CS for CS for SB 2012 First Engrossed

20082012e1

1

A bill to be entitled

2

An act relating to insurance policies; amending s.

3

627.94073, F.S.; revising provisions requiring that

4

insurers notify policyholders of the right to designate a

5

secondary addressee to receive a notice of termination of

6

long-term care insurance policies; requiring that a

7

canceled long-term care policy be reinstated if the

8

policyholder failed to pay the premium due to an extended

9

confinement in a hospital, skilled nursing facility, or

10

assisted living facility; providing for application;

11

amending s. 626.9543, F.S.; extending the period within

12

which certain insurers must permit claims from a Holocaust

13

victim or from a beneficiary, descendent, or heir of such

14

a victim; extending the period within which certain

15

actions brought by such a victim, descendent, or heir

16

seeking proceeds of certain insurance policies may not be

17

dismissed; providing effective dates.

18

19

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

20

21

     Section 1.  Effective January 1, 2009, and applicable to

22

policies issued or renewed on or after that date, section

23

627.94073, Florida Statutes, is amended to read:

24

     627.94073  Notice of cancellation; grace period.--

25

     (1)  A long-term care policy shall provide that the insured

26

is entitled to a grace period of not less than 30 days, within

27

which payment of any premium after the first may be made. The

28

insurer may require payment of an interest charge not in excess

29

of 8 percent per year for the number of days elapsing before the

30

payment of the premium, during which period the policy shall

31

continue in force. If the policy becomes a claim during the grace

32

period before the overdue premium is paid, the amount of such

33

premium or premiums with interest not in excess of 8 percent per

34

year may be deducted in any settlement under the policy.

35

     (2)  A long-term care policy may not be canceled for

36

nonpayment of premium unless, after expiration of the grace

37

period in subsection (1), and at least 30 days prior to the

38

effective date of such cancellation, the insurer has mailed a

39

notification of possible lapse in coverage to the policyholder

40

and to a specified secondary addressee if such addressee has been

41

designated in writing by name and address by the policyholder.

42

For policies issued or renewed on or after October 1, 1996, the

43

insurer shall notify the policyholder, at least once annually

44

every 2 years, of the right to designate a secondary addressee.

45

The applicant has the right to designate at least one person who

46

is to receive the notice of termination, in addition to the

47

insured. Designation shall not constitute acceptance of any

48

liability on the third party for services provided to the

49

insured. The form used for the written designation must provide

50

space clearly designated for listing at least one person. The

51

form must also inform the policyholder to update any change made

52

to the address of the secondary addressee. The designation shall

53

include each person's full name and home address. In the case of

54

an applicant who elects not to designate an additional person,

55

the waiver shall state: "Protection against unintended lapse.--I

56

understand that I have the right to designate at least one person

57

other than myself to receive notice of lapse or termination of

58

this long-term care or limited benefit insurance policy for

59

nonpayment of premium. I understand that notice will not be given

60

until 30 days after a premium is due and unpaid. I elect NOT to

61

designate any person to receive such notice." Notice shall be

62

given by United States Postal Service proof of mailing or

63

certified or registered mail to the policyholder at the address

64

shown in the policy. first class United States mail, postage

65

prepaid, and notice may not be given until 30 days after a

66

premium is due and unpaid. Notice shall be deemed to have been

67

given as of 5 days after the date of mailing.

68

     (3)  If a policy is canceled due to nonpayment of premium,

69

the policyholder is shall be entitled to have the policy

70

reinstated if, within a period of not less than 5 months after

71

the date of cancellation, the policyholder or any secondary

72

addressee designated pursuant to subsection (2) demonstrates that

73

the failure to pay the premium when due was unintentional and due

74

to the policyholder's cognitive impairment, or loss of functional

75

capacity, or continuous confinement in a hospital, skilled

76

nursing facility, or assisted living facility for a period in

77

excess of 60 days of the policyholder. Policy reinstatement shall

78

be subject to payment of overdue premiums. The standard of proof

79

of cognitive impairment or loss of functional capacity shall not

80

be more stringent than the benefit eligibility criteria for

81

cognitive impairment or the loss of functional capacity, if any,

82

contained in the policy and certificate. The insurer may require

83

payment of an interest charge not in excess of 8 percent per year

84

for the number of days elapsing before the payment of the

85

premium, during which period the policy shall continue in force

86

if the demonstration of cognitive impairment is made. If the

87

policy becomes a claim during the 180-day period before the

88

overdue premium is paid, the amount of the premium or premiums

89

with interest not in excess of 8 percent per year may be deducted

90

in any settlement under the policy.

91

     (4)  When the policyholder or certificateholder pays premium

92

for a long-term care insurance policy or certificate policy

93

through a payroll or pension deduction plan, the requirements in

94

subsection (2) need not be met until 60 days after the

95

policyholder or certificateholder is no longer on such a payment

96

plan. The application or enrollment form for such policies or

97

certificates shall clearly indicate the payment plan selected by

98

the applicant.

99

     Section 2.  Paragraph (c) of subsection (5) and subsection

100

(6) of section 626.9543, Florida Statutes, are amended to read:

101

     626.9543  Holocaust victims.--

102

     (5)  PROOF OF A CLAIM.--Any insurer doing business in this

103

state, in receipt of a claim from a Holocaust victim or from a

104

beneficiary, descendant, or heir of a Holocaust victim, shall:

105

     (c)  Permit claims irrespective of any statute of

106

limitations or notice requirements imposed by any insurance

107

policy issued, provided the claim is submitted on or before July

108

1, 2018 within 10 years after the effective date of this section.

109

     (6)  STATUTE OF LIMITATIONS.--Notwithstanding any law or

110

agreement among the parties to an insurance policy to the

111

contrary, any action brought by Holocaust victims or by a

112

beneficiary, heir, or a descendant of a Holocaust victim seeking

113

proceeds of an insurance policy issued or in effect between 1920

114

and 1945, inclusive, shall not be dismissed for failure to comply

115

with the applicable statute of limitations or laches provided the

116

action is commenced on or before July 1, 2018 within 10 years

117

after the effective date of this section.

118

     Section 3.  Except as otherwise expressly provided in this

119

act, this act shall take effect July 1, 2008.

120

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