Florida Senate - 2008 SB 1196

By Senator Geller

31-02965-08 20081196__

1

A bill to be entitled

2

An act relating to insurance rate standards; amending s.

3

627.062, F.S.; revising the range of dates during which

4

all filings made by an insurer seeking a rate that is

5

greater than the rate most recently approved by the Office

6

of Insurance Regulation must be a "file and use" filing;

7

revising the date of application of a provision under

8

which an insurer may demand arbitration of a rate filing

9

in lieu of a hearing under the Florida Administrative

10

Procedure Act after any action that constitutes agency

11

action taken by the office with respect to a rate filing;

12

providing an effective date.

13

14

Be It Enacted by the Legislature of the State of Florida:

15

16

     Section 1.  Paragraph (a) of subsection (2) and paragraph

17

(a) of subsection (6) of section 627.062, Florida Statutes, are

18

amended to read:

19

     627.062  Rate standards.--

20

     (2)  As to all such classes of insurance:

21

     (a)  Insurers or rating organizations shall establish and

22

use rates, rating schedules, or rating manuals to allow the

23

insurer a reasonable rate of return on such classes of insurance

24

written in this state. A copy of rates, rating schedules, rating

25

manuals, premium credits or discount schedules, and surcharge

26

schedules, and changes thereto, shall be filed with the office

27

under one of the following procedures except as provided in

28

subparagraph 3.:

29

     1.  If the filing is made at least 90 days before the

30

proposed effective date and the filing is not implemented during

31

the office's review of the filing and any proceeding and judicial

32

review, then such filing shall be considered a "file and use"

33

filing. In such case, the office shall finalize its review by

34

issuance of a notice of intent to approve or a notice of intent

35

to disapprove within 90 days after receipt of the filing. The

36

notice of intent to approve and the notice of intent to

37

disapprove constitute agency action for purposes of the

38

Administrative Procedure Act. Requests for supporting

39

information, requests for mathematical or mechanical corrections,

40

or notification to the insurer by the office of its preliminary

41

findings shall not toll the 90-day period during any such

42

proceedings and subsequent judicial review. The rate shall be

43

deemed approved if the office does not issue a notice of intent

44

to approve or a notice of intent to disapprove within 90 days

45

after receipt of the filing.

46

     2.  If the filing is not made in accordance with the

47

provisions of subparagraph 1., such filing shall be made as soon

48

as practicable, but no later than 30 days after the effective

49

date, and shall be considered a "use and file" filing. An insurer

50

making a "use and file" filing is potentially subject to an order

51

by the office to return to policyholders portions of rates found

52

to be excessive, as provided in paragraph (h).

53

     3.  For all filings made or submitted after January 25,

54

2007, but before December 31, 2011 2008, an insurer seeking a

55

rate that is greater than the rate most recently approved by the

56

office shall make a "file and use" filing. This subparagraph

57

applies to property insurance only. For purposes of this

58

subparagraph, motor vehicle collision and comprehensive coverages

59

are not considered to be property coverages.

60

61

The provisions of this subsection shall not apply to workers'

62

compensation and employer's liability insurance and to motor

63

vehicle insurance.

64

     (6)(a)  After any action with respect to a rate filing that

65

constitutes agency action for purposes of the Administrative

66

Procedure Act, except for a rate filing for medical malpractice,

67

an insurer may, in lieu of demanding a hearing under s. 120.57,

68

require arbitration of the rate filing. However, the arbitration

69

option provision in this subsection does not apply to a rate

70

filing that is made on or after the effective date of this act

71

until January 1, 2011 2009. Arbitration shall be conducted by a

72

board of arbitrators consisting of an arbitrator selected by the

73

office, an arbitrator selected by the insurer, and an arbitrator

74

selected jointly by the other two arbitrators. Each arbitrator

75

must be certified by the American Arbitration Association. A

76

decision is valid only upon the affirmative vote of at least two

77

of the arbitrators. No arbitrator may be an employee of any

78

insurance regulator or regulatory body or of any insurer,

79

regardless of whether or not the employing insurer does business

80

in this state. The office and the insurer must treat the decision

81

of the arbitrators as the final approval of a rate filing. Costs

82

of arbitration shall be paid by the insurer.

83

     Section 2.  This act shall take effect July 1, 2008.

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