Senate Bill sb1966c1

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    Florida Senate - 2006                           CS for SB 1966

    By the Committee on Commerce and Consumer Services; and
    Senators Garcia, Lynn and Atwater




    577-2056-06

  1                      A bill to be entitled

  2         An act relating to corporation not for profit

  3         self-insurance funds; creating s. 624.4624,

  4         F.S.; authorizing two or more corporations not

  5         for profit to form a self-insurance fund for

  6         certain purposes; providing specific

  7         requirements; providing an effective date.

  8  

  9  Be It Enacted by the Legislature of the State of Florida:

10  

11         Section 1.  Section 624.4624, Florida Statutes, is

12  created to read:

13         624.4624  Corporation not for profit self-insurance

14  funds.--

15         (1)  Notwithstanding any other provision of law, any

16  two or more corporations not for profit located in and

17  organized under the laws of this state may form a

18  self-insurance fund for the purpose of pooling and spreading

19  liabilities of its group members in any property or casualty

20  risk or surety insurance or securing the payment of benefits

21  under chapter 440, provided the nonprofit organization

22  self-insurance fund that is created:

23         (a)  Has annual normal premiums in excess of $5

24  million.

25         (b)  Requires for qualification that each participating

26  member receive at least 75 percent of its revenues from local,

27  state, or federal governmental sources.

28         (c)  Uses a qualified actuary to determine rates using

29  accepted actuarial principles and annually submits to the

30  office a certification by the actuary that the rates are

31  

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    Florida Senate - 2006                           CS for SB 1966
    577-2056-06




 1  actuarially sound and are not inadequate, as defined in s.

 2  627.062.

 3         (d)  Uses a qualified actuary to establish reserves for

 4  loss and loss adjustment expenses and annually submits to the

 5  office a certification by the actuary that the loss and loss

 6  adjustment expense reserves are adequate. If the actuary

 7  determines that reserves are not adequate, the fund shall file

 8  a remedial plan for increasing the reserves or otherwise

 9  addressing the financial condition of the fund, subject to a

10  determination by the office that the fund will operate on an

11  actuarially sound basis and does not pose a significant risk

12  of insolvency.

13         (e)  Maintains a continuing program of excess insurance

14  coverage and reserve evaluation to protect the financial

15  stability of the fund in an amount and manner determined by a

16  qualified actuary. At a minimum, this program must:

17         1.  Purchase excess insurance from authorized insurance

18  carriers; and

19         2.  Retain a per-loss occurrence that does not exceed

20  $350,000.

21         (f)  Submits to the office annually an audited fiscal

22  year-end financial statement by an independent certified

23  public accountant within 6 months after the end of the fiscal

24  year.

25         (g)  Has a governing body that is comprised entirely of

26  nonprofit organization officials.

27         (h)  Uses knowledgeable persons or business entities to

28  administer or service the fund in the areas of claims

29  administration, claims adjusting, underwriting, risk

30  management, loss control, policy administration, financial

31  audit, and legal. Such persons or business entities must meet

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    Florida Senate - 2006                           CS for SB 1966
    577-2056-06




 1  all applicable requirements of law for state licensure and

 2  must have at least 5 years' experience with commercial

 3  self-insurance funds formed under s. 624.462, self-insurance

 4  funds formed under s. 624.4662, or domestic insurers.

 5         (i)  Submits to the office copies of contracts used for

 6  its members which clearly establish the liability of each

 7  member for the obligations of the fund.

 8         (j)  Annually submits to the office a certification by

 9  the governing body of the fund that, to the best of its

10  knowledge, the requirements of this section are met.

11         (2)  As used in this section, the term "qualified

12  actuary" means an actuary that is a member of the Casualty

13  Actuarial Society or the American Academy of Actuaries.

14         (3)  A corporation not for profit self-insurance fund

15  that meets the requirements of this section is not:

16         (a)  Subject to the premium tax imposed by s. 624.509;

17         (b)  An insurer for purposes of participation in, or

18  coverage by, any insurance guaranty association established by

19  chapter 631; or

20         (c)  Subject to s. 624.4621 and is not required to file

21  any report with the department under s. 440.38(2)(b) which is

22  uniquely required of group self-insurer funds qualified under

23  s. 624.4621.

24         (4)  If any of the requirements of this section are not

25  met, a corporation not for profit self-insurance fund is

26  subject to the requirements of s. 624.4621 if the fund

27  provides only workers' compensation coverage, or is subject to

28  the requirements of ss. 624.460-624.488 if the fund provides

29  coverage for other property, casualty, or surety risks.

30         Section 2.  This act shall take effect July 1, 2006.

31  

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    Florida Senate - 2006                           CS for SB 1966
    577-2056-06




 1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 2                         Senate Bill 1966

 3                                 

 4  This committee substitute differs from the bill as filed in
    that it:
 5  
    -    uses a qualified actuary (as defined) to determine rates
 6       who annually submits to the Office of Insurance
         Regulation (OIR) a certification that the rates are
 7       actuarially sound and are not inadequate;

 8  -    uses a qualified actuary to establish reserves who
         annually submits to OIR a certification that the reserves
 9       are adequate, subject to a requirement for the fund to
         file a remedial plan if the reserves are not adequate;
10  
    -    maintains excess insurance, with a retention (amount of
11       loss retained or assumed by the fund) that does not
         exceed $350,000 per occurrence;
12  
    -    uses knowledgeable personnel to administer the fund that
13       have a minimum of 5 years experience with commercial
         self-insurance funds, group self-insurance funds, or
14       domestic insurers and that such persons must meet all of
         the licensure requirements;
15  
    -    submits to OIR contracts used for its members which
16       clearly establish the liability of each member for
         obligations of the fund; and
17  
    -    annually submits to OIR a certification by the governing
18       body that, to the best of its knowledge, the requirement
         of this law are met.
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