1 | Representative Ross offered the following: |
2 |
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3 | Amendment (with title amendment) |
4 | Delete everything after the enacting clause and insert: |
5 | Section 1. Effective June 1, 2005, paragraph (e) of |
6 | subsection (2) of section 215.555, Florida Statutes, is amended |
7 | to read: |
8 | 215.555 Florida Hurricane Catastrophe Fund.-- |
9 | (2) DEFINITIONS.--As used in this section: |
10 | (e) "Retention" means the amount of losses below which an |
11 | insurer is not entitled to reimbursement from the fund. An |
12 | insurer's retention shall be calculated as follows: |
13 | 1. The board shall calculate and report to each insurer |
14 | the retention multiples for that year. For the contract year |
15 | beginning June 1, 2005 2004, the retention multiple shall be |
16 | equal to $4.5 billion divided by the total estimated |
17 | reimbursement premium for the contract year; for subsequent |
18 | years, the retention multiple shall be equal to $4.5 billion, |
19 | adjusted based upon the reported exposure from the prior |
20 | contract year to reflect the percentage growth in exposure to |
21 | the fund for covered policies since 2004 2003, divided by the |
22 | total estimated reimbursement premium for the contract year. |
23 | Total reimbursement premium for purposes of the calculation |
24 | under this subparagraph shall be estimated using the assumption |
25 | that all insurers have selected the 90-percent coverage level. |
26 | 2. The retention multiple as determined under subparagraph |
27 | 1. shall be adjusted to reflect the coverage level elected by |
28 | the insurer. For insurers electing the 90-percent coverage |
29 | level, the adjusted retention multiple is 100 percent of the |
30 | amount determined under subparagraph 1. For insurers electing |
31 | the 75-percent coverage level, the retention multiple is 120 |
32 | percent of the amount determined under subparagraph 1. For |
33 | insurers electing the 45-percent coverage level, the adjusted |
34 | retention multiple is 200 percent of the amount determined under |
35 | subparagraph 1. |
36 | 3. An insurer shall determine its provisional retention by |
37 | multiplying its provisional reimbursement premium by the |
38 | applicable adjusted retention multiple and shall determine its |
39 | actual retention by multiplying its actual reimbursement premium |
40 | by the applicable adjusted retention multiple. |
41 | 4. For insurers who experience multiple covered events |
42 | causing loss during the contract year, beginning June 1, 2005, |
43 | each insurer's full retention shall be applied to each of the |
44 | covered events causing the two largest losses for that insurer. |
45 | For each other covered event resulting in losses, the insurer's |
46 | retention shall be reduced to one-third of the full retention. |
47 | The reimbursement contract shall provide for the reimbursement |
48 | of losses for each covered event based on the full retention |
49 | with adjustments made to reflect the reduced retentions after |
50 | January 1 of the contract year provided the insurer reports its |
51 | losses as specified in the reimbursement contract. |
52 | Section 2. Effective July 1, 2005, section 215.559, |
53 | Florida Statutes, is amended to read: |
54 | 215.559 Hurricane Loss Mitigation Program.-- |
55 | (1) There is created a Hurricane Loss Mitigation Program. |
56 | The Legislature shall annually appropriate $10 million of the |
57 | moneys authorized for appropriation under s. 215.555(7)(c) from |
58 | the Florida Hurricane Catastrophe Fund to the Department of |
59 | Community Affairs for the purposes set forth in this section. |
60 | (2)(a) Seven million dollars in funds provided in |
61 | subsection (1) shall be used for programs to improve the wind |
62 | resistance of residences and mobile homes, including loans, |
63 | subsidies, grants, demonstration projects, and direct |
64 | assistance; cooperative programs with local governments and the |
65 | Federal Government; and other efforts to prevent or reduce |
66 | losses or reduce the cost of rebuilding after a disaster. |
67 | (b) Three million dollars in funds provided in subsection |
68 | (1) shall be used to retrofit existing facilities used as public |
69 | hurricane shelters. The department must prioritize the use of |
70 | these funds for projects included in the September 1, 2000, |
71 | version of the Shelter Retrofit Report prepared in accordance |
72 | with s. 252.385(3), and each annual report thereafter. The |
73 | department must give funding priority to projects in regional |
74 | planning council regions that have shelter deficits and to |
75 | projects that maximize use of state funds. |
76 | (3) By the 2006-2007 fiscal year, the Department of |
77 | Community Affairs shall develop a low-interest loan program for |
78 | homeowners and mobile home owners to retrofit their homes with |
79 | fixtures or apply construction techniques that have been |
80 | demonstrated to reduce the amount of damage or loss due to a |
81 | hurricane. Funding for the program shall be used to subsidize or |
82 | guaranty private-sector loans for this purpose to qualified |
83 | homeowners by financial institutions chartered by the state or |
84 | Federal Government. The department may enter into contracts with |
85 | financial institutions for this purpose. The department shall |
86 | establish criteria for determining eligibility for the loans and |
87 | selecting recipients, standards for retrofitting homes or mobile |
88 | homes, limitations on loan subsidies and loan guaranties, and |
89 | other terms and conditions of the program, which must be |
90 | specified in the department's report to the Legislature on |
91 | January 1, 2006, required by subsection (8). For the 2005-2006 |
92 | fiscal year, the Department of Community Affairs may use up to |
93 | $1 million of the funds appropriated pursuant to paragraph |
94 | (2)(a) to begin the low-interest loan program as a pilot project |
95 | in one or more counties. The Department of Financial Services, |
96 | the Office of Financial Regulation, the Florida Housing Finance |
97 | Corporation, and the Office of Tourism, Trade, and Economic |
98 | Development shall assist the Department of Community Affairs in |
99 | establishing the program and pilot project. The department may |
100 | use up to 2.5 percent of the funds appropriated in any given |
101 | fiscal year for administering the loan program. The department |
102 | may adopt rules to implement the program. |
103 | (4)(3) Forty percent of the total appropriation in |
104 | paragraph (2)(a) shall be used to inspect and improve tie-downs |
105 | for mobile homes. Within 30 days after the effective date of |
106 | that appropriation, the department shall contract with a public |
107 | higher educational institution in this state which has previous |
108 | experience in administering the programs set forth in this |
109 | subsection to serve as the administrative entity and fiscal |
110 | agent pursuant to s. 216.346 for the purpose of administering |
111 | the programs set forth in this subsection in accordance with |
112 | established policy and procedures. The administrative entity |
113 | working with the advisory council set up under subsection (6) |
114 | (5) shall develop a list of mobile home parks and counties that |
115 | may be eligible to participate in the tie-down program. |
116 | (5)(4) Of moneys provided to the Department of Community |
117 | Affairs in paragraph (2)(a), 10 percent shall be allocated to a |
118 | Type I Center within the State University System dedicated to |
119 | hurricane research. The Type I Center shall develop a |
120 | preliminary work plan approved by the advisory council set forth |
121 | in subsection (6) (5) to eliminate the state and local barriers |
122 | to upgrading existing mobile homes and communities, research and |
123 | develop a program for the recycling of existing older mobile |
124 | homes, and support programs of research and development relating |
125 | to hurricane loss reduction devices and techniques for site- |
126 | built residences. The State University System also shall consult |
127 | with the Department of Community Affairs and assist the |
128 | department with the report required under subsection (8) (7). |
129 | (6)(5) Except for the program set forth in subsection (3), |
130 | The Department of Community Affairs shall develop the programs |
131 | set forth in this section in consultation with an advisory |
132 | council consisting of a representative designated by the Chief |
133 | Financial Officer, a representative designated by the Florida |
134 | Home Builders Association, a representative designated by the |
135 | Florida Insurance Council, a representative designated by the |
136 | Federation of Manufactured Home Owners, a representative |
137 | designated by the Florida Association of Counties, and a |
138 | representative designated by the Florida Manufactured Housing |
139 | Association. |
140 | (7)(6) Moneys provided to the Department of Community |
141 | Affairs under this section are intended to supplement other |
142 | funding sources of the Department of Community Affairs and may |
143 | not supplant other funding sources of the Department of |
144 | Community Affairs. |
145 | (8)(7) On January 1st of each year, the Department of |
146 | Community Affairs shall provide a full report and accounting of |
147 | activities under this section and an evaluation of such |
148 | activities to the Speaker of the House of Representatives, the |
149 | President of the Senate, and the Majority and Minority Leaders |
150 | of the House of Representatives and the Senate. |
151 | (9)(8) This section is repealed June 30, 2011. |
152 | Section 3. Subsections (4) and (5) of section 627.062, |
153 | Florida Statutes, are amended to read: |
154 | 627.062 Rate standards.-- |
155 | (4) The establishment of any rate, rating classification, |
156 | rating plan or schedule, or variation thereof in violation of |
157 | part IX of chapter 626 is also in violation of this section. In |
158 | order to enhance the ability of consumers to compare premiums |
159 | and to increase the accuracy and usefulness of rate-comparison |
160 | information provided by the office to the public, the office |
161 | shall develop a proposed standard rating territory plan to be |
162 | used by all authorized property and casualty insurers for |
163 | residential property insurance. In adopting the proposed plan, |
164 | the office may consider geographical characteristics relevant to |
165 | risk, county lines, major roadways, existing rating territories |
166 | used by a significant segment of the market, and other relevant |
167 | factors. Such plan shall be submitted to the President of the |
168 | Senate and the Speaker of the House of Representatives by |
169 | January 15, 2006. The plan may not be implemented unless |
170 | authorized by further act of the Legislature. |
171 | (5) With respect to a rate filing involving coverage of |
172 | the type for which the insurer is required to pay a |
173 | reimbursement premium to the Florida Hurricane Catastrophe Fund, |
174 | the insurer may fully recoup in its property insurance premiums |
175 | any reimbursement premiums paid to the Florida Hurricane |
176 | Catastrophe Fund, together with reasonable costs of other |
177 | reinsurance, but may not recoup reinsurance costs that duplicate |
178 | coverage provided by the Florida Hurricane Catastrophe Fund. An |
179 | insurer may not recoup more than 1 year of reimbursement premium |
180 | at a time. Any under-recoupment from the prior year may be added |
181 | to the following year's reimbursement premium and any over- |
182 | recoupment shall be subtracted from the following year's |
183 | reimbursement premium. |
184 | Section 4. Paragraph (c) of subsection (1) and paragraph |
185 | (c) of subsection (3) of section 627.0628, Florida Statutes, are |
186 | amended to read: |
187 | 627.0628 Florida Commission on Hurricane Loss Projection |
188 | Methodology.-- |
189 | (1) LEGISLATIVE FINDINGS AND INTENT.-- |
190 | (c) It is the intent of the Legislature to create the |
191 | Florida Commission on Hurricane Loss Projection Methodology as a |
192 | panel of experts to provide the most actuarially sophisticated |
193 | guidelines and standards for projection of hurricane losses |
194 | possible, given the current state of actuarial science. It is |
195 | the further intent of the Legislature that such standards and |
196 | guidelines must be used by the State Board of Administration in |
197 | developing reimbursement premium rates for the Florida Hurricane |
198 | Catastrophe Fund, and, subject to paragraph (3)(c), may be used |
199 | by insurers in rate filings under s. 627.062 unless the way in |
200 | which such standards and guidelines were applied by the insurer |
201 | was erroneous, as shown by a preponderance of the evidence. |
202 | (3) ADOPTION AND EFFECT OF STANDARDS AND GUIDELINES.-- |
203 | (c) With respect to a rate filing under s. 627.062, an |
204 | insurer may employ actuarial methods, principles, standards, |
205 | models, or output ranges found by the commission to be accurate |
206 | or reliable to determine hurricane loss factors for use in a |
207 | rate filing under s. 627.062. Such, which findings and factors |
208 | are admissible and relevant in consideration of a rate filing by |
209 | the office or in any arbitration or administrative or judicial |
210 | review only if the office and the consumer advocate appointed |
211 | pursuant to s. 627.0613 have access to all of the assumptions |
212 | and factors that were used in developing the actuarial methods, |
213 | principles, standards, models, or output ranges, and are not |
214 | precluded from disclosing such information in a rate proceeding. |
215 | Section 5. Subsection (7) of section 627.0629, Florida |
216 | Statutes, is amended to read: |
217 | 627.0629 Residential property insurance; rate filings.-- |
218 | (7) Any rate filing that is based in whole or part on data |
219 | from a computer model may not exceed 15 25 percent unless there |
220 | is a public hearing. |
221 | Section 6. Section 627.06281, Florida Statutes, is created |
222 | to read: |
223 | 627.06281 Public hurricane loss projection model; |
224 | reporting of data by insurers.--Within 30 days after a written |
225 | request for loss data and associated exposure data by the office |
226 | or a type I center within the State University System |
227 | established to study mitigation, residential property insurers |
228 | and licensed rating and advisory organizations that compile |
229 | residential property insurance loss data shall provide loss data |
230 | and associated exposure data for residential property insurance |
231 | policies to the office or to a type I center within the State |
232 | University System established to study mitigation, as directed |
233 | by the office, for the purposes of developing, maintaining, and |
234 | updating a public model for hurricane loss projections. The loss |
235 | data and associated exposure data provided shall be in writing. |
236 | Section 7. Paragraphs (a), (c), and (d) of subsection (6) |
237 | of section 627.351, Florida Statutes, are amended to read: |
238 | 627.351 Insurance risk apportionment plans.-- |
239 | (6) CITIZENS PROPERTY INSURANCE CORPORATION.-- |
240 | (a)1. The Legislature finds that actual and threatened |
241 | catastrophic losses to property in this state from hurricanes |
242 | have caused insurers to be unwilling or unable to provide |
243 | property insurance coverage to the extent sought and needed. It |
244 | is in the public interest and a public purpose to assist in |
245 | assuring that property in the state is insured so as to |
246 | facilitate the remediation, reconstruction, and replacement of |
247 | damaged or destroyed property in order to reduce or avoid the |
248 | negative effects otherwise resulting to the public health, |
249 | safety, and welfare; to the economy of the state; and to the |
250 | revenues of the state and local governments needed to provide |
251 | for the public welfare. It is necessary, therefore, to provide |
252 | property insurance to applicants who are in good faith entitled |
253 | to procure insurance through the voluntary market but are unable |
254 | to do so. The Legislature intends by this subsection that |
255 | property insurance be provided and that it continues, as long as |
256 | necessary, through an entity organized to achieve efficiencies |
257 | and economies, while providing service to policyholders, |
258 | applicants, and agents that is no less than the quality |
259 | generally provided in the voluntary market, all toward the |
260 | achievement of the foregoing public purposes. Because it is |
261 | essential for the corporation to have the maximum financial |
262 | resources to pay claims following a catastrophic hurricane, it |
263 | is the intent of the Legislature that the income of the |
264 | corporation be exempt from federal income taxation and that |
265 | interest on the debt obligations issued by the corporation be |
266 | exempt from federal income taxation. |
267 | 2. The Residential Property and Casualty Joint |
268 | Underwriting Association originally created by this statute |
269 | shall be known, as of July 1, 2002, as the Citizens Property |
270 | Insurance Corporation. The corporation shall provide insurance |
271 | for residential and commercial property, for applicants who are |
272 | in good faith entitled, but are unable, to procure insurance |
273 | through the voluntary market. The corporation shall operate |
274 | pursuant to a plan of operation approved by order of the office. |
275 | The plan is subject to continuous review by the office. The |
276 | office may, by order, withdraw approval of all or part of a plan |
277 | if the office determines that conditions have changed since |
278 | approval was granted and that the purposes of the plan require |
279 | changes in the plan. For the purposes of this subsection, |
280 | residential coverage includes both personal lines residential |
281 | coverage, which consists of the type of coverage provided by |
282 | homeowner's, mobile home owner's, dwelling, tenant's, |
283 | condominium unit owner's, and similar policies, and commercial |
284 | lines residential coverage, which consists of the type of |
285 | coverage provided by condominium association, apartment |
286 | building, and similar policies. |
287 | 3. It is the intent of the Legislature that policyholders, |
288 | applicants, and agents of the corporation receive service and |
289 | treatment of the highest possible level but never less than that |
290 | generally provided in the voluntary market. It also is intended |
291 | that the corporation be held to service standards no less than |
292 | those applied to insurers in the voluntary market by the office |
293 | with respect to responsiveness, timeliness, customer courtesy, |
294 | and overall dealings with policyholders, applicants, or agents |
295 | of the corporation. |
296 | (c) The plan of operation of the corporation: |
297 | 1. Must provide for adoption of residential property and |
298 | casualty insurance policy forms and commercial residential and |
299 | nonresidential property insurance forms, which forms must be |
300 | approved by the office prior to use. The corporation shall adopt |
301 | the following policy forms: |
302 | a. Standard personal lines policy forms that are |
303 | comprehensive multiperil policies providing full coverage of a |
304 | residential property equivalent to the coverage provided in the |
305 | private insurance market under an HO-3, HO-4, or HO-6 policy. |
306 | b. Basic personal lines policy forms that are policies |
307 | similar to an HO-8 policy or a dwelling fire policy that provide |
308 | coverage meeting the requirements of the secondary mortgage |
309 | market, but which coverage is more limited than the coverage |
310 | under a standard policy. |
311 | c. Commercial lines residential policy forms that are |
312 | generally similar to the basic perils of full coverage |
313 | obtainable for commercial residential structures in the admitted |
314 | voluntary market. |
315 | d. Personal lines and commercial lines residential |
316 | property insurance forms that cover the peril of wind only. The |
317 | forms are applicable only to residential properties located in |
318 | areas eligible for coverage under the high-risk account referred |
319 | to in sub-subparagraph (b)2.a. |
320 | e. Commercial lines nonresidential property insurance |
321 | forms that cover the peril of wind only. The forms are |
322 | applicable only to nonresidential properties located in areas |
323 | eligible for coverage under the high-risk account referred to in |
324 | sub-subparagraph (b)2.a. |
325 | 2.a. Must provide that the corporation adopt a program in |
326 | which the corporation and authorized insurers enter into quota |
327 | share primary insurance agreements for hurricane coverage, as |
328 | defined in s. 627.4025(2)(a), for eligible risks, and adopt |
329 | property insurance forms for eligible risks which cover the |
330 | peril of wind only. As used in this subsection, the term: |
331 | (I) "Quota share primary insurance" means an arrangement |
332 | in which the primary hurricane coverage of an eligible risk is |
333 | provided in specified percentages by the corporation and an |
334 | authorized insurer. The corporation and authorized insurer are |
335 | each solely responsible for a specified percentage of hurricane |
336 | coverage of an eligible risk as set forth in a quota share |
337 | primary insurance agreement between the corporation and an |
338 | authorized insurer and the insurance contract. The |
339 | responsibility of the corporation or authorized insurer to pay |
340 | its specified percentage of hurricane losses of an eligible |
341 | risk, as set forth in the quota share primary insurance |
342 | agreement, may not be altered by the inability of the other |
343 | party to the agreement to pay its specified percentage of |
344 | hurricane losses. Eligible risks that are provided hurricane |
345 | coverage through a quota share primary insurance arrangement |
346 | must be provided policy forms that set forth the obligations of |
347 | the corporation and authorized insurer under the arrangement, |
348 | clearly specify the percentages of quota share primary insurance |
349 | provided by the corporation and authorized insurer, and |
350 | conspicuously and clearly state that neither the authorized |
351 | insurer nor the corporation may be held responsible beyond its |
352 | specified percentage of coverage of hurricane losses. |
353 | (II) "Eligible risks" means personal lines residential and |
354 | commercial lines residential risks that meet the underwriting |
355 | criteria of the corporation and are located in areas that were |
356 | eligible for coverage by the Florida Windstorm Underwriting |
357 | Association on January 1, 2002. |
358 | b. The corporation may enter into quota share primary |
359 | insurance agreements with authorized insurers at corporation |
360 | coverage levels of 90 percent and 50 percent. |
361 | c. If the corporation determines that additional coverage |
362 | levels are necessary to maximize participation in quota share |
363 | primary insurance agreements by authorized insurers, the |
364 | corporation may establish additional coverage levels. However, |
365 | the corporation's quota share primary insurance coverage level |
366 | may not exceed 90 percent. |
367 | d. Any quota share primary insurance agreement entered |
368 | into between an authorized insurer and the corporation must |
369 | provide for a uniform specified percentage of coverage of |
370 | hurricane losses, by county or territory as set forth by the |
371 | corporation board, for all eligible risks of the authorized |
372 | insurer covered under the quota share primary insurance |
373 | agreement. |
374 | e. Any quota share primary insurance agreement entered |
375 | into between an authorized insurer and the corporation is |
376 | subject to review and approval by the office. However, such |
377 | agreement shall be authorized only as to insurance contracts |
378 | entered into between an authorized insurer and an insured who is |
379 | already insured by the corporation for wind coverage. |
380 | f. For all eligible risks covered under quota share |
381 | primary insurance agreements, the exposure and coverage levels |
382 | for both the corporation and authorized insurers shall be |
383 | reported by the corporation to the Florida Hurricane Catastrophe |
384 | Fund. For all policies of eligible risks covered under quota |
385 | share primary insurance agreements, the corporation and the |
386 | authorized insurer shall maintain complete and accurate records |
387 | for the purpose of exposure and loss reimbursement audits as |
388 | required by Florida Hurricane Catastrophe Fund rules. The |
389 | corporation and the authorized insurer shall each maintain |
390 | duplicate copies of policy declaration pages and supporting |
391 | claims documents. |
392 | g. The corporation board shall establish in its plan of |
393 | operation standards for quota share agreements which ensure that |
394 | there is no discriminatory application among insurers as to the |
395 | terms of quota share agreements, pricing of quota share |
396 | agreements, incentive provisions if any, and consideration paid |
397 | for servicing policies or adjusting claims. |
398 | h. The quota share primary insurance agreement between the |
399 | corporation and an authorized insurer must set forth the |
400 | specific terms under which coverage is provided, including, but |
401 | not limited to, the sale and servicing of policies issued under |
402 | the agreement by the insurance agent of the authorized insurer |
403 | producing the business, the reporting of information concerning |
404 | eligible risks, the payment of premium to the corporation, and |
405 | arrangements for the adjustment and payment of hurricane claims |
406 | incurred on eligible risks by the claims adjuster and personnel |
407 | of the authorized insurer. Entering into a quota sharing |
408 | insurance agreement between the corporation and an authorized |
409 | insurer shall be voluntary and at the discretion of the |
410 | authorized insurer. |
411 | 3. May provide that the corporation may employ or |
412 | otherwise contract with individuals or other entities to provide |
413 | administrative or professional services that may be appropriate |
414 | to effectuate the plan. The corporation shall have the power to |
415 | borrow funds, by issuing bonds or by incurring other |
416 | indebtedness, and shall have other powers reasonably necessary |
417 | to effectuate the requirements of this subsection, including |
418 | without limitation, the power to issue bonds and incur other |
419 | indebtedness in order to refinance outstanding bonds or other |
420 | indebtedness. The corporation may, but is not required to, seek |
421 | judicial validation of its bonds or other indebtedness under |
422 | chapter 75. The corporation may issue bonds or incur other |
423 | indebtedness, or have bonds issued on its behalf by a unit of |
424 | local government pursuant to subparagraph (g)2., in the absence |
425 | of a hurricane or other weather-related event, upon a |
426 | determination by the corporation, subject to approval by the |
427 | office, that such action would enable it to efficiently meet the |
428 | financial obligations of the corporation and that such |
429 | financings are reasonably necessary to effectuate the |
430 | requirements of this subsection. The corporation is authorized |
431 | to take all actions needed to facilitate tax-free status for any |
432 | such bonds or indebtedness, including formation of trusts or |
433 | other affiliated entities. The corporation shall have the |
434 | authority to pledge assessments, projected recoveries from the |
435 | Florida Hurricane Catastrophe Fund, other reinsurance |
436 | recoverables, market equalization and other surcharges, and |
437 | other funds available to the corporation as security for bonds |
438 | or other indebtedness. In recognition of s. 10, Art. I of the |
439 | State Constitution, prohibiting the impairment of obligations of |
440 | contracts, it is the intent of the Legislature that no action be |
441 | taken whose purpose is to impair any bond indenture or financing |
442 | agreement or any revenue source committed by contract to such |
443 | bond or other indebtedness. |
444 | 4.a. Must require that the corporation operate subject to |
445 | the supervision and approval of a board of governors consisting |
446 | of 8 7 individuals who are residents of this state, from |
447 | different geographical areas of this state, appointed by the |
448 | Chief Financial Officer. The Governor, the Chief Financial |
449 | Officer, the President of the Senate, and the Speaker of the |
450 | House of Representatives shall each appoint two members of the |
451 | board, effective August 1, 2005. At least one of the two members |
452 | appointed by each appointing officer must have demonstrated |
453 | expertise in insurance. The Chief Financial Officer shall |
454 | designate one of the appointees as chair. All board members |
455 | serve at the pleasure of the appointing officer Chief Financial |
456 | Officer. All board members, including the chair, must be |
457 | appointed to serve for 3-year terms beginning annually on a date |
458 | designated by the plan. Any board vacancy shall be filled for |
459 | the unexpired term by the appointing officer Chief Financial |
460 | Officer. The Chief Financial Officer shall appoint a technical |
461 | advisory group to provide information and advice to the board of |
462 | governors in connection with the board's duties under this |
463 | subsection. The executive director and senior managers of the |
464 | corporation shall be engaged by the board, as recommended by the |
465 | Chief Financial Officer and serve at the pleasure of the board |
466 | Chief Financial Officer. The executive director is responsible |
467 | for employing other staff as the corporation may require, |
468 | subject to review and concurrence by the board and office of the |
469 | Chief Financial Officer. |
470 | b. The board shall create a Market Accountability Advisory |
471 | Committee to assist the corporation in developing awareness of |
472 | its rates and its customer and agent service levels in |
473 | relationship to the voluntary market insurers writing similar |
474 | coverage. The members of the advisory committee shall consist of |
475 | the following 11 persons, one of whom must be elected chair by |
476 | the members of the committee: four representatives, one |
477 | appointed by the Florida Association of Insurance Agents, one by |
478 | the Florida Association of Insurance and Financial Advisors, one |
479 | by the Professional Insurance Agents of Florida, and one by the |
480 | Latin American Association of Insurance Agencies; three |
481 | representatives appointed by the insurers with the three highest |
482 | voluntary market share of residential property insurance |
483 | business in the state; one representative from the Office of |
484 | Insurance Regulation; one consumer appointed by the board who is |
485 | insured by the corporation at the time of appointment to the |
486 | committee; one representative appointed by the Florida |
487 | Association of Realtors; and one representative appointed by the |
488 | Florida Bankers Association. All members must serve for 3-year |
489 | terms and may serve for consecutive terms. The committee shall |
490 | report to the corporation at each board meeting on insurance |
491 | market issues which may include rates and rate competition with |
492 | the voluntary market; service, including policy issuance, claims |
493 | processing, and general responsiveness to policyholders, |
494 | applicants, and agents; and matters relating to depopulation. |
495 | 5. Must provide a procedure for determining the |
496 | eligibility of a risk for coverage, as follows: |
497 | a. Subject to the provisions of s. 627.3517, with respect |
498 | to personal lines residential risks, if the risk is offered |
499 | coverage from an authorized insurer at the insurer's approved |
500 | rate under either a standard policy including wind coverage or, |
501 | if consistent with the insurer's underwriting rules as filed |
502 | with the office, a basic policy including wind coverage, the |
503 | risk is not eligible for any policy issued by the corporation. |
504 | If the risk is not able to obtain any such offer, the risk is |
505 | eligible for either a standard policy including wind coverage or |
506 | a basic policy including wind coverage issued by the |
507 | corporation; however, if the risk could not be insured under a |
508 | standard policy including wind coverage regardless of market |
509 | conditions, the risk shall be eligible for a basic policy |
510 | including wind coverage unless rejected under subparagraph 8. |
511 | The corporation shall determine the type of policy to be |
512 | provided on the basis of objective standards specified in the |
513 | underwriting manual and based on generally accepted underwriting |
514 | practices. |
515 | (I) If the risk accepts an offer of coverage through the |
516 | market assistance plan or an offer of coverage through a |
517 | mechanism established by the corporation before a policy is |
518 | issued to the risk by the corporation or during the first 30 |
519 | days of coverage by the corporation, and the producing agent who |
520 | submitted the application to the plan or to the corporation is |
521 | not currently appointed by the insurer, the insurer shall: |
522 | (A) Pay to the producing agent of record of the policy, |
523 | for the first year, an amount that is the greater of the |
524 | insurer's usual and customary commission for the type of policy |
525 | written or a fee equal to the usual and customary commission of |
526 | the corporation; or |
527 | (B) Offer to allow the producing agent of record of the |
528 | policy to continue servicing the policy for a period of not less |
529 | than 1 year and offer to pay the agent the greater of the |
530 | insurer's or the corporation's usual and customary commission |
531 | for the type of policy written. |
532 |
|
533 | If the producing agent is unwilling or unable to accept |
534 | appointment, the new insurer shall pay the agent in accordance |
535 | with sub-sub-sub-subparagraph (A). |
536 | (II) When the corporation enters into a contractual |
537 | agreement for a take-out plan, the producing agent of record of |
538 | the corporation policy is entitled to retain any unearned |
539 | commission on the policy, and the insurer shall: |
540 | (A) Pay to the producing agent of record of the |
541 | corporation policy, for the first year, an amount that is the |
542 | greater of the insurer's usual and customary commission for the |
543 | type of policy written or a fee equal to the usual and customary |
544 | commission of the corporation; or |
545 | (B) Offer to allow the producing agent of record of the |
546 | corporation policy to continue servicing the policy for a period |
547 | of not less than 1 year and offer to pay the agent the greater |
548 | of the insurer's or the corporation's usual and customary |
549 | commission for the type of policy written. |
550 |
|
551 | If the producing agent is unwilling or unable to accept |
552 | appointment, the new insurer shall pay the agent in accordance |
553 | with sub-sub-sub-subparagraph (A). |
554 | b. With respect to commercial lines residential risks, if |
555 | the risk is offered coverage under a policy including wind |
556 | coverage from an authorized insurer at its approved rate, the |
557 | risk is not eligible for any policy issued by the corporation. |
558 | If the risk is not able to obtain any such offer, the risk is |
559 | eligible for a policy including wind coverage issued by the |
560 | corporation. |
561 | (I) If the risk accepts an offer of coverage through the |
562 | market assistance plan or an offer of coverage through a |
563 | mechanism established by the corporation before a policy is |
564 | issued to the risk by the corporation or during the first 30 |
565 | days of coverage by the corporation, and the producing agent who |
566 | submitted the application to the plan or the corporation is not |
567 | currently appointed by the insurer, the insurer shall: |
568 | (A) Pay to the producing agent of record of the policy, |
569 | for the first year, an amount that is the greater of the |
570 | insurer's usual and customary commission for the type of policy |
571 | written or a fee equal to the usual and customary commission of |
572 | the corporation; or |
573 | (B) Offer to allow the producing agent of record of the |
574 | policy to continue servicing the policy for a period of not less |
575 | than 1 year and offer to pay the agent the greater of the |
576 | insurer's or the corporation's usual and customary commission |
577 | for the type of policy written. |
578 |
|
579 | If the producing agent is unwilling or unable to accept |
580 | appointment, the new insurer shall pay the agent in accordance |
581 | with sub-sub-sub-subparagraph (A). |
582 | (II) When the corporation enters into a contractual |
583 | agreement for a take-out plan, the producing agent of record of |
584 | the corporation policy is entitled to retain any unearned |
585 | commission on the policy, and the insurer shall: |
586 | (A) Pay to the producing agent of record of the |
587 | corporation policy, for the first year, an amount that is the |
588 | greater of the insurer's usual and customary commission for the |
589 | type of policy written or a fee equal to the usual and customary |
590 | commission of the corporation; or |
591 | (B) Offer to allow the producing agent of record of the |
592 | corporation policy to continue servicing the policy for a period |
593 | of not less than 1 year and offer to pay the agent the greater |
594 | of the insurer's or the corporation's usual and customary |
595 | commission for the type of policy written. |
596 |
|
597 | If the producing agent is unwilling or unable to accept |
598 | appointment, the new insurer shall pay the agent in accordance |
599 | with sub-sub-sub-subparagraph (A). |
600 | 6. Must include rules for classifications of risks and |
601 | rates therefor. |
602 | 7. Must provide that if premium and investment income for |
603 | an account attributable to a particular calendar year are in |
604 | excess of projected losses and expenses for the account |
605 | attributable to that year, such excess shall be held in surplus |
606 | in the account. Such surplus shall be available to defray |
607 | deficits in that account as to future years and shall be used |
608 | for that purpose prior to assessing assessable insurers and |
609 | assessable insureds as to any calendar year. |
610 | 8. Must provide objective criteria and procedures to be |
611 | uniformly applied for all applicants in determining whether an |
612 | individual risk is so hazardous as to be uninsurable. In making |
613 | this determination and in establishing the criteria and |
614 | procedures, the following shall be considered: |
615 | a. Whether the likelihood of a loss for the individual |
616 | risk is substantially higher than for other risks of the same |
617 | class; and |
618 | b. Whether the uncertainty associated with the individual |
619 | risk is such that an appropriate premium cannot be determined. |
620 |
|
621 | The acceptance or rejection of a risk by the corporation shall |
622 | be construed as the private placement of insurance, and the |
623 | provisions of chapter 120 shall not apply. |
624 | 9. Must provide that the corporation shall make its best |
625 | efforts to procure catastrophe reinsurance at reasonable rates, |
626 | to cover its projected 100-year probable maximum loss as |
627 | determined by the board of governors. |
628 | 10. Must provide that in the event of regular deficit |
629 | assessments under sub-subparagraph (b)3.a. or sub-subparagraph |
630 | (b)3.b., in the personal lines account, the commercial lines |
631 | residential account, or the high-risk account, the corporation |
632 | shall levy upon corporation policyholders in its next rate |
633 | filing, or by a separate rate filing solely for this purpose, a |
634 | market equalization surcharge arising from a regular assessment |
635 | in such account in a percentage equal to the total amount of |
636 | such regular assessments divided by the aggregate statewide |
637 | direct written premium for subject lines of business for the |
638 | prior calendar year. Market equalization surcharges under this |
639 | subparagraph are not considered premium and are not subject to |
640 | commissions, fees, or premium taxes; however, failure to pay a |
641 | market equalization surcharge shall be treated as failure to pay |
642 | premium. |
643 | 11. The policies issued by the corporation must provide |
644 | that, if the corporation or the market assistance plan obtains |
645 | an offer from an authorized insurer to cover the risk at its |
646 | approved rates, the risk is no longer eligible for renewal |
647 | through the corporation. |
648 | 12. Corporation policies and applications must include a |
649 | notice that the corporation policy could, under this section, be |
650 | replaced with a policy issued by an authorized insurer that does |
651 | not provide coverage identical to the coverage provided by the |
652 | corporation. The notice shall also specify that acceptance of |
653 | corporation coverage creates a conclusive presumption that the |
654 | applicant or policyholder is aware of this potential. |
655 | 13. May establish, subject to approval by the office, |
656 | different eligibility requirements and operational procedures |
657 | for any line or type of coverage for any specified county or |
658 | area if the board determines that such changes to the |
659 | eligibility requirements and operational procedures are |
660 | justified due to the voluntary market being sufficiently stable |
661 | and competitive in such area or for such line or type of |
662 | coverage and that consumers who, in good faith, are unable to |
663 | obtain insurance through the voluntary market through ordinary |
664 | methods would continue to have access to coverage from the |
665 | corporation. When coverage is sought in connection with a real |
666 | property transfer, such requirements and procedures shall not |
667 | provide for an effective date of coverage later than the date of |
668 | the closing of the transfer as established by the transferor, |
669 | the transferee, and, if applicable, the lender. |
670 | 14. Must provide that, with respect to the high-risk |
671 | account, any assessable insurer with a surplus as to |
672 | policyholders of $25 million or less writing 25 percent or more |
673 | of its total countrywide property insurance premiums in this |
674 | state may petition the office, within the first 90 days of each |
675 | calendar year, to qualify as a limited apportionment company. In |
676 | no event shall a limited apportionment company be required to |
677 | participate in the portion of any assessment, within the high- |
678 | risk account, pursuant to sub-subparagraph (b)3.a. or sub- |
679 | subparagraph (b)3.b. in the aggregate which exceeds $50 million |
680 | after payment of available high-risk account funds in any |
681 | calendar year. However, a limited apportionment company shall |
682 | collect from its policyholders any emergency assessment imposed |
683 | under sub-subparagraph (b)3.d. The plan shall provide that, if |
684 | the office determines that any regular assessment will result in |
685 | an impairment of the surplus of a limited apportionment company, |
686 | the office may direct that all or part of such assessment be |
687 | deferred as provided in subparagraph (g)4. However, there shall |
688 | be no limitation or deferment of an emergency assessment to be |
689 | collected from policyholders under sub-subparagraph (b)3.d. |
690 | 15. Must provide that the corporation appoint as its |
691 | licensed agents only those agents who also hold an appointment |
692 | as defined in s. 626.015(3) with an insurer who at the time of |
693 | the agent's initial appointment by the corporation is authorized |
694 | to write and is actually writing personal lines residential |
695 | property coverage, commercial residential property coverage, or |
696 | commercial nonresidential property coverage within the state. |
697 | (d)1. It is the intent of the Legislature that the rates |
698 | for coverage provided by the corporation be actuarially sound |
699 | and not competitive with approved rates charged in the admitted |
700 | voluntary market, so that the corporation functions as a |
701 | residual market mechanism to provide insurance only when the |
702 | insurance cannot be procured in the voluntary market. Rates |
703 | shall include an appropriate catastrophe loading factor that |
704 | reflects the actual catastrophic exposure of the corporation. |
705 | 2. For each county, the average rates of the corporation |
706 | for each line of business for personal lines residential |
707 | policies excluding rates for wind-only policies shall be no |
708 | lower than the average rates charged by the insurer that had the |
709 | highest average rate in that county among the 20 insurers with |
710 | the greatest total direct written premium in the state for that |
711 | line of business in the preceding year, except that with respect |
712 | to mobile home coverages, the average rates of the corporation |
713 | shall be no lower than the average rates charged by the insurer |
714 | that had the highest average rate in that county among the 5 |
715 | insurers with the greatest total written premium for mobile home |
716 | owner's policies in the state in the preceding year. |
717 | 3. Rates for personal lines residential wind-only policies |
718 | must be actuarially sound and not competitive with approved |
719 | rates charged by authorized insurers. However, for personal |
720 | lines residential wind-only policies issued or renewed between |
721 | July 1, 2002, and June 30, 2003, the maximum premium increase |
722 | must be no greater than 10 percent of the Florida Windstorm |
723 | Underwriting Association premium for that policy in effect on |
724 | June 30, 2002, as adjusted for coverage changes and seasonal |
725 | occupancy surcharges. For personal lines residential wind-only |
726 | policies issued or renewed between July 1, 2003, and June 30, |
727 | 2004, the corporation shall use its existing filed and approved |
728 | wind-only rating and classification plans, provided, however, |
729 | that the maximum premium increase must be no greater than 20 |
730 | percent of the premium for that policy in effect on June 30, |
731 | 2003, as adjusted for coverage changes and seasonal occupancy |
732 | surcharges. Corporation rate manuals shall include a rate |
733 | surcharge for seasonal occupancy. To ensure that personal lines |
734 | residential wind-only rates effective on or after July 1, 2004, |
735 | are not competitive with approved rates charged by authorized |
736 | insurers, the corporation, in conjunction with the office, shall |
737 | develop a wind-only ratemaking methodology, which methodology |
738 | shall be contained in each a rate filing made by the corporation |
739 | with the office by January 1, 2004. If the office thereafter |
740 | determines that the wind-only rates or rating factors filed by |
741 | the corporation fail to comply with the wind-only ratemaking |
742 | methodology provided for in this subsection, it shall so notify |
743 | the corporation and require the corporation to amend its rates |
744 | or rating factors to come into compliance within 90 days of |
745 | notice from the office. The office shall report to the Speaker |
746 | of the House of Representatives and the President of the Senate |
747 | on the provisions of the wind-only ratemaking methodology by |
748 | January 31, 2004. |
749 | 4. For the purposes of establishing a pilot program to |
750 | evaluate issues relating to the availability and affordability |
751 | of insurance in an area where historically there has been little |
752 | market competition, the provisions of subparagraph 2. do not |
753 | apply to coverage provided by the corporation in Monroe County |
754 | if the office determines that a reasonable degree of competition |
755 | does not exist for personal lines residential policies. The |
756 | provisions of subparagraph 3. do not apply to coverage provided |
757 | by the corporation in Monroe County if the office determines |
758 | that a reasonable degree of competition does not exist for |
759 | personal lines residential policies in the area of that county |
760 | which is eligible for wind-only coverage. In this county, the |
761 | rates for personal lines residential coverage shall be |
762 | actuarially sound and not excessive, inadequate, or unfairly |
763 | discriminatory and are subject to the other provisions of the |
764 | paragraph and s. 627.062. The commission shall adopt rules |
765 | establishing the criteria for determining whether a reasonable |
766 | degree of competition exists for personal lines residential |
767 | policies in Monroe County. By March 1, 2006, the office shall |
768 | submit a report to the Legislature providing an evaluation of |
769 | the implementation of the pilot program affecting Monroe County. |
770 | 5.4. Rates for commercial lines coverage shall not be |
771 | subject to the requirements of subparagraph 2., but shall be |
772 | subject to all other requirements of this paragraph and s. |
773 | 627.062. |
774 | 6.5. Nothing in this paragraph shall require or allow the |
775 | corporation to adopt a rate that is inadequate under s. 627.062. |
776 | 7.6. The corporation shall certify to the office at least |
777 | twice annually that its personal lines rates comply with the |
778 | requirements of subparagraphs 1. and 2. If any adjustment in the |
779 | rates or rating factors of the corporation is necessary to |
780 | ensure such compliance, the corporation shall make and implement |
781 | such adjustments and file its revised rates and rating factors |
782 | with the office. If the office thereafter determines that the |
783 | revised rates and rating factors fail to comply with the |
784 | provisions of subparagraphs 1. and 2., it shall notify the |
785 | corporation and require the corporation to amend its rates or |
786 | rating factors in conjunction with its next rate filing. The |
787 | office must notify the corporation by electronic means of any |
788 | rate filing it approves for any insurer among the insurers |
789 | referred to in subparagraph 2. |
790 | 8.7. In addition to the rates otherwise determined |
791 | pursuant to this paragraph, the corporation shall impose and |
792 | collect an amount equal to the premium tax provided for in s. |
793 | 624.509 to augment the financial resources of the corporation. |
794 | 9.8.a. To assist the corporation in developing additional |
795 | ratemaking methods to assure compliance with subparagraphs 1. |
796 | and 4., the corporation shall appoint a rate methodology panel |
797 | consisting of one person recommended by the Florida Association |
798 | of Insurance Agents, one person recommended by the Professional |
799 | Insurance Agents of Florida, one person recommended by the |
800 | Florida Association of Insurance and Financial Advisors, one |
801 | person recommended by the insurer with the highest voluntary |
802 | market share of residential property insurance business in the |
803 | state, one person recommended by the insurer with the second- |
804 | highest voluntary market share of residential property insurance |
805 | business in the state, one person recommended by an insurer |
806 | writing commercial residential property insurance in this state, |
807 | one person recommended by the Office of Insurance Regulation, |
808 | and one board member designated by the board chairman, who shall |
809 | serve as chairman of the panel. |
810 | b. By January 1, 2004, the rate methodology panel shall |
811 | provide a report to the corporation of its findings and |
812 | recommendations for the use of additional ratemaking methods and |
813 | procedures, including the use of a rate equalization surcharge |
814 | in an amount sufficient to assure that the total cost of |
815 | coverage for policyholders or applicants to the corporation is |
816 | sufficient to comply with subparagraph 1. |
817 | c. Within 30 days after such report, the corporation shall |
818 | present to the President of the Senate, the Speaker of the House |
819 | of Representatives, the minority party leaders of each house of |
820 | the Legislature, and the chairs of the standing committees of |
821 | each house of the Legislature having jurisdiction of insurance |
822 | issues, a plan for implementing the additional ratemaking |
823 | methods and an outline of any legislation needed to facilitate |
824 | use of the new methods. |
825 | d. The plan must include a provision that producer |
826 | commissions paid by the corporation shall not be calculated in |
827 | such a manner as to include any rate equalization surcharge. |
828 | However, without regard to the plan to be developed or its |
829 | implementation, producer commissions paid by the corporation for |
830 | each account, other than the quota share primary program, shall |
831 | remain fixed as to percentage, effective rate, calculation, and |
832 | payment method until January 1, 2004. |
833 | 10.9. By January 1, 2004, the corporation shall develop a |
834 | notice to policyholders or applicants that the rates of Citizens |
835 | Property Insurance Corporation are intended to be higher than |
836 | the rates of any admitted carrier and providing other |
837 | information the corporation deems necessary to assist consumers |
838 | in finding other voluntary admitted insurers willing to insure |
839 | their property. |
840 | Section 8. Section 627.40951, Florida Statutes, is created |
841 | to read: |
842 | 627.40951 Standard personal lines residential insurance |
843 | policy.-- |
844 | (1) The Legislature finds that many consumers who filed |
845 | property loss claims as a result of the hurricanes that struck |
846 | this state in 2004 were inadequately insured due to the |
847 | difficulty consumers encounter in trying to understand the |
848 | complex nature of property insurance policies. The purpose and |
849 | intent of this section is to have property and casualty insurers |
850 | offer standard personal lines residential property insurance |
851 | policies and standard checklists of policy contents, in |
852 | accordance with s. 627.4143, to consumers and to ensure that |
853 | these policies and checklists are written in a simple format |
854 | with easily readable language that will enable most consumers to |
855 | understand the principal benefits and coverage provided in the |
856 | policy; the principal exclusions and limitations or reductions |
857 | contained in the policy, including, but not limited to, |
858 | deductibles, coinsurance, and any other limitations or |
859 | reductions; and any additional coverage provided through any |
860 | rider or endorsement that accompanies the policy and renewal or |
861 | cancellation provisions. |
862 | (2) The Chief Financial Officer shall appoint an advisory |
863 | committee composed of two representatives of insurers currently |
864 | selling personal lines residential property insurance coverage, |
865 | two representatives of property and casualty agents, two |
866 | representatives of consumers, two representatives of the |
867 | Commissioner of Insurance Regulation, and the Insurance Consumer |
868 | Advocate or her or his designee. The Chief Financial Officer or |
869 | her or his designee shall serve as chair of the committee. The |
870 | committee shall develop policy language for coverage that |
871 | represents general industry standards in the market for |
872 | comprehensive coverage under personal lines residential |
873 | insurance policies and shall develop a checklist to be used with |
874 | each type of personal lines residential property insurance |
875 | policy. The committee shall review policies and related forms |
876 | written by Insurance Services Office, Inc. The committee shall |
877 | file a report containing its recommendations to the President of |
878 | the Senate and the Speaker of the House of Representatives by |
879 | January 15, 2006. No insurer shall be required to offer the |
880 | standard policy unless required by further act of the |
881 | Legislature. |
882 | Section 9. Subsection (1) of section 627.411, Florida |
883 | Statutes, is amended to read: |
884 | 627.411 Grounds for disapproval.-- |
885 | (1) The office shall disapprove any form filed under s. |
886 | 627.410, or withdraw any previous approval thereof, only if the |
887 | form: |
888 | (a) Is in any respect in violation of, or does not comply |
889 | with, this code. |
890 | (b) Contains or incorporates by reference, where such |
891 | incorporation is otherwise permissible, any inconsistent, |
892 | ambiguous, or misleading clauses, or exceptions and conditions |
893 | which deceptively affect the risk purported to be assumed in the |
894 | general coverage of the contract. |
895 | (c) Has any title, heading, or other indication of its |
896 | provisions which is misleading. |
897 | (d) Is printed or otherwise reproduced in such manner as |
898 | to render any material provision of the form substantially |
899 | illegible. |
900 | (e) Is for residential property insurance and contains |
901 | provisions that are unfair or inequitable or encourage |
902 | misrepresentation. |
903 | (f)(e) Is for health insurance, and: |
904 | 1. Provides benefits that are unreasonable in relation to |
905 | the premium charged.; |
906 | 2. Contains provisions that are unfair or inequitable or |
907 | contrary to the public policy of this state or that encourage |
908 | misrepresentation.; |
909 | 3. Contains provisions that apply rating practices that |
910 | result in unfair discrimination pursuant to s. 626.9541(1)(g)2. |
911 | (g)(f) Excludes coverage for human immunodeficiency virus |
912 | infection or acquired immune deficiency syndrome or contains |
913 | limitations in the benefits payable, or in the terms or |
914 | conditions of such contract, for human immunodeficiency virus |
915 | infection or acquired immune deficiency syndrome which are |
916 | different than those which apply to any other sickness or |
917 | medical condition. |
918 | Section 10. Paragraphs (d) and (e) are added to subsection |
919 | (2) of section 627.4133, Florida Statutes, to read: |
920 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
921 | premium.-- |
922 | (2) With respect to any personal lines or commercial |
923 | residential property insurance policy, including, but not |
924 | limited to, any homeowner's, mobile home owner's, farmowner's, |
925 | condominium association, condominium unit owner's, apartment |
926 | building, or other policy covering a residential structure or |
927 | its contents: |
928 | (d)1. Upon a declaration of an emergency pursuant to s. |
929 | 252.36 and the filing of an order by the Commissioner of |
930 | Insurance Regulation, an insurer may not cancel or nonrenew a |
931 | personal residential or commercial residential property |
932 | insurance policy covering a dwelling or residential property |
933 | located in this state which has been damaged as a result of a |
934 | hurricane or wind loss that is the subject of the declaration of |
935 | emergency for a period of 90 days after the dwelling or |
936 | residential property has been repaired. A structure is deemed to |
937 | be repaired when substantially completed and restored to the |
938 | extent that it is insurable by another authorized insurer that |
939 | is writing policies in this state. |
940 | 2. However, an insurer or agent may cancel or nonrenew |
941 | such a policy prior to the repair of the dwelling or residential |
942 | property: |
943 | a. Upon 10 days' notice for nonpayment of premium; or |
944 | b. Upon 45 days' notice: |
945 | (I) For a material misstatement or fraud related to the |
946 | claim; |
947 | (II) If the insurer determines that the insured has |
948 | unreasonably caused a delay in the repair of the dwelling; or |
949 | (III) If the insurer has paid policy limits. |
950 | 3. If the insurer elects to nonrenew a policy covering a |
951 | property that has been damaged, the insurer shall provide at |
952 | least 90 days' notice to the insured that the insurer intends to |
953 | nonrenew the policy 90 days after the dwelling or residential |
954 | property has been repaired. Nothing in this paragraph shall |
955 | prevent the insurer from canceling or nonrenewing the policy 90 |
956 | days after the repairs are complete for the same reasons the |
957 | insurer would otherwise have canceled or nonrenewed the policy |
958 | but for the limitations of subparagraph 1. The Financial |
959 | Services Commission may adopt rules, and the Commissioner of |
960 | Insurance Regulation may issue orders, necessary to implement |
961 | this paragraph. |
962 | 4. This paragraph shall also apply to personal residential |
963 | and commercial residential policies covering property that was |
964 | damaged as the result of Tropical Storm Bonnie, Hurricane |
965 | Charley, Hurricane Frances, Hurricane Ivan, or Hurricane Jeanne. |
966 | (e) If any cancellation or nonrenewal of a policy subject |
967 | to this subsection is to take effect during the duration of a |
968 | hurricane as defined in s. 627.4025(2)(c), the effective date of |
969 | such cancellation or nonrenewal is extended until the end of the |
970 | duration of such hurricane. The insurer may collect premium at |
971 | the prior rates or the rates then in effect for the period of |
972 | time for which coverage is extended. This paragraph does not |
973 | apply to any property with respect to which replacement coverage |
974 | has been obtained and which is in effect for a claim occurring |
975 | during the duration of the hurricane. |
976 | Section 11. Effective January 1, 2006, section 627.4143, |
977 | Florida Statutes, is amended to read: |
978 | 627.4143 Outline of coverage.-- |
979 | (1) No private passenger automobile or basic homeowner's |
980 | policy shall be delivered or issued for delivery in this state |
981 | unless an appropriate outline of coverage has been delivered |
982 | prior to issuance of the policy or accompanies the policy when |
983 | issued. |
984 | (2) The outline of coverage for a private passenger motor |
985 | vehicle insurance policy shall contain all of the following: |
986 | (a) A brief description of the principal benefits and |
987 | coverage provided in the policy, broken down by each class or |
988 | type of coverage provided under the policy for which a premium |
989 | is charged, and itemization of the applicable premium. |
990 | (b) A summary statement of the principal exclusions and |
991 | limitations or reductions contained in the policy by class or |
992 | type, including, but not limited to, deductibles, coinsurance, |
993 | and any other limitations or reductions. |
994 | (c) A summary statement of any renewal or cancellation |
995 | provisions. |
996 | (d) A description of the credit or surcharge plan that is |
997 | being applied. The description may display numerical or |
998 | alphabetical codes on the declarations page or premium notice to |
999 | enable the insured to determine the reason or reasons why her or |
1000 | his policy is being surcharged or is receiving a credit. |
1001 | (e) A list of any additional coverage provided through any |
1002 | rider or endorsement which accompanies the policy. The list |
1003 | shall contain a descriptive reference to each additional |
1004 | coverage, rather than solely a reference to a form or code |
1005 | number. |
1006 | (f) For a private passenger motor vehicle insurance |
1007 | policy, The extent of coverage provided to the insured in the |
1008 | event of collision damage to a rental vehicle rented by the |
1009 | insured. The proof-of-insurance card required by s. 316.646 must |
1010 | also specify whether rental car coverage is provided, and may |
1011 | refer to the outline of coverage as to the details or extent of |
1012 | coverage. |
1013 | (3) A basic homeowners', mobile homeowners', dwelling, or |
1014 | condominium unit owners' policy may not be delivered or issued |
1015 | for delivery in this state unless a comprehensive checklist of |
1016 | coverage on a form adopted by the commission and an appropriate |
1017 | outline of coverage have been delivered prior to issuance of the |
1018 | policy or accompanies the policy when issued. The commission |
1019 | shall, by rule, adopt a form for the checklist for each type of |
1020 | policy to which this subsection applies. Each form shall |
1021 | indicate that it was adopted by the commission. |
1022 | (a) The checklist must contain a list of the standard |
1023 | provisions and elements that may typically be included in these |
1024 | policies, whether or not they are included in the particular |
1025 | policy being issued, in a format that allows the insurer to |
1026 | place a check mark next to the provisions elements that are |
1027 | included so that the consumer can see both what is included and |
1028 | what is not included in the policy. As an alternative to |
1029 | checking the boxes on the checklist, an insurer may delete the |
1030 | check boxes from the form and replace them with text indicating |
1031 | whether the provision's elements are included or not. Limits of |
1032 | liability shall be listed for each item. The checklist must |
1033 | include, but is not limited to, the following: |
1034 | 1. Property coverage for the principal premises shown in |
1035 | the declarations. |
1036 | 2. Property coverage for other structures on the residence |
1037 | premises. |
1038 | 3. Whether the principal premises and other structures are |
1039 | insured against the following perils: |
1040 | a. Fire. |
1041 | b. Lightning. |
1042 | c. Explosion. |
1043 | d. Hurricane loss. |
1044 | e. Nonhurricane wind loss. |
1045 | f. Collapse. |
1046 | g. Mold. |
1047 | h. Sinkhole loss. |
1048 | i. Vandalism. |
1049 | 4. Personal property coverage. |
1050 | 5. Whether personal property is insured against the |
1051 | following perils: |
1052 | a. Fire. |
1053 | b. Lightning. |
1054 | c. Hurricane loss. |
1055 | d. Nonhurricane wind loss. |
1056 | e. Collapse. |
1057 | f. Mold. |
1058 | g. Sinkhole loss. |
1059 | h. Theft. |
1060 | 6. The following additional coverages: |
1061 | a. Debris removal. |
1062 | b. Loss assessment. |
1063 | c. Additional living expenses. |
1064 | 7. Personal liability coverage. |
1065 | 8. Medical payments coverage. |
1066 | 9. Discounts applied to the premium. |
1067 | 10. Deductibles for loss due to hurricane and loss to |
1068 | other perils. |
1069 | 11. Building ordinance or law coverage. |
1070 | 12. Replacement cost coverage. |
1071 | 13. Actual cash value coverage. |
1072 | (b) The forms shall allow insurers to place other |
1073 | coverages on the checklists which may or may not be included in |
1074 | the insurer's policies. |
1075 | (c) The outline of coverage must contain: |
1076 | 1. A brief description of the principal benefits and |
1077 | coverage provided in the policy, broken down by each class or |
1078 | type of coverage provided under the policy for which a premium |
1079 | is charged, and itemization of the applicable premium. |
1080 | 2. A summary statement of the principal exclusions and |
1081 | limitations or reductions contained in the policy by class or |
1082 | type, including, but not limited to, deductibles, coinsurance, |
1083 | and any other limitations or reductions. |
1084 | 3. A summary statement of any renewal or cancellation |
1085 | provisions. |
1086 | 4. A description of the credit or surcharge plan that is |
1087 | being applied. The description may display numerical or |
1088 | alphabetical codes on the declarations page or premium notice to |
1089 | enable the insured to determine the reason or reasons why her or |
1090 | his policy is being surcharged or is receiving a credit. |
1091 | 5. A summary of any additional coverage provided through |
1092 | any rider or endorsement that accompanies the policy. |
1093 | (4)(3) The outline of coverage for a private passenger |
1094 | motor vehicle policy is required only on the initial policy |
1095 | issued by an insurer. The outline of coverage and the checklist |
1096 | for a basic homeowners', mobile homeowners', dwelling, or |
1097 | condominium unit owners' policy is required on the initial |
1098 | policy and each renewal thereof issued by an insurer. |
1099 | (5)(4) An insurer must insert the following language on |
1100 | the outline of coverage: |
1101 |
|
1102 | "The following outline of coverage or checklist is for |
1103 | informational purposes only. Florida law prohibits this outline |
1104 | or checklist from changing any of the provisions of the |
1105 | insurance contract which is the subject of this outline. Any |
1106 | endorsement regarding changes in types of coverage, exclusions, |
1107 | limitations, reductions, deductibles, coinsurance, renewal |
1108 | provisions, cancellation provisions, surcharges, or credits will |
1109 | be sent separately." |
1110 | (6)(5) Neither this section nor the outline of coverage or |
1111 | checklist mandated by this section alters or modifies the terms |
1112 | of the insurance contract, creates a cause of action, or is |
1113 | admissible in any civil action. |
1114 | Section 12. Effective October 1, 2005, subsections (3), |
1115 | (4), (8), and (9) of section 627.701, Florida Statutes, as |
1116 | amended by section 4 of chapter 2004-480, Laws of Florida, are |
1117 | amended to read: |
1118 | 627.701 Liability of insureds; coinsurance; deductibles.-- |
1119 | (3)(a) A policy of residential property insurance shall |
1120 | include a deductible amount applicable to hurricane or wind |
1121 | losses no lower than $500 and no higher than 2 percent of the |
1122 | policy dwelling limits with respect to personal lines |
1123 | residential risks, and no higher than 3 percent of the policy |
1124 | limits with respect to commercial lines residential risks; |
1125 | however, if a risk was covered on August 24, 1992, under a |
1126 | policy having a higher deductible than the deductibles allowed |
1127 | by this paragraph, a policy covering such risk may include a |
1128 | deductible no higher than the deductible in effect on August 24, |
1129 | 1992. Notwithstanding the other provisions of this paragraph, a |
1130 | personal lines residential policy covering a risk valued at |
1131 | $50,000 or less may include a deductible amount attributable to |
1132 | hurricane or wind losses no lower than $250, and a personal |
1133 | lines residential policy covering a risk valued at $100,000 or |
1134 | more may include a deductible amount attributable to hurricane |
1135 | or wind losses no higher than 10 5 percent of the policy limits |
1136 | unless subject to a higher deductible on August 24, 1992; |
1137 | however, no maximum deductible is required with respect to a |
1138 | personal lines residential policy covering a risk valued at more |
1139 | than $500,000. An insurer may require a higher deductible, |
1140 | provided such deductible is the same as or similar to a |
1141 | deductible program lawfully in effect on June 14, 1995. In |
1142 | addition to the deductible amounts authorized by this paragraph, |
1143 | an insurer may also offer policies with a copayment provision |
1144 | under which, after exhaustion of the deductible, the |
1145 | policyholder is responsible for 10 percent of the next $10,000 |
1146 | of insured hurricane or wind losses. |
1147 | (b)1. Except as otherwise provided in this paragraph, |
1148 | prior to issuing a personal lines residential property insurance |
1149 | policy on or after January 1, 2006 April 1, 1996, or prior to |
1150 | the first renewal of a residential property insurance policy on |
1151 | or after January 1, 2006 April 1, 1996, the insurer must offer |
1152 | alternative deductible amounts applicable to hurricane or wind |
1153 | losses equal to $500, and 2 percent, 5 percent, and 10 percent |
1154 | of the policy dwelling limits, unless the specific percentage 2 |
1155 | percent deductible is less than $500. The written notice of the |
1156 | offer shall specify the hurricane or wind deductible to be |
1157 | applied in the event that the applicant or policyholder fails to |
1158 | affirmatively choose a hurricane deductible. The insurer must |
1159 | provide such policyholder with notice of the availability of the |
1160 | deductible amounts specified in this paragraph in a form |
1161 | approved by the office in conjunction with each renewal of the |
1162 | policy. The failure to provide such notice constitutes a |
1163 | violation of this code but does not affect the coverage provided |
1164 | under the policy. |
1165 | 2. This paragraph does not apply with respect to a |
1166 | deductible program lawfully in effect on June 14, 1995, or to |
1167 | any similar deductible program, if the deductible program |
1168 | requires a minimum deductible amount of no less than 2 percent |
1169 | of the policy limits. |
1170 | 3. With respect to a policy covering a risk with dwelling |
1171 | limits of at least $100,000, but less than $250,000, the insurer |
1172 | may, in lieu of offering a policy with a $500 hurricane or wind |
1173 | deductible as required by subparagraph 1., offer a policy that |
1174 | the insurer guarantees it will not nonrenew for reasons of |
1175 | reducing hurricane loss for one renewal period and that contains |
1176 | up to a 2 percent hurricane or wind deductible as required by |
1177 | subparagraph 1. |
1178 | 4. With respect to a policy covering a risk with dwelling |
1179 | limits of $250,000 or more, the insurer need not offer the $500 |
1180 | hurricane or wind deductible as required by subparagraph 1., but |
1181 | must, except as otherwise provided in this subsection, offer the |
1182 | other 2 percent hurricane deductibles or wind deductible as |
1183 | required by subparagraph 1. |
1184 | (c) In order to provide for the transition from wind |
1185 | deductibles to hurricane deductibles as required by this |
1186 | subsection, an insurer is required to provide wind deductibles |
1187 | meeting the requirements of this subsection until the effective |
1188 | date of the insurer's first rate filing made after January 1, |
1189 | 1997, and is thereafter required to provide hurricane |
1190 | deductibles meeting the requirements of this subsection. |
1191 | (4)(a) Any policy that contains a separate hurricane |
1192 | deductible must on its face include in boldfaced type no smaller |
1193 | than 18 points the following statement: "THIS POLICY CONTAINS A |
1194 | SEPARATE DEDUCTIBLE FOR HURRICANE LOSSES, WHICH MAY RESULT IN |
1195 | HIGH OUT-OF-POCKET EXPENSES TO YOU." A policy containing a |
1196 | coinsurance provision applicable to hurricane losses must on its |
1197 | face include in boldfaced type no smaller than 18 points the |
1198 | following statement: "THIS POLICY CONTAINS A CO-PAY PROVISION |
1199 | THAT MAY RESULT IN HIGH OUT-OF-POCKET EXPENSES TO YOU." |
1200 | (b) Beginning October 1, 2005, for any personal lines |
1201 | residential property insurance policy containing a separate |
1202 | hurricane deductible, the insurer shall compute and prominently |
1203 | display the actual dollar value of the hurricane deductible on |
1204 | the declarations page of the policy at issuance and, for |
1205 | renewal, on the renewal declarations page of the policy or on |
1206 | the premium renewal notice. |
1207 | (c) Beginning October 1, 2005, for any personal lines |
1208 | residential property insurance policy containing an inflation |
1209 | guard rider, the insurer shall compute and prominently display |
1210 | the actual dollar value of the hurricane deductible on the |
1211 | declarations page of the policy at issuance and, for renewal, on |
1212 | the renewal declarations page of the policy or on the premium |
1213 | renewal notice. In addition, beginning October 1, 2005, for any |
1214 | personal lines residential property insurance policy containing |
1215 | an inflation guard rider, the insurer shall notify the |
1216 | policyholder of the possibility that the hurricane deductible |
1217 | may be higher than indicated when loss occurs due to application |
1218 | of the inflation guard rider. Such notification shall be made on |
1219 | the declarations page of the policy at issuance and, for |
1220 | renewal, on the renewal declarations page of the policy or on |
1221 | the premium renewal notice. |
1222 | (8)(a) The Legislature finds that property insurance |
1223 | coverage has become unaffordable for a significant number of |
1224 | mobile home owners, as evidenced by reports that up to 100,000 |
1225 | mobile home owners have terminated their insurance coverage |
1226 | because they cannot afford to pay approved rates charged in the |
1227 | voluntary or residual markets. The Legislature further finds |
1228 | that additional flexibility in available coverages will enable |
1229 | mobile home owners to obtain affordable insurance and increase |
1230 | capacity. |
1231 | (b) Notwithstanding the provisions of subsection (3), with |
1232 | respect to mobile home policies: |
1233 | 1. The deductible for hurricane coverage may not exceed 10 |
1234 | percent of the property value if the property is not subject to |
1235 | any liens and may not exceed 5 percent of the property value if |
1236 | the property is subject to any liens. |
1237 | 2. The insurer need not make the offers required by |
1238 | paragraph (3)(b). |
1239 | (8)(9) Notwithstanding the other provisions of this |
1240 | section or of other law, but only as to hurricane coverage as |
1241 | defined in s. 627.4025 for commercial lines residential |
1242 | coverages, an insurer may offer a deductible in an amount not |
1243 | exceeding 5 percent of the insured value with respect to a |
1244 | condominium association or cooperative association policy, or in |
1245 | an amount not exceeding 10 percent of the insured value with |
1246 | respect to any other commercial lines residential policy, if, at |
1247 | the time of such offer and at each renewal, the insurer also |
1248 | offers to the policyholder a deductible in the amount of 3 |
1249 | percent of the insured value. Nothing in this subsection |
1250 | prohibits any deductible otherwise authorized by this section. |
1251 | All forms by which the offers authorized in this subsection are |
1252 | made or required to be made shall be on forms that are adopted |
1253 | or approved by the commission or office. |
1254 | Section 13. Subsection (5) of section 627.701, Florida |
1255 | Statutes, as amended by section 4 of chapter 2004-480, Laws of |
1256 | Florida, is amended to read: |
1257 | 627.701 Liability of Insureds; coinsurance; deductibles.-- |
1258 | (5)(a) The hurricane deductible of any personal lines |
1259 | residential property insurance policy issued or renewed on or |
1260 | after May 1, 2005, shall be applied as follows: |
1261 | 1.(a) The hurricane deductible shall apply on an annual |
1262 | basis to all covered hurricane losses that occur during the |
1263 | calendar year for losses that are covered under one or more |
1264 | policies issued by the same insurer or an insurer in the same |
1265 | insurer group. |
1266 | 2.(b) If a hurricane deductible applies separately to each |
1267 | of one or more structures insured under a single policy, the |
1268 | requirements of this paragraph subsection apply with respect to |
1269 | the deductible for each structure. |
1270 | 3.(c) If there was a hurricane loss for a prior hurricane |
1271 | or hurricanes during the calendar year, the insurer may apply a |
1272 | deductible to a subsequent hurricane which that is the greater |
1273 | of the remaining amount of the hurricane deductible or the |
1274 | amount of the deductible that applies to perils other than a |
1275 | hurricane. Insurers may require policyholders to report |
1276 | hurricane losses that are below the hurricane deductible or to |
1277 | maintain receipts or other records of such hurricane losses in |
1278 | order to apply such losses to subsequent hurricane claims. |
1279 | 4.(d) If there are hurricane losses in a calendar year on |
1280 | more than one policy issued by the same insurer or an insurer in |
1281 | the same insurer group, the hurricane deductible shall be the |
1282 | highest amount stated in any one of the policies. If a |
1283 | policyholder who had a hurricane loss under the prior policy is |
1284 | provided or offered a lower hurricane deductible under the new |
1285 | or renewal policy, the insurer must notify the policyholder, in |
1286 | writing, at the time the lower hurricane deductible is provided |
1287 | or offered, that the lower hurricane deductible will not apply |
1288 | until January 1 of the following calendar year. |
1289 | (b) For commercial residential property insurance policies |
1290 | issued or renewed on or after January 1, 2006, the insurer must |
1291 | offer the policyholder the following alternative hurricane |
1292 | deductibles: |
1293 | 1. A hurricane deductible that applies on an annual basis |
1294 | as provided in paragraph (a); and |
1295 | 2. A hurricane deductible that applies to each hurricane. |
1296 | Section 14. Effective October 1, 2005, section 627.7011, |
1297 | Florida Statutes, is amended to read: |
1298 | 627.7011 Homeowners' policies; offer of replacement cost |
1299 | coverage and law and ordinance coverage.-- |
1300 | (1) Prior to issuing a homeowner's insurance policy on or |
1301 | after October 1, 2005 June 1, 1994, or prior to the first |
1302 | renewal of a homeowner's insurance policy on or after October 1, |
1303 | 2005 June 1, 1994, the insurer must offer each of the following: |
1304 | (a) A policy or endorsement providing that any loss which |
1305 | is repaired or replaced will be adjusted on the basis of |
1306 | replacement costs not exceeding policy limits as to the |
1307 | dwelling, rather than actual cash value, but not including costs |
1308 | necessary to meet applicable laws and ordinances regulating the |
1309 | construction, use, or repair of any property or requiring the |
1310 | tearing down of any property, including the costs of removing |
1311 | debris. |
1312 | (b) A policy or endorsement providing that, subject to |
1313 | other policy provisions, any loss which is repaired or replaced |
1314 | at any location will be adjusted on the basis of replacement |
1315 | costs not exceeding policy limits as to the dwelling, rather |
1316 | than actual cash value, and also including costs necessary to |
1317 | meet applicable laws and ordinances regulating the construction, |
1318 | use, or repair of any property or requiring the tearing down of |
1319 | any property, including the costs of removing debris; however, |
1320 | such additional costs necessary to meet applicable laws and |
1321 | ordinances may be limited to either 25 percent or 50 percent of |
1322 | the dwelling limit, as selected by the policyholder, and such |
1323 | coverage shall apply only to repairs of the damaged portion of |
1324 | the structure unless the total damage to the structure exceeds |
1325 | 50 percent of the replacement cost of the structure. |
1326 |
|
1327 | An insurer is not required to make the offers required by this |
1328 | subsection with respect to the issuance or renewal of a |
1329 | homeowner's policy that contains the provisions specified in |
1330 | paragraph (b) for law and ordinance coverage limited to 25 |
1331 | percent of the dwelling limit, except that the insurer must |
1332 | offer the law and ordinance coverage limited to 50 percent of |
1333 | the dwelling limit. This subsection does not prohibit the offer |
1334 | of a guaranteed replacement cost policy. |
1335 | (2) Unless the insurer obtains the policyholder's written |
1336 | refusal of the policies or endorsements specified in subsection |
1337 | (1), any policy covering the dwelling is deemed to include the |
1338 | coverage specified in paragraph (1)(b). The rejection or |
1339 | selection of alternative coverage shall be made on a form |
1340 | approved by the office. The form shall fully advise the |
1341 | applicant of the nature of the coverage being rejected. If this |
1342 | form is signed by a named insured, it will be conclusively |
1343 | presumed that there was an informed, knowing rejection of the |
1344 | coverage or election of the alternative coverage on behalf of |
1345 | all insureds. Unless the policyholder requests in writing the |
1346 | coverage specified in this section, it need not be provided in |
1347 | or supplemental to any other policy that renews, insures, |
1348 | extends, changes, supersedes, or replaces an existing policy |
1349 | when the policyholder has rejected the coverage specified in |
1350 | this section or has selected alternative coverage. The insurer |
1351 | must provide such policyholder with notice of the availability |
1352 | of such coverage in a form approved by the office at least once |
1353 | every 3 years. The failure to provide such notice constitutes a |
1354 | violation of this code, but does not affect the coverage |
1355 | provided under the policy. |
1356 | (3) In the event of a loss for which a dwelling or |
1357 | personal property is insured on the basis of replacement costs, |
1358 | the insurer shall pay the replacement cost without reservation |
1359 | or holdback of any depreciation in value, whether or not the |
1360 | insured replaces or repairs the dwelling or property. |
1361 | (4) Any homeowner's insurance policy issued or renewed on |
1362 | or after October 1, 2005, must include in bold type no smaller |
1363 | than 18 points the following statement: |
1364 |
|
1365 | "LAW AND ORDINANCE COVERAGE IS AN IMPORTANT COVERAGE THAT YOU |
1366 | MAY WISH TO PURCHASE. YOU MAY ALSO NEED TO CONSIDER THE PURCHASE |
1367 | OF FLOOD INSURANCE FROM THE NATIONAL FLOOD INSURANCE PROGRAM. |
1368 | WITHOUT THIS COVERAGE, YOU MAY HAVE UNCOVERED LOSSES. PLEASE |
1369 | DISCUSS THESE COVERAGES WITH YOUR INSURANCE AGENT." |
1370 |
|
1371 | The intent of this subsection is to encourage policyholders to |
1372 | purchase sufficient coverage to protect them in case events |
1373 | excluded from the standard homeowners policy, such as law and |
1374 | ordinance enforcement and flood, combine with covered events to |
1375 | produce damage or loss to the insured property. The intent is |
1376 | also to encourage policyholders to discuss these issues with |
1377 | their insurance agent. |
1378 | (5)(3) Nothing in this section shall be construed to apply |
1379 | to policies not considered to be "homeowners' policies," as that |
1380 | term is commonly understood in the insurance industry. This |
1381 | section specifically does not apply to mobile home policies. |
1382 | Nothing in this section shall be construed as limiting the |
1383 | ability of any insurer to reject or nonrenew any insured or |
1384 | applicant on the grounds that the structure does not meet |
1385 | underwriting criteria applicable to replacement cost or law and |
1386 | ordinance policies or for other lawful reasons. |
1387 | Section 15. Effective July 1, 2005, subsections (1) and |
1388 | (7) of section 627.7015, Florida Statutes, are amended, and |
1389 | subsection (2) of that section is reenacted, to read: |
1390 | 627.7015 Alternative procedure for resolution of disputed |
1391 | property insurance claims.-- |
1392 | (1) PURPOSE AND SCOPE.--This section sets forth a |
1393 | nonadversarial alternative dispute resolution procedure for a |
1394 | mediated claim resolution conference prompted by the need for |
1395 | effective, fair, and timely handling of property insurance |
1396 | claims. There is a particular need for an informal, |
1397 | nonthreatening forum for helping parties who elect this |
1398 | procedure to resolve their claims disputes because most |
1399 | homeowner's and commercial residential insurance policies |
1400 | obligate insureds to participate in a potentially expensive and |
1401 | time-consuming adversarial appraisal process prior to |
1402 | litigation. The procedure set forth in this section is designed |
1403 | to bring the parties together for a mediated claims settlement |
1404 | conference without any of the trappings or drawbacks of an |
1405 | adversarial process. Before resorting to these procedures, |
1406 | insureds and insurers are encouraged to resolve claims as |
1407 | quickly and fairly as possible. This section is available with |
1408 | respect to claims under personal lines and commercial |
1409 | residential policies for all claimants and insurers prior to |
1410 | commencing the appraisal process, or commencing litigation. If |
1411 | requested by the insured, participation by legal counsel shall |
1412 | be permitted. Mediation under this section is also available to |
1413 | litigants referred to the department by a county court or |
1414 | circuit court. This section does not apply to commercial |
1415 | coverages, to private passenger motor vehicle insurance |
1416 | coverages, or to disputes relating to liability coverages in |
1417 | policies of property insurance. |
1418 | (2) At the time a first-party claim within the scope of |
1419 | this section is filed, the insurer shall notify all first-party |
1420 | claimants of their right to participate in the mediation program |
1421 | under this section. The department shall prepare a consumer |
1422 | information pamphlet for distribution to persons participating |
1423 | in mediation under this section. |
1424 | (7) If the insurer fails to comply with subsection (2) by |
1425 | failing to notify a first-party claimant of its right to |
1426 | participate in the mediation program under this section or if |
1427 | the insurer requests the mediation, and the mediation results |
1428 | are rejected by either party, the insured shall not be required |
1429 | to submit to or participate in any contractual loss appraisal |
1430 | process of the property loss damage as a precondition to legal |
1431 | action for breach of contract against the insurer for its |
1432 | failure to pay the policyholder's claims covered by the policy. |
1433 | Section 16. Subsection (1) of section 627.702, Florida |
1434 | Statutes, is amended to read: |
1435 | 627.702 Valued policy law.-- |
1436 | (1)(a) In the event of the total loss of any building, |
1437 | structure, mobile home as defined in s. 320.01(2), or |
1438 | manufactured building as defined in s. 553.36(12), located in |
1439 | this state and insured by any insurer as to a covered peril, in |
1440 | the absence of any change increasing the risk without the |
1441 | insurer's consent and in the absence of fraudulent or criminal |
1442 | fault on the part of the insured or one acting in her or his |
1443 | behalf, the insurer's liability, if any, under the policy for |
1444 | such total loss, if caused by a covered peril, shall be in the |
1445 | amount of money for which such property was so insured as |
1446 | specified in the policy and for which a premium has been charged |
1447 | and paid. |
1448 | (b) The intent of this subsection is not to deprive an |
1449 | insurer of any proper defense under the policy, to create new or |
1450 | additional coverage under the policy, or to require an insurer |
1451 | to pay for a loss caused by a peril other than the covered |
1452 | peril. In furtherance of such legislative intent, when a loss |
1453 | was caused in part by a covered peril and in part by a |
1454 | noncovered peril, paragraph (a) does not apply. In such |
1455 | circumstances, the insurer's liability under this section shall |
1456 | be limited to the amount of the loss caused by the covered |
1457 | peril. However, if the covered perils alone would have caused |
1458 | the total loss, paragraph (a) shall apply. The insurer is never |
1459 | liable for more than the amount necessary to repair, rebuild, or |
1460 | replace the structure following the total loss, after |
1461 | considering all other benefits actually paid for the total loss. |
1462 | (c) It is the intent of the Legislature that the amendment |
1463 | to this section shall not be applied retroactively and shall |
1464 | apply only to claims filed after effective date of such |
1465 | amendment. |
1466 | Section 17. Section 627.706, Florida Statutes, is amended |
1467 | to read: |
1468 | 627.706 Sinkhole insurance; definitions.-- |
1469 | (1) Every insurer authorized to transact property |
1470 | insurance in this state shall make available coverage for |
1471 | insurable sinkhole losses on any structure, including contents |
1472 | of personal property contained therein, to the extent provided |
1473 | in the form to which the sinkhole coverage attaches. |
1474 | (2) As used in ss. 627.706-627.7074, and as used in |
1475 | connection with any policy providing coverage for sinkhole |
1476 | losses: |
1477 | (a) "Sinkhole" means a landform created by subsidence of |
1478 | soil, sediment, or rock as underlying strata are dissolved by |
1479 | ground water. A sinkhole may form by collapse into subterranean |
1480 | voids created by dissolution of limestone or dolostone or by |
1481 | subsidence as these strata are dissolved. |
1482 | (b)(2) "Sinkhole loss" means structural damage to the |
1483 | building, including the foundation, caused by sinkhole activity. |
1484 | Contents coverage shall apply only if there is structural damage |
1485 | to the building caused by sinkhole activity. |
1486 | (c)(3) "Sinkhole activity loss" means actual physical |
1487 | damage to the property covered arising out of or caused by |
1488 | sudden settlement or systematic weakening collapse of the earth |
1489 | supporting such property only when such settlement or systematic |
1490 | weakening collapse results from movement or raveling of soils, |
1491 | sediments, or rock materials into subterranean voids created by |
1492 | the effect action of water on a limestone or similar rock |
1493 | formation. |
1494 | (d) "Engineer" means a person, as defined in s. 471.005, |
1495 | who has a bachelor degree or higher in engineering with a |
1496 | specialty in the geotechnical engineering field. An engineer |
1497 | must have geotechnical experience and expertise in the |
1498 | identification of sinkhole activity as well as other potential |
1499 | causes of damage to the structure. |
1500 | (e) "Professional geologist" means a person, as defined by |
1501 | s. 492.102, who has a bachelor degree or higher in geology or |
1502 | related earth science with expertise in the geology of Florida. |
1503 | A professional geologist must have geological experience and |
1504 | expertise in the identification of sinkhole activity as well as |
1505 | other potential geologic causes of damage to the structure. |
1506 | (3)(4) Every insurer authorized to transact property |
1507 | insurance in this state shall make a proper filing with the |
1508 | office for the purpose of extending the appropriate forms of |
1509 | property insurance to include coverage for insurable sinkhole |
1510 | losses. |
1511 | Section 18. Section 627.7065, Florida Statutes, is created |
1512 | to read: |
1513 | 627.7065 Database of information relating to sinkholes; |
1514 | the Department of Financial Services and the Department of |
1515 | Environmental Protection.-- |
1516 | (1) The Legislature finds that there has been a dramatic |
1517 | increase in the number of sinkholes and insurance claims for |
1518 | sinkhole damage in the state during the past 10 years. |
1519 | Accordingly, the Legislature recognizes the need to track |
1520 | current and past sinkhole activity and to make the information |
1521 | available for prevention and remediation activities. The |
1522 | Legislature further finds that the Florida Geological Survey of |
1523 | the Department of Environmental Protection has created a partial |
1524 | database of some sinkholes identified in Florida, although the |
1525 | database is not reflective of all sinkholes or insurance claims |
1526 | for sinkhole damage. The Legislature determines that creating a |
1527 | complete electronic database of sinkhole activity serves an |
1528 | important purpose in protecting the public and in studying |
1529 | property claims activities in the insurance industry. |
1530 | (2) The Department of Financial Services, including the |
1531 | employee of the Division of Consumer Services designated as the |
1532 | primary contact for consumers on issues relating to sinkholes, |
1533 | and the Office of the Insurance Consumer Advocate shall consult |
1534 | with the Florida Geological Survey and the Department of |
1535 | Environmental Protection to implement a statewide automated |
1536 | database of sinkholes and related activity identified in the |
1537 | state. |
1538 | (3) Representatives of the Department of Financial |
1539 | Services, with the agreement of the Department of Environmental |
1540 | Protection, shall determine the form and content of the |
1541 | database. The content may include standards for reporting and |
1542 | investigating sinkholes for inclusion in the database and |
1543 | requirements for insurers to report to the departments the |
1544 | receipt of claims involving sinkhole loss and other similar |
1545 | activities. The Department of Financial Services may require |
1546 | insurers to report present and past data of sinkhole claims. The |
1547 | database also may include information of damage due to ground |
1548 | settling and other subsidence activity. |
1549 | (4) The Department of Financial Services may manage the |
1550 | database or may contract for its management and maintenance. The |
1551 | Department of Environmental Protection shall investigate reports |
1552 | of sinkhole activity and include its findings and investigations |
1553 | in the database. |
1554 | (5) The Department of Environmental Protection, in |
1555 | consultation with the Department of Financial Services, shall |
1556 | present a report of activities relating to the sinkhole |
1557 | database, including recommendations regarding the database and |
1558 | similar matters, to the Governor, the Speaker of the House of |
1559 | Representatives, the President of the Senate, and the Chief |
1560 | Financial Officer by December 31, 2005. The report may consider |
1561 | the need for the Legislature to create an entity to study the |
1562 | increase in sinkhole activity in the state and other similar |
1563 | issues relating to sinkhole damage, including recommendations |
1564 | and costs for staffing the entity. The report may include other |
1565 | information, as appropriate. |
1566 | (6) The Department of Financial Services, in consultation |
1567 | with the Department of Environmental Protection, may adopt rules |
1568 | to implement this section. |
1569 | Section 19. Section 627.707, Florida Statutes, is amended |
1570 | to read: |
1571 | 627.707 Minimum Standards for investigation of sinkhole |
1572 | claims by insurers; nonrenewals.-- |
1573 | (1) Upon receipt of a claim for a sinkhole loss, an |
1574 | insurer must meet the following minimum standards in |
1575 | investigating a claim: |
1576 | (1)(a) Upon receipt of a claim for a sinkhole loss, The |
1577 | insurer must make an inspection of the insured's premises to |
1578 | determine if there has been physical damage to the structure |
1579 | which may might be the result of sinkhole activity. |
1580 | (b) If, upon the investigation pursuant to paragraph (a), |
1581 | the insurer discovers damage to a structure which is consistent |
1582 | with sinkhole activity or if the structure is located in close |
1583 | proximity to a structure in which sinkhole damage has been |
1584 | verified, then prior to denying a claim, the insurer must obtain |
1585 | a written certification from an individual qualified to |
1586 | determine the existence of sinkhole activity, stating that the |
1587 | cause of the claim is not sinkhole activity, and that the |
1588 | analysis conducted was of sufficient scope to eliminate sinkhole |
1589 | activity as the cause of damage within a reasonable professional |
1590 | probability. The written certification must also specify the |
1591 | professional discipline and professional licensure or |
1592 | registration under which the analysis was conducted. |
1593 | (2) Following the insurer's initial inspection, the |
1594 | insurer shall engage an engineer or a professional geologist to |
1595 | conduct testing as provided in s. 627.7072 to determine the |
1596 | cause of the loss within a reasonable professional probability |
1597 | and issue a report as provided in s. 627.7073, if: |
1598 | (a) The insurer is unable to identify a valid cause of the |
1599 | damage or discovers damage to the structure which is consistent |
1600 | with sinkhole loss; or |
1601 | (b) The policyholder demands testing in accordance with |
1602 | this section or s. 627.7072. |
1603 | (3) Following the initial inspection of the insured |
1604 | premises, the insurer shall provide written notice to the |
1605 | policyholder disclosing the following information: |
1606 | (a) What the insurer has determined to be the cause of |
1607 | damage, if the insurer has made such a determination. |
1608 | (b) A statement of the circumstances under which the |
1609 | insurer is required to engage an engineer or a professional |
1610 | geologist to verify or eliminate sinkhole loss and to engage an |
1611 | engineer to make recommendations regarding land and building |
1612 | stabilization and foundation repair. |
1613 | (c) A statement regarding the right of the policyholder to |
1614 | request testing by an engineer or a professional geologist and |
1615 | the circumstances under which the policyholder may demand |
1616 | certain testing. |
1617 | (4) If the insurer determines that there is no sinkhole |
1618 | loss, the insurer may deny the claim. If the insurer denies the |
1619 | claim, without performing testing under s. 627.7072, the |
1620 | policyholder may demand testing by the insurer under s. |
1621 | 627.7072. The policyholder's demand for testing must be |
1622 | communicated to the insurer in writing after the policyholder's |
1623 | receipt of the insurer's denial of the claim. |
1624 | (5)(a) Subject to paragraph (b), if a sinkhole loss is |
1625 | verified, the insurer shall pay to stabilize the land and |
1626 | building and repair the foundation in accordance with the |
1627 | recommendations of the engineer as provided under s. 627.7073, |
1628 | and in consultation with the policyholder, subject to the |
1629 | coverage and terms of the policy. The insurer shall pay for |
1630 | other repairs to the structure and contents in accordance with |
1631 | the terms of the policy. |
1632 | (b) The insurer may limit its payment to the actual cash |
1633 | value of the sinkhole loss, not including underpinning or |
1634 | grouting or any other repair technique performed below the |
1635 | existing foundation of the building, until the policyholder |
1636 | enters into a contract for the performance of building |
1637 | stabilization or foundation repairs. After the policyholder |
1638 | enters into the contract, the insurer shall pay the amounts |
1639 | necessary to begin and perform such repairs as the work is |
1640 | performed and the expenses are incurred. The insurer may not |
1641 | require the policyholder to advance payment for such repairs. If |
1642 | repair has begun and the engineer selected or approved by the |
1643 | insurer determines that the repair cannot be completed within |
1644 | the policy limits, the insurer must either complete the |
1645 | engineer's recommended repair or tender the policy limits to the |
1646 | policyholder without a reduction for the repair expenses |
1647 | incurred. |
1648 | (6) Except as provided in subsection (7), the fees and |
1649 | costs of the engineer or the professional geologist shall be |
1650 | paid by the insurer. |
1651 | (7)(c) If the insurer obtains, pursuant to s. 627.7073 |
1652 | paragraph (b), written certification that there is no sinkhole |
1653 | loss or that the cause of the damage claim was not sinkhole |
1654 | activity, and if the policyholder has submitted the sinkhole |
1655 | claim without good faith grounds for submitting such claim, the |
1656 | policyholder shall reimburse the insurer for 50 percent of the |
1657 | actual costs cost of the analyses and services provided analysis |
1658 | under ss. 627.7072 and 627.7073 paragraph (b); however, a |
1659 | policyholder is not required to reimburse an insurer more than |
1660 | $2,500 with respect to any claim. A policyholder is required to |
1661 | pay reimbursement under this subsection paragraph only if the |
1662 | insurer, prior to ordering the analysis under s. 627.7072 |
1663 | paragraph (b), informs the policyholder in writing of the |
1664 | policyholder's potential liability for reimbursement and gives |
1665 | the policyholder the opportunity to withdraw the claim. |
1666 | (8)(2) No insurer shall nonrenew any policy of property |
1667 | insurance on the basis of filing of claims for partial loss |
1668 | caused by sinkhole damage or clay shrinkage as long as the total |
1669 | of such payments does not exceed the current policy limits of |
1670 | coverage for property damage, and provided the insured has |
1671 | repaired the structure in accordance with the engineering |
1672 | recommendations upon which any payment or policy proceeds were |
1673 | based. |
1674 | (9) The insurer may engage a structural engineer to make |
1675 | recommendations as to the repair of the structure. |
1676 | Section 20. Section 627.7072, Florida Statutes, is created |
1677 | to read: |
1678 | 627.7072 Testing standards for sinkholes.-- |
1679 | (1) The engineer and professional geologist shall perform |
1680 | such tests as sufficient, in their professional opinion, to |
1681 | determine the presence or absence of sinkhole loss or other |
1682 | cause of damage within reasonable professional probability and |
1683 | for the engineer to make recommendations regarding necessary |
1684 | building stabilization, and foundation repair. |
1685 | (2) Testing by a professional geologist shall be conducted |
1686 | in compliance with the Florida Geological Survey Special |
1687 | Publication No. 57 (2005). |
1688 | Section 21. Section 627.7073, Florida Statutes, is created |
1689 | to read: |
1690 | 627.7073 Sinkhole reports.-- |
1691 | (1) Upon completion of testing as provided in s. 627.7072, |
1692 | the engineer and professional geologist shall issue a report and |
1693 | certification to the insurer and the policyholder as provided in |
1694 | this section. |
1695 | (a) Sinkhole loss is verified if, based upon tests |
1696 | performed in accordance with s. 627.7072, an engineer and a |
1697 | professional geologist issue a written report and certification |
1698 | stating: |
1699 | 1. That the cause of the actual physical and structural |
1700 | damage is sinkhole activity within a reasonable professional |
1701 | probability. |
1702 | 2. That the analyses conducted were of sufficient scope to |
1703 | identify sinkhole activity as the cause of damage within a |
1704 | reasonable professional probability. |
1705 | 3. A description of the tests performed. |
1706 | 4. A recommendation by the engineer of methods for |
1707 | stabilizing the land and building and for making repairs to the |
1708 | foundation. |
1709 | (b) If sinkhole activity is eliminated as the cause of |
1710 | damage to the structure, the engineer and professional geologist |
1711 | shall issue a written report and certification to the |
1712 | policyholder and the insurer stating: |
1713 | 1. That the cause of the damage is not sinkhole activity |
1714 | within a reasonable professional probability. |
1715 | 2. That the analyses and tests conducted were of |
1716 | sufficient scope to eliminate sinkhole activity as the cause of |
1717 | damage within a reasonable professional probability. |
1718 | 3. A statement of the cause of the damage within a |
1719 | reasonable professional probability. |
1720 | 4. A description of the tests performed. |
1721 | (c) The respective findings, opinions, and recommendations |
1722 | of the engineer and professional geologist as to the |
1723 | verification or elimination of a sinkhole loss and the findings, |
1724 | opinions, and recommendations of the engineer as to land and |
1725 | building stabilization and foundation repair shall be presumed |
1726 | correct. |
1727 | (2) Any insurer that has paid a claim for a sinkhole loss |
1728 | shall file a copy of the report and certification, prepared |
1729 | pursuant to subsection (1), with the county property appraiser |
1730 | who shall record the report and certification with the parcel |
1731 | number. The insurer shall bear the cost of filing and recording |
1732 | the report and certification. There shall be no cause of action |
1733 | or liability against an insurer for compliance with this |
1734 | section. The seller of real property upon which a sinkhole claim |
1735 | has been made shall disclose to the buyer of such property that |
1736 | a claim has been paid and whether or not the full amount of the |
1737 | proceeds were used to repair the sinkhole damage. |
1738 | Section 22. Effective October 1, 2005, and applicable to |
1739 | policies issued or renewed on or after that date, section |
1740 | 627.711, Florida Statutes, is created to read: |
1741 | 627.711 Notice of premium discounts for hurricane loss |
1742 | mitigation.--Using a form prescribed by the Office of Insurance |
1743 | Regulation, the insurer shall clearly notify the applicant or |
1744 | policyholder of any personal lines residential property |
1745 | insurance policy, at the time of the issuance of the policy and |
1746 | at each renewal, of the availability and the range of each |
1747 | premium discount, credit, other rate differential, or reduction |
1748 | in deductibles for properties on which fixtures or construction |
1749 | techniques demonstrated to reduce the amount of loss in a |
1750 | windstorm can or have been installed or implemented. The |
1751 | prescribed form shall describe generally what actions the |
1752 | policyholders may be able to take to reduce their windstorm |
1753 | premium. The prescribed form and a list of such ranges approved |
1754 | by the office for each insurer licensed in the state and |
1755 | providing such discounts, credits, other rate differentials, or |
1756 | reductions in deductibles for properties described in this |
1757 | subsection shall be available for electronic viewing and |
1758 | download from the Department of Financial Services' or the |
1759 | Office of Insurance Regulation's Internet website. The Financial |
1760 | Services Commission may adopt rules to implement this |
1761 | subsection. |
1762 | Section 23. (1)(a) Upon an insurer's receiving a |
1763 | communication with respect to a claim, the insurer shall, within |
1764 | 14 calendar days, review and acknowledge receipt of such |
1765 | communication unless payment is made within that period of time |
1766 | or unless the failure to acknowledge is caused by factors beyond |
1767 | the control of the insurer which reasonably prevent such |
1768 | acknowledgement. If the acknowledgement is not in writing, a |
1769 | notification indicating acknowledgement shall be made in the |
1770 | insurer's claim file and dated. A communication made to or by an |
1771 | agent of an insurer with respect to a claim shall constitute |
1772 | communication to or by the insurer. |
1773 | (b) As used in this subsection, the term "agent" means any |
1774 | person to whom an insurer has granted authority or |
1775 | responsibility to receive or make such communications with |
1776 | respect to claims on behalf of the insurer. |
1777 | (c) This subsection shall not apply to claimants |
1778 | represented by counsel beyond those communications necessary to |
1779 | provide forms and instructions. |
1780 | (2) Such acknowledgement shall be responsive to the |
1781 | communication. If the communication constitutes a notification |
1782 | of a claim, unless the acknowledgement reasonably advises the |
1783 | claimant that the claim appears not to be covered by the |
1784 | insurer, the acknowledgement shall provide necessary claim |
1785 | forms, and instructions, including an appropriate telephone |
1786 | number. |
1787 | (3) Unless otherwise provided by the policy of insurance |
1788 | or by law, within 10 working days after an insurer receives |
1789 | proof of loss statements the insurer shall begin such |
1790 | investigation as is reasonably necessary unless the failure to |
1791 | begin such investigation is caused by factors beyond the control |
1792 | of the insurer which reasonably prevent the commencement of such |
1793 | investigation. |
1794 | (4) For purposes of this section, the term "insurer" means |
1795 | any residential property insurer. |
1796 | Section 24. Task Force on Long-Term Solutions for |
1797 | Florida's Hurricane Insurance Market.-- |
1798 | (1) TASK FORCE CREATED.--There is created the Task Force |
1799 | on Long-Term Solutions for Florida's Hurricane Insurance Market. |
1800 | (2) ADMINISTRATION.--The task force shall be |
1801 | administratively housed within the Office of the Chief Financial |
1802 | Officer, but shall operate independently of any state officer or |
1803 | agency. The Office of the Chief Financial Officer shall provide |
1804 | such administrative support as the task force deems necessary to |
1805 | accomplish its mission and shall provide necessary funding for |
1806 | the task force within its existing resources. The Executive |
1807 | Office of the Governor, the Department of Financial Services, |
1808 | and the Office of Insurance Regulation shall provide substantive |
1809 | staff support for the task force. |
1810 | (3) MEMBERSHIP.--The members of the task force shall be |
1811 | appointed as follows: |
1812 | (a) The Governor shall appoint three members who have |
1813 | expertise in financial matters, one of whom is a representative |
1814 | of the mortgage lending industry, one of whom is a |
1815 | representative of the real estate or construction industry, and |
1816 | one of whom is a representative of insurance consumers. |
1817 | (b) The Chief Financial Officer shall appoint three |
1818 | members who have expertise in financial matters, one of whom is |
1819 | a representative of a national property insurer or of a Florida- |
1820 | only subsidiary of a national property insurer, one of whom is a |
1821 | representative of a domestic property insurer in this state, and |
1822 | one of whom is a representative of insurance agents. |
1823 | (c) The President of the Senate shall appoint three |
1824 | members. |
1825 | (d) The Speaker of the House of Representatives shall |
1826 | appoint three members. |
1827 | (e) The Commissioner of Insurance Regulation shall serve |
1828 | as an ex officio voting member of the task force. |
1829 |
|
1830 | Members of the task force shall serve without compensation but |
1831 | are entitled to receive reimbursement for per diem and travel |
1832 | expenses as provided in section 112.061, Florida Statutes. |
1833 | (4) PURPOSE AND INTENT.--The Legislature recognizes that |
1834 | the continued availability of hurricane insurance coverage for |
1835 | property owners in this state is essential to the state's |
1836 | economic survival. The Legislature further recognizes that |
1837 | legislative efforts to resolve problems in the hurricane |
1838 | insurance market in 2005 may not be sufficient to address this |
1839 | state's long-term needs and that further action may be necessary |
1840 | in subsequent legislative sessions. The purpose of the task |
1841 | force is to make recommendations to the legislative and |
1842 | executive branches of this state's government relating to the |
1843 | creation and maintenance of insurance capacity in the private |
1844 | sector and public sector which is sufficient to ensure that all |
1845 | property owners in this state are able to obtain appropriate |
1846 | insurance coverage for hurricane losses, as further described in |
1847 | this section. |
1848 | (5) SPECIFIC TASKS.--The task force shall conduct such |
1849 | research and hearings as it deems necessary to achieve the |
1850 | purposes specified in subsection (4) and shall develop |
1851 | information on relevant issues, including, but not limited to, |
1852 | the following issues: |
1853 | (a) Whether this state currently has sufficient hurricane |
1854 | insurance capacity to ensure the continuation of a healthy, |
1855 | competitive marketplace, taking into consideration both private- |
1856 | sector resources and public-sector resources. |
1857 | (b) Identifying the future demands on this state's |
1858 | hurricane insurance capacity, taking into account population |
1859 | growth, coastal growth, and anticipated future hurricane |
1860 | activity. |
1861 | (c) Whether the Florida Hurricane Catastrophe Fund |
1862 | fulfilled its purpose of creating additional insurance capacity |
1863 | sufficient to ameliorate the current dangers to the state's |
1864 | economy and to the public health, safety, and welfare in its |
1865 | response to the 2004 hurricane season. |
1866 | (d) The extent to which the growth in Citizens Property |
1867 | Insurance Corporation is attributable to insufficient insurance |
1868 | capacity. |
1869 | (e) The extent to which the growth trends of Citizens |
1870 | Property Insurance Corporation create long-term problems for |
1871 | property owners, buyers, and sellers in this state and for other |
1872 | persons and businesses that depend on a viable market. |
1873 | (f) The operation and role of Citizens Property Insurance |
1874 | Corporation, including: |
1875 | 1. How to ensure that the corporation operates as an |
1876 | insurer of last resort which does not compete with insurers in |
1877 | the voluntary market, but which charges rates that are not |
1878 | excessive, inadequate, or unfairly discriminatory; |
1879 | 2. Whether the bonuses paid by the corporation to carriers |
1880 | taking policies out of the corporation provide a cost-effective |
1881 | means of reducing the potential liability of the corporation; |
1882 | 3. Whether the "Consumer Choice" law should be repealed or |
1883 | amended to ensure that the corporation serves as the insurer of |
1884 | last resort; |
1885 | 4. Whether coverage amounts should be limited; |
1886 | 5. Whether the corporation has hired an adequate level of |
1887 | permanent claims and adjusting staff in addition to outsourcing |
1888 | its claims-adjusting functions to independent adjusting firms; |
1889 | 6. The effect of reducing or expanding the areas that are |
1890 | eligible for coverage in the high-risk, wind-only account; |
1891 | 7. Whether the corporation should purchase reinsurance or |
1892 | take other actions that reduce the potential for debt financing |
1893 | and deficit assessments; and |
1894 | 8. An evaluation of the infrastructure and administration |
1895 | of the corporation and how to improve customer service, claims |
1896 | handling, and communication and the exchange of information with |
1897 | agents of policyholders of the corporation. |
1898 | (6) REPORT AND RECOMMENDATIONS.--By April 1, 2006, the |
1899 | task force shall provide a report containing findings relating |
1900 | to the tasks identified in subsection (5) and recommendations |
1901 | consistent with the purposes of this section and also consistent |
1902 | with such findings. The task force shall submit the report to |
1903 | the Governor, the Chief Financial Officer, the President of the |
1904 | Senate, and the Speaker of the House of Representatives. The |
1905 | task force may also submit such interim reports as it deems |
1906 | appropriate. |
1907 | (7) ADDITIONAL ACTIVITIES.--The task force shall monitor |
1908 | the implementation of hurricane insurance-related legislation |
1909 | enacted during the 2005 Regular Session and shall make such |
1910 | additional recommendations as it deems appropriate for further |
1911 | legislative action during the 2004-2006 legislative biennium. |
1912 | (8) EXPIRATION.--The task force shall expire at the end of |
1913 | the 2004-2006 legislative biennium. |
1914 | Section 25. The Office of Insurance Regulation shall, by |
1915 | January 1, 2006, submit a report to the President of the Senate, |
1916 | the Speaker of the House of Representatives, the minority party |
1917 | leaders of the Senate and the House of Representatives, and the |
1918 | chairs of the standing committees of the Senate and the House of |
1919 | Representatives having jurisdiction over matters relating to |
1920 | property and casualty insurance. The report shall include |
1921 | findings and recommendations on requiring residential property |
1922 | insurers to provide law and ordinance coverage for residential |
1923 | property insurance policies, the increase or decrease in |
1924 | insurance costs associated with requiring such coverage, and |
1925 | such other related information as the Office of Insurance |
1926 | Regulation determines is appropriate for the Legislature to |
1927 | consider. |
1928 | Section 26. Notwithstanding that revenues of Citizens |
1929 | Property Insurance Corporation are not state revenues, the |
1930 | Auditor General shall perform an operational audit, as defined |
1931 | in section 11.45(1), Florida Statutes, of the Citizens Property |
1932 | Insurance Corporation created under section 627.351(6), Florida |
1933 | Statutes. The scope of the audit shall also include: |
1934 | (1) An analysis of the corporation's infrastructure, |
1935 | customer service, claims handling, accessibility of policyholder |
1936 | information to the agent of record, take-out programs, take-out |
1937 | bonuses, and financing arrangements. |
1938 | (2) An evaluation of costs associated with the |
1939 | administration and servicing of the policies issued by the |
1940 | corporation to determine alternatives by which costs can be |
1941 | reduced, customer service improved, and claims handling |
1942 | improved. |
1943 |
|
1944 | The audit shall contain policy alternatives for the Legislature |
1945 | to consider. The Auditor General shall submit a report to the |
1946 | Governor, the President of the Senate, and the Speaker of the |
1947 | House of Representatives no later than February 1, 2006. |
1948 | Section 27. The board of governors of the Citizens |
1949 | Property Insurance Corporation created under section 627.351(6), |
1950 | Florida Statutes, shall, by February 1, 2006, submit a report to |
1951 | the President of the Senate, the Speaker of the House of |
1952 | Representatives, the minority party leaders of the Senate and |
1953 | the House of Representatives, and the chairs of the standing |
1954 | committees of the Senate and the House of Representatives having |
1955 | jurisdiction over matters relating to property and casualty |
1956 | insurance. The report shall include the board's findings and |
1957 | recommendations on the following issues: |
1958 | (1) The number of policies and the aggregate premium of |
1959 | the Citizens Property Insurance Corporation, before and after |
1960 | enactment of this act, and projections for future policy and |
1961 | premium growth. |
1962 | (2) Increases or decreases in availability of residential |
1963 | property coverage in the voluntary market and the effectiveness |
1964 | of this act in improving the availability of residential |
1965 | property coverage in the voluntary market in the state. |
1966 | (3) The board's efforts to depopulate the corporation and |
1967 | the willingness of insurers in the voluntary market to avail |
1968 | themselves of depopulation incentives. |
1969 | (4) Further actions that could be taken by the Legislature |
1970 | to improve availability of residential property coverage in the |
1971 | voluntary and residual markets. |
1972 | (5) Actions that the board has taken to restructure the |
1973 | corporation and recommendations for legislative action to |
1974 | restructure the corporation, including, but not limited to, |
1975 | actions relating to claims handling and customer service. |
1976 | (6) Projected surpluses or deficits and possible means of |
1977 | providing funding to ensure the continued solvency of the |
1978 | corporation. |
1979 | (7) The corporation's efforts to procure catastrophe |
1980 | reinsurance to cover its projected 100-year probable maximum |
1981 | loss with specification as to what best efforts were made by the |
1982 | corporation to procure such reinsurance. |
1983 | (8) Such other issues as the board determines are worthy |
1984 | of the Legislature's consideration. |
1985 | Section 28. For the 2005-2006 fiscal year, there is |
1986 | appropriated $350,000 in recurring funds from the Insurance |
1987 | Regulatory Trust Fund and four positions are authorized to the |
1988 | Office of the Consumer Advocate within the Department of |
1989 | Financial Services for the purposes provided in section |
1990 | 627.0613, Florida Statutes. |
1991 | Section 29. The amendment to section 627.0628, Florida |
1992 | Statutes, and the creation of section 627.06281, Florida |
1993 | Statutes, as provided in this act shall take effect on the same |
1994 | date that House Bill 1939, Senate Bill 1478, or similar |
1995 | legislation takes effect, if such legislation is adopted in the |
1996 | same legislative session or an extension thereof and becomes a |
1997 | law. |
1998 | Section 30. Except as otherwise expressly provided in this |
1999 | act, this act shall take effect upon becoming a law. |
2000 |
|
2001 | ================ T I T L E A M E N D M E N T ============= |
2002 |
|
2003 | Delete everything before the enacting clause and insert: |
2004 | A bill to be entitled |
2005 | An act relating to property insurance; amending s. |
2006 | 215.555, F.S.; revising the retention of losses for which |
2007 | an insurer is not entitled to reimbursement from the |
2008 | Florida Hurricane Catastrophe Fund; amending s. 215.559, |
2009 | F.S.; revising the allocation of funds appropriated to the |
2010 | Department of Community Affairs from the Florida Hurricane |
2011 | Catastrophe Fund for the Hurricane Loss Mitigation |
2012 | Program; requiring that the department establish a low- |
2013 | interest loan program and pilot project for hurricane loss |
2014 | mitigation; authorizing contractual agreements between the |
2015 | department and financial institutions; authorizing the |
2016 | Department of Community Affairs to adopt rules; amending |
2017 | s. 627.062, F.S.; requiring the Office of Insurance |
2018 | Regulation to submit a proposed plan to the Legislature |
2019 | establishing uniform rating territories to be used by |
2020 | insurers for residential property insurance rate filings; |
2021 | requiring a further act of the Legislature to implement |
2022 | the plan; limiting the recoupment by an insurer in its |
2023 | rates of the reimbursement premium it pays to the Florida |
2024 | Hurricane Catastrophe Fund; amending s. 627.0628, F.S.; |
2025 | restricting the admissibility and relevance in rate |
2026 | proceedings of findings of the Florida Commission on |
2027 | Hurricane Loss Projection Methodology; amending s. |
2028 | 627.0629, F.S.; lowering the percentage amount of a rate |
2029 | filing based on a computer model which requires a public |
2030 | hearing; creating s. 627.06281, F.S.; requiring |
2031 | residential property insurers and rating and advisory |
2032 | organizations to report hurricane loss data for |
2033 | development of a public hurricane model for hurricane loss |
2034 | projections; amending s. 627.351, F.S.; revising the |
2035 | appointments to the board and the approval of officers and |
2036 | employees of the corporation; providing additional |
2037 | legislative intent relating to the Citizens Property |
2038 | Insurance Corporation; authorizing the corporation to |
2039 | issue bonds and incur indebtedness for certain purposes; |
2040 | requiring creation of a Market Accountability Advisory |
2041 | Committee to assist the corporation for certain purposes; |
2042 | providing for appointment of committee members; providing |
2043 | for terms; requiring reports to the corporation; revising |
2044 | requirements for the plan of operation of the corporation; |
2045 | deleting an obsolete reporting requirement; establishing a |
2046 | pilot program; specifying nonapplication of certain policy |
2047 | requirements in a county lacking reasonable degrees of |
2048 | competition for certain policies under certain |
2049 | circumstances; requiring the commission to adopt rules; |
2050 | deleting an obsolete rate methodology panel reporting |
2051 | requirement provision; creating s. 627.40951, F.S.; |
2052 | providing legislative findings and intent; providing for |
2053 | an advisory committee; providing for membership; providing |
2054 | for recommendations to be submitted to the Legislature |
2055 | regarding standard residential property insurance |
2056 | policies; amending s. 627.411, F.S.; adding grounds for |
2057 | which the Office of Insurance Regulation must disapprove a |
2058 | form filed by an insurer; amending s. 627.4133, F.S.; |
2059 | prohibiting insurers from canceling or nonrenewing |
2060 | residential property insurance policies under certain |
2061 | emergency circumstances; providing exceptions; providing |
2062 | notice requirements; providing application to personal |
2063 | residential and commercial residential policies covering |
2064 | certain damaged property; extending the effective date of |
2065 | certain policies under certain hurricane circumstances; |
2066 | authorizing the insurer to collect premiums for the |
2067 | extended period; providing nonapplication; amending s. |
2068 | 627.4143, F.S.; requiring insurers to provide personal |
2069 | lines property insurance policyholders with a checklist of |
2070 | items contained in policies; authorizing the Financial |
2071 | Services Commission to adopt rules; prescribing elements |
2072 | to be contained in the checklist; requiring the checklist |
2073 | and outline of insurance coverage to be sent with each |
2074 | renewal; clarifying that homeowners' insurance includes |
2075 | mobile homeowners', dwelling, and condominium unit owners' |
2076 | insurance for purposes of the outline of coverage; |
2077 | amending s. 627.701, F.S.; increasing the maximum |
2078 | allowable hurricane deductible for personal lines and |
2079 | certain commercial lines residential policies; requiring |
2080 | insurers to offer specified hurricane deductibles for such |
2081 | policies; requiring insurers to provide written notice |
2082 | explaining hurricane deductible options for such policies; |
2083 | providing for computation and display of the dollar value |
2084 | of hurricane deductibles; requiring insurers to compute |
2085 | and display actual dollar values of certain riders for |
2086 | certain policies; amending s. 627.701, F.S.; providing |
2087 | that the requirement for a hurricane deductible to apply |
2088 | on an annual basis applies to personal lines residential |
2089 | property insurance policies; requiring insurers that |
2090 | provide commercial residential property insurance to offer |
2091 | alternative hurricane deductibles that apply on an annual |
2092 | basis or to each hurricane; amending s. 627.7011, F.S.; |
2093 | requiring insurers to offer coverage for additional costs |
2094 | of repair due to laws and ordinances; requiring insurers |
2095 | to pay the replacement cost for a loss insured on that |
2096 | basis, whether or not the insured replaces or repairs the |
2097 | dwelling or property; requiring certain homeowner's |
2098 | insurance policies to contain a specified statement; |
2099 | providing intent; amending s. 627.7015, F.S.; revising |
2100 | purpose and scope provisions relating to an alternative |
2101 | procedure for resolution of disputed property insurance |
2102 | claims; providing that failure of an insurer to notify a |
2103 | claimant of the availability of mediation excuses an |
2104 | insured from being required to submit to certain loss |
2105 | appraisal processes; amending s. 627.702, F.S.; providing |
2106 | legislative intent regarding the requirement that an |
2107 | insurer pay policy limits if there is a total loss of a |
2108 | building; providing nonapplication of certain insurer |
2109 | liability requirements under certain circumstances; |
2110 | limiting an insurer's liability to certain loss covered by |
2111 | a covered peril; amending s. 627.706, F.S., relating to |
2112 | sinkhole insurance; providing definitions; creating s. |
2113 | 627.7065, F.S.; providing legislative findings; requiring |
2114 | the Department of Financial Services and the Office of the |
2115 | Insurance Consumer Advocate to consult with the Florida |
2116 | Geological Survey and the Department of Environmental |
2117 | Protection to implement a statewide automated database of |
2118 | sinkholes and related activity; providing requirements for |
2119 | the form and content of the database; authorizing the |
2120 | Department of Financial Services to require insurers to |
2121 | provide certain information; providing for management of |
2122 | the database; requiring the department to investigate |
2123 | sinkhole activity reports and include findings and |
2124 | investigations in the database; requiring the Department |
2125 | of Environmental Protection to report on the database to |
2126 | the Governor, Legislature, and Chief Financial Officer; |
2127 | authorizing the Department of Financial Services to adopt |
2128 | implementing rules; amending s. 627.707, F.S.; revising |
2129 | standards for investigations of sinkhole claims by |
2130 | insurers; requiring an insurer to engage an engineer or |
2131 | professional geologist for certain purposes; requiring a |
2132 | report under certain circumstances; requiring an insurer |
2133 | to provide written notice to a policyholder disclosing |
2134 | certain information; authorizing an insurer to deny a |
2135 | claim under certain circumstances; authorizing a |
2136 | policyholder to demand certain testing; providing |
2137 | requirements; specifying required activities for insurers |
2138 | if a sinkhole loss is verified; specifying payment |
2139 | requirements for insurers; providing limitations; |
2140 | requiring the insurer to pay fees of the engineer and |
2141 | geologist; authorizing an insurer to engage a structural |
2142 | engineer for certain purposes; creating s. 627.7072, F.S.; |
2143 | specifying requirements for sinkhole testing by engineers |
2144 | and geologists; creating s. 627.7073, F.S.; providing |
2145 | reporting requirements for engineers and geologists after |
2146 | testing for sinkholes; specifying a presumption of |
2147 | correctness of certain findings; requiring an insurer |
2148 | paying a sinkhole loss claim to file a report and |
2149 | certification with the county property appraiser; |
2150 | requiring the property appraiser to record the report and |
2151 | certification; requiring the insurer to bear the cost of |
2152 | filing and recording; requiring a seller of certain |
2153 | property to make certain disclosures to property buyers |
2154 | under certain circumstances; creating s. 627.711, F.S.; |
2155 | requiring insurers to notify applicants or policyholders |
2156 | of the availability and amounts of certain discounts, |
2157 | credits, rate differentials, or reductions in deductibles |
2158 | for properties on which certain fixtures have been |
2159 | installed or construction techniques have been |
2160 | implemented; requiring insurers to provide qualifying |
2161 | information; authorizing the Financial Services Commission |
2162 | to adopt rules; creating s. 627.712, F.S.; requiring |
2163 | property insurers to pay or deny claims within certain |
2164 | time periods; providing that overdue payments bear |
2165 | interest; creating the Task Force on Long-Term Solutions |
2166 | for Florida's Hurricane Insurance Market; requiring the |
2167 | Executive Office of the Governor, the Department of |
2168 | Financial Services, and the Office of Insurance Regulation |
2169 | to provide administrative support and staff support; |
2170 | providing membership; providing purpose and intent; |
2171 | providing for research and hearings on specified issues; |
2172 | requiring the task force to submit a report of findings |
2173 | and recommendations to the Governor, the Chief Financial |
2174 | Officer, the President of the Senate, and the Speaker of |
2175 | the House of Representatives; providing for additional |
2176 | activities; providing for expiration of the task force; |
2177 | requiring the Office of Insurance Regulation to submit a |
2178 | report to the Legislature relating to residential property |
2179 | insurance; providing report requirements; requiring the |
2180 | Office of the Auditor General to conduct an operational |
2181 | audit of Citizens Property Insurance Corporation; |
2182 | specifying audit requirements; requiring a report; |
2183 | requiring the board of governors of the Citizens Property |
2184 | Insurance Corporation to submit a report to the |
2185 | Legislature relating to property and casualty insurance; |
2186 | specifying report requirements; providing an appropriation |
2187 | and authorizing positions; providing a contingent |
2188 | effective date; providing effective dates. |