably high in relation to the risk involved in the class
814of business or if expenses are unreasonably high in relation to
815services rendered.
816     2.  Rates shall be deemed excessive if, among other things,
817the rate structure established by a stock insurance company
818provides for replenishment of surpluses from premiums, if when
819the replenishment is attributable to investment losses.
820     3.  Rates shall be deemed inadequate if they are clearly
821insufficient, together with the investment income attributable
822to them, to sustain projected losses and expenses in the class
823of business to which they apply.
824     4.  A rating plan, including discounts, credits, or
825surcharges, shall be deemed unfairly discriminatory if it fails
826to clearly and equitably reflect consideration of the
827policyholder's participation in a risk management program
828adopted pursuant to s. 627.0625.
829     5.  A rate shall be deemed inadequate as to the premium
830charged to a risk or group of risks if discounts or credits are
831allowed which exceed a reasonable reflection of expense savings
832and reasonably expected loss experience from the risk or group
833of risks.
834     6.  A rate shall be deemed unfairly discriminatory as to a
835risk or group of risks if the application of premium discounts,
836credits, or surcharges among such risks does not bear a
837reasonable relationship to the expected loss and expense
838experience among the various risks.
839     (f)  In reviewing a rate filing, the office may require the
840insurer to provide, at the insurer's expense, all information
841necessary to evaluate the condition of the company and the
842reasonableness of the filing according to the criteria
843enumerated in this section.
844     (g)  The office may at any time review a rate, rating
845schedule, rating manual, or rate change; the pertinent records
846of the insurer; and market conditions. If the office finds on a
847preliminary basis that a rate may be excessive, inadequate, or
848unfairly discriminatory, the office shall initiate proceedings
849to disapprove the rate and shall so notify the insurer. However,
850the office may not disapprove as excessive any rate for which it
851has given final approval or which has been deemed approved for a
852period of 1 year after the effective date of the filing unless
853the office finds that a material misrepresentation or material
854error was made by the insurer or was contained in the filing.
855Upon being so notified, the insurer or rating organization
856shall, within 60 days, file with the office all information that
857which, in the belief of the insurer or organization, proves the
858reasonableness, adequacy, and fairness of the rate or rate
859change. The office shall issue an approval a notice of intent to
860approve or a notice of intent to disapprove pursuant to the
861procedures of paragraph (a) within 90 days after receipt of the
862insurer's initial response. In such instances and in any
863administrative proceeding relating to the legality of the rate,
864the insurer or rating organization shall carry the burden of
865proof by a preponderance of the evidence to show that the rate
866is not excessive, inadequate, or unfairly discriminatory. After
867the office notifies an insurer that a rate may be excessive,
868inadequate, or unfairly discriminatory, unless the office
869withdraws the notification, the insurer may shall not alter the
870rate except to conform to with the office's notice until the
871earlier of 120 days after the date the notification was provided
872or 180 days after the date of implementing the implementation of
873the rate. The office may, subject to chapter 120, may disapprove
874without the 60-day notification any rate increase filed by an
875insurer within the prohibited time period or during the time
876that the legality of the increased rate is being contested.
877     (h)  If In the event the office finds that a rate or rate
878change is excessive, inadequate, or unfairly discriminatory, the
879office shall issue an order of disapproval specifying that a new
880rate or rate schedule, which responds to the findings of the
881office, be filed by the insurer. The office shall further order,
882for any "use and file" filing made in accordance with
883subparagraph (a)2., that premiums charged each policyholder
884constituting the portion of the rate above that which was
885actuarially justified be returned to the such policyholder in
886the form of a credit or refund. If the office finds that an
887insurer's rate or rate change is inadequate, the new rate or
888rate schedule filed with the office in response to such a
889finding is shall be applicable only to new or renewal business
890of the insurer written on or after the effective date of the
891responsive filing.
892     (i)  Except as otherwise specifically provided in this
893chapter, the office may shall not, directly or indirectly:
894     1.  Prohibit any insurer, including any residual market
895plan or joint underwriting association, from paying acquisition
896costs based on the full amount of premium, as defined in s.
897627.403, applicable to any policy, or prohibit any such insurer
898from including the full amount of acquisition costs in a rate
899filing; or.
900     2.  Impede, abridge, or otherwise compromise an insurer's
901right to acquire policyholders, advertise, or appoint agents,
902including the calculation, manner, or amount of such agent
903commissions, if any.
904     (j)  With respect to residential property insurance rate
905filings, the rate filing must account for mitigation measures
906undertaken by policyholders to reduce hurricane losses.
907     (k)1.  An insurer may make a separate filing limited solely
908to an adjustment of its rates for reinsurance or financing costs
909incurred in the purchase of reinsurance or financing products to
910replace or finance the payment of the amount covered by the
911Temporary Increase in Coverage Limits (TICL) portion of the
912Florida Hurricane Catastrophe Fund including replacement
913reinsurance for the TICL reductions made pursuant to s.
914215.555(17)(e); the actual cost paid due to the application of
915the TICL premium factor pursuant to s. 215.555(17)(f); and the
916actual cost paid due to the application of the cash build-up
917factor pursuant to s. 215.555(5)(b) if the insurer:
918     a.  Elects to purchase financing products such as a
919liquidity instrument or line of credit, in which case the cost
920included in the filing for the liquidity instrument or line of
921credit may not result in a premium increase exceeding 3 percent
922for any individual policyholder. All costs contained in the
923filing may not result in an overall premium increase of more
924than 10 percent for any individual policyholder.
925     b.  An insurer that makes a separate filing relating to
926reinsurance or financing products must include Includes in the
927filing a copy of all of its reinsurance, liquidity instrument,
928or line of credit contracts; proof of the billing or payment for
929the contracts; and the calculation upon which the proposed rate
930change is based demonstrating demonstrates that the costs meet
931the criteria of this section and are not loaded for expenses or
932profit for the insurer making the filing.
933     c.  Includes no other changes to its rates in the filing.
934     d.  Has not implemented a rate increase within the 6 months
935immediately preceding the filing.
936     e.  Does not file for a rate increase under any other
937paragraph within 6 months after making a filing under this
938paragraph.
939     c.f.  An insurer that purchases reinsurance or financing
940products from an affiliated company may make a separate filing
941in compliance with this paragraph does so only if the costs for
942such reinsurance or financing products are charged at or below
943charges made for comparable coverage by nonaffiliated reinsurers
944or financial entities making such coverage or financing products
945available in this state.
946     2.  An insurer may only make only one filing per in any 12-
947month period under this paragraph.
948     3.  An insurer that elects to implement a rate change under
949this paragraph must file its rate filing with the office at
950least 45 days before the effective date of the rate change.
951After an insurer submits a complete filing that meets all of the
952requirements of this paragraph, the office has 45 days after the
953date of the filing to review the rate filing and determine if
954the rate is excessive, inadequate, or unfairly discriminatory.
955
956The provisions of this subsection do shall not apply to workers'
957compensation, and employer's liability insurance, and to motor
958vehicle insurance.
959     (3)(a)  For individual risks that are not rated in
960accordance with the insurer's rates, rating schedules, rating
961manuals, and underwriting rules filed with the office and that
962which have been submitted to the insurer for individual rating,
963the insurer must maintain documentation on each risk subject to
964individual risk rating. The documentation must identify the
965named insured and specify the characteristics and classification
966of the risk supporting the reason for the risk being
967individually risk rated, including any modifications to existing
968approved forms to be used on the risk. The insurer must maintain
969these records for a period of at least 5 years after the
970effective date of the policy.
971     (b)  Individual risk rates and modifications to existing
972approved forms are not subject to this part or part II, except
973for paragraph (a) and ss. 627.402, 627.403, 627.4035, 627.404,
974627.405, 627.406, 627.407, 627.4085, 627.409, 627.4132,
975627.4133, 627.415, 627.416, 627.417, 627.419, 627.425, 627.426,
976627.4265, 627.427, and 627.428, but are subject to all other
977applicable provisions of this code and rules adopted thereunder.
978     (c)  This subsection does not apply to private passenger
979motor vehicle insurance.
980     (d)1.  The following categories or kinds of insurance and
981types of commercial lines risks are not subject to paragraph
982(2)(a) or paragraph (2)(f):
983     a.  Excess or umbrella.
984     b.  Surety and fidelity.
985     c.  Boiler and machinery and leakage and fire extinguishing
986equipment.
987     d.  Errors and omissions.
988     e.  Directors and officers, employment practices, and
989management liability.
990     f.  Intellectual property and patent infringement
991liability.
992     g.  Advertising injury and Internet liability insurance.
993     h.  Property risks rated under a highly protected risks
994rating plan.
995     i.  Any other commercial lines categories or kinds of
996insurance or types of commercial lines risks that the office
997determines should not be subject to paragraph (2)(a) or
998paragraph (2)(f) because of the existence of a competitive
999market for such insurance, similarity of such insurance to other
1000categories or kinds of insurance not subject to paragraph (2)(a)
1001or paragraph (2)(f), or to improve the general operational
1002efficiency of the office.
1003     2.  Insurers or rating organizations shall establish and
1004use rates, rating schedules, or rating manuals to allow the
1005insurer a reasonable rate of return on insurance and risks
1006described in subparagraph 1. which are written in this state.
1007     3.  An insurer must notify the office of any changes to
1008rates for insurance and risks described in subparagraph 1.
1009within no later than 30 days after the effective date of the
1010change. The notice must include the name of the insurer, the
1011type or kind of insurance subject to rate change, total premium
1012written during the immediately preceding year by the insurer for
1013the type or kind of insurance subject to the rate change, and
1014the average statewide percentage change in rates. Underwriting
1015files, premiums, losses, and expense statistics with regard to
1016such insurance and risks described in subparagraph 1. written by
1017an insurer must shall be maintained by the insurer and subject
1018to examination by the office. Upon examination, the office
1019shall, in accordance with generally accepted and reasonable
1020actuarial techniques, shall consider the rate factors in
1021paragraphs (2)(b), (c), and (d) and the standards in paragraph
1022(2)(e) to determine if the rate is excessive, inadequate, or
1023unfairly discriminatory.
1024     4.  A rating organization must notify the office of any
1025changes to loss cost for insurance and risks described in
1026subparagraph 1. within no later than 30 days after the effective
1027date of the change. The notice must include the name of the
1028rating organization, the type or kind of insurance subject to a
1029loss cost change, loss costs during the immediately preceding
1030year for the type or kind of insurance subject to the loss cost
1031change, and the average statewide percentage change in loss
1032cost. Loss and exposure statistics with regard to risks
1033applicable to loss costs for a rating organization not subject
1034to paragraph (2)(a) or paragraph (2)(f) must shall be maintained
1035by the rating organization and are subject to examination by the
1036office. Upon examination, the office shall, in accordance with
1037generally accepted and reasonable actuarial techniques, shall
1038consider the rate factors in paragraphs (2)(b)-(d) and the
1039standards in paragraph (2)(e) to determine if the rate is
1040excessive, inadequate, or unfairly discriminatory.
1041     5.  In reviewing a rate, the office may require the insurer
1042to provide, at the insurer's expense, all information necessary
1043to evaluate the condition of the company and the reasonableness
1044of the rate according to the applicable criteria described in
1045this section.
1046     (4)  The establishment of any rate, rating classification,
1047rating plan or schedule, or variation thereof in violation of
1048part IX of chapter 626 is also in violation of this section. In
1049order to enhance the ability of consumers to compare premiums
1050and to increase the accuracy and usefulness of rate-comparison
1051information provided by the office to the public, the office
1052shall develop a proposed standard rating territory plan to be
1053used by all authorized property and casualty insurers for
1054residential property insurance. In adopting the proposed plan,
1055the office may consider geographical characteristics relevant to
1056risk, county lines, major roadways, existing rating territories
1057used by a significant segment of the market, and other relevant
1058factors. Such plan shall be submitted to the President of the
1059Senate and the Speaker of the House of Representatives by
1060January 15, 2006. The plan may not be implemented unless
1061authorized by further act of the Legislature.
1062     (5)  With respect to a rate filing involving coverage of
1063the type for which the insurer is required to pay a
1064reimbursement premium to the Florida Hurricane Catastrophe Fund,
1065the insurer may fully recoup in its property insurance premiums
1066any reimbursement premiums paid to the Florida Hurricane
1067Catastrophe fund, together with reasonable costs of other
1068reinsurance; however, but except as otherwise provided in this
1069section, the insurer may not recoup reinsurance costs that
1070duplicate coverage provided by the Florida Hurricane Catastrophe
1071fund. An insurer may not recoup more than 1 year of
1072reimbursement premium at a time. Any under-recoupment from the
1073prior year may be added to the following year's reimbursement
1074premium, and any over-recoupment must shall be subtracted from
1075the following year's reimbursement premium.
1076     (6)(a)  If an insurer requests an administrative hearing
1077pursuant to s. 120.57 related to a rate filing under this
1078section, the director of the Division of Administrative Hearings
1079shall expedite the hearing and assign an administrative law
1080judge who shall commence the hearing within 30 days after the
1081receipt of the formal request and shall enter a recommended
1082order within 30 days after the hearing or within 30 days after
1083receipt of the hearing transcript by the administrative law
1084judge, whichever is later. Each party shall have be allowed 10
1085days in which to submit written exceptions to the recommended
1086order. The office shall enter a final order within 30 days after
1087the entry of the recommended order. The provisions of this
1088paragraph may be waived upon stipulation of all parties.
1089     (b)  Upon entry of a final order, the insurer may request a
1090expedited appellate review pursuant to the Florida Rules of
1091Appellate Procedure. It is the intent of the Legislature that
1092the First District Court of Appeal grant an insurer's request
1093for an expedited appellate review.
1094     (7)(a)  The provisions of this subsection apply only with
1095respect to rates for medical malpractice insurance and shall
1096control to the extent of any conflict with other provisions of
1097this section.
1098     (a)(b)  Any portion of a judgment entered or settlement
1099paid as a result of a statutory or common-law bad faith action
1100and any portion of a judgment entered which awards punitive
1101damages against an insurer may not be included in the insurer's
1102rate base, and shall not be used to justify a rate or rate
1103change. Any common-law bad faith action identified as such, any
1104portion of a settlement entered as a result of a statutory or
1105common-law action, or any portion of a settlement wherein an
1106insurer agrees to pay specific punitive damages may not be used
1107to justify a rate or rate change. The portion of the taxable
1108costs and attorney's fees which is identified as being related
1109to the bad faith and punitive damages in these judgments and
1110settlements may not be included in the insurer's rate base and
1111used may not be utilized to justify a rate or rate change.
1112     (b)(c)  Upon reviewing a rate filing and determining
1113whether the rate is excessive, inadequate, or unfairly
1114discriminatory, the office shall consider, in accordance with
1115generally accepted and reasonable actuarial techniques, past and
1116present prospective loss experience, either using loss
1117experience solely for this state or giving greater credibility
1118to this state's loss data after applying actuarially sound
1119methods of assigning credibility to such data.
1120     (c)(d)  Rates shall be deemed excessive if, among other
1121standards established by this section, the rate structure
1122provides for replenishment of reserves or surpluses from
1123premiums when the replenishment is attributable to investment
1124losses.
1125     (d)(e)  The insurer must apply a discount or surcharge
1126based on the health care provider's loss experience or shall
1127establish an alternative method giving due consideration to the
1128provider's loss experience. The insurer must include in the
1129filing a copy of the surcharge or discount schedule or a
1130description of the alternative method used, and must provide a
1131copy of such schedule or description, as approved by the office,
1132to policyholders at the time of renewal and to prospective
1133policyholders at the time of application for coverage.
1134     (e)(f)  Each medical malpractice insurer must make a rate
1135filing under this section, sworn to by at least two executive
1136officers of the insurer, at least once each calendar year.
1137     (8)(a)1.  No later than 60 days after the effective date of
1138medical malpractice legislation enacted during the 2003 Special
1139Session D of the Florida Legislature, the office shall calculate
1140a presumed factor that reflects the impact that the changes
1141contained in such legislation will have on rates for medical
1142malpractice insurance and shall issue a notice informing all
1143insurers writing medical malpractice coverage of such presumed
1144factor. In determining the presumed factor, the office shall use
1145generally accepted actuarial techniques and standards provided
1146in this section in determining the expected impact on losses,
1147expenses, and investment income of the insurer. To the extent
1148that the operation of a provision of medical malpractice
1149legislation enacted during the 2003 Special Session D of the
1150Florida Legislature is stayed pending a constitutional
1151challenge, the impact of that provision shall not be included in
1152the calculation of a presumed factor under this subparagraph.
1153     2.  No later than 60 days after the office issues its
1154notice of the presumed rate change factor under subparagraph 1.,
1155each insurer writing medical malpractice coverage in this state
1156shall submit to the office a rate filing for medical malpractice
1157insurance, which will take effect no later than January 1, 2004,
1158and apply retroactively to policies issued or renewed on or
1159after the effective date of medical malpractice legislation
1160enacted during the 2003 Special Session D of the Florida
1161Legislature. Except as authorized under paragraph (b), the
1162filing shall reflect an overall rate reduction at least as great
1163as the presumed factor determined under subparagraph 1. With
1164respect to policies issued on or after the effective date of
1165such legislation and prior to the effective date of the rate
1166filing required by this subsection, the office shall order the
1167insurer to make a refund of the amount that was charged in
1168excess of the rate that is approved.
1169     (b)  Any insurer or rating organization that contends that
1170the rate provided for in paragraph (a) is excessive, inadequate,
1171or unfairly discriminatory shall separately state in its filing
1172the rate it contends is appropriate and shall state with
1173specificity the factors or data that it contends should be
1174considered in order to produce such appropriate rate. The
1175insurer or rating organization shall be permitted to use all of
1176the generally accepted actuarial techniques provided in this
1177section in making any filing pursuant to this subsection. The
1178office shall review each such exception and approve or
1179disapprove it prior to use. It shall be the insurer's burden to
1180actuarially justify any deviations from the rates required to be
1181filed under paragraph (a). The insurer making a filing under
1182this paragraph shall include in the filing the expected impact
1183of medical malpractice legislation enacted during the 2003
1184Special Session D of the Florida Legislature on losses,
1185expenses, and rates.
1186     (c)  If any provision of medical malpractice legislation
1187enacted during the 2003 Special Session D of the Florida
1188Legislature is held invalid by a court of competent
1189jurisdiction, the office shall permit an adjustment of all
1190medical malpractice rates filed under this section to reflect
1191the impact of such holding on such rates so as to ensure that
1192the rates are not excessive, inadequate, or unfairly
1193discriminatory.
1194     (d)  Rates approved on or before July 1, 2003, for medical
1195malpractice insurance shall remain in effect until the effective
1196date of a new rate filing approved under this subsection.
1197     (e)  The calculation and notice by the office of the
1198presumed factor pursuant to paragraph (a) is not an order or
1199rule that is subject to chapter 120. If the office enters into a
1200contract with an independent consultant to assist the office in
1201calculating the presumed factor, such contract shall not be
1202subject to the competitive solicitation requirements of s.
1203287.057.
1204     (8)(9)(a)  The chief executive officer or chief financial
1205officer of a property insurer and the chief actuary of a
1206property insurer must certify under oath and subject to the
1207penalty of perjury, on a form approved by the commission, the
1208following information, which must accompany a rate filing:
1209     1.  The signing officer and actuary have reviewed the rate
1210filing;
1211     2.  Based on the signing officer's and actuary's knowledge,
1212the rate filing does not contain any untrue statement of a
1213material fact or omit to state a material fact necessary in
1214order to make the statements made, in light of the circumstances
1215under which such statements were made, not misleading;
1216     3.  Based on the signing officer's and actuary's knowledge,
1217the information and other factors described in paragraph (2)(b),
1218including, but not limited to, investment income, fairly present
1219in all material respects the basis of the rate filing for the
1220periods presented in the filing; and
1221     4.  Based on the signing officer's and actuary's knowledge,
1222the rate filing reflects all premium savings that are reasonably
1223expected to result from legislative enactments and are in
1224accordance with generally accepted and reasonable actuarial
1225techniques.
1226     (b)  A signing officer or actuary who knowingly makes
1227making a false certification under this subsection commits a
1228violation of s. 626.9541(1)(e) and is subject to the penalties
1229under s. 626.9521.
1230     (c)  Failure to provide such certification by the officer
1231and actuary shall result in the rate filing being disapproved
1232without prejudice to be refiled.
1233     (d)  A certification made pursuant to paragraph (a) is not
1234rendered false if, after making the subject rate filing, the
1235insurer provides the office with additional or supplementary
1236information pursuant to a formal or informal request from the
1237office.
1238     (e)(d)  The commission may adopt rules and forms pursuant
1239to ss. 120.536(1) and 120.54 to administer this subsection.
1240     (9)(10)  The burden is on the office to establish that
1241rates are excessive for personal lines residential coverage with
1242a dwelling replacement cost of $1 million or more or for a
1243single condominium unit with a combined dwelling and contents
1244replacement cost of $1 million or more. Upon request of the
1245office, the insurer shall provide to the office such loss and
1246expense information as the office reasonably needs to meet this
1247burden.
1248     (10)(11)  Any interest paid pursuant to s. 627.70131(5) may
1249not be included in the insurer's rate base and may not be used
1250to justify a rate or rate change.
1251     Section 12.  Subsections (1) and (5) and paragraph (b) of
1252subsection (8) of section 627.0629, Florida Statutes, are
1253amended to read:
1254     627.0629  Residential property insurance; rate filings.-
1255     (1)(a)  It is the intent of the Legislature that insurers
1256must provide the most accurate pricing signals available in
1257order savings to encourage consumers to who install or implement
1258windstorm damage mitigation techniques, alterations, or
1259solutions to their properties to prevent windstorm losses. It is
1260also the intent of the Legislature that implementation of
1261mitigation discounts not result in a loss of income to the
1262insurers granting the discounts, so that the aggregate of such
1263discounts not exceed the aggregate of the expected reduction in
1264loss attributable to the mitigation efforts for which discounts
1265are granted. A rate filing for residential property insurance
1266must include actuarially reasonable discounts, credits, debits,
1267or other rate differentials, or appropriate reductions in
1268deductibles, which provide the proper pricing for all
1269properties. The rate filing must take into account the presence
1270or absence of on which fixtures or construction techniques
1271demonstrated to reduce the amount of loss in a windstorm which
1272have been installed or implemented. The fixtures or construction
1273techniques must shall include, but not be limited to, fixtures
1274or construction techniques that which enhance roof strength,
1275roof covering performance, roof-to-wall strength, wall-to-floor-
1276to-foundation strength, opening protection, and window, door,
1277and skylight strength. Credits, debits, discounts, or other rate
1278differentials, or appropriate reductions or increases in
1279deductibles, which recognize the presence or absence of for
1280fixtures and construction techniques that which meet the minimum
1281requirements of the Florida Building Code must be included in
1282the rate filing. If an insurer demonstrates that the aggregate
1283of its mitigation discounts results in a reduction to revenue
1284which exceeds the reduction of the aggregate loss that is
1285expected to result from the mitigation, the insurer may recover
1286the lost revenue through an increase in its base rates. All
1287insurance companies must make a rate filing which includes the
1288credits, discounts, or other rate differentials or reductions in
1289deductibles by February 28, 2003. By July 1, 2007, the office
1290shall reevaluate the discounts, credits, other rate
1291differentials, and appropriate reductions in deductibles for
1292fixtures and construction techniques that meet the minimum
1293requirements of the Florida Building Code, based upon actual
1294experience or any other loss relativity studies available to the
1295office. The office shall determine the discounts, credits,
1296debits, other rate differentials, and appropriate reductions or
1297increases in deductibles that reflect the full actuarial value
1298of such revaluation, which may be used by insurers in rate
1299filings.
1300     (b)  By February 1, 2011, the Office of Insurance
1301Regulation, in consultation with the Department of Financial
1302Services and the Department of Community Affairs, shall develop
1303and make publicly available a proposed method for insurers to
1304establish discounts, credits, or other rate differentials for
1305hurricane mitigation measures which directly correlate to the
1306numerical rating assigned to a structure pursuant to the uniform
1307home grading scale adopted by the Financial Services Commission
1308pursuant to s. 215.55865, including any proposed changes to the
1309uniform home grading scale. By October 1, 2011, the commission
1310shall adopt rules requiring insurers to make rate filings for
1311residential property insurance which revise insurers' discounts,
1312credits, or other rate differentials for hurricane mitigation
1313measures so that such rate differentials correlate directly to
1314the uniform home grading scale. The rules may include such
1315changes to the uniform home grading scale as the commission
1316determines are necessary, and may specify the minimum required
1317discounts, credits, or other rate differentials. Such rate
1318differentials must be consistent with generally accepted
1319actuarial principles and wind-loss mitigation studies. The rules
1320shall allow a period of at least 2 years after the effective
1321date of the revised mitigation discounts, credits, or other rate
1322differentials for a property owner to obtain an inspection or
1323otherwise qualify for the revised credit, during which time the
1324insurer shall continue to apply the mitigation credit that was
1325applied immediately prior to the effective date of the revised
1326credit. Discounts, credits, and other rate differentials
1327established for rate filings under this paragraph shall
1328supersede, after adoption, the discounts, credits, and other
1329rate differentials included in rate filings under paragraph (a).
1330     (5)  In order to provide an appropriate transition period,
1331an insurer may, in its sole discretion, implement an approved
1332rate filing for residential property insurance over a period of
1333years. Such An insurer electing to phase in its rate filing must
1334provide an informational notice to the office setting out its
1335schedule for implementation of the phased-in rate filing. The An
1336insurer may include in its rate the actual cost of private
1337market reinsurance that corresponds to available coverage of the
1338Temporary Increase in Coverage Limits, TICL, from the Florida
1339Hurricane Catastrophe Fund. The insurer may also include the
1340cost of reinsurance to replace the TICL reduction implemented
1341pursuant to s. 215.555(17)(d)9. However, this cost for
1342reinsurance may not include any expense or profit load or result
1343in a total annual base rate increase in excess of 10 percent.
1344     (8)  EVALUATION OF RESIDENTIAL PROPERTY STRUCTURAL
1345SOUNDNESS.-
1346     (b)  To the extent that funds are provided for this purpose
1347in the General Appropriations Act, the Legislature hereby
1348authorizes the establishment of a program to be administered by
1349the Citizens Property Insurance Corporation for homeowners
1350insured in the coastal high-risk account is authorized.
1351     Section 13.  Paragraphs (b), (c), (d), (v), and (y) of
1352subsection (6) of section 627.351, Florida Statutes, are amended
1353to read:
1354     627.351  Insurance risk apportionment plans.-
1355     (6)  CITIZENS PROPERTY INSURANCE CORPORATION.-
1356     (b)1.  All insurers authorized to write one or more subject
1357lines of business in this state are subject to assessment by the
1358corporation and, for the purposes of this subsection, are
1359referred to collectively as "assessable insurers." Insurers
1360writing one or more subject lines of business in this state
1361pursuant to part VIII of chapter 626 are not assessable
1362insurers, but insureds who procure one or more subject lines of
1363business in this state pursuant to part VIII of chapter 626 are
1364subject to assessment by the corporation and are referred to
1365collectively as "assessable insureds." An authorized insurer's
1366assessment liability begins shall begin on the first day of the
1367calendar year following the year in which the insurer was issued
1368a certificate of authority to transact insurance for subject
1369lines of business in this state and terminates shall terminate 1
1370year after the end of the first calendar year during which the
1371insurer no longer holds a certificate of authority to transact
1372insurance for subject lines of business in this state.
1373     2.a.  All revenues, assets, liabilities, losses, and
1374expenses of the corporation shall be divided into three separate
1375accounts as follows:
1376     (I)  A personal lines account for personal residential
1377policies issued by the corporation, or issued by the Residential
1378Property and Casualty Joint Underwriting Association and renewed
1379by the corporation, which provides that provide comprehensive,
1380multiperil coverage on risks that are not located in areas
1381eligible for coverage by in the Florida Windstorm Underwriting
1382Association as those areas were defined on January 1, 2002, and
1383for such policies that do not provide coverage for the peril of
1384wind on risks that are located in such areas;
1385     (II)  A commercial lines account for commercial residential
1386and commercial nonresidential policies issued by the
1387corporation, or issued by the Residential Property and Casualty
1388Joint Underwriting Association and renewed by the corporation,
1389which provides that provide coverage for basic property perils
1390on risks that are not located in areas eligible for coverage by
1391in the Florida Windstorm Underwriting Association as those areas
1392were defined on January 1, 2002, and for such policies that do
1393not provide coverage for the peril of wind on risks that are
1394located in such areas; and
1395     (III)  A coastal high-risk account for personal residential
1396policies and commercial residential and commercial
1397nonresidential property policies issued by the corporation, or
1398transferred to the corporation, which provides that provide
1399coverage for the peril of wind on risks that are located in
1400areas eligible for coverage by in the Florida Windstorm
1401Underwriting Association as those areas were defined on January
14021, 2002. The corporation may offer policies that provide
1403multiperil coverage and the corporation shall continue to offer
1404policies that provide coverage only for the peril of wind for
1405risks located in areas eligible for coverage in the coastal
1406high-risk account. In issuing multiperil coverage, the
1407corporation may use its approved policy forms and rates for the
1408personal lines account. An applicant or insured who is eligible
1409to purchase a multiperil policy from the corporation may
1410purchase a multiperil policy from an authorized insurer without
1411prejudice to the applicant's or insured's eligibility to
1412prospectively purchase a policy that provides coverage only for
1413the peril of wind from the corporation. An applicant or insured
1414who is eligible for a corporation policy that provides coverage
1415only for the peril of wind may elect to purchase or retain such
1416policy and also purchase or retain coverage excluding wind from
1417an authorized insurer without prejudice to the applicant's or
1418insured's eligibility to prospectively purchase a policy that
1419provides multiperil coverage from the corporation. It is the
1420goal of the Legislature that there would be an overall average
1421savings of 10 percent or more for a policyholder who currently
1422has a wind-only policy with the corporation, and an ex-wind
1423policy with a voluntary insurer or the corporation, and who then
1424obtains a multiperil policy from the corporation. It is the
1425intent of the Legislature that the offer of multiperil coverage
1426in the coastal high-risk account be made and implemented in a
1427manner that does not adversely affect the tax-exempt status of
1428the corporation or creditworthiness of or security for currently
1429outstanding financing obligations or credit facilities of the
1430coastal high-risk account, the personal lines account, or the
1431commercial lines account. The coastal high-risk account must
1432also include quota share primary insurance under subparagraph
1433(c)2. The area eligible for coverage under the coastal high-risk
1434account also includes the area within Port Canaveral, which is
1435bordered on the south by the City of Cape Canaveral, bordered on
1436the west by the Banana River, and bordered on the north by
1437Federal Government property.
1438     b.  The three separate accounts must be maintained as long
1439as financing obligations entered into by the Florida Windstorm
1440Underwriting Association or Residential Property and Casualty
1441Joint Underwriting Association are outstanding, in accordance
1442with the terms of the corresponding financing documents. If When
1443the financing obligations are no longer outstanding, in
1444accordance with the terms of the corresponding financing
1445documents, the corporation may use a single account for all
1446revenues, assets, liabilities, losses, and expenses of the
1447corporation. Consistent with the requirement of this
1448subparagraph and prudent investment policies that minimize the
1449cost of carrying debt, the board shall exercise its best efforts
1450to retire existing debt or to obtain the approval of necessary
1451parties to amend the terms of existing debt, so as to structure
1452the most efficient plan to consolidate the three separate
1453accounts into a single account.
1454     c.  Creditors of the Residential Property and Casualty
1455Joint Underwriting Association and of the accounts specified in
1456sub-sub-subparagraphs a.(I) and (II) may have a claim against,
1457and recourse to, those the accounts referred to in sub-sub-
1458subparagraphs a.(I) and (II) and shall have no claim against, or
1459recourse to, the account referred to in sub-sub-subparagraph
1460a.(III). Creditors of the Florida Windstorm Underwriting
1461Association shall have a claim against, and recourse to, the
1462account referred to in sub-sub-subparagraph a.(III) and shall
1463have no claim against, or recourse to, the accounts referred to
1464in sub-sub-subparagraphs a.(I) and (II).
1465     d.  Revenues, assets, liabilities, losses, and expenses not
1466attributable to particular accounts shall be prorated among the
1467accounts.
1468     e.  The Legislature finds that the revenues of the
1469corporation are revenues that are necessary to meet the
1470requirements set forth in documents authorizing the issuance of
1471bonds under this subsection.
1472     f.  No part of the income of the corporation may inure to
1473the benefit of any private person.
1474     3.  With respect to a deficit in an account:
1475     a.  After accounting for the Citizens policyholder
1476surcharge imposed under sub-subparagraph h. i., if when the
1477remaining projected deficit incurred in a particular calendar
1478year:
1479     (I)  Is not greater than 6 percent of the aggregate
1480statewide direct written premium for the subject lines of
1481business for the prior calendar year, the entire deficit shall
1482be recovered through regular assessments of assessable insurers
1483under paragraph (q) and assessable insureds.
1484     (II)b.  After accounting for the Citizens policyholder
1485surcharge imposed under sub-subparagraph i., when the remaining
1486projected deficit incurred in a particular calendar year Exceeds
14876 percent of the aggregate statewide direct written premium for
1488the subject lines of business for the prior calendar year, the
1489corporation shall levy regular assessments on assessable
1490insurers under paragraph (q) and on assessable insureds in an
1491amount equal to the greater of 6 percent of the deficit or 6
1492percent of the aggregate statewide direct written premium for
1493the subject lines of business for the prior calendar year. Any
1494remaining deficit shall be recovered through emergency
1495assessments under sub-subparagraph c. d.
1496     b.c.  Each assessable insurer's share of the amount being
1497assessed under sub-subparagraph a. must or sub-subparagraph b.
1498shall be in the proportion that the assessable insurer's direct
1499written premium for the subject lines of business for the year
1500preceding the assessment bears to the aggregate statewide direct
1501written premium for the subject lines of business for that year.
1502The applicable assessment percentage applicable to each
1503assessable insured is the ratio of the amount being assessed
1504under sub-subparagraph a. or sub-subparagraph b. to the
1505aggregate statewide direct written premium for the subject lines
1506of business for the prior year. Assessments levied by the
1507corporation on assessable insurers under sub-subparagraphs a.
1508and b. must shall be paid as required by the corporation's plan
1509of operation and paragraph (q),. Assessments levied by the
1510corporation on assessable insureds under sub-subparagraphs a.
1511and b. shall be collected by the surplus lines agent at the time
1512the surplus lines agent collects the surplus lines tax required
1513by s. 626.932, and shall be paid to the Florida Surplus Lines
1514Service Office at the time the surplus lines agent pays the
1515surplus lines tax to that the Florida Surplus Lines Service
1516office. Upon receipt of regular assessments from surplus lines
1517agents, the Florida Surplus Lines Service Office shall transfer
1518the assessments directly to the corporation as determined by the
1519corporation.
1520     c.d.  Upon a determination by the board of governors that a
1521deficit in an account exceeds the amount that will be recovered
1522through regular assessments under sub-subparagraph a. or sub-
1523subparagraph b., plus the amount that is expected to be
1524recovered through surcharges under sub-subparagraph h. i., as to
1525the remaining projected deficit the board shall levy, after
1526verification by the office, shall levy emergency assessments,
1527for as many years as necessary to cover the deficits, to be
1528collected by assessable insurers and the corporation and
1529collected from assessable insureds upon issuance or renewal of
1530policies for subject lines of business, excluding National Flood
1531Insurance policies. The amount of the emergency assessment
1532collected in a particular year must shall be a uniform
1533percentage of that year's direct written premium for subject
1534lines of business and all accounts of the corporation, excluding
1535National Flood Insurance Program policy premiums, as annually
1536determined by the board and verified by the office. The office
1537shall verify the arithmetic calculations involved in the board's
1538determination within 30 days after receipt of the information on
1539which the determination was based. Notwithstanding any other
1540provision of law, the corporation and each assessable insurer
1541that writes subject lines of business shall collect emergency
1542assessments from its policyholders without such obligation being
1543affected by any credit, limitation, exemption, or deferment.
1544Emergency assessments levied by the corporation on assessable
1545insureds shall be collected by the surplus lines agent at the
1546time the surplus lines agent collects the surplus lines tax
1547required by s. 626.932 and shall be paid to the Florida Surplus
1548Lines Service Office at the time the surplus lines agent pays
1549the surplus lines tax to that the Florida Surplus Lines Service
1550office. The emergency assessments so collected shall be
1551transferred directly to the corporation on a periodic basis as
1552determined by the corporation and shall be held by the
1553corporation solely in the applicable account. The aggregate
1554amount of emergency assessments levied for an account under this
1555sub-subparagraph in any calendar year may, at the discretion of
1556the board of governors, be less than but may not exceed the
1557greater of 10 percent of the amount needed to cover the deficit,
1558plus interest, fees, commissions, required reserves, and other
1559costs associated with financing of the original deficit, or 10
1560percent of the aggregate statewide direct written premium for
1561subject lines of business and for all accounts of the
1562corporation for the prior year, plus interest, fees,
1563commissions, required reserves, and other costs associated with
1564financing the deficit.
1565     d.e.  The corporation may pledge the proceeds of
1566assessments, projected recoveries from the Florida Hurricane
1567Catastrophe Fund, other insurance and reinsurance recoverables,
1568policyholder surcharges and other surcharges, and other funds
1569available to the corporation as the source of revenue for and to
1570secure bonds issued under paragraph (q), bonds or other
1571indebtedness issued under subparagraph (c)3., or lines of credit
1572or other financing mechanisms issued or created under this
1573subsection, or to retire any other debt incurred as a result of
1574deficits or events giving rise to deficits, or in any other way
1575that the board determines will efficiently recover such
1576deficits. The purpose of the lines of credit or other financing
1577mechanisms is to provide additional resources to assist the
1578corporation in covering claims and expenses attributable to a
1579catastrophe. As used in this subsection, the term "assessments"
1580includes regular assessments under sub-subparagraph a., sub-
1581subparagraph b., or subparagraph (q)1. and emergency assessments
1582under sub-subparagraph d. Emergency assessments collected under
1583sub-subparagraph d. are not part of an insurer's rates, are not
1584premium, and are not subject to premium tax, fees, or
1585commissions; however, failure to pay the emergency assessment
1586shall be treated as failure to pay premium. The emergency
1587assessments under sub-subparagraph c. d. shall continue as long
1588as any bonds issued or other indebtedness incurred with respect
1589to a deficit for which the assessment was imposed remain
1590outstanding, unless adequate provision has been made for the
1591payment of such bonds or other indebtedness pursuant to the
1592documents governing such bonds or other indebtedness.
1593     e.f.  As used in this subsection for purposes of any
1594deficit incurred on or after January 25, 2007, the term "subject
1595lines of business" means insurance written by assessable
1596insurers or procured by assessable insureds for all property and
1597casualty lines of business in this state, but not including
1598workers' compensation or medical malpractice. As used in this
1599the sub-subparagraph, the term "property and casualty lines of
1600business" includes all lines of business identified on Form 2,
1601Exhibit of Premiums and Losses, in the annual statement required
1602of authorized insurers under by s. 624.424 and any rule adopted
1603under this section, except for those lines identified as
1604accident and health insurance and except for policies written
1605under the National Flood Insurance Program or the Federal Crop
1606Insurance Program. For purposes of this sub-subparagraph, the
1607term "workers' compensation" includes both workers' compensation
1608insurance and excess workers' compensation insurance.
1609     f.g.  The Florida Surplus Lines Service Office shall
1610determine annually the aggregate statewide written premium in
1611subject lines of business procured by assessable insureds and
1612shall report that information to the corporation in a form and
1613at a time the corporation specifies to ensure that the
1614corporation can meet the requirements of this subsection and the
1615corporation's financing obligations.
1616     g.h.  The Florida Surplus Lines Service Office shall verify
1617the proper application by surplus lines agents of assessment
1618percentages for regular assessments and emergency assessments
1619levied under this subparagraph on assessable insureds and shall
1620assist the corporation in ensuring the accurate, timely
1621collection and payment of assessments by surplus lines agents as
1622required by the corporation.
1623     h.i.  If a deficit is incurred in any account in 2008 or
1624thereafter, the board of governors shall levy a Citizens
1625policyholder surcharge against all policyholders of the
1626corporation. for a 12-month period, which
1627     (I)  The surcharge shall be levied collected at the time of
1628issuance or renewal of a policy, as a uniform percentage of the
1629premium for the policy of up to 15 percent of such premium,
1630which funds shall be used to offset the deficit.
1631     (II)  The surcharge is payable upon cancellation or
1632termination of the policy, upon renewal of the policy, or upon
1633issuance of a new policy by the corporation within the first 12
1634months after the date of the levy or the period of time
1635necessary to fully collect the surcharge amount.
1636     (III)  The corporation may not levy any regular assessments
1637under paragraph (q) pursuant to sub-subparagraph a. or sub-
1638subparagraph b. with respect to a particular year's deficit
1639until the corporation has first levied the full amount of the
1640surcharge authorized by this sub-subparagraph.
1641     (IV)  The surcharge is Citizens policyholder surcharges
1642under this sub-subparagraph are not considered premium and is
1643are not subject to commissions, fees, or premium taxes. However,
1644failure to pay the surcharge such surcharges shall be treated as
1645failure to pay premium.
1646     i.j.  If the amount of any assessments or surcharges
1647collected from corporation policyholders, assessable insurers or
1648their policyholders, or assessable insureds exceeds the amount
1649of the deficits, such excess amounts shall be remitted to and
1650retained by the corporation in a reserve to be used by the
1651corporation, as determined by the board of governors and
1652approved by the office, to pay claims or reduce any past,
1653present, or future plan-year deficits or to reduce outstanding
1654debt.
1655     (c)  The corporation's plan of operation of the
1656corporation:
1657     1.  Must provide for adoption of residential property and
1658casualty insurance policy forms and commercial residential and
1659nonresidential property insurance forms, which forms must be
1660approved by the office before prior to use. The corporation
1661shall adopt the following policy forms:
1662     a.  Standard personal lines policy forms that are
1663comprehensive multiperil policies providing full coverage of a
1664residential property equivalent to the coverage provided in the
1665private insurance market under an HO-3, HO-4, or HO-6 policy.
1666     b.  Basic personal lines policy forms that are policies
1667similar to an HO-8 policy or a dwelling fire policy that provide
1668coverage meeting the requirements of the secondary mortgage
1669market, but which coverage is more limited than the coverage
1670under a standard policy.
1671     c.  Commercial lines residential and nonresidential policy
1672forms that are generally similar to the basic perils of full
1673coverage obtainable for commercial residential structures and
1674commercial nonresidential structures in the admitted voluntary
1675market.
1676     d.  Personal lines and commercial lines residential
1677property insurance forms that cover the peril of wind only. The
1678forms are applicable only to residential properties located in
1679areas eligible for coverage under the coastal high-risk account
1680referred to in sub-subparagraph (b)2.a.
1681     e.  Commercial lines nonresidential property insurance
1682forms that cover the peril of wind only. The forms are
1683applicable only to nonresidential properties located in areas
1684eligible for coverage under the coastal high-risk account
1685referred to in sub-subparagraph (b)2.a.
1686     f.  The corporation may adopt variations of the policy
1687forms listed in sub-subparagraphs a.-e. which that contain more
1688restrictive coverage.
1689     2.a.  Must provide that the corporation adopt a program in
1690which the corporation and authorized insurers enter into quota
1691share primary insurance agreements for hurricane coverage, as
1692defined in s. 627.4025(2)(a), for eligible risks, and adopt
1693property insurance forms for eligible risks which cover the
1694peril of wind only.
1695     a.  As used in this subsection, the term:
1696     (I)  "Quota share primary insurance" means an arrangement
1697in which the primary hurricane coverage of an eligible risk is
1698provided in specified percentages by the corporation and an
1699authorized insurer. The corporation and authorized insurer are
1700each solely responsible for a specified percentage of hurricane
1701coverage of an eligible risk as set forth in a quota share
1702primary insurance agreement between the corporation and an
1703authorized insurer and the insurance contract. The
1704responsibility of the corporation or authorized insurer to pay
1705its specified percentage of hurricane losses of an eligible
1706risk, as set forth in the quota share primary insurance
1707agreement, may not be altered by the inability of the other
1708party to the agreement to pay its specified percentage of
1709hurricane losses. Eligible risks that are provided hurricane
1710coverage through a quota share primary insurance arrangement
1711must be provided policy forms that set forth the obligations of
1712the corporation and authorized insurer under the arrangement,
1713clearly specify the percentages of quota share primary insurance
1714provided by the corporation and authorized insurer, and
1715conspicuously and clearly state that neither the authorized
1716insurer and nor the corporation may not be held responsible
1717beyond their its specified percentage of coverage of hurricane
1718losses.
1719     (II)  "Eligible risks" means personal lines residential and
1720commercial lines residential risks that meet the underwriting
1721criteria of the corporation and are located in areas that were
1722eligible for coverage by the Florida Windstorm Underwriting
1723Association on January 1, 2002.
1724     b.  The corporation may enter into quota share primary
1725insurance agreements with authorized insurers at corporation
1726coverage levels of 90 percent and 50 percent.
1727     c.  If the corporation determines that additional coverage
1728levels are necessary to maximize participation in quota share
1729primary insurance agreements by authorized insurers, the
1730corporation may establish additional coverage levels. However,
1731the corporation's quota share primary insurance coverage level
1732may not exceed 90 percent.
1733     d.  Any quota share primary insurance agreement entered
1734into between an authorized insurer and the corporation must
1735provide for a uniform specified percentage of coverage of
1736hurricane losses, by county or territory as set forth by the
1737corporation board, for all eligible risks of the authorized
1738insurer covered under the quota share primary insurance
1739agreement.
1740     e.  Any quota share primary insurance agreement entered
1741into between an authorized insurer and the corporation is
1742subject to review and approval by the office. However, such
1743agreement shall be authorized only as to insurance contracts
1744entered into between an authorized insurer and an insured who is
1745already insured by the corporation for wind coverage.
1746     f.  For all eligible risks covered under quota share
1747primary insurance agreements, the exposure and coverage levels
1748for both the corporation and authorized insurers shall be
1749reported by the corporation to the Florida Hurricane Catastrophe
1750Fund. For all policies of eligible risks covered under such
1751quota share primary insurance agreements, the corporation and
1752the authorized insurer must shall maintain complete and accurate
1753records for the purpose of exposure and loss reimbursement
1754audits as required by Florida Hurricane Catastrophe fund rules.
1755The corporation and the authorized insurer shall each maintain
1756duplicate copies of policy declaration pages and supporting
1757claims documents.
1758     g.  The corporation board shall establish in its plan of
1759operation standards for quota share agreements which ensure that
1760there is no discriminatory application among insurers as to the
1761terms of the quota share agreements, pricing of the quota share
1762agreements, incentive provisions if any, and consideration paid
1763for servicing policies or adjusting claims.
1764     h.  The quota share primary insurance agreement between the
1765corporation and an authorized insurer must set forth the
1766specific terms under which coverage is provided, including, but
1767not limited to, the sale and servicing of policies issued under
1768the agreement by the insurance agent of the authorized insurer
1769producing the business, the reporting of information concerning
1770eligible risks, the payment of premium to the corporation, and
1771arrangements for the adjustment and payment of hurricane claims
1772incurred on eligible risks by the claims adjuster and personnel
1773of the authorized insurer. Entering into a quota sharing
1774insurance agreement between the corporation and an authorized
1775insurer is shall be voluntary and at the discretion of the
1776authorized insurer.
1777     3.  May provide that the corporation may employ or
1778otherwise contract with individuals or other entities to provide
1779administrative or professional services that may be appropriate
1780to effectuate the plan. The corporation may shall have the power
1781to borrow funds, by issuing bonds or by incurring other
1782indebtedness, and shall have other powers reasonably necessary
1783to effectuate the requirements of this subsection, including,
1784without limitation, the power to issue bonds and incur other
1785indebtedness in order to refinance outstanding bonds or other
1786indebtedness. The corporation may, but is not required to, seek
1787judicial validation of its bonds or other indebtedness under
1788chapter 75. The corporation may issue bonds or incur other
1789indebtedness, or have bonds issued on its behalf by a unit of
1790local government pursuant to subparagraph (q)2., in the absence
1791of a hurricane or other weather-related event, upon a
1792determination by the corporation, subject to approval by the
1793office, that such action would enable it to efficiently meet the
1794financial obligations of the corporation and that such
1795financings are reasonably necessary to effectuate the
1796requirements of this subsection. The corporation may is
1797authorized to take all actions needed to facilitate tax-free
1798status for any such bonds or indebtedness, including formation
1799of trusts or other affiliated entities. The corporation may
1800shall have the authority to pledge assessments, projected
1801recoveries from the Florida Hurricane Catastrophe Fund, other
1802reinsurance recoverables, market equalization and other
1803surcharges, and other funds available to the corporation as
1804security for bonds or other indebtedness. In recognition of s.
180510, Art. I of the State Constitution, prohibiting the impairment
1806of obligations of contracts, it is the intent of the Legislature
1807that no action be taken whose purpose is to impair any bond
1808indenture or financing agreement or any revenue source committed
1809by contract to such bond or other indebtedness.
1810     4.a.  Must require that the corporation operate subject to
1811the supervision and approval of a board of governors consisting
1812of eight individuals who are residents of this state, from
1813different geographical areas of this state.
1814     a.  The Governor, the Chief Financial Officer, the
1815President of the Senate, and the Speaker of the House of
1816Representatives shall each appoint two members of the board. At
1817least one of the two members appointed by each appointing
1818officer must have demonstrated expertise in insurance, and is
1819deemed to be within the scope of the exemption provided in s.
1820112.313(7)(b). The Chief Financial Officer shall designate one
1821of the appointees as chair. All board members serve at the
1822pleasure of the appointing officer. All members of the board of
1823governors are subject to removal at will by the officers who
1824appointed them. All board members, including the chair, must be
1825appointed to serve for 3-year terms beginning annually on a date
1826designated by the plan. However, for the first term beginning on
1827or after July 1, 2009, each appointing officer shall appoint one
1828member of the board for a 2-year term and one member for a 3-
1829year term. A Any board vacancy shall be filled for the unexpired
1830term by the appointing officer. The Chief Financial Officer
1831shall appoint a technical advisory group to provide information
1832and advice to the board of governors in connection with the
1833board's duties under this subsection. The executive director and
1834senior managers of the corporation shall be engaged by the board
1835and serve at the pleasure of the board. Any executive director
1836appointed on or after July 1, 2006, is subject to confirmation
1837by the Senate. The executive director is responsible for
1838employing other staff as the corporation may require, subject to
1839review and concurrence by the board.
1840     b.  The board shall create a Market Accountability Advisory
1841Committee to assist the corporation in developing awareness of
1842its rates and its customer and agent service levels in
1843relationship to the voluntary market insurers writing similar
1844coverage.
1845     (I)  The members of the advisory committee shall consist of
1846the following 11 persons, one of whom must be elected chair by
1847the members of the committee: four representatives, one
1848appointed by the Florida Association of Insurance Agents, one by
1849the Florida Association of Insurance and Financial Advisors, one
1850by the Professional Insurance Agents of Florida, and one by the
1851Latin American Association of Insurance Agencies; three
1852representatives appointed by the insurers with the three highest
1853voluntary market share of residential property insurance
1854business in the state; one representative from the Office of
1855Insurance Regulation; one consumer appointed by the board who is
1856insured by the corporation at the time of appointment to the
1857committee; one representative appointed by the Florida
1858Association of Realtors; and one representative appointed by the
1859Florida Bankers Association. All members shall be appointed to
1860must serve for 3-year terms and may serve for consecutive terms.
1861     (II)  The committee shall report to the corporation at each
1862board meeting on insurance market issues which may include rates
1863and rate competition with the voluntary market; service,
1864including policy issuance, claims processing, and general
1865responsiveness to policyholders, applicants, and agents; and
1866matters relating to depopulation.
1867     5.  Must provide a procedure for determining the
1868eligibility of a risk for coverage, as follows:
1869     a.  Subject to the provisions of s. 627.3517, with respect
1870to personal lines residential risks, if the risk is offered
1871coverage from an authorized insurer at the insurer's approved
1872rate under either a standard policy including wind coverage or,
1873if consistent with the insurer's underwriting rules as filed
1874with the office, a basic policy including wind coverage, for a
1875new application to the corporation for coverage, the risk is not
1876eligible for any policy issued by the corporation unless the
1877premium for coverage from the authorized insurer is more than 15
1878percent greater than the premium for comparable coverage from
1879the corporation. If the risk is not able to obtain any such
1880offer, the risk is eligible for either a standard policy
1881including wind coverage or a basic policy including wind
1882coverage issued by the corporation; however, if the risk could
1883not be insured under a standard policy including wind coverage
1884regardless of market conditions, the risk is shall be eligible
1885for a basic policy including wind coverage unless rejected under
1886subparagraph 8. However, with regard to a policyholder of the
1887corporation or a policyholder removed from the corporation
1888through an assumption agreement until the end of the assumption
1889period, the policyholder remains eligible for coverage from the
1890corporation regardless of any offer of coverage from an
1891authorized insurer or surplus lines insurer. The corporation
1892shall determine the type of policy to be provided on the basis
1893of objective standards specified in the underwriting manual and
1894based on generally accepted underwriting practices.
1895     (I)  If the risk accepts an offer of coverage through the
1896market assistance plan or an offer of coverage through a
1897mechanism established by the corporation before a policy is
1898issued to the risk by the corporation or during the first 30
1899days of coverage by the corporation, and the producing agent who
1900submitted the application to the plan or to the corporation is
1901not currently appointed by the insurer, the insurer shall:
1902     (A)  Pay to the producing agent of record of the policy,
1903for the first year, an amount that is the greater of the
1904insurer's usual and customary commission for the type of policy
1905written or a fee equal to the usual and customary commission of
1906the corporation; or
1907     (B)  Offer to allow the producing agent of record of the
1908policy to continue servicing the policy for at least a period of
1909not less than 1 year and offer to pay the agent the greater of
1910the insurer's or the corporation's usual and customary
1911commission for the type of policy written.
1912
1913If the producing agent is unwilling or unable to accept
1914appointment, the new insurer shall pay the agent in accordance
1915with sub-sub-sub-subparagraph (A).
1916     (II)  If When the corporation enters into a contractual
1917agreement for a take-out plan, the producing agent of record of
1918the corporation policy is entitled to retain any unearned
1919commission on the policy, and the insurer shall:
1920     (A)  Pay to the producing agent of record of the
1921corporation policy, for the first year, an amount that is the
1922greater of the insurer's usual and customary commission for the
1923type of policy written or a fee equal to the usual and customary
1924commission of the corporation; or
1925     (B)  Offer to allow the producing agent of record of the
1926corporation policy to continue servicing the policy for at least
1927a period of not less than 1 year and offer to pay the agent the
1928greater of the insurer's or the corporation's usual and
1929customary commission for the type of policy written.
1930
1931If the producing agent is unwilling or unable to accept
1932appointment, the new insurer shall pay the agent in accordance
1933with sub-sub-sub-subparagraph (A).
1934     b.  With respect to commercial lines residential risks, for
1935a new application to the corporation for coverage, if the risk
1936is offered coverage under a policy including wind coverage from
1937an authorized insurer at its approved rate, the risk is not
1938eligible for a any policy issued by the corporation unless the
1939premium for coverage from the authorized insurer is more than 15
1940percent greater than the premium for comparable coverage from
1941the corporation. If the risk is not able to obtain any such
1942offer, the risk is eligible for a policy including wind coverage
1943issued by the corporation. However, with regard to a
1944policyholder of the corporation or a policyholder removed from
1945the corporation through an assumption agreement until the end of
1946the assumption period, the policyholder remains eligible for
1947coverage from the corporation regardless of an any offer of
1948coverage from an authorized insurer or surplus lines insurer.
1949     (I)  If the risk accepts an offer of coverage through the
1950market assistance plan or an offer of coverage through a
1951mechanism established by the corporation before a policy is
1952issued to the risk by the corporation or during the first 30
1953days of coverage by the corporation, and the producing agent who
1954submitted the application to the plan or the corporation is not
1955currently appointed by the insurer, the insurer shall:
1956     (A)  Pay to the producing agent of record of the policy,
1957for the first year, an amount that is the greater of the
1958insurer's usual and customary commission for the type of policy
1959written or a fee equal to the usual and customary commission of
1960the corporation; or
1961     (B)  Offer to allow the producing agent of record of the
1962policy to continue servicing the policy for at least a period of
1963not less than 1 year and offer to pay the agent the greater of
1964the insurer's or the corporation's usual and customary
1965commission for the type of policy written.
1966
1967If the producing agent is unwilling or unable to accept
1968appointment, the new insurer shall pay the agent in accordance
1969with sub-sub-sub-subparagraph (A).
1970     (II)  If When the corporation enters into a contractual
1971agreement for a take-out plan, the producing agent of record of
1972the corporation policy is entitled to retain any unearned
1973commission on the policy, and the insurer shall:
1974     (A)  Pay to the producing agent of record of the
1975corporation policy, for the first year, an amount that is the
1976greater of the insurer's usual and customary commission for the
1977type of policy written or a fee equal to the usual and customary
1978commission of the corporation; or
1979     (B)  Offer to allow the producing agent of record of the
1980corporation policy to continue servicing the policy for at least
1981a period of not less than 1 year and offer to pay the agent the
1982greater of the insurer's or the corporation's usual and
1983customary commission for the type of policy written.
1984
1985If the producing agent is unwilling or unable to accept
1986appointment, the new insurer shall pay the agent in accordance
1987with sub-sub-sub-subparagraph (A).
1988     c.  For purposes of determining comparable coverage under
1989sub-subparagraphs a. and b., the comparison must shall be based
1990on those forms and coverages that are reasonably comparable. The
1991corporation may rely on a determination of comparable coverage
1992and premium made by the producing agent who submits the
1993application to the corporation, made in the agent's capacity as
1994the corporation's agent. A comparison may be made solely of the
1995premium with respect to the main building or structure only on
1996the following basis: the same coverage A or other building
1997limits; the same percentage hurricane deductible that applies on
1998an annual basis or that applies to each hurricane for commercial
1999residential property; the same percentage of ordinance and law
2000coverage, if the same limit is offered by both the corporation
2001and the authorized insurer; the same mitigation credits, to the
2002extent the same types of credits are offered both by the
2003corporation and the authorized insurer; the same method for loss
2004payment, such as replacement cost or actual cash value, if the
2005same method is offered both by the corporation and the
2006authorized insurer in accordance with underwriting rules; and
2007any other form or coverage that is reasonably comparable as
2008determined by the board. If an application is submitted to the
2009corporation for wind-only coverage in the coastal high-risk
2010account, the premium for the corporation's wind-only policy plus
2011the premium for the ex-wind policy that is offered by an
2012authorized insurer to the applicant must shall be compared to
2013the premium for multiperil coverage offered by an authorized
2014insurer, subject to the standards for comparison specified in
2015this subparagraph. If the corporation or the applicant requests
2016from the authorized insurer a breakdown of the premium of the
2017offer by types of coverage so that a comparison may be made by
2018the corporation or its agent and the authorized insurer refuses
2019or is unable to provide such information, the corporation may
2020treat the offer as not being an offer of coverage from an
2021authorized insurer at the insurer's approved rate.
2022     6.  Must include rules for classifications of risks and
2023rates therefor.
2024     7.  Must provide that if premium and investment income for
2025an account attributable to a particular calendar year are in
2026excess of projected losses and expenses for the account
2027attributable to that year, such excess shall be held in surplus
2028in the account. Such surplus must shall be available to defray
2029deficits in that account as to future years and shall be used
2030for that purpose before prior to assessing assessable insurers
2031and assessable insureds as to any calendar year.
2032     8.  Must provide objective criteria and procedures to be
2033uniformly applied to for all applicants in determining whether
2034an individual risk is so hazardous as to be uninsurable. In
2035making this determination and in establishing the criteria and
2036procedures, the following must shall be considered:
2037     a.  Whether the likelihood of a loss for the individual
2038risk is substantially higher than for other risks of the same
2039class; and
2040     b.  Whether the uncertainty associated with the individual
2041risk is such that an appropriate premium cannot be determined.
2042
2043The acceptance or rejection of a risk by the corporation shall
2044be construed as the private placement of insurance, and the
2045provisions of chapter 120 do shall not apply.
2046     9.  Must provide that the corporation shall make its best
2047efforts to procure catastrophe reinsurance at reasonable rates,
2048to cover its projected 100-year probable maximum loss as
2049determined by the board of governors.
2050     10.  The policies issued by the corporation must provide
2051that, if the corporation or the market assistance plan obtains
2052an offer from an authorized insurer to cover the risk at its
2053approved rates, the risk is no longer eligible for renewal
2054through the corporation, except as otherwise provided in this
2055subsection.
2056     11.  Corporation policies and applications must include a
2057notice that the corporation policy could, under this section, be
2058replaced with a policy issued by an authorized insurer which
2059that does not provide coverage identical to the coverage
2060provided by the corporation. The notice must shall also specify
2061that acceptance of corporation coverage creates a conclusive
2062presumption that the applicant or policyholder is aware of this
2063potential.
2064     12.  May establish, subject to approval by the office,
2065different eligibility requirements and operational procedures
2066for any line or type of coverage for any specified county or
2067area if the board determines that such changes to the
2068eligibility requirements and operational procedures are
2069justified due to the voluntary market being sufficiently stable
2070and competitive in such area or for such line or type of
2071coverage and that consumers who, in good faith, are unable to
2072obtain insurance through the voluntary market through ordinary
2073methods would continue to have access to coverage from the
2074corporation. If When coverage is sought in connection with a
2075real property transfer, the such requirements and procedures may
2076shall not provide for an effective date of coverage later than
2077the date of the closing of the transfer as established by the
2078transferor, the transferee, and, if applicable, the lender.
2079     13.  Must provide that, with respect to the coastal high-
2080risk account, any assessable insurer with a surplus as to
2081policyholders of $25 million or less writing 25 percent or more
2082of its total countrywide property insurance premiums in this
2083state may petition the office, within the first 90 days of each
2084calendar year, to qualify as a limited apportionment company. A
2085regular assessment levied by the corporation on a limited
2086apportionment company for a deficit incurred by the corporation
2087for the coastal high-risk account in 2006 or thereafter may be
2088paid to the corporation on a monthly basis as the assessments
2089are collected by the limited apportionment company from its
2090insureds pursuant to s. 627.3512, but the regular assessment
2091must be paid in full within 12 months after being levied by the
2092corporation. A limited apportionment company shall collect from
2093its policyholders any emergency assessment imposed under sub-
2094subparagraph (b)3.d. The plan must shall provide that, if the
2095office determines that any regular assessment will result in an
2096impairment of the surplus of a limited apportionment company,
2097the office may direct that all or part of such assessment be
2098deferred as provided in subparagraph (q)4. However, there shall
2099be no limitation or deferment of an emergency assessment to be
2100collected from policyholders under sub-subparagraph (b)3.d. may
2101not be limited or deferred.
2102     14.  Must provide that the corporation appoint as its
2103licensed agents only those agents who also hold an appointment
2104as defined in s. 626.015(3) with an insurer who at the time of
2105the agent's initial appointment by the corporation is authorized
2106to write and is actually writing personal lines residential
2107property coverage, commercial residential property coverage, or
2108commercial nonresidential property coverage within the state.
2109     15.  Must provide, by July 1, 2007, a premium payment plan
2110option to its policyholders which, allows at a minimum, allows
2111for quarterly and semiannual payment of premiums. A monthly
2112payment plan may, but is not required to, be offered.
2113     16.  Must limit coverage on mobile homes or manufactured
2114homes built before prior to 1994 to actual cash value of the
2115dwelling rather than replacement costs of the dwelling.
2116     17.  May provide such limits of coverage as the board
2117determines, consistent with the requirements of this subsection.
2118     18.  May require commercial property to meet specified
2119hurricane mitigation construction features as a condition of
2120eligibility for coverage.
2121     (d)1.  All prospective employees for senior management
2122positions, as defined by the plan of operation, are subject to
2123background checks as a prerequisite for employment. The office
2124shall conduct the background checks on such prospective
2125employees pursuant to ss. 624.34, 624.404(3), and 628.261.
2126     2.  On or before July 1 of each year, employees of the
2127corporation must are required to sign and submit a statement
2128attesting that they do not have a conflict of interest, as
2129defined in part III of chapter 112. As a condition of
2130employment, all prospective employees must are required to sign
2131and submit to the corporation a conflict-of-interest statement.
2132     3.  Senior managers and members of the board of governors
2133are subject to the provisions of part III of chapter 112,
2134including, but not limited to, the code of ethics and public
2135disclosure and reporting of financial interests, pursuant to s.
2136112.3145. Notwithstanding s. 112.3143(2), a board member may not
2137vote on any measure that would inure to his or her special
2138private gain or loss; that he or she knows would inure to the
2139special private gain or loss of any principal by whom he or she
2140is retained or to the parent organization or subsidiary of a
2141corporate principal by which he or she is retained, other than
2142an agency as defined in s. 112.312; or that he or she knows
2143would inure to the special private gain or loss of a relative or
2144business associate of the public officer. Before the vote is
2145taken, such member shall publicly state to the assembly the
2146nature of his or her interest in the matter from which he or she
2147is abstaining from voting and, within 15 days after the vote
2148occurs, disclose the nature of his or her interest as a public
2149record in a memorandum filed with the person responsible for
2150recording the minutes of the meeting, who shall incorporate the
2151memorandum in the minutes. Senior managers and board members are
2152also required to file such disclosures with the Commission on
2153Ethics and the Office of Insurance Regulation. The executive
2154director of the corporation or his or her designee shall notify
2155each existing and newly appointed and existing appointed member
2156of the board of governors and senior managers of their duty to
2157comply with the reporting requirements of part III of chapter
2158112. At least quarterly, the executive director or his or her
2159designee shall submit to the Commission on Ethics a list of
2160names of the senior managers and members of the board of
2161governors who are subject to the public disclosure requirements
2162under s. 112.3145.
2163     4.  Notwithstanding s. 112.3148 or s. 112.3149, or any
2164other provision of law, an employee or board member may not
2165knowingly accept, directly or indirectly, any gift or
2166expenditure from a person or entity, or an employee or
2167representative of such person or entity, which that has a
2168contractual relationship with the corporation or who is under
2169consideration for a contract. An employee or board member who
2170fails to comply with subparagraph 3. or this subparagraph is
2171subject to penalties provided under ss. 112.317 and 112.3173.
2172     5.  Any senior manager of the corporation who is employed
2173on or after January 1, 2007, regardless of the date of hire, who
2174subsequently retires or terminates employment is prohibited from
2175representing another person or entity before the corporation for
21762 years after retirement or termination of employment from the
2177corporation.
2178     6.  Any senior manager of the corporation who is employed
2179on or after January 1, 2007, regardless of the date of hire, who
2180subsequently retires or terminates employment is prohibited from
2181having any employment or contractual relationship for 2 years
2182with an insurer that has entered into a take-out bonus agreement
2183with the corporation.
2184     (v)1.  Effective July 1, 2002, policies of the Residential
2185Property and Casualty Joint Underwriting Association shall
2186become policies of the corporation. All obligations, rights,
2187assets and liabilities of the Residential Property and Casualty
2188Joint Underwriting association, including bonds, note and debt
2189obligations, and the financing documents pertaining to them
2190become those of the corporation as of July 1, 2002. The
2191corporation is not required to issue endorsements or
2192certificates of assumption to insureds during the remaining term
2193of in-force transferred policies.
2194     2.  Effective July 1, 2002, policies of the Florida
2195Windstorm Underwriting Association are transferred to the
2196corporation and shall become policies of the corporation. All
2197obligations, rights, assets, and liabilities of the Florida
2198Windstorm Underwriting association, including bonds, note and
2199debt obligations, and the financing documents pertaining to them
2200are transferred to and assumed by the corporation on July 1,
22012002. The corporation is not required to issue endorsements or
2202certificates of assumption to insureds during the remaining term
2203of in-force transferred policies.
2204     3.  The Florida Windstorm Underwriting Association and the
2205Residential Property and Casualty Joint Underwriting Association
2206shall take all actions necessary as may be proper to further
2207evidence the transfers and shall provide the documents and
2208instruments of further assurance as may reasonably be requested
2209by the corporation for that purpose. The corporation shall
2210execute assumptions and instruments as the trustees or other
2211parties to the financing documents of the Florida Windstorm
2212Underwriting Association or the Residential Property and
2213Casualty Joint Underwriting Association may reasonably request
2214to further evidence the transfers and assumptions, which
2215transfers and assumptions, however, are effective on the date
2216provided under this paragraph whether or not, and regardless of
2217the date on which, the assumptions or instruments are executed
2218by the corporation. Subject to the relevant financing documents
2219pertaining to their outstanding bonds, notes, indebtedness, or
2220other financing obligations, the moneys, investments,
2221receivables, choses in action, and other intangibles of the
2222Florida Windstorm Underwriting Association shall be credited to
2223the coastal high-risk account of the corporation, and those of
2224the personal lines residential coverage account and the
2225commercial lines residential coverage account of the Residential
2226Property and Casualty Joint Underwriting Association shall be
2227credited to the personal lines account and the commercial lines
2228account, respectively, of the corporation.
2229     4.  Effective July 1, 2002, a new applicant for property
2230insurance coverage who would otherwise have been eligible for
2231coverage in the Florida Windstorm Underwriting Association is
2232eligible for coverage from the corporation as provided in this
2233subsection.
2234     5.  The transfer of all policies, obligations, rights,
2235assets, and liabilities from the Florida Windstorm Underwriting
2236Association to the corporation and the renaming of the
2237Residential Property and Casualty Joint Underwriting Association
2238as the corporation does not shall in no way affect the coverage
2239with respect to covered policies as defined in s. 215.555(2)(c)
2240provided to these entities by the Florida Hurricane Catastrophe
2241Fund. The coverage provided by the Florida Hurricane Catastrophe
2242fund to the Florida Windstorm Underwriting Association based on
2243its exposures as of June 30, 2002, and each June 30 thereafter
2244shall be redesignated as coverage for the coastal high-risk
2245account of the corporation. Notwithstanding any other provision
2246of law, the coverage provided by the Florida Hurricane
2247Catastrophe fund to the Residential Property and Casualty Joint
2248Underwriting Association based on its exposures as of June 30,
22492002, and each June 30 thereafter shall be transferred to the
2250personal lines account and the commercial lines account of the
2251corporation. Notwithstanding any other provision of law, the
2252coastal high-risk account shall be treated, for all Florida
2253Hurricane Catastrophe Fund purposes, as if it were a separate
2254participating insurer with its own exposures, reimbursement
2255premium, and loss reimbursement. Likewise, the personal lines
2256and commercial lines accounts shall be viewed together, for all
2257Florida Hurricane Catastrophe fund purposes, as if the two
2258accounts were one and represent a single, separate participating
2259insurer with its own exposures, reimbursement premium, and loss
2260reimbursement. The coverage provided by the Florida Hurricane
2261Catastrophe fund to the corporation shall constitute and operate
2262as a full transfer of coverage from the Florida Windstorm
2263Underwriting Association and Residential Property and Casualty
2264Joint Underwriting to the corporation.
2265     (y)  It is the intent of the Legislature that the
2266amendments to this subsection enacted in 2002 should, over time,
2267reduce the probable maximum windstorm losses in the residual
2268markets and should reduce the potential assessments to be levied
2269on property insurers and policyholders statewide. In furtherance
2270of this intent:
2271     1.  The board shall, on or before February 1 of each year,
2272provide a report to the President of the Senate and the Speaker
2273of the House of Representatives showing the reduction or
2274increase in the 100-year probable maximum loss attributable to
2275wind-only coverages and the quota share program under this
2276subsection combined, as compared to the benchmark 100-year
2277probable maximum loss of the Florida Windstorm Underwriting
2278Association. For purposes of this paragraph, the benchmark 100-
2279year probable maximum loss of the Florida Windstorm Underwriting
2280Association is shall be the calculation dated February 2001 and
2281based on November 30, 2000, exposures. In order to ensure
2282comparability of data, the board shall use the same methods for
2283calculating its probable maximum loss as were used to calculate
2284the benchmark probable maximum loss.
2285     2.  Beginning December 1, 2013 2010, if the report under
2286subparagraph 1. for any year indicates that the 100-year
2287probable maximum loss attributable to wind-only coverages and
2288the quota share program combined does not reflect a reduction of
2289at least 25 percent from the benchmark, the board shall reduce
2290the boundaries of the high-risk area eligible for wind-only
2291coverages under this subsection in a manner calculated to reduce
2292the such probable maximum loss to an amount at least 25 percent
2293below the benchmark.
2294     3.  Beginning February 1, 2015, if the report under
2295subparagraph 1. for any year indicates that the 100-year
2296probable maximum loss attributable to wind-only coverages and
2297the quota share program combined does not reflect a reduction of
2298at least 50 percent from the benchmark, the boundaries of the
2299high-risk area eligible for wind-only coverages under this
2300subsection shall be reduced by the elimination of any area that
2301is not seaward of a line 1,000 feet inland from the Intracoastal
2302Waterway.
2303     Section 14.  Paragraph (a) of subsection (5) of section
2304627.3511, Florida Statutes, is amended to read:
2305     627.3511  Depopulation of Citizens Property Insurance
2306Corporation.-
2307     (5)  APPLICABILITY.-
2308     (a)  The take-out bonus provided by subsection (2) and the
2309exemption from assessment provided by paragraph (3)(a) apply
2310only if the corporation policy is replaced by either a standard
2311policy including wind coverage or, if consistent with the
2312insurer's underwriting rules as filed with the office, a basic
2313policy including wind coverage; however, for with respect to
2314risks located in areas where coverage through the coastal high-
2315risk account of the corporation is available, the replacement
2316policy need not provide wind coverage. The insurer must renew
2317the replacement policy at approved rates on substantially
2318similar terms for four additional 1-year terms, unless canceled
2319or not renewed by the policyholder. If an insurer assumes the
2320corporation's obligations for a policy, it must issue a
2321replacement policy for a 1-year term upon expiration of the
2322corporation policy and must renew the replacement policy at
2323approved rates on substantially similar terms for four
2324additional 1-year terms, unless canceled or not renewed by the
2325policyholder. For each replacement policy canceled or nonrenewed
2326by the insurer for any reason during the 5-year coverage period
2327required by this paragraph, the insurer must remove from the
2328corporation one additional policy covering a risk similar to the
2329risk covered by the canceled or nonrenewed policy. In addition
2330to these requirements, the corporation must place the bonus
2331moneys in escrow for a period of 5 years; such moneys may be
2332released from escrow only to pay claims. If the policy is
2333canceled or nonrenewed before the end of the 5-year period, the
2334amount of the take-out bonus must be prorated for the time
2335period the policy was insured. A take-out bonus provided by
2336subsection (2) or subsection (6) is shall not be considered
2337premium income for purposes of taxes and assessments under the
2338Florida Insurance Code and shall remain the property of the
2339corporation, subject to the prior security interest of the
2340insurer under the escrow agreement until it is released from
2341escrow;, and after it is released from escrow it is shall be
2342considered an asset of the insurer and credited to the insurer's
2343capital and surplus.
2344     Section 15.  Paragraph (b) of subsection (2) of section
2345627.4133, Florida Statutes, is amended to read:
2346     627.4133  Notice of cancellation, nonrenewal, or renewal
2347premium.-
2348     (2)  With respect to any personal lines or commercial
2349residential property insurance policy, including, but not
2350limited to, any homeowner's, mobile home owner's, farmowner's,
2351condominium association, condominium unit owner's, apartment
2352building, or other policy covering a residential structure or
2353its contents:
2354     (b)  The insurer shall give the named insured written
2355notice of nonrenewal, cancellation, or termination at least 90
2356100 days before prior to the effective date of the nonrenewal,
2357cancellation, or termination. However, the insurer shall give at
2358least 100 days' written notice, or written notice by June 1,
2359whichever is earlier, for any nonrenewal, cancellation, or
2360termination that would be effective between June 1 and November
236130. The notice must include the reason or reasons for the
2362nonrenewal, cancellation, or termination, except that:
2363     1.  The insurer shall give the named insured written notice
2364of nonrenewal, cancellation, or termination at least 180 days
2365prior to the effective date of the nonrenewal, cancellation, or
2366termination for a named insured whose residential structure has
2367been insured by that insurer or an affiliated insurer for at
2368least a 5-year period immediately prior to the date of the
2369written notice.
2370     1.2.  If When cancellation is for nonpayment of premium, at
2371least 10 days' written notice of cancellation accompanied by the
2372reason therefor must shall be given. As used in this
2373subparagraph, the term "nonpayment of premium" means failure of
2374the named insured to discharge when due any of her or his
2375obligations in connection with the payment of premiums on a
2376policy or any installment of such premium, whether the premium
2377is payable directly to the insurer or its agent or indirectly
2378under any premium finance plan or extension of credit, or
2379failure to maintain membership in an organization if such
2380membership is a condition precedent to insurance coverage. The
2381term "Nonpayment of premium" also means the failure of a
2382financial institution to honor an insurance applicant's check
2383after delivery to a licensed agent for payment of a premium,
2384even if the agent has previously delivered or transferred the
2385premium to the insurer. If a dishonored check represents the
2386initial premium payment, the contract and all contractual
2387obligations are shall be void ab initio unless the nonpayment is
2388cured within the earlier of 5 days after actual notice by
2389certified mail is received by the applicant or 15 days after
2390notice is sent to the applicant by certified mail or registered
2391mail, and if the contract is void, any premium received by the
2392insurer from a third party must shall be refunded to that party
2393in full.
2394     2.3.  If When such cancellation or termination occurs
2395during the first 90 days during which the insurance is in force
2396and the insurance is canceled or terminated for reasons other
2397than nonpayment of premium, at least 20 days' written notice of
2398cancellation or termination accompanied by the reason therefor
2399must shall be given unless except where there has been a
2400material misstatement or misrepresentation or failure to comply
2401with the underwriting requirements established by the insurer.
2402     3.4.  The requirement for providing written notice of
2403nonrenewal by June 1 of any nonrenewal that would be effective
2404between June 1 and November 30 does not apply to the following
2405situations, but the insurer remains subject to the requirement
2406to provide such notice at least 100 days before prior to the
2407effective date of nonrenewal:
2408     a.  A policy that is nonrenewed due to a revision in the
2409coverage for sinkhole losses and catastrophic ground cover
2410collapse pursuant to s. 627.706, as amended by s. 30, chapter
24112007-1, Laws of Florida.
2412     b.  A policy that is nonrenewed by Citizens Property
2413Insurance Corporation, pursuant to s. 627.351(6), for a policy
2414that has been assumed by an authorized insurer offering
2415replacement or renewal coverage to the policyholder is exempt
2416from the notice requirements of paragraph (a) and this
2417paragraph. In such cases, the corporation must give the named
2418insured written notice of nonrenewal at least 45 days before the
2419effective date of the nonrenewal.
2420
2421After the policy has been in effect for 90 days, the policy may
2422shall not be canceled by the insurer unless except when there
2423has been a material misstatement, a nonpayment of premium, a
2424failure to comply with underwriting requirements established by
2425the insurer within 90 days after of the date of effectuation of
2426coverage, or a substantial change in the risk covered by the
2427policy or if when the cancellation is for all insureds under
2428such policies for a given class of insureds. This paragraph does
2429not apply to individually rated risks having a policy term of
2430less than 90 days.
2431     4.  Notwithstanding any other provision of law, an insurer
2432may cancel or nonrenew a property insurance policy after at
2433least 45 days' notice if the office finds that the early
2434cancellation of some or all of the insurer's policies is
2435necessary to protect the best interests of the public or
2436policyholders and the office approves the insurer's plan for
2437early cancellation or nonrenewal of some or all of its policies.
2438The office may base such finding upon the financial condition of
2439the insurer, lack of adequate reinsurance coverage for hurricane
2440risk, or other relevant factors. The office may condition its
2441finding on the consent of the insurer to be placed under
2442administrative supervision pursuant to s. 624.81 or to the
2443appointment of a receiver under chapter 631.
2444     Section 16.  Section 627.43141, Florida Statutes, is
2445created to read:
2446     627.43141  Notice of change in policy terms.-
2447     (1)  As used in this section, the term:
2448     (a)  "Change in policy terms" means the modification,
2449addition, or deletion of any term, coverage, duty, or condition
2450from the previous policy. The correction of typographical or
2451scrivener's errors or the application of mandated legislative
2452changes is not a change in policy terms.
2453     (b)  "Policy" means a written contract of personal lines
2454property and casualty insurance or a written agreement for
2455insurance, or the certificate of such insurance, by whatever
2456name called, and includes all clauses, riders, endorsements, and
2457papers that are a part of such policy. The term does not include
2458a binder as defined in s. 627.420 unless the duration of the
2459binder period exceeds 60 days.
2460     (c)  "Renewal" means the issuance and delivery by an
2461insurer of a policy superseding at the end of the policy period
2462a policy previously issued and delivered by the same insurer or
2463the issuance and delivery of a certificate or notice extending
2464the term of a policy beyond its policy period or term. Any
2465policy that has a policy period or term of less than 6 months or
2466that does not have a fixed expiration date shall, for purposes
2467of this section, be considered as written for successive policy
2468periods or terms of 6 months.
2469     (2)  A renewal policy may contain a change in policy terms.
2470If a renewal policy does contains such change, the insurer must
2471give the named insured written notice of the change, which must
2472be enclosed along with the written notice of renewal premium
2473required by ss. 627.4133 and 627.728. Such notice shall be
2474entitled "Notice of Change in Policy Terms."
2475     (3)  Although not required, proof of mailing or registered
2476mailing through the United States Postal Service of the Notice
2477of Change in Policy Terms to the named insured at the address
2478shown in the policy is sufficient proof of notice.
2479     (4)  Receipt of the premium payment for the renewal policy
2480by the insurer is deemed to be acceptance of the new policy
2481terms by the named insured.
2482     (5)  If an insurer fails to provide the notice required in
2483subsection (2), the original policy terms remain in effect until
2484the next renewal and the proper service of the notice, or until
2485the effective date of replacement coverage obtained by the named
2486insured, whichever occurs first.
2487     (6)  The intent of this section is to:
2488     (a)  Allow an insurer to make a change in policy terms
2489without nonrenewing those policyholders that the insurer wishes
2490to continue insuring.
2491     (b)  Alleviate concern and confusion to the policyholder
2492caused by the required policy nonrenewal for the limited issue
2493if an insurer intends to renew the insurance policy, but the new
2494policy contains a change in policy terms.
2495     (c)  Encourage policyholders to discuss their coverages
2496with their insurance agents.
2497     Section 17.  Section 627.7011, Florida Statutes, is amended
2498to read:
2499     627.7011  Homeowners' policies; offer of replacement cost
2500coverage and law and ordinance coverage.-
2501     (1)  Before Prior to issuing or renewing a homeowner's
2502insurance policy on or after October 1, 2005, or prior to the
2503first renewal of a homeowner's insurance policy on or after
2504October 1, 2005, the insurer must offer each of the following:
2505     (a)  A policy or endorsement providing that any loss that
2506which is repaired or replaced will be adjusted on the basis of
2507replacement costs to the dwelling not exceeding policy limits as
2508to the dwelling, rather than actual cash value, but not
2509including costs necessary to meet applicable laws and ordinances
2510regulating the construction, use, or repair of any property or
2511requiring the tearing down of any property, including the costs
2512of removing debris.
2513     (b)  A policy or endorsement providing that, subject to
2514other policy provisions, any loss that which is repaired or
2515replaced at any location will be adjusted on the basis of
2516replacement costs to the dwelling not exceeding policy limits as
2517to the dwelling, rather than actual cash value, and also
2518including costs necessary to meet applicable laws and ordinances
2519regulating the construction, use, or repair of any property or
2520requiring the tearing down of any property, including the costs
2521of removing debris.; However, such additional costs necessary to
2522meet applicable laws and ordinances may be limited to either 25
2523percent or 50 percent of the dwelling limit, as selected by the
2524policyholder, and such coverage applies shall apply only to
2525repairs of the damaged portion of the structure unless the total
2526damage to the structure exceeds 50 percent of the replacement
2527cost of the structure.
2528
2529An insurer is not required to make the offers required by this
2530subsection with respect to the issuance or renewal of a
2531homeowner's policy that contains the provisions specified in
2532paragraph (b) for law and ordinance coverage limited to 25
2533percent of the dwelling limit, except that the insurer must
2534offer the law and ordinance coverage limited to 50 percent of
2535the dwelling limit. This subsection does not prohibit the offer
2536of a guaranteed replacement cost policy.
2537     (2)  Unless the insurer obtains the policyholder's written
2538refusal of the policies or endorsements specified in subsection
2539(1), any policy covering the dwelling is deemed to include the
2540law and ordinance coverage limited to 25 percent of the dwelling
2541limit. The rejection or selection of alternative coverage shall
2542be made on a form approved by the office. The form must shall
2543fully advise the applicant of the nature of the coverage being
2544rejected. If this form is signed by a named insured, it is will
2545be conclusively presumed that there was an informed, knowing
2546rejection of the coverage or election of the alternative
2547coverage on behalf of all insureds. Unless the policyholder
2548requests in writing the coverage specified in this section, it
2549need not be provided in or supplemental to any other policy that
2550renews, insures, extends, changes, supersedes, or replaces an
2551existing policy if when the policyholder has rejected the
2552coverage specified in this section or has selected alternative
2553coverage. The insurer must provide the such policyholder with
2554notice of the availability of such coverage in a form approved
2555by the office at least once every 3 years. The failure to
2556provide such notice constitutes a violation of this code, but
2557does not affect the coverage provided under the policy.
2558     (3)(a)  If In the event of a loss occurs for which a
2559dwelling or personal property is insured on the basis of
2560replacement costs, the insurer shall initially pay at least the
2561actual cash value of the insured loss, less any applicable
2562deductible. In order to receive payment from an insurer under
2563this paragraph, a policyholder must enter into a contract for
2564the performance of building and structural repairs. The insurer
2565shall pay any remaining amounts necessary to perform such
2566repairs as work is performed and expenses are incurred. Other
2567than incidental expenses to mitigate further damage, the insurer
2568or any contractor or subcontractor may not require the
2569policyholder to advance payment for such repairs or expenses.
2570The insurer may waive the requirement for a contract under this
2571paragraph. If a total loss for a dwelling occurs, the insurer
2572shall pay the replacement cost coverage without reservation or
2573holdback of any depreciation in value, whether or not the
2574insured replaces or repairs the dwelling or property.
2575     (b)  If a loss occurs for which personal property is
2576insured on the basis of replacement costs, the insurer may limit
2577an initial payment to the actual cash value of the personal
2578property to be replaced. An insurer may require that an insured
2579provide the receipts from the purchase of property financed by
2580the initial actual cash value payment mandated under this
2581paragraph, and the insurer shall use such receipts to make the
2582next payment requested by the insured for the replacement of
2583insured personal property. The insurer shall continue this
2584process until the insured remits all receipts up to the policy
2585limits for replacement costs. The insurer must provide clear
2586notice of this process in the insurance contract. The insurer
2587may not require the policyholder to advance payment for the
2588replaced property.
2589     (4)  A Any homeowner's insurance policy issued or renewed
2590on or after October 1, 2005, must include in bold type no
2591smaller than 18 points the following statement:
2592
2593"LAW AND ORDINANCE COVERAGE IS AN IMPORTANT COVERAGE
2594THAT YOU MAY WISH TO PURCHASE. YOU MAY ALSO NEED TO
2595CONSIDER THE PURCHASE OF FLOOD INSURANCE FROM THE
2596NATIONAL FLOOD INSURANCE PROGRAM. WITHOUT THIS
2597COVERAGE, YOU MAY HAVE UNCOVERED LOSSES. PLEASE
2598DISCUSS THESE COVERAGES WITH YOUR INSURANCE AGENT."
2599
2600The intent of this subsection is to encourage policyholders to
2601purchase sufficient coverage to protect them in case events
2602excluded from the standard homeowners policy, such as law and
2603ordinance enforcement and flood, combine with covered events to
2604produce damage or loss to the insured property. The intent is
2605also to encourage policyholders to discuss these issues with
2606their insurance agent.
2607     (5)  Nothing in This section does not: shall be construed
2608to
2609     (a)  Apply to policies not considered to be "homeowners'
2610policies," as that term is commonly understood in the insurance
2611industry. This section specifically does not
2612     (b)  Apply to mobile home policies. Nothing in this section
2613     (c)  Limit shall be construed as limiting the ability of an
2614any insurer to reject or nonrenew any insured or applicant on
2615the grounds that the structure does not meet underwriting
2616criteria applicable to replacement cost or law and ordinance
2617policies or for other lawful reasons.
2618     (d)(6)  This section does not Prohibit an insurer from
2619limiting its liability under a policy or endorsement providing
2620that loss will be adjusted on the basis of replacement costs to
2621the lesser of:
2622     1.(a)  The limit of liability shown on the policy
2623declarations page;
2624     2.(b)  The reasonable and necessary cost to repair the
2625damaged, destroyed, or stolen covered property; or
2626     3.(c)  The reasonable and necessary cost to replace the
2627damaged, destroyed, or stolen covered property.
2628     (e)(7)  This section does not Prohibit an insurer from
2629exercising its right to repair damaged property in compliance
2630with its policy and s. 627.702(7).
2631     Section 18.  Paragraph (a) of subsection (5) of section
2632627.70131, Florida Statutes, is amended to read:
2633     627.70131  Insurer's duty to acknowledge communications
2634regarding claims; investigation.-
2635     (5)(a)  Within 90 days after an insurer receives notice of
2636an initial, reopened, or supplemental a property insurance claim
2637from a policyholder, the insurer shall pay or deny such claim or
2638a portion of the claim unless the failure to pay such claim or a
2639portion of the claim is caused by factors beyond the control of
2640the insurer which reasonably prevent such payment. Any payment
2641of an initial or supplemental a claim or portion of such a claim
2642made paid 90 days after the insurer receives notice of the
2643claim, or made paid more than 15 days after there are no longer
2644factors beyond the control of the insurer which reasonably
2645prevented such payment, whichever is later, bears shall bear
2646interest at the rate set forth in s. 55.03. Interest begins to
2647accrue from the date the insurer receives notice of the claim.
2648The provisions of this subsection may not be waived, voided, or
2649nullified by the terms of the insurance policy. If there is a
2650right to prejudgment interest, the insured shall select whether
2651to receive prejudgment interest or interest under this
2652subsection. Interest is payable when the claim or portion of the
2653claim is paid. Failure to comply with this subsection
2654constitutes a violation of this code. However, failure to comply
2655with this subsection does shall not form the sole basis for a
2656private cause of action.
2657     Section 19.  The Legislature finds and declares:
2658     (1)  There is a compelling state interest in maintaining a
2659viable and orderly private-sector market for property insurance
2660in this state. The lack of a viable and orderly property market
2661reduces the availability of property insurance coverage to state
2662residents, increases the cost of property insurance, and
2663increases the state's reliance on a residual property insurance
2664market and its potential for imposing assessments on
2665policyholders throughout the state.
2666     (2)  In 2005, the Legislature revised ss. 627.706-627.7074,
2667Florida Statutes, to adopt certain geological or technical
2668terms; to increase reliance on objective, scientific testing
2669requirements; and generally to reduce the number of sinkhole
2670claims and related disputes arising under prior law. The
2671Legislature determined that since the enactment of these
2672statutory revisions, both private-sector insurers and Citizens
2673Property Insurance Corporation have, nevertheless, continued to
2674experience high claims frequency and severity for sinkhole
2675insurance claims. In addition, many properties remain unrepaired
2676even after loss payments, which reduces the local property tax
2677base and adversely affects the real estate market. Therefore,
2678the Legislature finds that losses associated with sinkhole
2679claims adversely affect the public health, safety, and welfare
2680of this state and its citizens.
2681     (3)  Pursuant to sections 19 through 24 of this act,
2682technical or scientific definitions adopted in the 2005
2683legislation are clarified to implement and advance the
2684Legislature's intended reduction of sinkhole claims and
2685disputes. The legal presumption intended by the Legislature is
2686clarified to reduce disputes and litigation associated with the
2687technical reviews associated with sinkhole claims. Certain other
2688revisions to ss. 627.706-627.7074, Florida Statutes, are enacted
2689to advance legislative intent to rely on scientific or technical
2690determinations relating to sinkholes and sinkhole claims, reduce
2691the number and cost of disputes relating to sinkhole claims, and
2692ensure that repairs are made commensurate with the scientific
2693and technical determinations and insurance claims payments.
2694     Section 20.  Section 627.706, Florida Statutes, is
2695reordered and amended to read:
2696     627.706  Sinkhole insurance; catastrophic ground cover
2697collapse; definitions.-
2698     (1)  Every insurer authorized to transact residential
2699property insurance, as described in s. 627.4025, in this state
2700must shall provide coverage for a catastrophic ground cover
2701collapse. However, the insurer may restrict such coverage to the
2702principal building, as defined in the applicable policy. The
2703insurer may and shall make available, for an appropriate
2704additional premium, coverage for sinkhole losses on any
2705structure, including the contents of personal property contained
2706therein, to the extent provided in the form to which the
2707coverage attaches. A policy for residential property insurance
2708may include a deductible amount applicable to sinkhole losses,
2709including any expenses incurred by an insurer investigating
2710whether sinkhole activity is present. The deductible may be
2711equal to 1 percent, 2 percent, 5 percent, or 10 percent of the
2712policy dwelling limits, with appropriate premium discounts
2713offered with each deductible amount.
2714     (2)  As used in ss. 627.706-627.7074, and as used in
2715connection with any policy providing coverage for a catastrophic
2716ground cover collapse or for sinkhole losses, the term:
2717     (a)  "Catastrophic ground cover collapse" means geological
2718activity that results in all the following:
2719     1.  The abrupt collapse of the ground cover;
2720     2.  A depression in the ground cover clearly visible to the
2721naked eye;
2722     3.  Structural damage to the covered building, including
2723the foundation; and
2724     4.  The insured structure being condemned and ordered to be
2725vacated by the governmental agency authorized by law to issue
2726such an order for that structure.
2727
2728Contents coverage applies if there is a loss resulting from a
2729catastrophic ground cover collapse. Structural Damage consisting
2730merely of the settling or cracking of a foundation, structure,
2731or building does not constitute a loss resulting from a
2732catastrophic ground cover collapse.
2733     (b)  "Neutral evaluation" means the alternative dispute
2734resolution provided in s. 627.7074.
2735     (c)  "Neutral evaluator" means a professional engineer or a
2736professional geologist who has completed a course of study in
2737alternative dispute resolution designed or approved by the
2738department for use in the neutral evaluation process and who is
2739determined to be fair and impartial.
2740     (f)(b)  "Sinkhole" means a landform created by subsidence
2741of soil, sediment, or rock as underlying strata are dissolved by
2742groundwater. A sinkhole forms may form by collapse into
2743subterranean voids created by dissolution of limestone or
2744dolostone or by subsidence as these strata are dissolved.
2745     (h)(c)  "Sinkhole loss" means structural damage to the
2746covered building, including the foundation, caused by sinkhole
2747activity. Contents coverage and additional living expenses shall
2748apply only if there is structural damage to the covered building
2749caused by sinkhole activity.
2750     (g)(d)  "Sinkhole activity" means settlement or systematic
2751weakening of the earth supporting such property only if the when
2752such settlement or systematic weakening results from
2753contemporary movement or raveling of soils, sediments, or rock
2754materials into subterranean voids created by the effect of water
2755on a limestone or similar rock formation.
2756     (d)(e)  "Professional engineer" means a person, as defined
2757in s. 471.005, who has a bachelor's degree or higher in
2758engineering and has successfully completed at least five courses
2759in any combination of the following: geotechnical engineering,
2760structural engineering, soil mechanics, foundations, or geology
2761with a specialty in the geotechnical engineering field. A
2762professional engineer must also have geotechnical experience and
2763expertise in the identification of sinkhole activity as well as
2764other potential causes of structural damage to the structure.
2765     (e)(f)  "Professional geologist" means a person, as defined
2766in by s. 492.102, who has a bachelor's degree or higher in
2767geology or related earth science and with expertise in the
2768geology of Florida. A professional geologist must have
2769geological experience and expertise in the identification of
2770sinkhole activity as well as other potential geologic causes of
2771structural damage to the structure.
2772     (i)  "Structural damage" means:
2773     1.  A covered building that suffers foundation movement
2774outside an acceptable variance under the applicable building
2775code;
2776     2.  Damage to a covered building, including the foundation,
2777which prevents the primary structural members or primary
2778structural systems from supporting the loads and forces they
2779were designed to support; and
2780     3.  As may be further defined by the applicable policy.
2781     (3)  On or before June 1, 2007, Every insurer authorized to
2782transact property insurance in this state shall make a proper
2783filing with the office for the purpose of extending the
2784appropriate forms of property insurance to include coverage for
2785catastrophic ground cover collapse or for sinkhole losses.
2786coverage for catastrophic ground cover collapse may not go into
2787effect until the effective date provided for in the filing
2788approved by the office.
2789     (3)(4)  Insurers offering policies that exclude coverage
2790for sinkhole losses must shall inform policyholders in bold type
2791of not less than 14 points as follows: "YOUR POLICY PROVIDES
2792COVERAGE FOR A CATASTROPHIC GROUND COVER COLLAPSE THAT RESULTS
2793IN THE PROPERTY BEING CONDEMNED AND UNINHABITABLE. OTHERWISE,
2794YOUR POLICY DOES NOT PROVIDE COVERAGE FOR SINKHOLE LOSSES. YOU
2795MAY PURCHASE ADDITIONAL COVERAGE FOR SINKHOLE LOSSES FOR AN
2796ADDITIONAL PREMIUM."
2797     (4)(5)  An insurer offering sinkhole coverage to
2798policyholders before or after the adoption of s. 30, chapter
27992007-1, Laws of Florida, may nonrenew the policies of
2800policyholders maintaining sinkhole coverage in Pasco County or
2801Hernando County, at the option of the insurer, and provide an
2802offer of coverage that to such policyholders which includes
2803catastrophic ground cover collapse and excludes sinkhole
2804coverage. Insurers acting in accordance with this subsection are
2805subject to the following requirements:
2806     (a)  Policyholders must be notified that a nonrenewal is
2807for purposes of removing sinkhole coverage, and that the
2808policyholder is still being offered a policy that provides
2809coverage for catastrophic ground cover collapse.
2810     (b)  Policyholders must be provided an actuarially
2811reasonable premium credit or discount for the removal of
2812sinkhole coverage and provision of only catastrophic ground
2813cover collapse.
2814     (c)  Subject to the provisions of this subsection and the
2815insurer's approved underwriting or insurability guidelines, the
2816insurer may shall provide each policyholder with the opportunity
2817to purchase an endorsement to his or her policy providing
2818sinkhole coverage and may require an inspection of the property
2819before issuance of a sinkhole coverage endorsement.
2820     (d)  Section 624.4305 does not apply to nonrenewal notices
2821issued pursuant to this subsection.
2822     (5)  Any claim, including, but not limited to, initial,
2823supplemental, and reopened claims under an insurance policy that
2824provides sinkhole coverage is barred unless notice of the claim
2825was given to the insurer in accordance with the terms of the
2826policy within 2 years after the policyholder knew or reasonably
2827should have known about the sinkhole loss.
2828     Section 21.  Section 627.7061, Florida Statutes, is amended
2829to read:
2830     627.7061  Coverage inquiries.-Inquiries about coverage on a
2831property insurance contract are not claim activity, unless an
2832actual claim is filed by the policyholder which insured that
2833results in a company investigation of the claim.
2834     Section 22.  Section 627.7065, Florida Statutes, is
2835repealed.
2836     Section 23.  Section 627.707, Florida Statutes, is amended
2837to read:
2838     627.707  Standards for Investigation of sinkhole claims by
2839policyholders insurers; insurer payment; nonrenewals.-Upon
2840receipt of a claim for a sinkhole loss to a covered building, an
2841insurer must meet the following standards in investigating a
2842claim:
2843     (1)  The insurer must inspect make an inspection of the
2844policyholder's insured's premises to determine if there is
2845structural has been physical damage that to the structure which
2846may be the result of sinkhole activity.
2847     (2)  If the insurer confirms that structural damage exists
2848but is unable to identify a valid cause of such damage or
2849discovers that such damage is consistent with sinkhole loss
2850Following the insurer's initial inspection, the insurer shall
2851engage a professional engineer or a professional geologist to
2852conduct testing as provided in s. 627.7072 to determine the
2853cause of the loss within a reasonable professional probability
2854and issue a report as provided in s. 627.7073, only if sinkhole
2855loss is covered under the policy. Except as provided in
2856subsection (6), the fees and costs of the professional engineer
2857or professional geologist shall be paid by the insurer.:
2858     (a)  The insurer is unable to identify a valid cause of the
2859damage or discovers damage to the structure which is consistent
2860with sinkhole loss; or
2861     (b)  The policyholder demands testing in accordance with
2862this section or s. 627.7072.
2863     (3)  Following the initial inspection of the policyholder's
2864insured premises, the insurer shall provide written notice to
2865the policyholder disclosing the following information:
2866     (a)  What the insurer has determined to be the cause of
2867damage, if the insurer has made such a determination.
2868     (b)  A statement of the circumstances under which the
2869insurer is required to engage a professional engineer or a
2870professional geologist to verify or eliminate sinkhole loss and
2871to engage a professional engineer to make recommendations
2872regarding land and building stabilization and foundation repair.
2873     (c)  A statement regarding the right of the policyholder to
2874request testing by a professional engineer or a professional
2875geologist and the circumstances under which the policyholder may
2876demand certain testing.
2877     (4)  If the insurer determines that there is no sinkhole
2878loss, the insurer may deny the claim. If coverage for sinkhole
2879loss is available and If the insurer denies the claim on such
2880basis, without performing testing under s. 627.7072, the
2881policyholder may demand testing by the insurer under s.
2882627.7072. The policyholder's demand for testing must be
2883communicated to the insurer in writing within 60 days after the
2884policyholder's receipt of the insurer's denial of the claim.
2885     (5)(a)  Subject to paragraph (b), If a sinkhole loss is
2886verified, the insurer shall pay to stabilize the land and
2887building and repair the foundation in accordance with the
2888recommendations of the professional engineer retained pursuant
2889to subsection (2), as provided under s. 627.7073, and in
2890consultation with notice to the policyholder, subject to the
2891coverage and terms of the policy. The insurer shall pay for
2892other repairs to the structure and contents in accordance with
2893the terms of the policy.
2894     (a)(b)  The insurer may limit its total claims payment to
2895the actual cash value of the sinkhole loss, which does not
2896include including underpinning or grouting or any other repair
2897technique performed below the existing foundation of the
2898building, until the policyholder enters into a contract for the
2899performance of building stabilization or foundation repairs in
2900the insurer's report issued pursuant to s. 627.7073.
2901     (b)  In order to prevent additional damage to the building
2902or structure, the policyholder must enter into a contract for
2903the performance of building stabilization or foundation repairs
2904within 90 days after the insurance company confirms coverage for
2905the sinkhole loss and notifies the policyholder of such
2906confirmation. This time period is tolled if either party invokes
2907the neutral evaluation process.
2908     (c)  After the policyholder enters into the contract for
2909the performance of building stabilization or foundation repairs,
2910the insurer shall pay the amounts necessary to begin and perform
2911such repairs as the work is performed and the expenses are
2912incurred. The insurer may not require the policyholder to
2913advance payment for such repairs. If repair covered by a
2914personal lines residential property insurance policy has begun
2915and the professional engineer selected or approved by the
2916insurer determines that the repair cannot be completed within
2917the policy limits, the insurer must either complete the
2918professional engineer's recommended repair or tender the policy
2919limits to the policyholder without a reduction for the repair
2920expenses incurred.
2921     (d)  The stabilization and all other repairs to the
2922structure and contents must be completed within 12 months after
2923entering into the contract for repairs described in paragraph
2924(b) unless:
2925     1.  There is a mutual agreement between the insurer and the
2926policyholder;
2927     2.  The claim is involved with the neutral evaluation
2928process;
2929     3.  The claim is in litigation; or
2930     4.  The claim is under appraisal.
2931     (e)(c)  Upon the insurer's obtaining the written approval
2932of the policyholder and any lienholder, the insurer may make
2933payment directly to the persons selected by the policyholder to
2934perform the land and building stabilization and foundation
2935repairs. The decision by the insurer to make payment to such
2936persons does not hold the insurer liable for the work performed.
2937The policyholder may not accept a rebate from any person
2938performing the repairs specified in this section. If a
2939policyholder does receive a rebate, coverage is void and the
2940policyholder must refund the amount of the rebate to the
2941insurer. Any person making the repairs specified in this section
2942who offers a rebate, or any policyholder who accepts a rebate
2943for such repairs, commits insurance fraud, a felony of the third
2944degree punishable as provided in s. 775.082, s. 775.083, or s.
2945775.084.
2946     (6)  Except as provided in subsection (7), the fees and
2947costs of the professional engineer or the professional geologist
2948shall be paid by the insurer.
2949     (6)(7)  If the insurer obtains, pursuant to s. 627.7073,
2950written certification that there is no sinkhole loss or that the
2951cause of the damage was not sinkhole activity, and if the
2952policyholder has submitted the sinkhole claim without good faith
2953grounds for submitting such claim, the policyholder shall
2954reimburse the insurer for 50 percent of the actual costs of the
2955analyses and services provided under ss. 627.7072 and 627.7073;
2956however, a policyholder is not required to reimburse an insurer
2957more than the deductible or $2,500, whichever is greater, with
2958respect to any claim. A policyholder is required to pay
2959reimbursement under this subsection only if the policyholder
2960requested the analysis and services provided under ss. 627.7072
2961and 627.7073 and the insurer, before prior to ordering the
2962analysis under s. 627.7072, informs the policyholder in writing
2963of the policyholder's potential liability for reimbursement and
2964gives the policyholder the opportunity to withdraw the claim.
2965     (7)(8)  An No insurer may not shall nonrenew any policy of
2966property insurance on the basis of filing of claims for partial
2967loss caused by sinkhole damage or clay shrinkage if as long as
2968the total of such payments does not equal or exceed the current
2969policy limits of coverage for the policy in effect on the date
2970of loss, for property damage to the covered building, as set
2971forth on the declarations page, or if and provided the
2972policyholder insured has repaired the structure in accordance
2973with the engineering recommendations made pursuant to subsection
2974(2) upon which any payment or policy proceeds were based. If the
2975insurer pays such limits, it may nonrenew the policy.
2976     (8)(9)  The insurer may engage a professional structural
2977engineer to make recommendations as to the repair of the
2978structure.
2979     Section 24.  Section 627.7073, Florida Statutes, is amended
2980to read:
2981     627.7073  Sinkhole reports.-
2982     (1)  Upon completion of testing as provided in s. 627.7072,
2983the professional engineer or professional geologist shall issue
2984a report and certification to the insurer and the policyholder
2985as provided in this section.
2986     (a)  Sinkhole loss is verified if, based upon tests
2987performed in accordance with s. 627.7072, a professional
2988engineer or a professional geologist issues a written report and
2989certification stating:
2990     1.  That structural damage to the covered building has been
2991identified within a reasonable professional probability.
2992     2.1.  That the cause of the actual physical and structural
2993damage is sinkhole activity within a reasonable professional
2994probability.
2995     3.2.  That the analyses conducted were of sufficient scope
2996to identify sinkhole activity as the cause of damage within a
2997reasonable professional probability.
2998     4.3.  A description of the tests performed.
2999     5.4.  A recommendation by the professional engineer of
3000methods for stabilizing the land and building and for making
3001repairs to the foundation.
3002     (b)  If there is no structural damage or if sinkhole
3003activity is eliminated as the cause of such damage to the
3004covered building structure, the professional engineer or
3005professional geologist shall issue a written report and
3006certification to the policyholder and the insurer stating:
3007     1.  That there is no structural damage or the cause of such
3008the damage is not sinkhole activity within a reasonable
3009professional probability.
3010     2.  That the analyses and tests conducted were of
3011sufficient scope to eliminate sinkhole activity as the cause of
3012the structural damage within a reasonable professional
3013probability.
3014     3.  A statement of the cause of the structural damage
3015within a reasonable professional probability.
3016     4.  A description of the tests performed.
3017     (c)  The respective findings, opinions, and recommendations
3018of the professional engineer or professional geologist as to the
3019cause of distress to the property and the findings, opinions,
3020and recommendations of the insurer's professional engineer as to
3021land and building stabilization and foundation repair set forth
3022by s. 627.7072 shall be presumed correct, which presumption
3023shifts the burden of proof in accordance with s. 90.302(2). The
3024presumption of correctness is based upon public policy concerns
3025regarding the affordability of sinkhole coverage, consistency in
3026claims handling, and a reduction in the number of disputed
3027sinkhole claims.
3028     (2)(a)  Any insurer that has paid a claim for a sinkhole
3029loss shall file a copy of the report and certification, prepared
3030pursuant to subsection (1), including the legal description of
3031the real property and the name of the property owner, the
3032neutral evaluator's report, if any, that indicates that sinkhole
3033activity caused the damage claimed, a copy of the certification
3034indicating that stabilization has been completed, if applicable,
3035and the amount of the payment, with the county clerk of court,
3036who shall record the report and certification. The insurer shall
3037bear the cost of filing and recording one or more reports and
3038certifications the report and certification. There shall be no
3039cause of action or liability against an insurer for compliance
3040with this section.
3041     (a)  The recording of the report and certification does
3042not:
3043     1.  Constitute a lien, encumbrance, or restriction on the
3044title to the real property or constitute a defect in the title
3045to the real property;
3046     2.  Create any cause of action or liability against any
3047grantor of the real property for breach of any warranty of good
3048title or warranty against encumbrances; or
3049     3.  Create any cause of action or liability against any
3050title insurer that insures the title to the real property.
3051     (b)  As a precondition to accepting payment for a sinkhole
3052loss, the policyholder must file a copy of any report prepared
3053on behalf or at the request of the policyholder regarding the
3054insured property. The policyholder shall bear the cost of filing
3055and recording such sinkhole report. The recording of the report
3056does not:
3057     1.  Constitute a lien, encumbrance, or restriction on the
3058title to the real property or constitute a defect in the title
3059to the real property;
3060     2.  Create any cause of action or liability against any
3061grantor of the real property for breach of any warranty of good
3062title or warranty against encumbrances; or
3063     3.  Create any cause of action or liability against any
3064title insurer that insures the title to the real property.
3065     (c)(b)  The seller of real property upon which a sinkhole
3066claim has been made by the seller and paid by the insurer must
3067shall disclose to the buyer of such property, before the
3068closing, that a claim has been paid, the amount of the payment,
3069and whether or not the full amount of the proceeds were used to
3070repair the sinkhole damage.
3071     Section 25.  Section 627.7074, Florida Statutes, is amended
3072to read:
3073     627.7074  Alternative procedure for resolution of disputed
3074sinkhole insurance claims.-
3075     (1)  As used in this section, the term:
3076     (a)  "Neutral evaluation" means the alternative dispute
3077resolution provided for in this section.
3078     (b)  "Neutral evaluator" means a professional engineer or a
3079professional geologist who has completed a course of study in
3080alternative dispute resolution designed or approved by the
3081department for use in the neutral evaluation process, who is
3082determined to be fair and impartial.
3083     (1)(2)(a)  The department shall:
3084     (a)  Certify and maintain a list of persons who are neutral
3085evaluators.
3086     (b)  The department shall Prepare a consumer information
3087pamphlet for distribution by insurers to policyholders which
3088clearly describes the neutral evaluation process and includes
3089information and forms necessary for the policyholder to request
3090a neutral evaluation.
3091     (2)  Neutral evaluation is available to either party if a
3092sinkhole report has been issued pursuant to s. 627.7073. At a
3093minimum, neutral evaluation must determine:
3094     (a)  Causation;
3095     (b)  All methods of stabilization and repair both above and
3096below ground;
3097     (c)  The costs for stabilization and all repairs; and
3098     (d)  Information necessary to carry out subsection (12).
3099     (3)  Following the receipt of the report provided under s.
3100627.7073 or the denial of a claim for a sinkhole loss, the
3101insurer shall notify the policyholder of his or her right to
3102participate in the neutral evaluation program under this
3103section. Neutral evaluation supersedes the alternative dispute
3104resolution process under s. 627.7015, but does not invalidate
3105the appraisal clause of the insurance policy. The insurer shall
3106provide to the policyholder the consumer information pamphlet
3107prepared by the department pursuant to subsection (1)
3108electronically or by United States mail paragraph (2)(b).
3109     (4)  Neutral evaluation is nonbinding, but mandatory if
3110requested by either party. A request for neutral evaluation may
3111be filed with the department by the policyholder or the insurer
3112on a form approved by the department. The request for neutral
3113evaluation must state the reason for the request and must
3114include an explanation of all the issues in dispute at the time
3115of the request. Filing a request for neutral evaluation tolls
3116the applicable time requirements for filing suit for a period of
311760 days following the conclusion of the neutral evaluation
3118process or the time prescribed in s. 95.11, whichever is later.
3119     (5)  Neutral evaluation shall be conducted as an informal
3120process in which formal rules of evidence and procedure need not
3121be observed. A party to neutral evaluation is not required to
3122attend neutral evaluation if a representative of the party
3123attends and has the authority to make a binding decision on
3124behalf of the party. All parties shall participate in the
3125evaluation in good faith. The neutral evaluator must be allowed
3126reasonable access to the interior and exterior of insured
3127structures to be evaluated or for which a claim has been made.
3128Any reports initiated by the policyholder, or an agent of the
3129policyholder, confirming a sinkhole loss or disputing another
3130sinkhole report regarding insured structures must be provided to
3131the neutral evaluator before the evaluator's physical inspection
3132of the insured property.
3133     (6)  The insurer shall pay reasonable the costs associated
3134with the neutral evaluation. However, if a party chooses to hire
3135a court reporter or stenographer to contemporaneously record and
3136document the neutral evaluation, that party must bear such
3137costs.
3138     (7)  Upon receipt of a request for neutral evaluation, the
3139department shall provide the parties a list of certified neutral
3140evaluators. The parties shall mutually select a neutral
3141evaluator from the list and promptly inform the department. If
3142the parties cannot agree to a neutral evaluator within 10
3143business days, The department shall allow the parties to submit
3144requests to disqualify evaluators on the list for cause.
3145     (a)  The department shall disqualify neutral evaluators for
3146cause based only on any of the following grounds:
3147     1.  A familial relationship exists between the neutral
3148evaluator and either party or a representative of either party
3149within the third degree.
3150     2.  The proposed neutral evaluator has, in a professional
3151capacity, previously represented either party or a
3152representative of either party, in the same or a substantially
3153related matter.
3154     3.  The proposed neutral evaluator has, in a professional
3155capacity, represented another person in the same or a
3156substantially related matter and that person's interests are
3157materially adverse to the interests of the parties. The term
3158"substantially related matter" means participation by the
3159neutral evaluator on the same claim, property, or adjacent
3160property.
3161     4.  The proposed neutral evaluator has, within the
3162preceding 5 years, worked as an employer or employee of any
3163party to the case.
3164     (b)  The parties shall appoint a neutral evaluator from the
3165department list and promptly inform the department. If the
3166parties cannot agree to a neutral evaluator within 14 days, the
3167department shall appoint a neutral evaluator from the list of
3168certified neutral evaluators. The department shall allow each
3169party to disqualify two neutral evaluators without cause. Upon
3170selection or appointment, the department shall promptly refer
3171the request to the neutral evaluator.
3172     (c)  Within 14 5 business days after the referral, the
3173neutral evaluator shall notify the policyholder and the insurer
3174of the date, time, and place of the neutral evaluation
3175conference. The conference may be held by telephone, if feasible
3176and desirable. The neutral evaluator shall make reasonable
3177efforts to hold the neutral evaluation conference shall be held
3178within 90 45 days after the receipt of the request by the
3179department. Failure of the neutral evaluator to hold the
3180conference within 90 days does not invalidate either party's
3181right to neutral evaluation or to a neutral evaluation
3182conference held outside this timeframe.
3183     (8)  The department shall adopt rules of procedure for the
3184neutral evaluation process.
3185     (8)(9)  For policyholders not represented by an attorney, a
3186consumer affairs specialist of the department or an employee
3187designated as the primary contact for consumers on issues
3188relating to sinkholes under s. 20.121 shall be available for
3189consultation to the extent that he or she may lawfully do so.
3190     (9)(10)  Evidence of an offer to settle a claim during the
3191neutral evaluation process, as well as any relevant conduct or
3192statements made in negotiations concerning the offer to settle a
3193claim, is inadmissible to prove liability or absence of
3194liability for the claim or its value, except as provided in
3195subsection (14) (13).
3196     (10)(11)  Regardless of when noticed, any court proceeding
3197related to the subject matter of the neutral evaluation shall be
3198stayed pending completion of the neutral evaluation and for 5
3199days after the filing of the neutral evaluator's report with the
3200court.
3201     (11)  If, based upon his or her professional training and
3202credentials, a neutral evaluator is qualified to determine only
3203disputes relating to causation or method of repair, the
3204department shall allow the neutral evaluator to enlist the
3205assistance of another professional from the neutral evaluators
3206list not previously stricken, who, based upon his or her
3207professional training and credentials, is able to provide an
3208opinion as to other disputed issues. A professional who would be
3209disqualified for any reason listed in subsection (7) must be
3210disqualified. The neutral evaluator may also use the services of
3211professional engineers and professional geologists who are not
3212certified as neutral evaluators, as well as licensed building
3213contractors, in order to ensure that all items in dispute are
3214addressed and the neutral evaluation can be completed. Any
3215professional engineer, professional geologist, or licensed
3216building contractor retained may be disqualified for any of the
3217reasons listed in subsection (7). The neutral evaluator may
3218request the entity that performed the investigation pursuant to
3219s. 627.7072 perform such additional and reasonable testing as
3220deemed necessary in the professional opinion of the neutral
3221evaluator.
3222     (12)  At For matters that are not resolved by the parties
3223at the conclusion of the neutral evaluation, the neutral
3224evaluator shall prepare a report describing all matters that are
3225the subject of the neutral evaluation, including whether,
3226stating that in his or her opinion, the sinkhole loss has been
3227verified or eliminated within a reasonable degree of
3228professional probability and, if verified, whether the sinkhole
3229activity caused structural damage to the covered building, and
3230if so, the need for and estimated costs of stabilizing the land
3231and any covered structures or buildings and other appropriate
3232remediation or necessary building structural repairs due to the
3233sinkhole loss. The evaluator's report shall be sent to all
3234parties in attendance at the neutral evaluation and to the
3235department, within 14 days after completing the neutral
3236evaluation conference.
3237     (13)  The recommendation of the neutral evaluator is not
3238binding on any party, and the parties retain access to the
3239court. The neutral evaluator's written recommendation, oral
3240testimony, and full report shall be admitted is admissible in
3241any subsequent action, litigation, or proceeding relating to the
3242claim or to the cause of action giving rise to the claim.
3243However, oral or written statements or nonverbal conduct
3244intended to make an assertion made by a party or neutral
3245evaluator during the course of neutral evaluation, other than
3246those statements or conduct expressly required to be admitted by
3247this subsection, are confidential and may not be disclosed to a
3248person other than a party to neutral evaluation or a party's
3249counsel.
3250     (14)  If the neutral evaluator first verifies the existence
3251of a sinkhole that caused structural damage and, second,
3252recommends the need for and estimates costs of stabilizing the
3253land and any covered structures or buildings and other
3254appropriate remediation or building structural repairs, which
3255costs exceed the amount that the insurer estimates as necessary
3256to stabilize and repair, and the insurer refuses to comply with
3257the neutral evaluator's findings and recommendations has offered
3258to pay the policyholder, the insurer is liable to the
3259policyholder for up to $2,500 in attorney's fees for the
3260attorney's participation in the neutral evaluation process. For
3261purposes of this subsection, the term "offer to pay" means a
3262written offer signed by the insurer or its legal representative
3263and delivered to the policyholder within 10 days after the
3264insurer receives notice that a request for neutral evaluation
3265has been made under this section.
3266     (15)  If the insurer timely agrees in writing to comply and
3267timely complies with the recommendation of the neutral
3268evaluator, but the policyholder declines to resolve the matter
3269in accordance with the recommendation of the neutral evaluator
3270pursuant to this section:
3271     (a)  The insurer is not liable for extracontractual damages
3272related to a claim for a sinkhole loss but only as related to
3273the issues determined by the neutral evaluation process. This
3274section does not affect or impair claims for extracontractual
3275damages unrelated to the issues determined by the neutral
3276evaluation process contained in this section; and
3277     (b)  The actions of the insurer are not a confession of
3278judgment or admission of liability, and the insurer is not
3279liable for attorney's fees under s. 627.428 or other provisions
3280of the insurance code unless the policyholder obtains a judgment
3281that is more favorable than the recommendation of the neutral
3282evaluator.
3283     (16)  If the insurer agrees to comply with the neutral
3284evaluator's report, payments shall be made in accordance with
3285the terms and conditions of the applicable insurance policy
3286pursuant to s. 627.707(5).
3287     (17)  Neutral evaluators are deemed to be agents of the
3288department and have immunity from suit as provided in s. 44.107.
3289     (18)  The department shall adopt rules of procedure for the
3290neutral evaluation process.
3291     Section 26.  Subsection (1) of section 627.712, Florida
3292Statutes, is amended to read:
3293     627.712  Residential windstorm coverage required;
3294availability of exclusions for windstorm or contents.-
3295     (1)  An insurer issuing a residential property insurance
3296policy must provide windstorm coverage. Except as provided in
3297paragraph (2)(c), this section does not apply with respect to
3298risks that are eligible for wind-only coverage from Citizens
3299Property Insurance Corporation under s. 627.351(6), and with
3300respect to risks that are not eligible for coverage from
3301Citizens Property Insurance Corporation under s. 627.351(6)(a)3.
3302or 5. A risk ineligible for Citizens coverage by the corporation
3303under s. 627.351(6)(a)3. or 5. is exempt from the requirements
3304of this section only if the risk is located within the
3305boundaries of the coastal high-risk account of the corporation.
3306     Section 27.  If any provision of this act, or the
3307application thereof to any person or circumstance is held
3308invalid, such invalidity shall not affect other provisions or
3309applications of this act which can be given effect without the
3310invalid provision or application. It is the express intent of
3311the Legislature to enact multiple important, but independent,
3312reforms to Florida law relating to sinkhole insurance coverage
3313and related claims. The Legislature further intends that the
3314multiple reforms in the act could and should be enforced if one
3315or more provisions are held invalid. To this end, the provisions
3316of this act are declared to be severable.
3317     Section 28.  Except as otherwise expressly provided in this
3318act and except for this section, which shall take effect June 1,
33192011, this act shall take effect July 1, 2011.


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