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House Bill 1943

Florida House of Representatives - 1997 HB 1943 By Representatives Mackenzie and Bainter 1 A bill to be entitled 2 An act relating to insurance; requiring certain 3 insurers to file reports concerning their risk 4 based capital; requiring the Department of 5 Insurance to request such reports under certain 6 circumstances; providing for hearings; 7 providing definitions and reporting 8 requirements; requiring certain insurers to 9 file reports of material transactions 10 concerning their assets or their ceded 11 reinsurance agreements; providing definitions 12 and reporting requirements; prescribing 13 authority of the Department of Insurance with 14 respect to such reports; amending s. 624.3161, 15 F.S.; deleting a limitation on frequency of 16 certain market conduct examinations; amending 17 s. 624.424, F.S.; increasing the time 18 limitation on insurers using certain accounting 19 services for certain purposes; amending ss. 20 625.121 and 627.476, F.S.; authorizing 21 insurance companies to use alternative 22 mortality tables for certain purposes; amending 23 ss. 627.4555 and 627.5045, F.S.; revising 24 provisions requiring notice to policyowners and 25 secondary addressees of impending lapse of 26 certain insurance policies under certain 27 circumstances; providing procedures; providing 28 application; amending s. 628.801, F.S.; 29 updating a reference for certain purposes; 30 providing effective dates. 31 1 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 Be It Enacted by the Legislature of the State of Florida: 2 3 Section 1. Risk based capital requirements for 4 insurers.-- 5 (1) As used in this section, the term: 6 (a) "Adjusted risk based capital report" means a risk 7 based capital report that has been adjusted by the department 8 in accordance with this section. 9 (b) "Authorized control level risk based capital" 10 means the number determined under the risk based capital 11 formula in the risk based capital instructions. 12 (c) "Company action level risk based capital" means 13 the product of 2.0 and an insurer's authorized control level 14 risk based capital. 15 (d) "Corrective order" means an order issued by the 16 department specifying corrective actions that the department 17 has determined are required. 18 (e) "Department" means the Department of Insurance. 19 (f) "Domestic insurer" means any insurer domiciled in 20 this state. 21 (g) "Foreign insurer" means any insurer that is 22 authorized or eligible to do business in this state but that 23 is not domiciled in this state. 24 (h) "Life and health insurer" means any insurer 25 authorized or eligible under the Florida Insurance Code to 26 underwrite life or health insurance. The term includes a 27 property and casualty insurer that writes accident and health 28 insurance only. 29 (i) "Mandatory control level risk based capital" means 30 the product of 0.70 and the authorized control level risk 31 based capital. 2 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 (j) "Negative trend" means, with respect to a life and 2 health insurer, a negative trend over a period of time, as 3 determined in accordance with the trend test calculation 4 included in the risk based capital instructions. 5 (k) "Property and casualty insurer" means any insurer 6 licensed under the Florida Insurance Code, but does not 7 include a single-line mortgage guaranty insurer, financial 8 guaranty insurer, or title insurer or a life and health 9 insurer. 10 (l) "Regulatory action level risk based capital" means 11 the product of 1.5 and an insurer's authorized control level 12 risk based capital. 13 (m) "Revised risk based capital plan" means the 14 revision of the risk based capital plan which is prepared by 15 an insurer after the department rejects the original plan. 16 (n) "Risk based capital instructions" means the 17 instructions for preparing a risk based capital report as 18 adopted by the National Association of Insurance 19 Commissioners. 20 (o) "Risk based capital level" means an insurer's 21 company action level risk based capital, regulatory action 22 level risk based capital, authorized control level risk based 23 capital, or mandatory control level risk based capital. 24 (p) "Risk based capital plan" means a comprehensive 25 financial plan specified in paragraph (4)(b). 26 (q) "Risk based capital report" means the report 27 required in subsection (2). 28 (r) "Total adjusted capital" means the sum of: 29 1. An insurer's statutory capital and surplus; and 30 2. Any other item required by the risk based capital 31 instructions. 3 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 (2)(a) Each domestic insurer that is subject to this 2 section shall, on or before March 1 of each year, prepare and 3 file with the National Association of Insurance Commissioners 4 a report of its risk based capital levels as of the end of the 5 calendar year just ended, in a form and containing the 6 information required in the risk based capital instructions. 7 In addition, each domestic insurer shall file a printed copy 8 of its risk based capital report: 9 1. With the department on or before March 1 of each 10 year. 11 2. With the insurance department in any other state in 12 which the insurer is authorized to do business, if that 13 department has notified the insurer of its request in writing, 14 in which case the insurer shall file its risk based capital 15 report not later than the later of: 16 a. Fifteen days after the receipt of notice to file 17 its risk based capital report with that state; or 18 b. March 1. 19 (b) The comparison of an insurer's total adjusted 20 capital to any of its risk-based capital levels is a 21 regulatory tool which may indicate the need for possible 22 corrective action with respect to the insurer and, except as 23 otherwise required under this section, the making, publishing, 24 disseminating, circulating, or placing before the public, or 25 causing, directly or indirectly, to be made, published, 26 disseminated, circulated, or placed before the public in a 27 newspaper, magazine, or other publication, or in the form of a 28 notice, circular, pamphlet, letter, or poster or over any 29 radio or television station, or in any other way, an 30 advertisement, announcement, or statement containing an 31 assertion, representation, or statement with regard to the 4 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 risk-based capital levels of any insurer, or of any component 2 derived in the calculation, by any insurer, agent, broker, or 3 other person engaged in any manner in the insurance business, 4 would be misleading and is therefore prohibited, provided, if 5 any materially false statement with respect to the comparison 6 regarding an insurer's total adjusted capital to its 7 risk-based capital levels or an inappropriate comparison of 8 any other amount to the insurer's risk-based capital levels is 9 published in any written publication and the insurer is able 10 to demonstrate to the commissioner with substantial proof the 11 falsity or inappropriateness of such statement, the insurer 12 may publish an announcement in a written publication if the 13 sole purpose of the announcement is to rebut the materially 14 false or inappropriate statement. 15 (c) The department shall use the risk based capital 16 instructions, risk based capital reports, adjusted risk based 17 capital reports, risk based capital plans, and revised risk 18 based capital plans solely for monitoring the solvency of 19 insurers and assessing the need for corrective action with 20 respect to insurers. The department may not use that 21 information for ratemaking, as evidence in any rate 22 proceeding, or for calculating or deriving any elements of an 23 appropriate premium level or rate of return for any line of 24 insurance which an insurer or an affiliate of such insurer is 25 authorized to write. 26 (d) A life and health insurer's risk based capital is 27 determined in accordance with the formula set forth in the 28 risk based capital instructions. The formula takes into 29 account and may adjust for the covariance between: 30 1. The risk with respect to the insurer's assets; 31 5 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 2. The risk of adverse insurance experience with 2 respect to the insurer's liabilities and obligations; 3 3. The interest rate risk with respect to the 4 insurer's business; and 5 4. Any other business or other relevant risk set out 6 in the risk based capital instructions, 7 8 determined in each case by applying the factors in the manner 9 set forth in the risk based capital instructions. 10 (e) A property and casualty insurer's risk based 11 capital is determined in accordance with the formula set forth 12 in the risk based capital instructions. The formula takes 13 into account and may adjust for the covariance between: 14 1. The asset risk; 15 2. The credit risk; 16 3. The underwriting risk; and 17 4. Any other business or other relevant risk set out 18 in the risk based capital instructions, 19 20 determined in each case by applying the factors in the manner 21 set forth in the risk based capital instructions. 22 (f) The Legislature finds that an excess of capital 23 over the amount produced by the risk based capital 24 requirements and the formulas, schedules, and instructions 25 specified in this section is a desirable goal with respect to 26 the business of insurance. Accordingly, insurers should seek 27 to maintain capital above the risk based capital levels 28 required by this section. Additional capital is used and 29 useful in the insurance business and helps to secure an 30 insurer against various risks inherent in, or affecting, the 31 business of insurance and not accounted for or only partially 6 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 measured by the risk based capital requirements contained in 2 this section. 3 (g) If a domestic insurer files a risk based capital 4 report that the department finds is inaccurate, the department 5 shall adjust the risk based capital report to correct the 6 inaccuracy and shall notify the insurer of the adjustment. 7 The notice must state the reason for the adjustment. A risk 8 based capital report that is so adjusted is referred to as the 9 adjusted risk based capital report. The adjusted risk based 10 capital report must also be filed by the insurer with the 11 National Association of Insurance Commissioners. 12 (3)(a) A company action level event includes: 13 1. The filing of a risk based capital report by an 14 insurer which indicates that: 15 a. The insurer's total adjusted capital is greater 16 than or equal to its regulatory action level risk based 17 capital but less than its company action level risk based 18 capital; or 19 b. If a life and health insurer, the insurer has total 20 adjusted capital that is greater than or equal to its company 21 action level risk based capital, but is less than the product 22 of its authorized control level risk based capital and 2.5, 23 and has a negative trend; 24 2. The notification by the department to the insurer 25 of an adjusted risk based capital report that indicates an 26 event in subparagraph 1., unless the insurer challenges the 27 adjusted risk based capital report under subsection (7); or 28 3. If, under subsection (7), an insurer challenges an 29 adjusted risk based capital report that indicates an event in 30 subparagraph 1., the notification by the department to the 31 7 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 insurer that the department has, after a hearing, rejected the 2 insurer's challenge. 3 (b) If a company action level event occurs, the 4 insurer shall prepare and submit to the department a risk 5 based capital plan, which must: 6 1. Identify the conditions that contribute to the 7 company action level event; 8 2. Contain proposals of corrective actions that the 9 insurer intends to take and that are reasonably expected to 10 result in the elimination of the company action level event; 11 3. Provide projections of the insurer's financial 12 results in the current year and at least the 4 succeeding 13 years, both in the absence of proposed corrective actions and 14 giving effect to the proposed corrective actions, including 15 projections of statutory operating income, net income, 16 capital, and surplus. The projections for both new and 17 renewal business may include separate projections for each 18 major line of business and, if separate projections are 19 provided, must separately identify each significant income, 20 expense, and benefit component; 21 4. Identify the key assumptions affecting the 22 insurer's projections and the sensitivity of the projections 23 to the assumptions; and 24 5. Identify the quality of, and problems associated 25 with, the insurer's business, including, but not limited to, 26 its assets, anticipated business growth and associated surplus 27 strain, extraordinary exposure to risk, mix of business, and 28 any use of reinsurance. 29 (c) The risk based capital plan must be submitted: 30 1. Within 45 days after the company action level 31 event; or 8 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 2. If the insurer challenges an adjusted risk based 2 capital report under subsection (7), within 45 days after 3 notification to the insurer that the department has, after a 4 hearing, rejected the insurer's challenge. 5 (d) Within 60 days after the submission by an insurer 6 of a risk based capital plan to the department, the department 7 shall notify the insurer whether the risk based capital plan 8 must be implemented or is, in the judgment of the department, 9 unsatisfactory. If the department determines that the risk 10 based capital plan is unsatisfactory, the notification to the 11 insurer must set forth the reasons for the determination and 12 may set forth proposed revisions. Upon notification from the 13 department, the insurer shall prepare a revised risk based 14 capital plan, which may incorporate by reference any revisions 15 proposed by the department, and shall submit the revised risk 16 based capital plan to the department: 17 1. Within 45 days after the notification from the 18 department; or 19 2. If the insurer challenges the notification from the 20 department under subsection (7), within 45 days after a 21 notification to the insurer that the department has, after a 22 hearing, rejected the insurer's challenge. 23 (e) If the department notifies an insurer that the 24 insurer's risk based capital plan or revised risk based 25 capital plan is unsatisfactory, the department may, at its 26 discretion and subject to the insurer's right to a hearing 27 under subsection (7), specify in the notification that the 28 notification is a regulatory action level event. 29 (f) Each domestic insurer that files a risk based 30 capital plan or a revised risk based capital plan with the 31 department shall file a copy of the risk based capital plan or 9 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 the revised risk based capital plan with the insurance 2 department in any other state in which the insurer is 3 authorized to do business if: 4 1. That state has a risk based capital law that is 5 substantially similar to paragraph (8)(a); and 6 2. The insurance department of that state has notified 7 the insurer of its request for the filing in writing, in which 8 case the insurer shall file a copy of the risk based capital 9 plan or the revised risk based capital plan in that state no 10 later than the later of: 11 a. Fifteen days after the receipt of notice to file a 12 copy of its risk based capital plan or revised risk based 13 capital plan with the state; or 14 b. The date on which the risk based capital plan or 15 the revised risk based capital plan is filed under paragraph 16 (c) or paragraph (d). 17 (4)(a) A regulatory action level event includes: 18 1. The filing of a risk based capital report by the 19 insurer which indicates that the insurer's total adjusted 20 capital is greater than or equal to its authorized control 21 level risk based capital but is less than its regulatory 22 action level risk based capital; 23 2. The notification by the department to the insurer 24 of an adjusted risk based capital report that indicates the 25 event described in subparagraph 1., unless the insurer 26 challenges the adjusted risk based capital report under 27 subsection (7); 28 3. If, under subsection (7), the insurer challenges an 29 adjusted risk based capital report that indicates the event 30 described in subparagraph 1., the notification by the 31 10 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 department to the insurer that the department has, after a 2 hearing, rejected the insurer's challenge; 3 4. The failure of the insurer to file a risk based 4 capital report by the filing date, unless the insurer provides 5 an explanation for such failure which is satisfactory to the 6 department and cures the failure within 10 days after the 7 filing date; 8 5. The failure of the insurer to submit a risk based 9 capital plan to the department within the time period set 10 forth in paragraph (3)(c); 11 6. Notification by the department to the insurer that: 12 a. The risk based capital plan or the revised risk 13 based capital plan submitted by the insurer is, in the 14 judgment of the department, unsatisfactory; and 15 b. This notification constitutes a regulatory action 16 level event with respect to the insurer, unless the insurer 17 challenges the determination under subsection (7); 18 7. If, under subsection (7), the insurer challenges a 19 determination by the department under subparagraph 6., the 20 notification by the department to the insurer that the 21 department has, after a hearing, rejected the challenge; 22 8. Notification by the department to the insurer that 23 the insurer has failed to adhere to its risk based capital 24 plan or revised risk based capital plan, but only if this 25 failure has a substantial adverse effect on the ability of the 26 insurer to eliminate the company action level event in 27 accordance with its risk based capital plan or revised risk 28 based capital plan and the department has so stated in the 29 notification, unless the insurer challenges the determination 30 under subsection (7); or 31 11 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 9. If, under subsection (7), the insurer challenges a 2 determination by the department under subparagraph 8., the 3 notification by the department to the insurer that the 4 department has, after a hearing, rejected the challenge. 5 (b) If a regulatory action level event occurs, the 6 department shall: 7 1. Require the insurer to prepare and submit a risk 8 based capital plan or, if applicable, a revised risk based 9 capital plan; 10 2. Perform an examination pursuant to section 624.316, 11 Florida Statutes, or an analysis as the department considers 12 necessary of the assets, liabilities, and operations of the 13 insurer, including a review of the risk based capital plan or 14 the revised risk based capital plan; and 15 3. After the examination or analysis, issue a 16 corrective order specifying such corrective actions as the 17 department determines are required. 18 (c) In determining corrective actions, the department 19 shall consider any factor relevant to the insurer based upon 20 the department's examination or analysis of the assets, 21 liabilities, and operations of the insurer, including, but not 22 limited to, the results of any sensitivity tests undertaken as 23 provided in the risk based capital instructions. The risk 24 based capital plan or the revised risk based capital plan must 25 be submitted: 26 1. Within 45 days after the occurrence of the 27 regulatory action level event; 28 2. If the insurer challenges an adjusted risk based 29 capital report under subsection (7), within 45 days after the 30 notification to the insurer that the department has, after a 31 hearing, rejected the insurer's challenge; or 12 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 3. If the insurer challenges a revised risk based 2 capital plan under subsection (7), within 45 days after the 3 notification to the insurer that the department has, after a 4 hearing, rejected the insurer's challenge. 5 (d) The department may retain actuaries, investment 6 experts, and other consultants to review an insurer's risk 7 based capital plan or revised risk based capital plan, examine 8 or analyze the assets, liabilities, and operations of an 9 insurer, and formulate the corrective order with respect to 10 the insurer. The fees, costs, and expenses relating to 11 consultants must be borne by the affected insurer or by any 12 other party as directed by the department. 13 (5)(a) An authorized control level event includes: 14 1. The filing of a risk based capital report by the 15 insurer which indicates that the insurer's total adjusted 16 capital is greater than or equal to its mandatory control 17 level risk based capital but is less than its authorized 18 control level risk based capital; 19 2. The notification by the department to the insurer 20 of an adjusted risk based capital report that indicates the 21 event in subparagraph 1., unless the insurer challenges the 22 adjusted risk based capital report under subsection (7); 23 3. If, under subsection (7), the insurer challenges an 24 adjusted risk based capital report that indicates the event in 25 subparagraph 1., notification by the department to the insurer 26 that the department has, after a hearing, rejected the 27 insurer's challenge; 28 4. The failure of the insurer to respond, in a manner 29 satisfactory to the department, to a corrective order, unless 30 the insurer challenges the corrective order under subsection 31 (7); or 13 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 5. If the insurer challenges a corrective order under 2 subsection (7) and the department has, after a hearing, 3 rejected the challenge or modified the corrective order, the 4 failure of the insurer to respond, in a manner satisfactory to 5 the department, to the corrective order after rejection or 6 modification by the department. 7 (b) If an authorized control level event occurs, the 8 department shall: 9 1. Take any action required under subsection (4) 10 regarding the insurer with respect to which a regulatory 11 action level event has occurred; or 12 2. If the department considers it to be in the best 13 interests of the policyholders and creditors of the insurer 14 and of the public, take any action as necessary to cause the 15 insurer to be placed under regulatory control under chapter 16 631, Florida Statutes. An authorized control level event is 17 sufficient ground for the department to be appointed as 18 receiver as provided in chapter 631, Florida Statutes. 19 (6)(a) A mandatory control level event includes: 20 1. The filing of a risk based capital report that 21 indicates that the insurer's total adjusted capital is less 22 than its mandatory control level risk based capital; 23 2. Notification by the department to the insurer of an 24 adjusted risk based capital report that indicates the event in 25 subparagraph 1., unless the insurer challenges the adjusted 26 risk based capital report under subsection (7); or 27 3. If, under subsection (7), the insurer challenges an 28 adjusted risk based capital report that indicates the event in 29 subparagraph 1., notification by the department to the insurer 30 that the department has, after a hearing, rejected the 31 insurer's challenge. 14 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 (b) If a mandatory control level event occurs: 2 1. With respect to a life and health insurer, the 3 department shall, after due consideration of s. 624.408, 4 Florida Statutes, take any action necessary to place the 5 insurer under regulatory control, including any remedy 6 available under chapter 631, Florida Statutes. A mandatory 7 control level event is sufficient ground for the department to 8 be appointed as receiver as provided in chapter 631, Florida 9 Statutes. The department may forego taking action for up to 10 90 days after the mandatory control level event if the 11 department finds there is a reasonable expectation that the 12 mandatory control level event may be eliminated within the 13 90-day period. 14 2. With respect to a property and casualty insurer, 15 the department shall, after due consideration of s. 624.408, 16 Florida Statutes, take any action necessary to place the 17 insurer under regulatory control, including any remedy 18 available under chapter 631, Florida Statutes, or, in the case 19 of an insurer that is not writing new business, may allow the 20 insurer to continue to operate under the supervision of the 21 department. In either case, the mandatory control level event 22 is sufficient ground for the department to be appointed as 23 receiver as provided in chapter 631, Florida Statutes. The 24 department may forego taking action for up to 90 days after 25 the mandatory control level event if the department finds 26 there is a reasonable expectation that the mandatory control 27 level event will be eliminated within the 90-day period. 28 (7)(a) An insurer has a right to a hearing before the 29 department upon: 30 1. Notification to an insurer by the department of an 31 adjusted risk based capital report; 15 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 2. Notification to an insurer by the department that 2 the insurer's risk based capital plan or revised risk based 3 capital plan is unsatisfactory, and that the notification 4 constitutes a regulatory action level event with respect to 5 such insurer; 6 3. Notification to any insurer by the department that 7 the insurer has failed to adhere to its risk based capital 8 plan or revised risk based capital plan and that the failure 9 has a substantial adverse effect on the ability of the insurer 10 to eliminate the company action level event in accordance with 11 its risk based capital plan or its revised risk based capital 12 plan; or 13 4. Notification to an insurer by the department of a 14 corrective order with respect to the insurer. 15 (b) At such hearing the insurer may challenge any 16 determination or action by the department. The insurer shall 17 notify the department of its request for a hearing within 5 18 days after receipt of the notification by the department under 19 this subsection. Upon receipt of the request for a hearing, 20 the department shall set a date for the hearing, which date 21 must be no less than 10 nor more than 30 days after the date 22 the department receives the insurer's request. The hearing 23 must be conducted as provided in section 624.324, Florida 24 Statutes, with the right to appellate review under section 25 120.68, Florida Statutes. 26 (8)(a) Any foreign insurer shall, upon the written 27 request of the department, submit to the department a risk 28 based capital report, as of the end of the calendar year just 29 ended, no later than the later of: 30 1. The date a risk based capital report is required to 31 be filed by a domestic insurer under this section; or 16 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 2. Fifteen days after the request is received by the 2 foreign insurer. 3 (b) Any foreign insurer shall, upon the written 4 request of the department, promptly submit to the department a 5 copy of any risk based capital plan that is filed with the 6 insurance department of another state. 7 (c) The department may require a foreign insurer to 8 file a risk based capital plan if: 9 1. A company action level event, regulatory action 10 level event, or authorized control level event occurs with 11 respect to any foreign insurer as determined under the risk 12 based capital law of the state of domicile of the insurer, or, 13 if there is no risk based capital law in that state, under 14 this section. 15 2. The insurance department of the state of domicile 16 of the foreign insurer fails to require the foreign insurer to 17 file a risk based capital plan in the manner specified under 18 the risk based capital law of that state, or, if there is no 19 risk based capital law in that state, under subsection (3). 20 21 The failure of the foreign insurer to file a risk based 22 capital plan with the department when required under this 23 paragraph is a ground for the department to take any action 24 under section 624.418, Florida Statutes, which it determines 25 is necessary. 26 (d) If a mandatory control level event occurs with 27 respect to any foreign insurer and a domiciliary receiver has 28 not been appointed with respect to the foreign insurer under 29 the rehabilitation and liquidation law of the state of 30 domicile of the foreign insurer, the department may apply to 31 the Circuit Court of Leon County and such event constitutes 17 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 grounds for the department to be appointed as receiver as 2 provided in chapter 631, Florida Statutes, with respect to the 3 liquidation of property of foreign insurers found in this 4 state. The occurrence of a mandatory control level event is a 5 ground for such application. 6 (9) There shall be no liability on the part of, and no 7 cause of action shall arise against, the commissioner, the 8 department, or its employees or agents for any action taken by 9 them in the performance of their powers and duties under this 10 section. 11 (10) The department shall transmit any notice that may 12 result in regulatory action by registered mail, certified 13 mail, or any other method of transmission. Notice is 14 effective when the insurer receives it. 15 (11) For the purposes of the risk based capital 16 reports required to be filed by life and health insurers with 17 respect to their 1997 annual statement data and the risk based 18 capital reports required to be filed by property and casualty 19 insurers with respect to their 1997 annual statement data, the 20 following requirements apply in lieu of the provisions of 21 subsections (3), (4), (5), and (6): 22 (a) If a company action level event occurs with 23 respect to a domestic insurer, the department may not take any 24 regulatory action. 25 (b) If a regulatory action level event occurs under 26 subparagraph 1., subparagraph 2., or subparagraph 3. of 27 paragraph (4)(a), the department shall take the actions 28 required under subsection (3). 29 (c) If a regulatory action level event occurs under 30 subparagraph 4., subparagraph 5., subparagraph 6., 31 subparagraph 7., subparagraph 8., or subparagraph 9. of 18 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 paragraph (4)(a), or an authorized control level event occurs, 2 the department shall take the actions required under 3 subsection (4). 4 (d) If a mandatory control level event occurs with 5 respect to an insurer, the department shall take the actions 6 required under subsection (5). 7 (12) This section is supplemental to the other laws of 8 this state and does not preclude or limit any power or duty of 9 the department under those laws or under the rules adopted 10 under those laws. 11 (13) This section does not apply to a domestic 12 property and casualty insurer that meets all of the following 13 conditions: 14 (a) Writes direct business only in this state; 15 (b) Writes direct annual premiums of $2 million or 16 less; and 17 (c) Assumes no reinsurance in excess of 5 percent of 18 direct premium written. 19 (14) The department may adopt rules to administer this 20 section, including, but not limited to, those regarding risk 21 based capital reports, adjusted risk based capital reports, 22 risk based capital plans, corrective orders and procedures to 23 be followed in the event of a triggering of a company action 24 level event, a regulatory action level event, an authorized 25 control level event, or a mandatory control level event. 26 Section 2. Assets of insurers; reporting 27 requirements.-- 28 (1) As used in this section, the term: 29 (a) "Material acquisition of assets" or "material 30 disposition of assets" means one or more transactions 31 occurring during any 30-day period which are nonrecurring and 19 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 not in the ordinary course of business and involve more than 5 2 percent of the reporting insurer's total admitted assets as 3 reported in its more recent statutory statement filed with the 4 insurance department of the insurer's state of domicile. 5 (b) "Material nonrenewal, cancellation, or revision of 6 a ceded reinsurance agreement" is one that affects: 7 1. With respect to property and casualty business, 8 including accident and health business written by a property 9 and casualty insurer: 10 a. More than 50 percent of the insurer's total ceded 11 written premium; or 12 b. More than 50 percent of the insurer's total ceded 13 indemnity and loss-adjustment reserves. 14 2. With respect to life, annuity, and accident and 15 health business, more than 50 percent of the total reserve 16 credit taken for business ceded, on an annualized basis, as 17 indicated in the insurer's most recent annual statement. 18 3. With respect to property and casualty business or 19 life, annuity, and accident and health business, a material 20 revision includes: 21 a. The replacement of an authorized reinsurer 22 representing more than 10 percent of a total cession by one or 23 more unauthorized reinsurers; or 24 b. The reduction or waiver, with respect to one or 25 more unauthorized insurers, of previously established 26 collateral requirements representing more than 10 percent of a 27 total cession. 28 (2) Each domestic insurer shall file a report with the 29 Department of Insurance disclosing a material acquisition of 30 assets, a material disposition of assets, or a material 31 nonrenewal, cancellation, or revision of a ceded reinsurance 20 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 agreement, unless the material acquisition or disposition of 2 assets or the material nonrenewal, cancellation, or revision 3 of a ceded reinsurance agreement has been submitted to the 4 department for review, approval, or informational purposes 5 under another section of the Florida Insurance Code or a rule 6 adopted thereunder. A copy of the report and each exhibit or 7 other attachment must be filed by the insurer with the 8 National Association of Insurance Commissioners. The report 9 required in this section is due within 15 days after the end 10 of the calendar month in which the transaction occurs. 11 (3) An immaterial acquisition or disposition of assets 12 need not be reported under this section. 13 (4)(a) Acquisitions of assets which are subject to 14 this section include each purchase, lease, exchange, merger, 15 consolidation, succession, or other acquisition of assets. 16 Asset acquisitions for the construction or development of real 17 property by or for the reporting insurer and the acquisition 18 of construction materials for this purpose are not subject to 19 this section. 20 (b) Dispositions of assets which are subject to this 21 section include each sale, lease, exchange, merger, 22 consolidation, mortgage, hypothecation, assignment for the 23 benefit of a creditor or otherwise, abandonment, destruction, 24 or other disposition of assets. 25 (5)(a) The following information must be disclosed in 26 any report of a material acquisition or disposition of assets: 27 1. The date of the transaction; 28 2. The manner of acquisition or disposition; 29 3. The description of the assets involved; 30 4. The nature and amount of the consideration given or 31 received; 21 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 5. The purpose of, or reason for, the transaction; 2 6. The manner by which the amount of consideration was 3 determined; 4 7. The gain or loss recognized or realized as a result 5 of the transaction; and 6 8. The name of the person from whom the assets were 7 acquired or to whom they were disposed. 8 (b) Insurers must report material acquisitions or 9 dispositions on a nonconsolidated basis unless the insurer is 10 part of a consolidated group of insurers which uses a pooling 11 arrangement or a 100-percent reinsurance agreement that 12 affects the solvency and integrity of the insurer's reserves 13 and the insurer has ceded substantially all of its direct and 14 assumed business to the pool. An insurer is deemed to have 15 ceded substantially all of its direct and assumed business to 16 a pool if the insurer has less than $1 million in total direct 17 and assumed written premiums during a calendar year which are 18 not subject to a pooling arrangement and if the net income of 19 the business which is not subject to the pooling arrangement 20 represents less than 5 percent of the insurer's capital and 21 surplus. 22 (6) The nonrenewal, cancellation, or revision of a 23 ceded reinsurance agreement need not be reported if the 24 renewal or the revision is not material or if: 25 (a) With respect to property and casualty business, 26 including accident and health business written by a property 27 and casualty insurer, the insurer's total ceded written 28 premium represents, on an annualized basis, less than 10 29 percent of its total written premium for direct and assumed 30 business; or 31 22 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 (b) With respect to life, annuity, and accident and 2 health business, the total reserve credit taken for business 3 ceded represents, on an annualized basis, less than 10 percent 4 of the statutory reserve requirement before the cession. 5 (7)(a) The following information must be disclosed in 6 any report of a material nonrenewal, cancellation, or revision 7 of a ceded reinsurance agreement: 8 1. The effective date of the nonrenewal, cancellation, 9 or revision; 10 2. The description of the transaction and the 11 identification of the initiator of the transaction; 12 3. The purpose of, or reason for, the transaction; and 13 4. If applicable, the identity of each replacement 14 reinsurer. 15 (b) Insurers shall report the material nonrenewal, 16 cancellation, or revision of a ceded reinsurance agreement on 17 a nonconsolidated basis unless the insurer is part of a 18 consolidated group of insurers which uses a pooling 19 arrangement or a 100-percent reinsurance agreement that 20 affects the solvency and integrity of the insurer's reserves 21 and the insurer has ceded substantially all of its direct and 22 assumed business to the pool. An insurer is deemed to have 23 ceded substantially all of its direct and assumed business to 24 a pool if the insurer has less than $1 million in total direct 25 and assumed written premiums during a calendar year which are 26 not subject to a pooling arrangement and if the net income of 27 the business not subject to the pooling arrangement represents 28 less than 5 percent of the insurer's capital and surplus. 29 Section 3. Subsection (1) of section 624.3161, Florida 30 Statutes, is amended to read: 31 624.3161 Market conduct examinations.-- 23 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 (1) As often as it deems necessary, and not less 2 frequently than each 5 years, the department shall examine 3 each licensed rating organization, each advisory organization, 4 each group, association, or other organization of insurers 5 which engages in joint underwriting or joint reinsurance, and 6 each authorized insurer transacting in this state any class of 7 insurance to which the provisions of part I of chapter 627 are 8 applicable. The examination shall be for the purpose of 9 ascertaining compliance by the person examined with the 10 applicable provisions of chapters 624, 626, 627, and 635. 11 Section 4. Paragraph (d) of subsection (8) of section 12 624.424, Florida Statutes, is amended to read: 13 624.424 Annual statement and other information.-- 14 (8) 15 (d) An insurer may not use the same accountant or 16 partner of an accounting firm responsible for preparing the 17 report required by this subsection for more than 7 5 18 consecutive years. Following this period, the insurer may not 19 use such accountant or partner for a period of 2 years, but 20 may use another accountant or partner of the same firm. An 21 insurer may request the department to waive this prohibition 22 based upon an unusual hardship to the insurer and a 23 determination that the accountant is exercising independent 24 judgment that is not unduly influenced by the insurer 25 considering such factors as the number of partners, expertise 26 of the partners or the number of insurance clients of the 27 accounting firm; the premium volume of the insurer; and the 28 number of jurisdictions in which the insurer transacts 29 business. 30 Section 5. Subsection (5) of section 625.121, Florida 31 Statutes, is amended to read: 24 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 625.121 Standard Valuation Law; life insurance.-- 2 (5) MINIMUM STANDARD FOR VALUATION OF POLICIES AND 3 CONTRACTS ISSUED ON OR AFTER OPERATIVE DATE OF STANDARD 4 NONFORFEITURE LAW.-- 5 (a) Except as otherwise provided in subparagraph 8. 6 paragraph (h) and subsections (6), (11), and (14), the minimum 7 standard for the valuation of all such policies and contracts 8 issued on or after the operative date of s. 627.476 (Standard 9 Nonforfeiture Law for Life Insurance) shall be the 10 commissioners' reserve valuation method defined in subsections 11 (7), (11), and (14); 5 percent interest for group annuity and 12 pure endowment contracts and 3.5 percent interest for all 13 other such policies and contracts, or in the case of life 14 insurance policies and contracts, other than annuity and pure 15 endowment contracts, issued on or after July 1, 1973, 4 16 percent interest for such policies issued prior to October 1, 17 1979, and 4.5 percent interest for such policies issued on or 18 after October 1, 1979; and the following tables: 19 1.(a) For all ordinary policies of life insurance 20 issued on the standard basis, excluding any disability and 21 accidental death benefits in such policies: 22 a.1. For policies issued prior to the operative date 23 of s. 627.476(9), the commissioners' 1958 Standard Ordinary 24 Mortality Table; except that, for any category of such 25 policies issued on female risks, modified net premiums and 26 present values, referred to in subsection (7), may be 27 calculated according to an age not more than 6 years younger 28 than the actual age of the insured; and 29 b.2. For policies issued on or after the operative 30 date of s. 627.476(9), the commissioners' 1980 Standard 31 Ordinary Mortality Table or, at the election of the insurer 25 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 for any one or more specified plans of life insurance, the 2 commissioners' 1980 Standard Ordinary Mortality Table with 3 Ten-Year Select Mortality Factors. 4 2.(b) For all industrial life insurance policies 5 issued on the standard basis, excluding any disability and 6 accidental death benefits in such policies: 7 a.1. For policies issued prior to the first date to 8 which the commissioners' 1961 Standard Industrial Mortality 9 Table is applicable according to s. 627.476, the 1941 Standard 10 Industrial Mortality Table; and 11 b.2. For such policies issued on or after that date, 12 the commissioners' 1961 Standard Industrial Mortality Table. 13 3.(c) For individual annuity and pure endowment 14 contracts, excluding any disability and accidental death 15 benefits in such policies, the 1937 Standard Annuity Mortality 16 Table or, at the option of the insurer, the Annuity Mortality 17 Table for 1949, Ultimate, or any modification of either of 18 these tables approved by the department. 19 4.(d) For group annuity and pure endowment contracts, 20 excluding any disability and accidental death benefits in such 21 policies, the Group Annuity Mortality Table for 1951; any 22 modification of such table approved by the department; or, at 23 the option of the insurer, any of the tables or modifications 24 of tables specified for individual annuity and pure endowment 25 contracts. 26 5.(e) For total and permanent disability benefits in 27 or supplementary to ordinary policies or contracts: 28 a.1. For policies or contracts issued on or after 29 January 1, 1966, the tables of period 2 disablement rates and 30 the 1930 to 1950 termination rates of the 1952 disability 31 26 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 study of the Society of Actuaries, with due regard to the type 2 of benefit; 3 b.2. For policies or contracts issued on or after 4 January 1, 1961, and prior to January 1, 1966, either those 5 tables or, at the option of the insurer, the class three 6 disability table (1926); and 7 c.3. For policies issued prior to January 1, 1961, the 8 class three disability table (1926). 9 10 Any such table for active lives shall be combined with a 11 mortality table permitted for calculating the reserves for 12 life insurance policies. 13 6.(f) For accidental death benefits in or 14 supplementary to policies: 15 a.1. For policies issued on or after January 1, 1966, 16 the 1959 Accidental Death Benefits Table; 17 b.2. For policies issued on or after January 1, 1961, 18 and prior to January 1, 1966, either that table or, at the 19 option of the insurer, the Intercompany Double Indemnity 20 Mortality Table; and 21 c.3. For policies issued prior to January 1, 1961, the 22 Intercompany Double Indemnity Mortality Table. 23 24 Either table shall be combined with a mortality table 25 permitted for calculating the reserves for life insurance 26 policies. 27 7.(g) For group life insurance, life insurance issued 28 on the substandard basis, and other special benefits, such 29 tables as may be approved by the department as being 30 sufficient with relation to the benefits provided by such 31 policies. 27 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 8.(h) Except as provided in subsection (6), the 2 minimum standard for the valuation of all individual annuity 3 and pure endowment contracts issued on or after the operative 4 date of this paragraph and for all annuities and pure 5 endowments purchased on or after such operative date under 6 group annuity and pure endowment contracts shall be the 7 commissioners' reserve valuation method defined in subsection 8 (7) and the following tables and interest rates: 9 a.1. For individual annuity and pure endowment 10 contracts issued prior to October 1, 1979, excluding any 11 disability and accidental death benefits in such contracts, 12 the 1971 Individual Annuity Mortality Table, or any 13 modification of this table approved by the department, and 6 14 percent interest for single-premium immediate annuity 15 contracts and 4 percent interest for all other individual 16 annuity and pure endowment contracts. 17 b.2. For individual single-premium immediate annuity 18 contracts issued on or after October 1, 1979, and prior to 19 October 1, 1986, excluding any disability and accidental death 20 benefits in such contracts, the 1971 Individual Annuity 21 Mortality Table, or any modification of this table approved by 22 the department, and 7.5 percent interest. For such contracts 23 issued on or after October 1, 1986, the 1983 Individual Annual 24 Mortality Table, or any modification of such table approved by 25 the department, and the applicable calendar year statutory 26 valuation interest rate as described in subsection (6). 27 c.3. For individual annuity and pure endowment 28 contracts issued on or after October 1, 1979, and prior to 29 October 1, 1986, other than single-premium immediate annuity 30 contracts, excluding any disability and accidental death 31 benefits in such contracts, the 1971 Individual Annuity 28 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 Mortality Table, or any modification of this table approved by 2 the department, and 5.5 percent interest for single-premium 3 deferred annuity and pure endowment contracts and 4.5 percent 4 interest for all other such individual annuity and pure 5 endowment contracts. For such contracts issued on or after 6 October 1, 1986, the 1983 Individual Annual Mortality Table, 7 or any modification of such table approved by the department, 8 and the applicable calendar year statutory valuation interest 9 rate as described in subsection (6). 10 d.4. For all annuities and pure endowments purchased 11 prior to October 1, 1979, under group annuity and pure 12 endowment contracts, excluding any disability and accidental 13 death benefits purchased under such contracts, the 1971 Group 14 Annuity Mortality Table, or any modification of this table 15 approved by the department, and 6 percent interest. 16 e.5. For all annuities and pure endowments purchased 17 on or after October 1, 1979, and prior to October 1, 1986, 18 under group annuity and pure endowment contracts, excluding 19 any disability and accidental death benefits purchased under 20 such contracts, the 1971 Group Annuity Mortality Table, or any 21 modification of this table approved by the department, and 7.5 22 percent interest. For such contracts purchased on or after 23 October 1, 1986, the 1983 Group Annuity Mortality Table, or 24 any modification of such table approved by the department, and 25 the applicable calendar year statutory valuation interest rate 26 as described in subsection (6). 27 28 After July 1, 1973, any insurer may file with the department a 29 written notice of its election to comply with the provisions 30 of this paragraph after a specified date before January 1, 31 1979, which shall be the operative date of this paragraph for 29 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 such insurer. However, an insurer may elect a different 2 operative date for individual annuity and pure endowment 3 contracts from that elected for group annuity and pure 4 endowment contracts. If an insurer makes no such election, 5 the operative date of this paragraph for such insurer shall be 6 January 1, 1979. 7 (b) In lieu of the mortality tables specified in this 8 subsection, and subject to rules adopted by the department, an 9 insurance company: 10 1. May substitute the commissioner's 1958 Standard 11 Ordinary Smoker and Nonsmoker Mortality Table or the 12 commissioner's 1958 Extended Term Insurance Smoker and 13 Nonsmoker Mortality Table, whichever is applicable, in lieu of 14 the commissioner's 1980 Standard Ordinary Mortality Table 15 standards or the commissioner's 1980 Extended Term Insurance 16 Mortality Table standards, for policies issued on or after the 17 effective date of s. 627.476(9)(h)2. and before January 1, 18 1989. 19 2. May substitute the commissioner's 1980 Standard 20 Ordinary Smoker and Nonsmoker Mortality Table or the 21 commissioner's 1980 Extended Term Insurance Smoker and 22 Nonsmoker Mortality Table, whichever is applicable, in lieu of 23 the commissioner's 1980 Standard Ordinary Mortality Table 24 standards or the commissioner's 1980 Extended Term Insurance 25 Mortality Table standards. 26 3. May use the Annuity 2000 Mortality Table on an 27 optional basis for determining the minimum standard of 28 valuation for individual annuity and pure endowment contracts 29 issued on or after the effective date of this section until 30 the department, on a date certain on or after January 1, 1998, 31 30 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 adopts by rule such table for determining the minimum standard 2 for valuation purposes. 3 4. May use the 1994 Group Annuity Reserves Table on an 4 optional basis for determining the minimum standard of 5 valuation for annuities and pure endowments purchased on or 6 after the effective date of this section under group annuity 7 and pure endowment contracts until the department, on a date 8 certain after January 1, 1998, adopts by rule such table for 9 determining the minimum standard for valuation purposes. 10 Section 6. Paragraph (h) of subsection (9) of section 11 627.476, Florida Statutes, is amended to read: 12 627.476 Standard Nonforfeiture Law for Life 13 Insurance.-- 14 (9) CALCULATION OF ADJUSTED PREMIUMS AND PRESENT 15 VALUES FOR POLICIES ISSUED AFTER OPERATIVE DATE OF THIS 16 SUBSECTION.-- 17 (h)1. All adjusted premiums and present values 18 referred to in this section shall for all policies of ordinary 19 insurance be calculated on the basis of the Commissioners' 20 1980 Standard Ordinary Mortality Table or, at the election of 21 the insurer for any one or more specified plans of life 22 insurance, the Commissioners' 1980 Standard Ordinary Mortality 23 Table with Ten-Year Select Mortality Factors; shall for all 24 policies of industrial insurance be calculated on the basis of 25 the Commissioners' 1961 Standard Industrial Mortality Table; 26 and shall for all policies issued in a particular calendar 27 year be calculated on the basis of a rate of interest not 28 exceeding the nonforfeiture interest rate as defined in this 29 subsection for policies issued in that calendar year. However: 30 a.1. At the option of the insurer, calculations for 31 all policies issued in a particular calendar year may be made 31 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 on the basis of a rate of interest not exceeding the 2 nonforfeiture interest rate, as defined in this subsection, 3 for policies issued in the immediately preceding calendar 4 year. 5 b.2. Under any paid-up nonforfeiture benefit, 6 including any paid-up dividend additions, any cash surrender 7 value available, whether or not required by subsection (2), 8 shall be calculated on the basis of the mortality table and 9 rate of interest used in determining the amount of such 10 paid-up nonforfeiture benefit and paid-up dividend additions, 11 if any. 12 c.3. An insurer may calculate the amount of any 13 guaranteed paid-up nonforfeiture benefit, including any 14 paid-up additions under the policy, on the basis of an 15 interest rate no lower than that specified in the policy for 16 calculating cash surrender values. 17 d.4. In calculating the present value of any paid-up 18 term insurance with accompanying pure endowment, if any, 19 offered as a nonforfeiture benefit, the rates of mortality 20 assumed may be not more than those shown in the Commissioners' 21 1980 Extended Term Insurance Table for policies of ordinary 22 insurance and not more than the Commissioners' 1961 Industrial 23 Extended Term Insurance Table for policies of industrial 24 insurance. 25 e.5. For insurance issued on a substandard basis, the 26 calculation of any such adjusted premiums and present values 27 may be based on appropriate modifications of the 28 aforementioned tables. 29 2. In lieu of the mortality tables specified in this 30 section, an insurance company may substitute, subject to rules 31 adopted by the department: 32 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 a. The commissioner's 1958 Standard Ordinary Smoker 2 and Nonsmoker Mortality Table or the commissioner's 1958 3 Extended Term Insurance Smoker and Nonsmoker Mortality Table, 4 whichever is applicable, for policies issued on or after the 5 effective date of this subparagraph and before January 1, 6 1989. 7 b. The commissioner's 1980 Standard Ordinary Smoker 8 and Nonsmoker Mortality Table or the commissioner's 1980 9 Extended Term Insurance Smoker and Nonsmoker Mortality Table, 10 whichever is applicable, for policies issued on or after the 11 effective date of this subparagraph. 12 c. A mortality table which is a blend of the 13 commissioner's sex-distinct 1980 Standard Ordinary Mortality 14 Table standards or the commissioner's sex-distinct 1980 15 Extended Term Insurance Mortality Table standards, whichever 16 is applicable, or a mortality table which is a blend of the 17 commissioner's sex-distinct 1980 Standard Ordinary Smoker and 18 Nonsmoker Mortality Table standards or the commissioner's 19 sex-distinct 1980 Extended Term Insurance Smoker and Nonsmoker 20 Mortality Table standards, whichever is applicable, for 21 policies subject to the United States Supreme Court decision 22 in Arizona Governing Committee v. Norris to prevent unfair 23 discrimination in employment situations. 24 Section 7. Effective October 1, 1997, section 25 627.4555, Florida Statutes, is amended to read: 26 627.4555 Secondary notice.--Except as provided in this 27 section, no contract for life insurance issued or issued for 28 delivery in this state on or after October 1, 1997, covering a 29 natural person 64 years of age or older or owned by a natural 30 person 64 years of age or older, which has been in force for 31 at least 1 year, shall be lapsed canceled for nonpayment of 33 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 premium unless, after expiration of the grace period, and at 2 least 21 days prior to the effective date of any such lapse 3 cancellation, the insurer has mailed a notification of such 4 impending possible lapse in coverage to the policyowner owner 5 of the policy and to a specified secondary addressee if such 6 addressee has been designated in writing by name and address 7 by the policyowner. An insurer issuing a life insurance 8 contract on or after October 1, 1997 1995, shall notify the 9 applicant of the right to designate a secondary addressee at 10 the time of application for the policy, on a form provided by 11 the insurer, and at any time the policy is in force, by 12 submitting a written notice to the insurer containing the name 13 and address of the secondary addressee. For purposes of any 14 life insurance policy which provides a grace period of more 15 than 51 days for nonpayment of premiums, the notice of 16 impending lapse in coverage required by this section shall be 17 mailed to the policyowner and the secondary addressee at least 18 21 days prior to the expiration of the grace period provided 19 in such policy. This section does not apply to any life 20 insurance contract under which premiums are payable monthly or 21 more frequently and are regularly collected by a licensed 22 agent or are paid by credit card or any preauthorized check 23 processing or automatic debit service of a financial 24 institution. For policies of life insurance issued or renewed 25 on or after October 1, 1995, the insurer shall notify the 26 owner, at least annually, of the right to designate a 27 secondary addressee. 28 Section 8. Effective October 1, 1997, section 29 627.5045, Florida Statutes, is amended to read: 30 627.5045 Secondary notice.--Except as provided in this 31 section, no contract for an industrial life insurance policy 34 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 issued or issued for delivery in this state on or after 2 October 1, 1997, for which premiums are paid monthly, covering 3 a natural person 64 years of age or older or owned by a 4 natural person 64 years of age or older, which has been in 5 force for at least 1 year, shall be lapsed canceled for 6 nonpayment of premium unless, after expiration of the grace 7 period, and at least 21 days prior to the effective date of 8 such lapse cancellation, the insurer has mailed a notification 9 of such impending possible lapse in coverage to the 10 policyowner owner of the policy and to a specified secondary 11 addressee if such addressee has been designated in writing by 12 name and address by the policyowner. An insurer issuing an 13 industrial life insurance contract on or after October 1, 1997 14 1995, shall notify the applicant of the right to designate a 15 secondary addressee at the time of application for the policy 16 on a form provided by the insurer and at any time the policy 17 is in force by submitting a written notice to the insurer 18 containing the name and address of the secondary addressee. 19 This section does not apply to any life insurance contract 20 under which premiums are payable monthly or more frequently 21 and are regularly collected by a licensed agent. For policies 22 of industrial life insurance issued or renewed on or after 23 October 1, 1995, the insurer shall notify the owner, at least 24 annually, of the right to designate a secondary addressee. 25 Section 9. Effective October 1, 1997, section 628.801, 26 Florida Statutes, is amended to read: 27 628.801 Insurance holding companies; registration; 28 regulation.--Every insurer which is authorized to do business 29 in this state and which is a member of an insurance holding 30 company shall register with the department and be subject to 31 regulation with respect to its relationship to such holding 35 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 company as provided by rule or statute. The department shall 2 adopt rules establishing the information and form required for 3 registration and the manner in which registered insurers and 4 their affiliates shall be regulated. The rules shall apply to 5 domestic insurers, foreign insurers, and commercially 6 domiciled insurers, except a foreign insurer domiciled in 7 states that are accredited by the National Association of 8 Insurance Commissioners by December 31, 1995. Except to the 9 extent of any conflict with this code, the rules must include 10 all requirements and standards of ss. 4 and 5 of the Insurance 11 Holding Company System Regulatory Act and the Insurance 12 Holding Company System Model Regulation of the National 13 Association of Insurance Commissioners, as the Regulatory Act 14 and the Model Regulation existed on January 1, 1997 1993, and 15 may include a prohibition on oral contracts between affiliated 16 entities. Upon request, the department may waive filing 17 requirements under this section for a domestic insurer that is 18 the subsidiary of an insurer that is in full compliance with 19 the insurance holding company registration laws of its state 20 of domicile, which state is accredited by the National 21 Association of Insurance Commissioners. 22 Section 10. Except as otherwise provided herein, this 23 act shall take effect upon becoming a law. 24 25 26 27 28 29 30 31 36 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1943 230-226-97 1 ***************************************** 2 HOUSE SUMMARY 3 Requires domestic insurers, including property and 4 casualty insurers and life and health insurers, and foreign insurers to submit to the Department of 5 Insurance, upon request, a report relating to their risk based capital. Requires domestic insurers to file with 6 the department a report of their assets or their ceded reinsurance agreements. Provides exceptions. Provides 7 definitions and reporting requirements. Prescribes authority of the department and authorizes the department 8 to adopt rules. Deletes a limitation on the frequency of specified market conduct examinations. Increases time 9 limitations on insurers for preparing annual reports and other information. Specifies application of dividends or 10 premium refunds for purposes of calculating annual assessments for the Special Disability Trust Fund and 11 expenses of administration. Authorizes insurance companies to use substitute mortality tables for purposes 12 of valuation of insurance policies. Revises provisions requiring notice to policyowners and secondary addressees 13 of impending lapse of life insurance policies. See bill for details. 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 37