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CHAMBER ACTION |
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The Committee on Insurance recommends the following: |
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Committee Substitute |
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Remove the entire bill and insert: |
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A bill to be entitled |
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An act relating to insurance; amending s. 624.310, F.S.; |
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revising definitions; conforming provisions to a revised |
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definition; conforming provisions to certain governmental |
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reorganization; prohibiting affiliated parties from |
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certain activities constituting a conflict of interest; |
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providing exceptions; authorizing the Office of Insurance |
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Regulation to require certain disclosures of personal |
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interest; specifying certain restrictions governing |
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conduct of an affiliated party of a licensee; amending |
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624.316, F.S.; deleting provisions providing for an |
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examination of an insurer pursuant to an agreement between |
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the Department of Financial Services and the insurer; |
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requiring such examinations according to rules of the |
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commission; amending s. 624.4095, F.S.; conforming |
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provisions to certain governmental reorganization; |
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providing for calculating certain surplus for certain |
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insurers; amending s. 624.610, F.S.; conforming provisions |
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to certain governmental reorganization; revising |
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requirements for securities of a trust fund for a single |
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assuming insurer; amending ss. 628.461 and 628.4615, F.S.; |
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specifying additional nonapplication of acquisition of |
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controlling stock provisions to changes of ownership of a |
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domestic insurer or specialty insurer, respectively, under |
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certain circumstances; creating ss. 634.042, 627.8401, |
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634.3076, 634.4062, and 651.029, F.S.; prohibiting certain |
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investments by motor vehicle service agreement companies, |
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premium finance companies, home warranty associations, |
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service warranty associations, and continuing care |
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providers, respectively; amending s. 440.20, F.S.; |
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correcting a cross reference; providing an effective date. |
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Be It Enacted by the Legislature of the State of Florida: |
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Section 1. Section 624.310, Florida Statutes, is amended |
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to read: |
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624.310 Enforcement; cease and desist orders; removal of |
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certain persons; fines.-- |
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(1) DEFINITIONS.--For the purposes of this section, the |
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term: |
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(a) "Affiliated party of a licensee" means any person who |
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directs or participates in the conduct of the affairs of a |
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licensee and who is: |
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1. A director, officer, employee, trustee, committee |
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member, or controlling stockholder of a licensee or a subsidiary |
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or service corporation of the licensee, other than a controlling |
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stockholder which is a holding company,or an agent of a |
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licensee or a subsidiary or service corporation of the licensee; |
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2. A person who has filed or is required to file a |
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statement or any other information required to be filed under s. |
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628.461 or s. 628.4615; |
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3. A stockholder, other than a stockholder that is a |
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holding company of the licensee,who participates in the conduct |
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of the affairs of the licensee; or |
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4. An independent contractor who: |
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a. Renders a written opinion required by the laws of this |
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state under her or his professional credentials on behalf of the |
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licensee, which opinion is reasonably relied on by the office |
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departmentin the performance of its duties; or |
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b. Affirmatively and knowingly conceals facts, through a |
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written misrepresentation to the officedepartment, with |
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knowledge that such misrepresentation: |
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(I) Constitutes a violation of the insurance code or a |
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lawful rule or order of the officedepartment; and |
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(II) Directly and materially endangers the ability of the |
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licensee to meet its obligations to policyholders. |
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For the purposes of this subparagraph, any representation of |
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fact made by an independent contractor on behalf of a licensee, |
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affirmatively communicated as a representation of the licensee |
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to the independent contractor, shall not be considered a |
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misrepresentation by the independent contractor to the |
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department or office. |
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(b) "Licensee" means a person issued a license or |
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certificate of authority or approval under this code or a person |
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registered under a provision of this code. |
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(2) ENFORCEMENT GENERALLY.--The department or officemay |
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institute such suits or other legal proceedings as may be |
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required to enforce any provision of this code. If it appears |
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that any person has violated any provision of this code for |
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which criminal prosecution is provided, the department or office |
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shall provide the appropriate state attorney or other |
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prosecuting agency having jurisdiction with respect to such |
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prosecution with the relevant information in its possession. |
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(3) CEASE AND DESIST ORDERS.-- |
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(a) The department or officemay issue and serve a |
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complaint stating charges upon any licensee or upon any |
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affiliated party of a licensee, whenever the department or |
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officehas reasonable cause to believe that the person or |
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individual named therein is engaging in or has engaged in |
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conduct that is: |
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1. An act that demonstrates a lack of fitness or |
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trustworthiness to engage in the business of insurance, is |
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hazardous to the insurance buying public, or constitutes |
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business operations that are a detriment to policyholders, |
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stockholders, investors, creditors, or the public; |
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2. A violation of any provision of the Florida Insurance |
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Code; |
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3. A violation of any rule of the department or office; |
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4. A violation of any order of the department or office; |
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or |
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5. A breach of any written agreement with the department |
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or office. |
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(b) The complaint shall contain a statement of facts and |
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notice of opportunity for a hearing pursuant to ss. 120.569 and |
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120.57. |
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(c) If no hearing is requested within the time allowed by |
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ss. 120.569 and 120.57, or if a hearing is held and the |
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department or officefinds that any of the charges are proven, |
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the department or officemay enter an order directing the |
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licensee or the affiliated party of a licenseenamed in the |
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complaint to cease and desist from engaging in the conduct |
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complained of and take corrective action to remedy the effects |
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of past improper conduct and assure future compliance. |
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(d) If the licensee or affiliated party of a licensee |
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named in the order fails to respond to the complaint within the |
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time allotted by ss. 120.569 and 120.57, the failure constitutes |
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a default and justifies the entry of a cease and desist order. |
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(e) A contested or default cease and desist order is |
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effective when reduced to writing and served upon the licensee |
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or affiliated party of a licenseenamed therein. An uncontested |
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cease and desist order is effective as agreed. |
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(f) Whenever the department or officefinds that conduct |
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described in paragraph (a) is likely to cause insolvency, |
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substantial dissipation or misvaluation of assets or earnings of |
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the licensee, substantial inability to pay claims on a timely |
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basis, or substantial prejudice to prospective or existing |
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insureds, policyholders, subscribers, or the public, it may |
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issue an emergency cease and desist order requiring the licensee |
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or any affiliated party of a licenseeto immediately cease and |
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desist from engaging in the conduct complained of and to take |
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corrective and remedial action. The emergency order is effective |
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immediately upon service of a copy of the order upon the |
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licensee or affiliated party of a licenseenamed therein and |
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remains effective for 90 days. If the department or office |
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begins nonemergency cease and desist proceedings under this |
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subsection, the emergency order remains effective until the |
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conclusion of the proceedings under ss. 120.569 and 120.57. Any |
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emergency order entered under this subsection is exempt from s. |
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119.07(1) and is confidential until it is made permanent unless |
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the department or officefinds that the confidentiality will |
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result in substantial risk of financial loss to the public. All |
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emergency cease and desist orders that are not made permanent |
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are available for public inspection 1 year from the date the |
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emergency cease and desist order expires; however, portions of |
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an emergency cease and desist order remain confidential and |
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exempt from the provisions of s. 119.07(1) if disclosure would: |
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1. Jeopardize the integrity of another active |
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investigation; |
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2. Impair the safety and financial soundness of the |
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licensee or affiliated party of a licensee; |
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3. Reveal personal financial information; |
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4. Reveal the identity of a confidential source; |
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5. Defame or cause unwarranted damage to the good name or |
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reputation of an individual or jeopardize the safety of an |
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individual; or |
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6. Reveal investigative techniques or procedures. |
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(4) REMOVAL OF AFFILIATED PARTIES OF A LICENSEEBY THE |
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DEPARTMENT OR OFFICE.-- |
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(a) The department or officemay issue and serve a |
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complaint stating charges upon any affiliated party of a |
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licensee and upon the licensee involved, whenever the department |
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or office has reason to believe that an affiliated party of a |
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licenseeis engaging in or has engaged in conduct that |
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constitutes: |
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1. An act that demonstrates a lack of fitness or |
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trustworthiness to engage in the business of insurance through |
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engaging in illegal activity or mismanagement of business |
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activities; |
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2. A willful violation of any law relating to the business |
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of insurance; however, if the violation constitutes a |
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misdemeanor, no complaint shall be served as provided in this |
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section until the affiliated party of a licenseeis notified in |
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writing of the matter of the violation and has been afforded a |
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reasonable period of time, as set forth in the notice, to |
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correct the violation and has failed to do so; |
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3. A violation of any other law involving fraud or moral |
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turpitude that constitutes a felony; |
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4. A willful violation of any rule of the department or |
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office; |
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5. A willful violation of any order of the department or |
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office; |
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6. A material misrepresentation of fact, made knowingly |
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and willfully or made with reckless disregard for the truth of |
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the matter; or |
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7. An act of commission or omission or a practice which is |
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a breach of trust or a breach of fiduciary duty. |
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(b) The complaint shall contain a statement of facts and |
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notice of opportunity for a hearing pursuant to ss. 120.569 and |
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120.57. |
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(c) If no hearing is requested within the time allotted by |
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ss. 120.569 and 120.57, or if a hearing is held and the |
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department or officefinds that any of the charges in the |
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complaint are proven true and that: |
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1. The licensee has suffered or will likely suffer loss or |
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other damage; |
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2. The interests of the policyholders, creditors, or |
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public are, or could be, seriously prejudiced by reason of the |
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violation or act or breach of fiduciary duty; |
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3. The affiliated party of a licenseehas received |
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financial gain by reason of the violation, act, or breach of |
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fiduciary duty; or |
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4. The violation, act, or breach of fiduciary duty is one |
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involving personal dishonesty on the part of the affiliated |
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party of a licenseeor the conduct jeopardizes or could |
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reasonably be anticipated to jeopardize the financial soundness |
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of the licensee, |
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The department or officemay enter an order removing the |
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affiliated party of a licenseeor restricting or prohibiting |
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participation by the person in the affairs of that particular |
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licensee or of any other licensee. |
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(d) If the affiliated party of a licenseefails to respond |
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to the complaint within the time allotted by ss. 120.569 and |
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120.57, the failure constitutes a default and justifies the |
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entry of an order of removal, suspension, or restriction. |
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(e) A contested or default order of removal, restriction, |
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or prohibition is effective when reduced to writing and served |
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on the licensee and the affiliated party of a licensee. An |
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uncontested order of removal, restriction, or prohibition is |
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effective as agreed. |
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(f)1. The chief executive officer, or the person holding |
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the equivalent office, of a licensee shall promptly notify the |
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department or officeif she or he has actual knowledge that any |
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affiliated party of a licenseeis charged with a felony in a |
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state or federal court. |
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2. Whenever any affiliated party of a licenseeis charged |
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with a felony in a state or federal court or with the equivalent |
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of a felony in the courts of any foreign country with which the |
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United States maintains diplomatic relations, and the charge |
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alleges violation of any law involving fraud, theft, or moral |
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turpitude, the department or officemay enter an emergency order |
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suspending the affiliated party of a licenseeor restricting or |
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prohibiting participation by the affiliated party of a licensee |
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in the affairs of the particular licensee or of any other |
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licensee upon service of the order upon the licensee and the |
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affiliated party of a licenseecharged. The order shall contain |
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notice of opportunity for a hearing pursuant to ss. 120.569 and |
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120.57, where the affiliated party of a licenseemay request a |
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postsuspension hearing to show that continued service to or |
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participation in the affairs of the licensee does not pose a |
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threat to the interests of the licensee's policyholders or |
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creditors and does not threaten to impair public confidence in |
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the licensee. In accordance with applicable departmental or |
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office rules, the department or officeshall notify the |
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affiliated party of a licenseewhether the order suspending or |
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prohibiting the person from participation in the affairs of a |
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licensee will be rescinded or otherwise modified. The emergency |
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order remains in effect, unless otherwise modified by the |
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department or office, until the criminal charge is disposed of. |
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The acquittal of the person charged, or the final, unappealed |
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dismissal of all charges against the person, dissolves the |
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emergency order, but does not prohibit the department or office |
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from instituting proceedings under paragraph (a). If the person |
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charged is convicted or pleads guilty or nolo contendere, |
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whether or not an adjudication of guilt is entered by the court, |
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the emergency order shall become final. |
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(g) Any affiliated party of a licenseeremoved from office |
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pursuant to this section is not eligible for reelection or |
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appointment to the position or to any other official position in |
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any licensee in this state except upon the written consent of |
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the department or office. Any affiliated party of a licenseewho |
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is removed, restricted, or prohibited from participation in the |
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affairs of a licensee pursuant to this section may petition the |
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department or officefor modification or termination of the |
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removal, restriction, or prohibition. |
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(h) Resignation or termination of an affiliated party of a |
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licensee does not affect the department's or office’s |
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jurisdiction to proceed under this subsection. |
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(5)(a) CONFLICT OF INTEREST.--An affiliated party of a |
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licensee may not engage or participate, directly or indirectly, |
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in any business or transaction conducted on behalf of or |
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involving the licensee, subsidiary, or service corporation that |
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would result in a conflict of the party's own personal interests |
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with those of the licensee, subsidiary, or service corporation |
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with which he or she is affiliated, unless:
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1. Such business or transactions are conducted in good |
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faith and are honest, fair, and reasonable to the licensee, |
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subsidiary, or service corporation and are on terms no more |
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favorable than would be offered to a disinterested third party.
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2. A full disclosure of such business or transaction, and |
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the nature of the interest of the affiliated party of the |
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licensee, is made to the board of directors.
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3. Such business or transactions are approved in good |
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faith by the board of directors and any interested director |
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abstaining and such approval is recorded in the minutes.
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4. Any profits inuring to the affiliated party of a |
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licensee are not at the expense of the licensee, subsidiary, or |
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service corporation and do not prejudice the best interests of |
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the licensee, subsidiary, or service corporation in any way.
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5. Such business or transactions do not represent a breach |
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of the fiduciary duty of an affiliated party of a licensee and |
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are not fraudulent, illegal, or ultra vires.
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(b) Without limitation by any of the specific provisions |
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of this section, the office may require the disclosure by |
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affiliated parties of a licensee of their personal interests, |
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directly or indirectly, in any business or transactions on |
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behalf of or involving the licensee, subsidiary, or service |
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corporation and of their control of or active participation in |
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enterprises having activities related to the business of the |
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licensee, subsidiary, or service corporation.
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(c) The following restrictions governing the conduct of |
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affiliated parties of a licensee are expressly specified, but |
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such specification is not to be construed in any manner as |
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excusing such parties from the observance of any other aspect of |
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the general fiduciary duty owed by such parties to the licensee |
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which they serve:
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1. A director of a licensee may not accept director fees |
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unless the director fees have been previously approved by the |
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board of directors and such fees represent reasonable |
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compensation for service as a director or member of a committee. |
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This subparagraph does not limit or preclude reasonable |
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compensation as otherwise authorized by paragraph (a) for a |
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director who also provides goods or services to the licensee.
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2. An affiliated party of a licensee may not purchase or |
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otherwise obtain ownership of any asset of the licensee or |
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subsidiary at less than fair market value of such asset.
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3. An affiliated party of a licensee may not have any |
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interest, direct or indirect, of any evidence of indebtedness of |
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the licensee or subsidiary.
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4. An affiliated party of a licensee acting as proxy for a |
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stockholder of a licensee, subsidiary, or service corporation |
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may not, directly or indirectly, exercise, transfer, or delegate |
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such vote or votes in any consideration of a private benefit or |
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advantage. The voting rights of stockholders and directors may |
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not be the subject of sale, barter, exchange, or similar |
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transaction, directly or indirectly. Any affiliated party of a |
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licensee who violates the provisions of this subparagraph is |
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accountable to the licensee, subsidiary, or service corporation |
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for any increment.
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(d) This subsection shall not apply to foreign or alien |
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insurers. |
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(e) This subsection shall not apply to a transaction with |
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an affiliated party of a licensee if the transaction is reported |
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to the office pursuant to the requirements of s. 628.801.
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(6)(5)ADMINISTRATIVE FINES; ENFORCEMENT.-- |
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(a) The department or officemay, in a proceeding |
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initiated pursuant to chapter 120, impose an administrative fine |
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against any person found in the proceeding to have violated any |
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provision of this code, a cease and desist order of the |
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department or office, or any written agreement with the |
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department or office. No proceeding shall be initiated and no |
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fine shall accrue until after the person has been notified in |
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writing of the nature of the violation and has been afforded a |
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reasonable period of time, as set forth in the notice, to |
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correct the violation and has failed to do so. |
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356
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(b) A fine imposed under this subsection may not exceed |
|
357
|
the amounts specified in s. 624.4211, per violation. |
|
358
|
(c) The department or officemay, in addition to the |
|
359
|
imposition of an administrative fine under this subsection, also |
|
360
|
suspend or revoke the license or certificate of authority of the |
|
361
|
licensee fined under this subsection. |
|
362
|
(d) Any administrative fine levied by the department or |
|
363
|
office under this subsection may be enforced by the department |
|
364
|
or officeby appropriate proceedings in the circuit court of the |
|
365
|
county in which the person resides or in which the principal |
|
366
|
office of a licensee is located, or, in the case of a foreign |
|
367
|
insurer or person not residing in this state, in Leon County. In |
|
368
|
any administrative or judicial proceeding arising under this |
|
369
|
section, a party may elect to correct the violation asserted by |
|
370
|
the department or office, and, upon doing so, any fine shall |
|
371
|
cease to accrue; however, the election to correct the violation |
|
372
|
does not render any administrative or judicial proceeding moot. |
|
373
|
All fines collected under this section shall be paid to the |
|
374
|
Insurance Commissioner's Regulatory Trust Fund. |
|
375
|
(e) In imposing any administrative penalty or remedy |
|
376
|
provided for under this section, the department or officeshall |
|
377
|
take into account the appropriateness of the penalty with |
|
378
|
respect to the size of the financial resources and the good |
|
379
|
faith of the person charged, the gravity of the violation, the |
|
380
|
history of previous violations, and other matters as justice may |
|
381
|
require. |
|
382
|
(f) The imposition of an administrative fine under this |
|
383
|
subsection may be in addition to any other penalty or |
|
384
|
administrative fine authorized under this code. |
|
385
|
(7)(6)ADMINISTRATIVE PROCEDURES.--All administrative |
|
386
|
proceedings brought under this sectionsubsections (3), (4), and |
|
387
|
(5)shall be conducted in accordance with chapter 120. Any |
|
388
|
service required or authorized to be made by the department or |
|
389
|
officeunder this code shall be made by certified mail, return |
|
390
|
receipt requested, delivered to the addressee only; by personal |
|
391
|
delivery; or in accordance with chapter 48. The service provided |
|
392
|
for herein shall be effective from the date of delivery. |
|
393
|
(8)(7)OTHER LAWS NOT SUPERSEDED.--The provisions of this |
|
394
|
section are in addition to other provisions of this code, and |
|
395
|
shall not be construed to curtail, impede, replace, or delete |
|
396
|
any other similar provision or power of the department or office |
|
397
|
under the insurance code as defined in s. 624.01 or any power of |
|
398
|
the department or officewhich may exist under the common law of |
|
399
|
this state. The procedures set forth in s. 626.9581 do not apply |
|
400
|
to regulatory action taken pursuant to the provisions of this |
|
401
|
section. |
|
402
|
Section 2. Paragraph (e) of subsection (2) of section |
|
403
|
624.316, Florida Statutes, is amended to read: |
|
404
|
624.316 Examination of insurers.-- |
|
405
|
(2) |
|
406
|
(e) The commissiondepartmentshall adopt rules providing |
|
407
|
that, upon agreement between the department and the insurer,an |
|
408
|
examination under this section may be conducted by independent |
|
409
|
certified public accountants, actuaries, investment specialists, |
|
410
|
information technology specialistsmeeting criteria specified by |
|
411
|
rule, and reinsurance specialists meeting criteria specified by |
|
412
|
rule. The rules shall provide: |
|
413
|
1. That the agreement of the insurer is not required if |
|
414
|
the department reasonably suspects criminal misconduct on the |
|
415
|
part of the insurer.
|
|
416
|
2. That the department shall provide the insurer with a |
|
417
|
list of three firms acceptable to the department, and that the |
|
418
|
insurer shall select the firm to conduct the examination from |
|
419
|
the list provided by the department.
|
|
420
|
1.3.That the insurer being examined must make payment for |
|
421
|
the examination directly to the firm performing the examination |
|
422
|
in accordance with the rates and terms establishedagreed toby |
|
423
|
the officedepartment, the insurer,and the firm performing the |
|
424
|
examination. |
|
425
|
2. That the rates charged to the insurer being examined |
|
426
|
are consistent with rates charged by other firms in a similar |
|
427
|
profession. |
|
428
|
3. That the firm selected by the office to perform the |
|
429
|
examination has no conflicts of interest that might affect its |
|
430
|
ability to independently perform its responsibilities on the |
|
431
|
examination.
|
|
432
|
4. That if the examination is conducted without the |
|
433
|
consent of the insurer, the insurer must pay all reasonable |
|
434
|
charges of the examining firm if the examination finds |
|
435
|
impairment, insolvency, or criminal misconduct on the part of |
|
436
|
the insurer.
|
|
437
|
Section 3. Section 624.4095, Florida Statutes, is amended |
|
438
|
to read: |
|
439
|
624.4095 Premiums written; restrictions.-- |
|
440
|
(1) Whenever an insurer's ratio of actual or projected |
|
441
|
annual written premiums as adjusted in accordance with |
|
442
|
subsection (5)(4)to current or projected surplus as to |
|
443
|
policyholders as adjusted in accordance with subsection (6)(5) |
|
444
|
exceeds 10 to 1 for gross written premiums or exceeds 4 to 1 for |
|
445
|
net written premiums, the officedepartmentshall suspend the |
|
446
|
insurer's certificate of authority or establish by order maximum |
|
447
|
gross or net annual premiums to be written by the insurer |
|
448
|
consistent with maintaining the ratios specified herein unless |
|
449
|
the insurer demonstrates to the office’sdepartment's |
|
450
|
satisfaction that exceeding the ratios of this section does not |
|
451
|
endanger the financial condition of the insurer or endanger the |
|
452
|
interests of the insurer's policyholders. |
|
453
|
(2) Projected annual net or gross premiums shall be based |
|
454
|
on the actual writings to date for the insurer's current |
|
455
|
calendar year or the insurer's writings for the previous |
|
456
|
calendar year or both. Ratios shall be computed on an annualized |
|
457
|
basis. |
|
458
|
(3) For the purposes of this section, gross premiums |
|
459
|
written means direct premiums written and reinsurance assumed. |
|
460
|
(4) For the purposes of this section, surplus as to |
|
461
|
policyholders for property and casualty insurers shall be |
|
462
|
calculated as follows: (actual surplus as to policyholders) |
|
463
|
minus (surplus as to policyholders of all subsidiary insurers as |
|
464
|
allowed pursuant to s. 625.325).
|
|
465
|
(5)(4)For the purposes of this section, for the calendar |
|
466
|
year ending December 31, 1990, and each subsequent year, |
|
467
|
premiums shall be calculated as the product of the actual or |
|
468
|
projected premiums and the following: |
|
469
|
(a) For property insurance, 0.90. |
|
470
|
(b) For casualty insurance, 1.25. |
|
471
|
(c) For health insurance, 0.80. |
|
472
|
(d) For all other kinds of insurance, 1.00. |
|
473
|
(6)(5)This section shall not apply to: |
|
474
|
(a) Life insurance written by life or life and health |
|
475
|
insurers; or |
|
476
|
(b) Life and health insurers which have a surplus as to |
|
477
|
policyholders greater than $40 million and which have written |
|
478
|
health insurance during each of the immediately preceding five |
|
479
|
calendar years. |
|
480
|
(7)(6)For the purposes of this section, surplus as to |
|
481
|
policyholders for life and health insurers shall be calculated |
|
482
|
as follows:(actual or projected surplus as to policyholders) |
|
483
|
minus(surplus as to policyholders required to be maintained |
|
484
|
under s. 624.408 for liabilities relating to life insurance) and |
|
485
|
minus (surplus as to policyholders of all subsidiary insurers as |
|
486
|
allowed pursuant to s. 625.325). |
|
487
|
Note.--Subsection (7)(6)relates to calculation of surplus |
|
488
|
as to policyholders. |
|
489
|
Section 4. Paragraph (c) of subsection (3) of section |
|
490
|
624.610, Florida Statutes, is amended to read: |
|
491
|
624.610 Reinsurance.-- |
|
492
|
(3) |
|
493
|
(c)1. Credit must be allowed when the reinsurance is ceded |
|
494
|
to an assuming insurer that maintains a trust fund in a |
|
495
|
qualified United States financial institution, as defined in |
|
496
|
paragraph (5)(b), for the payment of the valid claims of its |
|
497
|
United States ceding insurers and their assigns and successors |
|
498
|
in interest. To enable the officedepartmentto determine the |
|
499
|
sufficiency of the trust fund, the assuming insurer shall report |
|
500
|
annually to the officedepartmentinformation substantially the |
|
501
|
same as that required to be reported on the NAIC Annual |
|
502
|
Statement form by authorized insurers. The assuming insurer |
|
503
|
shall submit to examination of its books and records by the |
|
504
|
officedepartmentand bear the expense of examination. |
|
505
|
2.a. Credit for reinsurance must not be granted under this |
|
506
|
subsection unless the form of the trust and any amendments to |
|
507
|
the trust have been approved by: |
|
508
|
(I) The commissioner of the state in which the trust is |
|
509
|
domiciled; or |
|
510
|
(II) The commissioner of another state who, pursuant to |
|
511
|
the terms of the trust instrument, has accepted principal |
|
512
|
regulatory oversight of the trust. |
|
513
|
b. The form of the trust and any trust amendments must be |
|
514
|
filed with the commissioner of every state in which the ceding |
|
515
|
insurer beneficiaries of the trust are domiciled. The trust |
|
516
|
instrument must provide that contested claims are valid and |
|
517
|
enforceable upon the final order of any court of competent |
|
518
|
jurisdiction in the United States. The trust must vest legal |
|
519
|
title to its assets in its trustees for the benefit of the |
|
520
|
assuming insurer's United States ceding insurers and their |
|
521
|
assigns and successors in interest. The trust and the assuming |
|
522
|
insurer are subject to examination as determined by the |
|
523
|
commissioner. |
|
524
|
c. The trust remains in effect for as long as the assuming |
|
525
|
insurer has outstanding obligations due under the reinsurance |
|
526
|
agreements subject to the trust. No later than February 28 of |
|
527
|
each year, the trustee of the trust shall report to the |
|
528
|
commissioner in writing the balance of the trust and list the |
|
529
|
trust's investments at the preceding year end, and shall certify |
|
530
|
that the trust will not expire prior to the following December |
|
531
|
31. |
|
532
|
3. The following requirements apply to the following |
|
533
|
categories of assuming insurer: |
|
534
|
a. The trust fund for a single assuming insurer consists |
|
535
|
of funds in trust in an amount not less than the assuming |
|
536
|
insurer's liabilities attributable to reinsurance ceded by |
|
537
|
United States ceding insurers, and, in addition, the assuming |
|
538
|
insurer shall maintain a trusteed surplus of not less than $20 |
|
539
|
million. Not less than 50 percent of the funds in the trust |
|
540
|
covering the assuming insurer’s liabilities attributable to |
|
541
|
reinsurance ceded by United States ceding insurersand trusteed |
|
542
|
surplus shallconsist of assets of a quality substantially |
|
543
|
similar to that required in part II of chapter 625. Clean, |
|
544
|
irrevocable, unconditional, and evergreen letters of credit, |
|
545
|
issued or confirmed by a qualified United States financial |
|
546
|
institution, as defined in paragraph (5)(a), effective no later |
|
547
|
than December 31 of the year for which the filing is made, and |
|
548
|
in the possession of the trust on or before the filing date of |
|
549
|
its annual statement, may be used to fund the remainder of the |
|
550
|
trust fund and trusteed surplus. |
|
551
|
b.(I) In the case of a group including incorporated and |
|
552
|
individual unincorporated underwriters: |
|
553
|
(A) For reinsurance ceded under reinsurance agreements |
|
554
|
with an inception, amendment, or renewal date on or after August |
|
555
|
1, 1995, the trust consists of a trusteed account in an amount |
|
556
|
not less than the group's several liabilities attributable to |
|
557
|
business ceded by United States domiciled ceding insurers to any |
|
558
|
member of the group; |
|
559
|
(B) For reinsurance ceded under reinsurance agreements |
|
560
|
with an inception date on or before July 31, 1995, and not |
|
561
|
amended or renewed after that date, notwithstanding the other |
|
562
|
provisions of this section, the trust consists of a trusteed |
|
563
|
account in an amount not less than the group's several insurance |
|
564
|
and reinsurance liabilities attributable to business written in |
|
565
|
the United States; and |
|
566
|
(C) In addition to these trusts, the group shall maintain |
|
567
|
in trust a trusteed surplus of which $100 million must be held |
|
568
|
jointly for the benefit of the United States domiciled ceding |
|
569
|
insurers of any member of the group for all years of account. |
|
570
|
(II) The incorporated members of the group must not be |
|
571
|
engaged in any business other than underwriting of a member of |
|
572
|
the group, and are subject to the same level of regulation and |
|
573
|
solvency control by the group's domiciliary regulator as the |
|
574
|
unincorporated members. |
|
575
|
(III) Within 90 days after its financial statements are |
|
576
|
due to be filed with the group's domiciliary regulator, the |
|
577
|
group shall provide to the commissioner an annual certification |
|
578
|
by the group's domiciliary regulator of the solvency of each |
|
579
|
underwriter member or, if a certification is unavailable, |
|
580
|
financial statements, prepared by independent public |
|
581
|
accountants, of each underwriter member of the group. |
|
582
|
Section 5. Section 627.8401, Florida Statutes, is created |
|
583
|
to read: |
|
584
|
627.8401 Prohibited investments and loans.--A premium |
|
585
|
finance company shall not directly or indirectly invest in or |
|
586
|
lend its funds upon the security of any note or other evidence |
|
587
|
of indebtedness of any director, officer, or controlling |
|
588
|
stockholder of the premium finance company.
|
|
589
|
Section 6. Subsection (2) of section 628.461, Florida |
|
590
|
Statutes, is amended to read: |
|
591
|
628.461 Acquisition of controlling stock.-- |
|
592
|
(2) This section does not apply to any acquisition of |
|
593
|
voting securities of a domestic stock insurer or of a |
|
594
|
controlling company by any person who, on July 1, 1976, is the |
|
595
|
owner of a majority of such voting securities or who, on or |
|
596
|
after July 1, 1976, becomes the owner of a majority of such |
|
597
|
voting securities with the approval of the department pursuant |
|
598
|
to this section. Further, the provisions of this section shall |
|
599
|
not apply to a change of ownership of a domestic insurer |
|
600
|
resulting from changes within an insurance holding company of |
|
601
|
which the insurer is a member, provided the insurer establishes |
|
602
|
that no new person or entity will have the ability to influence |
|
603
|
or control the activities of the insurer and that the |
|
604
|
reorganization will not result in any changes in the officers, |
|
605
|
directors, or business plan of the domestic insurer. |
|
606
|
Section 7. Subsection (3) of section 628.4615, Florida |
|
607
|
Statutes, is amended to read: |
|
608
|
628.4615 Specialty insurers; acquisition of controlling |
|
609
|
stock, ownership interest, assets, or control; merger or |
|
610
|
consolidation.-- |
|
611
|
(3) This section does not apply to any acquisition of |
|
612
|
voting securities or ownership interest of a specialty insurer |
|
613
|
or of a controlling company by any person who, on July 9, 1986, |
|
614
|
is the owner of a majority of such voting securities or |
|
615
|
ownership interest or who, on or after July 9, 1986, becomes the |
|
616
|
owner of a majority of such voting securities or ownership |
|
617
|
interest with the approval of the department pursuant to this |
|
618
|
section. Further, the provisions of this section shall not apply |
|
619
|
to a change of ownership of a specialty insurer resulting from |
|
620
|
changes within a holding company of which the specialty insurer |
|
621
|
is a member, provided the specialty insurer establishes that no |
|
622
|
new person or entity will have the ability to influence or |
|
623
|
control the activities of the specialty insurer and that the |
|
624
|
reorganization will not result in any changes in the officers, |
|
625
|
directors, or business plan of the specialty insurer. |
|
626
|
Section 8. Section 634.042, Florida Statutes, is created |
|
627
|
to read: |
|
628
|
634.042 Prohibited investments and loans.--A motor vehicle |
|
629
|
service agreement company shall not directly or indirectly |
|
630
|
invest in or lend its funds upon the security of any note or |
|
631
|
other evidence of indebtedness of any director, officer, or |
|
632
|
controlling stockholder of the motor vehicle service agreement |
|
633
|
company. |
|
634
|
Section 9. Section 634.3076, Florida Statutes, is created |
|
635
|
to read: |
|
636
|
634.3076 Prohibited investments and loans.--A home |
|
637
|
warranty association shall not directly or indirectly invest in |
|
638
|
or lend its funds upon the security of any note or other |
|
639
|
evidence of indebtedness of any director, officer, or |
|
640
|
controlling stockholder of the home warranty association.
|
|
641
|
Section 10. Section 634.4062, Florida Statutes, is created |
|
642
|
to read: |
|
643
|
634.4062 Prohibited investments and loans.--A service |
|
644
|
warranty association shall not directly or indirectly invest in |
|
645
|
or lend its funds upon the security of any note or other |
|
646
|
evidence of indebtedness of any director, officer, or |
|
647
|
controlling stockholder of the service warranty association.
|
|
648
|
Section 11. Section 651.029, Florida Statutes, is created |
|
649
|
to read: |
|
650
|
651.029 Prohibited investments and loans.--A provider |
|
651
|
shall not directly or indirectly invest in or lend its funds |
|
652
|
upon the security of any note or other evidence of indebtedness |
|
653
|
of any director, officer, or controlling stockholder of the |
|
654
|
provider.
|
|
655
|
Section 12. Paragraph (a) of subsection (15) of section |
|
656
|
440.20, Florida Statutes, is amended to read: |
|
657
|
440.20 Time for payment of compensation; penalties for |
|
658
|
late payment.-- |
|
659
|
(15)(a) The department shall examine on an ongoing basis |
|
660
|
claims files in accordance with s. 624.3161 and may impose fines |
|
661
|
pursuant to s. 624.310(6)(5)and this chapter in order to |
|
662
|
identify questionable claims-handling techniques, questionable |
|
663
|
patterns or practices of claims, or a pattern of repeated |
|
664
|
unreasonably controverted claims by carriers, as defined in s. |
|
665
|
440.02, providing services to employees pursuant to this |
|
666
|
chapter. If the department finds such questionable techniques, |
|
667
|
patterns, or repeated unreasonably controverted claims as |
|
668
|
constitute a general business practice of a carrier, as defined |
|
669
|
in s. 440.02, the department shall take appropriate action so as |
|
670
|
to bring such general business practices to a halt pursuant to |
|
671
|
s. 440.38(3) or may impose penalties pursuant to s. 624.4211. |
|
672
|
The department may initiate investigations of questionable |
|
673
|
techniques, patterns, practices, or repeated unreasonably |
|
674
|
controverted claims. The department may by rule establish forms |
|
675
|
and procedures for corrective action plans and for auditing |
|
676
|
carriers. |
|
677
|
Section 13. This act shall take effect October 1, 2003. |