Senate Bill sb0040Aer

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  1                                 

  2         An act relating to insurance consumer

  3         protection; reenacting and amending s.

  4         626.7451(11), F.S., notwithstanding amendments

  5         to that subsection by HB 513; providing for

  6         retroactive application; providing for

  7         construction of the act in pari materia with

  8         laws enacted during the Regular Session of the

  9         Legislature; creating s. 626.9741, F.S.;

10         specifying that the act's purpose is to

11         regulate and limit the use of credit reports

12         and credit scores by insurers for underwriting

13         and rating purposes; specifying the types of

14         insurance to which the act applies; defining

15         terms; requiring that an insurer identify the

16         items in a credit report which resulted in an

17         adverse decision; prohibiting an insurer from

18         making an adverse decision based solely on a

19         credit report or score or certain other

20         factors; requiring an insurer to provide a

21         means for appeal to an applicant or insured

22         under certain circumstances; prohibiting the

23         use of a credit report or score unless the

24         Office of Insurance Regulation determines,

25         based on a filing by the insurer, that such use

26         is valid and reasonable; authorizing the Office

27         of Insurance Regulation to disapprove such

28         filings; requiring an insurer to adhere to

29         certain laws and rules; requiring an insurer to

30         provide for an adjustment in the premium of an

31         insured to reflect an improvement in credit


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 1         history; authorizing the Financial Services

 2         Commission to adopt rules; providing for

 3         application; providing a contingent effective

 4         date.

 5  

 6  Be It Enacted by the Legislature of the State of Florida:

 7  

 8         Section 1.  (1)  Notwithstanding the amendment to

 9  section 626.7451, Florida Statutes, by HB 513, subsection (11)

10  of section 626.7451, Florida Statutes is not amended as

11  provided by that act, but is reenacted to read:

12         626.7451  Managing general agents; required contract

13  provisions.--No person acting in the capacity of a managing

14  general agent shall place business with an insurer unless

15  there is in force a written contract between the parties which

16  sets forth the responsibility for a particular function,

17  specifies the division of responsibilities, and contains the

18  following minimum provisions:

19         (11)  A licensed managing general agent, when placing

20  business with an insurer under this code, may charge a

21  per-policy fee not to exceed $25. In no instance shall the

22  aggregate of per-policy fees for a placement of business

23  authorized under this section, when combined with any other

24  per-policy fee charged by the insurer, result in per-policy

25  fees which exceed the aggregate amount of $25. The per-policy

26  fee shall be a component of the insurer's rate filing and

27  shall be fully earned.

28  

29  For the purposes of this section and ss. 626.7453 and

30  626.7454, the term "controlling person" or "controlling" has

31  the meaning set forth in s. 625.012(5)(b)1., and the term


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 1  "controlled person" or "controlled" has the meaning set forth

 2  in s. 625.012(5)(b)2.

 3         (2)  This section shall take effect upon this act

 4  becoming a law, except that, if this act does not become a law

 5  before HB 513 becomes a law, this section shall operate

 6  retroactively to the date that HB 513 becomes a law.

 7         Section 2.  If any law that is amended by this act was

 8  also amended by a law enacted at the 2003 Regular Session of

 9  the Legislature, such laws shall be construed as if they had

10  been enacted during the same session of the Legislature, and

11  full effect should be given to each if that is possible.

12         Section 3.  Section 626.9741, Florida Statutes, is

13  created to read:

14         626.9741  Use of credit reports and credit scores by

15  insurers.--

16         (1)  The purpose of this section is to regulate and

17  limit the use of credit reports and credit scores by insurers

18  for underwriting and rating purposes. This section applies

19  only to personal lines motor vehicle insurance and personal

20  lines residential insurance, which includes homeowners, mobile

21  homeowners dwelling, tenants, condominium unit owners,

22  cooperative unit owners, and similar types of insurance.

23         (2)  As used in this section, the term:

24         (a)  "Adverse decision" means a decision to refuse to

25  issue or renew a policy of insurance; to issue a policy with

26  exclusions or restrictions; to increase the rates or premium

27  charged for a policy of insurance; to place an insured or

28  applicant in a rating tier that does not have the lowest

29  available rates for which that insured or applicant is

30  otherwise eligible; or to place an applicant or insured with a

31  company operating under common management, control, or


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 1  ownership which does not offer the lowest rates available,

 2  within the affiliate group of insurance companies, for which

 3  that insured or applicant is otherwise eligible.

 4         (b)  "Credit report" means any written, oral, or other

 5  communication of any information by a consumer reporting

 6  agency, as defined in the federal Fair Credit Reporting Act,

 7  15 U.S.C. s. 1681, et seq., bearing on a consumer's credit

 8  worthiness, credit standing, or credit capacity, which is used

 9  or expected to be used or collected as a factor to establish a

10  person's eligibility for credit or insurance, or any other

11  purpose authorized pursuant to the applicable provision of

12  such federal act. A credit score alone, as calculated by a

13  credit reporting agency or by or for the insurer, may not be

14  considered a credit report.

15         (c)  "Credit score" means a score, grade, or value that

16  is derived by using any or all data from a credit report in

17  any type of model, method, or program, whether electronically,

18  in an algorithm, computer software or program, or any other

19  process, for the purpose of grading or ranking credit report

20  data.

21         (d)  "Tier" means a category within a single insurer

22  into which insureds with substantially similar risk, exposure,

23  or expense factors are placed for purposes of determining rate

24  or premium.

25         (3)  An insurer must inform an applicant or insured, in

26  the same medium as the application is taken, that a credit

27  report or score is being requested for underwriting or rating

28  purposes. An insurer that makes an adverse decision based, in

29  whole or in part, upon a credit report must provide at no

30  charge, a copy of the credit report to the applicant or

31  insured or provide the applicant or insured with the name,


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 1  address, and telephone number of the consumer reporting agency

 2  from which the insured or applicant may obtain the credit

 3  report. The insurer must provide notification to the consumer

 4  explaining the reasons for the adverse decision. The reasons

 5  must be provided in sufficiently clear and specific language

 6  so that a person can identify the basis for the insurer's

 7  adverse decision. Such notification shall include a

 8  description of the four primary reasons, or such fewer number

 9  as existed, which were the primary influences of the adverse

10  decision. The use of generalized terms such as "poor credit

11  history," "poor credit rating," or "poor insurance score" does

12  not meet the explanation requirements of this paragraph. A

13  credit score may not be used in underwriting or rating

14  insurance unless the scoring process produces information in

15  sufficient detail to permit compliance with the requirements

16  of this subsection. It shall not be deemed an adverse decision

17  if, due to the insured's credit report or credit score, the

18  insured continues to receive a less favorable rate or

19  placement in a less favorable tier or company at the time of

20  renewal except for renewals or re-underwriting required by

21  this section.

22         (4)(a)  An insurer may not request a credit report or

23  score based upon the race, color, religion, marital status,

24  age, gender, income, national origin, or place of residence of

25  the applicant or insured.

26         (b)  An insurer may not make an adverse decision solely

27  because of information contained in a credit report or score

28  without consideration of any other underwriting or rating

29  factor.

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 1         (c)  An insurer may not make an adverse decision or use

 2  a credit score that could lead to such a decision if based, in

 3  whole or in part, on:

 4         1.  The absence of, or an insufficient, credit history,

 5  in which instance the insurer shall:

 6         a.  Treat the consumer as otherwise approved by the

 7  Office of Insurance Regulation if the insurer presents

 8  information that such an absence or inability is related to

 9  the risk for the insurer;

10         b.  Treat the consumer as if the applicant or insured

11  had neutral credit information, as defined by the insurer;

12         c.  Exclude the use of credit information as a factor

13  and use only other underwriting criteria;

14         2.  Collection accounts with a medical industry code,

15  if so identified on the consumer's credit report;

16         3.  Place of residence; or

17         4.  Any other circumstance that the Financial Services

18  Commission determines, by rule, lacks sufficient statistical

19  correlation and actuarial justification as a predictor of

20  insurance risk.

21         (d)  An insurer may use the number of credit inquiries

22  requested or made regarding the applicant or insured except

23  for:

24         1.  Credit inquiries not initiated by the consumer or

25  inquiries requested by the consumer for his or her own credit

26  information.

27         2.  Inquiries relating to insurance coverage, if so

28  identified on a consumer's credit report.

29         3.  Collection accounts with a medical industry code,

30  if so identified on the consumer's credit report.

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 1         4.  Multiple lender inquiries, if coded by the consumer

 2  reporting agency on the consumer's credit report as being from

 3  the home mortgage industry and made within 30 days of one

 4  another, unless only one inquiry is considered.

 5         5.  Multiple lender inquiries, if coded by the consumer

 6  reporting agency on the consumer's credit report as being from

 7  the automobile lending industry and made within 30 days of one

 8  another, unless only one inquiry is considered.

 9         (e)  An insurer must, upon the request of an applicant

10  or insured, provide a means of appeal for an applicant or

11  insured whose credit report or credit score is unduly

12  influenced by a dissolution of marriage, the death of a

13  spouse, or temporary loss of employment. The insurer must

14  complete its review within 10 business days after the request

15  by the applicant or insured and receipt of reasonable

16  documentation requested by the insurer, and, if the insurer

17  determines that the credit report or credit score was unduly

18  influenced by any of such factors, the insurer shall treat the

19  applicant or insured as if the applicant or insured had

20  neutral credit information or shall exclude the credit

21  information, as defined by the insurer, whichever is more

22  favorable to the applicant or insured. An insurer shall not be

23  considered out of compliance with its underwriting rules or

24  rates or forms filed with the Office of Insurance Regulation

25  or out of compliance with any other state law or rule as a

26  result of granting any exceptions pursuant to this subsection.

27         (5)  A rate filing that uses credit reports or credit

28  scores must comply with the requirements of s. 627.062 or s.

29  627.0651 to ensure that rates are not excessive, inadequate,

30  or unfairly discriminatory.

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 1         (6)  An insurer that requests or uses credit reports

 2  and credit scoring in its underwriting and rating methods

 3  shall maintain and adhere to established written procedures

 4  that reflect the restrictions set forth in the federal Fair

 5  Credit Reporting Act, this section, and all rules related

 6  thereto.

 7         (7)(a)  An insurer shall establish procedures to review

 8  the credit history of an insured who was adversely affected by

 9  the use of the insured's credit history at the initial rating

10  of the policy, or at a subsequent renewal thereof. This review

11  must be performed at a minimum of once every 2 years or at the

12  request of the insured, whichever is sooner, and the insurer

13  shall adjust the premium of the insured to reflect any

14  improvement in the credit history. The procedures must provide

15  that, with respect to existing policyholders, the review of a

16  credit report will not be used by the insurer to cancel,

17  refuse to renew, or require a change in the method of payment

18  or payment plan.

19         (b)  However, as an alternative to the requirements of

20  paragraph (a), an insurer that used a credit report or credit

21  score for an insured upon inception of a policy, who will not

22  use a credit report or score for re-underwriting, shall

23  reevaluate the insured within the first 3 years after

24  inception, based on other allowable underwriting or rating

25  factors, excluding credit information if the insurer does not

26  increase the rates or premium charged to the insured based on

27  the exclusion of credit reports or credit scores.

28         (8)  The commission may adopt rules to administer this

29  section. The rules may include, but need not be limited to:

30         (a)  Information that must be included in filings to

31  demonstrate compliance with subsection (3).


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 1         (b)  Statistical detail that insurers using credit

 2  reports or scores under subsection (5) must retain and report

 3  annually to the Office of Insurance Regulation.

 4         (c)  Standards that ensure that rates or premiums

 5  associated with the use of a credit report or score are not

 6  unfairly discriminatory, based upon race, color, religion,

 7  marital status, age, gender, income, national origin, or place

 8  of residence.

 9         (d)  Standards for review of models, methods, programs,

10  or any other process by which to grade or rank credit report

11  data and which may produce credit scores in order to ensure

12  that the insurer demonstrates that such grading, ranking, or

13  scoring is valid in predicting insurance risk of an applicant

14  or insured.

15         Section 4.  This act shall take effect January 1, 2004,

16  and shall apply to policies issued or renewed on or after that

17  date, except that this act shall not take effect unless SB

18  42-A or similar legislation is adopted in the same legislative

19  session, or an extension thereof, and becomes law.

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