(LATE FILED)Amendment
Bill No. 0001A
Amendment No. 111795
CHAMBER ACTION
Senate House
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1Representative(s) Skidmore offered the following:
2
3     Amendment (with title amendment)
4     Remove line(s) 177-312 and insert:
5or arbitration panel specified in s. 627.062(6) relating to
6subject matter under the jurisdiction of the department or
7office.
8     (2)  Have access to and use of all files, records, and data
9of the department or office.
10     (3)  Examine rate and form filings submitted to the office,
11hire consultants as necessary to aid in the review process, and
12recommend to the department or office any position deemed by the
13consumer advocate to be in the public interest.
14     (4)  Prepare an annual report card for each authorized
15property insurer, on a form and using a letter-grade scale
16developed by the commission by rule, which grades each insurer
17based on the following factors:
18     1.  The number and nature of consumer complaints received
19by the department against the insurer.
20     2.  The disposition of all complaints received by the
21department.
22     3.  The average length of time for payment of claims by the
23insurer.
24     4.  Any other factors the commission identifies as
25assisting policyholders in making informed choices about
26homeowner's insurance.
27     (5)(4)  Prepare an annual budget for presentation to the
28Legislature by the department, which budget must be adequate to
29carry out the duties of the office of consumer advocate.
30     Section 8.  Paragraphs (a) and (b) of subsection (2) and
31subsections (6), (7), (8), and (9) of section 627.062, Florida
32Statutes, 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
36use rates, rating schedules, or rating manuals to allow the
37insurer a reasonable rate of return on such classes of insurance
38written in this state. A copy of rates, rating schedules, rating
39manuals, premium credits or discount schedules, and surcharge
40schedules, and changes thereto, shall be filed with the office
41under one of the following procedures:
42     1.  If the filing is made at least 90 days before the
43proposed effective date and the filing is not implemented during
44the office's review of the filing and any proceeding and
45judicial review, then such filing shall be considered a "file
46and use" filing. In such case, the office shall finalize its
47review by issuance of a notice of intent to approve or a notice
48of intent to disapprove within 90 days after receipt of the
49filing. The notice of intent to approve and the notice of intent
50to disapprove constitute agency action for purposes of the
51Administrative Procedure Act. Requests for supporting
52information, requests for mathematical or mechanical
53corrections, or notification to the insurer by the office of its
54preliminary findings shall not toll the 90-day period during any
55such proceedings and subsequent judicial review. The rate shall
56be deemed approved if the office does not issue a notice of
57intent to approve or a notice of intent to disapprove within 90
58days after receipt of the filing.
59     2.  If the filing is not made in accordance with the
60provisions of subparagraph 1., such filing shall be made as soon
61as practicable, but no later than 30 days after the effective
62date, and shall be considered a "use and file" filing. An
63insurer making a "use and file" filing is potentially subject to
64an order by the office to return to policyholders portions of
65rates found to be excessive, as provided in paragraph (h).
66     3.  The insurer's senior officer responsible for insurance
67business operations in this state shall sign a sworn statement
68of certification given under oath subject to the penalty of
69perjury to accompany the rate filing. The statement shall
70certify the appropriateness of the information provided in and
71with the rate filing and that the information fairly presents,
72in all material respects, the basis of the rate filing submitted
73by the property and casualty insurer. The insurer shall certify
74all of the information and factors described in paragraph (b),
75including, but not limited to, investment income. The commission
76shall prescribe by rule the form and contents of the statement
77of certification. Failure to provide such statement of
78certification shall result in the rate filing being disapproved
79without prejudice to be refiled but shall not create any private
80right of action against the insurer.
81     (b)  Upon receiving a rate filing, the office shall review
82the rate filing to determine if a rate is excessive, inadequate,
83or unfairly discriminatory. In making that determination, the
84office shall, in accordance with generally accepted and
85reasonable actuarial techniques, consider the following factors:
86     1.  Past and prospective loss experience within and without
87this state.
88     2.  Past and prospective expenses.
89     3.  The degree of competition among insurers for the risk
90insured.
91     4.  Investment income reasonably expected by the insurer,
92consistent with the insurer's investment practices, from
93investable premiums anticipated in the filing, plus any other
94expected income from currently invested assets representing the
95amount expected on unearned premium reserves and loss reserves.
96The commission may adopt rules utilizing reasonable techniques
97of actuarial science and economics to specify the manner in
98which insurers shall calculate investment income attributable to
99such classes of insurance written in this state and the manner
100in which such investment income shall be used in the calculation
101of insurance rates. Such manner shall contemplate allowances for
102an underwriting profit factor and full consideration of
103investment income which produce a reasonable rate of return;
104however, investment income from invested surplus shall not be
105considered.
106     5.  The reasonableness of the judgment reflected in the
107filing.
108     6.  Dividends, savings, or unabsorbed premium deposits
109allowed or returned to Florida policyholders, members, or
110subscribers.
111     7.  The adequacy of loss reserves.
112     8.  The cost of reinsurance.
113     9.  Trend factors, including trends in actual losses per
114insured unit for the insurer making the filing.
115     10.  Conflagration and catastrophe hazards, if applicable.
116     11.  A reasonable margin for underwriting profit and
117contingencies. For that portion of the rate covering the risk of
118hurricanes and other catastrophic losses for which the insurer
119has not purchased reinsurance and has exposed its capital and
120surplus to such risk, the office must approve a rating factor
121that provides the insurer a reasonable rate of return that is
122commensurate 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
125insurer authorized to do business in any other state, the
126profits of the insurer authorized to do business in any other
127state for the most recent reporting year. However, this
128subparagraph may not be the sole basis for a rate filing denial.
129     14.13.  Other relevant factors which impact upon the
130frequency or severity of claims or upon expenses.
131
132The provisions of this subsection shall not apply to workers'
133compensation and employer's liability insurance and to motor
134vehicle insurance.
135     (6)(a)  After any action with respect to a rate filing that
136constitutes agency action for purposes of the Administrative
137Procedure Act, except for a rate filing for medical malpractice,
138an insurer may, in lieu of demanding a hearing under s. 120.57,
139require arbitration of the rate filing. Arbitration shall be
140conducted by a board of arbitrators consisting of an arbitrator
141selected by the office, an arbitrator selected by the insurer,
142and an arbitrator selected jointly by the other two arbitrators.
143Each arbitrator must be certified by the American Arbitration
144Association. A decision is valid only upon the affirmative vote
145of at least two of the arbitrators. No arbitrator may be an
146employee of any insurance regulator or regulatory body or of any
147insurer, regardless of whether or not the employing insurer does
148business in this state. The office and the insurer must treat
149the decision of the arbitrators as the final approval of a rate
150filing. Costs of arbitration shall be paid by the insurer.
151     (b)  Arbitration under this subsection shall be conducted
152pursuant to the procedures specified in ss. 682.06-682.10.
153Either party may apply to the circuit court to vacate or modify
154the decision pursuant to s. 682.13 or s. 682.14. The commission
155shall adopt rules for arbitration under this subsection, which
156rules may not be inconsistent with the arbitration rules of the
157American Arbitration Association as of January 1, 1996.
158     (c)  Upon initiation of the arbitration process, the
159insurer waives all rights to challenge the action of the office
160under the Administrative Procedure Act or any other provision of
161law; however, such rights are restored to the insurer if the
162arbitrators fail to render a decision within 90 days after
163initiation of the arbitration process.
164     (6)(7)(a)  The provisions of this subsection apply only
165with respect to rates for medical malpractice insurance and
166shall control to the extent of any conflict with other
167provisions of this section.
168     (b)  Any portion of a judgment entered or settlement paid
169as a result of a statutory or common-law bad faith action and
170any portion of a judgment entered which awards punitive damages
171against an insurer may not be included in the insurer's rate
172base, and shall not be used to justify a rate or rate change.
173Any common-law bad faith action identified as such, any portion
174of a settlement entered as a result of a statutory or common-law
175action, or any portion of a settlement wherein an insurer agrees
176to pay specific punitive damages may not be used to justify a
177rate or rate change. The portion of the taxable costs and
178attorney's fees which is identified as being related to the bad
179faith and punitive damages in these judgments and settlements
180may not be included in the insurer's rate base and may not be
181utilized to justify a rate or rate change.
182     (c)  Upon reviewing a rate filing and determining whether
183the rate is excessive, inadequate, or unfairly discriminatory,
184the office shall consider, in accordance with generally accepted
185and reasonable actuarial techniques, past and present
186prospective loss experience, either using loss experience solely
187for this state or giving greater credibility to this state's
188loss data after applying actuarially sound methods of assigning
189credibility to such data.
190     (d)  Rates shall be deemed excessive if, among other
191standards established by this section, the rate structure
192provides for replenishment of reserves or surpluses from
193premiums when the replenishment is attributable to investment
194losses.
195     (e)  The insurer must apply a discount or surcharge based
196on the health care provider's loss experience or shall establish
197an alternative method giving due consideration to the provider's
198loss experience. The insurer must include in the filing a copy
199of the surcharge or discount schedule or a description of the
200alternative method used, and must provide a copy of such
201schedule or description, as approved by the office, to
202policyholders at the time of renewal and to prospective
203policyholders at the time of application for coverage.
204     (f)  Each medical malpractice insurer must make a rate
205filing under this section, sworn to by at least two executive
206officers of the insurer, at least once each calendar year.
207     (7)(8)(a)1.  No later than 60 days after the effective date
208of medical malpractice legislation enacted during the 2003
209Special Session D of the Florida Legislature, the office shall
210calculate a presumed factor that reflects the impact that the
211changes contained in such legislation will have on rates for
212medical malpractice insurance and shall issue a notice informing
213all insurers writing medical malpractice coverage of such
214presumed factor. In determining the presumed factor, the office
215shall use generally accepted actuarial techniques and standards
216provided in this section in determining the expected impact on
217losses, expenses, and investment income of the insurer. To the
218extent that the operation of a provision of medical malpractice
219legislation enacted during the 2003 Special Session D of the
220Florida Legislature is stayed pending a constitutional
221challenge, the impact of that provision shall not be included in
222the calculation of a presumed factor under this subparagraph.
223     2.  No later than 60 days after the office issues its
224notice of the presumed rate change factor under subparagraph 1.,
225each insurer writing medical malpractice coverage in this state
226shall submit to the office a rate filing for medical malpractice
227insurance, which will take effect no later than January 1, 2004,
228and apply retroactively to policies issued or renewed on or
229after the effective date of medical malpractice legislation
230enacted during the 2003 Special Session D of the Florida
231Legislature. Except as authorized under paragraph (b), the
232filing shall reflect an overall rate reduction at least as great
233as the presumed factor determined under subparagraph 1. With
234respect to policies issued on or after the effective date of
235such legislation and prior to the effective date of the rate
236filing required by this subsection, the office shall order the
237insurer to make a refund of the amount that was charged in
238excess of the rate that is approved.
239     (b)  Any insurer or rating organization that contends that
240the rate provided for in paragraph (a) is excessive, inadequate,
241or unfairly discriminatory shall separately state in its filing
242the rate it contends is appropriate and shall state with
243specificity the factors or data that it contends should be
244considered in order to produce such appropriate rate. The
245insurer or rating organization shall be permitted to use all of
246the generally accepted actuarial techniques provided in this
247section in making any filing pursuant to this subsection. The
248office shall review each such exception and approve or
249disapprove it prior to use. It shall be the insurer's burden to
250actuarially justify any deviations from the rates required to be
251filed under paragraph (a). The insurer making a filing under
252this paragraph shall include in the filing the expected impact
253of medical malpractice legislation enacted during the 2003
254Special Session D of the Florida Legislature on losses,
255expenses, and rates.
256     (c)  If any provision of medical malpractice legislation
257enacted during the 2003 Special Session D of the Florida
258Legislature is held invalid by a court of competent
259jurisdiction, the office shall permit an adjustment of all
260medical malpractice rates filed under this section to reflect
261the impact of such holding on such rates so as to ensure that
262the rates are not excessive, inadequate, or unfairly
263discriminatory.
264     (d)  Rates approved on or before July 1, 2003, for medical
265malpractice insurance shall remain in effect until the effective
266date of a new rate filing approved under this subsection.
267     (e)  The calculation and notice by the office of the
268presumed factor pursuant to paragraph (a) is not an order or
269rule that is subject to chapter 120. If the office enters into a
270contract with an independent consultant to assist the office in
271calculating the presumed factor, such contract shall not be
272subject to the competitive solicitation requirements of s.
273287.057.
274     (8)(9)  The burden is on the office to establish that rates
275are excessive for personal lines residential coverage with a
276dwelling replacement cost of $1 million or more or for a single
277condominium unit with a combined dwelling and contents
278replacement cost of $1 million or more. Upon request of the
279office, the insurer shall provide to the office such loss and
280expense information as the office reasonably needs to meet this
281burden.
282     Section 9.  Paragraph (c) of subsection (3) of section
283627.0628, Florida Statutes, is amended to read:
284     627.0628  Florida Commission on Hurricane Loss Projection
285Methodology; public records exemption; public meetings
286exemption.--
287     (3)  ADOPTION AND EFFECT OF STANDARDS AND GUIDELINES.--
288     (c)  With respect to a rate filing under s. 627.062, an
289insurer may employ actuarial methods, principles, standards,
290models, or output ranges found by the commission to be accurate
291or reliable to determine hurricane loss factors for use in a
292rate filing under s. 627.062. Such findings and factors are
293admissible and relevant in consideration of a rate filing by the
294office or in any arbitration or administrative or judicial
295review only if the office and the consumer advocate appointed
296pursuant to s. 627.0613 have access to all of the assumptions
297and factors that were used in developing the actuarial methods,
298principles, standards, models, or output ranges, and are not
299precluded from disclosing such information in a rate proceeding.
300In any rate hearing under s. 120.57 or in any arbitration
301proceeding under s. 627.062(6), the hearing officer, judge, or
302arbitration panel may determine whether the office and the
303consumer advocate were provided with access to all of the
304assumptions and factors that were used in developing the
305actuarial methods, principles, standards, models, or output
306ranges and to determine their admissibility.
307     Section 10.  Paragraph (b) of subsection (2) of section
308627.351, 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
312certificate of authority to transact property insurance on a
313direct basis in this state, other than joint underwriting
314associations and other entities formed pursuant to this section,
315to provide windstorm coverage to applicants from areas
316determined to be eligible pursuant to paragraph (c) who in good
317faith are entitled to, but are unable to procure, such coverage
318through ordinary means; or it shall adopt a reasonable plan or
319plans for the equitable apportionment or sharing among such
320insurers of windstorm coverage, which may include formation of
321an association for this purpose. As used in this subsection, the
322term "property insurance" means insurance on real or personal
323property, as defined in s. 624.604, including insurance for
324fire, industrial fire, allied lines, farmowners multiperil,
325homeowners' multiperil, commercial multiperil, and mobile homes,
326and including liability coverages on all such insurance, but
327excluding inland marine as defined in s. 624.607(3) and
328excluding vehicle insurance as defined in s. 624.605(1)(a) other
329than insurance on mobile homes used as permanent dwellings. The
330department shall adopt rules that provide a formula for the
331recovery and repayment of any deferred assessments.
332     1.  For the purpose of this section, properties eligible
333for such windstorm coverage are defined as dwellings, buildings,
334and other structures, including mobile homes which are used as
335dwellings and which are tied down in compliance with mobile home
336tie-down requirements prescribed by the Department of Highway
337Safety and Motor Vehicles pursuant to s. 320.8325, and the
338contents of all such properties. An applicant or policyholder is
339eligible for coverage only if an offer of coverage cannot be
340obtained by or for the applicant or policyholder from an
341admitted insurer at approved rates.
342     2.a.(I)  All insurers required to be members of such
343association shall participate in its writings, expenses, and
344losses. Surplus of the association shall be retained for the
345payment of claims and shall not be distributed to the member
346insurers. Such participation by member insurers shall be in the
347proportion that the net direct premiums of each member insurer
348written for property insurance in this state during the
349preceding calendar year bear to the aggregate net direct
350premiums for property insurance of all member insurers, as
351reduced by any credits for voluntary writings, in this state
352during the preceding calendar year. For the purposes of this
353subsection, the term "net direct premiums" means direct written
354premiums for property insurance, reduced by premium for
355liability coverage and for the following if included in allied
356lines: rain and hail on growing crops; livestock; association
357direct premiums booked; National Flood Insurance Program direct
358premiums; and similar deductions specifically authorized by the
359plan of operation and approved by the department. A member's
360participation shall begin on the first day of the calendar year
361following the year in which it is issued a certificate of
362authority to transact property insurance in the state and shall
363terminate 1 year after the end of the calendar year during which
364it no longer holds a certificate of authority to transact
365property insurance in the state. The commissioner, after review
366of annual statements, other reports, and any other statistics
367that the commissioner deems necessary, shall certify to the
368association the aggregate direct premiums written for property
369insurance in this state by all member insurers.
370     (II)  Effective July 1, 2002, the association shall operate
371subject to the supervision and approval of a board of governors
372who are the same individuals that have been appointed by the
373Treasurer to serve on the board of governors of the Citizens
374Property Insurance Corporation.
375     (III)  The plan of operation shall provide a formula
376whereby a company voluntarily providing windstorm coverage in
377affected areas will be relieved wholly or partially from
378apportionment of a regular assessment pursuant to sub-sub-
379subparagraph d.(I) or sub-sub-subparagraph d.(II).
380     (IV)  A company which is a member of a group of companies
381under common management may elect to have its credits applied on
382a group basis, and any company or group may elect to have its
383credits applied to any other company or group.
384     (V)  There shall be no credits or relief from apportionment
385to a company for emergency assessments collected from its
386policyholders under sub-sub-subparagraph d.(III).
387     (VI)  The plan of operation may also provide for the award
388of credits, for a period not to exceed 3 years, from a regular
389assessment pursuant to sub-sub-subparagraph d.(I) or sub-sub-
390subparagraph d.(II) as an incentive for taking policies out of
391the Residential Property and Casualty Joint Underwriting
392Association. In order to qualify for the exemption under this
393sub-sub-subparagraph, the take-out plan must provide that at
394least 40 percent of the policies removed from the Residential
395Property and Casualty Joint Underwriting Association cover risks
396located in Dade, Broward, and Palm Beach Counties or at least 30
397percent of the policies so removed cover risks located in Dade,
398Broward, and Palm Beach Counties and an additional 50 percent of
399the policies so removed cover risks located in other coastal
400counties, and must also provide that no more than 15 percent of
401the policies so removed may exclude windstorm coverage. With the
402approval of the department, the association may waive these
403geographic criteria for a take-out plan that removes at least
404the lesser of 100,000 Residential Property and Casualty Joint
405Underwriting Association policies or 15 percent of the total
406number of Residential Property and Casualty Joint Underwriting
407Association policies, provided the governing board of the
408Residential Property and Casualty Joint Underwriting Association
409certifies that the take-out plan will materially reduce the
410Residential Property and Casualty Joint Underwriting
411Association's 100-year probable maximum loss from hurricanes.
412With the approval of the department, the board may extend such
413credits for an additional year if the insurer guarantees an
414additional year of renewability for all policies removed from
415the Residential Property and Casualty Joint Underwriting
416Association, or for 2 additional years if the insurer guarantees
4172 additional years of renewability for all policies removed from
418the Residential Property and Casualty Joint Underwriting
419Association.
420     b.  Assessments to pay deficits in the association under
421this subparagraph shall be included as an appropriate factor in
422the making of rates as provided in s. 627.3512.
423     c.  The Legislature finds that the potential for unlimited
424deficit assessments under this subparagraph may induce insurers
425to attempt to reduce their writings in the voluntary market, and
426that such actions would worsen the availability problems that
427the association was created to remedy. It is the intent of the
428Legislature that insurers remain fully responsible for paying
429regular assessments and collecting emergency assessments for any
430deficits of the association; however, it is also the intent of
431the Legislature to provide a means by which assessment
432liabilities may be amortized over a period of years.
433     d.(I)  When the deficit incurred in a particular calendar
434year is 10 percent or less of the aggregate statewide direct
435written premium for property insurance for the prior calendar
436year for all member insurers, the association shall levy an
437assessment on member insurers in an amount equal to the deficit.
438     (II)  When the deficit incurred in a particular calendar
439year exceeds 10 percent of the aggregate statewide direct
440written premium for property insurance for the prior calendar
441year for all member insurers, the association shall levy an
442assessment on member insurers in an amount equal to the greater
443of 10 percent of the deficit or 10 percent of the aggregate
444statewide direct written premium for property insurance for the
445prior calendar year for member insurers. Any remaining deficit
446shall be recovered through emergency assessments under sub-sub-
447subparagraph (III).
448     (III)  Upon a determination by the board of directors that
449a deficit exceeds the amount that will be recovered through
450regular assessments on member insurers, pursuant to sub-sub-
451subparagraph (I) or sub-sub-subparagraph (II), the board shall
452levy, after verification by the department, emergency
453assessments to be collected by member insurers and by
454underwriting associations created pursuant to this section which
455write property insurance, upon issuance or renewal of property
456insurance policies other than National Flood Insurance policies
457in the year or years following levy of the regular assessments.
458The amount of the emergency assessment collected in a particular
459year shall be a uniform percentage of that year's direct written
460premium for property insurance for all member insurers and
461underwriting associations, excluding National Flood Insurance
462policy premiums, as annually determined by the board and
463verified by the department. The department shall verify the
464arithmetic calculations involved in the board's determination
465within 30 days after receipt of the information on which the
466determination was based. Notwithstanding any other provision of
467law, each member insurer and each underwriting association
468created pursuant to this section shall collect emergency
469assessments from its policyholders without such obligation being
470affected by any credit, limitation, exemption, or deferment. The
471emergency assessments so collected shall be transferred directly
472to the association on a periodic basis as determined by the
473association. The aggregate amount of emergency assessments
474levied under this sub-sub-subparagraph in any calendar year may
475not exceed the greater of 10 percent of the amount needed to
476cover the original deficit, plus interest, fees, commissions,
477required reserves, and other costs associated with financing of
478the original deficit, or 10 percent of the aggregate statewide
479direct written premium for property insurance written by member
480insurers and underwriting associations for the prior year, plus
481interest, fees, commissions, required reserves, and other costs
482associated with financing the original deficit. The board may
483pledge the proceeds of the emergency assessments under this sub-
484sub-subparagraph as the source of revenue for bonds, to retire
485any other debt incurred as a result of the deficit or events
486giving rise to the deficit, or in any other way that the board
487determines will efficiently recover the deficit. The emergency
488assessments under this sub-sub-subparagraph shall continue as
489long as any bonds issued or other indebtedness incurred with
490respect to a deficit for which the assessment was imposed remain
491outstanding, unless adequate provision has been made for the
492payment of such bonds or other indebtedness pursuant to the
493document governing such bonds or other indebtedness. Emergency
494assessments collected under this sub-sub-subparagraph are not
495part of an insurer's rates, are not premium, and are not subject
496to premium tax, fees, or commissions; however, failure to pay
497the emergency assessment shall be treated as failure to pay
498premium.
499     (IV)  Each member insurer's share of the total regular
500assessments under sub-sub-subparagraph (I) or sub-sub-
501subparagraph (II) shall be in the proportion that the insurer's
502net direct premium for property insurance in this state, for the
503year preceding the assessment bears to the aggregate statewide
504net direct premium for property insurance of all member
505insurers, as reduced by any credits for voluntary writings for
506that year.
507     (V)  If regular deficit assessments are made under sub-sub-
508subparagraph (I) or sub-sub-subparagraph (II), or by the
509Residential Property and Casualty Joint Underwriting Association
510under sub-subparagraph (6)(b)3.a. or sub-subparagraph
511(6)(b)3.b., the association shall levy upon the association's
512policyholders, as part of its next rate filing, or by a separate
513rate filing solely for this purpose, a market equalization
514surcharge in a percentage equal to the total amount of such
515regular assessments divided by the aggregate statewide direct
516written premium for property insurance for member insurers for
517the prior calendar year. Market equalization surcharges under
518this sub-sub-subparagraph are not considered premium and are not
519subject to commissions, fees, or premium taxes; however, failure
520to pay a market equalization surcharge shall be treated as
521failure to pay premium.
522     e.  The governing body of any unit of local government, any
523residents of which are insured under the plan, may issue bonds
524as defined in s. 125.013 or s. 166.101 to fund an assistance
525program, in conjunction with the association, for the purpose of
526defraying deficits of the association. In order to avoid
527needless and indiscriminate proliferation, duplication, and
528fragmentation of such assistance programs, any unit of local
529government, any residents of which are insured by the
530association, may provide for the payment of losses, regardless
531of whether or not the losses occurred within or outside of the
532territorial jurisdiction of the local government. Revenue bonds
533may not be issued until validated pursuant to chapter 75, unless
534a state of emergency is declared by executive order or
535proclamation of the Governor pursuant to s. 252.36 making such
536findings as are necessary to determine that it is in the best
537interests of, and necessary for, the protection of the public
538health, safety, and general welfare of residents of this state
539and the protection and preservation of the economic stability of
540insurers operating in this state, and declaring it an essential
541public purpose to permit certain municipalities or counties to
542issue bonds as will provide relief to claimants and
543policyholders of the association and insurers responsible for
544apportionment of plan losses. Any such unit of local government
545may enter into such contracts with the association and with any
546other entity created pursuant to this subsection as are
547necessary to carry out this paragraph. Any bonds issued under
548this sub-subparagraph shall be payable from and secured by
549moneys received by the association from assessments under this
550subparagraph, and assigned and pledged to or on behalf of the
551unit of local government for the benefit of the holders of such
552bonds. The funds, credit, property, and taxing power of the
553state or of the unit of local government shall not be pledged
554for the payment of such bonds. If any of the bonds remain unsold
55560 days after issuance, the department shall require all
556insurers subject to assessment to purchase the bonds, which
557shall be treated as admitted assets; each insurer shall be
558required to purchase that percentage of the unsold portion of
559the bond issue that equals the insurer's relative share of
560assessment liability under this subsection. An insurer shall not
561be required to purchase the bonds to the extent that the
562department determines that the purchase would endanger or impair
563the solvency of the insurer. The authority granted by this sub-
564subparagraph is additional to any bonding authority granted by
565subparagraph 6.
566     3.  The plan shall also provide that any member with a
567surplus as to policyholders of $20 million or less writing 25
568percent or more of its total countrywide property insurance
569premiums in this state may petition the department, within the
570first 90 days of each calendar year, to qualify as a limited
571apportionment company. The apportionment of such a member
572company in any calendar year for which it is qualified shall not
573exceed its gross participation, which shall not be affected by
574the formula for voluntary writings. In no event shall a limited
575apportionment company be required to participate in any
576apportionment of losses pursuant to sub-sub-subparagraph 2.d.(I)
577or sub-sub-subparagraph 2.d.(II) in the aggregate which exceeds
578$50 million after payment of available plan funds in any
579calendar year. However, a limited apportionment company shall
580collect from its policyholders any emergency assessment imposed
581under sub-sub-subparagraph 2.d.(III). The plan shall provide
582that, if the department determines that any regular assessment
583will result in an impairment of the surplus of a limited
584apportionment company, the department may direct that all or
585part of such assessment be deferred. However, there shall be no
586limitation or deferment of an emergency assessment to be
587collected from policyholders under sub-sub-subparagraph
5882.d.(III).
589     4.  The plan shall provide for the deferment, in whole or
590in part, of a regular assessment of a member insurer under sub-
591sub-subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II), but
592not for an emergency assessment collected from policyholders
593under sub-sub-subparagraph 2.d.(III), if, in the opinion of the
594commissioner, payment of such regular assessment would endanger
595or impair the solvency of the member insurer. In the event a
596regular assessment against a member insurer is deferred in whole
597or in part, the amount by which such assessment is deferred may
598be assessed against the other member insurers in a manner
599consistent with the basis for assessments set forth in sub-sub-
600subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II).
601     5.a.  The plan of operation may include deductibles and
602rules for classification of risks and rate modifications
603consistent with the objective of providing and maintaining funds
604sufficient to pay catastrophe losses.
605     b.  The association may require arbitration of a rate
606filing under s. 627.062(6). It is the intent of the Legislature
607that the rates for coverage provided by the association be
608actuarially sound and not competitive with approved rates
609charged in the admitted voluntary market such that the
610association functions as a residual market mechanism to provide
611insurance only when the insurance cannot be procured in the
612voluntary market. The plan of operation shall provide a
613mechanism to assure that, beginning no later than January 1,
6141999, the rates charged by the association for each line of
615business are reflective of approved rates in the voluntary
616market for hurricane coverage for each line of business in the
617various areas eligible for association coverage.
618     c.  The association shall provide for windstorm coverage on
619residential properties in limits up to $10 million for
620commercial lines residential risks and up to $1 million for
621personal lines residential risks. If coverage with the
622association is sought for a residential risk valued in excess of
623these limits, coverage shall be available to the risk up to the
624replacement cost or actual cash value of the property, at the
625option of the insured, if coverage for the risk cannot be
626located in the authorized market. The association must accept a
627commercial lines residential risk with limits above $10 million
628or a personal lines residential risk with limits above $1
629million if coverage is not available in the authorized market.
630The association may write coverage above the limits specified in
631this subparagraph with or without facultative or other
632reinsurance coverage, as the association determines appropriate.
633     d.  The plan of operation must provide objective criteria
634and procedures, approved by the department, to be uniformly
635applied for all applicants in determining whether an individual
636risk is so hazardous as to be uninsurable. In making this
637determination and in establishing the criteria and procedures,
638the following shall be considered:
639     (I)  Whether the likelihood of a loss for the individual
640risk is substantially higher than for other risks of the same
641class; and
642     (II)  Whether the uncertainty associated with the
643individual risk is such that an appropriate premium cannot be
644determined.
645
646The acceptance or rejection of a risk by the association
647pursuant to such criteria and procedures must be construed as
648the private placement of insurance, and the provisions of
649chapter 120 do not apply.
650     e.  If the risk accepts an offer of coverage through the
651market assistance program or through a mechanism established by
652the association, either before the policy is issued by the
653association or during the first 30 days of coverage by the
654association, and the producing agent who submitted the
655application to the association is not currently appointed by the
656insurer, the insurer shall:
657     (I)  Pay to the producing agent of record of the policy,
658for the first year, an amount that is the greater of the
659insurer's usual and customary commission for the type of policy
660written or a fee equal to the usual and customary commission of
661the association; or
662     (II)  Offer to allow the producing agent of record of the
663policy to continue servicing the policy for a period of not less
664than 1 year and offer to pay the agent the greater of the
665insurer's or the association's usual and customary commission
666for the type of policy written.
667
668If the producing agent is unwilling or unable to accept
669appointment, the new insurer shall pay the agent in accordance
670with sub-sub-subparagraph (I). Subject to the provisions of s.
671627.3517, the policies issued by the association must provide
672that if the association obtains an offer from an authorized
673insurer to cover the risk at its approved rates under either a
674standard policy including wind coverage or, if consistent with
675the insurer's underwriting rules as filed with the department, a
676basic policy including wind coverage, the risk is no longer
677eligible for coverage through the association. Upon termination
678of eligibility, the association shall provide written notice to
679the policyholder and agent of record stating that the
680association policy must be canceled as of 60 days after the date
681of the notice because of the offer of coverage from an
682authorized insurer. Other provisions of the insurance code
683relating to cancellation and notice of cancellation do not apply
684to actions under this sub-subparagraph.
685     f.  When the association enters into a contractual
686agreement for a take-out plan, the producing agent of record of
687the association policy is entitled to retain any unearned
688commission on the policy, and the insurer shall:
689     (I)  Pay to the producing agent of record of the
690association policy, for the first year, an amount that is the
691greater of the insurer's usual and customary commission for the
692type of policy written or a fee equal to the usual and customary
693commission of the association; or
694     (II)  Offer to allow the producing agent of record of the
695association policy to continue servicing the policy for a period
696of not less than 1 year and offer to pay the agent the greater
697of the insurer's or the association's usual and customary
698commission for the type of policy written.
699
700If the producing agent is unwilling or unable to accept
701appointment, the new insurer shall pay the agent in accordance
702with sub-sub-subparagraph (I).
703     6.a.  The plan of operation may authorize the formation of
704a private nonprofit corporation, a private nonprofit
705unincorporated association, a partnership, a trust, a limited
706liability company, or a nonprofit mutual company which may be
707empowered, among other things, to borrow money by issuing bonds
708or by incurring other indebtedness and to accumulate reserves or
709funds to be used for the payment of insured catastrophe losses.
710The plan may authorize all actions necessary to facilitate the
711issuance of bonds, including the pledging of assessments or
712other revenues.
713     b.  Any entity created under this subsection, or any entity
714formed for the purposes of this subsection, may sue and be sued,
715may borrow money; issue bonds, notes, or debt instruments;
716pledge or sell assessments, market equalization surcharges and
717other surcharges, rights, premiums, contractual rights,
718projected recoveries from the Florida Hurricane Catastrophe
719Fund, other reinsurance recoverables, and other assets as
720security for such bonds, notes, or debt instruments; enter into
721any contracts or agreements necessary or proper to accomplish
722such borrowings; and take other actions necessary to carry out
723the purposes of this subsection. The association may issue bonds
724or incur other indebtedness, or have bonds issued on its behalf
725by a unit of local government pursuant to subparagraph (6)(g)2.,
726in the absence of a hurricane or other weather-related event,
727upon a determination by the association subject to approval by
728the department that such action would enable it to efficiently
729meet the financial obligations of the association and that such
730financings are reasonably necessary to effectuate the
731requirements of this subsection. Any such entity may accumulate
732reserves and retain surpluses as of the end of any association
733year to provide for the payment of losses incurred by the
734association during that year or any future year. The association
735shall incorporate and continue the plan of operation and
736articles of agreement in effect on the effective date of chapter
73776-96, Laws of Florida, to the extent that it is not
738inconsistent with chapter 76-96, and as subsequently modified
739consistent with chapter 76-96. The board of directors and
740officers currently serving shall continue to serve until their
741successors are duly qualified as provided under the plan. The
742assets and obligations of the plan in effect immediately prior
743to the effective date of chapter 76-96 shall be construed to be
744the assets and obligations of the successor plan created herein.
745     c.  In recognition of s. 10, Art. I of the State
746Constitution, prohibiting the impairment of obligations of
747contracts, it is the intent of the Legislature that no action be
748taken whose purpose is to impair any bond indenture or financing
749agreement or any revenue source committed by contract to such
750bond or other indebtedness issued or incurred by the association
751or any other entity created under this subsection.
752     7.  On such coverage, an agent's remuneration shall be that
753amount of money payable to the agent by the terms of his or her
754contract with the company with which the business is placed.
755However, no commission will be paid on that portion of the
756premium which is in excess of the standard premium of that
757company.
758     8.  Subject to approval by the department, the association
759may establish different eligibility requirements and operational
760procedures for any line or type of coverage for any specified
761eligible area or portion of an eligible area if the board
762determines that such changes to the eligibility requirements and
763operational procedures are justified due to the voluntary market
764being sufficiently stable and competitive in such area or for
765such line or type of coverage and that consumers who, in good
766faith, are unable to obtain insurance through the voluntary
767market through ordinary methods would continue to have access to
768coverage from the association. When coverage is sought in
769connection with a real property transfer, such requirements and
770procedures shall not provide for an effective date of coverage
771later than the date of the closing of the transfer as
772established by the transferor, the transferee, and, if
773applicable, the lender.
774     9.  Notwithstanding any other provision of law:
775     a.  The pledge or sale of, the lien upon, and the security
776interest in any rights, revenues, or other assets of the
777association created or purported to be created pursuant to any
778financing documents to secure any bonds or other indebtedness of
779the association shall be and remain valid and enforceable,
780notwithstanding the commencement of and during the continuation
781of, and after, any rehabilitation, insolvency, liquidation,
782bankruptcy, receivership, conservatorship, reorganization, or
783similar proceeding against the association under the laws of
784this state or any other applicable laws.
785     b.  No such proceeding shall relieve the association of its
786obligation, or otherwise affect its ability to perform its
787obligation, to continue to collect, or levy and collect,
788assessments, market equalization or other surcharges, projected
789recoveries from the Florida Hurricane Catastrophe Fund,
790reinsurance recoverables, or any other rights, revenues, or
791other assets of the association pledged.
792     c.  Each such pledge or sale of, lien upon, and security
793interest in, including the priority of such pledge, lien, or
794security interest, any such assessments, emergency assessments,
795market equalization or renewal surcharges, projected recoveries
796from the Florida Hurricane Catastrophe Fund, reinsurance
797recoverables, or other rights, revenues, or other assets which
798are collected, or levied and collected, after the commencement
799of and during the pendency of or after any such proceeding shall
800continue unaffected by such proceeding.
801     d.  As used in this subsection, the term "financing
802documents" means any agreement, instrument, or other document
803now existing or hereafter created evidencing any bonds or other
804indebtedness of the association or pursuant to which any such
805bonds or other indebtedness has been or may be issued and
806pursuant to which any rights, revenues, or other assets of the
807association are pledged or sold to secure the repayment of such
808bonds or indebtedness, together with the payment of interest on
809such bonds or such indebtedness, or the payment of any other
810obligation of the association related to such bonds or
811indebtedness.
812     e.  Any such pledge or sale of assessments, revenues,
813contract rights or other rights or assets of the association
814shall constitute a lien and security interest, or sale, as the
815case may be, that is immediately effective and attaches to such
816assessments, revenues, contract, or other rights or assets,
817whether or not imposed or collected at the time the pledge or
818sale is made. Any such pledge or sale is effective, valid,
819binding, and enforceable against the association or other entity
820making such pledge or sale, and valid and binding against and
821superior to any competing claims or obligations owed to any
822other person or entity, including policyholders in this state,
823asserting rights in any such assessments, revenues, contract, or
824other rights or assets to the extent set forth in and in
825accordance with the terms of the pledge or sale contained in the
826applicable financing documents, whether or not any such person
827or entity has notice of such pledge or sale and without the need
828for any physical delivery, recordation, filing, or other action.
829     f.  There shall be no liability on the part of, and no
830cause of action of any nature shall arise against, any member
831insurer or its agents or employees, agents or employees of the
832association, members of the board of directors of the
833association, or the department or its representatives, for any
834action taken by them in the performance of their duties or
835responsibilities under this subsection. Such immunity does not
836apply to actions for breach of any contract or agreement
837pertaining 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:
841criteria; amending s. 627.0613, F.S.; deleting a reference to an
842arbitration panel to conform; providing additional duties of the
843consumer advocate;  amending s. 627.062, F.S.; deleting a
844provision relating to an arbitration panel in certain
845administrative proceedings; requiring the filing of a statement
846of certification for certain rate filings; providing statement
847requirements; providing a penalty; requiring the Office of
848Insurance Regulation to adopt rules; providing an additional
849rate filing review factor; deleting provisions authorizing
850insurers to require arbitration in rate filings; amending ss.
851627.0628 and 627.351, F.S.; deleting references to required
852arbitration to conform; amending s. 627.0629, F.S.; providing
853legislative


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