1 | The Commerce Council recommends the following: |
2 | Council/Committee Substitute |
3 | Remove the entire bill and insert: |
4 | A bill to be entitled |
5 | An act relating to sinkhole insurance; amending s. |
6 | 627.706, F.S.; allowing a deductible amount applicable to |
7 | sinkhole losses in a policy for residential property |
8 | insurance; defining the term "professional engineer"; |
9 | amending s. 627.707, F.S.; revising references to certain |
10 | engineers; authorizing insurers to make direct payment for |
11 | certain repairs; excluding insurers from liability for |
12 | repairs under certain circumstances; amending s. 627.7072, |
13 | F.S.; revising references to certain engineers; |
14 | eliminating the requirement for certain testing |
15 | compliance; amending s. 627.7073, F.S.; revising |
16 | requirements for sinkhole reports by professional |
17 | engineers and professional geologists; providing for the |
18 | recording of sinkhole reports by the clerk of court rather |
19 | than the property appraiser; creating s. 627.7074, F.S.; |
20 | prescribing an alternative method for resolving disputed |
21 | sinkhole insurance claims; providing definitions; |
22 | prescribing procedures for invoking the alternative |
23 | method; providing that a recommendation by a neutral |
24 | evaluator is not binding on any party; providing for |
25 | payments of costs; requiring the insurer to pay attorney's |
26 | fees of the policyholder up to a specified amount under |
27 | certain conditions; providing that an insurer is not |
28 | liable for attorney's fees or for certain damages under |
29 | certain conditions; providing for judicial review; |
30 | amending s. 877.02, F.S.; prohibiting certain |
31 | solicitations by contractors and other persons providing |
32 | sinkhole remediation services; providing penalties; |
33 | providing effective dates. |
34 |
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35 | Be It Enacted by the Legislature of the State of Florida: |
36 |
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37 | Section 1. Subsection (1) and paragraph (d) of subsection |
38 | (2) of section 627.706, Florida Statutes, are amended to read: |
39 | 627.706 Sinkhole insurance; definitions.-- |
40 | (1) Every insurer authorized to transact property |
41 | insurance in this state shall make available coverage for |
42 | insurable sinkhole losses on any structure, including contents |
43 | of personal property contained therein, to the extent provided |
44 | in the form to which the sinkhole coverage attaches. A policy |
45 | for residential property insurance may include a deductible |
46 | amount applicable to sinkhole losses equal to 1 percent, 2 |
47 | percent, 5 percent, or 10 percent of the policy dwelling limits, |
48 | with appropriate premium discounts offered with each deductible |
49 | amount. |
50 | (2) As used in ss. 627.706-627.7074, and as used in |
51 | connection with any policy providing coverage for sinkhole |
52 | losses: |
53 | (d) "Professional engineer" means a person, as defined in |
54 | s. 471.005, who has a bachelor's degree or higher in engineering |
55 | with a specialty in the geotechnical engineering field. A |
56 | professional An engineer must have geotechnical experience and |
57 | expertise in the identification of sinkhole activity as well as |
58 | other potential causes of damage to the structure. |
59 | Section 2. Subsections (2), (3), (5), (6), and (9) of |
60 | section 627.707, Florida Statutes, are amended to read: |
61 | 627.707 Standards for investigation of sinkhole claims by |
62 | insurers; nonrenewals.--Upon receipt of a claim for a sinkhole |
63 | loss, an insurer must meet the following standards in |
64 | investigating a claim: |
65 | (2) Following the insurer's initial inspection, the |
66 | insurer shall engage a professional an engineer or a |
67 | professional geologist to conduct testing as provided in s. |
68 | 627.7072 to determine the cause of the loss within a reasonable |
69 | professional probability and issue a report as provided in s. |
70 | 627.7073, if: |
71 | (a) The insurer is unable to identify a valid cause of the |
72 | damage or discovers damage to the structure which is consistent |
73 | with sinkhole loss; or |
74 | (b) The policyholder demands testing in accordance with |
75 | this section or s. 627.7072. |
76 | (3) Following the initial inspection of the insured |
77 | premises, the insurer shall provide written notice to the |
78 | policyholder disclosing the following information: |
79 | (a) What the insurer has determined to be the cause of |
80 | damage, if the insurer has made such a determination. |
81 | (b) A statement of the circumstances under which the |
82 | insurer is required to engage a professional an engineer or a |
83 | professional geologist to verify or eliminate sinkhole loss and |
84 | to engage a professional an engineer to make recommendations |
85 | regarding land and building stabilization and foundation repair. |
86 | (c) A statement regarding the right of the policyholder to |
87 | request testing by a professional an engineer or a professional |
88 | geologist and the circumstances under which the policyholder may |
89 | demand certain testing. |
90 | (5)(a) Subject to paragraph (b), if a sinkhole loss is |
91 | verified, the insurer shall pay to stabilize the land and |
92 | building and repair the foundation in accordance with the |
93 | recommendations of the professional engineer as provided under |
94 | s. 627.7073, and in consultation with the policyholder, subject |
95 | to the coverage and terms of the policy. The insurer shall pay |
96 | for other repairs to the structure and contents in accordance |
97 | with the terms of the policy. |
98 | (b) The insurer may limit its payment to the actual cash |
99 | value of the sinkhole loss, not including underpinning or |
100 | grouting or any other repair technique performed below the |
101 | existing foundation of the building, until the policyholder |
102 | enters into a contract for the performance of building |
103 | stabilization or foundation repairs. After the policyholder |
104 | enters into the contract, the insurer shall pay the amounts |
105 | necessary to begin and perform such repairs as the work is |
106 | performed and the expenses are incurred. The insurer may not |
107 | require the policyholder to advance payment for such repairs. If |
108 | repair covered by a personal lines residential property |
109 | insurance policy has begun and the professional engineer |
110 | selected or approved by the insurer determines that the repair |
111 | cannot be completed within the policy limits, the insurer must |
112 | either complete the professional engineer's recommended repair |
113 | or tender the policy limits to the policyholder without a |
114 | reduction for the repair expenses incurred. |
115 | (c) Upon the insurer's obtaining the written approval of |
116 | the policyholder and any lienholder, the insurer may make |
117 | payment directly to the persons selected by the policyholder to |
118 | perform the land and building stabilization and foundation |
119 | repairs. The decision by the insurer to make payment to such |
120 | persons does not hold the insurer liable for the work performed. |
121 | (6) Except as provided in subsection (7), the fees and |
122 | costs of the professional engineer or the professional geologist |
123 | shall be paid by the insurer. |
124 | (9) The insurer may engage a professional structural |
125 | engineer to make recommendations as to the repair of the |
126 | structure. |
127 | Section 3. Section 627.7072, Florida Statutes, is amended |
128 | to read: |
129 | 627.7072 Testing standards for sinkholes.-- |
130 | (1) The professional engineer or and professional |
131 | geologist shall perform such tests as sufficient, in their |
132 | professional opinion, to determine the presence or absence of |
133 | sinkhole loss or other cause of damage within reasonable |
134 | professional probability and for the professional engineer to |
135 | make recommendations regarding necessary building stabilization |
136 | and foundation repair. |
137 | (2) Testing by a professional geologist shall be conducted |
138 | in compliance with the Florida Geological Survey Special |
139 | Publication No. 57 (2005). |
140 | Section 4. Subsections (1) and (2) of section 627.7073, |
141 | Florida Statutes, are amended to read: |
142 | 627.7073 Sinkhole reports.-- |
143 | (1) Upon completion of testing as provided in s. 627.7072, |
144 | the professional engineer or and professional geologist shall |
145 | issue a report and certification to the insurer and the |
146 | policyholder as provided in this section. |
147 | (a) Sinkhole loss is verified if, based upon tests |
148 | performed in accordance with s. 627.7072, a professional an |
149 | engineer or and a professional geologist issue a written report |
150 | and certification stating: |
151 | 1. That the cause of the actual physical and structural |
152 | damage is sinkhole activity within a reasonable professional |
153 | probability. |
154 | 2. That the analyses conducted were of sufficient scope to |
155 | identify sinkhole activity as the cause of damage within a |
156 | reasonable professional probability. |
157 | 3. A description of the tests performed. |
158 | 4. A recommendation by the professional engineer of |
159 | methods for stabilizing the land and building and for making |
160 | repairs to the foundation. |
161 | (b) If sinkhole activity is eliminated as the cause of |
162 | damage to the structure, the professional engineer or and |
163 | professional geologist shall issue a written report and |
164 | certification to the policyholder and the insurer stating: |
165 | 1. That the cause of the damage is not sinkhole activity |
166 | within a reasonable professional probability. |
167 | 2. That the analyses and tests conducted were of |
168 | sufficient scope to eliminate sinkhole activity as the cause of |
169 | damage within a reasonable professional probability. |
170 | 3. A statement of the cause of the damage within a |
171 | reasonable professional probability. |
172 | 4. A description of the tests performed. |
173 | (c) The respective findings, opinions, and recommendations |
174 | of the professional engineer or and professional geologist as to |
175 | the cause of distress to the property verification or |
176 | elimination of a sinkhole loss and the findings, opinions, and |
177 | recommendations of the professional engineer as to land and |
178 | building stabilization and foundation repair shall be presumed |
179 | correct. |
180 | (2) Any insurer that has paid a claim for a sinkhole loss |
181 | shall file a copy of the report and certification, prepared |
182 | pursuant to subsection (1), with the county clerk of court |
183 | property appraiser, who shall record the report and |
184 | certification with the parcel number. The insurer shall bear the |
185 | cost of filing and recording the report and certification. There |
186 | shall be no cause of action or liability against an insurer for |
187 | compliance with this section. The seller of real property upon |
188 | which a sinkhole claim has been made shall disclose to the buyer |
189 | of such property that a claim has been paid and whether or not |
190 | the full amount of the proceeds were used to repair the sinkhole |
191 | damage. |
192 | Section 5. Effective October 1, 2006, section 627.7074, |
193 | Florida Statutes, is created to read: |
194 | 627.7074 Alternative procedure for resolution of disputed |
195 | sinkhole insurance claims.-- |
196 | (1) As used in this section, the term: |
197 | (a) "Neutral evaluation" means the alternative dispute |
198 | resolution provided for in this section. |
199 | (b) "Neutral evaluator" means a professional engineer or a |
200 | professional geologist who has completed a course of study in |
201 | alternative dispute resolution designed or approved by the |
202 | department for use in the neutral evaluation process, who is |
203 | determined to be fair and impartial. |
204 | (2)(a) The department shall certify and maintain a list of |
205 | persons who are neutral evaluators. |
206 | (b) The department shall prepare a consumer information |
207 | pamphlet for distribution by insurers to policyholders which |
208 | clearly describes the neutral evaluation process and includes |
209 | information and forms necessary for the policyholder to request |
210 | a neutral evaluation. |
211 | (3) Following the receipt of the report provided under s. |
212 | 627.7073 or the denial of a claim for a sinkhole loss, the |
213 | insurer shall notify the policyholder of his or her right to |
214 | participate in the neutral evaluation program under this |
215 | section. Neutral evaluation supersedes the alternative dispute |
216 | resolution process under s. 627.7015. The insurer shall provide |
217 | to the policyholder the consumer information pamphlet prepared |
218 | by the department pursuant to paragraph (2)(b). |
219 | (4) Neutral evaluation is optional and nonbinding. Either |
220 | the policyholder or the insurer may decline to participate. A |
221 | request for neutral evaluation may be filed with the department |
222 | by the policyholder or the insurer on a form approved by the |
223 | department. The request for neutral evaluation must state the |
224 | reason for the request and must include an explanation of all |
225 | the issues in dispute at the time of the request. Filing a |
226 | request for neutral evaluation tolls the applicable time |
227 | requirements for filing suit for a period of 60 days following |
228 | the conclusion of the neutral evaluation process or the time |
229 | prescribed in s. 95.11, whichever is later. |
230 | (5) Neutral evaluation shall be conducted as an informal |
231 | process in which formal rules of evidence and procedure need not |
232 | be observed. A party to neutral evaluation is not required to |
233 | attend neutral evaluation if a representative of the party |
234 | attends and has the authority to make a binding decision on |
235 | behalf of the party. All parties shall participate in the |
236 | evaluation in good faith. |
237 | (6) The insurer shall pay the costs associated with the |
238 | neutral evaluation. |
239 | (7) Upon receipt of a request for neutral evaluation, the |
240 | department shall refer the request to a neutral evaluator. The |
241 | neutral evaluator shall notify the policyholder and the insurer |
242 | of the date, time, and place of the neutral evaluation |
243 | conference. The conference may be held by telephone, if feasible |
244 | and desirable. The neutral evaluation conference shall be held |
245 | within 45 days after receipt of the request by the department. |
246 | (8) The department shall adopt rules of procedure for the |
247 | neutral evaluation process. |
248 | (9) For policyholders not represented by an attorney, a |
249 | consumer affairs specialist of the department or an employee |
250 | designated as the primary contact for consumers on issues |
251 | relating to sinkholes under s. 20.121 shall be available for |
252 | consultation to the extent that he or she may lawfully do so. |
253 | (10) Evidence of an offer to settle a claim during the |
254 | neutral evaluation process, as well as any relevant conduct or |
255 | statements made in negotiations concerning the offer to settle a |
256 | claim, is inadmissible to prove liability or absence of |
257 | liability for the claim or its value, except as provided in |
258 | subsection (13). |
259 | (11) Any court proceeding related to the subject matter of |
260 | the neutral evaluation shall be stayed pending completion of the |
261 | neutral evaluation. |
262 | (12) For matters that are not resolved by the parties at |
263 | the conclusion of the neutral evaluation, the neutral evaluator |
264 | shall prepare a report stating that in his or her opinion the |
265 | sinkhole loss has been verified or eliminated and, if verified, |
266 | the need for and estimated costs of stabilizing the land and any |
267 | covered structures or buildings and other appropriate |
268 | remediation or structural repairs. The evaluator's report shall |
269 | be sent to all parties in attendance at the neutral evaluation |
270 | and to the department. |
271 | (13) The recommendation of the neutral evaluator is not |
272 | binding on any party, and the parties retain access to courts. |
273 | The neutral evaluator's written recommendation is admissible in |
274 | any subsequent action or proceeding relating to the claim or to |
275 | the cause of action giving rise to the claim only for purposes |
276 | of determining the award of attorney's fees. |
277 | (14) If the neutral evaluator first verifies the existence |
278 | of a sinkhole and, second, recommends the need for and estimates |
279 | costs of stabilizing the land and any covered structures or |
280 | buildings and other appropriate remediation or structural |
281 | repairs, which costs exceed the amount that the insurer has |
282 | offered to pay the policyholder, the insurer is liable to the |
283 | policyholder for up to $2,500 in attorney's fees for the |
284 | attorney's participation in the neutral evaluation process. For |
285 | purposes of this subsection, the term "offer to pay" means a |
286 | written offer signed by the insurer or its legal representative |
287 | and delivered to the policyholder within 10 days after the |
288 | insurer receives notice that a request for neutral evaluation |
289 | has been made under this section. |
290 | (15) If the policyholder declines to participate in |
291 | neutral evaluation requested by the insurer or declines to |
292 | resolve the matter in accordance with the recommendation of the |
293 | neutral evaluator pursuant to this section, the insurer is not |
294 | liable for attorney's fees under s. 627.428 or other provisions |
295 | of the insurance code or for extra-contractual damages related |
296 | to a claim for a sinkhole loss. |
297 | (16) A party may seek judicial review of the |
298 | recommendation of the neutral evaluator to determine whether the |
299 | recommendation is reasonable. A recommendation is reasonable |
300 | unless: it was procured by corruption, fraud, or other undue |
301 | means; there was evident partiality by the neutral evaluator or |
302 | misconduct prejudicing the rights of any party; or the neutral |
303 | evaluator exceeded the authority and power granted by this |
304 | section. If the court declares the recommendation is not |
305 | reasonable, the neutral evaluation recommendation shall be |
306 | vacated. |
307 | Section 6. Subsection (2) of section 877.02, Florida |
308 | Statutes, is amended to read: |
309 | 877.02 Solicitation of legal services or retainers |
310 | therefor; penalty.-- |
311 | (2) It shall be unlawful for any person in the employ of |
312 | or in any capacity attached to any hospital, sanitarium, police |
313 | department, wrecker service or garage, prison or court, or for a |
314 | person authorized to furnish bail bonds, investigators, |
315 | photographers, insurance or public adjusters, or for a general |
316 | or other contractor as defined in s. 489.105 or other business |
317 | providing sinkhole remediation services, to communicate directly |
318 | or indirectly with any attorney or person acting on said |
319 | attorney's behalf for the purpose of aiding, assisting or |
320 | abetting such attorney in the solicitation of legal business or |
321 | the procurement through solicitation of a retainer, written or |
322 | oral, or any agreement authorizing the attorney to perform or |
323 | render legal services. |
324 | Section 7. Except as otherwise expressly provided in this |
325 | act, this act shall take effect July 1, 2006. |