CS/CS/HB 803

1
A bill to be entitled
2An act relating to property and casualty insurance;
3amending s. 95.11, F.S.; providing a statute of
4limitations for breach of a property insurance contract;
5specifying the time for commencement of a statute of
6limitations for breach of a property insurance contract;
7amending s. 215.555, F.S.; providing that specified losses
8are excluded from the definition of the term "losses" as
9used in certain provisions relating to the Florida
10Hurricane Catastrophe Fund; providing for application of
11the revisions made by this act to the term "losses";
12amending s. 215.5595, F.S.; authorizing an insurer to
13renegotiate the terms of a surplus note issued before a
14certain date; amending s. 624.407, F.S.; revising the
15amount of surplus funds required for domestic insurers
16applying for a certificate of authority after a certain
17date; amending s. 624.408, F.S.; revising the minimum
18surplus that must be maintained by certain insurers;
19authorizing the Office of Insurance Regulation to reduce
20specified surplus requirements under specified
21circumstances; amending s. 626.852, F.S.; providing an
22exemption from licensure as an adjuster to certain persons
23who provide mortgage-related claims adjusting services to
24certain institutions; providing an exception to the
25exemption; amending s. 626.854, F.S.; providing
26limitations on the amount of compensation that may be
27received by a public adjuster for a reopened or
28supplemental claim; providing limitations on the amount of
29compensation that may be received by a public adjuster for
30a claim; applying specified provisions regulating the
31conduct of public adjusters to condominium unit owners
32rather than to condominium associations as is currently
33required; providing statements that may be considered
34deceptive or misleading if made in any public adjuster's
35advertisement or solicitation; providing a definition for
36the term "written advertisement"; requiring that a
37disclaimer be included in any public adjuster's written
38advertisement; providing requirements for such disclaimer;
39requiring certain persons who act on behalf of an insurer
40to provide notice to the insurer, claimant, public
41adjuster, or legal representative for an onsite inspection
42of the insured property; authorizing the insured or
43claimant to deny access to the property if notice is not
44provided; requiring the public adjuster to ensure prompt
45notice of certain property loss claims; providing that an
46insurer be allowed to interview the insured directly about
47the loss claim; prohibiting the insurer from excluding the
48public adjuster from the insurer's meetings with the
49insured; requiring that the insurer communicate with the
50public adjuster in an effort to reach an agreement as to
51the scope of the covered loss under the insurance policy;
52prohibiting a public adjuster from restricting or
53preventing persons acting on behalf of the insurer from
54having reasonable access to the insured or the insured's
55property; prohibiting a public adjuster from unreasonably
56obstructing or preventing the insurer's adjuster from
57timely conducting an inspection of the insured's property;
58authorizing the insured's adjuster to be present for the
59inspection; providing an exception to such authorization
60under certain circumstances; prohibiting a licensed
61contractor or subcontractor from adjusting a claim on
62behalf of an insured if such contractor or subcontractor
63is not a licensed public adjuster; providing an exception;
64creating s. 626.70132, F.S.; requiring that notice of a
65claim, supplemental claim, or reopened claim be given to
66the insurer within a specified period after the date of
67loss; providing a definition for the terms "supplemental
68claim" or "reopened claim"; providing applicability;
69amending s. 627.062, F.S.; extending the expiration date
70for making a "file and use" filing; deleting an obsolete
71provision; prohibiting the Office of Insurance Regulation
72from, directly or indirectly, impeding the right of an
73insurer to acquire policyholders, advertise or appoint
74agents, or regulate agent commissions for property and
75casualty insurance; revising the costs that may be
76included in a rate filing; revising the overall premium
77increase for a rate filing; revising the information that
78must be included in a rate filing relating to reinsurance;
79deleting a provision prohibiting an insurer from
80implementing a rate increase within 6 months before it
81makes certain rate filings; deleting a provision
82prohibiting an insurer from filing for a rate increase
83within 6 months after it makes certain rate filings;
84deleting obsolete provisions relating to legislation
85enacted during the 2003 Special Session D of the
86Legislature; revising provisions relating to the
87certifications that are required to be made under oath by
88certain officers or actuaries of an insurer regarding
89information that must accompany a rate filing; amending s.
90627.06281, F.S.; providing limitations relating to the
91fees charged for use of the public hurricane model;
92providing an exception to the fees; amending s. 627.0629,
93F.S.; revising legislative intent; deleting obsolete
94provisions; deleting a requirement that the Office of
95Insurance Regulation propose a method for establishing
96discounts, debits, credits, and other rate differentials
97for hurricane mitigation by a certain date; conforming
98provisions to changes made by the act; amending s.
99627.4133, F.S.; reducing the amount of time that a prior
100notice must provide to specified policyholders before a
101nonrenewal, cancellation, or termination becomes
102effective; authorizing an insurer to cancel policies after
10345 days' notice if the Office of Insurance Regulation
104determines that the cancellation of policies is necessary
105to protect the interests of the public or policyholders;
106creating s. 627.43141, F.S.; providing definitions;
107requiring the delivery of a "Notice of Change in Policy
108Terms" under certain circumstances; specifying
109requirements for such notice; specifying actions
110constituting proof of notice; authorizing policy renewals
111to contain a change in policy terms; providing that
112receipt of payment by an insurer is deemed acceptance of
113new policy terms by an insured; providing that the
114original policy remains in effect until the occurrence of
115specified events if an insurer fails to provide notice;
116providing intent; amending s. 627.7011, F.S.; revising
117provisions relating to an insurer's payment of replacement
118costs without reservation or holdback of any depreciation
119in value if a loss occurs; amending s. 627.70131, F.S.;
120specifying application of certain time periods to initial,
121reopened, or supplemental property insurance claim notices
122and payments; providing legislative findings with respect
123to 2005 statutory changes relating to sinkhole insurance
124coverage and statutory changes in this act; providing
125legislative intent relating to sinkholes; amending s.
126627.706, F.S.; authorizing an insurer to require an
127inspection of property before issuing sinkhole coverage;
128authorizing an insurer to limit coverage for catastrophic
129ground cover collapse and sinkhole loss to the principal
130building; revising definitions relating to sinkhole
131coverage; providing definitions relating to sinkhole
132coverage for the terms "neutral evaluation," "neutral
133evaluator," and "structural damage"; revising
134applicability of nonrenewals for sinkhole coverage;
135placing a 4-year statute of repose on claims for sinkhole
136coverage; repealing s. 627.7065, F.S., relating to the
137establishment of a sinkhole database; amending s. 627.707,
138F.S.; revising provisions relating to the investigation of
139sinkholes by insurers; providing a time limitation for
140demanding sinkhole testing by a policyholder and entering
141into a contract for repairs; requiring payment for
142analyses and services; allowing for reimbursement of
143payment for analyses and services; requiring all repairs
144to be completed within a certain time; providing
145exceptions; prohibiting rebates to policyholders from
146persons performing repairs; voiding coverage if a rebate
147is received; requiring policyholders to refund rebates
148from persons performing repairs to insurers; providing
149criminal penalties applicable to persons performing
150repairs who offer or policyholders who accept rebates;
151limiting a policyholder's liability for reimbursement of
152the costs related to certain analyses and services under
153certain circumstances; amending s. 627.7073, F.S.;
154revising provisions relating to sinkhole inspection
155reports; requiring an insurer to file a neutral
156evaluator's report and other specific information;
157requiring the policyholder to file certain reports as a
158precondition to accepting payment; requiring certain
159filing and recording costs to be borne by a policyholder;
160specifying that a policyholder's recording of a report
161does not legally affect title or create certain causes of
162action relating to real property; amending s. 627.7074,
163F.S.; revising provisions relating to neutral evaluation
164of sinkhole insurance claims; requiring evaluation in
165order to make certain determinations; requiring that the
166neutral evaluator be allowed access to structures being
167evaluated; providing grounds for disqualifying an
168evaluator; allowing the Department of Financial Services
169to appoint an evaluator if the parties cannot come to
170agreement; revising the timeframes for scheduling a
171neutral evaluation conference; authorizing an evaluator to
172enlist another evaluator or other professionals; providing
173a time certain for issuing a report; revising provisions
174relating to compliance with the evaluator's
175recommendations; providing that the evaluator is an agent
176of the department for the purposes of immunity from suit;
177requiring the department to adopt rules; amending s.
178627.711, F.S.; allowing an insurer to independently verify
179mitigation forms from additional sources; amending s.
180631.54, F.S.; revising the definition of the term "covered
181claim" for purposes of the Florida Insurance Guaranty
182Association Act; providing severability; providing
183effective dates.
184
185Be It Enacted by the Legislature of the State of Florida:
186
187     Section 1.  Subsection (11) is added to section 95.11,
188Florida Statutes, to read:
189     95.11  Limitations other than for the recovery of real
190property.-Actions other than for recovery of real property shall
191be commenced as follows:
192     (11)  WITHIN SIX YEARS.-Notwithstanding paragraph (2)(b),
193an action for breach of a property insurance contract, with the
194period running from the date of loss.
195     Section 2.  Paragraph (d) of subsection (2) of section
196215.555, Florida Statutes, is amended to read:
197     215.555  Florida Hurricane Catastrophe Fund.-
198     (2)  DEFINITIONS.-As used in this section:
199     (d)  "Losses" means direct incurred losses under covered
200policies, including which shall include losses for additional
201living expenses not to exceed 40 percent of the insured value of
202a residential structure or its contents and shall exclude loss
203adjustment expenses. The term "Losses" does not include:
204     1.  Losses for fair rental value, loss of rent or rental
205income, or business interruption losses;.
206     2.  Losses under liability coverages;
207     3.  Property losses that are proximately caused by any
208peril other than a covered event, including, but not limited to,
209fire, theft, flood or rising water, or a windstorm that does not
210constitute a covered event;
211     4.  Amounts paid as the result of a voluntary expansion of
212coverage by the insurer, including, but not limited to, a waiver
213of an applicable deductible;
214     5.  Amounts paid to reimburse a policyholder for
215condominium association or homeowners' association loss
216assessments or under similar coverages for contractual
217liabilities;
218     6.  Amounts paid as bad faith awards, punitive damage
219awards, or other court-imposed fines, sanctions, or penalties;
220     7.  Amounts in excess of the coverage limits under the
221covered policy; or
222     8.  Allocated or unallocated loss adjustment expenses.
223     Section 3.  The amendments made by this act to s. 215.555,
224Florida Statutes, apply first to the Florida Hurricane
225Catastrophe Fund reimbursement contract that takes effect on
226June 1, 2011.
227     Section 4.  Subsection (12) is added to section 215.5595,
228Florida Statutes, to read:
229     215.5595  Insurance Capital Build-Up Incentive Program.-
230     (12)  The insurer may request that the board renegotiate
231the terms of any surplus note that was issued under this section
232before January 1, 2011. The request must be submitted to the
233board by January 1, 2012. If the insurer agrees to accelerate
234the payment period of the note by at least 5 years, the board
235must agree to exempt the insurer from the premium-to-surplus
236ratios required under paragraph (2)(d). If the insurer agrees to
237an acceleration of the payment period for less than 5 years, the
238board may, after consultation with the Office of Insurance
239Regulation, agree to an appropriate revision of the premium-to-
240surplus ratios required under paragraph (2)(d) for the remaining
241term of the note if the revised ratios are not lower than a
242minimum writing ratio of net premium to surplus of at least 1 to
2431 and, alternatively, a minimum writing ratio of gross premium
244to surplus of at least 3 to 1.
245     Section 5.  Section 624.407, Florida Statutes, is amended
246to read:
247     624.407  Surplus Capital funds required; new insurers.-
248     (1)  To receive authority to transact any one kind or
249combinations of kinds of insurance, as defined in part V of this
250chapter, an insurer applying for its original certificate of
251authority in this state after November 10, 1993, the effective
252date of this section shall possess surplus as to policyholders
253at least not less than the greater of:
254     (a)  Five million dollars For a property and casualty
255insurer, $5 million, or $2.5 million for any other insurer;
256     (b)  For life insurers, 4 percent of the insurer's total
257liabilities;
258     (c)  For life and health insurers, 4 percent of the
259insurer's total liabilities, plus 6 percent of the insurer's
260liabilities relative to health insurance; or
261     (d)  For all insurers other than life insurers and life and
262health insurers, 10 percent of the insurer's total liabilities;
263or
264     (e)  Notwithstanding paragraph (a) or paragraph (d), for a
265domestic insurer that transacts residential property insurance
266and is:
267     1.  Not a wholly owned subsidiary of an insurer domiciled
268in any other state, $15 million.
269     2.  however, a domestic insurer that transacts residential
270property insurance and is A wholly owned subsidiary of an
271insurer domiciled in any other state, shall possess surplus as
272to policyholders of at least $50 million.
273     (2)  Notwithstanding subsection (1), a new insurer may not
274be required, but no insurer shall be required under this
275subsection to have surplus as to policyholders greater than $100
276million.
277     (3)(2)  The requirements of this section shall be based
278upon all the kinds of insurance actually transacted or to be
279transacted by the insurer in any and all areas in which it
280operates, whether or not only a portion of such kinds of
281insurance are to be transacted in this state.
282     (4)(3)  As to surplus as to policyholders required for
283qualification to transact one or more kinds of insurance,
284domestic mutual insurers are governed by chapter 628, and
285domestic reciprocal insurers are governed by chapter 629.
286     (5)(4)  For the purposes of this section, liabilities do
287shall not include liabilities required under s. 625.041(4). For
288purposes of computing minimum surplus as to policyholders
289pursuant to s. 625.305(1), liabilities shall include liabilities
290required under s. 625.041(4).
291     (6)(5)  The provisions of this section, as amended by
292chapter 89-360, Laws of Florida this act, shall apply only to
293insurers applying for a certificate of authority on or after
294October 1, 1989 the effective date of this act.
295     Section 6.  Section 624.408, Florida Statutes, is amended
296to read:
297     624.408  Surplus as to policyholders required; current new
298and existing insurers.-
299     (1)(a)  To maintain a certificate of authority to transact
300any one kind or combinations of kinds of insurance, as defined
301in part V of this chapter, an insurer in this state must shall
302at all times maintain surplus as to policyholders at least not
303less than the greater of:
304     (a)1.  Except as provided in paragraphs (e), (f), and (g)
305subparagraph 5. and paragraph (b), $1.5 million.;
306     (b)2.  For life insurers, 4 percent of the insurer's total
307liabilities.;
308     (c)3.  For life and health insurers, 4 percent of the
309insurer's total liabilities plus 6 percent of the insurer's
310liabilities relative to health insurance.; or
311     (d)4.  For all insurers other than mortgage guaranty
312insurers, life insurers, and life and health insurers, 10
313percent of the insurer's total liabilities.
314     (e)5.  For property and casualty insurers, $4 million,
315except for property and casualty insurers authorized to
316underwrite any line of residential property insurance.
317     (f)(b)  For residential any property insurers not and
318casualty insurer holding a certificate of authority before July
3191, 2011 on December 1, 1993, $15 million. the
320     (g)  For residential property insurers holding a
321certificate of authority before July 1, 2011, and until June 30,
3222016, $5 million; on or after July 1, 2016, and until June 30,
3232021, $10 million; on or after July 1, 2021, $15 million.
324
325The office may reduce the surplus requirement in paragraphs (f)
326and (g) if the insurer is not writing new business, has premiums
327in force of less than $1 million per year in residential
328property insurance, or is a mutual insurance company. following
329amounts apply instead of the $4 million required by subparagraph
330(a)5.:
331     1.  On December 31, 2001, and until December 30, 2002, $3
332million.
333     2.  On December 31, 2002, and until December 30, 2003,
334$3.25 million.
335     3.  On December 31, 2003, and until December 30, 2004, $3.6
336million.
337     4.  On December 31, 2004, and thereafter, $4 million.
338     (2)  For purposes of this section, liabilities do shall not
339include liabilities required under s. 625.041(4). For purposes
340of computing minimum surplus as to policyholders pursuant to s.
341625.305(1), liabilities shall include liabilities required under
342s. 625.041(4).
343     (3)  This section does not require an No insurer shall be
344required under this section to have surplus as to policyholders
345greater than $100 million.
346     (4)  A mortgage guaranty insurer shall maintain a minimum
347surplus as required by s. 635.042.
348     Section 7.  Subsection (7) is added to section 626.852,
349Florida Statutes, to read:
350     626.852  Scope of this part.-
351     (7)  Notwithstanding any other provision of law, a person
352providing claims adjusting services solely to institutions
353servicing or guaranteeing mortgages shall be exempt from
354licensure as an adjuster for services provided to the mortgage
355institution with regards to policies covering the mortgaged
356properties. This exemption does not apply to any person
357providing insurance or property repair or preservation services
358or to any affiliate of such persons.
359     Section 8.  Effective June 1, 2011, section 626.854,
360Florida Statutes, is amended to read:
361     626.854  "Public adjuster" defined; prohibitions.-The
362Legislature finds that it is necessary for the protection of the
363public to regulate public insurance adjusters and to prevent the
364unauthorized practice of law.
365     (1)  A "public adjuster" is any person, except a duly
366licensed attorney at law as hereinafter in s. 626.860 provided,
367who, for money, commission, or any other thing of value,
368prepares, completes, or files an insurance claim form for an
369insured or third-party claimant or who, for money, commission,
370or any other thing of value, acts or aids in any manner on
371behalf of an insured or third-party claimant in negotiating for
372or effecting the settlement of a claim or claims for loss or
373damage covered by an insurance contract or who advertises for
374employment as an adjuster of such claims, and also includes any
375person who, for money, commission, or any other thing of value,
376solicits, investigates, or adjusts such claims on behalf of any
377such public adjuster.
378     (2)  This definition does not apply to:
379     (a)  A licensed health care provider or employee thereof
380who prepares or files a health insurance claim form on behalf of
381a patient.
382     (b)  A person who files a health claim on behalf of another
383and does so without compensation.
384     (3)  A public adjuster may not give legal advice. A public
385adjuster may not act on behalf of or aid any person in
386negotiating or settling a claim relating to bodily injury,
387death, or noneconomic damages.
388     (4)  For purposes of this section, the term "insured"
389includes only the policyholder and any beneficiaries named or
390similarly identified in the policy.
391     (5)  A public adjuster may not directly or indirectly
392through any other person or entity solicit an insured or
393claimant by any means except on Monday through Saturday of each
394week and only between the hours of 8 a.m. and 8 p.m. on those
395days.
396     (6)  A public adjuster may not directly or indirectly
397through any other person or entity initiate contact or engage in
398face-to-face or telephonic solicitation or enter into a contract
399with any insured or claimant under an insurance policy until at
400least 48 hours after the occurrence of an event that may be the
401subject of a claim under the insurance policy unless contact is
402initiated by the insured or claimant.
403     (7)  An insured or claimant may cancel a public adjuster's
404contract to adjust a claim without penalty or obligation within
4053 business days after the date on which the contract is executed
406or within 3 business days after the date on which the insured or
407claimant has notified the insurer of the claim, by phone or in
408writing, whichever is later. The public adjuster's contract
409shall disclose to the insured or claimant his or her right to
410cancel the contract and advise the insured or claimant that
411notice of cancellation must be submitted in writing and sent by
412certified mail, return receipt requested, or other form of
413mailing which provides proof thereof, to the public adjuster at
414the address specified in the contract; provided, during any
415state of emergency as declared by the Governor and for a period
416of 1 year after the date of loss, the insured or claimant shall
417have 5 business days after the date on which the contract is
418executed to cancel a public adjuster's contract.
419     (8)  It is an unfair and deceptive insurance trade practice
420pursuant to s. 626.9541 for a public adjuster or any other
421person to circulate or disseminate any advertisement,
422announcement, or statement containing any assertion,
423representation, or statement with respect to the business of
424insurance which is untrue, deceptive, or misleading.
425     (9)  A public adjuster, a public adjuster apprentice, or
426any person or entity acting on behalf of a public adjuster or
427public adjuster apprentice may not give or offer to give a
428monetary loan or advance to a client or prospective client.
429     (10)  A public adjuster, public adjuster apprentice, or any
430individual or entity acting on behalf of a public adjuster or
431public adjuster apprentice may not give or offer to give,
432directly or indirectly, any article of merchandise having a
433value in excess of $25 to any individual for the purpose of
434advertising or as an inducement to entering into a contract with
435a public adjuster.
436     (11)(a)  If a public adjuster enters into a contract with
437an insured or claimant to reopen a claim or to file a
438supplemental claim that seeks additional payments for a claim
439that has been previously paid in part or in full or settled by
440the insurer, the public adjuster may not charge, agree to, or
441accept any compensation, payment, commission, fee, or other
442thing of value based on a previous settlement or previous claim
443payments by the insurer for the same cause of loss. The charge,
444compensation, payment, commission, fee, or other thing of value
445may be based only on the claim payments or settlement obtained
446through the work of the public adjuster after entering into the
447contract with the insured or claimant. Compensation for the
448reopened or supplemental claim may not exceed 20 percent of the
449reopened or supplemental claim payment. The contracts described
450in this paragraph are not subject to the limitations in
451paragraph (b).
452     (b)  A public adjuster may not charge, agree to, or accept
453any compensation, payment, commission, fee, or other thing of
454value in excess of:
455     1.  Ten percent of the amount of insurance claim payments
456made by the insurer for claims based on events that are the
457subject of a declaration of a state of emergency by the
458Governor. This provision applies to claims made during the
459period of 1 year after the declaration of emergency. After that
4601-year period, 20 percent of the amount of insurance claim
461payments made by the insurer.
462     2.  Twenty percent of the amount of all other insurance
463claim payments made by the insurer for claims that are not based
464on events that are the subject of a declaration of a state of
465emergency by the Governor.
466     (12)  Each public adjuster shall provide to the claimant or
467insured a written estimate of the loss to assist in the
468submission of a proof of loss or any other claim for payment of
469insurance proceeds. The public adjuster shall retain such
470written estimate for at least 5 years and shall make such
471estimate available to the claimant or insured and the department
472upon request.
473     (13)  A public adjuster, public adjuster apprentice, or any
474person acting on behalf of a public adjuster or apprentice may
475not accept referrals of business from any person with whom the
476public adjuster conducts business if there is any form or manner
477of agreement to compensate the person, whether directly or
478indirectly, for referring business to the public adjuster. A
479public adjuster may not compensate any person, except for
480another public adjuster, whether directly or indirectly, for the
481principal purpose of referring business to the public adjuster.
482
483The provisions of subsections (5)-(13) apply only to residential
484property insurance policies and condominium unit owner
485association policies as defined in s. 718.111(11).
486     Section 9.  Effective January 1, 2012, section 626.854,
487Florida Statutes, as amended by this act, is amended to read:
488     626.854  "Public adjuster" defined; prohibitions.-The
489Legislature finds that it is necessary for the protection of the
490public to regulate public insurance adjusters and to prevent the
491unauthorized practice of law.
492     (1)  A "public adjuster" is any person, except a duly
493licensed attorney at law as exempted under hereinafter in s.
494626.860 provided, who, for money, commission, or any other thing
495of value, prepares, completes, or files an insurance claim form
496for an insured or third-party claimant or who, for money,
497commission, or any other thing of value, acts or aids in any
498manner on behalf of, or aids an insured or third-party claimant
499in negotiating for or effecting the settlement of a claim or
500claims for loss or damage covered by an insurance contract or
501who advertises for employment as an adjuster of such claims. The
502term, and also includes any person who, for money, commission,
503or any other thing of value, solicits, investigates, or adjusts
504such claims on behalf of a any such public adjuster.
505     (2)  This definition does not apply to:
506     (a)  A licensed health care provider or employee thereof
507who prepares or files a health insurance claim form on behalf of
508a patient.
509     (b)  A person who files a health claim on behalf of another
510and does so without compensation.
511     (3)  A public adjuster may not give legal advice or. A
512public adjuster may not act on behalf of or aid any person in
513negotiating or settling a claim relating to bodily injury,
514death, or noneconomic damages.
515     (4)  For purposes of this section, the term "insured"
516includes only the policyholder and any beneficiaries named or
517similarly identified in the policy.
518     (5)  A public adjuster may not directly or indirectly
519through any other person or entity solicit an insured or
520claimant by any means except on Monday through Saturday of each
521week and only between the hours of 8 a.m. and 8 p.m. on those
522days.
523     (6)  A public adjuster may not directly or indirectly
524through any other person or entity initiate contact or engage in
525face-to-face or telephonic solicitation or enter into a contract
526with any insured or claimant under an insurance policy until at
527least 48 hours after the occurrence of an event that may be the
528subject of a claim under the insurance policy unless contact is
529initiated by the insured or claimant.
530     (7)  An insured or claimant may cancel a public adjuster's
531contract to adjust a claim without penalty or obligation within
5323 business days after the date on which the contract is executed
533or within 3 business days after the date on which the insured or
534claimant has notified the insurer of the claim, by phone or in
535writing, whichever is later. The public adjuster's contract must
536shall disclose to the insured or claimant his or her right to
537cancel the contract and advise the insured or claimant that
538notice of cancellation must be submitted in writing and sent by
539certified mail, return receipt requested, or other form of
540mailing that which provides proof thereof, to the public
541adjuster at the address specified in the contract; provided,
542during any state of emergency as declared by the Governor and
543for a period of 1 year after the date of loss, the insured or
544claimant has shall have 5 business days after the date on which
545the contract is executed to cancel a public adjuster's contract.
546     (8)  It is an unfair and deceptive insurance trade practice
547pursuant to s. 626.9541 for a public adjuster or any other
548person to circulate or disseminate any advertisement,
549announcement, or statement containing any assertion,
550representation, or statement with respect to the business of
551insurance which is untrue, deceptive, or misleading.
552     (a)  The following statements, made in any public
553adjuster's advertisement or solicitation, are considered
554deceptive or misleading:
555     1.  A statement or representation that invites an insured
556policyholder to submit a claim when the policyholder does not
557have covered damage to insured property.
558     2.  A statement or representation that invites an insured
559policyholder to submit a claim by offering monetary or other
560valuable inducement.
561     3.  A statement or representation that invites an insured
562policyholder to submit a claim by stating that there is "no
563risk" to the policyholder by submitting such claim.
564     4.  A statement or representation, or use of a logo or
565shield, that implies or could mistakenly be construed to imply
566that the solicitation was issued or distributed by a
567governmental agency or is sanctioned or endorsed by a
568governmental agency.
569     (b)  For purposes of this paragraph, the term "written
570advertisement" includes only newspapers, magazines, flyers, and
571bulk mailers. The following disclaimer, which is not required to
572be printed on standard size business cards, must be added in
573bold print and capital letters in typeface no smaller than the
574typeface of the body of the text to all written advertisements
575by a public adjuster:
576
577"THIS IS A SOLICITATION FOR BUSINESS. IF YOU HAVE HAD
578A CLAIM FOR AN INSURED PROPERTY LOSS OR DAMAGE AND YOU
579ARE SATISFIED WITH THE PAYMENT BY YOUR INSURER, YOU
580MAY DISREGARD THIS ADVERTISEMENT."
581
582     (9)  A public adjuster, a public adjuster apprentice, or
583any person or entity acting on behalf of a public adjuster or
584public adjuster apprentice may not give or offer to give a
585monetary loan or advance to a client or prospective client.
586     (10)  A public adjuster, public adjuster apprentice, or any
587individual or entity acting on behalf of a public adjuster or
588public adjuster apprentice may not give or offer to give,
589directly or indirectly, any article of merchandise having a
590value in excess of $25 to any individual for the purpose of
591advertising or as an inducement to entering into a contract with
592a public adjuster.
593     (11)(a)  If a public adjuster enters into a contract with
594an insured or claimant to reopen a claim or file a supplemental
595claim that seeks additional payments for a claim that has been
596previously paid in part or in full or settled by the insurer,
597the public adjuster may not charge, agree to, or accept any
598compensation, payment, commission, fee, or other thing of value
599based on a previous settlement or previous claim payments by the
600insurer for the same cause of loss. The charge, compensation,
601payment, commission, fee, or other thing of value may be based
602only on the claim payments or settlement obtained through the
603work of the public adjuster after entering into the contract
604with the insured or claimant. Compensation for the reopened or
605supplemental claim may not exceed 20 percent of the reopened or
606supplemental claim payment. The contracts described in this
607paragraph are not subject to the limitations in paragraph (b).
608     (b)  A public adjuster may not charge, agree to, or accept
609any compensation, payment, commission, fee, or other thing of
610value in excess of:
611     1.  Ten percent of the amount of insurance claim payments
612made by the insurer for claims based on events that are the
613subject of a declaration of a state of emergency by the
614Governor. This provision applies to claims made during the
615period of 1 year after the declaration of emergency. After that
6161-year period, 20 percent of the amount of insurance claim
617payments made by the insurer.
618     2.  Twenty percent of the amount of insurance claim
619payments made by the insurer for claims that are not based on
620events that are the subject of a declaration of a state of
621emergency by the Governor.
622     (12)  Each public adjuster must shall provide to the
623claimant or insured a written estimate of the loss to assist in
624the submission of a proof of loss or any other claim for payment
625of insurance proceeds. The public adjuster shall retain such
626written estimate for at least 5 years and shall make the such
627estimate available to the claimant or insured and the department
628upon request.
629     (13)  A public adjuster, public adjuster apprentice, or any
630person acting on behalf of a public adjuster or apprentice may
631not accept referrals of business from any person with whom the
632public adjuster conducts business if there is any form or manner
633of agreement to compensate the person, whether directly or
634indirectly, for referring business to the public adjuster. A
635public adjuster may not compensate any person, except for
636another public adjuster, whether directly or indirectly, for the
637principal purpose of referring business to the public adjuster.
638     (14)  A company employee adjuster, independent adjuster,
639attorney, investigator, or other persons acting on behalf of an
640insurer that needs access to an insured or claimant or to the
641insured property that is the subject of a claim must provide at
642least 48 hours' notice to the insured or claimant, public
643adjuster, or legal representative before scheduling a meeting
644with the claimant or an onsite inspection of the insured
645property. The insured or claimant may deny access to the
646property if the notice has not been provided. The insured or
647claimant may waive the 48-hour notice.
648     (15)  A public adjuster must ensure prompt notice of
649property loss claims submitted to an insurer by or through a
650public adjuster or on which a public adjuster represents the
651insured at the time the claim or notice of loss is submitted to
652the insurer. The public adjuster must ensure that notice is
653given to the insurer, the public adjuster's contract is provided
654to the insurer, the property is available for inspection of the
655loss or damage by the insurer, and the insurer is given an
656opportunity to interview the insured directly about the loss and
657claim. The insurer must be allowed to obtain necessary
658information to investigate and respond to the claim.
659     (a)  The insurer may not exclude the public adjuster from
660its in-person meetings with the insured. The insurer shall meet
661or communicate with the public adjuster in an effort to reach
662agreement as to the scope of the covered loss under the
663insurance policy. This section does not impair the terms and
664conditions of the insurance policy in effect at the time the
665claim is filed.
666     (b)  A public adjuster may not restrict or prevent an
667insurer, company employee adjuster, independent adjuster,
668attorney, investigator, or other person acting on behalf of the
669insurer from having reasonable access at reasonable times to an
670insured or claimant or to the insured property that is the
671subject of a claim.
672     (c)  A public adjuster may not act or fail to reasonably
673act in any manner that obstructs or prevents an insurer or
674insurer's adjuster from timely conducting an inspection of any
675part of the insured property for which there is a claim for loss
676or damage. The public adjuster representing the insured may be
677present for the insurer's inspection, but if the unavailability
678of the public adjuster otherwise delays the insurer's timely
679inspection of the property, the public adjuster or the insured
680must allow the insurer to have access to the property without
681the participation or presence of the public adjuster or insured
682in order to facilitate the insurer's prompt inspection of the
683loss or damage.
684     (16)  A licensed contractor under part I of chapter 489, or
685a subcontractor, may not adjust a claim on behalf of an insured
686unless licensed and compliant as a public adjuster under this
687chapter. However, the contractor may discuss or explain a bid
688for construction or repair of covered property with the
689residential property owner who has suffered loss or damage
690covered by a property insurance policy, or the insurer of such
691property, if the contractor is doing so for the usual and
692customary fees applicable to the work to be performed as stated
693in the contract between the contractor and the insured.
694     (17)  The provisions of subsections (5)-(16) (5)-(13) apply
695only to residential property insurance policies and condominium
696unit owner policies as defined in s. 718.111(11).
697     Section 10.  Effective June 1, 2011, section 626.70132,
698Florida Statutes, is created to read:
699     626.70132  Notice of property insurance claim.-Except as
700provided in s. 627.706(5), a claim, supplemental claim, or
701reopened claim under an insurance policy that provides property
702insurance, as defined in s. 624.604, is barred unless notice of
703the claim, supplemental claim, or reopened claim was given to
704the insurer in accordance with the terms of the policy within 4
705years after the date of loss that caused the covered damage. For
706purposes of this section, the term "supplemental claim" or
707"reopened claim" means any additional claim for recovery from
708the insurer for losses from the same peril which the insurer has
709previously adjusted pursuant to the initial claim. This section
710does not affect any applicable limitation on civil actions
711provided in s. 95.11 for claims, supplemental claims, or
712reopened claims timely filed under this section.
713     Section 11.  Section 627.062, Florida Statutes, is amended
714to read:
715     627.062  Rate standards.-
716     (1)  The rates for all classes of insurance to which the
717provisions of this part are applicable may shall not be
718excessive, inadequate, or unfairly discriminatory.
719     (2)  As to all such classes of insurance:
720     (a)  Insurers or rating organizations shall establish and
721use rates, rating schedules, or rating manuals that to allow the
722insurer a reasonable rate of return on the such classes of
723insurance written in this state. A copy of rates, rating
724schedules, rating manuals, premium credits or discount
725schedules, and surcharge schedules, and changes thereto, must
726shall be filed with the office under one of the following
727procedures except as provided in subparagraph 3.:
728     1.  If the filing is made at least 90 days before the
729proposed effective date and the filing is not implemented during
730the office's review of the filing and any proceeding and
731judicial review, then such filing is shall be considered a "file
732and use" filing. In such case, the office shall finalize its
733review by issuance of a notice of intent to approve or a notice
734of intent to disapprove within 90 days after receipt of the
735filing. The notice of intent to approve and the notice of intent
736to disapprove constitute agency action for purposes of the
737Administrative Procedure Act. Requests for supporting
738information, requests for mathematical or mechanical
739corrections, or notification to the insurer by the office of its
740preliminary findings does shall not toll the 90-day period
741during any such proceedings and subsequent judicial review. The
742rate shall be deemed approved if the office does not issue a
743notice of intent to approve or a notice of intent to disapprove
744within 90 days after receipt of the filing.
745     2.  If the filing is not made in accordance with the
746provisions of subparagraph 1., such filing must shall be made as
747soon as practicable, but within no later than 30 days after the
748effective date, and is shall be considered a "use and file"
749filing. An insurer making a "use and file" filing is potentially
750subject to an order by the office to return to policyholders
751those portions of rates found to be excessive, as provided in
752paragraph (h).
753     3.  For all property insurance filings made or submitted
754after January 25, 2007, but before May 1, 2012 December 31,
7552010, an insurer seeking a rate that is greater than the rate
756most recently approved by the office shall make a "file and use"
757filing. For purposes of this subparagraph, motor vehicle
758collision and comprehensive coverages are not considered to be
759property coverages.
760     (b)  Upon receiving a rate filing, the office shall review
761the rate filing to determine if a rate is excessive, inadequate,
762or unfairly discriminatory. In making that determination, the
763office shall, in accordance with generally accepted and
764reasonable actuarial techniques, consider the following factors:
765     1.  Past and prospective loss experience within and without
766this state.
767     2.  Past and prospective expenses.
768     3.  The degree of competition among insurers for the risk
769insured.
770     4.  Investment income reasonably expected by the insurer,
771consistent with the insurer's investment practices, from
772investable premiums anticipated in the filing, plus any other
773expected income from currently invested assets representing the
774amount expected on unearned premium reserves and loss reserves.
775The commission may adopt rules using reasonable techniques of
776actuarial science and economics to specify the manner in which
777insurers shall calculate investment income attributable to such
778classes of insurance written in this state and the manner in
779which such investment income is shall be used to calculate
780insurance rates. Such manner must shall contemplate allowances
781for an underwriting profit factor and full consideration of
782investment income which produce a reasonable rate of return;
783however, investment income from invested surplus may not be
784considered.
785     5.  The reasonableness of the judgment reflected in the
786filing.
787     6.  Dividends, savings, or unabsorbed premium deposits
788allowed or returned to Florida policyholders, members, or
789subscribers.
790     7.  The adequacy of loss reserves.
791     8.  The cost of reinsurance. The office may shall not
792disapprove a rate as excessive solely due to the insurer having
793obtained catastrophic reinsurance to cover the insurer's
794estimated 250-year probable maximum loss or any lower level of
795loss.
796     9.  Trend factors, including trends in actual losses per
797insured unit for the insurer making the filing.
798     10.  Conflagration and catastrophe hazards, if applicable.
799     11.  Projected hurricane losses, if applicable, which must
800be estimated using a model or method found to be acceptable or
801reliable by the Florida Commission on Hurricane Loss Projection
802Methodology, and as further provided in s. 627.0628.
803     12.  A reasonable margin for underwriting profit and
804contingencies.
805     13.  The cost of medical services, if applicable.
806     14.  Other relevant factors that affect which impact upon
807the frequency or severity of claims or upon expenses.
808     (c)  In the case of fire insurance rates, consideration
809must shall be given to the availability of water supplies and
810the experience of the fire insurance business during a period of
811not less than the most recent 5-year period for which such
812experience is available.
813     (d)  If conflagration or catastrophe hazards are considered
814given consideration by an insurer in its rates or rating plan,
815including surcharges and discounts, the insurer shall establish
816a reserve for that portion of the premium allocated to such
817hazard and shall maintain the premium in a catastrophe reserve.
818Any Removal of such premiums from the reserve for purposes other
819than paying claims associated with a catastrophe or purchasing
820reinsurance for catastrophes must be approved by shall be
821subject to approval of the office. Any ceding commission
822received by an insurer purchasing reinsurance for catastrophes
823must shall be placed in the catastrophe reserve.
824     (e)  After consideration of the rate factors provided in
825paragraphs (b), (c), and (d), the office may find a rate may be
826found by the office to be excessive, inadequate, or unfairly
827discriminatory based upon the following standards:
828     1.  Rates shall be deemed excessive if they are likely to
829produce a profit from Florida business which that is
830unreasonably high in relation to the risk involved in the class
831of business or if expenses are unreasonably high in relation to
832services rendered.
833     2.  Rates shall be deemed excessive if, among other things,
834the rate structure established by a stock insurance company
835provides for replenishment of surpluses from premiums, if when
836the replenishment is attributable to investment losses.
837     3.  Rates shall be deemed inadequate if they are clearly
838insufficient, together with the investment income attributable
839to them, to sustain projected losses and expenses in the class
840of business to which they apply.
841     4.  A rating plan, including discounts, credits, or
842surcharges, shall be deemed unfairly discriminatory if it fails
843to clearly and equitably reflect consideration of the
844policyholder's participation in a risk management program
845adopted pursuant to s. 627.0625.
846     5.  A rate shall be deemed inadequate as to the premium
847charged to a risk or group of risks if discounts or credits are
848allowed which exceed a reasonable reflection of expense savings
849and reasonably expected loss experience from the risk or group
850of risks.
851     6.  A rate shall be deemed unfairly discriminatory as to a
852risk or group of risks if the application of premium discounts,
853credits, or surcharges among such risks does not bear a
854reasonable relationship to the expected loss and expense
855experience among the various risks.
856     (f)  In reviewing a rate filing, the office may require the
857insurer to provide, at the insurer's expense, all information
858necessary to evaluate the condition of the company and the
859reasonableness of the filing according to the criteria
860enumerated in this section.
861     (g)  The office may at any time review a rate, rating
862schedule, rating manual, or rate change; the pertinent records
863of the insurer; and market conditions. If the office finds on a
864preliminary basis that a rate may be excessive, inadequate, or
865unfairly discriminatory, the office shall initiate proceedings
866to disapprove the rate and shall so notify the insurer. However,
867the office may not disapprove as excessive any rate for which it
868has given final approval or which has been deemed approved for a
869period of 1 year after the effective date of the filing unless
870the office finds that a material misrepresentation or material
871error was made by the insurer or was contained in the filing.
872Upon being so notified, the insurer or rating organization
873shall, within 60 days, file with the office all information that
874which, in the belief of the insurer or organization, proves the
875reasonableness, adequacy, and fairness of the rate or rate
876change. The office shall issue a notice of intent to approve or
877a notice of intent to disapprove pursuant to the procedures of
878paragraph (a) within 90 days after receipt of the insurer's
879initial response. In such instances and in any administrative
880proceeding relating to the legality of the rate, the insurer or
881rating organization shall carry the burden of proof by a
882preponderance of the evidence to show that the rate is not
883excessive, inadequate, or unfairly discriminatory. After the
884office notifies an insurer that a rate may be excessive,
885inadequate, or unfairly discriminatory, unless the office
886withdraws the notification, the insurer may shall not alter the
887rate except to conform to with the office's notice until the
888earlier of 120 days after the date the notification was provided
889or 180 days after the date of implementing the implementation of
890the rate. The office may, subject to chapter 120, may disapprove
891without the 60-day notification any rate increase filed by an
892insurer within the prohibited time period or during the time
893that the legality of the increased rate is being contested.
894     (h)  If In the event the office finds that a rate or rate
895change is excessive, inadequate, or unfairly discriminatory, the
896office shall issue an order of disapproval specifying that a new
897rate or rate schedule, which responds to the findings of the
898office, be filed by the insurer. The office shall further order,
899for any "use and file" filing made in accordance with
900subparagraph (a)2., that premiums charged each policyholder
901constituting the portion of the rate above that which was
902actuarially justified be returned to the such policyholder in
903the form of a credit or refund. If the office finds that an
904insurer's rate or rate change is inadequate, the new rate or
905rate schedule filed with the office in response to such a
906finding is shall be applicable only to new or renewal business
907of the insurer written on or after the effective date of the
908responsive filing.
909     (i)  Except as otherwise specifically provided in this
910chapter, the office may shall not, directly or indirectly:
911     1.  Prohibit any insurer, including any residual market
912plan or joint underwriting association, from paying acquisition
913costs based on the full amount of premium, as defined in s.
914627.403, applicable to any policy, or prohibit any such insurer
915from including the full amount of acquisition costs in a rate
916filing; or.
917     2.  Impede, abridge, or otherwise compromise an insurer's
918right to acquire policyholders, advertise, or appoint agents,
919including the calculation, manner, or amount of such agent
920commissions, if any, in property and casualty insurance.
921     (j)  With respect to residential property insurance rate
922filings, the rate filing must account for mitigation measures
923undertaken by policyholders to reduce hurricane losses.
924     (k)1.  A residential property An insurer may make a
925separate filing limited solely to an adjustment of its rates for
926reinsurance, the cost of financing products used as a
927replacement for reinsurance, or financing costs incurred in the
928purchase of reinsurance, or financing products to replace or
929finance the payment of the amount covered by the Temporary
930Increase in Coverage Limits (TICL) portion of the Florida
931Hurricane Catastrophe Fund including replacement reinsurance for
932the TICL reductions made pursuant to s. 215.555(17)(e); the
933actual cost paid due to the application of the TICL premium
934factor pursuant to s. 215.555(17)(f); and the actual cost paid
935due to the application of the cash build-up factor pursuant to
936s. 215.555(5)(b) if the insurer:
937     a.  Elects to purchase financing products such as a
938liquidity instrument or line of credit, in which case the cost
939included in the filing for the liquidity instrument or line of
940credit may not result in a premium increase exceeding 3 percent
941for any individual policyholder. All costs contained in the
942filing may not result in an overall premium increase of more
943than 15 10 percent for any individual policyholder.
944     b.  Includes in the filing a copy of all of its
945reinsurance, liquidity instrument, or line of credit contracts;
946proof of the billing or payment for the contracts; and the
947calculation upon which the proposed rate change is based
948demonstrating demonstrates that the costs meet the criteria of
949this section and are not loaded for expenses or profit for the
950insurer making the filing.
951     c.  Includes no other changes to its rates in the filing.
952     d.  Has not implemented a rate increase within the 6 months
953immediately preceding the filing.
954     e.  Does not file for a rate increase under any other
955paragraph within 6 months after making a filing under this
956paragraph.
957     2.f.  An insurer that purchases reinsurance or financing
958products from an affiliated company may make a separate filing
959in compliance with this paragraph does so only if the costs for
960such reinsurance or financing products are charged at or below
961charges made for comparable coverage by nonaffiliated reinsurers
962or financial entities making such coverage or financing products
963available in this state.
964     3.2.  An insurer may only make only one filing per in any
96512-month period under this paragraph.
966     4.3.  An insurer that elects to implement a rate change
967under this paragraph must file its rate filing with the office
968at least 45 days before the effective date of the rate change.
969After an insurer submits a complete filing that meets all of the
970requirements of this paragraph, the office has 45 days after the
971date of the filing to review the rate filing and determine if
972the rate is excessive, inadequate, or unfairly discriminatory.
973
974The provisions of This subsection does shall not apply to
975workers' compensation, and employer's liability insurance, and
976to motor vehicle insurance.
977     (3)(a)  For individual risks that are not rated in
978accordance with the insurer's rates, rating schedules, rating
979manuals, and underwriting rules filed with the office and that
980which have been submitted to the insurer for individual rating,
981the insurer must maintain documentation on each risk subject to
982individual risk rating. The documentation must identify the
983named insured and specify the characteristics and classification
984of the risk supporting the reason for the risk being
985individually risk rated, including any modifications to existing
986approved forms to be used on the risk. The insurer must maintain
987these records for a period of at least 5 years after the
988effective date of the policy.
989     (b)  Individual risk rates and modifications to existing
990approved forms are not subject to this part or part II, except
991for paragraph (a) and ss. 627.402, 627.403, 627.4035, 627.404,
992627.405, 627.406, 627.407, 627.4085, 627.409, 627.4132,
993627.4133, 627.415, 627.416, 627.417, 627.419, 627.425, 627.426,
994627.4265, 627.427, and 627.428, but are subject to all other
995applicable provisions of this code and rules adopted thereunder.
996     (c)  This subsection does not apply to private passenger
997motor vehicle insurance.
998     (d)1.  The following categories or kinds of insurance and
999types of commercial lines risks are not subject to paragraph
1000(2)(a) or paragraph (2)(f):
1001     a.  Excess or umbrella.
1002     b.  Surety and fidelity.
1003     c.  Boiler and machinery and leakage and fire extinguishing
1004equipment.
1005     d.  Errors and omissions.
1006     e.  Directors and officers, employment practices, and
1007management liability.
1008     f.  Intellectual property and patent infringement
1009liability.
1010     g.  Advertising injury and Internet liability insurance.
1011     h.  Property risks rated under a highly protected risks
1012rating plan.
1013     i.  Any other commercial lines categories or kinds of
1014insurance or types of commercial lines risks that the office
1015determines should not be subject to paragraph (2)(a) or
1016paragraph (2)(f) because of the existence of a competitive
1017market for such insurance, similarity of such insurance to other
1018categories or kinds of insurance not subject to paragraph (2)(a)
1019or paragraph (2)(f), or to improve the general operational
1020efficiency of the office.
1021     2.  Insurers or rating organizations shall establish and
1022use rates, rating schedules, or rating manuals to allow the
1023insurer a reasonable rate of return on insurance and risks
1024described in subparagraph 1. which are written in this state.
1025     3.  An insurer must notify the office of any changes to
1026rates for insurance and risks described in subparagraph 1.
1027within no later than 30 days after the effective date of the
1028change. The notice must include the name of the insurer, the
1029type or kind of insurance subject to rate change, total premium
1030written during the immediately preceding year by the insurer for
1031the type or kind of insurance subject to the rate change, and
1032the average statewide percentage change in rates. Underwriting
1033files, premiums, losses, and expense statistics with regard to
1034such insurance and risks described in subparagraph 1. written by
1035an insurer must shall be maintained by the insurer and subject
1036to examination by the office. Upon examination, the office
1037shall, in accordance with generally accepted and reasonable
1038actuarial techniques, shall consider the rate factors in
1039paragraphs (2)(b), (c), and (d) and the standards in paragraph
1040(2)(e) to determine if the rate is excessive, inadequate, or
1041unfairly discriminatory.
1042     4.  A rating organization must notify the office of any
1043changes to loss cost for insurance and risks described in
1044subparagraph 1. within no later than 30 days after the effective
1045date of the change. The notice must include the name of the
1046rating organization, the type or kind of insurance subject to a
1047loss cost change, loss costs during the immediately preceding
1048year for the type or kind of insurance subject to the loss cost
1049change, and the average statewide percentage change in loss
1050cost. Loss and exposure statistics with regard to risks
1051applicable to loss costs for a rating organization not subject
1052to paragraph (2)(a) or paragraph (2)(f) must shall be maintained
1053by the rating organization and are subject to examination by the
1054office. Upon examination, the office shall, in accordance with
1055generally accepted and reasonable actuarial techniques, shall
1056consider the rate factors in paragraphs (2)(b)-(d) and the
1057standards in paragraph (2)(e) to determine if the rate is
1058excessive, inadequate, or unfairly discriminatory.
1059     5.  In reviewing a rate, the office may require the insurer
1060to provide, at the insurer's expense, all information necessary
1061to evaluate the condition of the company and the reasonableness
1062of the rate according to the applicable criteria described in
1063this section.
1064     (4)  The establishment of any rate, rating classification,
1065rating plan or schedule, or variation thereof in violation of
1066part IX of chapter 626 is also in violation of this section. In
1067order to enhance the ability of consumers to compare premiums
1068and to increase the accuracy and usefulness of rate-comparison
1069information provided by the office to the public, the office
1070shall develop a proposed standard rating territory plan to be
1071used by all authorized property and casualty insurers for
1072residential property insurance. In adopting the proposed plan,
1073the office may consider geographical characteristics relevant to
1074risk, county lines, major roadways, existing rating territories
1075used by a significant segment of the market, and other relevant
1076factors. Such plan shall be submitted to the President of the
1077Senate and the Speaker of the House of Representatives by
1078January 15, 2006. The plan may not be implemented unless
1079authorized by further act of the Legislature.
1080     (5)  With respect to a rate filing involving coverage of
1081the type for which the insurer is required to pay a
1082reimbursement premium to the Florida Hurricane Catastrophe Fund,
1083the insurer may fully recoup in its property insurance premiums
1084any reimbursement premiums paid to the Florida Hurricane
1085Catastrophe fund, together with reasonable costs of other
1086reinsurance; however, but except as otherwise provided in this
1087section, the insurer may not recoup reinsurance costs that
1088duplicate coverage provided by the Florida Hurricane Catastrophe
1089fund. An insurer may not recoup more than 1 year of
1090reimbursement premium at a time. Any under-recoupment from the
1091prior year may be added to the following year's reimbursement
1092premium, and any over-recoupment must shall be subtracted from
1093the following year's reimbursement premium.
1094     (6)(a)  If an insurer requests an administrative hearing
1095pursuant to s. 120.57 related to a rate filing under this
1096section, the director of the Division of Administrative Hearings
1097shall expedite the hearing and assign an administrative law
1098judge who shall commence the hearing within 30 days after the
1099receipt of the formal request and shall enter a recommended
1100order within 30 days after the hearing or within 30 days after
1101receipt of the hearing transcript by the administrative law
1102judge, whichever is later. Each party shall have be allowed 10
1103days in which to submit written exceptions to the recommended
1104order. The office shall enter a final order within 30 days after
1105the entry of the recommended order. The provisions of this
1106paragraph may be waived upon stipulation of all parties.
1107     (b)  Upon entry of a final order, the insurer may request a
1108expedited appellate review pursuant to the Florida Rules of
1109Appellate Procedure. It is the intent of the Legislature that
1110the First District Court of Appeal grant an insurer's request
1111for an expedited appellate review.
1112     (7)(a)  The provisions of this subsection apply only with
1113respect to rates for medical malpractice insurance and shall
1114control to the extent of any conflict with other provisions of
1115this section.
1116     (a)(b)  Any portion of a judgment entered or settlement
1117paid as a result of a statutory or common-law bad faith action
1118and any portion of a judgment entered which awards punitive
1119damages against an insurer may not be included in the insurer's
1120rate base, and shall not be used to justify a rate or rate
1121change. Any common-law bad faith action identified as such, any
1122portion of a settlement entered as a result of a statutory or
1123common-law action, or any portion of a settlement wherein an
1124insurer agrees to pay specific punitive damages may not be used
1125to justify a rate or rate change. The portion of the taxable
1126costs and attorney's fees which is identified as being related
1127to the bad faith and punitive damages in these judgments and
1128settlements may not be included in the insurer's rate base and
1129used may not be utilized to justify a rate or rate change.
1130     (b)(c)  Upon reviewing a rate filing and determining
1131whether the rate is excessive, inadequate, or unfairly
1132discriminatory, the office shall consider, in accordance with
1133generally accepted and reasonable actuarial techniques, past and
1134present prospective loss experience, either using loss
1135experience solely for this state or giving greater credibility
1136to this state's loss data after applying actuarially sound
1137methods of assigning credibility to such data.
1138     (c)(d)  Rates shall be deemed excessive if, among other
1139standards established by this section, the rate structure
1140provides for replenishment of reserves or surpluses from
1141premiums when the replenishment is attributable to investment
1142losses.
1143     (d)(e)  The insurer must apply a discount or surcharge
1144based on the health care provider's loss experience or shall
1145establish an alternative method giving due consideration to the
1146provider's loss experience. The insurer must include in the
1147filing a copy of the surcharge or discount schedule or a
1148description of the alternative method used, and must provide a
1149copy of such schedule or description, as approved by the office,
1150to policyholders at the time of renewal and to prospective
1151policyholders at the time of application for coverage.
1152     (e)(f)  Each medical malpractice insurer must make a rate
1153filing under this section, sworn to by at least two executive
1154officers of the insurer, at least once each calendar year.
1155     (8)(a)1.  No later than 60 days after the effective date of
1156medical malpractice legislation enacted during the 2003 Special
1157Session D of the Florida Legislature, the office shall calculate
1158a presumed factor that reflects the impact that the changes
1159contained in such legislation will have on rates for medical
1160malpractice insurance and shall issue a notice informing all
1161insurers writing medical malpractice coverage of such presumed
1162factor. In determining the presumed factor, the office shall use
1163generally accepted actuarial techniques and standards provided
1164in this section in determining the expected impact on losses,
1165expenses, and investment income of the insurer. To the extent
1166that the operation of a provision of medical malpractice
1167legislation enacted during the 2003 Special Session D of the
1168Florida Legislature is stayed pending a constitutional
1169challenge, the impact of that provision shall not be included in
1170the calculation of a presumed factor under this subparagraph.
1171     2.  No later than 60 days after the office issues its
1172notice of the presumed rate change factor under subparagraph 1.,
1173each insurer writing medical malpractice coverage in this state
1174shall submit to the office a rate filing for medical malpractice
1175insurance, which will take effect no later than January 1, 2004,
1176and apply retroactively to policies issued or renewed on or
1177after the effective date of medical malpractice legislation
1178enacted during the 2003 Special Session D of the Florida
1179Legislature. Except as authorized under paragraph (b), the
1180filing shall reflect an overall rate reduction at least as great
1181as the presumed factor determined under subparagraph 1. With
1182respect to policies issued on or after the effective date of
1183such legislation and prior to the effective date of the rate
1184filing required by this subsection, the office shall order the
1185insurer to make a refund of the amount that was charged in
1186excess of the rate that is approved.
1187     (b)  Any insurer or rating organization that contends that
1188the rate provided for in paragraph (a) is excessive, inadequate,
1189or unfairly discriminatory shall separately state in its filing
1190the rate it contends is appropriate and shall state with
1191specificity the factors or data that it contends should be
1192considered in order to produce such appropriate rate. The
1193insurer or rating organization shall be permitted to use all of
1194the generally accepted actuarial techniques provided in this
1195section in making any filing pursuant to this subsection. The
1196office shall review each such exception and approve or
1197disapprove it prior to use. It shall be the insurer's burden to
1198actuarially justify any deviations from the rates required to be
1199filed under paragraph (a). The insurer making a filing under
1200this paragraph shall include in the filing the expected impact
1201of medical malpractice legislation enacted during the 2003
1202Special Session D of the Florida Legislature on losses,
1203expenses, and rates.
1204     (c)  If any provision of medical malpractice legislation
1205enacted during the 2003 Special Session D of the Florida
1206Legislature is held invalid by a court of competent
1207jurisdiction, the office shall permit an adjustment of all
1208medical malpractice rates filed under this section to reflect
1209the impact of such holding on such rates so as to ensure that
1210the rates are not excessive, inadequate, or unfairly
1211discriminatory.
1212     (d)  Rates approved on or before July 1, 2003, for medical
1213malpractice insurance shall remain in effect until the effective
1214date of a new rate filing approved under this subsection.
1215     (e)  The calculation and notice by the office of the
1216presumed factor pursuant to paragraph (a) is not an order or
1217rule that is subject to chapter 120. If the office enters into a
1218contract with an independent consultant to assist the office in
1219calculating the presumed factor, such contract shall not be
1220subject to the competitive solicitation requirements of s.
1221287.057.
1222     (8)(9)(a)  The chief executive officer or chief financial
1223officer of a property insurer and the chief actuary of a
1224property insurer must certify under oath and subject to the
1225penalty of perjury, on a form approved by the commission, the
1226following information, which must accompany a rate filing:
1227     1.  The signing officer and actuary have reviewed the rate
1228filing;
1229     2.  Based on the signing officer's and actuary's knowledge,
1230the rate filing does not contain any untrue statement of a
1231material fact or omit to state a material fact necessary in
1232order to make the statements made, in light of the circumstances
1233under which such statements were made, not misleading;
1234     3.  Based on the signing officer's and actuary's knowledge,
1235the information and other factors described in paragraph (2)(b),
1236including, but not limited to, investment income, fairly present
1237in all material respects the basis of the rate filing for the
1238periods presented in the filing; and
1239     4.  Based on the signing officer's and actuary's knowledge,
1240the rate filing reflects all premium savings that are reasonably
1241expected to result from legislative enactments and are in
1242accordance with generally accepted and reasonable actuarial
1243techniques.
1244     (b)  A signing officer or actuary who knowingly makes
1245making a false certification under this subsection commits a
1246violation of s. 626.9541(1)(e) and is subject to the penalties
1247under s. 626.9521.
1248     (c)  Failure to provide such certification by the officer
1249and actuary shall result in the rate filing being disapproved
1250without prejudice to be refiled.
1251     (d)  The certification made pursuant to paragraph (a) is
1252not rendered false if, after making the subject rate filing, the
1253insurer provides the office with additional or supplementary
1254information pursuant to a formal or informal request from the
1255office. However, the actuary primarily responsible for preparing
1256and submitting the additional or supplementary information shall
1257certify the information consistent with the certification
1258required in paragraph (a) and the penalties in paragraph (b),
1259except that the chief executive officer or chief financial
1260officer or chief actuary is not required to certify to the
1261additional or supplementary information.
1262     (e)(d)  The commission may adopt rules and forms pursuant
1263to ss. 120.536(1) and 120.54 to administer this subsection.
1264     (9)(10)  The burden is on the office to establish that
1265rates are excessive for personal lines residential coverage with
1266a dwelling replacement cost of $1 million or more or for a
1267single condominium unit with a combined dwelling and contents
1268replacement cost of $1 million or more. Upon request of the
1269office, the insurer shall provide to the office such loss and
1270expense information as the office reasonably needs to meet this
1271burden.
1272     (10)(11)  Any interest paid pursuant to s. 627.70131(5) may
1273not be included in the insurer's rate base and may not be used
1274to justify a rate or rate change.
1275     Section 12.  Paragraph (b) of subsection (3) of section
1276627.06281, Florida Statutes, is amended to read:
1277     627.06281  Public hurricane loss projection model;
1278reporting of data by insurers.-
1279     (3)
1280     (b)  The fees charged for private sector access and use of
1281the model shall be the reasonable costs associated with the
1282operation and maintenance of the model. Such fees do not apply
1283to access and use of the model by the office. By January 1,
12842009, the office shall establish by rule a fee schedule for
1285access to and the use of the model. The fee schedule must be
1286reasonably calculated to cover only the actual costs of
1287providing access to and the use of the model.
1288     Section 13.  Subsections (1) and (5) and paragraph (b) of
1289subsection (8) of section 627.0629, Florida Statutes, are
1290amended to read:
1291     627.0629  Residential property insurance; rate filings.-
1292     (1)(a)  It is the intent of the Legislature that insurers
1293must provide savings to consumers who install or implement
1294windstorm damage mitigation techniques, alterations, or
1295solutions to their properties to prevent windstorm losses. A
1296rate filing for residential property insurance must include
1297actuarially reasonable discounts, credits, or other rate
1298differentials, or appropriate reductions in deductibles, for
1299properties on which fixtures or construction techniques
1300demonstrated to reduce the amount of loss in a windstorm have
1301been installed or implemented. The fixtures or construction
1302techniques must shall include, but not be limited to, fixtures
1303or construction techniques that which enhance roof strength,
1304roof covering performance, roof-to-wall strength, wall-to-floor-
1305to-foundation strength, opening protection, and window, door,
1306and skylight strength. Credits, discounts, or other rate
1307differentials, or appropriate reductions in deductibles, for
1308fixtures and construction techniques that which meet the minimum
1309requirements of the Florida Building Code must be included in
1310the rate filing. All insurance companies must make a rate filing
1311which includes the credits, discounts, or other rate
1312differentials or reductions in deductibles by February 28, 2003.
1313By July 1, 2007, the office shall reevaluate the discounts,
1314credits, other rate differentials, and appropriate reductions in
1315deductibles for fixtures and construction techniques that meet
1316the minimum requirements of the Florida Building Code, based
1317upon actual experience or any other loss relativity studies
1318available to the office. The office shall determine the
1319discounts, credits, other rate differentials, and appropriate
1320reductions in deductibles that reflect the full actuarial value
1321of such revaluation, which may be used by insurers in rate
1322filings.
1323     (b)  By February 1, 2011, the Office of Insurance
1324Regulation, in consultation with the Department of Financial
1325Services and the Department of Community Affairs, shall develop
1326and make publicly available a proposed method for insurers to
1327establish discounts, credits, or other rate differentials for
1328hurricane mitigation measures which directly correlate to the
1329numerical rating assigned to a structure pursuant to the uniform
1330home grading scale adopted by the Financial Services Commission
1331pursuant to s. 215.55865, including any proposed changes to the
1332uniform home grading scale. By October 1, 2011, the commission
1333shall adopt rules requiring insurers to make rate filings for
1334residential property insurance which revise insurers' discounts,
1335credits, or other rate differentials for hurricane mitigation
1336measures so that such rate differentials correlate directly to
1337the uniform home grading scale. The rules may include such
1338changes to the uniform home grading scale as the commission
1339determines are necessary, and may specify the minimum required
1340discounts, credits, or other rate differentials. Such rate
1341differentials must be consistent with generally accepted
1342actuarial principles and wind-loss mitigation studies. The rules
1343shall allow a period of at least 2 years after the effective
1344date of the revised mitigation discounts, credits, or other rate
1345differentials for a property owner to obtain an inspection or
1346otherwise qualify for the revised credit, during which time the
1347insurer shall continue to apply the mitigation credit that was
1348applied immediately prior to the effective date of the revised
1349credit. Discounts, credits, and other rate differentials
1350established for rate filings under this paragraph shall
1351supersede, after adoption, the discounts, credits, and other
1352rate differentials included in rate filings under paragraph (a).
1353     (5)  In order to provide an appropriate transition period,
1354an insurer may, in its sole discretion, implement an approved
1355rate filing for residential property insurance over a period of
1356years. Such An insurer electing to phase in its rate filing must
1357provide an informational notice to the office setting out its
1358schedule for implementation of the phased-in rate filing. The An
1359insurer may include in its rate the actual cost of private
1360market reinsurance that corresponds to available coverage of the
1361Temporary Increase in Coverage Limits, TICL, from the Florida
1362Hurricane Catastrophe Fund. The insurer may also include the
1363cost of reinsurance to replace the TICL reduction implemented
1364pursuant to s. 215.555(17)(d)9. However, this cost for
1365reinsurance may not include any expense or profit load or result
1366in a total annual base rate increase in excess of 10 percent.
1367     (8)  EVALUATION OF RESIDENTIAL PROPERTY STRUCTURAL
1368SOUNDNESS.-
1369     (b)  To the extent that funds are provided for this purpose
1370in the General Appropriations Act, the Legislature hereby
1371authorizes the establishment of a program to be administered by
1372the Citizens Property Insurance Corporation for homeowners
1373insured in the high-risk account is authorized.
1374     Section 14.  Paragraph (b) of subsection (2) of section
1375627.4133, Florida Statutes, is amended to read:
1376     627.4133  Notice of cancellation, nonrenewal, or renewal
1377premium.-
1378     (2)  With respect to any personal lines or commercial
1379residential property insurance policy, including, but not
1380limited to, any homeowner's, mobile home owner's, farmowner's,
1381condominium association, condominium unit owner's, apartment
1382building, or other policy covering a residential structure or
1383its contents:
1384     (b)  The insurer shall give the named insured written
1385notice of nonrenewal, cancellation, or termination at least 100
1386days before prior to the effective date of the nonrenewal,
1387cancellation, or termination. However, the insurer shall give at
1388least 100 days' written notice, or written notice by June 1,
1389whichever is earlier, for any nonrenewal, cancellation, or
1390termination that would be effective between June 1 and November
139130. The notice must include the reason or reasons for the
1392nonrenewal, cancellation, or termination, except that:
1393     1.  The insurer shall give the named insured written notice
1394of nonrenewal, cancellation, or termination at least 120 180
1395days prior to the effective date of the nonrenewal,
1396cancellation, or termination for a named insured whose
1397residential structure has been insured by that insurer or an
1398affiliated insurer for at least a 5-year period immediately
1399prior to the date of the written notice.
1400     2.  If When cancellation is for nonpayment of premium, at
1401least 10 days' written notice of cancellation accompanied by the
1402reason therefor must shall be given. As used in this
1403subparagraph, the term "nonpayment of premium" means failure of
1404the named insured to discharge when due any of her or his
1405obligations in connection with the payment of premiums on a
1406policy or any installment of such premium, whether the premium
1407is payable directly to the insurer or its agent or indirectly
1408under any premium finance plan or extension of credit, or
1409failure to maintain membership in an organization if such
1410membership is a condition precedent to insurance coverage. The
1411term "Nonpayment of premium" also means the failure of a
1412financial institution to honor an insurance applicant's check
1413after delivery to a licensed agent for payment of a premium,
1414even if the agent has previously delivered or transferred the
1415premium to the insurer. If a dishonored check represents the
1416initial premium payment, the contract and all contractual
1417obligations are shall be void ab initio unless the nonpayment is
1418cured within the earlier of 5 days after actual notice by
1419certified mail is received by the applicant or 15 days after
1420notice is sent to the applicant by certified mail or registered
1421mail, and if the contract is void, any premium received by the
1422insurer from a third party must shall be refunded to that party
1423in full.
1424     3.  If When such cancellation or termination occurs during
1425the first 90 days during which the insurance is in force and the
1426insurance is canceled or terminated for reasons other than
1427nonpayment of premium, at least 20 days' written notice of
1428cancellation or termination accompanied by the reason therefor
1429must shall be given unless except where there has been a
1430material misstatement or misrepresentation or failure to comply
1431with the underwriting requirements established by the insurer.
1432     4.  The requirement for providing written notice of
1433nonrenewal by June 1 of any nonrenewal that would be effective
1434between June 1 and November 30 does not apply to the following
1435situations, but the insurer remains subject to the requirement
1436to provide such notice at least 100 days before prior to the
1437effective date of nonrenewal:
1438     a.  A policy that is nonrenewed due to a revision in the
1439coverage for sinkhole losses and catastrophic ground cover
1440collapse pursuant to s. 627.706, as amended by s. 30, chapter
14412007-1, Laws of Florida.
1442     b.  A policy that is nonrenewed by Citizens Property
1443Insurance Corporation, pursuant to s. 627.351(6), for a policy
1444that has been assumed by an authorized insurer offering
1445replacement or renewal coverage to the policyholder.
1446
1447After the policy has been in effect for 90 days, the policy may
1448shall not be canceled by the insurer unless except when there
1449has been a material misstatement, a nonpayment of premium, a
1450failure to comply with underwriting requirements established by
1451the insurer within 90 days after of the date of effectuation of
1452coverage, or a substantial change in the risk covered by the
1453policy or if when the cancellation is for all insureds under
1454such policies for a given class of insureds. This paragraph does
1455not apply to individually rated risks having a policy term of
1456less than 90 days.
1457     5.  Notwithstanding any other provision of law, an insurer
1458may cancel or nonrenew a property insurance policy after at
1459least 45 days' notice if the office finds that the early
1460cancellation of some or all of the insurer's policies is
1461necessary to protect the best interests of the public or
1462policyholders and the office approves the insurer's plan for
1463early cancellation or nonrenewal of some or all of its policies.
1464The office may base such finding upon the financial condition of
1465the insurer, lack of adequate reinsurance coverage for hurricane
1466risk, or other relevant factors. The office may condition its
1467finding on the consent of the insurer to be placed under
1468administrative supervision pursuant to s. 624.81 or to the
1469appointment of a receiver under chapter 631.
1470     Section 15.  Section 627.43141, Florida Statutes, is
1471created to read:
1472     627.43141  Notice of change in policy terms.-
1473     (1)  As used in this section, the term:
1474     (a)  "Change in policy terms" means the modification,
1475addition, or deletion of any term, coverage, duty, or condition
1476from the previous policy. The correction of typographical or
1477scrivener's errors or the application of mandated legislative
1478changes is not a change in policy terms.
1479     (b)  "Policy" means a written contract of personal lines
1480property and casualty insurance or a written agreement for
1481insurance, or the certificate of such insurance, by whatever
1482name called, and includes all clauses, riders, endorsements, and
1483papers that are a part of such policy. The term does not include
1484a binder as defined in s. 627.420 unless the duration of the
1485binder period exceeds 60 days.
1486     (c)  "Renewal" means the issuance and delivery by an
1487insurer of a policy superseding at the end of the policy period
1488a policy previously issued and delivered by the same insurer or
1489the issuance and delivery of a certificate or notice extending
1490the term of a policy beyond its policy period or term. Any
1491policy that has a policy period or term of less than 6 months or
1492that does not have a fixed expiration date shall, for purposes
1493of this section, be considered as written for successive policy
1494periods or terms of 6 months.
1495     (2)  A renewal policy may contain a change in policy terms.
1496If a renewal policy does contains such change, the insurer must
1497give the named insured written notice of the change, which must
1498be enclosed along with the written notice of renewal premium
1499required by ss. 627.4133 and 627.728. Such notice shall be
1500entitled "Notice of Change in Policy Terms."
1501     (3)  Although not required, proof of mailing or registered
1502mailing through the United States Postal Service of the Notice
1503of Change in Policy Terms to the named insured at the address
1504shown in the policy is sufficient proof of notice.
1505     (4)  Receipt of the premium payment for the renewal policy
1506by the insurer is deemed to be acceptance of the new policy
1507terms by the named insured.
1508     (5)  If an insurer fails to provide the notice required in
1509subsection (2), the original policy terms remain in effect until
1510the next renewal and the proper service of the notice, or until
1511the effective date of replacement coverage obtained by the named
1512insured, whichever occurs first.
1513     (6)  The intent of this section is to:
1514     (a)  Allow an insurer to make a change in policy terms
1515without nonrenewing those policyholders that the insurer wishes
1516to continue insuring.
1517     (b)  Alleviate concern and confusion to the policyholder
1518caused by the required policy nonrenewal for the limited issue
1519if an insurer intends to renew the insurance policy, but the new
1520policy contains a change in policy terms.
1521     (c)  Encourage policyholders to discuss their coverages
1522with their insurance agents.
1523     Section 16.  Section 627.7011, Florida Statutes, is amended
1524to read:
1525     627.7011  Homeowners' policies; offer of replacement cost
1526coverage and law and ordinance coverage.-
1527     (1)  Before Prior to issuing or renewing a homeowner's
1528insurance policy on or after October 1, 2005, or prior to the
1529first renewal of a homeowner's insurance policy on or after
1530October 1, 2005, the insurer must offer each of the following:
1531     (a)  A policy or endorsement providing that any loss that
1532which is repaired or replaced will be adjusted on the basis of
1533replacement costs to the dwelling not exceeding policy limits as
1534to the dwelling, rather than actual cash value, but not
1535including costs necessary to meet applicable laws and ordinances
1536regulating the construction, use, or repair of any property or
1537requiring the tearing down of any property, including the costs
1538of removing debris.
1539     (b)  A policy or endorsement providing that, subject to
1540other policy provisions, any loss that which is repaired or
1541replaced at any location will be adjusted on the basis of
1542replacement costs to the dwelling not exceeding policy limits as
1543to the dwelling, rather than actual cash value, and also
1544including costs necessary to meet applicable laws and ordinances
1545regulating the construction, use, or repair of any property or
1546requiring the tearing down of any property, including the costs
1547of removing debris.; However, such additional costs necessary to
1548meet applicable laws and ordinances may be limited to either 25
1549percent or 50 percent of the dwelling limit, as selected by the
1550policyholder, and such coverage applies shall apply only to
1551repairs of the damaged portion of the structure unless the total
1552damage to the structure exceeds 50 percent of the replacement
1553cost of the structure.
1554
1555An insurer is not required to make the offers required by this
1556subsection with respect to the issuance or renewal of a
1557homeowner's policy that contains the provisions specified in
1558paragraph (b) for law and ordinance coverage limited to 25
1559percent of the dwelling limit, except that the insurer must
1560offer the law and ordinance coverage limited to 50 percent of
1561the dwelling limit. This subsection does not prohibit the offer
1562of a guaranteed replacement cost policy.
1563     (2)  Unless the insurer obtains the policyholder's written
1564refusal of the policies or endorsements specified in subsection
1565(1), any policy covering the dwelling is deemed to include the
1566law and ordinance coverage limited to 25 percent of the dwelling
1567limit. The rejection or selection of alternative coverage shall
1568be made on a form approved by the office. The form must shall
1569fully advise the applicant of the nature of the coverage being
1570rejected. If this form is signed by a named insured, it is will
1571be conclusively presumed that there was an informed, knowing
1572rejection of the coverage or election of the alternative
1573coverage on behalf of all insureds. Unless the policyholder
1574requests in writing the coverage specified in this section, it
1575need not be provided in or supplemental to any other policy that
1576renews, insures, extends, changes, supersedes, or replaces an
1577existing policy if when the policyholder has rejected the
1578coverage specified in this section or has selected alternative
1579coverage. The insurer must provide the such policyholder with
1580notice of the availability of such coverage in a form approved
1581by the office at least once every 3 years. The failure to
1582provide such notice constitutes a violation of this code, but
1583does not affect the coverage provided under the policy.
1584     (3)(a)  In the event of a loss for which a dwelling is
1585insured on the basis of replacement costs, the insurer initially
1586must pay at least the actual cash value of the insured loss,
1587less any applicable deductible. An insured shall subsequently
1588enter into a contract for the performance of building and
1589structural repairs. The insurer shall pay any remaining amounts
1590incurred to perform such repairs as the work is performed. With
1591the exception of incidental expenses to mitigate further damage,
1592the insurer or any contractor or subcontractor may not require
1593the policyholder to advance payment for such repairs or
1594expenses. The insurer may waive the requirement for a contract
1595as provided in this paragraph. An insured shall have a period of
15961 year after the date the insurer pays actual cash value to make
1597a claim for replacement cost. If a total loss of a dwelling
1598occurs, the insurer shall pay the replacement cost coverage
1599without reservation or holdback of any depreciation in value,
1600pursuant to s. 627.702.
1601     (b)  In the event of a loss for which a dwelling or
1602personal property is insured on the basis of replacement costs,
1603the insurer shall pay the replacement cost without reservation
1604or holdback of any depreciation in value, whether or not the
1605insured replaces or repairs the dwelling or property.
1606     (4)  A Any homeowner's insurance policy issued or renewed
1607on or after October 1, 2005, must include in bold type no
1608smaller than 18 points the following statement:
1609
1610"LAW AND ORDINANCE COVERAGE IS AN IMPORTANT COVERAGE
1611THAT YOU MAY WISH TO PURCHASE. YOU MAY ALSO NEED TO
1612CONSIDER THE PURCHASE OF FLOOD INSURANCE FROM THE
1613NATIONAL FLOOD INSURANCE PROGRAM. WITHOUT THIS
1614COVERAGE, YOU MAY HAVE UNCOVERED LOSSES. PLEASE
1615DISCUSS THESE COVERAGES WITH YOUR INSURANCE AGENT."
1616
1617The intent of this subsection is to encourage policyholders to
1618purchase sufficient coverage to protect them in case events
1619excluded from the standard homeowners policy, such as law and
1620ordinance enforcement and flood, combine with covered events to
1621produce damage or loss to the insured property. The intent is
1622also to encourage policyholders to discuss these issues with
1623their insurance agent.
1624     (5)  Nothing in This section does not: shall be construed
1625to
1626     (a)  Apply to policies not considered to be "homeowners'
1627policies," as that term is commonly understood in the insurance
1628industry. This section specifically does not
1629     (b)  Apply to mobile home policies. Nothing in this section
1630     (c)  Limit shall be construed as limiting the ability of an
1631any insurer to reject or nonrenew any insured or applicant on
1632the grounds that the structure does not meet underwriting
1633criteria applicable to replacement cost or law and ordinance
1634policies or for other lawful reasons.
1635     (d)(6)  This section does not Prohibit an insurer from
1636limiting its liability under a policy or endorsement providing
1637that loss will be adjusted on the basis of replacement costs to
1638the lesser of:
1639     1.(a)  The limit of liability shown on the policy
1640declarations page;
1641     2.(b)  The reasonable and necessary cost to repair the
1642damaged, destroyed, or stolen covered property; or
1643     3.(c)  The reasonable and necessary cost to replace the
1644damaged, destroyed, or stolen covered property.
1645     (e)(7)  This section does not Prohibit an insurer from
1646exercising its right to repair damaged property in compliance
1647with its policy and s. 627.702(7).
1648     Section 17.  Paragraph (a) of subsection (5) of section
1649627.70131, Florida Statutes, is amended to read:
1650     627.70131  Insurer's duty to acknowledge communications
1651regarding claims; investigation.-
1652     (5)(a)  Within 90 days after an insurer receives notice of
1653an initial, reopened, or supplemental a property insurance claim
1654from a policyholder, the insurer shall pay or deny such claim or
1655a portion of the claim unless the failure to pay such claim or a
1656portion of the claim is caused by factors beyond the control of
1657the insurer which reasonably prevent such payment. Any payment
1658of an initial or supplemental a claim or portion of such a claim
1659made paid 90 days after the insurer receives notice of the
1660claim, or made paid more than 15 days after there are no longer
1661factors beyond the control of the insurer which reasonably
1662prevented such payment, whichever is later, bears shall bear
1663interest at the rate set forth in s. 55.03. Interest begins to
1664accrue from the date the insurer receives notice of the claim.
1665The provisions of this subsection may not be waived, voided, or
1666nullified by the terms of the insurance policy. If there is a
1667right to prejudgment interest, the insured shall select whether
1668to receive prejudgment interest or interest under this
1669subsection. Interest is payable when the claim or portion of the
1670claim is paid. Failure to comply with this subsection
1671constitutes a violation of this code. However, failure to comply
1672with this subsection does shall not form the sole basis for a
1673private cause of action.
1674     Section 18.  The Legislature finds and declares:
1675     (1)  There is a compelling state interest in maintaining a
1676viable and orderly private-sector market for property insurance
1677in this state. The lack of a viable and orderly property market
1678reduces the availability of property insurance coverage to state
1679residents, increases the cost of property insurance, and
1680increases the state's reliance on a residual property insurance
1681market and its potential for imposing assessments on
1682policyholders throughout the state.
1683     (2)  In 2005, the Legislature revised ss. 627.706-627.7074,
1684Florida Statutes, to adopt certain geological or technical
1685terms; to increase reliance on objective, scientific testing
1686requirements; and generally to reduce the number of sinkhole
1687claims and related disputes arising under prior law. The
1688Legislature determined that since the enactment of these
1689statutory revisions, both private-sector insurers and Citizens
1690Property Insurance Corporation have, nevertheless, continued to
1691experience high claims frequency and severity for sinkhole
1692insurance claims. In addition, many properties remain unrepaired
1693even after loss payments, which reduces the local property tax
1694base and adversely affects the real estate market. Therefore,
1695the Legislature finds that losses associated with sinkhole
1696claims adversely affect the public health, safety, and welfare
1697of this state and its citizens.
1698     (3)  Pursuant to sections 19 through 23 of this act,
1699technical or scientific definitions adopted in the 2005
1700legislation are clarified to implement and advance the
1701Legislature's intended reduction of sinkhole claims and
1702disputes. Certain other revisions to ss. 627.706-627.7074,
1703Florida Statutes, are enacted to advance legislative intent to
1704rely on scientific or technical determinations relating to
1705sinkholes and sinkhole claims, reduce the number and cost of
1706disputes relating to sinkhole claims, and ensure that repairs
1707are made commensurate with the scientific and technical
1708determinations and insurance claims payments.
1709     Section 19.  Section 627.706, Florida Statutes, is amended
1710to read:
1711     627.706  Sinkhole insurance; catastrophic ground cover
1712collapse; definitions.-
1713     (1)(a)  Every insurer authorized to transact property
1714insurance in this state must shall provide coverage for a
1715catastrophic ground cover collapse.
1716     (b)  The insurer and shall make available, for an
1717appropriate additional premium, coverage for sinkhole losses on
1718any structure, including the contents of personal property
1719contained therein, to the extent provided in the form to which
1720the coverage attaches. The insurer may require an inspection of
1721the property before issuance of sinkhole loss coverage. A policy
1722for residential property insurance may include a deductible
1723amount applicable to sinkhole losses equal to 1 percent, 2
1724percent, 5 percent, or 10 percent of the policy dwelling limits,
1725with appropriate premium discounts offered with each deductible
1726amount.
1727     (c)  The insurer may restrict catastrophic ground cover
1728collapse and sinkhole loss coverage to the principal building,
1729as defined in the applicable policy.
1730     (2)  As used in ss. 627.706-627.7074, and as used in
1731connection with any policy providing coverage for a catastrophic
1732ground cover collapse or for sinkhole losses, the term:
1733     (a)  "Catastrophic ground cover collapse" means geological
1734activity that results in all the following:
1735     1.  The abrupt collapse of the ground cover;
1736     2.  A depression in the ground cover clearly visible to the
1737naked eye;
1738     3.  Structural damage to the covered building, including
1739the foundation; and
1740     4.  The insured structure being condemned and ordered to be
1741vacated by the governmental agency authorized by law to issue
1742such an order for that structure.
1743
1744Contents coverage applies if there is a loss resulting from a
1745catastrophic ground cover collapse. Structural Damage consisting
1746merely of the settling or cracking of a foundation, structure,
1747or building does not constitute a loss resulting from a
1748catastrophic ground cover collapse.
1749     (b)  "Neutral evaluation" means the alternative dispute
1750resolution provided in s. 627.7074.
1751     (c)  "Neutral evaluator" means a professional engineer or a
1752professional geologist who has completed a course of study in
1753alternative dispute resolution designed or approved by the
1754department for use in the neutral evaluation process and who is
1755determined to be fair and impartial.
1756     (d)(e)  "Professional engineer" means a person, as defined
1757in s. 471.005, who has a bachelor's degree or higher in
1758engineering and has successfully completed at least five courses
1759in any combination of the following: geotechnical engineering,
1760structural engineering, soil mechanics, foundations, or geology
1761with a specialty in the geotechnical engineering field. A
1762professional engineer must also have geotechnical experience and
1763expertise in the identification of sinkhole activity as well as
1764other potential causes of structural damage to the structure.
1765     (e)(f)  "Professional geologist" means a person, as defined
1766in by s. 492.102, who has a bachelor's degree or higher in
1767geology or related earth science and with expertise in the
1768geology of Florida. A professional geologist must have
1769geological experience and expertise in the identification of
1770sinkhole activity as well as other potential geologic causes of
1771structural damage to the structure.
1772     (f)(b)  "Sinkhole" means a landform created by subsidence
1773of soil, sediment, or rock as underlying strata are dissolved by
1774groundwater. A sinkhole forms may form by collapse into
1775subterranean voids created by dissolution of limestone or
1776dolostone or by subsidence as these strata are dissolved.
1777     (g)(c)  "Sinkhole loss" means structural damage to the
1778covered building, including the foundation, caused by sinkhole
1779activity. Contents coverage and additional living expenses shall
1780apply only if there is structural damage to the covered building
1781caused by sinkhole activity.
1782     (h)(d)  "Sinkhole activity" means settlement or systematic
1783weakening of the earth supporting such property only if the when
1784such settlement or systematic weakening results from
1785contemporaneous movement or raveling of soils, sediments, or
1786rock materials into subterranean voids created by the effect of
1787water on a limestone or similar rock formation.
1788     (i)  "Structural damage" means a covered building has
1789experienced:
1790     1.  Foundation displacement in excess of acceptable
1791variances or deflections as defined in ACI 117-90 or the Florida
1792Building Code and damage in the primary structural members or
1793primary structural systems that prevents them from supporting
1794the loads and forces they were designed to support as defined in
1795the Florida Building Code;
1796     2.  Damage that results in stresses in a primary structural
1797member greater than one and one-third the nominal strength
1798allowed under the Florida Building Code for new buildings of
1799similar structure, purpose, or location;
1800     3.  Listing, leaning, or buckling of the exterior load
1801bearing walls or other vertical primary structural members to
1802such an extent that a plumb line passing through the center of
1803gravity does not fall inside the middle one-third of the base as
1804defined within the Florida Building Code;
1805     4.  Damage that results in the building, or any portion
1806thereof, being likely to imminently collapse partially or
1807completely because of the movement or instability of the ground
1808within the influence zone of the supporting ground within the
1809sheer plane necessary for the purpose of supporting such
1810building as defined within the Florida Building Code; or
1811     5.  Damage that qualifies as "substantial structural
1812damage" as defined in the Florida Building Code.
1813     (3)  On or before June 1, 2007, Every insurer authorized to
1814transact property insurance in this state shall make a proper
1815filing with the office for the purpose of extending the
1816appropriate forms of property insurance to include coverage for
1817catastrophic ground cover collapse or for sinkhole losses.
1818coverage for catastrophic ground cover collapse may not go into
1819effect until the effective date provided for in the filing
1820approved by the office.
1821     (3)(4)  Insurers offering policies that exclude coverage
1822for sinkhole losses must shall inform policyholders in bold type
1823of not less than 14 points as follows: "YOUR POLICY PROVIDES
1824COVERAGE FOR A CATASTROPHIC GROUND COVER COLLAPSE THAT RESULTS
1825IN THE PROPERTY BEING CONDEMNED AND UNINHABITABLE. OTHERWISE,
1826YOUR POLICY DOES NOT PROVIDE COVERAGE FOR SINKHOLE LOSSES. YOU
1827MAY PURCHASE ADDITIONAL COVERAGE FOR SINKHOLE LOSSES FOR AN
1828ADDITIONAL PREMIUM."
1829     (4)(5)  An insurer offering sinkhole coverage to
1830policyholders before or after the adoption of s. 30, chapter
18312007-1, Laws of Florida, may nonrenew the policies of
1832policyholders maintaining sinkhole coverage in Pasco County or
1833Hernando County, at the option of the insurer, and provide an
1834offer of coverage that to such policyholders which includes
1835catastrophic ground cover collapse and excludes sinkhole
1836coverage. Insurers acting in accordance with this subsection are
1837subject to the following requirements:
1838     (a)  Policyholders must be notified that a nonrenewal is
1839for purposes of removing sinkhole coverage, and that the
1840policyholder is still being offered a policy that provides
1841coverage for catastrophic ground cover collapse.
1842     (b)  Policyholders must be provided an actuarially
1843reasonable premium credit or discount for the removal of
1844sinkhole coverage and provision of only catastrophic ground
1845cover collapse.
1846     (c)  Subject to the provisions of this subsection and the
1847insurer's approved underwriting or insurability guidelines, the
1848insurer shall provide each policyholder with the opportunity to
1849purchase an endorsement to his or her policy providing sinkhole
1850coverage and may require an inspection of the property before
1851issuance of a sinkhole coverage endorsement.
1852     (d)  Section 624.4305 does not apply to nonrenewal notices
1853issued pursuant to this subsection.
1854     (5)  Any claim, including, but not limited to, initial,
1855supplemental, and reopened claims under an insurance policy that
1856provides sinkhole coverage is barred unless notice of the claim
1857was given to the insurer in accordance with the terms of the
1858policy within 4 years after the policyholder knew or reasonably
1859should have known about the sinkhole loss.
1860     Section 20.  Section 627.7065, Florida Statutes, is
1861repealed.
1862     Section 21.  Section 627.707, Florida Statutes, is amended
1863to read:
1864     627.707  Standards for Investigation of sinkhole claims by
1865insurers; insurer payment; nonrenewals.-Upon receipt of a claim
1866for a sinkhole loss to a covered building, an insurer must meet
1867the following standards in investigating a claim:
1868     (1)  The insurer must inspect make an inspection of the
1869policyholder's insured's premises to determine if there is
1870structural has been physical damage that to the structure which
1871may be the result of sinkhole activity.
1872     (2)  If the insurer confirms that structural damage exists
1873but is unable to identify a valid cause of such damage or
1874discovers that such damage is consistent with sinkhole loss
1875Following the insurer's initial inspection, the insurer shall
1876engage a professional engineer or a professional geologist to
1877conduct testing as provided in s. 627.7072 to determine the
1878cause of the loss within a reasonable professional probability
1879and issue a report as provided in s. 627.7073, only if sinkhole
1880loss is covered under the policy. Except as provided in
1881subsections (4) and (6), the fees and costs of the professional
1882engineer or professional geologist shall be paid by the
1883insurer.:
1884     (a)  The insurer is unable to identify a valid cause of the
1885damage or discovers damage to the structure which is consistent
1886with sinkhole loss; or
1887     (b)  The policyholder demands testing in accordance with
1888this section or s. 627.7072.
1889     (3)  Following the initial inspection of the policyholder's
1890insured premises, the insurer shall provide written notice to
1891the policyholder disclosing the following information:
1892     (a)  What the insurer has determined to be the cause of
1893damage, if the insurer has made such a determination.
1894     (b)  A statement of the circumstances under which the
1895insurer is required to engage a professional engineer or a
1896professional geologist to verify or eliminate sinkhole loss and
1897to engage a professional engineer to make recommendations
1898regarding land and building stabilization and foundation repair.
1899     (c)  A statement regarding the right of the policyholder to
1900request testing by a professional engineer or a professional
1901geologist, and the circumstances under which the policyholder
1902may demand certain testing, and the circumstances under which
1903the policyholder may incur costs associated with testing.
1904     (4)(a)  If the insurer determines that there is no sinkhole
1905loss, the insurer may deny the claim.
1906     (b)  If coverage for sinkhole loss is available and If the
1907insurer denies the claim, without performing testing under s.
1908627.7072, the policyholder may demand testing by the insurer
1909under s. 627.7072.
1910     1.  The policyholder's demand for testing must be
1911communicated to the insurer in writing within 60 days after the
1912policyholder's receipt of the insurer's denial of the claim.
1913     2.  The policyholder shall pay 50 percent of the actual
1914costs of the analyses and services provided under ss. 627.7072
1915and 627.7073 or $2,500, whichever is less.
1916     3.  The insurer shall reimburse the policyholder for the
1917costs if the insurer obtains pursuant to s. 627.7073 written
1918certification that there is sinkhole loss.
1919     (5)(a)  Subject to paragraph (b), If a sinkhole loss is
1920verified, the insurer shall pay to stabilize the land and
1921building and repair the foundation in accordance with the
1922recommendations of the professional engineer retained pursuant
1923to subsection (2), as provided under s. 627.7073, and in
1924consultation with notice to the policyholder, subject to the
1925coverage and terms of the policy. The insurer shall pay for
1926other repairs to the structure and contents in accordance with
1927the terms of the policy.
1928     (a)(b)  The insurer may limit its total claims payment to
1929the actual cash value of the sinkhole loss, which does not
1930include including underpinning or grouting or any other repair
1931technique performed below the existing foundation of the
1932building, until the policyholder enters into a contract for the
1933performance of building stabilization or foundation repairs in
1934accordance with the recommendations set forth in the insurer's
1935report issued pursuant to s. 627.7073.
1936     (b)  In order to prevent additional damage to the building
1937or structure, the policyholder must enter into a contract for
1938the performance of building stabilization or foundation repairs
1939within 90 days after the insurance company confirms coverage for
1940the sinkhole loss and notifies the policyholder of such
1941confirmation. This time period is tolled if either party invokes
1942the neutral evaluation process and begins again 10 days after
1943the conclusion of the neutral evaluation process.
1944     (c)  After the policyholder enters into the contract for
1945the performance of building stabilization or foundation repairs,
1946the insurer shall pay the amounts necessary to begin and perform
1947such repairs as the work is performed and the expenses are
1948incurred. The insurer may not require the policyholder to
1949advance payment for such repairs. If repair covered by a
1950personal lines residential property insurance policy has begun
1951and the professional engineer selected or approved by the
1952insurer determines that the repair cannot be completed within
1953the policy limits, the insurer must either complete the
1954professional engineer's recommended repair or tender the policy
1955limits to the policyholder without a reduction for the repair
1956expenses incurred.
1957     (d)  The stabilization and all other repairs to the
1958structure and contents must be completed within 12 months after
1959entering into the contract for repairs described in paragraph
1960(b) unless:
1961     1.  There is a mutual agreement between the insurer and the
1962policyholder;
1963     2.  The claim is involved with the neutral evaluation
1964process;
1965     3.  The claim is in litigation; or
1966     4.  The claim is under appraisal or mediation.
1967     (e)(c)  Upon the insurer's obtaining the written approval
1968of the policyholder and any lienholder, the insurer may make
1969payment directly to the persons selected by the policyholder to
1970perform the land and building stabilization and foundation
1971repairs. The decision by the insurer to make payment to such
1972persons does not hold the insurer liable for the work performed.
1973The policyholder may not accept a rebate from any person
1974performing the repairs specified in this section. If a
1975policyholder does receive a rebate, coverage is void and the
1976policyholder must refund the amount of the rebate to the
1977insurer. Any person making the repairs specified in this section
1978who offers a rebate, or any policyholder who accepts a rebate
1979for such repairs, commits insurance fraud, a felony of the third
1980degree punishable as provided in s. 775.082, s. 775.083, or s.
1981775.084.
1982     (6)  Except as provided in subsection (7), the fees and
1983costs of the professional engineer or the professional geologist
1984shall be paid by the insurer.
1985     (6)(7)  If the insurer obtains, pursuant to s. 627.7073,
1986written certification that there is no sinkhole loss or that the
1987cause of the damage was not sinkhole activity, and if the
1988policyholder has submitted the sinkhole claim without good faith
1989grounds for submitting such claim, the policyholder shall
1990reimburse the insurer for 50 percent of the actual costs of the
1991analyses and services provided under ss. 627.7072 and 627.7073;
1992however, a policyholder is not required to reimburse an insurer
1993more than $2,500 with respect to any claim. A policyholder is
1994required to pay reimbursement under this subsection only if the
1995policyholder requested the analysis and services provided under
1996ss. 627.7072 and 627.7073 and the insurer, before prior to
1997ordering the analysis under s. 627.7072, informs the
1998policyholder in writing of the policyholder's potential
1999liability for reimbursement and gives the policyholder the
2000opportunity to withdraw the claim.
2001     (7)(8)  An No insurer may not shall nonrenew any policy of
2002property insurance on the basis of filing of claims for sinkhole
2003partial loss if caused by sinkhole damage or clay shrinkage as
2004long as the total of such payments does not exceed the current
2005policy limits of coverage for the policy in effect on the date
2006of loss, for property damage to the covered building, as set
2007forth on the declarations page, and provided the insured has
2008repaired the structure in accordance with the engineering
2009recommendations made pursuant to subsection (2) upon which any
2010payment or policy proceeds were based.
2011     (8)(9)  The insurer may engage a professional structural
2012engineer to make recommendations as to the repair of the
2013structure.
2014     Section 22.  Section 627.7073, Florida Statutes, is amended
2015to read:
2016     627.7073  Sinkhole reports.-
2017     (1)  Upon completion of testing as provided in s. 627.7072,
2018the professional engineer or professional geologist shall issue
2019a report and certification to the insurer and the policyholder
2020as provided in this section.
2021     (a)  Sinkhole loss is verified if, based upon tests
2022performed in accordance with s. 627.7072, a professional
2023engineer or a professional geologist issues a written report and
2024certification stating:
2025     1.  That structural damage to the covered building has been
2026identified within a reasonable professional probability.
2027     2.1.  That the cause of the actual physical and structural
2028damage is sinkhole activity within a reasonable professional
2029probability.
2030     3.2.  That the analyses conducted were of sufficient scope
2031to identify sinkhole activity as the cause of damage within a
2032reasonable professional probability.
2033     4.3.  A description of the tests performed.
2034     5.4.  A recommendation by the professional engineer of
2035methods for stabilizing the land and building and for making
2036repairs to the foundation.
2037     (b)  If there is no structural damage or if sinkhole
2038activity is eliminated as the cause of such damage to the
2039covered building structure, the professional engineer or
2040professional geologist shall issue a written report and
2041certification to the policyholder and the insurer stating:
2042     1.  That there is no structural damage or the cause of such
2043the damage is not sinkhole activity within a reasonable
2044professional probability.
2045     2.  That the analyses and tests conducted were of
2046sufficient scope to eliminate sinkhole activity as the cause of
2047the structural damage within a reasonable professional
2048probability.
2049     3.  A statement of the cause of the structural damage
2050within a reasonable professional probability.
2051     4.  A description of the tests performed.
2052     (c)  The respective findings, opinions, and recommendations
2053of the professional engineer or professional geologist as to the
2054cause of distress to the property and the findings, opinions,
2055and recommendations of the professional engineer as to land and
2056building stabilization and foundation repair shall be presumed
2057correct.
2058     (2)(a)  Any insurer that has paid a claim for a sinkhole
2059loss shall file a copy of the report and certification, prepared
2060pursuant to subsection (1), including the legal description of
2061the real property and the name of the property owner, the
2062neutral evaluator's report, if any, that indicates that sinkhole
2063activity caused the damage claimed, a copy of the certification
2064indicating that stabilization has been completed, if applicable,
2065and the amount of the payment, with the county clerk of court,
2066who shall record the report and certification. The insurer shall
2067bear the cost of filing and recording one or more reports and
2068certifications the report and certification. There shall be no
2069cause of action or liability against an insurer for compliance
2070with this section.
2071     (a)  The recording of the report and certification does
2072not:
2073     1.  Constitute a lien, encumbrance, or restriction on the
2074title to the real property or constitute a defect in the title
2075to the real property;
2076     2.  Create any cause of action or liability against any
2077grantor of the real property for breach of any warranty of good
2078title or warranty against encumbrances; or
2079     3.  Create any cause of action or liability against any
2080title insurer that insures the title to the real property.
2081     (b)  As a precondition to accepting payment for a sinkhole
2082loss, the policyholder must file a copy of any report prepared
2083on behalf or at the request of the policyholder regarding the
2084insured property. The policyholder shall bear the cost of filing
2085and recording such sinkhole report. The recording of the report
2086does not:
2087     1.  Constitute a lien, encumbrance, or restriction on the
2088title to the real property or constitute a defect in the title
2089to the real property;
2090     2.  Create any cause of action or liability against any
2091grantor of the real property for breach of any warranty of good
2092title or warranty against encumbrances; or
2093     3.  Create any cause of action or liability against any
2094title insurer that insures the title to the real property.
2095     (c)(b)  The seller of real property upon which a sinkhole
2096claim has been made by the seller and paid by the insurer must
2097shall disclose to the buyer of such property that a claim has
2098been paid and whether or not the full amount of the proceeds
2099were used to repair the sinkhole damage.
2100     Section 23.  Section 627.7074, Florida Statutes, is amended
2101to read:
2102     627.7074  Alternative procedure for resolution of disputed
2103sinkhole insurance claims.-
2104     (1)  As used in this section, the term:
2105     (a)  "Neutral evaluation" means the alternative dispute
2106resolution provided for in this section.
2107     (b)  "Neutral evaluator" means a professional engineer or a
2108professional geologist who has completed a course of study in
2109alternative dispute resolution designed or approved by the
2110department for use in the neutral evaluation process, who is
2111determined to be fair and impartial.
2112     (1)(2)(a)  The department shall:
2113     (a)  Certify and maintain a list of persons who are neutral
2114evaluators.
2115     (b)  The department shall Prepare a consumer information
2116pamphlet for distribution by insurers to policyholders which
2117clearly describes the neutral evaluation process and includes
2118information and forms necessary for the policyholder to request
2119a neutral evaluation.
2120     (2)  Neutral evaluation is available to either party if a
2121sinkhole report has been issued pursuant to s. 627.7073. At a
2122minimum, neutral evaluation must determine:
2123     (a)  Causation;
2124     (b)  All methods of stabilization and repair both above and
2125below ground;
2126     (c)  The costs for stabilization and all repairs; and
2127     (d)  Information necessary to carry out subsection (12).
2128     (3)  Following the receipt of the report provided under s.
2129627.7073 or the denial of a claim for a sinkhole loss, the
2130insurer shall notify the policyholder of his or her right to
2131participate in the neutral evaluation program under this
2132section. Neutral evaluation supersedes the alternative dispute
2133resolution process under s. 627.7015, but does not invalidate
2134the appraisal clause of the insurance policy. The insurer shall
2135provide to the policyholder the consumer information pamphlet
2136prepared by the department pursuant to subsection (1)
2137electronically or by United States mail paragraph (2)(b).
2138     (4)  Neutral evaluation is nonbinding, but mandatory if
2139requested by either party. A request for neutral evaluation may
2140be filed with the department by the policyholder or the insurer
2141on a form approved by the department. The request for neutral
2142evaluation must state the reason for the request and must
2143include an explanation of all the issues in dispute at the time
2144of the request. Filing a request for neutral evaluation tolls
2145the applicable time requirements for filing suit for a period of
214660 days following the conclusion of the neutral evaluation
2147process or the time prescribed in s. 95.11, whichever is later.
2148     (5)  Neutral evaluation shall be conducted as an informal
2149process in which formal rules of evidence and procedure need not
2150be observed. A party to neutral evaluation is not required to
2151attend neutral evaluation if a representative of the party
2152attends and has the authority to make a binding decision on
2153behalf of the party. All parties shall participate in the
2154evaluation in good faith. The neutral evaluator must be allowed
2155reasonable access to the interior and exterior of insured
2156structures to be evaluated or for which a claim has been made.
2157Any reports initiated by the policyholder, or an agent of the
2158policyholder, confirming a sinkhole loss or disputing another
2159sinkhole report regarding insured structures must be provided to
2160the neutral evaluator before the evaluator's physical inspection
2161of the insured property.
2162     (6)  The insurer shall pay the costs associated with the
2163neutral evaluation. However, if a party chooses to hire a court
2164reporter or stenographer to contemporaneously record and
2165document the neutral evaluation, that party must bear such
2166costs.
2167     (7)  Upon receipt of a request for neutral evaluation, the
2168department shall provide the parties a list of certified neutral
2169evaluators. The parties shall mutually select a neutral
2170evaluator from the list and promptly inform the department. If
2171the parties cannot agree to a neutral evaluator within 10
2172business days, The department shall allow the parties to submit
2173requests to disqualify evaluators on the list for cause.
2174     (a)  The department shall disqualify neutral evaluators for
2175cause based only on any of the following grounds:
2176     1.  A familial relationship exists between the neutral
2177evaluator and either party or a representative of either party
2178within the third degree.
2179     2.  The proposed neutral evaluator has, in a professional
2180capacity, previously represented either party or a
2181representative of either party, in the same or a substantially
2182related matter.
2183     3.  The proposed neutral evaluator has, in a professional
2184capacity, represented another person in the same or a
2185substantially related matter and that person's interests are
2186materially adverse to the interests of the parties. The term
2187"substantially related matter" means participation by the
2188neutral evaluator on the same claim, property, or adjacent
2189property.
2190     4.  The proposed neutral evaluator has, within the
2191preceding 5 years, worked as an employer or employee of any
2192party to the case.
2193     (b)  The parties shall appoint a neutral evaluator from the
2194department list and promptly inform the department. If the
2195parties cannot agree to a neutral evaluator within 14 days, the
2196department shall appoint a neutral evaluator from the list of
2197certified neutral evaluators. The department shall allow each
2198party to disqualify two neutral evaluators without cause. Upon
2199selection or appointment, the department shall promptly refer
2200the request to the neutral evaluator.
2201     (c)  Within 7 5 business days after the referral, the
2202neutral evaluator shall notify the policyholder and the insurer
2203of the date, time, and place of the neutral evaluation
2204conference. The conference may be held by telephone, if feasible
2205and desirable. The neutral evaluator shall hold the neutral
2206evaluation conference shall be held within 90 45 days after the
2207receipt of the request by the department. Failure of the neutral
2208evaluator to hold the conference within 90 days does not
2209invalidate either party's right to neutral evaluation or to a
2210neutral evaluation conference held outside this timeframe.
2211     (8)  The department shall adopt rules of procedure for the
2212neutral evaluation process.
2213     (8)(9)  For policyholders not represented by an attorney, a
2214consumer affairs specialist of the department or an employee
2215designated as the primary contact for consumers on issues
2216relating to sinkholes under s. 20.121 shall be available for
2217consultation to the extent that he or she may lawfully do so.
2218     (9)(10)  Evidence of an offer to settle a claim during the
2219neutral evaluation process, as well as any relevant conduct or
2220statements made in negotiations concerning the offer to settle a
2221claim, is inadmissible to prove liability or absence of
2222liability for the claim or its value, except as provided in
2223subsection (14) (13).
2224     (10)(11)  Regardless of when noticed, any court proceeding
2225related to the subject matter of the neutral evaluation shall be
2226stayed pending completion of the neutral evaluation and for 5
2227days after the filing of the neutral evaluator's report with the
2228court.
2229     (11)  If, based upon his or her professional training and
2230credentials, a neutral evaluator is qualified to determine only
2231disputes relating to causation or method of repair, the
2232department shall allow the neutral evaluator to enlist the
2233assistance of another professional from the list of neutral
2234evaluators not previously stricken, who, based upon his or her
2235professional training and credentials, is able to provide an
2236opinion as to other disputed issues. A professional who would be
2237disqualified for any reason listed in subsection (7) must be
2238disqualified. The neutral evaluator may also use the services of
2239professional engineers and professional geologists who are not
2240certified as neutral evaluators, as well as licensed building
2241contractors, in order to ensure that all items in dispute are
2242addressed and the neutral evaluation can be completed. Any
2243professional engineer, professional geologist, or licensed
2244building contractor retained may be disqualified for any of the
2245reasons listed in subsection (7).
2246     (12)  At For matters that are not resolved by the parties
2247at the conclusion of the neutral evaluation, the neutral
2248evaluator shall prepare a report describing all matters that are
2249the subject of the neutral evaluation, including whether,
2250stating that in his or her opinion the sinkhole loss has been
2251verified or eliminated within a reasonable degree of
2252professional probability and, if verified, whether the sinkhole
2253activity caused structural damage to the covered building, and
2254if so, the need for and estimated costs of stabilizing the land
2255and any covered structures or buildings and other appropriate
2256remediation or necessary building structural repairs due to the
2257sinkhole loss. The evaluator's report shall be sent to all
2258parties in attendance at the neutral evaluation and to the
2259department, within 14 days after completing the neutral
2260evaluation conference.
2261     (13)  The recommendation of the neutral evaluator is not
2262binding on any party, and the parties retain access to the
2263court. The neutral evaluator's written recommendation is
2264admissible in any subsequent action or proceeding relating to
2265the claim or to the cause of action giving rise to the claim.
2266     (14)  If the neutral evaluator first verifies the existence
2267of a sinkhole that caused structural damage and, second,
2268recommends the need for and estimates costs of stabilizing the
2269land and any covered structures or buildings and other
2270appropriate remediation or building structural repairs, which
2271costs exceed the amount that the insurer has offered to pay the
2272policyholder, the insurer is liable to the policyholder for up
2273to $2,500 in attorney's fees for the attorney's participation in
2274the neutral evaluation process. For purposes of this subsection,
2275the term "offer to pay" means a written offer signed by the
2276insurer or its legal representative and delivered to the
2277policyholder within 10 days after the insurer receives notice
2278that a request for neutral evaluation has been made under this
2279section.
2280     (15)  If the insurer timely agrees in writing to comply and
2281timely complies with the recommendation of the neutral
2282evaluator, but the policyholder declines to resolve the matter
2283in accordance with the recommendation of the neutral evaluator
2284pursuant to this section:
2285     (a)  The insurer is not liable for extracontractual damages
2286related to a claim for a sinkhole loss but only as related to
2287the issues determined by the neutral evaluation process. This
2288section does not affect or impair claims for extracontractual
2289damages unrelated to the issues determined by the neutral
2290evaluation process contained in this section; and
2291     (b)  The insurer is not liable for attorney's fees under s.
2292627.428 or other provisions of the insurance code unless the
2293policyholder obtains a judgment that is more favorable than the
2294recommendation of the neutral evaluator.
2295     (16)  Neutral evaluators are deemed to be agents of the
2296department and have immunity from suit as provided in s. 44.107.
2297     (17)  The department shall adopt rules of procedure for the
2298neutral evaluation process.
2299     Section 24.  Subsection (8) of section 627.711, Florida
2300Statutes, is amended to read:
2301     627.711  Notice of premium discounts for hurricane loss
2302mitigation; uniform mitigation verification inspection form.-
2303     (8)  At its expense, the insurer may require that any
2304uniform mitigation verification form provided by a policyholder,
2305policyholder's agent, an authorized mitigation inspector, or
2306inspection company be independently verified by an inspector, an
2307inspection company, or an independent third-party quality
2308assurance provider which does possess a quality assurance
2309program before prior to accepting the uniform mitigation
2310verification form as valid.
2311     Section 25.  Subsection (3) of section 631.54, Florida
2312Statutes, is amended to read:
2313     631.54  Definitions.-As used in this part:
2314     (3)  "Covered claim" means an unpaid claim, including one
2315of unearned premiums, which arises out of, and is within the
2316coverage, and not in excess of, the applicable limits of an
2317insurance policy to which this part applies, issued by an
2318insurer, if such insurer becomes an insolvent insurer and the
2319claimant or insured is a resident of this state at the time of
2320the insured event or the property from which the claim arises is
2321permanently located in this state. For entities other than
2322individuals, the residence of a claimant, insured, or
2323policyholder is the state in which the entity's principal place
2324of business is located at the time of the insured event. The
2325term does "Covered claim" shall not include:
2326     (a)  Any amount due any reinsurer, insurer, insurance pool,
2327or underwriting association, sought directly or indirectly
2328through a third party, as subrogation, contribution,
2329indemnification, or otherwise; or
2330     (b)  Any claim that would otherwise be a covered claim
2331under this part that has been rejected by any other state
2332guaranty fund on the grounds that an insured's net worth is
2333greater than that allowed under that state's guaranty law.
2334Member insurers shall have no right of subrogation,
2335contribution, indemnification, or otherwise, sought directly or
2336indirectly through a third party, against the insured of any
2337insolvent member; or
2338     (c)  Any amount payable for a sinkhole loss other than
2339testing deemed appropriate by the association or payable for the
2340actual repair of the loss, except that the association may not
2341pay for attorney's fees or public adjuster's fees in connection
2342with a sinkhole loss or pay the policyholder. The association
2343may pay for actual repairs to the property, but is not liable
2344for amounts in excess of policy limits.
2345     Section 26.  If any provision of this act, or the
2346application thereof to any person or circumstance is held
2347invalid, such invalidity shall not affect other provisions or
2348applications of this act which can be given effect without the
2349invalid provision or application. It is the express intent of
2350the Legislature to enact multiple important, but independent,
2351reforms to Florida law relating to sinkhole insurance coverage
2352and related claims. The Legislature further intends that the
2353multiple reforms in the act could and should be enforced if one
2354or more provisions are held invalid. To this end, the provisions
2355of this act are declared to be severable.
2356     Section 27.  Except as otherwise expressly provided in this
2357act, this act shall take effect upon becoming a law.


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