HB 1267

1
A bill to be entitled
2An act relating to property and casualty insurance;
3transferring, renumbering, and amending ss. 350.061,
4350.0611, 350.0612, 350.0613, and 350.0614, F.S.;
5authorizing the Public Counsel to represent the general
6public before the Office of Insurance Regulation;
7including certain proceedings related to rules and rate
8filings for residential property insurance; authorizing
9the Public Counsel to have access to files of the office,
10to seek review of orders of the office, to issue reports,
11recommendations, and proposed orders to the office;
12specifying where the Public Counsel shall maintain his or
13her office; authorizing the Joint Legislative Auditing
14Committee to authorize the Public Counsel to employ
15certain types of employees; requiring the Office of
16Insurance Regulation to provide copies of certain filings
17to the Public Counsel; amending s. 112.3145, F.S.;
18conforming a cross-reference; amending s. 215.559, F.S.;
19revising the distribution of funds in the Hurricane Loss
20Mitigation Program; revising provisions relating to a low-
21interest loan program; amending s. 408.40, F.S.;
22conforming a cross-reference; amending s. 624.319, F.S.;
23authorizing the Public Counsel to have access to certain
24confidential information held by the Department of
25Financial Services or the Office of Insurance Regulation;
26amending s. 627.062, F.S.; deleting provisions that allow
27an insurer to require arbitration of a rate filing for
28property and casualty insurance; amending s. 627.0629,
29F.S.; requiring underwriting rules for homeowners'
30insurance to be filed with and approved by the Office of
31Insurance Regulation; providing for filing and approval
32provisions; amending s. 627.0651, F.S.; abolishing "use
33and file" rate filings; deleting reference to the filing
34of specified underwriting rules for homeowners' insurance;
35amending s. 627.311, F.S.; abolishing "use and file" rate
36filings; amending s. 627.351, F.S.; deleting a provision
37authorizing a windstorm underwriting association to
38require arbitration of a rate filing; amending s.
39627.4025, F.S.; redefining the term "hurricane coverage"
40to include coverage for damage from wind-driven water;
41amending s. 627.4133, F.S.; prohibiting an insurer from
42canceling or nonrenewing a residential property insurance
43policy for certain reasons; amending s. 627.4145, F.S.;
44increasing the minimum score on the reading ease test for
45insurance policies; creating s. 627.41494, F.S.; providing
46for consumer participation in review of insurance rate
47changes; providing for public inspection of rate filings;
48providing for adoption of rules by the Financial Services
49Commission; requiring insurers to pay costs of consumer
50advocacy groups under certain circumstances; amending s.
51627.701, F.S.; revising the hurricane deductibles that
52insurers must offer for personal lines residential
53property insurance policies; creating s. 627.70105, F.S.;
54requiring payment of living expenses required due to
55uninhabitability of insured property within a specified
56time; providing an appropriation; providing effective
57dates.
58
59Be It Enacted by the Legislature of the State of Florida:
60
61     Section 1.  This act may be cited as the "Homeowners'
62Defense Act."
63     Section 2.  Section 350.061, Florida Statutes, is
64transferred, renumbered as section 11.402, Florida Statutes, and
65subsection (1) of that section is amended to read:
66     11.402 350.061  Public Counsel; appointment; oath;
67restrictions on Public Counsel and his or her employees.--
68     (1)  The Committee on Public Service Commission Oversight
69shall appoint a Public Counsel by majority vote of the members
70of the committee to represent the general public of Florida
71before the Florida Public Service Commission and the Office of
72Insurance Regulation. The Public Counsel shall be an attorney
73admitted to practice before the Florida Supreme Court and shall
74serve at the pleasure of the Committee on Public Service
75Commission Oversight, subject to biennial reconfirmation by the
76committee. The Public Counsel shall perform his or her duties
77independently. Vacancies in the office shall be filled in the
78same manner as the original appointment.
79     Section 3.  Section 350.0611, Florida Statutes, is
80transferred, renumbered as section 11.403, Florida Statutes, and
81amended to read:
82     11.403 350.0611  Public Counsel; duties and powers.--It
83shall be the duty of the Public Counsel to provide legal
84representation for the people of the state in proceedings before
85the Public Service Commission and the Office of Insurance
86Regulation and in proceedings before counties pursuant to s.
87367.171(8). The Public Counsel shall have such powers as are
88necessary to carry out the duties of his or her office,
89including, but not limited to, the following specific powers:
90     (1)  To recommend to the Public Service Commission or the
91counties, by petition, the commencement of any proceeding or
92action or to appear, in the name of the state or its citizens,
93in any proceeding or action before the commission or the
94counties.
95     (2)  To recommend to the Office of Insurance Regulation, by
96petition, the commencement of, and to appear in the name of the
97state or its citizens in, any proceeding or action before the
98office relating to:
99     (a)  Rules governing residential property insurance; or
100     (b)  Rate filings for residential property insurance which,
101pursuant to standards determined by the office, request an
102average statewide rate increase of 10 percent or greater as
103compared to the current rates in effect or the rates in effect
10412 months prior to the proposed effective date.
105
106The Public Counsel may not stay any final order of the Office of
107Insurance Regulation.
108     (3)  To and urge in any proceeding or action to which he or
109she is a party therein any position that which he or she deems
110to be in the public interest, whether consistent or inconsistent
111with positions previously adopted by the commission, or the
112counties, or the office, and use utilize therein all forms of
113discovery available to attorneys in civil actions generally,
114subject to protective orders of the commission, or the counties,
115or the office, which shall be reviewable by summary procedure in
116the circuit courts of this state.;
117     (4)(2)  To have access to and use of all files, records,
118and data of the commission, or the counties, or the office
119available to any other attorney representing parties in a
120proceeding before the commission, or the counties, or the
121office.;
122     (5)(3)  In any proceeding in which he or she has
123participated as a party, to seek review of any determination,
124finding, or order of the commission, or the counties, or the
125office, or of any hearing examiner designated by the commission,
126or the counties, or the office, in the name of the state or its
127citizens.;
128     (6)(4)  To prepare and issue reports, recommendations, and
129proposed orders to the commission or office, the Governor, and
130the Legislature on any matter or subject within the jurisdiction
131of the commission or office, and to make such recommendations as
132he or she deems appropriate for legislation relative to
133commission or office procedures, rules, jurisdiction, personnel,
134and functions.; and
135     (7)(5)  To appear before other state agencies, federal
136agencies, and state and federal courts in connection with
137matters under the jurisdiction of the commission or office, in
138the name of the state or its citizens.
139     Section 4.  Section 350.0612, Florida Statutes, is
140transferred, renumbered as section 11.404, Florida Statutes, and
141amended to read:
142     11.404 350.0612  Public Counsel; location.--The Public
143Counsel shall maintain his or her office in Leon County on the
144premises of the commission or, if suitable space there cannot be
145provided, at such other place convenient to the offices of the
146Public Services Commission or the Office of Insurance Regulation
147commissioners as will enable him or her to carry out
148expeditiously the duties and functions of his or her office.
149     Section 5.  Section 350.0613, Florida Statutes, is
150transferred, renumbered as section 11.405, Florida Statutes, and
151amended to read:
152     11.405 350.0613  Public Counsel; employees; receipt of
153pleadings.--The Joint Legislative Auditing Committee may
154authorize the Public Counsel to employ clerical and technical
155assistants whose qualifications, duties, and responsibilities
156the committee shall from time to time prescribe. The committee
157may from time to time authorize retention of the services of
158additional attorneys, actuaries, economists, or experts to the
159extent that the best interests of the people of the state will
160be better served thereby, including the retention of expert
161witnesses and other technical personnel for participation in
162contested proceedings before the Public Service Commission or
163Office of Insurance Regulation. The commission shall furnish the
164Public Counsel with copies of the initial pleadings in all
165proceedings before the commission. The office shall furnish the
166Public Counsel with copies of all filings that relate to the
167jurisdiction of the Public Counsel pursuant to s. 11.403(2).,
168and If the Public Counsel intervenes as a party in any
169proceeding he or she shall be served with copies of all
170subsequent pleadings, exhibits, and prepared testimony, if used.
171Upon filing notice of intervention, the Public Counsel shall
172serve all interested parties with copies of such notice and all
173of his or her subsequent pleadings and exhibits.
174     Section 6.  Section 350.0614, Florida Statutes, is
175transferred and renumbered as section 11.406, Florida Statutes.
176     Section 7.  Paragraph (b) of subsection (1) of section
177112.3145, Florida Statutes, is amended to read:
178     112.3145  Disclosure of financial interests and clients
179represented before agencies.--
180     (1)  For purposes of this section, unless the context
181otherwise requires, the term:
182     (b)  "Specified state employee" means:
183     1.  Public counsel created by chapter 11 350, an assistant
184state attorney, an assistant public defender, a full-time state
185employee who serves as counsel or assistant counsel to any state
186agency, the Deputy Chief Judge of Compensation Claims, a judge
187of compensation claims, an administrative law judge, or a
188hearing officer.
189     2.  Any person employed in the office of the Governor or in
190the office of any member of the Cabinet if that person is exempt
191from the Career Service System, except persons employed in
192clerical, secretarial, or similar positions.
193     3.  Each appointed secretary, assistant secretary, deputy
194secretary, executive director, assistant executive director, or
195deputy executive director of each state department, commission,
196board, or council; unless otherwise provided, the division
197director, assistant division director, deputy director, bureau
198chief, and assistant bureau chief of any state department or
199division; or any person having the power normally conferred upon
200such persons, by whatever title.
201     4.  The superintendent or institute director of a state
202mental health institute established for training and research in
203the mental health field or the warden or director of any major
204state institution or facility established for corrections,
205training, treatment, or rehabilitation.
206     5.  Business managers, purchasing agents having the power
207to make any purchase exceeding the threshold amount provided for
208in s. 287.017 for CATEGORY ONE, finance and accounting
209directors, personnel officers, or grants coordinators for any
210state agency.
211     6.  Any person, other than a legislative assistant exempted
212by the presiding officer of the house by which the legislative
213assistant is employed, who is employed in the legislative branch
214of government, except persons employed in maintenance, clerical,
215secretarial, or similar positions.
216     7.  Each employee of the Commission on Ethics.
217     Section 8.  Section 215.559, Florida Statutes, is amended
218to read:
219     215.559  Hurricane Loss Mitigation Program.--
220     (1)  There is created a Hurricane Loss Mitigation Program.
221The Legislature shall annually appropriate $10 million of the
222moneys authorized for appropriation under s. 215.555(7)(c) from
223the Florida Hurricane Catastrophe Fund to the Department of
224Community Affairs for the purposes set forth in this section.
225     (2)(a)  One Seven million dollars in funds provided in
226subsection (1) shall be used for programs to improve the wind
227resistance of residences and mobile homes, including loans,
228subsidies, grants, demonstration projects, and direct
229assistance; cooperative programs with local governments and the
230Federal Government; and other efforts to prevent or reduce
231losses or reduce the cost of rebuilding after a disaster.
232     (b)  Six million dollars of the funds provided in
233subsection (1) shall be used for programs to improve the wind
234resistance of residences to prevent or reduce losses or reduce
235the cost of rebuilding after a disaster.
236     (c)  The department shall, with the funds authorized in
237paragraphs (a) and (b), establish a program of low-interest
238loans to qualified owners of residences and qualified owners of
239mobile homes. For the purpose of this section, the term "low-
240interest loan" means any direct loan or loan guarantee issued or
241backed by such authorized funds to a qualified owner to finance
242efforts to prevent or reduce losses or reduce the cost of
243rebuilding after a disaster with a requirement for repayment by
244the owner. Loans provided under this section shall be made at a
245rate of up to 2 percent below the qualified loan rate as
246determined by the department. The terms and conditions of the
247low-interest loan program, including loan incentive provisions,
248and the qualifications required of owners of residences and
249owners of mobile homes shall be determined by the department.
250     (d)(b)  Three million dollars in funds provided in
251subsection (1) shall be used to retrofit existing facilities
252used as public hurricane shelters. The department must
253prioritize the use of these funds for projects included in the
254September 1, 2000, version of the Shelter Retrofit Report
255prepared in accordance with s. 252.385(3), and each annual
256report thereafter. The department must give funding priority to
257projects in regional planning council regions that have shelter
258deficits and to projects that maximize use of state funds.
259     (3)  By the 2006-2007 fiscal year, the Department of
260Community Affairs shall develop a low-interest loan program for
261homeowners and mobile home owners to retrofit their homes with
262fixtures or apply construction techniques that have been
263demonstrated to reduce the amount of damage or loss due to a
264hurricane. Funding for the program shall be used to subsidize or
265guaranty private-sector loans for this purpose to qualified
266homeowners by financial institutions chartered by the state or
267Federal Government. The department may enter into contracts with
268financial institutions for this purpose. The department shall
269establish criteria for determining eligibility for the loans and
270selecting recipients, standards for retrofitting homes or mobile
271homes, limitations on loan subsidies and loan guaranties, and
272other terms and conditions of the program, which must be
273specified in the department's report to the Legislature on
274January 1, 2006, required by subsection (8). For the 2005-2006
275fiscal 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
278in one or more counties. The Department of Financial Services,
279the Office of Financial Regulation, the Florida Housing Finance
280Corporation, and the Office of Tourism, Trade, and Economic
281Development shall assist the Department of Community Affairs in
282establishing the program and pilot project. The department may
283use up to 2.5 percent of the funds appropriated in any given
284fiscal year for administering the loan program. The department
285may adopt rules to implement the program.
286     (3)(4)  Forty percent of the total appropriation in
287paragraph (2)(a) shall be used to inspect and improve tie-downs
288for mobile homes. Within 30 days after the effective date of
289that appropriation, the department shall contract with a public
290higher educational institution in this state which has previous
291experience in administering the programs set forth in this
292subsection to serve as the administrative entity and fiscal
293agent pursuant to s. 216.346 for the purpose of administering
294the programs set forth in this subsection in accordance with
295established policy and procedures. The administrative entity
296working with the advisory council set up under subsection (5)
297(6) shall develop a list of mobile home parks and counties that
298may be eligible to participate in the tie-down program.
299     (4)(5)  Of moneys provided to the Department of Community
300Affairs in paragraphs paragraph (2)(a) and (b), 10 percent shall
301be allocated to a Type I Center within the State University
302System dedicated to hurricane research. The Type I Center shall
303develop a preliminary work plan approved by the advisory council
304set forth in subsection (5) (6) to eliminate the state and local
305barriers to upgrading existing residences, mobile homes, and
306communities;, research and develop a program for the recycling
307of existing older mobile homes;, and support programs of
308research and development relating to hurricane loss reduction
309devices and techniques for site-built residences. The State
310University System also shall consult with the Department of
311Community Affairs and assist the department with the report
312required under subsection (7) (8).
313     (5)(6)  The Department of Community Affairs shall develop
314the programs set forth in this section in consultation with an
315advisory council consisting of a representative designated by
316the Chief Financial Officer, a representative designated by the
317Florida Home Builders Association, a representative designated
318by the Florida Insurance Council, a representative designated by
319the Federation of Manufactured Home Owners, a representative
320designated by the Florida Association of Counties, and a
321representative designated by the Florida Manufactured Housing
322Association.
323     (6)(7)  Moneys provided to the Department of Community
324Affairs under this section are intended to supplement other
325funding sources of the Department of Community Affairs and may
326not supplant other funding sources of the Department of
327Community Affairs.
328     (7)(8)  On January 1st of each year, the Department of
329Community Affairs shall provide a full report and accounting of
330activities under this section and an evaluation of such
331activities to the Speaker of the House of Representatives, the
332President of the Senate, and the Majority and Minority Leaders
333of 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
336Statutes, is amended to read:
337     408.40  Public Counsel.--
338     (1)  Notwithstanding any other provisions of this chapter,
339the Public Counsel shall represent the public in any proceeding
340before the agency or its advisory panels in any administrative
341hearing conducted pursuant to chapter 120 or before any other
342state and federal agencies and courts in any issue before the
343agency, any court, or any agency. With respect to any such
344proceeding, the Public Counsel is subject to the provisions of
345and may use the powers granted to him or her by ss. 11.402-
34611.406 350.061-350.0614.
347     Section 10.  Paragraph (b) of subsection (3) of section
348624.319, Florida Statutes, is amended to read:
349     624.319  Examination and investigation reports.--
350     (3)
351     (b)  Workpapers and other information held by the
352department or office, and workpapers and other information
353received from another governmental entity or the National
354Association of Insurance Commissioners, for the department's or
355office's use in the performance of its examination or
356investigation duties pursuant to this section and ss. 624.316,
357624.3161, 624.317, and 624.318 are confidential and exempt from
358the provisions of s. 119.07(1) and s. 24(a), Art. I of the State
359Constitution. This exemption applies to workpapers and other
360information held by the department or office before, on, or
361after the effective date of this exemption. Such confidential
362and exempt information may be disclosed to another governmental
363entity, if disclosure is necessary for the receiving entity to
364perform its duties and responsibilities, and may be disclosed to
365the National Association of Insurance Commissioners. The Public
366Counsel shall have access to such confidential and exempt
367information pertaining to residential property insurance at any
368time. The receiving governmental entity or the association must
369maintain the confidential and exempt status of the information.
370The information made confidential and exempt by this paragraph
371may be used in a criminal, civil, or administrative proceeding
372so long as the confidential and exempt status of such
373information is maintained. This paragraph is subject to the Open
374Government Sunset Review Act of 1995 in accordance with s.
375119.15 and shall stand repealed on October 2, 2007, unless
376reviewed and saved from repeal through reenactment by the
377Legislature.
378     Section 11.  Subsection (2) of section 627.062, Florida
379Statutes, 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
383use rates, rating schedules, or rating manuals to allow the
384insurer a reasonable rate of return on such classes of insurance
385written in this state. A copy of rates, rating schedules, rating
386manuals, premium credits or discount schedules, and surcharge
387schedules, and changes thereto, shall be filed with the office
388under one of the following procedures:
389     1.  If the filing is made at least 90 days before the
390proposed effective date. and The filing may is not be
391implemented during the office's review of the filing and any
392proceeding and judicial review., then Such filing is shall be
393considered a "file and use" filing. In such case, The office
394shall finalize its review by issuance of a notice of intent to
395approve or a notice of intent to disapprove within 90 days after
396receipt of the filing. The notice of intent to approve and the
397notice of intent to disapprove constitute agency action for
398purposes of the Administrative Procedure Act. Requests for
399supporting information, requests for mathematical or mechanical
400corrections, or notification to the insurer by the office of its
401preliminary findings shall not toll the 90-day period during any
402such proceedings and subsequent judicial review. The rate shall
403be deemed approved if the office does not issue a notice of
404intent to approve or a notice of intent to disapprove within 90
405days after receipt of the filing.
406     2.  If the filing is not made in accordance with the
407provisions of subparagraph 1., such filing shall be made as soon
408as practicable, but no later than 30 days after the effective
409date, and shall be considered a "use and file" filing. An
410insurer making a "use and file" filing is potentially subject to
411an order by the office to return to policyholders portions of
412rates found to be excessive, as provided in paragraph (h).
413     (b)  Upon receiving a rate filing, the office shall review
414the rate filing to determine if a rate is excessive, inadequate,
415or unfairly discriminatory. In making that determination, the
416office shall, in accordance with generally accepted and
417reasonable actuarial techniques, consider the following factors:
418     1.  Past and prospective loss experience within and without
419this state.
420     2.  Past and prospective expenses.
421     3.  The degree of competition among insurers for the risk
422insured.
423     4.  Investment income reasonably expected by the insurer,
424consistent with the insurer's investment practices, from
425investable premiums anticipated in the filing, plus any other
426expected income from currently invested assets representing the
427amount expected on unearned premium reserves and loss reserves.
428The commission may adopt rules utilizing reasonable techniques
429of actuarial science and economics to specify the manner in
430which insurers shall calculate investment income attributable to
431such classes of insurance written in this state and the manner
432in which such investment income shall be used in the calculation
433of insurance rates. Such manner shall contemplate allowances for
434an underwriting profit factor and full consideration of
435investment income which produce a reasonable rate of return;
436however, investment income from invested surplus shall not be
437considered.
438     5.  The reasonableness of the judgment reflected in the
439filing.
440     6.  Dividends, savings, or unabsorbed premium deposits
441allowed or returned to Florida policyholders, members, or
442subscribers.
443     7.  The adequacy of loss reserves.
444     8.  The cost of reinsurance.
445     9.  Trend factors, including trends in actual losses per
446insured unit for the insurer making the filing.
447     10.  Conflagration and catastrophe hazards, if applicable.
448     11.  A reasonable margin for underwriting profit and
449contingencies.
450     12.  The cost of medical services, if applicable.
451     13.  Other relevant factors which impact upon the frequency
452or severity of claims or upon expenses.
453     (c)  In the case of fire insurance rates, consideration
454shall be given to the availability of water supplies and the
455experience of the fire insurance business during a period of not
456less than the most recent 5-year period for which such
457experience is available.
458     (d)  If conflagration or catastrophe hazards are given
459consideration by an insurer in its rates or rating plan,
460including surcharges and discounts, the insurer shall establish
461a reserve for that portion of the premium allocated to such
462hazard and shall maintain the premium in a catastrophe reserve.
463Any removal of such premiums from the reserve for purposes other
464than paying claims associated with a catastrophe or purchasing
465reinsurance for catastrophes shall be subject to approval of the
466office. Any ceding commission received by an insurer purchasing
467reinsurance for catastrophes shall be placed in the catastrophe
468reserve.
469     (e)  After consideration of the rate factors provided in
470paragraphs (b), (c), and (d), a rate may be found by the office
471to be excessive, inadequate, or unfairly discriminatory based
472upon the following standards:
473     1.  Rates shall be deemed excessive if they are likely to
474produce a profit from Florida business that is unreasonably high
475in relation to the risk involved in the class of business or if
476expenses are unreasonably high in relation to services rendered.
477     2.  Rates shall be deemed excessive if, among other things,
478the rate structure established by a stock insurance company
479provides for replenishment of surpluses from premiums, when the
480replenishment is attributable to investment losses.
481     3.  Rates shall be deemed inadequate if they are clearly
482insufficient, together with the investment income attributable
483to them, to sustain projected losses and expenses in the class
484of business to which they apply.
485     4.  A rating plan, including discounts, credits, or
486surcharges, shall be deemed unfairly discriminatory if it fails
487to clearly and equitably reflect consideration of the
488policyholder's participation in a risk management program
489adopted pursuant to s. 627.0625.
490     5.  A rate shall be deemed inadequate as to the premium
491charged to a risk or group of risks if discounts or credits are
492allowed which exceed a reasonable reflection of expense savings
493and reasonably expected loss experience from the risk or group
494of risks.
495     6.  A rate shall be deemed unfairly discriminatory as to a
496risk or group of risks if the application of premium discounts,
497credits, or surcharges among such risks does not bear a
498reasonable relationship to the expected loss and expense
499experience among the various risks.
500     (f)  In reviewing a rate filing, the office may require the
501insurer to provide at the insurer's expense all information
502necessary to evaluate the condition of the company and the
503reasonableness of the filing according to the criteria
504enumerated in this section.
505     (g)  The office may at any time review a rate, rating
506schedule, rating manual, or rate change; the pertinent records
507of the insurer; and market conditions. If the office finds on a
508preliminary basis that a rate may be excessive, inadequate, or
509unfairly discriminatory, the office shall initiate proceedings
510to disapprove the rate and shall so notify the insurer. However,
511the office may not disapprove as excessive any rate for which it
512has given final approval or which has been deemed approved for a
513period of 1 year after the effective date of the filing unless
514the office finds that a material misrepresentation or material
515error was made by the insurer or was contained in the filing.
516Upon being so notified, the insurer or rating organization
517shall, within 60 days, file with the office all information
518which, in the belief of the insurer or organization, proves the
519reasonableness, adequacy, and fairness of the rate or rate
520change. The office shall issue a notice of intent to approve or
521a notice of intent to disapprove pursuant to the procedures of
522paragraph (a) within 90 days after receipt of the insurer's
523initial response. In such instances and in any administrative
524proceeding relating to the legality of the rate, the insurer or
525rating organization shall carry the burden of proof by a
526preponderance of the evidence to show that the rate is not
527excessive, inadequate, or unfairly discriminatory. After the
528office notifies an insurer that a rate may be excessive,
529inadequate, or unfairly discriminatory, unless the office
530withdraws the notification, the insurer shall not alter the rate
531except to conform with the office's notice until the earlier of
532120 days after the date the notification was provided or 180
533days after the date of the implementation of the rate. The
534office may, subject to chapter 120, disapprove without the 60-
535day notification any rate increase filed by an insurer within
536the prohibited time period or during the time that the legality
537of the increased rate is being contested.
538     (h)  If In the event the office finds that a rate or rate
539change is excessive, inadequate, or unfairly discriminatory, the
540office shall issue an order of disapproval specifying that a new
541rate or rate schedule which responds to the findings of the
542office be filed by the insurer. The office shall further order,
543for any "use and file" filing made in accordance with
544subparagraph (a)2., that premiums charged each policyholder
545constituting the portion of the rate above that which was
546actuarially justified be returned to such policyholder in the
547form of a credit or refund. If the office finds that an
548insurer's rate or rate change is inadequate, the new rate or
549rate schedule filed with the office in response to such a
550finding shall be applicable only to new or renewal business of
551the insurer written on or after the effective date of the
552responsive filing.
553     (i)  Except as otherwise specifically provided in this
554chapter, the office shall not prohibit any insurer, including
555any residual market plan or joint underwriting association, from
556paying acquisition costs based on the full amount of premium, as
557defined in s. 627.403, applicable to any policy, or prohibit any
558such insurer from including the full amount of acquisition costs
559in a rate filing.
560
561The provisions of This subsection does shall not apply to
562workers' compensation and employer's liability insurance and to
563motor vehicle insurance.
564     Section 12.  Effective upon this act becoming a law,
565subsections (6), (7), and (8) of section 627.062, Florida
566Statutes, are amended to read:
567     627.062  Rate standards.--
568     (6)(a)  After any action with respect to a rate filing that
569constitutes agency action for purposes of the Administrative
570Procedure Act, except for a rate filing for medical malpractice,
571an insurer may, in lieu of demanding a hearing under s. 120.57,
572require arbitration of the rate filing. Arbitration shall be
573conducted by a board of arbitrators consisting of an arbitrator
574selected by the office, an arbitrator selected by the insurer,
575and an arbitrator selected jointly by the other two arbitrators.
576Each arbitrator must be certified by the American Arbitration
577Association. A decision is valid only upon the affirmative vote
578of at least two of the arbitrators. No arbitrator may be an
579employee of any insurance regulator or regulatory body or of any
580insurer, regardless of whether or not the employing insurer does
581business in this state. The office and the insurer must treat
582the decision of the arbitrators as the final approval of a rate
583filing. Costs of arbitration shall be paid by the insurer.
584     (b)  Arbitration under this subsection shall be conducted
585pursuant to the procedures specified in ss. 682.06-682.10.
586Either party may apply to the circuit court to vacate or modify
587the decision pursuant to s. 682.13 or s. 682.14. The commission
588shall adopt rules for arbitration under this subsection, which
589rules may not be inconsistent with the arbitration rules of the
590American Arbitration Association as of January 1, 1996.
591     (c)  Upon initiation of the arbitration process, the
592insurer waives all rights to challenge the action of the office
593under the Administrative Procedure Act or any other provision of
594law; however, such rights are restored to the insurer if the
595arbitrators fail to render a decision within 90 days after
596initiation of the arbitration process.
597     (6)(7)(a)  The provisions of this subsection apply only
598with respect to rates for medical malpractice insurance and
599shall control to the extent of any conflict with other
600provisions of this section.
601     (b)  Any portion of a judgment entered or settlement paid
602as a result of a statutory or common-law bad faith action and
603any portion of a judgment entered which awards punitive damages
604against an insurer may not be included in the insurer's rate
605base, and shall not be used to justify a rate or rate change.
606Any common-law bad faith action identified as such, any portion
607of a settlement entered as a result of a statutory or common-law
608action, or any portion of a settlement wherein an insurer agrees
609to pay specific punitive damages may not be used to justify a
610rate or rate change. The portion of the taxable costs and
611attorney's fees which is identified as being related to the bad
612faith and punitive damages in these judgments and settlements
613may not be included in the insurer's rate base and may not be
614utilized to justify a rate or rate change.
615     (c)  Upon reviewing a rate filing and determining whether
616the rate is excessive, inadequate, or unfairly discriminatory,
617the office shall consider, in accordance with generally accepted
618and reasonable actuarial techniques, past and present
619prospective loss experience, either using loss experience solely
620for this state or giving greater credibility to this state's
621loss data after applying actuarially sound methods of assigning
622credibility to such data.
623     (d)  Rates shall be deemed excessive if, among other
624standards established by this section, the rate structure
625provides for replenishment of reserves or surpluses from
626premiums when the replenishment is attributable to investment
627losses.
628     (e)  The insurer must apply a discount or surcharge based
629on the health care provider's loss experience or shall establish
630an alternative method giving due consideration to the provider's
631loss experience. The insurer must include in the filing a copy
632of the surcharge or discount schedule or a description of the
633alternative method used, and must provide a copy of such
634schedule or description, as approved by the office, to
635policyholders at the time of renewal and to prospective
636policyholders at the time of application for coverage.
637     (f)  Each medical malpractice insurer must make a rate
638filing under this section, sworn to by at least two executive
639officers of the insurer, at least once each calendar year.
640     (7)(8)(a)1.  No later than 60 days after the effective date
641of medical malpractice legislation enacted during the 2003
642Special Session D of the Florida Legislature, the office shall
643calculate a presumed factor that reflects the impact that the
644changes contained in such legislation will have on rates for
645medical malpractice insurance and shall issue a notice informing
646all insurers writing medical malpractice coverage of such
647presumed factor. In determining the presumed factor, the office
648shall use generally accepted actuarial techniques and standards
649provided in this section in determining the expected impact on
650losses, expenses, and investment income of the insurer. To the
651extent that the operation of a provision of medical malpractice
652legislation enacted during the 2003 Special Session D of the
653Florida Legislature is stayed pending a constitutional
654challenge, the impact of that provision shall not be included in
655the calculation of a presumed factor under this subparagraph.
656     2.  No later than 60 days after the office issues its
657notice of the presumed rate change factor under subparagraph 1.,
658each insurer writing medical malpractice coverage in this state
659shall submit to the office a rate filing for medical malpractice
660insurance, which will take effect no later than January 1, 2004,
661and apply retroactively to policies issued or renewed on or
662after the effective date of medical malpractice legislation
663enacted during the 2003 Special Session D of the Florida
664Legislature. Except as authorized under paragraph (b), the
665filing shall reflect an overall rate reduction at least as great
666as the presumed factor determined under subparagraph 1. With
667respect to policies issued on or after the effective date of
668such legislation and prior to the effective date of the rate
669filing required by this subsection, the office shall order the
670insurer to make a refund of the amount that was charged in
671excess of the rate that is approved.
672     (b)  Any insurer or rating organization that contends that
673the rate provided for in paragraph (a) is excessive, inadequate,
674or unfairly discriminatory shall separately state in its filing
675the rate it contends is appropriate and shall state with
676specificity the factors or data that it contends should be
677considered in order to produce such appropriate rate. The
678insurer or rating organization shall be permitted to use all of
679the generally accepted actuarial techniques provided in this
680section in making any filing pursuant to this subsection. The
681office shall review each such exception and approve or
682disapprove it prior to use. It shall be the insurer's burden to
683actuarially justify any deviations from the rates required to be
684filed under paragraph (a). The insurer making a filing under
685this paragraph shall include in the filing the expected impact
686of medical malpractice legislation enacted during the 2003
687Special Session D of the Florida Legislature on losses,
688expenses, and rates.
689     (c)  If any provision of medical malpractice legislation
690enacted during the 2003 Special Session D of the Florida
691Legislature is held invalid by a court of competent
692jurisdiction, the office shall permit an adjustment of all
693medical malpractice rates filed under this section to reflect
694the impact of such holding on such rates so as to ensure that
695the rates are not excessive, inadequate, or unfairly
696discriminatory.
697     (d)  Rates approved on or before July 1, 2003, for medical
698malpractice insurance shall remain in effect until the effective
699date of a new rate filing approved under this subsection.
700     (e)  The calculation and notice by the office of the
701presumed factor pursuant to paragraph (a) is not an order or
702rule that is subject to chapter 120. If the office enters into a
703contract with an independent consultant to assist the office in
704calculating the presumed factor, such contract shall not be
705subject to the competitive solicitation requirements of s.
706287.057.
707     Section 13.  Subsection (11) is added to section 627.0629,
708Florida Statutes, to read:
709     627.0629  Residential property insurance; rate filings;
710underwriting rules.--
711     (11)  The underwriting rules for homeowners' insurance not
712contained in rating manuals shall be filed with the office. All
713underwriting rules for homeowners' insurance must be approved by
714the office and be reasonable and comply with applicable
715provisions of law. The filing and form-approval provisions under
716s. 627.410 apply to the filing and approval of underwriting
717rules for homeowners' insurance.
718     Section 14.  Subsections (1), (11), and (13) of section
719627.0651, Florida Statutes, are amended to read:
720     627.0651  Making and use of rates for motor vehicle
721insurance.--
722     (1)  Insurers shall establish and use rates, rating
723schedules, or rating manuals to allow the insurer a reasonable
724rate of return on motor vehicle insurance written in this state.
725A copy of rates, rating schedules, and rating manuals, and
726changes therein, shall be filed with the office under one of the
727following procedures:
728     (a)  If the filing is made at least 60 days before the
729proposed effective date. and The filing may is not be
730implemented during the office's review of the filing and any
731proceeding and judicial review., Such filing is shall be
732considered a "file and use" filing. In such case, the office
733shall initiate proceedings to disapprove the rate and so notify
734the insurer or shall finalize its review within 60 days after
735receipt of the filing. Notification to the insurer by the office
736of its preliminary findings shall toll the 60-day period during
737any such proceedings and subsequent judicial review. The rate
738shall be deemed approved if the office does not issue notice to
739the insurer of its preliminary findings within 60 days after the
740filing.
741     (b)  If the filing is not made in accordance with the
742provisions of paragraph (a), such filing shall be made as soon
743as practicable, but no later than 30 days after the effective
744date, and shall be considered a "use and file" filing. An
745insurer making a "use and file" filing is potentially subject to
746an order by the office to return to policyholders portions of
747rates found to be excessive, as provided in subsection (11).
748     (11)  If In the event the office finds that a rate or rate
749change is excessive, inadequate, or unfairly discriminatory, the
750office shall issue an order of disapproval specifying that a new
751rate or rate schedule which responds to the findings of the
752office be filed by the insurer. The office shall further order
753for any "use and file" filing made in accordance with paragraph
754(1)(b), that premiums charged each policyholder constituting the
755portion of the rate above that which was actuarially justified
756be returned to such policyholder in the form of a credit or
757refund. If the office finds that an insurer's rate or rate
758change is inadequate, the new rate or rate schedule filed with
759the office in response to such a finding shall be applicable
760only to new or renewal business of the insurer written on or
761after the effective date of the responsive filing.
762     (13)(a)  Underwriting rules not contained in rating manuals
763shall be filed for private passenger automobile insurance and
764homeowners' insurance.
765     (b)  The submission of rates, rating schedules, and rating
766manuals to the office by a licensed rating organization of which
767an insurer is a member or subscriber will be sufficient
768compliance with this subsection for any insurer maintaining
769membership or subscribership in such organization, to the extent
770that the insurer uses the rates, rating schedules, and rating
771manuals of such organization. All such information shall be
772available for public inspection, upon receipt by the office,
773during usual business hours.
774     Section 15.  Paragraph (e) of subsection (5) of section
775627.311, Florida Statutes, is amended to read:
776     627.311  Joint underwriters and joint reinsurers; public
777records and public meetings exemptions.--
778     (5)
779     (e)  The plan shall establish and use its rates and rating
780plans, and the plan may establish and use changes in rating
781plans at any time, but no more frequently than two times per any
782rating class for any calendar year. By December 1, 1993, and
783December 1 of each year thereafter, except as provided in
784subparagraph (c)22., the board shall establish and use
785actuarially sound rates for use by the plan to assure that the
786plan is self-funding while those rates are in effect. Such rates
787and rating plans must be filed with the office as provided in s.
788627.062(2)(a) within 30 calendar days after their effective
789dates, and shall be considered a "use and file" filing. Any
790disapproval by the office must have an effective date that is at
791least 60 days from the date of disapproval of the rates and
792rating plan and must have prospective effect only. The plan may
793not be subject to any order by the office to return to
794policyholders any portion of the rates disapproved by the
795office. The office may not disapprove any rates or rating plans
796unless it demonstrates that such rates and rating plans are
797excessive, inadequate, or unfairly discriminatory.
798     Section 16.  Effective upon this act becoming a law,
799paragraph (b) of subsection (2) of section 627.351, Florida
800Statutes, 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
804certificate of authority to transact property insurance on a
805direct basis in this state, other than joint underwriting
806associations and other entities formed pursuant to this section,
807to provide windstorm coverage to applicants from areas
808determined to be eligible pursuant to paragraph (c) who in good
809faith are entitled to, but are unable to procure, such coverage
810through ordinary means; or it shall adopt a reasonable plan or
811plans for the equitable apportionment or sharing among such
812insurers of windstorm coverage, which may include formation of
813an association for this purpose. As used in this subsection, the
814term "property insurance" means insurance on real or personal
815property, as defined in s. 624.604, including insurance for
816fire, industrial fire, allied lines, farmowners multiperil,
817homeowners' multiperil, commercial multiperil, and mobile homes,
818and including liability coverages on all such insurance, but
819excluding inland marine as defined in s. 624.607(3) and
820excluding vehicle insurance as defined in s. 624.605(1)(a) other
821than insurance on mobile homes used as permanent dwellings. The
822department shall adopt rules that provide a formula for the
823recovery and repayment of any deferred assessments.
824     1.  For the purpose of this section, properties eligible
825for such windstorm coverage are defined as dwellings, buildings,
826and other structures, including mobile homes which are used as
827dwellings and which are tied down in compliance with mobile home
828tie-down requirements prescribed by the Department of Highway
829Safety and Motor Vehicles pursuant to s. 320.8325, and the
830contents of all such properties. An applicant or policyholder is
831eligible for coverage only if an offer of coverage cannot be
832obtained by or for the applicant or policyholder from an
833admitted insurer at approved rates.
834     2.a.(I)  All insurers required to be members of such
835association shall participate in its writings, expenses, and
836losses. Surplus of the association shall be retained for the
837payment of claims and shall not be distributed to the member
838insurers. Such participation by member insurers shall be in the
839proportion that the net direct premiums of each member insurer
840written for property insurance in this state during the
841preceding calendar year bear to the aggregate net direct
842premiums for property insurance of all member insurers, as
843reduced by any credits for voluntary writings, in this state
844during the preceding calendar year. For the purposes of this
845subsection, the term "net direct premiums" means direct written
846premiums for property insurance, reduced by premium for
847liability coverage and for the following if included in allied
848lines: rain and hail on growing crops; livestock; association
849direct premiums booked; National Flood Insurance Program direct
850premiums; and similar deductions specifically authorized by the
851plan of operation and approved by the department. A member's
852participation shall begin on the first day of the calendar year
853following the year in which it is issued a certificate of
854authority to transact property insurance in the state and shall
855terminate 1 year after the end of the calendar year during which
856it no longer holds a certificate of authority to transact
857property insurance in the state. The commissioner, after review
858of annual statements, other reports, and any other statistics
859that the commissioner deems necessary, shall certify to the
860association the aggregate direct premiums written for property
861insurance in this state by all member insurers.
862     (II)  Effective July 1, 2002, the association shall operate
863subject to the supervision and approval of a board of governors
864who are the same individuals that have been appointed by the
865Treasurer to serve on the board of governors of the Citizens
866Property Insurance Corporation.
867     (III)  The plan of operation shall provide a formula
868whereby a company voluntarily providing windstorm coverage in
869affected areas will be relieved wholly or partially from
870apportionment of a regular assessment pursuant to sub-sub-
871subparagraph d.(I) or sub-sub-subparagraph d.(II).
872     (IV)  A company which is a member of a group of companies
873under common management may elect to have its credits applied on
874a group basis, and any company or group may elect to have its
875credits applied to any other company or group.
876     (V)  There shall be no credits or relief from apportionment
877to a company for emergency assessments collected from its
878policyholders under sub-sub-subparagraph d.(III).
879     (VI)  The plan of operation may also provide for the award
880of credits, for a period not to exceed 3 years, from a regular
881assessment pursuant to sub-sub-subparagraph d.(I) or sub-sub-
882subparagraph d.(II) as an incentive for taking policies out of
883the Residential Property and Casualty Joint Underwriting
884Association. In order to qualify for the exemption under this
885sub-sub-subparagraph, the take-out plan must provide that at
886least 40 percent of the policies removed from the Residential
887Property and Casualty Joint Underwriting Association cover risks
888located in Dade, Broward, and Palm Beach Counties or at least 30
889percent of the policies so removed cover risks located in Dade,
890Broward, and Palm Beach Counties and an additional 50 percent of
891the policies so removed cover risks located in other coastal
892counties, and must also provide that no more than 15 percent of
893the policies so removed may exclude windstorm coverage. With the
894approval of the department, the association may waive these
895geographic criteria for a take-out plan that removes at least
896the lesser of 100,000 Residential Property and Casualty Joint
897Underwriting Association policies or 15 percent of the total
898number of Residential Property and Casualty Joint Underwriting
899Association policies, provided the governing board of the
900Residential Property and Casualty Joint Underwriting Association
901certifies that the take-out plan will materially reduce the
902Residential Property and Casualty Joint Underwriting
903Association's 100-year probable maximum loss from hurricanes.
904With the approval of the department, the board may extend such
905credits for an additional year if the insurer guarantees an
906additional year of renewability for all policies removed from
907the Residential Property and Casualty Joint Underwriting
908Association, or for 2 additional years if the insurer guarantees
9092 additional years of renewability for all policies removed from
910the Residential Property and Casualty Joint Underwriting
911Association.
912     b.  Assessments to pay deficits in the association under
913this subparagraph shall be included as an appropriate factor in
914the making of rates as provided in s. 627.3512.
915     c.  The Legislature finds that the potential for unlimited
916deficit assessments under this subparagraph may induce insurers
917to attempt to reduce their writings in the voluntary market, and
918that such actions would worsen the availability problems that
919the association was created to remedy. It is the intent of the
920Legislature that insurers remain fully responsible for paying
921regular assessments and collecting emergency assessments for any
922deficits of the association; however, it is also the intent of
923the Legislature to provide a means by which assessment
924liabilities may be amortized over a period of years.
925     d.(I)  When the deficit incurred in a particular calendar
926year is 10 percent or less of the aggregate statewide direct
927written premium for property insurance for the prior calendar
928year for all member insurers, the association shall levy an
929assessment on member insurers in an amount equal to the deficit.
930     (II)  When the deficit incurred in a particular calendar
931year exceeds 10 percent of the aggregate statewide direct
932written premium for property insurance for the prior calendar
933year for all member insurers, the association shall levy an
934assessment on member insurers in an amount equal to the greater
935of 10 percent of the deficit or 10 percent of the aggregate
936statewide direct written premium for property insurance for the
937prior calendar year for member insurers. Any remaining deficit
938shall be recovered through emergency assessments under sub-sub-
939subparagraph (III).
940     (III)  Upon a determination by the board of directors that
941a deficit exceeds the amount that will be recovered through
942regular assessments on member insurers, pursuant to sub-sub-
943subparagraph (I) or sub-sub-subparagraph (II), the board shall
944levy, after verification by the department, emergency
945assessments to be collected by member insurers and by
946underwriting associations created pursuant to this section which
947write property insurance, upon issuance or renewal of property
948insurance policies other than National Flood Insurance policies
949in the year or years following levy of the regular assessments.
950The amount of the emergency assessment collected in a particular
951year shall be a uniform percentage of that year's direct written
952premium for property insurance for all member insurers and
953underwriting associations, excluding National Flood Insurance
954policy premiums, as annually determined by the board and
955verified by the department. The department shall verify the
956arithmetic calculations involved in the board's determination
957within 30 days after receipt of the information on which the
958determination was based. Notwithstanding any other provision of
959law, each member insurer and each underwriting association
960created pursuant to this section shall collect emergency
961assessments from its policyholders without such obligation being
962affected by any credit, limitation, exemption, or deferment. The
963emergency assessments so collected shall be transferred directly
964to the association on a periodic basis as determined by the
965association. The aggregate amount of emergency assessments
966levied under this sub-sub-subparagraph in any calendar year may
967not exceed the greater of 10 percent of the amount needed to
968cover the original deficit, plus interest, fees, commissions,
969required reserves, and other costs associated with financing of
970the original deficit, or 10 percent of the aggregate statewide
971direct written premium for property insurance written by member
972insurers and underwriting associations for the prior year, plus
973interest, fees, commissions, required reserves, and other costs
974associated with financing the original deficit. The board may
975pledge the proceeds of the emergency assessments under this sub-
976sub-subparagraph as the source of revenue for bonds, to retire
977any other debt incurred as a result of the deficit or events
978giving rise to the deficit, or in any other way that the board
979determines will efficiently recover the deficit. The emergency
980assessments under this sub-sub-subparagraph shall continue as
981long as any bonds issued or other indebtedness incurred with
982respect to a deficit for which the assessment was imposed remain
983outstanding, unless adequate provision has been made for the
984payment of such bonds or other indebtedness pursuant to the
985document governing such bonds or other indebtedness. Emergency
986assessments collected under this sub-sub-subparagraph are not
987part of an insurer's rates, are not premium, and are not subject
988to premium tax, fees, or commissions; however, failure to pay
989the emergency assessment shall be treated as failure to pay
990premium.
991     (IV)  Each member insurer's share of the total regular
992assessments under sub-sub-subparagraph (I) or sub-sub-
993subparagraph (II) shall be in the proportion that the insurer's
994net direct premium for property insurance in this state, for the
995year preceding the assessment bears to the aggregate statewide
996net direct premium for property insurance of all member
997insurers, as reduced by any credits for voluntary writings for
998that year.
999     (V)  If regular deficit assessments are made under sub-sub-
1000subparagraph (I) or sub-sub-subparagraph (II), or by the
1001Residential Property and Casualty Joint Underwriting Association
1002under sub-subparagraph (6)(b)3.a. or sub-subparagraph
1003(6)(b)3.b., the association shall levy upon the association's
1004policyholders, as part of its next rate filing, or by a separate
1005rate filing solely for this purpose, a market equalization
1006surcharge in a percentage equal to the total amount of such
1007regular assessments divided by the aggregate statewide direct
1008written premium for property insurance for member insurers for
1009the prior calendar year. Market equalization surcharges under
1010this sub-sub-subparagraph are not considered premium and are not
1011subject to commissions, fees, or premium taxes; however, failure
1012to pay a market equalization surcharge shall be treated as
1013failure to pay premium.
1014     e.  The governing body of any unit of local government, any
1015residents of which are insured under the plan, may issue bonds
1016as defined in s. 125.013 or s. 166.101 to fund an assistance
1017program, in conjunction with the association, for the purpose of
1018defraying deficits of the association. In order to avoid
1019needless and indiscriminate proliferation, duplication, and
1020fragmentation of such assistance programs, any unit of local
1021government, any residents of which are insured by the
1022association, may provide for the payment of losses, regardless
1023of whether or not the losses occurred within or outside of the
1024territorial jurisdiction of the local government. Revenue bonds
1025may not be issued until validated pursuant to chapter 75, unless
1026a state of emergency is declared by executive order or
1027proclamation of the Governor pursuant to s. 252.36 making such
1028findings as are necessary to determine that it is in the best
1029interests of, and necessary for, the protection of the public
1030health, safety, and general welfare of residents of this state
1031and the protection and preservation of the economic stability of
1032insurers operating in this state, and declaring it an essential
1033public purpose to permit certain municipalities or counties to
1034issue bonds as will provide relief to claimants and
1035policyholders of the association and insurers responsible for
1036apportionment of plan losses. Any such unit of local government
1037may enter into such contracts with the association and with any
1038other entity created pursuant to this subsection as are
1039necessary to carry out this paragraph. Any bonds issued under
1040this sub-subparagraph shall be payable from and secured by
1041moneys received by the association from assessments under this
1042subparagraph, and assigned and pledged to or on behalf of the
1043unit of local government for the benefit of the holders of such
1044bonds. The funds, credit, property, and taxing power of the
1045state or of the unit of local government shall not be pledged
1046for the payment of such bonds. If any of the bonds remain unsold
104760 days after issuance, the department shall require all
1048insurers subject to assessment to purchase the bonds, which
1049shall be treated as admitted assets; each insurer shall be
1050required to purchase that percentage of the unsold portion of
1051the bond issue that equals the insurer's relative share of
1052assessment liability under this subsection. An insurer shall not
1053be required to purchase the bonds to the extent that the
1054department determines that the purchase would endanger or impair
1055the solvency of the insurer. The authority granted by this sub-
1056subparagraph is additional to any bonding authority granted by
1057subparagraph 6.
1058     3.  The plan shall also provide that any member with a
1059surplus as to policyholders of $20 million or less writing 25
1060percent or more of its total countrywide property insurance
1061premiums in this state may petition the department, within the
1062first 90 days of each calendar year, to qualify as a limited
1063apportionment company. The apportionment of such a member
1064company in any calendar year for which it is qualified shall not
1065exceed its gross participation, which shall not be affected by
1066the formula for voluntary writings. In no event shall a limited
1067apportionment company be required to participate in any
1068apportionment of losses pursuant to sub-sub-subparagraph 2.d.(I)
1069or sub-sub-subparagraph 2.d.(II) in the aggregate which exceeds
1070$50 million after payment of available plan funds in any
1071calendar year. However, a limited apportionment company shall
1072collect from its policyholders any emergency assessment imposed
1073under sub-sub-subparagraph 2.d.(III). The plan shall provide
1074that, if the department determines that any regular assessment
1075will result in an impairment of the surplus of a limited
1076apportionment company, the department may direct that all or
1077part of such assessment be deferred. However, there shall be no
1078limitation or deferment of an emergency assessment to be
1079collected from policyholders under sub-sub-subparagraph
10802.d.(III).
1081     4.  The plan shall provide for the deferment, in whole or
1082in part, of a regular assessment of a member insurer under sub-
1083sub-subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II), but
1084not for an emergency assessment collected from policyholders
1085under sub-sub-subparagraph 2.d.(III), if, in the opinion of the
1086commissioner, payment of such regular assessment would endanger
1087or impair the solvency of the member insurer. In the event a
1088regular assessment against a member insurer is deferred in whole
1089or in part, the amount by which such assessment is deferred may
1090be assessed against the other member insurers in a manner
1091consistent with the basis for assessments set forth in sub-sub-
1092subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II).
1093     5.a.  The plan of operation may include deductibles and
1094rules for classification of risks and rate modifications
1095consistent with the objective of providing and maintaining funds
1096sufficient to pay catastrophe losses.
1097     b.  The association may require arbitration of a rate
1098filing under s. 627.062(6). It is the intent of the Legislature
1099that the rates for coverage provided by the association be
1100actuarially sound and not competitive with approved rates
1101charged in the admitted voluntary market such that the
1102association functions as a residual market mechanism to provide
1103insurance only when the insurance cannot be procured in the
1104voluntary market. The plan of operation shall provide a
1105mechanism to assure that, beginning no later than January 1,
11061999, the rates charged by the association for each line of
1107business are reflective of approved rates in the voluntary
1108market for hurricane coverage for each line of business in the
1109various areas eligible for association coverage.
1110     c.  The association shall provide for windstorm coverage on
1111residential properties in limits up to $10 million for
1112commercial lines residential risks and up to $1 million for
1113personal lines residential risks. If coverage with the
1114association is sought for a residential risk valued in excess of
1115these limits, coverage shall be available to the risk up to the
1116replacement cost or actual cash value of the property, at the
1117option of the insured, if coverage for the risk cannot be
1118located in the authorized market. The association must accept a
1119commercial lines residential risk with limits above $10 million
1120or a personal lines residential risk with limits above $1
1121million if coverage is not available in the authorized market.
1122The association may write coverage above the limits specified in
1123this subparagraph with or without facultative or other
1124reinsurance coverage, as the association determines appropriate.
1125     d.  The plan of operation must provide objective criteria
1126and procedures, approved by the department, to be uniformly
1127applied for all applicants in determining whether an individual
1128risk is so hazardous as to be uninsurable. In making this
1129determination and in establishing the criteria and procedures,
1130the following shall be considered:
1131     (I)  Whether the likelihood of a loss for the individual
1132risk is substantially higher than for other risks of the same
1133class; and
1134     (II)  Whether the uncertainty associated with the
1135individual risk is such that an appropriate premium cannot be
1136determined.
1137
1138The acceptance or rejection of a risk by the association
1139pursuant to such criteria and procedures must be construed as
1140the private placement of insurance, and the provisions of
1141chapter 120 do not apply.
1142     e.  If the risk accepts an offer of coverage through the
1143market assistance program or through a mechanism established by
1144the association, either before the policy is issued by the
1145association or during the first 30 days of coverage by the
1146association, and the producing agent who submitted the
1147application to the association is not currently appointed by the
1148insurer, the insurer shall:
1149     (I)  Pay to the producing agent of record of the policy,
1150for the first year, an amount that is the greater of the
1151insurer's usual and customary commission for the type of policy
1152written or a fee equal to the usual and customary commission of
1153the association; or
1154     (II)  Offer to allow the producing agent of record of the
1155policy to continue servicing the policy for a period of not less
1156than 1 year and offer to pay the agent the greater of the
1157insurer's or the association's usual and customary commission
1158for the type of policy written.
1159
1160If the producing agent is unwilling or unable to accept
1161appointment, the new insurer shall pay the agent in accordance
1162with sub-sub-subparagraph (I). Subject to the provisions of s.
1163627.3517, the policies issued by the association must provide
1164that if the association obtains an offer from an authorized
1165insurer to cover the risk at its approved rates under either a
1166standard policy including wind coverage or, if consistent with
1167the insurer's underwriting rules as filed with the department, a
1168basic policy including wind coverage, the risk is no longer
1169eligible for coverage through the association. Upon termination
1170of eligibility, the association shall provide written notice to
1171the policyholder and agent of record stating that the
1172association policy must be canceled as of 60 days after the date
1173of the notice because of the offer of coverage from an
1174authorized insurer. Other provisions of the insurance code
1175relating to cancellation and notice of cancellation do not apply
1176to actions under this sub-subparagraph.
1177     f.  When the association enters into a contractual
1178agreement for a take-out plan, the producing agent of record of
1179the association policy is entitled to retain any unearned
1180commission on the policy, and the insurer shall:
1181     (I)  Pay to the producing agent of record of the
1182association policy, for the first year, an amount that is the
1183greater of the insurer's usual and customary commission for the
1184type of policy written or a fee equal to the usual and customary
1185commission of the association; or
1186     (II)  Offer to allow the producing agent of record of the
1187association policy to continue servicing the policy for a period
1188of not less than 1 year and offer to pay the agent the greater
1189of the insurer's or the association's usual and customary
1190commission for the type of policy written.
1191
1192If the producing agent is unwilling or unable to accept
1193appointment, the new insurer shall pay the agent in accordance
1194with sub-sub-subparagraph (I).
1195     6.a.  The plan of operation may authorize the formation of
1196a private nonprofit corporation, a private nonprofit
1197unincorporated association, a partnership, a trust, a limited
1198liability company, or a nonprofit mutual company which may be
1199empowered, among other things, to borrow money by issuing bonds
1200or by incurring other indebtedness and to accumulate reserves or
1201funds to be used for the payment of insured catastrophe losses.
1202The plan may authorize all actions necessary to facilitate the
1203issuance of bonds, including the pledging of assessments or
1204other revenues.
1205     b.  Any entity created under this subsection, or any entity
1206formed for the purposes of this subsection, may sue and be sued,
1207may borrow money; issue bonds, notes, or debt instruments;
1208pledge or sell assessments, market equalization surcharges and
1209other surcharges, rights, premiums, contractual rights,
1210projected recoveries from the Florida Hurricane Catastrophe
1211Fund, other reinsurance recoverables, and other assets as
1212security for such bonds, notes, or debt instruments; enter into
1213any contracts or agreements necessary or proper to accomplish
1214such borrowings; and take other actions necessary to carry out
1215the purposes of this subsection. The association may issue bonds
1216or incur other indebtedness, or have bonds issued on its behalf
1217by a unit of local government pursuant to subparagraph (6)(g)2.,
1218in the absence of a hurricane or other weather-related event,
1219upon a determination by the association subject to approval by
1220the department that such action would enable it to efficiently
1221meet the financial obligations of the association and that such
1222financings are reasonably necessary to effectuate the
1223requirements of this subsection. Any such entity may accumulate
1224reserves and retain surpluses as of the end of any association
1225year to provide for the payment of losses incurred by the
1226association during that year or any future year. The association
1227shall incorporate and continue the plan of operation and
1228articles of agreement in effect on the effective date of chapter
122976-96, Laws of Florida, to the extent that it is not
1230inconsistent with chapter 76-96, and as subsequently modified
1231consistent with chapter 76-96. The board of directors and
1232officers currently serving shall continue to serve until their
1233successors are duly qualified as provided under the plan. The
1234assets and obligations of the plan in effect immediately prior
1235to the effective date of chapter 76-96 shall be construed to be
1236the assets and obligations of the successor plan created herein.
1237     c.  In recognition of s. 10, Art. I of the State
1238Constitution, prohibiting the impairment of obligations of
1239contracts, it is the intent of the Legislature that no action be
1240taken whose purpose is to impair any bond indenture or financing
1241agreement or any revenue source committed by contract to such
1242bond or other indebtedness issued or incurred by the association
1243or any other entity created under this subsection.
1244     7.  On such coverage, an agent's remuneration shall be that
1245amount of money payable to the agent by the terms of his or her
1246contract with the company with which the business is placed.
1247However, no commission will be paid on that portion of the
1248premium which is in excess of the standard premium of that
1249company.
1250     8.  Subject to approval by the department, the association
1251may establish different eligibility requirements and operational
1252procedures for any line or type of coverage for any specified
1253eligible area or portion of an eligible area if the board
1254determines that such changes to the eligibility requirements and
1255operational procedures are justified due to the voluntary market
1256being sufficiently stable and competitive in such area or for
1257such line or type of coverage and that consumers who, in good
1258faith, are unable to obtain insurance through the voluntary
1259market through ordinary methods would continue to have access to
1260coverage from the association. When coverage is sought in
1261connection with a real property transfer, such requirements and
1262procedures shall not provide for an effective date of coverage
1263later than the date of the closing of the transfer as
1264established by the transferor, the transferee, and, if
1265applicable, the lender.
1266     9.  Notwithstanding any other provision of law:
1267     a.  The pledge or sale of, the lien upon, and the security
1268interest in any rights, revenues, or other assets of the
1269association created or purported to be created pursuant to any
1270financing documents to secure any bonds or other indebtedness of
1271the association shall be and remain valid and enforceable,
1272notwithstanding the commencement of and during the continuation
1273of, and after, any rehabilitation, insolvency, liquidation,
1274bankruptcy, receivership, conservatorship, reorganization, or
1275similar proceeding against the association under the laws of
1276this state or any other applicable laws.
1277     b.  No such proceeding shall relieve the association of its
1278obligation, or otherwise affect its ability to perform its
1279obligation, to continue to collect, or levy and collect,
1280assessments, market equalization or other surcharges, projected
1281recoveries from the Florida Hurricane Catastrophe Fund,
1282reinsurance recoverables, or any other rights, revenues, or
1283other assets of the association pledged.
1284     c.  Each such pledge or sale of, lien upon, and security
1285interest in, including the priority of such pledge, lien, or
1286security interest, any such assessments, emergency assessments,
1287market equalization or renewal surcharges, projected recoveries
1288from the Florida Hurricane Catastrophe Fund, reinsurance
1289recoverables, or other rights, revenues, or other assets which
1290are collected, or levied and collected, after the commencement
1291of and during the pendency of or after any such proceeding shall
1292continue unaffected by such proceeding.
1293     d.  As used in this subsection, the term "financing
1294documents" means any agreement, instrument, or other document
1295now existing or hereafter created evidencing any bonds or other
1296indebtedness of the association or pursuant to which any such
1297bonds or other indebtedness has been or may be issued and
1298pursuant to which any rights, revenues, or other assets of the
1299association are pledged or sold to secure the repayment of such
1300bonds or indebtedness, together with the payment of interest on
1301such bonds or such indebtedness, or the payment of any other
1302obligation of the association related to such bonds or
1303indebtedness.
1304     e.  Any such pledge or sale of assessments, revenues,
1305contract rights or other rights or assets of the association
1306shall constitute a lien and security interest, or sale, as the
1307case may be, that is immediately effective and attaches to such
1308assessments, revenues, contract, or other rights or assets,
1309whether or not imposed or collected at the time the pledge or
1310sale is made. Any such pledge or sale is effective, valid,
1311binding, and enforceable against the association or other entity
1312making such pledge or sale, and valid and binding against and
1313superior to any competing claims or obligations owed to any
1314other person or entity, including policyholders in this state,
1315asserting rights in any such assessments, revenues, contract, or
1316other rights or assets to the extent set forth in and in
1317accordance with the terms of the pledge or sale contained in the
1318applicable financing documents, whether or not any such person
1319or entity has notice of such pledge or sale and without the need
1320for any physical delivery, recordation, filing, or other action.
1321     f.  There shall be no liability on the part of, and no
1322cause of action of any nature shall arise against, any member
1323insurer or its agents or employees, agents or employees of the
1324association, members of the board of directors of the
1325association, or the department or its representatives, for any
1326action taken by them in the performance of their duties or
1327responsibilities under this subsection. Such immunity does not
1328apply to actions for breach of any contract or agreement
1329pertaining to insurance, or any willful tort.
1330     Section 17.  Paragraph (a) of subsection (2) of section
1331627.4025, Florida Statutes, is amended to read:
1332     627.4025  Residential coverage and hurricane coverage
1333defined.--
1334     (2)  As used in policies providing residential coverage:
1335     (a)  "Hurricane coverage" is coverage for loss or damage
1336caused by the peril of windstorm during a hurricane. The term
1337includes ensuing damage to the interior of a building, or to
1338property inside a building, caused by rain, snow, sleet, hail,
1339sand, or dust if the direct force of the windstorm first damages
1340the building, causing an opening through which rain, snow,
1341sleet, hail, sand, or dust enters and causes damage. The term
1342also includes coverage for damage to the interior of a building,
1343or to property inside a building, which is caused by wind-driven
1344water entering the building during a hurricane.
1345     Section 18.  Effective upon this act becoming a law,
1346subsection (7) is added to section 627.4133, Florida Statutes,
1347to read:
1348     627.4133  Notice of cancellation, nonrenewal, or renewal
1349premium.--
1350     (7)  An insurer may not cancel or nonrenew a residential
1351property insurance policy for any reason other than a fraudulent
1352act by the policyholder with respect to that or any other
1353policy, for a policyholder who has been continuously insured
1354with that insurer or with an insurer within the same insurance
1355group for 3 years or longer.
1356     Section 19.  Subsection (1) of section 627.4145, Florida
1357Statutes, is amended to read:
1358     627.4145  Readable language in insurance policies.--
1359     (1)  Every policy shall be readable as required by this
1360section. For the purposes of this section, the term "policy"
1361means a policy form or endorsement. A policy is deemed readable
1362if:
1363     (a)  The text achieves a minimum score of 50 45 on the
1364Flesch reading ease test as computed in subsection (5) or an
1365equivalent score on any other test comparable in result and
1366approved by the office.;
1367     (b)  It uses layout and spacing which separate the
1368paragraphs from each other and from the border of the paper.;
1369     (c)  It has section titles that are captioned in boldfaced
1370type or that otherwise stand out significantly from the text.;
1371     (d)  It avoids the use of unnecessarily long, complicated,
1372or obscure words, sentences, paragraphs, or constructions.;
1373     (e)  The style, arrangement, and overall appearance of the
1374policy give no undue prominence to any portion of the text of
1375the policy or to any endorsements or riders.; and
1376     (f)  It contains a table of contents or an index of the
1377principal sections of the policy, if the policy has more than
13783,000 words or more than three pages.
1379     Section 20.  Section 627.41494, Florida Statutes, is
1380created to read:
1381     627.41494  Consumer participation in rate review.--
1382     (1)  Upon the filing of a proposed rate change for
1383residential property insurance by an insurer under s. 627.062,
1384which filing would, pursuant to standards determined by the
1385office, result in an average statewide increase of 10 percent or
1386more as compared to the rates in effect at that time or the
1387rates in effect 12 months prior to the proposed effective date,
1388the insurer shall mail notice of such filing to each of its
1389policyholders or members.
1390     (2)  The rate filing shall be available for public
1391inspection. If any policyholder or member requests the office
1392within 30 days after the mailing of such notification pursuant
1393to subsection (1) to hold a hearing, the office shall hold a
1394hearing within 30 days after such request. Any consumer advocacy
1395group or the Public Counsel under chapter 11 may participate in
1396such hearing, and the commission may adopt rules governing such
1397participation.
1398     (3)  For purposes of this section, the term "consumer
1399advocacy group" means an organization with a membership of at
1400least 1,000 individuals, the purpose of which is to represent
1401the best interests of the public in matters relating, but not
1402limited, to insurance rate filings before the office. The
1403consumer advocacy group may:
1404     (a)  Appear in any proceeding or action before the
1405department or office or appear in any proceeding before the
1406Division of Administrative Hearings relating to rate filings
1407subject to subsection (1).
1408     (b)  Have access to and use of all files, records, and data
1409of the office relating to such rate filings.
1410     (c)  Examine such rate and form filings submitted to the
1411office.
1412     (d)  Recommend to the office any position deemed by the
1413group to be in the best interest of the public in matters
1414relating to such rate filings.
1415
1416This subsection does not limit the rights of a consumer advocacy
1417group to have access to records of the office as otherwise
1418available pursuant to law.
1419     (4)  The office shall order the insurer to pay the
1420reasonable costs of the consumer advocacy group if the office
1421determines that the consumer advocacy group made a relevant and
1422substantial contribution to the final order on the rate filing.
1423In determining the reasonable costs the insurer shall pay the
1424consumer advocacy group, the office shall consider, among other
1425things, the time, labor, fees, and expenses incurred by the
1426advocacy group.
1427     Section 21.  Effective upon this act becoming a law,
1428subsection (3) of section 627.701, Florida Statutes, is amended
1429to read:
1430     627.701  Liability of insureds; coinsurance; deductibles.--
1431     (3)(a)  A policy of residential property insurance shall
1432include a deductible amount applicable to hurricane losses no
1433lower than $500 and no higher than 5 2 percent of the policy
1434dwelling limits with respect to personal lines residential
1435risks, and no higher than 3 percent of the policy limits with
1436respect to commercial lines residential risks; however, if a
1437risk was covered on August 24, 1992, under a policy having a
1438higher deductible than the deductibles allowed by this
1439paragraph, a policy covering such risk may include a deductible
1440no higher than the deductible in effect on August 24, 1992.
1441Notwithstanding the other provisions of this paragraph, a
1442personal lines residential policy covering a risk valued at
1443$50,000 or less may include a deductible amount attributable to
1444hurricane losses no lower than $250, and a personal lines
1445residential policy covering a risk valued at $100,000 or more
1446may include a deductible amount attributable to hurricane losses
1447no higher than 10 percent of the policy limits unless subject to
1448a higher deductible on August 24, 1992; however, no maximum
1449deductible is required with respect to a personal lines
1450residential policy covering a risk valued at more than $500,000.
1451An insurer may require a higher deductible, provided such
1452deductible is the same as or similar to a deductible program
1453lawfully in effect on June 14, 1995. In addition to the
1454deductible amounts authorized by this paragraph, an insurer may
1455also offer policies with a copayment provision under which,
1456after exhaustion of the deductible, the policyholder is
1457responsible for 10 percent of the next $10,000 of insured
1458hurricane losses.
1459     (b)1.  Except as otherwise provided in this paragraph,
1460prior to issuing a personal lines residential property insurance
1461policy on or after July January 1, 2006, or prior to the first
1462renewal of a residential property insurance policy on or after
1463July January 1, 2006, the insurer must offer alternative
1464deductible amounts applicable to hurricane losses equal to $500,
14651 percent, 2 percent, 5 percent, and 10 percent of the policy
1466dwelling limits, but it need not offer a deductible expressed as
1467a percentage when that unless the specific percentage deductible
1468is less than $500. The written notice of the offer shall specify
1469the hurricane or wind deductible to be applied in the event that
1470the applicant or policyholder fails to affirmatively choose a
1471hurricane deductible. The insurer must provide such policyholder
1472with notice of the availability of the deductible amounts
1473specified in this paragraph in a form approved by the office in
1474conjunction with each renewal of the policy. The failure to
1475provide such notice constitutes a violation of this code but
1476does not affect the coverage provided under the policy.
1477     2.  This paragraph does not apply with respect to a
1478deductible program lawfully in effect on June 14, 1995, or to
1479any similar deductible program, if the deductible program
1480requires a minimum deductible amount of no less than 1 2 percent
1481of the policy limits.
1482     3.  With respect to a policy covering a risk with dwelling
1483limits of at least $100,000, but less than $250,000, the insurer
1484may, in lieu of offering a policy with a $500 hurricane or wind
1485deductible as required by subparagraph 1., offer a policy that
1486the insurer guarantees it will not nonrenew for reasons of
1487reducing hurricane loss for one renewal period and that contains
1488up to a 2 percent hurricane or wind deductible as required by
1489subparagraph 1.
1490     3.4.  With respect to a policy covering a risk with
1491dwelling limits of $250,000 or more, the insurer need not offer
1492the $500 hurricane deductible as required by subparagraph 1.,
1493but must, except as otherwise provided in this subsection, offer
1494the other hurricane deductibles as required by subparagraph 1.
1495     Section 22.  Section 627.70105, Florida Statutes, is
1496created to read:
1497     627.70105  Hurricane coverage; additional
1498requirement.--Each insurance contract providing hurricane
1499coverage must include a provision that, if insured residential
1500property becomes uninhabitable due to damage from a hurricane
1501and the insurer is liable for living expenses of the insured
1502while the covered property remains uninhabitable, initial living
1503expense payments must be delivered to the insured no later than
150448 hours after a claim therefor is made with the insurer.
1505     Section 23.  The sum of $50 million is appropriated for
1506fiscal year 2006-2007 on a nonrecurring basis from the General
1507Revenue Fund to the Department of Community Affairs in the
1508special appropriation category "Residential Hurricane Mitigation
1509Low-Interest Loan Program" for low-interest loans to qualified
1510owners of residences and qualified owners of mobile homes to
1511finance efforts to improve the wind resistance of residences to
1512prevent or reduce losses or reduce the cost of rebuilding after
1513a disaster with a requirement of repayment by the owner, as
1514provided in section 8. These funds shall be subject to the
1515release provisions of chapter 216, Florida Statutes. Up to 0.5
1516percent of this appropriation may be used by the department for
1517administration of the loan program.
1518     Section 24.  Except as otherwise expressly provided in this
1519act, this act shall take effect July 1, 2006.


CODING: Words stricken are deletions; words underlined are additions.