1 | Representative(s) Skidmore offered the following: |
2 |
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3 | Amendment (with title amendment) |
4 | Remove line(s) 177-312 and insert: |
5 | or arbitration panel specified in s. 627.062(6) relating to |
6 | subject matter under the jurisdiction of the department or |
7 | office. |
8 | (2) Have access to and use of all files, records, and data |
9 | of the department or office. |
10 | (3) Examine rate and form filings submitted to the office, |
11 | hire consultants as necessary to aid in the review process, and |
12 | recommend to the department or office any position deemed by the |
13 | consumer advocate to be in the public interest. |
14 | (4) Prepare an annual report card for each authorized |
15 | property insurer, on a form and using a letter-grade scale |
16 | developed by the commission by rule, which grades each insurer |
17 | based on the following factors: |
18 | 1. The number and nature of consumer complaints received |
19 | by the department against the insurer. |
20 | 2. The disposition of all complaints received by the |
21 | department. |
22 | 3. The average length of time for payment of claims by the |
23 | insurer. |
24 | 4. Any other factors the commission identifies as |
25 | assisting policyholders in making informed choices about |
26 | homeowner's insurance. |
27 | (5)(4) Prepare an annual budget for presentation to the |
28 | Legislature by the department, which budget must be adequate to |
29 | carry out the duties of the office of consumer advocate. |
30 | Section 8. Paragraphs (a) and (b) of subsection (2) and |
31 | subsections (6), (7), (8), and (9) of section 627.062, Florida |
32 | Statutes, are amended to read: |
33 | 627.062 Rate standards.-- |
34 | (2) As to all such classes of insurance: |
35 | (a) Insurers or rating organizations shall establish and |
36 | use rates, rating schedules, or rating manuals to allow the |
37 | insurer a reasonable rate of return on such classes of insurance |
38 | written in this state. A copy of rates, rating schedules, rating |
39 | manuals, premium credits or discount schedules, and surcharge |
40 | schedules, and changes thereto, shall be filed with the office |
41 | under one of the following procedures: |
42 | 1. If the filing is made at least 90 days before the |
43 | proposed effective date and the filing is not implemented during |
44 | the office's review of the filing and any proceeding and |
45 | judicial review, then such filing shall be considered a "file |
46 | and use" filing. In such case, the office shall finalize its |
47 | review by issuance of a notice of intent to approve or a notice |
48 | of intent to disapprove within 90 days after receipt of the |
49 | filing. The notice of intent to approve and the notice of intent |
50 | to disapprove constitute agency action for purposes of the |
51 | Administrative Procedure Act. Requests for supporting |
52 | information, requests for mathematical or mechanical |
53 | corrections, or notification to the insurer by the office of its |
54 | preliminary findings shall not toll the 90-day period during any |
55 | such proceedings and subsequent judicial review. The rate shall |
56 | be deemed approved if the office does not issue a notice of |
57 | intent to approve or a notice of intent to disapprove within 90 |
58 | days after receipt of the filing. |
59 | 2. If the filing is not made in accordance with the |
60 | provisions of subparagraph 1., such filing shall be made as soon |
61 | as practicable, but no later than 30 days after the effective |
62 | date, and shall be considered a "use and file" filing. An |
63 | insurer making a "use and file" filing is potentially subject to |
64 | an order by the office to return to policyholders portions of |
65 | rates found to be excessive, as provided in paragraph (h). |
66 | 3. The insurer's senior officer responsible for insurance |
67 | business operations in this state shall sign a sworn statement |
68 | of certification given under oath subject to the penalty of |
69 | perjury to accompany the rate filing. The statement shall |
70 | certify the appropriateness of the information provided in and |
71 | with the rate filing and that the information fairly presents, |
72 | in all material respects, the basis of the rate filing submitted |
73 | by the property and casualty insurer. The insurer shall certify |
74 | all of the information and factors described in paragraph (b), |
75 | including, but not limited to, investment income. The commission |
76 | shall prescribe by rule the form and contents of the statement |
77 | of certification. Failure to provide such statement of |
78 | certification shall result in the rate filing being disapproved |
79 | without prejudice to be refiled but shall not create any private |
80 | right of action against the insurer. |
81 | (b) Upon receiving a rate filing, the office shall review |
82 | the rate filing to determine if a rate is excessive, inadequate, |
83 | or unfairly discriminatory. In making that determination, the |
84 | office shall, in accordance with generally accepted and |
85 | reasonable actuarial techniques, consider the following factors: |
86 | 1. Past and prospective loss experience within and without |
87 | this state. |
88 | 2. Past and prospective expenses. |
89 | 3. The degree of competition among insurers for the risk |
90 | insured. |
91 | 4. Investment income reasonably expected by the insurer, |
92 | consistent with the insurer's investment practices, from |
93 | investable premiums anticipated in the filing, plus any other |
94 | expected income from currently invested assets representing the |
95 | amount expected on unearned premium reserves and loss reserves. |
96 | The commission may adopt rules utilizing reasonable techniques |
97 | of actuarial science and economics to specify the manner in |
98 | which insurers shall calculate investment income attributable to |
99 | such classes of insurance written in this state and the manner |
100 | in which such investment income shall be used in the calculation |
101 | of insurance rates. Such manner shall contemplate allowances for |
102 | an underwriting profit factor and full consideration of |
103 | investment income which produce a reasonable rate of return; |
104 | however, investment income from invested surplus shall not be |
105 | considered. |
106 | 5. The reasonableness of the judgment reflected in the |
107 | filing. |
108 | 6. Dividends, savings, or unabsorbed premium deposits |
109 | allowed or returned to Florida policyholders, members, or |
110 | subscribers. |
111 | 7. The adequacy of loss reserves. |
112 | 8. The cost of reinsurance. |
113 | 9. Trend factors, including trends in actual losses per |
114 | insured unit for the insurer making the filing. |
115 | 10. Conflagration and catastrophe hazards, if applicable. |
116 | 11. A reasonable margin for underwriting profit and |
117 | contingencies. For that portion of the rate covering the risk of |
118 | hurricanes and other catastrophic losses for which the insurer |
119 | has not purchased reinsurance and has exposed its capital and |
120 | surplus to such risk, the office must approve a rating factor |
121 | that provides the insurer a reasonable rate of return that is |
122 | commensurate with such risk. |
123 | 12. The cost of medical services, if applicable. |
124 | 13. For an insurer that is a wholly owned subsidiary of an |
125 | insurer authorized to do business in any other state, the |
126 | profits of the insurer authorized to do business in any other |
127 | state for the most recent reporting year. However, this |
128 | subparagraph may not be the sole basis for a rate filing denial. |
129 | 14.13. Other relevant factors which impact upon the |
130 | frequency or severity of claims or upon expenses. |
131 |
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132 | The provisions of this subsection shall not apply to workers' |
133 | compensation and employer's liability insurance and to motor |
134 | vehicle insurance. |
135 | (6)(a) After any action with respect to a rate filing that |
136 | constitutes agency action for purposes of the Administrative |
137 | Procedure Act, except for a rate filing for medical malpractice, |
138 | an insurer may, in lieu of demanding a hearing under s. 120.57, |
139 | require arbitration of the rate filing. Arbitration shall be |
140 | conducted by a board of arbitrators consisting of an arbitrator |
141 | selected by the office, an arbitrator selected by the insurer, |
142 | and an arbitrator selected jointly by the other two arbitrators. |
143 | Each arbitrator must be certified by the American Arbitration |
144 | Association. A decision is valid only upon the affirmative vote |
145 | of at least two of the arbitrators. No arbitrator may be an |
146 | employee of any insurance regulator or regulatory body or of any |
147 | insurer, regardless of whether or not the employing insurer does |
148 | business in this state. The office and the insurer must treat |
149 | the decision of the arbitrators as the final approval of a rate |
150 | filing. Costs of arbitration shall be paid by the insurer. |
151 | (b) Arbitration under this subsection shall be conducted |
152 | pursuant to the procedures specified in ss. 682.06-682.10. |
153 | Either party may apply to the circuit court to vacate or modify |
154 | the decision pursuant to s. 682.13 or s. 682.14. The commission |
155 | shall adopt rules for arbitration under this subsection, which |
156 | rules may not be inconsistent with the arbitration rules of the |
157 | American Arbitration Association as of January 1, 1996. |
158 | (c) Upon initiation of the arbitration process, the |
159 | insurer waives all rights to challenge the action of the office |
160 | under the Administrative Procedure Act or any other provision of |
161 | law; however, such rights are restored to the insurer if the |
162 | arbitrators fail to render a decision within 90 days after |
163 | initiation of the arbitration process. |
164 | (6)(7)(a) The provisions of this subsection apply only |
165 | with respect to rates for medical malpractice insurance and |
166 | shall control to the extent of any conflict with other |
167 | provisions of this section. |
168 | (b) Any portion of a judgment entered or settlement paid |
169 | as a result of a statutory or common-law bad faith action and |
170 | any portion of a judgment entered which awards punitive damages |
171 | against an insurer may not be included in the insurer's rate |
172 | base, and shall not be used to justify a rate or rate change. |
173 | Any common-law bad faith action identified as such, any portion |
174 | of a settlement entered as a result of a statutory or common-law |
175 | action, or any portion of a settlement wherein an insurer agrees |
176 | to pay specific punitive damages may not be used to justify a |
177 | rate or rate change. The portion of the taxable costs and |
178 | attorney's fees which is identified as being related to the bad |
179 | faith and punitive damages in these judgments and settlements |
180 | may not be included in the insurer's rate base and may not be |
181 | utilized to justify a rate or rate change. |
182 | (c) Upon reviewing a rate filing and determining whether |
183 | the rate is excessive, inadequate, or unfairly discriminatory, |
184 | the office shall consider, in accordance with generally accepted |
185 | and reasonable actuarial techniques, past and present |
186 | prospective loss experience, either using loss experience solely |
187 | for this state or giving greater credibility to this state's |
188 | loss data after applying actuarially sound methods of assigning |
189 | credibility to such data. |
190 | (d) Rates shall be deemed excessive if, among other |
191 | standards established by this section, the rate structure |
192 | provides for replenishment of reserves or surpluses from |
193 | premiums when the replenishment is attributable to investment |
194 | losses. |
195 | (e) The insurer must apply a discount or surcharge based |
196 | on the health care provider's loss experience or shall establish |
197 | an alternative method giving due consideration to the provider's |
198 | loss experience. The insurer must include in the filing a copy |
199 | of the surcharge or discount schedule or a description of the |
200 | alternative method used, and must provide a copy of such |
201 | schedule or description, as approved by the office, to |
202 | policyholders at the time of renewal and to prospective |
203 | policyholders at the time of application for coverage. |
204 | (f) Each medical malpractice insurer must make a rate |
205 | filing under this section, sworn to by at least two executive |
206 | officers of the insurer, at least once each calendar year. |
207 | (7)(8)(a)1. No later than 60 days after the effective date |
208 | of medical malpractice legislation enacted during the 2003 |
209 | Special Session D of the Florida Legislature, the office shall |
210 | calculate a presumed factor that reflects the impact that the |
211 | changes contained in such legislation will have on rates for |
212 | medical malpractice insurance and shall issue a notice informing |
213 | all insurers writing medical malpractice coverage of such |
214 | presumed factor. In determining the presumed factor, the office |
215 | shall use generally accepted actuarial techniques and standards |
216 | provided in this section in determining the expected impact on |
217 | losses, expenses, and investment income of the insurer. To the |
218 | extent that the operation of a provision of medical malpractice |
219 | legislation enacted during the 2003 Special Session D of the |
220 | Florida Legislature is stayed pending a constitutional |
221 | challenge, the impact of that provision shall not be included in |
222 | the calculation of a presumed factor under this subparagraph. |
223 | 2. No later than 60 days after the office issues its |
224 | notice of the presumed rate change factor under subparagraph 1., |
225 | each insurer writing medical malpractice coverage in this state |
226 | shall submit to the office a rate filing for medical malpractice |
227 | insurance, which will take effect no later than January 1, 2004, |
228 | and apply retroactively to policies issued or renewed on or |
229 | after the effective date of medical malpractice legislation |
230 | enacted during the 2003 Special Session D of the Florida |
231 | Legislature. Except as authorized under paragraph (b), the |
232 | filing shall reflect an overall rate reduction at least as great |
233 | as the presumed factor determined under subparagraph 1. With |
234 | respect to policies issued on or after the effective date of |
235 | such legislation and prior to the effective date of the rate |
236 | filing required by this subsection, the office shall order the |
237 | insurer to make a refund of the amount that was charged in |
238 | excess of the rate that is approved. |
239 | (b) Any insurer or rating organization that contends that |
240 | the rate provided for in paragraph (a) is excessive, inadequate, |
241 | or unfairly discriminatory shall separately state in its filing |
242 | the rate it contends is appropriate and shall state with |
243 | specificity the factors or data that it contends should be |
244 | considered in order to produce such appropriate rate. The |
245 | insurer or rating organization shall be permitted to use all of |
246 | the generally accepted actuarial techniques provided in this |
247 | section in making any filing pursuant to this subsection. The |
248 | office shall review each such exception and approve or |
249 | disapprove it prior to use. It shall be the insurer's burden to |
250 | actuarially justify any deviations from the rates required to be |
251 | filed under paragraph (a). The insurer making a filing under |
252 | this paragraph shall include in the filing the expected impact |
253 | of medical malpractice legislation enacted during the 2003 |
254 | Special Session D of the Florida Legislature on losses, |
255 | expenses, and rates. |
256 | (c) If any provision of medical malpractice legislation |
257 | enacted during the 2003 Special Session D of the Florida |
258 | Legislature is held invalid by a court of competent |
259 | jurisdiction, the office shall permit an adjustment of all |
260 | medical malpractice rates filed under this section to reflect |
261 | the impact of such holding on such rates so as to ensure that |
262 | the rates are not excessive, inadequate, or unfairly |
263 | discriminatory. |
264 | (d) Rates approved on or before July 1, 2003, for medical |
265 | malpractice insurance shall remain in effect until the effective |
266 | date of a new rate filing approved under this subsection. |
267 | (e) The calculation and notice by the office of the |
268 | presumed factor pursuant to paragraph (a) is not an order or |
269 | rule that is subject to chapter 120. If the office enters into a |
270 | contract with an independent consultant to assist the office in |
271 | calculating the presumed factor, such contract shall not be |
272 | subject to the competitive solicitation requirements of s. |
273 | 287.057. |
274 | (8)(9) The burden is on the office to establish that rates |
275 | are excessive for personal lines residential coverage with a |
276 | dwelling replacement cost of $1 million or more or for a single |
277 | condominium unit with a combined dwelling and contents |
278 | replacement cost of $1 million or more. Upon request of the |
279 | office, the insurer shall provide to the office such loss and |
280 | expense information as the office reasonably needs to meet this |
281 | burden. |
282 | Section 9. Paragraph (c) of subsection (3) of section |
283 | 627.0628, Florida Statutes, is amended to read: |
284 | 627.0628 Florida Commission on Hurricane Loss Projection |
285 | Methodology; public records exemption; public meetings |
286 | exemption.-- |
287 | (3) ADOPTION AND EFFECT OF STANDARDS AND GUIDELINES.-- |
288 | (c) With respect to a rate filing under s. 627.062, an |
289 | insurer may employ actuarial methods, principles, standards, |
290 | models, or output ranges found by the commission to be accurate |
291 | or reliable to determine hurricane loss factors for use in a |
292 | rate filing under s. 627.062. Such findings and factors are |
293 | admissible and relevant in consideration of a rate filing by the |
294 | office or in any arbitration or administrative or judicial |
295 | review only if the office and the consumer advocate appointed |
296 | pursuant to s. 627.0613 have access to all of the assumptions |
297 | and factors that were used in developing the actuarial methods, |
298 | principles, standards, models, or output ranges, and are not |
299 | precluded from disclosing such information in a rate proceeding. |
300 | In any rate hearing under s. 120.57 or in any arbitration |
301 | proceeding under s. 627.062(6), the hearing officer, judge, or |
302 | arbitration panel may determine whether the office and the |
303 | consumer advocate were provided with access to all of the |
304 | assumptions and factors that were used in developing the |
305 | actuarial methods, principles, standards, models, or output |
306 | ranges and to determine their admissibility. |
307 | Section 10. Paragraph (b) of subsection (2) of section |
308 | 627.351, Florida Statutes, is amended to read: |
309 | 627.351 Insurance risk apportionment plans.-- |
310 | (2) WINDSTORM INSURANCE RISK APPORTIONMENT.-- |
311 | (b) The department shall require all insurers holding a |
312 | certificate of authority to transact property insurance on a |
313 | direct basis in this state, other than joint underwriting |
314 | associations and other entities formed pursuant to this section, |
315 | to provide windstorm coverage to applicants from areas |
316 | determined to be eligible pursuant to paragraph (c) who in good |
317 | faith are entitled to, but are unable to procure, such coverage |
318 | through ordinary means; or it shall adopt a reasonable plan or |
319 | plans for the equitable apportionment or sharing among such |
320 | insurers of windstorm coverage, which may include formation of |
321 | an association for this purpose. As used in this subsection, the |
322 | term "property insurance" means insurance on real or personal |
323 | property, as defined in s. 624.604, including insurance for |
324 | fire, industrial fire, allied lines, farmowners multiperil, |
325 | homeowners' multiperil, commercial multiperil, and mobile homes, |
326 | and including liability coverages on all such insurance, but |
327 | excluding inland marine as defined in s. 624.607(3) and |
328 | excluding vehicle insurance as defined in s. 624.605(1)(a) other |
329 | than insurance on mobile homes used as permanent dwellings. The |
330 | department shall adopt rules that provide a formula for the |
331 | recovery and repayment of any deferred assessments. |
332 | 1. For the purpose of this section, properties eligible |
333 | for such windstorm coverage are defined as dwellings, buildings, |
334 | and other structures, including mobile homes which are used as |
335 | dwellings and which are tied down in compliance with mobile home |
336 | tie-down requirements prescribed by the Department of Highway |
337 | Safety and Motor Vehicles pursuant to s. 320.8325, and the |
338 | contents of all such properties. An applicant or policyholder is |
339 | eligible for coverage only if an offer of coverage cannot be |
340 | obtained by or for the applicant or policyholder from an |
341 | admitted insurer at approved rates. |
342 | 2.a.(I) All insurers required to be members of such |
343 | association shall participate in its writings, expenses, and |
344 | losses. Surplus of the association shall be retained for the |
345 | payment of claims and shall not be distributed to the member |
346 | insurers. Such participation by member insurers shall be in the |
347 | proportion that the net direct premiums of each member insurer |
348 | written for property insurance in this state during the |
349 | preceding calendar year bear to the aggregate net direct |
350 | premiums for property insurance of all member insurers, as |
351 | reduced by any credits for voluntary writings, in this state |
352 | during the preceding calendar year. For the purposes of this |
353 | subsection, the term "net direct premiums" means direct written |
354 | premiums for property insurance, reduced by premium for |
355 | liability coverage and for the following if included in allied |
356 | lines: rain and hail on growing crops; livestock; association |
357 | direct premiums booked; National Flood Insurance Program direct |
358 | premiums; and similar deductions specifically authorized by the |
359 | plan of operation and approved by the department. A member's |
360 | participation shall begin on the first day of the calendar year |
361 | following the year in which it is issued a certificate of |
362 | authority to transact property insurance in the state and shall |
363 | terminate 1 year after the end of the calendar year during which |
364 | it no longer holds a certificate of authority to transact |
365 | property insurance in the state. The commissioner, after review |
366 | of annual statements, other reports, and any other statistics |
367 | that the commissioner deems necessary, shall certify to the |
368 | association the aggregate direct premiums written for property |
369 | insurance in this state by all member insurers. |
370 | (II) Effective July 1, 2002, the association shall operate |
371 | subject to the supervision and approval of a board of governors |
372 | who are the same individuals that have been appointed by the |
373 | Treasurer to serve on the board of governors of the Citizens |
374 | Property Insurance Corporation. |
375 | (III) The plan of operation shall provide a formula |
376 | whereby a company voluntarily providing windstorm coverage in |
377 | affected areas will be relieved wholly or partially from |
378 | apportionment of a regular assessment pursuant to sub-sub- |
379 | subparagraph d.(I) or sub-sub-subparagraph d.(II). |
380 | (IV) A company which is a member of a group of companies |
381 | under common management may elect to have its credits applied on |
382 | a group basis, and any company or group may elect to have its |
383 | credits applied to any other company or group. |
384 | (V) There shall be no credits or relief from apportionment |
385 | to a company for emergency assessments collected from its |
386 | policyholders under sub-sub-subparagraph d.(III). |
387 | (VI) The plan of operation may also provide for the award |
388 | of credits, for a period not to exceed 3 years, from a regular |
389 | assessment pursuant to sub-sub-subparagraph d.(I) or sub-sub- |
390 | subparagraph d.(II) as an incentive for taking policies out of |
391 | the Residential Property and Casualty Joint Underwriting |
392 | Association. In order to qualify for the exemption under this |
393 | sub-sub-subparagraph, the take-out plan must provide that at |
394 | least 40 percent of the policies removed from the Residential |
395 | Property and Casualty Joint Underwriting Association cover risks |
396 | located in Dade, Broward, and Palm Beach Counties or at least 30 |
397 | percent of the policies so removed cover risks located in Dade, |
398 | Broward, and Palm Beach Counties and an additional 50 percent of |
399 | the policies so removed cover risks located in other coastal |
400 | counties, and must also provide that no more than 15 percent of |
401 | the policies so removed may exclude windstorm coverage. With the |
402 | approval of the department, the association may waive these |
403 | geographic criteria for a take-out plan that removes at least |
404 | the lesser of 100,000 Residential Property and Casualty Joint |
405 | Underwriting Association policies or 15 percent of the total |
406 | number of Residential Property and Casualty Joint Underwriting |
407 | Association policies, provided the governing board of the |
408 | Residential Property and Casualty Joint Underwriting Association |
409 | certifies that the take-out plan will materially reduce the |
410 | Residential Property and Casualty Joint Underwriting |
411 | Association's 100-year probable maximum loss from hurricanes. |
412 | With the approval of the department, the board may extend such |
413 | credits for an additional year if the insurer guarantees an |
414 | additional year of renewability for all policies removed from |
415 | the Residential Property and Casualty Joint Underwriting |
416 | Association, or for 2 additional years if the insurer guarantees |
417 | 2 additional years of renewability for all policies removed from |
418 | the Residential Property and Casualty Joint Underwriting |
419 | Association. |
420 | b. Assessments to pay deficits in the association under |
421 | this subparagraph shall be included as an appropriate factor in |
422 | the making of rates as provided in s. 627.3512. |
423 | c. The Legislature finds that the potential for unlimited |
424 | deficit assessments under this subparagraph may induce insurers |
425 | to attempt to reduce their writings in the voluntary market, and |
426 | that such actions would worsen the availability problems that |
427 | the association was created to remedy. It is the intent of the |
428 | Legislature that insurers remain fully responsible for paying |
429 | regular assessments and collecting emergency assessments for any |
430 | deficits of the association; however, it is also the intent of |
431 | the Legislature to provide a means by which assessment |
432 | liabilities may be amortized over a period of years. |
433 | d.(I) When the deficit incurred in a particular calendar |
434 | year is 10 percent or less of the aggregate statewide direct |
435 | written premium for property insurance for the prior calendar |
436 | year for all member insurers, the association shall levy an |
437 | assessment on member insurers in an amount equal to the deficit. |
438 | (II) When the deficit incurred in a particular calendar |
439 | year exceeds 10 percent of the aggregate statewide direct |
440 | written premium for property insurance for the prior calendar |
441 | year for all member insurers, the association shall levy an |
442 | assessment on member insurers in an amount equal to the greater |
443 | of 10 percent of the deficit or 10 percent of the aggregate |
444 | statewide direct written premium for property insurance for the |
445 | prior calendar year for member insurers. Any remaining deficit |
446 | shall be recovered through emergency assessments under sub-sub- |
447 | subparagraph (III). |
448 | (III) Upon a determination by the board of directors that |
449 | a deficit exceeds the amount that will be recovered through |
450 | regular assessments on member insurers, pursuant to sub-sub- |
451 | subparagraph (I) or sub-sub-subparagraph (II), the board shall |
452 | levy, after verification by the department, emergency |
453 | assessments to be collected by member insurers and by |
454 | underwriting associations created pursuant to this section which |
455 | write property insurance, upon issuance or renewal of property |
456 | insurance policies other than National Flood Insurance policies |
457 | in the year or years following levy of the regular assessments. |
458 | The amount of the emergency assessment collected in a particular |
459 | year shall be a uniform percentage of that year's direct written |
460 | premium for property insurance for all member insurers and |
461 | underwriting associations, excluding National Flood Insurance |
462 | policy premiums, as annually determined by the board and |
463 | verified by the department. The department shall verify the |
464 | arithmetic calculations involved in the board's determination |
465 | within 30 days after receipt of the information on which the |
466 | determination was based. Notwithstanding any other provision of |
467 | law, each member insurer and each underwriting association |
468 | created pursuant to this section shall collect emergency |
469 | assessments from its policyholders without such obligation being |
470 | affected by any credit, limitation, exemption, or deferment. The |
471 | emergency assessments so collected shall be transferred directly |
472 | to the association on a periodic basis as determined by the |
473 | association. The aggregate amount of emergency assessments |
474 | levied under this sub-sub-subparagraph in any calendar year may |
475 | not exceed the greater of 10 percent of the amount needed to |
476 | cover the original deficit, plus interest, fees, commissions, |
477 | required reserves, and other costs associated with financing of |
478 | the original deficit, or 10 percent of the aggregate statewide |
479 | direct written premium for property insurance written by member |
480 | insurers and underwriting associations for the prior year, plus |
481 | interest, fees, commissions, required reserves, and other costs |
482 | associated with financing the original deficit. The board may |
483 | pledge the proceeds of the emergency assessments under this sub- |
484 | sub-subparagraph as the source of revenue for bonds, to retire |
485 | any other debt incurred as a result of the deficit or events |
486 | giving rise to the deficit, or in any other way that the board |
487 | determines will efficiently recover the deficit. The emergency |
488 | assessments under this sub-sub-subparagraph shall continue as |
489 | long as any bonds issued or other indebtedness incurred with |
490 | respect to a deficit for which the assessment was imposed remain |
491 | outstanding, unless adequate provision has been made for the |
492 | payment of such bonds or other indebtedness pursuant to the |
493 | document governing such bonds or other indebtedness. Emergency |
494 | assessments collected under this sub-sub-subparagraph are not |
495 | part of an insurer's rates, are not premium, and are not subject |
496 | to premium tax, fees, or commissions; however, failure to pay |
497 | the emergency assessment shall be treated as failure to pay |
498 | premium. |
499 | (IV) Each member insurer's share of the total regular |
500 | assessments under sub-sub-subparagraph (I) or sub-sub- |
501 | subparagraph (II) shall be in the proportion that the insurer's |
502 | net direct premium for property insurance in this state, for the |
503 | year preceding the assessment bears to the aggregate statewide |
504 | net direct premium for property insurance of all member |
505 | insurers, as reduced by any credits for voluntary writings for |
506 | that year. |
507 | (V) If regular deficit assessments are made under sub-sub- |
508 | subparagraph (I) or sub-sub-subparagraph (II), or by the |
509 | Residential Property and Casualty Joint Underwriting Association |
510 | under sub-subparagraph (6)(b)3.a. or sub-subparagraph |
511 | (6)(b)3.b., the association shall levy upon the association's |
512 | policyholders, as part of its next rate filing, or by a separate |
513 | rate filing solely for this purpose, a market equalization |
514 | surcharge in a percentage equal to the total amount of such |
515 | regular assessments divided by the aggregate statewide direct |
516 | written premium for property insurance for member insurers for |
517 | the prior calendar year. Market equalization surcharges under |
518 | this sub-sub-subparagraph are not considered premium and are not |
519 | subject to commissions, fees, or premium taxes; however, failure |
520 | to pay a market equalization surcharge shall be treated as |
521 | failure to pay premium. |
522 | e. The governing body of any unit of local government, any |
523 | residents of which are insured under the plan, may issue bonds |
524 | as defined in s. 125.013 or s. 166.101 to fund an assistance |
525 | program, in conjunction with the association, for the purpose of |
526 | defraying deficits of the association. In order to avoid |
527 | needless and indiscriminate proliferation, duplication, and |
528 | fragmentation of such assistance programs, any unit of local |
529 | government, any residents of which are insured by the |
530 | association, may provide for the payment of losses, regardless |
531 | of whether or not the losses occurred within or outside of the |
532 | territorial jurisdiction of the local government. Revenue bonds |
533 | may not be issued until validated pursuant to chapter 75, unless |
534 | a state of emergency is declared by executive order or |
535 | proclamation of the Governor pursuant to s. 252.36 making such |
536 | findings as are necessary to determine that it is in the best |
537 | interests of, and necessary for, the protection of the public |
538 | health, safety, and general welfare of residents of this state |
539 | and the protection and preservation of the economic stability of |
540 | insurers operating in this state, and declaring it an essential |
541 | public purpose to permit certain municipalities or counties to |
542 | issue bonds as will provide relief to claimants and |
543 | policyholders of the association and insurers responsible for |
544 | apportionment of plan losses. Any such unit of local government |
545 | may enter into such contracts with the association and with any |
546 | other entity created pursuant to this subsection as are |
547 | necessary to carry out this paragraph. Any bonds issued under |
548 | this sub-subparagraph shall be payable from and secured by |
549 | moneys received by the association from assessments under this |
550 | subparagraph, and assigned and pledged to or on behalf of the |
551 | unit of local government for the benefit of the holders of such |
552 | bonds. The funds, credit, property, and taxing power of the |
553 | state or of the unit of local government shall not be pledged |
554 | for the payment of such bonds. If any of the bonds remain unsold |
555 | 60 days after issuance, the department shall require all |
556 | insurers subject to assessment to purchase the bonds, which |
557 | shall be treated as admitted assets; each insurer shall be |
558 | required to purchase that percentage of the unsold portion of |
559 | the bond issue that equals the insurer's relative share of |
560 | assessment liability under this subsection. An insurer shall not |
561 | be required to purchase the bonds to the extent that the |
562 | department determines that the purchase would endanger or impair |
563 | the solvency of the insurer. The authority granted by this sub- |
564 | subparagraph is additional to any bonding authority granted by |
565 | subparagraph 6. |
566 | 3. The plan shall also provide that any member with a |
567 | surplus as to policyholders of $20 million or less writing 25 |
568 | percent or more of its total countrywide property insurance |
569 | premiums in this state may petition the department, within the |
570 | first 90 days of each calendar year, to qualify as a limited |
571 | apportionment company. The apportionment of such a member |
572 | company in any calendar year for which it is qualified shall not |
573 | exceed its gross participation, which shall not be affected by |
574 | the formula for voluntary writings. In no event shall a limited |
575 | apportionment company be required to participate in any |
576 | apportionment of losses pursuant to sub-sub-subparagraph 2.d.(I) |
577 | or sub-sub-subparagraph 2.d.(II) in the aggregate which exceeds |
578 | $50 million after payment of available plan funds in any |
579 | calendar year. However, a limited apportionment company shall |
580 | collect from its policyholders any emergency assessment imposed |
581 | under sub-sub-subparagraph 2.d.(III). The plan shall provide |
582 | that, if the department determines that any regular assessment |
583 | will result in an impairment of the surplus of a limited |
584 | apportionment company, the department may direct that all or |
585 | part of such assessment be deferred. However, there shall be no |
586 | limitation or deferment of an emergency assessment to be |
587 | collected from policyholders under sub-sub-subparagraph |
588 | 2.d.(III). |
589 | 4. The plan shall provide for the deferment, in whole or |
590 | in part, of a regular assessment of a member insurer under sub- |
591 | sub-subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II), but |
592 | not for an emergency assessment collected from policyholders |
593 | under sub-sub-subparagraph 2.d.(III), if, in the opinion of the |
594 | commissioner, payment of such regular assessment would endanger |
595 | or impair the solvency of the member insurer. In the event a |
596 | regular assessment against a member insurer is deferred in whole |
597 | or in part, the amount by which such assessment is deferred may |
598 | be assessed against the other member insurers in a manner |
599 | consistent with the basis for assessments set forth in sub-sub- |
600 | subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II). |
601 | 5.a. The plan of operation may include deductibles and |
602 | rules for classification of risks and rate modifications |
603 | consistent with the objective of providing and maintaining funds |
604 | sufficient to pay catastrophe losses. |
605 | b. The association may require arbitration of a rate |
606 | filing under s. 627.062(6). It is the intent of the Legislature |
607 | that the rates for coverage provided by the association be |
608 | actuarially sound and not competitive with approved rates |
609 | charged in the admitted voluntary market such that the |
610 | association functions as a residual market mechanism to provide |
611 | insurance only when the insurance cannot be procured in the |
612 | voluntary market. The plan of operation shall provide a |
613 | mechanism to assure that, beginning no later than January 1, |
614 | 1999, the rates charged by the association for each line of |
615 | business are reflective of approved rates in the voluntary |
616 | market for hurricane coverage for each line of business in the |
617 | various areas eligible for association coverage. |
618 | c. The association shall provide for windstorm coverage on |
619 | residential properties in limits up to $10 million for |
620 | commercial lines residential risks and up to $1 million for |
621 | personal lines residential risks. If coverage with the |
622 | association is sought for a residential risk valued in excess of |
623 | these limits, coverage shall be available to the risk up to the |
624 | replacement cost or actual cash value of the property, at the |
625 | option of the insured, if coverage for the risk cannot be |
626 | located in the authorized market. The association must accept a |
627 | commercial lines residential risk with limits above $10 million |
628 | or a personal lines residential risk with limits above $1 |
629 | million if coverage is not available in the authorized market. |
630 | The association may write coverage above the limits specified in |
631 | this subparagraph with or without facultative or other |
632 | reinsurance coverage, as the association determines appropriate. |
633 | d. The plan of operation must provide objective criteria |
634 | and procedures, approved by the department, to be uniformly |
635 | applied for all applicants in determining whether an individual |
636 | risk is so hazardous as to be uninsurable. In making this |
637 | determination and in establishing the criteria and procedures, |
638 | the following shall be considered: |
639 | (I) Whether the likelihood of a loss for the individual |
640 | risk is substantially higher than for other risks of the same |
641 | class; and |
642 | (II) Whether the uncertainty associated with the |
643 | individual risk is such that an appropriate premium cannot be |
644 | determined. |
645 |
|
646 | The acceptance or rejection of a risk by the association |
647 | pursuant to such criteria and procedures must be construed as |
648 | the private placement of insurance, and the provisions of |
649 | chapter 120 do not apply. |
650 | e. If the risk accepts an offer of coverage through the |
651 | market assistance program or through a mechanism established by |
652 | the association, either before the policy is issued by the |
653 | association or during the first 30 days of coverage by the |
654 | association, and the producing agent who submitted the |
655 | application to the association is not currently appointed by the |
656 | insurer, the insurer shall: |
657 | (I) Pay to the producing agent of record of the policy, |
658 | for the first year, an amount that is the greater of the |
659 | insurer's usual and customary commission for the type of policy |
660 | written or a fee equal to the usual and customary commission of |
661 | the association; or |
662 | (II) Offer to allow the producing agent of record of the |
663 | policy to continue servicing the policy for a period of not less |
664 | than 1 year and offer to pay the agent the greater of the |
665 | insurer's or the association's usual and customary commission |
666 | for the type of policy written. |
667 |
|
668 | If the producing agent is unwilling or unable to accept |
669 | appointment, the new insurer shall pay the agent in accordance |
670 | with sub-sub-subparagraph (I). Subject to the provisions of s. |
671 | 627.3517, the policies issued by the association must provide |
672 | that if the association obtains an offer from an authorized |
673 | insurer to cover the risk at its approved rates under either a |
674 | standard policy including wind coverage or, if consistent with |
675 | the insurer's underwriting rules as filed with the department, a |
676 | basic policy including wind coverage, the risk is no longer |
677 | eligible for coverage through the association. Upon termination |
678 | of eligibility, the association shall provide written notice to |
679 | the policyholder and agent of record stating that the |
680 | association policy must be canceled as of 60 days after the date |
681 | of the notice because of the offer of coverage from an |
682 | authorized insurer. Other provisions of the insurance code |
683 | relating to cancellation and notice of cancellation do not apply |
684 | to actions under this sub-subparagraph. |
685 | f. When the association enters into a contractual |
686 | agreement for a take-out plan, the producing agent of record of |
687 | the association policy is entitled to retain any unearned |
688 | commission on the policy, and the insurer shall: |
689 | (I) Pay to the producing agent of record of the |
690 | association policy, for the first year, an amount that is the |
691 | greater of the insurer's usual and customary commission for the |
692 | type of policy written or a fee equal to the usual and customary |
693 | commission of the association; or |
694 | (II) Offer to allow the producing agent of record of the |
695 | association policy to continue servicing the policy for a period |
696 | of not less than 1 year and offer to pay the agent the greater |
697 | of the insurer's or the association's usual and customary |
698 | commission for the type of policy written. |
699 |
|
700 | If the producing agent is unwilling or unable to accept |
701 | appointment, the new insurer shall pay the agent in accordance |
702 | with sub-sub-subparagraph (I). |
703 | 6.a. The plan of operation may authorize the formation of |
704 | a private nonprofit corporation, a private nonprofit |
705 | unincorporated association, a partnership, a trust, a limited |
706 | liability company, or a nonprofit mutual company which may be |
707 | empowered, among other things, to borrow money by issuing bonds |
708 | or by incurring other indebtedness and to accumulate reserves or |
709 | funds to be used for the payment of insured catastrophe losses. |
710 | The plan may authorize all actions necessary to facilitate the |
711 | issuance of bonds, including the pledging of assessments or |
712 | other revenues. |
713 | b. Any entity created under this subsection, or any entity |
714 | formed for the purposes of this subsection, may sue and be sued, |
715 | may borrow money; issue bonds, notes, or debt instruments; |
716 | pledge or sell assessments, market equalization surcharges and |
717 | other surcharges, rights, premiums, contractual rights, |
718 | projected recoveries from the Florida Hurricane Catastrophe |
719 | Fund, other reinsurance recoverables, and other assets as |
720 | security for such bonds, notes, or debt instruments; enter into |
721 | any contracts or agreements necessary or proper to accomplish |
722 | such borrowings; and take other actions necessary to carry out |
723 | the purposes of this subsection. The association may issue bonds |
724 | or incur other indebtedness, or have bonds issued on its behalf |
725 | by a unit of local government pursuant to subparagraph (6)(g)2., |
726 | in the absence of a hurricane or other weather-related event, |
727 | upon a determination by the association subject to approval by |
728 | the department that such action would enable it to efficiently |
729 | meet the financial obligations of the association and that such |
730 | financings are reasonably necessary to effectuate the |
731 | requirements of this subsection. Any such entity may accumulate |
732 | reserves and retain surpluses as of the end of any association |
733 | year to provide for the payment of losses incurred by the |
734 | association during that year or any future year. The association |
735 | shall incorporate and continue the plan of operation and |
736 | articles of agreement in effect on the effective date of chapter |
737 | 76-96, Laws of Florida, to the extent that it is not |
738 | inconsistent with chapter 76-96, and as subsequently modified |
739 | consistent with chapter 76-96. The board of directors and |
740 | officers currently serving shall continue to serve until their |
741 | successors are duly qualified as provided under the plan. The |
742 | assets and obligations of the plan in effect immediately prior |
743 | to the effective date of chapter 76-96 shall be construed to be |
744 | the assets and obligations of the successor plan created herein. |
745 | c. In recognition of s. 10, Art. I of the State |
746 | Constitution, prohibiting the impairment of obligations of |
747 | contracts, it is the intent of the Legislature that no action be |
748 | taken whose purpose is to impair any bond indenture or financing |
749 | agreement or any revenue source committed by contract to such |
750 | bond or other indebtedness issued or incurred by the association |
751 | or any other entity created under this subsection. |
752 | 7. On such coverage, an agent's remuneration shall be that |
753 | amount of money payable to the agent by the terms of his or her |
754 | contract with the company with which the business is placed. |
755 | However, no commission will be paid on that portion of the |
756 | premium which is in excess of the standard premium of that |
757 | company. |
758 | 8. Subject to approval by the department, the association |
759 | may establish different eligibility requirements and operational |
760 | procedures for any line or type of coverage for any specified |
761 | eligible area or portion of an eligible area if the board |
762 | determines that such changes to the eligibility requirements and |
763 | operational procedures are justified due to the voluntary market |
764 | being sufficiently stable and competitive in such area or for |
765 | such line or type of coverage and that consumers who, in good |
766 | faith, are unable to obtain insurance through the voluntary |
767 | market through ordinary methods would continue to have access to |
768 | coverage from the association. When coverage is sought in |
769 | connection with a real property transfer, such requirements and |
770 | procedures shall not provide for an effective date of coverage |
771 | later than the date of the closing of the transfer as |
772 | established by the transferor, the transferee, and, if |
773 | applicable, the lender. |
774 | 9. Notwithstanding any other provision of law: |
775 | a. The pledge or sale of, the lien upon, and the security |
776 | interest in any rights, revenues, or other assets of the |
777 | association created or purported to be created pursuant to any |
778 | financing documents to secure any bonds or other indebtedness of |
779 | the association shall be and remain valid and enforceable, |
780 | notwithstanding the commencement of and during the continuation |
781 | of, and after, any rehabilitation, insolvency, liquidation, |
782 | bankruptcy, receivership, conservatorship, reorganization, or |
783 | similar proceeding against the association under the laws of |
784 | this state or any other applicable laws. |
785 | b. No such proceeding shall relieve the association of its |
786 | obligation, or otherwise affect its ability to perform its |
787 | obligation, to continue to collect, or levy and collect, |
788 | assessments, market equalization or other surcharges, projected |
789 | recoveries from the Florida Hurricane Catastrophe Fund, |
790 | reinsurance recoverables, or any other rights, revenues, or |
791 | other assets of the association pledged. |
792 | c. Each such pledge or sale of, lien upon, and security |
793 | interest in, including the priority of such pledge, lien, or |
794 | security interest, any such assessments, emergency assessments, |
795 | market equalization or renewal surcharges, projected recoveries |
796 | from the Florida Hurricane Catastrophe Fund, reinsurance |
797 | recoverables, or other rights, revenues, or other assets which |
798 | are collected, or levied and collected, after the commencement |
799 | of and during the pendency of or after any such proceeding shall |
800 | continue unaffected by such proceeding. |
801 | d. As used in this subsection, the term "financing |
802 | documents" means any agreement, instrument, or other document |
803 | now existing or hereafter created evidencing any bonds or other |
804 | indebtedness of the association or pursuant to which any such |
805 | bonds or other indebtedness has been or may be issued and |
806 | pursuant to which any rights, revenues, or other assets of the |
807 | association are pledged or sold to secure the repayment of such |
808 | bonds or indebtedness, together with the payment of interest on |
809 | such bonds or such indebtedness, or the payment of any other |
810 | obligation of the association related to such bonds or |
811 | indebtedness. |
812 | e. Any such pledge or sale of assessments, revenues, |
813 | contract rights or other rights or assets of the association |
814 | shall constitute a lien and security interest, or sale, as the |
815 | case may be, that is immediately effective and attaches to such |
816 | assessments, revenues, contract, or other rights or assets, |
817 | whether or not imposed or collected at the time the pledge or |
818 | sale is made. Any such pledge or sale is effective, valid, |
819 | binding, and enforceable against the association or other entity |
820 | making such pledge or sale, and valid and binding against and |
821 | superior to any competing claims or obligations owed to any |
822 | other person or entity, including policyholders in this state, |
823 | asserting rights in any such assessments, revenues, contract, or |
824 | other rights or assets to the extent set forth in and in |
825 | accordance with the terms of the pledge or sale contained in the |
826 | applicable financing documents, whether or not any such person |
827 | or entity has notice of such pledge or sale and without the need |
828 | for any physical delivery, recordation, filing, or other action. |
829 | f. There shall be no liability on the part of, and no |
830 | cause of action of any nature shall arise against, any member |
831 | insurer or its agents or employees, agents or employees of the |
832 | association, members of the board of directors of the |
833 | association, or the department or its representatives, for any |
834 | action taken by them in the performance of their duties or |
835 | responsibilities under this subsection. Such immunity does not |
836 | apply to actions for breach of any contract or agreement |
837 | pertaining to insurance, or any willful tort. |
838 |
|
839 | ======= T I T L E A M E N D M E N T ======= |
840 | Remove line(s) 15-23 and insert: |
841 | criteria; amending s. 627.0613, F.S.; deleting a reference to an |
842 | arbitration panel to conform; providing additional duties of the |
843 | consumer advocate; amending s. 627.062, F.S.; deleting a |
844 | provision relating to an arbitration panel in certain |
845 | administrative proceedings; requiring the filing of a statement |
846 | of certification for certain rate filings; providing statement |
847 | requirements; providing a penalty; requiring the Office of |
848 | Insurance Regulation to adopt rules; providing an additional |
849 | rate filing review factor; deleting provisions authorizing |
850 | insurers to require arbitration in rate filings; amending ss. |
851 | 627.0628 and 627.351, F.S.; deleting references to required |
852 | arbitration to conform; amending s. 627.0629, F.S.; providing |
853 | legislative |