2 | The Committee on Insurance recommends the following: |
3 |
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4 | Committee Substitute |
5 | Remove the entire bill and insert: |
6 | A bill to be entitled |
7 | An act relating to insurance; amending s. 20.121, F.S.; |
8 | requiring the Division of Consumer Services of the |
9 | Department of Financial Services to designate an employee |
10 | as primary contract for consumers on issues involving |
11 | sinkholes; amending s. 501.137, F.S.; requiring an |
12 | insurer to reinstate, under certain circumstances, an |
13 | insurance policy that is canceled due to failure of the |
14 | lender to pay a premium for which sufficient escrow funds |
15 | are on deposit; requiring that the lender reimburse the |
16 | property owner for any penalties or fees paid for |
17 | purposes of reinstating the policy; requiring the lender |
18 | to pay the increased cost of insurance premiums for a |
19 | specified period of time under certain conditions; |
20 | amending s. 624.4622, F.S.; requiring certain local |
21 | government self-insurance funds to be organized as a |
22 | commercial self-insurance fund or a group self-insurance |
23 | fund under certain circumstances; requiring certain local |
24 | government self-insurance funds to file certain financial |
25 | statements for a certain period of time; providing |
26 | statement requirements; amending s. 624.610, F.S.; |
27 | providing additional investment requirements and |
28 | authorizations for certain trust funds and trusteed |
29 | surplus for reinsurers; amending s. 625.081, F.S.; |
30 | excepting credit disability insurance from certain health |
31 | insurance reserve requirements; providing an exception; |
32 | amending s. 625.121, F.S.; providing additional minimum |
33 | standards for valuation of insurance policies and |
34 | contracts; providing reserve requirements for credit life |
35 | and disability policies; amending s. 626.321, F.S.; |
36 | revising licensure requirements for personal lines agents |
37 | transacting baggage and motor vehicle excess liability |
38 | insurance; creating s. 625.9743, F.S.; providing claim |
39 | settlement practices for motor vehicle insurance; |
40 | providing requirements, standards, procedures, |
41 | limitations, and proscriptions; providing alternative |
42 | loss adjustment or settlement methodologies; providing |
43 | requirements and criteria; creating s. 626.9744, F.S.; |
44 | providing claim settlement practices for property |
45 | insurance; providing requirements and standards to be |
46 | followed by insurers; providing limitations; amending s. |
47 | 627.351, F.S.; authorizing the motor vehicle insurance |
48 | risk apportionment plan to require additional proof from |
49 | insureds of having certain insurance prior to canceling |
50 | coverage; providing certain notice requirements for |
51 | bringing certain actions against the plan; providing for |
52 | future repeal; amending s. 627.4091, F.S.; providing |
53 | additional disclosure requirements with respect to a |
54 | refusal to insure; amending s. 627.4133, F.S.; requiring |
55 | a property insurer to reinstate a policy on property |
56 | secured by a mortgage canceled due to a lender's failing |
57 | to timely pay premium; restricting the use of certain |
58 | claims as a cause for cancellation or nonrenewal; |
59 | amending s. 627.476, F.S.; providing for the Financial |
60 | Services Commission to adopt updated mortality tables by |
61 | rule; creating s. 627.7077, F.S.; providing for a |
62 | feasibility and cost-benefit study for a proposed Florida |
63 | Sinkhole Insurance Facility; providing study requirements |
64 | and criteria; requiring a report to the commission and |
65 | the Legislature; providing for funding of the study; |
66 | providing a severability clause; amending s. 627.848, |
67 | F.S.; revising insurance contract cancellation |
68 | requirements for premium finance companies; requiring the |
69 | Legislative Auditing Committee to contract with the |
70 | Florida State University College of Business' Department |
71 | of Risk Management and Insurance to analyze factors |
72 | affecting premium levels and availability of personal |
73 | lines property and casualty insurance to consumers; |
74 | specifying applicable factors for analysis; providing for |
75 | funding of the study; requiring assistance from certain |
76 | state agencies; amending s. 627.838, F.S.; deleting a |
77 | filing fee; amending s. 627.849, F.S.; deleting a form |
78 | filing fee; repealing s. 625.131, F.S., relating to |
79 | special reserve bases for credit life and disability |
80 | policies; providing construction to clarify application |
81 | or effect of the act on civil actions and settlements or |
82 | adjustments of claims; providing an effective date. |
83 |
|
84 | Be It Enacted by the Legislature of the State of Florida: |
85 |
|
86 | Section 1. Paragraph (h) of subsection (2) of section |
87 | 20.121, Florida Statutes, is amended to read: |
88 | 20.121 Department of Financial Services.--There is created |
89 | a Department of Financial Services. |
90 | (2) DIVISIONS.--The Department of Financial Services shall |
91 | consist of the following divisions: |
92 | (h) The Division of Consumer Services, which shall include |
93 | a Bureau of Funeral and Cemetery Services. |
94 | 1. The Division of Consumer Services shall perform the |
95 | following functions concerning products or services regulated by |
96 | the Department of Financial Services or by either office of the |
97 | Financial Services Commission: |
98 | a. Receive inquiries and complaints from consumers.; |
99 | b. Prepare and disseminate such information as the |
100 | department deems appropriate to inform or assist consumers.; |
101 | c. Provide direct assistance and advocacy for consumers |
102 | who request such assistance or advocacy.; |
103 | d. With respect to apparent or potential violations of law |
104 | or applicable rules by a person or entity licensed by the |
105 | department or by either office of the commission, report such |
106 | apparent or potential violation to the appropriate division of |
107 | the department or office of the commission, which may take such |
108 | further action as it deems appropriate. |
109 | e. Designate an employee of the division as primary |
110 | contact for consumers on issues relating to sinkholes. |
111 | 2. Any person licensed or issued a certificate of |
112 | authority by the department or by the Office of Insurance |
113 | Regulation shall respond, in writing, to the Division of |
114 | Consumer Services within 20 days after receipt of a written |
115 | request for information from the division concerning a consumer |
116 | complaint. The response must address the issues and allegations |
117 | raised in this complaint. The division may, in its discretion, |
118 | impose an administrative penalty for failure to comply with this |
119 | subparagraph in an amount up to $2,500 per violation upon any |
120 | entity licensed by the department or the Office of Insurance |
121 | Regulation and $250 for the first violation, $500 for the second |
122 | violation and up to $1,000 per violation thereafter upon any |
123 | individual licensed by the department or the Office of Insurance |
124 | Regulation. |
125 | 3. The department may adopt rules to implement the |
126 | provisions of this paragraph. |
127 | 4. The powers, duties, and responsibilities expressed or |
128 | granted in this paragraph shall not limit the powers, duties, |
129 | and responsibilities of the Department of Financial Services, |
130 | the Financial Services Commission, the Office of Insurance |
131 | Regulation, or the Office of Financial Regulation set forth |
132 | elsewhere in the Florida Statutes. |
133 | Section 2. Section 501.137, Florida Statutes, is amended |
134 | to read: |
135 | 501.137 Mortgage lenders; tax and insurance payments from |
136 | escrow accounts; duties.-- |
137 | (1) Every lender of money, whether a natural person or an |
138 | artificial entity, whose loans are secured by a mortgage on real |
139 | estate located within the state and who receives funds |
140 | incidental thereto or in connection therewith for the payment of |
141 | property taxes or hazard insurance premiums when such funds are |
142 | held in escrow by or on behalf of the lender, shall promptly pay |
143 | such taxes or insurance premiums when such taxes or premiums |
144 | become due and adequate escrow funds are deposited, so that the |
145 | maximum tax discount available may be obtained with regard to |
146 | the taxable property and so that insurance coverage on the |
147 | property does not lapse. |
148 | (2) If an escrow account for such taxes or insurance |
149 | premiums is deficient, the lender shall notify the property |
150 | owner within 15 days after the lender receives the notification |
151 | of taxes due from the county tax collector or receives the |
152 | notification from the insurer that a premium is due. |
153 | (3)(a) If the lender, as a result of neglect, fails to pay |
154 | any tax or insurance premium when the tax or premium is due and |
155 | there are sufficient escrow funds on deposit to pay the tax or |
156 | premium, and if the property owner suffers a loss as a result of |
157 | such failure, then the lender is will be liable for such loss,; |
158 | except, however, that, with respect to any loss which would |
159 | otherwise have been insured, the extent of such liability shall |
160 | not exceed the coverage limits of any insurance policy which has |
161 | lapsed. |
162 | (b) If the lender violates paragraph (a) and the premium |
163 | payment is not more than 90 days overdue, the insurer shall |
164 | reinstate the insurance policy, retroactive to the date of |
165 | cancellation, and the lender shall reimburse the property owner |
166 | for any penalty or fees imposed by the insurer and paid by the |
167 | property owner for purposes of reinstating the policy. |
168 | (c) If the lender violates paragraph (a) and the premium |
169 | payment is more than 90 days overdue or if the insurer refuses |
170 | to reinstate the insurance policy, the lender shall pay the |
171 | difference between the cost of the previous insurance policy and |
172 | a new, comparable insurance policy for a period of 2 years. |
173 | (4) At the expiration of the annual accounting period, the |
174 | lender shall issue to the property owner an annual statement of |
175 | the escrow account. |
176 | Section 3. Subsections (3) and (4) are added to section |
177 | 624.4622, Florida Statutes, to read: |
178 | 624.4622 Local government self-insurance funds.-- |
179 | (3) Notwithstanding the provisions of subsection (2), a |
180 | local government self-insurance fund created under this section |
181 | after October 1, 2004, shall initially be organized as a |
182 | commercial self-insurance fund under s. 624.462 or a group self- |
183 | insurance fund under s. 624.4621 and, for the first 5 years of |
184 | its existence, shall be subject to all the requirements applied |
185 | to commercial self-insurance funds or to group self-insurance |
186 | funds, respectively. |
187 | (4)(a) A local government self-insurance fund formed after |
188 | January 1, 2005, shall, for its first 5 fiscal years, file with |
189 | the office full and true statements of its financial condition, |
190 | transactions, and affairs. An annual statement covering the |
191 | preceding fiscal year shall be filed within 60 days after the |
192 | end of the fund's fiscal year and quarterly statements shall be |
193 | filed within 45 days after each such date. The office may, for |
194 | good cause, grant an extension of time for filing an annual or |
195 | quarterly statement. The statements shall contain information |
196 | generally included in insurers' financial statements prepared in |
197 | accordance with generally accepted insurance accounting |
198 | principles and practices and in a form generally used by |
199 | insurers for financial statements, sworn to by at least two |
200 | executive officers of the self-insurance fund. The form for |
201 | financial statements shall be the form currently approved by the |
202 | National Association of Insurance Commissioners for use by |
203 | property and casualty insurers. |
204 | (b) Each annual statement shall contain a statement of |
205 | opinion on loss and loss adjustment expense reserves made by a |
206 | member of the American Academy of Actuaries. Workpapers in |
207 | support of the statement of opinion must be provided to the |
208 | office upon request. |
209 | Section 4. Paragraph (c) of subsection (3) of section |
210 | 624.610, Florida Statutes, is amended to read: |
211 | 624.610 Reinsurance.-- |
212 | (3) |
213 | (c)1. Credit must be allowed when the reinsurance is ceded |
214 | to an assuming insurer that maintains a trust fund in a |
215 | qualified United States financial institution, as defined in |
216 | paragraph (5)(b), for the payment of the valid claims of its |
217 | United States ceding insurers and their assigns and successors |
218 | in interest. To enable the office to determine the sufficiency |
219 | of the trust fund, the assuming insurer shall report annually to |
220 | the office information substantially the same as that required |
221 | to be reported on the NAIC Annual Statement form by authorized |
222 | insurers. The assuming insurer shall submit to examination of |
223 | its books and records by the office and bear the expense of |
224 | examination. |
225 | 2.a. Credit for reinsurance must not be granted under this |
226 | subsection unless the form of the trust and any amendments to |
227 | the trust have been approved by: |
228 | (I) The insurance regulator of the state in which the |
229 | trust is domiciled; or |
230 | (II) The insurance regulator of another state who, |
231 | pursuant to the terms of the trust instrument, has accepted |
232 | principal regulatory oversight of the trust. |
233 | b. The form of the trust and any trust amendments must be |
234 | filed with the insurance regulator of every state in which the |
235 | ceding insurer beneficiaries of the trust are domiciled. The |
236 | trust instrument must provide that contested claims are valid |
237 | and enforceable upon the final order of any court of competent |
238 | jurisdiction in the United States. The trust must vest legal |
239 | title to its assets in its trustees for the benefit of the |
240 | assuming insurer's United States ceding insurers and their |
241 | assigns and successors in interest. The trust and the assuming |
242 | insurer are subject to examination as determined by the |
243 | insurance regulator. |
244 | c. The trust remains in effect for as long as the assuming |
245 | insurer has outstanding obligations due under the reinsurance |
246 | agreements subject to the trust. No later than February 28 of |
247 | each year, the trustee of the trust shall report to the |
248 | insurance regulator in writing the balance of the trust and list |
249 | the trust's investments at the preceding year end, and shall |
250 | certify that the trust will not expire prior to the following |
251 | December 31. |
252 | 3. The following requirements apply to the following |
253 | categories of assuming insurer: |
254 | a. The trust fund for a single assuming insurer consists |
255 | of funds in trust in an amount not less than the assuming |
256 | insurer's liabilities attributable to reinsurance ceded by |
257 | United States ceding insurers, and, in addition, the assuming |
258 | insurer shall maintain a trusteed surplus of not less than $20 |
259 | million. Not less than 50 percent of the funds in the trust |
260 | covering the assuming insurer's liabilities attributable to |
261 | reinsurance ceded by the United States ceding insurers and |
262 | trusteed surplus shall consist of assets of a quality |
263 | substantially similar to that required in part II of chapter |
264 | 625. Clean, irrevocable, unconditional, and evergreen letters of |
265 | credit, issued or confirmed by a qualified United States |
266 | financial institution, as defined in paragraph (5)(a), effective |
267 | no later than December 31 of the year for which the filing is |
268 | made, and in the possession of the trust on or before the filing |
269 | date of its annual statement, may be used to fund the remainder |
270 | of the trust and trusteed surplus. |
271 | b.(I) In the case of a group including incorporated and |
272 | individual unincorporated underwriters: |
273 | (A) For reinsurance ceded under reinsurance agreements |
274 | with an inception, amendment, or renewal date on or after August |
275 | 1, 1995, the trust consists of a trusteed account in an amount |
276 | not less than the group's several liabilities attributable to |
277 | business ceded by United States domiciled ceding insurers to any |
278 | member of the group; |
279 | (B) For reinsurance ceded under reinsurance agreements |
280 | with an inception date on or before July 31, 1995, and not |
281 | amended or renewed after that date, notwithstanding the other |
282 | provisions of this section, the trust consists of a trusteed |
283 | account in an amount not less than the group's several insurance |
284 | and reinsurance liabilities attributable to business written in |
285 | the United States; and |
286 | (C) In addition to these trusts, the group shall maintain |
287 | in trust a trusteed surplus of which $100 million must be held |
288 | jointly for the benefit of the United States domiciled ceding |
289 | insurers of any member of the group for all years of account. |
290 | (II) The incorporated members of the group must not be |
291 | engaged in any business other than underwriting of a member of |
292 | the group, and are subject to the same level of regulation and |
293 | solvency control by the group's domiciliary regulator as the |
294 | unincorporated members. |
295 | (III) Within 90 days after its financial statements are |
296 | due to be filed with the group's domiciliary regulator, the |
297 | group shall provide to the insurance regulator an annual |
298 | certification by the group's domiciliary regulator of the |
299 | solvency of each underwriter member or, if a certification is |
300 | unavailable, financial statements, prepared by independent |
301 | public accountants, of each underwriter member of the group. |
302 | Section 5. Section 625.081, Florida Statutes, is amended |
303 | to read: |
304 | 625.081 Reserve for health insurance.--For all health |
305 | insurance policies, the insurer shall maintain an active life |
306 | reserve which places a sound value on the insurer's liabilities |
307 | under such policies; is not less than the reserve according to |
308 | appropriate standards set forth in rules issued by the |
309 | commission; and, with the exception of credit disability |
310 | insurance, in no event, is less in the aggregate than the pro |
311 | rata gross unearned premiums for such policies. |
312 | Section 6. Paragraphs (a), (e), and (f) of subsection (5) |
313 | and subsection (13) of section 625.121, Florida Statutes, are |
314 | amended, and paragraphs (k) and (l) are added to subsection (5) |
315 | of said section, to read: |
316 | 625.121 Standard Valuation Law; life insurance.-- |
317 | (5) MINIMUM STANDARD FOR VALUATION OF POLICIES AND |
318 | CONTRACTS ISSUED ON OR AFTER OPERATIVE DATE OF STANDARD |
319 | NONFORFEITURE LAW.--Except as otherwise provided in paragraph |
320 | (h) and subsections (6), (11), and (14), the minimum standard |
321 | for the valuation of all such policies and contracts issued on |
322 | or after the operative date of s. 627.476 (Standard |
323 | Nonforfeiture Law for Life Insurance) shall be the |
324 | commissioners' reserve valuation method defined in subsections |
325 | (7), (11), and (14); 5 percent interest for group annuity and |
326 | pure endowment contracts and 3.5 percent interest for all other |
327 | such policies and contracts, or in the case of life insurance |
328 | policies and contracts, other than annuity and pure endowment |
329 | contracts, issued on or after July 1, 1973, 4 percent interest |
330 | for such policies issued prior to October 1, 1979, and 4.5 |
331 | percent interest for such policies issued on or after October 1, |
332 | 1979; and the following tables: |
333 | (a) For all ordinary policies of life insurance issued on |
334 | the standard basis, excluding any disability and accidental |
335 | death benefits in such policies: |
336 | 1. For policies issued prior to the operative date of s. |
337 | 627.476(9), the commissioners' 1958 Standard Ordinary Mortality |
338 | Table; except that, for any category of such policies issued on |
339 | female risks, modified net premiums and present values, referred |
340 | to in subsection (7), may be calculated according to an age not |
341 | more than 6 years younger than the actual age of the insured.; |
342 | and |
343 | 2. For policies issued on or after the operative date of |
344 | s. 627.476(9), the commissioners' 1980 Standard Ordinary |
345 | Mortality Table or, at the election of the insurer for any one |
346 | or more specified plans of life insurance, the commissioners' |
347 | 1980 Standard Ordinary Mortality Table with Ten-Year Select |
348 | Mortality Factors. |
349 | 3. For policies issued on or after July 1, 2004, ordinary |
350 | mortality tables adopted after 1980 by the National Association |
351 | of Insurance Commissioners, adopted by rule by the commission |
352 | for use in determining the minimum standard of valuation for |
353 | such policies. |
354 | (e) For total and permanent disability benefits in or |
355 | supplementary to ordinary policies or contracts: |
356 | 1. For policies or contracts issued on or after January 1, |
357 | 1966, the tables of period 2 disablement rates and the 1930 to |
358 | 1950 termination rates of the 1952 disability study of the |
359 | Society of Actuaries, with due regard to the type of benefit.; |
360 | 2. For policies or contracts issued on or after January 1, |
361 | 1961, and prior to January 1, 1966, either those tables or, at |
362 | the option of the insurer, the class three disability table |
363 | (1926).; and |
364 | 3. For policies issued prior to January 1, 1961, the class |
365 | three disability table (1926). |
366 | 4. For policies or contracts issued on or after July 1, |
367 | 2004, tables of disablement rates and termination rates adopted |
368 | after 1980 by the National Association of Insurance |
369 | Commissioners, adopted by rule by the commission for use in |
370 | determining the minimum standard of valuation for those policies |
371 | or contracts. |
372 |
|
373 | Any such table for active lives shall be combined with a |
374 | mortality table permitted for calculating the reserves for life |
375 | insurance policies. |
376 | (f) For accidental death benefits in or supplementary to |
377 | policies: |
378 | 1. For policies issued on or after January 1, 1966, the |
379 | 1959 Accidental Death Benefits Table.; |
380 | 2. For policies issued on or after January 1, 1961, and |
381 | prior to January 1, 1966, either that table or, at the option of |
382 | the insurer, the Intercompany Double Indemnity Mortality Table.; |
383 | and |
384 | 3. For policies issued prior to January 1, 1961, the |
385 | Intercompany Double Indemnity Mortality Table. |
386 | 4. For policies issued on or after July 1, 2004, tables of |
387 | accidental death benefits adopted after 1980 by the National |
388 | Association of Insurance Commissioners, adopted by rule by the |
389 | commission for use in determining the minimum standard of |
390 | valuation for those policies. |
391 |
|
392 | Either table shall be combined with a mortality table permitted |
393 | for calculating the reserves for life insurance policies. |
394 | (k) For individual annuity and pure endowment contracts |
395 | issued on or after July 1, 2004, excluding any disability and |
396 | accidental death benefits purchased under those contracts, |
397 | individual annuity mortality tables adopted after 1980 by the |
398 | National Association of Insurance Commissioners, adopted by rule |
399 | by the commission for use in determining the minimum standard of |
400 | valuation for those contracts. |
401 | (l) For all annuities and pure endowments purchased on or |
402 | after July 1, 2004, under group annuity and pure endowment |
403 | contracts, excluding any disability and accidental death |
404 | benefits purchased under those contracts, group annuity |
405 | mortality tables adopted after 1980 by the National Association |
406 | of Insurance Commissioners, adopted by rule by the commission |
407 | for use in determining the minimum standard of valuation for |
408 | those contracts. |
409 | (13) APPLICABILITY TO CREDIT LIFE AND DISABILITY INSURANCE |
410 | POLICIES.-- |
411 | (a) For policies issued prior to January 1, 2004: |
412 | 1. The minimum reserve for single-premium credit |
413 | disability insurance, monthly premium credit life insurance, and |
414 | monthly premium credit disability insurance shall be the |
415 | unearned gross premium. |
416 | 2. As to single-premium credit life insurance policies, |
417 | the insurer shall establish and maintain reserves which are not |
418 | less than the value, at the valuation date, of the risk for the |
419 | unexpired portion of the period for which the premium has been |
420 | paid as computed on the basis of the commissioners' 1980 |
421 | Standard Ordinary Mortality Table plus 3.5 percent interest. At |
422 | the discretion of the office, the insurer may make a reasonable |
423 | assumption as to the ages at which net premiums are to be |
424 | determined. In lieu of such basis, reserves based upon unearned |
425 | gross premiums may be used at the option of the insurer. |
426 | (b) For policies issued on or after January 1, 2004: |
427 | 1. The minimum reserve for single-premium credit |
428 | disability insurance shall be: |
429 | a. The unearned gross premium; or |
430 | b. Based upon a morbidity table that is adopted by the |
431 | National Association of Insurance Commissioners and is specified |
432 | in a rule the commission shall adopt pursuant to s. 625.121(14). |
433 | 2. The minimum reserve for monthly premium credit |
434 | disability insurance shall be the unearned gross premium. |
435 | 3. The minimum reserve for monthly premium credit life |
436 | insurance shall be the unearned gross premium. |
437 | 4. As to single-premium credit life insurance policies, |
438 | the insurer shall establish and maintain reserves which are not |
439 | less than the value, at the valuation date, of the risk for the |
440 | unexpired portion of the period for which the premium has been |
441 | paid as computed on the basis of the commissioners' 1980 |
442 | Standard Ordinary Mortality Table or any ordinary mortality |
443 | table adopted after 1980 by the National Association of |
444 | Insurance Commissioners, that is approved by rule adopted by the |
445 | commission for use in determining the minimum standard of |
446 | valuation for such policies and an interest rate determined in |
447 | accordance with s. 625.121(6). At the discretion of the office, |
448 | the insurer may make a reasonable assumption as to the ages at |
449 | which net premiums are to be determined. In lieu of such basis, |
450 | reserves based upon unearned gross premiums may be used at the |
451 | option of the insurer. This section does not apply as to those |
452 | credit life insurance policies for which reserves are computed |
453 | and maintained as required under s. 625.131. |
454 | Section 7. Paragraph (d) of subsection (1) of section |
455 | 626.321, Florida Statutes, is amended to read: |
456 | 626.321 Limited licenses.-- |
457 | (1) The department shall issue to a qualified individual, |
458 | or a qualified individual or entity under paragraphs (c), (d), |
459 | (e), and (i), a license as agent authorized to transact a |
460 | limited class of business in any of the following categories: |
461 | (d) Baggage and motor vehicle excess liability |
462 | insurance.-- |
463 | 1. License covering only insurance of personal effects |
464 | except as provided in subparagraph 2. The license may be issued |
465 | only: |
466 | a. To a full-time salaried employee of a common carrier or |
467 | a full-time salaried employee or owner of a transportation |
468 | ticket agency, which person is engaged in the sale or handling |
469 | of transportation of baggage and personal effects of travelers, |
470 | and may authorize the sale of such insurance only in connection |
471 | with such transportation; or |
472 | b. To the full-time salaried employee of a licensed |
473 | general lines agent, a full-time salaried employee of a business |
474 | which offers motor vehicles for rent or lease, or to a business |
475 | entity that office of a business which offers motor vehicles for |
476 | rent or lease if insurance sales activities authorized by the |
477 | license are in connection with and incidental to the rental of a |
478 | motor vehicle limited to full-time salaried employees. An entity |
479 | applying for a license under this paragraph: |
480 | (I) Is required to submit only one application for a |
481 | license under s. 626.171. The requirements of s. 626.171(5) |
482 | shall apply only to the officers and directors of the entity |
483 | submitting the application. |
484 | (II) Is required to obtain a license for each office, |
485 | branch office, or place of business making use of the entity's |
486 | business name by applying to the department for the license on a |
487 | simplified application form developed by rule of the department |
488 | for this purpose. |
489 | (III) Is required to pay the applicable fees for a license |
490 | as prescribed in s. 624.501, be appointed under s. 626.112, and |
491 | pay the prescribed appointment fee under s. 624.501. A licensed |
492 | and appointed entity shall be directly responsible and |
493 | accountable for all acts of the licensee's employees. |
494 |
|
495 | The purchaser of baggage insurance shall be provided written |
496 | information disclosing that the insured's homeowner's policy may |
497 | provide coverage for loss of personal effects and that the |
498 | purchase of such insurance is not required in connection with |
499 | the purchase of tickets or in connection with the lease or |
500 | rental of a motor vehicle. |
501 | 2. A business entity that office licensed pursuant to |
502 | subparagraph 1., or a person licensed pursuant to subparagraph |
503 | 1. who is a full-time salaried employee of a business which |
504 | offers motor vehicles for rent or lease, may include lessees |
505 | under a master contract providing coverage to the lessor or may |
506 | transact excess motor vehicle liability insurance providing |
507 | coverage in excess of the standard liability limits provided by |
508 | the lessor in its lease to a person renting or leasing a motor |
509 | vehicle from the licensee's employer for liability arising in |
510 | connection with the negligent operation of the leased or rented |
511 | motor vehicle, provided that the lease or rental agreement is |
512 | for not more than 30 days; that the lessee is not provided |
513 | coverage for more than 30 consecutive days per lease period, |
514 | and, if the lease is extended beyond 30 days, the coverage may |
515 | be extended one time only for a period not to exceed an |
516 | additional 30 days; that the lessee is given written notice that |
517 | his or her personal insurance policy providing coverage on an |
518 | owned motor vehicle may provide additional excess coverage; and |
519 | that the purchase of the insurance is not required in connection |
520 | with the lease or rental of a motor vehicle. The excess |
521 | liability insurance may be provided to the lessee as an |
522 | additional insured on a policy issued to the licensee's |
523 | employer. |
524 | 3. A business entity that office licensed pursuant to |
525 | subparagraph 1., or a person licensed pursuant to subparagraph |
526 | 1. who is a full-time salaried employee of a business which |
527 | offers motor vehicles for rent or lease, may, as an agent of an |
528 | insurer, transact insurance that provides coverage for the |
529 | liability of the lessee to the lessor for damage to the leased |
530 | or rented motor vehicle if: |
531 | a. The lease or rental agreement is for not more than 30 |
532 | days; or the lessee is not provided coverage for more than 30 |
533 | consecutive days per lease period, but, if the lease is extended |
534 | beyond 30 days, the coverage may be extended one time only for a |
535 | period not to exceed an additional 30 days; |
536 | b. The lessee is given written notice that his or her |
537 | personal insurance policy that provides coverage on an owned |
538 | motor vehicle may provide such coverage with or without a |
539 | deductible; and |
540 | c. The purchase of the insurance is not required in |
541 | connection with the lease or rental of a motor vehicle. |
542 | Section 8. Section 626.9743, Florida Statutes, is created |
543 | to read: |
544 | 626.9743 Claim settlement practices relating to motor |
545 | vehicle insurance.-- |
546 | (1) This section shall apply to the adjustment and |
547 | settlement of personal and commercial motor vehicle insurance |
548 | claims. |
549 | (2) An insurer may not, when liability and damages owed |
550 | under the policy are reasonably clear, recommend that a third- |
551 | party claimant make a claim under his or her own policy solely |
552 | to avoid paying the claim under the policy issued by that |
553 | insurer. |
554 | (3) An insurer that elects to repair a motor vehicle and |
555 | requires a specific repair shop for vehicle repairs shall cause |
556 | the damaged vehicle to be restored to its physical condition as |
557 | to performance and appearance prior to the loss at no additional |
558 | cost to the insured or third-party claimant other than as stated |
559 | in the policy. |
560 | (4) An insurer may not require the use of replacement |
561 | parts in the repair of a motor vehicle which are not at least |
562 | equivalent in kind and quality to the damaged parts prior to the |
563 | loss in terms of fit, appearance, and performance. |
564 | (5) When the insurance policy provides for the adjustment |
565 | and settlement of first-party motor vehicle total losses on the |
566 | basis of actual cash value or replacement with another of like |
567 | kind and quality, the insurer shall use one of the following |
568 | methods: |
569 | (a) The insurer may elect a cash settlement based upon the |
570 | actual cost to purchase a comparable motor vehicle, including |
571 | sales tax, if applicable pursuant to the provisions of |
572 | subsection (9). Such cost may be derived from: |
573 | 1. When comparable motor vehicles are available in the |
574 | local market area, the cost of two or more such comparable motor |
575 | vehicles available within the preceding 90 days; |
576 | 2. The retail cost as determined from a generally |
577 | recognized source such as a guidebook or electronic database |
578 | that is generally available to the public; or |
579 | 3. The retail cost using two or more quotations obtained |
580 | by the insurer from two or more licensed dealers in the local |
581 | market area; or |
582 | (b) The insurer may elect to offer a replacement motor |
583 | vehicle that is a specified comparable motor vehicle available |
584 | to the insured, including sales tax, if applicable pursuant to |
585 | subsection (9), paid for by the insurer at no cost other than |
586 | any deductible provided in the policy and betterment as provided |
587 | in subsection (6). The offer must be documented with the |
588 | insurer's claim file. For purposes of this subsection, a |
589 | comparable motor vehicle is one that is made by the same |
590 | manufacturer, of the same or newer model year, and of similar |
591 | body type and has similar options and mileage as the insured |
592 | vehicle. Additionally, a comparable motor vehicle must be in as |
593 | good or better overall condition as was the insured vehicle and |
594 | must be available for inspection within a reasonable distance of |
595 | the insured's residence; |
596 | (c) When a motor vehicle total loss is adjusted or settled |
597 | on a basis that varies from the methods described in paragraph |
598 | (a) or paragraph (b), the determination of value must be |
599 | supported by documentation, and any deductions from value must |
600 | be itemized and specified in appropriate dollar amounts. The |
601 | basis for such settlement shall be explained to the claimant in |
602 | writing, if requested, and a copy of the explanation shall be |
603 | retained with the insurer's claim file; or |
604 | (d) Any other method agreed to by the claimant. |
605 | (6) When the amount offered in settlement reflects a |
606 | reduction by the insurer because of betterment or depreciation, |
607 | information pertaining to the reduction shall be maintained with |
608 | the insurer's claim file. Deductions shall be itemized and |
609 | specific as to dollar amount and shall accurately reflect the |
610 | value assigned to the betterment or depreciation. The basis for |
611 | any deduction shall be explained to the claimant in writing, if |
612 | requested, and a copy of the explanation shall be maintained |
613 | with the insurer's claim file. |
614 | (7) Every insurer shall, if partial losses are settled on |
615 | the basis of a written estimate prepared by or for the insurer, |
616 | supply the insured a copy of the estimate upon which the |
617 | settlement is based. |
618 | (8) Every insurer shall provide notice to an insured |
619 | before termination of payment for previously authorized storage |
620 | charges, and the notice shall provide 72 hours for the insured |
621 | to remove the motor vehicle from storage before terminating |
622 | payment of the storage charges. |
623 | (9) If sales tax will necessarily be incurred by a |
624 | claimant upon replacement of a total loss or upon repair of a |
625 | partial loss, the insurer may defer payment of the sales tax |
626 | unless and until the obligation has actually been incurred. |
627 | (10) Nothing in this section shall be construed to |
628 | preclude enforcement of policy provisions relating to disputes |
629 | pertaining to settlement of claims. |
630 | Section 9. Section 626.9744, Florida Statutes, is created |
631 | to read: |
632 | 626.9744 Claim settlement practices relating to property |
633 | insurance.--Unless otherwise provided by the policy, when a |
634 | homeowner's insurance policy provides for the adjustment and |
635 | settlement of first-party losses based on repair or replacement |
636 | cost, the following requirements apply: |
637 | (1) When a loss requires repair or replacement of an item |
638 | or part, any physical damage incurred in making such repair or |
639 | replacement which is covered and not otherwise limited or |
640 | excluded by the policy shall be included in the loss to the |
641 | extent of any applicable limits. The insured may not be required |
642 | to pay for betterment required by ordinance or code except for |
643 | the applicable deductible, unless specifically excluded or |
644 | limited by the policy. |
645 | (2) When a loss requires replacement of items and the |
646 | replaced items do not match in quality, color, or size, the |
647 | insurer shall make reasonable repairs or replacement of items in |
648 | adjoining areas in the interest of uniformity of appearance. In |
649 | determining the extent of the repairs or replacement of items in |
650 | adjoining areas, the insurer may consider the cost of repairing |
651 | or replacing the undamaged portions of the property, the degree |
652 | of uniformity that can be achieved without such cost, the |
653 | remaining useful life of the undamaged portion, and other |
654 | relevant factors. |
655 | (3) This section shall not be construed to make the |
656 | insurer a warrantor of the repairs made pursuant to this |
657 | section. |
658 | (4) Nothing in this section shall be construed to preclude |
659 | enforcement of policy provisions relating to disputes pertaining |
660 | to settlement of claims. |
661 | Section 10. Subsection (1) of section 627.351, Florida |
662 | Statutes, is amended to read: |
663 | 627.351 Insurance risk apportionment plans.-- |
664 | (1) MOTOR VEHICLE INSURANCE RISK |
665 | APPORTIONMENT.--Agreements may be made among casualty and surety |
666 | Agreements may be made among casualty and surety insurers with |
667 | respect to the equitable apportionment among them of insurance |
668 | which may be afforded applicants who are in good faith entitled |
669 | to, but are unable to, procure such insurance through ordinary |
670 | methods, and such insurers may agree among themselves on the use |
671 | of reasonable rate modifications for such insurance. Such |
672 | agreements and rate modifications shall be subject to the |
673 | approval of the office. The office shall, after consultation |
674 | with the insurers licensed to write automobile liability |
675 | insurance in this state, adopt a reasonable plan or plans for |
676 | the equitable apportionment among such insurers of applicants |
677 | for such insurance who are in good faith entitled to, but are |
678 | unable to, procure such insurance through ordinary methods, and, |
679 | when such plan has been adopted, all such insurers shall |
680 | subscribe thereto and shall participate therein. Such plan or |
681 | plans shall include rules for classification of risks and rates |
682 | therefor. The plan or plans shall make available noncancelable |
683 | coverage as provided in s. 627.7275(2). Any insured placed with |
684 | the plan shall be notified of the fact that insurance coverage |
685 | is being afforded through the plan and not through the private |
686 | market, and such notification shall be given in writing within |
687 | 10 days of such placement. To assure that plan rates are made |
688 | adequate to pay claims and expenses, insurers shall develop a |
689 | means of obtaining loss and expense experience at least |
690 | annually, and the plan shall file such experience, when |
691 | available, with the office in sufficient detail to make a |
692 | determination of rate adequacy. Prior to the filing of such |
693 | experience with the office, the plan shall poll each member |
694 | insurer as to the need for an actuary who is a member of the |
695 | Casualty Actuarial Society and who is not affiliated with the |
696 | plan's statistical agent to certify the plan's rate adequacy. If |
697 | a majority of those insurers responding indicate a need for such |
698 | certification, the plan shall include the certification as part |
699 | of its experience filing. Such experience shall be filed with |
700 | the office not more than 9 months following the end of the |
701 | annual statistical period under review, together with a rate |
702 | filing based on said experience. The office shall initiate |
703 | proceedings to disapprove the rate and so notify the plan or |
704 | shall finalize its review within 60 days of receipt of the |
705 | filing. Notification to the plan by the office of its |
706 | preliminary findings, which include a point of entry to the plan |
707 | pursuant to chapter 120, shall toll the 60-day period during any |
708 | such proceedings and subsequent judicial review. The rate shall |
709 | be deemed approved if the office does not issue notice to the |
710 | plan of its preliminary findings within 60 days of the filing. |
711 | In addition to provisions for claims and expenses, the |
712 | ratemaking formula shall include a factor for projected claims |
713 | trending and 5 percent for contingencies. In no instance shall |
714 | the formula include a renewal discount for plan insureds. |
715 | However, the plan shall reunderwrite each insured on an annual |
716 | basis, based upon all applicable rating factors approved by the |
717 | office. Trend factors shall not be found to be inappropriate if |
718 | not in excess of trend factors normally used in the development |
719 | of residual market rates by the appropriate licensed rating |
720 | organization. Each application for coverage in the plan shall |
721 | include, in boldfaced 12-point type immediately preceding the |
722 | applicant's signature, the following statement: |
723 |
|
724 | "THIS INSURANCE IS BEING AFFORDED THROUGH THE FLORIDA JOINT |
725 | UNDERWRITING ASSOCIATION AND NOT THROUGH THE PRIVATE MARKET. |
726 | PLEASE BE ADVISED THAT COVERAGE WITH A PRIVATE INSURER MAY BE |
727 | AVAILABLE FROM ANOTHER AGENT AT A LOWER COST. AGENT AND COMPANY |
728 | LISTINGS ARE AVAILABLE IN THE LOCAL YELLOW PAGES." |
729 |
|
730 | The plan shall annually report to the office the number and |
731 | percentage of plan insureds who are not surcharged due to their |
732 | driving record. |
733 | (a) The plan may require from the insured proof that he or |
734 | she has obtained the mandatory types and amounts of insurance |
735 | from another admitted carrier prior to the cancellation of a |
736 | policy the insured obtained from the plan and prior to the |
737 | return of any unearned premium the insured paid for such |
738 | coverage from the plan. This paragraph shall not apply to any |
739 | person that provides proof of sale or inoperability of the |
740 | vehicle covered under the policy purchased from the plan or |
741 | relocation outside this state. |
742 | (b) Notwithstanding the requirements of s. 624.155(3)(a), |
743 | as a condition precedent to bringing an action against the plan |
744 | under s. 624.155, the department and the plan must have been |
745 | given 90 days' written notice of the violation. If the |
746 | department returns a notice for lack of specificity, the 90-day |
747 | time period shall not begin until a proper notice is filed. This |
748 | notice must comply with the information requirements of s. |
749 | 624.155(3)(b). Effective October 1, 2007, this paragraph is |
750 | repealed unless reenacted by the Legislature prior to such date. |
751 | Section 11. Subsection (5) is added to section 627.4091, |
752 | Florida Statutes, to read: |
753 | 627.4091 Specific reasons for denial, cancellation, or |
754 | nonrenewal.-- |
755 | (5) When an insurer refuses to provide coverage to an |
756 | applicant due to adverse underwriting information, the insurer |
757 | shall: |
758 | (a) Provide to the applicant specific information |
759 | regarding the reasons for the refusal to insure. |
760 | (b) If the reason for the refusal to insure is based on a |
761 | loss underwriting history or report from a consumer reporting |
762 | agency, to the extent applicable, identify the loss underwriting |
763 | history and notify the applicant of his or her right under the |
764 | federal Fair and Accurate Credit Transactions Act to obtain a |
765 | copy of the report from the consumer reporting agency. |
766 | Section 12. Subsections (4) and (5) are added to section |
767 | 627.4133, Florida Statutes, to read: |
768 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
769 | premium.-- |
770 | (4) An insurer that cancels a property insurance policy on |
771 | property secured by a mortgage due to the failure of the lender |
772 | to timely pay the premium when due shall reinstate the policy as |
773 | required by s. 501.137. |
774 | (5) A single claim on a personal lines residential |
775 | property insurance policy which is the result of water damage |
776 | may not be used as the sole cause for cancellation or nonrenewal |
777 | unless the insurer can demonstrate that the insured has failed |
778 | to take action as requested by the insurer to prevent a future |
779 | similar occurrence of damage to the insured property. |
780 | Section 13. Paragraph (h) of subsection (9) of section |
781 | 627.476, Florida Statutes, is amended to read: |
782 | 627.476 Standard Nonforfeiture Law for Life Insurance.-- |
783 | (9) CALCULATION OF ADJUSTED PREMIUMS AND PRESENT VALUES |
784 | FOR POLICIES ISSUED AFTER OPERATIVE DATE OF THIS SUBSECTION.-- |
785 | (h) All adjusted premiums and present values referred to |
786 | in this section shall for all policies of ordinary insurance be |
787 | calculated on the basis of the Commissioners' 1980 Standard |
788 | Ordinary Mortality Table or, at the election of the insurer for |
789 | any one or more specified plans of life insurance, the |
790 | Commissioners' 1980 Standard Ordinary Mortality Table with Ten- |
791 | Year Select Mortality Factors; shall for all policies of |
792 | industrial insurance be calculated on the basis of the |
793 | Commissioners' 1961 Standard Industrial Mortality Table; and |
794 | shall for all policies issued in a particular calendar year be |
795 | calculated on the basis of a rate of interest not exceeding the |
796 | nonforfeiture interest rate as defined in this subsection for |
797 | policies issued in that calendar year. However: |
798 | 1. At the option of the insurer, calculations for all |
799 | policies issued in a particular calendar year may be made on the |
800 | basis of a rate of interest not exceeding the nonforfeiture |
801 | interest rate, as defined in this subsection, for policies |
802 | issued in the immediately preceding calendar year. |
803 | 2. Under any paid-up nonforfeiture benefit, including any |
804 | paid-up dividend additions, any cash surrender value available, |
805 | whether or not required by subsection (2), shall be calculated |
806 | on the basis of the mortality table and rate of interest used in |
807 | determining the amount of such paid-up nonforfeiture benefit and |
808 | paid-up dividend additions, if any. |
809 | 3. An insurer may calculate the amount of any guaranteed |
810 | paid-up nonforfeiture benefit, including any paid-up additions |
811 | under the policy, on the basis of an interest rate no lower than |
812 | that specified in the policy for calculating cash surrender |
813 | values. |
814 | 4. In calculating the present value of any paid-up term |
815 | insurance with accompanying pure endowment, if any, offered as a |
816 | nonforfeiture benefit, the rates of mortality assumed may be not |
817 | more than those shown in the Commissioners' 1980 Extended Term |
818 | Insurance Table for policies of ordinary insurance and not more |
819 | than the Commissioners' 1961 Industrial Extended Term Insurance |
820 | Table for policies of industrial insurance. |
821 | 5. In lieu of the mortality tables specified in this |
822 | section, at the option of the insurance company and subject to |
823 | rules adopted by the commission, the insurance company may |
824 | substitute: |
825 | a. The 1958 CSO or CET Smoker and Nonsmoker Mortality |
826 | Tables, whichever is applicable, for policies issued on or after |
827 | the operative date of this subsection and before January 1, |
828 | 1989; |
829 | b. The 1980 CSO or CET Smoker and Nonsmoker Mortality |
830 | Tables, whichever is applicable, for policies issued on or after |
831 | the operative date of this subsection; |
832 | c. A mortality table that is a blend of the sex-distinct |
833 | 1980 CSO or CET mortality table standard, whichever is |
834 | applicable, or a mortality table that is a blend of the sex- |
835 | distinct 1980 CSO or CET smoker and nonsmoker mortality table |
836 | standards, whichever is applicable, for policies that are |
837 | subject to the United States Supreme Court decision in Arizona |
838 | Governing Committee v. Norris to prevent unfair discrimination |
839 | in employment situations. |
840 | 6. Ordinary mortality tables adopted after 1980 by the |
841 | National Association of Insurance Commissioners, adopted by rule |
842 | by the commission for use in determining the minimum |
843 | nonforfeiture standard, may be substituted for the |
844 | commissioners' 1980 Standard Ordinary Mortality Table with or |
845 | without Ten-Year Select Mortality Factors or for the |
846 | commissioners' 1980 Extended Term Insurance Table. |
847 | 7.6. For insurance issued on a substandard basis, the |
848 | calculation of any such adjusted premiums and present values may |
849 | be based on appropriate modifications of the aforementioned |
850 | tables. |
851 | Section 14. Section 627.7077, Florida Statutes, is created |
852 | to read: |
853 | 627.7077 Florida Sinkhole Insurance Facility; matters |
854 | related to affordability and availability of sinkhole insurance; |
855 | feasibility study.-- |
856 | (1) The Florida State University College of Business' |