1 | A bill to be entitled |
2 | An act relating to insurance; creating s. 627.7361, F.S.; |
3 | providing emergency care coverage benefits security |
4 | requirements for certain motor vehicle owners or |
5 | registrants; providing an exemption for certain military |
6 | personnel under certain circumstances; requiring the |
7 | Department of Highway Safety and Motor Vehicles to suspend |
8 | the registration and driver license of certain persons |
9 | under certain circumstances; providing requirements and |
10 | procedures for reinstatement; creating s. 627.7362, F.S.; |
11 | providing requirements for proof of required security; |
12 | providing a criminal penalty; creating s. 627.7363, F.S.; |
13 | providing emergency care coverage requirements; specifying |
14 | required benefits; providing definitions; providing |
15 | limitations; providing requirements for payment of |
16 | benefits; providing requirements and procedures for |
17 | assignment of benefits; providing insurer data reporting |
18 | requirements; amending s. 627.901, F.S.; providing |
19 | criteria for installment payment service charges; |
20 | providing that certain policies in compliance with |
21 | specified security requirements in prior provisions shall |
22 | be deemed to comply with the security requirement |
23 | provisions created by this act until the policies expire |
24 | or are terminated; providing a sunset date; amending ss. |
25 | 316.646, 318.18, 320.02, 320.0609, 320.27, 320.771, |
26 | 322.251, 322.34, F.S. conforming provisions to changes |
27 | made by the act; amending s. 324.021, F.S., conforming |
28 | provisions to changes made by the act; providing a |
29 | definition of "commercial motor vehicle" to replace |
30 | language in a repealed statute; amending s. 324.022, F.S., |
31 | conforming provisions to changes made by the act; |
32 | providing definitions; amending ss. 324.171, 400.9935, |
33 | 409.901, 409.910, 456.057, 456.072, 626.9541, 627.06501, |
34 | 627.0652, 627.0653, 627.4132, 627.6482, and 627.7263, |
35 | F.S., conforming provisions to changes made by the act; |
36 | amending s. 627.727, F.S., conforming provisions to |
37 | changes made by the act; deleting provisions relating to |
38 | legal liability of an uninsured motorist insurer with |
39 | respect to damages in tort for pain, suffering, mental |
40 | anguish, and convenience that reference repealed |
41 | provisions; amending ss. 627.7275, 627.728, 627.7295, |
42 | 627.8405, 627.915, 628.909, 713.78, and 817.234, F.S., |
43 | conforming provisions to changes made by the act; |
44 | providing an effective date. |
45 |
|
46 | Be It Enacted by the Legislature of the State of Florida: |
47 |
|
48 | Section 1. Section 627.7361, Florida Statutes, is created |
49 | to read: |
50 | 627.7361 Required security.-- |
51 | (1)(a) Every owner or registrant of a motor vehicle, other |
52 | than a motor vehicle used as a school bus as defined in s. |
53 | 1006.25 or limousine, required to be registered and licensed in |
54 | this state shall maintain security as required by subsection (3) |
55 | in effect continuously throughout the registration or licensing |
56 | period. |
57 | (b) Every owner or registrant of a motor vehicle used as a |
58 | taxicab shall not be governed by paragraph (a) but shall |
59 | maintain security as required under s. 324.032. |
60 | (2) Every nonresident owner or registrant of a motor |
61 | vehicle that, whether operated or not, has been physically |
62 | present within this state for more than 90 days during the |
63 | preceding 365 days shall thereafter maintain security as |
64 | required by subsection (3) in effect continuously throughout the |
65 | period such motor vehicle remains within this state. |
66 | (3) Such security shall be provided: |
67 | (a) By an insurance policy delivered or issued for |
68 | delivery in this state by an authorized or eligible motor |
69 | vehicle liability insurer that provides the emergency care |
70 | coverage benefits and exemptions contained in s. 627.7363. Any |
71 | policy of insurance represented or sold by an authorized or |
72 | eligible motor vehicle liability insurer as providing the |
73 | security required by this paragraph shall be deemed to provide |
74 | insurance for the payment of the required benefits; or |
75 | (b) By any other method authorized by s. 324.031(2), (3), |
76 | or (4) and approved by the Department of Highway Safety and |
77 | Motor Vehicles as affording security equivalent to that afforded |
78 | by a policy of insurance or by self-insuring as authorized by s. |
79 | 768.28(16). The person filing such security shall have all of |
80 | the obligations and rights of an insurer under ss. 627.7361- |
81 | 627.7363. |
82 | (4) In addition to other persons who are not required to |
83 | provide required security as required under this section and s. |
84 | 324.022, the owner, registrant, or operator of a motor vehicle |
85 | is exempt from providing such proof of financial responsibility |
86 | if he or she is a member of the United States Armed Forces and |
87 | is called to or on active duty outside this state or the United |
88 | States, or if the owner of the vehicle is the dependent spouse |
89 | of such active duty member and is also residing with the active |
90 | duty member at the place of posting of such member, and the |
91 | vehicle is primarily maintained at such place of posting. The |
92 | exemption provided by this subsection applies only as long as |
93 | the member of the armed forces is on such active duty outside |
94 | this state or the United States and the owner complies with the |
95 | security requirements of the state of posting or any possession |
96 | or territory of the United States. Upon receipt of a written |
97 | request by the insured to whom the exemption provided in this |
98 | subsection applies, the insurer shall cancel the coverages and |
99 | return any unearned premium or suspend the security required by |
100 | this section and s. 324.022. Notwithstanding subsection (5), the |
101 | Department of Highway Safety and Motor Vehicles may not suspend |
102 | the registration or operator's driver's license during the time |
103 | she or he qualified for an exemption under this subsection. Any |
104 | owner or registrant of a motor vehicle who qualifies for an |
105 | exemption under this subsection shall immediately notify the |
106 | department prior to and at the end of the expiration of the |
107 | exemption. |
108 | (5) The Department of Highway Safety and Motor Vehicles |
109 | shall suspend, after due notice and an opportunity to be heard, |
110 | the registration and driver's license of any owner or registrant |
111 | of a motor vehicle with respect to which security is required |
112 | under this section and s. 324.022: |
113 | (a) Upon records of the department showing that the owner |
114 | or registrant of such motor vehicle did not have in full force |
115 | and effect when required security complying with the terms of |
116 | this section; or |
117 | (b) Upon notification by the insurer to the department, in |
118 | a form approved by the department, of cancellation or |
119 | termination of the required security. |
120 | (6) Any operator or owner whose driver's license or |
121 | registration has been suspended pursuant to this section or s. |
122 | 316.646 may effect reinstatement of the license or registration |
123 | upon compliance with the requirements of this section and upon |
124 | payment to the department of a nonrefundable reinstatement fee |
125 | of $150 for the first reinstatement. Such reinstatement fee |
126 | shall be $250 for the second reinstatement and $500 for each |
127 | subsequent reinstatement during the 3 years following the first |
128 | reinstatement. If the person does not have a second |
129 | reinstatement within 3 years after her or his initial |
130 | reinstatement, the reinstatement fee shall be $150 for the first |
131 | reinstatement after that 3-year period. If a person's license |
132 | and registration are suspended pursuant to this section or s. |
133 | 316.646, only one reinstatement fee shall be paid to reinstate |
134 | the license and the registration. All fees shall be collected by |
135 | the department at the time of reinstatement. The department |
136 | shall issue proper receipts for such fees and shall promptly |
137 | deposit those fees into the Highway Safety Operating Trust Fund. |
138 | One-third of the fee collected under this subsection shall be |
139 | distributed from the Highway Safety Operating Trust Fund to the |
140 | local government entity or state agency that employed the law |
141 | enforcement officer who seized a license plate pursuant to s. |
142 | 324.201. Such funds may be used by the local government entity |
143 | or state agency for any authorized purpose. |
144 | Section 2. Section 627.7362, Florida Statutes, is created |
145 | to read: |
146 | 627.7362 Proof of security; security requirements; |
147 | penalties.-- |
148 | (1) The provisions of chapter 324 that pertain to the |
149 | method of giving and maintaining proof of financial |
150 | responsibility and that govern and define a motor vehicle |
151 | liability policy shall apply to filing and maintaining proof of |
152 | security required by ss. 627.7361-627.7363. |
153 | (2) Any person who: |
154 | (a) Gives information required in a report or otherwise as |
155 | provided for in ss. 627.7361-627.7363, knowing or having reason |
156 | to believe that such information is false; |
157 | (b) Forges or, without authority, signs any evidence of |
158 | proof of security; or |
159 | (c) Files, or offers for filing, any such evidence of |
160 | proof, knowing or having reason to believe that such evidence of |
161 | proof of security is forged or signed without authority, commits |
162 | a misdemeanor of the first degree, punishable as provided in s. |
163 | 775.082 or s. 775.083. |
164 | Section 3. Section 627.7363, Florida Statutes, is created |
165 | to read: |
166 | 627.7363 Required emergency care coverage.-- |
167 | (1) REQUIRED BENEFITS.-- |
168 | (a) Each insurance policy complying with the security |
169 | requirements of s. 627.7361 shall provide emergency care |
170 | coverage to the named insured, relatives residing in the same |
171 | household, persons operating the insured motor vehicle, |
172 | passengers in such motor vehicle, and other persons struck by |
173 | such motor vehicle and suffering bodily injury while not an |
174 | occupant of a self-propelled vehicle, subject to the terms and |
175 | limitations of this chapter and the insurance policy, to a limit |
176 | of $15,000 for loss sustained by any such person as a result of |
177 | bodily injury, sickness, disease, or death arising out of the |
178 | ownership, maintenance, or use of a motor vehicle for one |
179 | hundred percent of all allowable charges for medically necessary |
180 | emergency care consisting of but not limited to medical, |
181 | surgical, X-ray, dental, rehabilitative services, prosthetic |
182 | devices, ambulance, hospital, and nursing services for the |
183 | following services: |
184 | 1. Emergency transport and treatment rendered by an |
185 | ambulance provider licensed under part III of chapter 401 within |
186 | 12 hours after the motor vehicle accident. |
187 | 2. Emergency services and care, as defined in s. |
188 | 395.002(10), rendered within 72 hours after the motor vehicle |
189 | accident, by physicians, dentists, and hospitals in a hospital |
190 | emergency department, trauma center, or inpatient department |
191 | licensed pursuant to chapter 395. |
192 | 3. Subsequent medically necessary hospital, dental, and |
193 | physician inpatient care resulting from a motor vehicle |
194 | accident, provided the patient is admitted within 72 hours after |
195 | the motor vehicle accident. |
196 | 4. Subsequent medically necessary care and services |
197 | directly related to a medical diagnosis rendered within 72 hours |
198 | after the motor vehicle accident, subject to the following: |
199 | a. The diagnosis shall be rendered in a hospital emergency |
200 | department, trauma center, or inpatient department licensed |
201 | under chapter 395 and rendered by a physician licensed under |
202 | chapter 458; an osteopathic physician licensed under chapter |
203 | 459; or dentist licensed under chapter 466; and |
204 | b. Medically necessary care and services shall be provided |
205 | at a facility owned by either the hospital, the dentist, or the |
206 | physician and rendered by a physician licensed under chapter |
207 | 458, an osteopathic physician licensed under chapter 459, a |
208 | dentist licensed under chapter 466, a physician assistant |
209 | licensed under chapter 458 or 459, or a registered nurse who |
210 | meets the definition of s. 464.003(4). |
211 | (b) All charges for emergency and subsequent medically |
212 | necessary care, treatment, and services are subject to the |
213 | provisions of section (5). |
214 | (2) DEFINITIONS.--As used in ss. 627.7361-627.7363, the |
215 | term: |
216 | (a) "Hospital" means a facility that was licensed under |
217 | chapter 395 at the time services or treatment were rendered. |
218 | (b) "Inpatient care" means medically necessary services |
219 | provided for the medical care and treatment of an insured who is |
220 | admitted as an inpatient to a hospital as defined in s. |
221 | 395.002(13). |
222 | (c) "Medically necessary" means a medical service, |
223 | diagnostic test, or supply that a prudent physician would |
224 | provide for the purpose of preventing, diagnosing, or treating |
225 | an illness, injury, disease, or symptom in a manner that is: |
226 | 1. In accordance with generally accepted standards of |
227 | medical practice. |
228 | 2. Clinically appropriate in terms of type, frequency, |
229 | extent, site, and duration. |
230 | 3. Not primarily for the convenience of the patient, |
231 | physician, or other health care provider. |
232 | (d) "Motor vehicle" means any vehicle with four or more |
233 | wheels which is of a type both designed and required to be |
234 | licensed for use on the highways of this state and any trailer |
235 | or semitrailer designed for use with such vehicle. |
236 | (e) "Named insured" means a person, usually the owner of a |
237 | vehicle, identified in a policy by name as the insured under the |
238 | policy. |
239 | (f) "Owner" means a person who holds the legal title to a |
240 | motor vehicle or a debtor or lessee who has the right to |
241 | possession if a motor vehicle is the subject of a security |
242 | agreement or lease with an option to purchase. |
243 | (g) "Relative residing in the same household" means a |
244 | relative of any degree by blood or by marriage who at the time |
245 | of injury makes his or her home in the same family unit, whether |
246 | or not temporarily living elsewhere. |
247 | (h) "Rendered" means actual performance or a treatment or |
248 | a service incident to the provider's professional services. |
249 | (i) "Self-propelled vehicle" means any vehicle which is |
250 | not propelled solely by human power. The term includes, but is |
251 | not limited to, motorcycles, ATVs, scooters, minibikes, golf |
252 | carts, and similar vehicles. |
253 | (j) "Service" or "services" includes treatment, |
254 | procedures, supplies, and equipment. |
255 | (3) LIMITATIONS.--Only insurers writing motor vehicle |
256 | liability insurance in this state may provide the required |
257 | benefits of this section, and such insurers may not require the |
258 | purchase of any other motor vehicle coverage other than the |
259 | purchase of property damage liability coverage as required by s. |
260 | 627.7275 as a condition for providing such required benefits. |
261 | Insurers may not require that property damage liability |
262 | insurance in an amount greater than $10,000 be purchased in |
263 | conjunction with emergency care coverage. Such insurers shall |
264 | make benefits and required property damage liability insurance |
265 | coverage available through normal marketing channels. Any |
266 | insurer writing motor vehicle liability insurance in this state |
267 | that fails to comply with such availability requirement as a |
268 | general business practice violates part IX of chapter 626, and |
269 | such violation constitutes an unfair method of competition or an |
270 | unfair or deceptive act or practice involving the business of |
271 | insurance. Any such insurer committing such violation is subject |
272 | to the penalties imposed in such part, as well as applicable |
273 | penalties that may be imposed elsewhere in the insurance code. |
274 | (4) BENEFITS.--Benefits due from an insurer under this |
275 | section shall be primary, except benefits received under any |
276 | workers' compensation law shall be credited against the benefits |
277 | provided by subsection (1), and shall be due and payable as loss |
278 | accrues, upon compliance with the terms and conditions of the |
279 | insurance policy and this section. |
280 | (5) CHARGES FOR TREATMENT OF INJURED PERSONS.--Providers |
281 | lawfully rendering treatment to an injured person pursuant to |
282 | this section shall submit claims to insurers and insurers shall |
283 | receive, process, and, after October 1, 2008, pay claims |
284 | pursuant to the requirements of s. 627.6131. The insurer may |
285 | reimburse health care facilities and providers for their billed |
286 | charges or reimburse health care facilities and providers |
287 | according to the following schedule: |
288 | (a) Emergency transport and treatment by providers |
289 | licensed pursuant to chapter 401 may be reimbursed at 150 |
290 | percent of Medicare reimbursement; |
291 | (b) Emergency services and care provided by hospitals |
292 | licensed pursuant to chapter 395 may be reimbursed at 75 percent |
293 | of billed charges; |
294 | (c) Hospital inpatient services may be reimbursed at 150 |
295 | percent of the Medicare Part A prospective payment applicable to |
296 | the specific hospital providing the services; |
297 | (d) Other hospital outpatient services not associated with |
298 | emergency services and care may be reimbursed at 150 percent of |
299 | the Medicare Part A Ambulatory Payment Classification for the |
300 | specific hospital providing the services; |
301 | (e) Physicians licensed pursuant to chapter 458, chapter |
302 | 459, or chapter 466 rendering emergency services and care, |
303 | inpatient services and care, and subsequent medically necessary |
304 | services and care, may be reimbursed at 75 percent of their |
305 | usual and customary charges as billed; and |
306 | (f) All other providers may be reimbursed at 150 percent |
307 | of the applicable Medicare Part B fee schedule. |
308 |
|
309 | However, if such treatment, care, procedure or service is not |
310 | reimbursable under either Medicare Part A or Medicare Part B the |
311 | insurer may apply a maximum limitation that is equal to the |
312 | maximum reimbursable allowance under workers' compensation, as |
313 | determined under s. 440.13 and rules adopted thereunder, which |
314 | are in effect at the time such treatment, care, procedure, or |
315 | service is performed. Treatments, care, procedures, or services |
316 | that are not reimbursable by Medicare or workers' compensation |
317 | are not reimbursable by the insurer. |
318 | (6) REQUIRED PAYMENT OF BENEFITS.--The insurer of the |
319 | owner of a motor vehicle shall pay emergency care benefits for: |
320 | (a) Accidental bodily injury sustained in this state by |
321 | the owner while occupying a motor vehicle, or while not an |
322 | occupant of a self-propelled vehicle if the injury is caused by |
323 | physical contact with a motor vehicle. |
324 | (b) Accidental bodily injury sustained outside this state, |
325 | but within the United States or its territories or possessions |
326 | or Canada, by the owner while occupying the owner's motor |
327 | vehicle. |
328 | (c) Accidental bodily injury sustained by a relative of |
329 | the owner residing in the same household, under the |
330 | circumstances described in paragraph (a) or paragraph (b), |
331 | provided the relative at the time of the accident is domiciled |
332 | in the owner's household and is not the owner of a motor vehicle |
333 | with respect to which security is required or has not waived |
334 | such coverage under this section. |
335 | (d) Accidental bodily injury sustained in this state by |
336 | any other person while occupying the owner's motor vehicle or, |
337 | if the injured person is a resident of this state who is injured |
338 | while not an occupant of a self-propelled vehicle, if the injury |
339 | is caused by physical contact with such motor vehicle, provided |
340 | the injured person is not: |
341 | 1. The owner of a motor vehicle with respect to which |
342 | security is required or has not waived such coverage under this |
343 | section. |
344 | 2. Entitled to emergency care benefits from the insurer of |
345 | the owner or owners of such motor vehicle. |
346 | (e) If two or more insurers are liable for emergency care |
347 | benefits for the same injury to any single person, the maximum |
348 | amount payable shall be as specified in subsection (1), and any |
349 | insurer paying the benefits shall be entitled to recover from |
350 | each of the other insurers an equitable pro rata share of the |
351 | benefits paid an expenses incurred in processing the claim. |
352 | (7) AUTHORIZED EXCLUSIONS.--Any insurance company may |
353 | exclude emergency care benefits for any injury sustained by: |
354 | (a) The named insured and the named insured's spouse, |
355 | parents by blood or marriage, and children natural or adopted |
356 | residing in the same household while occupying another motor |
357 | vehicle owned by the named insured and not insured under the |
358 | policy. |
359 | (b) Any person operating the insured motor vehicle without |
360 | the express or implied consent of the insured. |
361 | (c) Any injured person, if such person's conduct |
362 | contributed to her or his injury under any of the following |
363 | circumstances: |
364 | 1. Intentionally causing injury or a claim for injury to |
365 | herself or himself; |
366 | 2. Being injured while committing a felony; or |
367 | 3. Being injured while attempting to flee or elude arrest |
368 | or detention by a law enforcement officer. |
369 | (d) Any person while operating a self-propelled vehicle. |
370 | (8) ASSIGNMENT OF BENEFITS.-- |
371 | (a) Emergency care benefits are assigned to a health care |
372 | provider by the submission of a claim by a health care provider, |
373 | with the consent of the insured. The insured shall have no right |
374 | to receive any emergency care benefits directly or indirectly |
375 | from the insurer. |
376 | (b) An insured may execute an assignment of benefits to |
377 | different health care providers or authorize various health care |
378 | providers to submit emergency care claims. The insurer is not |
379 | required to reserve emergency care benefits for any provider |
380 | during the investigation of the provider's bills and shall |
381 | timely pay all bills in the insurer's possession that are |
382 | properly payable. In the event of multiple competing assignments |
383 | of benefits in which any single claim will exhaust benefits, the |
384 | insurer may determine which bill to pay first. |
385 | (c) An assignment of emergency care benefits to the |
386 | provider shall be authorized under this section. The insured is |
387 | released of all obligations for the medical bills once an |
388 | assignment of benefits is executed. While benefits remain under |
389 | the policy, any agreement requiring the injured person or |
390 | insured to pay for charges is unenforceable. Notwithstanding |
391 | such assignment of benefits, the insured shall be responsible |
392 | for the allowable amount of the provider's bills once benefits |
393 | have been exhausted. |
394 | (9) INSURED'S RIGHTS TO RECOVERY OF SPECIAL DAMAGES IN |
395 | TORT CLAIMS.--An injured person who is entitled to bring suit |
396 | for special damages shall have no right to recover any damages |
397 | for which emergency care coverage benefits are paid. A plaintiff |
398 | may prove all of her or his special damages notwithstanding this |
399 | limitation, but if special damages are introduced into evidence, |
400 | the trier of fact, whether a judge or jury, may not award |
401 | damages for emergency care coverage benefits paid. In all cases |
402 | in which a jury is required to fix damages, the court shall |
403 | instruct the jury that the plaintiff shall not recover such |
404 | special damages for emergency care benefits paid. |
405 | (10) DATA REPORTING.-- |
406 | (a) Each insurer that has issued a policy providing |
407 | emergency care coverage benefits shall report the renewal, |
408 | cancellation, or nonrenewal of such policy to the Department of |
409 | Highway Safety and Motor Vehicles within 45 days after the |
410 | effective date of the renewal, cancellation, or nonrenewal. Upon |
411 | the issuance of a policy providing emergency care coverage |
412 | benefits to a named insured not previously insured by the |
413 | insurer during that calendar year, the insurer shall report the |
414 | issuance of the new policy to the Department of Highway Safety |
415 | and Motor Vehicles within 30 days. The report must be in such |
416 | form and format and contain such information as is required by |
417 | the department and must include a format compatible with the |
418 | data processing capabilities of the department. Failure by an |
419 | insurer to file proper reports with the department constitutes a |
420 | violation of the Florida Insurance Code. Reports of |
421 | cancellations and policy renewals and reports of the issuance of |
422 | new policies received by the department may be used for |
423 | enforcement and regulatory purposes only, including the |
424 | generation by the department of data regarding compliance by |
425 | owners of motor vehicles with financial responsibility coverage |
426 | requirements. In addition, the department shall release, upon a |
427 | written request by a person involved in a motor vehicle |
428 | accident, the name of the person's attorney or of a |
429 | representative of the person's motor vehicle insurer, the name |
430 | of the insurance company, and the policy number for the policy |
431 | covering the vehicle named by the requesting party. The written |
432 | request must include a copy of the appropriate accident form as |
433 | provided in s. 316.065, s. 316.066, or s. 316.068. |
434 | (b) For each insurance policy providing emergency care |
435 | coverage benefits, the insurer shall notify the named insured |
436 | or, in the case of a commercial fleet policy, the first named |
437 | insured in writing that any cancellation or nonrenewal of the |
438 | policy will be reported by the insurer to the department. The |
439 | notice must also inform the named insured that failure to |
440 | maintain emergency care coverage and property damage liability |
441 | insurance on a motor vehicle when required by law may result in |
442 | the loss of registration and driving privileges in this state, |
443 | and the notice must inform the named insured of the amount of |
444 | the reinstatement fees required by s. 627.7361(6). This notice |
445 | is for informational purposes only, and an insurer is not |
446 | civilly liable for failing to provide this notice. |
447 | Section 4. Subsection (1) of section 627.901, Florida |
448 | Statutes, is amended to read: |
449 | 627.901 Premium financing by an insurance agent or |
450 | agency.-- |
451 | (1) A general lines agent may make reasonable service |
452 | charges for financing insurance premiums on policies issued or |
453 | business produced by such an agent or agency, s. 626.9541 |
454 | notwithstanding. The service charge shall not exceed $3 per |
455 | installment. The maximum service charge shall not exceed $36 per |
456 | year. The service charge would also be permissible from the |
457 | insured when the agent processes, as a convenience and |
458 | accommodation to the insured, an installment payment from the |
459 | insured to the insurance company or premium finance company when |
460 | such payments can be made directly to the insurance company or |
461 | premium finance company by the insured. In no case may an agent |
462 | collect more than one service charge on any one payment. In lieu |
463 | of such service charges, an insurance agent or agency, at the |
464 | sole discretion of such agent or agency, may charge a rate of |
465 | interest not to exceed 18 percent simple interest per year on: |
466 | (a) The unpaid balance; or |
467 | (b) The average unpaid balance as billed over the term of |
468 | the policy and subject to endorsement changes. The interest |
469 | authorized by this paragraph may be billed in equal |
470 | installments. |
471 | Section 5. Any automobile insurance policy written prior |
472 | to September 30, 2007, complying with the security requirement |
473 | of s. 627.733, Florida Statutes, shall be deemed to comply with |
474 | the security requirements of s. 627.7361, Florida Statutes, as |
475 | created by this act, until that policy expires or is terminated. |
476 | Section 6. Effective October 1, 2012, ss. 627.7361, |
477 | 627.7362, and 627.7363, Florida Statutes, as created by this |
478 | act, are repealed. |
479 | Section 7. Subsections (1) and (3) of section 316.646, |
480 | Florida Statutes, are amended to read: |
481 | 316.646 Security required; proof of security and display |
482 | thereof; dismissal of cases.-- |
483 | (1) Any person required by s. 627.7361 627.733 to maintain |
484 | personal injury protection security on a motor vehicle shall |
485 | have in his or her immediate possession at all times while |
486 | operating such motor vehicle proper proof of maintenance of the |
487 | security required by s. 627.7361 627.733 . Such proof shall be |
488 | either a uniform proof-of-insurance card in a form prescribed by |
489 | the department, a valid insurance policy, an insurance policy |
490 | binder, a certificate of insurance, or such other proof as may |
491 | be prescribed by the department. |
492 | (3) Any person who violates this section is guilty of a |
493 | nonmoving traffic infraction subject to the penalty provided in |
494 | chapter 318 and shall be required to furnish proof of security |
495 | as provided in this section. If any person charged with a |
496 | violation of this section fails to furnish proof, at or before |
497 | the scheduled court appearance date, that security was in effect |
498 | at the time of the violation, the court may immediately suspend |
499 | the registration and driver's license of such person. Such |
500 | license and registration may only be reinstated as provided in |
501 | s. 627.7361 627.733. |
502 | Section 8. Paragraph (b) of subsection (2) of section |
503 | 318.18, Florida Statutes, is amended to read: |
504 | 318.18 Amount of civil penalties.--The penalties required |
505 | for a noncriminal disposition pursuant to s. 318.14 are as |
506 | follows: |
507 | (2) Thirty dollars for all nonmoving traffic violations |
508 | and: |
509 | (b) For all violations of ss. 320.0605, 320.07(1), |
510 | 322.065, and 322.15(1). Any person who is cited for a violation |
511 | of s. 320.07(1) shall be charged a delinquent fee pursuant to s. |
512 | 320.07(4). |
513 | 1. If a person who is cited for a violation of s. 320.0605 |
514 | or s. 320.07 can show proof of having a valid registration at |
515 | the time of arrest, the clerk of the court may dismiss the case |
516 | and may assess a dismissal fee of up to $7.50. A person who |
517 | finds it impossible or impractical to obtain a valid |
518 | registration certificate must submit an affidavit detailing the |
519 | reasons for the impossibility or impracticality. The reasons may |
520 | include, but are not limited to, the fact that the vehicle was |
521 | sold, stolen, or destroyed; that the state in which the vehicle |
522 | is registered does not issue a certificate of registration; or |
523 | that the vehicle is owned by another person. |
524 | 2. If a person who is cited for a violation of s. 322.03, |
525 | s. 322.065, or s. 322.15 can show a driver's license issued to |
526 | him or her and valid at the time of arrest, the clerk of the |
527 | court may dismiss the case and may assess a dismissal fee of up |
528 | to $7.50. |
529 | 3. If a person who is cited for a violation of s. 316.646 |
530 | can show proof of security as required by s. 627.7361 627.733, |
531 | issued to the person and valid at the time of arrest, the clerk |
532 | of the court may dismiss the case and may assess a dismissal fee |
533 | of up to $7.50. A person who finds it impossible or impractical |
534 | to obtain proof of security must submit an affidavit detailing |
535 | the reasons for the impracticality. The reasons may include, but |
536 | are not limited to, the fact that the vehicle has since been |
537 | sold, stolen, or destroyed; that the owner or registrant of the |
538 | vehicle is not required by s. 627.7361 627.733 to maintain |
539 | security personal injury protection insurance; or that the |
540 | vehicle is owned by another person. |
541 | Section 9. Paragraphs (a) and (d) of subsection (5) of |
542 | section 320.02, Florida Statutes, are amended to read: |
543 | 320.02 Registration required; application for |
544 | registration; forms.-- |
545 | (5)(a) Proof that emergency care benefits personal injury |
546 | protection benefits have been purchased when required under s. |
547 | 627.7361 627.733, that property damage liability coverage has |
548 | been purchased as required under s. 324.022, and that combined |
549 | bodily liability insurance and property damage liability |
550 | insurance have been purchased when required under s. 627.7415 |
551 | shall be provided in the manner prescribed by law by the |
552 | applicant at the time of application for registration of any |
553 | motor vehicle owned as defined in s. 627.7363 627.732. The |
554 | issuing agent shall refuse to issue registration if such proof |
555 | of purchase is not provided. Insurers shall furnish uniform |
556 | proof-of-purchase cards in a form prescribed by the department |
557 | and shall include the name of the insured's insurance company, |
558 | the coverage identification number, the make, year, and vehicle |
559 | identification number of the vehicle insured. The card shall |
560 | contain a statement notifying the applicant of the penalty |
561 | specified in s. 316.646(4). The card or insurance policy, |
562 | insurance policy binder, or certificate of insurance or a |
563 | photocopy of any of these; an affidavit containing the name of |
564 | the insured's insurance company, the insured's policy number, |
565 | and the make and year of the vehicle insured; or such other |
566 | proof as may be prescribed by the department shall constitute |
567 | sufficient proof of purchase. If an affidavit is provided as |
568 | proof, it shall be in substantially the following form: |
569 |
|
570 | Under penalty of perjury, I (Name of insured) do hereby |
571 | certify that I have (Emergency Care Coverage Personal Injury |
572 | Protection, Property Damage Liability, and, when required, |
573 | Bodily Injury Liability) Insurance currently in effect with |
574 | (Name of insurance company) under (policy number) covering |
575 | (make, year, and vehicle identification number of vehicle) . |
576 | (Signature of Insured) |
577 |
|
578 | Such affidavit shall include the following warning: |
579 |
|
580 | WARNING: GIVING FALSE INFORMATION IN ORDER TO OBTAIN A VEHICLE |
581 | REGISTRATION CERTIFICATE IS A CRIMINAL OFFENSE UNDER FLORIDA |
582 | LAW. ANYONE GIVING FALSE INFORMATION ON THIS AFFIDAVIT IS |
583 | SUBJECT TO PROSECUTION. |
584 |
|
585 | When an application is made through a licensed motor vehicle |
586 | dealer as required in s. 319.23, the original or a photostatic |
587 | copy of such card, insurance policy, insurance policy binder, or |
588 | certificate of insurance or the original affidavit from the |
589 | insured shall be forwarded by the dealer to the tax collector of |
590 | the county or the Department of Highway Safety and Motor |
591 | Vehicles for processing. By executing the aforesaid affidavit, |
592 | no licensed motor vehicle dealer will be liable in damages for |
593 | any inadequacy, insufficiency, or falsification of any statement |
594 | contained therein. A card shall also indicate the existence of |
595 | any bodily injury liability insurance voluntarily purchased. |
596 | (d) The verifying of proof of emergency care insurance |
597 | personal injury protection insurance, proof of combined bodily |
598 | liability insurance and property damage liability insurance, or |
599 | proof of financial responsibility insurance and the issuance or |
600 | failure to issue the motor vehicle registration under the |
601 | provisions of this chapter may not be construed in any court as |
602 | a warranty of the reliability or accuracy of the evidence of |
603 | such proof. Neither the department nor any tax collector is |
604 | liable in damages for any inadequacy, insufficiency, |
605 | falsification, or unauthorized modification of any item of the |
606 | proof of emergency care insurance personal injury protection |
607 | insurance, proof of combined bodily liability insurance and |
608 | property damage liability insurance, or proof of financial |
609 | responsibility insurance either prior to, during, or subsequent |
610 | to the verification of the proof. The issuance of a motor |
611 | vehicle registration does not constitute prima facie evidence or |
612 | a presumption of insurance coverage. |
613 | Section 10. Paragraph (b) of subsection (1) of section |
614 | 320.0609, Florida Statutes, is amended to read: |
615 | 320.0609 Transfer and exchange of registration license |
616 | plates; transfer fee.-- |
617 | (1) |
618 | (b) The transfer of a license plate from a vehicle |
619 | disposed of to a newly acquired vehicle does not constitute a |
620 | new registration. The application for transfer shall be accepted |
621 | without requiring proof of emergency care personal injury |
622 | protection or liability insurance. |
623 | Section 11. Subsection (3) of section 320.27, Florida |
624 | Statutes, is amended to read: |
625 | 320.27 Motor vehicle dealers.-- |
626 | (3) APPLICATION AND FEE.--The application for the license |
627 | shall be in such form as may be prescribed by the department and |
628 | shall be subject to such rules with respect thereto as may be so |
629 | prescribed by it. Such application shall be verified by oath or |
630 | affirmation and shall contain a full statement of the name and |
631 | birth date of the person or persons applying therefor; the name |
632 | of the firm or copartnership, with the names and places of |
633 | residence of all members thereof, if such applicant is a firm or |
634 | copartnership; the names and places of residence of the |
635 | principal officers, if the applicant is a body corporate or |
636 | other artificial body; the name of the state under whose laws |
637 | the corporation is organized; the present and former place or |
638 | places of residence of the applicant; and prior business in |
639 | which the applicant has been engaged and the location thereof. |
640 | Such application shall describe the exact location of the place |
641 | of business and shall state whether the place of business is |
642 | owned by the applicant and when acquired, or, if leased, a true |
643 | copy of the lease shall be attached to the application. The |
644 | applicant shall certify that the location provides an adequately |
645 | equipped office and is not a residence; that the location |
646 | affords sufficient unoccupied space upon and within which |
647 | adequately to store all motor vehicles offered and displayed for |
648 | sale; and that the location is a suitable place where the |
649 | applicant can in good faith carry on such business and keep and |
650 | maintain books, records, and files necessary to conduct such |
651 | business, which will be available at all reasonable hours to |
652 | inspection by the department or any of its inspectors or other |
653 | employees. The applicant shall certify that the business of a |
654 | motor vehicle dealer is the principal business which shall be |
655 | conducted at that location. Such application shall contain a |
656 | statement that the applicant is either franchised by a |
657 | manufacturer of motor vehicles, in which case the name of each |
658 | motor vehicle that the applicant is franchised to sell shall be |
659 | included, or an independent (nonfranchised) motor vehicle |
660 | dealer. Such application shall contain such other relevant |
661 | information as may be required by the department, including |
662 | evidence that the applicant is insured under a garage liability |
663 | insurance policy, which shall include, at a minimum, $25,000 |
664 | combined single-limit liability coverage including bodily injury |
665 | and property damage protection and $15,000 emergency care |
666 | benefits $10,000 personal injury protection. Such policy shall |
667 | be for the license period, and evidence of a new or continued |
668 | policy shall be delivered to the department at the beginning of |
669 | each license period. Upon making such initial application, the |
670 | person applying therefor shall pay to the department a fee of |
671 | $300 in addition to any other fees now required by law; upon |
672 | making a subsequent renewal application, the person applying |
673 | therefor shall pay to the department a fee of $75 in addition to |
674 | any other fees now required by law. Upon making an application |
675 | for a change of location, the person shall pay a fee of $50 in |
676 | addition to any other fees now required by law. The department |
677 | shall, in the case of every application for initial licensure, |
678 | verify whether certain facts set forth in the application are |
679 | true. Each applicant, general partner in the case of a |
680 | partnership, or corporate officer and director in the case of a |
681 | corporate applicant, must file a set of fingerprints with the |
682 | department for the purpose of determining any prior criminal |
683 | record or any outstanding warrants. The department shall submit |
684 | the fingerprints to the Department of Law Enforcement for state |
685 | processing and forwarding to the Federal Bureau of Investigation |
686 | for federal processing. The actual cost of such state and |
687 | federal processing shall be borne by the applicant and is to be |
688 | in addition to the fee for licensure. The department may issue a |
689 | license to an applicant pending the results of the fingerprint |
690 | investigation, which license is fully revocable if the |
691 | department subsequently determines that any facts set forth in |
692 | the application are not true or correctly represented. |
693 | Section 12. Paragraph (j) of subsection (3) of section |
694 | 320.771, Florida Statutes, is amended to read: |
695 | 320.771 License required of recreational vehicle |
696 | dealers.-- |
697 | (3) APPLICATION.--The application for such license shall |
698 | be in the form prescribed by the department and subject to such |
699 | rules as may be prescribed by it. The application shall be |
700 | verified by oath or affirmation and shall contain: |
701 | (j) A statement that the applicant is insured under a |
702 | garage liability insurance policy, which shall include, at a |
703 | minimum, $25,000 combined single-limit liability coverage, |
704 | including bodily injury and property damage protection, and |
705 | $15,000 emergency care coverage $10,000 personal injury |
706 | protection, if the applicant is to be licensed as a dealer in, |
707 | or intends to sell, recreational vehicles. |
708 |
|
709 | The department shall, if it deems necessary, cause an |
710 | investigation to be made to ascertain if the facts set forth in |
711 | the application are true and shall not issue a license to the |
712 | applicant until it is satisfied that the facts set forth in the |
713 | application are true. |
714 | Section 13. Subsection (1) of section 322.251, Florida |
715 | Statutes, is amended to read: |
716 | 322.251 Notice of cancellation, suspension, revocation, or |
717 | disqualification of license.-- |
718 | (1) All orders of cancellation, suspension, revocation, or |
719 | disqualification issued under the provisions of this chapter, |
720 | chapter 318, chapter 324, or s. 627.7361 ss. 627.732-627.734 |
721 | shall be given either by personal delivery thereof to the |
722 | licensee whose license is being canceled, suspended, revoked, or |
723 | disqualified or by deposit in the United States mail in an |
724 | envelope, first class, postage prepaid, addressed to the |
725 | licensee at his or her last known mailing address furnished to |
726 | the department. Such mailing by the department constitutes |
727 | notification, and any failure by the person to receive the |
728 | mailed order will not affect or stay the effective date or term |
729 | of the cancellation, suspension, revocation, or disqualification |
730 | of the licensee's driving privilege. |
731 | Section 14. Paragraph (a) of subsection (8) of section |
732 | 322.34, Florida Statutes, is amended to read: |
733 | 322.34 Driving while license suspended, revoked, canceled, |
734 | or disqualified.-- |
735 | (8)(a) Upon the arrest of a person for the offense of |
736 | driving while the person's driver's license or driving privilege |
737 | is suspended or revoked, the arresting officer shall determine: |
738 | 1. Whether the person's driver's license is suspended or |
739 | revoked. |
740 | 2. Whether the person's driver's license has remained |
741 | suspended or revoked since a conviction for the offense of |
742 | driving with a suspended or revoked license. |
743 | 3. Whether the suspension or revocation was made under s. |
744 | 627.7361 316.646 or s. 627.733, relating to failure to maintain |
745 | required security, or under s. 322.264, relating to habitual |
746 | traffic offenders. |
747 | 4. Whether the driver is the registered owner or coowner |
748 | of the vehicle. |
749 | Section 15. Subsection (1) and paragraph (c) of subsection |
750 | (9) of section 324.021, Florida Statutes, are amended to read: |
751 | 324.021 Definitions; minimum insurance required.--The |
752 | following words and phrases when used in this chapter shall, for |
753 | the purpose of this chapter, have the meanings respectively |
754 | ascribed to them in this section, except in those instances |
755 | where the context clearly indicates a different meaning: |
756 | (1) MOTOR VEHICLE.--Every self-propelled vehicle which is |
757 | designed and required to be licensed for use upon a highway, |
758 | including trailers and semitrailers designed for use with such |
759 | vehicles, except traction engines, road rollers, farm tractors, |
760 | power shovels, and well drillers, and every vehicle which is |
761 | propelled by electric power obtained from overhead wires but not |
762 | operated upon rails, but not including any bicycle or moped. |
763 | However, the term "motor vehicle" shall not include any motor |
764 | vehicle as defined in s. 627.7362 627.732(3) when the owner of |
765 | such vehicle has complied with the requirements of s. 627.7361 |
766 | ss. 627.730-627.7405, inclusive, unless the provisions of s. |
767 | 324.051 apply; and, in such case, the applicable proof of |
768 | insurance provisions of s. 320.02 apply. |
769 | (9) OWNER; OWNER/LESSOR.-- |
770 | (c) Application.-- |
771 | 1. The limits on liability in subparagraphs (b)2. and 3. |
772 | do not apply to an owner of motor vehicles that are used for |
773 | commercial activity in the owner's ordinary course of business, |
774 | other than a rental company that rents or leases motor vehicles. |
775 | For purposes of this paragraph, the term "rental company" |
776 | includes only an entity that is engaged in the business of |
777 | renting or leasing motor vehicles to the general public and that |
778 | rents or leases a majority of its motor vehicles to persons with |
779 | no direct or indirect affiliation with the rental company. The |
780 | term also includes a motor vehicle dealer that provides |
781 | temporary replacement vehicles to its customers for up to 10 |
782 | days. The term "rental company" also includes: |
783 | a. A related rental or leasing company that is a |
784 | subsidiary of the same parent company as that of the renting or |
785 | leasing company that rented or leased the vehicle. |
786 | b. The holder of a motor vehicle title or an equity |
787 | interest in a motor vehicle title if the title or equity |
788 | interest is held pursuant to or to facilitate an asset-backed |
789 | securitization of a fleet of motor vehicles used solely in the |
790 | business of renting or leasing motor vehicles to the general |
791 | public and under the dominion and control of a rental company, |
792 | as described in this subparagraph, in the operation of such |
793 | rental company's business. |
794 | 2. Furthermore, with respect to a commercial motor vehicle |
795 | vehicles as defined in s. 627.732, the limits on liability in |
796 | subparagraphs (b)2. and 3. do not apply if, at the time of the |
797 | incident, the commercial motor vehicle is being used in the |
798 | transportation of materials found to be hazardous for the |
799 | purposes of the Hazardous Materials Transportation Authorization |
800 | Act of 1994, as amended, 49 U.S.C. ss. 5101 et seq., and that is |
801 | required pursuant to such act to carry placards warning others |
802 | of the hazardous cargo, unless at the time of lease or rental |
803 | either: |
804 | a. The lessee indicates in writing that the vehicle will |
805 | not be used to transport materials found to be hazardous for the |
806 | purposes of the Hazardous Materials Transportation Authorization |
807 | Act of 1994, as amended, 49 U.S.C. ss. 5101 et seq.; or |
808 | b. The lessee or other operator of the commercial motor |
809 | vehicle has in effect insurance with limits of at least |
810 | $5,000,000 combined property damage and bodily injury liability. |
811 |
|
812 | For the purposes of this subparagraph, the term "commercial |
813 | motor vehicle" does not include a motor vehicle that is a sedan, |
814 | station wagon, or jeep-type vehicle and, if not used primarily |
815 | for occupational, professional, or business purposes, a motor |
816 | vehicle of the pickup, panel, van, camper, or motor home type. |
817 | Section 16. Section 324.022, Florida Statutes, is amended |
818 | to read: |
819 | 324.022 Financial responsibility for property damage.-- |
820 | (1) Every owner or operator of a motor vehicle, which |
821 | motor vehicle is subject to the requirements of s. 627.7361 ss. |
822 | 627.730-627.7405 and required to be registered in this state, |
823 | shall, by one of the methods established in s. 324.031 or by |
824 | having a policy that complies with s. 627.7275, establish and |
825 | maintain the ability to respond in damages for liability on |
826 | account of accidents arising out of the use of the motor vehicle |
827 | in the amount of $10,000 because of damage to, or destruction |
828 | of, property of others in any one crash. The requirements of |
829 | this section may also be met by having a policy which provides |
830 | coverage in the amount of at least $30,000 for combined property |
831 | damage liability and bodily injury liability for any one crash |
832 | arising out of the use of the motor vehicle. No insurer shall |
833 | have any duty to defend uncovered claims irrespective of their |
834 | joinder with covered claims. |
835 | (2) For the purposes of this section, the term: |
836 | (a) "Motor vehicle" means any self-propelled vehicle with |
837 | four or more wheels which is of a type both designed and |
838 | required to be licensed for use on the highways of this state |
839 | and any trailer or semitrailer designed for use with such |
840 | vehicle and includes a private passenger motor vehicle and a |
841 | commercial motor vehicle. The term "motor vehicle" does not |
842 | include a mobile home or any motor vehicle which is used in mass |
843 | transit, other than public school transportation, and designed |
844 | to transport more than five passengers exclusive of the operator |
845 | of the motor vehicle and which is owned by a municipality, a |
846 | transit authority, or a political subdivision of the state. |
847 | (b) "Private passenger motor vehicle" means any motor |
848 | vehicle which is a sedan, station wagon, or jeep-type vehicle |
849 | and, if not used primarily for occupational, professional, or |
850 | business purposes, a motor vehicle of the pickup, panel, van, |
851 | camper, or motor home type. |
852 | (c) "Commercial motor vehicle" means any motor vehicle |
853 | which is not a private passenger motor vehicle. |
854 | Section 17. Subsection (2) of section 324.171, Florida |
855 | Statutes, is amended to read: |
856 | 324.171 Self-insurer.-- |
857 | (2) The self-insurance certificate shall provide limits of |
858 | liability insurance in the amounts specified under s. 324.021(7) |
859 | or s. 627.7415 and shall provide emergency care personal injury |
860 | protection coverage under s. 627.7361(3)(b) 627.733(3)(b). |
861 | Section 18. Paragraph (g) of subsection (1) of section |
862 | 400.9935, Florida Statutes, is amended to read: |
863 | 400.9935 Clinic responsibilities.-- |
864 | (1) Each clinic shall appoint a medical director or clinic |
865 | director who shall agree in writing to accept legal |
866 | responsibility for the following activities on behalf of the |
867 | clinic. The medical director or the clinic director shall: |
868 | (g) Conduct systematic reviews of clinic billings to |
869 | ensure that the billings are not fraudulent or unlawful. Upon |
870 | discovery of an unlawful charge, the medical director or clinic |
871 | director shall take immediate corrective action. If the clinic |
872 | performs only the technical component of magnetic resonance |
873 | imaging, static radiographs, computed tomography, or positron |
874 | emission tomography, and provides the professional |
875 | interpretation of such services, in a fixed facility that is |
876 | accredited by the Joint Commission on Accreditation of |
877 | Healthcare Organizations or the Accreditation Association for |
878 | Ambulatory Health Care, and the American College of Radiology; |
879 | and if, in the preceding quarter, the percentage of scans |
880 | performed by that clinic which was billed to all personal injury |
881 | protection insurance carriers was less than 15 percent, the |
882 | chief financial officer of the clinic may, in a written |
883 | acknowledgment provided to the agency, assume the responsibility |
884 | for the conduct of the systematic reviews of clinic billings to |
885 | ensure that the billings are not fraudulent or unlawful. |
886 | Section 19. Subsection (27) of section 409.901, Florida |
887 | Statutes, is amended to read: |
888 | 409.901 Definitions; ss. 409.901-409.920.--As used in ss. |
889 | 409.901-409.920, except as otherwise specifically provided, the |
890 | term: |
891 | (27) "Third-party benefit" means any benefit that is or |
892 | may be available at any time through contract, court award, |
893 | judgment, settlement, agreement, or any arrangement between a |
894 | third party and any person or entity, including, without |
895 | limitation, a Medicaid recipient, a provider, another third |
896 | party, an insurer, or the agency, for any Medicaid-covered |
897 | injury, illness, goods, or services, including costs of medical |
898 | services related thereto, for personal injury or for death of |
899 | the recipient, but specifically excluding policies of life |
900 | insurance on the recipient, unless available under terms of the |
901 | policy to pay medical expenses prior to death. The term |
902 | includes, without limitation, collateral, as defined in this |
903 | section, health insurance, any benefit under a health |
904 | maintenance organization, a preferred provider arrangement, a |
905 | prepaid health clinic, liability insurance, uninsured motorist |
906 | insurance or emergency care personal injury protection coverage, |
907 | medical benefits under workers' compensation, and any obligation |
908 | under law or equity to provide medical support. |
909 | Section 20. Paragraph (f) of subsection (11) of section |
910 | 409.910, Florida Statutes, is amended to read: |
911 | 409.910 Responsibility for payments on behalf of Medicaid- |
912 | eligible persons when other parties are liable.-- |
913 | (11) The agency may, as a matter of right, in order to |
914 | enforce its rights under this section, institute, intervene in, |
915 | or join any legal or administrative proceeding in its own name |
916 | in one or more of the following capacities: individually, as |
917 | subrogee of the recipient, as assignee of the recipient, or as |
918 | lienholder of the collateral. |
919 | (f) Notwithstanding any provision in this section to the |
920 | contrary, in the event of an action in tort against a third |
921 | party in which the recipient or his or her legal representative |
922 | is a party which results in a judgment, award, or settlement |
923 | from a third party, the amount recovered shall be distributed as |
924 | follows: |
925 | 1. After attorney's fees and taxable costs as defined by |
926 | the Florida Rules of Civil Procedure, one-half of the remaining |
927 | recovery shall be paid to the agency up to the total amount of |
928 | medical assistance provided by Medicaid. |
929 | 2. The remaining amount of the recovery shall be paid to |
930 | the recipient. |
931 | 3. For purposes of calculating the agency's recovery of |
932 | medical assistance benefits paid, the fee for services of an |
933 | attorney retained by the recipient or his or her legal |
934 | representative shall be calculated at 25 percent of the |
935 | judgment, award, or settlement. |
936 | 4. Notwithstanding any provision of this section to the |
937 | contrary, the agency shall be entitled to all medical coverage |
938 | benefits up to the total amount of medical assistance provided |
939 | by Medicaid. For purposes of this paragraph, "medical coverage" |
940 | means any benefits under health insurance, a health maintenance |
941 | organization, a preferred provider arrangement, or a prepaid |
942 | health clinic, and the portion of benefits designated for |
943 | medical payments under coverage for workers' compensation, |
944 | emergency care personal injury protection, and casualty. |
945 | Section 21. Paragraph (k) of subsection (2) of section |
946 | 456.057, Florida Statutes, is amended to read: |
947 | 456.057 Ownership and control of patient records; report |
948 | or copies of records to be furnished.-- |
949 | (2) As used in this section, the terms "records owner," |
950 | "health care practitioner," and "health care practitioner's |
951 | employer" do not include any of the following persons or |
952 | entities; furthermore, the following persons or entities are not |
953 | authorized to acquire or own medical records, but are authorized |
954 | under the confidentiality and disclosure requirements of this |
955 | section to maintain those documents required by the part or |
956 | chapter under which they are licensed or regulated: |
957 | (k) Persons or entities practicing under s. 627.736(7). |
958 | Section 22. Paragraphs (ee) and (ff) of subsection (1) of |
959 | section 456.072, Florida Statutes, are amended to read: |
960 | 456.072 Grounds for discipline; penalties; enforcement.-- |
961 | (1) The following acts shall constitute grounds for which |
962 | the disciplinary actions specified in subsection (2) may be |
963 | taken: |
964 | (ee) With respect to making an emergency care a personal |
965 | injury protection claim as required by s. 627.736, intentionally |
966 | submitting a claim, statement, or bill that has been "upcoded," |
967 | which means submitting a billing code that would result in |
968 | payment greater in amount that would be paid using the billing |
969 | code that actually describes the services performed as defined |
970 | in s. 627.732. |
971 | (ff) With respect to making an emergency care a personal |
972 | injury protection claim as required by s. 627.736, intentionally |
973 | submitting a claim, statement, or bill for payment of services |
974 | that were not rendered. |
975 | Section 23. Paragraph (o) of subsection (1) of section |
976 | 626.9541, Florida Statutes, is amended to read: |
977 | 626.9541 Unfair methods of competition and unfair or |
978 | deceptive acts or practices defined.-- |
979 | (1) UNFAIR METHODS OF COMPETITION AND UNFAIR OR DECEPTIVE |
980 | ACTS.--The following are defined as unfair methods of |
981 | competition and unfair or deceptive acts or practices: |
982 | (o) Illegal dealings in premiums; excess or reduced |
983 | charges for insurance.-- |
984 | 1. Knowingly collecting any sum as a premium or charge for |
985 | insurance, which is not then provided, or is not in due course |
986 | to be provided, subject to acceptance of the risk by the |
987 | insurer, by an insurance policy issued by an insurer as |
988 | permitted by this code. |
989 | 2. Knowingly collecting as a premium or charge for |
990 | insurance any sum in excess of or less than the premium or |
991 | charge applicable to such insurance, in accordance with the |
992 | applicable classifications and rates as filed with and approved |
993 | by the office, and as specified in the policy; or, in cases when |
994 | classifications, premiums, or rates are not required by this |
995 | code to be so filed and approved, premiums and charges collected |
996 | from a Florida resident in excess of or less than those |
997 | specified in the policy and as fixed by the insurer. This |
998 | provision shall not be deemed to prohibit the charging and |
999 | collection, by surplus lines agents licensed under part VIII of |
1000 | this chapter, of the amount of applicable state and federal |
1001 | taxes, or fees as authorized by s. 626.916(4), in addition to |
1002 | the premium required by the insurer or the charging and |
1003 | collection, by licensed agents, of the exact amount of any |
1004 | discount or other such fee charged by a credit card facility in |
1005 | connection with the use of a credit card, as authorized by |
1006 | subparagraph (q)3., in addition to the premium required by the |
1007 | insurer. This subparagraph shall not be construed to prohibit |
1008 | collection of a premium for a universal life or a variable or |
1009 | indeterminate value insurance policy made in accordance with the |
1010 | terms of the contract. |
1011 | 3.a. Imposing or requesting an additional premium for a |
1012 | policy of motor vehicle liability, emergency care coverage |
1013 | personal injury protection, medical payment, or collision |
1014 | insurance or any combination thereof or refusing to renew the |
1015 | policy solely because the insured was involved in a motor |
1016 | vehicle accident unless the insurer's file contains information |
1017 | from which the insurer in good faith determines that the insured |
1018 | was substantially at fault in the accident. |
1019 | b. An insurer which imposes and collects such a surcharge |
1020 | or which refuses to renew such policy shall, in conjunction with |
1021 | the notice of premium due or notice of nonrenewal, notify the |
1022 | named insured that he or she is entitled to reimbursement of |
1023 | such amount or renewal of the policy under the conditions listed |
1024 | below and will subsequently reimburse him or her or renew the |
1025 | policy, if the named insured demonstrates that the operator |
1026 | involved in the accident was: |
1027 | (I) Lawfully parked; |
1028 | (II) Reimbursed by, or on behalf of, a person responsible |
1029 | for the accident or has a judgment against such person; |
1030 | (III) Struck in the rear by another vehicle headed in the |
1031 | same direction and was not convicted of a moving traffic |
1032 | violation in connection with the accident; |
1033 | (IV) Hit by a "hit-and-run" driver, if the accident was |
1034 | reported to the proper authorities within 24 hours after |
1035 | discovering the accident; |
1036 | (V) Not convicted of a moving traffic violation in |
1037 | connection with the accident, but the operator of the other |
1038 | automobile involved in such accident was convicted of a moving |
1039 | traffic violation; |
1040 | (VI) Finally adjudicated not to be liable by a court of |
1041 | competent jurisdiction; |
1042 | (VII) In receipt of a traffic citation which was dismissed |
1043 | or nolle prossed; or |
1044 | (VIII) Not at fault as evidenced by a written statement |
1045 | from the insured establishing facts demonstrating lack of fault |
1046 | which are not rebutted by information in the insurer's file from |
1047 | which the insurer in good faith determines that the insured was |
1048 | substantially at fault. |
1049 | c. In addition to the other provisions of this |
1050 | subparagraph, an insurer may not fail to renew a policy if the |
1051 | insured has had only one accident in which he or she was at |
1052 | fault within the current 3-year period. However, an insurer may |
1053 | nonrenew a policy for reasons other than accidents in accordance |
1054 | with s. 627.728. This subparagraph does not prohibit nonrenewal |
1055 | of a policy under which the insured has had three or more |
1056 | accidents, regardless of fault, during the most recent 3-year |
1057 | period. |
1058 | 4. Imposing or requesting an additional premium for, or |
1059 | refusing to renew, a policy for motor vehicle insurance solely |
1060 | because the insured committed a noncriminal traffic infraction |
1061 | as described in s. 318.14 unless the infraction is: |
1062 | a. A second infraction committed within an 18-month |
1063 | period, or a third or subsequent infraction committed within a |
1064 | 36-month period. |
1065 | b. A violation of s. 316.183, when such violation is a |
1066 | result of exceeding the lawful speed limit by more than 15 miles |
1067 | per hour. |
1068 | 5. Upon the request of the insured, the insurer and |
1069 | licensed agent shall supply to the insured the complete proof of |
1070 | fault or other criteria which justifies the additional charge or |
1071 | cancellation. |
1072 | 6. No insurer shall impose or request an additional |
1073 | premium for motor vehicle insurance, cancel or refuse to issue a |
1074 | policy, or refuse to renew a policy because the insured or the |
1075 | applicant is a handicapped or physically disabled person, so |
1076 | long as such handicap or physical disability does not |
1077 | substantially impair such person's mechanically assisted driving |
1078 | ability. |
1079 | 7. No insurer may cancel or otherwise terminate any |
1080 | insurance contract or coverage, or require execution of a |
1081 | consent to rate endorsement, during the stated policy term for |
1082 | the purpose of offering to issue, or issuing, a similar or |
1083 | identical contract or coverage to the same insured with the same |
1084 | exposure at a higher premium rate or continuing an existing |
1085 | contract or coverage with the same exposure at an increased |
1086 | premium. |
1087 | 8. No insurer may issue a nonrenewal notice on any |
1088 | insurance contract or coverage, or require execution of a |
1089 | consent to rate endorsement, for the purpose of offering to |
1090 | issue, or issuing, a similar or identical contract or coverage |
1091 | to the same insured at a higher premium rate or continuing an |
1092 | existing contract or coverage at an increased premium without |
1093 | meeting any applicable notice requirements. |
1094 | 9. No insurer shall, with respect to premiums charged for |
1095 | motor vehicle insurance, unfairly discriminate solely on the |
1096 | basis of age, sex, marital status, or scholastic achievement. |
1097 | 10. Imposing or requesting an additional premium for motor |
1098 | vehicle comprehensive or uninsured motorist coverage solely |
1099 | because the insured was involved in a motor vehicle accident or |
1100 | was convicted of a moving traffic violation. |
1101 | 11. No insurer shall cancel or issue a nonrenewal notice |
1102 | on any insurance policy or contract without complying with any |
1103 | applicable cancellation or nonrenewal provision required under |
1104 | the Florida Insurance Code. |
1105 | 12. No insurer shall impose or request an additional |
1106 | premium, cancel a policy, or issue a nonrenewal notice on any |
1107 | insurance policy or contract because of any traffic infraction |
1108 | when adjudication has been withheld and no points have been |
1109 | assessed pursuant to s. 318.14(9) and (10). However, this |
1110 | subparagraph does not apply to traffic infractions involving |
1111 | accidents in which the insurer has incurred a loss due to the |
1112 | fault of the insured. |
1113 | Section 24. Subsection (1) of section 627.06501, Florida |
1114 | Statutes, is amended to read: |
1115 | 627.06501 Insurance discounts for certain persons |
1116 | completing driver improvement course.-- |
1117 | (1) Any rate, rating schedule, or rating manual for the |
1118 | liability, emergency care personal injury protection, and |
1119 | collision coverages of a motor vehicle insurance policy filed |
1120 | with the office may provide for an appropriate reduction in |
1121 | premium charges as to such coverages when the principal operator |
1122 | on the covered vehicle has successfully completed a driver |
1123 | improvement course approved and certified by the Department of |
1124 | Highway Safety and Motor Vehicles which is effective in reducing |
1125 | crash or violation rates, or both, as determined pursuant to s. |
1126 | 318.1451(5). Any discount, not to exceed 10 percent, used by an |
1127 | insurer is presumed to be appropriate unless credible data |
1128 | demonstrates otherwise. |
1129 | Section 25. Subsection (1) of section 627.0652, Florida |
1130 | Statutes, is amended to read: |
1131 | 627.0652 Insurance discounts for certain persons |
1132 | completing safety course.-- |
1133 | (1) Any rates, rating schedules, or rating manuals for the |
1134 | liability, emergency care personal injury protection, and |
1135 | collision coverages of a motor vehicle insurance policy filed |
1136 | with the office shall provide for an appropriate reduction in |
1137 | premium charges as to such coverages when the principal operator |
1138 | on the covered vehicle is an insured 55 years of age or older |
1139 | who has successfully completed a motor vehicle accident |
1140 | prevention course approved by the Department of Highway Safety |
1141 | and Motor Vehicles. Any discount used by an insurer is presumed |
1142 | to be appropriate unless credible data demonstrates otherwise. |
1143 | Section 26. Subsections (1) and (3) of section 627.0653, |
1144 | Florida Statutes, are amended to read: |
1145 | 627.0653 Insurance discounts for specified motor vehicle |
1146 | equipment.-- |
1147 | (1) Any rates, rating schedules, or rating manuals for the |
1148 | liability, emergency care personal injury protection, and |
1149 | collision coverages of a motor vehicle insurance policy filed |
1150 | with the office shall provide a premium discount if the insured |
1151 | vehicle is equipped with factory-installed, four-wheel antilock |
1152 | brakes. |
1153 | (3) Any rates, rating schedules, or rating manuals for |
1154 | emergency care personal injury protection coverage and medical |
1155 | payments coverage, if offered, of a motor vehicle insurance |
1156 | policy filed with the office shall provide a premium discount if |
1157 | the insured vehicle is equipped with one or more air bags which |
1158 | are factory installed. |
1159 | Section 27. Section 627.4132, Florida Statutes, is amended |
1160 | to read: |
1161 | 627.4132 Stacking of coverages prohibited.--If an insured |
1162 | or named insured is protected by any type of motor vehicle |
1163 | insurance policy for liability, emergency care personal injury |
1164 | protection, or other coverage, the policy shall provide that the |
1165 | insured or named insured is protected only to the extent of the |
1166 | coverage she or he has on the vehicle involved in the accident. |
1167 | However, if none of the insured's or named insured's vehicles is |
1168 | involved in the accident, coverage is available only to the |
1169 | extent of coverage on any one of the vehicles with applicable |
1170 | coverage. Coverage on any other vehicles shall not be added to |
1171 | or stacked upon that coverage. This section does not apply: |
1172 | (1) To uninsured motorist coverage which is separately |
1173 | governed by s. 627.727. |
1174 | (2) To reduce the coverage available by reason of |
1175 | insurance policies insuring different named insureds. |
1176 | Section 28. Subsection (6) of section 627.6482, Florida |
1177 | Statutes, is amended to read: |
1178 | 627.6482 Definitions.--As used in ss. 627.648-627.6498, |
1179 | the term: |
1180 | (6) "Health insurance" means any hospital and medical |
1181 | expense incurred policy, minimum premium plan, stop-loss |
1182 | coverage, health maintenance organization contract, prepaid |
1183 | health clinic contract, multiple-employer welfare arrangement |
1184 | contract, or fraternal benefit society health benefits contract, |
1185 | whether sold as an individual or group policy or contract. The |
1186 | term does not include any policy covering medical payment |
1187 | coverage or emergency care personal injury protection coverage |
1188 | in a motor vehicle policy, coverage issued as a supplement to |
1189 | liability insurance, or workers' compensation. |
1190 | Section 29. Section 627.7263, Florida Statutes, is amended |
1191 | to read: |
1192 | 627.7263 Rental and leasing driver's insurance to be |
1193 | primary; exception.-- |
1194 | (1) The valid and collectible liability insurance or |
1195 | emergency care personal injury protection insurance providing |
1196 | coverage for the lessor of a motor vehicle for rent or lease is |
1197 | primary unless otherwise stated in at least 10-point type on the |
1198 | face of the rental or lease agreement. Such insurance is primary |
1199 | for the limits of liability and emergency care personal injury |
1200 | protection coverage as required by ss. 324.021(7) and 627.7363 |
1201 | 627.736. |
1202 | (2) If the lessee's coverage is to be primary, the rental |
1203 | or lease agreement must contain the following language, in at |
1204 | least 10-point type: |
1205 |
|
1206 | "The valid and collectible liability insurance and |
1207 | emergency care personal injury protection insurance of any |
1208 | authorized rental or leasing driver is primary for the |
1209 | limits of liability and emergency care personal injury |
1210 | protection coverage required by ss. 324.021(7) and 627.7363 |
1211 | 627.736, Florida Statutes." |
1212 |
|
1213 | Section 30. Subsections (1), (7), (8), (9), and (10) of |
1214 | section 627.727, Florida Statutes, are amended to read: |
1215 | 627.727 Motor vehicle insurance; uninsured and |
1216 | underinsured vehicle coverage; insolvent insurer protection.-- |
1217 | (1) No motor vehicle liability insurance policy which |
1218 | provides bodily injury liability coverage shall be delivered or |
1219 | issued for delivery in this state with respect to any |
1220 | specifically insured or identified motor vehicle registered or |
1221 | principally garaged in this state unless uninsured motor vehicle |
1222 | coverage is provided therein or supplemental thereto for the |
1223 | protection of persons insured thereunder who are legally |
1224 | entitled to recover damages from owners or operators of |
1225 | uninsured motor vehicles because of bodily injury, sickness, or |
1226 | disease, including death, resulting therefrom. However, the |
1227 | coverage required under this section is not applicable when, or |
1228 | to the extent that, an insured named in the policy makes a |
1229 | written rejection of the coverage on behalf of all insureds |
1230 | under the policy. When a motor vehicle is leased for a period of |
1231 | 1 year or longer and the lessor of such vehicle, by the terms of |
1232 | the lease contract, provides liability coverage on the leased |
1233 | vehicle, the lessee of such vehicle shall have the sole |
1234 | privilege to reject uninsured motorist coverage or to select |
1235 | lower limits than the bodily injury liability limits, regardless |
1236 | of whether the lessor is qualified as a self-insurer pursuant to |
1237 | s. 324.171. Unless an insured, or lessee having the privilege of |
1238 | rejecting uninsured motorist coverage, requests such coverage or |
1239 | requests higher uninsured motorist limits in writing, the |
1240 | coverage or such higher uninsured motorist limits need not be |
1241 | provided in or supplemental to any other policy which renews, |
1242 | extends, changes, supersedes, or replaces an existing policy |
1243 | with the same bodily injury liability limits when an insured or |
1244 | lessee had rejected the coverage. When an insured or lessee has |
1245 | initially selected limits of uninsured motorist coverage lower |
1246 | than her or his bodily injury liability limits, higher limits of |
1247 | uninsured motorist coverage need not be provided in or |
1248 | supplemental to any other policy which renews, extends, changes, |
1249 | supersedes, or replaces an existing policy with the same bodily |
1250 | injury liability limits unless an insured requests higher |
1251 | uninsured motorist coverage in writing. The rejection or |
1252 | selection of lower limits shall be made on a form approved by |
1253 | the office. The form shall fully advise the applicant of the |
1254 | nature of the coverage and shall state that the coverage is |
1255 | equal to bodily injury liability limits unless lower limits are |
1256 | requested or the coverage is rejected. The heading of the form |
1257 | shall be in 12-point bold type and shall state: "You are |
1258 | electing not to purchase certain valuable coverage which |
1259 | protects you and your family or you are purchasing uninsured |
1260 | motorist limits less than your bodily injury liability limits |
1261 | when you sign this form. Please read carefully." If this form is |
1262 | signed by a named insured, it will be conclusively presumed that |
1263 | there was an informed, knowing rejection of coverage or election |
1264 | of lower limits on behalf of all insureds. The insurer shall |
1265 | notify the named insured at least annually of her or his options |
1266 | as to the coverage required by this section. Such notice shall |
1267 | be part of, and attached to, the notice of premium, shall |
1268 | provide for a means to allow the insured to request such |
1269 | coverage, and shall be given in a manner approved by the office. |
1270 | Receipt of this notice does not constitute an affirmative waiver |
1271 | of the insured's right to uninsured motorist coverage where the |
1272 | insured has not signed a selection or rejection form. The |
1273 | coverage described under this section shall be over and above, |
1274 | but shall not duplicate, the benefits available to an insured |
1275 | under any workers' compensation law, emergency care personal |
1276 | injury protection benefits, disability benefits law, or similar |
1277 | law; under any automobile medical expense coverage; under any |
1278 | motor vehicle liability insurance coverage; or from the owner or |
1279 | operator of the uninsured motor vehicle or any other person or |
1280 | organization jointly or severally liable together with such |
1281 | owner or operator for the accident; and such coverage shall |
1282 | cover the difference, if any, between the sum of such benefits |
1283 | and the damages sustained, up to the maximum amount of such |
1284 | coverage provided under this section. The amount of coverage |
1285 | available under this section shall not be reduced by a setoff |
1286 | against any coverage, including liability insurance. Such |
1287 | coverage shall not inure directly or indirectly to the benefit |
1288 | of any workers' compensation or disability benefits carrier or |
1289 | any person or organization qualifying as a self-insurer under |
1290 | any workers' compensation or disability benefits law or similar |
1291 | law. |
1292 | (7) The legal liability of an uninsured motorist coverage |
1293 | insurer does not include damages in tort for pain, suffering, |
1294 | mental anguish, and inconvenience unless the injury or disease |
1295 | is described in one or more of paragraphs (a)-(d) of s. |
1296 | 627.737(2). |
1297 | (7)(8) The provisions of s. 627.428 do not apply to any |
1298 | action brought pursuant to this section against the uninsured |
1299 | motorist insurer unless there is a dispute over whether the |
1300 | policy provides coverage for an uninsured motorist proven to be |
1301 | liable for the accident. |
1302 | (8)(9) Insurers may offer policies of uninsured motorist |
1303 | coverage containing policy provisions, in language approved by |
1304 | the office, establishing that if the insured accepts this offer: |
1305 | (a) The coverage provided as to two or more motor vehicles |
1306 | shall not be added together to determine the limit of insurance |
1307 | coverage available to an injured person for any one accident, |
1308 | except as provided in paragraph (c). |
1309 | (b) If at the time of the accident the injured person is |
1310 | occupying a motor vehicle, the uninsured motorist coverage |
1311 | available to her or him is the coverage available as to that |
1312 | motor vehicle. |
1313 | (c) If the injured person is occupying a motor vehicle |
1314 | which is not owned by her or him or by a family member residing |
1315 | with her or him, the injured person is entitled to the highest |
1316 | limits of uninsured motorist coverage afforded for any one |
1317 | vehicle as to which she or he is a named insured or insured |
1318 | family member. Such coverage shall be excess over the coverage |
1319 | on the vehicle the injured person is occupying. |
1320 | (d) The uninsured motorist coverage provided by the policy |
1321 | does not apply to the named insured or family members residing |
1322 | in her or his household who are injured while occupying any |
1323 | vehicle owned by such insureds for which uninsured motorist |
1324 | coverage was not purchased. |
1325 | (e) If, at the time of the accident the injured person is |
1326 | not occupying a motor vehicle, she or he is entitled to select |
1327 | any one limit of uninsured motorist coverage for any one vehicle |
1328 | afforded by a policy under which she or he is insured as a named |
1329 | insured or as an insured resident of the named insured's |
1330 | household. |
1331 |
|
1332 | In connection with the offer authorized by this subsection, |
1333 | insurers shall inform the named insured, applicant, or lessee, |
1334 | on a form approved by the office, of the limitations imposed |
1335 | under this subsection and that such coverage is an alternative |
1336 | to coverage without such limitations. If this form is signed by |
1337 | a named insured, applicant, or lessee, it shall be conclusively |
1338 | presumed that there was an informed, knowing acceptance of such |
1339 | limitations. When the named insured, applicant, or lessee has |
1340 | initially accepted such limitations, such acceptance shall apply |
1341 | to any policy which renews, extends, changes, supersedes, or |
1342 | replaces an existing policy unless the named insured requests |
1343 | deletion of such limitations and pays the appropriate premium |
1344 | for such coverage. Any insurer who provides coverage which |
1345 | includes the limitations provided in this subsection shall file |
1346 | revised premium rates with the office for such uninsured |
1347 | motorist coverage to take effect prior to initially providing |
1348 | such coverage. The revised rates shall reflect the anticipated |
1349 | reduction in loss costs attributable to such limitations but |
1350 | shall in any event reflect a reduction in the uninsured motorist |
1351 | coverage premium of at least 20 percent for policies with such |
1352 | limitations. Such filing shall not increase the rates for |
1353 | coverage which does not contain the limitations authorized by |
1354 | this subsection, and such rates shall remain in effect until the |
1355 | insurer demonstrates the need for a change in uninsured motorist |
1356 | rates pursuant to s. 627.0651. |
1357 | (9)(10) The damages recoverable from an uninsured motorist |
1358 | carrier in an action brought under s. 624.155 shall include the |
1359 | total amount of the claimant's damages, including the amount in |
1360 | excess of the policy limits, any interest on unpaid benefits, |
1361 | reasonable attorney's fees and costs, and any damages caused by |
1362 | a violation of a law of this state. The total amount of the |
1363 | claimant's damages is recoverable whether caused by an insurer |
1364 | or by a third-party tortfeasor. |
1365 | Section 31. Subsection (1) and paragraphs (a) and (b) of |
1366 | subsection (2) of section 627.7275, Florida Statutes, are |
1367 | amended to read: |
1368 | 627.7275 Motor vehicle liability.-- |
1369 | (1) A motor vehicle insurance policy providing emergency |
1370 | care coverage personal injury protection as set forth in s. |
1371 | 627.7363 627.736 may not be delivered or issued for delivery in |
1372 | this state with respect to any specifically insured or |
1373 | identified motor vehicle registered or principally garaged in |
1374 | this state unless the policy also provides coverage for property |
1375 | damage liability in the amount of at least $10,000 because of |
1376 | damage to, or destruction of, property of others in any one |
1377 | accident arising out of the use of the motor vehicle or unless |
1378 | the policy provides coverage in the amount of at least $30,000 |
1379 | for combined property damage liability and bodily injury |
1380 | liability in any one accident arising out of the use of the |
1381 | motor vehicle. The policy, as to coverage of property damage |
1382 | liability, must meet the applicable requirements of s. 324.151, |
1383 | subject to the usual policy exclusions that have been approved |
1384 | in policy forms by the office. |
1385 | (2)(a) Insurers writing motor vehicle insurance in this |
1386 | state shall make available, subject to the insurers' usual |
1387 | underwriting restrictions: |
1388 | 1. Coverage under policies as described in subsection (1) |
1389 | to any applicant for private passenger motor vehicle insurance |
1390 | coverage who is seeking the coverage in order to reinstate the |
1391 | applicant's driving privileges in this state when the driving |
1392 | privileges were revoked or suspended pursuant to s. 316.646 or |
1393 | s. 627.7361 627.733 due to the failure of the applicant to |
1394 | maintain required security. |
1395 | 2. Coverage under policies as described in subsection (1), |
1396 | which also provides liability coverage for bodily injury, death, |
1397 | and property damage arising out of the ownership, maintenance, |
1398 | or use of the motor vehicle in an amount not less than the |
1399 | limits described in s. 324.021(7) and conforms to the |
1400 | requirements of s. 324.151, to any applicant for private |
1401 | passenger motor vehicle insurance coverage who is seeking the |
1402 | coverage in order to reinstate the applicant's driving |
1403 | privileges in this state after such privileges were revoked or |
1404 | suspended under s. 316.193 or s. 322.26(2) for driving under the |
1405 | influence. |
1406 | (b) The policies described in paragraph (a) shall be |
1407 | issued for a period of at least 6 months and as to the minimum |
1408 | coverages required under this section shall not be cancelable by |
1409 | the insured for any reason or by the insurer after a period not |
1410 | to exceed 30 days during which the insurer must complete |
1411 | underwriting of the policy. After the insurer has completed |
1412 | underwriting the policy within the 30-day period, the insurer |
1413 | shall notify the Department of Highway Safety and Motor Vehicles |
1414 | that the policy is in full force and effect and the policy shall |
1415 | not be cancelable for the remainder of the policy period. A |
1416 | premium shall be collected and coverage shall be in effect for |
1417 | the 30-day period during which the insurer is completing the |
1418 | underwriting of the policy whether or not the person's driver |
1419 | license, motor vehicle tag, and motor vehicle registration are |
1420 | in effect. Once the noncancelable provisions of the policy |
1421 | become effective, the coverage or risk shall not be changed |
1422 | during the policy period and the premium shall be nonrefundable. |
1423 | If, during the pendency of the 2-year proof of insurance period |
1424 | required under s. 627.733(7) or during the 3-year proof of |
1425 | financial responsibility required under s. 324.131, whichever is |
1426 | applicable, the insured obtains additional coverage or coverage |
1427 | for an additional risk or changes territories, the insured must |
1428 | obtain a new 6-month noncancelable policy in accordance with the |
1429 | provisions of this section. However, if the insured must obtain |
1430 | a new 6-month policy and obtains the policy from the same |
1431 | insurer, the policyholder shall receive credit on the new policy |
1432 | for any premium paid on the previously issued policy. |
1433 | Section 32. Paragraph (a) of subsection (1) of section |
1434 | 627.728, Florida Statutes, is amended to read: |
1435 | 627.728 Cancellations; nonrenewals.-- |
1436 | (1) As used in this section, the term: |
1437 | (a) "Policy" means the bodily injury and property damage |
1438 | liability, emergency care personal injury protection, medical |
1439 | payments, comprehensive, collision, and uninsured motorist |
1440 | coverage portions of a policy of motor vehicle insurance |
1441 | delivered or issued for delivery in this state: |
1442 | 1. Insuring a natural person as named insured or one or |
1443 | more related individuals resident of the same household; and |
1444 | 2. Insuring only a motor vehicle of the private passenger |
1445 | type or station wagon type which is not used as a public or |
1446 | livery conveyance for passengers or rented to others; or |
1447 | insuring any other four-wheel motor vehicle having a load |
1448 | capacity of 1,500 pounds or less which is not used in the |
1449 | occupation, profession, or business of the insured other than |
1450 | farming; other than any policy issued under an automobile |
1451 | insurance assigned risk plan; insuring more than four |
1452 | automobiles; or covering garage, automobile sales agency, repair |
1453 | shop, service station, or public parking place operation |
1454 | hazards. |
1455 |
|
1456 | The term "policy" does not include a binder as defined in s. |
1457 | 627.420 unless the duration of the binder period exceeds 60 |
1458 | days. |
1459 | Section 33. Subsection (1), paragraph (a) of subsection |
1460 | (5), and subsections (6) and (7) of section 627.7295, Florida |
1461 | Statutes, are amended to read: |
1462 | 627.7295 Motor vehicle insurance contracts.-- |
1463 | (1) As used in this section, the term: |
1464 | (a) "Policy" means a motor vehicle insurance policy that |
1465 | provides emergency care personal injury protection and property |
1466 | damage liability coverage. |
1467 | (b) "Binder" means a binder that provides motor vehicle |
1468 | emergency care personal injury protection and property damage |
1469 | liability coverage. |
1470 | (5)(a) A licensed general lines agent may charge a per- |
1471 | policy fee not to exceed $10 to cover the administrative costs |
1472 | of the agent associated with selling the motor vehicle insurance |
1473 | policy if the policy covers only emergency care personal injury |
1474 | protection coverage as provided by s. 627.7363 627.736 and |
1475 | property damage liability coverage as provided by s. 627.7275 |
1476 | and if no other insurance is sold or issued in conjunction with |
1477 | or collateral to the policy. The fee is not considered part of |
1478 | the premium. |
1479 | (6) If a motor vehicle owner's driver license, license |
1480 | plate, and registration have previously been suspended pursuant |
1481 | to s. 316.646 or s. 627.7361 627.733, an insurer may cancel a |
1482 | new policy only as provided in s. 627.7275. |
1483 | (7) A policy of private passenger motor vehicle insurance |
1484 | or a binder for such a policy may be initially issued in this |
1485 | state only if the insurer or agent has collected from the |
1486 | insured an amount equal to 2 months' premium. An insurer, agent, |
1487 | or premium finance company may not directly or indirectly take |
1488 | any action resulting in the insured having paid from the |
1489 | insured's own funds an amount less than the 2 months' premium |
1490 | required by this subsection. This subsection applies without |
1491 | regard to whether the premium is financed by a premium finance |
1492 | company or is paid pursuant to a periodic payment plan of an |
1493 | insurer or an insurance agent. This subsection does not apply if |
1494 | an insured or member of the insured's family is renewing or |
1495 | replacing a policy or a binder for such policy written by the |
1496 | same insurer or a member of the same insurer group. This |
1497 | subsection does not apply to an insurer that issues private |
1498 | passenger motor vehicle coverage primarily to active duty or |
1499 | former military personnel or their dependents. This subsection |
1500 | does not apply if all policy payments are paid pursuant to a |
1501 | payroll deduction plan or an automatic electronic funds transfer |
1502 | payment plan from the policyholder, provided that the first |
1503 | policy payment is made by cash, cashier's check, check, or a |
1504 | money order. This subsection and subsection (4) do not apply if |
1505 | all policy payments to an insurer are paid pursuant to an |
1506 | automatic electronic funds transfer payment plan from an agent |
1507 | or a managing general agent and if the policy includes, at a |
1508 | minimum, emergency care coverage personal injury protection |
1509 | pursuant to s. 627.7363 ss. 627.730-627.7405; motor vehicle |
1510 | property damage liability pursuant to s. 627.7275; and bodily |
1511 | injury liability in at least the amount of $10,000 because of |
1512 | bodily injury to, or death of, one person in any one accident |
1513 | and in the amount of $20,000 because of bodily injury to, or |
1514 | death of, two or more persons in any one accident. This |
1515 | subsection and subsection (4) do not apply if an insured has had |
1516 | a policy in effect for at least 6 months, the insured's agent is |
1517 | terminated by the insurer that issued the policy, and the |
1518 | insured obtains coverage on the policy's renewal date with a new |
1519 | company through the terminated agent. |
1520 | Section 34. Section 627.8405, Florida Statutes, is amended |
1521 | to read: |
1522 | 627.8405 Prohibited acts; financing companies.--No premium |
1523 | finance company shall, in a premium finance agreement or other |
1524 | agreement, finance the cost of or otherwise provide for the |
1525 | collection or remittance of dues, assessments, fees, or other |
1526 | periodic payments of money for the cost of: |
1527 | (1) A membership in an automobile club. The term |
1528 | "automobile club" means a legal entity which, in consideration |
1529 | of dues, assessments, or periodic payments of money, promises |
1530 | its members or subscribers to assist them in matters relating to |
1531 | the ownership, operation, use, or maintenance of a motor |
1532 | vehicle; however, this definition of "automobile club" does not |
1533 | include persons, associations, or corporations which are |
1534 | organized and operated solely for the purpose of conducting, |
1535 | sponsoring, or sanctioning motor vehicle races, exhibitions, or |
1536 | contests upon racetracks, or upon racecourses established and |
1537 | marked as such for the duration of such particular events. The |
1538 | words "motor vehicle" used herein have the same meaning as |
1539 | defined in chapter 320. |
1540 | (2) An accidental death and dismemberment policy sold in |
1541 | combination with a emergency care coverage personal injury |
1542 | protection and property damage only policy. |
1543 | (3) Any product not regulated under the provisions of this |
1544 | insurance code. |
1545 |
|
1546 | This section also applies to premium financing by any insurance |
1547 | agent or insurance company under part XVI. The commission shall |
1548 | adopt rules to assure disclosure, at the time of sale, of |
1549 | coverages financed with emergency care coverage personal injury |
1550 | protection and shall prescribe the form of such disclosure. |
1551 | Section 35. Subsection (1) of section 627.915, Florida |
1552 | Statutes, is amended to read: |
1553 | 627.915 Insurer experience reporting.-- |
1554 | (1) Each insurer transacting private passenger automobile |
1555 | insurance in this state shall report certain information |
1556 | annually to the office. The information will be due on or before |
1557 | July 1 of each year. The information shall be divided into the |
1558 | following categories: bodily injury liability; property damage |
1559 | liability; uninsured motorist; emergency care coverage personal |
1560 | injury protection benefits; medical payments; comprehensive and |
1561 | collision. The information given shall be on direct insurance |
1562 | writings in the state alone and shall represent total limits |
1563 | data. The information set forth in paragraphs (a)-(f) is |
1564 | applicable to voluntary private passenger and Joint Underwriting |
1565 | Association private passenger writings and shall be reported for |
1566 | each of the latest 3 calendar-accident years, with an evaluation |
1567 | date of March 31 of the current year. The information set forth |
1568 | in paragraphs (g)-(j) is applicable to voluntary private |
1569 | passenger writings and shall be reported on a calendar-accident |
1570 | year basis ultimately seven times at seven different stages of |
1571 | development. |
1572 | (a) Premiums earned for the latest 3 calendar-accident |
1573 | years. |
1574 | (b) Loss development factors and the historic development |
1575 | of those factors. |
1576 | (c) Policyholder dividends incurred. |
1577 | (d) Expenses for other acquisition and general expense. |
1578 | (e) Expenses for agents' commissions and taxes, licenses, |
1579 | and fees. |
1580 | (f) Profit and contingency factors as utilized in the |
1581 | insurer's automobile rate filings for the applicable years. |
1582 | (g) Losses paid. |
1583 | (h) Losses unpaid. |
1584 | (i) Loss adjustment expenses paid. |
1585 | (j) Loss adjustment expenses unpaid. |
1586 | Section 36. Paragraph (d) of subsection (2) and paragraph |
1587 | (d) of subsection (3) of section 628.909, Florida Statutes, are |
1588 | amended to read: |
1589 | 628.909 Applicability of other laws.-- |
1590 | (2) The following provisions of the Florida Insurance Code |
1591 | shall apply to captive insurers who are not industrial insured |
1592 | captive insurers to the extent that such provisions are not |
1593 | inconsistent with this part: |
1594 | (d) Section 627.7363 Sections 627.730-627.7405, when no- |
1595 | fault coverage is provided. |
1596 | (3) The following provisions of the Florida Insurance Code |
1597 | shall apply to industrial insured captive insurers to the extent |
1598 | that such provisions are not inconsistent with this part: |
1599 | (d) Section 627.7363 Sections 627.730-627.7405 when no- |
1600 | fault coverage is provided. |
1601 | Section 37. Paragraphs (a), (b), and (c) of subsection (4) |
1602 | of section 713.78, Florida Statutes, are amended to read: |
1603 | 713.78 Liens for recovering, towing, or storing vehicles |
1604 | and vessels.-- |
1605 | (4)(a) Any person regularly engaged in the business of |
1606 | recovering, towing, or storing vehicles or vessels who comes |
1607 | into possession of a vehicle or vessel pursuant to subsection |
1608 | (2), and who claims a lien for recovery, towing, or storage |
1609 | services, shall give notice to the registered owner, the |
1610 | insurance company insuring the vehicle notwithstanding the |
1611 | provisions of s. 627.736, and to all persons claiming a lien |
1612 | thereon, as disclosed by the records in the Department of |
1613 | Highway Safety and Motor Vehicles or of a corresponding agency |
1614 | in any other state. |
1615 | (b) Whenever any law enforcement agency authorizes the |
1616 | removal of a vehicle or vessel or whenever any towing service, |
1617 | garage, repair shop, or automotive service, storage, or parking |
1618 | place notifies the law enforcement agency of possession of a |
1619 | vehicle or vessel pursuant to s. 715.07(2)(a)2., the applicable |
1620 | law enforcement agency shall contact the Department of Highway |
1621 | Safety and Motor Vehicles, or the appropriate agency of the |
1622 | state of registration, if known, within 24 hours through the |
1623 | medium of electronic communications, giving the full description |
1624 | of the vehicle or vessel. Upon receipt of the full description |
1625 | of the vehicle or vessel, the department shall search its files |
1626 | to determine the owner's name, the insurance company insuring |
1627 | the vehicle or vessel, and whether any person has filed a lien |
1628 | upon the vehicle or vessel as provided in s. 319.27(2) and (3) |
1629 | and notify the applicable law enforcement agency within 72 |
1630 | hours. The person in charge of the towing service, garage, |
1631 | repair shop, or automotive service, storage, or parking place |
1632 | shall obtain such information from the applicable law |
1633 | enforcement agency within 5 days after the date of storage and |
1634 | shall give notice pursuant to paragraph (a). The department may |
1635 | release the insurance company information to the requestor |
1636 | notwithstanding the provisions of s. 627.736. |
1637 | (c) Notice by certified mail, return receipt requested, |
1638 | shall be sent within 7 business days after the date of storage |
1639 | of the vehicle or vessel to the registered owner, the insurance |
1640 | company insuring the vehicle notwithstanding the provisions of |
1641 | s. 627.736, and all persons of record claiming a lien against |
1642 | the vehicle or vessel. It shall state the fact of possession of |
1643 | the vehicle or vessel, that a lien as provided in subsection (2) |
1644 | is claimed, that charges have accrued and the amount thereof, |
1645 | that the lien is subject to enforcement pursuant to law, and |
1646 | that the owner or lienholder, if any, has the right to a hearing |
1647 | as set forth in subsection (5), and that any vehicle or vessel |
1648 | which remains unclaimed, or for which the charges for recovery, |
1649 | towing, or storage services remain unpaid, may be sold free of |
1650 | all prior liens after 35 days if the vehicle or vessel is more |
1651 | than 3 years of age or after 50 days if the vehicle or vessel is |
1652 | 3 years of age or less. |
1653 | Section 38. Paragraph (c) of subsection (7), paragraphs |
1654 | (a), (b), and (c) of subsection (8), and subsection (9) of |
1655 | section 817.234, Florida Statutes, are amended to read: |
1656 | 817.234 False and fraudulent insurance claims.-- |
1657 | (7) |
1658 | (c) An insurer, or any person acting at the direction of |
1659 | or on behalf of an insurer, may not change an opinion in a |
1660 | mental or physical report prepared under s. 627.736(7) or direct |
1661 | the physician preparing the report to change such opinion; |
1662 | however, this provision does not preclude the insurer from |
1663 | calling to the attention of the physician errors of fact in the |
1664 | report based upon information in the claim file. Any person who |
1665 | violates this paragraph commits a felony of the third degree, |
1666 | punishable as provided in s. 775.082, s. 775.083, or s. 775.084. |
1667 | (8)(a) It is unlawful for any person intending to defraud |
1668 | any other person to solicit or cause to be solicited any |
1669 | business from a person involved in a motor vehicle accident for |
1670 | the purpose of making, adjusting, or settling motor vehicle tort |
1671 | claims or claims for emergency care coverage personal injury |
1672 | protection benefits required by s. 627.7363 627.736. Any person |
1673 | who violates the provisions of this paragraph commits a felony |
1674 | of the second degree, punishable as provided in s. 775.082, s. |
1675 | 775.083, or s. 775.084. A person who is convicted of a violation |
1676 | of this subsection shall be sentenced to a minimum term of |
1677 | imprisonment of 2 years. |
1678 | (b) A person may not solicit or cause to be solicited any |
1679 | business from a person involved in a motor vehicle accident by |
1680 | any means of communication other than advertising directed to |
1681 | the public for the purpose of making motor vehicle tort claims |
1682 | or claims for emergency care coverage personal injury protection |
1683 | benefits required by s. 627.7363 627.736, within 60 days after |
1684 | the occurrence of the motor vehicle accident. Any person who |
1685 | violates this paragraph commits a felony of the third degree, |
1686 | punishable as provided in s. 775.082, s. 775.083, or s. 775.084. |
1687 | (c) A lawyer, health care practitioner as defined in s. |
1688 | 456.001, or owner or medical director of a clinic required to be |
1689 | licensed pursuant to s. 400.9905 may not, at any time after 60 |
1690 | days have elapsed from the occurrence of a motor vehicle |
1691 | accident, solicit or cause to be solicited any business from a |
1692 | person involved in a motor vehicle accident by means of in |
1693 | person or telephone contact at the person's residence, for the |
1694 | purpose of making motor vehicle tort claims or claims for |
1695 | emergency care coverage personal injury protection benefits |
1696 | required by s. 627.7363 627.736. Any person who violates this |
1697 | paragraph commits a felony of the third degree, punishable as |
1698 | provided in s. 775.082, s. 775.083, or s. 775.084. |
1699 | (9) A person may not organize, plan, or knowingly |
1700 | participate in an intentional motor vehicle crash or a scheme to |
1701 | create documentation of a motor vehicle crash that did not occur |
1702 | for the purpose of making motor vehicle tort claims or claims |
1703 | for emergency care coverage personal injury protection benefits |
1704 | as required by s. 627.7363 627.736. Any person who violates this |
1705 | subsection commits a felony of the second degree, punishable as |
1706 | provided in s. 775.082, s. 775.083, or s. 775.084. A person who |
1707 | is convicted of a violation of this subsection shall be |
1708 | sentenced to a minimum term of imprisonment of 2 years. |
1709 | Section 39. This act shall take effect October 1, 2007. |