| 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., relating to |
| 4 | the Florida Interlocal Cooperation Act; redefining the term |
| 5 | "public agency" to include certain legal or administrative |
| 6 | entities; authorizing such entities to finance the provision |
| 7 | of property coverage contracts for or from local government |
| 8 | property insurance pools or property coverage contracts; |
| 9 | providing a definition; authorizing certain hospitals to |
| 10 | jointly issue bonds to finance windstorm coverages and claims; |
| 11 | granting authority to individual hospitals and teaching |
| 12 | hospitals to jointly issue bond anticipation notes; |
| 13 | authorizing validation of bonds issued to certain hospital |
| 14 | entities; specifying that a hospital's immunity caps are not |
| 15 | waived through issuance of bonds to pay windstorm coverage or |
| 16 | claims; amending s. 215.5595, F.S.; including manufactured |
| 17 | housing insurers in the Insurance Capital Build-Up Incentive |
| 18 | Program; providing manufactured housing insurer program |
| 19 | contribution requirements; providing surplus requirements; |
| 20 | prioritizing funding for manufactured housing insurers; |
| 21 | providing premium to surplus ratio requirements for certain |
| 22 | manufactured housing insurers; amending s. 624.462, F.S.; |
| 23 | revising requirements for the establishment of a commercial |
| 24 | self-insurance fund by a not-for-profit group; specifying |
| 25 | required rules of the commission; amending s. 624.4622, F.S.; |
| 26 | authorizing local government self-insurance funds to insure or |
| 27 | self-insure real or personal property against loss or damage; |
| 28 | creating s. 395.106, F.S.; authorizing certain hospitals and |
| 29 | hospital systems to pool and spread windstorm property |
| 30 | exposure risk among members; providing criteria for |
| 31 | participation; providing definitions; subjecting alliances not |
| 32 | in compliance with risk pooling requirements to the Insurance |
| 33 | Code; excluding an alliance meeting provision requirements |
| 34 | from participation in or coverage by an insurance guaranty |
| 35 | association established by ch. 631, F.S.; creating s. |
| 36 | 624.4625, F.S.; authorizing two or more corporations not for |
| 37 | profit to form a self-insurance fund for certain purposes; |
| 38 | providing specific requirements; providing a definition; |
| 39 | providing limitations; providing for application of certain |
| 40 | provisions to certain premiums, contributions, and |
| 41 | assessments; providing for payment of insurance premium tax at |
| 42 | a reduced rate by corporation not-for-profit self-insurance |
| 43 | funds; subjecting a corporation not for profit self-insurance |
| 44 | fund to certain group self-insurance fund provisions under |
| 45 | certain circumstances; amending s. 624.610, F.S.; prescribing |
| 46 | responsibilities of the Commissioner of Insurance Regulation |
| 47 | relating to allowing credit for reinsurance; amending s. |
| 48 | 627.062, F.S.; delaying the effective date of certain |
| 49 | provisions relating to residential property insurance rate |
| 50 | filings; amending s. 627.351, F.S.; prohibiting the Property |
| 51 | and Casualty Joint Underwriting Association and Citizens |
| 52 | Property Insurance Corporation from insuring certain |
| 53 | properties under certain circumstances; providing exceptions; |
| 54 | requiring that Citizens' rates must be adequate; rescinding |
| 55 | certain rate filings of the corporation; requiring the |
| 56 | corporation to use certain other rates; requiring the |
| 57 | corporation to refund certain portions of rates; providing for |
| 58 | effect of certain rates; providing for new rate filings; |
| 59 | requiring the Department of Financial Services to review the |
| 60 | corporation's insurance agent commission structure and make |
| 61 | recommendations for commission standards; requiring a report; |
| 62 | creating the Task Force on Citizens Property Insurance Claims |
| 63 | Handling and Resolution; providing for administration of the |
| 64 | task force; providing for membership; providing for |
| 65 | reimbursement of expenses but no compensation; providing |
| 66 | purpose and intent; requiring the task force to address |
| 67 | certain issues; requiring reports and recommendations; |
| 68 | providing additional responsibilities of the task force; |
| 69 | providing for expiration of the task force; abolishing the |
| 70 | existing board of governors of Citizens Property Insurance |
| 71 | Corporation; providing for appointment of new members; |
| 72 | amending s. 631.57, F.S.; revising criteria and requirements |
| 73 | for levy of emergency assessments by the Florida Insurance |
| 74 | Guaranty Association; revising characterizations of emergency |
| 75 | assessments; providing legislative intent; amending s. |
| 76 | 627.706, F.S.; revising sinkhole insurance provisions to |
| 77 | include coverage for losses due to catastrophic ground cover |
| 78 | collapse; authorizing certain deductibles; revising |
| 79 | definitions; specifying requirements for certain sinkhole |
| 80 | insurance disclosures; requiring insurers to offer certain |
| 81 | additional coverage; specifying requirements for additional |
| 82 | coverage; providing an effective date. |
| 83 |
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| 84 | Be It Enacted by the Legislature of the State of Florida: |
| 85 |
|
| 86 | Section 1. This act may be cited as the "Citizens Reform |
| 87 | and Private Market Restoration Act." |
| 88 | Section 2. Paragraph (b) of subsection (3) and paragraph |
| 89 | (e) of subsection (7) of section 163.01, Florida Statutes, are |
| 90 | amended, and paragraph (h) is added to subsection (7) of that |
| 91 | section, to read: |
| 92 | 163.01 Florida Interlocal Cooperation Act of 1969.-- |
| 93 | (3) As used in this section: |
| 94 | (b) "Public agency" means a political subdivision, agency, |
| 95 | or officer of this state or of any state of the United States, |
| 96 | including, but not limited to, state government, county, city, |
| 97 | school district, single and multipurpose special district, |
| 98 | single and multipurpose public authority, metropolitan or |
| 99 | consolidated government, a separate legal entity or |
| 100 | administrative entity created under subsection (7), an |
| 101 | independently elected county officer, any agency of the United |
| 102 | States Government, a federally recognized Native American tribe, |
| 103 | and any similar entity of any other state of the United States. |
| 104 | (7) |
| 105 | (e)1. Notwithstanding the provisions of paragraph (c), any |
| 106 | separate legal entity, created pursuant to the provisions of |
| 107 | this section and controlled by counties or municipalities of |
| 108 | this state, the membership of which consists or is to consist |
| 109 | only of public agencies of this state, may, for the purpose of |
| 110 | financing the provision or acquisition of liability or property |
| 111 | coverage contracts for or from one or more local government |
| 112 | liability or property pools to provide liability or property |
| 113 | coverage for counties, municipalities, or other public agencies |
| 114 | of this state, exercise all powers in connection with the |
| 115 | authorization, issuance, and sale of bonds. All of the |
| 116 | privileges, benefits, powers, and terms of s. 125.01 relating to |
| 117 | counties and s. 166.021 relating to municipalities shall be |
| 118 | fully applicable to such entity and such entity shall be |
| 119 | considered a unit of local government for all of the privileges, |
| 120 | benefits, powers, and terms of part I of chapter 159. Bonds |
| 121 | issued by such entity shall be deemed issued on behalf of |
| 122 | counties, municipalities, or public agencies which enter into |
| 123 | loan agreements with such entity as provided in this paragraph. |
| 124 | Proceeds of bonds issued by such entity may be loaned to |
| 125 | counties, municipalities, or other public agencies of this |
| 126 | state, whether or not such counties, municipalities, or other |
| 127 | public agencies are also members of the entity issuing the |
| 128 | bonds, and such counties, municipalities, or other public |
| 129 | agencies may in turn deposit such loan proceeds with a separate |
| 130 | local government liability or property pool for purposes of |
| 131 | providing or acquiring liability or property coverage contracts. |
| 132 | 2. Counties or municipalities of this state are authorized |
| 133 | pursuant to this section, in addition to the authority provided |
| 134 | by s. 125.01, part II of chapter 166, and other applicable law, |
| 135 | to issue bonds for the purpose of acquiring liability coverage |
| 136 | contracts from a local government liability pool. Any individual |
| 137 | county or municipality may, by entering into interlocal |
| 138 | agreements with other counties, municipalities, or public |
| 139 | agencies of this state, issue bonds on behalf of itself and |
| 140 | other counties, municipalities, or other public agencies, for |
| 141 | purposes of acquiring a liability coverage contract or contracts |
| 142 | from a local government liability pool. Counties, |
| 143 | municipalities, or other public agencies are also authorized to |
| 144 | enter into loan agreements with any entity created pursuant to |
| 145 | subparagraph 1., or with any county or municipality issuing |
| 146 | bonds pursuant to this subparagraph, for the purpose of |
| 147 | obtaining bond proceeds with which to acquire liability coverage |
| 148 | contracts from a local government liability pool. No county, |
| 149 | municipality, or other public agency shall at any time have more |
| 150 | than one loan agreement outstanding for the purpose of obtaining |
| 151 | bond proceeds with which to acquire liability coverage contracts |
| 152 | from a local government liability pool. Obligations of any |
| 153 | county, municipality, or other public agency of this state |
| 154 | pursuant to a loan agreement as described above may be validated |
| 155 | as provided in chapter 75. Prior to the issuance of any bonds |
| 156 | pursuant to subparagraph 1. or this subparagraph for the purpose |
| 157 | of acquiring liability coverage contracts from a local |
| 158 | government liability pool, the reciprocal insurer or the manager |
| 159 | of any self-insurance program shall demonstrate to the |
| 160 | satisfaction of the Office of Insurance Regulation of the |
| 161 | Financial Services Commission that excess liability coverage for |
| 162 | counties, municipalities, or other public agencies is reasonably |
| 163 | unobtainable in the amounts provided by such pool or that the |
| 164 | liability coverage obtained through acquiring contracts from a |
| 165 | local government liability pool, after taking into account costs |
| 166 | of issuance of bonds and any other administrative fees, is less |
| 167 | expensive to counties, municipalities, or special districts than |
| 168 | similar commercial coverage then reasonably available. |
| 169 | 3. Any entity created pursuant to this section or any |
| 170 | county or municipality may also issue bond anticipation notes, |
| 171 | as provided by s. 215.431, in connection with the authorization, |
| 172 | issuance, and sale of such bonds. In addition, the governing |
| 173 | body of such legal entity or the governing body of such county |
| 174 | or municipality may also authorize bonds to be issued and sold |
| 175 | from time to time and may delegate, to such officer, official, |
| 176 | or agent of such legal entity as the governing body of such |
| 177 | legal entity may select, the power to determine the time; manner |
| 178 | of sale, public or private; maturities; rate or rates of |
| 179 | interest, which may be fixed or may vary at such time or times |
| 180 | and in accordance with a specified formula or method of |
| 181 | determination; and other terms and conditions as may be deemed |
| 182 | appropriate by the officer, official, or agent so designated by |
| 183 | the governing body of such legal entity. However, the amounts |
| 184 | and maturities of such bonds and the interest rate or rates of |
| 185 | such bonds shall be within the limits prescribed by the |
| 186 | governing body of such legal entity and its resolution |
| 187 | delegating to such officer, official, or agent the power to |
| 188 | authorize the issuance and sale of such bonds. Any series of |
| 189 | bonds issued pursuant to this paragraph for liability coverage |
| 190 | shall mature no later than 7 years following the date of |
| 191 | issuance thereof. A series of bonds issued pursuant to this |
| 192 | paragraph for property coverage shall mature no later than 30 |
| 193 | years following the date of issuance. |
| 194 | 4. Bonds issued pursuant to subparagraph 1. may be |
| 195 | validated as provided in chapter 75. The complaint in any |
| 196 | action to validate such bonds shall be filed only in the Circuit |
| 197 | Court for Leon County. The notice required to be published by |
| 198 | s. 75.06 shall be published in Leon County and in each county |
| 199 | which is an owner of the entity issuing the bonds, or in which a |
| 200 | member of the entity is located, and the complaint and order of |
| 201 | the circuit court shall be served only on the State Attorney of |
| 202 | the Second Judicial Circuit and on the state attorney of each |
| 203 | circuit in each county or municipality which is an owner of the |
| 204 | entity issuing the bonds or in which a member of the entity is |
| 205 | located. |
| 206 | 5. Bonds issued pursuant to subparagraph 2. may be |
| 207 | validated as provided in chapter 75. The complaint in any action |
| 208 | to validate such bonds shall be filed in the circuit court of |
| 209 | the county or municipality which will issue the bonds. The |
| 210 | notice required to be published by s. 75.06 shall be published |
| 211 | only in the county where the complaint is filed, and the |
| 212 | complaint and order of the circuit court shall be served only on |
| 213 | the state attorney of the circuit in the county or municipality |
| 214 | which will issue the bonds. |
| 215 | 6. The participation by any county, municipality, or other |
| 216 | public agency of this state in a local government liability pool |
| 217 | shall not be deemed a waiver of immunity to the extent of |
| 218 | liability coverage, nor shall any contract entered regarding |
| 219 | such a local government liability pool be required to contain |
| 220 | any provision for waiver. |
| 221 | (h)1. Notwithstanding the provisions of paragraph (c), any |
| 222 | separate legal entity consisting of an alliance, as defined in |
| 223 | s. 395.106(2)(a), created pursuant to this paragraph and |
| 224 | controlled by and whose members consist of eligible entities |
| 225 | comprised of special districts created pursuant to a special act |
| 226 | and having the authority to own or operate one or more hospitals |
| 227 | licensed in this state or hospitals licensed in this state that |
| 228 | are owned, operated, or funded by a county or municipality, for |
| 229 | the purpose of providing property insurance coverage as defined |
| 230 | in s. 395.106(2)(c), for such eligible entities, may exercise |
| 231 | all powers under this subsection in connection with borrowing |
| 232 | funds for such purposes, including, without limitation, the |
| 233 | authorization, issuance, and sale of bonds, notes, or other |
| 234 | obligations of indebtedness. Borrowed funds, including, but not |
| 235 | limited to, bonds issued by such alliance shall be deemed issued |
| 236 | on behalf of such eligible entities that enter into loan |
| 237 | agreements with such separate legal entity as provided in this |
| 238 | paragraph. |
| 239 | 2. Any such separate legal entity shall have all the |
| 240 | powers that are provided by the interlocal agreement under which |
| 241 | the entity is created or that are necessary to finance, operate, |
| 242 | or manage the alliance's property insurance coverage program. |
| 243 | Proceeds of bonds, notes, or other obligations issued by such an |
| 244 | entity may be loaned to any one or more eligible entities. Such |
| 245 | eligible entities are authorized to enter into loan agreements |
| 246 | with any separate legal entity created pursuant to this |
| 247 | paragraph for the purpose of obtaining moneys with which to |
| 248 | finance property insurance coverage or claims. Obligations of |
| 249 | any eligible entity pursuant to a loan agreement as described in |
| 250 | this paragraph may be validated as provided in chapter 75. |
| 251 | 3. Any bonds, notes, or other obligations to be issued or |
| 252 | incurred by a separate legal entity created pursuant to this |
| 253 | paragraph shall be authorized by resolution of the governing |
| 254 | body of such entity and bear the date or dates; mature at the |
| 255 | time or times, not exceeding 30 years from their respective |
| 256 | dates; bear interest at the rate or rates, which may be fixed or |
| 257 | vary at such time or times and in accordance with a specified |
| 258 | formula or method of determination; be payable at the time or |
| 259 | times; be in the denomination; be in the form; carry the |
| 260 | registration privileges; be executed in the manner; be payable |
| 261 | from the sources and in the medium of payment and at the place; |
| 262 | and be subject to redemption, including redemption prior to |
| 263 | maturity, as the resolution may provide. The bonds, notes, or |
| 264 | other obligations may be sold at public or private sale for such |
| 265 | price as the governing body of the separate legal entity shall |
| 266 | determine. The bonds may be secured by such credit enhancement, |
| 267 | if any, as the governing body of the separate legal entity deems |
| 268 | appropriate. The bonds may be secured by an indenture of trust |
| 269 | or trust agreement. In addition, the governing body of the |
| 270 | separate legal entity may delegate, to such officer or official |
| 271 | of such entity as the governing body may select, the power to |
| 272 | determine the time; manner of sale, public or private; |
| 273 | maturities; rate or rates of interest, which may be fixed or may |
| 274 | vary at such time or times and in accordance with a specified |
| 275 | formula or method of determination; and other terms and |
| 276 | conditions as may be deemed appropriate by the officer or |
| 277 | official so designated by the governing body of such separate |
| 278 | legal entity. However, the amounts and maturities of such bonds, |
| 279 | the interest rate or rates, and the purchase price of such bonds |
| 280 | shall be within the limits prescribed by the governing body of |
| 281 | such separate legal entity in its resolution delegating to such |
| 282 | officer or official the power to authorize the issuance and sale |
| 283 | of such bonds. |
| 284 | 4. Bonds issued pursuant to this paragraph may be |
| 285 | validated as provided in chapter 75. The complaint in any action |
| 286 | to validate such bonds shall be filed only in the Circuit Court |
| 287 | for Leon County. The notice required to be published by s. 75.06 |
| 288 | shall be published in Leon County and in each county in which an |
| 289 | eligible entity that is a member of an alliance is located. The |
| 290 | complaint and order of the circuit court shall be served only on |
| 291 | the state attorney of the Second Judicial Circuit and on the |
| 292 | state attorney of each circuit in each county in which an |
| 293 | eligible entity receiving bond proceeds is located. |
| 294 | 5. The accomplishment of the authorized purposes of a |
| 295 | separate legal entity created under this paragraph is deemed in |
| 296 | all respects for the benefit, increase of the commerce and |
| 297 | prosperity, and improvement of the health and living conditions |
| 298 | of the people of this state. Inasmuch as the separate legal |
| 299 | entity performs essential public functions in accomplishing its |
| 300 | purposes, the separate legal entity is not required to pay any |
| 301 | taxes or assessments of any kind upon any property acquired or |
| 302 | used by the entity for such purposes or upon any revenues at any |
| 303 | time received by the entity. The bonds, notes, and other |
| 304 | obligations of such separate legal entity, the transfer of and |
| 305 | income from such bonds, notes, and other obligations, including |
| 306 | any profits made on the sale of such bonds, notes, and other |
| 307 | obligations, are at all times free from taxation of any kind of |
| 308 | the state or by any political subdivision or other agency or |
| 309 | instrumentality if the state. The exemption granted in this |
| 310 | paragraph does not apply to any tax imposed by chapter 220 on |
| 311 | interest, income, or profits on debt obligations owned by |
| 312 | corporations. |
| 313 | 6. The participation by any eligible entity in an alliance |
| 314 | or a separate legal entity created pursuant to this paragraph |
| 315 | may not be deemed a waiver of immunity to the extent of |
| 316 | liability or any other coverage and a contract entered regarding |
| 317 | such alliance is not required to contain any provision for |
| 318 | waiver. |
| 319 | Section 3. Paragraphs (a), (c), and (g) of subsection (2) |
| 320 | of section 215.5595, Florida Statutes, are amended, and |
| 321 | paragraph (i) is added to that subsection, to read: |
| 322 | 215.5595 Insurance Capital Build-Up Incentive Program.-- |
| 323 | (2) The purpose of this section is to provide surplus |
| 324 | notes to new or existing authorized residential property |
| 325 | insurers under the Insurance Capital Build-Up Incentive Program |
| 326 | administered by the State Board of Administration, under the |
| 327 | following conditions: |
| 328 | (a) The amount of the surplus note for any insurer or |
| 329 | insurer group, other than an insurer writing only manufactured |
| 330 | housing policies, may not exceed $25 million or 20 percent of |
| 331 | the total amount of funds available under the program, whichever |
| 332 | is greater. The amount of the surplus note for any insurer or |
| 333 | insurer group writing residential property insurance covering |
| 334 | only manufactured housing may not exceed $7 million. |
| 335 | (c) The insurer's surplus, new capital, and the surplus |
| 336 | note must total at least $50 million, except for insurers |
| 337 | writing residential property insurance covering only |
| 338 | manufactured housing. The insurer's surplus, new capital, and |
| 339 | the surplus note must total at least $14 million for insurers |
| 340 | writing only residential property insurance covering |
| 341 | manufactured housing policies as provided in paragraph (a). |
| 342 | (g) The total amount of funds available for the program is |
| 343 | limited to the amount appropriated by the Legislature for this |
| 344 | purpose. If the amount of surplus notes requested by insurers |
| 345 | exceeds the amount of funds available, the board may prioritize |
| 346 | insurers that are eligible and approved, with priority for |
| 347 | funding given to insurers writing only manufactured housing |
| 348 | policies, regardless of the date of application, based on the |
| 349 | financial strength of the insurer, the viability of its proposed |
| 350 | business plan for writing additional residential property |
| 351 | insurance in the state, and the effect on competition in the |
| 352 | residential property insurance market. |
| 353 | (i) Notwithstanding paragraph (d), a newly formed |
| 354 | manufactured housing insurer that is eligible for a surplus note |
| 355 | under this section shall meet the premium to surplus ratio |
| 356 | provisions of s. 624.4095. |
| 357 | Section 4. Paragraph (a) of subsection (2) of section |
| 358 | 624.462, Florida Statutes, is amended to read: |
| 359 | 624.462 Commercial self-insurance funds.-- |
| 360 | (2) As used in ss. 624.460-624.488, "commercial |
| 361 | self-insurance fund" or "fund" means a group of members, |
| 362 | operating individually and collectively through a trust or |
| 363 | corporation, that must be: |
| 364 | (a) Established by: |
| 365 | 1. A not-for-profit trade association, industry |
| 366 | association, or professional association of employers or |
| 367 | professionals which has a constitution or bylaws, which is |
| 368 | incorporated under the laws of this state, and which has been |
| 369 | organized for purposes other than that of obtaining or providing |
| 370 | insurance and operated in good faith for a continuous period of |
| 371 | 1 year; |
| 372 | 2. A self-insurance trust fund organized pursuant to s. |
| 373 | 627.357 and maintained in good faith for a continuous period of |
| 374 | 1 year for purposes other than that of obtaining or providing |
| 375 | insurance pursuant to this section. Each member of a commercial |
| 376 | self-insurance trust fund established pursuant to this |
| 377 | subsection must maintain membership in the self-insurance trust |
| 378 | fund organized pursuant to s. 627.357; |
| 379 | 3. A group of 10 or more health care providers, as defined |
| 380 | in s. 627.351(4)(h), for purposes of providing medical |
| 381 | malpractice coverage; or |
| 382 | 4. A not-for-profit group comprised of no fewer less than |
| 383 | 10 community condominium associations created and operating |
| 384 | under chapter 718, chapter 719, chapter 720, chapter 721, or |
| 385 | chapter 723 that as defined in s. 718.103(2), which is |
| 386 | incorporated under the laws of this state, which restricts its |
| 387 | membership to community condominium associations only, and that |
| 388 | which has been organized and maintained in good faith for the |
| 389 | purpose of pooling and spreading the liabilities of its group |
| 390 | members relating to property or casualty risk a continuous |
| 391 | period of 1 year for purposes other than that of obtaining or |
| 392 | providing insurance. However, a not-for-profit group comprised |
| 393 | of fewer than 10 community associations may establish a |
| 394 | commercial self-insurance fund if the commission has adopted |
| 395 | rules: |
| 396 | a. Requiring monetary reserves to be maintained by such |
| 397 | self-insurers to ensure their financial solvency and governing |
| 398 | their organization and operation to ensure compliance with such |
| 399 | requirements. |
| 400 | b. Implementing the reserve requirements in accordance |
| 401 | with accepted actuarial techniques. |
| 402 | c. Requiring the office to establish procedures by which |
| 403 | notice is acknowledged by applicants for the commercial self- |
| 404 | insurance fund, as well as individual property owners, of the |
| 405 | assessability of membership in the self-insurance fund and that |
| 406 | contributing additional moneys to meet unfilled obligations of |
| 407 | the fund may be necessary. |
| 408 | d. Prohibiting the office from denying a fund's |
| 409 | application solely because of the geographical proximity of the |
| 410 | fund's associational membership, provided the fund possesses |
| 411 | sufficient financial resources to operate in a fiscally |
| 412 | responsible manner. |
| 413 | Section 5. Subsection (1) of section 624.4622, Florida |
| 414 | Statutes, is amended to read: |
| 415 | 624.4622 Local government self-insurance funds.-- |
| 416 | (1) Any two or more local governmental entities may enter |
| 417 | into interlocal agreements for the purpose of securing the |
| 418 | payment of benefits under chapter 440, or insuring or self- |
| 419 | insuring real or personal property of every kind and every |
| 420 | interest in such property against loss or damage from any hazard |
| 421 | or cause and against any loss consequential to such loss or |
| 422 | damage, provided the local government self-insurance fund that |
| 423 | is created must: |
| 424 | (a) Have annual normal premiums in excess of $5 million; |
| 425 | (b) Maintain a continuing program of excess insurance |
| 426 | coverage and reserve evaluation to protect the financial |
| 427 | stability of the fund in an amount and manner determined by a |
| 428 | qualified and independent actuary; |
| 429 | (c) Submit annually an audited fiscal year-end financial |
| 430 | statement by an independent certified public accountant within 6 |
| 431 | months after the end of the fiscal year to the office; and |
| 432 | (d) Have a governing body which is comprised entirely of |
| 433 | local elected officials. |
| 434 | Section 6. Section 395.106, Florida Statutes, is created |
| 435 | to read: |
| 436 | 395.106 Risk pooling by certain hospitals and hospital |
| 437 | systems.-- |
| 438 | (1) Notwithstanding an other provision of law, any two or |
| 439 | more hospitals licensed in this state and located in this state |
| 440 | may form an alliance for the purpose of pooling and spreading |
| 441 | liabilities of its members relative to windstorm property |
| 442 | exposure or securing such windstorm property insurance coverage |
| 443 | for the benefit of its members, provided an alliance that is |
| 444 | created: |
| 445 | (a) Has annual premiums in excess of $3 million. |
| 446 | (b) Maintains a continuing program of premium calculation |
| 447 | and evaluation and reserve evaluation to protect the financial |
| 448 | stability of the alliance in an amount and manner determined by |
| 449 | consultants using catastrophic (CAT) modeling criteria or other |
| 450 | risk-estimating methodologies, including those used by qualified |
| 451 | and independent actuaries. |
| 452 | (c) Causes to be prepared annually a fiscal year-end |
| 453 | financial statement based upon generally accepted accounting |
| 454 | principles and audited by an independent certified public |
| 455 | accountant within 6 months after the end of the fiscal year. |
| 456 | (d) Has a governing body comprised entirely of member |
| 457 | entities whose representatives on such governing body are |
| 458 | specified by the organizational documents of the alliance. |
| 459 | (2) For purposes of this section, the term: |
| 460 | (a) "Alliance" means a corporation, association, limited |
| 461 | liability company, or partnership or any other legal entity |
| 462 | formed by a group of eligible entities. |
| 463 | (b) "Property coverage" means property coverage provided |
| 464 | by self-insurance or insurance for real or personal property of |
| 465 | every kind and every interest in such property against loss or |
| 466 | damage from any hazard or cause and against any loss |
| 467 | consequential to such loss or damage. |
| 468 | (3) An alliance that meets the requirements of this |
| 469 | section is not subject to any provision of the Insurance Code. |
| 470 | (4) An alliance that meets the requirements of this |
| 471 | section is not an insurer for purposes of participation in or |
| 472 | coverage by the Florida Insurance Guaranty Association |
| 473 | established in part II of chapter 631. Alliance self-insured |
| 474 | coverage is not subject to insurance premium tax, and any such |
| 475 | alliance formed pursuant to this section may not be assessed for |
| 476 | purposes of s. 627.351 or s. 215.555. |
| 477 | Section 7. Section 624.4625, Florida Statutes, is created |
| 478 | to read: |
| 479 | 624.4625 Corporation not-for-profit self-insurance |
| 480 | funds.-- |
| 481 | (1) Notwithstanding any other provision of law, any two or |
| 482 | more corporations not for profit located in and organized under |
| 483 | the laws of this state may form a self-insurance fund for the |
| 484 | purpose of pooling and spreading liabilities of its group |
| 485 | members in any one or combination of property or casualty risk, |
| 486 | provided the corporation not for profit self-insurance fund that |
| 487 | is created: |
| 488 | (a) Has annual normal premiums in excess of $5 million. |
| 489 | (b) Requires for qualification that each participating |
| 490 | member receive at least 75 percent of its revenues from local, |
| 491 | state, or federal governmental sources or a combination of such |
| 492 | sources. |
| 493 | (c) Uses a qualified actuary to determine rates using |
| 494 | accepted actuarial principles and annually submits to the office |
| 495 | a certification by the actuary that the rates are actuarially |
| 496 | sound and are not inadequate, as defined in s. 627.062. |
| 497 | (d) Uses a qualified actuary to establish reserves for |
| 498 | loss and loss adjustment expenses and annually submits to the |
| 499 | office a certification by the actuary that the loss and loss |
| 500 | adjustment expense reserves are adequate. If the actuary |
| 501 | determines that reserves are not adequate, the fund shall file |
| 502 | with the office a remedial plan for increasing the reserves or |
| 503 | otherwise addressing the financial condition of the fund, |
| 504 | subject to a determination by the office that the fund will |
| 505 | operate on an actuarially sound basis and the fund does not pose |
| 506 | a significant risk of insolvency. |
| 507 | (e) Maintains a continuing program of excess insurance |
| 508 | coverage and reserve evaluation to protect the financial |
| 509 | stability of the fund in an amount and manner determined by a |
| 510 | qualified actuary. At a minimum, this program must: |
| 511 | 1. Purchase excess insurance from authorized insurance |
| 512 | carriers. |
| 513 | 2. Retain a per-loss occurrence that does not exceed |
| 514 | $350,000. |
| 515 | (f) Submits to the office annually an audited fiscal year- |
| 516 | end financial statement by an independent certified public |
| 517 | accountant within 6 months after the end of the fiscal year. |
| 518 | (g) Has a governing body that is comprised entirely of |
| 519 | officials from corporations not for profit that are members of |
| 520 | the corporation not-for-profit self-insurance fund. |
| 521 | (h) Uses knowledgeable persons or business entities to |
| 522 | administer or service the fund in the areas of claims |
| 523 | administration, claims adjusting, underwriting, risk management, |
| 524 | loss control, policy administration, financial audit, and legal |
| 525 | areas. Such persons must meet all applicable requirements of law |
| 526 | for state licensure and must have at least 5 years' experience |
| 527 | with commercial self-insurance funds formed under s. 624.462, |
| 528 | self-insurance funds formed under s. 624.4622, or domestic |
| 529 | insurers. |
| 530 | (i) Submits to the office copies of contracts used for its |
| 531 | members that clearly establish the liability of each member for |
| 532 | the obligations of the fund. |
| 533 | (j) Annually submits to the office a certification by the |
| 534 | governing body of the fund that, to the best of its knowledge, |
| 535 | the requirements of this section are met. |
| 536 | (2) As used in this section, the term "qualified actuary" |
| 537 | means an actuary that is a member of the Casualty Actuarial |
| 538 | Society or the American Academy of Actuaries. |
| 539 | (3) A corporation not-for-profit self-insurance fund that |
| 540 | meets the requirements of this section is not: |
| 541 | (a) An insurer for purposes of participation in or |
| 542 | coverage by any insurance guaranty association established by |
| 543 | chapter 631; or |
| 544 | (b) Subject to s. 624.4621 and is not required to file any |
| 545 | report with the department under s. 440.38(2)(b) that is |
| 546 | uniquely required of group self-insurer funds qualified under s. |
| 547 | 624.4621. |
| 548 | (4) Premiums, contributions, and assessments received by a |
| 549 | corporation not-for-profit self-insurance fund are subject to |
| 550 | ss. 624.509(1) and (2) and 624.5092, except that the tax rate |
| 551 | shall be 1.6 percent of the gross amount of such premiums, |
| 552 | contributions, and assessments. |
| 553 | (5) If any of the requirements of subsection (1) are not |
| 554 | met, a corporation not-for-profit self-insurance fund is subject |
| 555 | to the requirements of s. 624.4621 if the fund provides only |
| 556 | workers' compensation coverage or is subject to the requirements |
| 557 | of ss. 624.460-624.488 if the fund provides coverage for other |
| 558 | property, casualty, or surety risks. |
| 559 | Section 8. Subsection (3) of section 624.610, Florida |
| 560 | Statutes, is amended to read: |
| 561 | 624.610 Reinsurance.-- |
| 562 | (3)(a) Credit must be allowed when the reinsurance is |
| 563 | ceded to an assuming insurer that is authorized to transact |
| 564 | insurance or reinsurance in this state. |
| 565 | (b)1. Credit must be allowed when the reinsurance is ceded |
| 566 | to an assuming insurer that is accredited as a reinsurer in this |
| 567 | state. An accredited reinsurer is one that: |
| 568 | a. Files with the office evidence of its submission to |
| 569 | this state's jurisdiction; |
| 570 | b. Submits to this state's authority to examine its books |
| 571 | and records; |
| 572 | c. Is licensed or authorized to transact insurance or |
| 573 | reinsurance in at least one state or, in the case of a United |
| 574 | States branch of an alien assuming insurer, is entered through, |
| 575 | licensed, or authorized to transact insurance or reinsurance in |
| 576 | at least one state; |
| 577 | d. Files annually with the office a copy of its annual |
| 578 | statement filed with the insurance department of its state of |
| 579 | domicile any quarterly statements if required by its state of |
| 580 | domicile or such quarterly statements if specifically requested |
| 581 | by the office, and a copy of its most recent audited financial |
| 582 | statement; and |
| 583 | (I) Maintains a surplus as regards policyholders in an |
| 584 | amount not less than $20 million and whose accreditation has not |
| 585 | been denied by the office within 90 days after its submission; |
| 586 | or |
| 587 | (II) Maintains a surplus as regards policyholders in an |
| 588 | amount not less than $20 million and whose accreditation has |
| 589 | been approved by the office. |
| 590 | 2. The office may deny or revoke an assuming insurer's |
| 591 | accreditation if the assuming insurer does not submit the |
| 592 | required documentation pursuant to subparagraph 1., if the |
| 593 | assuming insurer fails to meet all of the standards required of |
| 594 | an accredited reinsurer, or if the assuming insurer's |
| 595 | accreditation would be hazardous to the policyholders of this |
| 596 | state. In determining whether to deny or revoke accreditation, |
| 597 | the office may consider the qualifications of the assuming |
| 598 | insurer with respect to all the following subjects: |
| 599 | a. Its financial stability; |
| 600 | b. The lawfulness and quality of its investments; |
| 601 | c. The competency, character, and integrity of its |
| 602 | management; |
| 603 | d. The competency, character, and integrity of persons who |
| 604 | own or have a controlling interest in the assuming insurer; and |
| 605 | e. Whether claims under its contracts are promptly and |
| 606 | fairly adjusted and are promptly and fairly paid in accordance |
| 607 | with the law and the terms of the contracts. |
| 608 | 3. Credit must not be allowed a ceding insurer if the |
| 609 | assuming insurer's accreditation has been revoked by the office |
| 610 | after notice and the opportunity for a hearing. |
| 611 | 4. The actual costs and expenses incurred by the office to |
| 612 | review a reinsurer's request for accreditation and subsequent |
| 613 | reviews must be charged to and collected from the requesting |
| 614 | reinsurer. If the reinsurer fails to pay the actual costs and |
| 615 | expenses promptly when due, the office may refuse to accredit |
| 616 | the reinsurer or may revoke the reinsurer's accreditation. |
| 617 | (c)1. Credit must be allowed when the reinsurance is ceded |
| 618 | to an assuming insurer that maintains a trust fund in a |
| 619 | qualified United States financial institution, as defined in |
| 620 | paragraph (5)(b), for the payment of the valid claims of its |
| 621 | United States ceding insurers and their assigns and successors |
| 622 | in interest. To enable the office to determine the sufficiency |
| 623 | of the trust fund, the assuming insurer shall report annually to |
| 624 | the office information substantially the same as that required |
| 625 | to be reported on the NAIC Annual Statement form by authorized |
| 626 | insurers. The assuming insurer shall submit to examination of |
| 627 | its books and records by the office and bear the expense of |
| 628 | examination. |
| 629 | 2.a. Credit for reinsurance must not be granted under this |
| 630 | subsection unless the form of the trust and any amendments to |
| 631 | the trust have been approved by: |
| 632 | (I) The insurance regulator of the state in which the |
| 633 | trust is domiciled; or |
| 634 | (II) The insurance regulator of another state who, |
| 635 | pursuant to the terms of the trust instrument, has accepted |
| 636 | principal regulatory oversight of the trust. |
| 637 | b. The form of the trust and any trust amendments must be |
| 638 | filed with the insurance regulator of every state in which the |
| 639 | ceding insurer beneficiaries of the trust are domiciled. The |
| 640 | trust instrument must provide that contested claims are valid |
| 641 | and enforceable upon the final order of any court of competent |
| 642 | jurisdiction in the United States. The trust must vest legal |
| 643 | title to its assets in its trustees for the benefit of the |
| 644 | assuming insurer's United States ceding insurers and their |
| 645 | assigns and successors in interest. The trust and the assuming |
| 646 | insurer are subject to examination as determined by the |
| 647 | insurance regulator. |
| 648 | c. The trust remains in effect for as long as the assuming |
| 649 | insurer has outstanding obligations due under the reinsurance |
| 650 | agreements subject to the trust. No later than February 28 of |
| 651 | each year, the trustee of the trust shall report to the |
| 652 | insurance regulator in writing the balance of the trust and list |
| 653 | the trust's investments at the preceding year end, and shall |
| 654 | certify that the trust will not expire prior to the following |
| 655 | December 31. |
| 656 | 3. The following requirements apply to the following |
| 657 | categories of assuming insurer: |
| 658 | a. The trust fund for a single assuming insurer consists |
| 659 | of funds in trust in an amount not less than the assuming |
| 660 | insurer's liabilities attributable to reinsurance ceded by |
| 661 | United States ceding insurers, and, in addition, the assuming |
| 662 | insurer shall maintain a trusteed surplus of not less than $20 |
| 663 | million. Not less than 50 percent of the funds in the trust |
| 664 | covering the assuming insurer's liabilities attributable to |
| 665 | reinsurance ceded by United States ceding insurers and trusteed |
| 666 | surplus shall consist of assets of a quality substantially |
| 667 | similar to that required in part II of chapter 625. Clean, |
| 668 | irrevocable, unconditional, and evergreen letters of credit, |
| 669 | issued or confirmed by a qualified United States financial |
| 670 | institution, as defined in paragraph (5)(a), effective no later |
| 671 | than December 31 of the year for which the filing is made and in |
| 672 | the possession of the trust on or before the filing date of its |
| 673 | annual statement, may be used to fund the remainder of the trust |
| 674 | and trusteed surplus. |
| 675 | b.(I) In the case of a group including incorporated and |
| 676 | individual unincorporated underwriters: |
| 677 | (A) For reinsurance ceded under reinsurance agreements |
| 678 | with an inception, amendment, or renewal date on or after August |
| 679 | 1, 1995, the trust consists of a trusteed account in an amount |
| 680 | not less than the group's several liabilities attributable to |
| 681 | business ceded by United States domiciled ceding insurers to any |
| 682 | member of the group; |
| 683 | (B) For reinsurance ceded under reinsurance agreements |
| 684 | with an inception date on or before July 31, 1995, and not |
| 685 | amended or renewed after that date, notwithstanding the other |
| 686 | provisions of this section, the trust consists of a trusteed |
| 687 | account in an amount not less than the group's several insurance |
| 688 | and reinsurance liabilities attributable to business written in |
| 689 | the United States; and |
| 690 | (C) In addition to these trusts, the group shall maintain |
| 691 | in trust a trusteed surplus of which $100 million must be held |
| 692 | jointly for the benefit of the United States domiciled ceding |
| 693 | insurers of any member of the group for all years of account. |
| 694 | (II) The incorporated members of the group must not be |
| 695 | engaged in any business other than underwriting of a member of |
| 696 | the group, and are subject to the same level of regulation and |
| 697 | solvency control by the group's domiciliary regulator as the |
| 698 | unincorporated members. |
| 699 | (III) Within 90 days after its financial statements are |
| 700 | due to be filed with the group's domiciliary regulator, the |
| 701 | group shall provide to the insurance regulator an annual |
| 702 | certification by the group's domiciliary regulator of the |
| 703 | solvency of each underwriter member or, if a certification is |
| 704 | unavailable, financial statements, prepared by independent |
| 705 | public accountants, of each underwriter member of the group. |
| 706 | (d) Credit must be allowed when the reinsurance is ceded |
| 707 | to an assuming insurer not meeting the requirements of paragraph |
| 708 | (a), paragraph (b), or paragraph (c), but only as to the |
| 709 | insurance of risks located in jurisdictions in which the |
| 710 | reinsurance is required to be purchased by a particular entity |
| 711 | by applicable law or regulation of that jurisdiction. |
| 712 | (e) If the reinsurance is ceded to an assuming insurer not |
| 713 | meeting the requirements of paragraph (a), paragraph (b), |
| 714 | paragraph (c), or paragraph (d), the commissioner may allow |
| 715 | credit, but only if the assuming insurer holds surplus in excess |
| 716 | of $100 million and has a secure financial strength rating from |
| 717 | at least two nationally recognized statistical rating |
| 718 | organizations deemed acceptable by the commissioner. In |
| 719 | determining whether credit should be allowed, the commissioner |
| 720 | shall consider the following: |
| 721 | 1. The domiciliary regulatory jurisdiction of the assuming |
| 722 | insurer. |
| 723 | 2. The structure and authority of the domiciliary |
| 724 | regulator with regard to solvency regulation requirements and |
| 725 | the financial surveillance of the reinsurer. |
| 726 | 3. The substance of financial and operating standards for |
| 727 | reinsurers in the domiciliary jurisdiction. |
| 728 | 4. The form and substance of financial reports required to |
| 729 | be filed by the reinsurers in the domiciliary jurisdiction or |
| 730 | other public financial statements filed in accordance with |
| 731 | generally accepted accounting principles. |
| 732 | 5. The domiciliary regulator's willingness to cooperate |
| 733 | with United States regulators in general and the office in |
| 734 | particular. |
| 735 | 6. The history of performance by reinsurers in the |
| 736 | domiciliary jurisdiction. |
| 737 | 7. Any documented evidence of substantial problems with |
| 738 | the enforcement of valid United States judgments in the |
| 739 | domiciliary jurisdiction. |
| 740 | 8. Any other matters deemed relevant by the commissioner. |
| 741 | The commissioner shall give appropriate consideration to insurer |
| 742 | group ratings that may have been issued. The commissioner may, |
| 743 | in lieu of granting full credit under this subsection, reduce |
| 744 | the amount required to be held in trust under paragraph (c). |
| 745 | (f)(e) If the assuming insurer is not authorized or |
| 746 | accredited to transact insurance or reinsurance in this state |
| 747 | pursuant to paragraph (a) or paragraph (b), the credit permitted |
| 748 | by paragraph (c) or paragraph (d) must not be allowed unless the |
| 749 | assuming insurer agrees in the reinsurance agreements: |
| 750 | 1.a. That in the event of the failure of the assuming |
| 751 | insurer to perform its obligations under the terms of the |
| 752 | reinsurance agreement, the assuming insurer, at the request of |
| 753 | the ceding insurer, shall submit to the jurisdiction of any |
| 754 | court of competent jurisdiction in any state of the United |
| 755 | States, will comply with all requirements necessary to give the |
| 756 | court jurisdiction, and will abide by the final decision of the |
| 757 | court or of any appellate court in the event of an appeal; and |
| 758 | b. To designate the Chief Financial Officer, pursuant to |
| 759 | s. 48.151, or a designated attorney as its true and lawful |
| 760 | attorney upon whom may be served any lawful process in any |
| 761 | action, suit, or proceeding instituted by or on behalf of the |
| 762 | ceding company. |
| 763 | 2. This paragraph is not intended to conflict with or |
| 764 | override the obligation of the parties to a reinsurance |
| 765 | agreement to arbitrate their disputes, if this obligation is |
| 766 | created in the agreement. |
| 767 | (g)(f) If the assuming insurer does not meet the |
| 768 | requirements of paragraph (a) or paragraph (b), the credit |
| 769 | permitted by paragraph (c) or paragraph (d) is not allowed |
| 770 | unless the assuming insurer agrees in the trust agreements, in |
| 771 | substance, to the following conditions: |
| 772 | 1. Notwithstanding any other provisions in the trust |
| 773 | instrument, if the trust fund is inadequate because it contains |
| 774 | an amount less than the amount required by paragraph (c), or if |
| 775 | the grantor of the trust has been declared insolvent or placed |
| 776 | into receivership, rehabilitation, liquidation, or similar |
| 777 | proceedings under the laws of its state or country of domicile, |
| 778 | the trustee shall comply with an order of the insurance |
| 779 | regulator with regulatory oversight over the trust or with an |
| 780 | order of a United States court of competent jurisdiction |
| 781 | directing the trustee to transfer to the insurance regulator |
| 782 | with regulatory oversight all of the assets of the trust fund. |
| 783 | 2. The assets must be distributed by and claims must be |
| 784 | filed with and valued by the insurance regulator with regulatory |
| 785 | oversight in accordance with the laws of the state in which the |
| 786 | trust is domiciled which are applicable to the liquidation of |
| 787 | domestic insurance companies. |
| 788 | 3. If the insurance regulator with regulatory oversight |
| 789 | determines that the assets of the trust fund or any part thereof |
| 790 | are not necessary to satisfy the claims of the United States |
| 791 | ceding insurers of the grantor of the trust, the assets or part |
| 792 | thereof must be returned by the insurance regulator with |
| 793 | regulatory oversight to the trustee for distribution in |
| 794 | accordance with the trust agreement. |
| 795 | 4. The grantor shall waive any right otherwise available |
| 796 | to it under United States law which is inconsistent with this |
| 797 | provision. |
| 798 | Section 9. Paragraph (j) of subsection (2) of section |
| 799 | 627.062, Florida Statutes, is amended to read: |
| 800 | 627.062 Rate standards.-- |
| 801 | (2) As to all such classes of insurance: |
| 802 | (j) Effective July 1, 2009 2007, notwithstanding any other |
| 803 | provision of this section: |
| 804 | 1. With respect to any residential property insurance |
| 805 | subject to regulation under this section for any area for which |
| 806 | the office determines a reasonable degree of competition exists, |
| 807 | a rate filing, including, but not limited to, any rate changes, |
| 808 | rating factors, territories, classification, discounts, and |
| 809 | credits, with respect to any policy form, including endorsements |
| 810 | issued with the form, that results in an overall average |
| 811 | statewide premium increase or decrease of no more than 5 percent |
| 812 | above or below the premium that would result from the insurer's |
| 813 | rates then in effect shall not be subject to a determination by |
| 814 | the office that the rate is excessive or unfairly discriminatory |
| 815 | except as provided in subparagraph 3., or any other provision of |
| 816 | law, provided all changes specified in the filing do not result |
| 817 | in an overall premium increase of more than 10 percent for any |
| 818 | one territory, for reasons related solely to the rate change. As |
| 819 | used in this subparagraph, the term "insurer's rates then in |
| 820 | effect" includes only rates that have been lawfully in effect |
| 821 | under this section or rates that have been determined to be |
| 822 | lawful through administrative proceedings or judicial |
| 823 | proceedings. |
| 824 | 2. An insurer may not make filings under this paragraph |
| 825 | with respect to any policy form, including endorsements issued |
| 826 | with the form, if the overall premium changes resulting from |
| 827 | such filings exceed the amounts specified in this paragraph in |
| 828 | any 12-month period. An insurer may proceed under other |
| 829 | provisions of this section or other provisions of law if the |
| 830 | insurer seeks to exceed the premium or rate limitations of this |
| 831 | paragraph. |
| 832 | 3. This paragraph does not affect the authority of the |
| 833 | office to disapprove a rate as inadequate or to disapprove a |
| 834 | filing for the unlawful use of unfairly discriminatory rating |
| 835 | factors that are prohibited by the laws of this state. An |
| 836 | insurer electing to implement a rate change under this paragraph |
| 837 | shall submit a filing to the office at least 40 days prior to |
| 838 | the effective date of the rate change. The office shall have 30 |
| 839 | days after the filing's submission to review the filing and |
| 840 | determine if the rate is inadequate or uses unfairly |
| 841 | discriminatory rating factors. Absent a finding by the office |
| 842 | within such 30-day period that the rate is inadequate or that |
| 843 | the insurer has used unfairly discriminatory rating factors, the |
| 844 | filing is deemed approved. If the office finds during the 30-day |
| 845 | period that the filing will result in inadequate premiums or |
| 846 | otherwise endanger the insurer's solvency, the office shall |
| 847 | suspend the rate decrease. If the insurer is implementing an |
| 848 | overall rate increase, the results of which continue to produce |
| 849 | an inadequate rate, such increase shall proceed pending |
| 850 | additional action by the office to ensure the adequacy of the |
| 851 | rate. |
| 852 | 4. This paragraph does not apply to rate filings for any |
| 853 | insurance other than residential property insurance. |
| 854 |
|
| 855 | The provisions of this subsection shall not apply to workers' |
| 856 | compensation and employer's liability insurance and to motor |
| 857 | vehicle insurance. |
| 858 | Section 10. Paragraph (a) of subsection (5) and subsection |
| 859 | (6) of section 627.351, Florida Statutes, are amended to read: |
| 860 | 627.351 Insurance risk apportionment plans.-- |
| 861 | (5) PROPERTY AND CASUALTY INSURANCE RISK |
| 862 | APPORTIONMENT.--The commission shall adopt by rule a joint |
| 863 | underwriting plan to equitably apportion among insurers |
| 864 | authorized in this state to write property insurance as defined |
| 865 | in s. 624.604 or casualty insurance as defined in s. 624.605, |
| 866 | the underwriting of one or more classes of property insurance or |
| 867 | casualty insurance, except for the types of insurance that are |
| 868 | included within property insurance or casualty insurance for |
| 869 | which an equitable apportionment plan, assigned risk plan, or |
| 870 | joint underwriting plan is authorized under s. 627.311 or |
| 871 | subsection (1), subsection (2), subsection (3), subsection (4), |
| 872 | or subsection (5) and except for risks eligible for flood |
| 873 | insurance written through the federal flood insurance program to |
| 874 | persons with risks eligible under subparagraph (a)1. and who are |
| 875 | in good faith entitled to, but are unable to, obtain such |
| 876 | property or casualty insurance coverage, including excess |
| 877 | coverage, through the voluntary market. For purposes of this |
| 878 | subsection, an adequate level of coverage means that coverage |
| 879 | which is required by state law or by responsible or prudent |
| 880 | business practices. The Joint Underwriting Association shall not |
| 881 | be required to provide coverage for any type of risk for which |
| 882 | there are no insurers providing similar coverage in this state. |
| 883 | The office may designate one or more participating insurers who |
| 884 | agree to provide policyholder and claims service, including the |
| 885 | issuance of policies, on behalf of the participating insurers. |
| 886 | (a) The plan shall provide: |
| 887 | 1. A means of establishing eligibility of a risk for |
| 888 | obtaining insurance through the plan, which provides that: |
| 889 | a. A risk shall be eligible for such property insurance or |
| 890 | casualty insurance as is required by Florida law if the |
| 891 | insurance is unavailable in the voluntary market, including the |
| 892 | market assistance program and the surplus lines market. |
| 893 | b. A commercial risk not eligible under sub-subparagraph |
| 894 | a. shall be eligible for property or casualty insurance if: |
| 895 | (I) The insurance is unavailable in the voluntary market, |
| 896 | including the market assistance plan and the surplus lines |
| 897 | market; |
| 898 | (II) Failure to secure the insurance would substantially |
| 899 | impair the ability of the entity to conduct its affairs; and |
| 900 | (III) The risk is not determined by the Risk Underwriting |
| 901 | Committee to be uninsurable. |
| 902 | c. In the event the Federal Government terminates the |
| 903 | Federal Crime Insurance Program established under 44 C.F.R. ss. |
| 904 | 80-83, Florida commercial and residential risks previously |
| 905 | insured under the federal program shall be eligible under the |
| 906 | plan. |
| 907 | d.(I) In the event a risk is eligible under this paragraph |
| 908 | and in the event the market assistance plan receives a minimum |
| 909 | of 100 applications for coverage within a 3-month period, or 200 |
| 910 | applications for coverage within a 1-year period or less, for a |
| 911 | given class of risk contained in the classification system |
| 912 | defined in the plan of operation of the Joint Underwriting |
| 913 | Association, and unless the market assistance plan provides a |
| 914 | quotation for at least 80 percent of such applicants, such |
| 915 | classification shall immediately be eligible for coverage in the |
| 916 | Joint Underwriting Association. |
| 917 | (II) Any market assistance plan application which is |
| 918 | rejected because an individual risk is so hazardous as to be |
| 919 | practically uninsurable, considering whether the likelihood of a |
| 920 | loss for such a risk is substantially higher than for other |
| 921 | risks of the same class due to individual risk characteristics, |
| 922 | prior loss experience, unwillingness to cooperate with a prior |
| 923 | insurer, physical characteristics and physical location shall |
| 924 | not be included in the minimum percentage calculation provided |
| 925 | above. In the event that there is any legal or administrative |
| 926 | challenge to a determination by the office that the conditions |
| 927 | of this subparagraph have been met for eligibility for coverage |
| 928 | in the Joint Underwriting Association for a given |
| 929 | classification, any eligible risk may obtain coverage during the |
| 930 | pendency of any such challenge. |
| 931 | e. In order to qualify as a quotation for the purpose of |
| 932 | meeting the minimum percentage calculation in this subparagraph, |
| 933 | the quoted premium must meet the following criteria: |
| 934 | (I) In the case of an admitted carrier, the quoted premium |
| 935 | must not exceed the premium available for a given classification |
| 936 | currently in use by the Joint Underwriting Association or the |
| 937 | premium developed by using the rates and rating plans on file |
| 938 | with the office by the quoting insurer, whichever is greater. |
| 939 | (II) In the case of an authorized surplus lines insurer, |
| 940 | the quoted premium must not exceed the premium available for a |
| 941 | given classification currently in use by the Joint Underwriting |
| 942 | Association by more than 25 percent, after consideration of any |
| 943 | individual risk surcharge or credit. |
| 944 | f. Any agent who falsely certifies the unavailability of |
| 945 | coverage as provided by sub-subparagraphs a. and b., is subject |
| 946 | to the penalties provided in s. 626.611. |
| 947 | g. For properties constructed on or after January 1, 2009, |
| 948 | the association shall not insure any property located within 500 |
| 949 | feet seaward or landward of the coastal construction control |
| 950 | line created pursuant to s. 161.053 and shall not insure any |
| 951 | property located over 500 to 2,500 feet landward of the coastal |
| 952 | construction control line unless the property meets the |
| 953 | requirements of the code-plus building standards developed by |
| 954 | the Florida Building Commission or the standards contained in |
| 955 | the Miami-Dade Building Code pending the adoption of code-plus |
| 956 | standards by the commission. However, this sub-subparagraph |
| 957 | shall not apply to properties for which a building permit has |
| 958 | been issued prior to January 1, 2009. |
| 959 | 2. A means for the equitable apportionment of profits or |
| 960 | losses and expenses among participating insurers. |
| 961 | 3. Rules for the classification of risks and rates which |
| 962 | reflect the past and prospective loss experience. |
| 963 | 4. A rating plan which reasonably reflects the prior |
| 964 | claims experience of the insureds. Such rating plan shall |
| 965 | include at least two levels of rates for risks that have |
| 966 | favorable loss experience and risks that have unfavorable loss |
| 967 | experience, as established by the plan. |
| 968 | 5. Reasonable limits to available amounts of insurance. |
| 969 | Such limits may not be less than the amounts of insurance |
| 970 | required of eligible risks by Florida law. |
| 971 | 6. Risk management requirements for insurance where such |
| 972 | requirements are reasonable and are expected to reduce losses. |
| 973 | 7. Deductibles as may be necessary to meet the needs of |
| 974 | insureds. |
| 975 | 8. Policy forms which are consistent with the forms in use |
| 976 | by the majority of the insurers providing coverage in the |
| 977 | voluntary market for the coverage requested by the applicant. |
| 978 | 9. A means to remove risks from the plan once such risks |
| 979 | no longer meet the eligibility requirements of this paragraph. |
| 980 | For this purpose, the plan shall include the following |
| 981 | requirements: At each 6-month interval after the activation of |
| 982 | any class of insureds, the board of governors or its designated |
| 983 | committee shall review the number of applications to the market |
| 984 | assistance plan for that class. If, based on these latest |
| 985 | numbers, at least 90 percent of such applications have been |
| 986 | provided a quotation, the Joint Underwriting Association shall |
| 987 | cease underwriting new applications for such class within 30 |
| 988 | days, and notification of this decision shall be sent to the |
| 989 | office, the major agents' associations, and the board of |
| 990 | directors of the market assistance plan. A quotation for the |
| 991 | purpose of this subparagraph shall meet the same criteria for a |
| 992 | quotation as provided in sub-subparagraph 1.e. All policies |
| 993 | which were previously written for that class shall continue in |
| 994 | force until their normal expiration date, at which time, subject |
| 995 | to the required timely notification of nonrenewal by the Joint |
| 996 | Underwriting Association, the insured may then elect to reapply |
| 997 | to the Joint Underwriting Association according to the |
| 998 | requirements of eligibility. If, upon reapplication, those |
| 999 | previously insured Joint Underwriting Association risks meet the |
| 1000 | eligibility requirements, the Joint Underwriting Association |
| 1001 | shall provide the coverage requested. |
| 1002 | 10. A means for providing credits to insurers against any |
| 1003 | deficit assessment levied pursuant to paragraph (c), for risks |
| 1004 | voluntarily written through the market assistance plan by such |
| 1005 | insurers. |
| 1006 | 11. That the Joint Underwriting Association shall operate |
| 1007 | subject to the supervision and approval of a board of governors |
| 1008 | consisting of 13 individuals appointed by the Chief Financial |
| 1009 | Officer, and shall have an executive or underwriting committee. |
| 1010 | At least four of the members shall be representatives of |
| 1011 | insurance trade associations as follows: one member from the |
| 1012 | American Insurance Association, one member from the Alliance of |
| 1013 | American Insurers, one member from the National Association of |
| 1014 | Independent Insurers, and one member from an unaffiliated |
| 1015 | insurer writing coverage on a national basis. Two |
| 1016 | representatives shall be from two of the statewide agents' |
| 1017 | associations. Each board member shall be appointed to serve for |
| 1018 | 2-year terms beginning on a date designated by the plan and |
| 1019 | shall serve at the pleasure of the Chief Financial Officer. |
| 1020 | Members may be reappointed for subsequent terms. |
| 1021 | (6) CITIZENS PROPERTY INSURANCE CORPORATION.-- |
| 1022 | (a)1. The Legislature finds that actual and threatened |
| 1023 | catastrophic losses to property in this state from hurricanes |
| 1024 | have caused insurers to be unwilling or unable to provide |
| 1025 | property insurance coverage to the extent sought and needed. It |
| 1026 | is in the public interest and a public purpose to assist in |
| 1027 | assuring that property in the state is insured so as to |
| 1028 | facilitate the remediation, reconstruction, and replacement of |
| 1029 | damaged or destroyed property in order to reduce or avoid the |
| 1030 | negative effects otherwise resulting to the public health, |
| 1031 | safety, and welfare; to the economy of the state; and to the |
| 1032 | revenues of the state and local governments needed to provide |
| 1033 | for the public welfare. It is necessary, therefore, to provide |
| 1034 | property insurance to applicants who are in good faith entitled |
| 1035 | to procure insurance through the voluntary market but are unable |
| 1036 | to do so. The Legislature intends by this subsection that |
| 1037 | property insurance be provided and that it continues, as long as |
| 1038 | necessary, through an entity organized to achieve efficiencies |
| 1039 | and economies, while providing service to policyholders, |
| 1040 | applicants, and agents that is no less than the quality |
| 1041 | generally provided in the voluntary market, all toward the |
| 1042 | achievement of the foregoing public purposes. Because it is |
| 1043 | essential for the corporation to have the maximum financial |
| 1044 | resources to pay claims following a catastrophic hurricane, it |
| 1045 | is the intent of the Legislature that the income of the |
| 1046 | corporation be exempt from federal income taxation and that |
| 1047 | interest on the debt obligations issued by the corporation be |
| 1048 | exempt from federal income taxation. |
| 1049 | 2. The Residential Property and Casualty Joint |
| 1050 | Underwriting Association originally created by this statute |
| 1051 | shall be known, as of July 1, 2002, as the Citizens Property |
| 1052 | Insurance Corporation. The corporation shall provide insurance |
| 1053 | for residential and commercial property, for applicants who are |
| 1054 | in good faith entitled, but are unable, to procure insurance |
| 1055 | through the voluntary market. The corporation shall operate |
| 1056 | pursuant to a plan of operation approved by order of the |
| 1057 | Financial Services Commission. The plan is subject to continuous |
| 1058 | review by the commission. The commission may, by order, withdraw |
| 1059 | approval of all or part of a plan if the commission determines |
| 1060 | that conditions have changed since approval was granted and that |
| 1061 | the purposes of the plan require changes in the plan. The |
| 1062 | corporation shall continue to operate pursuant to the plan of |
| 1063 | operation approved by the Office of Insurance Regulation until |
| 1064 | October 1, 2006. For the purposes of this subsection, |
| 1065 | residential coverage includes both personal lines residential |
| 1066 | coverage, which consists of the type of coverage provided by |
| 1067 | homeowner's, mobile home owner's, dwelling, tenant's, |
| 1068 | condominium unit owner's, and similar policies, and commercial |
| 1069 | lines residential coverage, which consists of the type of |
| 1070 | coverage provided by condominium association, apartment |
| 1071 | building, and similar policies. |
| 1072 | 3. For the purposes of this subsection, the term |
| 1073 | "homestead property" means: |
| 1074 | a. Property that has been granted a homestead exemption |
| 1075 | under chapter 196; |
| 1076 | b. Property for which the owner has a current, written |
| 1077 | lease with a renter for a term of at least 7 months and for |
| 1078 | which the dwelling is insured by the corporation for $200,000 or |
| 1079 | less; |
| 1080 | c. An owner-occupied mobile home or manufactured home, as |
| 1081 | defined in s. 320.01, which is permanently affixed to real |
| 1082 | property, is owned by a Florida resident, and has been granted a |
| 1083 | homestead exemption under chapter 196 or, if the owner does not |
| 1084 | own the real property, the owner certifies that the mobile home |
| 1085 | or manufactured home is his or her principal place of residence. |
| 1086 | d. Tenant's coverage; |
| 1087 | e. Commercial lines residential property; or |
| 1088 | f. Any county, district, or municipal hospital; a hospital |
| 1089 | licensed by any not-for-profit corporation qualified under s. |
| 1090 | 501(c)(3) of the United States Internal Revenue Code; or a |
| 1091 | continuing care retirement community that is certified under |
| 1092 | chapter 651 and that receives an exemption from ad valorem taxes |
| 1093 | under chapter 196. |
| 1094 | 4. For the purposes of this subsection, the term |
| 1095 | "nonhomestead property" means property that is not homestead |
| 1096 | property. |
| 1097 | 5. Effective July 1, 2008, a personal lines residential |
| 1098 | structure that has a dwelling replacement cost of $1 million or |
| 1099 | more, or a single condominium unit that has a combined dwelling |
| 1100 | and content replacement cost of $1 million or more is not |
| 1101 | eligible for coverage by the corporation. Such dwellings insured |
| 1102 | by the corporation on June 30, 2008, may continue to be covered |
| 1103 | by the corporation until the end of the policy term. However, |
| 1104 | such dwellings that are insured by the corporation and become |
| 1105 | ineligible for coverage due to the provisions of this |
| 1106 | subparagraph may reapply and obtain coverage in the high-risk |
| 1107 | account and be considered "nonhomestead property" if the |
| 1108 | property owner provides the corporation with a sworn affidavit |
| 1109 | from one or more insurance agents, on a form provided by the |
| 1110 | corporation, stating that the agents have made their best |
| 1111 | efforts to obtain coverage and that the property has been |
| 1112 | rejected for coverage by at least one authorized insurer and at |
| 1113 | least three surplus lines insurers. If such conditions are met, |
| 1114 | the dwelling may be insured by the corporation for up to 3 |
| 1115 | years, after which time the dwelling is ineligible for coverage. |
| 1116 | The office shall approve the method used by the corporation for |
| 1117 | valuing the dwelling replacement cost for the purposes of this |
| 1118 | subparagraph. If a policyholder is insured by the corporation |
| 1119 | prior to being determined to be ineligible pursuant to this |
| 1120 | subparagraph and such policyholder files a lawsuit challenging |
| 1121 | the determination, the policyholder may remain insured by the |
| 1122 | corporation until the conclusion of the litigation. |
| 1123 | 6. Effective March 1, 2007, nonhomestead property is not |
| 1124 | eligible for coverage by the corporation and is not eligible for |
| 1125 | renewal of such coverage unless the property owner provides the |
| 1126 | corporation with a sworn affidavit from one or more insurance |
| 1127 | agents, on a form provided by the corporation, stating that the |
| 1128 | agents have made their best efforts to obtain coverage and that |
| 1129 | the property has been rejected for coverage by at least one |
| 1130 | authorized insurer and at least three surplus lines insurers. |
| 1131 | 7. For properties constructed on or after January 1, 2009, |
| 1132 | the corporation shall not insure any property located within 500 |
| 1133 | feet seaward or landward of the coastal construction control |
| 1134 | line created pursuant to s.161.053 and shall not insure any |
| 1135 | property located over 500 to 2,500 feet landward of the coastal |
| 1136 | construction control line unless the property meets the |
| 1137 | requirements of the code-plus building standards developed by |
| 1138 | the Florida Building Commission or the standards contained in |
| 1139 | the Miami-Dade Building Code pending the adoption of code-plus |
| 1140 | standards by the commission. However, this subparagraph shall |
| 1141 | not apply to properties for which a building permit has been |
| 1142 | issued prior to January 1, 2009. |
| 1143 | 8.7. It is the intent of the Legislature that |
| 1144 | policyholders, applicants, and agents of the corporation receive |
| 1145 | service and treatment of the highest possible level but never |
| 1146 | less than that generally provided in the voluntary market. It |
| 1147 | also is intended that the corporation be held to service |
| 1148 | standards no less than those applied to insurers in the |
| 1149 | voluntary market by the office with respect to responsiveness, |
| 1150 | timeliness, customer courtesy, and overall dealings with |
| 1151 | policyholders, applicants, or agents of the corporation. |
| 1152 | (b)1. All insurers authorized to write one or more subject |
| 1153 | lines of business in this state are subject to assessment by the |
| 1154 | corporation and, for the purposes of this subsection, are |
| 1155 | referred to collectively as "assessable insurers." Insurers |
| 1156 | writing one or more subject lines of business in this state |
| 1157 | pursuant to part VIII of chapter 626 are not assessable |
| 1158 | insurers, but insureds who procure one or more subject lines of |
| 1159 | business in this state pursuant to part VIII of chapter 626 are |
| 1160 | subject to assessment by the corporation and are referred to |
| 1161 | collectively as "assessable insureds." An authorized insurer's |
| 1162 | assessment liability shall begin on the first day of the |
| 1163 | calendar year following the year in which the insurer was issued |
| 1164 | a certificate of authority to transact insurance for subject |
| 1165 | lines of business in this state and shall terminate 1 year after |
| 1166 | the end of the first calendar year during which the insurer no |
| 1167 | longer holds a certificate of authority to transact insurance |
| 1168 | for subject lines of business in this state. |
| 1169 | 2.a. All revenues, assets, liabilities, losses, and |
| 1170 | expenses of the corporation shall be divided into three separate |
| 1171 | accounts as follows: |
| 1172 | (I) A personal lines account for personal residential |
| 1173 | policies issued by the corporation or issued by the Residential |
| 1174 | Property and Casualty Joint Underwriting Association and renewed |
| 1175 | by the corporation that provide comprehensive, multiperil |
| 1176 | coverage on risks that are not located in areas eligible for |
| 1177 | coverage in the Florida Windstorm Underwriting Association as |
| 1178 | those areas were defined on January 1, 2002, and for such |
| 1179 | policies that do not provide coverage for the peril of wind on |
| 1180 | risks that are located in such areas; |
| 1181 | (II) A commercial lines account for commercial residential |
| 1182 | policies issued by the corporation or issued by the Residential |
| 1183 | Property and Casualty Joint Underwriting Association and renewed |
| 1184 | by the corporation that provide coverage for basic property |
| 1185 | perils on risks that are not located in areas eligible for |
| 1186 | coverage in the Florida Windstorm Underwriting Association as |
| 1187 | those areas were defined on January 1, 2002, and for such |
| 1188 | policies that do not provide coverage for the peril of wind on |
| 1189 | risks that are located in such areas; and |
| 1190 | (III) A high-risk account for personal residential |
| 1191 | policies and commercial residential and commercial |
| 1192 | nonresidential property policies issued by the corporation or |
| 1193 | transferred to the corporation that provide coverage for the |
| 1194 | peril of wind on risks that are located in areas eligible for |
| 1195 | coverage in the Florida Windstorm Underwriting Association as |
| 1196 | those areas were defined on January 1, 2002. The high-risk |
| 1197 | account must also include quota share primary insurance under |
| 1198 | subparagraph (c)2. The area eligible for coverage under the |
| 1199 | high-risk account also includes the area within Port Canaveral, |
| 1200 | which is bordered on the south by the City of Cape Canaveral, |
| 1201 | bordered on the west by the Banana River, and bordered on the |
| 1202 | north by Federal Government property. The office may remove |
| 1203 | territory from the area eligible for wind-only and quota share |
| 1204 | coverage if, after a public hearing, the office finds that |
| 1205 | authorized insurers in the voluntary market are willing and able |
| 1206 | to write sufficient amounts of personal and commercial |
| 1207 | residential coverage for all perils in the territory, including |
| 1208 | coverage for the peril of wind, such that risks covered by wind- |
| 1209 | only policies in the removed territory could be issued a policy |
| 1210 | by the corporation in either the personal lines or commercial |
| 1211 | lines account without a significant increase in the |
| 1212 | corporation's probable maximum loss in such account. Removal of |
| 1213 | territory from the area eligible for wind-only or quota share |
| 1214 | coverage does not alter the assignment of wind coverage written |
| 1215 | in such areas to the high-risk account. |
| 1216 | b. The three separate accounts must be maintained as long |
| 1217 | as financing obligations entered into by the Florida Windstorm |
| 1218 | Underwriting Association or Residential Property and Casualty |
| 1219 | Joint Underwriting Association are outstanding, in accordance |
| 1220 | with the terms of the corresponding financing documents. When |
| 1221 | the financing obligations are no longer outstanding, in |
| 1222 | accordance with the terms of the corresponding financing |
| 1223 | documents, the corporation may use a single account for all |
| 1224 | revenues, assets, liabilities, losses, and expenses of the |
| 1225 | corporation. Consistent with the requirement of this |
| 1226 | subparagraph and prudent investment policies that minimize the |
| 1227 | cost of carrying debt, the board shall exercise its best efforts |
| 1228 | to retire existing debt or to obtain approval of necessary |
| 1229 | parties to amend the terms of existing debt, so as to structure |
| 1230 | the most efficient plan to consolidate the three separate |
| 1231 | accounts into a single account. By February 1, 2007, the board |
| 1232 | shall submit a report to the Financial Services Commission, the |
| 1233 | President of the Senate, and the Speaker of the House of |
| 1234 | Representatives which includes an analysis of consolidating the |
| 1235 | accounts, the actions the board has taken to minimize the cost |
| 1236 | of carrying debt, and its recommendations for executing the most |
| 1237 | efficient plan. |
| 1238 | c. Creditors of the Residential Property and Casualty |
| 1239 | Joint Underwriting Association shall have a claim against, and |
| 1240 | recourse to, the accounts referred to in sub-sub-subparagraphs |
| 1241 | a.(I) and (II) and shall have no claim against, or recourse to, |
| 1242 | the account referred to in sub-sub-subparagraph a.(III). |
| 1243 | Creditors of the Florida Windstorm Underwriting Association |
| 1244 | shall have a claim against, and recourse to, the account |
| 1245 | referred to in sub-sub-subparagraph a.(III) and shall have no |
| 1246 | claim against, or recourse to, the accounts referred to in sub- |
| 1247 | sub-subparagraphs a.(I) and (II). |
| 1248 | d. Revenues, assets, liabilities, losses, and expenses not |
| 1249 | attributable to particular accounts shall be prorated among the |
| 1250 | accounts. |
| 1251 | e. The Legislature finds that the revenues of the |
| 1252 | corporation are revenues that are necessary to meet the |
| 1253 | requirements set forth in documents authorizing the issuance of |
| 1254 | bonds under this subsection. |
| 1255 | f. No part of the income of the corporation may inure to |
| 1256 | the benefit of any private person. |
| 1257 | 3. With respect to a deficit in an account: |
| 1258 | a. When the deficit incurred in a particular calendar year |
| 1259 | is not greater than 10 percent of the aggregate statewide direct |
| 1260 | written premium for the subject lines of business for the prior |
| 1261 | calendar year, the entire deficit shall be recovered through |
| 1262 | regular assessments of assessable insurers under paragraph (p) |
| 1263 | and assessable insureds. |
| 1264 | b. When the deficit incurred in a particular calendar year |
| 1265 | exceeds 10 percent of the aggregate statewide direct written |
| 1266 | premium for the subject lines of business for the prior calendar |
| 1267 | year, the corporation shall levy regular assessments on |
| 1268 | assessable insurers under paragraph (p) and on assessable |
| 1269 | insureds in an amount equal to the greater of 10 percent of the |
| 1270 | deficit or 10 percent of the aggregate statewide direct written |
| 1271 | premium for the subject lines of business for the prior calendar |
| 1272 | year. Any remaining deficit shall be recovered through emergency |
| 1273 | assessments under sub-subparagraph d. |
| 1274 | c. Each assessable insurer's share of the amount being |
| 1275 | assessed under sub-subparagraph a. or sub-subparagraph b. shall |
| 1276 | be in the proportion that the assessable insurer's direct |
| 1277 | written premium for the subject lines of business for the year |
| 1278 | preceding the assessment bears to the aggregate statewide direct |
| 1279 | written premium for the subject lines of business for that year. |
| 1280 | The assessment percentage applicable to each assessable insured |
| 1281 | is the ratio of the amount being assessed under sub-subparagraph |
| 1282 | a. or sub-subparagraph b. to the aggregate statewide direct |
| 1283 | written premium for the subject lines of business for the prior |
| 1284 | year. Assessments levied by the corporation on assessable |
| 1285 | insurers under sub-subparagraphs a. and b. shall be paid as |
| 1286 | required by the corporation's plan of operation and paragraph |
| 1287 | (p). Notwithstanding any other provision of this subsection, the |
| 1288 | aggregate amount of a regular assessment for a deficit incurred |
| 1289 | in a particular calendar year shall be reduced by the estimated |
| 1290 | amount to be received by the corporation from the Citizens |
| 1291 | policyholder surcharge under subparagraph (c)11. and the amount |
| 1292 | collected or estimated to be collected from the assessment on |
| 1293 | Citizens policyholders pursuant to sub-subparagraph i. |
| 1294 | Assessments levied by the corporation on assessable insureds |
| 1295 | under sub-subparagraphs a. and b. shall be collected by the |
| 1296 | surplus lines agent at the time the surplus lines agent collects |
| 1297 | the surplus lines tax required by s. 626.932 and shall be paid |
| 1298 | to the Florida Surplus Lines Service Office at the time the |
| 1299 | surplus lines agent pays the surplus lines tax to the Florida |
| 1300 | Surplus Lines Service Office. Upon receipt of regular |
| 1301 | assessments from surplus lines agents, the Florida Surplus Lines |
| 1302 | Service Office shall transfer the assessments directly to the |
| 1303 | corporation as determined by the corporation. |
| 1304 | d. Upon a determination by the board of governors that a |
| 1305 | deficit in an account exceeds the amount that will be recovered |
| 1306 | through regular assessments under sub-subparagraph a. or sub- |
| 1307 | subparagraph b., the board shall levy, after verification by the |
| 1308 | office, emergency assessments, for as many years as necessary to |
| 1309 | cover the deficits, to be collected by assessable insurers and |
| 1310 | the corporation and collected from assessable insureds upon |
| 1311 | issuance or renewal of policies for subject lines of business, |
| 1312 | excluding National Flood Insurance policies. The amount of the |
| 1313 | emergency assessment collected in a particular year shall be a |
| 1314 | uniform percentage of that year's direct written premium for |
| 1315 | subject lines of business and all accounts of the corporation, |
| 1316 | excluding National Flood Insurance Program policy premiums, as |
| 1317 | annually determined by the board and verified by the office. The |
| 1318 | office shall verify the arithmetic calculations involved in the |
| 1319 | board's determination within 30 days after receipt of the |
| 1320 | information on which the determination was based. |
| 1321 | Notwithstanding any other provision of law, the corporation and |
| 1322 | each assessable insurer that writes subject lines of business |
| 1323 | shall collect emergency assessments from its policyholders |
| 1324 | without such obligation being affected by any credit, |
| 1325 | limitation, exemption, or deferment. Emergency assessments |
| 1326 | levied by the corporation on assessable insureds shall be |
| 1327 | collected by the surplus lines agent at the time the surplus |
| 1328 | lines agent collects the surplus lines tax required by s. |
| 1329 | 626.932 and shall be paid to the Florida Surplus Lines Service |
| 1330 | Office at the time the surplus lines agent pays the surplus |
| 1331 | lines tax to the Florida Surplus Lines Service Office. The |
| 1332 | emergency assessments so collected shall be transferred directly |
| 1333 | to the corporation on a periodic basis as determined by the |
| 1334 | corporation and shall be held by the corporation solely in the |
| 1335 | applicable account. The aggregate amount of emergency |
| 1336 | assessments levied for an account under this sub-subparagraph in |
| 1337 | any calendar year may not exceed the greater of 10 percent of |
| 1338 | the amount needed to cover the original deficit, plus interest, |
| 1339 | fees, commissions, required reserves, and other costs associated |
| 1340 | with financing of the original deficit, or 10 percent of the |
| 1341 | aggregate statewide direct written premium for subject lines of |
| 1342 | business and for all accounts of the corporation for the prior |
| 1343 | year, plus interest, fees, commissions, required reserves, and |
| 1344 | other costs associated with financing the original deficit. |
| 1345 | e. The corporation may pledge the proceeds of assessments, |
| 1346 | projected recoveries from the Florida Hurricane Catastrophe |
| 1347 | Fund, other insurance and reinsurance recoverables, policyholder |
| 1348 | surcharges and other surcharges, and other funds available to |
| 1349 | the corporation as the source of revenue for and to secure bonds |
| 1350 | issued under paragraph (p), bonds or other indebtedness issued |
| 1351 | under subparagraph (c)3., or lines of credit or other financing |
| 1352 | mechanisms issued or created under this subsection, or to retire |
| 1353 | any other debt incurred as a result of deficits or events giving |
| 1354 | rise to deficits, or in any other way that the board determines |
| 1355 | will efficiently recover such deficits. The purpose of the lines |
| 1356 | of credit or other financing mechanisms is to provide additional |
| 1357 | resources to assist the corporation in covering claims and |
| 1358 | expenses attributable to a catastrophe. As used in this |
| 1359 | subsection, the term "assessments" includes regular assessments |
| 1360 | under sub-subparagraph a., sub-subparagraph b., or subparagraph |
| 1361 | (p)1. and emergency assessments under sub-subparagraph d. |
| 1362 | Emergency assessments collected under sub-subparagraph d. are |
| 1363 | not part of an insurer's rates, are not premium, and are not |
| 1364 | subject to premium tax, fees, or commissions; however, failure |
| 1365 | to pay the emergency assessment shall be treated as failure to |
| 1366 | pay premium. The emergency assessments under sub-subparagraph d. |
| 1367 | shall continue as long as any bonds issued or other indebtedness |
| 1368 | incurred with respect to a deficit for which the assessment was |
| 1369 | imposed remain outstanding, unless adequate provision has been |
| 1370 | made for the payment of such bonds or other indebtedness |
| 1371 | pursuant to the documents governing such bonds or other |
| 1372 | indebtedness. |
| 1373 | f. As used in this subsection, the term "subject lines of |
| 1374 | business" means insurance written by assessable insurers or |
| 1375 | procured by assessable insureds on real or personal property, as |
| 1376 | defined in s. 624.604, including insurance for fire, industrial |
| 1377 | fire, allied lines, farmowners multiperil, homeowners |
| 1378 | multiperil, commercial residential multiperil, and mobile homes, |
| 1379 | and including liability coverage on all such insurance, but |
| 1380 | excluding inland marine as defined in s. 624.607(3) and |
| 1381 | excluding vehicle insurance as defined in s. 624.605(1) other |
| 1382 | than insurance on mobile homes used as permanent dwellings. |
| 1383 | g. The Florida Surplus Lines Service Office shall |
| 1384 | determine annually the aggregate statewide written premium in |
| 1385 | subject lines of business procured by assessable insureds and |
| 1386 | shall report that information to the corporation in a form and |
| 1387 | at a time the corporation specifies to ensure that the |
| 1388 | corporation can meet the requirements of this subsection and the |
| 1389 | corporation's financing obligations. |
| 1390 | h. The Florida Surplus Lines Service Office shall verify |
| 1391 | the proper application by surplus lines agents of assessment |
| 1392 | percentages for regular assessments and emergency assessments |
| 1393 | levied under this subparagraph on assessable insureds and shall |
| 1394 | assist the corporation in ensuring the accurate, timely |
| 1395 | collection and payment of assessments by surplus lines agents as |
| 1396 | required by the corporation. |
| 1397 | i. If a deficit is incurred in any account, the board of |
| 1398 | governors shall levy an immediate assessment against the premium |
| 1399 | of each nonhomestead property policyholder in all accounts of |
| 1400 | the corporation, as a uniform percentage of the premium of the |
| 1401 | policy of up to 10 percent of such premium, which funds shall be |
| 1402 | used to offset the deficit. If this assessment is insufficient |
| 1403 | to eliminate the deficit, the board of governors shall levy an |
| 1404 | additional assessment against all policyholders of the |
| 1405 | corporation, which shall be collected at the time of issuance or |
| 1406 | renewal of a policy, as a uniform percentage of the premium for |
| 1407 | the policy of up to 10 percent of such premium, which funds |
| 1408 | shall be used to further offset the deficit. |
| 1409 | j. The board of governors shall maintain separate |
| 1410 | accounting records that consolidate data for nonhomestead |
| 1411 | properties, including, but not limited to, number of policies, |
| 1412 | insured values, premiums written, and losses. The board of |
| 1413 | governors shall annually report to the office and the |
| 1414 | Legislature a summary of such data. |
| 1415 | (c) The plan of operation of the corporation: |
| 1416 | 1. Must provide for adoption of residential property and |
| 1417 | casualty insurance policy forms and commercial residential and |
| 1418 | nonresidential property insurance forms, which forms must be |
| 1419 | approved by the office prior to use. The corporation shall adopt |
| 1420 | the following policy forms: |
| 1421 | a. Standard personal lines policy forms that are |
| 1422 | comprehensive multiperil policies providing full coverage of a |
| 1423 | residential property equivalent to the coverage provided in the |
| 1424 | private insurance market under an HO-3, HO-4, or HO-6 policy. |
| 1425 | b. Basic personal lines policy forms that are policies |
| 1426 | similar to an HO-8 policy or a dwelling fire policy that provide |
| 1427 | coverage meeting the requirements of the secondary mortgage |
| 1428 | market, but which coverage is more limited than the coverage |
| 1429 | under a standard policy. |
| 1430 | c. Commercial lines residential policy forms that are |
| 1431 | generally similar to the basic perils of full coverage |
| 1432 | obtainable for commercial residential structures in the admitted |
| 1433 | voluntary market. |
| 1434 | d. Personal lines and commercial lines residential |
| 1435 | property insurance forms that cover the peril of wind only. The |
| 1436 | forms are applicable only to residential properties located in |
| 1437 | areas eligible for coverage under the high-risk account referred |
| 1438 | to in sub-subparagraph (b)2.a. |
| 1439 | e. Commercial lines nonresidential property insurance |
| 1440 | forms that cover the peril of wind only. The forms are |
| 1441 | applicable only to nonresidential properties located in areas |
| 1442 | eligible for coverage under the high-risk account referred to in |
| 1443 | sub-subparagraph (b)2.a. |
| 1444 | e.f. The corporation may adopt variations of the policy |
| 1445 | forms listed in sub-subparagraphs a.-d. a.-e. that contain more |
| 1446 | restrictive coverage. |
| 1447 | 2.a. Must provide that the corporation adopt a program in |
| 1448 | which the corporation and authorized insurers enter into quota |
| 1449 | share primary insurance agreements for hurricane coverage, as |
| 1450 | defined in s. 627.4025(2)(a), for eligible risks, and adopt |
| 1451 | property insurance forms for eligible risks which cover the |
| 1452 | peril of wind only. As used in this subsection, the term: |
| 1453 | (I) "Quota share primary insurance" means an arrangement |
| 1454 | in which the primary hurricane coverage of an eligible risk is |
| 1455 | provided in specified percentages by the corporation and an |
| 1456 | authorized insurer. The corporation and authorized insurer are |
| 1457 | each solely responsible for a specified percentage of hurricane |
| 1458 | coverage of an eligible risk as set forth in a quota share |
| 1459 | primary insurance agreement between the corporation and an |
| 1460 | authorized insurer and the insurance contract. The |
| 1461 | responsibility of the corporation or authorized insurer to pay |
| 1462 | its specified percentage of hurricane losses of an eligible |
| 1463 | risk, as set forth in the quota share primary insurance |
| 1464 | agreement, may not be altered by the inability of the other |
| 1465 | party to the agreement to pay its specified percentage of |
| 1466 | hurricane losses. Eligible risks that are provided hurricane |
| 1467 | coverage through a quota share primary insurance arrangement |
| 1468 | must be provided policy forms that set forth the obligations of |
| 1469 | the corporation and authorized insurer under the arrangement, |
| 1470 | clearly specify the percentages of quota share primary insurance |
| 1471 | provided by the corporation and authorized insurer, and |
| 1472 | conspicuously and clearly state that neither the authorized |
| 1473 | insurer nor the corporation may be held responsible beyond its |
| 1474 | specified percentage of coverage of hurricane losses. |
| 1475 | (II) "Eligible risks" means personal lines residential and |
| 1476 | commercial lines residential risks that meet the underwriting |
| 1477 | criteria of the corporation and are located in areas that were |
| 1478 | eligible for coverage by the Florida Windstorm Underwriting |
| 1479 | Association on January 1, 2002. |
| 1480 | b. The corporation may enter into quota share primary |
| 1481 | insurance agreements with authorized insurers at corporation |
| 1482 | coverage levels of 90 percent and 50 percent. |
| 1483 | c. If the corporation determines that additional coverage |
| 1484 | levels are necessary to maximize participation in quota share |
| 1485 | primary insurance agreements by authorized insurers, the |
| 1486 | corporation may establish additional coverage levels. However, |
| 1487 | the corporation's quota share primary insurance coverage level |
| 1488 | may not exceed 90 percent. |
| 1489 | d. Any quota share primary insurance agreement entered |
| 1490 | into between an authorized insurer and the corporation must |
| 1491 | provide for a uniform specified percentage of coverage of |
| 1492 | hurricane losses, by county or territory as set forth by the |
| 1493 | corporation board, for all eligible risks of the authorized |
| 1494 | insurer covered under the quota share primary insurance |
| 1495 | agreement. |
| 1496 | e. Any quota share primary insurance agreement entered |
| 1497 | into between an authorized insurer and the corporation is |
| 1498 | subject to review and approval by the office. However, such |
| 1499 | agreement shall be authorized only as to insurance contracts |
| 1500 | entered into between an authorized insurer and an insured who is |
| 1501 | already insured by the corporation for wind coverage. |
| 1502 | f. For all eligible risks covered under quota share |
| 1503 | primary insurance agreements, the exposure and coverage levels |
| 1504 | for both the corporation and authorized insurers shall be |
| 1505 | reported by the corporation to the Florida Hurricane Catastrophe |
| 1506 | Fund. For all policies of eligible risks covered under quota |
| 1507 | share primary insurance agreements, the corporation and the |
| 1508 | authorized insurer shall maintain complete and accurate records |
| 1509 | for the purpose of exposure and loss reimbursement audits as |
| 1510 | required by Florida Hurricane Catastrophe Fund rules. The |
| 1511 | corporation and the authorized insurer shall each maintain |
| 1512 | duplicate copies of policy declaration pages and supporting |
| 1513 | claims documents. |
| 1514 | g. The corporation board shall establish in its plan of |
| 1515 | operation standards for quota share agreements which ensure that |
| 1516 | there is no discriminatory application among insurers as to the |
| 1517 | terms of quota share agreements, pricing of quota share |
| 1518 | agreements, incentive provisions if any, and consideration paid |
| 1519 | for servicing policies or adjusting claims. |
| 1520 | h. The quota share primary insurance agreement between the |
| 1521 | corporation and an authorized insurer must set forth the |
| 1522 | specific terms under which coverage is provided, including, but |
| 1523 | not limited to, the sale and servicing of policies issued under |
| 1524 | the agreement by the insurance agent of the authorized insurer |
| 1525 | producing the business, the reporting of information concerning |
| 1526 | eligible risks, the payment of premium to the corporation, and |
| 1527 | arrangements for the adjustment and payment of hurricane claims |
| 1528 | incurred on eligible risks by the claims adjuster and personnel |
| 1529 | of the authorized insurer. Entering into a quota sharing |
| 1530 | insurance agreement between the corporation and an authorized |
| 1531 | insurer shall be voluntary and at the discretion of the |
| 1532 | authorized insurer. |
| 1533 | 3. May provide that the corporation may employ or |
| 1534 | otherwise contract with individuals or other entities to provide |
| 1535 | administrative or professional services that may be appropriate |
| 1536 | to effectuate the plan. The corporation shall have the power to |
| 1537 | borrow funds, by issuing bonds or by incurring other |
| 1538 | indebtedness, and shall have other powers reasonably necessary |
| 1539 | to effectuate the requirements of this subsection, including, |
| 1540 | without limitation, the power to issue bonds and incur other |
| 1541 | indebtedness in order to refinance outstanding bonds or other |
| 1542 | indebtedness. The corporation may, but is not required to, seek |
| 1543 | judicial validation of its bonds or other indebtedness under |
| 1544 | chapter 75. The corporation may issue bonds or incur other |
| 1545 | indebtedness, or have bonds issued on its behalf by a unit of |
| 1546 | local government pursuant to subparagraph (p)(g)2., in the |
| 1547 | absence of a hurricane or other weather-related event, upon a |
| 1548 | determination by the corporation, subject to approval by the |
| 1549 | office, that such action would enable it to efficiently meet the |
| 1550 | financial obligations of the corporation and that such |
| 1551 | financings are reasonably necessary to effectuate the |
| 1552 | requirements of this subsection. The corporation is authorized |
| 1553 | to take all actions needed to facilitate tax-free status for any |
| 1554 | such bonds or indebtedness, including formation of trusts or |
| 1555 | other affiliated entities. The corporation shall have the |
| 1556 | authority to pledge assessments, projected recoveries from the |
| 1557 | Florida Hurricane Catastrophe Fund, other reinsurance |
| 1558 | recoverables, market equalization and other surcharges, and |
| 1559 | other funds available to the corporation as security for bonds |
| 1560 | or other indebtedness. In recognition of s. 10, Art. I of the |
| 1561 | State Constitution, prohibiting the impairment of obligations of |
| 1562 | contracts, it is the intent of the Legislature that no action be |
| 1563 | taken whose purpose is to impair any bond indenture or financing |
| 1564 | agreement or any revenue source committed by contract to such |
| 1565 | bond or other indebtedness. |
| 1566 | 4.a. Must require that the corporation operate subject to |
| 1567 | the supervision and approval of a board of governors consisting |
| 1568 | of eight individuals who are residents of this state, from |
| 1569 | different geographical areas of this state. The Governor, the |
| 1570 | Chief Financial Officer, the President of the Senate, and the |
| 1571 | Speaker of the House of Representatives shall each appoint two |
| 1572 | members of the board. At least one of the two members appointed |
| 1573 | by each appointing officer must have demonstrated expertise in |
| 1574 | insurance. The Chief Financial Officer shall designate one of |
| 1575 | the appointees as chair. All board members serve at the pleasure |
| 1576 | of the appointing officer. All board members, including the |
| 1577 | chair, must be appointed to serve for 3-year terms beginning |
| 1578 | annually on a date designated by the plan. Any board vacancy |
| 1579 | shall be filled for the unexpired term by the appointing |
| 1580 | officer. The Chief Financial Officer shall appoint a technical |
| 1581 | advisory group to provide information and advice to the board of |
| 1582 | governors in connection with the board's duties under this |
| 1583 | subsection. The executive director and senior managers of the |
| 1584 | corporation shall be engaged by the board and serve at the |
| 1585 | pleasure of the board. Any executive director appointed on or |
| 1586 | after July 1, 2006, is subject to confirmation by the Senate. |
| 1587 | The executive director is responsible for employing other staff |
| 1588 | as the corporation may require, subject to review and |
| 1589 | concurrence by the board. |
| 1590 | b. The board shall create a Market Accountability Advisory |
| 1591 | Committee to assist the corporation in developing awareness of |
| 1592 | its rates and its customer and agent service levels in |
| 1593 | relationship to the voluntary market insurers writing similar |
| 1594 | coverage. The members of the advisory committee shall consist of |
| 1595 | the following 11 persons, one of whom must be elected chair by |
| 1596 | the members of the committee: four representatives, one |
| 1597 | appointed by the Florida Association of Insurance Agents, one by |
| 1598 | the Florida Association of Insurance and Financial Advisors, one |
| 1599 | by the Professional Insurance Agents of Florida, and one by the |
| 1600 | Latin American Association of Insurance Agencies; three |
| 1601 | representatives appointed by the insurers with the three highest |
| 1602 | voluntary market share of residential property insurance |
| 1603 | business in the state; one representative from the Office of |
| 1604 | Insurance Regulation; one consumer appointed by the board who is |
| 1605 | insured by the corporation at the time of appointment to the |
| 1606 | committee; one representative appointed by the Florida |
| 1607 | Association of Realtors; and one representative appointed by the |
| 1608 | Florida Bankers Association. All members must serve for 3-year |
| 1609 | terms and may serve for consecutive terms. The committee shall |
| 1610 | report to the corporation at each board meeting on insurance |
| 1611 | market issues which may include rates and rate competition with |
| 1612 | the voluntary market; service, including policy issuance, claims |
| 1613 | processing, and general responsiveness to policyholders, |
| 1614 | applicants, and agents; and matters relating to depopulation. |
| 1615 | 5. Must provide a procedure for determining the |
| 1616 | eligibility of a risk for coverage, as follows: |
| 1617 | a. Subject to the provisions of s. 627.3517, with respect |
| 1618 | to personal lines residential risks, if the risk is offered |
| 1619 | coverage from an authorized insurer at the insurer's approved |
| 1620 | rate under either a standard policy including wind coverage or, |
| 1621 | if consistent with the insurer's underwriting rules as filed |
| 1622 | with the office, a basic policy including wind coverage, the |
| 1623 | risk is not eligible for any policy issued by the corporation. |
| 1624 | If the risk is not able to obtain any such offer, the risk is |
| 1625 | eligible for either a standard policy including wind coverage or |
| 1626 | a basic policy including wind coverage issued by the |
| 1627 | corporation; however, if the risk could not be insured under a |
| 1628 | standard policy including wind coverage regardless of market |
| 1629 | conditions, the risk shall be eligible for a basic policy |
| 1630 | including wind coverage unless rejected under subparagraph 8. |
| 1631 | The corporation shall determine the type of policy to be |
| 1632 | provided on the basis of objective standards specified in the |
| 1633 | underwriting manual and based on generally accepted underwriting |
| 1634 | practices. |
| 1635 | (I) If the risk accepts an offer of coverage through the |
| 1636 | market assistance plan or an offer of coverage through a |
| 1637 | mechanism established by the corporation before a policy is |
| 1638 | issued to the risk by the corporation or during the first 30 |
| 1639 | days of coverage by the corporation, and the producing agent who |
| 1640 | submitted the application to the plan or to the corporation is |
| 1641 | not currently appointed by the insurer, the insurer shall: |
| 1642 | (A) Pay to the producing agent of record of the policy, |
| 1643 | for the first year, an amount that is the greater of the |
| 1644 | insurer's usual and customary commission for the type of policy |
| 1645 | written or a fee equal to the usual and customary commission of |
| 1646 | the corporation; or |
| 1647 | (B) Offer to allow the producing agent of record of the |
| 1648 | policy to continue servicing the policy for a period of not less |
| 1649 | than 1 year and offer to pay the agent the greater of the |
| 1650 | insurer's or the corporation's usual and customary commission |
| 1651 | for the type of policy written. |
| 1652 |
|
| 1653 | If the producing agent is unwilling or unable to accept |
| 1654 | appointment, the new insurer shall pay the agent in accordance |
| 1655 | with sub-sub-sub-subparagraph (A). |
| 1656 | (II) When the corporation enters into a contractual |
| 1657 | agreement for a take-out plan, the producing agent of record of |
| 1658 | the corporation policy is entitled to retain any unearned |
| 1659 | commission on the policy, and the insurer shall: |
| 1660 | (A) Pay to the producing agent of record of the |
| 1661 | corporation policy, for the first year, an amount that is the |
| 1662 | greater of the insurer's usual and customary commission for the |
| 1663 | type of policy written or a fee equal to the usual and customary |
| 1664 | commission of the corporation; or |
| 1665 | (B) Offer to allow the producing agent of record of the |
| 1666 | corporation policy to continue servicing the policy for a period |
| 1667 | of not less than 1 year and offer to pay the agent the greater |
| 1668 | of the insurer's or the corporation's usual and customary |
| 1669 | commission for the type of policy written. |
| 1670 |
|
| 1671 | If the producing agent is unwilling or unable to accept |
| 1672 | appointment, the new insurer shall pay the agent in accordance |
| 1673 | with sub-sub-sub-subparagraph (A). |
| 1674 | b. With respect to commercial lines residential risks, if |
| 1675 | the risk is offered coverage under a policy including wind |
| 1676 | coverage from an authorized insurer at its approved rate, the |
| 1677 | risk is not eligible for any policy issued by the corporation. |
| 1678 | If the risk is not able to obtain any such offer, the risk is |
| 1679 | eligible for a policy including wind coverage issued by the |
| 1680 | corporation. |
| 1681 | (I) If the risk accepts an offer of coverage through the |
| 1682 | market assistance plan or an offer of coverage through a |
| 1683 | mechanism established by the corporation before a policy is |
| 1684 | issued to the risk by the corporation or during the first 30 |
| 1685 | days of coverage by the corporation, and the producing agent who |
| 1686 | submitted the application to the plan or the corporation is not |
| 1687 | currently appointed by the insurer, the insurer shall: |
| 1688 | (A) Pay to the producing agent of record of the policy, |
| 1689 | for the first year, an amount that is the greater of the |
| 1690 | insurer's usual and customary commission for the type of policy |
| 1691 | written or a fee equal to the usual and customary commission of |
| 1692 | the corporation; or |
| 1693 | (B) Offer to allow the producing agent of record of the |
| 1694 | policy to continue servicing the policy for a period of not less |
| 1695 | than 1 year and offer to pay the agent the greater of the |
| 1696 | insurer's or the corporation's usual and customary commission |
| 1697 | for the type of policy written. |
| 1698 |
|
| 1699 | If the producing agent is unwilling or unable to accept |
| 1700 | appointment, the new insurer shall pay the agent in accordance |
| 1701 | with sub-sub-sub-subparagraph (A). |
| 1702 | (II) When the corporation enters into a contractual |
| 1703 | agreement for a take-out plan, the producing agent of record of |
| 1704 | the corporation policy is entitled to retain any unearned |
| 1705 | commission on the policy, and the insurer shall: |
| 1706 | (A) Pay to the producing agent of record of the |
| 1707 | corporation policy, for the first year, an amount that is the |
| 1708 | greater of the insurer's usual and customary commission for the |
| 1709 | type of policy written or a fee equal to the usual and customary |
| 1710 | commission of the corporation; or |
| 1711 | (B) Offer to allow the producing agent of record of the |
| 1712 | corporation policy to continue servicing the policy for a period |
| 1713 | of not less than 1 year and offer to pay the agent the greater |
| 1714 | of the insurer's or the corporation's usual and customary |
| 1715 | commission for the type of policy written. |
| 1716 |
|
| 1717 | If the producing agent is unwilling or unable to accept |
| 1718 | appointment, the new insurer shall pay the agent in accordance |
| 1719 | with sub-sub-sub-subparagraph (A). |
| 1720 | 6. Must provide by July 1, 2007, that an application for |
| 1721 | coverage for a new policy is subject to a waiting period of 10 |
| 1722 | days before coverage is effective, during which time the |
| 1723 | corporation shall make such application available for review by |
| 1724 | general lines agents and authorized property and casualty |
| 1725 | insurers. The board shall may approve an exception exceptions |
| 1726 | that allows allow for coverage to be effective before the end of |
| 1727 | the 10-day waiting period, for coverage issued in conjunction |
| 1728 | with a real estate closing., The board may approve and for such |
| 1729 | other exceptions as the board determines are necessary to |
| 1730 | prevent lapses in coverage. |
| 1731 | 7. Must include rules for classifications of risks and |
| 1732 | rates therefor. |
| 1733 | 8. Must provide that if premium and investment income for |
| 1734 | an account attributable to a particular calendar year are in |
| 1735 | excess of projected losses and expenses for the account |
| 1736 | attributable to that year, such excess shall be held in surplus |
| 1737 | in the account. Such surplus shall be available to defray |
| 1738 | deficits in that account as to future years and shall be used |
| 1739 | for that purpose prior to assessing assessable insurers and |
| 1740 | assessable insureds as to any calendar year. |
| 1741 | 9. Must provide objective criteria and procedures to be |
| 1742 | uniformly applied for all applicants in determining whether an |
| 1743 | individual risk is so hazardous as to be uninsurable. In making |
| 1744 | this determination and in establishing the criteria and |
| 1745 | procedures, the following shall be considered: |
| 1746 | a. Whether the likelihood of a loss for the individual |
| 1747 | risk is substantially higher than for other risks of the same |
| 1748 | class; and |
| 1749 | b. Whether the uncertainty associated with the individual |
| 1750 | risk is such that an appropriate premium cannot be determined. |
| 1751 |
|
| 1752 | The acceptance or rejection of a risk by the corporation shall |
| 1753 | be construed as the private placement of insurance, and the |
| 1754 | provisions of chapter 120 shall not apply. |
| 1755 | 10. Must provide that the corporation shall make its best |
| 1756 | efforts to procure catastrophe reinsurance at reasonable rates, |
| 1757 | to cover its projected 100-year probable maximum loss as |
| 1758 | determined by the board of governors. |
| 1759 | 11. Must provide that in the event of regular deficit |
| 1760 | assessments under sub-subparagraph (b)3.a. or sub-subparagraph |
| 1761 | (b)3.b., in the personal lines account, the commercial lines |
| 1762 | residential account, or the high-risk account, the corporation |
| 1763 | shall levy upon corporation policyholders in its next rate |
| 1764 | filing, or by a separate rate filing solely for this purpose, a |
| 1765 | Citizens policyholder surcharge arising from a regular |
| 1766 | assessment in such account in a percentage equal to the total |
| 1767 | amount of such regular assessments divided by the aggregate |
| 1768 | statewide direct written premium for subject lines of business |
| 1769 | for the prior calendar year. For purposes of calculating the |
| 1770 | Citizens policyholder surcharge to be levied under this |
| 1771 | subparagraph, the total amount of the regular assessment to |
| 1772 | which this surcharge is related shall be determined as set forth |
| 1773 | in subparagraph (b)3., without deducting the estimated Citizens |
| 1774 | policyholder surcharge. Citizens policyholder surcharges under |
| 1775 | this subparagraph are not considered premium and are not subject |
| 1776 | to commissions, fees, or premium taxes; however, failure to pay |
| 1777 | a market equalization surcharge shall be treated as failure to |
| 1778 | pay premium. |
| 1779 | 12. The policies issued by the corporation must provide |
| 1780 | that, if the corporation or the market assistance plan obtains |
| 1781 | an offer from an authorized insurer to cover the risk at its |
| 1782 | approved rates, the risk is no longer eligible for renewal |
| 1783 | through the corporation. |
| 1784 | 13. Corporation policies and applications must include a |
| 1785 | notice that the corporation policy could, under this section, be |
| 1786 | replaced with a policy issued by an authorized insurer that does |
| 1787 | not provide coverage identical to the coverage provided by the |
| 1788 | corporation. The notice shall also specify that acceptance of |
| 1789 | corporation coverage creates a conclusive presumption that the |
| 1790 | applicant or policyholder is aware of this potential. |
| 1791 | 14. May establish, subject to approval by the office, |
| 1792 | different eligibility requirements and operational procedures |
| 1793 | for any line or type of coverage for any specified county or |
| 1794 | area if the board determines that such changes to the |
| 1795 | eligibility requirements and operational procedures are |
| 1796 | justified due to the voluntary market being sufficiently stable |
| 1797 | and competitive in such area or for such line or type of |
| 1798 | coverage and that consumers who, in good faith, are unable to |
| 1799 | obtain insurance through the voluntary market through ordinary |
| 1800 | methods would continue to have access to coverage from the |
| 1801 | corporation. When coverage is sought in connection with a real |
| 1802 | property transfer, such requirements and procedures shall not |
| 1803 | provide for an effective date of coverage later than the date of |
| 1804 | the closing of the transfer as established by the transferor, |
| 1805 | the transferee, and, if applicable, the lender. |
| 1806 | 15. Must provide that, with respect to the high-risk |
| 1807 | account, any assessable insurer with a surplus as to |
| 1808 | policyholders of $25 million or less writing 25 percent or more |
| 1809 | of its total countrywide property insurance premiums in this |
| 1810 | state may petition the office, within the first 90 days of each |
| 1811 | calendar year, to qualify as a limited apportionment company. A |
| 1812 | regular assessment levied by the corporation on a limited |
| 1813 | apportionment company for a deficit incurred by the corporation |
| 1814 | for the high-risk account in 2006 or thereafter may be paid to |
| 1815 | the corporation on a monthly basis as the assessments are |
| 1816 | collected by the limited apportionment company from its insureds |
| 1817 | pursuant to s. 627.3512, but the regular assessment must be paid |
| 1818 | in full within 12 months after being levied by the corporation. |
| 1819 | A limited apportionment company shall collect from its |
| 1820 | policyholders any emergency assessment imposed under sub- |
| 1821 | subparagraph (b)3.d. The plan shall provide that, if the office |
| 1822 | determines that any regular assessment will result in an |
| 1823 | impairment of the surplus of a limited apportionment company, |
| 1824 | the office may direct that all or part of such assessment be |
| 1825 | deferred as provided in subparagraph (p)(g)4. However, there |
| 1826 | shall be no limitation or deferment of an emergency assessment |
| 1827 | to be collected from policyholders under sub-subparagraph |
| 1828 | (b)3.d. |
| 1829 | 16. Must provide that the corporation appoint as its |
| 1830 | licensed agents only those agents who also hold an appointment |
| 1831 | as defined in s. 626.015(3) with an insurer who at the time of |
| 1832 | the agent's initial appointment by the corporation is authorized |
| 1833 | to write and is actually writing personal lines residential |
| 1834 | property coverage, or commercial residential property coverage, |
| 1835 | or commercial nonresidential property coverage within the state. |
| 1836 | 17. Must provide, by July 1, 2007, a premium payment plan |
| 1837 | option to its policyholders which allows for monthly, quarterly, |
| 1838 | and semiannual payment of premiums. |
| 1839 | 18. Must provide, effective June 1, 2007, that the |
| 1840 | corporation contract with each insurer providing the non-wind |
| 1841 | coverage for risks insured by the corporation in the high-risk |
| 1842 | account, requiring that the insurer provide claims adjusting |
| 1843 | services for the wind coverage provided by the corporation for |
| 1844 | such risks. An insurer is required to enter into this contract |
| 1845 | as a condition of providing non-wind coverage for a risk that is |
| 1846 | insured by the corporation in the high-risk account unless the |
| 1847 | board finds, after a hearing, that the insurer is not capable of |
| 1848 | providing adjusting services at an acceptable level of quality |
| 1849 | to corporation policyholders. The terms and conditions of such |
| 1850 | contracts must be substantially the same as the contracts that |
| 1851 | the corporation executed with insurers under the "adjust-your- |
| 1852 | own" program in 2006, except as may be mutually agreed to by the |
| 1853 | parties and except for such changes that the board determines |
| 1854 | are necessary to ensure that claims are adjusted appropriately. |
| 1855 | The corporation shall provide a process for neutral arbitration |
| 1856 | of any dispute between the corporation and the insurer regarding |
| 1857 | the terms of the contract. The corporation shall review and |
| 1858 | monitor the performance of insurers under these contracts. |
| 1859 | 19. Must limit coverage on mobile homes or manufactured |
| 1860 | homes built prior to 1994 to actual cash value of the dwelling |
| 1861 | rather than replacement costs of the dwelling. |
| 1862 | (d)1. All prospective employees for senior management |
| 1863 | positions, as defined by the plan of operation, are subject to |
| 1864 | background checks as a prerequisite for employment. The office |
| 1865 | shall conduct background checks on such prospective employees |
| 1866 | pursuant to ss. 624.34, 624.404(3), and 628.261. |
| 1867 | 2. On or before July 1 of each year, employees of the |
| 1868 | corporation are required to sign and submit a statement |
| 1869 | attesting that they do not have a conflict of interest, as |
| 1870 | defined in part III of chapter 112. As a condition of |
| 1871 | employment, all prospective employees are required to sign and |
| 1872 | submit to the corporation a conflict-of-interest statement. |
| 1873 | 3. Senior managers and members of the board of governors |
| 1874 | are subject to the provisions of part III of chapter 112, |
| 1875 | including, but not limited to, the code of ethics and public |
| 1876 | disclosure and reporting of financial interests, pursuant to s. |
| 1877 | 112.3145. Senior managers and board members are also required to |
| 1878 | file such disclosures with the Office of Insurance Regulation. |
| 1879 | The executive director of the corporation or his or her designee |
| 1880 | shall notify each newly appointed and existing appointed member |
| 1881 | of the board of governors and senior managers of their duty to |
| 1882 | comply with the reporting requirements of part III of chapter |
| 1883 | 112. At least quarterly, the executive director or his or her |
| 1884 | designee shall submit to the Commission on Ethics a list of |
| 1885 | names of the senior managers and members of the board of |
| 1886 | governors who are subject to the public disclosure requirements |
| 1887 | under s. 112.3145. |
| 1888 | 4. Notwithstanding s. 112.3148 or s. 112.3149, or any |
| 1889 | other provision of law, an employee or board member may not |
| 1890 | knowingly accept, directly or indirectly, any gift or |
| 1891 | expenditure from a person or entity, or an employee or |
| 1892 | representative of such person or entity, that has a contractual |
| 1893 | relationship with the corporation or who is under consideration |
| 1894 | for a contract. An employee or board member who fails to comply |
| 1895 | with this subparagraph is subject to penalties provided under |
| 1896 | ss. 112.317 and 112.3173. |
| 1897 | 5. Any senior manager of the corporation who is employed |
| 1898 | on or after January 1, 2007, regardless of the date of hire, who |
| 1899 | subsequently retires or terminates employment is prohibited from |
| 1900 | representing another person or entity before the corporation for |
| 1901 | 2 years after retirement or termination of employment from the |
| 1902 | corporation. |
| 1903 | 6. Any employee of the corporation who is employed on or |
| 1904 | after January 1, 2007, regardless of the date of hire, who |
| 1905 | subsequently retires or terminates employment is prohibited from |
| 1906 | having any employment or contractual relationship for 2 years |
| 1907 | with an insurer that has received a take-out bonus from the |
| 1908 | corporation. |
| 1909 | (e) Purchases that equal or exceed $2,500, but are less |
| 1910 | than $25,000, shall be made by receipt of written quotes, |
| 1911 | written record of telephone quotes, or informal bids, whenever |
| 1912 | practical. The procurement of goods or services valued at or |
| 1913 | over $25,000 shall be subject to competitive solicitation, |
| 1914 | except in situations where the goods or services are provided by |
| 1915 | a sole source or are deemed an emergency purchase; the services |
| 1916 | are exempted from competitive solicitation requirements under s. |
| 1917 | 287.057(5)(f); or the procurement of services is subject to s. |
| 1918 | 627.3513. Justification for the sole-sourcing or emergency |
| 1919 | procurement must be documented. Contracts for goods or services |
| 1920 | valued at or over $100,000 are subject to approval by the board. |
| 1921 | (f) The board shall determine whether it is more cost- |
| 1922 | effective and in the best interests of the corporation to use |
| 1923 | legal services provided by in-house attorneys employed by the |
| 1924 | corporation rather than contracting with outside counsel. In |
| 1925 | making such determination, the board shall document its findings |
| 1926 | and shall consider: the expertise needed; whether time |
| 1927 | commitments exceed in-house staff resources; whether local |
| 1928 | representation is needed; the travel, lodging and other costs |
| 1929 | associated with in-house representation; and such other factors |
| 1930 | that the board determines are relevant. |
| 1931 | (g) The corporation may not retain a lobbyist to represent |
| 1932 | it before the legislative branch or executive branch. However, |
| 1933 | full-time employees of the corporation may register as lobbyists |
| 1934 | and represent the corporation before the legislative branch or |
| 1935 | executive branch. |
| 1936 | (h)1. The Office of the Internal Auditor is established |
| 1937 | within the corporation to provide a central point for |
| 1938 | coordination of and responsibility for activities that promote |
| 1939 | accountability, integrity, and efficiency to the policyholders |
| 1940 | and to the taxpayers of this state. The internal auditor shall |
| 1941 | be appointed by the board of governors, shall report to and be |
| 1942 | under the general supervision of the board of governors, and is |
| 1943 | not subject to supervision by any employee of the corporation. |
| 1944 | Administrative staff and support shall be provided by the |
| 1945 | corporation. The internal auditor shall be appointed without |
| 1946 | regard to political affiliation. It is the duty and |
| 1947 | responsibility of the internal auditor to: |
| 1948 | a. Provide direction for, supervise, conduct, and |
| 1949 | coordinate audits, investigations, and management reviews |
| 1950 | relating to the programs and operations of the corporation. |
| 1951 | b. Conduct, supervise, or coordinate other activities |
| 1952 | carried out or financed by the corporation for the purpose of |
| 1953 | promoting efficiency in the administration of, or preventing and |
| 1954 | detecting fraud, abuse, and mismanagement in, its programs and |
| 1955 | operations. |
| 1956 | c. Submit final audit reports, reviews, or investigative |
| 1957 | reports to the board of governors, the executive director, the |
| 1958 | members of the Financial Services Commission, and the President |
| 1959 | of the Senate and the Speaker of the House of Representatives. |
| 1960 | d. Keep the board of governors informed concerning fraud, |
| 1961 | abuses, and internal control deficiencies relating to programs |
| 1962 | and operations administered or financed by the corporation, |
| 1963 | recommend corrective action, and report on the progress made in |
| 1964 | implementing corrective action. |
| 1965 | e. Report expeditiously to the Department of Law |
| 1966 | Enforcement or other law enforcement agencies, as appropriate, |
| 1967 | whenever the internal auditor has reasonable grounds to believe |
| 1968 | there has been a violation of criminal law. |
| 1969 | 2. On or before February 15, the internal auditor shall |
| 1970 | prepare an annual report evaluating the effectiveness of the |
| 1971 | internal controls of the corporation and providing |
| 1972 | recommendations for corrective action, if necessary, and |
| 1973 | summarizing the audits, reviews, and investigations conducted by |
| 1974 | the office during the preceding fiscal year. The final report |
| 1975 | shall be furnished to the board of governors and the executive |
| 1976 | director, the President of the Senate, the Speaker of the House |
| 1977 | of Representatives, and the Financial Services Commission. |
| 1978 | (i) All records of the corporation, except as otherwise |
| 1979 | provided by law, are subject to the record retention |
| 1980 | requirements of s. 119.021. |
| 1981 | (j)1. The corporation shall establish and maintain a unit |
| 1982 | or division to investigate possible fraudulent claims by |
| 1983 | insureds or by persons making claims for services or repairs |
| 1984 | against policies held by insureds; or it may contract with |
| 1985 | others to investigate possible fraudulent claims for services or |
| 1986 | repairs against policies held by the corporation pursuant to s. |
| 1987 | 626.9891. The corporation must comply with reporting |
| 1988 | requirements of s. 626.9891. An employee of the corporation |
| 1989 | shall notify the Division of Insurance Fraud within 48 hours |
| 1990 | after having information that would lead a reasonable person to |
| 1991 | suspect that fraud may have been committed by any employee of |
| 1992 | the corporation. |
| 1993 | 2. The corporation shall establish a unit or division |
| 1994 | responsible for receiving and responding to consumer complaints, |
| 1995 | which unit or division is the sole responsibility of a senior |
| 1996 | manager of the corporation. |
| 1997 | (k) The office shall conduct a comprehensive market |
| 1998 | conduct examination of the corporation every 2 years to |
| 1999 | determine compliance with its plan of operation and internal |
| 2000 | operations procedures. The first market conduct examination |
| 2001 | report shall be submitted to the President of the Senate and the |
| 2002 | Speaker of the House of Representatives no later than February |
| 2003 | 1, 2009. Subsequent reports shall be submitted on or before |
| 2004 | February 1 every 2 years thereafter. |
| 2005 | (l) The Auditor General shall conduct an operational audit |
| 2006 | of the corporation every 3 years to evaluate management's |
| 2007 | performance in administering laws, policies, and procedures |
| 2008 | governing the operations of the corporation in an efficient and |
| 2009 | effective manner. The scope of the review shall include, but is |
| 2010 | not limited to, evaluating claims handling, customer service, |
| 2011 | take-out programs and bonuses, financing arrangements, |
| 2012 | procurement of goods and services, internal controls, and the |
| 2013 | internal audit function. The initial audit must be completed by |
| 2014 | February 1, 2009. |
| 2015 | (m)1.a. Rates for coverage provided by the corporation |
| 2016 | shall be actuarially adequate sound and not competitive with |
| 2017 | approved rates charged in the admitted voluntary market, so that |
| 2018 | the corporation functions as a residual market mechanism to |
| 2019 | provide insurance only when the insurance cannot be procured in |
| 2020 | the voluntary market. Rates shall include an appropriate |
| 2021 | catastrophe loading factor that reflects the actual catastrophic |
| 2022 | exposure of the corporation. For policies in the personal lines |
| 2023 | account and the commercial lines account issued or renewed on or |
| 2024 | after March 1, 2007, a rate is deemed inadequate if the rate, |
| 2025 | including investment income, is not sufficient to provide for |
| 2026 | the procurement of coverage under the Florida Hurricane |
| 2027 | Catastrophe Fund and private reinsurance costs, whether or not |
| 2028 | reinsurance is procured, and to pay all claims and expenses |
| 2029 | reasonably expected to result from a 100-year probable maximum |
| 2030 | loss event without resort to any regular or emergency |
| 2031 | assessments, long-term debt, state revenues, or other funding |
| 2032 | sources. For policies in the high-risk account issued or renewed |
| 2033 | on or after January 1, 2008 March 1, 2007, a rate is deemed |
| 2034 | inadequate if the rate, including investment income, is not |
| 2035 | sufficient to provide for the procurement of coverage under the |
| 2036 | Florida Hurricane Catastrophe Fund and private reinsurance |
| 2037 | costs, whether or not reinsurance is procured, and to pay all |
| 2038 | claims and expenses reasonably expected to result from a 50-year |
| 2039 | 70-year probable maximum loss event without with resort to any |
| 2040 | regular or emergency assessments, long-term debt, state |
| 2041 | revenues, or other funding sources. For policies in the high- |
| 2042 | risk account issued or renewed in 2008 and 2009, 2010, 2011, |
| 2043 | 2012, and 2013, the rate must be based upon a 60-year, 70-year, |
| 2044 | 80-year, 90-year, an 85-year and 100-year probable maximum loss |
| 2045 | event, respectively. |
| 2046 | b. It is the intent of the Legislature to reaffirm the |
| 2047 | requirement of rate adequacy in the residual market. Recognizing |
| 2048 | that rates may comply with the intent expressed in sub- |
| 2049 | subparagraph a. and yet be inadequate and recognizing the public |
| 2050 | need to limit subsidies within the residual market, it is the |
| 2051 | further intent of the Legislature to establish statutory |
| 2052 | standards for rate adequacy. Such standards are intended to |
| 2053 | supplement the standard specified in s. 627.062(2)(e)3., |
| 2054 | providing that rates are inadequate if they are clearly |
| 2055 | insufficient to sustain projected losses and expenses in the |
| 2056 | class of business to which they apply. |
| 2057 | 2. For each county, the average rates of the corporation |
| 2058 | for each line of business for personal lines residential |
| 2059 | policies excluding rates for wind-only policies shall be no |
| 2060 | lower than the average rates charged by the insurer that had the |
| 2061 | highest average rate in that county among the 20 insurers with |
| 2062 | the greatest total direct written premium in the state for that |
| 2063 | line of business in the preceding year, except that with respect |
| 2064 | to mobile home coverages, the average rates of the corporation |
| 2065 | shall be no lower than the average rates charged by the insurer |
| 2066 | that had the highest average rate in that county among the 5 |
| 2067 | insurers with the greatest total written premium for mobile home |
| 2068 | owner's policies in the state in the preceding year. |
| 2069 | 2.3. Rates for personal lines residential wind-only |
| 2070 | policies must be actuarially adequate sound and not competitive |
| 2071 | with approved rates charged by authorized insurers. If the |
| 2072 | filing under this subparagraph is made at least 90 days before |
| 2073 | the proposed effective date and the filing is not implemented |
| 2074 | during the office's review of the filing and any proceeding and |
| 2075 | judicial review, such filing shall be considered a "file and |
| 2076 | use" filing. In such case, the office shall finalize its review |
| 2077 | by issuance of a notice of intent to approve or a notice of |
| 2078 | intent to disapprove within 90 days after receipt of the filing. |
| 2079 | The notice of intent to approve and the notice of intent to |
| 2080 | disapprove constitute agency action for purposes of the |
| 2081 | Administrative Procedure Act. Requests for supporting |
| 2082 | information, requests for mathematical or mechanical |
| 2083 | corrections, or notification to the insurer by the office of its |
| 2084 | preliminary findings shall not toll the 90-day period during any |
| 2085 | such proceedings and subsequent judicial review. The rate shall |
| 2086 | be deemed approved if the office does not issue a notice of |
| 2087 | intent to approve or a notice of intent to disapprove within 90 |
| 2088 | days after receipt of the filing. Corporation rate manuals shall |
| 2089 | include a rate surcharge for seasonal occupancy. To ensure that |
| 2090 | personal lines residential wind-only rates are not competitive |
| 2091 | with approved rates charged by authorized insurers, the |
| 2092 | corporation, in conjunction with the office, shall develop a |
| 2093 | wind-only ratemaking methodology, which methodology shall be |
| 2094 | contained in each rate filing made by the corporation with the |
| 2095 | office. If the office determines that the wind-only rates or |
| 2096 | rating factors filed by the corporation fail to comply with the |
| 2097 | wind-only ratemaking methodology provided for in this |
| 2098 | subsection, it shall so notify the corporation and require the |
| 2099 | corporation to amend its rates or rating factors to come into |
| 2100 | compliance within 90 days of notice from the office. |
| 2101 | 4. The requirements of this paragraph that rates not be |
| 2102 | competitive with approved rates charged by authorized insurers |
| 2103 | do not apply in a county or area for which the office determines |
| 2104 | that no authorized insurer is offering coverage. The corporation |
| 2105 | shall amend its rates or rating factors for the affected county |
| 2106 | or area in conjunction with its next rate filing after such |
| 2107 | determination is made. |
| 2108 | 5. For the purposes of establishing a pilot program to |
| 2109 | evaluate issues relating to the availability and affordability |
| 2110 | of insurance in an area where historically there has been little |
| 2111 | market competition, the provisions of subparagraph 2. do not |
| 2112 | apply to coverage provided by the corporation in Monroe County |
| 2113 | if the office determines that a reasonable degree of competition |
| 2114 | does not exist for personal lines residential policies. The |
| 2115 | provisions of subparagraph 3. do not apply to coverage provided |
| 2116 | by the corporation in Monroe County if the office determines |
| 2117 | that a reasonable degree of competition does not exist for |
| 2118 | personal lines residential policies in the area of that county |
| 2119 | which is eligible for wind-only coverage. In this county, the |
| 2120 | rates for personal lines residential coverage shall be |
| 2121 | actuarially sound and not excessive, inadequate, or unfairly |
| 2122 | discriminatory and are subject to the other provisions of the |
| 2123 | paragraph and s. 627.062. The commission shall adopt rules |
| 2124 | establishing the criteria for determining whether a reasonable |
| 2125 | degree of competition exists for personal lines residential |
| 2126 | policies in Monroe County. By March 1, 2006, the office shall |
| 2127 | submit a report to the Legislature providing an evaluation of |
| 2128 | the implementation of the pilot program affecting Monroe County. |
| 2129 | 6. Rates for commercial lines coverage shall not be |
| 2130 | subject to the requirements of subparagraph 2., but shall be |
| 2131 | subject to all other requirements of this paragraph and s. |
| 2132 | 627.062. |
| 2133 | 3.7. Nothing in this paragraph shall require or allow the |
| 2134 | corporation to adopt a rate that is inadequate under s. 627.062. |
| 2135 | 4.8. The corporation shall certify to the office at least |
| 2136 | twice annually that its personal lines rates comply with the |
| 2137 | requirements of subparagraphs 1. and, 2., and 3. If any |
| 2138 | adjustment in the rates or rating factors of the corporation is |
| 2139 | necessary to ensure such compliance, the corporation shall make |
| 2140 | and implement such adjustments and file its revised rates and |
| 2141 | rating factors with the office. If the office thereafter |
| 2142 | determines that the revised rates and rating factors fail to |
| 2143 | comply with the provisions of subparagraphs 1. and, 2., and 3., |
| 2144 | it shall notify the corporation and require the corporation to |
| 2145 | amend its rates or rating factors in conjunction with its next |
| 2146 | rate filing. The office must notify the corporation by |
| 2147 | electronic means of any rate filing it approves for any insurer |
| 2148 | among the insurers referred to in subparagraph 2. |
| 2149 | 5.9. In addition to the rates otherwise determined |
| 2150 | pursuant to this paragraph, the corporation shall impose and |
| 2151 | collect an amount equal to the premium tax provided for in s. |
| 2152 | 624.509 to augment the financial resources of the corporation. |
| 2153 | 6.10. The corporation shall develop a notice to |
| 2154 | policyholders or applicants that the rates of Citizens Property |
| 2155 | Insurance Corporation are intended to be higher than the rates |
| 2156 | of any admitted carrier and providing other information the |
| 2157 | corporation deems necessary to assist consumers in finding other |
| 2158 | voluntary admitted insurers willing to insure their property. |
| 2159 | 7.11. After the public hurricane loss-projection model |
| 2160 | under s. 627.06281 has been found to be accurate and reliable by |
| 2161 | the Florida Commission on Hurricane Loss Projection Methodology, |
| 2162 | that model shall serve as the minimum benchmark for determining |
| 2163 | the windstorm portion of the corporation's rates. This |
| 2164 | subparagraph does not require or allow the corporation to adopt |
| 2165 | rates lower than the rates otherwise required or allowed by this |
| 2166 | paragraph. |
| 2167 | 8. Except as provided in subparagraph 9., the rate filings |
| 2168 | for the corporation which were approved by the office and which |
| 2169 | took effect January 1, 2007, are rescinded. As soon as possible, |
| 2170 | the corporation shall begin using the rates that were in effect |
| 2171 | on December 31, 2006, and shall provide refunds to policyholders |
| 2172 | who have paid higher rates as a result of those rate filings. |
| 2173 | The rates in effect on December 31, 2006, shall remain in effect |
| 2174 | for the 2007 calendar year. The next rate change shall take |
| 2175 | effect January 1, 2008, pursuant to a new rate filing |
| 2176 | recommended by the corporation and approved by the office, |
| 2177 | subject to the requirements of this paragraph. |
| 2178 | 9. Through December 31, 2007, the corporation shall use |
| 2179 | the lower territorial rates for the hurricane portion of the |
| 2180 | rates for high-risk account homeowners (HO3) policies approved |
| 2181 | for use by the office in Monroe County beginning January 1, |
| 2182 | 2007. Nothing in subparagraph 8. is intended to prevent the |
| 2183 | corporation from implementing prior to January 1, 2008, rates |
| 2184 | pursuant to subparagraph 1. that are lower than rates in effect |
| 2185 | on December 31, 2006, including by territory, coverage, and |
| 2186 | mitigation factors and other discounts. Prior to January 1, |
| 2187 | 2008, such lower rates shall be determined to meet the |
| 2188 | requirements of subparagraph 1. by comparing such lower rates to |
| 2189 | the rates in effect on December 31, 2006. |
| 2190 | (n) If coverage in an account is deactivated pursuant to |
| 2191 | paragraph (o)(f), coverage through the corporation shall be |
| 2192 | reactivated by order of the office only under one of the |
| 2193 | following circumstances: |
| 2194 | 1. If the market assistance plan receives a minimum of 100 |
| 2195 | applications for coverage within a 3-month period, or 200 |
| 2196 | applications for coverage within a 1-year period or less for |
| 2197 | residential coverage, unless the market assistance plan provides |
| 2198 | a quotation from admitted carriers at their filed rates for at |
| 2199 | least 90 percent of such applicants. Any market assistance plan |
| 2200 | application that is rejected because an individual risk is so |
| 2201 | hazardous as to be uninsurable using the criteria specified in |
| 2202 | subparagraph (c)9.8. shall not be included in the minimum |
| 2203 | percentage calculation provided herein. In the event that there |
| 2204 | is a legal or administrative challenge to a determination by the |
| 2205 | office that the conditions of this subparagraph have been met |
| 2206 | for eligibility for coverage in the corporation, any eligible |
| 2207 | risk may obtain coverage during the pendency of such challenge. |
| 2208 | 2. In response to a state of emergency declared by the |
| 2209 | Governor under s. 252.36, the office may activate coverage by |
| 2210 | order for the period of the emergency upon a finding by the |
| 2211 | office that the emergency significantly affects the availability |
| 2212 | of residential property insurance. |
| 2213 | (o)1. The corporation shall file with the office quarterly |
| 2214 | statements of financial condition, an annual statement of |
| 2215 | financial condition, and audited financial statements in the |
| 2216 | manner prescribed by law. In addition, the corporation shall |
| 2217 | report to the office monthly on the types, premium, exposure, |
| 2218 | and distribution by county of its policies in force, and shall |
| 2219 | submit other reports as the office requires to carry out its |
| 2220 | oversight of the corporation. |
| 2221 | 2. The activities of the corporation shall be reviewed at |
| 2222 | least annually by the office to determine whether coverage shall |
| 2223 | be deactivated in an account on the basis that the conditions |
| 2224 | giving rise to its activation no longer exist. |
| 2225 | (p)1. The corporation shall certify to the office its |
| 2226 | needs for annual assessments as to a particular calendar year, |
| 2227 | and for any interim assessments that it deems to be necessary to |
| 2228 | sustain operations as to a particular year pending the receipt |
| 2229 | of annual assessments. Upon verification, the office shall |
| 2230 | approve such certification, and the corporation shall levy such |
| 2231 | annual or interim assessments. Such assessments shall be |
| 2232 | prorated as provided in paragraph (b). The corporation shall |
| 2233 | take all reasonable and prudent steps necessary to collect the |
| 2234 | amount of assessment due from each assessable insurer, |
| 2235 | including, if prudent, filing suit to collect such assessment. |
| 2236 | If the corporation is unable to collect an assessment from any |
| 2237 | assessable insurer, the uncollected assessments shall be levied |
| 2238 | as an additional assessment against the assessable insurers and |
| 2239 | any assessable insurer required to pay an additional assessment |
| 2240 | as a result of such failure to pay shall have a cause of action |
| 2241 | against such nonpaying assessable insurer. Assessments shall be |
| 2242 | included as an appropriate factor in the making of rates. The |
| 2243 | failure of a surplus lines agent to collect and remit any |
| 2244 | regular or emergency assessment levied by the corporation is |
| 2245 | considered to be a violation of s. 626.936 and subjects the |
| 2246 | surplus lines agent to the penalties provided in that section. |
| 2247 | 2. The governing body of any unit of local government, any |
| 2248 | residents of which are insured by the corporation, may issue |
| 2249 | bonds as defined in s. 125.013 or s. 166.101 from time to time |
| 2250 | to fund an assistance program, in conjunction with the |
| 2251 | corporation, for the purpose of defraying deficits of the |
| 2252 | corporation. In order to avoid needless and indiscriminate |
| 2253 | proliferation, duplication, and fragmentation of such assistance |
| 2254 | programs, any unit of local government, any residents of which |
| 2255 | are insured by the corporation, may provide for the payment of |
| 2256 | losses, regardless of whether or not the losses occurred within |
| 2257 | or outside of the territorial jurisdiction of the local |
| 2258 | government. Revenue bonds under this subparagraph may not be |
| 2259 | issued until validated pursuant to chapter 75, unless a state of |
| 2260 | emergency is declared by executive order or proclamation of the |
| 2261 | Governor pursuant to s. 252.36 making such findings as are |
| 2262 | necessary to determine that it is in the best interests of, and |
| 2263 | necessary for, the protection of the public health, safety, and |
| 2264 | general welfare of residents of this state and declaring it an |
| 2265 | essential public purpose to permit certain municipalities or |
| 2266 | counties to issue such bonds as will permit relief to claimants |
| 2267 | and policyholders of the corporation. Any such unit of local |
| 2268 | government may enter into such contracts with the corporation |
| 2269 | and with any other entity created pursuant to this subsection as |
| 2270 | are necessary to carry out this paragraph. Any bonds issued |
| 2271 | under this subparagraph shall be payable from and secured by |
| 2272 | moneys received by the corporation from emergency assessments |
| 2273 | under sub-subparagraph (b)3.d., and assigned and pledged to or |
| 2274 | on behalf of the unit of local government for the benefit of the |
| 2275 | holders of such bonds. The funds, credit, property, and taxing |
| 2276 | power of the state or of the unit of local government shall not |
| 2277 | be pledged for the payment of such bonds. If any of the bonds |
| 2278 | remain unsold 60 days after issuance, the office shall require |
| 2279 | all insurers subject to assessment to purchase the bonds, which |
| 2280 | shall be treated as admitted assets; each insurer shall be |
| 2281 | required to purchase that percentage of the unsold portion of |
| 2282 | the bond issue that equals the insurer's relative share of |
| 2283 | assessment liability under this subsection. An insurer shall not |
| 2284 | be required to purchase the bonds to the extent that the office |
| 2285 | determines that the purchase would endanger or impair the |
| 2286 | solvency of the insurer. |
| 2287 | 3.a. The corporation shall adopt one or more programs |
| 2288 | subject to approval by the office for the reduction of both new |
| 2289 | and renewal writings in the corporation. Beginning January 1, |
| 2290 | 2008, any program the corporation adopts for the payment of |
| 2291 | bonuses to an insurer for each risk the insurer removes from the |
| 2292 | corporation shall comply with s. 627.3511(2) and may not exceed |
| 2293 | the amount referenced in s. 627.3511(2) for each risk removed. |
| 2294 | The corporation may consider any prudent and not unfairly |
| 2295 | discriminatory approach to reducing corporation writings, and |
| 2296 | may adopt a credit against assessment liability or other |
| 2297 | liability that provides an incentive for insurers to take risks |
| 2298 | out of the corporation and to keep risks out of the corporation |
| 2299 | by maintaining or increasing voluntary writings in counties or |
| 2300 | areas in which corporation risks are highly concentrated and a |
| 2301 | program to provide a formula under which an insurer voluntarily |
| 2302 | taking risks out of the corporation by maintaining or increasing |
| 2303 | voluntary writings will be relieved wholly or partially from |
| 2304 | assessments under sub-subparagraphs (b)3.a. and b. However, any |
| 2305 | "take-out bonus" or payment to an insurer must be conditioned on |
| 2306 | the property being insured for at least 5 years by the insurer, |
| 2307 | unless canceled or nonrenewed by the policyholder. If the policy |
| 2308 | is canceled or nonrenewed by the policyholder before the end of |
| 2309 | the 5-year period, the amount of the take-out bonus must be |
| 2310 | prorated for the time period the policy was insured. When the |
| 2311 | corporation enters into a contractual agreement for a take-out |
| 2312 | plan, the producing agent of record of the corporation policy is |
| 2313 | entitled to retain any unearned commission on such policy, and |
| 2314 | the insurer shall either: |
| 2315 | (I) Pay to the producing agent of record of the policy, |
| 2316 | for the first year, an amount which is the greater of the |
| 2317 | insurer's usual and customary commission for the type of policy |
| 2318 | written or a policy fee equal to the usual and customary |
| 2319 | commission of the corporation; or |
| 2320 | (II) Offer to allow the producing agent of record of the |
| 2321 | policy to continue servicing the policy for a period of not less |
| 2322 | than 1 year and offer to pay the agent the insurer's usual and |
| 2323 | customary commission for the type of policy written. If the |
| 2324 | producing agent is unwilling or unable to accept appointment by |
| 2325 | the new insurer, the new insurer shall pay the agent in |
| 2326 | accordance with sub-sub-subparagraph (I). |
| 2327 | b. Any credit or exemption from regular assessments |
| 2328 | adopted under this subparagraph shall last no longer than the 3 |
| 2329 | years following the cancellation or expiration of the policy by |
| 2330 | the corporation. With the approval of the office, the board may |
| 2331 | extend such credits for an additional year if the insurer |
| 2332 | guarantees an additional year of renewability for all policies |
| 2333 | removed from the corporation, or for 2 additional years if the |
| 2334 | insurer guarantees 2 additional years of renewability for all |
| 2335 | policies so removed. |
| 2336 | c. There shall be no credit, limitation, exemption, or |
| 2337 | deferment from emergency assessments to be collected from |
| 2338 | policyholders pursuant to sub-subparagraph (b)3.d. |
| 2339 | 4. The plan shall provide for the deferment, in whole or |
| 2340 | in part, of the assessment of an assessable insurer, other than |
| 2341 | an emergency assessment collected from policyholders pursuant to |
| 2342 | sub-subparagraph (b)3.d., if the office finds that payment of |
| 2343 | the assessment would endanger or impair the solvency of the |
| 2344 | insurer. In the event an assessment against an assessable |
| 2345 | insurer is deferred in whole or in part, the amount by which |
| 2346 | such assessment is deferred may be assessed against the other |
| 2347 | assessable insurers in a manner consistent with the basis for |
| 2348 | assessments set forth in paragraph (b). |
| 2349 | 5. Effective July 1, 2007, in order to evaluate the costs |
| 2350 | and benefits of approved take-out plans, if the corporation pays |
| 2351 | a bonus or other payment to an insurer for an approved take-out |
| 2352 | plan, it shall maintain a record of the address or such other |
| 2353 | identifying information on the property or risk removed in order |
| 2354 | to track if and when the property or risk is later insured by |
| 2355 | the corporation. |
| 2356 | (q) Nothing in this subsection shall be construed to |
| 2357 | preclude the issuance of residential property insurance coverage |
| 2358 | pursuant to part VIII of chapter 626. |
| 2359 | (r) There shall be no liability on the part of, and no |
| 2360 | cause of action of any nature shall arise against, any |
| 2361 | assessable insurer or its agents or employees, the corporation |
| 2362 | or its agents or employees, members of the board of governors or |
| 2363 | their respective designees at a board meeting, corporation |
| 2364 | committee members, or the office or its representatives, for any |
| 2365 | action taken by them in the performance of their duties or |
| 2366 | responsibilities under this subsection. Such immunity does not |
| 2367 | apply to: |
| 2368 | 1. Any of the foregoing persons or entities for any |
| 2369 | willful tort; |
| 2370 | 2. The corporation or its producing agents for breach of |
| 2371 | any contract or agreement pertaining to insurance coverage; |
| 2372 | 3. The corporation with respect to issuance or payment of |
| 2373 | debt; or |
| 2374 | 4. Any assessable insurer with respect to any action to |
| 2375 | enforce an assessable insurer's obligations to the corporation |
| 2376 | under this subsection. |
| 2377 | (s) For the purposes of s. 199.183(1), the corporation |
| 2378 | shall be considered a political subdivision of the state and |
| 2379 | shall be exempt from the corporate income tax. The premiums, |
| 2380 | assessments, investment income, and other revenue of the |
| 2381 | corporation are funds received for providing property insurance |
| 2382 | coverage as required by this subsection, paying claims for |
| 2383 | Florida citizens insured by the corporation, securing and |
| 2384 | repaying debt obligations issued by the corporation, and |
| 2385 | conducting all other activities of the corporation, and shall |
| 2386 | not be considered taxes, fees, licenses, or charges for services |
| 2387 | imposed by the Legislature on individuals, businesses, or |
| 2388 | agencies outside state government. Bonds and other debt |
| 2389 | obligations issued by or on behalf of the corporation are not to |
| 2390 | be considered "state bonds" within the meaning of s. 215.58(8). |
| 2391 | The corporation is not subject to the procurement provisions of |
| 2392 | chapter 287, and policies and decisions of the corporation |
| 2393 | relating to incurring debt, levying of assessments and the sale, |
| 2394 | issuance, continuation, terms and claims under corporation |
| 2395 | policies, and all services relating thereto, are not subject to |
| 2396 | the provisions of chapter 120. The corporation is not required |
| 2397 | to obtain or to hold a certificate of authority issued by the |
| 2398 | office, nor is it required to participate as a member insurer of |
| 2399 | the Florida Insurance Guaranty Association. However, the |
| 2400 | corporation is required to pay, in the same manner as an |
| 2401 | authorized insurer, assessments pledged by the Florida Insurance |
| 2402 | Guaranty Association to secure bonds issued or other |
| 2403 | indebtedness incurred to pay covered claims arising from insurer |
| 2404 | insolvencies caused by, or proximately related to, hurricane |
| 2405 | losses. It is the intent of the Legislature that the tax |
| 2406 | exemptions provided in this paragraph will augment the financial |
| 2407 | resources of the corporation to better enable the corporation to |
| 2408 | fulfill its public purposes. Any debt obligations issued by the |
| 2409 | corporation, their transfer, and the income therefrom, including |
| 2410 | any profit made on the sale thereof, shall at all times be free |
| 2411 | from taxation of every kind by the state and any political |
| 2412 | subdivision or local unit or other instrumentality thereof; |
| 2413 | however, this exemption does not apply to any tax imposed by |
| 2414 | chapter 220 on interest, income, or profits on debt obligations |
| 2415 | owned by corporations other than the corporation. |
| 2416 | (t) Upon a determination by the office that the conditions |
| 2417 | giving rise to the establishment and activation of the |
| 2418 | corporation no longer exist, the corporation is dissolved. Upon |
| 2419 | dissolution, the assets of the corporation shall be applied |
| 2420 | first to pay all debts, liabilities, and obligations of the |
| 2421 | corporation, including the establishment of reasonable reserves |
| 2422 | for any contingent liabilities or obligations, and all remaining |
| 2423 | assets of the corporation shall become property of the state and |
| 2424 | shall be deposited in the Florida Hurricane Catastrophe Fund. |
| 2425 | However, no dissolution shall take effect as long as the |
| 2426 | corporation has bonds or other financial obligations outstanding |
| 2427 | unless adequate provision has been made for the payment of the |
| 2428 | bonds or other financial obligations pursuant to the documents |
| 2429 | authorizing the issuance of the bonds or other financial |
| 2430 | obligations. |
| 2431 | (u)1. Effective July 1, 2002, policies of the Residential |
| 2432 | Property and Casualty Joint Underwriting Association shall |
| 2433 | become policies of the corporation. All obligations, rights, |
| 2434 | assets and liabilities of the Residential Property and Casualty |
| 2435 | Joint Underwriting Association, including bonds, note and debt |
| 2436 | obligations, and the financing documents pertaining to them |
| 2437 | become those of the corporation as of July 1, 2002. The |
| 2438 | corporation is not required to issue endorsements or |
| 2439 | certificates of assumption to insureds during the remaining term |
| 2440 | of in-force transferred policies. |
| 2441 | 2. Effective July 1, 2002, policies of the Florida |
| 2442 | Windstorm Underwriting Association are transferred to the |
| 2443 | corporation and shall become policies of the corporation. All |
| 2444 | obligations, rights, assets, and liabilities of the Florida |
| 2445 | Windstorm Underwriting Association, including bonds, note and |
| 2446 | debt obligations, and the financing documents pertaining to them |
| 2447 | are transferred to and assumed by the corporation on July 1, |
| 2448 | 2002. The corporation is not required to issue endorsements or |
| 2449 | certificates of assumption to insureds during the remaining term |
| 2450 | of in-force transferred policies. |
| 2451 | 3. The Florida Windstorm Underwriting Association and the |
| 2452 | Residential Property and Casualty Joint Underwriting Association |
| 2453 | shall take all actions as may be proper to further evidence the |
| 2454 | transfers and shall provide the documents and instruments of |
| 2455 | further assurance as may reasonably be requested by the |
| 2456 | corporation for that purpose. The corporation shall execute |
| 2457 | assumptions and instruments as the trustees or other parties to |
| 2458 | the financing documents of the Florida Windstorm Underwriting |
| 2459 | Association or the Residential Property and Casualty Joint |
| 2460 | Underwriting Association may reasonably request to further |
| 2461 | evidence the transfers and assumptions, which transfers and |
| 2462 | assumptions, however, are effective on the date provided under |
| 2463 | this paragraph whether or not, and regardless of the date on |
| 2464 | which, the assumptions or instruments are executed by the |
| 2465 | corporation. Subject to the relevant financing documents |
| 2466 | pertaining to their outstanding bonds, notes, indebtedness, or |
| 2467 | other financing obligations, the moneys, investments, |
| 2468 | receivables, choses in action, and other intangibles of the |
| 2469 | Florida Windstorm Underwriting Association shall be credited to |
| 2470 | the high-risk account of the corporation, and those of the |
| 2471 | personal lines residential coverage account and the commercial |
| 2472 | lines residential coverage account of the Residential Property |
| 2473 | and Casualty Joint Underwriting Association shall be credited to |
| 2474 | the personal lines account and the commercial lines account, |
| 2475 | respectively, of the corporation. |
| 2476 | 4. Effective July 1, 2002, a new applicant for property |
| 2477 | insurance coverage who would otherwise have been eligible for |
| 2478 | coverage in the Florida Windstorm Underwriting Association is |
| 2479 | eligible for coverage from the corporation as provided in this |
| 2480 | subsection. |
| 2481 | 5. The transfer of all policies, obligations, rights, |
| 2482 | assets, and liabilities from the Florida Windstorm Underwriting |
| 2483 | Association to the corporation and the renaming of the |
| 2484 | Residential Property and Casualty Joint Underwriting Association |
| 2485 | as the corporation shall in no way affect the coverage with |
| 2486 | respect to covered policies as defined in s. 215.555(2)(c) |
| 2487 | provided to these entities by the Florida Hurricane Catastrophe |
| 2488 | Fund. The coverage provided by the Florida Hurricane Catastrophe |
| 2489 | Fund to the Florida Windstorm Underwriting Association based on |
| 2490 | its exposures as of June 30, 2002, and each June 30 thereafter |
| 2491 | shall be redesignated as coverage for the high-risk account of |
| 2492 | the corporation. Notwithstanding any other provision of law, the |
| 2493 | coverage provided by the Florida Hurricane Catastrophe Fund to |
| 2494 | the Residential Property and Casualty Joint Underwriting |
| 2495 | Association based on its exposures as of June 30, 2002, and each |
| 2496 | June 30 thereafter shall be transferred to the personal lines |
| 2497 | account and the commercial lines account of the corporation. |
| 2498 | Notwithstanding any other provision of law, the high-risk |
| 2499 | account shall be treated, for all Florida Hurricane Catastrophe |
| 2500 | Fund purposes, as if it were a separate participating insurer |
| 2501 | with its own exposures, reimbursement premium, and loss |
| 2502 | reimbursement. Likewise, the personal lines and commercial lines |
| 2503 | accounts shall be viewed together, for all Florida Hurricane |
| 2504 | Catastrophe Fund purposes, as if the two accounts were one and |
| 2505 | represent a single, separate participating insurer with its own |
| 2506 | exposures, reimbursement premium, and loss reimbursement. The |
| 2507 | coverage provided by the Florida Hurricane Catastrophe Fund to |
| 2508 | the corporation shall constitute and operate as a full transfer |
| 2509 | of coverage from the Florida Windstorm Underwriting Association |
| 2510 | and Residential Property and Casualty Joint Underwriting to the |
| 2511 | corporation. |
| 2512 | (v) Notwithstanding any other provision of law: |
| 2513 | 1. The pledge or sale of, the lien upon, and the security |
| 2514 | interest in any rights, revenues, or other assets of the |
| 2515 | corporation created or purported to be created pursuant to any |
| 2516 | financing documents to secure any bonds or other indebtedness of |
| 2517 | the corporation shall be and remain valid and enforceable, |
| 2518 | notwithstanding the commencement of and during the continuation |
| 2519 | of, and after, any rehabilitation, insolvency, liquidation, |
| 2520 | bankruptcy, receivership, conservatorship, reorganization, or |
| 2521 | similar proceeding against the corporation under the laws of |
| 2522 | this state. |
| 2523 | 2. No such proceeding shall relieve the corporation of its |
| 2524 | obligation, or otherwise affect its ability to perform its |
| 2525 | obligation, to continue to collect, or levy and collect, |
| 2526 | assessments, market equalization or other surcharges under |
| 2527 | subparagraph (c)11.10., or any other rights, revenues, or other |
| 2528 | assets of the corporation pledged pursuant to any financing |
| 2529 | documents. |
| 2530 | 3. Each such pledge or sale of, lien upon, and security |
| 2531 | interest in, including the priority of such pledge, lien, or |
| 2532 | security interest, any such assessments, market equalization or |
| 2533 | other surcharges, or other rights, revenues, or other assets |
| 2534 | which are collected, or levied and collected, after the |
| 2535 | commencement of and during the pendency of, or after, any such |
| 2536 | proceeding shall continue unaffected by such proceeding. As used |
| 2537 | in this subsection, the term "financing documents" means any |
| 2538 | agreement or agreements, instrument or instruments, or other |
| 2539 | document or documents now existing or hereafter created |
| 2540 | evidencing any bonds or other indebtedness of the corporation or |
| 2541 | pursuant to which any such bonds or other indebtedness has been |
| 2542 | or may be issued and pursuant to which any rights, revenues, or |
| 2543 | other assets of the corporation are pledged or sold to secure |
| 2544 | the repayment of such bonds or indebtedness, together with the |
| 2545 | payment of interest on such bonds or such indebtedness, or the |
| 2546 | payment of any other obligation or financial product, as defined |
| 2547 | in the plan of operation of the corporation related to such |
| 2548 | bonds or indebtedness. |
| 2549 | 4. Any such pledge or sale of assessments, revenues, |
| 2550 | contract rights, or other rights or assets of the corporation |
| 2551 | shall constitute a lien and security interest, or sale, as the |
| 2552 | case may be, that is immediately effective and attaches to such |
| 2553 | assessments, revenues, or contract rights or other rights or |
| 2554 | assets, whether or not imposed or collected at the time the |
| 2555 | pledge or sale is made. Any such pledge or sale is effective, |
| 2556 | valid, binding, and enforceable against the corporation or other |
| 2557 | entity making such pledge or sale, and valid and binding against |
| 2558 | and superior to any competing claims or obligations owed to any |
| 2559 | other person or entity, including policyholders in this state, |
| 2560 | asserting rights in any such assessments, revenues, or contract |
| 2561 | rights or other rights or assets to the extent set forth in and |
| 2562 | in accordance with the terms of the pledge or sale contained in |
| 2563 | the applicable financing documents, whether or not any such |
| 2564 | person or entity has notice of such pledge or sale and without |
| 2565 | the need for any physical delivery, recordation, filing, or |
| 2566 | other action. |
| 2567 | 5. As long as the corporation has any bonds outstanding, |
| 2568 | the corporation may not file a voluntary petition under chapter |
| 2569 | 9 of the federal Bankruptcy Code or such corresponding chapter |
| 2570 | or sections as may be in effect, from time to time, and a public |
| 2571 | officer or any organization, entity, or other person may not |
| 2572 | authorize the corporation to be or become a debtor under chapter |
| 2573 | 9 of the federal Bankruptcy Code or such corresponding chapter |
| 2574 | or sections as may be in effect, from time to time, during any |
| 2575 | such period. |
| 2576 | 6. If ordered by a court of competent jurisdiction, the |
| 2577 | corporation may assume policies or otherwise provide coverage |
| 2578 | for policyholders of an insurer placed in liquidation under |
| 2579 | chapter 631, under such forms, rates, terms, and conditions as |
| 2580 | the corporation deems appropriate, subject to approval by the |
| 2581 | office. |
| 2582 | (w)1. The following records of the corporation are |
| 2583 | confidential and exempt from the provisions of s. 119.07(1) and |
| 2584 | s. 24(a), Art. I of the State Constitution: |
| 2585 | a. Underwriting files, except that a policyholder or an |
| 2586 | applicant shall have access to his or her own underwriting |
| 2587 | files. |
| 2588 | b. Claims files, until termination of all litigation and |
| 2589 | settlement of all claims arising out of the same incident, |
| 2590 | although portions of the claims files may remain exempt, as |
| 2591 | otherwise provided by law. Confidential and exempt claims file |
| 2592 | records may be released to other governmental agencies upon |
| 2593 | written request and demonstration of need; such records held by |
| 2594 | the receiving agency remain confidential and exempt as provided |
| 2595 | for herein. |
| 2596 | c. Records obtained or generated by an internal auditor |
| 2597 | pursuant to a routine audit, until the audit is completed, or if |
| 2598 | the audit is conducted as part of an investigation, until the |
| 2599 | investigation is closed or ceases to be active. An investigation |
| 2600 | is considered "active" while the investigation is being |
| 2601 | conducted with a reasonable, good faith belief that it could |
| 2602 | lead to the filing of administrative, civil, or criminal |
| 2603 | proceedings. |
| 2604 | d. Matters reasonably encompassed in privileged attorney- |
| 2605 | client communications. |
| 2606 | e. Proprietary information licensed to the corporation |
| 2607 | under contract and the contract provides for the confidentiality |
| 2608 | of such proprietary information. |
| 2609 | f. All information relating to the medical condition or |
| 2610 | medical status of a corporation employee which is not relevant |
| 2611 | to the employee's capacity to perform his or her duties, except |
| 2612 | as otherwise provided in this paragraph. Information which is |
| 2613 | exempt shall include, but is not limited to, information |
| 2614 | relating to workers' compensation, insurance benefits, and |
| 2615 | retirement or disability benefits. |
| 2616 | g. Upon an employee's entrance into the employee |
| 2617 | assistance program, a program to assist any employee who has a |
| 2618 | behavioral or medical disorder, substance abuse problem, or |
| 2619 | emotional difficulty which affects the employee's job |
| 2620 | performance, all records relative to that participation shall be |
| 2621 | confidential and exempt from the provisions of s. 119.07(1) and |
| 2622 | s. 24(a), Art. I of the State Constitution, except as otherwise |
| 2623 | provided in s. 112.0455(11). |
| 2624 | h. Information relating to negotiations for financing, |
| 2625 | reinsurance, depopulation, or contractual services, until the |
| 2626 | conclusion of the negotiations. |
| 2627 | i. Minutes of closed meetings regarding underwriting |
| 2628 | files, and minutes of closed meetings regarding an open claims |
| 2629 | file until termination of all litigation and settlement of all |
| 2630 | claims with regard to that claim, except that information |
| 2631 | otherwise confidential or exempt by law will be redacted. |
| 2632 |
|
| 2633 | When an authorized insurer is considering underwriting a risk |
| 2634 | insured by the corporation, relevant underwriting files and |
| 2635 | confidential claims files may be released to the insurer |
| 2636 | provided the insurer agrees in writing, notarized and under |
| 2637 | oath, to maintain the confidentiality of such files. When a file |
| 2638 | is transferred to an insurer that file is no longer a public |
| 2639 | record because it is not held by an agency subject to the |
| 2640 | provisions of the public records law. Underwriting files and |
| 2641 | confidential claims files may also be released to staff of and |
| 2642 | the board of governors of the market assistance plan established |
| 2643 | pursuant to s. 627.3515, who must retain the confidentiality of |
| 2644 | such files, except such files may be released to authorized |
| 2645 | insurers that are considering assuming the risks to which the |
| 2646 | files apply, provided the insurer agrees in writing, notarized |
| 2647 | and under oath, to maintain the confidentiality of such files. |
| 2648 | Finally, the corporation or the board or staff of the market |
| 2649 | assistance plan may make the following information obtained from |
| 2650 | underwriting files and confidential claims files available to |
| 2651 | licensed general lines insurance agents: name, address, and |
| 2652 | telephone number of the residential property owner or insured; |
| 2653 | location of the risk; rating information; loss history; and |
| 2654 | policy type. The receiving licensed general lines insurance |
| 2655 | agent must retain the confidentiality of the information |
| 2656 | received. |
| 2657 | 2. Portions of meetings of the corporation are exempt from |
| 2658 | the provisions of s. 286.011 and s. 24(b), Art. I of the State |
| 2659 | Constitution wherein confidential underwriting files or |
| 2660 | confidential open claims files are discussed. All portions of |
| 2661 | corporation meetings which are closed to the public shall be |
| 2662 | recorded by a court reporter. The court reporter shall record |
| 2663 | the times of commencement and termination of the meeting, all |
| 2664 | discussion and proceedings, the names of all persons present at |
| 2665 | any time, and the names of all persons speaking. No portion of |
| 2666 | any closed meeting shall be off the record. Subject to the |
| 2667 | provisions hereof and s. 119.07(1)(b)-(d), the court reporter's |
| 2668 | notes of any closed meeting shall be retained by the corporation |
| 2669 | for a minimum of 5 years. A copy of the transcript, less any |
| 2670 | exempt matters, of any closed meeting wherein claims are |
| 2671 | discussed shall become public as to individual claims after |
| 2672 | settlement of the claim. |
| 2673 | (x) It is the intent of the Legislature that the |
| 2674 | amendments to this subsection enacted in 2002 should, over time, |
| 2675 | reduce the probable maximum windstorm losses in the residual |
| 2676 | markets and should reduce the potential assessments to be levied |
| 2677 | on property insurers and policyholders statewide. In furtherance |
| 2678 | of this intent: |
| 2679 | 1. The board shall, on or before February 1 of each year, |
| 2680 | provide a report to the President of the Senate and the Speaker |
| 2681 | of the House of Representatives showing the reduction or |
| 2682 | increase in the 100-year probable maximum loss attributable to |
| 2683 | wind-only coverages and the quota share program under this |
| 2684 | subsection combined, as compared to the benchmark 100-year |
| 2685 | probable maximum loss of the Florida Windstorm Underwriting |
| 2686 | Association. For purposes of this paragraph, the benchmark 100- |
| 2687 | year probable maximum loss of the Florida Windstorm Underwriting |
| 2688 | Association shall be the calculation dated February 2001 and |
| 2689 | based on November 30, 2000, exposures. In order to ensure |
| 2690 | comparability of data, the board shall use the same methods for |
| 2691 | calculating its probable maximum loss as were used to calculate |
| 2692 | the benchmark probable maximum loss. |
| 2693 | 2. Beginning February 1, 2010, if the report under |
| 2694 | subparagraph 1. for any year indicates that the 100-year |
| 2695 | probable maximum loss attributable to wind-only coverages and |
| 2696 | the quota share program combined does not reflect a reduction of |
| 2697 | at least 25 percent from the benchmark, the board shall reduce |
| 2698 | the boundaries of the high-risk area eligible for wind-only |
| 2699 | coverages under this subsection in a manner calculated to reduce |
| 2700 | such probable maximum loss to an amount at least 25 percent |
| 2701 | below the benchmark. |
| 2702 | 3. Beginning February 1, 2015, if the report under |
| 2703 | subparagraph 1. for any year indicates that the 100-year |
| 2704 | probable maximum loss attributable to wind-only coverages and |
| 2705 | the quota share program combined does not reflect a reduction of |
| 2706 | at least 50 percent from the benchmark, the boundaries of the |
| 2707 | high-risk area eligible for wind-only coverages under this |
| 2708 | subsection shall be reduced by the elimination of any area that |
| 2709 | is not seaward of a line 1,000 feet inland from the Intracoastal |
| 2710 | Waterway. |
| 2711 | (y) In enacting the provisions of this section, the |
| 2712 | Legislature recognizes that both the Florida Windstorm |
| 2713 | Underwriting Association and the Residential Property and |
| 2714 | Casualty Joint Underwriting Association have entered into |
| 2715 | financing arrangements that obligate each entity to service its |
| 2716 | debts and maintain the capacity to repay funds secured under |
| 2717 | these financing arrangements. It is the intent of the |
| 2718 | Legislature that nothing in this section be construed to |
| 2719 | compromise, diminish, or interfere with the rights of creditors |
| 2720 | under such financing arrangements. It is further the intent of |
| 2721 | the Legislature to preserve the obligations of the Florida |
| 2722 | Windstorm Underwriting Association and Residential Property and |
| 2723 | Casualty Joint Underwriting Association with regard to |
| 2724 | outstanding financing arrangements, with such obligations |
| 2725 | passing entirely and unchanged to the corporation and, |
| 2726 | specifically, to the applicable account of the corporation. So |
| 2727 | long as any bonds, notes, indebtedness, or other financing |
| 2728 | obligations of the Florida Windstorm Underwriting Association or |
| 2729 | the Residential Property and Casualty Joint Underwriting |
| 2730 | Association are outstanding, under the terms of the financing |
| 2731 | documents pertaining to them, the governing board of the |
| 2732 | corporation shall have and shall exercise the authority to levy, |
| 2733 | charge, collect, and receive all premiums, assessments, |
| 2734 | surcharges, charges, revenues, and receipts that the |
| 2735 | associations had authority to levy, charge, collect, or receive |
| 2736 | under the provisions of subsection (2) and this subsection, |
| 2737 | respectively, as they existed on January 1, 2002, to provide |
| 2738 | moneys, without exercise of the authority provided by this |
| 2739 | subsection, in at least the amounts, and by the times, as would |
| 2740 | be provided under those former provisions of subsection (2) or |
| 2741 | this subsection, respectively, so that the value, amount, and |
| 2742 | collectability of any assets, revenues, or revenue source |
| 2743 | pledged or committed to, or any lien thereon securing such |
| 2744 | outstanding bonds, notes, indebtedness, or other financing |
| 2745 | obligations will not be diminished, impaired, or adversely |
| 2746 | affected by the amendments made by this act and to permit |
| 2747 | compliance with all provisions of financing documents pertaining |
| 2748 | to such bonds, notes, indebtedness, or other financing |
| 2749 | obligations, or the security or credit enhancement for them, and |
| 2750 | any reference in this subsection to bonds, notes, indebtedness, |
| 2751 | financing obligations, or similar obligations, of the |
| 2752 | corporation shall include like instruments or contracts of the |
| 2753 | Florida Windstorm Underwriting Association and the Residential |
| 2754 | Property and Casualty Joint Underwriting Association to the |
| 2755 | extent not inconsistent with the provisions of the financing |
| 2756 | documents pertaining to them. |
| 2757 | (z) The corporation shall not require the securing of |
| 2758 | flood insurance as a condition of coverage if the insured or |
| 2759 | applicant executes a form approved by the office affirming that |
| 2760 | flood insurance is not provided by the corporation and that if |
| 2761 | flood insurance is not secured by the applicant or insured in |
| 2762 | addition to coverage by the corporation, the risk will not be |
| 2763 | covered for flood damage. A corporation policyholder electing |
| 2764 | not to secure flood insurance and executing a form as provided |
| 2765 | herein making a claim for water damage against the corporation |
| 2766 | shall have the burden of proving the damage was not caused by |
| 2767 | flooding. Notwithstanding other provisions of this subsection, |
| 2768 | the corporation may deny coverage to an applicant or insured who |
| 2769 | refuses to execute the form described herein. |
| 2770 | (aa) A salaried employee of the corporation who performs |
| 2771 | policy administration services subsequent to the effectuation of |
| 2772 | a corporation policy is not required to be licensed as an agent |
| 2773 | under the provisions of s. 626.112. |
| 2774 | (bb) By February 1, 2007, the corporation shall submit a |
| 2775 | report to the President of the Senate, the Speaker of the House |
| 2776 | of Representatives, the minority party leaders of the Senate and |
| 2777 | the House of Representatives, and the chairs of the standing |
| 2778 | committees of the Senate and the House of Representatives having |
| 2779 | jurisdiction over matters relating to property and casualty |
| 2780 | insurance. In preparing the report, the corporation shall |
| 2781 | consult with the Office of Insurance Regulation, the Department |
| 2782 | of Financial Services, and any other party the corporation |
| 2783 | determines appropriate. The report must include all findings and |
| 2784 | recommendations on the feasibility of requiring authorized |
| 2785 | insurers that issue and service personal and commercial |
| 2786 | residential policies and commercial nonresidential policies that |
| 2787 | provide coverage for basic property perils except for the peril |
| 2788 | of wind to issue and service for a fee personal and commercial |
| 2789 | residential policies and commercial nonresidential policies |
| 2790 | providing coverage for the peril of wind issued by the |
| 2791 | corporation. The report must include: |
| 2792 | 1. The expense savings to the corporation of issuing and |
| 2793 | servicing such policies as determined by a cost-benefit |
| 2794 | analysis. |
| 2795 | 2. The expenses and liability to authorized insurers |
| 2796 | associated with issuing and servicing such policies. |
| 2797 | 3. The effect on service to policyholders of the |
| 2798 | corporation relating to issuing and servicing such policies. |
| 2799 | 4. The effect on the producing agent of the corporation of |
| 2800 | issuing and servicing such policies. |
| 2801 | 5. Recommendations as to the amount of the fee which |
| 2802 | should be paid to authorized insurers for issuing and servicing |
| 2803 | such policies. |
| 2804 | 6. The effect that issuing and servicing such policies |
| 2805 | will have on the corporation's number of policies, total insured |
| 2806 | value, and probable maximum loss. |
| 2807 | (cc) There shall be no liability on the part of, and no |
| 2808 | cause of action of any nature shall arise against, producing |
| 2809 | agents of record of the corporation or employees of such agents |
| 2810 | for insolvency of any take-out insurer. |
| 2811 | (dd)1. For policies subject to nonrenewal as a result of |
| 2812 | the risk being no longer eligible for coverage due to being |
| 2813 | valued at $1 million or more, the corporation shall, directly or |
| 2814 | through the market assistance plan, make information from |
| 2815 | confidential underwriting and claims files of policyholders |
| 2816 | available only to licensed general lines agents who register |
| 2817 | with the corporation to receive such information according to |
| 2818 | the following procedures: |
| 2819 | 2. By August 1, 2006, the corporation shall provide such |
| 2820 | policyholders who are not eligible for renewal the opportunity |
| 2821 | to request in writing, within 30 days after the notification is |
| 2822 | sent, that information from their confidential underwriting and |
| 2823 | claims files not be released to licensed general lines agents |
| 2824 | registered pursuant to this paragraph. |
| 2825 | 3. By August 1, 2006, the corporation shall make available |
| 2826 | to licensed general lines agents the registration procedures to |
| 2827 | be used to obtain confidential information from underwriting and |
| 2828 | claims files for such policies not eligible for renewal. As a |
| 2829 | condition of registration, the corporation shall require the |
| 2830 | licensed general lines agent to attest that the agent has the |
| 2831 | experience and relationships with authorized or surplus lines |
| 2832 | carriers to attempt to offer replacement coverage for such |
| 2833 | policies. |
| 2834 | 4. By September 1, 2006, the corporation shall make |
| 2835 | available through a secured website to licensed general lines |
| 2836 | agents registered pursuant to this paragraph application, |
| 2837 | rating, loss history, mitigation, and policy type information |
| 2838 | relating to such policies not eligible for renewal and for which |
| 2839 | the policyholder has not requested the corporation withhold such |
| 2840 | information. The registered licensed general lines agent may use |
| 2841 | such information to contact and assist the policyholder in |
| 2842 | securing replacement policies, and the agent may disclose to the |
| 2843 | policyholder that such information was obtained from the |
| 2844 | corporation. |
| 2845 | (ee) Effective June 1, 2007, all commercial nonresidential |
| 2846 | policies issued by the corporation as of May 31, 2007, shall |
| 2847 | become policies of the Property and Casualty Joint Underwriting |
| 2848 | Association created pursuant to subsection (5). |
| 2849 | Section 11. The Department of Financial Services shall |
| 2850 | review how insurance agent commissions for the placement and |
| 2851 | renewal of property insurance policies in Citizens Property |
| 2852 | Insurance Corporation are established and applied and shall make |
| 2853 | recommendations, based on industry best practices, for standards |
| 2854 | to ensure that agent commissions are justified on a market basis |
| 2855 | based on the nature and amount of work performed by the agents. |
| 2856 | The department shall report its findings and recommendations to |
| 2857 | the Governor, the President of the Senate, and the Speaker of |
| 2858 | the House of Representatives by July 1, 2007. |
| 2859 | Section 12. Task Force on Citizens Property Insurance |
| 2860 | Claims Handling and Resolution.-- |
| 2861 | (1) TASK FORCE CREATED.--There is created the Task Force |
| 2862 | on Citizens Property Insurance Claims Handling and Resolution. |
| 2863 | (2) ADMINISTRATION.--The task force shall be |
| 2864 | administratively housed within the Office of the Chief Financial |
| 2865 | Officer but shall operate independently of any state officer or |
| 2866 | agency. The Office of the Chief Financial Officer shall provide |
| 2867 | such administrative support as the task force deems necessary to |
| 2868 | accomplish its mission and shall provide necessary funding for |
| 2869 | the task force within its existing resources. The Executive |
| 2870 | Office of the Governor, the Department of Financial Services, |
| 2871 | and the Office of Insurance Regulation shall provide substantive |
| 2872 | staff support for the task force. |
| 2873 | (3) MEMBERSHIP.--The members of the task force shall be |
| 2874 | appointed as follows: |
| 2875 | (a) The Governor shall appoint one member who is a |
| 2876 | representative of insurance consumers. |
| 2877 | (b) The Chief Financial Officer shall appoint one member |
| 2878 | who has expertise in claims handling. |
| 2879 | (c) The President of the Senate shall appoint one member. |
| 2880 | (d) The Speaker of the House of Representatives shall |
| 2881 | appoint one member. |
| 2882 | (e) The Commissioner of Insurance Regulation, or his or |
| 2883 | her designee, shall serve as an ex officio voting member of the |
| 2884 | task force. |
| 2885 | (f) The Insurance Consumer Advocate, or his or her |
| 2886 | designee, shall serve as an ex officio voting member of the task |
| 2887 | force. |
| 2888 | (g) The Executive Director of Citizens Property Insurance |
| 2889 | Corporation, or his or her designee, shall serve as an ex |
| 2890 | officio voting member of the task force. |
| 2891 |
|
| 2892 | Members of the task force shall serve without compensation but |
| 2893 | are entitled to receive reimbursement for per diem and travel |
| 2894 | expenses as provided in s. 112.061, Florida Statutes. |
| 2895 | (4) PURPOSE AND INTENT.--The Legislature recognizes that |
| 2896 | policyholders and applicants of Citizens Property Insurance |
| 2897 | Corporation should receive the highest possible level of service |
| 2898 | and treatment. This level should never be less than the private |
| 2899 | market. The Legislature further recognizes that Citizens |
| 2900 | Property Insurance Corporation's service standards should be no |
| 2901 | less than those applied to insurers in the voluntary market with |
| 2902 | respect to responsiveness, timeliness, customer courtesy, and |
| 2903 | overall dealings with policyholders and applicants. The purpose |
| 2904 | of the task force is to make recommendations to the legislative |
| 2905 | and executive branches of this state's government relating to |
| 2906 | the handling, service, and resolution of claims by Citizens |
| 2907 | Property Insurance Corporation that are sufficient to ensure |
| 2908 | that all Citizens' policyholders and applicants in this state |
| 2909 | are able to obtain appropriate handling, service, and resolution |
| 2910 | of claims, as further described in this section. |
| 2911 | (5) SPECIFIC ISSUES.--The task force shall conduct such |
| 2912 | research and hearings as it deems necessary to achieve the |
| 2913 | purposes specified in subsection (4) and shall develop |
| 2914 | information on relevant issues, including, but not limited to, |
| 2915 | the following: |
| 2916 | (a) How Citizens Property Insurance Corporation can |
| 2917 | improve its customer service. |
| 2918 | (b) How Citizens Property Insurance Corporation can |
| 2919 | improve its adjuster response time after a hurricane. |
| 2920 | (c) How Citizens Property Insurance Corporation can |
| 2921 | efficiently use its available adjusting sources for claims. |
| 2922 | (d) How Citizens Property Insurance Corporation can |
| 2923 | improve the time it takes to conduct damage assessments. |
| 2924 | (e) How Citizens Property Insurance Corporation can |
| 2925 | dispose of and settle claims remaining from the 2004 and 2005 |
| 2926 | hurricane seasons and can improve the time it takes to dispose |
| 2927 | of and settle claims remaining from the 2004 and 2005 hurricane |
| 2928 | seasons. |
| 2929 | (f) How Citizens Property Insurance Corporation can |
| 2930 | improve the time it takes to dispose of and settle claims. |
| 2931 | (g) Whether Citizens Property Insurance Corporation has |
| 2932 | hired an adequate level of permanent claims and adjusting staff |
| 2933 | in addition to outsourcing its claims-adjusting functions to |
| 2934 | independent adjusting firms. |
| 2935 | (6) REPORTS AND RECOMMENDATIONS.--By July 1, 2007, the |
| 2936 | task force shall provide a report containing recommendations |
| 2937 | regarding the process Citizens Property Insurance Corporation |
| 2938 | should use to dispose of the claims remaining open from the 2004 |
| 2939 | and 2005 hurricane seasons. By July 1, 2008, the task force |
| 2940 | shall provide a report containing findings relating to the |
| 2941 | issues identified in subsection (5) and recommendations |
| 2942 | consistent with the purposes of this section and also consistent |
| 2943 | with such findings. The report shall include recommendations |
| 2944 | regarding the process Citizens Property Insurance Corporation |
| 2945 | should use to dispose of claims. The task force shall submit the |
| 2946 | reports to the Governor, the Chief Financial Officer, the |
| 2947 | President of the Senate, and the Speaker of the House of |
| 2948 | Representatives. The task force may also submit such interim |
| 2949 | reports as it deems appropriate. |
| 2950 | (7) ADDITIONAL ACTIVITIES.--The task force shall monitor |
| 2951 | the implementation of the provisions of chapter 2006-12, Laws of |
| 2952 | Florida, relating to the creation of the Office of Internal |
| 2953 | Auditor in Citizens Property Insurance Corporation and shall |
| 2954 | make such additional recommendations as it deems appropriate for |
| 2955 | further legislative action during the 2006-2008 legislative |
| 2956 | biennium. |
| 2957 | (8) EXPIRATION.--The task force shall expire at the end of |
| 2958 | the 2006-2008 legislative biennium. |
| 2959 | Section 13. Notwithstanding the provisions of s. |
| 2960 | 627.351(6), Florida Statutes, the existing board of governors of |
| 2961 | Citizens Property Insurance Corporation appointed under s. |
| 2962 | 627.351(6)(c)4.a., Florida Statutes, is abolished effective |
| 2963 | March 1, 2007. By March 2, 2007, pursuant to s. |
| 2964 | 627.351(6)(c)4.a., Florida Statutes, each appointing officer |
| 2965 | shall appoint new members or reappoint existing members of the |
| 2966 | board of governors of the corporation for the unexpired portions |
| 2967 | of the terms of the existing board of governors. |
| 2968 | Section 14. Paragraph (e) of subsection (3) and subsection |
| 2969 | (4) of section 631.57, Florida Statutes, are amended to read: |
| 2970 | 631.57 Powers and duties of the association.-- |
| 2971 | (3) |
| 2972 | (e)1.a. In addition to assessments otherwise authorized in |
| 2973 | paragraph (a) and to the extent necessary to secure the funds |
| 2974 | for the account specified in s. 631.55(2)(c) for the direct |
| 2975 | payment of covered claims of insolvent homeowners insurers and |
| 2976 | to pay the reasonable costs to administer such claims, or to |
| 2977 | retire indebtedness, including, without limitation, the |
| 2978 | principal, redemption premium, if any, and interest on, and |
| 2979 | related costs of issuance of, bonds issued under s. 631.695 and |
| 2980 | the funding of any reserves and other payments required under |
| 2981 | the bond resolution or trust indenture pursuant to which such |
| 2982 | bonds have been issued, the office, upon certification of the |
| 2983 | board of directors, shall levy emergency assessments upon |
| 2984 | insurers holding a certificate of authority. The emergency |
| 2985 | assessments payable under this paragraph by any insurer shall |
| 2986 | not exceed in any single year more than 2 percent of that |
| 2987 | insurer's direct written premiums, net of refunds, in this state |
| 2988 | during the preceding calendar year for the kinds of insurance |
| 2989 | within the account specified in s. 631.55(2)(c). |
| 2990 | b. Any emergency assessments authorized under this |
| 2991 | paragraph shall be levied by the office upon insurers referred |
| 2992 | to in sub-subparagraph a., upon certification as to the need for |
| 2993 | such assessments by the board of directors. In the event the |
| 2994 | board of directors participates in the issuance of bonds in |
| 2995 | accordance with s. 631.695, emergency assessments shall be |
| 2996 | levied, in each year that bonds issued under s. 631.695 and |
| 2997 | secured by such emergency assessments are outstanding, in such |
| 2998 | amounts up to such 2-percent limit as required in order to |
| 2999 | provide for the full and timely payment of the principal of, |
| 3000 | redemption premium, if any, and interest on, and related costs |
| 3001 | of issuance of, such bonds. The emergency assessments provided |
| 3002 | for in this paragraph are assigned and pledged to the |
| 3003 | municipality, county, or legal entity issuing bonds under s. |
| 3004 | 631.695 for the benefit of the holders of such bonds, in order |
| 3005 | to enable such municipality, county, or legal entity to provide |
| 3006 | for the payment of the principal of, redemption premium, if any, |
| 3007 | and interest on such bonds, the cost of issuance of such bonds, |
| 3008 | and the funding of any reserves and other payments required |
| 3009 | under the bond resolution or trust indenture pursuant to which |
| 3010 | such bonds have been issued, without the necessity of any |
| 3011 | further action by the association, the office, or any other |
| 3012 | party. To the extent bonds are issued under s. 631.695 and the |
| 3013 | association determines to secure such bonds by a pledge of |
| 3014 | revenues received from the emergency assessments, such bonds, |
| 3015 | upon such pledge of revenues, shall be secured by and payable |
| 3016 | from the proceeds of such emergency assessments, and the |
| 3017 | proceeds of emergency assessments levied under this paragraph |
| 3018 | shall be remitted directly to and administered by the trustee or |
| 3019 | custodian appointed for such bonds. |
| 3020 | c. Emergency assessments under this paragraph may be |
| 3021 | payable in a single payment or, at the option of the |
| 3022 | association, may be payable in 12 monthly installments with the |
| 3023 | first installment being due and payable at the end of the month |
| 3024 | after an emergency assessment is levied and subsequent |
| 3025 | installments being due not later than the end of each succeeding |
| 3026 | month. |
| 3027 | d. If emergency assessments are imposed, the report |
| 3028 | required by s. 631.695(7) shall include an analysis of the |
| 3029 | revenues generated from the emergency assessments imposed under |
| 3030 | this paragraph. |
| 3031 | e. If emergency assessments are imposed, the references in |
| 3032 | sub-subparagraph (1)(a)3.b. and s. 631.695(2) and (7) to |
| 3033 | assessments levied under paragraph (a) shall include emergency |
| 3034 | assessments imposed under this paragraph. |
| 3035 | 2. In order to ensure that insurers paying emergency |
| 3036 | assessments levied under this paragraph continue to charge rates |
| 3037 | that are neither inadequate nor excessive, within 90 days after |
| 3038 | being notified of such assessments, each insurer that is to be |
| 3039 | assessed pursuant to this paragraph shall submit a rate filing |
| 3040 | for coverage included within the account specified in s. |
| 3041 | 631.55(2)(c) and for which rates are required to be filed under |
| 3042 | s. 627.062. If the filing reflects a rate change that, as a |
| 3043 | percentage, is equal to the difference between the rate of such |
| 3044 | assessment and the rate of the previous year's assessment under |
| 3045 | this paragraph, the filing shall consist of a certification so |
| 3046 | stating and shall be deemed approved when made. Any rate change |
| 3047 | of a different percentage shall be subject to the standards and |
| 3048 | procedures of s. 627.062. |
| 3049 | 3. In the event the board of directors participates in the |
| 3050 | issuance of bonds in accordance with s. 631.695, an annual |
| 3051 | assessment under this paragraph shall continue while the bonds |
| 3052 | issued with respect to which the assessment was imposed are |
| 3053 | outstanding, including any bonds the proceeds of which were used |
| 3054 | to refund bonds issued pursuant to s. 631.695, unless adequate |
| 3055 | provision has been made for the payment of the bonds in the |
| 3056 | documents authorizing the issuance of such bonds. |
| 3057 | 4. Emergency assessments under this paragraph are not |
| 3058 | premium and are not subject to the premium tax, to any fees, or |
| 3059 | to any commissions. An insurer is liable for all emergency |
| 3060 | assessments that the insurer collects and shall treat the |
| 3061 | failure of an insured to pay an emergency assessment as a |
| 3062 | failure to pay the premium. An insurer is not liable for |
| 3063 | uncollectible emergency assessments. |
| 3064 | (4) The department may exempt any insurer from any regular |
| 3065 | or emergency an assessment if an assessment would result in such |
| 3066 | insurer's financial statement reflecting an amount of capital or |
| 3067 | surplus less than the sum of the minimum amount required by any |
| 3068 | jurisdiction in which the insurer is authorized to transact |
| 3069 | insurance. |
| 3070 | Section 15. It is the intent of the Legislature that the |
| 3071 | amendments to s. 631.57, Florida Statutes, by s. 34, chapter |
| 3072 | 2006-12, Laws of Florida, authorized the Florida Insurance |
| 3073 | Guaranty Association to certify, and the Office of Insurance |
| 3074 | Regulation to levy, an emergency assessment of up to 2 percent |
| 3075 | to directly pay the covered claims out of the account specified |
| 3076 | in s. 631.55(2)(c), Florida Statutes, or use such emergency |
| 3077 | assessment proceeds to retire the indebtedness and costs of |
| 3078 | bonds issued to pay such claims and reasonable claims |
| 3079 | administration costs. |
| 3080 | Section 16. Subsections (1) and (2) of section 627.706, |
| 3081 | Florida Statutes, are amended to read: |
| 3082 | 627.706 Sinkhole insurance; definitions.-- |
| 3083 | (1) Every insurer authorized to transact property |
| 3084 | insurance in this state shall make available coverage for |
| 3085 | insurable sinkhole losses on any structure, including contents |
| 3086 | of personal property contained therein, resulting from a |
| 3087 | catastrophic ground cover collapse to the extent provided in the |
| 3088 | form to which the sinkhole coverage attaches. A policy for |
| 3089 | residential property insurance may include a deductible amount |
| 3090 | applicable to sinkhole losses equal to 1 percent, 2 percent, 5 |
| 3091 | percent, or 10 percent of the policy dwelling limits, with |
| 3092 | appropriate premium discounts offered with each deductible |
| 3093 | amount. |
| 3094 | (2) As used in ss. 627.706-627.7074, and as used in |
| 3095 | connection with any policy providing coverage for sinkhole |
| 3096 | losses resulting from a catastrophic ground cover collapse: |
| 3097 | (a) "Catastrophic ground cover collapse" means geological |
| 3098 | activity that, within a period of 7 days or less, results in the |
| 3099 | collapse of the ground cover that renders the insured structure |
| 3100 | uninhabitable. The term "catastrophic ground cover collapse" |
| 3101 | does not include ground cover subsidence caused when, during a |
| 3102 | period exceeding 7 days, the upper surface of limestone is |
| 3103 | dissolved away and the ground cover slowly subsides to occupy |
| 3104 | the space once occupied by limestone. |
| 3105 | (b) "Sinkhole Loss" means structural damage to a structure |
| 3106 | or the building, including the foundation, caused by a |
| 3107 | catastrophic ground cover collapse or sinkhole activity. |
| 3108 | Contents coverage shall apply only if there is structural damage |
| 3109 | to a structure or the building caused by a catastrophic ground |
| 3110 | cover collapse or sinkhole activity. Structural damage |
| 3111 | consisting merely of the settling or cracking of a foundation, |
| 3112 | structure, or building does not constitute a loss resulting from |
| 3113 | a catastrophic ground cover collapse or sinkhole activity. |
| 3114 | (c)(d) "Professional engineer" means a person, as defined |
| 3115 | in s. 471.005, who has a bachelor's degree or higher in |
| 3116 | engineering with a specialty in the geotechnical engineering |
| 3117 | field. A professional engineer must have geotechnical experience |
| 3118 | and expertise in the identification of sinkhole activity as well |
| 3119 | as other potential causes of damage to the structure. |
| 3120 | (d)(e) "Professional geologist" means a person, as defined |
| 3121 | by s. 492.102, who has a bachelor's degree or higher in geology |
| 3122 | or related earth science with expertise in the geology of |
| 3123 | Florida. A professional geologist must have geological |
| 3124 | experience and expertise in the identification of sinkhole |
| 3125 | activity as well as other potential geologic causes of damage to |
| 3126 | the structure. |
| 3127 | (e)(a) "Sinkhole" means a depression in the ground cover, |
| 3128 | visible to the naked eye, landform created by subsidence of |
| 3129 | soil, sediment, or rock as underlying strata are dissolved by |
| 3130 | groundwater. A sinkhole may form by collapse into subterranean |
| 3131 | voids created by dissolution of limestone or dolostone or by |
| 3132 | subsidence as these strata are dissolved. |
| 3133 | (f)(c) "Sinkhole activity" means settlement or systematic |
| 3134 | weakening of the earth supporting such property only when such |
| 3135 | settlement or systematic weakening results from movement or |
| 3136 | raveling of soils, sediments, or rock materials into |
| 3137 | subterranean voids created by the effect of water on a limestone |
| 3138 | or similar rock formation. |
| 3139 | (g) "Uninhabitable" means condemned and ordered vacated by |
| 3140 | the governmental agency charged with making such findings and |
| 3141 | issuing such orders in the county in which the insured structure |
| 3142 | is located. |
| 3143 | Section 17. Insurers offering policies of sinkhole |
| 3144 | insurance shall inform policyholders in bold type of not less |
| 3145 | than 14 points that the policyholder will not have sinkhole |
| 3146 | coverage other than coverage for catastrophic ground cover |
| 3147 | collapse that results in the property being condemned and |
| 3148 | uninhabitable. In addition to coverage for such catastrophic |
| 3149 | loss, insurers shall offer sinkhole insurance coverage to |
| 3150 | policyholders for less than catastrophic loss and shall provide |
| 3151 | notice to policyholders of the availability of the additional |
| 3152 | coverage for an additional premium and the types of damage |
| 3153 | covered under the additional coverage. |
| 3154 | Section 18. This act shall take effect upon becoming a |
| 3155 | law. |