Florida Senate - 2008 SB 1018
By Senator Fasano
11-00537C-08 20081018__
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A bill to be entitled
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An act relating to property insurance appraisal umpires;
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amending s. 624.501, F.S.; providing filing fees regarding
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the application for and issuance of a license, as well as
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the biennial renewal or continuation thereof, by a
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property insurance appraisal umpire; amending s. 626.015,
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F.S.; defining the terms "property insurance loss
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appraiser" and "property insurance appraisal umpire" for
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purposes of the Licensing Procedures Law; amending s.
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626.016, F.S.; providing that property insurance appraisal
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umpires are subject to the powers of the Department of
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Financial Services, the Financial Services Commission, and
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the Office of Insurance Regulation; amending s. 626.022,
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F.S.; expanding the scope of part I of ch. 626, F.S., to
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include property insurance appraisal umpires; amending s.
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626.112, F.S.; requiring that property insurance appraisal
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umpires operating in this state be licensed by the
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department; creating part XII of ch. 626, F.S.; creating
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s. 626.9931, F.S.; providing a legislative finding and
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purpose; creating s. 626.9932, F.S.; providing the scope
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and parameters for application; creating s. 626.9933,
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F.S.; providing definitions; creating s. 626.9934, F.S.;
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providing procedures for the application for licensure as
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a property insurance appraisal umpire; requiring that all
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applicants be fingerprinted by a law enforcement agency or
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other entity approved by the department at the time of
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application; requiring the department to develop and
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maintain an updated list of licensed umpires; creating s.
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626.9935, F.S.; authorizing the department to adopt rules;
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creating s. 626.9936, F.S.; providing qualifications for
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licensure as a property insurance appraisal umpire;
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creating s. 626.9937, F.S.; providing requirements for
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licensure as a property insurance appraisal umpire;
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creating s. 626.9938, F.S.; providing for the regulation
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of umpire course providers, instructors, and courses;
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requiring the department to adopt rules establishing
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standards for providers, instructors, and courses;
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requiring the department to adopt rules establishing a
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process for determining compliance with certain
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prelicensure requirements and adopting forms to be used
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for the administration of such requirements; creating s.
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626.9939, F.S.; providing grounds for the compulsory
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refusal, suspension, or revocation of an umpire's license;
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creating s. 626.9940, F.S.; providing grounds for the
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discretionary refusal, suspension, or revocation of an
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umpire's license; creating s. 626.9941, F.S.; providing
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ethical standards for property insurance loss appraisal
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umpires; creating s. 626.9942, F.S.; requiring that a
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licensed property insurance appraisal umpire retain
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certain records for a specified period; requiring that
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umpires make such records available for inspection and
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copying by the department; requiring that appraisals that
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are the subject of litigation or have been admitted as
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evidence in a lawsuit be retained for a specified period;
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creating s. 627.4141, F.S.; providing procedures that must
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be followed if a residential or commercial property
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insurance contract provides that either party may submit a
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written demand to enter into the process of appraisal when
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the insured and the insurer fail to mutually agree to the
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actual cash value, the amount of loss, or the cost of
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repair or replacement of property for which a claim has
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been filed; providing an exception upon which an insurer
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may refuse to accept such demand; authorizing each party
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to select a competent and independent appraiser and to
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notify the opposing party within a specified period;
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requiring the appraisers to select an umpire from the
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department's list of licensed umpires; authorizing either
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party to file a petition, in a county or circuit court in
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the jurisdiction in which the covered property is located,
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to designate an umpire if the appraisers cannot agree on
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the selection of an umpire; providing that appraisal
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proceedings are informal unless the insurer and the
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insured agree otherwise; defining and providing the scope
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of the term "informal" for purposes of appraisal
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proceedings; requiring each appraiser to submit a written
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report to the other appraisers; requiring that any
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differences in findings among the appraisers which cannot
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be resolved by the appraisers themselves be submitted to
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the umpire for review; requiring the umpire to submit his
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or her conclusions regarding any unresolved differences in
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the findings of the appraisers within a specified period;
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providing that if either appraiser agrees with the
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conclusions of the umpire, an itemized written appraisal
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award signed by the umpire and appraiser shall be filed
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with the insurer and shall determine the amount of the
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loss; providing that the appraisal award is binding upon
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the insurer and the insured; providing for compensation of
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the appraisers and the umpire; providing that the Florida
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Arbitration Code does not apply to residential or
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commercial property insurance loss appraisal proceedings;
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prohibiting the appraisal process from addressing issues
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involving coverage or lack thereof under an insurance
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contract; authorizing the umpire and appraisers to
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consider causation issues when necessary to determine the
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amount of loss; providing an effective date.
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Be It Enacted by the Legislature of the State of Florida:
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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 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) All property insurance appraisal umpires, fees for
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issuance of original license and for biennial renewal or
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continuation thereof...........$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 redesignated as
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subsections (18), (19), and (20), respectively, and new
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subsections (16) and (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 respect
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to insurance agents, insurance agencies, managing general agents,
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insurance adjusters, reinsurance intermediaries, viatical
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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 umpires,
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and insurance agencies; as to any and all kinds of insurance; and
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as to stock insurers, mutual insurers, reciprocal insurers, and
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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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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) 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, 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 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 to
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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 in
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order to engage in the solicitation of insurance. For purposes of
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this requirement, as applicable to any of the license types
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described in this section, the solicitation of insurance is the
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attempt to persuade any person to purchase an insurance product
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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 another
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person a viatical settlement contract as defined in s. 626.9911.
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However, an employee leasing company licensed pursuant to chapter
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468 which is seeking to enter into a contract with an employer
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that identifies products and services offered to employees may
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deliver proposals for the purchase of employee leasing services
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to prospective clients of the employee leasing company setting
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forth the terms and conditions of doing business; classify
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employees as permitted by s. 468.529; collect information from
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prospective clients and other sources as necessary to perform due
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diligence on the prospective client and to prepare a proposal for
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services; provide and receive enrollment forms, plans, and other
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documents; and discuss or explain in general terms the
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conditions, limitations, options, or exclusions of insurance
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benefit plans available to the client or employees of the
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employee leasing company were the client to contract with the
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employee leasing company. Any advertising materials or other
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documents describing specific insurance coverages must identify
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and be from a licensed insurer or its licensed agent or a
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licensed and appointed agent employed by the employee leasing
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company. The employee leasing company may not advise or inform
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the prospective business client or individual employees of
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specific coverage provisions, exclusions, or limitations of
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particular plans. As to clients for which the employee leasing
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company is providing services pursuant to s. 468.525(4), the
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employee leasing company may engage in activities permitted by
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specified in those sections. If a prospective client requests
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more specific information concerning the insurance provided by
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the employee leasing company, the employee leasing company must
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refer the prospective business client to the insurer or its
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licensed agent or to a licensed and appointed agent employed by
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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 as
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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 when
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he or she is accompanied by and solicits for and on the behalf of
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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 in
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lieu of licensure in accordance with s. 626.172(3). Each agency
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engaged in business before October 1, 2006, shall file an
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application for licensure or registration on or before October 1,
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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 up
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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 relating
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to the business of insurance or to an insurance agency, without
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regard to whether a judgment of conviction has been entered by
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the court having jurisdiction of the cases.
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2. Employed any individual in a managerial capacity or in a
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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 the
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agency hazardous to the insurance-buying public or other 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 another.
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d. Misrepresented any insurance policy or annuity contract,
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or used deception with regard to any policy or contract, done
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either in person or by any form of dissemination of information
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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 s.
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626.9541(1)(l).
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i. In the conduct of business, engaged in unfair methods of
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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 3
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years has had his or her relationship with an agency terminated
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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 insurance
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agent which is in any way dependent upon whether the referral
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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 a
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license in violation of this section commits a felony of the
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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, and 626.9942, 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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appraisal umpires in this state.
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626.9932 Scope of part.--The provisions of this part apply
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to residential and commercial residential property insurance
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contracts that contain an appraisal clause and to the umpires and
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appraisers who participate in the appraisal process as a result
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of an 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 loss
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pursuant to a residential or commercial residential property
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insurance contract that permits the resolution of a claim dispute
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by appraisal.
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(2) "Property insurance appraisal umpire" and "umpire" mean
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a competent, independent, and impartial third party selected by
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the appraisers for the insurer and insured to resolve issues for
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which the appraisers are unable to reach an agreement in the
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course of the appraisal process pursuant to a residential or
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commercial residential property insurance contract that permits
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the resolution of a claim dispute by appraisal.
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(3) "Property insurance loss appraiser" and "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 the
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appraisal process under a residential or commercial residential
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property insurance contract that permits the resolution of a
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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 made
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as provided in s. 626.171 and related sections of this 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 ss.
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626.9936 Qualifications for licensure as a property
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insurance appraisal umpire.--The department may not issue a
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license as a property insurance appraisal umpire to any
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individual found by it to be untrustworthy or incompetent, or who
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does not meet the following 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 alien
414
who possesses work authorization from the United States Bureau of
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Citizenship and Immigration Services; and
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(d) The applicant has completed the education, experience,
417
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 on which it is received.
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(3) An applicant seeking to become licensed under this part
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may not be rejected solely by virtue of membership or lack of
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membership in any particular appraisal organization.
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626.9937 Requirements as to licensure, education,
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experience, or instruction for applicants seeking licensure as a
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property insurance appraisal umpire.--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,
431
or as a retired professional engineer as defined in s. 471.005,
432
and has taught or successfully completed 4 hours of classroom
433
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 by
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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, or
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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 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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(3) The applicant is currently or, within the 5 years
447
immediately preceding the date on which the application is filed
448
with the department, has been licensed or registered as an
449
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
451
hours of classroom coursework, approved by the department,
452
specifically related to construction, building codes, appraisal
453
procedure, appraisal preparation, and any other related material
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deemed appropriate by the department.
455
(4) The applicant is currently or, within the 5 years
456
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 or
459
successfully completed 4 hours of classroom coursework, approved
460
by the department, specifically related to construction, building
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codes, appraisal procedure, appraisal preparation, and any other
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related material deemed appropriate by the department.
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(5) The applicant is currently or, within the 5 years
464
immediately preceding the date on which the application is filed
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with the department, has been licensed as a certified public
466
accountant as defined in s. 473.302, and has taught or
467
successfully completed 4 hours of classroom coursework, approved
468
by the department, specifically related to construction, building
469
codes, appraisal procedure, appraisal preparation, and any other
470
related material deemed appropriate by the department.
471
(6) The applicant is currently or, within the 5 years
472
immediately preceding the date on which the application is filed
473
with the department, has been licensed as an attorney at law in
474
this state and has taught or successfully completed 4 hours of
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classroom coursework, approved by the department, specifically
476
related to construction, building codes, appraisal procedure,
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appraisal preparation, and any other related material deemed
478
appropriate by the department.
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(7) The applicant has received a baccalaureate degree from
480
an accredited 4-year college in the field of engineering,
481
architecture, or building construction and has taught or
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successfully completed 4 hours of classroom coursework, approved
483
by the department, specifically related to construction, building
484
codes, appraisal procedure, appraisal preparation, and any other
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related material deemed appropriate by the department.
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(8) The applicant is currently licensed as an all-lines or
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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
489
general contractor, building contractor, or residential
490
contractor;
491
(b) Has received a minimum of 8 semester hours or 12
492
quarter hours of credit from an accredited college in the field
493
of accounting, geology, engineering, architecture, or building
494
construction;
495
(c) Has taught or successfully completed 24 hours of
496
classroom coursework, approved by the department, specifically
497
related to construction, building codes, appraisal procedure,
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appraisal preparation, and any other related material deemed
499
appropriate by the department; or
500
(d) Has acted as an appraiser or umpire in a minimum of 20
501
appraisal proceedings under a property insurance contract within
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the 4 years immediately preceding the date on which an insurer or
503
insured demands an appraisal.
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(9) The applicant has successfully completed 40 hours of
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classroom coursework, approved by the department, specifically
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related to construction, building codes, appraisal procedure,
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appraisal preparation, property insurance, and any other related
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material deemed appropriate by the department.
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626.9938 Regulation of umpire course providers, instructors
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and courses.--
511
(1) Each umpire course provider, instructor, and classroom
512
course must be approved by and registered with the department
513
before prelicensure courses for property insurance appraisal
514
umpires may be offered. Each classroom course must include a
515
written examination at the conclusion of the course and must
516
cover all of the material contained in the course. A student may
517
not receive credit for the course unless the student achieves a
518
grade of not less than 75 on the examination.
519
(2) The department shall adopt rules establishing standards
520
for the approval, registration, discipline, or removal from
521
registration of course providers, instructors, and courses. The
522
standards must be designed to ensure that instructors have the
523
knowledge, competence, and integrity to fulfill the educational
524
objectives of the prelicensure requirements of this part.
525
(3) The department shall adopt rules to establish a process
526
for determining compliance with the prelicensure requirements of
527
this part. The department shall adopt rules prescribing the forms
528
necessary to administer the prelicensure requirements of this
529
part.
530
(4) Approval to teach prescribed or approved appraisal
531
courses does not entitle the instructor to teach any courses
532
outside the scope of this part.
533
626.9939 Grounds for compulsory refusal, suspension, or
534
revocation of an umpire's license.--In addition to the grounds
535
set forth in s. 626.611, the department shall deny an application
536
for, and suspend, revoke, or refuse to renew or continue, a
537
license as a property insurance appraisal umpire if it finds that
538
the licensee has:
539
(1) Violated a duty imposed upon her or him by law or by
540
the terms of a contract, whether written, oral, express, or
541
implied, in an appraisal; has aided, assisted, or conspired with
542
any other person engaged in any such misconduct and in
543
furtherance thereof; or has formed an intent, design, or scheme
544
to engage in such misconduct and committed an overt act in
545
furtherance of such intent, design, or scheme. It is immaterial
546
to a finding that a licensee has committed a violation of this
547
subsection that the victim or intended victim of the misconduct
548
has sustained no damage or loss, that the damage or loss has been
549
settled and paid after the discovery of misconduct, or that such
550
victim or intended victim was a customer or a person in a
551
confidential relation with the licensee or was an identified
552
member of the general public.
553
(2) Violated any provision of this part or any lawful order
554
or rule of the department.
555
(3) Had a registration, license, or certification as an
556
appraiser revoked, suspended, or otherwise acted against; has had
557
his or her registration, license, or certificate to practice or
558
conduct any regulated profession, business, or vocation revoked
559
or suspended by this or any other state, any nation, or any
560
possession or district of the United States; or has had an
561
application for such registration, licensure, or certification to
562
practice or conduct any regulated profession, business, or
563
vocation denied by this or any other state, any nation, or any
564
possession or district of the United States.
565
(4) Made or filed a report or record, either written or
566
oral, which the licensee knows to be false; has willfully failed
567
to file a report or record required by state or federal law; has
568
willfully impeded or obstructed such filing; or has induced
569
another person to impede or obstruct such filing.
570
(5) Accepted an appointment as an umpire if the appointment
571
itself is contingent upon the umpire reporting a predetermined
572
result, analysis, or opinion, or if the fee to be paid for the
573
services of the umpire is contingent upon the opinion,
574
conclusion, or valuation reached by the umpire.
575
626.9940 Grounds for discretionary denial, suspension, or
576
revocation of a license as a property insurance appraisal
577
umpire.--In addition to the applicable grounds set forth in s.
578
626.621, the department may deny an application for and suspend,
579
revoke, or refuse to renew or continue a license as a property
580
insurance appraisal umpire, if it finds that the umpire has:
581
(1) Failed to timely communicate with the appraisers
582
without good cause.
583
(2) Failed or refused to exercise reasonable diligence in
584
submitting recommendations to the appraisers.
585
(3) Violated any ethical standard for property insurance
586
appraisal umpires set forth in s. 626.9941.
587
(4) Failed to inform the department in writing within 30
588
days after pleading guilty or nolo contendere to, or being
589
convicted or found guilty of, any felony.
590
(5) Failed to timely notify the department of any change in
591
business location, or has failed to fully disclose all business
592
locations from which he or she operates as a property insurance
593
appraisal umpire.
594
626.9941 Ethical standards for property insurance appraisal
595
umpires.--
596
(1) IMPARTIALITY.--An umpire shall be neutral and maintain
597
impartiality throughout the appraisal process. Impartiality means
598
freedom from favoritism or bias in word, action, or appearance.
599
An umpire shall withdraw from appraisal if the umpire is no
600
longer impartial.
601
(2) GIFTS AND SOLICITATION.--An umpire may not give or
602
accept any gift, favor, loan, or other item of value in an
603
appraisal process. During the appraisal process, an umpire may
604
not solicit or otherwise attempt to procure future professional
605
services.
606
(3) CONFLICTS OF INTEREST.--An umpire may not participate
607
in a matter that presents a clear or undisclosed conflict of
608
interest. A conflict of interest arises when any relationship
609
between the umpire and the appraisal participants or the subject
610
matter of the dispute compromises, or appears to compromise, the
611
umpire's impartiality.
612
(4) BURDEN OF DISCLOSURE.--The burden of disclosure of any
613
potential conflict of interest rests on the umpire. Disclosure
614
must be made as soon as practical after the umpire becomes aware
615
of the interest or relationship giving rise to the potential
616
conflict of interest.
617
(5) EFFECT OF DISCLOSURE.--After appropriate disclosure,
618
the umpire may serve if all parties agree. However, if a conflict
619
of interest clearly impairs an umpire's impartiality, the umpire
620
shall withdraw regardless of the express agreement of the
621
parties.
622
(6) CONFIDENTIALITY.--An umpire shall maintain
623
confidentiality of all information revealed during an appraisal
624
except where disclosure is required by law.
625
(7) RECORDKEEPING.--An umpire shall maintain
626
confidentiality in the storage and disposal of records and may
627
not disclose any identifying information when materials are used
628
for research, training, or statistical compilations.
629
(8) FEES AND EXPENSES.--An umpire holds a position of
630
trust. Fees charged for appraisal services shall be reasonable
631
and consistent with the nature of the case. An umpire shall be
632
guided by the following general principles in determining fees:
633
(a) Any charges for services as an umpire based on time may
634
not exceed actual time spent or allocated;
635
(b) Charges for costs shall be for those actually incurred;
636
and
637
(c) An umpire may not charge, agree to, or accept as
638
compensation or reimbursement any payment, commission, or fee
639
that is based on a percentage basis, or that is contingent upon
640
arriving at a particular value or any future happening or outcome
641
of the assignment.
642
(9) MAINTENANCE OF RECORDS.--An umpire shall maintain
643
records necessary to support charges for services and expenses
644
and upon request shall provide an accounting of all applicable
645
charges to the parties.
646
(10) ADVERTISING.--An umpire may not engage in marketing
647
practices that contain false or misleading information. An umpire
648
shall ensure that any advertisements of the umpire's
649
qualifications, services to be rendered, or the appraisal process
650
are accurate and honest. An umpire may not make claims of
651
achieving specific outcomes or promises implying favoritism for
652
the purpose of obtaining business.
653
(11) INTEGRITY AND IMPARTIALITY.--An umpire may not accept
654
any engagement, provide any service, or perform any act that
655
would compromise the umpire's integrity or impartiality.
656
(12) SKILL AND EXPERIENCE.--An umpire shall decline an
657
appointment or selection, withdraw, or request appropriate
658
assistance when the facts and circumstances of the appraisal are
659
beyond the umpire's skill or experience.
660
626.9942 Retention of records.--An umpire licensed under
661
this part shall retain for at least 5 years original or true
662
copies of any contracts engaging the umpire's services, appraisal
663
reports, and supporting data assembled and formulated by the
664
umpire in preparing appraisal reports. The period for retaining
665
the records applicable to each engagement of the services of the
666
umpire starts on the date of the submission of the appraisal
667
report to the client. These records must be made available by the
668
umpire for inspection and copying by the department upon
669
reasonable notice to the umpire. If an appraisal has been the
670
subject of, or has been admitted as evidence in, a lawsuit,
671
reports and records must be retained for at least 2 years after
672
the date on which the trial ends.
673
Section 7. Section 627.4141, Florida Statutes, is created
674
to read:
675
627.4141 Residential or commercial property insurance loss
676
appraisal.--If a residential or commercial residential property
677
insurance contract provides that either party may submit a
678
written demand to enter into the process of appraisal if the
679
insured and the insurer fail to mutually agree as to the actual
680
cash value, the amount of loss, or the cost of repair or
681
replacement of property for which a claim has been filed, that
682
process shall be governed by this section. The insurer may refuse
683
to accept the demand only if the insured materially failed to
684
comply with the post-loss obligations of the insured as set forth
685
in the policy conditions.
686
(1) Each party shall select a competent and independent
687
appraiser and notify the other party of the appraiser selected
688
within 20 days after the date of the demand for appraisal. The
689
appraisers shall select a competent, independent, and impartial
690
umpire who is on the department's list of licensed property
691
insurance appraisal umpires. If the appraisers are unable to
692
agree on an umpire within 15 days, the insured or the insurer may
693
file a petition with a county or circuit court in the
694
jurisdiction in which the covered property is located to
695
designate a licensed property insurance appraisal umpire for the
696
appraisal.
697
(2) Appraisal proceedings are informal unless the insured
698
and the insurer mutually agree otherwise. For purposes of this
699
section, "informal" means that no formal discovery shall be
700
conducted, including depositions, interrogatories, requests for
701
admission, or other forms of formal civil discovery; no formal
702
rules of evidence shall be applied; and no court reporter shall
703
be used for the proceedings.
704
(3) Each appraiser shall appraise the loss and submit a
705
written report to the other appraiser, separately stating the
706
cost of the loss, the actual cash value, or the cost to repair or
707
replace each item. The appraisers shall attempt to resolve any
708
differences in their appraisals and reach a mutual agreement on
709
all matters. If the appraisers are unable to agree, they shall
710
submit the differences in their findings to the umpire.
711
(4) The umpire shall review any differences in appraisals
712
submitted by the appraisers and determine the amount of the loss
713
for each item submitted. Within 10 days after receipt of any
714
differences in appraisals, the umpire shall submit the umpire's
715
conclusions in writing to each appraiser.
716
(5) If either appraiser agrees with the conclusions of the
717
umpire, an itemized written appraisal award signed by the umpire
718
and the appraiser shall be filed with the insurer and shall
719
determine the amount of the loss.
720
(6) The appraisal award is binding on the insurer and the
721
insured with regard to the amount of the loss. The insurer
722
retains the right to enforce policy terms, conditions, and
723
exclusions with regard to coverage issues.
724
(7) Each appraiser shall be paid by the party who selects
725
the appraiser and the expenses of the appraisal and fees of the
726
umpire shall be paid by the parties equally except, if the final
727
determination of the amount of the loss exceeds 50 percent of the
728
insurer's original appraisal, the insurer shall pay all of the
729
expenses, including any fees and expenses charged by the
730
insured's appraiser and all fees and expenses of the umpire.
731
(8) The provisions of the Florida Arbitration Code do not
732
apply to residential and commercial property insurance loss
733
appraisal proceedings.
734
(9) The appraisal process may not address issues involving
735
whether or not the loss or damage is covered under the terms of
736
the insurance contract. However, the appraisers and the umpire
737
may consider causation issues, when necessary, to determine the
738
amount of loss.
739
Section 8. This act shall take effect July 1, 2008.
CODING: Words stricken are deletions; words underlined are additions.