HB 1167

1
A bill to be entitled
2An act relating to insurance; amending s. 628.461, F.S.,
3relating to acquisition of controlling stock with respect
4to stock and mutual insurers; including prepaid limited
5health service organizations, health maintenance
6organizations, prepaid health clinics, continuing care
7providers, and multiple-employer welfare arrangements
8within the definition of "insurer"; providing that a
9person may not acquire a domestic stock insurer or a
10controlling company unless such person has filed with the
11commissioner and sent to the insurer a statement
12containing specified information and the offer, request,
13invitation, agreement, or acquisition has been approved by
14the Commissioner of Insurance; requiring a controlling
15person of a domestic insurer seeking to divest its
16controlling interest in the domestic insurer to file
17notice of the proposed divestiture; requiring the filing
18of a preacquisition notification; providing for contents
19of statement; providing for alternative filing materials
20under specified circumstances; providing for approval or
21disapproval by the commissioner of any merger or
22acquisition of control after a public hearing; providing
23procedures and requirements, including notice
24requirements, with respect to such hearings; providing for
25hearings on a consolidated basis; authorizing the
26commissioner to retain attorneys and experts in reviewing
27the proposed acquisition of control; providing
28nonapplicability; providing that failure to file any
29required statement, amendment, or other material or the
30effectuation or attempted effectuation of an acquisition
31of control of, divestiture of, or merger with a domestic
32insurer without approval of the commissioner constitutes a
33violation of the section; providing for jurisdiction of
34courts with respect to violations and service of process;
35authorizing the commissioner to enter an order under
36specified circumstances; defining terms; providing
37criteria and establishing formulae for competitive
38standards; providing that the burden of showing prima
39facie evidence of violation of the competitive standard
40rests with the commissioner; authorizing the commissioner
41to issue specified orders if an acquisition violates
42required standards; requiring hearings; requiring an order
43to be accompanied by a written decision of the
44commissioner; authorizing penalties for violation of a
45cease and desist order of the commissioner; providing a
46fine for failure to make required filings and failure to
47demonstrate a good faith effort to comply with any filing
48requirement; specifying acquisitions and purchase of
49securities that are exempt from the section; providing
50procedures and requirements with respect to approval or
51disapproval of the acquisition of voting securities;
52amending s. 628.4615, F.S., relating to specialty
53insurers, the  acquisition of controlling stock, ownership
54interest, assets, or control thereof, and the merger or
55consolidation of such insurers; removing prepaid limited
56health service organizations, health maintenance
57organizations, prepaid health clinics, continuing care
58providers, and multiple-employer welfare arrangements from
59the definition of specialty insurer; revising procedures
60and requirements with respect to the acquisition of a
61specialty insurer; requiring specified background
62information with respect to new officers, directors,
63trustees, partners, owners, or managers of a specialty
64insurer that is the subject of an acquisition; eliminating
65provisions relating to review of acquisition applications,
66prohibited material change in the operation of a specialty
67insurer or controlling company by an acquiring person,
68acquisition proceedings, approval and disapproval of
69acquisitions, burden of proof, validity of acquisitions,
70and unlawful representation of approval by the office,
71penalties therefor, and statute of limitations thereon;
72creating s. 628.800, F.S.; providing definitions with
73respect to pt. IV, ch. 628, F.S., relating to insurance
74holding companies; amending s. 628.801, F.S.;
75substantially rewording provisions relating to
76registration of members of an insurance holding company
77system; providing procedures and requirements with respect
78to such registration; requiring reporting of dividends and
79other distributions to shareholders; providing for
80termination of registration; providing for filing of
81consolidated registration statements; authorizing
82specified insurers to register on behalf of an affiliated
83insurer; providing inapplicability; providing for filing
84of a disclaimer of affiliation and procedures and
85requirements with respect thereto; requiring the filing of
86an annual enterprise risk report; providing that failure
87timely to file a registration statement or summary thereof
88or an enterprise risk filing constitutes a violation of
89the section; creating s. 628.8011, F.S.; providing
90procedures and requirements with respect to standards and
91management of an insurer within an insurance holding
92company system; establishing standards for transactions
93within an insurance holding company system; precluding
94specified transactions involving a domestic insurer and
95any person in its insurance holding company system;
96providing exceptions; providing for review of
97transactions; requiring notice with respect to specified
98investments; providing procedures and requirements with
99respect to payment of extraordinary dividends or the
100making of extraordinary distributions by a domestic
101insurer; providing requirements with respect to management
102of domestic insurers; providing factors to be considered
103in determining adequacy of an insurer's surplus; creating
104628.8012, F.S.; providing for the establishment of and
105participation in a supervisory college; specifying powers
106of the Commissioner of Insurance with respect thereto;
107providing for payment of expenses of the college; creating
108s. 628.8013, F.S.; providing rulemaking authority of the
109commissioner; creating s. 628.8014, providing restrictions
110on voting of securities; amending s. 628.802, F.S.;
111providing for injunctions against specified violations;
112substantially revising provisions relating to the voting
113of securities; substantially revising provisions relating
114to the seizure or sequestration of voting securities;
115amending s. 628.803, F.S.; providing a penalty for failure
116to file a registration statement; providing for deposit of
117funds derived therefrom; providing a penalty for knowing
118violation, participation in, or assent to specified
119violative transactions or the making of investments by a
120director or officer of an insurance holding company
121system; authorizing the issuance of cease and desist
122orders with respect to specified transactions or
123contracts; providing penalties for willful violation of
124pt. IV of ch. 628, F.S., by an insurer or any director,
125officer, employee, or agent thereof; providing a penalty
126for knowingly making false statements, false reports, or
127false filings with the intent to deceive in the
128performance duties as an officer, director, or employee of
129an insurance holding company system; providing that a
130violation of ch. 628, F.S., which prevents full
131understanding of an enterprise risk may serve as an
132independent basis for disapproving dividends or
133distributions and for placing the insurer under an order
134of supervision; amending ss. 636.05, 641.255, 641.416, and
135651.024, F.S.; conforming cross-references; reenacting s.
13648.151(3), F.S., relating to service of process by the
137Chief Financial Officer on specified insurers, to
138incorporate the amendment to s. 628.461, F.S., in a
139reference thereto; reenacting s. 624.310(1)(a), F.S.,
140relating to the definitions of "affiliated party," to
141incorporate the amendments to ss. 628.461 and 628.4615,
142F.S., in references thereto; reenacting s. 625.765, F.S.,
143relating to exemptions from specified provisions of pt.
144IV, ch. 625, F.S., relating to domestic stock insurers and
145equity securities, to incorporate the amendment to s.
146628.461, F.S., in a reference thereto; reenacting s.
147628.705(2), F.S., relating to prohibition of stock
148transfers, to incorporate the amendment to s. 628.461,
149F.S., in a reference thereto; reenacting s. 631.051(7),
150F.S., relating to grounds for rehabilitation of a domestic
151insurer or alien insurer, to incorporate the amendments to
152ss. 628.461 and 628.4615, F.S., in references thereto;
153reenacting s. 409.912(20), F.S., relating to cost-
154effective purchasing of health care, to incorporate the
155amendment to s. 628.4615, F.S., in a reference thereto;
156reenacting s. 624.80(1)(b), F.S., relating to the
157definition of "insurer," to incorporate the amendment to
158s. 628.4615, F.S., in a reference thereto; reenacting s.
159626.9928, F.S., relating to acquisition of interest in a
160viatical settlement provider, to incorporate the amendment
161to s. 628.4615, F.S., in a reference thereto; reenacting
162s. 634.252, F.S., relating to acquisition requirements
163with respect to motor vehicle service agreement companies,
164to incorporate the amendment to s. 628.4615, F.S., in a
165reference thereto; reenacting s. 634.3073, F.S., relating
166to acquisition requirements with respect to home warranty
167associations, to incorporate the amendment to s. 628.4615,
168F.S., in a reference thereto; reenacting s. 634.4085,
169F.S., relating to acquisition requirements with respect to
170service warranty associations, to incorporate the
171amendment to s. 628.4615, F.S., in a reference thereto;
172reenacting s. 636.065, F.S., relating to acquisition
173requirements with respect to prepaid limited health
174service organizations, to incorporate the amendment to s.
175628.4615, F.S., in a reference thereto; reenacting s.
176642.032(5), F.S., relating to provisions of general
177insurance law applicable to legal expense insurance
178corporations, to incorporate the amendment to s. 628.4615,
179F.S., in a reference thereto; reenacting s.
180626.7492(6)(b), (8)(f), and (9)(f), F.S., relating to
181duties of insurers using the services of a reinsurance
182intermediary broker or manager, to incorporate the
183amendments to s. 628.801, F.S., in references thereto;
184reenacting s. 626.918(2)(d), F.S., relating to conditions
185of eligibility for surplus lines insurers, to incorporate
186the amendment to s. 628.801, F.S., in a reference thereto;
187providing an effective date.
188
189Be It Enacted by the Legislature of the State of Florida:
190
191     Section 1.  Section 628.461, Florida Statutes, is amended
192to read:  
193(Substantial rewording of section. See
194s. 628.461, F.S., for present text.)
195     628.461  Acquisition of controlling stock.-
196     (1)  DEFINITIONS.-As used in this section, the term
197"insurer" includes any:
198     (a)  Multiple-employer welfare arrangements operating
199pursuant to chapter 624.
200     (b)  Prepaid limited health service organizations operating
201under a certificate of authority issued under part I of chapter
202636.
203     (c)  Health maintenance organizations operating under a
204certificate of authority issued under part I of chapter 641.
205     (d)  Prepaid health clinics operating under a certificate
206of authority issued under part II of chapter 641.
207     (e)  Provider of continuing care operating under a
208certificate of authority or provisional certificate of authority
209issued under chapter 651.
210     (2) FILING REQUIREMENTS.-A person may not, individually or
211in conjunction with any affiliated person of such person,
212acquire directly or indirectly, conclude a tender offer or
213exchange offer for, enter into any agreement to exchange
214securities for, or otherwise finally acquire 10 percent or more
215of the outstanding voting securities of a domestic stock insurer
216or of a controlling company, unless at the time the offer,
217request, or invitation is made or the agreement is entered into,
218or prior to the acquisition of the securities if no offer or
219agreement is involved, such person has filed with the
220commissioner and has sent to the insurer, a statement containing
221the information required by this section and the offer, request,
222invitation, agreement, or acquisition has been approved by the
223commissioner in the manner prescribed in this section.  
224     (a)  For purposes of this section, any controlling person
225of a domestic insurer seeking to divest its controlling interest
226in the domestic insurer in any manner shall file with the
227commissioner, with a copy provided to the insurer, notice of its
228proposed divestiture at least 30 days prior to the cessation of
229control. The commissioner shall determine those instances in
230which the party or parties seeking to divest a controlling
231interest in an insurer will be required to file for and obtain
232approval of the transaction.
233     (b)  With respect to a transaction subject to this
234subsection, the acquiring person must also file a preacquisition
235notification with the commissioner within 5 days of execution of
236an agreement, which shall contain the information as prescribed
237by the National Association of Insurance Commissioners relating
238to those markets which cause the acquisition not to be exempted
239from the provisions of this section. The commissioner may
240require such additional material and information as deemed
241necessary to determine whether the proposed acquisition, if
242consummated, would violate the competitive standard set forth in
243subsection (8). Failure to file the notification may subject the
244violator to penalties specified in subsection (9). The waiting
245period required begins on the date of receipt by the
246commissioner of a preacquisition notification and ends on the
247earlier of the 30th day after the date of receipt of
248notification or termination of the waiting period by the
249commissioner. Prior to the end of the waiting period, the
250commissioner, on a one-time basis, may require the submission of
251additional needed information relevant to the proposed
252acquisition, in which event the waiting period shall end on the
253earlier of the 30th day after receipt of the additional
254information by the commissioner or termination of the waiting
255period by the commissioner.
256     (c)  For purposes of this section, a "domestic insurer"
257includes any person controlling a domestic insurer unless the
258person, as determined by the commissioner, is either directly or
259through its affiliates primarily engaged in business other than
260the business of insurance. For the purposes of this section,
261"person" does not include any securities broker that holds, in
262the usual and customary broker's function, less than 20 percent
263of the voting securities of an insurance company or of any
264person who controls an insurance company.
265     (3)  CONTENT OF STATEMENT.-
266     (a)  The statement to be filed with the office and
267furnished to the insurer and controlling company shall be made
268under oath and contain the following information and any
269additional information as the office deems necessary to
270determine the character, experience, ability, and other
271qualifications of the person or affiliated person of such person
272for the protection of the policyholders and shareholders of the
273insurer and the public:
274     1.  The name and address of each person by whom or on whose
275behalf the merger or other acquisition of control referred to in
276subsection (2) is to be effected, hereinafter referred to as the
277"acquiring party," the background information on each natural
278person by whom, or on whose behalf, the acquisition is to be
279made, and, if the acquisition is to be made by or on behalf of a
280corporation, association, or trust, the identity of, and the
281background information specified in this section on, each
282director, officer, trustee, or other natural person performing
283duties similar to those of a director, officer, or trustee for
284the corporation, association, or trust or any person who
285controls, either directly or indirectly, the corporation,
286association, or trust, and:
287     a.  If the person is an individual, his or her principal
288occupation and all offices and positions held during the past 10
289years, and any conviction of crimes other than minor traffic
290violations during the past 10 years.
291     b.  Whether, during such 10-year period, the person has
292been the subject of any proceeding for the revocation of any
293license and, if so, the nature of the proceeding and the
294disposition of the proceeding.
295     c.  Whether, during the 10-year period, the person has been
296the subject of any proceeding under the Federal Bankruptcy Code
297or whether, during the 10-year period, any corporation,
298partnership, firm, trust, or association in which the person was
299a director, officer, trustee, partner, or other official has
300been subject to any such proceeding, either during the time in
301which the person was a director, officer, trustee, partner, or
302other official or within 12 months thereafter.
303     d.  Whether, during the 10-year period, the person has been
304enjoined, either temporarily or permanently, by a court of
305competent jurisdiction from violating any federal or state law
306regulating the business of insurance, securities, or banking, or
307from carrying out any particular practice or practices in the
308course of the business of insurance, securities, or banking,
309together with details as to any such event.
310     e.  If the person is not an individual, a report of the
311nature of its business operations during the past 5 years or for
312the period of time that the person and any predecessors have
313been in existence, whichever is less, an informative description
314of the business intended to be conducted by the person and the
315person's subsidiaries, and a list of all individuals who are or
316who have been selected to become directors, trustees, or
317executive officers of the person, or who perform or will perform
318functions appropriate to such positions. The list must include
319for each individual the information required under subparagraph
320(a)1.
321     2.  The source, nature, and amount of the consideration
322used or to be used in effecting the merger or other acquisition
323of control, a description of any transaction where funds were or
324are to be obtained for any such purpose, including any pledge of
325the insurer's stock or the stock of any of its subsidiaries or
326controlling affiliates, and the identity of persons furnishing
327consideration.
328     3.  Fully audited financial information as to the earnings
329and financial condition of each acquiring party for the
330preceding 5 fiscal years of each acquiring party, or for the
331period the acquiring party and any predecessors have been in
332existence, whichever is less, and similar unaudited information
333as of a date not earlier than 90 days prior to the filing of the
334statement.
335     4.  Any plans or proposals which each acquiring party may
336have to liquidate the insurer, to sell its assets or merge or
337consolidate it with any person, or to make any other material
338change in its business or corporate structure or management.
339     5.  The number and class of shares of any security referred
340to in subsection (2) that each acquiring party proposes to
341acquire, the terms of the offer, request, invitation, agreement
342or acquisition referred to in subsection (2), and a statement as
343to the method used to determine the fairness of the proposal.
344     6.  The amount of each class of any security referred to in
345subsection (2) which is beneficially owned or concerning which
346there is a right to acquire beneficial ownership by each
347acquiring party.
348     7.  A full description of any contracts, arrangement, or
349understandings with respect to any security referred to in
350subsection (2) in which any acquiring party is involved,
351including, but not limited to, transfer of any of the
352securities, joint ventures, loan or option arrangements, puts or
353calls, guarantees of loans, guarantees against loss or
354guarantees of profits, division of losses or profits, or the
355giving or withholding of proxies. The description must identify
356the persons with whom the contracts, arrangements, or
357understandings have been entered into.
358     8.  A description of the purchase of any security referred
359to in subsection (2) during the 12 calendar months preceding the
360filing of the statement by any acquiring party, including the
361dates of purchase, names of the purchasers, and consideration
362paid or agreed to be paid.
363     9.  A description of any recommendations to purchase any
364security referred to in subsection (2), made during the 12
365calendar months preceding the filing of the statement by any
366acquiring party or by anyone based upon interviews or at the
367suggestion of the acquiring party.
368     10.  Copies of all tender offers for, requests or
369invitations for tenders of, exchange offers for, and agreements
370to acquire or exchange any securities referred to in subsection
371(2), and, if distributed, copies of additional soliciting
372material relating to them.
373     11.  The term of any agreement, contract, or understanding
374made with or proposed to be made with any broker-dealer as to
375solicitation of securities referred to in subsection (2) for
376tender, and the amount of any fees, commissions, or other
377compensation to be paid to broker-dealers with regard thereto.
378     12.  An agreement by the person required to file the
379statement referred to in subsection (2) that he or she will
380provide the annual enterprise risk report, if applicable,
381specified in s. 628.801, for so long as control exists.
382     13.  An acknowledgement by the person required to file the
383statement referred to in subsection (2) that the person and all
384subsidiaries within its control in the insurance holding company
385system will provide information to the commissioner upon request
386as necessary to evaluate enterprise risk to the insurer.
387     14.  Such additional information as the commissioner may by
388rule or regulation prescribe as necessary or appropriate for the
389protection of policyholders of the insurer or in the public
390interest.
391     (b)  If the person required to file the statement referred
392to in subsection (2) is a partnership, limited partnership,
393syndicate, or other group, the commissioner may require that the
394information required by paragraph (a) be given with respect to
395each partner of the partnership or limited partnership, each
396member of the syndicate or group, and each person who controls
397the partner or member. If any partner, member, or person is a
398corporation or if the person required to file the statement
399referred to in subsection (2) is a corporation, the commissioner
400may require that the information required by paragraph (a) be
401given with respect to the corporation, each officer and director
402of the corporation, and each person who is directly or
403indirectly the beneficial owner of more than 10 percent of the
404outstanding voting securities of the corporation.
405     (c)  If any material change occurs in the facts set forth
406in the statement filed with the commissioner and sent to the
407insurer pursuant to this section, an amendment setting forth the
408change, together with copies of all documents and other material
409relevant to the change, shall be filed with the commissioner and
410sent to the insurer within 2 business days after the person
411learns of the change. A material change in the operation of the
412insurer is a transaction which disposes of or obligates 5
413percent or more of the capital and surplus of the insurer. A
414material change in the management of the insurer is any change
415in management involving officers or directors of the insurer or
416any person of the insurer or controlling company having
417authority to dispose of or obligate 5 percent or more of the
418insurer's capital or surplus.
419     (3)  ALTERNATIVE FILING MATERIALS.-If any offer, request,
420invitation, agreement, or acquisition referred to in subsection
421(2) is proposed to be made by means of a registration statement
422under the Securities Act of 1933, or in circumstances requiring
423the disclosure of similar information under the Securities
424Exchange Act of 1934, or under a state law requiring similar
425registration or disclosure, the person required to file the
426statement referred to in subsection (2) may utilize the
427documents in furnishing the information called for by that
428statement.
429     (4)  APPROVAL BY COMMISSIONER; HEARINGS.-
430     (a)  The commissioner shall approve any merger or other
431acquisition of control under subsection (2) unless, after a
432public hearing, the commissioner finds that:
433     1.  After the change of control, the domestic insurer
434referred to in subsection (2) would not be able to satisfy the
435requirements for the issuance of a license to write the line or
436lines of insurance for which it is presently licensed;
437     2.  The effect of the merger or other acquisition of
438control would be substantially to lessen competition in
439insurance in this state or tend to create a monopoly. In
440applying the competitive standard in this subparagraph:  
441     a.  The informational requirements of subsection (2) and
442the standards of subsection (8) shall apply;
443     b.  The merger or other acquisition shall not be
444disapproved if the commissioner finds that any of the situations
445meeting the criteria provided by subsection (8) exist; and
446     c.  The commissioner may condition the approval of the
447merger or other acquisition on the removal of the basis of
448disapproval within a specified period of time;
449     3.  The financial condition of any acquiring party is such
450that it might jeopardize the financial stability of the insurer,
451or prejudice the interest of its policyholders;
452     4.  The plans or proposals which the acquiring party has to
453liquidate the insurer or controlling company, sell its assets,
454consolidate or merge it with any person, or make any other
455material change in its business or corporate structure or
456management are unfair and unreasonable to policyholders of the
457insurer and not in the public interest;
458     5.  The competence, experience, and integrity of those
459persons who would control the operation of the insurer are such
460that it would not be in the interest of policyholders of the
461insurer and of the public to permit the merger or other
462acquisition of control;
463     6.  The natural persons for whom background information is
464required to be furnished pursuant to this section have
465backgrounds which indicate that it is in the best interests of
466the policyholders of the domestic stock insurer and in the
467public interest to permit such persons to exercise control over
468such domestic stock insurer;
469     7.  The officers and directors to be employed after the
470acquisition have sufficient insurance experience and ability to
471assure reasonable promise of successful operation;
472     8.  The management of the insurer after the acquisition
473will be competent and trustworthy and will possess sufficient
474managerial experience to make the proposed operation of the
475insurer not hazardous to the insurance-buying public;
476     9.  The management of the insurer after the acquisition
477will not include any person who has, directly or indirectly,
478through ownership, control, reinsurance transactions, or other
479insurance or business relations, unlawfully manipulated the
480assets, accounts, finances, or books of any insurer or otherwise
481acted in bad faith with respect thereto; or
482     10.  The acquisition is likely to be hazardous or
483prejudicial to the insurance-buying public.
484     (b)  The public hearing under paragraph (a) shall be held
485within 30 days after the filing of the statement required by
486subsection (2), and at least 20 days' notice shall be given by
487the commissioner to the person filing the statement. Not less
488than 7 days' notice of the public hearing shall be given by the
489person filing the statement to the insurer and to such other
490persons as may be designated by the commissioner. The
491commissioner shall make a determination within the 60-day period
492preceding the effective date of the proposed transaction. At the
493hearing, the person filing the statement, the insurer, any
494person to whom notice of hearing was sent, and any other person
495whose interest may be affected shall have the right to present
496evidence, examine and cross-examine witnesses, and offer oral
497and written arguments and in connection therewith shall be
498entitled to conduct discovery proceedings in the same manner as
499is presently allowed in the circuit courts of this state. All
500discovery proceedings shall be concluded not later than 3 days
501prior to the commencement of the public hearing.
502     (c)  If the proposed acquisition of control will require
503the approval of more than one commissioner, the public hearing
504referred to in paragraph (b) may be held on a consolidated basis
505upon request of the person filing the statement referred to in
506subsection (2). Such person shall file the statement with the
507National Association of Insurance Commissioners within 5 days of
508making the request for a public hearing. A commissioner may opt
509out of a consolidated hearing and shall provide notice to the
510applicant of the decision to do so within 10 days of the receipt
511of the statement. A hearing conducted on a consolidated basis
512shall be public and shall be held within the United States
513before the commissioners of the states in which the insurers are
514domiciled. At such hearing the commissioners shall hear and
515receive evidence. A commissioner may attend such hearing in
516person or by telecommunication.
517     (d)  In connection with a change of control of a domestic
518insurer, any determination by the commissioner that the person
519acquiring control of the insurer shall be required to maintain
520or restore the capital of the insurer to the level required by
521the laws and regulations of this state must be made not later
522than 60 days after the date of notification of the change in
523control submitted pursuant to subsection (2).
524     (e)  The commissioner may retain, at the acquiring person's
525expense, any attorneys, actuaries, accountants, and other
526experts not otherwise a part of the commissioner's staff as may
527be reasonably necessary to assist the commissioner in reviewing
528the proposed acquisition of control.
529     (5)  NONAPPLICABILITY.-The provisions of this section do
530not apply to:
531     (a)  Any offer, request, invitation, agreement or
532acquisition which the commissioner, by order or by letter,
533exempts as not having been made or entered into for the purpose
534of, and not having the effect of, changing or influencing the
535control of a domestic insurer.
536     (6)  VIOLATIONS.-The following constitute violations of
537this section:
538     (a)  The failure to file any statement, amendment, or other
539material required to be filed pursuant to subsection (2) or
540subsection (3); or
541     (b)  The effectuation or any attempted effectuation of an
542acquisition of control of, divestiture of, or merger with a
543domestic insurer unless the commissioner has given approval.
544     (7)  JURISDICTION; CONSENT TO SERVICE OF PROCESS.-The
545courts of this state are hereby vested with jurisdiction over
546every person not resident, domiciled, or authorized to do
547business in this state who files a statement with the
548commissioner under this section, and overall actions involving
549such person arising out of violations of this section. Each such
550person shall be deemed to have performed acts equivalent to and
551constituting an appointment by the person of the commissioner to
552be his true and lawful attorney upon whom may be served all
553lawful process in any action, suit, or proceeding arising out of
554violations of this section. Copies of all lawful process shall
555be served on the commissioner and transmitted by registered or
556certified mail by the commissioner to the person at his last
557known address.
558     (8)  COMPETITIVE STANDARD.-
559     (a)  As used in this subsection:
560     1.  The term "insurer" includes any company or group of
561companies under common management, ownership, or control.
562     2.  The term "market" means the relevant product and
563geographical markets. In determining the relevant product and
564geographical markets, the commissioner shall give due
565consideration to, among other things, the definitions or
566guidelines, if any, promulgated by the National Association of
567Insurance Commissioners and to information, if any, submitted by
568parties to the acquisition. In the absence of sufficient
569information to the contrary, the relevant product market is
570assumed to be the direct written insurance premium for a line of
571business, such line being that used in the annual statement
572required to be filed by insurers doing business in this state,
573and the relevant geographical market is assumed to be this
574state.
575     (b)  The commissioner may enter an order or may send a
576letter under subsection (9) with respect to an acquisition if
577there is substantial evidence that the effect of the acquisition
578may be substantially to lessen competition in any line of
579insurance in this state or to tend to create a monopoly, or if
580the insurer fails to file adequate information in compliance
581with the preacquisition notification required by this section.
582     (c)  In determining whether a proposed acquisition would
583violate the competitive standard, the commissioner shall
584consider the following:
585     1.  Any acquisition covered under subsection (11) involving
586two or more insurers competing in the same market is prima facie
587evidence of violation of the competitive standards.
588     a.  If the market is highly concentrated and the involved
589insurers possess the following shares of the market:
590
591Insurer A     Insurer B
592
593 4%          4% or more
59410%          2% or more
59515%          1% or more
596
597     b.  Or, if the market is not highly concentrated and the
598involved insurers possess the following shares of the market:
599
600Insurer A     Insurer B
601
602 5%          5% or more
60310%          4% or more
60415%          3% or more
60519%          1% or more
606
607A highly concentrated market is one in which the share of the
608four largest insurers is 75 percent or more of the market.
609Percentages not shown in the tables are interpolated
610proportionately to the percentages that are shown. If more than
611two insurers are involved, exceeding the total of the two
612columns in the table is prima facie evidence of violation of the
613competitive standard in this subsection. For the purposes of
614this paragraph, the insurer with the largest share of the market
615is deemed to be Insurer A.
616     2.  There is a significant trend toward increased
617concentration when the aggregate market share of any grouping of
618the largest insurers in the market, from the two largest to the
619eighth largest, has increased by 7 percent or more of the market
620over a period of time extending from any base year 5 to 10 years
621prior to the acquisition up to the time of the acquisition. Any
622acquisition or merger covered under this section involving two  
623or more insurers competing in the same market is prima facie
624evidence of violation of the competitive standard in this
625subsection if:
626     a.  There is a significant trend toward increased
627concentration in the market;
628     b.  One of the insurers involved is one of the insurers in
629a grouping of large insurers showing the requisite increase in
630the market share; and
631     c.  Another involved insurer's market is 2 percent or more.
632     (d)1.  The burden of showing prima facie evidence of
633violation of the competitive standard rests upon the
634commissioner.
635     2.  Even though an acquisition is not prima facie evidence
636of violation of the competitive standard under this subsection,
637the commissioner may establish the requisite anticompetitive
638effect based upon other substantial evidence and a party may
639establish the absence of the requisite anticompetitive effect
640based upon other substantial evidence. Relevant factors in
641making a determination under this subsection include, but are
642not limited to, the following:
643     a.  Market shares.
644     b.  Volatility of ranking of market leaders.
645     c.  Number of competitors.
646     d.  Concentration.
647     e.  Trend of concentration in the industry.
648     f.  Ease of entry into and exit from the market.
649     (e)  An order denying the acquisition may not be entered
650if:
651     1.  The acquisition will yield substantial economies of
652scale or economies in resource utilization that cannot be
653feasibly achieved in any other way, and the public benefits
654which would arise from such economies exceed the public benefits
655which would arise from not lessening competition; or
656     2.  The acquisition will substantially increase the
657availability of insurance, and the public benefits of the
658increase exceed the public benefits which would arise from not
659lessening competition.
660     (9)  ORDERS AND PENALTIES.-
661     (a)  If an acquisition violates the standards of this
662section, the commissioner may enter an order:
663     1.  Requiring an involved insurer to cease and desist from
664doing business in this state with respect to the line or lines
665of insurance involved in the violation; or
666     2.  Denying the application of an acquired or acquiring
667insurer for a license to do business in this state.
668     (b)  Such an order shall not be entered unless:
669     1.  There is a hearing;
670     2.  Notice of the hearing is issued prior to the end of the
671waiting period and not less than 15 days prior to the hearing;
672and
673     3.  The hearing is concluded and the order is issued no
674later than 60 days after the date of the filing of the
675preacquisition notification with the commissioner. This deadline
676may be waived by the parties.
677
678Every order shall be accompanied by a written decision of the
679commissioner setting forth findings of fact and conclusions of
680law.
681     (c)  An order pursuant to this section does not apply if
682the acquisition is not consummated.
683     (d)  Any person who violates a cease and desist order of
684the commissioner under this section while the order is in effect
685may, after notice and hearing and upon order of the
686commissioner, be subject at the discretion of the commissioner
687to one or more of the following:
688     1.  A monetary penalty of not more than $10,000 for every
689day of violation; or
690     2.  Suspension or revocation of the person's license.
691     (e)  Any insurer or other person who fails to make any
692filing required by this section and who also fails to
693demonstrate a good faith effort to comply with any filing
694requirement shall be subject to a fine of not more than $50,000.
695     (10)  EXEMPTIONS.-This section does not apply to the
696following:
697     (a)  A purchase of securities solely for investment
698purposes so long as the securities are not used by voting or
699otherwise to cause or attempt to cause the substantial lessening
700of competition in any insurance market in this state. If a
701purchase of securities results in a presumption of control it is
702not solely for investment purposes unless the commissioner of
703the insurer's state of domicile accepts a disclaimer of control
704or affirmatively finds that control does not exist and the
705disclaimer action or affirmative finding is communicated by the
706domiciliary commissioner to the commissioner of this state.
707     (b)  The acquisition of a person by another person when
708both persons are neither directly nor through affiliates
709primarily engaged in the business of insurance, if
710preacquisition notification is filed with the commissioner in
711accordance with this section 30 days prior to the proposed
712effective date of the acquisition. However, such preacquisition
713notification is not required for exclusion from this section if
714the acquisition would otherwise be excluded from this section.
715     (c)  The acquisition of already affiliated persons.
716     (d)  An acquisition if, as an immediate result of the
717acquisition:
718     1.  In no market would the combined market share of the
719involved insurers exceed 5 percent of the total market;
720     2.  There would be no increase in any market share; or
721     3.  In no market would:
722     a.  The combined market share of the involved insurers
723exceed 12 percent of the total market; and
724     b.  The market share increase by more than 2 percent of the
725total market.
726
727As used in this paragraph, a "market" means direct written
728insurance premium in this state for a line of business as
729contained in the annual statement required to be filed by
730insurers licensed to do business in this state.
731     (e)  An acquisition for which a preacquisition notification
732would be required pursuant to this section due solely to the
733resulting effect on the ocean marine insurance line of business.
734     (f)  An acquisition of an insurer whose domiciliary
735commissioner affirmatively finds that:
736     1.  The insurer is in failing condition;
737     2.  There is a lack of feasible alternative to improving
738such condition;
739     3.  The public benefits of improving the insurer's
740condition through the acquisition exceed the public benefits
741that would arise from not lessening competition; and
742     4.  The findings are communicated by the domiciliary
743commissioner to the commissioner of this state.
744     (g)  Acquisitions subject to s. 628.4615.
745     (11)  APPROVAL; CONCLUSION OF ACQUISITION; DISAPPROVAL.-The
746acquisition of voting securities shall be deemed approved unless
747the office disapproves the proposed acquisition within 90 days
748after the statement required by subsection (2) has been filed.
749The office may on its own initiate or, if requested to do so in
750writing by a substantially affected party, shall conduct a
751proceeding to consider the appropriateness of the proposed
752filing. The 90-day time period shall be tolled during the
753pendency of the proceeding. Any written request for a proceeding
754must be filed with the office within 10 days of the date on
755which notice of the filing is given. During the pendency of the
756proceeding or review period by the office, any person or
757affiliated person complying with the filing requirements of this
758section may proceed and take all steps necessary to conclude the
759acquisition so long as the acquisition becoming final is
760conditioned upon obtaining office approval. The office shall,
761however, at any time that it finds an immediate danger to the
762public health, safety, and welfare of the domestic policyholders
763exists, immediately order, pursuant to s. 120.569(2)(n), the
764proposed acquisition temporarily disapproved and any further
765steps to conclude the acquisition ceased.
766     Section 2.  Section 628.4615, Florida Statutes, is amended
767to read:
768     628.4615  Specialty insurers; acquisition of controlling
769stock, ownership interest, assets, or control; merger or
770consolidation.-
771     (1)  For the purposes of this section, the term "specialty
772insurer" means any person holding a license or certificate of
773authority as:
774     (a)  A motor vehicle service agreement company authorized
775to issue motor vehicle service agreements as those terms are
776defined in s. 634.011;
777     (b)  A home warranty association authorized to issue "home
778warranties" as those terms are defined in s. 634.301;
779     (c)  A service warranty association authorized to issue
780"service warranties" as those terms are defined in s.
781634.401(13) and (14);
782     (d)  A prepaid limited health service organization
783authorized to issue prepaid limited health service contracts, as
784those terms are defined in chapter 636;
785     (e)  An authorized health maintenance organization
786operating pursuant to s. 641.21;
787     (f)  An authorized prepaid health clinic operating pursuant
788to s. 641.405;
789     (d)(g)  A legal expense insurance corporation authorized to
790engage in a legal expense insurance business pursuant to s.
791642.021;
792     (h)  A provider that is licensed to operate a facility that
793undertakes to provide continuing care as those terms are defined
794in s. 651.011;
795     (i)  A multiple-employer welfare arrangement operating
796pursuant to ss. 624.436-624.446;
797     (e)(j)  A premium finance company authorized to finance
798insurance premiums pursuant to s. 627.828; or
799     (f)(k)  A corporation authorized to accept donor annuity
800agreements pursuant to s. 627.481.
801     (2)  A person may not, individually or in conjunction with
802any affiliated person of such person, directly or indirectly,
803conclude a tender offer or exchange offer for, enter into any
804agreement to exchange securities for, or otherwise finally
805acquire, 10 percent or more of the outstanding voting securities
806of a specialty insurer which is a stock corporation or of a
807controlling company of a specialty insurer which is a stock
808corporation; or conclude an acquisition of, or otherwise finally
809acquire, 10 percent or more of the ownership interest of a
810specialty insurer which is not a stock corporation or of a
811controlling company of a specialty insurer which is not a stock
812corporation, unless:
813     (a)  the person or affiliated person has filed with the
814office and sent by registered mail to the principal office of
815the specialty insurer and controlling company a letter of
816notification regarding the transaction or proposed transaction
817no later than 5 days after any form of tender offer or exchange
818offer is proposed, or no later than 5 days after the acquisition
819of the securities or ownership interest if no tender offer or
820exchange offer is involved. The notification must be provided on
821forms prescribed by the commission containing information
822determined necessary to understand the transaction and identify
823all purchasers and owners involved.;
824     (b)  The person or affiliated person has filed with the
825office an application signed under oath and prepared on forms
826prescribed by the commission which contains the information
827specified in subsection (4). The application must be completed
828and filed within 30 days after any form of tender offer or
829exchange offer is proposed, or after the acquisition of the
830securities if no tender offer or exchange offer is involved; and
831     (c)  The office has approved the tender offer or exchange
832offer, or acquisition if no tender offer or exchange offer is
833involved.
834     (3)  This section does not apply to any acquisition of
835voting securities or ownership interest of a specialty insurer
836or of a controlling company by any person who, on July 9, 1986,
837is the owner of a majority of such voting securities or
838ownership interest or who, on or after July 9, 1986, becomes the
839owner of a majority of such voting securities or ownership
840interest with the approval of the office under this section. The
841person or affiliated person filing the required notice in
842paragraph (2)(a) may request the office to waive the
843requirements of paragraph (2)(b) if there is no change in the
844ultimate controlling shareholder or ownership percentages of the
845ultimate controlling shareholders and no unaffiliated parties
846acquire any direct or indirect interest in the specialty
847insurer. The office may waive the filing if it determines that
848in fact there is no change in the ultimate controlling
849shareholder or ownership percentages of the ultimate controlling
850shareholders and no unaffiliated parties will acquire any direct
851or indirect interest in the specialty insurer.
852     (3)(a)(4)  Within 30 days of the tender offer or exchange
853offer, the party or affiliated party shall provide to the office
854the background information for any new officers, directors,
855trustees, partners, owners, managers, or joint venturers, or
856other persons performing duties similar to those of persons in
857such positions, of the specialty insurer as a result of the
858acquisition The application to be filed with the office and
859furnished to the specialty insurer and controlling company shall
860contain the following information and any additional information
861as the office deems necessary to determine the character,
862experience, ability, and other qualifications of the specialty
863insurer's management person or affiliated person of such person
864for the protection of the insureds of the specialty insurer and
865of the public. The information as to the background and identity
866of each such natural person shall include:
867     (a)1.  The identity of, and the background information
868specified in subsection (5) on, each natural person by whom, or
869on whose behalf, the acquisition is to be made; and,
870     2.  If the acquisition is to be made by, or on behalf of, a
871person other than a natural person and as to any person who
872controls, either directly or indirectly, such other person, the
873identity of, and the background information specified in
874subsection (5) on:
875     a.  Each director, officer, or trustee, if a corporation,
876or
877     b.  Each partner, owner, manager, or joint venturer, or
878other person performing duties similar to those of persons in
879the aforementioned positions, if not a corporation,
880
881for the person.
882     (b)  The source and amount of the funds or other
883consideration used, or to be used, in making the acquisition.
884     (c)  Any plans or proposals which such persons may have
885made to liquidate the specialty insurer, to sell any of its
886assets or merge or consolidate it with any person, or to make
887any other major change in its business or corporate structure or
888management; and any plans or proposals which such persons may
889have made to liquidate any controlling company of the specialty
890insurer, to sell any of its assets or merge or consolidate it
891with any person, or to make any other major change in its
892business or corporate structure or management.
893     (d)  The nature and the extent of the controlling interest
894which the person or affiliated person of such person proposes to
895acquire, the terms of the proposed acquisition, and the manner
896in which the controlling interest is to be acquired of a
897specialty insurer or controlling company which is not a stock
898corporation.
899     (e)  The number of shares or other securities which the
900person or affiliated person of such person proposes to acquire,
901the terms of the proposed acquisition, and the manner in which
902the securities are to be acquired.
903     (f)  Information as to any contract, arrangement, or
904understanding with any party with respect to any of the
905securities of the specialty insurer or controlling company,
906including, but not limited to, information relating to the
907transfer of any of the securities, option arrangements, puts or
908calls, or the giving or withholding of proxies, which
909information names the party with whom the contract, arrangement,
910or understanding has been entered into and gives the details
911thereof.
912     (5)(a)  The information as to the background and identity
913of each natural person, which information is required to be
914furnished pursuant to paragraph (4)(a), shall include:
915     1.  The natural person's occupations, positions of
916employment, and offices held during the past 10 years.
917     2.  The principal business and address of any business,
918corporation, or organization in which each such office of the
919natural person was held, or in which each such occupation or
920position of employment was carried on.
921     3.  Whether the natural person was, at any time during such
92210-year period, convicted of any crime other than a traffic
923violation.
924     4.  Whether the natural person has been, during such 10-
925year period, the subject of any proceeding for the revocation of
926any license and, if so, the nature of the proceeding and the
927disposition of the proceeding.
928     5.  Whether, during the 10-year period, the natural person
929has been the subject of any proceeding under the federal
930Bankruptcy Act; or whether, during the 10-year period, any
931person or other business or organization in which the natural
932person was a director, officer, trustee, partner, owner,
933manager, or other official has been subject to any such
934proceeding, either during the time in which the natural person
935was a director, officer, or trustee, if a corporation, or a
936partner, owner, manager, joint venturer, or other official, if
937not a corporation, or within 12 months thereafter.
938     6.  Whether, during the 10-year period, the natural person
939has been enjoined, either temporarily or permanently, by a court
940of competent jurisdiction from violating any federal or state
941law regulating the business of insurance, securities, or
942banking, or from carrying out any particular practice or
943practices in the course of the business of insurance,
944securities, or banking, together with details as to any such
945event.
946     7.  Fingerprints of each person referred to in this section
947subsection (4).
948     (b)  Any person filing the statement required by this
949section shall give all required information that is within the
950knowledge of:
951     1.  The directors, officers, or trustees, if a corporation,
952or
953     2.  The partners, owners, managers, or joint venturers, or
954others performing functions similar to those of a director,
955officer, or trustee, if not a corporation,
956
957of the person making the filing and of any person controlling
958either directly or indirectly such person. If any material
959change occurs in the facts set forth in the application filed
960with the office pursuant to this section, an amendment setting
961forth such changes shall be filed immediately with the office,
962and a copy of the amendment shall be sent by registered mail to
963the principal office of the specialty insurer and to the
964principal office of the controlling company.
965     (6)(a)  The acquisition application shall be reviewed in
966accordance with chapter 120. The office may on its own initiate,
967or, if requested to do so in writing by a substantially affected
968person, shall conduct, a proceeding to consider the
969appropriateness of the proposed filing. Time periods for
970purposes of chapter 120 shall be tolled during the pendency of
971the proceeding. Any written request for a proceeding must be
972filed with the office within 10 days of the date notice of the
973filing is given. During the pendency of the proceeding or review
974period by the office, any person or affiliated person complying
975with the filing requirements of this section may proceed and
976take all steps necessary to conclude the acquisition so long as
977the acquisition becoming final is conditioned upon obtaining
978office approval. The office shall, however, at any time it finds
979an immediate danger to the public health, safety, and welfare of
980the insureds exists, immediately order, pursuant to s.
981120.569(2)(n), the proposed acquisition disapproved and any
982further steps to conclude the acquisition ceased.
983     (b)  During the pendency of the office's review of any
984acquisition subject to the provisions of this section, the
985acquiring person shall not make any material change in the
986operation of the specialty insurer or controlling company unless
987the office has specifically approved the change nor shall the
988acquiring person make any material change in the management of
989the specialty insurer unless advance written notice of the
990change in management is furnished to the office. A material
991change in the operation of the specialty insurer is a
992transaction which disposes of or obligates 5 percent or more of
993the capital and surplus of the specialty insurer. A material
994change in the management of the specialty insurer is any change
995in management involving officers or directors of the specialty
996insurer or any person of the specialty insurer or controlling
997company having authority to dispose of or obligate 5 percent or
998more of the specialty insurer's capital or surplus. The office
999shall approve a material change in operations if it finds the
1000applicable provisions of subsection (8) have been met. The
1001office may disapprove a material change in management if it
1002finds that the applicable provisions of subsection (8) have not
1003been met and in such case the specialty insurer shall promptly
1004change management as acceptable to the office.
1005     (c)  If a request for a proceeding is filed, the proceeding
1006shall be conducted within 60 days after the date the written
1007request for a proceeding is received by the office. A
1008recommended order shall be issued within 20 days of the date of
1009the close of the proceedings. A final order shall be issued
1010within 20 days of the date of the recommended order or, if
1011exceptions to the recommended order are filed, within 20 days of
1012the date the exceptions are filed.
1013     (7)  The office may disapprove any acquisition subject to
1014the provisions of this section by any person or any affiliated
1015person of such person who:
1016     (a)  Willfully violates this section;
1017     (b)  In violation of an order of the office issued pursuant
1018to subsection (11), fails to divest himself or herself of any
1019stock or ownership interest obtained in violation of this
1020section or fails to divest himself or herself of any direct or
1021indirect control of such stock or ownership interest, within 25
1022days after such order; or
1023     (c)  In violation of an order issued by the office pursuant
1024to subsection (11), acquires an additional stock or ownership
1025interest in a specialty insurer or controlling company or direct
1026or indirect control of such stock or ownership interest, without
1027complying with this section.
1028     (8)  The person or persons filing the application required
1029by subsection (2) shall have the burden of proof. The office
1030shall approve any such acquisition if it finds, on the basis of
1031the record made during any proceeding or on the basis of the
1032filed application if no proceeding is conducted, that:
1033     (a)  Upon completion of the acquisition, the specialty
1034insurer will be able to satisfy the requirements for the
1035issuance of a license or certificate to write the line of
1036insurance for which it is presently licensed or certificated.
1037     (b)  The financial condition of the acquiring person or
1038persons will not jeopardize the financial stability of the
1039specialty insurer or prejudice the interests of its insureds or
1040the public.
1041     (c)  Any plan or proposal which the acquiring person has,
1042or acquiring persons have, made:
1043     1.  To liquidate the specialty insurer, sell its assets, or
1044merge or consolidate it with any person, or to make any other
1045major change in its business or corporate structure or
1046management, or
1047     2.  To liquidate any controlling company, sell its assets,
1048or merge or consolidate it with any person, or to make any major
1049change in its business or corporate structure or management
1050which would have an effect upon the specialty insurer,
1051
1052is fair and free of prejudice to the insureds of the specialty
1053insurer or to the public.
1054     (d)  The competence, experience, and integrity of those
1055persons who will control directly or indirectly the operation of
1056the specialty insurer indicate that the acquisition is in the
1057best interest of the insureds of the insurer and in the public
1058interest.
1059     (e)  The natural persons for whom background information is
1060required to be furnished pursuant to this section have such
1061backgrounds as to indicate that it is in the best interests of
1062the insureds of the specialty insurer and in the public interest
1063to permit such persons to exercise control over the specialty
1064insurer.
1065     (f)  The directors and officers, if such specialty insurer
1066or controlling company is a stock corporation, or the trustees,
1067partners, owners, managers, or joint venturers or other persons
1068performing duties similar to those of persons in the
1069aforementioned positions, if such specialty insurer or
1070controlling company is not a stock corporation, to be employed
1071after the acquisition have sufficient insurance experience and
1072ability to assure reasonable promise of successful operation.
1073     (g)  The management of the specialty insurer after the
1074acquisition will be competent and trustworthy, and will possess
1075sufficient managerial experience so as to make the proposed
1076operation of the specialty insurer not hazardous to the
1077insurance-buying public.
1078     (h)  The management of the specialty insurer after the
1079acquisition shall not include any person who has directly or
1080indirectly through ownership, control, reinsurance transactions,
1081or other insurance or business relations unlawfully manipulated
1082the assets, accounts, finances, or books of any insurer or
1083otherwise acted in bad faith with respect thereto.
1084     (i)  The acquisition is not likely to be hazardous or
1085prejudicial to the insureds of the insurer or to the public.
1086     (j)  The effect of the acquisition would not substantially
1087lessen competition in the line of insurance for which the
1088specialty insurer is licensed or certified in this state or
1089would not tend to create a monopoly therein.
1090     (9)  No vote by the stockholder of record, or by any other
1091person, of any security acquired in contravention of the
1092provisions of this section is valid. Any acquisition contrary to
1093the provisions of this section is void. Upon the petition of the
1094specialty insurer or the controlling company, the circuit court
1095for the county in which the principal office of the specialty
1096insurer is located may, without limiting the generality of its
1097authority, order the issuance or entry of an injunction or other
1098order to enforce the provisions of this section. There shall be
1099a private right of action in favor of the specialty insurer or
1100controlling company to enforce the provisions of this section.
1101No demand upon the office that it perform its functions shall be
1102required as a prerequisite to any suit by the specialty insurer
1103or controlling company against any other person, and in no case
1104shall the office be deemed a necessary party to any action by
1105the specialty insurer or controlling company to enforce the
1106provisions of this section. Any person who makes or proposes an
1107acquisition requiring the filing of an application pursuant to
1108this section, or who files such an application, shall be deemed
1109to have thereby designated the Chief Financial Officer, or his
1110or her assistant or deputy or another person in charge of his or
1111her office, as such person's agent for service of process under
1112this section and shall thereby be deemed to have submitted
1113himself or herself to the administrative jurisdiction of the
1114office and to the jurisdiction of the circuit court.
1115     (10)  Any approval by the office under this section does
1116not constitute a recommendation by the office of the tender
1117offer or exchange offer, or acquisition, if no tender offer or
1118exchange offer is involved. It is unlawful for a person to
1119represent that the office's approval constitutes a
1120recommendation. A person who violates the provisions of this
1121subsection commits a felony of the third degree, punishable as
1122provided in s. 775.082, s. 775.083, or s. 775.084. The statute-
1123of-limitations period for the prosecution of an offense
1124committed under this subsection is 5 years.
1125     (4)(11)  If the office determines that any person or any
1126affiliated person of such person has acquired 10 percent or more
1127of the outstanding voting securities of a specialty insurer or
1128controlling company which is a stock corporation, or 10 percent
1129or more of the ownership interest of a specialty insurer or
1130controlling company which is not a stock corporation, without
1131complying with the provisions of this section, the office may
1132order that the person and any affiliated person of such person
1133cease acquisition of the specialty insurer or controlling
1134company and, if appropriate, divest itself of any stock or
1135ownership interest acquired in violation of this section.
1136     (5)(12)(a)  The office shall, if necessary to protect the
1137public interest, suspend or revoke the certificate of authority
1138of any specialty insurer or controlling company acquired in
1139violation of this section.
1140     (b)  If any specialty insurer is subject to suspension or
1141revocation pursuant to this section paragraph (a), the specialty
1142insurer shall be deemed to be in such condition, or to be using
1143or to have been subject to such methods or practices in the
1144conduct of its business, as to render its further transaction of
1145insurance presently or prospectively hazardous to its insureds,
1146creditors, or stockholders or to the public.
1147     (6)(13)(a)  For the purpose of this section, the term
1148"acquisition" includes:
1149     1.  A tender offer or exchange offer for securities,
1150assets, or other ownership interest;
1151     2.  An agreement to exchange securities for other
1152securities, assets, or other ownership interest;
1153     3.  A merger of a person or affiliated person into a
1154specialty insurer or a merger of any person with a specialty
1155insurer;
1156     4.  A consolidation; or
1157     5.  Any other form of change of control
1158
1159whereby any person or affiliated person acquires or attempts to
1160acquire, directly or indirectly, 10 percent or more of the
1161ownership interest or assets of a specialty insurer or of a
1162controlling company. However, in the case of a health
1163maintenance organization organized as a for-profit corporation,
1164the provisions of s. 628.451 shall govern with respect to any
1165merger or consolidation, and, in the case of a health
1166maintenance organization organized as a not-for-profit
1167corporation, the provisions of s. 628.471 shall govern with
1168respect to any merger or consolidation.
1169     (b)  For the purpose of this section, the term "affiliated
1170person" of another person includes:
1171     1.  The spouse of such other natural person;
1172     2.  The parents of such other natural person and their
1173lineal descendants and the parents of such other natural
1174person's spouse and their lineal descendants;
1175     3.  Any person who directly or indirectly owns or controls,
1176or holds with power to vote, 10 percent or more of the
1177outstanding voting securities of such other person;
1178     4.  Any person who directly or indirectly owns 10 percent
1179or more of the outstanding voting securities which are directly
1180or indirectly owned or controlled, or held with power to vote,
1181by such other person;
1182     5.  Any person or group of persons who directly or
1183indirectly control, are controlled by, or are under common
1184control with such other person;
1185     6.  Any director, officer, trustee, partner, owner,
1186manager, joint venturer, or employee, or other person performing
1187duties similar to those of persons in the aforementioned
1188positions, of such other person;
1189     7.  If such other person is an investment company, any
1190investment adviser of such company or any member of an advisory
1191board of such company;
1192     8.  If such other person is an unincorporated investment
1193company not having a board of directors, the depositor of such
1194company; or
1195     9.  Any person who has entered into an agreement, written
1196or unwritten, to act in concert with such other person in
1197acquiring, or limiting the disposition of, securities of a
1198specialty insurer or controlling company which is a stock
1199corporation or in acquiring, or limiting the disposition of, an
1200ownership interest of a specialty insurer or controlling company
1201which is not a stock corporation.
1202     (c)  For the purposes of this section, the term
1203"controlling company" means any corporation, trust, or
1204association owning, directly or indirectly, 25 percent or more
1205of the voting securities of one or more specialty insurance
1206companies which are stock corporations, or 25 percent or more of
1207the ownership interest of one or more specialty insurance
1208companies which are not stock corporations.
1209     (d)  For the purpose of this section, the term "natural
1210person" means an individual.
1211     (e)  For the purpose of this section, the term "person"
1212includes a natural person, corporation, association, trust,
1213general partnership, limited partnership, joint venture, firm,
1214proprietorship, or any other entity which may hold a license or
1215certificate as a specialty insurer.
1216     (7)(14)  The commission may adopt, amend, or repeal rules
1217that are necessary to implement the provisions of this section,
1218pursuant to chapter 120.
1219     Section 3.  Section 628.800, Florida Statutes, is created
1220to read:
1221     628.800  Definitions.-As used in this part, unless the
1222context otherwise requires:
1223     (1)  "Affiliate" means a person that, directly or
1224indirectly, through one or more intermediaries, controls or is
1225controlled by, or is under common control with, the person
1226specified.
1227     (2)  "Control" means the possession, whether direct or
1228indirect, of the power to direct or cause the direction of the
1229management and policies of a person, whether through the
1230ownership of voting securities, by contract other than a
1231commercial contract for goods or nonmanagement services, or
1232otherwise, unless the power is the result of an official
1233position with, or corporate office held by, the person. Control
1234shall be presumed to exist if any person, directly or
1235indirectly, owns, controls, holds with the power to vote, or
1236holds proxies representing 10 percent or more of the voting
1237securities of any other person. To disclaim control or
1238affiliation, any person may file with the commissioner a
1239disclaimer of control or affiliation with any authorized
1240insurer, or a disclaimer of control or affiliation may be filed
1241by the insurer or any member of an insurance holding company
1242system. The disclaimer shall fully disclose all material
1243relationships and bases for control or affiliation between the
1244person and the insurer, as well as the basis for disclaiming the
1245control or affiliation. A disclaimer of control or affiliation
1246shall be deemed to have been granted unless the commissioner,
1247within 30 days following receipt of a complete disclaimer,
1248notifies the filing party that the disclaimer is disallowed. In
1249the event of disallowance, the disclaiming party may request an
1250administrative hearing, which shall be granted. The disclaiming
1251party shall be relieved of its duty to register under this
1252section if approval of the disclaimer has been granted by the
1253commissioner or if the disclaimer is deemed to have been
1254approved. The commissioner may determine, after furnishing all
1255persons in interest notice and opportunity to be heard and
1256making specific findings of fact to support such determination,
1257that control exists in fact, notwithstanding the absence of a
1258presumption to that effect.
1259     (3)  "Insurance holding company system" consists of two or
1260more affiliated persons, one or more of which is an insurer.
1261     (4)  "Insurer" has the same meaning as set forth in s.
1262624.03, except that it shall not include:
1263     (a)  Agencies, authorities, or instrumentalities of the
1264United States, its possessions and territories, the Commonwealth
1265of Puerto Rico, the District of Columbia, or a state or
1266political subdivision of a state;
1267     (b)  Fraternal benefit societies;
1268     (c)  Nonprofit medical and hospital service associations;
1269or
1270     (d)  Business trusts.
1271     (5)  "Commissioner" means the Commissioner of Insurance
1272Regulation as designated under ss. 20.121 and 624.05, his or her
1273deputies and assistants, or the Office of Insurance Regulation,
1274as appropriate.
1275     (6)  "Person" means an individual, a corporation, a
1276partnership, an association, a business trust, an insurer, a
1277company, an organization, Lloyds insurer, a society, a
1278reciprocal insurer or interinsurance exchange, a syndicate, an
1279agent, a general agent, a broker, a solicitor, a service
1280representative, an adjuster, every legal entity, a joint stock
1281company, an unincorporated organization, or any similar entity
1282or combination acting in concert, but does not include any
1283securities broker performing no more than the usual and
1284customary broker's function.
1285     (7)  "Securityholder" of a specified person means one who
1286owns any security of such person, including common stock,
1287preferred stock, debt obligation, and any other security
1288convertible into or evidencing the right to acquire any of the
1289foregoing.
1290     (8)  "Subsidiary" of a specified person means an affiliate
1291controlled by such person, directly or indirectly, through one
1292or more intermediaries.
1293     (9)  "Voting security" means any security convertible into
1294or evidencing a right to acquire a voting security.
1295     Section 4.  Section 628.801, Florida Statutes, is amended
1296to read:
1297(Substantial rewording of section. See s. 628.801, F.S.,
1298for present text.)
1299     628.801  Insurance holding companies; registration;
1300regulation.-
1301     (1)  REGISTRATION.-Every insurer authorized to do business
1302in this state that is a member of an insurance holding company
1303system must register with the commissioner, except a foreign
1304insurer subject to registration requirements and standards
1305adopted by statute or regulation in the jurisdiction of its
1306domicile which are substantially similar to those contained
1307chapter 624.
1308     (a)  Each registered insurer shall keep current the
1309information required to be disclosed in its registration
1310statement by reporting all material changes or additions within
131115 days after the end of the month in which it learns of each
1312change or addition. Any insurer that is subject to registration
1313under this section shall register within 15 days after it
1314becomes subject to registration, and annually thereafter by June
13151 of each year for the previous calendar year, unless the
1316commissioner for good cause shown extends the time for
1317registration, in which case the insurer shall register within
1318the extended registration period. The commissioner may require
1319any insurer authorized to do business in the state that is a
1320member of an insurance holding company system and that is not
1321subject to registration under this section to furnish a copy of
1322the registration statement, the report specified in subsection
1323(9), or other information filed by the insurance company with
1324the insurance regulatory authority of its domiciliary
1325jurisdiction.
1326     (b)  Every insurer subject to registration shall file the
1327registration statement with the commissioner on a form and in a
1328format prescribed by the National Association of Insurance
1329Commissioners, which shall contain the following current
1330information:
1331     1.  The capital structure, general financial condition,
1332ownership, and management of the insurer and any person
1333controlling the insurer.
1334     2.  The identity and relationship of every member of the
1335insurance holding company system.
1336     3.  The following agreements in force and transactions
1337currently outstanding or that have occurred during the last
1338calendar year between the insurer and its affiliates:
1339     a.  Loans, other investments, or purchases, sales, or
1340exchanges of securities of the affiliates by the insurer or of
1341the insurer by its affiliates.
1342     b.  Purchases, sales, or exchange of assets.
1343     c.  Transactions not in the ordinary course of business.
1344     d.  Guarantees or undertakings for the benefit of an
1345affiliate which result in an actual contingent exposure of the
1346insurer's assets to liability, other than insurance contracts
1347entered into in the ordinary course of the insurer's business.
1348     e.  All management agreements, service contracts, and all
1349cost-sharing arrangements.
1350     f.  Reinsurance agreements.
1351     g.  Dividends and other distributions to shareholders.
1352     h.  Consolidated tax allocation agreements.
1353     4.  Any pledge of the insurer's stock, including stock of
1354any subsidiary or controlling affiliate, for a loan made to any
1355member of the insurance holding company system.
1356     5.  If requested by the commissioner, financial statements
1357of or within an insurance holding company system, including all
1358affiliates. Financial statements may include, but are not
1359limited to, annual audited financial statements filed with the
1360United States Securities and Exchange Commission pursuant to the
1361Securities Act of 1933, as amended, or the Securities Exchange
1362Act of 1934, as amended. An insurer required to file financial
1363statements pursuant to this paragraph may satisfy the request by
1364providing the commissioner with the most recently filed parent
1365corporation financial statements that have been filed with the
1366United States Securities and Exchange Commission.
1367     6.  Other matters concerning transactions between
1368registered insurers and any affiliates as may be included from
1369time to time in any registration forms adopted or approved by
1370the commissioner.
1371     7.  Statements attesting that the insurer's board of
1372directors oversees corporate governance and internal controls
1373and that the insurer's officers or senior management have
1374approved, implemented, and continue to maintain and monitor
1375corporate governance and internal control procedures.
1376     8.  Any other information required by the commissioner by
1377rule or regulation.
1378     (c)  All registration statements must contain a summary
1379outlining all items in the current registration statement
1380representing changes from the prior registration statement.
1381     (d)  Information need not be disclosed on the registration
1382statement filed pursuant to this section that is not material
1383for the purposes of this section. Unless the commissioner by
1384rule, regulation, or order provides otherwise, sales, purchases,
1385exchanges, loans, or extensions of credit, investments, or
1386guarantees involving .5 percent or less of an insurer's admitted
1387assets as of the 31st day of December next preceding shall not
1388be deemed material for purposes of this section.
1389     (2)  REPORTING OF DIVIDENDS TO SHAREHOLDERS.-Subject to the
1390requirements of this section, each registered insurer shall
1391report to the commissioner all dividends and other distributions
1392to shareholders within 15 business days following the
1393declaration thereof.
1394     (3)  INFORMATION OF INSURERS.-Any person within an
1395insurance holding company system subject to registration shall
1396be required to provide complete and accurate information to an
1397insurer, where the information is reasonably necessary to enable
1398the insurer to comply with the provisions of this section.
1399     (4)  TERMINATION OF REGISTRATION.-The commissioner shall
1400terminate the registration of any insurer that demonstrates that
1401it no longer is a member of an insurance holding company system.
1402     (5)  CONSOLIDATED FILING.-The commissioner may require or
1403allow two or more affiliated insurers subject to registration to
1404file a consolidated registration statement.
1405     (6)  ALTERNATIVE REGISTRATION.-The commissioner may allow
1406an insurer authorized to do business in this state and that is
1407part of an insurance holding company system to register on
1408behalf of any affiliated insurer required to register under this
1409section and to file all information and material required to be
1410filed under this section.
1411     (7)  EXEMPTIONS.-This section does not apply to any
1412insurer, information, or transaction if, and to the extent that,
1413the commissioner by rule, regulation, or order exempts the
1414insurer, information, or transaction from the provisions of this
1415section.
1416     (8)  DISCLAIMER.-Any person may file with the commissioner
1417a disclaimer of affiliation with any authorized insurer, or a
1418disclaimer may be filed by the insurer or any member of an
1419insurance holding company system. The disclaimer shall fully
1420disclose all material relationships and bases for affiliation
1421between the person and the insurer as well as the basis for
1422disclaiming the affiliation. A disclaimer of affiliation shall
1423be deemed to have been granted unless the commissioner, within
142430 days following receipt of a complete disclaimer, notifies the
1425filing party that the disclaimer is disallowed. In the event of
1426disallowance, the disclaiming party may request an
1427administrative hearing, which shall be granted. The disclaiming
1428party shall be relieved of its duty to register under this
1429section if approval of the disclaimer has been granted by the
1430commissioner or if the disclaimer is deemed to have been
1431approved.
1432     (9)  ENTERPRISE RISK FILING.-The ultimate controlling
1433person of every insurer subject to registration shall also file
1434an annual enterprise risk report. The report shall, to the best
1435of the ultimate controlling person's knowledge and belief,
1436identify the material risks within the insurance holding company
1437system that could pose enterprise risk to the insurer. The
1438report shall be filed with the lead state commissioner of the
1439insurance holding company system as determined by the procedures
1440within the Financial Analysis Handbook adopted by the National
1441Association of Insurance Commissioners.
1442     (10)  VIOLATIONS.-Failure to file a registration statement
1443or any summary of the registration statement or enterprise risk
1444filing required by this section within the time specified for
1445filing constitutes a violation of this section.
1446     Section 5.  Section 628.8011, Florida Statues, is created
1447to read:
1448     628.8011  Standards and management of an insurer within an
1449insurance holding company system.-
1450     (1)  STANDARDS.-Transactions within an insurance holding
1451company system to which an insurer subject to registration is a
1452party shall be subject to the following standards:
1453     (a)  The terms shall be fair and reasonable.
1454     (b)  Agreements for cost-sharing services and management
1455shall include such provisions as required by rule and regulation
1456issued by the commissioner.
1457     (c)  Charges or fees for services performed shall be
1458reasonable.
1459     (d)  Contracts or agreements with affiliates for the
1460management or servicing of the business written by an insurer
1461shall contain provisions providing that, if the combined ratio
1462for the insurer exceeds 100 percent, then the fees paid to any
1463affiliates for such services shall be decreased to bring the
1464combined ratio down to 100 percent.
1465     (e)  Expenses incurred and payment received shall be
1466allocated to the insurer in conformity with customary insurance
1467accounting practices consistently applied.
1468     (f)  The books, accounts, and records of each party to all
1469such transactions shall be so maintained as to clearly and
1470accurately disclose the nature and details of the transactions,
1471including such accounting information as is necessary to support
1472the reasonableness of the charges or fees to the respective
1473parties.
1474     (g)  The insurer's surplus as regards policyholders
1475following any dividends or distributions to shareholder
1476affiliates shall be reasonable in relation to the insurer's
1477outstanding liabilities and adequate to meet its financial
1478needs.
1479     (2)  PRECLUDED TRANSACTIONS.-The following transactions
1480involving a domestic insurer and any person in its insurance
1481holding company system, including amendments or modifications of
1482affiliate agreements previously filed pursuant to this section,
1483that are subject to any materiality standards contained in
1484subsection (1), may not be entered into unless the insurer has
1485notified the commissioner in writing of its intention to enter
1486into the transaction at least 30 days prior thereto, or such
1487shorter period as the commissioner may permit, and the
1488commissioner has not disapproved the transaction within that
1489period. The notice for amendments or modifications shall include
1490the reasons for the change and the financial impact on the
1491domestic insurer. Informal notice shall be reported, within 30
1492days after a termination of a previously filed agreement, to the
1493commissioner for determination of the type of filing required,
1494if any.
1495     (a)  Sales, purchases, exchanges, loans, extensions of
1496credit, or investments, provided the transactions are equal to
1497or exceed:
1498     1.  With respect to nonlife insurers, the lesser of 3
1499percent of the insurer's admitted assets or 25 percent of
1500surplus as regards policyholders as of the 31st day of December
1501next preceding.
1502     2.  With respect to life insurers, 3 percent of the
1503insurer's admitted assets as of the 31st day of December next
1504preceding.
1505     (b)  Loans or extensions of credit to any person who is not
1506an affiliate, where the insurer makes loans or extensions of
1507credit with the agreement or understanding that the proceeds of
1508the transactions, in whole or in substantial part, are to be
1509used to make loans or extensions of credit to, purchase assets
1510of, or make investments in any affiliate of the insurer making
1511the loans or extensions of credit, provided the transactions are
1512equal to or exceed:
1513     1.  With respect to nonlife insurers, the lesser of 3
1514percent of the insurer's admitted assets or 25 percent of
1515surplus as regards policyholders as of the 31st day of December
1516next preceding; or
1517     2.  With respect to life insurers, 3 percent of the
1518insurer's admitted assets as of the 31st day of December next
1519preceding.
1520     (c)  Reinsurance agreements or modifications thereto,
1521including:
1522     1.  All reinsurance pooling agreements.
1523     2.  Agreements in which the reinsurance premium or a change
1524in the insurer's liabilities, or the projected reinsurance
1525premium or a change in the insurer's liabilities in any of the
1526next 3 years, equals or exceeds 5 percent of the insurer's
1527surplus as regards policyholders, as of the 31st day of December
1528next preceding, including those agreements which may require as
1529consideration the transfer of assets from an insurer to a
1530nonaffiliate, if an agreement or understanding exists between
1531the insurer and nonaffiliate that any portion of the assets will
1532be transferred to one or more affiliates of the insurer.
1533     (d)  All management agreements, service contracts, tax
1534allocation agreements, guarantees, and all cost-sharing
1535arrangements.
1536     (e)  Guarantees when made by a domestic insurer. Provided,
1537however, that a guarantee which is quantifiable as to amount is
1538not subject to the notice requirements of this paragraph unless
1539it exceeds the lesser of .5 percent of the insurer's admitted
1540assets or 10 percent of surplus as regards policyholders as of
1541the 31st day of December next preceding. Further, all guarantees
1542which are not quantifiable as to amount are subject to the
1543notice requirements of this paragraph.
1544     (f)  Direct or indirect acquisitions or investments in a
1545person that controls the insurer or in an affiliate of the
1546insurer in an amount which, together with its present holdings
1547in such investments, exceeds 2.5 percent of the insurer's
1548surplus to policyholders. Direct or indirect acquisitions or
1549investments in subsidiaries acquired pursuant to s. 628.461, or
1550in nonsubsidiary insurance affiliates that are subject to the
1551provisions of this part, are exempt from this requirement.
1552     (g)  Any material transactions, specified by regulation,
1553which the commissioner determines may adversely affect the
1554interests of the insurer's policyholders.
1555
1556Nothing in this subsection shall be deemed to authorize or
1557permit any transactions which, in the case of an insurer that is
1558not a member of the same insurance holding company system, would
1559otherwise be contrary to law.
1560     (3)  ADDITIONAL PRECLUDED TRANSACTION.-A domestic insurer
1561may not enter into transactions that are part of a plan or
1562series of like transactions with persons within the insurance
1563holding company system if the purpose of those separate
1564transactions is to avoid the statutory threshold amount and thus
1565avoid the review that would occur otherwise. If the commissioner
1566determines that separate transactions were entered into over any
156712-month period for that purpose, the commissioner may exercise
1568his or her authority under the Insurance Code or s. 628.803.
1569     (4)  REVIEW OF TRANSACTIONS.-The commissioner, in reviewing
1570transactions pursuant to this section, shall consider whether
1571the transactions comply with the standards set forth in this
1572section and whether they may adversely affect the interests of
1573policyholders.
1574     (5)  NOTIFICAITON.-The commissioner shall be notified
1575within 30 days of any investment of the domestic insurer in any
1576one corporation if the total investment in the corporation by
1577the insurance holding company system exceeds 10 percent of the
1578corporation's voting securities.
1579     (6)  DIVIDENDS AND OTHER DISTRIBUTIONS.-
1580     (a)  No domestic insurer shall pay any extraordinary
1581dividend or make any other extraordinary distribution to its
1582shareholders until 30 days after the commissioner has received
1583notice of the declaration thereof and has not within that period
1584disapproved the payment, or until the commissioner has approved
1585the payment within the 30-day period.
1586     (b)  For purposes of this section, an extraordinary
1587dividend or distribution includes any dividend or distribution
1588of cash or other property, whose fair market value together with
1589that of other dividends or distributions made within the
1590preceding 12 months exceeds the lesser of:
1591     1.  Ten percent of the insurer's surplus as regards
1592policyholders as of the 31st day of December next preceding; or
1593     2.  The net gain after taxes from operations of the
1594insurer, if the insurer is a life insurer, or the net income
1595after taxes, if the insurer is not a life insurer, not including
1596realized capital gains, for the 12-month period ending the 31st
1597day of December next preceding, excluding pro rata distributions
1598of any class of the insurer's own securities.  
1599     (c)  In determining whether a dividend or distribution is
1600extraordinary, an insurer other than a life insurer may carry
1601forward net income from the previous 2 calendar years that has
1602not already been paid out as dividends. This carryforward shall
1603be computed by taking the net income from the second and third
1604preceding calendar years, not including realized capital gains,
1605less dividends paid in the second and immediate preceding
1606calendar years.
1607     (d)  Notwithstanding any other provision of law, an insurer
1608may declare an extraordinary dividend or distribution which is
1609conditional upon the commissioner's approval, and the
1610declaration shall confer no rights upon shareholders until:
1611     1.  The commissioner has approved the payment of the
1612dividend or distribution; or
1613     2.  The commissioner has not disapproved payment within the
161430-day period provided for in this subsection.
1615     (7)  MANAGEMENT OF DOMESTIC INSURERS SUBJECT TO
1616REGISTRATION.-
1617     (a)  Notwithstanding the control of a domestic insurer by
1618any person, the officers and directors of the insurer may not
1619thereby be relieved of any obligation or liability to which they
1620would otherwise be subject by law, and the insurer shall be
1621managed so as to assure its separate operating identity
1622consistent with this section.
1623     (b)  Nothing in this section shall preclude a domestic
1624insurer from having or sharing a common management or
1625cooperative or joint use of personnel, property, or services
1626with one or more other persons under arrangements meeting the
1627standards of this section.
1628     (c)  Not less than one-third of the directors of a domestic
1629insurer and not less than one-third of the members of each
1630committee of the board of directors of any domestic insurer
1631shall be persons who are not officers or employees of the
1632insurer or of any entity controlling, controlled by, or under
1633common control with the insurer and who are not beneficial
1634owners of a controlling interest in the voting stock of the
1635insurer or entity. At least one such person must be included in
1636any quorum for the transaction of business at any meeting of the
1637board of directors or any committee thereof.
1638     (d)  The board of directors of a domestic insurer shall
1639establish one or more committees comprised solely of directors
1640who are not officers or employees of the insurer or of any
1641entity controlling, controlled by, or under common control with
1642the insurer and who are not beneficial owners of a controlling
1643interest in the voting stock of the insurer or any such entity.  
1644The committee or committees shall have responsibility for
1645nominating candidates for director for election by shareholders
1646or policyholders, evaluating the performance of officers deemed
1647to be principal officers of the insurer, and recommending to the
1648board of directors the selection and compensation of the
1649principal officers.
1650     (e)  The provisions of paragraphs (c) and (d) do not apply
1651to a domestic insurer if the person controlling the insurer,
1652such as an insurer, a mutual insurance holding company, or a
1653publicly held corporation, has a board of directors and
1654committees thereof that meet the requirements of paragraphs (c)
1655and (d) with respect to such controlling entity.
1656     (f)  An insurer may make application to the commissioner
1657for a waiver from the requirements of this subsection, if the
1658insurer's annual direct written and assumed premium, excluding
1659premiums reinsured with the Federal Crop Insurance Corporation
1660and the federal flood insurance program, is less than $300
1661million. An insurer may also make application to the
1662commissioner for a waiver from the requirements of this
1663subsection based on unique circumstances. The commissioner may
1664consider various factors including, but not limited to, the type
1665of business entity, volume of business written, availability of
1666qualified board members, or the ownership or organizational
1667structure of the entity.
1668     (8)  ADEQUACY OF SURPLUS.-For purposes of this section, in
1669determining whether an insurer's surplus as regards
1670policyholders is reasonable in relation to the insurer's
1671outstanding liabilities and adequate to meet its financial
1672needs, the following factors, among others, shall be considered:
1673     (a)  The size of the insurer as measured by its assets,
1674capital and surplus, reserves, premium writings, insurance in
1675force, and other appropriate criteria.
1676     (b)  The extent to which the insurer's business is
1677diversified among several lines of insurance.
1678     (c)  The number and size of risks insured in each line of
1679business.
1680     (d)  The extent of the geographical dispersion of the
1681insurer's insured risks.
1682     (e)  The nature and extent of the insurer's reinsurance
1683program.
1684     (f)  The quality, diversification, and liquidity of the
1685insurer's investment portfolio.
1686     (g)  The recent past and projected future trend in the size
1687of the insurer's investment portfolio.
1688     (h)  The surplus as regards policyholders maintained by
1689other comparable insurers.
1690     (i)  The adequacy of the insurer's reserves.
1691     (j)  The quality and liquidity of investments in
1692affiliates. The commissioner may treat any such investment as a
1693disallowed asset for purposes of determining the adequacy of
1694surplus as regards policyholders whenever in the judgment of the
1695commissioner the investment so warrants.
1696     Section 6.  Section 628.8012, Florida Statutes, is created
1697to read:
1698     628.8012  Supervisory colleges.-
1699     (1)  POWER OF COMMISSIONER.-With respect to any insurer
1700registered under this part and in accordance with subsection
1701(3), the commissioner shall have the power to participate in a
1702supervisory college for any domestic insurer that is part of an
1703insurance holding company system with international operations
1704in order to determine compliance by the insurer with this part.
1705The powers of the commissioner with respect to supervisory
1706colleges include, but are not limited to, the following:
1707     (a)  Initiating the establishment of a supervisory college.
1708     (b)  Clarifying the membership and participation of other
1709supervisors in the supervisory college.
1710     (c)  Clarifying the functions of the supervisory college
1711and the role of other regulators, including the establishment of
1712a group-wide supervisor.
1713     (d)  Coordinating the ongoing activities of the supervisory
1714college, including planning meetings, supervisory activities,
1715and processes for information sharing.
1716     (e)  Establishing a crisis management plan.
1717     (2)  EXPENSES.-Each registered insurer subject to this
1718section shall be liable for and shall pay the reasonable
1719expenses of the commissioner's participation in a supervisory
1720college in accordance with subsection (3), including reasonable
1721travel expenses. For purposes of this section, a supervisory
1722college may be convened as either a temporary or permanent forum
1723for communication and cooperation between the regulators charged
1724with the supervision of the insurer or its affiliates, and the
1725commissioner may establish a regular assessment to the insurer
1726for the payment of these expenses.
1727     (3)  SUPERVISORY COLLEGE.-In order to assess the business
1728strategy, financial position, legal and regulatory position,
1729risk exposure, risk management, and governance processes, and as
1730part of the examination of individual insurers, the commissioner
1731may participate in a supervisory college with other regulators
1732charged with supervision of the insurer or its affiliates,
1733including other state, federal, and international regulatory
1734agencies. The commissioner may enter into agreements in
1735accordance with this chapter, providing the basis for
1736cooperation between the commissioner, other regulatory agencies,
1737and the supervisory college. Nothing in this section shall
1738delegate to the supervisory college the authority of the
1739commissioner to regulate or supervise the insurer or its
1740affiliates within its jurisdiction.
1741     Section 7.  Section 628.8013, Florida Statutes, is created
1742to read:
1743     628.8013  Rules and regulations.-The commissioner may, upon
1744notice and opportunity for all interested persons to be heard,
1745issue such rules, regulations, and orders necessary to carry out
1746the provisions of this part.
1747     Section 8.  Section 628.8014, Florida Statutes, is created
1748to read:
1749     628.8014  Voting of securities.-A security which is the
1750subject of any agreement or arrangement regarding acquisition,
1751or which is acquired or to be acquired, in contravention of any
1752statute or rule adopted thereunder, may not be voted at any
1753shareholder's meeting or counted for quorum purposes, and any
1754action of shareholders requiring the affirmative vote of a
1755percentage of shares may be taken as though such securities were
1756not issued and outstanding. However, an action taken at any such
1757meeting may not be invalidated by the voting of such securities
1758unless the action would materially affect the control of the
1759insurer or unless a court of competent jurisdiction has so
1760ordered. If the office has reason to believe that any security
1761of the insurer has been or is about to be acquired in
1762contravention of s. 628.461, or this chapter, the office may
1763pursue its remedies pursuant to ss. 628.802 and 628.803.
1764     Section 9.  Section 628.802, Florida Statutes, is amended
1765to read:
1766(Substantial rewording of section. See
1767s. 628.802, F.S., for present text.)
1768     628.802  Injunctions; prohibitions against voting
1769securities; sequestration of voting securities.-
1770     (1)  INJUNCTIONS.-Whenever it appears to the commissioner
1771that any insurer or any director, officer, employee, or agent
1772thereof has committed or is about to commit a violation of this
1773part or of any rule, regulation, or order issued by the
1774commissioner thereunder, the commissioner may apply to the
1775circuit court for the county in which the principal officer of
1776the insurer is located or, if the insurer has no office in this
1777state, to the Circuit Court for Leon County for an order
1778enjoining the insurer or director, officer, employee or agent
1779thereof from violating or continuing to violate this part or any
1780rule, regulation or order, and for such other equitable relief
1781as the nature of the case and the interest of the insurer's
1782policyholders, creditors, and shareholders or the public may
1783require.
1784     (2)  VOTING OF SECURITIES; WHEN PROHIBITED.-No security
1785which is the subject of any agreement or arrangement regarding
1786acquisition, or which is acquired or to be acquired, in
1787contravention of the provisions of this part or of any rule,
1788regulation, or order issued by the commissioner thereunder may
1789be voted at any shareholder's meeting, or may be counted for
1790quorum purposes, and any action of shareholders requiring the
1791affirmative vote of a percentage of shares may be taken as
1792though the securities were not issued and outstanding. However,
1793no action taken at any such meeting shall be invalidated by the
1794voting of the securities, unless the action would materially
1795affect control of the insurer or unless the courts of this state
1796have so ordered. If an insurer or the commissioner has reason to
1797believe that any security of the insurer has been or is about to
1798be acquired in contravention of the provisions of this part or
1799of any rule, regulation, or order issued by the commissioner
1800hereunder, the insurer or the commissioner may apply to the
1801circuit court for the county in which the insurer has its
1802principal place of business to enjoin any offer, request,
1803invitation, agreement, or acquisition made in contravention of
1804s. 628.461 or any rule, regulation, or order issued by the
1805commissioner thereunder to enjoin the voting of any security so
1806acquired, to void any vote of the security already cast at any
1807meeting of shareholders, and for such other equitable relief as
1808the nature of the case and the interest of the insurer's
1809policyholders, creditors, and shareholders or the public may
1810require.
1811     (3)  SEQUESTRATION OF VOTING SECURITIES.-In any case where
1812a person has acquired or is proposing to acquire any voting
1813securities in violation of this part or any rule, regulation, or
1814order issued by the commissioner hereunder, the circuit court
1815for Leon County or the circuit court for the county in which the
1816insurer has its principal place of business may, on such notice
1817as the court deems appropriate, upon the application of the
1818insurer or the commissioner, seize or sequester any voting
1819securities of the insurer owned directly or indirectly by the
1820person, and issue such order as may be appropriate to effectuate
1821the provisions of this part.
1822     (4)  SITUS OF OWNERSHIP.-Notwithstanding any other
1823provisions of law, for the purposes of this part, the situs of
1824the ownership of the securities of domestic insurers shall be
1825deemed to be in this state.
1826     Section 10.  Section 628.803, Florida Statutes, is amended
1827to read:
1828(Substantial rewording of section. See
1829s. 628.803, F.S., for present text.)
1830     628.803  Sanctions.-
1831     (1)  Any insurer failing, without just cause, to file any
1832registration statement as required under this part shall be
1833required, after notice and hearing, to pay a penalty of $1,000
1834for each day's delay, to be recovered by the commissioner.
1835Penalties so recovered shall be paid into the General Revenue
1836Fund. The maximum penalty under this section is $500,000. The
1837commissioner may reduce the penalty if the insurer demonstrates
1838to the commissioner that the imposition of the penalty would
1839constitute a financial hardship to the insurer.
1840     (2)  Every director or officer of an insurance holding
1841company system who knowingly violates, participates in, or
1842assents to, or who knowingly permits any of the officers or
1843agents of the insurer to engage in, transactions or the making
1844of investments which have not been properly reported or
1845submitted pursuant to the Insurance Code or which violate this
1846act, shall, in their individual capacity, pay a civil forfeiture
1847of not more than $1,000 per violation after notice and hearing
1848before the commissioner. In determining the amount of the civil
1849forfeiture, the commissioner shall take into account the
1850appropriateness of the forfeiture with respect to the gravity of
1851the violation, the history of previous violations, and such
1852other matters as justice may require.
1853     (3)  Whenever it appears to the commissioner that any
1854insurer subject to this part or any director, officer, employee,
1855or agent thereof has engaged in any transaction or entered into
1856a contract which is subject to s. 628.8011 and which would not
1857have been approved had approval been requested, the commissioner
1858may order the insurer to cease and desist immediately from any
1859further activity under that transaction or contract. After
1860notice and hearing, the commissioner may also order the insurer
1861to void any contracts and restore the status quo if the action
1862is in the best interests of the policyholders, creditors, or the
1863public.
1864     (4)  Whenever it appears to the commissioner that any
1865insurer or any director, officer, employee, or agent thereof has
1866committed a willful violation of this part, the commissioner may
1867cause criminal proceedings to be instituted by the circuit court
1868for the county in which the principal office of the insurer is
1869located or, if the insurer has no office in this state, by the
1870circuit court for Leon County against the insurer or the
1871responsible director, officer, employee, or agent thereof. Any
1872insurer which willfully violates this part may be fined not more
1873than $1 million. Any individual who willfully violates this part
1874may be fined in his or her individual capacity not more than
1875$500,000 or be imprisoned for not more than one to 3 years, or
1876both.
1877     (5)  Any officer, director, or employee of an insurance
1878holding company system who willfully and knowingly subscribes to
1879or makes or causes to be made any false statements or false
1880reports or false filings with the intent to deceive the
1881commissioner in the performance of his or her duties under this
1882part, upon conviction shall be imprisoned for not more than 3
1883years or fined $500,000 or both. Any fines imposed shall be paid
1884by the officer, director, or employee in his or her individual
1885capacity.
1886     (6)  Whenever it appears to the commissioner that any
1887person has committed a violation of chapter 628, which violation
1888prevents the full understanding of the enterprise risk to the
1889insurer by affiliates or by the insurance holding company
1890system, the violation may serve as an independent basis for
1891disapproving dividends or distributions and for placing the
1892insurer under an order of supervision in accordance with part VI
1893of chapter 624.
1894     Section 11.  Section 636.065, Florida Statutes, is amended
1895to read:
1896     636.065  Acquisitions.-Each prepaid limited health service
1897organization is subject to the provisions of s. 628.461
1898628.4615.
1899     Section 12.  Section 641.255, Florida Statutes, is amended
1900to read:
1901     641.255  Acquisition, merger, or consolidation.-
1902     (1)  Every acquisition of a health maintenance organization
1903shall be subject to the provisions of s. 628.461 628.4615.
1904However, in the case of a health maintenance organization
1905organized as a for-profit corporation, the provisions of s.
1906628.451 govern with respect to any merger or consolidation; and,
1907in the case of a health maintenance organization organized as a
1908not-for-profit corporation, the provisions of s. 628.471 govern
1909with respect to any merger or consolidation.
1910     (2)  In addition to the requirements set forth in ss.
1911628.451, 628.461 628.4615, and 628.471, each party to any
1912transaction involving any licensee which, as indicated in its
1913most recent quarterly or annual statement, derives income from
1914Medicaid funds shall in the filing made with the office
1915identify:
1916     (a)  Any person who has received any payment from either
1917party or any person on that party's behalf; or
1918     (b)  The existence of any agreement entered into by either
1919party or by any person on that party's behalf to pay a
1920consultant fee, a broker fee, a commission, or other fee or
1921charge,
1922
1923which in any way relates to the acquisition, merger, or
1924consolidation. The commission may adopt a form to be made part
1925of the application which is to be sworn to by an officer of the
1926entity which made or will make the payment. The form shall
1927include the name of the person or entity paying the fee; the
1928name of the person or entity receiving the fee; the date of
1929payment; and a brief description of the work performed.
1930     Section 13.  Section 641.416, Florida Statutes, is amended
1931to read:
1932     641.416  Acquisition.-Every prepaid health clinic shall be
1933subject to the provisions of s. 628.461 628.4615.
1934     Section 14.  Section 651.024, Florida Statutes, is amended
1935to read:
1936     651.024  Acquisition.-A person issued a certificate of
1937authority to operate a continuing care facility or a provisional
1938certificate of authority shall be subject to the provisions of
1939s. 628.461 628.4615.
1940     Section 15.  For the purpose of incorporating the amendment
1941made by this act to section 628.461, Florida Statutes, in a
1942reference thereto, subsection (3) of section 48.151, Florida
1943Statutes, is reenacted to read:
1944     48.151  Service on statutory agents for certain persons.-
1945     (3)  The Chief Financial Officer or his or her assistant or
1946deputy or another person in charge of the office is the agent
1947for service of process on all insurers applying for authority to
1948transact insurance in this state, all licensed nonresident
1949insurance agents, all nonresident disability insurance agents
1950licensed pursuant to s. 626.835, any unauthorized insurer under
1951s. 626.906 or s. 626.937, domestic reciprocal insurers,
1952fraternal benefit societies under chapter 632, warranty
1953associations under chapter 634, prepaid limited health service
1954organizations under chapter 636, and persons required to file
1955statements under s. 628.461.
1956     Section 16.  For the purpose of incorporating the
1957amendments made by this act to sections 628.461 and 628.4615,
1958Florida Statutes, in references thereto, paragraph (a) of
1959subsection (1) of section 624.310, Florida Statutes, is
1960reenacted to read:
1961     624.310  Enforcement; cease and desist orders; removal of
1962certain persons; fines.-
1963     (1)  DEFINITIONS.-For the purposes of this section, the
1964term:
1965     (a)  "Affiliated party" means any person who directs or
1966participates in the conduct of the affairs of a licensee and who
1967is:
1968     1.  A director, officer, employee, trustee, committee
1969member, or controlling stockholder of a licensee or a subsidiary
1970or service corporation of the licensee, other than a controlling
1971stockholder which is a holding company, or an agent of a
1972licensee or a subsidiary or service corporation of the licensee;
1973     2.  A person who has filed or is required to file a
1974statement or any other information required to be filed under s.
1975628.461 or s. 628.4615;
1976     3.  A stockholder, other than a stockholder that is a
1977holding company of the licensee, who participates in the conduct
1978of the affairs of the licensee;
1979     4.  An independent contractor who:
1980     a.  Renders a written opinion required by the laws of this
1981state under her or his professional credentials on behalf of the
1982licensee, which opinion is reasonably relied on by the
1983department or office in the performance of its duties; or
1984     b.  Affirmatively and knowingly conceals facts, through a
1985written misrepresentation to the department or office, with
1986knowledge that such misrepresentation:
1987     (I)  Constitutes a violation of the insurance code or a
1988lawful rule or order of the department, commission, or office;
1989and
1990     (II)  Directly and materially endangers the ability of the
1991licensee to meet its obligations to policyholders; or
1992     5.  A third-party marketer who aids or abets a licensee in
1993a violation of the insurance code relating to the sale of an
1994annuity to a person 65 years of age or older.
1995
1996For the purposes of this subparagraph, any representation of
1997fact made by an independent contractor on behalf of a licensee,
1998affirmatively communicated as a representation of the licensee
1999to the independent contractor, shall not be considered a
2000misrepresentation by the independent contractor.
2001     Section 17.  For the purpose of incorporating the amendment
2002made by this act to section 628.461, Florida Statutes, in a
2003reference thereto, section 625.765, Florida Statutes, is
2004reenacted to read:
2005     625.765  Exemptions from ss. 625.75 and 625.76.-The
2006commission may adopt by rule exemptions from ss. 625.75 and
2007625.76 for transactions that are not subject to s. 628.461 and
2008that are the result of proceedings in probate, incompetency, or
2009bankruptcy; sales of securities by odd-lot securities dealers;
2010small transactions by gift which do not exceed $3,000 over any
20116-month period; transactions that are effected in connection
2012with the distribution of a substantial block of securities;
2013acquisitions of shares of stock and stock options under a stock
2014bonus plan, stock option plan, or similar plan; securities
2015acquired by redeeming other securities by an insurer;
2016consolidations or mergers of insurers that hold over 85 percent
2017of the companies being merged or consolidated; acquisitions or
2018dispositions of an equity security involved in the deposit of
2019the security under, or the withdrawal of the security from, a
2020voting trust or deposit agreement; and conversions of an
2021insurer's equity securities into another equity security of the
2022same insurer. The commission may limit by rule the scope of
2023exemptions and provide conditions for exemptions as necessary to
2024maintain the purpose and intent of ss. 625.75 and 625.76 and
2025prevent the circumvention of ss. 625.75 and 625.76.
2026     Section 18.  For the purpose of incorporating the amendment
2027made by this act to section 628.461, Florida Statutes, in a
2028reference thereto, subsection (2) of section 628.705, Florida
2029Statutes, is reenacted to read:
2030     628.705  Prohibition of stock transfers.-
2031     (2)  Voting shares of the capital stock of a subsidiary
2032insurance company or the intermediate holding company may not be
2033acquired by any affiliated member of the holding company system
2034except where the affiliated member of the mutual holding company
2035system is the majority shareholder. A number of shares equal to
20365 percent of the outstanding voting shares of the capital stock
2037of one corporate member of the Mutual Insurance Holding Company
2038System selected by the mutual insurance holding company may be
2039issued or sold to directors and officers as part of a plan of
2040compensation, and such shares shall not be considered part of
2041the majority shares to be owned by the mutual insurance company
2042under subsection (1). A number of shares equal to an additional
20435 percent of the outstanding voting shares of the capital stock
2044of one corporate member of the Mutual Insurance Holding Company
2045System selected by the mutual insurance holding company may be
2046issued or sold to employees, which may not include any officer
2047or director, as part of an employee stock dividend or benefit
2048plan, and such shares shall not be considered part of the
2049majority shares to be owned by the mutual insurance company
2050under subsection (1). Prior to issuance of shares in excess of
2051the authorized 5 percent to either officers and directors or
2052employees, pursuant to this section, a fairness opinion shall be
2053rendered by an independent authority acceptable to the office to
2054assure that the long term interests of the shareholders and
2055policyholders are adequately protected. The office shall approve
2056or disapprove the transaction within 30 days after receipt of
2057the fairness opinion. Nothing in this section prohibits any
2058officer or director from purchasing shares of stock at market
2059value which are not part of a plan of compensation, in
2060accordance with the requirements of s. 628.461, and, if such
2061stock is not regularly traded on a national stock exchange, the
2062officer or director purchasing the shares of stock is
2063responsible for establishing its market value.
2064     Section 19.  For the purpose of incorporating the amendment
2065made by this act to sections 628.461 and 628.4615, Florida
2066Statutes, in references thereto, subsection (7) of section
2067631.051, Florida Statutes, is reenacted to read:
2068     631.051  Grounds for rehabilitation; domestic insurers.-The
2069department may petition for an order directing it to
2070rehabilitate a domestic insurer or an alien insurer domiciled in
2071this state on any one or more of the following grounds, that the
2072insurer:
2073     (7)  Has transferred or attempted to transfer substantially
2074its entire property or business, or has entered into any
2075transaction the effect of which is to merge substantially its
2076entire property or business into that of any other insurer or
2077entity without having first obtained the written approval of the
2078office under the provisions of s. 628.451, s. 628.461, or s.
2079628.4615, as the case may be;
2080     Section 20.  For the purpose of incorporating the amendment
2081made by this act to section 628.4615, Florida Statutes, in a
2082reference thereto, subsection (20) of section 409.912, Florida
2083Statutes, is reenacted to read:
2084     409.912  Cost-effective purchasing of health care.-The
2085agency shall purchase goods and services for Medicaid recipients
2086in the most cost-effective manner consistent with the delivery
2087of quality medical care. To ensure that medical services are
2088effectively utilized, the agency may, in any case, require a
2089confirmation or second physician's opinion of the correct
2090diagnosis for purposes of authorizing future services under the
2091Medicaid program. This section does not restrict access to
2092emergency services or poststabilization care services as defined
2093in 42 C.F.R. part 438.114. Such confirmation or second opinion
2094shall be rendered in a manner approved by the agency. The agency
2095shall maximize the use of prepaid per capita and prepaid
2096aggregate fixed-sum basis services when appropriate and other
2097alternative service delivery and reimbursement methodologies,
2098including competitive bidding pursuant to s. 287.057, designed
2099to facilitate the cost-effective purchase of a case-managed
2100continuum of care. The agency shall also require providers to
2101minimize the exposure of recipients to the need for acute
2102inpatient, custodial, and other institutional care and the
2103inappropriate or unnecessary use of high-cost services. The
2104agency shall contract with a vendor to monitor and evaluate the
2105clinical practice patterns of providers in order to identify
2106trends that are outside the normal practice patterns of a
2107provider's professional peers or the national guidelines of a
2108provider's professional association. The vendor must be able to
2109provide information and counseling to a provider whose practice
2110patterns are outside the norms, in consultation with the agency,
2111to improve patient care and reduce inappropriate utilization.
2112The agency may mandate prior authorization, drug therapy
2113management, or disease management participation for certain
2114populations of Medicaid beneficiaries, certain drug classes, or
2115particular drugs to prevent fraud, abuse, overuse, and possible
2116dangerous drug interactions. The Pharmaceutical and Therapeutics
2117Committee shall make recommendations to the agency on drugs for
2118which prior authorization is required. The agency shall inform
2119the Pharmaceutical and Therapeutics Committee of its decisions
2120regarding drugs subject to prior authorization. The agency is
2121authorized to limit the entities it contracts with or enrolls as
2122Medicaid providers by developing a provider network through
2123provider credentialing. The agency may competitively bid single-
2124source-provider contracts if procurement of goods or services
2125results in demonstrated cost savings to the state without
2126limiting access to care. The agency may limit its network based
2127on the assessment of beneficiary access to care, provider
2128availability, provider quality standards, time and distance
2129standards for access to care, the cultural competence of the
2130provider network, demographic characteristics of Medicaid
2131beneficiaries, practice and provider-to-beneficiary standards,
2132appointment wait times, beneficiary use of services, provider
2133turnover, provider profiling, provider licensure history,
2134previous program integrity investigations and findings, peer
2135review, provider Medicaid policy and billing compliance records,
2136clinical and medical record audits, and other factors. Providers
2137shall not be entitled to enrollment in the Medicaid provider
2138network. The agency shall determine instances in which allowing
2139Medicaid beneficiaries to purchase durable medical equipment and
2140other goods is less expensive to the Medicaid program than long-
2141term rental of the equipment or goods. The agency may establish
2142rules to facilitate purchases in lieu of long-term rentals in
2143order to protect against fraud and abuse in the Medicaid program
2144as defined in s. 409.913. The agency may seek federal waivers
2145necessary to administer these policies.
2146     (20)  When a merger or acquisition of a Medicaid prepaid
2147contractor has been approved by the Office of Insurance
2148Regulation pursuant to s. 628.4615, the agency shall approve the
2149assignment or transfer of the appropriate Medicaid prepaid
2150contract upon request of the surviving entity of the merger or
2151acquisition if the contractor and the other entity have been in
2152good standing with the agency for the most recent 12-month
2153period, unless the agency determines that the assignment or
2154transfer would be detrimental to the Medicaid recipients or the
2155Medicaid program. To be in good standing, an entity must not
2156have failed accreditation or committed any material violation of
2157the requirements of s. 641.52 and must meet the Medicaid
2158contract requirements. For purposes of this section, a merger or
2159acquisition means a change in controlling interest of an entity,
2160including an asset or stock purchase.
2161     Section 21.  For the purpose of incorporating the amendment
2162made by this act to section 628.4615, Florida Statutes, in a
2163reference thereto, paragraph (b) of subsection (1) of section
2164624.80, Florida Statutes, is reenacted to read:
2165     624.80  Definitions.-As used in this part:
2166     (1)  "Insurer" means and includes every person as defined
2167in s. 624.03 as limited to:
2168     (b)  Any specialty insurer as that term is defined in s.
2169628.4615.
2170     Section 22.  For the purpose of incorporating the amendment
2171made by this act to section 628.4615, Florida Statutes, in a
2172reference thereto, section 626.9928, Florida Statutes, is
2173reenacted to read:
2174     626.9928  Acquisitions.-Acquisition of interest in a
2175viatical settlement provider is subject to s. 628.4615.
2176     Section 23.  For the purpose of incorporating the amendment
2177made by this act to section 628.4615, Florida Statutes, in a
2178reference thereto, section 634.252, Florida Statutes, is
2179reenacted to read:
2180     634.252  Acquisition.-Every motor vehicle service agreement
2181company shall be subject to the provisions of s. 628.4615.
2182     Section 24.  For the purpose of incorporating the amendment
2183made by this act to section 628.4615, Florida Statutes, in a
2184reference thereto, section 634.3073, Florida Statutes, is
2185reenacted to read:
2186     634.3073  Acquisition.-Every home warranty association
2187shall be subject to the provisions of s. 628.4615.
2188     Section 25.  For the purpose of incorporating the amendment
2189made by this act to section 628.4615, Florida Statutes, in a
2190reference thereto, section 634.4085, Florida Statutes, is
2191reenacted to read:
2192     634.4085  Acquisition.-Except for manufacturers as defined
2193in this part, every service warranty association shall be
2194subject to the provisions of s. 628.4615.
2195     Section 26.  For the purpose of incorporating the amendment
2196made by this act to section 628.4615, Florida Statutes, in a
2197reference thereto, section 636.065, Florida Statutes, is
2198reenacted to read:
2199     636.065  Acquisitions.-Each prepaid limited health service
2200organization is subject to the provisions of s. 628.4615.
2201     Section 27.  For the purpose of incorporating the amendment
2202made by this act to section 628.4615, Florida Statutes, in a
2203reference thereto, subsection (5) of section 642.032, Florida
2204Statutes, is reenacted to read:
2205     642.032  Provisions of general insurance law applicable to
2206legal expense insurance corporations.-The following provisions
2207of the Florida Insurance Code shall apply to legal expense
2208insurance corporations, to the extent that they are not
2209inconsistent with the provisions of ss. 642.011-642.049:
2210     (5)  Section 628.4615, specialty insurers; acquisition of
2211controlling stock, ownership interest, assets, or control;
2212merger or consolidation.
2213     Section 28.  For the purpose of incorporating the amendment
2214made by this act to section 628.801, Florida Statutes, in a
2215reference thereto, paragraph (b) of subsection (6), paragraph
2216(f) of subsection (8), and paragraph (f) of subsection (9) of
2217section 626.7492, Florida Statutes, is reenacted to read:
2218     626.7492  Reinsurance intermediaries.-
2219     (6)  DUTIES OF INSURERS USING THE SERVICES OF A REINSURANCE
2220INTERMEDIARY BROKER.-
2221     (b)  An insurer may not employ an individual who is
2222employed by a reinsurance intermediary broker with which it
2223transacts business, unless the reinsurance intermediary broker
2224is under common control with the insurer and subject to ss.
2225628.801, 628.802, and 628.803.
2226     (8)  PROHIBITED ACTS.-The reinsurance intermediary manager
2227shall not:
2228     (f)  Jointly employ an individual who is employed by the
2229reinsurer, unless such reinsurance intermediary manager is under
2230common control with the reinsurer subject to ss. 628.801,
2231628.802, and 628.803.
2232     (9)  DUTIES OF REINSURERS USING THE SERVICES OF A
2233REINSURANCE INTERMEDIARY MANAGER.-
2234     (f)  A reinsurer shall not appoint to its board of
2235directors any officer, director, employee, controlling
2236shareholder, or subproducer of its reinsurance intermediary
2237manager. This paragraph shall not apply to relationships
2238governed by ss. 628.801, 628.802, and 628.803 or, if applicable,
2239this section.
2240     Section 29.  For the purpose of incorporating the amendment
2241made by this act to section 628.801, Florida Statutes, in a
2242reference thereto, paragraph (d) of subsection (2) of section
2243626.918, Florida Statutes, is reenacted to read:
2244     626.918  Eligible surplus lines insurers.-
2245     (2)  An unauthorized insurer may not be or become an
2246eligible surplus lines insurer unless made eligible by the
2247office in accordance with the following conditions:
2248     (d)1.a.  The insurer must have and maintain surplus as to
2249policyholders of not less than $15 million; in addition, an
2250alien insurer must also have and maintain in the United States a
2251trust fund for the protection of all its policyholders in the
2252United States under terms deemed by the office to be reasonably
2253adequate, in an amount not less than $5.4 million. Any such
2254surplus as to policyholders or trust fund shall be represented
2255by investments consisting of eligible investments for like funds
2256of like domestic insurers under part II of chapter 625 provided,
2257however, that in the case of an alien insurance company, any
2258such surplus as to policyholders may be represented by
2259investments permitted by the domestic regulator of such alien
2260insurance company if such investments are substantially similar
2261in terms of quality, liquidity, and security to eligible
2262investments for like funds of like domestic insurers under part
2263II of chapter 625. Clean, irrevocable, unconditional, and
2264evergreen letters of credit issued or confirmed by a qualified
2265United States financial institution, as defined in subparagraph
22662., may be used to fund the trust.
2267     b.  For those surplus lines insurers that were eligible on
2268January 1, 1994, and that maintained their eligibility
2269thereafter, the required surplus as to policyholders shall be:
2270     (I)  On December 31, 1994, and until December 30, 1995,
2271$2.5 million.
2272     (II)  On December 31, 1995, and until December 30, 1996,
2273$3.5 million.
2274     (III)  On December 31, 1996, and until December 30, 1997,
2275$4.5 million.
2276     (IV)  On December 31, 1997, and until December 30, 1998,
2277$5.5 million.
2278     (V)  On December 31, 1998, and until December 30, 1999,
2279$6.5 million.
2280     (VI)  On December 31, 1999, and until December 30, 2000, $8
2281million.
2282     (VII)  On December 31, 2000, and until December 30, 2001,
2283$9.5 million.
2284     (VIII)  On December 31, 2001, and until December 30, 2002,
2285$11 million.
2286     (IX)  On December 31, 2002, and until December 30, 2003,
2287$13 million.
2288     (X)  On December 31, 2003, and thereafter, $15 million.
2289     c.  The capital and surplus requirements as set forth in
2290sub-subparagraph b. do not apply in the case of an insurance
2291exchange created by the laws of individual states, where the
2292exchange maintains capital and surplus pursuant to the
2293requirements of that state, or maintains capital and surplus in
2294an amount not less than $50 million in the aggregate. For an
2295insurance exchange which maintains funds in the amount of at
2296least $12 million for the protection of all insurance exchange
2297policyholders, each individual syndicate shall maintain minimum
2298capital and surplus in an amount not less than $3 million. If
2299the insurance exchange does not maintain funds in the amount of
2300at least $12 million for the protection of all insurance
2301exchange policyholders, each individual syndicate shall meet the
2302minimum capital and surplus requirements set forth in sub-
2303subparagraph b.
2304     d.  A surplus lines insurer which is a member of an
2305insurance holding company that includes a member which is a
2306Florida domestic insurer as set forth in its holding company
2307registration statement, as set forth in s. 628.801 and rules
2308adopted thereunder, may elect to maintain surplus as to
2309policyholders in an amount equal to the requirements of s.
2310624.408, subject to the requirement that the surplus lines
2311insurer shall at all times be in compliance with the
2312requirements of chapter 625.
2313
2314The election shall be submitted to the office and shall be
2315effective upon the office's being satisfied that the
2316requirements of sub-subparagraph d. have been met. The initial
2317date of election shall be the date of office approval. The
2318election approval application shall be on a form adopted by
2319commission rule. The office may approve an election form
2320submitted pursuant to sub-subparagraph d. only if it was on file
2321with the former Department of Insurance before February 28,
23221998.
2323     2.  For purposes of letters of credit under subparagraph
23241., the term "qualified United States financial institution"
2325means an institution that:
2326     a.  Is organized or, in the case of a United States office
2327of a foreign banking organization, is licensed under the laws of
2328the United States or any state.
2329     b.  Is regulated, supervised, and examined by authorities
2330of the United States or any state having regulatory authority
2331over banks and trust companies.
2332     c.  Has been determined by the office or the Securities
2333Valuation Office of the National Association of Insurance
2334Commissioners to meet such standards of financial condition and
2335standing as are considered necessary and appropriate to regulate
2336the quality of financial institutions whose letters of credit
2337are acceptable to the office.
2338     Section 30.  This act shall take effect July 1, 2011.


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