HB 0831 2003
   
1 CHAMBER ACTION
2         
3         
4         
5         
6          The Committee on Insurance recommends the following:
7         
8          Committee Substitute
9          Remove the entire bill and insert:
10 A bill to be entitled
11          An act relating to insurance; amending s. 624.310, F.S.;
12    revising definitions; conforming provisions to a revised
13    definition; conforming provisions to certain governmental
14    reorganization; prohibiting affiliated parties from
15    certain activities constituting a conflict of interest;
16    providing exceptions; authorizing the Office of Insurance
17    Regulation to require certain disclosures of personal
18    interest; specifying certain restrictions governing
19    conduct of an affiliated party of a licensee; amending
20    624.316, F.S.; deleting provisions providing for an
21    examination of an insurer pursuant to an agreement between
22    the Department of Financial Services and the insurer;
23    requiring such examinations according to rules of the
24    commission; amending s. 624.4095, F.S.; conforming
25    provisions to certain governmental reorganization;
26    providing for calculating certain surplus for certain
27    insurers; amending s. 624.610, F.S.; conforming provisions
28    to certain governmental reorganization; revising
29    requirements for securities of a trust fund for a single
30    assuming insurer; amending ss. 628.461 and 628.4615, F.S.;
31    specifying additional nonapplication of acquisition of
32    controlling stock provisions to changes of ownership of a
33    domestic insurer or specialty insurer, respectively, under
34    certain circumstances; creating ss. 634.042, 627.8401,
35    634.3076, 634.4062, and 651.029, F.S.; prohibiting certain
36    investments by motor vehicle service agreement companies,
37    premium finance companies, home warranty associations,
38    service warranty associations, and continuing care
39    providers, respectively; amending s. 440.20, F.S.;
40    correcting a cross reference; providing an effective date.
41         
42          Be It Enacted by the Legislature of the State of Florida:
43         
44          Section 1. Section 624.310, Florida Statutes, is amended
45    to read:
46          624.310 Enforcement; cease and desist orders; removal of
47    certain persons; fines.--
48          (1) DEFINITIONS.--For the purposes of this section, the
49    term:
50          (a) "Affiliated party of a licensee" means any person who
51    directs or participates in the conduct of the affairs of a
52    licensee and who is:
53          1. A director, officer, employee, trustee, committee
54    member, or controlling stockholder of a licensee or a subsidiary
55    or service corporation of the licensee, other than a controlling
56    stockholder which is a holding company,or an agent of a
57    licensee or a subsidiary or service corporation of the licensee;
58          2. A person who has filed or is required to file a
59    statement or any other information required to be filed under s.
60    628.461 or s. 628.4615;
61          3. A stockholder, other than a stockholder that is a
62    holding company of the licensee,who participates in the conduct
63    of the affairs of the licensee; or
64          4. An independent contractor who:
65          a. Renders a written opinion required by the laws of this
66    state under her or his professional credentials on behalf of the
67    licensee, which opinion is reasonably relied on by the office
68    departmentin the performance of its duties; or
69          b. Affirmatively and knowingly conceals facts, through a
70    written misrepresentation to the officedepartment, with
71    knowledge that such misrepresentation:
72          (I) Constitutes a violation of the insurance code or a
73    lawful rule or order of the officedepartment; and
74          (II) Directly and materially endangers the ability of the
75    licensee to meet its obligations to policyholders.
76         
77          For the purposes of this subparagraph, any representation of
78    fact made by an independent contractor on behalf of a licensee,
79    affirmatively communicated as a representation of the licensee
80    to the independent contractor, shall not be considered a
81    misrepresentation by the independent contractor to the
82    department or office.
83          (b) "Licensee" means a person issued a license or
84    certificate of authority or approval under this code or a person
85    registered under a provision of this code.
86          (2) ENFORCEMENT GENERALLY.--The department or officemay
87    institute such suits or other legal proceedings as may be
88    required to enforce any provision of this code. If it appears
89    that any person has violated any provision of this code for
90    which criminal prosecution is provided, the department or office
91    shall provide the appropriate state attorney or other
92    prosecuting agency having jurisdiction with respect to such
93    prosecution with the relevant information in its possession.
94          (3) CEASE AND DESIST ORDERS.--
95          (a) The department or officemay issue and serve a
96    complaint stating charges upon any licensee or upon any
97    affiliated party of a licensee, whenever the department or
98    officehas reasonable cause to believe that the person or
99    individual named therein is engaging in or has engaged in
100    conduct that is:
101          1. An act that demonstrates a lack of fitness or
102    trustworthiness to engage in the business of insurance, is
103    hazardous to the insurance buying public, or constitutes
104    business operations that are a detriment to policyholders,
105    stockholders, investors, creditors, or the public;
106          2. A violation of any provision of the Florida Insurance
107    Code;
108          3. A violation of any rule of the department or office;
109          4. A violation of any order of the department or office;
110    or
111          5. A breach of any written agreement with the department
112    or office.
113          (b) The complaint shall contain a statement of facts and
114    notice of opportunity for a hearing pursuant to ss. 120.569 and
115    120.57.
116          (c) If no hearing is requested within the time allowed by
117    ss. 120.569 and 120.57, or if a hearing is held and the
118    department or officefinds that any of the charges are proven,
119    the department or officemay enter an order directing the
120    licensee or the affiliated party of a licenseenamed in the
121    complaint to cease and desist from engaging in the conduct
122    complained of and take corrective action to remedy the effects
123    of past improper conduct and assure future compliance.
124          (d) If the licensee or affiliated party of a licensee
125    named in the order fails to respond to the complaint within the
126    time allotted by ss. 120.569 and 120.57, the failure constitutes
127    a default and justifies the entry of a cease and desist order.
128          (e) A contested or default cease and desist order is
129    effective when reduced to writing and served upon the licensee
130    or affiliated party of a licenseenamed therein. An uncontested
131    cease and desist order is effective as agreed.
132          (f) Whenever the department or officefinds that conduct
133    described in paragraph (a) is likely to cause insolvency,
134    substantial dissipation or misvaluation of assets or earnings of
135    the licensee, substantial inability to pay claims on a timely
136    basis, or substantial prejudice to prospective or existing
137    insureds, policyholders, subscribers, or the public, it may
138    issue an emergency cease and desist order requiring the licensee
139    or any affiliated party of a licenseeto immediately cease and
140    desist from engaging in the conduct complained of and to take
141    corrective and remedial action. The emergency order is effective
142    immediately upon service of a copy of the order upon the
143    licensee or affiliated party of a licenseenamed therein and
144    remains effective for 90 days. If the department or office
145    begins nonemergency cease and desist proceedings under this
146    subsection, the emergency order remains effective until the
147    conclusion of the proceedings under ss. 120.569 and 120.57. Any
148    emergency order entered under this subsection is exempt from s.
149    119.07(1) and is confidential until it is made permanent unless
150    the department or officefinds that the confidentiality will
151    result in substantial risk of financial loss to the public. All
152    emergency cease and desist orders that are not made permanent
153    are available for public inspection 1 year from the date the
154    emergency cease and desist order expires; however, portions of
155    an emergency cease and desist order remain confidential and
156    exempt from the provisions of s. 119.07(1) if disclosure would:
157          1. Jeopardize the integrity of another active
158    investigation;
159          2. Impair the safety and financial soundness of the
160    licensee or affiliated party of a licensee;
161          3. Reveal personal financial information;
162          4. Reveal the identity of a confidential source;
163          5. Defame or cause unwarranted damage to the good name or
164    reputation of an individual or jeopardize the safety of an
165    individual; or
166          6. Reveal investigative techniques or procedures.
167          (4) REMOVAL OF AFFILIATED PARTIES OF A LICENSEEBY THE
168    DEPARTMENT OR OFFICE.--
169          (a) The department or officemay issue and serve a
170    complaint stating charges upon any affiliated party of a
171    licensee and upon the licensee involved, whenever the department
172    or office has reason to believe that an affiliated party of a
173    licenseeis engaging in or has engaged in conduct that
174    constitutes:
175          1. An act that demonstrates a lack of fitness or
176    trustworthiness to engage in the business of insurance through
177    engaging in illegal activity or mismanagement of business
178    activities;
179          2. A willful violation of any law relating to the business
180    of insurance; however, if the violation constitutes a
181    misdemeanor, no complaint shall be served as provided in this
182    section until the affiliated party of a licenseeis notified in
183    writing of the matter of the violation and has been afforded a
184    reasonable period of time, as set forth in the notice, to
185    correct the violation and has failed to do so;
186          3. A violation of any other law involving fraud or moral
187    turpitude that constitutes a felony;
188          4. A willful violation of any rule of the department or
189    office;
190          5. A willful violation of any order of the department or
191    office;
192          6. A material misrepresentation of fact, made knowingly
193    and willfully or made with reckless disregard for the truth of
194    the matter; or
195          7. An act of commission or omission or a practice which is
196    a breach of trust or a breach of fiduciary duty.
197          (b) The complaint shall contain a statement of facts and
198    notice of opportunity for a hearing pursuant to ss. 120.569 and
199    120.57.
200          (c) If no hearing is requested within the time allotted by
201    ss. 120.569 and 120.57, or if a hearing is held and the
202    department or officefinds that any of the charges in the
203    complaint are proven true and that:
204          1. The licensee has suffered or will likely suffer loss or
205    other damage;
206          2. The interests of the policyholders, creditors, or
207    public are, or could be, seriously prejudiced by reason of the
208    violation or act or breach of fiduciary duty;
209          3. The affiliated party of a licenseehas received
210    financial gain by reason of the violation, act, or breach of
211    fiduciary duty; or
212          4. The violation, act, or breach of fiduciary duty is one
213    involving personal dishonesty on the part of the affiliated
214    party of a licenseeor the conduct jeopardizes or could
215    reasonably be anticipated to jeopardize the financial soundness
216    of the licensee,
217         
218          The department or officemay enter an order removing the
219    affiliated party of a licenseeor restricting or prohibiting
220    participation by the person in the affairs of that particular
221    licensee or of any other licensee.
222          (d) If the affiliated party of a licenseefails to respond
223    to the complaint within the time allotted by ss. 120.569 and
224    120.57, the failure constitutes a default and justifies the
225    entry of an order of removal, suspension, or restriction.
226          (e) A contested or default order of removal, restriction,
227    or prohibition is effective when reduced to writing and served
228    on the licensee and the affiliated party of a licensee. An
229    uncontested order of removal, restriction, or prohibition is
230    effective as agreed.
231          (f)1. The chief executive officer, or the person holding
232    the equivalent office, of a licensee shall promptly notify the
233    department or officeif she or he has actual knowledge that any
234    affiliated party of a licenseeis charged with a felony in a
235    state or federal court.
236          2. Whenever any affiliated party of a licenseeis charged
237    with a felony in a state or federal court or with the equivalent
238    of a felony in the courts of any foreign country with which the
239    United States maintains diplomatic relations, and the charge
240    alleges violation of any law involving fraud, theft, or moral
241    turpitude, the department or officemay enter an emergency order
242    suspending the affiliated party of a licenseeor restricting or
243    prohibiting participation by the affiliated party of a licensee
244    in the affairs of the particular licensee or of any other
245    licensee upon service of the order upon the licensee and the
246    affiliated party of a licenseecharged. The order shall contain
247    notice of opportunity for a hearing pursuant to ss. 120.569 and
248    120.57, where the affiliated party of a licenseemay request a
249    postsuspension hearing to show that continued service to or
250    participation in the affairs of the licensee does not pose a
251    threat to the interests of the licensee's policyholders or
252    creditors and does not threaten to impair public confidence in
253    the licensee. In accordance with applicable departmental or
254    office rules, the department or officeshall notify the
255    affiliated party of a licenseewhether the order suspending or
256    prohibiting the person from participation in the affairs of a
257    licensee will be rescinded or otherwise modified. The emergency
258    order remains in effect, unless otherwise modified by the
259    department or office, until the criminal charge is disposed of.
260    The acquittal of the person charged, or the final, unappealed
261    dismissal of all charges against the person, dissolves the
262    emergency order, but does not prohibit the department or office
263    from instituting proceedings under paragraph (a). If the person
264    charged is convicted or pleads guilty or nolo contendere,
265    whether or not an adjudication of guilt is entered by the court,
266    the emergency order shall become final.
267          (g) Any affiliated party of a licenseeremoved from office
268    pursuant to this section is not eligible for reelection or
269    appointment to the position or to any other official position in
270    any licensee in this state except upon the written consent of
271    the department or office. Any affiliated party of a licenseewho
272    is removed, restricted, or prohibited from participation in the
273    affairs of a licensee pursuant to this section may petition the
274    department or officefor modification or termination of the
275    removal, restriction, or prohibition.
276          (h) Resignation or termination of an affiliated party of a
277    licensee does not affect the department's or office’s
278    jurisdiction to proceed under this subsection.
279          (5)(a) CONFLICT OF INTEREST.--An affiliated party of a
280    licensee may not engage or participate, directly or indirectly,
281    in any business or transaction conducted on behalf of or
282    involving the licensee, subsidiary, or service corporation that
283    would result in a conflict of the party's own personal interests
284    with those of the licensee, subsidiary, or service corporation
285    with which he or she is affiliated, unless:
286          1. Such business or transactions are conducted in good
287    faith and are honest, fair, and reasonable to the licensee,
288    subsidiary, or service corporation and are on terms no more
289    favorable than would be offered to a disinterested third party.
290          2. A full disclosure of such business or transaction, and
291    the nature of the interest of the affiliated party of the
292    licensee, is made to the board of directors.
293          3. Such business or transactions are approved in good
294    faith by the board of directors and any interested director
295    abstaining and such approval is recorded in the minutes.
296          4. Any profits inuring to the affiliated party of a
297    licensee are not at the expense of the licensee, subsidiary, or
298    service corporation and do not prejudice the best interests of
299    the licensee, subsidiary, or service corporation in any way.
300          5. Such business or transactions do not represent a breach
301    of the fiduciary duty of an affiliated party of a licensee and
302    are not fraudulent, illegal, or ultra vires.
303          (b) Without limitation by any of the specific provisions
304    of this section, the office may require the disclosure by
305    affiliated parties of a licensee of their personal interests,
306    directly or indirectly, in any business or transactions on
307    behalf of or involving the licensee, subsidiary, or service
308    corporation and of their control of or active participation in
309    enterprises having activities related to the business of the
310    licensee, subsidiary, or service corporation.
311          (c) The following restrictions governing the conduct of
312    affiliated parties of a licensee are expressly specified, but
313    such specification is not to be construed in any manner as
314    excusing such parties from the observance of any other aspect of
315    the general fiduciary duty owed by such parties to the licensee
316    which they serve:
317          1. A director of a licensee may not accept director fees
318    unless the director fees have been previously approved by the
319    board of directors and such fees represent reasonable
320    compensation for service as a director or member of a committee.
321    This subparagraph does not limit or preclude reasonable
322    compensation as otherwise authorized by paragraph (a) for a
323    director who also provides goods or services to the licensee.
324          2. An affiliated party of a licensee may not purchase or
325    otherwise obtain ownership of any asset of the licensee or
326    subsidiary at less than fair market value of such asset.
327          3. An affiliated party of a licensee may not have any
328    interest, direct or indirect, of any evidence of indebtedness of
329    the licensee or subsidiary.
330          4. An affiliated party of a licensee acting as proxy for a
331    stockholder of a licensee, subsidiary, or service corporation
332    may not, directly or indirectly, exercise, transfer, or delegate
333    such vote or votes in any consideration of a private benefit or
334    advantage. The voting rights of stockholders and directors may
335    not be the subject of sale, barter, exchange, or similar
336    transaction, directly or indirectly. Any affiliated party of a
337    licensee who violates the provisions of this subparagraph is
338    accountable to the licensee, subsidiary, or service corporation
339    for any increment.
340          (d) This subsection shall not apply to foreign or alien
341    insurers.
342          (e) This subsection shall not apply to a transaction with
343    an affiliated party of a licensee if the transaction is reported
344    to the office pursuant to the requirements of s. 628.801.
345          (6)(5)ADMINISTRATIVE FINES; ENFORCEMENT.--
346          (a) The department or officemay, in a proceeding
347    initiated pursuant to chapter 120, impose an administrative fine
348    against any person found in the proceeding to have violated any
349    provision of this code, a cease and desist order of the
350    department or office, or any written agreement with the
351    department or office. No proceeding shall be initiated and no
352    fine shall accrue until after the person has been notified in
353    writing of the nature of the violation and has been afforded a
354    reasonable period of time, as set forth in the notice, to
355    correct the violation and has failed to do so.
356          (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.