| 1 | A bill to be entitled |
| 2 | An act relating to medical malpractice insurance |
| 3 | contracts; amending s. 627.4147, F.S.; deleting a |
| 4 | provision requiring certain medical malpractice insurance |
| 5 | policies to include a provision authorizing insurers or |
| 6 | self insurers to take certain actions relating to |
| 7 | admissions of liability, settlement offers, or offers of |
| 8 | judgment without permission of an insured; deleting a |
| 9 | public policy statement; deleting a requirement that such |
| 10 | actions be made in good faith and in the best interests of |
| 11 | the insured; providing an effective date. |
| 12 |
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| 13 | Be It Enacted by the Legislature of the State of Florida: |
| 14 |
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| 15 | Section 1. Paragraph (b) of subsection (1) of section |
| 16 | 627.4147, Florida Statutes, is amended to read: |
| 17 | 627.4147 Medical malpractice insurance contracts.-- |
| 18 | (1) In addition to any other requirements imposed by law, |
| 19 | each self-insurance policy as authorized under s. 627.357 or s. |
| 20 | 624.462 or insurance policy providing coverage for claims |
| 21 | arising out of the rendering of, or the failure to render, |
| 22 | medical care or services, including those of the Florida Medical |
| 23 | Malpractice Joint Underwriting Association, shall include: |
| 24 | (b)1. Except as provided in subparagraph 2., a clause |
| 25 | authorizing the insurer or self-insurer to determine, to make, |
| 26 | and to conclude, without the permission of the insured, any |
| 27 | offer of admission of liability and for arbitration pursuant to |
| 28 | s. 766.106, settlement offer, or offer of judgment, if the offer |
| 29 | is within the policy limits. It is against public policy for any |
| 30 | insurance or self-insurance policy to contain a clause giving |
| 31 | the insured the exclusive right to veto any offer for admission |
| 32 | of liability and for arbitration made pursuant to s. 766.106, |
| 33 | settlement offer, or offer of judgment, when such offer is |
| 34 | within the policy limits. However, any offer of admission of |
| 35 | liability, settlement offer, or offer of judgment made by an |
| 36 | insurer or self-insurer shall be made in good faith and in the |
| 37 | best interests of the insured. |
| 38 | 2.a. With respect to dentists licensed under chapter 466, |
| 39 | A clause clearly stating whether or not the insured has the |
| 40 | exclusive right to veto any offer of admission of liability and |
| 41 | for arbitration pursuant to s. 766.106, settlement offer, or |
| 42 | offer of judgment if the offer is within policy limits. An |
| 43 | insurer or self-insurer shall not make or conclude, without the |
| 44 | permission of the insured, any offer of admission of liability |
| 45 | and for arbitration pursuant to s. 766.106, settlement offer, or |
| 46 | offer of judgment, if such offer is outside the policy limits. |
| 47 | However, any offer for admission of liability and for |
| 48 | arbitration made under s. 766.106, settlement offer, or offer of |
| 49 | judgment made by an insurer or self-insurer shall be made in |
| 50 | good faith and in the best interest of the insured. |
| 51 | 2.b. If the policy contains a clause stating the insured |
| 52 | does not have the exclusive right to veto any offer or admission |
| 53 | of liability and for arbitration made pursuant to s. 766.106, |
| 54 | settlement offer or offer of judgment, the insurer or self- |
| 55 | insurer shall provide to the insured or the insured's legal |
| 56 | representative by certified mail, return receipt requested, a |
| 57 | copy of the final offer of admission of liability and for |
| 58 | arbitration made pursuant to s. 766.106, settlement offer or |
| 59 | offer of judgment and at the same time such offer is provided to |
| 60 | the claimant. A copy of any final agreement reached between the |
| 61 | insurer and claimant shall also be provided to the insurer or |
| 62 | his or her legal representative by certified mail, return |
| 63 | receipt requested not more than 10 days after affecting such |
| 64 | agreement. |
| 65 | Section 2. This act shall take effect July 1, 2005. |