1 | A bill to be entitled |
2 | An act relating to hurricane preparedness and insurance; |
3 | providing a short title; amending s. 163.01, F.S., |
4 | relating to the Florida Interlocal Cooperation Act; |
5 | redefining the term "public agency" to include certain |
6 | legal or administrative entities; authorizing such |
7 | entities to finance the provision of property coverage |
8 | contracts for or from local government property insurance |
9 | pools or property coverage contracts; providing a |
10 | definition; authorizing certain hospitals and hospital |
11 | systems to borrow funds, issue bonds, and enter into loan |
12 | agreements for the purpose of providing windstorm property |
13 | coverage; amending s. 215.5595, F.S.; including |
14 | manufactured housing insurers in the Insurance Capital |
15 | Build-Up Incentive Program; providing manufactured housing |
16 | insurer program contribution requirements; providing |
17 | surplus requirements; prioritizing funding for |
18 | manufactured housing insurers; providing premium to |
19 | surplus ratio requirements for certain manufactured |
20 | housing insurers; amending s. 624.462, F.S.; revising |
21 | requirements for the establishment of a commercial self- |
22 | insurance fund by a not-for-profit group; amending s. |
23 | 624.4622, F.S.; authorizing local government self- |
24 | insurance funds to insure or self-insure real or personal |
25 | property against loss or damage; creating s. 624.4624, |
26 | F.S.; providing definitions; providing for risk pooling, |
27 | with respect to windstorm property exposure, by certain |
28 | hospitals and hospital systems; exempting entities formed |
29 | to do so from the Insurance Code; creating s. 624.4625, |
30 | F.S.; authorizing two or more corporations not for profit |
31 | to form a self-insurance fund for certain purposes; |
32 | providing specific requirements; providing a definition; |
33 | providing limitations; providing for application of |
34 | certain provisions to certain premiums, contributions, and |
35 | assessments; providing for payment of insurance premium |
36 | tax at a reduced rate by corporation not-for-profit self- |
37 | insurance funds; subjecting a corporation not for profit |
38 | self-insurance fund to certain group self-insurance fund |
39 | provisions under certain circumstances; amending s. |
40 | 624.610, F.S.; prescribing responsibilities of the |
41 | Commissioner of Insurance Regulation relating to allowing |
42 | credit for reinsurance; amending s. 627.062, F.S.; |
43 | delaying the effective date of certain provisions relating |
44 | to residential property insurance rate filings; amending |
45 | s. 627.351, F.S.; prohibiting the Property and Casualty |
46 | Joint Underwriting Association and Citizens Property |
47 | Insurance Corporation from insuring certain properties |
48 | under certain circumstances; providing exceptions; |
49 | requiring that Citizens' rates must be adequate; |
50 | rescinding certain rate filings of the corporation; |
51 | requiring the corporation to use certain other rates; |
52 | requiring the corporation to refund certain portions of |
53 | rates; providing for effect of certain rates; providing |
54 | for new rate filings; requiring the Department of |
55 | Financial Services to review the corporation's insurance |
56 | agent commission structure and make recommendations for |
57 | commission standards; requiring a report; creating the |
58 | Task Force on Citizens Property Insurance Claims Handling |
59 | and Resolution; providing for administration of the task |
60 | force; providing for membership; providing for |
61 | reimbursement of expenses but no compensation; providing |
62 | purpose and intent; requiring the task force to address |
63 | certain issues; requiring reports and recommendations; |
64 | providing additional responsibilities of the task force; |
65 | providing for expiration of the task force; abolishing the |
66 | existing board of governors of Citizens Property Insurance |
67 | Corporation; providing for appointment of new members; |
68 | amending s. 631.57, F.S.; revising criteria and |
69 | requirements for levy of emergency assessments by the |
70 | Florida Insurance Guaranty Association; revising |
71 | characterizations of emergency assessments; providing |
72 | legislative intent; amending s. 627.706, F.S.; revising |
73 | sinkhole insurance provisions to include coverage for |
74 | losses due to catastrophic ground cover collapse; |
75 | authorizing certain deductibles; revising definitions; |
76 | providing an effective date. |
77 |
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78 | Be It Enacted by the Legislature of the State of Florida: |
79 |
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80 | Section 1. This act may be cited as the "Citizens Reform |
81 | and Private Market Restoration Act." |
82 | Section 2. Paragraph (b) of subsection (3) and paragraph |
83 | (e) of subsection (7) of section 163.01, Florida Statutes, are |
84 | amended, and paragraph (h) is added to subsection (7) of that |
85 | section, to read: |
86 | 163.01 Florida Interlocal Cooperation Act of 1969.-- |
87 | (3) As used in this section: |
88 | (b) "Public agency" means a political subdivision, agency, |
89 | or officer of this state or of any state of the United States, |
90 | including, but not limited to, state government, county, city, |
91 | school district, single and multipurpose special district, |
92 | single and multipurpose public authority, metropolitan or |
93 | consolidated government, a separate legal entity or |
94 | administrative entity created under subsection (7), an |
95 | independently elected county officer, any agency of the United |
96 | States Government, a federally recognized Native American tribe, |
97 | and any similar entity of any other state of the United States. |
98 | (7) |
99 | (e)1. Notwithstanding the provisions of paragraph (c), any |
100 | separate legal entity, created pursuant to the provisions of |
101 | this section and controlled by counties or municipalities of |
102 | this state, the membership of which consists or is to consist |
103 | only of public agencies of this state, may, for the purpose of |
104 | financing the provision or acquisition of liability or property |
105 | coverage contracts for or from one or more local government |
106 | liability or property pools to provide liability or property |
107 | coverage for counties, municipalities, or other public agencies |
108 | of this state, exercise all powers in connection with the |
109 | authorization, issuance, and sale of bonds. All of the |
110 | privileges, benefits, powers, and terms of s. 125.01 relating to |
111 | counties and s. 166.021 relating to municipalities shall be |
112 | fully applicable to such entity and such entity shall be |
113 | considered a unit of local government for all of the privileges, |
114 | benefits, powers, and terms of part I of chapter 159. Bonds |
115 | issued by such entity shall be deemed issued on behalf of |
116 | counties, municipalities, or public agencies which enter into |
117 | loan agreements with such entity as provided in this paragraph. |
118 | Proceeds of bonds issued by such entity may be loaned to |
119 | counties, municipalities, or other public agencies of this |
120 | state, whether or not such counties, municipalities, or other |
121 | public agencies are also members of the entity issuing the |
122 | bonds, and such counties, municipalities, or other public |
123 | agencies may in turn deposit such loan proceeds with a separate |
124 | local government liability or property pool for purposes of |
125 | providing or acquiring liability or property coverage contracts. |
126 | 2. Counties or municipalities of this state are authorized |
127 | pursuant to this section, in addition to the authority provided |
128 | by s. 125.01, part II of chapter 166, and other applicable law, |
129 | to issue bonds for the purpose of acquiring liability coverage |
130 | contracts from a local government liability pool. Any individual |
131 | county or municipality may, by entering into interlocal |
132 | agreements with other counties, municipalities, or public |
133 | agencies of this state, issue bonds on behalf of itself and |
134 | other counties, municipalities, or other public agencies, for |
135 | purposes of acquiring a liability coverage contract or contracts |
136 | from a local government liability pool. Counties, |
137 | municipalities, or other public agencies are also authorized to |
138 | enter into loan agreements with any entity created pursuant to |
139 | subparagraph 1., or with any county or municipality issuing |
140 | bonds pursuant to this subparagraph, for the purpose of |
141 | obtaining bond proceeds with which to acquire liability coverage |
142 | contracts from a local government liability pool. No county, |
143 | municipality, or other public agency shall at any time have more |
144 | than one loan agreement outstanding for the purpose of obtaining |
145 | bond proceeds with which to acquire liability coverage contracts |
146 | from a local government liability pool. Obligations of any |
147 | county, municipality, or other public agency of this state |
148 | pursuant to a loan agreement as described above may be validated |
149 | as provided in chapter 75. Prior to the issuance of any bonds |
150 | pursuant to subparagraph 1. or this subparagraph for the purpose |
151 | of acquiring liability coverage contracts from a local |
152 | government liability pool, the reciprocal insurer or the manager |
153 | of any self-insurance program shall demonstrate to the |
154 | satisfaction of the Office of Insurance Regulation of the |
155 | Financial Services Commission that excess liability coverage for |
156 | counties, municipalities, or other public agencies is reasonably |
157 | unobtainable in the amounts provided by such pool or that the |
158 | liability coverage obtained through acquiring contracts from a |
159 | local government liability pool, after taking into account costs |
160 | of issuance of bonds and any other administrative fees, is less |
161 | expensive to counties, municipalities, or special districts than |
162 | similar commercial coverage then reasonably available. |
163 | 3. Any entity created pursuant to this section or any |
164 | county or municipality may also issue bond anticipation notes, |
165 | as provided by s. 215.431, in connection with the authorization, |
166 | issuance, and sale of such bonds. In addition, the governing |
167 | body of such legal entity or the governing body of such county |
168 | or municipality may also authorize bonds to be issued and sold |
169 | from time to time and may delegate, to such officer, official, |
170 | or agent of such legal entity as the governing body of such |
171 | legal entity may select, the power to determine the time; manner |
172 | of sale, public or private; maturities; rate or rates of |
173 | interest, which may be fixed or may vary at such time or times |
174 | and in accordance with a specified formula or method of |
175 | determination; and other terms and conditions as may be deemed |
176 | appropriate by the officer, official, or agent so designated by |
177 | the governing body of such legal entity. However, the amounts |
178 | and maturities of such bonds and the interest rate or rates of |
179 | such bonds shall be within the limits prescribed by the |
180 | governing body of such legal entity and its resolution |
181 | delegating to such officer, official, or agent the power to |
182 | authorize the issuance and sale of such bonds. Any series of |
183 | bonds issued pursuant to this paragraph shall mature no later |
184 | than 7 years following the date of issuance thereof. |
185 | 4. Bonds issued pursuant to subparagraph 1. may be |
186 | validated as provided in chapter 75. The complaint in any |
187 | action to validate such bonds shall be filed only in the Circuit |
188 | Court for Leon County. The notice required to be published by |
189 | s. 75.06 shall be published in Leon County and in each county |
190 | which is an owner of the entity issuing the bonds, or in which a |
191 | member of the entity is located, and the complaint and order of |
192 | the circuit court shall be served only on the State Attorney of |
193 | the Second Judicial Circuit and on the state attorney of each |
194 | circuit in each county or municipality which is an owner of the |
195 | entity issuing the bonds or in which a member of the entity is |
196 | located. |
197 | 5. Bonds issued pursuant to subparagraph 2. may be |
198 | validated as provided in chapter 75. The complaint in any action |
199 | to validate such bonds shall be filed in the circuit court of |
200 | the county or municipality which will issue the bonds. The |
201 | notice required to be published by s. 75.06 shall be published |
202 | only in the county where the complaint is filed, and the |
203 | complaint and order of the circuit court shall be served only on |
204 | the state attorney of the circuit in the county or municipality |
205 | which will issue the bonds. |
206 | 6. The participation by any county, municipality, or other |
207 | public agency of this state in a local government liability pool |
208 | shall not be deemed a waiver of immunity to the extent of |
209 | liability coverage, nor shall any contract entered regarding |
210 | such a local government liability pool be required to contain |
211 | any provision for waiver. |
212 | (h)1. For purposes of this subsection, the term "alliance" |
213 | has the meaning as defined in s. 624.4624(2)(a). An alliance |
214 | may, for the purpose of providing windstorm property coverage |
215 | for eligible entities under s. 624.4624, exercise all powers |
216 | under this subsection in connection with borrowing funds for |
217 | such purposes, including the authorization, issuance, and sale |
218 | of bonds. Borrowed funds, including bonds issued by such |
219 | alliance, shall be deemed issued on behalf of eligible entities |
220 | as defined in s. 624.4624(2)(b) that enter into loan agreements |
221 | with such alliance as provided in this paragraph. |
222 | 2. An alliance is authorized to borrow funds, including |
223 | the issuance of bonds, for the purpose of providing windstorm |
224 | property insurance coverage to eligible entities. Eligible |
225 | entities are authorized to enter into loan agreements with any |
226 | alliance created pursuant to s. 624.4624 for the purpose of |
227 | obtaining debt proceeds with which to finance windstorm property |
228 | insurance coverage or claims. Obligations of any eligible entity |
229 | pursuant to a loan agreement as described above may be validated |
230 | as provided in chapter 75. |
231 | 3. In addition, the governing body of such alliance may |
232 | also authorize bonds to be issued and sold from time to time and |
233 | may delegate to such officer, official, or agent of such |
234 | alliance as the governing body of such alliance selects the |
235 | power to determine the time; manner of sale, public or private; |
236 | maturities; rate or rates of interest, which may be fixed or may |
237 | vary at such time or times and in accordance with a specified |
238 | formula or method of determination; and other terms and |
239 | conditions as are deemed appropriate by the officer, official, |
240 | or agent so designated by the governing body of such alliance. |
241 | However, the amounts and maturities of such bonds and the |
242 | interest rate or rates of such bonds shall be within the limits |
243 | prescribed by the governing body of such alliance and its |
244 | resolution delegating to such officer, official, or agent the |
245 | power to authorize the issuance and sale of such bonds. Any |
246 | series of bonds issued pursuant to this paragraph shall mature |
247 | no later than 30 years following the date of issuance thereof. |
248 | 4. Bonds issued pursuant to this paragraph may be |
249 | validated as provided in chapter 75. The complaint in any action |
250 | to validate such bonds shall be filed in any circuit court where |
251 | the alliance issuing the bonds is located. The notice required |
252 | to be published by s. 75.06 shall be published in the circuit |
253 | where the complaint is filed and, if the circuit encompasses |
254 | more than one county, in each county within the circuit. The |
255 | complaint and order of the circuit court shall be served only on |
256 | the state attorney of the judicial circuit in which an alliance |
257 | issuing the bonds is located. |
258 | Section 3. Paragraphs (a), (c), and (g) of subsection (2) |
259 | of section 215.5595, Florida Statutes, are amended, and |
260 | paragraph (i) is added to that subsection, to read: |
261 | 215.5595 Insurance Capital Build-Up Incentive Program.-- |
262 | (2) The purpose of this section is to provide surplus |
263 | notes to new or existing authorized residential property |
264 | insurers under the Insurance Capital Build-Up Incentive Program |
265 | administered by the State Board of Administration, under the |
266 | following conditions: |
267 | (a) The amount of the surplus note for any insurer or |
268 | insurer group, other than an insurer writing only manufactured |
269 | housing policies, may not exceed $25 million or 20 percent of |
270 | the total amount of funds available under the program, whichever |
271 | is greater. The amount of the surplus note for any insurer or |
272 | insurer group writing residential property insurance covering |
273 | only manufactured housing may not exceed $7 million. |
274 | (c) The insurer's surplus, new capital, and the surplus |
275 | note must total at least $50 million, except for insurers |
276 | writing residential property insurance covering only |
277 | manufactured housing. The insurer's surplus, new capital, and |
278 | the surplus note must total at least $14 million for insurers |
279 | writing only residential property insurance covering |
280 | manufactured housing policies as provided in paragraph (a). |
281 | (g) The total amount of funds available for the program is |
282 | limited to the amount appropriated by the Legislature for this |
283 | purpose. If the amount of surplus notes requested by insurers |
284 | exceeds the amount of funds available, the board may prioritize |
285 | insurers that are eligible and approved, with priority for |
286 | funding given to insurers writing only manufactured housing |
287 | policies, regardless of the date of application, based on the |
288 | financial strength of the insurer, the viability of its proposed |
289 | business plan for writing additional residential property |
290 | insurance in the state, and the effect on competition in the |
291 | residential property insurance market. |
292 | (i) Notwithstanding paragraph (d), a newly formed |
293 | manufactured housing insurer that is eligible for a surplus note |
294 | under this section shall meet the premium to surplus ratio |
295 | provisions of s. 624.4095. |
296 | Section 4. Paragraph (a) of subsection (2) of section |
297 | 624.462, Florida Statutes, is amended to read: |
298 | 624.462 Commercial self-insurance funds.-- |
299 | (2) As used in ss. 624.460-624.488, "commercial |
300 | self-insurance fund" or "fund" means a group of members, |
301 | operating individually and collectively through a trust or |
302 | corporation, that must be: |
303 | (a) Established by: |
304 | 1. A not-for-profit trade association, industry |
305 | association, or professional association of employers or |
306 | professionals which has a constitution or bylaws, which is |
307 | incorporated under the laws of this state, and which has been |
308 | organized for purposes other than that of obtaining or providing |
309 | insurance and operated in good faith for a continuous period of |
310 | 1 year; |
311 | 2. A self-insurance trust fund organized pursuant to s. |
312 | 627.357 and maintained in good faith for a continuous period of |
313 | 1 year for purposes other than that of obtaining or providing |
314 | insurance pursuant to this section. Each member of a commercial |
315 | self-insurance trust fund established pursuant to this |
316 | subsection must maintain membership in the self-insurance trust |
317 | fund organized pursuant to s. 627.357; |
318 | 3. A group of 10 or more health care providers, as defined |
319 | in s. 627.351(4)(h), for purposes of providing medical |
320 | malpractice coverage; or |
321 | 4. A not-for-profit group comprised of no fewer less than |
322 | 10 community condominium associations created and operating |
323 | under chapter 718, chapter 719, chapter 720, chapter 721, or |
324 | chapter 723 that as defined in s. 718.103(2), which is |
325 | incorporated under the laws of this state, which restricts its |
326 | membership to community condominium associations only, and that |
327 | which has been organized and maintained in good faith for the |
328 | purpose of pooling and spreading the liabilities of its group |
329 | members relating to property or casualty risk a continuous |
330 | period of 1 year for purposes other than that of obtaining or |
331 | providing insurance. |
332 | Section 5. Subsection (1) of section 624.4622, Florida |
333 | Statutes, is amended to read: |
334 | 624.4622 Local government self-insurance funds.-- |
335 | (1) Any two or more local governmental entities may enter |
336 | into interlocal agreements for the purpose of securing the |
337 | payment of benefits under chapter 440, or insuring or self- |
338 | insuring real or personal property of every kind and every |
339 | interest in such property against loss or damage from any hazard |
340 | or cause and against any loss consequential to such loss or |
341 | damage, provided the local government self-insurance fund that |
342 | is created must: |
343 | (a) Have annual normal premiums in excess of $5 million; |
344 | (b) Maintain a continuing program of excess insurance |
345 | coverage and reserve evaluation to protect the financial |
346 | stability of the fund in an amount and manner determined by a |
347 | qualified and independent actuary; |
348 | (c) Submit annually an audited fiscal year-end financial |
349 | statement by an independent certified public accountant within 6 |
350 | months after the end of the fiscal year to the office; and |
351 | (d) Have a governing body which is comprised entirely of |
352 | local elected officials. |
353 | Section 6. Section 624.4624, Florida Statutes, is created |
354 | to read: |
355 | 624.4624 Risk pooling by certain hospitals and hospital |
356 | systems.-- |
357 | (1) Any two or more eligible entities located in this |
358 | state may form an alliance for the purpose of pooling and |
359 | spreading liabilities of its members relative to windstorm |
360 | property exposure or securing such windstorm property insurance |
361 | coverage for the benefit of its members, provided the alliance |
362 | that is created: |
363 | (a) Has annual premiums in excess of $3 million; |
364 | (b) Maintains a continuing program of premium calculation |
365 | and evaluation and reserve evaluation to protect the financial |
366 | stability of the alliance in an amount and manner determined by |
367 | consultants using catastrophic (CAT) modeling criteria or other |
368 | risk-estimating methodologies, including those used by qualified |
369 | and independent actuaries; |
370 | (c) Causes to be prepared annually a fiscal year-end |
371 | financial statement based upon generally accepted accounting |
372 | principles and audited by an independent certified public |
373 | accountant within 6 months after the end of the fiscal year; and |
374 | (d) Has a governing body comprised entirely of member |
375 | entities whose representatives on such governing body are |
376 | specified by the organizational documents of the alliance. |
377 | (2) For purposes of this section, the term: |
378 | (a) "Alliance" means a corporation, association, limited |
379 | liability company, or partnership or any other legal entity |
380 | formed by a group of eligible entities. |
381 | (b) "Eligible entity" means a county hospital regulated |
382 | under chapter 155; a hospital funded, owned, or operated by an |
383 | independent special taxing district created pursuant to the Laws |
384 | of Florida or the Florida Statutes; a teaching hospital defined |
385 | in s. 408.07(45); or a children's hospital defined in s. |
386 | 408.07(45). A hospital may not qualify as an eligible entity |
387 | unless it maintains tax-exempt status under s. 501(c)(3) of the |
388 | Internal Revenue Code. |
389 | (c) "Windstorm property exposure" or "windstorm property |
390 | insurance coverage" includes coverage for all property and other |
391 | losses attributable to damage from a named windstorm event, |
392 | including a hurricane, and includes, but is not limited to, |
393 | property, business interruption, and other appropriate |
394 | coverages. |
395 | (3) An alliance that meets the requirements of this |
396 | section is not subject to any other provision of the Insurance |
397 | Code. If any of the requirements of this section are not met, |
398 | the alliance is subject to the requirements of s. 624.401. |
399 | (4) An alliance that meets the requirements of this |
400 | section is not an insurer for purposes of participation in or |
401 | coverage by the Florida Insurance Guaranty Association |
402 | established in part II of chapter 631. Alliance self-insured |
403 | coverage is not subject to insurance premium tax, nor shall any |
404 | such alliance pursuant to this section be assessed for purposes |
405 | of s. 627.351 or s. 215.555. |
406 | Section 7. Section 624.4625, Florida Statutes, is created |
407 | to read: |
408 | 624.4625 Corporation not-for-profit self-insurance |
409 | funds.-- |
410 | (1) Notwithstanding any other provision of law, any two or |
411 | more corporations not for profit located in and organized under |
412 | the laws of this state may form a self-insurance fund for the |
413 | purpose of pooling and spreading liabilities of its group |
414 | members in any one or combination of property or casualty risk, |
415 | provided the corporation not for profit self-insurance fund that |
416 | is created: |
417 | (a) Has annual normal premiums in excess of $5 million. |
418 | (b) Requires for qualification that each participating |
419 | member receive at least 75 percent of its revenues from local, |
420 | state, or federal governmental sources or a combination of such |
421 | sources. |
422 | (c) Uses a qualified actuary to determine rates using |
423 | accepted actuarial principles and annually submits to the office |
424 | a certification by the actuary that the rates are actuarially |
425 | sound and are not inadequate, as defined in s. 627.062. |
426 | (d) Uses a qualified actuary to establish reserves for |
427 | loss and loss adjustment expenses and annually submits to the |
428 | office a certification by the actuary that the loss and loss |
429 | adjustment expense reserves are adequate. If the actuary |
430 | determines that reserves are not adequate, the fund shall file |
431 | with the office a remedial plan for increasing the reserves or |
432 | otherwise addressing the financial condition of the fund, |
433 | subject to a determination by the office that the fund will |
434 | operate on an actuarially sound basis and the fund does not pose |
435 | a significant risk of insolvency. |
436 | (e) Maintains a continuing program of excess insurance |
437 | coverage and reserve evaluation to protect the financial |
438 | stability of the fund in an amount and manner determined by a |
439 | qualified actuary. At a minimum, this program must: |
440 | 1. Purchase excess insurance from authorized insurance |
441 | carriers. |
442 | 2. Retain a per-loss occurrence that does not exceed |
443 | $350,000. |
444 | (f) Submits to the office annually an audited fiscal year- |
445 | end financial statement by an independent certified public |
446 | accountant within 6 months after the end of the fiscal year. |
447 | (g) Has a governing body that is comprised entirely of |
448 | officials from corporations not for profit that are members of |
449 | the corporation not-for-profit self-insurance fund. |
450 | (h) Uses knowledgeable persons or business entities to |
451 | administer or service the fund in the areas of claims |
452 | administration, claims adjusting, underwriting, risk management, |
453 | loss control, policy administration, financial audit, and legal |
454 | areas. Such persons must meet all applicable requirements of law |
455 | for state licensure and must have at least 5 years' experience |
456 | with commercial self-insurance funds formed under s. 624.462, |
457 | self-insurance funds formed under s. 624.4622, or domestic |
458 | insurers. |
459 | (i) Submits to the office copies of contracts used for its |
460 | members that clearly establish the liability of each member for |
461 | the obligations of the fund. |
462 | (j) Annually submits to the office a certification by the |
463 | governing body of the fund that, to the best of its knowledge, |
464 | the requirements of this section are met. |
465 | (2) As used in this section, the term "qualified actuary" |
466 | means an actuary that is a member of the Casualty Actuarial |
467 | Society or the American Academy of Actuaries. |
468 | (3) A corporation not-for-profit self-insurance fund that |
469 | meets the requirements of this section is not: |
470 | (a) An insurer for purposes of participation in or |
471 | coverage by any insurance guaranty association established by |
472 | chapter 631; or |
473 | (b) Subject to s. 624.4621 and is not required to file any |
474 | report with the department under s. 440.38(2)(b) that is |
475 | uniquely required of group self-insurer funds qualified under s. |
476 | 624.4621. |
477 | (4) Premiums, contributions, and assessments received by a |
478 | corporation not-for-profit self-insurance fund are subject to |
479 | ss. 624.509(1) and (2) and 624.5092, except that the tax rate |
480 | shall be 1.6 percent of the gross amount of such premiums, |
481 | contributions, and assessments. |
482 | (5) If any of the requirements of subsection (1) are not |
483 | met, a corporation not-for-profit self-insurance fund is subject |
484 | to the requirements of s. 624.4621 if the fund provides only |
485 | workers' compensation coverage or is subject to the requirements |
486 | of ss. 624.460-624.488 if the fund provides coverage for other |
487 | property, casualty, or surety risks. |
488 | Section 8. Subsection (3) of section 624.610, Florida |
489 | Statutes, is amended to read: |
490 | 624.610 Reinsurance.-- |
491 | (3)(a) Credit must be allowed when the reinsurance is |
492 | ceded to an assuming insurer that is authorized to transact |
493 | insurance or reinsurance in this state. |
494 | (b)1. Credit must be allowed when the reinsurance is ceded |
495 | to an assuming insurer that is accredited as a reinsurer in this |
496 | state. An accredited reinsurer is one that: |
497 | a. Files with the office evidence of its submission to |
498 | this state's jurisdiction; |
499 | b. Submits to this state's authority to examine its books |
500 | and records; |
501 | c. Is licensed or authorized to transact insurance or |
502 | reinsurance in at least one state or, in the case of a United |
503 | States branch of an alien assuming insurer, is entered through, |
504 | licensed, or authorized to transact insurance or reinsurance in |
505 | at least one state; |
506 | d. Files annually with the office a copy of its annual |
507 | statement filed with the insurance department of its state of |
508 | domicile any quarterly statements if required by its state of |
509 | domicile or such quarterly statements if specifically requested |
510 | by the office, and a copy of its most recent audited financial |
511 | statement; and |
512 | (I) Maintains a surplus as regards policyholders in an |
513 | amount not less than $20 million and whose accreditation has not |
514 | been denied by the office within 90 days after its submission; |
515 | or |
516 | (II) Maintains a surplus as regards policyholders in an |
517 | amount not less than $20 million and whose accreditation has |
518 | been approved by the office. |
519 | 2. The office may deny or revoke an assuming insurer's |
520 | accreditation if the assuming insurer does not submit the |
521 | required documentation pursuant to subparagraph 1., if the |
522 | assuming insurer fails to meet all of the standards required of |
523 | an accredited reinsurer, or if the assuming insurer's |
524 | accreditation would be hazardous to the policyholders of this |
525 | state. In determining whether to deny or revoke accreditation, |
526 | the office may consider the qualifications of the assuming |
527 | insurer with respect to all the following subjects: |
528 | a. Its financial stability; |
529 | b. The lawfulness and quality of its investments; |
530 | c. The competency, character, and integrity of its |
531 | management; |
532 | d. The competency, character, and integrity of persons who |
533 | own or have a controlling interest in the assuming insurer; and |
534 | e. Whether claims under its contracts are promptly and |
535 | fairly adjusted and are promptly and fairly paid in accordance |
536 | with the law and the terms of the contracts. |
537 | 3. Credit must not be allowed a ceding insurer if the |
538 | assuming insurer's accreditation has been revoked by the office |
539 | after notice and the opportunity for a hearing. |
540 | 4. The actual costs and expenses incurred by the office to |
541 | review a reinsurer's request for accreditation and subsequent |
542 | reviews must be charged to and collected from the requesting |
543 | reinsurer. If the reinsurer fails to pay the actual costs and |
544 | expenses promptly when due, the office may refuse to accredit |
545 | the reinsurer or may revoke the reinsurer's accreditation. |
546 | (c)1. Credit must be allowed when the reinsurance is ceded |
547 | to an assuming insurer that maintains a trust fund in a |
548 | qualified United States financial institution, as defined in |
549 | paragraph (5)(b), for the payment of the valid claims of its |
550 | United States ceding insurers and their assigns and successors |
551 | in interest. To enable the office to determine the sufficiency |
552 | of the trust fund, the assuming insurer shall report annually to |
553 | the office information substantially the same as that required |
554 | to be reported on the NAIC Annual Statement form by authorized |
555 | insurers. The assuming insurer shall submit to examination of |
556 | its books and records by the office and bear the expense of |
557 | examination. |
558 | 2.a. Credit for reinsurance must not be granted under this |
559 | subsection unless the form of the trust and any amendments to |
560 | the trust have been approved by: |
561 | (I) The insurance regulator of the state in which the |
562 | trust is domiciled; or |
563 | (II) The insurance regulator of another state who, |
564 | pursuant to the terms of the trust instrument, has accepted |
565 | principal regulatory oversight of the trust. |
566 | b. The form of the trust and any trust amendments must be |
567 | filed with the insurance regulator of every state in which the |
568 | ceding insurer beneficiaries of the trust are domiciled. The |
569 | trust instrument must provide that contested claims are valid |
570 | and enforceable upon the final order of any court of competent |
571 | jurisdiction in the United States. The trust must vest legal |
572 | title to its assets in its trustees for the benefit of the |
573 | assuming insurer's United States ceding insurers and their |
574 | assigns and successors in interest. The trust and the assuming |
575 | insurer are subject to examination as determined by the |
576 | insurance regulator. |
577 | c. The trust remains in effect for as long as the assuming |
578 | insurer has outstanding obligations due under the reinsurance |
579 | agreements subject to the trust. No later than February 28 of |
580 | each year, the trustee of the trust shall report to the |
581 | insurance regulator in writing the balance of the trust and list |
582 | the trust's investments at the preceding year end, and shall |
583 | certify that the trust will not expire prior to the following |
584 | December 31. |
585 | 3. The following requirements apply to the following |
586 | categories of assuming insurer: |
587 | a. The trust fund for a single assuming insurer consists |
588 | of funds in trust in an amount not less than the assuming |
589 | insurer's liabilities attributable to reinsurance ceded by |
590 | United States ceding insurers, and, in addition, the assuming |
591 | insurer shall maintain a trusteed surplus of not less than $20 |
592 | million. Not less than 50 percent of the funds in the trust |
593 | covering the assuming insurer's liabilities attributable to |
594 | reinsurance ceded by United States ceding insurers and trusteed |
595 | surplus shall consist of assets of a quality substantially |
596 | similar to that required in part II of chapter 625. Clean, |
597 | irrevocable, unconditional, and evergreen letters of credit, |
598 | issued or confirmed by a qualified United States financial |
599 | institution, as defined in paragraph (5)(a), effective no later |
600 | than December 31 of the year for which the filing is made and in |
601 | the possession of the trust on or before the filing date of its |
602 | annual statement, may be used to fund the remainder of the trust |
603 | and trusteed surplus. |
604 | b.(I) In the case of a group including incorporated and |
605 | individual unincorporated underwriters: |
606 | (A) For reinsurance ceded under reinsurance agreements |
607 | with an inception, amendment, or renewal date on or after August |
608 | 1, 1995, the trust consists of a trusteed account in an amount |
609 | not less than the group's several liabilities attributable to |
610 | business ceded by United States domiciled ceding insurers to any |
611 | member of the group; |
612 | (B) For reinsurance ceded under reinsurance agreements |
613 | with an inception date on or before July 31, 1995, and not |
614 | amended or renewed after that date, notwithstanding the other |
615 | provisions of this section, the trust consists of a trusteed |
616 | account in an amount not less than the group's several insurance |
617 | and reinsurance liabilities attributable to business written in |
618 | the United States; and |
619 | (C) In addition to these trusts, the group shall maintain |
620 | in trust a trusteed surplus of which $100 million must be held |
621 | jointly for the benefit of the United States domiciled ceding |
622 | insurers of any member of the group for all years of account. |
623 | (II) The incorporated members of the group must not be |
624 | engaged in any business other than underwriting of a member of |
625 | the group, and are subject to the same level of regulation and |
626 | solvency control by the group's domiciliary regulator as the |
627 | unincorporated members. |
628 | (III) Within 90 days after its financial statements are |
629 | due to be filed with the group's domiciliary regulator, the |
630 | group shall provide to the insurance regulator an annual |
631 | certification by the group's domiciliary regulator of the |
632 | solvency of each underwriter member or, if a certification is |
633 | unavailable, financial statements, prepared by independent |
634 | public accountants, of each underwriter member of the group. |
635 | (d) Credit must be allowed when the reinsurance is ceded |
636 | to an assuming insurer not meeting the requirements of paragraph |
637 | (a), paragraph (b), or paragraph (c), but only as to the |
638 | insurance of risks located in jurisdictions in which the |
639 | reinsurance is required to be purchased by a particular entity |
640 | by applicable law or regulation of that jurisdiction. |
641 | (e) If the reinsurance is ceded to an assuming insurer not |
642 | meeting the requirements of paragraph (a), paragraph (b), |
643 | paragraph (c), or paragraph (d), the commissioner may allow |
644 | credit, but only if the assuming insurer holds surplus in excess |
645 | of $100 million and has a secure financial strength rating from |
646 | at least two nationally recognized statistical rating |
647 | organizations deemed acceptable by the commissioner. In |
648 | determining whether credit should be allowed, the commissioner |
649 | shall consider the following: |
650 | 1. The domiciliary regulatory jurisdiction of the assuming |
651 | insurer. |
652 | 2. The structure and authority of the domiciliary |
653 | regulator with regard to solvency regulation requirements and |
654 | the financial surveillance of the reinsurer. |
655 | 3. The substance of financial and operating standards for |
656 | reinsurers in the domiciliary jurisdiction. |
657 | 4. The form and substance of financial reports required to |
658 | be filed by the reinsurers in the domiciliary jurisdiction or |
659 | other public financial statements filed in accordance with |
660 | generally accepted accounting principles. |
661 | 5. The domiciliary regulator's willingness to cooperate |
662 | with United States regulators in general and the office in |
663 | particular. |
664 | 6. The history of performance by reinsurers in the |
665 | domiciliary jurisdiction. |
666 | 7. Any documented evidence of substantial problems with |
667 | the enforcement of valid United States judgments in the |
668 | domiciliary jurisdiction. |
669 | 8. Any other matters deemed relevant by the commissioner. |
670 | The commissioner shall give appropriate consideration to insurer |
671 | group ratings that may have been issued. The commissioner may, |
672 | in lieu of granting full credit under this subsection, reduce |
673 | the amount required to be held in trust under paragraph (c). |
674 | (f)(e) If the assuming insurer is not authorized or |
675 | accredited to transact insurance or reinsurance in this state |
676 | pursuant to paragraph (a) or paragraph (b), the credit permitted |
677 | by paragraph (c) or paragraph (d) must not be allowed unless the |
678 | assuming insurer agrees in the reinsurance agreements: |
679 | 1.a. That in the event of the failure of the assuming |
680 | insurer to perform its obligations under the terms of the |
681 | reinsurance agreement, the assuming insurer, at the request of |
682 | the ceding insurer, shall submit to the jurisdiction of any |
683 | court of competent jurisdiction in any state of the United |
684 | States, will comply with all requirements necessary to give the |
685 | court jurisdiction, and will abide by the final decision of the |
686 | court or of any appellate court in the event of an appeal; and |
687 | b. To designate the Chief Financial Officer, pursuant to |
688 | s. 48.151, or a designated attorney as its true and lawful |
689 | attorney upon whom may be served any lawful process in any |
690 | action, suit, or proceeding instituted by or on behalf of the |
691 | ceding company. |
692 | 2. This paragraph is not intended to conflict with or |
693 | override the obligation of the parties to a reinsurance |
694 | agreement to arbitrate their disputes, if this obligation is |
695 | created in the agreement. |
696 | (g)(f) If the assuming insurer does not meet the |
697 | requirements of paragraph (a) or paragraph (b), the credit |
698 | permitted by paragraph (c) or paragraph (d) is not allowed |
699 | unless the assuming insurer agrees in the trust agreements, in |
700 | substance, to the following conditions: |
701 | 1. Notwithstanding any other provisions in the trust |
702 | instrument, if the trust fund is inadequate because it contains |
703 | an amount less than the amount required by paragraph (c), or if |
704 | the grantor of the trust has been declared insolvent or placed |
705 | into receivership, rehabilitation, liquidation, or similar |
706 | proceedings under the laws of its state or country of domicile, |
707 | the trustee shall comply with an order of the insurance |
708 | regulator with regulatory oversight over the trust or with an |
709 | order of a United States court of competent jurisdiction |
710 | directing the trustee to transfer to the insurance regulator |
711 | with regulatory oversight all of the assets of the trust fund. |
712 | 2. The assets must be distributed by and claims must be |
713 | filed with and valued by the insurance regulator with regulatory |
714 | oversight in accordance with the laws of the state in which the |
715 | trust is domiciled which are applicable to the liquidation of |
716 | domestic insurance companies. |
717 | 3. If the insurance regulator with regulatory oversight |
718 | determines that the assets of the trust fund or any part thereof |
719 | are not necessary to satisfy the claims of the United States |
720 | ceding insurers of the grantor of the trust, the assets or part |
721 | thereof must be returned by the insurance regulator with |
722 | regulatory oversight to the trustee for distribution in |
723 | accordance with the trust agreement. |
724 | 4. The grantor shall waive any right otherwise available |
725 | to it under United States law which is inconsistent with this |
726 | provision. |
727 | Section 9. Paragraph (j) of subsection (2) of section |
728 | 627.062, Florida Statutes, is amended to read: |
729 | 627.062 Rate standards.-- |
730 | (2) As to all such classes of insurance: |
731 | (j) Effective July 1, 2009 2007, notwithstanding any other |
732 | provision of this section: |
733 | 1. With respect to any residential property insurance |
734 | subject to regulation under this section for any area for which |
735 | the office determines a reasonable degree of competition exists, |
736 | a rate filing, including, but not limited to, any rate changes, |
737 | rating factors, territories, classification, discounts, and |
738 | credits, with respect to any policy form, including endorsements |
739 | issued with the form, that results in an overall average |
740 | statewide premium increase or decrease of no more than 5 percent |
741 | above or below the premium that would result from the insurer's |
742 | rates then in effect shall not be subject to a determination by |
743 | the office that the rate is excessive or unfairly discriminatory |
744 | except as provided in subparagraph 3., or any other provision of |
745 | law, provided all changes specified in the filing do not result |
746 | in an overall premium increase of more than 10 percent for any |
747 | one territory, for reasons related solely to the rate change. As |
748 | used in this subparagraph, the term "insurer's rates then in |
749 | effect" includes only rates that have been lawfully in effect |
750 | under this section or rates that have been determined to be |
751 | lawful through administrative proceedings or judicial |
752 | proceedings. |
753 | 2. An insurer may not make filings under this paragraph |
754 | with respect to any policy form, including endorsements issued |
755 | with the form, if the overall premium changes resulting from |
756 | such filings exceed the amounts specified in this paragraph in |
757 | any 12-month period. An insurer may proceed under other |
758 | provisions of this section or other provisions of law if the |
759 | insurer seeks to exceed the premium or rate limitations of this |
760 | paragraph. |
761 | 3. This paragraph does not affect the authority of the |
762 | office to disapprove a rate as inadequate or to disapprove a |
763 | filing for the unlawful use of unfairly discriminatory rating |
764 | factors that are prohibited by the laws of this state. An |
765 | insurer electing to implement a rate change under this paragraph |
766 | shall submit a filing to the office at least 40 days prior to |
767 | the effective date of the rate change. The office shall have 30 |
768 | days after the filing's submission to review the filing and |
769 | determine if the rate is inadequate or uses unfairly |
770 | discriminatory rating factors. Absent a finding by the office |
771 | within such 30-day period that the rate is inadequate or that |
772 | the insurer has used unfairly discriminatory rating factors, the |
773 | filing is deemed approved. If the office finds during the 30-day |
774 | period that the filing will result in inadequate premiums or |
775 | otherwise endanger the insurer's solvency, the office shall |
776 | suspend the rate decrease. If the insurer is implementing an |
777 | overall rate increase, the results of which continue to produce |
778 | an inadequate rate, such increase shall proceed pending |
779 | additional action by the office to ensure the adequacy of the |
780 | rate. |
781 | 4. This paragraph does not apply to rate filings for any |
782 | insurance other than residential property insurance. |
783 |
|
784 | The provisions of this subsection shall not apply to workers' |
785 | compensation and employer's liability insurance and to motor |
786 | vehicle insurance. |
787 | Section 10. Paragraph (a) of subsection (5) and subsection |
788 | (6) of section 627.351, Florida Statutes, are amended to read: |
789 | 627.351 Insurance risk apportionment plans.-- |
790 | (5) PROPERTY AND CASUALTY INSURANCE RISK |
791 | APPORTIONMENT.--The commission shall adopt by rule a joint |
792 | underwriting plan to equitably apportion among insurers |
793 | authorized in this state to write property insurance as defined |
794 | in s. 624.604 or casualty insurance as defined in s. 624.605, |
795 | the underwriting of one or more classes of property insurance or |
796 | casualty insurance, except for the types of insurance that are |
797 | included within property insurance or casualty insurance for |
798 | which an equitable apportionment plan, assigned risk plan, or |
799 | joint underwriting plan is authorized under s. 627.311 or |
800 | subsection (1), subsection (2), subsection (3), subsection (4), |
801 | or subsection (5) and except for risks eligible for flood |
802 | insurance written through the federal flood insurance program to |
803 | persons with risks eligible under subparagraph (a)1. and who are |
804 | in good faith entitled to, but are unable to, obtain such |
805 | property or casualty insurance coverage, including excess |
806 | coverage, through the voluntary market. For purposes of this |
807 | subsection, an adequate level of coverage means that coverage |
808 | which is required by state law or by responsible or prudent |
809 | business practices. The Joint Underwriting Association shall not |
810 | be required to provide coverage for any type of risk for which |
811 | there are no insurers providing similar coverage in this state. |
812 | The office may designate one or more participating insurers who |
813 | agree to provide policyholder and claims service, including the |
814 | issuance of policies, on behalf of the participating insurers. |
815 | (a) The plan shall provide: |
816 | 1. A means of establishing eligibility of a risk for |
817 | obtaining insurance through the plan, which provides that: |
818 | a. A risk shall be eligible for such property insurance or |
819 | casualty insurance as is required by Florida law if the |
820 | insurance is unavailable in the voluntary market, including the |
821 | market assistance program and the surplus lines market. |
822 | b. A commercial risk not eligible under sub-subparagraph |
823 | a. shall be eligible for property or casualty insurance if: |
824 | (I) The insurance is unavailable in the voluntary market, |
825 | including the market assistance plan and the surplus lines |
826 | market; |
827 | (II) Failure to secure the insurance would substantially |
828 | impair the ability of the entity to conduct its affairs; and |
829 | (III) The risk is not determined by the Risk Underwriting |
830 | Committee to be uninsurable. |
831 | c. In the event the Federal Government terminates the |
832 | Federal Crime Insurance Program established under 44 C.F.R. ss. |
833 | 80-83, Florida commercial and residential risks previously |
834 | insured under the federal program shall be eligible under the |
835 | plan. |
836 | d.(I) In the event a risk is eligible under this paragraph |
837 | and in the event the market assistance plan receives a minimum |
838 | of 100 applications for coverage within a 3-month period, or 200 |
839 | applications for coverage within a 1-year period or less, for a |
840 | given class of risk contained in the classification system |
841 | defined in the plan of operation of the Joint Underwriting |
842 | Association, and unless the market assistance plan provides a |
843 | quotation for at least 80 percent of such applicants, such |
844 | classification shall immediately be eligible for coverage in the |
845 | Joint Underwriting Association. |
846 | (II) Any market assistance plan application which is |
847 | rejected because an individual risk is so hazardous as to be |
848 | practically uninsurable, considering whether the likelihood of a |
849 | loss for such a risk is substantially higher than for other |
850 | risks of the same class due to individual risk characteristics, |
851 | prior loss experience, unwillingness to cooperate with a prior |
852 | insurer, physical characteristics and physical location shall |
853 | not be included in the minimum percentage calculation provided |
854 | above. In the event that there is any legal or administrative |
855 | challenge to a determination by the office that the conditions |
856 | of this subparagraph have been met for eligibility for coverage |
857 | in the Joint Underwriting Association for a given |
858 | classification, any eligible risk may obtain coverage during the |
859 | pendency of any such challenge. |
860 | e. In order to qualify as a quotation for the purpose of |
861 | meeting the minimum percentage calculation in this subparagraph, |
862 | the quoted premium must meet the following criteria: |
863 | (I) In the case of an admitted carrier, the quoted premium |
864 | must not exceed the premium available for a given classification |
865 | currently in use by the Joint Underwriting Association or the |
866 | premium developed by using the rates and rating plans on file |
867 | with the office by the quoting insurer, whichever is greater. |
868 | (II) In the case of an authorized surplus lines insurer, |
869 | the quoted premium must not exceed the premium available for a |
870 | given classification currently in use by the Joint Underwriting |
871 | Association by more than 25 percent, after consideration of any |
872 | individual risk surcharge or credit. |
873 | f. Any agent who falsely certifies the unavailability of |
874 | coverage as provided by sub-subparagraphs a. and b., is subject |
875 | to the penalties provided in s. 626.611. |
876 | g. For properties constructed on or after January 1, 2009, |
877 | the association shall not insure any property located within 500 |
878 | feet seaward or landward of the coastal construction control |
879 | line created pursuant to s. 161.053 and shall not insure any |
880 | property located over 500 to 2,500 feet landward of the coastal |
881 | construction control line unless the property meets the |
882 | requirements of the code-plus building standards developed by |
883 | the Florida Building Commission or the standards contained in |
884 | the Miami-Dade Building Code pending the adoption of code-plus |
885 | standards by the commission. However, this sub-subparagraph |
886 | shall not apply to properties for which a building permit has |
887 | been issued on or after January 1, 2008. |
888 | 2. A means for the equitable apportionment of profits or |
889 | losses and expenses among participating insurers. |
890 | 3. Rules for the classification of risks and rates which |
891 | reflect the past and prospective loss experience. |
892 | 4. A rating plan which reasonably reflects the prior |
893 | claims experience of the insureds. Such rating plan shall |
894 | include at least two levels of rates for risks that have |
895 | favorable loss experience and risks that have unfavorable loss |
896 | experience, as established by the plan. |
897 | 5. Reasonable limits to available amounts of insurance. |
898 | Such limits may not be less than the amounts of insurance |
899 | required of eligible risks by Florida law. |
900 | 6. Risk management requirements for insurance where such |
901 | requirements are reasonable and are expected to reduce losses. |
902 | 7. Deductibles as may be necessary to meet the needs of |
903 | insureds. |
904 | 8. Policy forms which are consistent with the forms in use |
905 | by the majority of the insurers providing coverage in the |
906 | voluntary market for the coverage requested by the applicant. |
907 | 9. A means to remove risks from the plan once such risks |
908 | no longer meet the eligibility requirements of this paragraph. |
909 | For this purpose, the plan shall include the following |
910 | requirements: At each 6-month interval after the activation of |
911 | any class of insureds, the board of governors or its designated |
912 | committee shall review the number of applications to the market |
913 | assistance plan for that class. If, based on these latest |
914 | numbers, at least 90 percent of such applications have been |
915 | provided a quotation, the Joint Underwriting Association shall |
916 | cease underwriting new applications for such class within 30 |
917 | days, and notification of this decision shall be sent to the |
918 | office, the major agents' associations, and the board of |
919 | directors of the market assistance plan. A quotation for the |
920 | purpose of this subparagraph shall meet the same criteria for a |
921 | quotation as provided in sub-subparagraph 1.e. All policies |
922 | which were previously written for that class shall continue in |
923 | force until their normal expiration date, at which time, subject |
924 | to the required timely notification of nonrenewal by the Joint |
925 | Underwriting Association, the insured may then elect to reapply |
926 | to the Joint Underwriting Association according to the |
927 | requirements of eligibility. If, upon reapplication, those |
928 | previously insured Joint Underwriting Association risks meet the |
929 | eligibility requirements, the Joint Underwriting Association |
930 | shall provide the coverage requested. |
931 | 10. A means for providing credits to insurers against any |
932 | deficit assessment levied pursuant to paragraph (c), for risks |
933 | voluntarily written through the market assistance plan by such |
934 | insurers. |
935 | 11. That the Joint Underwriting Association shall operate |
936 | subject to the supervision and approval of a board of governors |
937 | consisting of 13 individuals appointed by the Chief Financial |
938 | Officer, and shall have an executive or underwriting committee. |
939 | At least four of the members shall be representatives of |
940 | insurance trade associations as follows: one member from the |
941 | American Insurance Association, one member from the Alliance of |
942 | American Insurers, one member from the National Association of |
943 | Independent Insurers, and one member from an unaffiliated |
944 | insurer writing coverage on a national basis. Two |
945 | representatives shall be from two of the statewide agents' |
946 | associations. Each board member shall be appointed to serve for |
947 | 2-year terms beginning on a date designated by the plan and |
948 | shall serve at the pleasure of the Chief Financial Officer. |
949 | Members may be reappointed for subsequent terms. |
950 | (6) CITIZENS PROPERTY INSURANCE CORPORATION.-- |
951 | (a)1. The Legislature finds that actual and threatened |
952 | catastrophic losses to property in this state from hurricanes |
953 | have caused insurers to be unwilling or unable to provide |
954 | property insurance coverage to the extent sought and needed. It |
955 | is in the public interest and a public purpose to assist in |
956 | assuring that property in the state is insured so as to |
957 | facilitate the remediation, reconstruction, and replacement of |
958 | damaged or destroyed property in order to reduce or avoid the |
959 | negative effects otherwise resulting to the public health, |
960 | safety, and welfare; to the economy of the state; and to the |
961 | revenues of the state and local governments needed to provide |
962 | for the public welfare. It is necessary, therefore, to provide |
963 | property insurance to applicants who are in good faith entitled |
964 | to procure insurance through the voluntary market but are unable |
965 | to do so. The Legislature intends by this subsection that |
966 | property insurance be provided and that it continues, as long as |
967 | necessary, through an entity organized to achieve efficiencies |
968 | and economies, while providing service to policyholders, |
969 | applicants, and agents that is no less than the quality |
970 | generally provided in the voluntary market, all toward the |
971 | achievement of the foregoing public purposes. Because it is |
972 | essential for the corporation to have the maximum financial |
973 | resources to pay claims following a catastrophic hurricane, it |
974 | is the intent of the Legislature that the income of the |
975 | corporation be exempt from federal income taxation and that |
976 | interest on the debt obligations issued by the corporation be |
977 | exempt from federal income taxation. |
978 | 2. The Residential Property and Casualty Joint |
979 | Underwriting Association originally created by this statute |
980 | shall be known, as of July 1, 2002, as the Citizens Property |
981 | Insurance Corporation. The corporation shall provide insurance |
982 | for residential and commercial property, for applicants who are |
983 | in good faith entitled, but are unable, to procure insurance |
984 | through the voluntary market. The corporation shall operate |
985 | pursuant to a plan of operation approved by order of the |
986 | Financial Services Commission. The plan is subject to continuous |
987 | review by the commission. The commission may, by order, withdraw |
988 | approval of all or part of a plan if the commission determines |
989 | that conditions have changed since approval was granted and that |
990 | the purposes of the plan require changes in the plan. The |
991 | corporation shall continue to operate pursuant to the plan of |
992 | operation approved by the Office of Insurance Regulation until |
993 | October 1, 2006. For the purposes of this subsection, |
994 | residential coverage includes both personal lines residential |
995 | coverage, which consists of the type of coverage provided by |
996 | homeowner's, mobile home owner's, dwelling, tenant's, |
997 | condominium unit owner's, and similar policies, and commercial |
998 | lines residential coverage, which consists of the type of |
999 | coverage provided by condominium association, apartment |
1000 | building, and similar policies. |
1001 | 3. For the purposes of this subsection, the term |
1002 | "homestead property" means: |
1003 | a. Property that has been granted a homestead exemption |
1004 | under chapter 196; |
1005 | b. Property for which the owner has a current, written |
1006 | lease with a renter for a term of at least 7 months and for |
1007 | which the dwelling is insured by the corporation for $200,000 or |
1008 | less; |
1009 | c. An owner-occupied mobile home or manufactured home, as |
1010 | defined in s. 320.01, which is permanently affixed to real |
1011 | property, is owned by a Florida resident, and has been granted a |
1012 | homestead exemption under chapter 196 or, if the owner does not |
1013 | own the real property, the owner certifies that the mobile home |
1014 | or manufactured home is his or her principal place of residence. |
1015 | d. Tenant's coverage; |
1016 | e. Commercial lines residential property; or |
1017 | f. Any county, district, or municipal hospital; a hospital |
1018 | licensed by any not-for-profit corporation qualified under s. |
1019 | 501(c)(3) of the United States Internal Revenue Code; or a |
1020 | continuing care retirement community that is certified under |
1021 | chapter 651 and that receives an exemption from ad valorem taxes |
1022 | under chapter 196. |
1023 | 4. For the purposes of this subsection, the term |
1024 | "nonhomestead property" means property that is not homestead |
1025 | property. |
1026 | 5. Effective July 1, 2008, a personal lines residential |
1027 | structure that has a dwelling replacement cost of $1 million or |
1028 | more, or a single condominium unit that has a combined dwelling |
1029 | and content replacement cost of $1 million or more is not |
1030 | eligible for coverage by the corporation. Such dwellings insured |
1031 | by the corporation on June 30, 2008, may continue to be covered |
1032 | by the corporation until the end of the policy term. However, |
1033 | such dwellings that are insured by the corporation and become |
1034 | ineligible for coverage due to the provisions of this |
1035 | subparagraph may reapply and obtain coverage in the high-risk |
1036 | account and be considered "nonhomestead property" if the |
1037 | property owner provides the corporation with a sworn affidavit |
1038 | from one or more insurance agents, on a form provided by the |
1039 | corporation, stating that the agents have made their best |
1040 | efforts to obtain coverage and that the property has been |
1041 | rejected for coverage by at least one authorized insurer and at |
1042 | least three surplus lines insurers. If such conditions are met, |
1043 | the dwelling may be insured by the corporation for up to 3 |
1044 | years, after which time the dwelling is ineligible for coverage. |
1045 | The office shall approve the method used by the corporation for |
1046 | valuing the dwelling replacement cost for the purposes of this |
1047 | subparagraph. If a policyholder is insured by the corporation |
1048 | prior to being determined to be ineligible pursuant to this |
1049 | subparagraph and such policyholder files a lawsuit challenging |
1050 | the determination, the policyholder may remain insured by the |
1051 | corporation until the conclusion of the litigation. |
1052 | 6. Effective March 1, 2007, nonhomestead property is not |
1053 | eligible for coverage by the corporation and is not eligible for |
1054 | renewal of such coverage unless the property owner provides the |
1055 | corporation with a sworn affidavit from one or more insurance |
1056 | agents, on a form provided by the corporation, stating that the |
1057 | agents have made their best efforts to obtain coverage and that |
1058 | the property has been rejected for coverage by at least one |
1059 | authorized insurer and at least three surplus lines insurers. |
1060 | 7. For properties constructed on or after January 1, 2009, |
1061 | the corporation shall not insure any property located within 500 |
1062 | feet seaward or landward of the coastal construction control |
1063 | line created pursuant to s.161.053 and shall not insure any |
1064 | property located over 500 to 2,500 feet landward of the coastal |
1065 | construction control line unless the property meets the |
1066 | requirements of the code-plus building standards developed by |
1067 | the Florida Building Commission or the standards contained in |
1068 | the Miami-Dade Building Code pending the adoption of code-plus |
1069 | standards by the commission. However, this subparagraph shall |
1070 | not apply to properties for which a building permit has been |
1071 | issued on or after January 1, 2008. |
1072 | 8.7. It is the intent of the Legislature that |
1073 | policyholders, applicants, and agents of the corporation receive |
1074 | service and treatment of the highest possible level but never |
1075 | less than that generally provided in the voluntary market. It |
1076 | also is intended that the corporation be held to service |
1077 | standards no less than those applied to insurers in the |
1078 | voluntary market by the office with respect to responsiveness, |
1079 | timeliness, customer courtesy, and overall dealings with |
1080 | policyholders, applicants, or agents of the corporation. |
1081 | (b)1. All insurers authorized to write one or more subject |
1082 | lines of business in this state are subject to assessment by the |
1083 | corporation and, for the purposes of this subsection, are |
1084 | referred to collectively as "assessable insurers." Insurers |
1085 | writing one or more subject lines of business in this state |
1086 | pursuant to part VIII of chapter 626 are not assessable |
1087 | insurers, but insureds who procure one or more subject lines of |
1088 | business in this state pursuant to part VIII of chapter 626 are |
1089 | subject to assessment by the corporation and are referred to |
1090 | collectively as "assessable insureds." An authorized insurer's |
1091 | assessment liability shall begin on the first day of the |
1092 | calendar year following the year in which the insurer was issued |
1093 | a certificate of authority to transact insurance for subject |
1094 | lines of business in this state and shall terminate 1 year after |
1095 | the end of the first calendar year during which the insurer no |
1096 | longer holds a certificate of authority to transact insurance |
1097 | for subject lines of business in this state. |
1098 | 2.a. All revenues, assets, liabilities, losses, and |
1099 | expenses of the corporation shall be divided into three separate |
1100 | accounts as follows: |
1101 | (I) A personal lines account for personal residential |
1102 | policies issued by the corporation or issued by the Residential |
1103 | Property and Casualty Joint Underwriting Association and renewed |
1104 | by the corporation that provide comprehensive, multiperil |
1105 | coverage on risks that are not located in areas eligible for |
1106 | coverage in the Florida Windstorm Underwriting Association as |
1107 | those areas were defined on January 1, 2002, and for such |
1108 | policies that do not provide coverage for the peril of wind on |
1109 | risks that are located in such areas; |
1110 | (II) A commercial lines account for commercial residential |
1111 | policies issued by the corporation or issued by the Residential |
1112 | Property and Casualty Joint Underwriting Association and renewed |
1113 | by the corporation that provide coverage for basic property |
1114 | perils on risks that are not located in areas eligible for |
1115 | coverage in the Florida Windstorm Underwriting Association as |
1116 | those areas were defined on January 1, 2002, and for such |
1117 | policies that do not provide coverage for the peril of wind on |
1118 | risks that are located in such areas; and |
1119 | (III) A high-risk account for personal residential |
1120 | policies and commercial residential and commercial |
1121 | nonresidential property policies issued by the corporation or |
1122 | transferred to the corporation that provide coverage for the |
1123 | peril of wind on risks that are located in areas eligible for |
1124 | coverage in the Florida Windstorm Underwriting Association as |
1125 | those areas were defined on January 1, 2002. The high-risk |
1126 | account must also include quota share primary insurance under |
1127 | subparagraph (c)2. The area eligible for coverage under the |
1128 | high-risk account also includes the area within Port Canaveral, |
1129 | which is bordered on the south by the City of Cape Canaveral, |
1130 | bordered on the west by the Banana River, and bordered on the |
1131 | north by Federal Government property. The office may remove |
1132 | territory from the area eligible for wind-only and quota share |
1133 | coverage if, after a public hearing, the office finds that |
1134 | authorized insurers in the voluntary market are willing and able |
1135 | to write sufficient amounts of personal and commercial |
1136 | residential coverage for all perils in the territory, including |
1137 | coverage for the peril of wind, such that risks covered by wind- |
1138 | only policies in the removed territory could be issued a policy |
1139 | by the corporation in either the personal lines or commercial |
1140 | lines account without a significant increase in the |
1141 | corporation's probable maximum loss in such account. Removal of |
1142 | territory from the area eligible for wind-only or quota share |
1143 | coverage does not alter the assignment of wind coverage written |
1144 | in such areas to the high-risk account. |
1145 | b. The three separate accounts must be maintained as long |
1146 | as financing obligations entered into by the Florida Windstorm |
1147 | Underwriting Association or Residential Property and Casualty |
1148 | Joint Underwriting Association are outstanding, in accordance |
1149 | with the terms of the corresponding financing documents. When |
1150 | the financing obligations are no longer outstanding, in |
1151 | accordance with the terms of the corresponding financing |
1152 | documents, the corporation may use a single account for all |
1153 | revenues, assets, liabilities, losses, and expenses of the |
1154 | corporation. Consistent with the requirement of this |
1155 | subparagraph and prudent investment policies that minimize the |
1156 | cost of carrying debt, the board shall exercise its best efforts |
1157 | to retire existing debt or to obtain approval of necessary |
1158 | parties to amend the terms of existing debt, so as to structure |
1159 | the most efficient plan to consolidate the three separate |
1160 | accounts into a single account. By February 1, 2007, the board |
1161 | shall submit a report to the Financial Services Commission, the |
1162 | President of the Senate, and the Speaker of the House of |
1163 | Representatives which includes an analysis of consolidating the |
1164 | accounts, the actions the board has taken to minimize the cost |
1165 | of carrying debt, and its recommendations for executing the most |
1166 | efficient plan. |
1167 | c. Creditors of the Residential Property and Casualty |
1168 | Joint Underwriting Association shall have a claim against, and |
1169 | recourse to, the accounts referred to in sub-sub-subparagraphs |
1170 | a.(I) and (II) and shall have no claim against, or recourse to, |
1171 | the account referred to in sub-sub-subparagraph a.(III). |
1172 | Creditors of the Florida Windstorm Underwriting Association |
1173 | shall have a claim against, and recourse to, the account |
1174 | referred to in sub-sub-subparagraph a.(III) and shall have no |
1175 | claim against, or recourse to, the accounts referred to in sub- |
1176 | sub-subparagraphs a.(I) and (II). |
1177 | d. Revenues, assets, liabilities, losses, and expenses not |
1178 | attributable to particular accounts shall be prorated among the |
1179 | accounts. |
1180 | e. The Legislature finds that the revenues of the |
1181 | corporation are revenues that are necessary to meet the |
1182 | requirements set forth in documents authorizing the issuance of |
1183 | bonds under this subsection. |
1184 | f. No part of the income of the corporation may inure to |
1185 | the benefit of any private person. |
1186 | 3. With respect to a deficit in an account: |
1187 | a. When the deficit incurred in a particular calendar year |
1188 | is not greater than 10 percent of the aggregate statewide direct |
1189 | written premium for the subject lines of business for the prior |
1190 | calendar year, the entire deficit shall be recovered through |
1191 | regular assessments of assessable insurers under paragraph (p) |
1192 | and assessable insureds. |
1193 | b. When the deficit incurred in a particular calendar year |
1194 | exceeds 10 percent of the aggregate statewide direct written |
1195 | premium for the subject lines of business for the prior calendar |
1196 | year, the corporation shall levy regular assessments on |
1197 | assessable insurers under paragraph (p) and on assessable |
1198 | insureds in an amount equal to the greater of 10 percent of the |
1199 | deficit or 10 percent of the aggregate statewide direct written |
1200 | premium for the subject lines of business for the prior calendar |
1201 | year. Any remaining deficit shall be recovered through emergency |
1202 | assessments under sub-subparagraph d. |
1203 | c. Each assessable insurer's share of the amount being |
1204 | assessed under sub-subparagraph a. or sub-subparagraph b. shall |
1205 | be in the proportion that the assessable insurer's direct |
1206 | written premium for the subject lines of business for the year |
1207 | preceding the assessment bears to the aggregate statewide direct |
1208 | written premium for the subject lines of business for that year. |
1209 | The assessment percentage applicable to each assessable insured |
1210 | is the ratio of the amount being assessed under sub-subparagraph |
1211 | a. or sub-subparagraph b. to the aggregate statewide direct |
1212 | written premium for the subject lines of business for the prior |
1213 | year. Assessments levied by the corporation on assessable |
1214 | insurers under sub-subparagraphs a. and b. shall be paid as |
1215 | required by the corporation's plan of operation and paragraph |
1216 | (p). Notwithstanding any other provision of this subsection, the |
1217 | aggregate amount of a regular assessment for a deficit incurred |
1218 | in a particular calendar year shall be reduced by the estimated |
1219 | amount to be received by the corporation from the Citizens |
1220 | policyholder surcharge under subparagraph (c)11. and the amount |
1221 | collected or estimated to be collected from the assessment on |
1222 | Citizens policyholders pursuant to sub-subparagraph i. |
1223 | Assessments levied by the corporation on assessable insureds |
1224 | under sub-subparagraphs a. and b. shall be collected by the |
1225 | surplus lines agent at the time the surplus lines agent collects |
1226 | the surplus lines tax required by s. 626.932 and shall be paid |
1227 | to the Florida Surplus Lines Service Office at the time the |
1228 | surplus lines agent pays the surplus lines tax to the Florida |
1229 | Surplus Lines Service Office. Upon receipt of regular |
1230 | assessments from surplus lines agents, the Florida Surplus Lines |
1231 | Service Office shall transfer the assessments directly to the |
1232 | corporation as determined by the corporation. |
1233 | d. Upon a determination by the board of governors that a |
1234 | deficit in an account exceeds the amount that will be recovered |
1235 | through regular assessments under sub-subparagraph a. or sub- |
1236 | subparagraph b., the board shall levy, after verification by the |
1237 | office, emergency assessments, for as many years as necessary to |
1238 | cover the deficits, to be collected by assessable insurers and |
1239 | the corporation and collected from assessable insureds upon |
1240 | issuance or renewal of policies for subject lines of business, |
1241 | excluding National Flood Insurance policies. The amount of the |
1242 | emergency assessment collected in a particular year shall be a |
1243 | uniform percentage of that year's direct written premium for |
1244 | subject lines of business and all accounts of the corporation, |
1245 | excluding National Flood Insurance Program policy premiums, as |
1246 | annually determined by the board and verified by the office. The |
1247 | office shall verify the arithmetic calculations involved in the |
1248 | board's determination within 30 days after receipt of the |
1249 | information on which the determination was based. |
1250 | Notwithstanding any other provision of law, the corporation and |
1251 | each assessable insurer that writes subject lines of business |
1252 | shall collect emergency assessments from its policyholders |
1253 | without such obligation being affected by any credit, |
1254 | limitation, exemption, or deferment. Emergency assessments |
1255 | levied by the corporation on assessable insureds shall be |
1256 | collected by the surplus lines agent at the time the surplus |
1257 | lines agent collects the surplus lines tax required by s. |
1258 | 626.932 and shall be paid to the Florida Surplus Lines Service |
1259 | Office at the time the surplus lines agent pays the surplus |
1260 | lines tax to the Florida Surplus Lines Service Office. The |
1261 | emergency assessments so collected shall be transferred directly |
1262 | to the corporation on a periodic basis as determined by the |
1263 | corporation and shall be held by the corporation solely in the |
1264 | applicable account. The aggregate amount of emergency |
1265 | assessments levied for an account under this sub-subparagraph in |
1266 | any calendar year may not exceed the greater of 10 percent of |
1267 | the amount needed to cover the original deficit, plus interest, |
1268 | fees, commissions, required reserves, and other costs associated |
1269 | with financing of the original deficit, or 10 percent of the |
1270 | aggregate statewide direct written premium for subject lines of |
1271 | business and for all accounts of the corporation for the prior |
1272 | year, plus interest, fees, commissions, required reserves, and |
1273 | other costs associated with financing the original deficit. |
1274 | e. The corporation may pledge the proceeds of assessments, |
1275 | projected recoveries from the Florida Hurricane Catastrophe |
1276 | Fund, other insurance and reinsurance recoverables, policyholder |
1277 | surcharges and other surcharges, and other funds available to |
1278 | the corporation as the source of revenue for and to secure bonds |
1279 | issued under paragraph (p), bonds or other indebtedness issued |
1280 | under subparagraph (c)3., or lines of credit or other financing |
1281 | mechanisms issued or created under this subsection, or to retire |
1282 | any other debt incurred as a result of deficits or events giving |
1283 | rise to deficits, or in any other way that the board determines |
1284 | will efficiently recover such deficits. The purpose of the lines |
1285 | of credit or other financing mechanisms is to provide additional |
1286 | resources to assist the corporation in covering claims and |
1287 | expenses attributable to a catastrophe. As used in this |
1288 | subsection, the term "assessments" includes regular assessments |
1289 | under sub-subparagraph a., sub-subparagraph b., or subparagraph |
1290 | (p)1. and emergency assessments under sub-subparagraph d. |
1291 | Emergency assessments collected under sub-subparagraph d. are |
1292 | not part of an insurer's rates, are not premium, and are not |
1293 | subject to premium tax, fees, or commissions; however, failure |
1294 | to pay the emergency assessment shall be treated as failure to |
1295 | pay premium. The emergency assessments under sub-subparagraph d. |
1296 | shall continue as long as any bonds issued or other indebtedness |
1297 | incurred with respect to a deficit for which the assessment was |
1298 | imposed remain outstanding, unless adequate provision has been |
1299 | made for the payment of such bonds or other indebtedness |
1300 | pursuant to the documents governing such bonds or other |
1301 | indebtedness. |
1302 | f. As used in this subsection, the term "subject lines of |
1303 | business" means insurance written by assessable insurers or |
1304 | procured by assessable insureds on real or personal property, as |
1305 | defined in s. 624.604, including insurance for fire, industrial |
1306 | fire, allied lines, farmowners multiperil, homeowners |
1307 | multiperil, commercial residential multiperil, and mobile homes, |
1308 | and including liability coverage on all such insurance, but |
1309 | excluding inland marine as defined in s. 624.607(3) and |
1310 | excluding vehicle insurance as defined in s. 624.605(1) other |
1311 | than insurance on mobile homes used as permanent dwellings. |
1312 | g. The Florida Surplus Lines Service Office shall |
1313 | determine annually the aggregate statewide written premium in |
1314 | subject lines of business procured by assessable insureds and |
1315 | shall report that information to the corporation in a form and |
1316 | at a time the corporation specifies to ensure that the |
1317 | corporation can meet the requirements of this subsection and the |
1318 | corporation's financing obligations. |
1319 | h. The Florida Surplus Lines Service Office shall verify |
1320 | the proper application by surplus lines agents of assessment |
1321 | percentages for regular assessments and emergency assessments |
1322 | levied under this subparagraph on assessable insureds and shall |
1323 | assist the corporation in ensuring the accurate, timely |
1324 | collection and payment of assessments by surplus lines agents as |
1325 | required by the corporation. |
1326 | i. If a deficit is incurred in any account, the board of |
1327 | governors shall levy an immediate assessment against the premium |
1328 | of each nonhomestead property policyholder in all accounts of |
1329 | the corporation, as a uniform percentage of the premium of the |
1330 | policy of up to 10 percent of such premium, which funds shall be |
1331 | used to offset the deficit. If this assessment is insufficient |
1332 | to eliminate the deficit, the board of governors shall levy an |
1333 | additional assessment against all policyholders of the |
1334 | corporation, which shall be collected at the time of issuance or |
1335 | renewal of a policy, as a uniform percentage of the premium for |
1336 | the policy of up to 10 percent of such premium, which funds |
1337 | shall be used to further offset the deficit. |
1338 | j. The board of governors shall maintain separate |
1339 | accounting records that consolidate data for nonhomestead |
1340 | properties, including, but not limited to, number of policies, |
1341 | insured values, premiums written, and losses. The board of |
1342 | governors shall annually report to the office and the |
1343 | Legislature a summary of such data. |
1344 | (c) The plan of operation of the corporation: |
1345 | 1. Must provide for adoption of residential property and |
1346 | casualty insurance policy forms and commercial residential and |
1347 | nonresidential property insurance forms, which forms must be |
1348 | approved by the office prior to use. The corporation shall adopt |
1349 | the following policy forms: |
1350 | a. Standard personal lines policy forms that are |
1351 | comprehensive multiperil policies providing full coverage of a |
1352 | residential property equivalent to the coverage provided in the |
1353 | private insurance market under an HO-3, HO-4, or HO-6 policy. |
1354 | b. Basic personal lines policy forms that are policies |
1355 | similar to an HO-8 policy or a dwelling fire policy that provide |
1356 | coverage meeting the requirements of the secondary mortgage |
1357 | market, but which coverage is more limited than the coverage |
1358 | under a standard policy. |
1359 | c. Commercial lines residential policy forms that are |
1360 | generally similar to the basic perils of full coverage |
1361 | obtainable for commercial residential structures in the admitted |
1362 | voluntary market. |
1363 | d. Personal lines and commercial lines residential |
1364 | property insurance forms that cover the peril of wind only. The |
1365 | forms are applicable only to residential properties located in |
1366 | areas eligible for coverage under the high-risk account referred |
1367 | to in sub-subparagraph (b)2.a. |
1368 | e. Commercial lines nonresidential property insurance |
1369 | forms that cover the peril of wind only. The forms are |
1370 | applicable only to nonresidential properties located in areas |
1371 | eligible for coverage under the high-risk account referred to in |
1372 | sub-subparagraph (b)2.a. |
1373 | e.f. The corporation may adopt variations of the policy |
1374 | forms listed in sub-subparagraphs a.-d. a.-e. that contain more |
1375 | restrictive coverage. |
1376 | 2.a. Must provide that the corporation adopt a program in |
1377 | which the corporation and authorized insurers enter into quota |
1378 | share primary insurance agreements for hurricane coverage, as |
1379 | defined in s. 627.4025(2)(a), for eligible risks, and adopt |
1380 | property insurance forms for eligible risks which cover the |
1381 | peril of wind only. As used in this subsection, the term: |
1382 | (I) "Quota share primary insurance" means an arrangement |
1383 | in which the primary hurricane coverage of an eligible risk is |
1384 | provided in specified percentages by the corporation and an |
1385 | authorized insurer. The corporation and authorized insurer are |
1386 | each solely responsible for a specified percentage of hurricane |
1387 | coverage of an eligible risk as set forth in a quota share |
1388 | primary insurance agreement between the corporation and an |
1389 | authorized insurer and the insurance contract. The |
1390 | responsibility of the corporation or authorized insurer to pay |
1391 | its specified percentage of hurricane losses of an eligible |
1392 | risk, as set forth in the quota share primary insurance |
1393 | agreement, may not be altered by the inability of the other |
1394 | party to the agreement to pay its specified percentage of |
1395 | hurricane losses. Eligible risks that are provided hurricane |
1396 | coverage through a quota share primary insurance arrangement |
1397 | must be provided policy forms that set forth the obligations of |
1398 | the corporation and authorized insurer under the arrangement, |
1399 | clearly specify the percentages of quota share primary insurance |
1400 | provided by the corporation and authorized insurer, and |
1401 | conspicuously and clearly state that neither the authorized |
1402 | insurer nor the corporation may be held responsible beyond its |
1403 | specified percentage of coverage of hurricane losses. |
1404 | (II) "Eligible risks" means personal lines residential and |
1405 | commercial lines residential risks that meet the underwriting |
1406 | criteria of the corporation and are located in areas that were |
1407 | eligible for coverage by the Florida Windstorm Underwriting |
1408 | Association on January 1, 2002. |
1409 | b. The corporation may enter into quota share primary |
1410 | insurance agreements with authorized insurers at corporation |
1411 | coverage levels of 90 percent and 50 percent. |
1412 | c. If the corporation determines that additional coverage |
1413 | levels are necessary to maximize participation in quota share |
1414 | primary insurance agreements by authorized insurers, the |
1415 | corporation may establish additional coverage levels. However, |
1416 | the corporation's quota share primary insurance coverage level |
1417 | may not exceed 90 percent. |
1418 | d. Any quota share primary insurance agreement entered |
1419 | into between an authorized insurer and the corporation must |
1420 | provide for a uniform specified percentage of coverage of |
1421 | hurricane losses, by county or territory as set forth by the |
1422 | corporation board, for all eligible risks of the authorized |
1423 | insurer covered under the quota share primary insurance |
1424 | agreement. |
1425 | e. Any quota share primary insurance agreement entered |
1426 | into between an authorized insurer and the corporation is |
1427 | subject to review and approval by the office. However, such |
1428 | agreement shall be authorized only as to insurance contracts |
1429 | entered into between an authorized insurer and an insured who is |
1430 | already insured by the corporation for wind coverage. |
1431 | f. For all eligible risks covered under quota share |
1432 | primary insurance agreements, the exposure and coverage levels |
1433 | for both the corporation and authorized insurers shall be |
1434 | reported by the corporation to the Florida Hurricane Catastrophe |
1435 | Fund. For all policies of eligible risks covered under quota |
1436 | share primary insurance agreements, the corporation and the |
1437 | authorized insurer shall maintain complete and accurate records |
1438 | for the purpose of exposure and loss reimbursement audits as |
1439 | required by Florida Hurricane Catastrophe Fund rules. The |
1440 | corporation and the authorized insurer shall each maintain |
1441 | duplicate copies of policy declaration pages and supporting |
1442 | claims documents. |
1443 | g. The corporation board shall establish in its plan of |
1444 | operation standards for quota share agreements which ensure that |
1445 | there is no discriminatory application among insurers as to the |
1446 | terms of quota share agreements, pricing of quota share |
1447 | agreements, incentive provisions if any, and consideration paid |
1448 | for servicing policies or adjusting claims. |
1449 | h. The quota share primary insurance agreement between the |
1450 | corporation and an authorized insurer must set forth the |
1451 | specific terms under which coverage is provided, including, but |
1452 | not limited to, the sale and servicing of policies issued under |
1453 | the agreement by the insurance agent of the authorized insurer |
1454 | producing the business, the reporting of information concerning |
1455 | eligible risks, the payment of premium to the corporation, and |
1456 | arrangements for the adjustment and payment of hurricane claims |
1457 | incurred on eligible risks by the claims adjuster and personnel |
1458 | of the authorized insurer. Entering into a quota sharing |
1459 | insurance agreement between the corporation and an authorized |
1460 | insurer shall be voluntary and at the discretion of the |
1461 | authorized insurer. |
1462 | 3. May provide that the corporation may employ or |
1463 | otherwise contract with individuals or other entities to provide |
1464 | administrative or professional services that may be appropriate |
1465 | to effectuate the plan. The corporation shall have the power to |
1466 | borrow funds, by issuing bonds or by incurring other |
1467 | indebtedness, and shall have other powers reasonably necessary |
1468 | to effectuate the requirements of this subsection, including, |
1469 | without limitation, the power to issue bonds and incur other |
1470 | indebtedness in order to refinance outstanding bonds or other |
1471 | indebtedness. The corporation may, but is not required to, seek |
1472 | judicial validation of its bonds or other indebtedness under |
1473 | chapter 75. The corporation may issue bonds or incur other |
1474 | indebtedness, or have bonds issued on its behalf by a unit of |
1475 | local government pursuant to subparagraph (p)(g)2., in the |
1476 | absence of a hurricane or other weather-related event, upon a |
1477 | determination by the corporation, subject to approval by the |
1478 | office, that such action would enable it to efficiently meet the |
1479 | financial obligations of the corporation and that such |
1480 | financings are reasonably necessary to effectuate the |
1481 | requirements of this subsection. The corporation is authorized |
1482 | to take all actions needed to facilitate tax-free status for any |
1483 | such bonds or indebtedness, including formation of trusts or |
1484 | other affiliated entities. The corporation shall have the |
1485 | authority to pledge assessments, projected recoveries from the |
1486 | Florida Hurricane Catastrophe Fund, other reinsurance |
1487 | recoverables, market equalization and other surcharges, and |
1488 | other funds available to the corporation as security for bonds |
1489 | or other indebtedness. In recognition of s. 10, Art. I of the |
1490 | State Constitution, prohibiting the impairment of obligations of |
1491 | contracts, it is the intent of the Legislature that no action be |
1492 | taken whose purpose is to impair any bond indenture or financing |
1493 | agreement or any revenue source committed by contract to such |
1494 | bond or other indebtedness. |
1495 | 4.a. Must require that the corporation operate subject to |
1496 | the supervision and approval of a board of governors consisting |
1497 | of eight individuals who are residents of this state, from |
1498 | different geographical areas of this state. The Governor, the |
1499 | Chief Financial Officer, the President of the Senate, and the |
1500 | Speaker of the House of Representatives shall each appoint two |
1501 | members of the board. At least one of the two members appointed |
1502 | by each appointing officer must have demonstrated expertise in |
1503 | insurance. The Chief Financial Officer shall designate one of |
1504 | the appointees as chair. All board members serve at the pleasure |
1505 | of the appointing officer. All board members, including the |
1506 | chair, must be appointed to serve for 3-year terms beginning |
1507 | annually on a date designated by the plan. Any board vacancy |
1508 | shall be filled for the unexpired term by the appointing |
1509 | officer. The Chief Financial Officer shall appoint a technical |
1510 | advisory group to provide information and advice to the board of |
1511 | governors in connection with the board's duties under this |
1512 | subsection. The executive director and senior managers of the |
1513 | corporation shall be engaged by the board and serve at the |
1514 | pleasure of the board. Any executive director appointed on or |
1515 | after July 1, 2006, is subject to confirmation by the Senate. |
1516 | The executive director is responsible for employing other staff |
1517 | as the corporation may require, subject to review and |
1518 | concurrence by the board. |
1519 | b. The board shall create a Market Accountability Advisory |
1520 | Committee to assist the corporation in developing awareness of |
1521 | its rates and its customer and agent service levels in |
1522 | relationship to the voluntary market insurers writing similar |
1523 | coverage. The members of the advisory committee shall consist of |
1524 | the following 11 persons, one of whom must be elected chair by |
1525 | the members of the committee: four representatives, one |
1526 | appointed by the Florida Association of Insurance Agents, one by |
1527 | the Florida Association of Insurance and Financial Advisors, one |
1528 | by the Professional Insurance Agents of Florida, and one by the |
1529 | Latin American Association of Insurance Agencies; three |
1530 | representatives appointed by the insurers with the three highest |
1531 | voluntary market share of residential property insurance |
1532 | business in the state; one representative from the Office of |
1533 | Insurance Regulation; one consumer appointed by the board who is |
1534 | insured by the corporation at the time of appointment to the |
1535 | committee; one representative appointed by the Florida |
1536 | Association of Realtors; and one representative appointed by the |
1537 | Florida Bankers Association. All members must serve for 3-year |
1538 | terms and may serve for consecutive terms. The committee shall |
1539 | report to the corporation at each board meeting on insurance |
1540 | market issues which may include rates and rate competition with |
1541 | the voluntary market; service, including policy issuance, claims |
1542 | processing, and general responsiveness to policyholders, |
1543 | applicants, and agents; and matters relating to depopulation. |
1544 | 5. Must provide a procedure for determining the |
1545 | eligibility of a risk for coverage, as follows: |
1546 | a. Subject to the provisions of s. 627.3517, with respect |
1547 | to personal lines residential risks, if the risk is offered |
1548 | coverage from an authorized insurer at the insurer's approved |
1549 | rate under either a standard policy including wind coverage or, |
1550 | if consistent with the insurer's underwriting rules as filed |
1551 | with the office, a basic policy including wind coverage, the |
1552 | risk is not eligible for any policy issued by the corporation. |
1553 | If the risk is not able to obtain any such offer, the risk is |
1554 | eligible for either a standard policy including wind coverage or |
1555 | a basic policy including wind coverage issued by the |
1556 | corporation; however, if the risk could not be insured under a |
1557 | standard policy including wind coverage regardless of market |
1558 | conditions, the risk shall be eligible for a basic policy |
1559 | including wind coverage unless rejected under subparagraph 8. |
1560 | The corporation shall determine the type of policy to be |
1561 | provided on the basis of objective standards specified in the |
1562 | underwriting manual and based on generally accepted underwriting |
1563 | practices. |
1564 | (I) If the risk accepts an offer of coverage through the |
1565 | market assistance plan or an offer of coverage through a |
1566 | mechanism established by the corporation before a policy is |
1567 | issued to the risk by the corporation or during the first 30 |
1568 | days of coverage by the corporation, and the producing agent who |
1569 | submitted the application to the plan or to the corporation is |
1570 | not currently appointed by the insurer, the insurer shall: |
1571 | (A) Pay to the producing agent of record of the policy, |
1572 | for the first year, an amount that is the greater of the |
1573 | insurer's usual and customary commission for the type of policy |
1574 | written or a fee equal to the usual and customary commission of |
1575 | the corporation; or |
1576 | (B) Offer to allow the producing agent of record of the |
1577 | policy to continue servicing the policy for a period of not less |
1578 | than 1 year and offer to pay the agent the greater of the |
1579 | insurer's or the corporation's usual and customary commission |
1580 | for the type of policy written. |
1581 |
|
1582 | If the producing agent is unwilling or unable to accept |
1583 | appointment, the new insurer shall pay the agent in accordance |
1584 | with sub-sub-sub-subparagraph (A). |
1585 | (II) When the corporation enters into a contractual |
1586 | agreement for a take-out plan, the producing agent of record of |
1587 | the corporation policy is entitled to retain any unearned |
1588 | commission on the policy, and the insurer shall: |
1589 | (A) Pay to the producing agent of record of the |
1590 | corporation policy, for the first year, an amount that is the |
1591 | greater of the insurer's usual and customary commission for the |
1592 | type of policy written or a fee equal to the usual and customary |
1593 | commission of the corporation; or |
1594 | (B) Offer to allow the producing agent of record of the |
1595 | corporation policy to continue servicing the policy for a period |
1596 | of not less than 1 year and offer to pay the agent the greater |
1597 | of the insurer's or the corporation's usual and customary |
1598 | commission for the type of policy written. |
1599 |
|
1600 | If the producing agent is unwilling or unable to accept |
1601 | appointment, the new insurer shall pay the agent in accordance |
1602 | with sub-sub-sub-subparagraph (A). |
1603 | b. With respect to commercial lines residential risks, if |
1604 | the risk is offered coverage under a policy including wind |
1605 | coverage from an authorized insurer at its approved rate, the |
1606 | risk is not eligible for any policy issued by the corporation. |
1607 | If the risk is not able to obtain any such offer, the risk is |
1608 | eligible for a policy including wind coverage issued by the |
1609 | corporation. |
1610 | (I) If the risk accepts an offer of coverage through the |
1611 | market assistance plan or an offer of coverage through a |
1612 | mechanism established by the corporation before a policy is |
1613 | issued to the risk by the corporation or during the first 30 |
1614 | days of coverage by the corporation, and the producing agent who |
1615 | submitted the application to the plan or the corporation is not |
1616 | currently appointed by the insurer, the insurer shall: |
1617 | (A) Pay to the producing agent of record of the policy, |
1618 | for the first year, an amount that is the greater of the |
1619 | insurer's usual and customary commission for the type of policy |
1620 | written or a fee equal to the usual and customary commission of |
1621 | the corporation; or |
1622 | (B) Offer to allow the producing agent of record of the |
1623 | policy to continue servicing the policy for a period of not less |
1624 | than 1 year and offer to pay the agent the greater of the |
1625 | insurer's or the corporation's usual and customary commission |
1626 | for the type of policy written. |
1627 |
|
1628 | If the producing agent is unwilling or unable to accept |
1629 | appointment, the new insurer shall pay the agent in accordance |
1630 | with sub-sub-sub-subparagraph (A). |
1631 | (II) When the corporation enters into a contractual |
1632 | agreement for a take-out plan, the producing agent of record of |
1633 | the corporation policy is entitled to retain any unearned |
1634 | commission on the policy, and the insurer shall: |
1635 | (A) Pay to the producing agent of record of the |
1636 | corporation policy, for the first year, an amount that is the |
1637 | greater of the insurer's usual and customary commission for the |
1638 | type of policy written or a fee equal to the usual and customary |
1639 | commission of the corporation; or |
1640 | (B) Offer to allow the producing agent of record of the |
1641 | corporation policy to continue servicing the policy for a period |
1642 | of not less than 1 year and offer to pay the agent the greater |
1643 | of the insurer's or the corporation's usual and customary |
1644 | commission for the type of policy written. |
1645 |
|
1646 | If the producing agent is unwilling or unable to accept |
1647 | appointment, the new insurer shall pay the agent in accordance |
1648 | with sub-sub-sub-subparagraph (A). |
1649 | 6. Must provide by July 1, 2007, that an application for |
1650 | coverage for a new policy is subject to a waiting period of 10 |
1651 | days before coverage is effective, during which time the |
1652 | corporation shall make such application available for review by |
1653 | general lines agents and authorized property and casualty |
1654 | insurers. The board shall may approve an exception exceptions |
1655 | that allows allow for coverage to be effective before the end of |
1656 | the 10-day waiting period, for coverage issued in conjunction |
1657 | with a real estate closing., The board may approve and for such |
1658 | other exceptions as the board determines are necessary to |
1659 | prevent lapses in coverage. |
1660 | 7. Must include rules for classifications of risks and |
1661 | rates therefor. |
1662 | 8. Must provide that if premium and investment income for |
1663 | an account attributable to a particular calendar year are in |
1664 | excess of projected losses and expenses for the account |
1665 | attributable to that year, such excess shall be held in surplus |
1666 | in the account. Such surplus shall be available to defray |
1667 | deficits in that account as to future years and shall be used |
1668 | for that purpose prior to assessing assessable insurers and |
1669 | assessable insureds as to any calendar year. |
1670 | 9. Must provide objective criteria and procedures to be |
1671 | uniformly applied for all applicants in determining whether an |
1672 | individual risk is so hazardous as to be uninsurable. In making |
1673 | this determination and in establishing the criteria and |
1674 | procedures, the following shall be considered: |
1675 | a. Whether the likelihood of a loss for the individual |
1676 | risk is substantially higher than for other risks of the same |
1677 | class; and |
1678 | b. Whether the uncertainty associated with the individual |
1679 | risk is such that an appropriate premium cannot be determined. |
1680 |
|
1681 | The acceptance or rejection of a risk by the corporation shall |
1682 | be construed as the private placement of insurance, and the |
1683 | provisions of chapter 120 shall not apply. |
1684 | 10. Must provide that the corporation shall make its best |
1685 | efforts to procure catastrophe reinsurance at reasonable rates, |
1686 | to cover its projected 100-year probable maximum loss as |
1687 | determined by the board of governors. |
1688 | 11. Must provide that in the event of regular deficit |
1689 | assessments under sub-subparagraph (b)3.a. or sub-subparagraph |
1690 | (b)3.b., in the personal lines account, the commercial lines |
1691 | residential account, or the high-risk account, the corporation |
1692 | shall levy upon corporation policyholders in its next rate |
1693 | filing, or by a separate rate filing solely for this purpose, a |
1694 | Citizens policyholder surcharge arising from a regular |
1695 | assessment in such account in a percentage equal to the total |
1696 | amount of such regular assessments divided by the aggregate |
1697 | statewide direct written premium for subject lines of business |
1698 | for the prior calendar year. For purposes of calculating the |
1699 | Citizens policyholder surcharge to be levied under this |
1700 | subparagraph, the total amount of the regular assessment to |
1701 | which this surcharge is related shall be determined as set forth |
1702 | in subparagraph (b)3., without deducting the estimated Citizens |
1703 | policyholder surcharge. Citizens policyholder surcharges under |
1704 | this subparagraph are not considered premium and are not subject |
1705 | to commissions, fees, or premium taxes; however, failure to pay |
1706 | a market equalization surcharge shall be treated as failure to |
1707 | pay premium. |
1708 | 12. The policies issued by the corporation must provide |
1709 | that, if the corporation or the market assistance plan obtains |
1710 | an offer from an authorized insurer to cover the risk at its |
1711 | approved rates, the risk is no longer eligible for renewal |
1712 | through the corporation. |
1713 | 13. Corporation policies and applications must include a |
1714 | notice that the corporation policy could, under this section, be |
1715 | replaced with a policy issued by an authorized insurer that does |
1716 | not provide coverage identical to the coverage provided by the |
1717 | corporation. The notice shall also specify that acceptance of |
1718 | corporation coverage creates a conclusive presumption that the |
1719 | applicant or policyholder is aware of this potential. |
1720 | 14. May establish, subject to approval by the office, |
1721 | different eligibility requirements and operational procedures |
1722 | for any line or type of coverage for any specified county or |
1723 | area if the board determines that such changes to the |
1724 | eligibility requirements and operational procedures are |
1725 | justified due to the voluntary market being sufficiently stable |
1726 | and competitive in such area or for such line or type of |
1727 | coverage and that consumers who, in good faith, are unable to |
1728 | obtain insurance through the voluntary market through ordinary |
1729 | methods would continue to have access to coverage from the |
1730 | corporation. When coverage is sought in connection with a real |
1731 | property transfer, such requirements and procedures shall not |
1732 | provide for an effective date of coverage later than the date of |
1733 | the closing of the transfer as established by the transferor, |
1734 | the transferee, and, if applicable, the lender. |
1735 | 15. Must provide that, with respect to the high-risk |
1736 | account, any assessable insurer with a surplus as to |
1737 | policyholders of $25 million or less writing 25 percent or more |
1738 | of its total countrywide property insurance premiums in this |
1739 | state may petition the office, within the first 90 days of each |
1740 | calendar year, to qualify as a limited apportionment company. A |
1741 | regular assessment levied by the corporation on a limited |
1742 | apportionment company for a deficit incurred by the corporation |
1743 | for the high-risk account in 2006 or thereafter may be paid to |
1744 | the corporation on a monthly basis as the assessments are |
1745 | collected by the limited apportionment company from its insureds |
1746 | pursuant to s. 627.3512, but the regular assessment must be paid |
1747 | in full within 12 months after being levied by the corporation. |
1748 | A limited apportionment company shall collect from its |
1749 | policyholders any emergency assessment imposed under sub- |
1750 | subparagraph (b)3.d. The plan shall provide that, if the office |
1751 | determines that any regular assessment will result in an |
1752 | impairment of the surplus of a limited apportionment company, |
1753 | the office may direct that all or part of such assessment be |
1754 | deferred as provided in subparagraph (p)(g)4. However, there |
1755 | shall be no limitation or deferment of an emergency assessment |
1756 | to be collected from policyholders under sub-subparagraph |
1757 | (b)3.d. |
1758 | 16. Must provide that the corporation appoint as its |
1759 | licensed agents only those agents who also hold an appointment |
1760 | as defined in s. 626.015(3) with an insurer who at the time of |
1761 | the agent's initial appointment by the corporation is authorized |
1762 | to write and is actually writing personal lines residential |
1763 | property coverage, or commercial residential property coverage, |
1764 | or commercial nonresidential property coverage within the state. |
1765 | 17. Must provide, by July 1, 2007, a premium payment plan |
1766 | option to its policyholders which allows for monthly, quarterly, |
1767 | and semiannual payment of premiums. |
1768 | 18. Must provide, effective June 1, 2007, that the |
1769 | corporation contract with each insurer providing the non-wind |
1770 | coverage for risks insured by the corporation in the high-risk |
1771 | account, requiring that the insurer provide claims adjusting |
1772 | services for the wind coverage provided by the corporation for |
1773 | such risks. An insurer is required to enter into this contract |
1774 | as a condition of providing non-wind coverage for a risk that is |
1775 | insured by the corporation in the high-risk account unless the |
1776 | board finds, after a hearing, that the insurer is not capable of |
1777 | providing adjusting services at an acceptable level of quality |
1778 | to corporation policyholders. The terms and conditions of such |
1779 | contracts must be substantially the same as the contracts that |
1780 | the corporation executed with insurers under the "adjust-your- |
1781 | own" program in 2006, except as may be mutually agreed to by the |
1782 | parties and except for such changes that the board determines |
1783 | are necessary to ensure that claims are adjusted appropriately. |
1784 | The corporation shall provide a process for neutral arbitration |
1785 | of any dispute between the corporation and the insurer regarding |
1786 | the terms of the contract. The corporation shall review and |
1787 | monitor the performance of insurers under these contracts. |
1788 | 19. Must limit coverage on mobile homes or manufactured |
1789 | homes built prior to 1994 to actual cash value of the dwelling |
1790 | rather than replacement costs of the dwelling. |
1791 | (d)1. All prospective employees for senior management |
1792 | positions, as defined by the plan of operation, are subject to |
1793 | background checks as a prerequisite for employment. The office |
1794 | shall conduct background checks on such prospective employees |
1795 | pursuant to ss. 624.34, 624.404(3), and 628.261. |
1796 | 2. On or before July 1 of each year, employees of the |
1797 | corporation are required to sign and submit a statement |
1798 | attesting that they do not have a conflict of interest, as |
1799 | defined in part III of chapter 112. As a condition of |
1800 | employment, all prospective employees are required to sign and |
1801 | submit to the corporation a conflict-of-interest statement. |
1802 | 3. Senior managers and members of the board of governors |
1803 | are subject to the provisions of part III of chapter 112, |
1804 | including, but not limited to, the code of ethics and public |
1805 | disclosure and reporting of financial interests, pursuant to s. |
1806 | 112.3145. Senior managers and board members are also required to |
1807 | file such disclosures with the Office of Insurance Regulation. |
1808 | The executive director of the corporation or his or her designee |
1809 | shall notify each newly appointed and existing appointed member |
1810 | of the board of governors and senior managers of their duty to |
1811 | comply with the reporting requirements of part III of chapter |
1812 | 112. At least quarterly, the executive director or his or her |
1813 | designee shall submit to the Commission on Ethics a list of |
1814 | names of the senior managers and members of the board of |
1815 | governors who are subject to the public disclosure requirements |
1816 | under s. 112.3145. |
1817 | 4. Notwithstanding s. 112.3148 or s. 112.3149, or any |
1818 | other provision of law, an employee or board member may not |
1819 | knowingly accept, directly or indirectly, any gift or |
1820 | expenditure from a person or entity, or an employee or |
1821 | representative of such person or entity, that has a contractual |
1822 | relationship with the corporation or who is under consideration |
1823 | for a contract. An employee or board member who fails to comply |
1824 | with this subparagraph is subject to penalties provided under |
1825 | ss. 112.317 and 112.3173. |
1826 | 5. Any senior manager of the corporation who is employed |
1827 | on or after January 1, 2007, regardless of the date of hire, who |
1828 | subsequently retires or terminates employment is prohibited from |
1829 | representing another person or entity before the corporation for |
1830 | 2 years after retirement or termination of employment from the |
1831 | corporation. |
1832 | 6. Any employee of the corporation who is employed on or |
1833 | after January 1, 2007, regardless of the date of hire, who |
1834 | subsequently retires or terminates employment is prohibited from |
1835 | having any employment or contractual relationship for 2 years |
1836 | with an insurer that has received a take-out bonus from the |
1837 | corporation. |
1838 | (e) Purchases that equal or exceed $2,500, but are less |
1839 | than $25,000, shall be made by receipt of written quotes, |
1840 | written record of telephone quotes, or informal bids, whenever |
1841 | practical. The procurement of goods or services valued at or |
1842 | over $25,000 shall be subject to competitive solicitation, |
1843 | except in situations where the goods or services are provided by |
1844 | a sole source or are deemed an emergency purchase; the services |
1845 | are exempted from competitive solicitation requirements under s. |
1846 | 287.057(5)(f); or the procurement of services is subject to s. |
1847 | 627.3513. Justification for the sole-sourcing or emergency |
1848 | procurement must be documented. Contracts for goods or services |
1849 | valued at or over $100,000 are subject to approval by the board. |
1850 | (f) The board shall determine whether it is more cost- |
1851 | effective and in the best interests of the corporation to use |
1852 | legal services provided by in-house attorneys employed by the |
1853 | corporation rather than contracting with outside counsel. In |
1854 | making such determination, the board shall document its findings |
1855 | and shall consider: the expertise needed; whether time |
1856 | commitments exceed in-house staff resources; whether local |
1857 | representation is needed; the travel, lodging and other costs |
1858 | associated with in-house representation; and such other factors |
1859 | that the board determines are relevant. |
1860 | (g) The corporation may not retain a lobbyist to represent |
1861 | it before the legislative branch or executive branch. However, |
1862 | full-time employees of the corporation may register as lobbyists |
1863 | and represent the corporation before the legislative branch or |
1864 | executive branch. |
1865 | (h)1. The Office of the Internal Auditor is established |
1866 | within the corporation to provide a central point for |
1867 | coordination of and responsibility for activities that promote |
1868 | accountability, integrity, and efficiency to the policyholders |
1869 | and to the taxpayers of this state. The internal auditor shall |
1870 | be appointed by the board of governors, shall report to and be |
1871 | under the general supervision of the board of governors, and is |
1872 | not subject to supervision by any employee of the corporation. |
1873 | Administrative staff and support shall be provided by the |
1874 | corporation. The internal auditor shall be appointed without |
1875 | regard to political affiliation. It is the duty and |
1876 | responsibility of the internal auditor to: |
1877 | a. Provide direction for, supervise, conduct, and |
1878 | coordinate audits, investigations, and management reviews |
1879 | relating to the programs and operations of the corporation. |
1880 | b. Conduct, supervise, or coordinate other activities |
1881 | carried out or financed by the corporation for the purpose of |
1882 | promoting efficiency in the administration of, or preventing and |
1883 | detecting fraud, abuse, and mismanagement in, its programs and |
1884 | operations. |
1885 | c. Submit final audit reports, reviews, or investigative |
1886 | reports to the board of governors, the executive director, the |
1887 | members of the Financial Services Commission, and the President |
1888 | of the Senate and the Speaker of the House of Representatives. |
1889 | d. Keep the board of governors informed concerning fraud, |
1890 | abuses, and internal control deficiencies relating to programs |
1891 | and operations administered or financed by the corporation, |
1892 | recommend corrective action, and report on the progress made in |
1893 | implementing corrective action. |
1894 | e. Report expeditiously to the Department of Law |
1895 | Enforcement or other law enforcement agencies, as appropriate, |
1896 | whenever the internal auditor has reasonable grounds to believe |
1897 | there has been a violation of criminal law. |
1898 | 2. On or before February 15, the internal auditor shall |
1899 | prepare an annual report evaluating the effectiveness of the |
1900 | internal controls of the corporation and providing |
1901 | recommendations for corrective action, if necessary, and |
1902 | summarizing the audits, reviews, and investigations conducted by |
1903 | the office during the preceding fiscal year. The final report |
1904 | shall be furnished to the board of governors and the executive |
1905 | director, the President of the Senate, the Speaker of the House |
1906 | of Representatives, and the Financial Services Commission. |
1907 | (i) All records of the corporation, except as otherwise |
1908 | provided by law, are subject to the record retention |
1909 | requirements of s. 119.021. |
1910 | (j)1. The corporation shall establish and maintain a unit |
1911 | or division to investigate possible fraudulent claims by |
1912 | insureds or by persons making claims for services or repairs |
1913 | against policies held by insureds; or it may contract with |
1914 | others to investigate possible fraudulent claims for services or |
1915 | repairs against policies held by the corporation pursuant to s. |
1916 | 626.9891. The corporation must comply with reporting |
1917 | requirements of s. 626.9891. An employee of the corporation |
1918 | shall notify the Division of Insurance Fraud within 48 hours |
1919 | after having information that would lead a reasonable person to |
1920 | suspect that fraud may have been committed by any employee of |
1921 | the corporation. |
1922 | 2. The corporation shall establish a unit or division |
1923 | responsible for receiving and responding to consumer complaints, |
1924 | which unit or division is the sole responsibility of a senior |
1925 | manager of the corporation. |
1926 | (k) The office shall conduct a comprehensive market |
1927 | conduct examination of the corporation every 2 years to |
1928 | determine compliance with its plan of operation and internal |
1929 | operations procedures. The first market conduct examination |
1930 | report shall be submitted to the President of the Senate and the |
1931 | Speaker of the House of Representatives no later than February |
1932 | 1, 2009. Subsequent reports shall be submitted on or before |
1933 | February 1 every 2 years thereafter. |
1934 | (l) The Auditor General shall conduct an operational audit |
1935 | of the corporation every 3 years to evaluate management's |
1936 | performance in administering laws, policies, and procedures |
1937 | governing the operations of the corporation in an efficient and |
1938 | effective manner. The scope of the review shall include, but is |
1939 | not limited to, evaluating claims handling, customer service, |
1940 | take-out programs and bonuses, financing arrangements, |
1941 | procurement of goods and services, internal controls, and the |
1942 | internal audit function. The initial audit must be completed by |
1943 | February 1, 2009. |
1944 | (m)1.a. Rates for coverage provided by the corporation |
1945 | shall be actuarially adequate sound and not competitive with |
1946 | approved rates charged in the admitted voluntary market, so that |
1947 | the corporation functions as a residual market mechanism to |
1948 | provide insurance only when the insurance cannot be procured in |
1949 | the voluntary market. Rates shall include an appropriate |
1950 | catastrophe loading factor that reflects the actual catastrophic |
1951 | exposure of the corporation. For policies in the personal lines |
1952 | account and the commercial lines account issued or renewed on or |
1953 | after March 1, 2007, a rate is deemed inadequate if the rate, |
1954 | including investment income, is not sufficient to provide for |
1955 | the procurement of coverage under the Florida Hurricane |
1956 | Catastrophe Fund and private reinsurance costs, whether or not |
1957 | reinsurance is procured, and to pay all claims and expenses |
1958 | reasonably expected to result from a 100-year probable maximum |
1959 | loss event without resort to any regular or emergency |
1960 | assessments, long-term debt, state revenues, or other funding |
1961 | sources. For policies in the high-risk account issued or renewed |
1962 | on or after January 1, 2008 March 1, 2007, a rate is deemed |
1963 | inadequate if the rate, including investment income, is not |
1964 | sufficient to provide for the procurement of coverage under the |
1965 | Florida Hurricane Catastrophe Fund and private reinsurance |
1966 | costs, whether or not reinsurance is procured, and to pay all |
1967 | claims and expenses reasonably expected to result from a 50-year |
1968 | 70-year probable maximum loss event without with resort to any |
1969 | regular or emergency assessments, long-term debt, state |
1970 | revenues, or other funding sources. For policies in the high- |
1971 | risk account issued or renewed in 2008 and 2009, 2010, 2011, |
1972 | 2012, and 2013, the rate must be based upon a 60-year, 70-year, |
1973 | 80-year, 90-year, an 85-year and 100-year probable maximum loss |
1974 | event, respectively. |
1975 | b. It is the intent of the Legislature to reaffirm the |
1976 | requirement of rate adequacy in the residual market. Recognizing |
1977 | that rates may comply with the intent expressed in sub- |
1978 | subparagraph a. and yet be inadequate and recognizing the public |
1979 | need to limit subsidies within the residual market, it is the |
1980 | further intent of the Legislature to establish statutory |
1981 | standards for rate adequacy. Such standards are intended to |
1982 | supplement the standard specified in s. 627.062(2)(e)3., |
1983 | providing that rates are inadequate if they are clearly |
1984 | insufficient to sustain projected losses and expenses in the |
1985 | class of business to which they apply. |
1986 | 2. For each county, the average rates of the corporation |
1987 | for each line of business for personal lines residential |
1988 | policies excluding rates for wind-only policies shall be no |
1989 | lower than the average rates charged by the insurer that had the |
1990 | highest average rate in that county among the 20 insurers with |
1991 | the greatest total direct written premium in the state for that |
1992 | line of business in the preceding year, except that with respect |
1993 | to mobile home coverages, the average rates of the corporation |
1994 | shall be no lower than the average rates charged by the insurer |
1995 | that had the highest average rate in that county among the 5 |
1996 | insurers with the greatest total written premium for mobile home |
1997 | owner's policies in the state in the preceding year. |
1998 | 2.3. Rates for personal lines residential wind-only |
1999 | policies must be actuarially adequate sound and not competitive |
2000 | with approved rates charged by authorized insurers. If the |
2001 | filing under this subparagraph is made at least 90 days before |
2002 | the proposed effective date and the filing is not implemented |
2003 | during the office's review of the filing and any proceeding and |
2004 | judicial review, such filing shall be considered a "file and |
2005 | use" filing. In such case, the office shall finalize its review |
2006 | by issuance of a notice of intent to approve or a notice of |
2007 | intent to disapprove within 90 days after receipt of the filing. |
2008 | The notice of intent to approve and the notice of intent to |
2009 | disapprove constitute agency action for purposes of the |
2010 | Administrative Procedure Act. Requests for supporting |
2011 | information, requests for mathematical or mechanical |
2012 | corrections, or notification to the insurer by the office of its |
2013 | preliminary findings shall not toll the 90-day period during any |
2014 | such proceedings and subsequent judicial review. The rate shall |
2015 | be deemed approved if the office does not issue a notice of |
2016 | intent to approve or a notice of intent to disapprove within 90 |
2017 | days after receipt of the filing. Corporation rate manuals shall |
2018 | include a rate surcharge for seasonal occupancy. To ensure that |
2019 | personal lines residential wind-only rates are not competitive |
2020 | with approved rates charged by authorized insurers, the |
2021 | corporation, in conjunction with the office, shall develop a |
2022 | wind-only ratemaking methodology, which methodology shall be |
2023 | contained in each rate filing made by the corporation with the |
2024 | office. If the office determines that the wind-only rates or |
2025 | rating factors filed by the corporation fail to comply with the |
2026 | wind-only ratemaking methodology provided for in this |
2027 | subsection, it shall so notify the corporation and require the |
2028 | corporation to amend its rates or rating factors to come into |
2029 | compliance within 90 days of notice from the office. |
2030 | 4. The requirements of this paragraph that rates not be |
2031 | competitive with approved rates charged by authorized insurers |
2032 | do not apply in a county or area for which the office determines |
2033 | that no authorized insurer is offering coverage. The corporation |
2034 | shall amend its rates or rating factors for the affected county |
2035 | or area in conjunction with its next rate filing after such |
2036 | determination is made. |
2037 | 5. For the purposes of establishing a pilot program to |
2038 | evaluate issues relating to the availability and affordability |
2039 | of insurance in an area where historically there has been little |
2040 | market competition, the provisions of subparagraph 2. do not |
2041 | apply to coverage provided by the corporation in Monroe County |
2042 | if the office determines that a reasonable degree of competition |
2043 | does not exist for personal lines residential policies. The |
2044 | provisions of subparagraph 3. do not apply to coverage provided |
2045 | by the corporation in Monroe County if the office determines |
2046 | that a reasonable degree of competition does not exist for |
2047 | personal lines residential policies in the area of that county |
2048 | which is eligible for wind-only coverage. In this county, the |
2049 | rates for personal lines residential coverage shall be |
2050 | actuarially sound and not excessive, inadequate, or unfairly |
2051 | discriminatory and are subject to the other provisions of the |
2052 | paragraph and s. 627.062. The commission shall adopt rules |
2053 | establishing the criteria for determining whether a reasonable |
2054 | degree of competition exists for personal lines residential |
2055 | policies in Monroe County. By March 1, 2006, the office shall |
2056 | submit a report to the Legislature providing an evaluation of |
2057 | the implementation of the pilot program affecting Monroe County. |
2058 | 6. Rates for commercial lines coverage shall not be |
2059 | subject to the requirements of subparagraph 2., but shall be |
2060 | subject to all other requirements of this paragraph and s. |
2061 | 627.062. |
2062 | 3.7. Nothing in this paragraph shall require or allow the |
2063 | corporation to adopt a rate that is inadequate under s. 627.062. |
2064 | 4.8. The corporation shall certify to the office at least |
2065 | twice annually that its personal lines rates comply with the |
2066 | requirements of subparagraphs 1. and, 2., and 3. If any |
2067 | adjustment in the rates or rating factors of the corporation is |
2068 | necessary to ensure such compliance, the corporation shall make |
2069 | and implement such adjustments and file its revised rates and |
2070 | rating factors with the office. If the office thereafter |
2071 | determines that the revised rates and rating factors fail to |
2072 | comply with the provisions of subparagraphs 1. and, 2., and 3., |
2073 | it shall notify the corporation and require the corporation to |
2074 | amend its rates or rating factors in conjunction with its next |
2075 | rate filing. The office must notify the corporation by |
2076 | electronic means of any rate filing it approves for any insurer |
2077 | among the insurers referred to in subparagraph 2. |
2078 | 5.9. In addition to the rates otherwise determined |
2079 | pursuant to this paragraph, the corporation shall impose and |
2080 | collect an amount equal to the premium tax provided for in s. |
2081 | 624.509 to augment the financial resources of the corporation. |
2082 | 6.10. The corporation shall develop a notice to |
2083 | policyholders or applicants that the rates of Citizens Property |
2084 | Insurance Corporation are intended to be higher than the rates |
2085 | of any admitted carrier and providing other information the |
2086 | corporation deems necessary to assist consumers in finding other |
2087 | voluntary admitted insurers willing to insure their property. |
2088 | 7.11. After the public hurricane loss-projection model |
2089 | under s. 627.06281 has been found to be accurate and reliable by |
2090 | the Florida Commission on Hurricane Loss Projection Methodology, |
2091 | that model shall serve as the minimum benchmark for determining |
2092 | the windstorm portion of the corporation's rates. This |
2093 | subparagraph does not require or allow the corporation to adopt |
2094 | rates lower than the rates otherwise required or allowed by this |
2095 | paragraph. |
2096 | 8. Except as provided in subparagraph 9., the rate filings |
2097 | for the corporation which were approved by the office and which |
2098 | took effect January 1, 2007, are rescinded. As soon as possible, |
2099 | the corporation shall begin using the rates that were in effect |
2100 | on December 31, 2006, and shall provide refunds to policyholders |
2101 | who have paid higher rates as a result of those rate filings. |
2102 | The rates in effect on December 31, 2006, shall remain in effect |
2103 | for the 2007 calendar year. The next rate change shall take |
2104 | effect January 1, 2008, pursuant to a new rate filing |
2105 | recommended by the corporation and approved by the office, |
2106 | subject to the requirements of this paragraph. |
2107 | 9. Through December 31, 2007, the corporation shall use |
2108 | the lower territorial rates for the hurricane portion of the |
2109 | rates for high-risk account homeowners (HO3) policies approved |
2110 | for use by the office in Monroe County beginning January 1, |
2111 | 2007. Nothing in subparagraph 8. is intended to prevent the |
2112 | corporation from implementing prior to January 1, 2008, rates |
2113 | pursuant to subparagraph 1. that are lower than rates in effect |
2114 | on December 31, 2006, including by territory, coverage, and |
2115 | mitigation factors and other discounts. Prior to January 1, |
2116 | 2008, such lower rates shall be determined to meet the |
2117 | requirements of subparagraph 1. by comparing such lower rates to |
2118 | the rates in effect on December 31, 2006. |
2119 | (n) If coverage in an account is deactivated pursuant to |
2120 | paragraph (o)(f), coverage through the corporation shall be |
2121 | reactivated by order of the office only under one of the |
2122 | following circumstances: |
2123 | 1. If the market assistance plan receives a minimum of 100 |
2124 | applications for coverage within a 3-month period, or 200 |
2125 | applications for coverage within a 1-year period or less for |
2126 | residential coverage, unless the market assistance plan provides |
2127 | a quotation from admitted carriers at their filed rates for at |
2128 | least 90 percent of such applicants. Any market assistance plan |
2129 | application that is rejected because an individual risk is so |
2130 | hazardous as to be uninsurable using the criteria specified in |
2131 | subparagraph (c)9.8. shall not be included in the minimum |
2132 | percentage calculation provided herein. In the event that there |
2133 | is a legal or administrative challenge to a determination by the |
2134 | office that the conditions of this subparagraph have been met |
2135 | for eligibility for coverage in the corporation, any eligible |
2136 | risk may obtain coverage during the pendency of such challenge. |
2137 | 2. In response to a state of emergency declared by the |
2138 | Governor under s. 252.36, the office may activate coverage by |
2139 | order for the period of the emergency upon a finding by the |
2140 | office that the emergency significantly affects the availability |
2141 | of residential property insurance. |
2142 | (o)1. The corporation shall file with the office quarterly |
2143 | statements of financial condition, an annual statement of |
2144 | financial condition, and audited financial statements in the |
2145 | manner prescribed by law. In addition, the corporation shall |
2146 | report to the office monthly on the types, premium, exposure, |
2147 | and distribution by county of its policies in force, and shall |
2148 | submit other reports as the office requires to carry out its |
2149 | oversight of the corporation. |
2150 | 2. The activities of the corporation shall be reviewed at |
2151 | least annually by the office to determine whether coverage shall |
2152 | be deactivated in an account on the basis that the conditions |
2153 | giving rise to its activation no longer exist. |
2154 | (p)1. The corporation shall certify to the office its |
2155 | needs for annual assessments as to a particular calendar year, |
2156 | and for any interim assessments that it deems to be necessary to |
2157 | sustain operations as to a particular year pending the receipt |
2158 | of annual assessments. Upon verification, the office shall |
2159 | approve such certification, and the corporation shall levy such |
2160 | annual or interim assessments. Such assessments shall be |
2161 | prorated as provided in paragraph (b). The corporation shall |
2162 | take all reasonable and prudent steps necessary to collect the |
2163 | amount of assessment due from each assessable insurer, |
2164 | including, if prudent, filing suit to collect such assessment. |
2165 | If the corporation is unable to collect an assessment from any |
2166 | assessable insurer, the uncollected assessments shall be levied |
2167 | as an additional assessment against the assessable insurers and |
2168 | any assessable insurer required to pay an additional assessment |
2169 | as a result of such failure to pay shall have a cause of action |
2170 | against such nonpaying assessable insurer. Assessments shall be |
2171 | included as an appropriate factor in the making of rates. The |
2172 | failure of a surplus lines agent to collect and remit any |
2173 | regular or emergency assessment levied by the corporation is |
2174 | considered to be a violation of s. 626.936 and subjects the |
2175 | surplus lines agent to the penalties provided in that section. |
2176 | 2. The governing body of any unit of local government, any |
2177 | residents of which are insured by the corporation, may issue |
2178 | bonds as defined in s. 125.013 or s. 166.101 from time to time |
2179 | to fund an assistance program, in conjunction with the |
2180 | corporation, for the purpose of defraying deficits of the |
2181 | corporation. In order to avoid needless and indiscriminate |
2182 | proliferation, duplication, and fragmentation of such assistance |
2183 | programs, any unit of local government, any residents of which |
2184 | are insured by the corporation, may provide for the payment of |
2185 | losses, regardless of whether or not the losses occurred within |
2186 | or outside of the territorial jurisdiction of the local |
2187 | government. Revenue bonds under this subparagraph may not be |
2188 | issued until validated pursuant to chapter 75, unless a state of |
2189 | emergency is declared by executive order or proclamation of the |
2190 | Governor pursuant to s. 252.36 making such findings as are |
2191 | necessary to determine that it is in the best interests of, and |
2192 | necessary for, the protection of the public health, safety, and |
2193 | general welfare of residents of this state and declaring it an |
2194 | essential public purpose to permit certain municipalities or |
2195 | counties to issue such bonds as will permit relief to claimants |
2196 | and policyholders of the corporation. Any such unit of local |
2197 | government may enter into such contracts with the corporation |
2198 | and with any other entity created pursuant to this subsection as |
2199 | are necessary to carry out this paragraph. Any bonds issued |
2200 | under this subparagraph shall be payable from and secured by |
2201 | moneys received by the corporation from emergency assessments |
2202 | under sub-subparagraph (b)3.d., and assigned and pledged to or |
2203 | on behalf of the unit of local government for the benefit of the |
2204 | holders of such bonds. The funds, credit, property, and taxing |
2205 | power of the state or of the unit of local government shall not |
2206 | be pledged for the payment of such bonds. If any of the bonds |
2207 | remain unsold 60 days after issuance, the office shall require |
2208 | all insurers subject to assessment to purchase the bonds, which |
2209 | shall be treated as admitted assets; each insurer shall be |
2210 | required to purchase that percentage of the unsold portion of |
2211 | the bond issue that equals the insurer's relative share of |
2212 | assessment liability under this subsection. An insurer shall not |
2213 | be required to purchase the bonds to the extent that the office |
2214 | determines that the purchase would endanger or impair the |
2215 | solvency of the insurer. |
2216 | 3.a. The corporation shall adopt one or more programs |
2217 | subject to approval by the office for the reduction of both new |
2218 | and renewal writings in the corporation. Beginning January 1, |
2219 | 2008, any program the corporation adopts for the payment of |
2220 | bonuses to an insurer for each risk the insurer removes from the |
2221 | corporation shall comply with s. 627.3511(2) and may not exceed |
2222 | the amount referenced in s. 627.3511(2) for each risk removed. |
2223 | The corporation may consider any prudent and not unfairly |
2224 | discriminatory approach to reducing corporation writings, and |
2225 | may adopt a credit against assessment liability or other |
2226 | liability that provides an incentive for insurers to take risks |
2227 | out of the corporation and to keep risks out of the corporation |
2228 | by maintaining or increasing voluntary writings in counties or |
2229 | areas in which corporation risks are highly concentrated and a |
2230 | program to provide a formula under which an insurer voluntarily |
2231 | taking risks out of the corporation by maintaining or increasing |
2232 | voluntary writings will be relieved wholly or partially from |
2233 | assessments under sub-subparagraphs (b)3.a. and b. However, any |
2234 | "take-out bonus" or payment to an insurer must be conditioned on |
2235 | the property being insured for at least 5 years by the insurer, |
2236 | unless canceled or nonrenewed by the policyholder. If the policy |
2237 | is canceled or nonrenewed by the policyholder before the end of |
2238 | the 5-year period, the amount of the take-out bonus must be |
2239 | prorated for the time period the policy was insured. When the |
2240 | corporation enters into a contractual agreement for a take-out |
2241 | plan, the producing agent of record of the corporation policy is |
2242 | entitled to retain any unearned commission on such policy, and |
2243 | the insurer shall either: |
2244 | (I) Pay to the producing agent of record of the policy, |
2245 | for the first year, an amount which is the greater of the |
2246 | insurer's usual and customary commission for the type of policy |
2247 | written or a policy fee equal to the usual and customary |
2248 | commission of the corporation; or |
2249 | (II) Offer to allow the producing agent of record of the |
2250 | policy to continue servicing the policy for a period of not less |
2251 | than 1 year and offer to pay the agent the insurer's usual and |
2252 | customary commission for the type of policy written. If the |
2253 | producing agent is unwilling or unable to accept appointment by |
2254 | the new insurer, the new insurer shall pay the agent in |
2255 | accordance with sub-sub-subparagraph (I). |
2256 | b. Any credit or exemption from regular assessments |
2257 | adopted under this subparagraph shall last no longer than the 3 |
2258 | years following the cancellation or expiration of the policy by |
2259 | the corporation. With the approval of the office, the board may |
2260 | extend such credits for an additional year if the insurer |
2261 | guarantees an additional year of renewability for all policies |
2262 | removed from the corporation, or for 2 additional years if the |
2263 | insurer guarantees 2 additional years of renewability for all |
2264 | policies so removed. |
2265 | c. There shall be no credit, limitation, exemption, or |
2266 | deferment from emergency assessments to be collected from |
2267 | policyholders pursuant to sub-subparagraph (b)3.d. |
2268 | 4. The plan shall provide for the deferment, in whole or |
2269 | in part, of the assessment of an assessable insurer, other than |
2270 | an emergency assessment collected from policyholders pursuant to |
2271 | sub-subparagraph (b)3.d., if the office finds that payment of |
2272 | the assessment would endanger or impair the solvency of the |
2273 | insurer. In the event an assessment against an assessable |
2274 | insurer is deferred in whole or in part, the amount by which |
2275 | such assessment is deferred may be assessed against the other |
2276 | assessable insurers in a manner consistent with the basis for |
2277 | assessments set forth in paragraph (b). |
2278 | 5. Effective July 1, 2007, in order to evaluate the costs |
2279 | and benefits of approved take-out plans, if the corporation pays |
2280 | a bonus or other payment to an insurer for an approved take-out |
2281 | plan, it shall maintain a record of the address or such other |
2282 | identifying information on the property or risk removed in order |
2283 | to track if and when the property or risk is later insured by |
2284 | the corporation. |
2285 | (q) Nothing in this subsection shall be construed to |
2286 | preclude the issuance of residential property insurance coverage |
2287 | pursuant to part VIII of chapter 626. |
2288 | (r) There shall be no liability on the part of, and no |
2289 | cause of action of any nature shall arise against, any |
2290 | assessable insurer or its agents or employees, the corporation |
2291 | or its agents or employees, members of the board of governors or |
2292 | their respective designees at a board meeting, corporation |
2293 | committee members, or the office or its representatives, for any |
2294 | action taken by them in the performance of their duties or |
2295 | responsibilities under this subsection. Such immunity does not |
2296 | apply to: |
2297 | 1. Any of the foregoing persons or entities for any |
2298 | willful tort; |
2299 | 2. The corporation or its producing agents for breach of |
2300 | any contract or agreement pertaining to insurance coverage; |
2301 | 3. The corporation with respect to issuance or payment of |
2302 | debt; or |
2303 | 4. Any assessable insurer with respect to any action to |
2304 | enforce an assessable insurer's obligations to the corporation |
2305 | under this subsection. |
2306 | (s) For the purposes of s. 199.183(1), the corporation |
2307 | shall be considered a political subdivision of the state and |
2308 | shall be exempt from the corporate income tax. The premiums, |
2309 | assessments, investment income, and other revenue of the |
2310 | corporation are funds received for providing property insurance |
2311 | coverage as required by this subsection, paying claims for |
2312 | Florida citizens insured by the corporation, securing and |
2313 | repaying debt obligations issued by the corporation, and |
2314 | conducting all other activities of the corporation, and shall |
2315 | not be considered taxes, fees, licenses, or charges for services |
2316 | imposed by the Legislature on individuals, businesses, or |
2317 | agencies outside state government. Bonds and other debt |
2318 | obligations issued by or on behalf of the corporation are not to |
2319 | be considered "state bonds" within the meaning of s. 215.58(8). |
2320 | The corporation is not subject to the procurement provisions of |
2321 | chapter 287, and policies and decisions of the corporation |
2322 | relating to incurring debt, levying of assessments and the sale, |
2323 | issuance, continuation, terms and claims under corporation |
2324 | policies, and all services relating thereto, are not subject to |
2325 | the provisions of chapter 120. The corporation is not required |
2326 | to obtain or to hold a certificate of authority issued by the |
2327 | office, nor is it required to participate as a member insurer of |
2328 | the Florida Insurance Guaranty Association. However, the |
2329 | corporation is required to pay, in the same manner as an |
2330 | authorized insurer, assessments pledged by the Florida Insurance |
2331 | Guaranty Association to secure bonds issued or other |
2332 | indebtedness incurred to pay covered claims arising from insurer |
2333 | insolvencies caused by, or proximately related to, hurricane |
2334 | losses. It is the intent of the Legislature that the tax |
2335 | exemptions provided in this paragraph will augment the financial |
2336 | resources of the corporation to better enable the corporation to |
2337 | fulfill its public purposes. Any debt obligations issued by the |
2338 | corporation, their transfer, and the income therefrom, including |
2339 | any profit made on the sale thereof, shall at all times be free |
2340 | from taxation of every kind by the state and any political |
2341 | subdivision or local unit or other instrumentality thereof; |
2342 | however, this exemption does not apply to any tax imposed by |
2343 | chapter 220 on interest, income, or profits on debt obligations |
2344 | owned by corporations other than the corporation. |
2345 | (t) Upon a determination by the office that the conditions |
2346 | giving rise to the establishment and activation of the |
2347 | corporation no longer exist, the corporation is dissolved. Upon |
2348 | dissolution, the assets of the corporation shall be applied |
2349 | first to pay all debts, liabilities, and obligations of the |
2350 | corporation, including the establishment of reasonable reserves |
2351 | for any contingent liabilities or obligations, and all remaining |
2352 | assets of the corporation shall become property of the state and |
2353 | shall be deposited in the Florida Hurricane Catastrophe Fund. |
2354 | However, no dissolution shall take effect as long as the |
2355 | corporation has bonds or other financial obligations outstanding |
2356 | unless adequate provision has been made for the payment of the |
2357 | bonds or other financial obligations pursuant to the documents |
2358 | authorizing the issuance of the bonds or other financial |
2359 | obligations. |
2360 | (u)1. Effective July 1, 2002, policies of the Residential |
2361 | Property and Casualty Joint Underwriting Association shall |
2362 | become policies of the corporation. All obligations, rights, |
2363 | assets and liabilities of the Residential Property and Casualty |
2364 | Joint Underwriting Association, including bonds, note and debt |
2365 | obligations, and the financing documents pertaining to them |
2366 | become those of the corporation as of July 1, 2002. The |
2367 | corporation is not required to issue endorsements or |
2368 | certificates of assumption to insureds during the remaining term |
2369 | of in-force transferred policies. |
2370 | 2. Effective July 1, 2002, policies of the Florida |
2371 | Windstorm Underwriting Association are transferred to the |
2372 | corporation and shall become policies of the corporation. All |
2373 | obligations, rights, assets, and liabilities of the Florida |
2374 | Windstorm Underwriting Association, including bonds, note and |
2375 | debt obligations, and the financing documents pertaining to them |
2376 | are transferred to and assumed by the corporation on July 1, |
2377 | 2002. The corporation is not required to issue endorsements or |
2378 | certificates of assumption to insureds during the remaining term |
2379 | of in-force transferred policies. |
2380 | 3. The Florida Windstorm Underwriting Association and the |
2381 | Residential Property and Casualty Joint Underwriting Association |
2382 | shall take all actions as may be proper to further evidence the |
2383 | transfers and shall provide the documents and instruments of |
2384 | further assurance as may reasonably be requested by the |
2385 | corporation for that purpose. The corporation shall execute |
2386 | assumptions and instruments as the trustees or other parties to |
2387 | the financing documents of the Florida Windstorm Underwriting |
2388 | Association or the Residential Property and Casualty Joint |
2389 | Underwriting Association may reasonably request to further |
2390 | evidence the transfers and assumptions, which transfers and |
2391 | assumptions, however, are effective on the date provided under |
2392 | this paragraph whether or not, and regardless of the date on |
2393 | which, the assumptions or instruments are executed by the |
2394 | corporation. Subject to the relevant financing documents |
2395 | pertaining to their outstanding bonds, notes, indebtedness, or |
2396 | other financing obligations, the moneys, investments, |
2397 | receivables, choses in action, and other intangibles of the |
2398 | Florida Windstorm Underwriting Association shall be credited to |
2399 | the high-risk account of the corporation, and those of the |
2400 | personal lines residential coverage account and the commercial |
2401 | lines residential coverage account of the Residential Property |
2402 | and Casualty Joint Underwriting Association shall be credited to |
2403 | the personal lines account and the commercial lines account, |
2404 | respectively, of the corporation. |
2405 | 4. Effective July 1, 2002, a new applicant for property |
2406 | insurance coverage who would otherwise have been eligible for |
2407 | coverage in the Florida Windstorm Underwriting Association is |
2408 | eligible for coverage from the corporation as provided in this |
2409 | subsection. |
2410 | 5. The transfer of all policies, obligations, rights, |
2411 | assets, and liabilities from the Florida Windstorm Underwriting |
2412 | Association to the corporation and the renaming of the |
2413 | Residential Property and Casualty Joint Underwriting Association |
2414 | as the corporation shall in no way affect the coverage with |
2415 | respect to covered policies as defined in s. 215.555(2)(c) |
2416 | provided to these entities by the Florida Hurricane Catastrophe |
2417 | Fund. The coverage provided by the Florida Hurricane Catastrophe |
2418 | Fund to the Florida Windstorm Underwriting Association based on |
2419 | its exposures as of June 30, 2002, and each June 30 thereafter |
2420 | shall be redesignated as coverage for the high-risk account of |
2421 | the corporation. Notwithstanding any other provision of law, the |
2422 | coverage provided by the Florida Hurricane Catastrophe Fund to |
2423 | the Residential Property and Casualty Joint Underwriting |
2424 | Association based on its exposures as of June 30, 2002, and each |
2425 | June 30 thereafter shall be transferred to the personal lines |
2426 | account and the commercial lines account of the corporation. |
2427 | Notwithstanding any other provision of law, the high-risk |
2428 | account shall be treated, for all Florida Hurricane Catastrophe |
2429 | Fund purposes, as if it were a separate participating insurer |
2430 | with its own exposures, reimbursement premium, and loss |
2431 | reimbursement. Likewise, the personal lines and commercial lines |
2432 | accounts shall be viewed together, for all Florida Hurricane |
2433 | Catastrophe Fund purposes, as if the two accounts were one and |
2434 | represent a single, separate participating insurer with its own |
2435 | exposures, reimbursement premium, and loss reimbursement. The |
2436 | coverage provided by the Florida Hurricane Catastrophe Fund to |
2437 | the corporation shall constitute and operate as a full transfer |
2438 | of coverage from the Florida Windstorm Underwriting Association |
2439 | and Residential Property and Casualty Joint Underwriting to the |
2440 | corporation. |
2441 | (v) Notwithstanding any other provision of law: |
2442 | 1. The pledge or sale of, the lien upon, and the security |
2443 | interest in any rights, revenues, or other assets of the |
2444 | corporation created or purported to be created pursuant to any |
2445 | financing documents to secure any bonds or other indebtedness of |
2446 | the corporation shall be and remain valid and enforceable, |
2447 | notwithstanding the commencement of and during the continuation |
2448 | of, and after, any rehabilitation, insolvency, liquidation, |
2449 | bankruptcy, receivership, conservatorship, reorganization, or |
2450 | similar proceeding against the corporation under the laws of |
2451 | this state. |
2452 | 2. No such proceeding shall relieve the corporation of its |
2453 | obligation, or otherwise affect its ability to perform its |
2454 | obligation, to continue to collect, or levy and collect, |
2455 | assessments, market equalization or other surcharges under |
2456 | subparagraph (c)11.10., or any other rights, revenues, or other |
2457 | assets of the corporation pledged pursuant to any financing |
2458 | documents. |
2459 | 3. Each such pledge or sale of, lien upon, and security |
2460 | interest in, including the priority of such pledge, lien, or |
2461 | security interest, any such assessments, market equalization or |
2462 | other surcharges, or other rights, revenues, or other assets |
2463 | which are collected, or levied and collected, after the |
2464 | commencement of and during the pendency of, or after, any such |
2465 | proceeding shall continue unaffected by such proceeding. As used |
2466 | in this subsection, the term "financing documents" means any |
2467 | agreement or agreements, instrument or instruments, or other |
2468 | document or documents now existing or hereafter created |
2469 | evidencing any bonds or other indebtedness of the corporation or |
2470 | pursuant to which any such bonds or other indebtedness has been |
2471 | or may be issued and pursuant to which any rights, revenues, or |
2472 | other assets of the corporation are pledged or sold to secure |
2473 | the repayment of such bonds or indebtedness, together with the |
2474 | payment of interest on such bonds or such indebtedness, or the |
2475 | payment of any other obligation or financial product, as defined |
2476 | in the plan of operation of the corporation related to such |
2477 | bonds or indebtedness. |
2478 | 4. Any such pledge or sale of assessments, revenues, |
2479 | contract rights, or other rights or assets of the corporation |
2480 | shall constitute a lien and security interest, or sale, as the |
2481 | case may be, that is immediately effective and attaches to such |
2482 | assessments, revenues, or contract rights or other rights or |
2483 | assets, whether or not imposed or collected at the time the |
2484 | pledge or sale is made. Any such pledge or sale is effective, |
2485 | valid, binding, and enforceable against the corporation or other |
2486 | entity making such pledge or sale, and valid and binding against |
2487 | and superior to any competing claims or obligations owed to any |
2488 | other person or entity, including policyholders in this state, |
2489 | asserting rights in any such assessments, revenues, or contract |
2490 | rights or other rights or assets to the extent set forth in and |
2491 | in accordance with the terms of the pledge or sale contained in |
2492 | the applicable financing documents, whether or not any such |
2493 | person or entity has notice of such pledge or sale and without |
2494 | the need for any physical delivery, recordation, filing, or |
2495 | other action. |
2496 | 5. As long as the corporation has any bonds outstanding, |
2497 | the corporation may not file a voluntary petition under chapter |
2498 | 9 of the federal Bankruptcy Code or such corresponding chapter |
2499 | or sections as may be in effect, from time to time, and a public |
2500 | officer or any organization, entity, or other person may not |
2501 | authorize the corporation to be or become a debtor under chapter |
2502 | 9 of the federal Bankruptcy Code or such corresponding chapter |
2503 | or sections as may be in effect, from time to time, during any |
2504 | such period. |
2505 | 6. If ordered by a court of competent jurisdiction, the |
2506 | corporation may assume policies or otherwise provide coverage |
2507 | for policyholders of an insurer placed in liquidation under |
2508 | chapter 631, under such forms, rates, terms, and conditions as |
2509 | the corporation deems appropriate, subject to approval by the |
2510 | office. |
2511 | (w)1. The following records of the corporation are |
2512 | confidential and exempt from the provisions of s. 119.07(1) and |
2513 | s. 24(a), Art. I of the State Constitution: |
2514 | a. Underwriting files, except that a policyholder or an |
2515 | applicant shall have access to his or her own underwriting |
2516 | files. |
2517 | b. Claims files, until termination of all litigation and |
2518 | settlement of all claims arising out of the same incident, |
2519 | although portions of the claims files may remain exempt, as |
2520 | otherwise provided by law. Confidential and exempt claims file |
2521 | records may be released to other governmental agencies upon |
2522 | written request and demonstration of need; such records held by |
2523 | the receiving agency remain confidential and exempt as provided |
2524 | for herein. |
2525 | c. Records obtained or generated by an internal auditor |
2526 | pursuant to a routine audit, until the audit is completed, or if |
2527 | the audit is conducted as part of an investigation, until the |
2528 | investigation is closed or ceases to be active. An investigation |
2529 | is considered "active" while the investigation is being |
2530 | conducted with a reasonable, good faith belief that it could |
2531 | lead to the filing of administrative, civil, or criminal |
2532 | proceedings. |
2533 | d. Matters reasonably encompassed in privileged attorney- |
2534 | client communications. |
2535 | e. Proprietary information licensed to the corporation |
2536 | under contract and the contract provides for the confidentiality |
2537 | of such proprietary information. |
2538 | f. All information relating to the medical condition or |
2539 | medical status of a corporation employee which is not relevant |
2540 | to the employee's capacity to perform his or her duties, except |
2541 | as otherwise provided in this paragraph. Information which is |
2542 | exempt shall include, but is not limited to, information |
2543 | relating to workers' compensation, insurance benefits, and |
2544 | retirement or disability benefits. |
2545 | g. Upon an employee's entrance into the employee |
2546 | assistance program, a program to assist any employee who has a |
2547 | behavioral or medical disorder, substance abuse problem, or |
2548 | emotional difficulty which affects the employee's job |
2549 | performance, all records relative to that participation shall be |
2550 | confidential and exempt from the provisions of s. 119.07(1) and |
2551 | s. 24(a), Art. I of the State Constitution, except as otherwise |
2552 | provided in s. 112.0455(11). |
2553 | h. Information relating to negotiations for financing, |
2554 | reinsurance, depopulation, or contractual services, until the |
2555 | conclusion of the negotiations. |
2556 | i. Minutes of closed meetings regarding underwriting |
2557 | files, and minutes of closed meetings regarding an open claims |
2558 | file until termination of all litigation and settlement of all |
2559 | claims with regard to that claim, except that information |
2560 | otherwise confidential or exempt by law will be redacted. |
2561 |
|
2562 | When an authorized insurer is considering underwriting a risk |
2563 | insured by the corporation, relevant underwriting files and |
2564 | confidential claims files may be released to the insurer |
2565 | provided the insurer agrees in writing, notarized and under |
2566 | oath, to maintain the confidentiality of such files. When a file |
2567 | is transferred to an insurer that file is no longer a public |
2568 | record because it is not held by an agency subject to the |
2569 | provisions of the public records law. Underwriting files and |
2570 | confidential claims files may also be released to staff of and |
2571 | the board of governors of the market assistance plan established |
2572 | pursuant to s. 627.3515, who must retain the confidentiality of |
2573 | such files, except such files may be released to authorized |
2574 | insurers that are considering assuming the risks to which the |
2575 | files apply, provided the insurer agrees in writing, notarized |
2576 | and under oath, to maintain the confidentiality of such files. |
2577 | Finally, the corporation or the board or staff of the market |
2578 | assistance plan may make the following information obtained from |
2579 | underwriting files and confidential claims files available to |
2580 | licensed general lines insurance agents: name, address, and |
2581 | telephone number of the residential property owner or insured; |
2582 | location of the risk; rating information; loss history; and |
2583 | policy type. The receiving licensed general lines insurance |
2584 | agent must retain the confidentiality of the information |
2585 | received. |
2586 | 2. Portions of meetings of the corporation are exempt from |
2587 | the provisions of s. 286.011 and s. 24(b), Art. I of the State |
2588 | Constitution wherein confidential underwriting files or |
2589 | confidential open claims files are discussed. All portions of |
2590 | corporation meetings which are closed to the public shall be |
2591 | recorded by a court reporter. The court reporter shall record |
2592 | the times of commencement and termination of the meeting, all |
2593 | discussion and proceedings, the names of all persons present at |
2594 | any time, and the names of all persons speaking. No portion of |
2595 | any closed meeting shall be off the record. Subject to the |
2596 | provisions hereof and s. 119.07(1)(b)-(d), the court reporter's |
2597 | notes of any closed meeting shall be retained by the corporation |
2598 | for a minimum of 5 years. A copy of the transcript, less any |
2599 | exempt matters, of any closed meeting wherein claims are |
2600 | discussed shall become public as to individual claims after |
2601 | settlement of the claim. |
2602 | (x) It is the intent of the Legislature that the |
2603 | amendments to this subsection enacted in 2002 should, over time, |
2604 | reduce the probable maximum windstorm losses in the residual |
2605 | markets and should reduce the potential assessments to be levied |
2606 | on property insurers and policyholders statewide. In furtherance |
2607 | of this intent: |
2608 | 1. The board shall, on or before February 1 of each year, |
2609 | provide a report to the President of the Senate and the Speaker |
2610 | of the House of Representatives showing the reduction or |
2611 | increase in the 100-year probable maximum loss attributable to |
2612 | wind-only coverages and the quota share program under this |
2613 | subsection combined, as compared to the benchmark 100-year |
2614 | probable maximum loss of the Florida Windstorm Underwriting |
2615 | Association. For purposes of this paragraph, the benchmark 100- |
2616 | year probable maximum loss of the Florida Windstorm Underwriting |
2617 | Association shall be the calculation dated February 2001 and |
2618 | based on November 30, 2000, exposures. In order to ensure |
2619 | comparability of data, the board shall use the same methods for |
2620 | calculating its probable maximum loss as were used to calculate |
2621 | the benchmark probable maximum loss. |
2622 | 2. Beginning February 1, 2010, if the report under |
2623 | subparagraph 1. for any year indicates that the 100-year |
2624 | probable maximum loss attributable to wind-only coverages and |
2625 | the quota share program combined does not reflect a reduction of |
2626 | at least 25 percent from the benchmark, the board shall reduce |
2627 | the boundaries of the high-risk area eligible for wind-only |
2628 | coverages under this subsection in a manner calculated to reduce |
2629 | such probable maximum loss to an amount at least 25 percent |
2630 | below the benchmark. |
2631 | 3. Beginning February 1, 2015, if the report under |
2632 | subparagraph 1. for any year indicates that the 100-year |
2633 | probable maximum loss attributable to wind-only coverages and |
2634 | the quota share program combined does not reflect a reduction of |
2635 | at least 50 percent from the benchmark, the boundaries of the |
2636 | high-risk area eligible for wind-only coverages under this |
2637 | subsection shall be reduced by the elimination of any area that |
2638 | is not seaward of a line 1,000 feet inland from the Intracoastal |
2639 | Waterway. |
2640 | (y) In enacting the provisions of this section, the |
2641 | Legislature recognizes that both the Florida Windstorm |
2642 | Underwriting Association and the Residential Property and |
2643 | Casualty Joint Underwriting Association have entered into |
2644 | financing arrangements that obligate each entity to service its |
2645 | debts and maintain the capacity to repay funds secured under |
2646 | these financing arrangements. It is the intent of the |
2647 | Legislature that nothing in this section be construed to |
2648 | compromise, diminish, or interfere with the rights of creditors |
2649 | under such financing arrangements. It is further the intent of |
2650 | the Legislature to preserve the obligations of the Florida |
2651 | Windstorm Underwriting Association and Residential Property and |
2652 | Casualty Joint Underwriting Association with regard to |
2653 | outstanding financing arrangements, with such obligations |
2654 | passing entirely and unchanged to the corporation and, |
2655 | specifically, to the applicable account of the corporation. So |
2656 | long as any bonds, notes, indebtedness, or other financing |
2657 | obligations of the Florida Windstorm Underwriting Association or |
2658 | the Residential Property and Casualty Joint Underwriting |
2659 | Association are outstanding, under the terms of the financing |
2660 | documents pertaining to them, the governing board of the |
2661 | corporation shall have and shall exercise the authority to levy, |
2662 | charge, collect, and receive all premiums, assessments, |
2663 | surcharges, charges, revenues, and receipts that the |
2664 | associations had authority to levy, charge, collect, or receive |
2665 | under the provisions of subsection (2) and this subsection, |
2666 | respectively, as they existed on January 1, 2002, to provide |
2667 | moneys, without exercise of the authority provided by this |
2668 | subsection, in at least the amounts, and by the times, as would |
2669 | be provided under those former provisions of subsection (2) or |
2670 | this subsection, respectively, so that the value, amount, and |
2671 | collectability of any assets, revenues, or revenue source |
2672 | pledged or committed to, or any lien thereon securing such |
2673 | outstanding bonds, notes, indebtedness, or other financing |
2674 | obligations will not be diminished, impaired, or adversely |
2675 | affected by the amendments made by this act and to permit |
2676 | compliance with all provisions of financing documents pertaining |
2677 | to such bonds, notes, indebtedness, or other financing |
2678 | obligations, or the security or credit enhancement for them, and |
2679 | any reference in this subsection to bonds, notes, indebtedness, |
2680 | financing obligations, or similar obligations, of the |
2681 | corporation shall include like instruments or contracts of the |
2682 | Florida Windstorm Underwriting Association and the Residential |
2683 | Property and Casualty Joint Underwriting Association to the |
2684 | extent not inconsistent with the provisions of the financing |
2685 | documents pertaining to them. |
2686 | (z) The corporation shall not require the securing of |
2687 | flood insurance as a condition of coverage if the insured or |
2688 | applicant executes a form approved by the office affirming that |
2689 | flood insurance is not provided by the corporation and that if |
2690 | flood insurance is not secured by the applicant or insured in |
2691 | addition to coverage by the corporation, the risk will not be |
2692 | covered for flood damage. A corporation policyholder electing |
2693 | not to secure flood insurance and executing a form as provided |
2694 | herein making a claim for water damage against the corporation |
2695 | shall have the burden of proving the damage was not caused by |
2696 | flooding. Notwithstanding other provisions of this subsection, |
2697 | the corporation may deny coverage to an applicant or insured who |
2698 | refuses to execute the form described herein. |
2699 | (aa) A salaried employee of the corporation who performs |
2700 | policy administration services subsequent to the effectuation of |
2701 | a corporation policy is not required to be licensed as an agent |
2702 | under the provisions of s. 626.112. |
2703 | (bb) By February 1, 2007, the corporation shall submit a |
2704 | report to the President of the Senate, the Speaker of the House |
2705 | of Representatives, the minority party leaders of the Senate and |
2706 | the House of Representatives, and the chairs of the standing |
2707 | committees of the Senate and the House of Representatives having |
2708 | jurisdiction over matters relating to property and casualty |
2709 | insurance. In preparing the report, the corporation shall |
2710 | consult with the Office of Insurance Regulation, the Department |
2711 | of Financial Services, and any other party the corporation |
2712 | determines appropriate. The report must include all findings and |
2713 | recommendations on the feasibility of requiring authorized |
2714 | insurers that issue and service personal and commercial |
2715 | residential policies and commercial nonresidential policies that |
2716 | provide coverage for basic property perils except for the peril |
2717 | of wind to issue and service for a fee personal and commercial |
2718 | residential policies and commercial nonresidential policies |
2719 | providing coverage for the peril of wind issued by the |
2720 | corporation. The report must include: |
2721 | 1. The expense savings to the corporation of issuing and |
2722 | servicing such policies as determined by a cost-benefit |
2723 | analysis. |
2724 | 2. The expenses and liability to authorized insurers |
2725 | associated with issuing and servicing such policies. |
2726 | 3. The effect on service to policyholders of the |
2727 | corporation relating to issuing and servicing such policies. |
2728 | 4. The effect on the producing agent of the corporation of |
2729 | issuing and servicing such policies. |
2730 | 5. Recommendations as to the amount of the fee which |
2731 | should be paid to authorized insurers for issuing and servicing |
2732 | such policies. |
2733 | 6. The effect that issuing and servicing such policies |
2734 | will have on the corporation's number of policies, total insured |
2735 | value, and probable maximum loss. |
2736 | (cc) There shall be no liability on the part of, and no |
2737 | cause of action of any nature shall arise against, producing |
2738 | agents of record of the corporation or employees of such agents |
2739 | for insolvency of any take-out insurer. |
2740 | (dd)1. For policies subject to nonrenewal as a result of |
2741 | the risk being no longer eligible for coverage due to being |
2742 | valued at $1 million or more, the corporation shall, directly or |
2743 | through the market assistance plan, make information from |
2744 | confidential underwriting and claims files of policyholders |
2745 | available only to licensed general lines agents who register |
2746 | with the corporation to receive such information according to |
2747 | the following procedures: |
2748 | 2. By August 1, 2006, the corporation shall provide such |
2749 | policyholders who are not eligible for renewal the opportunity |
2750 | to request in writing, within 30 days after the notification is |
2751 | sent, that information from their confidential underwriting and |
2752 | claims files not be released to licensed general lines agents |
2753 | registered pursuant to this paragraph. |
2754 | 3. By August 1, 2006, the corporation shall make available |
2755 | to licensed general lines agents the registration procedures to |
2756 | be used to obtain confidential information from underwriting and |
2757 | claims files for such policies not eligible for renewal. As a |
2758 | condition of registration, the corporation shall require the |
2759 | licensed general lines agent to attest that the agent has the |
2760 | experience and relationships with authorized or surplus lines |
2761 | carriers to attempt to offer replacement coverage for such |
2762 | policies. |
2763 | 4. By September 1, 2006, the corporation shall make |
2764 | available through a secured website to licensed general lines |
2765 | agents registered pursuant to this paragraph application, |
2766 | rating, loss history, mitigation, and policy type information |
2767 | relating to such policies not eligible for renewal and for which |
2768 | the policyholder has not requested the corporation withhold such |
2769 | information. The registered licensed general lines agent may use |
2770 | such information to contact and assist the policyholder in |
2771 | securing replacement policies, and the agent may disclose to the |
2772 | policyholder that such information was obtained from the |
2773 | corporation. |
2774 | (ee) Effective June 1, 2007, all commercial nonresidential |
2775 | policies issued by the corporation as of May 31, 2007, shall |
2776 | become policies of the Property and Casualty Joint Underwriting |
2777 | Association created pursuant to subsection (5). |
2778 | Section 11. The Department of Financial Services shall |
2779 | review how insurance agent commissions for the placement and |
2780 | renewal of property insurance policies in Citizens Property |
2781 | Insurance Corporation are established and applied and shall make |
2782 | recommendations, based on industry best practices, for standards |
2783 | to ensure that agent commissions are justified on a market basis |
2784 | based on the nature and amount of work performed by the agents. |
2785 | The department shall report its findings and recommendations to |
2786 | the Governor, the President of the Senate, and the Speaker of |
2787 | the House of Representatives by July 1, 2007. |
2788 | Section 12. Task Force on Citizens Property Insurance |
2789 | Claims Handling and Resolution.-- |
2790 | (1) TASK FORCE CREATED.--There is created the Task Force |
2791 | on Citizens Property Insurance Claims Handling and Resolution. |
2792 | (2) ADMINISTRATION.--The task force shall be |
2793 | administratively housed within the Office of the Chief Financial |
2794 | Officer but shall operate independently of any state officer or |
2795 | agency. The Office of the Chief Financial Officer shall provide |
2796 | such administrative support as the task force deems necessary to |
2797 | accomplish its mission and shall provide necessary funding for |
2798 | the task force within its existing resources. The Executive |
2799 | Office of the Governor, the Department of Financial Services, |
2800 | and the Office of Insurance Regulation shall provide substantive |
2801 | staff support for the task force. |
2802 | (3) MEMBERSHIP.--The members of the task force shall be |
2803 | appointed as follows: |
2804 | (a) The Governor shall appoint one member who is a |
2805 | representative of insurance consumers. |
2806 | (b) The Chief Financial Officer shall appoint one member |
2807 | who has expertise in claims handling. |
2808 | (c) The President of the Senate shall appoint one member. |
2809 | (d) The Speaker of the House of Representatives shall |
2810 | appoint one member. |
2811 | (e) The Commissioner of Insurance Regulation, or his or |
2812 | her designee, shall serve as an ex officio voting member of the |
2813 | task force. |
2814 | (f) The Insurance Consumer Advocate, or his or her |
2815 | designee, shall serve as an ex officio voting member of the task |
2816 | force. |
2817 | (g) The Executive Director of Citizens Property Insurance |
2818 | Corporation, or his or her designee, shall serve as an ex |
2819 | officio voting member of the task force. |
2820 |
|
2821 | Members of the task force shall serve without compensation but |
2822 | are entitled to receive reimbursement for per diem and travel |
2823 | expenses as provided in s. 112.061, Florida Statutes. |
2824 | (4) PURPOSE AND INTENT.--The Legislature recognizes that |
2825 | policyholders and applicants of Citizens Property Insurance |
2826 | Corporation should receive the highest possible level of service |
2827 | and treatment. This level should never be less than the private |
2828 | market. The Legislature further recognizes that Citizens |
2829 | Property Insurance Corporation's service standards should be no |
2830 | less than those applied to insurers in the voluntary market with |
2831 | respect to responsiveness, timeliness, customer courtesy, and |
2832 | overall dealings with policyholders and applicants. The purpose |
2833 | of the task force is to make recommendations to the legislative |
2834 | and executive branches of this state's government relating to |
2835 | the handling, service, and resolution of claims by Citizens |
2836 | Property Insurance Corporation that are sufficient to ensure |
2837 | that all Citizens' policyholders and applicants in this state |
2838 | are able to obtain appropriate handling, service, and resolution |
2839 | of claims, as further described in this section. |
2840 | (5) SPECIFIC ISSUES.--The task force shall conduct such |
2841 | research and hearings as it deems necessary to achieve the |
2842 | purposes specified in subsection (4) and shall develop |
2843 | information on relevant issues, including, but not limited to, |
2844 | the following: |
2845 | (a) How Citizens Property Insurance Corporation can |
2846 | improve its customer service. |
2847 | (b) How Citizens Property Insurance Corporation can |
2848 | improve its adjuster response time after a hurricane. |
2849 | (c) How Citizens Property Insurance Corporation can |
2850 | efficiently use its available adjusting sources for claims. |
2851 | (d) How Citizens Property Insurance Corporation can |
2852 | improve the time it takes to conduct damage assessments. |
2853 | (e) How Citizens Property Insurance Corporation can |
2854 | dispose of and settle claims remaining from the 2004 and 2005 |
2855 | hurricane seasons and can improve the time it takes to dispose |
2856 | of and settle claims remaining from the 2004 and 2005 hurricane |
2857 | seasons. |
2858 | (f) How Citizens Property Insurance Corporation can |
2859 | improve the time it takes to dispose of and settle claims. |
2860 | (g) Whether Citizens Property Insurance Corporation has |
2861 | hired an adequate level of permanent claims and adjusting staff |
2862 | in addition to outsourcing its claims-adjusting functions to |
2863 | independent adjusting firms. |
2864 | (6) REPORTS AND RECOMMENDATIONS.--By July 1, 2007, the |
2865 | task force shall provide a report containing recommendations |
2866 | regarding the process Citizens Property Insurance Corporation |
2867 | should use to dispose of the claims remaining open from the 2004 |
2868 | and 2005 hurricane seasons. By July 1, 2008, the task force |
2869 | shall provide a report containing findings relating to the |
2870 | issues identified in subsection (5) and recommendations |
2871 | consistent with the purposes of this section and also consistent |
2872 | with such findings. The report shall include recommendations |
2873 | regarding the process Citizens Property Insurance Corporation |
2874 | should use to dispose of claims. The task force shall submit the |
2875 | reports to the Governor, the Chief Financial Officer, the |
2876 | President of the Senate, and the Speaker of the House of |
2877 | Representatives. The task force may also submit such interim |
2878 | reports as it deems appropriate. |
2879 | (7) ADDITIONAL ACTIVITIES.--The task force shall monitor |
2880 | the implementation of the provisions of chapter 2006-12, Laws of |
2881 | Florida, relating to the creation of the Office of Internal |
2882 | Auditor in Citizens Property Insurance Corporation and shall |
2883 | make such additional recommendations as it deems appropriate for |
2884 | further legislative action during the 2006-2008 legislative |
2885 | biennium. |
2886 | (8) EXPIRATION.--The task force shall expire at the end of |
2887 | the 2006-2008 legislative biennium. |
2888 | Section 13. Notwithstanding the provisions of s. |
2889 | 627.351(6), Florida Statutes, the existing board of governors of |
2890 | Citizens Property Insurance Corporation appointed under s. |
2891 | 627.351(6)(c)4.a., Florida Statutes, is abolished effective |
2892 | March 1, 2007. By March 2, 2007, pursuant to s. |
2893 | 627.351(6)(c)4.a., Florida Statutes, each appointing officer |
2894 | shall appoint new members or reappoint existing members of the |
2895 | board of governors of the corporation for the unexpired portions |
2896 | of the terms of the existing board of governors. |
2897 | Section 14. Paragraph (e) of subsection (3) and subsection |
2898 | (4) of section 631.57, Florida Statutes, are amended to read: |
2899 | 631.57 Powers and duties of the association.-- |
2900 | (3) |
2901 | (e)1.a. In addition to assessments otherwise authorized in |
2902 | paragraph (a) and to the extent necessary to secure the funds |
2903 | for the account specified in s. 631.55(2)(c) for the direct |
2904 | payment of covered claims of insolvent homeowners insurers and |
2905 | to pay the reasonable costs to administer such claims, or to |
2906 | retire indebtedness, including, without limitation, the |
2907 | principal, redemption premium, if any, and interest on, and |
2908 | related costs of issuance of, bonds issued under s. 631.695 and |
2909 | the funding of any reserves and other payments required under |
2910 | the bond resolution or trust indenture pursuant to which such |
2911 | bonds have been issued, the office, upon certification of the |
2912 | board of directors, shall levy emergency assessments upon |
2913 | insurers holding a certificate of authority. The emergency |
2914 | assessments payable under this paragraph by any insurer shall |
2915 | not exceed in any single year more than 2 percent of that |
2916 | insurer's direct written premiums, net of refunds, in this state |
2917 | during the preceding calendar year for the kinds of insurance |
2918 | within the account specified in s. 631.55(2)(c). |
2919 | b. Any emergency assessments authorized under this |
2920 | paragraph shall be levied by the office upon insurers referred |
2921 | to in sub-subparagraph a., upon certification as to the need for |
2922 | such assessments by the board of directors. In the event the |
2923 | board of directors participates in the issuance of bonds in |
2924 | accordance with s. 631.695, emergency assessments shall be |
2925 | levied, in each year that bonds issued under s. 631.695 and |
2926 | secured by such emergency assessments are outstanding, in such |
2927 | amounts up to such 2-percent limit as required in order to |
2928 | provide for the full and timely payment of the principal of, |
2929 | redemption premium, if any, and interest on, and related costs |
2930 | of issuance of, such bonds. The emergency assessments provided |
2931 | for in this paragraph are assigned and pledged to the |
2932 | municipality, county, or legal entity issuing bonds under s. |
2933 | 631.695 for the benefit of the holders of such bonds, in order |
2934 | to enable such municipality, county, or legal entity to provide |
2935 | for the payment of the principal of, redemption premium, if any, |
2936 | and interest on such bonds, the cost of issuance of such bonds, |
2937 | and the funding of any reserves and other payments required |
2938 | under the bond resolution or trust indenture pursuant to which |
2939 | such bonds have been issued, without the necessity of any |
2940 | further action by the association, the office, or any other |
2941 | party. To the extent bonds are issued under s. 631.695 and the |
2942 | association determines to secure such bonds by a pledge of |
2943 | revenues received from the emergency assessments, such bonds, |
2944 | upon such pledge of revenues, shall be secured by and payable |
2945 | from the proceeds of such emergency assessments, and the |
2946 | proceeds of emergency assessments levied under this paragraph |
2947 | shall be remitted directly to and administered by the trustee or |
2948 | custodian appointed for such bonds. |
2949 | c. Emergency assessments under this paragraph may be |
2950 | payable in a single payment or, at the option of the |
2951 | association, may be payable in 12 monthly installments with the |
2952 | first installment being due and payable at the end of the month |
2953 | after an emergency assessment is levied and subsequent |
2954 | installments being due not later than the end of each succeeding |
2955 | month. |
2956 | d. If emergency assessments are imposed, the report |
2957 | required by s. 631.695(7) shall include an analysis of the |
2958 | revenues generated from the emergency assessments imposed under |
2959 | this paragraph. |
2960 | e. If emergency assessments are imposed, the references in |
2961 | sub-subparagraph (1)(a)3.b. and s. 631.695(2) and (7) to |
2962 | assessments levied under paragraph (a) shall include emergency |
2963 | assessments imposed under this paragraph. |
2964 | 2. In order to ensure that insurers paying emergency |
2965 | assessments levied under this paragraph continue to charge rates |
2966 | that are neither inadequate nor excessive, within 90 days after |
2967 | being notified of such assessments, each insurer that is to be |
2968 | assessed pursuant to this paragraph shall submit a rate filing |
2969 | for coverage included within the account specified in s. |
2970 | 631.55(2)(c) and for which rates are required to be filed under |
2971 | s. 627.062. If the filing reflects a rate change that, as a |
2972 | percentage, is equal to the difference between the rate of such |
2973 | assessment and the rate of the previous year's assessment under |
2974 | this paragraph, the filing shall consist of a certification so |
2975 | stating and shall be deemed approved when made. Any rate change |
2976 | of a different percentage shall be subject to the standards and |
2977 | procedures of s. 627.062. |
2978 | 3. In the event the board of directors participates in the |
2979 | issuance of bonds in accordance with s. 631.695, an annual |
2980 | assessment under this paragraph shall continue while the bonds |
2981 | issued with respect to which the assessment was imposed are |
2982 | outstanding, including any bonds the proceeds of which were used |
2983 | to refund bonds issued pursuant to s. 631.695, unless adequate |
2984 | provision has been made for the payment of the bonds in the |
2985 | documents authorizing the issuance of such bonds. |
2986 | 4. Emergency assessments under this paragraph are not |
2987 | premium and are not subject to the premium tax, to any fees, or |
2988 | to any commissions. An insurer is liable for all emergency |
2989 | assessments that the insurer collects and shall treat the |
2990 | failure of an insured to pay an emergency assessment as a |
2991 | failure to pay the premium. An insurer is not liable for |
2992 | uncollectible emergency assessments. |
2993 | (4) The department may exempt any insurer from any regular |
2994 | or emergency an assessment if an assessment would result in such |
2995 | insurer's financial statement reflecting an amount of capital or |
2996 | surplus less than the sum of the minimum amount required by any |
2997 | jurisdiction in which the insurer is authorized to transact |
2998 | insurance. |
2999 | Section 15. It is the intent of the Legislature that the |
3000 | amendments to s. 631.57, Florida Statutes, by s. 34, chapter |
3001 | 2006-12, Laws of Florida, authorized the Florida Insurance |
3002 | Guaranty Association to certify, and the Office of Insurance |
3003 | Regulation to levy, an emergency assessment of up to 2 percent |
3004 | to directly pay the covered claims out of the account specified |
3005 | in s. 631.55(2)(c), Florida Statutes, or use such emergency |
3006 | assessment proceeds to retire the indebtedness and costs of |
3007 | bonds issued to pay such claims and reasonable claims |
3008 | administration costs. |
3009 | Section 16. Subsections (1) and (2) of section 627.706, |
3010 | Florida Statutes, are amended to read: |
3011 | 627.706 Sinkhole insurance; definitions.-- |
3012 | (1) Every insurer authorized to transact property |
3013 | insurance in this state shall make available coverage for |
3014 | insurable sinkhole losses on any structure, including contents |
3015 | of personal property contained therein, resulting from a |
3016 | catastrophic ground cover collapse to the extent provided in the |
3017 | form to which the sinkhole coverage attaches. A policy for |
3018 | residential property insurance may include a deductible amount |
3019 | applicable to sinkhole losses equal to 1 percent, 2 percent, 5 |
3020 | percent, or 10 percent of the policy dwelling limits, with |
3021 | appropriate premium discounts offered with each deductible |
3022 | amount. |
3023 | (2) As used in ss. 627.706-627.7074, and as used in |
3024 | connection with any policy providing coverage for sinkhole |
3025 | losses resulting from a catastrophic ground cover collapse: |
3026 | (a) "Catastrophic ground cover collapse" means geological |
3027 | activity that, within a period of 7 days or less, results in the |
3028 | collapse of the ground cover that renders the insured structure |
3029 | uninhabitable. The term "catastrophic ground cover collapse" |
3030 | does not include ground cover subsidence caused when, during a |
3031 | period exceeding 7 days, the upper surface of limestone is |
3032 | dissolved away and the ground cover slowly subsides to occupy |
3033 | the space once occupied by limestone. |
3034 | (b) "Sinkhole Loss" means structural damage to a structure |
3035 | or the building, including the foundation, caused by a |
3036 | catastrophic ground cover collapse or sinkhole activity. |
3037 | Contents coverage shall apply only if there is structural damage |
3038 | to a structure or the building caused by a catastrophic ground |
3039 | cover collapse or sinkhole activity. Structural damage |
3040 | consisting merely of the settling or cracking of a foundation, |
3041 | structure, or building does not constitute a loss resulting from |
3042 | a catastrophic ground cover collapse or sinkhole activity. |
3043 | (c)(d) "Professional engineer" means a person, as defined |
3044 | in s. 471.005, who has a bachelor's degree or higher in |
3045 | engineering with a specialty in the geotechnical engineering |
3046 | field. A professional engineer must have geotechnical experience |
3047 | and expertise in the identification of sinkhole activity as well |
3048 | as other potential causes of damage to the structure. |
3049 | (d)(e) "Professional geologist" means a person, as defined |
3050 | by s. 492.102, who has a bachelor's degree or higher in geology |
3051 | or related earth science with expertise in the geology of |
3052 | Florida. A professional geologist must have geological |
3053 | experience and expertise in the identification of sinkhole |
3054 | activity as well as other potential geologic causes of damage to |
3055 | the structure. |
3056 | (e)(a) "Sinkhole" means a depression in the ground cover, |
3057 | visible to the naked eye, landform created by subsidence of |
3058 | soil, sediment, or rock as underlying strata are dissolved by |
3059 | groundwater. A sinkhole may form by collapse into subterranean |
3060 | voids created by dissolution of limestone or dolostone or by |
3061 | subsidence as these strata are dissolved. |
3062 | (f)(c) "Sinkhole activity" means settlement or systematic |
3063 | weakening of the earth supporting such property only when such |
3064 | settlement or systematic weakening results from movement or |
3065 | raveling of soils, sediments, or rock materials into |
3066 | subterranean voids created by the effect of water on a limestone |
3067 | or similar rock formation. |
3068 | (g) "Uninhabitable" means condemned and ordered vacated by |
3069 | the governmental agency charged with making such findings and |
3070 | issuing such orders in the county in which the insured structure |
3071 | is located. |
3072 | Section 17. This act shall take effect upon becoming a |
3073 | law. |