1 | A bill to be entitled |
2 | An act relating to property and casualty insurance; |
3 | transferring, renumbering, and amending ss. 350.061, |
4 | 350.0611, 350.0612, 350.0613, and 350.0614, F.S.; |
5 | authorizing the Public Counsel to represent the general |
6 | public before the Office of Insurance Regulation; |
7 | including certain proceedings related to rules and rate |
8 | filings for residential property insurance; authorizing |
9 | the Public Counsel to have access to files of the office, |
10 | to seek review of orders of the office, to issue reports, |
11 | recommendations, and proposed orders to the office; |
12 | specifying where the Public Counsel shall maintain his or |
13 | her office; authorizing the Joint Legislative Auditing |
14 | Committee to authorize the Public Counsel to employ |
15 | certain types of employees; requiring the Office of |
16 | Insurance Regulation to provide copies of certain filings |
17 | to the Public Counsel; amending s. 112.3145, F.S.; |
18 | conforming a cross-reference; amending s. 215.559, F.S.; |
19 | revising the distribution of funds in the Hurricane Loss |
20 | Mitigation Program; revising provisions relating to a low- |
21 | interest loan program; amending s. 408.40, F.S.; |
22 | conforming a cross-reference; amending s. 624.319, F.S.; |
23 | authorizing the Public Counsel to have access to certain |
24 | confidential information held by the Department of |
25 | Financial Services or the Office of Insurance Regulation; |
26 | amending s. 627.062, F.S.; deleting provisions that allow |
27 | an insurer to require arbitration of a rate filing for |
28 | property and casualty insurance; amending s. 627.0629, |
29 | F.S.; requiring underwriting rules for homeowners' |
30 | insurance to be filed with and approved by the Office of |
31 | Insurance Regulation; providing for filing and approval |
32 | provisions; amending s. 627.0651, F.S.; abolishing "use |
33 | and file" rate filings; deleting reference to the filing |
34 | of specified underwriting rules for homeowners' insurance; |
35 | amending s. 627.311, F.S.; abolishing "use and file" rate |
36 | filings; amending s. 627.351, F.S.; deleting a provision |
37 | authorizing a windstorm underwriting association to |
38 | require arbitration of a rate filing; amending s. |
39 | 627.4025, F.S.; redefining the term "hurricane coverage" |
40 | to include coverage for damage from wind-driven water; |
41 | amending s. 627.4133, F.S.; prohibiting an insurer from |
42 | canceling or nonrenewing a residential property insurance |
43 | policy for certain reasons; amending s. 627.4145, F.S.; |
44 | increasing the minimum score on the reading ease test for |
45 | insurance policies; creating s. 627.41494, F.S.; providing |
46 | for consumer participation in review of insurance rate |
47 | changes; providing for public inspection of rate filings; |
48 | providing for adoption of rules by the Financial Services |
49 | Commission; requiring insurers to pay costs of consumer |
50 | advocacy groups under certain circumstances; amending s. |
51 | 627.701, F.S.; revising the hurricane deductibles that |
52 | insurers must offer for personal lines residential |
53 | property insurance policies; creating s. 627.70105, F.S.; |
54 | requiring payment of living expenses required due to |
55 | uninhabitability of insured property within a specified |
56 | time; providing an appropriation; providing effective |
57 | dates. |
58 |
|
59 | Be It Enacted by the Legislature of the State of Florida: |
60 |
|
61 | Section 1. This act may be cited as the "Homeowners' |
62 | Defense Act." |
63 | Section 2. Section 350.061, Florida Statutes, is |
64 | transferred, renumbered as section 11.402, Florida Statutes, and |
65 | subsection (1) of that section is amended to read: |
66 | 11.402 350.061 Public Counsel; appointment; oath; |
67 | restrictions on Public Counsel and his or her employees.-- |
68 | (1) The Committee on Public Service Commission Oversight |
69 | shall appoint a Public Counsel by majority vote of the members |
70 | of the committee to represent the general public of Florida |
71 | before the Florida Public Service Commission and the Office of |
72 | Insurance Regulation. The Public Counsel shall be an attorney |
73 | admitted to practice before the Florida Supreme Court and shall |
74 | serve at the pleasure of the Committee on Public Service |
75 | Commission Oversight, subject to biennial reconfirmation by the |
76 | committee. The Public Counsel shall perform his or her duties |
77 | independently. Vacancies in the office shall be filled in the |
78 | same manner as the original appointment. |
79 | Section 3. Section 350.0611, Florida Statutes, is |
80 | transferred, renumbered as section 11.403, Florida Statutes, and |
81 | amended to read: |
82 | 11.403 350.0611 Public Counsel; duties and powers.--It |
83 | shall be the duty of the Public Counsel to provide legal |
84 | representation for the people of the state in proceedings before |
85 | the Public Service Commission and the Office of Insurance |
86 | Regulation and in proceedings before counties pursuant to s. |
87 | 367.171(8). The Public Counsel shall have such powers as are |
88 | necessary to carry out the duties of his or her office, |
89 | including, but not limited to, the following specific powers: |
90 | (1) To recommend to the Public Service Commission or the |
91 | counties, by petition, the commencement of any proceeding or |
92 | action or to appear, in the name of the state or its citizens, |
93 | in any proceeding or action before the commission or the |
94 | counties. |
95 | (2) To recommend to the Office of Insurance Regulation, by |
96 | petition, the commencement of, and to appear in the name of the |
97 | state or its citizens in, any proceeding or action before the |
98 | office relating to: |
99 | (a) Rules governing residential property insurance; or |
100 | (b) Rate filings for residential property insurance which, |
101 | pursuant to standards determined by the office, request an |
102 | average statewide rate increase of 10 percent or greater as |
103 | compared to the current rates in effect or the rates in effect |
104 | 12 months prior to the proposed effective date. |
105 |
|
106 | The Public Counsel may not stay any final order of the Office of |
107 | Insurance Regulation. |
108 | (3) To and urge in any proceeding or action to which he or |
109 | she is a party therein any position that which he or she deems |
110 | to be in the public interest, whether consistent or inconsistent |
111 | with positions previously adopted by the commission, or the |
112 | counties, or the office, and use utilize therein all forms of |
113 | discovery available to attorneys in civil actions generally, |
114 | subject to protective orders of the commission, or the counties, |
115 | or the office, which shall be reviewable by summary procedure in |
116 | the circuit courts of this state.; |
117 | (4)(2) To have access to and use of all files, records, |
118 | and data of the commission, or the counties, or the office |
119 | available to any other attorney representing parties in a |
120 | proceeding before the commission, or the counties, or the |
121 | office.; |
122 | (5)(3) In any proceeding in which he or she has |
123 | participated as a party, to seek review of any determination, |
124 | finding, or order of the commission, or the counties, or the |
125 | office, or of any hearing examiner designated by the commission, |
126 | or the counties, or the office, in the name of the state or its |
127 | citizens.; |
128 | (6)(4) To prepare and issue reports, recommendations, and |
129 | proposed orders to the commission or office, the Governor, and |
130 | the Legislature on any matter or subject within the jurisdiction |
131 | of the commission or office, and to make such recommendations as |
132 | he or she deems appropriate for legislation relative to |
133 | commission or office procedures, rules, jurisdiction, personnel, |
134 | and functions.; and |
135 | (7)(5) To appear before other state agencies, federal |
136 | agencies, and state and federal courts in connection with |
137 | matters under the jurisdiction of the commission or office, in |
138 | the name of the state or its citizens. |
139 | Section 4. Section 350.0612, Florida Statutes, is |
140 | transferred, renumbered as section 11.404, Florida Statutes, and |
141 | amended to read: |
142 | 11.404 350.0612 Public Counsel; location.--The Public |
143 | Counsel shall maintain his or her office in Leon County on the |
144 | premises of the commission or, if suitable space there cannot be |
145 | provided, at such other place convenient to the offices of the |
146 | Public Services Commission or the Office of Insurance Regulation |
147 | commissioners as will enable him or her to carry out |
148 | expeditiously the duties and functions of his or her office. |
149 | Section 5. Section 350.0613, Florida Statutes, is |
150 | transferred, renumbered as section 11.405, Florida Statutes, and |
151 | amended to read: |
152 | 11.405 350.0613 Public Counsel; employees; receipt of |
153 | pleadings.--The Joint Legislative Auditing Committee may |
154 | authorize the Public Counsel to employ clerical and technical |
155 | assistants whose qualifications, duties, and responsibilities |
156 | the committee shall from time to time prescribe. The committee |
157 | may from time to time authorize retention of the services of |
158 | additional attorneys, actuaries, economists, or experts to the |
159 | extent that the best interests of the people of the state will |
160 | be better served thereby, including the retention of expert |
161 | witnesses and other technical personnel for participation in |
162 | contested proceedings before the Public Service Commission or |
163 | Office of Insurance Regulation. The commission shall furnish the |
164 | Public Counsel with copies of the initial pleadings in all |
165 | proceedings before the commission. The office shall furnish the |
166 | Public Counsel with copies of all filings that relate to the |
167 | jurisdiction of the Public Counsel pursuant to s. 11.403(2)., |
168 | and If the Public Counsel intervenes as a party in any |
169 | proceeding he or she shall be served with copies of all |
170 | subsequent pleadings, exhibits, and prepared testimony, if used. |
171 | Upon filing notice of intervention, the Public Counsel shall |
172 | serve all interested parties with copies of such notice and all |
173 | of his or her subsequent pleadings and exhibits. |
174 | Section 6. Section 350.0614, Florida Statutes, is |
175 | transferred and renumbered as section 11.406, Florida Statutes. |
176 | Section 7. Paragraph (b) of subsection (1) of section |
177 | 112.3145, Florida Statutes, is amended to read: |
178 | 112.3145 Disclosure of financial interests and clients |
179 | represented before agencies.-- |
180 | (1) For purposes of this section, unless the context |
181 | otherwise requires, the term: |
182 | (b) "Specified state employee" means: |
183 | 1. Public counsel created by chapter 11 350, an assistant |
184 | state attorney, an assistant public defender, a full-time state |
185 | employee who serves as counsel or assistant counsel to any state |
186 | agency, the Deputy Chief Judge of Compensation Claims, a judge |
187 | of compensation claims, an administrative law judge, or a |
188 | hearing officer. |
189 | 2. Any person employed in the office of the Governor or in |
190 | the office of any member of the Cabinet if that person is exempt |
191 | from the Career Service System, except persons employed in |
192 | clerical, secretarial, or similar positions. |
193 | 3. Each appointed secretary, assistant secretary, deputy |
194 | secretary, executive director, assistant executive director, or |
195 | deputy executive director of each state department, commission, |
196 | board, or council; unless otherwise provided, the division |
197 | director, assistant division director, deputy director, bureau |
198 | chief, and assistant bureau chief of any state department or |
199 | division; or any person having the power normally conferred upon |
200 | such persons, by whatever title. |
201 | 4. The superintendent or institute director of a state |
202 | mental health institute established for training and research in |
203 | the mental health field or the warden or director of any major |
204 | state institution or facility established for corrections, |
205 | training, treatment, or rehabilitation. |
206 | 5. Business managers, purchasing agents having the power |
207 | to make any purchase exceeding the threshold amount provided for |
208 | in s. 287.017 for CATEGORY ONE, finance and accounting |
209 | directors, personnel officers, or grants coordinators for any |
210 | state agency. |
211 | 6. Any person, other than a legislative assistant exempted |
212 | by the presiding officer of the house by which the legislative |
213 | assistant is employed, who is employed in the legislative branch |
214 | of government, except persons employed in maintenance, clerical, |
215 | secretarial, or similar positions. |
216 | 7. Each employee of the Commission on Ethics. |
217 | Section 8. Section 215.559, Florida Statutes, is amended |
218 | to read: |
219 | 215.559 Hurricane Loss Mitigation Program.-- |
220 | (1) There is created a Hurricane Loss Mitigation Program. |
221 | The Legislature shall annually appropriate $10 million of the |
222 | moneys authorized for appropriation under s. 215.555(7)(c) from |
223 | the Florida Hurricane Catastrophe Fund to the Department of |
224 | Community Affairs for the purposes set forth in this section. |
225 | (2)(a) One Seven million dollars in funds provided in |
226 | subsection (1) shall be used for programs to improve the wind |
227 | resistance of residences and mobile homes, including loans, |
228 | subsidies, grants, demonstration projects, and direct |
229 | assistance; cooperative programs with local governments and the |
230 | Federal Government; and other efforts to prevent or reduce |
231 | losses or reduce the cost of rebuilding after a disaster. |
232 | (b) Six million dollars of the funds provided in |
233 | subsection (1) shall be used for programs to improve the wind |
234 | resistance of residences to prevent or reduce losses or reduce |
235 | the cost of rebuilding after a disaster. |
236 | (c) The department shall, with the funds authorized in |
237 | paragraphs (a) and (b), establish a program of low-interest |
238 | loans to qualified owners of residences and qualified owners of |
239 | mobile homes. For the purpose of this section, the term "low- |
240 | interest loan" means any direct loan or loan guarantee issued or |
241 | backed by such authorized funds to a qualified owner to finance |
242 | efforts to prevent or reduce losses or reduce the cost of |
243 | rebuilding after a disaster with a requirement for repayment by |
244 | the owner. Loans provided under this section shall be made at a |
245 | rate of up to 2 percent below the qualified loan rate as |
246 | determined by the department. The terms and conditions of the |
247 | low-interest loan program, including loan incentive provisions, |
248 | and the qualifications required of owners of residences and |
249 | owners of mobile homes shall be determined by the department. |
250 | (d)(b) Three million dollars in funds provided in |
251 | subsection (1) shall be used to retrofit existing facilities |
252 | used as public hurricane shelters. The department must |
253 | prioritize the use of these funds for projects included in the |
254 | September 1, 2000, version of the Shelter Retrofit Report |
255 | prepared in accordance with s. 252.385(3), and each annual |
256 | report thereafter. The department must give funding priority to |
257 | projects in regional planning council regions that have shelter |
258 | deficits and to projects that maximize use of state funds. |
259 | (3) By the 2006-2007 fiscal year, the Department of |
260 | Community Affairs shall develop a low-interest loan program for |
261 | homeowners and mobile home owners to retrofit their homes with |
262 | fixtures or apply construction techniques that have been |
263 | demonstrated to reduce the amount of damage or loss due to a |
264 | hurricane. Funding for the program shall be used to subsidize or |
265 | guaranty private-sector loans for this purpose to qualified |
266 | homeowners by financial institutions chartered by the state or |
267 | Federal Government. The department may enter into contracts with |
268 | financial institutions for this purpose. The department shall |
269 | establish criteria for determining eligibility for the loans and |
270 | selecting recipients, standards for retrofitting homes or mobile |
271 | homes, limitations on loan subsidies and loan guaranties, and |
272 | other terms and conditions of the program, which must be |
273 | specified in the department's report to the Legislature on |
274 | January 1, 2006, required by subsection (8). For the 2005-2006 |
275 | fiscal year, the Department of Community Affairs may use up to |
276 | $1 million of the funds appropriated pursuant to paragraph |
277 | (2)(a) to begin the low-interest loan program as a pilot project |
278 | in one or more counties. The Department of Financial Services, |
279 | the Office of Financial Regulation, the Florida Housing Finance |
280 | Corporation, and the Office of Tourism, Trade, and Economic |
281 | Development shall assist the Department of Community Affairs in |
282 | establishing the program and pilot project. The department may |
283 | use up to 2.5 percent of the funds appropriated in any given |
284 | fiscal year for administering the loan program. The department |
285 | may adopt rules to implement the program. |
286 | (3)(4) Forty percent of the total appropriation in |
287 | paragraph (2)(a) shall be used to inspect and improve tie-downs |
288 | for mobile homes. Within 30 days after the effective date of |
289 | that appropriation, the department shall contract with a public |
290 | higher educational institution in this state which has previous |
291 | experience in administering the programs set forth in this |
292 | subsection to serve as the administrative entity and fiscal |
293 | agent pursuant to s. 216.346 for the purpose of administering |
294 | the programs set forth in this subsection in accordance with |
295 | established policy and procedures. The administrative entity |
296 | working with the advisory council set up under subsection (5) |
297 | (6) shall develop a list of mobile home parks and counties that |
298 | may be eligible to participate in the tie-down program. |
299 | (4)(5) Of moneys provided to the Department of Community |
300 | Affairs in paragraphs paragraph (2)(a) and (b), 10 percent shall |
301 | be allocated to a Type I Center within the State University |
302 | System dedicated to hurricane research. The Type I Center shall |
303 | develop a preliminary work plan approved by the advisory council |
304 | set forth in subsection (5) (6) to eliminate the state and local |
305 | barriers to upgrading existing residences, mobile homes, and |
306 | communities;, research and develop a program for the recycling |
307 | of existing older mobile homes;, and support programs of |
308 | research and development relating to hurricane loss reduction |
309 | devices and techniques for site-built residences. The State |
310 | University System also shall consult with the Department of |
311 | Community Affairs and assist the department with the report |
312 | required under subsection (7) (8). |
313 | (5)(6) The Department of Community Affairs shall develop |
314 | the programs set forth in this section in consultation with an |
315 | advisory council consisting of a representative designated by |
316 | the Chief Financial Officer, a representative designated by the |
317 | Florida Home Builders Association, a representative designated |
318 | by the Florida Insurance Council, a representative designated by |
319 | the Federation of Manufactured Home Owners, a representative |
320 | designated by the Florida Association of Counties, and a |
321 | representative designated by the Florida Manufactured Housing |
322 | Association. |
323 | (6)(7) Moneys provided to the Department of Community |
324 | Affairs under this section are intended to supplement other |
325 | funding sources of the Department of Community Affairs and may |
326 | not supplant other funding sources of the Department of |
327 | Community Affairs. |
328 | (7)(8) On January 1st of each year, the Department of |
329 | Community Affairs shall provide a full report and accounting of |
330 | activities under this section and an evaluation of such |
331 | activities to the Speaker of the House of Representatives, the |
332 | President of the Senate, and the Majority and Minority Leaders |
333 | of the House of Representatives and the Senate. |
334 | (8)(9) This section is repealed June 30, 2011. |
335 | Section 9. Subsection (1) of section 408.40, Florida |
336 | Statutes, is amended to read: |
337 | 408.40 Public Counsel.-- |
338 | (1) Notwithstanding any other provisions of this chapter, |
339 | the Public Counsel shall represent the public in any proceeding |
340 | before the agency or its advisory panels in any administrative |
341 | hearing conducted pursuant to chapter 120 or before any other |
342 | state and federal agencies and courts in any issue before the |
343 | agency, any court, or any agency. With respect to any such |
344 | proceeding, the Public Counsel is subject to the provisions of |
345 | and may use the powers granted to him or her by ss. 11.402- |
346 | 11.406 350.061-350.0614. |
347 | Section 10. Paragraph (b) of subsection (3) of section |
348 | 624.319, Florida Statutes, is amended to read: |
349 | 624.319 Examination and investigation reports.-- |
350 | (3) |
351 | (b) Workpapers and other information held by the |
352 | department or office, and workpapers and other information |
353 | received from another governmental entity or the National |
354 | Association of Insurance Commissioners, for the department's or |
355 | office's use in the performance of its examination or |
356 | investigation duties pursuant to this section and ss. 624.316, |
357 | 624.3161, 624.317, and 624.318 are confidential and exempt from |
358 | the provisions of s. 119.07(1) and s. 24(a), Art. I of the State |
359 | Constitution. This exemption applies to workpapers and other |
360 | information held by the department or office before, on, or |
361 | after the effective date of this exemption. Such confidential |
362 | and exempt information may be disclosed to another governmental |
363 | entity, if disclosure is necessary for the receiving entity to |
364 | perform its duties and responsibilities, and may be disclosed to |
365 | the National Association of Insurance Commissioners. The Public |
366 | Counsel shall have access to such confidential and exempt |
367 | information pertaining to residential property insurance at any |
368 | time. The receiving governmental entity or the association must |
369 | maintain the confidential and exempt status of the information. |
370 | The information made confidential and exempt by this paragraph |
371 | may be used in a criminal, civil, or administrative proceeding |
372 | so long as the confidential and exempt status of such |
373 | information is maintained. This paragraph is subject to the Open |
374 | Government Sunset Review Act of 1995 in accordance with s. |
375 | 119.15 and shall stand repealed on October 2, 2007, unless |
376 | reviewed and saved from repeal through reenactment by the |
377 | Legislature. |
378 | Section 11. Subsection (2) of section 627.062, Florida |
379 | Statutes, is amended to read: |
380 | 627.062 Rate standards.-- |
381 | (2) As to all such classes of insurance: |
382 | (a) Insurers or rating organizations shall establish and |
383 | use rates, rating schedules, or rating manuals to allow the |
384 | insurer a reasonable rate of return on such classes of insurance |
385 | written in this state. A copy of rates, rating schedules, rating |
386 | manuals, premium credits or discount schedules, and surcharge |
387 | schedules, and changes thereto, shall be filed with the office |
388 | under one of the following procedures: |
389 | 1. If the filing is made at least 90 days before the |
390 | proposed effective date. and The filing may is not be |
391 | implemented during the office's review of the filing and any |
392 | proceeding and judicial review., then Such filing is shall be |
393 | considered a "file and use" filing. In such case, The office |
394 | shall finalize its review by issuance of a notice of intent to |
395 | approve or a notice of intent to disapprove within 90 days after |
396 | receipt of the filing. The notice of intent to approve and the |
397 | notice of intent to disapprove constitute agency action for |
398 | purposes of the Administrative Procedure Act. Requests for |
399 | supporting information, requests for mathematical or mechanical |
400 | corrections, or notification to the insurer by the office of its |
401 | preliminary findings shall not toll the 90-day period during any |
402 | such proceedings and subsequent judicial review. The rate shall |
403 | be deemed approved if the office does not issue a notice of |
404 | intent to approve or a notice of intent to disapprove within 90 |
405 | days after receipt of the filing. |
406 | 2. If the filing is not made in accordance with the |
407 | provisions of subparagraph 1., such filing shall be made as soon |
408 | as practicable, but no later than 30 days after the effective |
409 | date, and shall be considered a "use and file" filing. An |
410 | insurer making a "use and file" filing is potentially subject to |
411 | an order by the office to return to policyholders portions of |
412 | rates found to be excessive, as provided in paragraph (h). |
413 | (b) Upon receiving a rate filing, the office shall review |
414 | the rate filing to determine if a rate is excessive, inadequate, |
415 | or unfairly discriminatory. In making that determination, the |
416 | office shall, in accordance with generally accepted and |
417 | reasonable actuarial techniques, consider the following factors: |
418 | 1. Past and prospective loss experience within and without |
419 | this state. |
420 | 2. Past and prospective expenses. |
421 | 3. The degree of competition among insurers for the risk |
422 | insured. |
423 | 4. Investment income reasonably expected by the insurer, |
424 | consistent with the insurer's investment practices, from |
425 | investable premiums anticipated in the filing, plus any other |
426 | expected income from currently invested assets representing the |
427 | amount expected on unearned premium reserves and loss reserves. |
428 | The commission may adopt rules utilizing reasonable techniques |
429 | of actuarial science and economics to specify the manner in |
430 | which insurers shall calculate investment income attributable to |
431 | such classes of insurance written in this state and the manner |
432 | in which such investment income shall be used in the calculation |
433 | of insurance rates. Such manner shall contemplate allowances for |
434 | an underwriting profit factor and full consideration of |
435 | investment income which produce a reasonable rate of return; |
436 | however, investment income from invested surplus shall not be |
437 | considered. |
438 | 5. The reasonableness of the judgment reflected in the |
439 | filing. |
440 | 6. Dividends, savings, or unabsorbed premium deposits |
441 | allowed or returned to Florida policyholders, members, or |
442 | subscribers. |
443 | 7. The adequacy of loss reserves. |
444 | 8. The cost of reinsurance. |
445 | 9. Trend factors, including trends in actual losses per |
446 | insured unit for the insurer making the filing. |
447 | 10. Conflagration and catastrophe hazards, if applicable. |
448 | 11. A reasonable margin for underwriting profit and |
449 | contingencies. |
450 | 12. The cost of medical services, if applicable. |
451 | 13. Other relevant factors which impact upon the frequency |
452 | or severity of claims or upon expenses. |
453 | (c) In the case of fire insurance rates, consideration |
454 | shall be given to the availability of water supplies and the |
455 | experience of the fire insurance business during a period of not |
456 | less than the most recent 5-year period for which such |
457 | experience is available. |
458 | (d) If conflagration or catastrophe hazards are given |
459 | consideration by an insurer in its rates or rating plan, |
460 | including surcharges and discounts, the insurer shall establish |
461 | a reserve for that portion of the premium allocated to such |
462 | hazard and shall maintain the premium in a catastrophe reserve. |
463 | Any removal of such premiums from the reserve for purposes other |
464 | than paying claims associated with a catastrophe or purchasing |
465 | reinsurance for catastrophes shall be subject to approval of the |
466 | office. Any ceding commission received by an insurer purchasing |
467 | reinsurance for catastrophes shall be placed in the catastrophe |
468 | reserve. |
469 | (e) After consideration of the rate factors provided in |
470 | paragraphs (b), (c), and (d), a rate may be found by the office |
471 | to be excessive, inadequate, or unfairly discriminatory based |
472 | upon the following standards: |
473 | 1. Rates shall be deemed excessive if they are likely to |
474 | produce a profit from Florida business that is unreasonably high |
475 | in relation to the risk involved in the class of business or if |
476 | expenses are unreasonably high in relation to services rendered. |
477 | 2. Rates shall be deemed excessive if, among other things, |
478 | the rate structure established by a stock insurance company |
479 | provides for replenishment of surpluses from premiums, when the |
480 | replenishment is attributable to investment losses. |
481 | 3. Rates shall be deemed inadequate if they are clearly |
482 | insufficient, together with the investment income attributable |
483 | to them, to sustain projected losses and expenses in the class |
484 | of business to which they apply. |
485 | 4. A rating plan, including discounts, credits, or |
486 | surcharges, shall be deemed unfairly discriminatory if it fails |
487 | to clearly and equitably reflect consideration of the |
488 | policyholder's participation in a risk management program |
489 | adopted pursuant to s. 627.0625. |
490 | 5. A rate shall be deemed inadequate as to the premium |
491 | charged to a risk or group of risks if discounts or credits are |
492 | allowed which exceed a reasonable reflection of expense savings |
493 | and reasonably expected loss experience from the risk or group |
494 | of risks. |
495 | 6. A rate shall be deemed unfairly discriminatory as to a |
496 | risk or group of risks if the application of premium discounts, |
497 | credits, or surcharges among such risks does not bear a |
498 | reasonable relationship to the expected loss and expense |
499 | experience among the various risks. |
500 | (f) In reviewing a rate filing, the office may require the |
501 | insurer to provide at the insurer's expense all information |
502 | necessary to evaluate the condition of the company and the |
503 | reasonableness of the filing according to the criteria |
504 | enumerated in this section. |
505 | (g) The office may at any time review a rate, rating |
506 | schedule, rating manual, or rate change; the pertinent records |
507 | of the insurer; and market conditions. If the office finds on a |
508 | preliminary basis that a rate may be excessive, inadequate, or |
509 | unfairly discriminatory, the office shall initiate proceedings |
510 | to disapprove the rate and shall so notify the insurer. However, |
511 | the office may not disapprove as excessive any rate for which it |
512 | has given final approval or which has been deemed approved for a |
513 | period of 1 year after the effective date of the filing unless |
514 | the office finds that a material misrepresentation or material |
515 | error was made by the insurer or was contained in the filing. |
516 | Upon being so notified, the insurer or rating organization |
517 | shall, within 60 days, file with the office all information |
518 | which, in the belief of the insurer or organization, proves the |
519 | reasonableness, adequacy, and fairness of the rate or rate |
520 | change. The office shall issue a notice of intent to approve or |
521 | a notice of intent to disapprove pursuant to the procedures of |
522 | paragraph (a) within 90 days after receipt of the insurer's |
523 | initial response. In such instances and in any administrative |
524 | proceeding relating to the legality of the rate, the insurer or |
525 | rating organization shall carry the burden of proof by a |
526 | preponderance of the evidence to show that the rate is not |
527 | excessive, inadequate, or unfairly discriminatory. After the |
528 | office notifies an insurer that a rate may be excessive, |
529 | inadequate, or unfairly discriminatory, unless the office |
530 | withdraws the notification, the insurer shall not alter the rate |
531 | except to conform with the office's notice until the earlier of |
532 | 120 days after the date the notification was provided or 180 |
533 | days after the date of the implementation of the rate. The |
534 | office may, subject to chapter 120, disapprove without the 60- |
535 | day notification any rate increase filed by an insurer within |
536 | the prohibited time period or during the time that the legality |
537 | of the increased rate is being contested. |
538 | (h) If In the event the office finds that a rate or rate |
539 | change is excessive, inadequate, or unfairly discriminatory, the |
540 | office shall issue an order of disapproval specifying that a new |
541 | rate or rate schedule which responds to the findings of the |
542 | office be filed by the insurer. The office shall further order, |
543 | for any "use and file" filing made in accordance with |
544 | subparagraph (a)2., that premiums charged each policyholder |
545 | constituting the portion of the rate above that which was |
546 | actuarially justified be returned to such policyholder in the |
547 | form of a credit or refund. If the office finds that an |
548 | insurer's rate or rate change is inadequate, the new rate or |
549 | rate schedule filed with the office in response to such a |
550 | finding shall be applicable only to new or renewal business of |
551 | the insurer written on or after the effective date of the |
552 | responsive filing. |
553 | (i) Except as otherwise specifically provided in this |
554 | chapter, the office shall not prohibit any insurer, including |
555 | any residual market plan or joint underwriting association, from |
556 | paying acquisition costs based on the full amount of premium, as |
557 | defined in s. 627.403, applicable to any policy, or prohibit any |
558 | such insurer from including the full amount of acquisition costs |
559 | in a rate filing. |
560 |
|
561 | The provisions of This subsection does shall not apply to |
562 | workers' compensation and employer's liability insurance and to |
563 | motor vehicle insurance. |
564 | Section 12. Effective upon this act becoming a law, |
565 | subsections (6), (7), and (8) of section 627.062, Florida |
566 | Statutes, are amended to read: |
567 | 627.062 Rate standards.-- |
568 | (6)(a) After any action with respect to a rate filing that |
569 | constitutes agency action for purposes of the Administrative |
570 | Procedure Act, except for a rate filing for medical malpractice, |
571 | an insurer may, in lieu of demanding a hearing under s. 120.57, |
572 | require arbitration of the rate filing. Arbitration shall be |
573 | conducted by a board of arbitrators consisting of an arbitrator |
574 | selected by the office, an arbitrator selected by the insurer, |
575 | and an arbitrator selected jointly by the other two arbitrators. |
576 | Each arbitrator must be certified by the American Arbitration |
577 | Association. A decision is valid only upon the affirmative vote |
578 | of at least two of the arbitrators. No arbitrator may be an |
579 | employee of any insurance regulator or regulatory body or of any |
580 | insurer, regardless of whether or not the employing insurer does |
581 | business in this state. The office and the insurer must treat |
582 | the decision of the arbitrators as the final approval of a rate |
583 | filing. Costs of arbitration shall be paid by the insurer. |
584 | (b) Arbitration under this subsection shall be conducted |
585 | pursuant to the procedures specified in ss. 682.06-682.10. |
586 | Either party may apply to the circuit court to vacate or modify |
587 | the decision pursuant to s. 682.13 or s. 682.14. The commission |
588 | shall adopt rules for arbitration under this subsection, which |
589 | rules may not be inconsistent with the arbitration rules of the |
590 | American Arbitration Association as of January 1, 1996. |
591 | (c) Upon initiation of the arbitration process, the |
592 | insurer waives all rights to challenge the action of the office |
593 | under the Administrative Procedure Act or any other provision of |
594 | law; however, such rights are restored to the insurer if the |
595 | arbitrators fail to render a decision within 90 days after |
596 | initiation of the arbitration process. |
597 | (6)(7)(a) The provisions of this subsection apply only |
598 | with respect to rates for medical malpractice insurance and |
599 | shall control to the extent of any conflict with other |
600 | provisions of this section. |
601 | (b) Any portion of a judgment entered or settlement paid |
602 | as a result of a statutory or common-law bad faith action and |
603 | any portion of a judgment entered which awards punitive damages |
604 | against an insurer may not be included in the insurer's rate |
605 | base, and shall not be used to justify a rate or rate change. |
606 | Any common-law bad faith action identified as such, any portion |
607 | of a settlement entered as a result of a statutory or common-law |
608 | action, or any portion of a settlement wherein an insurer agrees |
609 | to pay specific punitive damages may not be used to justify a |
610 | rate or rate change. The portion of the taxable costs and |
611 | attorney's fees which is identified as being related to the bad |
612 | faith and punitive damages in these judgments and settlements |
613 | may not be included in the insurer's rate base and may not be |
614 | utilized to justify a rate or rate change. |
615 | (c) Upon reviewing a rate filing and determining whether |
616 | the rate is excessive, inadequate, or unfairly discriminatory, |
617 | the office shall consider, in accordance with generally accepted |
618 | and reasonable actuarial techniques, past and present |
619 | prospective loss experience, either using loss experience solely |
620 | for this state or giving greater credibility to this state's |
621 | loss data after applying actuarially sound methods of assigning |
622 | credibility to such data. |
623 | (d) Rates shall be deemed excessive if, among other |
624 | standards established by this section, the rate structure |
625 | provides for replenishment of reserves or surpluses from |
626 | premiums when the replenishment is attributable to investment |
627 | losses. |
628 | (e) The insurer must apply a discount or surcharge based |
629 | on the health care provider's loss experience or shall establish |
630 | an alternative method giving due consideration to the provider's |
631 | loss experience. The insurer must include in the filing a copy |
632 | of the surcharge or discount schedule or a description of the |
633 | alternative method used, and must provide a copy of such |
634 | schedule or description, as approved by the office, to |
635 | policyholders at the time of renewal and to prospective |
636 | policyholders at the time of application for coverage. |
637 | (f) Each medical malpractice insurer must make a rate |
638 | filing under this section, sworn to by at least two executive |
639 | officers of the insurer, at least once each calendar year. |
640 | (7)(8)(a)1. No later than 60 days after the effective date |
641 | of medical malpractice legislation enacted during the 2003 |
642 | Special Session D of the Florida Legislature, the office shall |
643 | calculate a presumed factor that reflects the impact that the |
644 | changes contained in such legislation will have on rates for |
645 | medical malpractice insurance and shall issue a notice informing |
646 | all insurers writing medical malpractice coverage of such |
647 | presumed factor. In determining the presumed factor, the office |
648 | shall use generally accepted actuarial techniques and standards |
649 | provided in this section in determining the expected impact on |
650 | losses, expenses, and investment income of the insurer. To the |
651 | extent that the operation of a provision of medical malpractice |
652 | legislation enacted during the 2003 Special Session D of the |
653 | Florida Legislature is stayed pending a constitutional |
654 | challenge, the impact of that provision shall not be included in |
655 | the calculation of a presumed factor under this subparagraph. |
656 | 2. No later than 60 days after the office issues its |
657 | notice of the presumed rate change factor under subparagraph 1., |
658 | each insurer writing medical malpractice coverage in this state |
659 | shall submit to the office a rate filing for medical malpractice |
660 | insurance, which will take effect no later than January 1, 2004, |
661 | and apply retroactively to policies issued or renewed on or |
662 | after the effective date of medical malpractice legislation |
663 | enacted during the 2003 Special Session D of the Florida |
664 | Legislature. Except as authorized under paragraph (b), the |
665 | filing shall reflect an overall rate reduction at least as great |
666 | as the presumed factor determined under subparagraph 1. With |
667 | respect to policies issued on or after the effective date of |
668 | such legislation and prior to the effective date of the rate |
669 | filing required by this subsection, the office shall order the |
670 | insurer to make a refund of the amount that was charged in |
671 | excess of the rate that is approved. |
672 | (b) Any insurer or rating organization that contends that |
673 | the rate provided for in paragraph (a) is excessive, inadequate, |
674 | or unfairly discriminatory shall separately state in its filing |
675 | the rate it contends is appropriate and shall state with |
676 | specificity the factors or data that it contends should be |
677 | considered in order to produce such appropriate rate. The |
678 | insurer or rating organization shall be permitted to use all of |
679 | the generally accepted actuarial techniques provided in this |
680 | section in making any filing pursuant to this subsection. The |
681 | office shall review each such exception and approve or |
682 | disapprove it prior to use. It shall be the insurer's burden to |
683 | actuarially justify any deviations from the rates required to be |
684 | filed under paragraph (a). The insurer making a filing under |
685 | this paragraph shall include in the filing the expected impact |
686 | of medical malpractice legislation enacted during the 2003 |
687 | Special Session D of the Florida Legislature on losses, |
688 | expenses, and rates. |
689 | (c) If any provision of medical malpractice legislation |
690 | enacted during the 2003 Special Session D of the Florida |
691 | Legislature is held invalid by a court of competent |
692 | jurisdiction, the office shall permit an adjustment of all |
693 | medical malpractice rates filed under this section to reflect |
694 | the impact of such holding on such rates so as to ensure that |
695 | the rates are not excessive, inadequate, or unfairly |
696 | discriminatory. |
697 | (d) Rates approved on or before July 1, 2003, for medical |
698 | malpractice insurance shall remain in effect until the effective |
699 | date of a new rate filing approved under this subsection. |
700 | (e) The calculation and notice by the office of the |
701 | presumed factor pursuant to paragraph (a) is not an order or |
702 | rule that is subject to chapter 120. If the office enters into a |
703 | contract with an independent consultant to assist the office in |
704 | calculating the presumed factor, such contract shall not be |
705 | subject to the competitive solicitation requirements of s. |
706 | 287.057. |
707 | Section 13. Subsection (11) is added to section 627.0629, |
708 | Florida Statutes, to read: |
709 | 627.0629 Residential property insurance; rate filings; |
710 | underwriting rules.-- |
711 | (11) The underwriting rules for homeowners' insurance not |
712 | contained in rating manuals shall be filed with the office. All |
713 | underwriting rules for homeowners' insurance must be approved by |
714 | the office and be reasonable and comply with applicable |
715 | provisions of law. The filing and form-approval provisions under |
716 | s. 627.410 apply to the filing and approval of underwriting |
717 | rules for homeowners' insurance. |
718 | Section 14. Subsections (1), (11), and (13) of section |
719 | 627.0651, Florida Statutes, are amended to read: |
720 | 627.0651 Making and use of rates for motor vehicle |
721 | insurance.-- |
722 | (1) Insurers shall establish and use rates, rating |
723 | schedules, or rating manuals to allow the insurer a reasonable |
724 | rate of return on motor vehicle insurance written in this state. |
725 | A copy of rates, rating schedules, and rating manuals, and |
726 | changes therein, shall be filed with the office under one of the |
727 | following procedures: |
728 | (a) If the filing is made at least 60 days before the |
729 | proposed effective date. and The filing may is not be |
730 | implemented during the office's review of the filing and any |
731 | proceeding and judicial review., Such filing is shall be |
732 | considered a "file and use" filing. In such case, the office |
733 | shall initiate proceedings to disapprove the rate and so notify |
734 | the insurer or shall finalize its review within 60 days after |
735 | receipt of the filing. Notification to the insurer by the office |
736 | of its preliminary findings shall toll the 60-day period during |
737 | any such proceedings and subsequent judicial review. The rate |
738 | shall be deemed approved if the office does not issue notice to |
739 | the insurer of its preliminary findings within 60 days after the |
740 | filing. |
741 | (b) If the filing is not made in accordance with the |
742 | provisions of paragraph (a), such filing shall be made as soon |
743 | as practicable, but no later than 30 days after the effective |
744 | date, and shall be considered a "use and file" filing. An |
745 | insurer making a "use and file" filing is potentially subject to |
746 | an order by the office to return to policyholders portions of |
747 | rates found to be excessive, as provided in subsection (11). |
748 | (11) If In the event the office finds that a rate or rate |
749 | change is excessive, inadequate, or unfairly discriminatory, the |
750 | office shall issue an order of disapproval specifying that a new |
751 | rate or rate schedule which responds to the findings of the |
752 | office be filed by the insurer. The office shall further order |
753 | for any "use and file" filing made in accordance with paragraph |
754 | (1)(b), that premiums charged each policyholder constituting the |
755 | portion of the rate above that which was actuarially justified |
756 | be returned to such policyholder in the form of a credit or |
757 | refund. If the office finds that an insurer's rate or rate |
758 | change is inadequate, the new rate or rate schedule filed with |
759 | the office in response to such a finding shall be applicable |
760 | only to new or renewal business of the insurer written on or |
761 | after the effective date of the responsive filing. |
762 | (13)(a) Underwriting rules not contained in rating manuals |
763 | shall be filed for private passenger automobile insurance and |
764 | homeowners' insurance. |
765 | (b) The submission of rates, rating schedules, and rating |
766 | manuals to the office by a licensed rating organization of which |
767 | an insurer is a member or subscriber will be sufficient |
768 | compliance with this subsection for any insurer maintaining |
769 | membership or subscribership in such organization, to the extent |
770 | that the insurer uses the rates, rating schedules, and rating |
771 | manuals of such organization. All such information shall be |
772 | available for public inspection, upon receipt by the office, |
773 | during usual business hours. |
774 | Section 15. Paragraph (e) of subsection (5) of section |
775 | 627.311, Florida Statutes, is amended to read: |
776 | 627.311 Joint underwriters and joint reinsurers; public |
777 | records and public meetings exemptions.-- |
778 | (5) |
779 | (e) The plan shall establish and use its rates and rating |
780 | plans, and the plan may establish and use changes in rating |
781 | plans at any time, but no more frequently than two times per any |
782 | rating class for any calendar year. By December 1, 1993, and |
783 | December 1 of each year thereafter, except as provided in |
784 | subparagraph (c)22., the board shall establish and use |
785 | actuarially sound rates for use by the plan to assure that the |
786 | plan is self-funding while those rates are in effect. Such rates |
787 | and rating plans must be filed with the office as provided in s. |
788 | 627.062(2)(a) within 30 calendar days after their effective |
789 | dates, and shall be considered a "use and file" filing. Any |
790 | disapproval by the office must have an effective date that is at |
791 | least 60 days from the date of disapproval of the rates and |
792 | rating plan and must have prospective effect only. The plan may |
793 | not be subject to any order by the office to return to |
794 | policyholders any portion of the rates disapproved by the |
795 | office. The office may not disapprove any rates or rating plans |
796 | unless it demonstrates that such rates and rating plans are |
797 | excessive, inadequate, or unfairly discriminatory. |
798 | Section 16. Effective upon this act becoming a law, |
799 | paragraph (b) of subsection (2) of section 627.351, Florida |
800 | Statutes, is amended to read: |
801 | 627.351 Insurance risk apportionment plans.-- |
802 | (2) WINDSTORM INSURANCE RISK APPORTIONMENT.-- |
803 | (b) The department shall require all insurers holding a |
804 | certificate of authority to transact property insurance on a |
805 | direct basis in this state, other than joint underwriting |
806 | associations and other entities formed pursuant to this section, |
807 | to provide windstorm coverage to applicants from areas |
808 | determined to be eligible pursuant to paragraph (c) who in good |
809 | faith are entitled to, but are unable to procure, such coverage |
810 | through ordinary means; or it shall adopt a reasonable plan or |
811 | plans for the equitable apportionment or sharing among such |
812 | insurers of windstorm coverage, which may include formation of |
813 | an association for this purpose. As used in this subsection, the |
814 | term "property insurance" means insurance on real or personal |
815 | property, as defined in s. 624.604, including insurance for |
816 | fire, industrial fire, allied lines, farmowners multiperil, |
817 | homeowners' multiperil, commercial multiperil, and mobile homes, |
818 | and including liability coverages on all such insurance, but |
819 | excluding inland marine as defined in s. 624.607(3) and |
820 | excluding vehicle insurance as defined in s. 624.605(1)(a) other |
821 | than insurance on mobile homes used as permanent dwellings. The |
822 | department shall adopt rules that provide a formula for the |
823 | recovery and repayment of any deferred assessments. |
824 | 1. For the purpose of this section, properties eligible |
825 | for such windstorm coverage are defined as dwellings, buildings, |
826 | and other structures, including mobile homes which are used as |
827 | dwellings and which are tied down in compliance with mobile home |
828 | tie-down requirements prescribed by the Department of Highway |
829 | Safety and Motor Vehicles pursuant to s. 320.8325, and the |
830 | contents of all such properties. An applicant or policyholder is |
831 | eligible for coverage only if an offer of coverage cannot be |
832 | obtained by or for the applicant or policyholder from an |
833 | admitted insurer at approved rates. |
834 | 2.a.(I) All insurers required to be members of such |
835 | association shall participate in its writings, expenses, and |
836 | losses. Surplus of the association shall be retained for the |
837 | payment of claims and shall not be distributed to the member |
838 | insurers. Such participation by member insurers shall be in the |
839 | proportion that the net direct premiums of each member insurer |
840 | written for property insurance in this state during the |
841 | preceding calendar year bear to the aggregate net direct |
842 | premiums for property insurance of all member insurers, as |
843 | reduced by any credits for voluntary writings, in this state |
844 | during the preceding calendar year. For the purposes of this |
845 | subsection, the term "net direct premiums" means direct written |
846 | premiums for property insurance, reduced by premium for |
847 | liability coverage and for the following if included in allied |
848 | lines: rain and hail on growing crops; livestock; association |
849 | direct premiums booked; National Flood Insurance Program direct |
850 | premiums; and similar deductions specifically authorized by the |
851 | plan of operation and approved by the department. A member's |
852 | participation shall begin on the first day of the calendar year |
853 | following the year in which it is issued a certificate of |
854 | authority to transact property insurance in the state and shall |
855 | terminate 1 year after the end of the calendar year during which |
856 | it no longer holds a certificate of authority to transact |
857 | property insurance in the state. The commissioner, after review |
858 | of annual statements, other reports, and any other statistics |
859 | that the commissioner deems necessary, shall certify to the |
860 | association the aggregate direct premiums written for property |
861 | insurance in this state by all member insurers. |
862 | (II) Effective July 1, 2002, the association shall operate |
863 | subject to the supervision and approval of a board of governors |
864 | who are the same individuals that have been appointed by the |
865 | Treasurer to serve on the board of governors of the Citizens |
866 | Property Insurance Corporation. |
867 | (III) The plan of operation shall provide a formula |
868 | whereby a company voluntarily providing windstorm coverage in |
869 | affected areas will be relieved wholly or partially from |
870 | apportionment of a regular assessment pursuant to sub-sub- |
871 | subparagraph d.(I) or sub-sub-subparagraph d.(II). |
872 | (IV) A company which is a member of a group of companies |
873 | under common management may elect to have its credits applied on |
874 | a group basis, and any company or group may elect to have its |
875 | credits applied to any other company or group. |
876 | (V) There shall be no credits or relief from apportionment |
877 | to a company for emergency assessments collected from its |
878 | policyholders under sub-sub-subparagraph d.(III). |
879 | (VI) The plan of operation may also provide for the award |
880 | of credits, for a period not to exceed 3 years, from a regular |
881 | assessment pursuant to sub-sub-subparagraph d.(I) or sub-sub- |
882 | subparagraph d.(II) as an incentive for taking policies out of |
883 | the Residential Property and Casualty Joint Underwriting |
884 | Association. In order to qualify for the exemption under this |
885 | sub-sub-subparagraph, the take-out plan must provide that at |
886 | least 40 percent of the policies removed from the Residential |
887 | Property and Casualty Joint Underwriting Association cover risks |
888 | located in Dade, Broward, and Palm Beach Counties or at least 30 |
889 | percent of the policies so removed cover risks located in Dade, |
890 | Broward, and Palm Beach Counties and an additional 50 percent of |
891 | the policies so removed cover risks located in other coastal |
892 | counties, and must also provide that no more than 15 percent of |
893 | the policies so removed may exclude windstorm coverage. With the |
894 | approval of the department, the association may waive these |
895 | geographic criteria for a take-out plan that removes at least |
896 | the lesser of 100,000 Residential Property and Casualty Joint |
897 | Underwriting Association policies or 15 percent of the total |
898 | number of Residential Property and Casualty Joint Underwriting |
899 | Association policies, provided the governing board of the |
900 | Residential Property and Casualty Joint Underwriting Association |
901 | certifies that the take-out plan will materially reduce the |
902 | Residential Property and Casualty Joint Underwriting |
903 | Association's 100-year probable maximum loss from hurricanes. |
904 | With the approval of the department, the board may extend such |
905 | credits for an additional year if the insurer guarantees an |
906 | additional year of renewability for all policies removed from |
907 | the Residential Property and Casualty Joint Underwriting |
908 | Association, or for 2 additional years if the insurer guarantees |
909 | 2 additional years of renewability for all policies removed from |
910 | the Residential Property and Casualty Joint Underwriting |
911 | Association. |
912 | b. Assessments to pay deficits in the association under |
913 | this subparagraph shall be included as an appropriate factor in |
914 | the making of rates as provided in s. 627.3512. |
915 | c. The Legislature finds that the potential for unlimited |
916 | deficit assessments under this subparagraph may induce insurers |
917 | to attempt to reduce their writings in the voluntary market, and |
918 | that such actions would worsen the availability problems that |
919 | the association was created to remedy. It is the intent of the |
920 | Legislature that insurers remain fully responsible for paying |
921 | regular assessments and collecting emergency assessments for any |
922 | deficits of the association; however, it is also the intent of |
923 | the Legislature to provide a means by which assessment |
924 | liabilities may be amortized over a period of years. |
925 | d.(I) When the deficit incurred in a particular calendar |
926 | year is 10 percent or less of the aggregate statewide direct |
927 | written premium for property insurance for the prior calendar |
928 | year for all member insurers, the association shall levy an |
929 | assessment on member insurers in an amount equal to the deficit. |
930 | (II) When the deficit incurred in a particular calendar |
931 | year exceeds 10 percent of the aggregate statewide direct |
932 | written premium for property insurance for the prior calendar |
933 | year for all member insurers, the association shall levy an |
934 | assessment on member insurers in an amount equal to the greater |
935 | of 10 percent of the deficit or 10 percent of the aggregate |
936 | statewide direct written premium for property insurance for the |
937 | prior calendar year for member insurers. Any remaining deficit |
938 | shall be recovered through emergency assessments under sub-sub- |
939 | subparagraph (III). |
940 | (III) Upon a determination by the board of directors that |
941 | a deficit exceeds the amount that will be recovered through |
942 | regular assessments on member insurers, pursuant to sub-sub- |
943 | subparagraph (I) or sub-sub-subparagraph (II), the board shall |
944 | levy, after verification by the department, emergency |
945 | assessments to be collected by member insurers and by |
946 | underwriting associations created pursuant to this section which |
947 | write property insurance, upon issuance or renewal of property |
948 | insurance policies other than National Flood Insurance policies |
949 | in the year or years following levy of the regular assessments. |
950 | The amount of the emergency assessment collected in a particular |
951 | year shall be a uniform percentage of that year's direct written |
952 | premium for property insurance for all member insurers and |
953 | underwriting associations, excluding National Flood Insurance |
954 | policy premiums, as annually determined by the board and |
955 | verified by the department. The department shall verify the |
956 | arithmetic calculations involved in the board's determination |
957 | within 30 days after receipt of the information on which the |
958 | determination was based. Notwithstanding any other provision of |
959 | law, each member insurer and each underwriting association |
960 | created pursuant to this section shall collect emergency |
961 | assessments from its policyholders without such obligation being |
962 | affected by any credit, limitation, exemption, or deferment. The |
963 | emergency assessments so collected shall be transferred directly |
964 | to the association on a periodic basis as determined by the |
965 | association. The aggregate amount of emergency assessments |
966 | levied under this sub-sub-subparagraph in any calendar year may |
967 | not exceed the greater of 10 percent of the amount needed to |
968 | cover the original deficit, plus interest, fees, commissions, |
969 | required reserves, and other costs associated with financing of |
970 | the original deficit, or 10 percent of the aggregate statewide |
971 | direct written premium for property insurance written by member |
972 | insurers and underwriting associations for the prior year, plus |
973 | interest, fees, commissions, required reserves, and other costs |
974 | associated with financing the original deficit. The board may |
975 | pledge the proceeds of the emergency assessments under this sub- |
976 | sub-subparagraph as the source of revenue for bonds, to retire |
977 | any other debt incurred as a result of the deficit or events |
978 | giving rise to the deficit, or in any other way that the board |
979 | determines will efficiently recover the deficit. The emergency |
980 | assessments under this sub-sub-subparagraph shall continue as |
981 | long as any bonds issued or other indebtedness incurred with |
982 | respect to a deficit for which the assessment was imposed remain |
983 | outstanding, unless adequate provision has been made for the |
984 | payment of such bonds or other indebtedness pursuant to the |
985 | document governing such bonds or other indebtedness. Emergency |
986 | assessments collected under this sub-sub-subparagraph are not |
987 | part of an insurer's rates, are not premium, and are not subject |
988 | to premium tax, fees, or commissions; however, failure to pay |
989 | the emergency assessment shall be treated as failure to pay |
990 | premium. |
991 | (IV) Each member insurer's share of the total regular |
992 | assessments under sub-sub-subparagraph (I) or sub-sub- |
993 | subparagraph (II) shall be in the proportion that the insurer's |
994 | net direct premium for property insurance in this state, for the |
995 | year preceding the assessment bears to the aggregate statewide |
996 | net direct premium for property insurance of all member |
997 | insurers, as reduced by any credits for voluntary writings for |
998 | that year. |
999 | (V) If regular deficit assessments are made under sub-sub- |
1000 | subparagraph (I) or sub-sub-subparagraph (II), or by the |
1001 | Residential Property and Casualty Joint Underwriting Association |
1002 | under sub-subparagraph (6)(b)3.a. or sub-subparagraph |
1003 | (6)(b)3.b., the association shall levy upon the association's |
1004 | policyholders, as part of its next rate filing, or by a separate |
1005 | rate filing solely for this purpose, a market equalization |
1006 | surcharge in a percentage equal to the total amount of such |
1007 | regular assessments divided by the aggregate statewide direct |
1008 | written premium for property insurance for member insurers for |
1009 | the prior calendar year. Market equalization surcharges under |
1010 | this sub-sub-subparagraph are not considered premium and are not |
1011 | subject to commissions, fees, or premium taxes; however, failure |
1012 | to pay a market equalization surcharge shall be treated as |
1013 | failure to pay premium. |
1014 | e. The governing body of any unit of local government, any |
1015 | residents of which are insured under the plan, may issue bonds |
1016 | as defined in s. 125.013 or s. 166.101 to fund an assistance |
1017 | program, in conjunction with the association, for the purpose of |
1018 | defraying deficits of the association. In order to avoid |
1019 | needless and indiscriminate proliferation, duplication, and |
1020 | fragmentation of such assistance programs, any unit of local |
1021 | government, any residents of which are insured by the |
1022 | association, may provide for the payment of losses, regardless |
1023 | of whether or not the losses occurred within or outside of the |
1024 | territorial jurisdiction of the local government. Revenue bonds |
1025 | may not be issued until validated pursuant to chapter 75, unless |
1026 | a state of emergency is declared by executive order or |
1027 | proclamation of the Governor pursuant to s. 252.36 making such |
1028 | findings as are necessary to determine that it is in the best |
1029 | interests of, and necessary for, the protection of the public |
1030 | health, safety, and general welfare of residents of this state |
1031 | and the protection and preservation of the economic stability of |
1032 | insurers operating in this state, and declaring it an essential |
1033 | public purpose to permit certain municipalities or counties to |
1034 | issue bonds as will provide relief to claimants and |
1035 | policyholders of the association and insurers responsible for |
1036 | apportionment of plan losses. Any such unit of local government |
1037 | may enter into such contracts with the association and with any |
1038 | other entity created pursuant to this subsection as are |
1039 | necessary to carry out this paragraph. Any bonds issued under |
1040 | this sub-subparagraph shall be payable from and secured by |
1041 | moneys received by the association from assessments under this |
1042 | subparagraph, and assigned and pledged to or on behalf of the |
1043 | unit of local government for the benefit of the holders of such |
1044 | bonds. The funds, credit, property, and taxing power of the |
1045 | state or of the unit of local government shall not be pledged |
1046 | for the payment of such bonds. If any of the bonds remain unsold |
1047 | 60 days after issuance, the department shall require all |
1048 | insurers subject to assessment to purchase the bonds, which |
1049 | shall be treated as admitted assets; each insurer shall be |
1050 | required to purchase that percentage of the unsold portion of |
1051 | the bond issue that equals the insurer's relative share of |
1052 | assessment liability under this subsection. An insurer shall not |
1053 | be required to purchase the bonds to the extent that the |
1054 | department determines that the purchase would endanger or impair |
1055 | the solvency of the insurer. The authority granted by this sub- |
1056 | subparagraph is additional to any bonding authority granted by |
1057 | subparagraph 6. |
1058 | 3. The plan shall also provide that any member with a |
1059 | surplus as to policyholders of $20 million or less writing 25 |
1060 | percent or more of its total countrywide property insurance |
1061 | premiums in this state may petition the department, within the |
1062 | first 90 days of each calendar year, to qualify as a limited |
1063 | apportionment company. The apportionment of such a member |
1064 | company in any calendar year for which it is qualified shall not |
1065 | exceed its gross participation, which shall not be affected by |
1066 | the formula for voluntary writings. In no event shall a limited |
1067 | apportionment company be required to participate in any |
1068 | apportionment of losses pursuant to sub-sub-subparagraph 2.d.(I) |
1069 | or sub-sub-subparagraph 2.d.(II) in the aggregate which exceeds |
1070 | $50 million after payment of available plan funds in any |
1071 | calendar year. However, a limited apportionment company shall |
1072 | collect from its policyholders any emergency assessment imposed |
1073 | under sub-sub-subparagraph 2.d.(III). The plan shall provide |
1074 | that, if the department determines that any regular assessment |
1075 | will result in an impairment of the surplus of a limited |
1076 | apportionment company, the department may direct that all or |
1077 | part of such assessment be deferred. However, there shall be no |
1078 | limitation or deferment of an emergency assessment to be |
1079 | collected from policyholders under sub-sub-subparagraph |
1080 | 2.d.(III). |
1081 | 4. The plan shall provide for the deferment, in whole or |
1082 | in part, of a regular assessment of a member insurer under sub- |
1083 | sub-subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II), but |
1084 | not for an emergency assessment collected from policyholders |
1085 | under sub-sub-subparagraph 2.d.(III), if, in the opinion of the |
1086 | commissioner, payment of such regular assessment would endanger |
1087 | or impair the solvency of the member insurer. In the event a |
1088 | regular assessment against a member insurer is deferred in whole |
1089 | or in part, the amount by which such assessment is deferred may |
1090 | be assessed against the other member insurers in a manner |
1091 | consistent with the basis for assessments set forth in sub-sub- |
1092 | subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II). |
1093 | 5.a. The plan of operation may include deductibles and |
1094 | rules for classification of risks and rate modifications |
1095 | consistent with the objective of providing and maintaining funds |
1096 | sufficient to pay catastrophe losses. |
1097 | b. The association may require arbitration of a rate |
1098 | filing under s. 627.062(6). It is the intent of the Legislature |
1099 | that the rates for coverage provided by the association be |
1100 | actuarially sound and not competitive with approved rates |
1101 | charged in the admitted voluntary market such that the |
1102 | association functions as a residual market mechanism to provide |
1103 | insurance only when the insurance cannot be procured in the |
1104 | voluntary market. The plan of operation shall provide a |
1105 | mechanism to assure that, beginning no later than January 1, |
1106 | 1999, the rates charged by the association for each line of |
1107 | business are reflective of approved rates in the voluntary |
1108 | market for hurricane coverage for each line of business in the |
1109 | various areas eligible for association coverage. |
1110 | c. The association shall provide for windstorm coverage on |
1111 | residential properties in limits up to $10 million for |
1112 | commercial lines residential risks and up to $1 million for |
1113 | personal lines residential risks. If coverage with the |
1114 | association is sought for a residential risk valued in excess of |
1115 | these limits, coverage shall be available to the risk up to the |
1116 | replacement cost or actual cash value of the property, at the |
1117 | option of the insured, if coverage for the risk cannot be |
1118 | located in the authorized market. The association must accept a |
1119 | commercial lines residential risk with limits above $10 million |
1120 | or a personal lines residential risk with limits above $1 |
1121 | million if coverage is not available in the authorized market. |
1122 | The association may write coverage above the limits specified in |
1123 | this subparagraph with or without facultative or other |
1124 | reinsurance coverage, as the association determines appropriate. |
1125 | d. The plan of operation must provide objective criteria |
1126 | and procedures, approved by the department, to be uniformly |
1127 | applied for all applicants in determining whether an individual |
1128 | risk is so hazardous as to be uninsurable. In making this |
1129 | determination and in establishing the criteria and procedures, |
1130 | the following shall be considered: |
1131 | (I) Whether the likelihood of a loss for the individual |
1132 | risk is substantially higher than for other risks of the same |
1133 | class; and |
1134 | (II) Whether the uncertainty associated with the |
1135 | individual risk is such that an appropriate premium cannot be |
1136 | determined. |
1137 |
|
1138 | The acceptance or rejection of a risk by the association |
1139 | pursuant to such criteria and procedures must be construed as |
1140 | the private placement of insurance, and the provisions of |
1141 | chapter 120 do not apply. |
1142 | e. If the risk accepts an offer of coverage through the |
1143 | market assistance program or through a mechanism established by |
1144 | the association, either before the policy is issued by the |
1145 | association or during the first 30 days of coverage by the |
1146 | association, and the producing agent who submitted the |
1147 | application to the association is not currently appointed by the |
1148 | insurer, the insurer shall: |
1149 | (I) Pay to the producing agent of record of the policy, |
1150 | for the first year, an amount that is the greater of the |
1151 | insurer's usual and customary commission for the type of policy |
1152 | written or a fee equal to the usual and customary commission of |
1153 | the association; or |
1154 | (II) Offer to allow the producing agent of record of the |
1155 | policy to continue servicing the policy for a period of not less |
1156 | than 1 year and offer to pay the agent the greater of the |
1157 | insurer's or the association's usual and customary commission |
1158 | for the type of policy written. |
1159 |
|
1160 | If the producing agent is unwilling or unable to accept |
1161 | appointment, the new insurer shall pay the agent in accordance |
1162 | with sub-sub-subparagraph (I). Subject to the provisions of s. |
1163 | 627.3517, the policies issued by the association must provide |
1164 | that if the association obtains an offer from an authorized |
1165 | insurer to cover the risk at its approved rates under either a |
1166 | standard policy including wind coverage or, if consistent with |
1167 | the insurer's underwriting rules as filed with the department, a |
1168 | basic policy including wind coverage, the risk is no longer |
1169 | eligible for coverage through the association. Upon termination |
1170 | of eligibility, the association shall provide written notice to |
1171 | the policyholder and agent of record stating that the |
1172 | association policy must be canceled as of 60 days after the date |
1173 | of the notice because of the offer of coverage from an |
1174 | authorized insurer. Other provisions of the insurance code |
1175 | relating to cancellation and notice of cancellation do not apply |
1176 | to actions under this sub-subparagraph. |
1177 | f. When the association enters into a contractual |
1178 | agreement for a take-out plan, the producing agent of record of |
1179 | the association policy is entitled to retain any unearned |
1180 | commission on the policy, and the insurer shall: |
1181 | (I) Pay to the producing agent of record of the |
1182 | association policy, for the first year, an amount that is the |
1183 | greater of the insurer's usual and customary commission for the |
1184 | type of policy written or a fee equal to the usual and customary |
1185 | commission of the association; or |
1186 | (II) Offer to allow the producing agent of record of the |
1187 | association policy to continue servicing the policy for a period |
1188 | of not less than 1 year and offer to pay the agent the greater |
1189 | of the insurer's or the association's usual and customary |
1190 | commission for the type of policy written. |
1191 |
|
1192 | If the producing agent is unwilling or unable to accept |
1193 | appointment, the new insurer shall pay the agent in accordance |
1194 | with sub-sub-subparagraph (I). |
1195 | 6.a. The plan of operation may authorize the formation of |
1196 | a private nonprofit corporation, a private nonprofit |
1197 | unincorporated association, a partnership, a trust, a limited |
1198 | liability company, or a nonprofit mutual company which may be |
1199 | empowered, among other things, to borrow money by issuing bonds |
1200 | or by incurring other indebtedness and to accumulate reserves or |
1201 | funds to be used for the payment of insured catastrophe losses. |
1202 | The plan may authorize all actions necessary to facilitate the |
1203 | issuance of bonds, including the pledging of assessments or |
1204 | other revenues. |
1205 | b. Any entity created under this subsection, or any entity |
1206 | formed for the purposes of this subsection, may sue and be sued, |
1207 | may borrow money; issue bonds, notes, or debt instruments; |
1208 | pledge or sell assessments, market equalization surcharges and |
1209 | other surcharges, rights, premiums, contractual rights, |
1210 | projected recoveries from the Florida Hurricane Catastrophe |
1211 | Fund, other reinsurance recoverables, and other assets as |
1212 | security for such bonds, notes, or debt instruments; enter into |
1213 | any contracts or agreements necessary or proper to accomplish |
1214 | such borrowings; and take other actions necessary to carry out |
1215 | the purposes of this subsection. The association may issue bonds |
1216 | or incur other indebtedness, or have bonds issued on its behalf |
1217 | by a unit of local government pursuant to subparagraph (6)(g)2., |
1218 | in the absence of a hurricane or other weather-related event, |
1219 | upon a determination by the association subject to approval by |
1220 | the department that such action would enable it to efficiently |
1221 | meet the financial obligations of the association and that such |
1222 | financings are reasonably necessary to effectuate the |
1223 | requirements of this subsection. Any such entity may accumulate |
1224 | reserves and retain surpluses as of the end of any association |
1225 | year to provide for the payment of losses incurred by the |
1226 | association during that year or any future year. The association |
1227 | shall incorporate and continue the plan of operation and |
1228 | articles of agreement in effect on the effective date of chapter |
1229 | 76-96, Laws of Florida, to the extent that it is not |
1230 | inconsistent with chapter 76-96, and as subsequently modified |
1231 | consistent with chapter 76-96. The board of directors and |
1232 | officers currently serving shall continue to serve until their |
1233 | successors are duly qualified as provided under the plan. The |
1234 | assets and obligations of the plan in effect immediately prior |
1235 | to the effective date of chapter 76-96 shall be construed to be |
1236 | the assets and obligations of the successor plan created herein. |
1237 | c. In recognition of s. 10, Art. I of the State |
1238 | Constitution, prohibiting the impairment of obligations of |
1239 | contracts, it is the intent of the Legislature that no action be |
1240 | taken whose purpose is to impair any bond indenture or financing |
1241 | agreement or any revenue source committed by contract to such |
1242 | bond or other indebtedness issued or incurred by the association |
1243 | or any other entity created under this subsection. |
1244 | 7. On such coverage, an agent's remuneration shall be that |
1245 | amount of money payable to the agent by the terms of his or her |
1246 | contract with the company with which the business is placed. |
1247 | However, no commission will be paid on that portion of the |
1248 | premium which is in excess of the standard premium of that |
1249 | company. |
1250 | 8. Subject to approval by the department, the association |
1251 | may establish different eligibility requirements and operational |
1252 | procedures for any line or type of coverage for any specified |
1253 | eligible area or portion of an eligible area if the board |
1254 | determines that such changes to the eligibility requirements and |
1255 | operational procedures are justified due to the voluntary market |
1256 | being sufficiently stable and competitive in such area or for |
1257 | such line or type of coverage and that consumers who, in good |
1258 | faith, are unable to obtain insurance through the voluntary |
1259 | market through ordinary methods would continue to have access to |
1260 | coverage from the association. When coverage is sought in |
1261 | connection with a real property transfer, such requirements and |
1262 | procedures shall not provide for an effective date of coverage |
1263 | later than the date of the closing of the transfer as |
1264 | established by the transferor, the transferee, and, if |
1265 | applicable, the lender. |
1266 | 9. Notwithstanding any other provision of law: |
1267 | a. The pledge or sale of, the lien upon, and the security |
1268 | interest in any rights, revenues, or other assets of the |
1269 | association created or purported to be created pursuant to any |
1270 | financing documents to secure any bonds or other indebtedness of |
1271 | the association shall be and remain valid and enforceable, |
1272 | notwithstanding the commencement of and during the continuation |
1273 | of, and after, any rehabilitation, insolvency, liquidation, |
1274 | bankruptcy, receivership, conservatorship, reorganization, or |
1275 | similar proceeding against the association under the laws of |
1276 | this state or any other applicable laws. |
1277 | b. No such proceeding shall relieve the association of its |
1278 | obligation, or otherwise affect its ability to perform its |
1279 | obligation, to continue to collect, or levy and collect, |
1280 | assessments, market equalization or other surcharges, projected |
1281 | recoveries from the Florida Hurricane Catastrophe Fund, |
1282 | reinsurance recoverables, or any other rights, revenues, or |
1283 | other assets of the association pledged. |
1284 | c. Each such pledge or sale of, lien upon, and security |
1285 | interest in, including the priority of such pledge, lien, or |
1286 | security interest, any such assessments, emergency assessments, |
1287 | market equalization or renewal surcharges, projected recoveries |
1288 | from the Florida Hurricane Catastrophe Fund, reinsurance |
1289 | recoverables, or other rights, revenues, or other assets which |
1290 | are collected, or levied and collected, after the commencement |
1291 | of and during the pendency of or after any such proceeding shall |
1292 | continue unaffected by such proceeding. |
1293 | d. As used in this subsection, the term "financing |
1294 | documents" means any agreement, instrument, or other document |
1295 | now existing or hereafter created evidencing any bonds or other |
1296 | indebtedness of the association or pursuant to which any such |
1297 | bonds or other indebtedness has been or may be issued and |
1298 | pursuant to which any rights, revenues, or other assets of the |
1299 | association are pledged or sold to secure the repayment of such |
1300 | bonds or indebtedness, together with the payment of interest on |
1301 | such bonds or such indebtedness, or the payment of any other |
1302 | obligation of the association related to such bonds or |
1303 | indebtedness. |
1304 | e. Any such pledge or sale of assessments, revenues, |
1305 | contract rights or other rights or assets of the association |
1306 | shall constitute a lien and security interest, or sale, as the |
1307 | case may be, that is immediately effective and attaches to such |
1308 | assessments, revenues, contract, or other rights or assets, |
1309 | whether or not imposed or collected at the time the pledge or |
1310 | sale is made. Any such pledge or sale is effective, valid, |
1311 | binding, and enforceable against the association or other entity |
1312 | making such pledge or sale, and valid and binding against and |
1313 | superior to any competing claims or obligations owed to any |
1314 | other person or entity, including policyholders in this state, |
1315 | asserting rights in any such assessments, revenues, contract, or |
1316 | other rights or assets to the extent set forth in and in |
1317 | accordance with the terms of the pledge or sale contained in the |
1318 | applicable financing documents, whether or not any such person |
1319 | or entity has notice of such pledge or sale and without the need |
1320 | for any physical delivery, recordation, filing, or other action. |
1321 | f. There shall be no liability on the part of, and no |
1322 | cause of action of any nature shall arise against, any member |
1323 | insurer or its agents or employees, agents or employees of the |
1324 | association, members of the board of directors of the |
1325 | association, or the department or its representatives, for any |
1326 | action taken by them in the performance of their duties or |
1327 | responsibilities under this subsection. Such immunity does not |
1328 | apply to actions for breach of any contract or agreement |
1329 | pertaining to insurance, or any willful tort. |
1330 | Section 17. Paragraph (a) of subsection (2) of section |
1331 | 627.4025, Florida Statutes, is amended to read: |
1332 | 627.4025 Residential coverage and hurricane coverage |
1333 | defined.-- |
1334 | (2) As used in policies providing residential coverage: |
1335 | (a) "Hurricane coverage" is coverage for loss or damage |
1336 | caused by the peril of windstorm during a hurricane. The term |
1337 | includes ensuing damage to the interior of a building, or to |
1338 | property inside a building, caused by rain, snow, sleet, hail, |
1339 | sand, or dust if the direct force of the windstorm first damages |
1340 | the building, causing an opening through which rain, snow, |
1341 | sleet, hail, sand, or dust enters and causes damage. The term |
1342 | also includes coverage for damage to the interior of a building, |
1343 | or to property inside a building, which is caused by wind-driven |
1344 | water entering the building during a hurricane. |
1345 | Section 18. Effective upon this act becoming a law, |
1346 | subsection (7) is added to section 627.4133, Florida Statutes, |
1347 | to read: |
1348 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
1349 | premium.-- |
1350 | (7) An insurer may not cancel or nonrenew a residential |
1351 | property insurance policy for any reason other than a fraudulent |
1352 | act by the policyholder with respect to that or any other |
1353 | policy, for a policyholder who has been continuously insured |
1354 | with that insurer or with an insurer within the same insurance |
1355 | group for 3 years or longer. |
1356 | Section 19. Subsection (1) of section 627.4145, Florida |
1357 | Statutes, is amended to read: |
1358 | 627.4145 Readable language in insurance policies.-- |
1359 | (1) Every policy shall be readable as required by this |
1360 | section. For the purposes of this section, the term "policy" |
1361 | means a policy form or endorsement. A policy is deemed readable |
1362 | if: |
1363 | (a) The text achieves a minimum score of 50 45 on the |
1364 | Flesch reading ease test as computed in subsection (5) or an |
1365 | equivalent score on any other test comparable in result and |
1366 | approved by the office.; |
1367 | (b) It uses layout and spacing which separate the |
1368 | paragraphs from each other and from the border of the paper.; |
1369 | (c) It has section titles that are captioned in boldfaced |
1370 | type or that otherwise stand out significantly from the text.; |
1371 | (d) It avoids the use of unnecessarily long, complicated, |
1372 | or obscure words, sentences, paragraphs, or constructions.; |
1373 | (e) The style, arrangement, and overall appearance of the |
1374 | policy give no undue prominence to any portion of the text of |
1375 | the policy or to any endorsements or riders.; and |
1376 | (f) It contains a table of contents or an index of the |
1377 | principal sections of the policy, if the policy has more than |
1378 | 3,000 words or more than three pages. |
1379 | Section 20. Section 627.41494, Florida Statutes, is |
1380 | created to read: |
1381 | 627.41494 Consumer participation in rate review.-- |
1382 | (1) Upon the filing of a proposed rate change for |
1383 | residential property insurance by an insurer under s. 627.062, |
1384 | which filing would, pursuant to standards determined by the |
1385 | office, result in an average statewide increase of 10 percent or |
1386 | more as compared to the rates in effect at that time or the |
1387 | rates in effect 12 months prior to the proposed effective date, |
1388 | the insurer shall mail notice of such filing to each of its |
1389 | policyholders or members. |
1390 | (2) The rate filing shall be available for public |
1391 | inspection. If any policyholder or member requests the office |
1392 | within 30 days after the mailing of such notification pursuant |
1393 | to subsection (1) to hold a hearing, the office shall hold a |
1394 | hearing within 30 days after such request. Any consumer advocacy |
1395 | group or the Public Counsel under chapter 11 may participate in |
1396 | such hearing, and the commission may adopt rules governing such |
1397 | participation. |
1398 | (3) For purposes of this section, the term "consumer |
1399 | advocacy group" means an organization with a membership of at |
1400 | least 1,000 individuals, the purpose of which is to represent |
1401 | the best interests of the public in matters relating, but not |
1402 | limited, to insurance rate filings before the office. The |
1403 | consumer advocacy group may: |
1404 | (a) Appear in any proceeding or action before the |
1405 | department or office or appear in any proceeding before the |
1406 | Division of Administrative Hearings relating to rate filings |
1407 | subject to subsection (1). |
1408 | (b) Have access to and use of all files, records, and data |
1409 | of the office relating to such rate filings. |
1410 | (c) Examine such rate and form filings submitted to the |
1411 | office. |
1412 | (d) Recommend to the office any position deemed by the |
1413 | group to be in the best interest of the public in matters |
1414 | relating to such rate filings. |
1415 |
|
1416 | This subsection does not limit the rights of a consumer advocacy |
1417 | group to have access to records of the office as otherwise |
1418 | available pursuant to law. |
1419 | (4) The office shall order the insurer to pay the |
1420 | reasonable costs of the consumer advocacy group if the office |
1421 | determines that the consumer advocacy group made a relevant and |
1422 | substantial contribution to the final order on the rate filing. |
1423 | In determining the reasonable costs the insurer shall pay the |
1424 | consumer advocacy group, the office shall consider, among other |
1425 | things, the time, labor, fees, and expenses incurred by the |
1426 | advocacy group. |
1427 | Section 21. Effective upon this act becoming a law, |
1428 | subsection (3) of section 627.701, Florida Statutes, is amended |
1429 | to read: |
1430 | 627.701 Liability of insureds; coinsurance; deductibles.-- |
1431 | (3)(a) A policy of residential property insurance shall |
1432 | include a deductible amount applicable to hurricane losses no |
1433 | lower than $500 and no higher than 5 2 percent of the policy |
1434 | dwelling limits with respect to personal lines residential |
1435 | risks, and no higher than 3 percent of the policy limits with |
1436 | respect to commercial lines residential risks; however, if a |
1437 | risk was covered on August 24, 1992, under a policy having a |
1438 | higher deductible than the deductibles allowed by this |
1439 | paragraph, a policy covering such risk may include a deductible |
1440 | no higher than the deductible in effect on August 24, 1992. |
1441 | Notwithstanding the other provisions of this paragraph, a |
1442 | personal lines residential policy covering a risk valued at |
1443 | $50,000 or less may include a deductible amount attributable to |
1444 | hurricane losses no lower than $250, and a personal lines |
1445 | residential policy covering a risk valued at $100,000 or more |
1446 | may include a deductible amount attributable to hurricane losses |
1447 | no higher than 10 percent of the policy limits unless subject to |
1448 | a higher deductible on August 24, 1992; however, no maximum |
1449 | deductible is required with respect to a personal lines |
1450 | residential policy covering a risk valued at more than $500,000. |
1451 | An insurer may require a higher deductible, provided such |
1452 | deductible is the same as or similar to a deductible program |
1453 | lawfully in effect on June 14, 1995. In addition to the |
1454 | deductible amounts authorized by this paragraph, an insurer may |
1455 | also offer policies with a copayment provision under which, |
1456 | after exhaustion of the deductible, the policyholder is |
1457 | responsible for 10 percent of the next $10,000 of insured |
1458 | hurricane losses. |
1459 | (b)1. Except as otherwise provided in this paragraph, |
1460 | prior to issuing a personal lines residential property insurance |
1461 | policy on or after July January 1, 2006, or prior to the first |
1462 | renewal of a residential property insurance policy on or after |
1463 | July January 1, 2006, the insurer must offer alternative |
1464 | deductible amounts applicable to hurricane losses equal to $500, |
1465 | 1 percent, 2 percent, 5 percent, and 10 percent of the policy |
1466 | dwelling limits, but it need not offer a deductible expressed as |
1467 | a percentage when that unless the specific percentage deductible |
1468 | is less than $500. The written notice of the offer shall specify |
1469 | the hurricane or wind deductible to be applied in the event that |
1470 | the applicant or policyholder fails to affirmatively choose a |
1471 | hurricane deductible. The insurer must provide such policyholder |
1472 | with notice of the availability of the deductible amounts |
1473 | specified in this paragraph in a form approved by the office in |
1474 | conjunction with each renewal of the policy. The failure to |
1475 | provide such notice constitutes a violation of this code but |
1476 | does not affect the coverage provided under the policy. |
1477 | 2. This paragraph does not apply with respect to a |
1478 | deductible program lawfully in effect on June 14, 1995, or to |
1479 | any similar deductible program, if the deductible program |
1480 | requires a minimum deductible amount of no less than 1 2 percent |
1481 | of the policy limits. |
1482 | 3. With respect to a policy covering a risk with dwelling |
1483 | limits of at least $100,000, but less than $250,000, the insurer |
1484 | may, in lieu of offering a policy with a $500 hurricane or wind |
1485 | deductible as required by subparagraph 1., offer a policy that |
1486 | the insurer guarantees it will not nonrenew for reasons of |
1487 | reducing hurricane loss for one renewal period and that contains |
1488 | up to a 2 percent hurricane or wind deductible as required by |
1489 | subparagraph 1. |
1490 | 3.4. With respect to a policy covering a risk with |
1491 | dwelling limits of $250,000 or more, the insurer need not offer |
1492 | the $500 hurricane deductible as required by subparagraph 1., |
1493 | but must, except as otherwise provided in this subsection, offer |
1494 | the other hurricane deductibles as required by subparagraph 1. |
1495 | Section 22. Section 627.70105, Florida Statutes, is |
1496 | created to read: |
1497 | 627.70105 Hurricane coverage; additional |
1498 | requirement.--Each insurance contract providing hurricane |
1499 | coverage must include a provision that, if insured residential |
1500 | property becomes uninhabitable due to damage from a hurricane |
1501 | and the insurer is liable for living expenses of the insured |
1502 | while the covered property remains uninhabitable, initial living |
1503 | expense payments must be delivered to the insured no later than |
1504 | 48 hours after a claim therefor is made with the insurer. |
1505 | Section 23. The sum of $50 million is appropriated for |
1506 | fiscal year 2006-2007 on a nonrecurring basis from the General |
1507 | Revenue Fund to the Department of Community Affairs in the |
1508 | special appropriation category "Residential Hurricane Mitigation |
1509 | Low-Interest Loan Program" for low-interest loans to qualified |
1510 | owners of residences and qualified owners of mobile homes to |
1511 | finance efforts to improve the wind resistance of residences to |
1512 | prevent or reduce losses or reduce the cost of rebuilding after |
1513 | a disaster with a requirement of repayment by the owner, as |
1514 | provided in section 8. These funds shall be subject to the |
1515 | release provisions of chapter 216, Florida Statutes. Up to 0.5 |
1516 | percent of this appropriation may be used by the department for |
1517 | administration of the loan program. |
1518 | Section 24. Except as otherwise expressly provided in this |
1519 | act, this act shall take effect July 1, 2006. |