Florida Senate - 2008 COMMITTEE AMENDMENT
Bill No. SB 1018
738588
Senate
Comm: RCS
3/11/2008
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House
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The Committee on Banking and Insurance (Gaetz) recommended the
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following amendment:
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Senate Amendment (with title amendment)
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Delete everything after the enacting clause
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and insert:
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Section 1. Subsection (5) of section 624.501, Florida
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Statutes, is amended, and subsection (29) is added to that
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section, to read:
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624.501 Filing, license, appointment, and miscellaneous
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fees.--The department, commission, or office, as appropriate,
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shall collect in advance, and persons so served shall pay to it
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in advance, fees, licenses, and miscellaneous charges as
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follows:
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(5) All insurance representatives and property insurance
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appraisal umpires, application for license, each filing, filing
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fee....$50.00
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(29) Property appraisal umpire original appointment,
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biennial renewal, or continuation by the licensee....$50.00
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Section 2. Present subsections (16), (17), and (18) of
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section 626.015, Florida Statutes, are renumbered as subsections
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(18), (19), and (20), respectively, and new subsections (16) and
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(17) are added to that section, to read:
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626.015 Definitions.--As used in this part:
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(16) "Property insurance loss appraiser" has the same
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meaning as in s. 626.9933.
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(17) "Property insurance appraisal umpire" has the same
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meaning as in s. 626.9933.
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Section 3. Subsection (1) of section 626.016, Florida
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Statutes, is amended to read:
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626.016 Powers and duties of department, commission, and
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office.--
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(1) The powers and duties of the Chief Financial Officer
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and the department specified in this part apply only with
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respect to insurance agents, insurance agencies, managing
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general agents, insurance adjusters, reinsurance intermediaries,
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viatical settlement brokers, customer representatives, service
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representatives, and property insurance appraisal umpires
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agencies.
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Section 4. Subsection (1) of section 626.022, Florida
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Statutes, is amended to read:
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626.022 Scope of part.--
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(1) This part applies as to insurance agents, service
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representatives, adjusters, property insurance appraisal
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umpires, and insurance agencies; as to any and all kinds of
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insurance; and as to stock insurers, mutual insurers, reciprocal
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insurers, and all other types of insurers, except that:
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(a) It does not apply as to reinsurance, except that ss.
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626.011-626.022, ss. 626.112-626.181, ss. 626.191-626.211, ss.
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626.291-626.301, s. 626.331, ss. 626.342-626.521, ss. 626.541-
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626.591, and ss. 626.601-626.711 shall apply as to reinsurance
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intermediaries as defined in s. 626.7492.
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(b) The applicability of this chapter as to fraternal
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benefit societies shall be as provided in chapter 632.
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(c) It does not apply to a bail bond agent, as defined in
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s. 648.25, except as provided in chapter 648 or chapter 903.
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(d) It This part does not apply to a certified public
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accountant licensed under chapter 473 who is acting within the
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scope of the practice of public accounting, as defined in s.
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473.302, if provided that the activities of the certified public
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accountant are limited to advising a client of the necessity of
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obtaining insurance, the amount of insurance needed, or the line
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of coverage needed, and if provided that the certified public
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accountant does not directly or indirectly receive or share in
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any commission or referral fee.
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Section 5. Section 626.112, Florida Statutes, is amended
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to read:
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626.112 License and appointment required; agents, customer
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representatives, adjusters, insurance agencies, service
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representatives, managing general agents, and property insurance
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appraisal umpires.--
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(1)(a) No person may be, act as, or advertise or hold
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himself or herself out to be an insurance agent, insurance
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adjuster, or customer representative unless he or she is
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currently licensed by the department and appointed by an
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appropriate appointing entity or person.
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(b) Except as provided in subsection (6) or in applicable
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department rules, and in addition to other conduct described in
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this chapter with respect to particular types of agents, a
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license as an insurance agent, service representative, customer
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representative, or limited customer representative is required
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in order to engage in the solicitation of insurance. For
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purposes of this requirement, as applicable to any of the
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license types described in this section, the solicitation of
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insurance is the attempt to persuade any person to purchase an
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insurance product by:
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1. Describing the benefits or terms of insurance coverage,
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including premiums or rates of return;
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2. Distributing an invitation to contract to prospective
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purchasers;
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3. Making general or specific recommendations as to
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insurance products;
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4. Completing orders or applications for insurance
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products;
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5. Comparing insurance products, advising as to insurance
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matters, or interpreting policies or coverages; or
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6. Offering or attempting to negotiate on behalf of
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another person a viatical settlement contract as defined in s.
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626.9911.
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However, an employee leasing company licensed pursuant to
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chapter 468 which is seeking to enter into a contract with an
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employer that identifies products and services offered to
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employees may deliver proposals for the purchase of employee
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leasing services to prospective clients of the employee leasing
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company setting forth the terms and conditions of doing
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business; classify employees as permitted by s. 468.529; collect
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information from prospective clients and other sources as
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necessary to perform due diligence on the prospective client and
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to prepare a proposal for services; provide and receive
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enrollment forms, plans, and other documents; and discuss or
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explain in general terms the conditions, limitations, options,
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or exclusions of insurance benefit plans available to the client
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or employees of the employee leasing company were the client to
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contract with the employee leasing company. Any advertising
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materials or other documents describing specific insurance
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coverages must identify and be from a licensed insurer or its
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licensed agent or a licensed and appointed agent employed by the
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employee leasing company. The employee leasing company may not
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advise or inform the prospective business client or individual
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employees of specific coverage provisions, exclusions, or
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limitations of particular plans. As to clients for which the
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employee leasing company is providing services pursuant to s.
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468.525(4), the employee leasing company may engage in
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activities permitted by ss. 626.7315, 626.7845, and 626.8305,
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subject to the restrictions specified in those sections. If a
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prospective client requests more specific information concerning
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the insurance provided by the employee leasing company, the
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employee leasing company must refer the prospective business
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client to the insurer or its licensed agent or to a licensed and
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appointed agent employed by the employee leasing company.
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(2) No agent or customer representative shall solicit or
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otherwise transact as agent or customer representative, or
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represent or hold himself or herself out to be an agent or
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customer representative as to, any kind or kinds of insurance
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for as to which he or she is not then licensed and appointed.
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(3) No person shall act as an adjuster as to any class of
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business for which he or she is not then licensed and appointed.
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(4) No person shall be, act as, or represent or hold
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himself or herself out to be a service representative unless he
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or she then holds a currently effective service representative
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license and appointment. This subsection does not apply as to
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similar representatives or employees of casualty insurers whose
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duties are restricted to health insurance.
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(5) No person shall be, act as, or represent or hold
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himself or herself out to be a managing general agent unless he
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or she then holds a currently effective managing general agent
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license and appointment.
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(6) An individual employed by a life or health insurer as
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an officer or other salaried representative may solicit and
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effect contracts of life insurance or annuities or of health
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insurance, without being licensed as an agent, when and only if
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when he or she is accompanied by and solicits for and on the
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behalf of a licensed and appointed agent.
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(7)(a) Effective October 1, 2006, No individual, firm,
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partnership, corporation, association, or any other entity shall
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act in its own name or under a trade name, directly or
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indirectly, as an insurance agency, unless it complies with s.
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626.172 with respect to possessing an insurance agency license
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for each place of business at which it engages in any activity
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which may be performed only by a licensed insurance agent. Each
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agency engaged in business in this state before January 1, 2003,
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which is wholly owned by insurance agents currently licensed and
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appointed under this chapter, each incorporated agency whose
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voting shares are traded on a securities exchange, each agency
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designated and subject to supervision and inspection as a branch
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office under the rules of the National Association of Securities
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Dealers, and each agency whose primary function is offering
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insurance as a service or member benefit to members of a
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nonprofit corporation may file an application for registration
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in lieu of licensure in accordance with s. 626.172(3). Each
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agency engaged in business before October 1, 2006, shall file an
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application for licensure or registration on or before October
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1, 2006.
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1. If an agency is required to be licensed but fails to
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file an application for licensure in accordance with this
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section, the department shall impose on the agency an
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administrative penalty in an amount of up to $10,000.
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2. If an agency is eligible for registration but fails to
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file an application for registration or an application for
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licensure in accordance with this section, the department shall
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impose on the agency an administrative penalty in an amount of
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up to $5,000.
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(b) A registered insurance agency shall, as a condition
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precedent to continuing business, obtain an insurance agency
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license if the department finds that, with respect to any
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majority owner, partner, manager, director, officer, or other
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person who manages or controls the agency, any person has:
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1. Been found guilty of, or has pleaded guilty or nolo
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contendere to, a felony in this state or any other state
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relating to the business of insurance or to an insurance agency,
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without regard to whether a judgment of conviction has been
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entered by the court having jurisdiction of the cases.
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2. Employed any individual in a managerial capacity or in
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a capacity dealing with the public who is under an order of
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revocation or suspension issued by the department. An insurance
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agency may request, on forms prescribed by the department,
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verification of any person's license status. If a request is
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mailed within 5 working days after an employee is hired, and the
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employee's license is currently suspended or revoked, the agency
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shall not be required to obtain a license, if the unlicensed
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person's employment is immediately terminated.
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3. Operated the agency or permitted the agency to be
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operated in violation of s. 626.747.
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4. With such frequency as to have made the operation of
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the agency hazardous to the insurance-buying public or other
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persons:
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a. Solicited or handled controlled business. This
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subparagraph shall not prohibit the licensing of any lending or
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financing institution or creditor, with respect to insurance
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only, under credit life or disability insurance policies of
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borrowers from the institutions, which policies are subject to
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part IX of chapter 627.
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b. Misappropriated, converted, or unlawfully withheld
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moneys belonging to insurers, insureds, beneficiaries, or others
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and received in the conduct of business under the license.
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c. Unlawfully rebated, attempted to unlawfully rebate, or
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unlawfully divided or offered to divide commissions with
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another.
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d. Misrepresented any insurance policy or annuity
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contract, or used deception with regard to any policy or
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contract, done either in person or by any form of dissemination
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of information or advertising.
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e. Violated any provision of this code or any other law
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applicable to the business of insurance in the course of dealing
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under the license.
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f. Violated any lawful order or rule of the department.
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g. Failed or refused, upon demand, to pay over to any
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insurer he or she represents or has represented any money coming
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into his or her hands belonging to the insurer.
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h. Violated the provision against twisting as defined in
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s. 626.9541(1)(l).
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i. In the conduct of business, engaged in unfair methods
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of competition or in unfair or deceptive acts or practices, as
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prohibited under part IX of this chapter.
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j. Willfully overinsured any property insurance risk.
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k. Engaged in fraudulent or dishonest practices in the
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conduct of business arising out of activities related to
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insurance or the insurance agency.
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l. Demonstrated lack of fitness or trustworthiness to
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engage in the business of insurance arising out of activities
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related to insurance or the insurance agency.
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m. Authorized or knowingly allowed individuals to transact
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insurance who were not then licensed as required by this code.
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5. Knowingly employed any person who within the preceding
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3 years has had his or her relationship with an agency
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terminated in accordance with paragraph (d).
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6. Willfully circumvented the requirements or prohibitions
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of this code.
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(8) No insurance agent, insurance agency, or other person
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licensed under the Insurance Code may pay any fee or other
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consideration to an unlicensed person other than an insurance
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agency for the referral of prospective purchasers to an
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insurance agent which is in any way dependent upon whether the
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referral results in the purchase of an insurance product.
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(9) Any person who knowingly transacts insurance or
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otherwise engages in insurance activities in this state without
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a license in violation of this section commits a felony of the
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third degree, punishable as provided in s. 775.082, s. 775.083,
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or s. 775.084.
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(10) Effective July 1, 2009, a person may not act as,
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represent himself or herself as, or hold himself or herself out
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to be a property insurance appraisal umpire unless he or she
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holds a current property insurance appraisal umpire license
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issued by the department.
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Section 6. Part XII of chapter 626, Florida Statutes,
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consisting of sections 626.9931, 626.9932, 626.9933, 626.9934,
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626.9935, 626.9936, 626.9937, 626.9938, 626.9939, 626.9940,
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626.9941, 626.9942, and 626.9943, is created to read:
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626.9931 Purpose.--The Legislature finds that it is in the
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interest of the public welfare to regulate property insurance
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loss appraisers and property insurance appraisal umpires in this
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state.
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626.9932 Scope of part.--This part applies to residential
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and commercial residential property insurance contracts that
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contain an appraisal clause and to the umpires and appraisers
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who participate in the appraisal process as a result of an
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appraisal clause.
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626.9933 Definitions.--As used in this part, the term:
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(1) "Appraisal" means the process of estimating or
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evaluating actual cash value, the amount of loss, or the cost of
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repair or replacement of property for the purpose of quantifying
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the monetary value of a property loss claim when an insurer and
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an insured have failed to mutually agree on the value of the
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loss pursuant to a residential or commercial residential
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property insurance contract that provides for the resolution of
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a claim dispute by appraisal.
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(2) "Competent" means properly or sufficiently qualified
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or capable to perform an appraisal.
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(3) "Independent" means not subject to control,
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restriction, modification, or limitation by the appointing
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party.
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(4) "Property insurance appraisal umpire" or "umpire"
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means a competent, independent, and impartial third party
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selected by the appraisers for the insurer and the insured to
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resolve issues for which the appraisers are unable to reach an
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agreement in the course of the appraisal process pursuant to a
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residential or commercial residential property insurance
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contract that provides for the resolution of a claim dispute by
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appraisal.
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(5) "Property insurance loss appraiser" or "appraiser"
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mean a competent and independent third party selected by an
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insurer or an insured to develop an appraisal for purposes of
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the appraisal process under a residential or commercial
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residential property insurance contract that provides for the
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resolution of a claim dispute by appraisal.
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626.9934 Appraisal umpire application; fingerprinting
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required; umpire list.--
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(1) Application for a license under this part shall be
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made as provided in s. 626.171 and related sections of this
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code.
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(2) At the time of application, the applicant must be
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fingerprinted by a law enforcement agency or other entity
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approved by the department and must pay the fingerprint
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processing fee specified in s. 624.501. Fingerprints must be
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processed in accordance with s. 624.34.
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(3) The department shall develop and maintain as a public
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record a current list of licensed property insurance appraisal
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umpires.
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626.9935 Rulemaking authority.--The department may adopt
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rules to administer the requirements of this part pursuant to
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ss. 120.536(1) and 120.54.
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626.9936 Qualifications for licensure as a property
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insurance appraisal umpire.--
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(1) The department may not issue a license as a property
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insurance appraisal umpire to any individual found by it to be
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untrustworthy or incompetent, or who has not met the following
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qualifications:
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(a) The applicant has filed an application with the
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department in accordance with s. 626.171;
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(b) The applicant is a natural person who is at least 18
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years of age;
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(c) The applicant is a United States citizen or legal
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alien who possesses work authorization from the United States
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Bureau of Citizenship and Immigration Services; and
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(d) The applicant has completed the education, experience,
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or licensing requirements in s. 626.9937.
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(2) An incomplete application expires 6 months after the
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date it is received.
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(3) An applicant seeking to become licensed under this
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part may not be rejected solely by virtue of membership or lack
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of membership in any particular appraisal organization.
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626.9937 Professional or educational requirements for
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insurance appraisal umpires applicants.--The department may not
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issue a license to an applicant for licensure as a property
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insurance appraisal umpire unless the applicant meets one of the
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following requirements:
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(1) The applicant is currently licensed, registered,
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certified, or approved as an engineer as defined in s. 471.005,
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or as a retired professional engineer as defined in s. 471.005
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and has taught or successfully completed 4 hours of classroom
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coursework, approved by the department, specifically related to
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construction, building codes, appraisal procedure, appraisal
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preparation, and any other related material deemed appropriate
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by the department.
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(2) The applicant is currently or, within the 5 years
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immediately preceding the date on which the application is filed
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with the department, has been licensed, registered, certified,
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or approved as a general contractor, building contractor, or
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residential contractor as defined in s. 489.105 and has taught
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or successfully completed 4 hours of classroom coursework,
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approved by the department, specifically related to
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construction, building codes, appraisal procedure, appraisal
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preparation, and any other related material deemed appropriate
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by the department.
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(3) The applicant is currently or, within the 5 years
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immediately preceding the date on which the application is filed
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with the department, has been licensed or registered as an
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architect to engage in the practice of architecture pursuant to
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part I of chapter 481 and has taught or successfully completed 4
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hours of classroom coursework, approved by the department,
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specifically related to construction, building codes, appraisal
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procedure, appraisal preparation, and any other related material
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deemed appropriate by the department.
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(4) The applicant is currently or, within the 5 years
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immediately preceding the date on which the application is filed
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with the department, has been a qualified geologist or
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professional geologist as defined in s. 492.102 and has taught
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or successfully completed 4 hours of classroom coursework,
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approved by the department, specifically related to
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construction, building codes, appraisal procedure, appraisal
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preparation, and any other related material deemed appropriate
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by the department.
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(5) The applicant is currently or, within the 5 years
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immediately preceding the date on which the application is filed
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with the department, has been licensed as a certified public
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accountant as defined in s. 473.302 and has taught or
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successfully completed 4 hours of classroom coursework, approved
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by the department, specifically related to construction,
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building codes, appraisal procedure, appraisal preparation, and
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any other related material deemed appropriate by the department.
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(6) The applicant is currently or, within the 5 years
394
immediately preceding the date on which the application is filed
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with the department, has been licensed as an attorney at law in
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this state and has taught or successfully completed 4 hours of
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classroom coursework, approved by the department, specifically
398
related to construction, building codes, appraisal procedure,
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appraisal preparation, and any other related material deemed
400
appropriate by the department.
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(7) The applicant has received a baccalaureate degree from
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an accredited 4-year college in the field of engineering,
403
architecture, or building construction and has taught or
404
successfully completed 4 hours of classroom coursework, approved
405
by the department, specifically related to construction,
406
building codes, appraisal procedure, appraisal preparation, and
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any other related material deemed appropriate by the department.
408
(8) The applicant is currently licensed as an all-lines or
409
property and casualty adjuster pursuant to part VI and:
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(a) Has 1 year of proven experience as an employee of a
411
general contractor, building contractor, or residential
412
contractor;
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(b) Has received a minimum of 8 semester hours or 12
414
quarter hours of credit from an accredited college in the field
415
of accounting, geology, engineering, architecture, or building
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construction;
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(c) Has taught or successfully completed 4 hours of
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classroom coursework, approved by the department, specifically
419
related to construction, building codes, appraisal procedure,
420
appraisal preparation, and any other related material deemed
421
appropriate by the department; or
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(d) Has acted as an appraiser or umpire in a minimum of 20
423
appraisal proceedings under a property insurance contract.
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(9) The applicant has successfully completed 40 hours of
425
classroom coursework, approved by the department, specifically
426
related to construction, building codes, appraisal procedure,
427
appraisal preparation, property insurance, and any other related
428
material deemed appropriate by the department.
429
626.9938 Regulation of umpire course providers,
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instructors, and courses.--
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(1) Each umpire course provider, instructor, and classroom
432
course must be approved by and registered with the department
433
before prelicensure courses for property insurance appraisal
434
umpires may be offered. Each classroom course must include a
435
written examination at the conclusion of the course and must
436
cover all of the material contained in the course. A student may
437
not receive credit for the course unless the student achieves a
438
grade of at least 75 on the examination.
439
(2) The department shall adopt rules establishing:
440
(a) Standards for the approval, registration, discipline,
441
or removal from registration of course providers, instructors,
442
and courses. The standards must be designed to ensure that
443
instructors have the knowledge, competence, and integrity to
444
fulfill the educational objectives of the prelicensure
445
requirements of this part.
446
(b) A process for determining compliance with the
447
prelicensure requirements of this part. The department shall
448
adopt rules prescribing the forms necessary to administer the
449
prelicensure requirements of this part.
450
(3) Approval to teach prescribed or approved appraisal
451
courses does not entitle the instructor to teach any courses
452
outside the scope of this part.
453
626.9939 Grounds for compulsory refusal, suspension, or
454
revocation of an umpire's license.--In addition to the grounds
455
set forth in s. 626.611, the department shall deny an
456
application for, and suspend, revoke, or refuse to renew or
457
continue, a license as a property insurance appraisal umpire if
458
the applicant or licensee has:
459
(1) Violated a duty imposed upon her or him by law or by
460
the terms of a contract, whether written, oral, express, or
461
implied, in an appraisal; has aided, assisted, or conspired with
462
any other person engaged in any such misconduct and in
463
furtherance thereof; or has formed an intent, design, or scheme
464
to engage in such misconduct and committed an overt act in
465
furtherance of such intent, design, or scheme. It is immaterial
466
to a finding that a licensee has committed a violation of this
467
subsection that the victim or intended victim of the misconduct
468
has sustained no damage or loss, that the damage or loss has
469
been settled and paid after the discovery of misconduct, or that
470
such victim or intended victim was a customer or a person in a
471
confidential relation with the licensee or was an identified
472
member of the general public.
473
(2) Violated any provision of this part or any lawful
474
order or rule of the department.
475
(3) Had a registration, license, or certification as an
476
appraiser revoked, suspended, or otherwise acted against; has
477
had his or her registration, license, or certificate to practice
478
or conduct any regulated profession, business, or vocation
479
revoked or suspended by this or any other state, any nation, or
480
any possession or district of the United States; or has had an
481
application for such registration, licensure, or certification
482
to practice or conduct any regulated profession, business, or
483
vocation denied by this or any other state, any nation, or any
484
possession or district of the United States.
485
(4) Made or filed a report or record, written or oral,
486
which the licensee knows to be false; has willfully failed to
487
file a report or record required by state or federal law; has
488
willfully impeded or obstructed such filing; or has induced
489
another person to impede or obstruct such filing.
490
(5) Accepted an appointment as an umpire if the
491
appointment is contingent upon the umpire reporting a
492
predetermined result, analysis, or opinion, or if the fee to be
493
paid for the services of the umpire is contingent upon the
494
opinion, conclusion, or valuation reached by the umpire.
495
626.9940 Grounds for discretionary denial, suspension, or
496
revocation of a license as a property insurance appraisal
497
umpire.--In addition to the applicable grounds set forth in s.
498
626.621, the department may deny an application for and suspend,
499
revoke, or refuse to renew or continue a license as a property
500
insurance appraisal umpire if the applicant or licensee has:
501
(1) Failed to timely communicate with the appraisers
502
without good cause.
503
(2) Failed or refused to exercise reasonable diligence in
504
submitting recommendations to the appraisers.
505
(3) Violated any ethical standard for property insurance
506
appraisal umpires set forth in s. 626.9941.
507
(4) Failed to inform the department in writing within 30
508
days after pleading guilty or nolo contendere to, or being
509
convicted or found guilty of, any felony.
510
(5) Failed to timely notify the department of any change
511
in business location, or has failed to fully disclose all
512
business locations from which he or she operates as a property
513
insurance appraisal umpire.
514
626.9941 Ethical standards for property insurance
515
appraisal umpires.--
516
(1) IMPARTIALITY.--An umpire shall be neutral and maintain
517
impartiality throughout the appraisal process. Impartiality
518
means freedom from favoritism or bias in word, action, or
519
appearance. An umpire shall withdraw from appraisal if the
520
umpire is no longer impartial.
521
(2) GIFTS AND SOLICITATION.--An umpire may not give or
522
accept any gift, favor, loan, or other item of value in an
523
appraisal process. During the appraisal process, an umpire may
524
not solicit or otherwise attempt to procure future professional
525
services.
526
(3) CONFLICTS OF INTEREST.--An umpire may not participate
527
in a matter that presents a clear or undisclosed conflict of
528
interest. A conflict of interest arises when any relationship
529
between the umpire and the appraisal participants or the subject
530
matter of the dispute compromises, or appears to compromise, the
531
umpire's impartiality.
532
(4) BURDEN OF DISCLOSURE.--The burden of disclosing a
533
potential conflict of interest rests on the umpire. Disclosure
534
must be made as soon as practical after the umpire becomes aware
535
of the interest or relationship giving rise to the potential
536
conflict of interest.
537
(5) EFFECT OF DISCLOSURE.--After appropriate disclosure,
538
the umpire may serve if all parties agree. However, if a
539
conflict of interest clearly impairs an umpire's impartiality,
540
the umpire shall withdraw regardless of the express agreement of
541
the parties.
542
(6) CONFIDENTIALITY.--An umpire shall maintain
543
confidentiality of all information revealed during an appraisal
544
except where disclosure is required by law.
545
(7) RECORDKEEPING.--An umpire shall maintain
546
confidentiality in the storage and disposal of records and may
547
not disclose any identifying information when materials are used
548
for research, training, or statistical compilations.
549
(8) FEES AND EXPENSES.--An umpire holds a position of
550
trust. Fees charged for appraisal services shall be reasonable
551
and consistent with the nature of the case. An umpire shall be
552
guided by the following general principles in determining fees:
553
(a) Any charges for services as an umpire based on time
554
may not exceed actual time spent or allocated;
555
(b) Charges for costs shall be for those actually
556
incurred; and
557
(c) An umpire may not charge, agree to, or accept as
558
compensation or reimbursement any payment, commission, or fee
559
that is based on a percentage basis, or that is contingent upon
560
arriving at a particular value or any future happening or
561
outcome of the assignment.
562
(9) MAINTENANCE OF RECORDS.--An umpire shall maintain
563
records necessary to support charges for services and expenses,
564
and upon request shall provide an accounting of all applicable
565
charges to the parties.
566
(10) ADVERTISING.--An umpire may not engage in marketing
567
practices that contain false or misleading information. An
568
umpire shall ensure that any advertisements of the umpire's
569
qualifications, services to be rendered, or the appraisal
570
process are accurate and honest. An umpire may not make claims
571
of achieving specific outcomes or promises implying favoritism
572
for the purpose of obtaining business.
573
(11) INTEGRITY AND IMPARTIALITY.--An umpire may not accept
574
any engagement, provide any service, or perform any act that
575
would compromise the umpire's integrity or impartiality.
576
(12) SKILL AND EXPERIENCE.--An umpire shall decline an
577
appointment or selection, withdraw, or request appropriate
578
assistance when the facts and circumstances of the appraisal are
579
beyond the umpire's skill or experience.
580
626.9942 Retention of records.--An umpire licensed under
581
this part shall retain for at least 5 years original or true
582
copies of any contracts engaging the umpire's services,
583
appraisal reports, and supporting data assembled and formulated
584
by the umpire in preparing appraisal reports. The period for
585
retaining the records applicable to each engagement starts on
586
the date of the submission of the appraisal report to the
587
client. These records must be made available by the umpire for
588
inspection and copying by the department upon reasonable notice
589
to the umpire. If an appraisal has been the subject of, or has
590
been admitted as evidence in, a lawsuit, reports and records
591
must be retained for at least 2 years after the date the trial
592
ends.
593
626.9943 Ethical standards for property insurance loss
594
appraisers.--
595
(1) INTEGRITY AND IMPARTIALITY.--
596
(a) An appraiser may not accept an appointment unless he
597
or she can serve impartially; can serve independently from the
598
party appointing him or her; is competent to serve; and is
599
available to promptly commence the appraisal, and thereafter
600
devote the time and attention for its completion that the
601
parties are reasonably entitled to expect.
602
(b) An appraiser shall conduct the appraisal process in a
603
manner that advances the fair and efficient resolution of the
604
matters submitted for decision. An appraiser shall make all
605
reasonable efforts to prevent delays in the appraisal process,
606
the harassment of parties or other participants, or other abuse
607
or disruption of the appraisal process.
608
(c) Once an appraiser has accepted an appointment, the
609
appraiser may not withdraw or abandon the appointment unless
610
compelled to do so by unanticipated circumstances that would
611
render it impossible or impracticable to continue.
612
(d) The appraiser shall, after careful deliberation,
613
decide all issues submitted for determination and no other
614
issues. An appraiser shall decide all matters justly, exercising
615
independent judgment, and may not allow outside pressure to
616
affect the decision. An appraiser may not delegate the duty to
617
decide to any other person.
618
(2) COMMUNICATIONS WITH PARTIES.--
619
(a) If an agreement of the parties establishes the manner
620
or content of the communications between the appraisers and the
621
parties, the appraiser shall abide by such agreement. In the
622
absence of agreement, an appraiser may not discuss a proceeding
623
with any party in the absence of any other party, except in the
624
following circumstances:
625
1. If the appointment of the appraiser is being
626
considered, the prospective appraiser may ask about the
627
identities of the parties, counsel, and the general nature of
628
the case, and may respond to inquiries from a party or its
629
counsel designed to determine his or her suitability and
630
availability for the appointment;
631
2. To consult with the party who appointed the appraiser
632
concerning the selection of a neutral umpire;
633
3. To make arrangements for any compensation to be paid by
634
the party who appointed the appraiser; or
635
4. To make arrangements for obtaining materials and
636
inspection of the property with the party who appointed the
637
appraiser. Such communication is limited to scheduling and the
638
exchange of materials.
639
(b) There may be no communications whereby a party
640
dictates to an appraiser what the result of the proceedings must
641
be, what matters or elements may be included or considered by
642
the appraiser, or what actions the appraiser may take.
643
(3) GIFTS AND SOLICITATION.--An appraiser may not give or
644
accept any gift, favor, loan, or other item of value in an
645
appraisal process. During the appraisal process, an appraiser
646
may not solicit or otherwise attempt to procure future
647
professional services.
648
(4) CONFLICTS OF INTEREST.--An appraiser may not
649
participate in a matter that presents a clear or undisclosed
650
conflict of interest. A conflict of interest arises when any
651
known existing or past financial, business, professional, or
652
personal relationship between the appraiser and the appraisal
653
participants or the subject matter of the dispute might
654
reasonably affect impartiality or lack of independence in the
655
eyes of any of the parties.
656
(5) BURDEN OF DISCLOSURE.--The burden of disclosing any
657
potential conflict of interest rests on the appraiser.
658
Disclosure must be made before accepting an appointment, or, if
659
the conflict of interest arises after accepting an appointment,
660
disclosure must be made as soon as practical after the appraiser
661
becomes aware of the interest or relationship giving rise to the
662
potential conflict of interest.
663
(6) EFFECT OF DISCLOSURE.--After appropriate disclosure,
664
the appraiser may serve if all parties agree. However, if an
665
appraiser is requested to withdraw by all parties, he or she
666
must withdraw. If an appraiser is requested to withdraw due to
667
alleged partiality, the appraiser must withdraw. If the
668
appraiser refuses to withdraw, a party may challenge the
669
appraiser's partiality by filing a petition with a county or
670
circuit court in the jurisdiction in which the covered property
671
is located.
672
(7) FEES AND EXPENSES.--An appraiser holds a position of
673
trust. Fees charged for appraisal services shall be reasonable
674
and consistent with the nature of the case. An appraiser shall
675
be guided by the following general principles in determining
676
fees:
677
(a) Any charges for services as an appraiser based on time
678
may not exceed the actual time spent or allocated; and
679
(b) Charges for costs shall be only for those costs
680
actually incurred.
681
(8) MAINTENANCE OF RECORDS.--An appraiser shall maintain
682
records to support charges for services, fees, and expenses, and
683
upon request shall provide an accounting of all applicable
684
charges to the parties.
685
(9) ADVERTISING.--An appraiser may not engage in marketing
686
practices that contain false or misleading information. An
687
appraiser shall ensure that any advertisements of the
688
appraiser's qualifications, services to be rendered, or the
689
appraisal process are accurate and honest. An appraiser may not
690
make claims of achieving specific outcomes or promises implying
691
favoritism for the purpose of obtaining business.
692
(10) SKILL AND EXPERIENCE.--An appraiser shall decline an
693
appointment or selection, withdraw, or request appropriate
694
assistance when the facts and circumstances of the appraisal are
695
beyond the appraiser's skill or experience.
696
Section 7. Section 627.4141, Florida Statutes, is created
697
to read:
698
627.4141 Residential or commercial property insurance loss
699
appraisal.--If a residential or commercial residential property
700
insurance contract provides that either party may submit a
701
written demand to enter into the process of appraisal if the
702
insured and the insurer fail to mutually agree as to the actual
703
cash value, the amount of loss, or the cost of repair or
704
replacement of property for which a claim has been filed, that
705
process shall be governed by this section. The insurer may
706
refuse to accept the demand only if the insured materially fails
707
to comply with the proof-of -loss obligations of the insured as
708
set forth in the policy conditions. The insurer is deemed to
709
have waived its right to demand an appraisal if it fails to
710
invoke an appraisal within 30 days after the insured
711
substantially complies with the proof-of-loss obligation as set
712
forth in the policy conditions.
713
(1) Each party shall select a competent and independent
714
appraiser and notify the other party of the appraiser selected
715
within 20 days after the date of the demand for an appraisal.
716
The appraisers shall select a competent, independent, and
717
impartial umpire who is on the department's list of licensed
718
property insurance appraisal umpires. If the appraisers are
719
unable to agree on an umpire within 15 days, the insured or the
720
insurer may file a petition with a county or circuit court in
721
the jurisdiction in which the covered property is located to
722
designate a licensed property insurance appraisal umpire for the
723
appraisal.
724
(2) Appraisal proceedings are informal unless the insured
725
and the insurer mutually agree otherwise. For purposes of this
726
section, "informal" means that no formal discovery shall be
727
conducted, including depositions, interrogatories, requests for
728
admission, or other forms of formal civil discovery; no formal
729
rules of evidence shall be applied; and no court reporter shall
730
be used for the proceedings.
731
(3) Each appraiser shall appraise the loss and submit a
732
written report to the other appraiser, separately stating the
733
cost of the loss, the actual cash value, or the cost to repair
734
or replace each item. The appraisers shall attempt to resolve
735
any differences in their appraisals and reach a mutual agreement
736
on all matters. If the appraisers are unable to agree, they
737
shall submit the differences in their findings to the umpire.
738
(4) The umpire shall review any differences in appraisals
739
submitted by the appraisers and determine the amount of the loss
740
for each item submitted. Within 10 days after receipt of any
741
differences in appraisals, the umpire shall submit the umpire's
742
conclusions in writing to each appraiser.
743
(5) If either appraiser agrees with the conclusions of the
744
umpire, an itemized written appraisal award signed by the umpire
745
and the appraiser shall be filed with the insurer and shall
746
determine the amount of the loss.
747
(6) The appraisal award is binding on the insurer and the
748
insured with regard to the amount of the loss. If the insurance
749
policy so provides, the insurer may assert that there is no
750
coverage under the policy for the loss as a whole or that there
751
has been a violation of the policy conditions with respect to
752
fraud, lack of notice, or failure to cooperate.
753
(7) Each appraiser shall be paid by the party who selects
754
the appraiser and the expenses of the appraisal and fees of the
755
umpire shall be paid by the parties equally, except that if the
756
final determination of the amount of the loss exceeds 50 percent
757
of the insurer's original appraisal, the insurer shall pay all
758
of the expenses, including any fees and expenses charged by the
759
insured's appraiser and all fees and expenses of the umpire.
760
This subsection does not affect an insured's claim for
761
attorney's fees under s. 627.428.
762
(8) The provisions of the Florida Arbitration Code do not
763
apply to residential and commercial residential property
764
insurance loss appraisal proceedings.
765
(9) The appraisal process may not address issues involving
766
whether or not the loss or damage is covered under the terms of
767
the insurance contract. However, the appraisers and the umpire
768
may consider causation issues, if necessary, to determine the
769
amount of loss.
770
Section 8. This act shall take effect July 1, 2008.
771
772
================ T I T L E A M E N D M E N T ================
773
And the title is amended as follows:
774
Delete everything before the enacting clause
775
and insert:
776
A bill to be entitled
777
An act relating to property insurance appraisal umpires;
778
amending s. 624.501, F.S.; providing license application,
779
issuance, biennial renewal, or continuation fees for
780
property appraisal umpires; amending s. 626.015, F.S.;
781
defining the terms "property insurance loss appraiser" and
782
"property insurance appraisal umpire" for purposes of the
783
Licensing Procedures Law; amending s. 626.016, F.S.;
784
providing that property insurance appraisal umpires are
785
subject to the powers of the Department of Financial
786
Services, the Financial Services Commission, and the
787
Office of Insurance Regulation; amending s. 626.022, F.S.;
788
expanding the scope of part I of ch. 626, F.S., to include
789
property insurance appraisal umpires; deleting obsolete
790
provisions; amending s. 626.112, F.S.; requiring that
791
property insurance appraisal umpires operating in this
792
state be licensed by the department; creating part XII of
793
ch. 626, F.S.; creating s. 626.9931, F.S.; providing a
794
legislative finding and purpose; creating s. 626.9932,
795
F.S.; providing the scope and parameters for application;
796
creating s. 626.9933, F.S.; providing definitions;
797
creating s. 626.9934, F.S.; providing procedures for the
798
application for licensure as a property insurance
799
appraisal umpire; requiring that all applicants be
800
fingerprinted by a law enforcement agency or other entity
801
approved by the department at the time of application;
802
requiring the department to develop and maintain an
803
updated list of licensed umpires; creating s. 626.9935,
804
F.S.; authorizing the department to adopt rules; creating
805
s. 626.9936, F.S.; providing qualifications for licensure
806
as a property insurance appraisal umpire; creating s.
807
626.9937, F.S.; providing professional and educational
808
requirements for licensure as a property insurance
809
appraisal umpire; creating s. 626.9938, F.S.; providing
810
for the regulation of umpire course providers,
811
instructors, and courses; requiring the department to
812
adopt rules establishing standards for providers,
813
instructors, and courses, and a process for determining
814
compliance with certain prelicensure requirements and
815
adopting forms to be used for the administration of such
816
requirements; creating s. 626.9939, F.S.; providing
817
grounds for the compulsory refusal, suspension, or
818
revocation of an umpire's license; creating s. 626.9940,
819
F.S.; providing grounds for the discretionary refusal,
820
suspension, or revocation of an umpire's license; creating
821
s. 626.9941, F.S.; providing ethical standards for
822
property insurance loss appraisal umpires; creating s.
823
626.9942, F.S.; requiring that a licensed property
824
insurance appraisal umpire retain certain records for a
825
specified period; requiring that umpires make such records
826
available for inspection and copying by the department;
827
requiring that appraisals that are the subject of
828
litigation or have been admitted as evidence in a lawsuit
829
be retained for a specified period; creating s. 626.9943,
830
F.S.; providing ethical standards for property loss
831
insurance appraisers; creating s. 627.4141, F.S.;
832
providing procedures that must be followed if a
833
residential or commercial property insurance contract
834
provides that either party may submit a written demand to
835
enter into the process of appraisal when the insured and
836
the insurer fail to mutually agree to the actual cash
837
value, the amount of loss, or the cost of repair or
838
replacement of property for which a claim has been filed;
839
providing an exception upon which an insurer may refuse to
840
accept such demand; authorizing each party to select a
841
competent and independent appraiser and to notify the
842
opposing party within a specified period; requiring the
843
appraisers to select an umpire from the department's list
844
of licensed umpires; authorizing either party to file a
845
petition, in a county or circuit court in the jurisdiction
846
in which the covered property is located, to designate an
847
umpire if the appraisers cannot agree on the selection of
848
an umpire; providing that appraisal proceedings are
849
informal unless the insurer and the insured agree
850
otherwise; defining and providing the scope of the term
851
"informal" for purposes of appraisal proceedings;
852
requiring each appraiser to submit a written report to the
853
other appraisers; requiring that any differences in
854
findings among the appraisers which cannot be resolved by
855
the appraisers themselves be submitted to the umpire for
856
review; requiring the umpire to submit his or her
857
conclusions regarding any unresolved differences in the
858
findings of the appraisers within a specified period;
859
providing that if either appraiser agrees with the
860
conclusions of the umpire, an itemized written appraisal
861
award signed by the umpire and appraiser shall be filed
862
with the insurer and shall determine the amount of the
863
loss; providing that the appraisal award is binding upon
864
the insurer and the insured; providing for compensation of
865
the appraisers and the umpire; providing that the Florida
866
Arbitration Code does not apply to residential or
867
commercial property insurance loss appraisal proceedings;
868
prohibiting the appraisal process from addressing issues
869
involving coverage or lack thereof under an insurance
870
contract; authorizing the umpire and appraisers to
871
consider causation issues when necessary to determine the
872
amount of loss; providing an effective date.
3/7/2008 11:56:00 AM 597-04297-08
CODING: Words stricken are deletions; words underlined are additions.