1 | Representatives Ross and Reagan offered the following: |
2 |
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3 | Amendment (with title amendment) |
4 | Remove everything after the enacting clause and insert: |
5 |
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6 | Section 1. Section 215.5595, Florida Statutes, is amended |
7 | to read: |
8 | 215.5595 Insurance Capital Build-Up Incentive Program.-- |
9 | (1) Upon entering the 2008 2006 hurricane season, the |
10 | Legislature finds that: |
11 | (a) The losses in this state Florida from eight hurricanes |
12 | in 2004 and 2005 have seriously strained the resources of both |
13 | the voluntary insurance market and the public sector mechanisms |
14 | of Citizens Property Insurance Corporation and the Florida |
15 | Hurricane Catastrophe Fund. |
16 | (b) Private reinsurance is much less available and at a |
17 | significantly greater cost to residential property insurers as |
18 | compared to 1 year ago, particularly for amounts below the |
19 | insurer's retention or retained losses that must be paid before |
20 | reimbursement is provided by the Florida Hurricane Catastrophe |
21 | Fund. |
22 | (c) The Office of Insurance Regulation has reported that |
23 | the insolvency of certain insurers may be imminent. |
24 | (d) Hurricane forecast experts predict that the 2006 |
25 | hurricane season will be an active hurricane season and that the |
26 | Atlantic and Gulf Coast regions face an active hurricane cycle |
27 | of 10 to 20 years or longer. |
28 | (b)(e) Citizens Property Insurance Corporation has over |
29 | 1.2 million policies in force, has the largest market share of |
30 | any insurer writing residential property insurer in the state, |
31 | and faces the threat of a catastrophic loss that The number of |
32 | cancellations or nonrenewals of residential property insurance |
33 | policies is expected to increase and the number of new |
34 | residential policies written in the voluntary market are likely |
35 | to decrease, causing increased policy growth and exposure to the |
36 | state insurer of last resort, Citizens Property Insurance |
37 | Corporation, and threatening to increase the deficit of the |
38 | corporation, currently estimated to be over $1.7 billion. This |
39 | deficit must be funded by assessments against insurers and |
40 | policyholders, unless otherwise funded by the state. The program |
41 | has a substantial positive effect on the depopulation efforts of |
42 | Citizens Property Insurance Corporation since companies |
43 | participating in the program have removed over 199,000 policies |
44 | from the corporation. Companies participating in the program |
45 | have issued a significant number of new policies, thereby |
46 | keeping an estimated 480,000 new policies out of the |
47 | corporation. |
48 | (c)(f) Policyholders are subject to high increased |
49 | premiums and assessments that are increasingly making such |
50 | coverage unaffordable and that may force policyholders to sell |
51 | their homes and even leave the state. |
52 | (d)(g) The increased risk to the public sector and private |
53 | sector continues to pose poses a serious threat to the economy |
54 | of this state, particularly the building and financing of |
55 | residential structures, and existing mortgages may be placed in |
56 | default. |
57 | (h) The losses from 2004 and 2005, combined with the |
58 | expectation that the increase in hurricane activity will |
59 | continue for the foreseeable future, have caused both insurers |
60 | and reinsurers to limit the capital they are willing to commit |
61 | to covering the hurricane risk in Florida; attracting new |
62 | capital to the Florida market is a critical priority; and |
63 | providing a low-cost source of capital would enable insurers to |
64 | write additional residential property insurance coverage and act |
65 | to mitigate premium increases. |
66 | (e)(i) Appropriating state funds to be exchanged for used |
67 | as surplus notes issued by for residential property insurers, |
68 | under conditions requiring the insurer to contribute additional |
69 | private sector capital and to write a minimum level of premiums |
70 | for residential hurricane coverage, is a valid and important |
71 | public purpose. |
72 | (f) Extending the Insurance Capital Build-up Incentive |
73 | Program will provide an incentive for investors to commit |
74 | additional capital to Florida's residential insurance market. |
75 | (2) The purpose of this section is to provide funds in |
76 | exchange for surplus notes to be issued by to new or existing |
77 | authorized residential property insurers under the Insurance |
78 | Capital Build-Up Incentive Program administered by the State |
79 | Board of Administration, under the following conditions: |
80 | (a) The amount of state funds provided in exchange for a |
81 | the surplus note to for any insurer or insurer group, other than |
82 | an insurer writing only manufactured housing policies, may not |
83 | exceed $25 million or 20 percent of the total amount of funds |
84 | appropriated for available under the program, whichever is |
85 | greater. The amount of the surplus note for any insurer or |
86 | insurer group writing residential property insurance covering |
87 | only manufactured housing may not exceed $7 million. |
88 | (b) On or after April 1, 2008, the insurer must contribute |
89 | an amount of new capital to its surplus which is at least equal |
90 | to the amount of the surplus note and must apply to the board by |
91 | September 1, 2008 July 1, 2006. If an insurer applies after |
92 | September 1, 2008 July 1, 2006, but before June 1, 2009 2007, |
93 | the amount of the surplus note is limited to one-half of the new |
94 | capital that the insurer contributes to its surplus, except that |
95 | an insurer writing only manufactured housing policies is |
96 | eligible to receive a surplus note of up to $7 million. For |
97 | purposes of this section, new capital must be in the form of |
98 | cash or cash equivalents as specified in s. 625.012(1). |
99 | (c) The insurer's surplus, new capital, and the surplus |
100 | note must total at least $50 million, except for insurers |
101 | writing residential property insurance covering only |
102 | manufactured housing. The insurer's surplus, new capital, and |
103 | the surplus note must total at least $14 million for insurers |
104 | writing only residential property insurance covering |
105 | manufactured housing policies as provided in paragraph (a). |
106 | (d) The insurer must commit to increase its writings of |
107 | residential property insurance, including the peril of wind, and |
108 | to meet meeting a minimum writing ratio of net written premium |
109 | to surplus of at least 1:1 for the first calendar year after |
110 | receiving the state funds or renegotiation of the surplus note, |
111 | 1.5:1 for the second calendar year, and 2:1 for the remaining |
112 | term of the surplus note. Alternatively, the insurer must meet a |
113 | minimum writing ratio of gross written premium to surplus of at |
114 | least 3:1 for the first calendar year after receiving the state |
115 | funds or renegotiation of the surplus note, 4.5:1 for the second |
116 | calendar year, and 6:1 for the remaining term of the surplus |
117 | note. The writing ratios, which shall be determined by the |
118 | Office of Insurance Regulation and certified quarterly to the |
119 | board. For this purpose, the term "premium" "net written |
120 | premium" means net written premium for residential property |
121 | insurance in this state Florida, including the peril of wind, |
122 | and "surplus" means the new capital and surplus note refers to |
123 | the entire surplus of the insurer. An insurer that makes an |
124 | initial application after July 1, 2008, must also commit to |
125 | writing at least 15 percent of its net or gross written premium |
126 | for new policies, not including renewal premiums, for policies |
127 | taken out of Citizens Property Insurance Corporation, during |
128 | each of the first 3 years after receiving the state funds in |
129 | exchange for the surplus note, which shall be determined by the |
130 | Office of Insurance Regulation and certified annually to the |
131 | board. The office may determine that an insurer meets the |
132 | requirement for taking policies out the corporation, by written |
133 | notice to the board, upon a finding that the insurer made offers |
134 | of coverage to policyholders of the corporation which would have |
135 | resulted in meeting this requirement had the policyholders |
136 | accepted the offer. The insurer must also commit to maintaining |
137 | a level of surplus and reinsurance sufficient to cover in excess |
138 | of its 1-in-100 year probable maximum loss, as determined by a |
139 | hurricane loss model accepted by the Florida Commission on |
140 | Hurricane Loss Projection Methodology, which shall be determined |
141 | by the Office of Insurance Regulation and certified annually to |
142 | the board. If the board determines that the insurer has failed |
143 | to meet any of the requirements of this paragraph required ratio |
144 | is not maintained during the term of the surplus note, the board |
145 | may increase the interest rate, accelerate the repayment of |
146 | interest and principal, or shorten the term of the surplus note, |
147 | subject to approval by the Commissioner of Insurance of payments |
148 | by the insurer of principal and interest as provided in |
149 | paragraph (f). |
150 | (e) If the requirements of this section are met, the board |
151 | may approve an application by an insurer for funds in exchange |
152 | for issuance of a surplus note, unless the board determines that |
153 | the financial condition of the insurer and its business plan for |
154 | writing residential property insurance in Florida places an |
155 | unreasonably high level of financial risk to the state of |
156 | nonpayment in full of the interest and principal. The board |
157 | shall consult with the Office of Insurance Regulation and may |
158 | contract with independent financial and insurance consultants in |
159 | making this determination. |
160 | (f) The surplus note must be repayable to the state with a |
161 | term of 20 years. The surplus note shall accrue interest on the |
162 | unpaid principal balance at a rate equivalent to the 10-year |
163 | U.S. Treasury Bond rate, require the payment only of interest |
164 | during the first 3 years, and include such other terms as |
165 | approved by the board. The board may charge late fees up to 5 |
166 | percent for late payments or other late remittances. Payment of |
167 | principal, or interest, or late fees by the insurer on the |
168 | surplus note must be approved by the Commissioner of Insurance, |
169 | who shall approve such payment unless the commissioner |
170 | determines that such payment will substantially impair the |
171 | financial condition of the insurer. If such a determination is |
172 | made, the commissioner shall approve such payment that will not |
173 | substantially impair the financial condition of the insurer. |
174 | (g) The total amount of funds available for the program is |
175 | limited to the amount appropriated by the Legislature for this |
176 | purpose. If the amount of surplus notes requested by insurers |
177 | exceeds the amount of funds available, the board may prioritize |
178 | insurers that are eligible and approved, with priority for |
179 | funding given to insurers writing only manufactured housing |
180 | policies, regardless of the date of application, based on the |
181 | financial strength of the insurer, the viability of its proposed |
182 | business plan for writing additional residential property |
183 | insurance in the state, and the effect on competition in the |
184 | residential property insurance market. Between insurers writing |
185 | residential property insurance covering manufactured housing, |
186 | priority shall be given to the insurer writing the highest |
187 | percentage of its policies covering manufactured housing. |
188 | (h) The board may allocate portions of the funds available |
189 | for the program and establish dates for insurers to apply for |
190 | surplus notes from such allocation which are earlier than the |
191 | dates established in paragraph (b). |
192 | (h)(i) Notwithstanding paragraph (d), a newly formed |
193 | manufactured housing insurer that is eligible for a surplus note |
194 | under this section shall meet the premium to surplus ratio |
195 | provisions of s. 624.4095. |
196 | (i)(j) As used in this section, "an insurer writing only |
197 | manufactured housing policies" includes: |
198 | 1. A Florida domiciled insurer that begins writing |
199 | personal lines residential manufactured housing policies in |
200 | Florida after March 1, 2007, and that removes a minimum of |
201 | 50,000 policies from Citizens Property Insurance Corporation |
202 | without accepting a bonus, provided at least 25 percent of its |
203 | policies cover manufactured housing. Such an insurer may count |
204 | any funds above the minimum capital and surplus requirement that |
205 | were contributed into the insurer after March 1, 2007, as new |
206 | capital under this section. |
207 | 2. A Florida domiciled insurer that writes at least 40 |
208 | percent of its policies covering manufactured housing in |
209 | Florida. |
210 | (3) As used in this section, the term: |
211 | (a) "Board" means the State Board of Administration. |
212 | (b) "Program" means the Insurance Capital Build-Up |
213 | Incentive Program established by this section. |
214 | (4) The state funds provided to the insurer in exchange |
215 | for the A surplus note provided to an insurer pursuant to this |
216 | section are is considered borrowed surplus an asset of the |
217 | insurer pursuant to s. 628.401 s. 625.012. |
218 | (5) If an insurer that receives funds in exchange for |
219 | issuance of a surplus note pursuant to this section is rendered |
220 | insolvent, the state is a class 3 creditor pursuant to s. |
221 | 631.271 for the unpaid principal and interest on the surplus |
222 | note. |
223 | (6) The board shall adopt rules prescribing the |
224 | procedures, administration, and criteria for approving the |
225 | applications of insurers to receive funds in exchange for |
226 | issuance of surplus notes pursuant to this section, which may be |
227 | adopted pursuant to the procedures for emergency rules of |
228 | chapter 120. Otherwise, actions and determinations by the board |
229 | pursuant to this section are exempt from chapter 120. |
230 | (7) The board shall invest and reinvest the funds |
231 | appropriated for the program in accordance with s. 215.47 and |
232 | consistent with board policy. |
233 | (8) Costs and fees incurred by the board in administering |
234 | this program, including fees for investment services, shall be |
235 | paid from funds appropriated by the Legislature for this |
236 | program, but are limited to 1 percent of the amount |
237 | appropriated. |
238 | (9) The board shall submit a report to the President of |
239 | the Senate and the Speaker of the House of Representatives by |
240 | February 1 of each year as to the results of the program and |
241 | each insurer's compliance with the terms of its surplus note. |
242 | (10) The amendments to this section enacted in 2008 do not |
243 | affect the terms or conditions of the surplus notes that were |
244 | approved prior to January 1, 2008. However, the board may |
245 | renegotiate the terms of any surplus note issued by an insurer |
246 | prior to January 2008 under this program upon the agreement of |
247 | the insurer and the board and consistent with the requirements |
248 | of this section as amended in 2008. |
249 | Section 2. Subsection (6) is added to section 624.3161, |
250 | Florida Statutes, to read: |
251 | 624.3161 Market conduct examinations.-- |
252 | (6) Based on the findings of a market conduct examination |
253 | that an insurer has exhibited a pattern or practice of willful |
254 | violations of an unfair insurance trade practice related to |
255 | claims-handling which caused harm to policyholders, as |
256 | prohibited by s. 626.9541(1)(i), the office, after a proceeding |
257 | under ss. 120.569 and 120.57(1), may require an insurer to file |
258 | its claims-handling practices and procedures related to that |
259 | line of insurance with the office for review and inspection, to |
260 | be held by the office for the following 36-month period. Such |
261 | claims-handling practices and procedures are public records and |
262 | are not trade secrets or otherwise exempt from the provisions of |
263 | s. 119.07(1). As used in this section, "claims-handling |
264 | practices and procedures" are any policies, guidelines, rules, |
265 | protocols, standard operating procedures, instructions, or |
266 | directives that govern or guide how and the manner in which an |
267 | insured's claims for benefits under any policy will be |
268 | processed. |
269 | Section 3. Subsections (2) and (3) of section 624.4211, |
270 | Florida Statutes, are amended to read: |
271 | 624.4211 Administrative fine in lieu of suspension or |
272 | revocation.-- |
273 | (2) With respect to any nonwillful violation, such fine |
274 | may shall not exceed $5,000 $2,500 per violation. In no event |
275 | shall such fine exceed an aggregate amount of $20,000 $10,000 |
276 | for all nonwillful violations arising out of the same action. If |
277 | When an insurer discovers a nonwillful violation, the insurer |
278 | shall correct the violation and, if restitution is due, make |
279 | restitution to all affected persons. Such restitution shall |
280 | include interest at 12 percent per year from either the date of |
281 | the violation or the date of inception of the affected person's |
282 | policy, at the insurer's option. The restitution may be a credit |
283 | against future premiums due provided that the interest |
284 | accumulates shall accumulate until the premiums are due. If the |
285 | amount of restitution due to any person is $50 or more and the |
286 | insurer wishes to credit it against future premiums, it shall |
287 | notify such person that she or he may receive a check instead of |
288 | a credit. If the credit is on a policy that which is not |
289 | renewed, the insurer shall pay the restitution to the person to |
290 | whom it is due. |
291 | (3) With respect to any knowing and willful violation of a |
292 | lawful order or rule of the office or commission or a provision |
293 | of this code, the office may impose a fine upon the insurer in |
294 | an amount not to exceed $40,000 $20,000 for each such violation. |
295 | In no event shall such fine exceed an aggregate amount of |
296 | $200,000 $100,000 for all knowing and willful violations arising |
297 | out of the same action. In addition to such fines, the such |
298 | insurer shall make restitution when due in accordance with the |
299 | provisions of subsection (2). |
300 | Section 4. Section 624.4213, Florida Statutes, is created |
301 | to read: |
302 | 624.4213 Trade secret documents.-- |
303 | (1) If any person who is required to submit documents or |
304 | other information to the office or department pursuant to the |
305 | Insurance Code or by rule or order of the office, department, or |
306 | commission claims that such submission contains a trade secret, |
307 | such person may file with the office or department a notice of |
308 | trade secret as provided in this section. Failure to do so |
309 | constitutes a waiver of any claim by such person that the |
310 | document or information is a trade secret. |
311 | (a) Each page of such document or specific portion of a |
312 | document claimed to be a trade secret must be clearly marked as |
313 | "trade secret." |
314 | (b) All material marked as a trade secret must be |
315 | separated from all non-trade secret material, such as being |
316 | submitted in a separate envelope clearly marked as "trade |
317 | secret." |
318 | (c) In submitting a notice of trade secret to the office |
319 | or department, the submitting party must include an affidavit |
320 | certifying under oath to the truth of the following statements |
321 | concerning all documents or information that are claimed to be |
322 | trade secrets: |
323 | 1. [I consider/My company considers] this information a |
324 | trade secret that has value and provides an advantage or an |
325 | opportunity to obtain an advantage over those who do not know or |
326 | use it. |
327 | 2. [I have/My company has] taken measures to prevent the |
328 | disclosure of the information to anyone other that those who |
329 | have been selected to have access for limited purposes, and [I |
330 | intend/my company intends] to continue to take such measures. |
331 | 3. The information is not, and has not been, reasonably |
332 | obtainable without [my/our] consent by other persons by use of |
333 | legitimate means. |
334 | 4. The information is not publicly available elsewhere. |
335 | (2) If the office or department receives a public-records |
336 | request for a document or information that is marked and |
337 | certified as a trade secret, the office or department shall |
338 | promptly notify the person that certified the document as a |
339 | trade secret. The notice shall inform such person that he or she |
340 | or his or her company has 30 days following receipt of such |
341 | notice to file an action in circuit court seeking a |
342 | determination whether the document in question contains trade |
343 | secrets and an order barring public disclosure of the document. |
344 | If that person or company files an action within 30 days after |
345 | receipt of notice of the public-records request, the office or |
346 | department may not release the documents pending the outcome of |
347 | the legal action. The failure to file an action within 30 days |
348 | constitutes a waiver of any claim of confidentiality and the |
349 | office or department shall release the document as requested. |
350 | (3) The office or department may disclose a trade secret, |
351 | together with the claim that it is a trade secret, to an officer |
352 | or employee of another governmental agency whose use of the |
353 | trade secret is within the scope of his or her employment. |
354 | Section 5. Section 624.4305, Florida Statutes, is created |
355 | to read: |
356 | 624.4305 Nonrenewal of residential property insurance |
357 | policies.--Any insurer planning to nonrenew more than 10,000 |
358 | residential property insurance policies in this state within a |
359 | 12-month period shall give notice in writing to the Office of |
360 | Insurance Regulation for informational purposes 90 days before |
361 | the issuance of any notices of nonrenewal. The notice provided |
362 | to the office must set forth the insurer's reasons for such |
363 | action, the effective dates of nonrenewal, and any arrangements |
364 | made for other insurers to offer coverage to affected |
365 | policyholders. |
366 | Section 6. Subsection (2) of section 626.9521, Florida |
367 | Statutes, is amended to read: |
368 | 626.9521 Unfair methods of competition and unfair or |
369 | deceptive acts or practices prohibited; penalties.-- |
370 | (2) Any person who violates any provision of this part |
371 | shall be subject to a fine in an amount not greater than $5,000 |
372 | $2,500 for each nonwillful violation and not greater than |
373 | $40,000 $20,000 for each willful violation. Fines under this |
374 | subsection imposed against an insurer may not exceed an |
375 | aggregate amount of $20,000 $10,000 for all nonwillful |
376 | violations arising out of the same action or an aggregate amount |
377 | of $200,000 $100,000 for all willful violations arising out of |
378 | the same action. The fines authorized by this subsection may be |
379 | imposed in addition to any other applicable penalty. |
380 | Section 7. Section 627.0612, Florida Statutes, is amended |
381 | to read: |
382 | 627.0612 Administrative proceedings in rating |
383 | determinations.-- |
384 | (1) In any proceeding to determine whether rates, rating |
385 | plans, or other matters governed by this part comply with the |
386 | law, the appellate court shall set aside a final order of the |
387 | office if the office has violated s. 120.57(1)(k) by |
388 | substituting its findings of fact for findings of an |
389 | administrative law judge which were supported by competent |
390 | substantial evidence. |
391 | (2) In an administrative hearing to determine whether an |
392 | insurer's rates, rating schedules, rating manuals, premium |
393 | credits, discount schedules, surcharge schedules, or changes |
394 | thereto, for property insurance comply with the law, in addition |
395 | to any other findings of fact, findings on the following matters |
396 | shall be considered findings of fact: |
397 | (a) Whether a factor or factors used in a rate filing or |
398 | applied by the office is consistent with standard actuarial |
399 | techniques or practices or are otherwise based on reasonable |
400 | actuarial judgment. |
401 | (b) Whether a factor for underwriting profit and |
402 | contingencies is reasonable or excessive. |
403 | (c) Whether the cost of reinsurance is reasonable or |
404 | excessive. |
405 | (d) Whether a factor or factors used in a rate filing or |
406 | applied by the office demonstrate that a rate is excessive, |
407 | inadequate or unfairly discriminatory. |
408 | (3) In an administrative hearing to determine whether an |
409 | insurer's rates, rating schedules, rating manuals, premium |
410 | credits, discount schedules, surcharge schedules, or changes |
411 | thereto, for property insurance comply with the law, an order |
412 | may be entered that approves, modifies, or rejects the requested |
413 | change. An order modifying the requested rate change shall |
414 | recommend such change as is supported by the record in the case. |
415 | Section 8. Paragraphs (a), (b), and (g) of subsection |
416 | (2),subsection (6), and paragraph (a) of subsection (9) of |
417 | section 627.062, Florida Statutes, are amended to read: |
418 | 627.062 Rate standards.-- |
419 | (2) As to all such classes of insurance: |
420 | (a) Insurers or rating organizations shall establish and |
421 | use rates, rating schedules, or rating manuals to allow the |
422 | insurer a reasonable rate of return on such classes of insurance |
423 | written in this state. A copy of rates, rating schedules, rating |
424 | manuals, premium credits or discount schedules, and surcharge |
425 | schedules, and changes thereto, shall be filed with the office |
426 | under one of the following procedures except as provided in |
427 | subparagraph 3.: |
428 | 1. If the filing is made at least 90 days before the |
429 | proposed effective date and the filing is not implemented during |
430 | the office's review of the filing and any proceeding and |
431 | judicial review, then such filing shall be considered a "file |
432 | and use" filing. In such case, the office shall finalize its |
433 | review by issuance of a notice of intent to approve or a notice |
434 | of intent to disapprove within 90 days after receipt of the |
435 | filing. The notice of intent to approve and the notice of intent |
436 | to disapprove constitute agency action for purposes of the |
437 | Administrative Procedure Act. Requests for supporting |
438 | information, requests for mathematical or mechanical |
439 | corrections, or notification to the insurer by the office of its |
440 | preliminary findings shall not toll the 90-day period during any |
441 | such proceedings and subsequent judicial review. The rate shall |
442 | be deemed approved if the office does not issue a notice of |
443 | intent to approve or a notice of intent to disapprove within 90 |
444 | days after receipt of the filing. |
445 | 2. If the filing is not made in accordance with the |
446 | provisions of subparagraph 1., such filing shall be made as soon |
447 | as practicable, but no later than 30 days after the effective |
448 | date, and shall be considered a "use and file" filing. An |
449 | insurer making a "use and file" filing is potentially subject to |
450 | an order by the office to return to policyholders portions of |
451 | rates found to be excessive, as provided in paragraph (h). |
452 | 3. For all filings made or submitted after January 25, |
453 | 2007, but before December 31, 2008, an insurer seeking a rate |
454 | that is greater than the rate most recently approved by the |
455 | office shall make a "file and use" filing. This subparagraph |
456 | applies to property insurance only. For purposes of this |
457 | subparagraph, motor vehicle collision and comprehensive |
458 | coverages are not considered to be property coverages. |
459 | (b) Upon receiving a rate filing, the office shall review |
460 | the rate filing to determine if a rate is excessive, inadequate, |
461 | or unfairly discriminatory. In making that determination, the |
462 | office shall, in accordance with generally accepted and |
463 | reasonable actuarial techniques, consider the following factors: |
464 | 1. Past and prospective loss experience within and without |
465 | this state. |
466 | 2. Past and prospective expenses. |
467 | 3. The degree of competition among insurers for the risk |
468 | insured. |
469 | 4. Investment income reasonably expected by the insurer, |
470 | consistent with the insurer's investment practices, from |
471 | investable premiums anticipated in the filing, plus any other |
472 | expected income from currently invested assets representing the |
473 | amount expected on unearned premium reserves and loss reserves. |
474 | The commission may adopt rules using utilizing reasonable |
475 | techniques of actuarial science and economics to specify the |
476 | manner in which insurers shall calculate investment income |
477 | attributable to such classes of insurance written in this state |
478 | and the manner in which such investment income shall be used to |
479 | calculate in the calculation of insurance rates. Such manner |
480 | shall contemplate allowances for an underwriting profit factor |
481 | and full consideration of investment income which produce a |
482 | reasonable rate of return; however, investment income from |
483 | invested surplus may shall not be considered. |
484 | 5. The reasonableness of the judgment reflected in the |
485 | filing. |
486 | 6. Dividends, savings, or unabsorbed premium deposits |
487 | allowed or returned to Florida policyholders, members, or |
488 | subscribers. |
489 | 7. The adequacy of loss reserves. |
490 | 8. The cost of reinsurance. The office shall not |
491 | disapprove a rate as excessive solely due to the insurer having |
492 | obtained catastrophic reinsurance to cover the insurer's |
493 | estimated 250-year probable maximum loss or any lower level of |
494 | loss. |
495 | 9. Trend factors, including trends in actual losses per |
496 | insured unit for the insurer making the filing. |
497 | 10. Conflagration and catastrophe hazards, if applicable. |
498 | 11. Projected hurricane losses, if applicable, which must |
499 | be estimated using a model or method found to be acceptable or |
500 | reliable by the Florida Commission on Hurricane Loss Projection |
501 | Methodology, and as further provided in s. 627.0628. |
502 | 12.11. A reasonable margin for underwriting profit and |
503 | contingencies. For that portion of the rate covering the risk of |
504 | hurricanes and other catastrophic losses for which the insurer |
505 | has not purchased reinsurance and has exposed its capital and |
506 | surplus to such risk, the office must approve a rating factor |
507 | that provides the insurer a reasonable rate of return that is |
508 | commensurate with such risk. |
509 | 13.12. The cost of medical services, if applicable. |
510 | 14.13. Other relevant factors which impact upon the |
511 | frequency or severity of claims or upon expenses. |
512 | (g) The office may at any time review a rate, rating |
513 | schedule, rating manual, or rate change; the pertinent records |
514 | of the insurer; and market conditions. If the office finds on a |
515 | preliminary basis that a rate may be excessive, inadequate, or |
516 | unfairly discriminatory, the office shall initiate proceedings |
517 | to disapprove the rate and shall so notify the insurer. However, |
518 | the office may not disapprove as excessive any rate for which it |
519 | has given final approval or which has been deemed approved for a |
520 | period of 1 year after the effective date of the filing unless |
521 | the office finds that a material misrepresentation or material |
522 | error was made by the insurer or was contained in the filing. |
523 | Upon being so notified, the insurer or rating organization |
524 | shall, within 60 days, file with the office all information |
525 | which, in the belief of the insurer or organization, proves the |
526 | reasonableness, adequacy, and fairness of the rate or rate |
527 | change. The office shall issue a notice of intent to approve or |
528 | a notice of intent to disapprove pursuant to the procedures of |
529 | paragraph (a) within 90 days after receipt of the insurer's |
530 | initial response. In such instances and in any administrative |
531 | proceeding relating to the legality of the rate, the insurer or |
532 | rating organization shall carry the burden of proof by a |
533 | preponderance of the evidence to show that the rate is not |
534 | excessive, inadequate, or unfairly discriminatory. After the |
535 | office notifies an insurer that a rate may be excessive, |
536 | inadequate, or unfairly discriminatory, unless the office |
537 | withdraws the notification, the insurer shall not alter the rate |
538 | except to conform with the office's notice until the earlier of |
539 | 120 days after the date the notification was provided or 180 |
540 | days after the date of the implementation of the rate. The |
541 | office may, subject to chapter 120, disapprove without the 60- |
542 | day notification any rate increase filed by an insurer within |
543 | the prohibited time period or during the time that the legality |
544 | of the increased rate is being contested. |
545 |
|
546 | The provisions of this subsection shall not apply to workers' |
547 | compensation and employer's liability insurance and to motor |
548 | vehicle insurance. |
549 | (6)(a) If an insurer requests an administrative hearing |
550 | pursuant to s. 120.57 related to a rate filing under this |
551 | section, the director of the Division of Administrative Hearings |
552 | shall expedite the hearing and assign an administrative law |
553 | judge who shall commence the hearing within 30 days after the |
554 | receipt of the formal request and shall enter a recommended |
555 | order within 30 days after the hearing or within 30 days after |
556 | receipt of the hearing transcript by the administrative law |
557 | judge, whichever is later. Each party shall be allowed 10 days |
558 | in which to submit written exceptions to the recommended order. |
559 | The office shall enter a final order within 30 days after the |
560 | entry of the recommended order. The provisions of this paragraph |
561 | may be waived upon stipulation of all parties. |
562 | (b) Upon entry of a final order, the insurer may request a |
563 | expedited appellate review pursuant to the Florida Rules of |
564 | Appellate Procedure. It is the intent of the Legislature that |
565 | the First District Court of Appeal grant an insurer's request |
566 | for an expedited appellate review. |
567 | (c)(a) After any action with respect to a rate filing that |
568 | constitutes agency action for purposes of the Administrative |
569 | Procedure Act, except for a rate filing for medical malpractice, |
570 | an insurer may, in lieu of demanding a hearing under s. 120.57, |
571 | require arbitration of the rate filing. However, the arbitration |
572 | option provision in this subsection does not apply to a rate |
573 | filing that is made on or after the effective date of this act |
574 | until January 1, 2010 2009. Arbitration shall be conducted by a |
575 | board of arbitrators consisting of an arbitrator selected by the |
576 | office, an arbitrator selected by the insurer, and an arbitrator |
577 | selected jointly by the other two arbitrators. Each arbitrator |
578 | must be certified by the American Arbitration Association. A |
579 | decision is valid only upon the affirmative vote of at least two |
580 | of the arbitrators. No arbitrator may be an employee of any |
581 | insurance regulator or regulatory body or of any insurer, |
582 | regardless of whether or not the employing insurer does business |
583 | in this state. The office and the insurer must treat the |
584 | decision of the arbitrators as the final approval of a rate |
585 | filing. Costs of arbitration shall be paid by the insurer. |
586 | (d)(b) Arbitration under this subsection shall be |
587 | conducted pursuant to the procedures specified in ss. 682.06- |
588 | 682.10. Either party may apply to the circuit court to vacate or |
589 | modify the decision pursuant to s. 682.13 or s. 682.14. The |
590 | commission shall adopt rules for arbitration under this |
591 | subsection, which rules may not be inconsistent with the |
592 | arbitration rules of the American Arbitration Association as of |
593 | January 1, 1996. |
594 | (e)(c) Upon initiation of the arbitration process, the |
595 | insurer waives all rights to challenge the action of the office |
596 | under the Administrative Procedure Act or any other provision of |
597 | law; however, such rights are restored to the insurer if the |
598 | arbitrators fail to render a decision within 90 days after |
599 | initiation of the arbitration process. |
600 | (9)(a) Effective March 1, 2007, The chief executive |
601 | officer or chief financial officer of a property insurer and the |
602 | chief actuary of a property insurer must certify under oath and |
603 | subject to the penalty of perjury, on a form approved by the |
604 | commission, the following information, which must accompany a |
605 | rate filing: |
606 | 1. The signing officer and actuary have reviewed the rate |
607 | filing; |
608 | 2. Based on the signing officer's and actuary's knowledge, |
609 | the rate filing does not contain any untrue statement of a |
610 | material fact or omit to state a material fact necessary in |
611 | order to make the statements made, in light of the circumstances |
612 | under which such statements were made, not misleading; |
613 | 3. Based on the signing officer's and actuary's knowledge, |
614 | the information and other factors described in paragraph (2)(b), |
615 | including, but not limited to, investment income, fairly present |
616 | in all material respects the basis of the rate filing for the |
617 | periods presented in the filing; and |
618 | 4. Based on the signing officer's and actuary's knowledge, |
619 | the rate filing reflects all premium savings that are reasonably |
620 | expected to result from legislative enactments and are in |
621 | accordance with generally accepted and reasonable actuarial |
622 | techniques. |
623 | Section 9. Paragraph (c) of subsection (1) and paragraph |
624 | (c) of subsection (3) of section 627.0628, Florida Statutes, are |
625 | amended, and paragraph (e) is added to subsection (1) of that |
626 | section, to read: |
627 | 627.0628 Florida Commission on Hurricane Loss Projection |
628 | Methodology; public records exemption; public meetings |
629 | exemption.-- |
630 | (1) LEGISLATIVE FINDINGS AND INTENT.-- |
631 | (c) It is the intent of the Legislature to create the |
632 | Florida Commission on Hurricane Loss Projection Methodology as a |
633 | panel of experts to provide the most actuarially sophisticated |
634 | guidelines and standards for projection of hurricane losses |
635 | possible, given the current state of actuarial science. It is |
636 | the further intent of the Legislature that such standards and |
637 | guidelines must be used by the State Board of Administration in |
638 | developing reimbursement premium rates for the Florida Hurricane |
639 | Catastrophe Fund, and, subject to paragraph (3)(c), must may be |
640 | used by insurers in rate filings under s. 627.062 unless the way |
641 | in which such standards and guidelines were applied by the |
642 | insurer was erroneous, as shown by a preponderance of the |
643 | evidence. |
644 | (e) The Legislature finds that the authority to take final |
645 | agency action with respect to insurance ratemaking is vested in |
646 | the Office of Insurance Regulation and the Financial Services |
647 | Commission, and that the processes, standards, and guidelines of |
648 | the Florida Commission on Hurricane Loss Projection Methodology |
649 | do not constitute final agency action or statements of general |
650 | applicability that implement, interpret, or prescribe law or |
651 | policy; accordingly, chapter 120 does not apply to the |
652 | processes, standards, and guidelines of the Florida Commission |
653 | on Hurricane Loss Projection Methodology. |
654 | (3) ADOPTION AND EFFECT OF STANDARDS AND GUIDELINES.-- |
655 | (c) With respect to a rate filing under s. 627.062, an |
656 | insurer must may employ and may not modify or adjust actuarial |
657 | methods, principles, standards, models, or output ranges found |
658 | by the commission to be accurate or reliable in determining to |
659 | determine hurricane loss factors for use in a rate filing and in |
660 | determining probable maximum loss levels for reinsurance costs |
661 | included in a rate filing under s. 627.062; except as provided |
662 | in s. 627.062(2)(b)12., the use of any other model is reasonable |
663 | if the insurer provides justification that establishes by a |
664 | preponderance of the evidence that such use is reasonable and |
665 | consistent with actuarial standards of practice. Such findings |
666 | and factors are admissible and relevant in consideration of a |
667 | rate filing by the office or in any arbitration or |
668 | administrative or judicial review only if the office and the |
669 | consumer advocate appointed pursuant to s. 627.0613 have access |
670 | to all of the assumptions and factors that were used in |
671 | developing the actuarial methods, principles, standards, models, |
672 | or output ranges, and are not precluded from disclosing such |
673 | information in a rate proceeding. In any rate hearing under s. |
674 | 120.57 or in any arbitration proceeding under s. 627.062(6), the |
675 | hearing officer, judge, or arbitration panel may determine |
676 | whether the office and the consumer advocate were provided with |
677 | access to all of the assumptions and factors that were used in |
678 | developing the actuarial methods, principles, standards, models, |
679 | or output ranges and to determine their admissibility. |
680 | Section 10. Subsection (1) of section 627.0629, Florida |
681 | Statutes, is amended to read: |
682 | 627.0629 Residential property insurance; rate filings.-- |
683 | (1)(a) It is the intent of the Legislature that insurers |
684 | must provide savings to consumers who install or implement |
685 | windstorm damage mitigation techniques, alterations, or |
686 | solutions to their properties to prevent windstorm losses. A |
687 | rate filing for residential property insurance must include |
688 | actuarially reasonable discounts, credits, or other rate |
689 | differentials, or appropriate reductions in deductibles, for |
690 | properties on which fixtures or construction techniques |
691 | demonstrated to reduce the amount of loss in a windstorm have |
692 | been installed or implemented. The fixtures or construction |
693 | techniques shall include, but not be limited to, fixtures or |
694 | construction techniques which enhance roof strength, roof |
695 | covering performance, roof-to-wall strength, wall-to-floor-to- |
696 | foundation strength, opening protection, and window, door, and |
697 | skylight strength. Credits, discounts, or other rate |
698 | differentials, or appropriate reductions in deductibles, for |
699 | fixtures and construction techniques which meet the minimum |
700 | requirements of the Florida Building Code must be included in |
701 | the rate filing. All insurance companies must make a rate filing |
702 | which includes the credits, discounts, or other rate |
703 | differentials or reductions in deductibles by February 28, 2003. |
704 | By July 1, 2007, the office shall reevaluate the discounts, |
705 | credits, other rate differentials, and appropriate reductions in |
706 | deductibles for fixtures and construction techniques that meet |
707 | the minimum requirements of the Florida Building Code, based |
708 | upon actual experience or any other loss relativity studies |
709 | available to the office. The office shall determine the |
710 | discounts, credits, other rate differentials, and appropriate |
711 | reductions in deductibles that reflect the full actuarial value |
712 | of such revaluation, which may be used by insurers in rate |
713 | filings. |
714 | (b) By February 1, 2011, the Office of Insurance |
715 | Regulation, in consultation with the Department of Financial |
716 | Services and the Department of Community Affairs, shall develop |
717 | and make publicly available a proposed method for insurers to |
718 | establish discounts, credits, or other rate differentials for |
719 | hurricane mitigation measures which directly correlate to the |
720 | numerical rating assigned to a structure pursuant to the uniform |
721 | home grading scale adopted by the Financial Services Commission |
722 | pursuant to s. 215.55865, including any proposed changes to the |
723 | uniform home grading scale. By October 1, 2011, the commission |
724 | shall adopt rules requiring insurers to make rate filings for |
725 | residential property insurance which revise insurers' discounts, |
726 | credits, or other rate differentials for hurricane mitigation |
727 | measures so that such rate differentials correlate directly to |
728 | the uniform home grading scale. The rules may include such |
729 | changes to the uniform home grading scale as the commission |
730 | determines are necessary, and may specify the minimum required |
731 | discounts, credits, or other rate differentials. Such rate |
732 | differentials must be consistent with generally accepted |
733 | actuarial principles and wind-loss mitigation studies. The rules |
734 | shall allow a period of at least 2 years after the effective |
735 | date of the revised mitigation discounts, credits, or other rate |
736 | differentials for a property owner to obtain an inspection or |
737 | otherwise qualify for the revised credit, during which time the |
738 | insurer shall continue to apply the mitigation credit that was |
739 | applied immediately prior to the effective date of the revised |
740 | credit. |
741 | Section 11. Paragraphs (a), (b), (c), (m), (p), (w), (dd), |
742 | and (ee) of subsection (6) of section 627.351, Florida Statutes, |
743 | are amended, and a new paragraph (ff) is added to that |
744 | subsection, to read: |
745 | 627.351 Insurance risk apportionment plans.-- |
746 | (6) CITIZENS PROPERTY INSURANCE CORPORATION.-- |
747 | (a)1. It is the public purpose of this subsection to |
748 | ensure the existence of an orderly market for property insurance |
749 | for Floridians and Florida businesses. The Legislature finds |
750 | that private insurers are unwilling or unable to provide |
751 | affordable property insurance coverage in this state to the |
752 | extent sought and needed. The absence of affordable property |
753 | insurance threatens the public health, safety, and welfare and |
754 | likewise threatens the economic health of the state. The state |
755 | therefore has a compelling public interest and a public purpose |
756 | to assist in assuring that property in the state is insured and |
757 | that it is insured at affordable rates so as to facilitate the |
758 | remediation, reconstruction, and replacement of damaged or |
759 | destroyed property in order to reduce or avoid the negative |
760 | effects otherwise resulting to the public health, safety, and |
761 | welfare, to the economy of the state, and to the revenues of the |
762 | state and local governments which are needed to provide for the |
763 | public welfare. It is necessary, therefore, to provide |
764 | affordable property insurance to applicants who are in good |
765 | faith entitled to procure insurance through the voluntary market |
766 | but are unable to do so. The Legislature intends by this |
767 | subsection that affordable property insurance be provided and |
768 | that it continue to be provided, as long as necessary, through |
769 | Citizens Property Insurance Corporation, a government entity |
770 | that is an integral part of the state, and that is not a private |
771 | insurance company. To that end, Citizens Property Insurance |
772 | Corporation shall strive to increase the availability of |
773 | affordable property insurance in this state, while achieving |
774 | efficiencies and economies, and while providing service to |
775 | policyholders, applicants, and agents which is no less than the |
776 | quality generally provided in the voluntary market, for the |
777 | achievement of the foregoing public purposes. Because it is |
778 | essential for this government entity to have the maximum |
779 | financial resources to pay claims following a catastrophic |
780 | hurricane, it is the intent of the Legislature that Citizens |
781 | Property Insurance Corporation continue to be an integral part |
782 | of the state and that the income of the corporation be exempt |
783 | from federal income taxation and that interest on the debt |
784 | obligations issued by the corporation be exempt from federal |
785 | income taxation. |
786 | 2. The Residential Property and Casualty Joint |
787 | Underwriting Association originally created by this statute |
788 | shall be known, as of July 1, 2002, as the Citizens Property |
789 | Insurance Corporation. The corporation shall provide insurance |
790 | for residential and commercial property, for applicants who are |
791 | in good faith entitled, but are unable, to procure insurance |
792 | through the voluntary market. The corporation shall operate |
793 | pursuant to a plan of operation approved by order of the |
794 | Financial Services Commission. The plan is subject to continuous |
795 | review by the commission. The commission may, by order, withdraw |
796 | approval of all or part of a plan if the commission determines |
797 | that conditions have changed since approval was granted and that |
798 | the purposes of the plan require changes in the plan. The |
799 | corporation shall continue to operate pursuant to the plan of |
800 | operation approved by the Office of Insurance Regulation until |
801 | October 1, 2006. For the purposes of this subsection, |
802 | residential coverage includes both personal lines residential |
803 | coverage, which consists of the type of coverage provided by |
804 | homeowner's, mobile home owner's, dwelling, tenant's, |
805 | condominium unit owner's, and similar policies, and commercial |
806 | lines residential coverage, which consists of the type of |
807 | coverage provided by condominium association, apartment |
808 | building, and similar policies. |
809 | 3. For the purposes of this subsection, the term |
810 | "homestead property" means: |
811 | a. Property that has been granted a homestead exemption |
812 | under chapter 196; |
813 | b. Property for which the owner has a current, written |
814 | lease with a renter for a term of at least 7 months and for |
815 | which the dwelling is insured by the corporation for $200,000 or |
816 | less; |
817 | c. An owner-occupied mobile home or manufactured home, as |
818 | defined in s. 320.01, which is permanently affixed to real |
819 | property, is owned by a Florida resident, and has been granted a |
820 | homestead exemption under chapter 196 or, if the owner does not |
821 | own the real property, the owner certifies that the mobile home |
822 | or manufactured home is his or her principal place of residence; |
823 | d. Tenant's coverage; |
824 | e. Commercial lines residential property; or |
825 | f. Any county, district, or municipal hospital; a hospital |
826 | licensed by any not-for-profit corporation qualified under s. |
827 | 501(c)(3) of the United States Internal Revenue Code; or a |
828 | continuing care retirement community that is certified under |
829 | chapter 651 and that receives an exemption from ad valorem taxes |
830 | under chapter 196. |
831 | 4. For the purposes of this subsection, the term |
832 | "nonhomestead property" means property that is not homestead |
833 | property. |
834 | 3.5. Effective January 1, 2009, a personal lines |
835 | residential structure that has a dwelling replacement cost of $2 |
836 | $1 million or more, or a single condominium unit that has a |
837 | combined dwelling and content replacement cost of $2 $1 million |
838 | or more is not eligible for coverage by the corporation. Such |
839 | dwellings insured by the corporation on December 31, 2008, may |
840 | continue to be covered by the corporation until the end of the |
841 | policy term. However, such dwellings that are insured by the |
842 | corporation and become ineligible for coverage due to the |
843 | provisions of this subparagraph may reapply and obtain coverage |
844 | in the high-risk account and be considered "nonhomestead |
845 | property" if the property owner provides the corporation with a |
846 | sworn affidavit from one or more insurance agents, on a form |
847 | provided by the corporation, stating that the agents have made |
848 | their best efforts to obtain coverage and that the property has |
849 | been rejected for coverage by at least one authorized insurer |
850 | and at least three surplus lines insurers. If such conditions |
851 | are met, the dwelling may be insured by the corporation for up |
852 | to 3 years, after which time the dwelling is ineligible for |
853 | coverage. The office shall approve the method used by the |
854 | corporation for valuing the dwelling replacement cost for the |
855 | purposes of this subparagraph. If a policyholder is insured by |
856 | the corporation prior to being determined to be ineligible |
857 | pursuant to this subparagraph and such policyholder files a |
858 | lawsuit challenging the determination, the policyholder may |
859 | remain insured by the corporation until the conclusion of the |
860 | litigation. |
861 | 6. For properties constructed on or after January 1, 2009, |
862 | the corporation may not insure any property located within 2,500 |
863 | feet landward of the coastal construction control line created |
864 | pursuant to s. 161.053 unless the property meets the |
865 | requirements of the code-plus building standards developed by |
866 | the Florida Building Commission. |
867 | 4.7. It is the intent of the Legislature that |
868 | policyholders, applicants, and agents of the corporation receive |
869 | service and treatment of the highest possible level but never |
870 | less than that generally provided in the voluntary market. It |
871 | also is intended that the corporation be held to service |
872 | standards no less than those applied to insurers in the |
873 | voluntary market by the office with respect to responsiveness, |
874 | timeliness, customer courtesy, and overall dealings with |
875 | policyholders, applicants, or agents of the corporation. |
876 | 5.8. Effective January 1, 2009, a personal lines |
877 | residential structure that is located in the "wind-borne debris |
878 | region," as defined in s. 1609.2, International Building Code |
879 | (2006), and that has an insured value on the structure of |
880 | $750,000 or more is not eligible for coverage by the corporation |
881 | unless the structure has opening protections as required under |
882 | the Florida Building Code for a newly constructed residential |
883 | structure in that area. A residential structure shall be deemed |
884 | to comply with the requirements of this subparagraph if it has |
885 | shutters or opening protections on all openings and if such |
886 | opening protections complied with the Florida Building Code at |
887 | the time they were installed. |
888 | (b)1. All insurers authorized to write one or more subject |
889 | lines of business in this state are subject to assessment by the |
890 | corporation and, for the purposes of this subsection, are |
891 | referred to collectively as "assessable insurers." Insurers |
892 | writing one or more subject lines of business in this state |
893 | pursuant to part VIII of chapter 626 are not assessable |
894 | insurers, but insureds who procure one or more subject lines of |
895 | business in this state pursuant to part VIII of chapter 626 are |
896 | subject to assessment by the corporation and are referred to |
897 | collectively as "assessable insureds." An authorized insurer's |
898 | assessment liability shall begin on the first day of the |
899 | calendar year following the year in which the insurer was issued |
900 | a certificate of authority to transact insurance for subject |
901 | lines of business in this state and shall terminate 1 year after |
902 | the end of the first calendar year during which the insurer no |
903 | longer holds a certificate of authority to transact insurance |
904 | for subject lines of business in this state. |
905 | 2.a. All revenues, assets, liabilities, losses, and |
906 | expenses of the corporation shall be divided into three separate |
907 | accounts as follows: |
908 | (I) A personal lines account for personal residential |
909 | policies issued by the corporation or issued by the Residential |
910 | Property and Casualty Joint Underwriting Association and renewed |
911 | by the corporation that provide comprehensive, multiperil |
912 | coverage on risks that are not located in areas eligible for |
913 | coverage in the Florida Windstorm Underwriting Association as |
914 | those areas were defined on January 1, 2002, and for such |
915 | policies that do not provide coverage for the peril of wind on |
916 | risks that are located in such areas; |
917 | (II) A commercial lines account for commercial residential |
918 | and commercial nonresidential policies issued by the corporation |
919 | or issued by the Residential Property and Casualty Joint |
920 | Underwriting Association and renewed by the corporation that |
921 | provide coverage for basic property perils on risks that are not |
922 | located in areas eligible for coverage in the Florida Windstorm |
923 | Underwriting Association as those areas were defined on January |
924 | 1, 2002, and for such policies that do not provide coverage for |
925 | the peril of wind on risks that are located in such areas; and |
926 | (III) A high-risk account for personal residential |
927 | policies and commercial residential and commercial |
928 | nonresidential property policies issued by the corporation or |
929 | transferred to the corporation that provide coverage for the |
930 | peril of wind on risks that are located in areas eligible for |
931 | coverage in the Florida Windstorm Underwriting Association as |
932 | those areas were defined on January 1, 2002. Subject to the |
933 | approval of a business plan by the Financial Services Commission |
934 | and Legislative Budget Commission as provided in this sub-sub- |
935 | subparagraph, but no earlier than March 31, 2007, The |
936 | corporation may offer policies that provide multiperil coverage |
937 | and the corporation shall continue to offer policies that |
938 | provide coverage only for the peril of wind for risks located in |
939 | areas eligible for coverage in the high-risk account. In issuing |
940 | multiperil coverage, the corporation may use its approved policy |
941 | forms and rates for the personal lines account. An applicant or |
942 | insured who is eligible to purchase a multiperil policy from the |
943 | corporation may purchase a multiperil policy from an authorized |
944 | insurer without prejudice to the applicant's or insured's |
945 | eligibility to prospectively purchase a policy that provides |
946 | coverage only for the peril of wind from the corporation. An |
947 | applicant or insured who is eligible for a corporation policy |
948 | that provides coverage only for the peril of wind may elect to |
949 | purchase or retain such policy and also purchase or retain |
950 | coverage excluding wind from an authorized insurer without |
951 | prejudice to the applicant's or insured's eligibility to |
952 | prospectively purchase a policy that provides multiperil |
953 | coverage from the corporation. It is the goal of the Legislature |
954 | that there would be an overall average savings of 10 percent or |
955 | more for a policyholder who currently has a wind-only policy |
956 | with the corporation, and an ex-wind policy with a voluntary |
957 | insurer or the corporation, and who then obtains a multiperil |
958 | policy from the corporation. It is the intent of the Legislature |
959 | that the offer of multiperil coverage in the high-risk account |
960 | be made and implemented in a manner that does not adversely |
961 | affect the tax-exempt status of the corporation or |
962 | creditworthiness of or security for currently outstanding |
963 | financing obligations or credit facilities of the high-risk |
964 | account, the personal lines account, or the commercial lines |
965 | account. By March 1, 2007, the corporation shall prepare and |
966 | submit for approval by the Financial Services Commission and |
967 | Legislative Budget Commission a report detailing the |
968 | corporation's business plan for issuing multiperil coverage in |
969 | the high-risk account. The business plan shall be approved or |
970 | disapproved within 30 days after receipt, as submitted or |
971 | modified and resubmitted by the corporation. The business plan |
972 | must include: the impact of such multiperil coverage on the |
973 | corporation's financial resources, the impact of such multiperil |
974 | coverage on the corporation's tax-exempt status, the manner in |
975 | which the corporation plans to implement the processing of |
976 | applications and policy forms for new and existing |
977 | policyholders, the impact of such multiperil coverage on the |
978 | corporation's ability to deliver customer service at the high |
979 | level required by this subsection, the ability of the |
980 | corporation to process claims, the ability of the corporation to |
981 | quote and issue policies, the impact of such multiperil coverage |
982 | on the corporation's agents, the impact of such multiperil |
983 | coverage on the corporation's existing policyholders, and the |
984 | impact of such multiperil coverage on rates and premium. The |
985 | high-risk account must also include quota share primary |
986 | insurance under subparagraph (c)2. The area eligible for |
987 | coverage under the high-risk account also includes the area |
988 | within Port Canaveral, which is bordered on the south by the |
989 | City of Cape Canaveral, bordered on the west by the Banana |
990 | River, and bordered on the north by Federal Government property. |
991 | b. The three separate accounts must be maintained as long |
992 | as financing obligations entered into by the Florida Windstorm |
993 | Underwriting Association or Residential Property and Casualty |
994 | Joint Underwriting Association are outstanding, in accordance |
995 | with the terms of the corresponding financing documents. When |
996 | the financing obligations are no longer outstanding, in |
997 | accordance with the terms of the corresponding financing |
998 | documents, the corporation may use a single account for all |
999 | revenues, assets, liabilities, losses, and expenses of the |
1000 | corporation. Consistent with the requirement of this |
1001 | subparagraph and prudent investment policies that minimize the |
1002 | cost of carrying debt, the board shall exercise its best efforts |
1003 | to retire existing debt or to obtain approval of necessary |
1004 | parties to amend the terms of existing debt, so as to structure |
1005 | the most efficient plan to consolidate the three separate |
1006 | accounts into a single account. By February 1, 2007, the board |
1007 | shall submit a report to the Financial Services Commission, the |
1008 | President of the Senate, and the Speaker of the House of |
1009 | Representatives which includes an analysis of consolidating the |
1010 | accounts, the actions the board has taken to minimize the cost |
1011 | of carrying debt, and its recommendations for executing the most |
1012 | efficient plan. |
1013 | c. Creditors of the Residential Property and Casualty |
1014 | Joint Underwriting Association and of the accounts specified in |
1015 | sub-sub-subparagraphs a.(I) and (II) may have a claim against, |
1016 | and recourse to, the accounts referred to in sub-sub- |
1017 | subparagraphs a.(I) and (II) and shall have no claim against, or |
1018 | recourse to, the account referred to in sub-sub-subparagraph |
1019 | a.(III). Creditors of the Florida Windstorm Underwriting |
1020 | Association shall have a claim against, and recourse to, the |
1021 | account referred to in sub-sub-subparagraph a.(III) and shall |
1022 | have no claim against, or recourse to, the accounts referred to |
1023 | in sub-sub-subparagraphs a.(I) and (II). |
1024 | d. Revenues, assets, liabilities, losses, and expenses not |
1025 | attributable to particular accounts shall be prorated among the |
1026 | accounts. |
1027 | e. The Legislature finds that the revenues of the |
1028 | corporation are revenues that are necessary to meet the |
1029 | requirements set forth in documents authorizing the issuance of |
1030 | bonds under this subsection. |
1031 | f. No part of the income of the corporation may inure to |
1032 | the benefit of any private person. |
1033 | 3. With respect to a deficit in an account: |
1034 | a. After accounting for the Citizens policyholder |
1035 | surcharge imposed under sub-subparagraph i., when the remaining |
1036 | projected deficit incurred in a particular calendar year is not |
1037 | greater than 6 10 percent of the aggregate statewide direct |
1038 | written premium for the subject lines of business for the prior |
1039 | calendar year, the entire deficit shall be recovered through |
1040 | regular assessments of assessable insurers under paragraph (p) |
1041 | and assessable insureds. |
1042 | b. After accounting for the Citizens policyholder |
1043 | surcharge imposed under sub-subparagraph i., when the remaining |
1044 | projected deficit incurred in a particular calendar year exceeds |
1045 | 6 10 percent of the aggregate statewide direct written premium |
1046 | for the subject lines of business for the prior calendar year, |
1047 | the corporation shall levy regular assessments on assessable |
1048 | insurers under paragraph (p) and on assessable insureds in an |
1049 | amount equal to the greater of 6 10 percent of the deficit or 6 |
1050 | 10 percent of the aggregate statewide direct written premium for |
1051 | the subject lines of business for the prior calendar year. Any |
1052 | remaining deficit shall be recovered through emergency |
1053 | assessments under sub-subparagraph d. |
1054 | c. Each assessable insurer's share of the amount being |
1055 | assessed under sub-subparagraph a. or sub-subparagraph b. shall |
1056 | be in the proportion that the assessable insurer's direct |
1057 | written premium for the subject lines of business for the year |
1058 | preceding the assessment bears to the aggregate statewide direct |
1059 | written premium for the subject lines of business for that year. |
1060 | The assessment percentage applicable to each assessable insured |
1061 | is the ratio of the amount being assessed under sub-subparagraph |
1062 | a. or sub-subparagraph b. to the aggregate statewide direct |
1063 | written premium for the subject lines of business for the prior |
1064 | year. Assessments levied by the corporation on assessable |
1065 | insurers under sub-subparagraphs a. and b. shall be paid as |
1066 | required by the corporation's plan of operation and paragraph |
1067 | (p). notwithstanding any other provision of this subsection, the |
1068 | aggregate amount of a regular assessment for a deficit incurred |
1069 | in a particular calendar year shall be reduced by the estimated |
1070 | amount to be received by the corporation from the Citizens |
1071 | policyholder surcharge under subparagraph (c)10. and the amount |
1072 | collected or estimated to be collected from the assessment on |
1073 | Citizens policyholders pursuant to sub-subparagraph i. |
1074 | Assessments levied by the corporation on assessable insureds |
1075 | under sub-subparagraphs a. and b. shall be collected by the |
1076 | surplus lines agent at the time the surplus lines agent collects |
1077 | the surplus lines tax required by s. 626.932 and shall be paid |
1078 | to the Florida Surplus Lines Service Office at the time the |
1079 | surplus lines agent pays the surplus lines tax to the Florida |
1080 | Surplus Lines Service Office. Upon receipt of regular |
1081 | assessments from surplus lines agents, the Florida Surplus Lines |
1082 | Service Office shall transfer the assessments directly to the |
1083 | corporation as determined by the corporation. |
1084 | d. Upon a determination by the board of governors that a |
1085 | deficit in an account exceeds the amount that will be recovered |
1086 | through regular assessments under sub-subparagraph a. or sub- |
1087 | subparagraph b., plus the amount that is expected to be |
1088 | recovered through surcharges under sub-subparagraph i., as to |
1089 | the remaining projected deficit the board shall levy, after |
1090 | verification by the office, emergency assessments, for as many |
1091 | years as necessary to cover the deficits, to be collected by |
1092 | assessable insurers and the corporation and collected from |
1093 | assessable insureds upon issuance or renewal of policies for |
1094 | subject lines of business, excluding National Flood Insurance |
1095 | policies. The amount of the emergency assessment collected in a |
1096 | particular year shall be a uniform percentage of that year's |
1097 | direct written premium for subject lines of business and all |
1098 | accounts of the corporation, excluding National Flood Insurance |
1099 | Program policy premiums, as annually determined by the board and |
1100 | verified by the office. The office shall verify the arithmetic |
1101 | calculations involved in the board's determination within 30 |
1102 | days after receipt of the information on which the determination |
1103 | was based. Notwithstanding any other provision of law, the |
1104 | corporation and each assessable insurer that writes subject |
1105 | lines of business shall collect emergency assessments from its |
1106 | policyholders without such obligation being affected by any |
1107 | credit, limitation, exemption, or deferment. Emergency |
1108 | assessments levied by the corporation on assessable insureds |
1109 | shall be collected by the surplus lines agent at the time the |
1110 | surplus lines agent collects the surplus lines tax required by |
1111 | s. 626.932 and shall be paid to the Florida Surplus Lines |
1112 | Service Office at the time the surplus lines agent pays the |
1113 | surplus lines tax to the Florida Surplus Lines Service Office. |
1114 | The emergency assessments so collected shall be transferred |
1115 | directly to the corporation on a periodic basis as determined by |
1116 | the corporation and shall be held by the corporation solely in |
1117 | the applicable account. The aggregate amount of emergency |
1118 | assessments levied for an account under this sub-subparagraph in |
1119 | any calendar year may, at the discretion of the board of |
1120 | governors, be less than but may not exceed the greater of 10 |
1121 | percent of the amount needed to cover the original deficit, plus |
1122 | interest, fees, commissions, required reserves, and other costs |
1123 | associated with financing of the original deficit, or 10 percent |
1124 | of the aggregate statewide direct written premium for subject |
1125 | lines of business and for all accounts of the corporation for |
1126 | the prior year, plus interest, fees, commissions, required |
1127 | reserves, and other costs associated with financing the original |
1128 | deficit. |
1129 | e. The corporation may pledge the proceeds of assessments, |
1130 | projected recoveries from the Florida Hurricane Catastrophe |
1131 | Fund, other insurance and reinsurance recoverables, policyholder |
1132 | surcharges and other surcharges, and other funds available to |
1133 | the corporation as the source of revenue for and to secure bonds |
1134 | issued under paragraph (p), bonds or other indebtedness issued |
1135 | under subparagraph (c)3., or lines of credit or other financing |
1136 | mechanisms issued or created under this subsection, or to retire |
1137 | any other debt incurred as a result of deficits or events giving |
1138 | rise to deficits, or in any other way that the board determines |
1139 | will efficiently recover such deficits. The purpose of the lines |
1140 | of credit or other financing mechanisms is to provide additional |
1141 | resources to assist the corporation in covering claims and |
1142 | expenses attributable to a catastrophe. As used in this |
1143 | subsection, the term "assessments" includes regular assessments |
1144 | under sub-subparagraph a., sub-subparagraph b., or subparagraph |
1145 | (p)1. and emergency assessments under sub-subparagraph d. |
1146 | Emergency assessments collected under sub-subparagraph d. are |
1147 | not part of an insurer's rates, are not premium, and are not |
1148 | subject to premium tax, fees, or commissions; however, failure |
1149 | to pay the emergency assessment shall be treated as failure to |
1150 | pay premium. The emergency assessments under sub-subparagraph d. |
1151 | shall continue as long as any bonds issued or other indebtedness |
1152 | incurred with respect to a deficit for which the assessment was |
1153 | imposed remain outstanding, unless adequate provision has been |
1154 | made for the payment of such bonds or other indebtedness |
1155 | pursuant to the documents governing such bonds or other |
1156 | indebtedness. |
1157 | f. As used in this subsection for purposes of any deficit |
1158 | incurred on or after January 25, 2007, the term "subject lines |
1159 | of business" means insurance written by assessable insurers or |
1160 | procured by assessable insureds for all property and casualty |
1161 | lines of business in this state, but not including workers' |
1162 | compensation or medical malpractice. As used in the sub- |
1163 | subparagraph, the term "property and casualty lines of business" |
1164 | includes all lines of business identified on Form 2, Exhibit of |
1165 | Premiums and Losses, in the annual statement required of |
1166 | authorized insurers by s. 624.424 and any rule adopted under |
1167 | this section, except for those lines identified as accident and |
1168 | health insurance and except for policies written under the |
1169 | National Flood Insurance Program or the Federal Crop Insurance |
1170 | Program. For purposes of this sub-subparagraph, the term |
1171 | "workers' compensation" includes both workers' compensation |
1172 | insurance and excess workers' compensation insurance. |
1173 | g. The Florida Surplus Lines Service Office shall |
1174 | determine annually the aggregate statewide written premium in |
1175 | subject lines of business procured by assessable insureds and |
1176 | shall report that information to the corporation in a form and |
1177 | at a time the corporation specifies to ensure that the |
1178 | corporation can meet the requirements of this subsection and the |
1179 | corporation's financing obligations. |
1180 | h. The Florida Surplus Lines Service Office shall verify |
1181 | the proper application by surplus lines agents of assessment |
1182 | percentages for regular assessments and emergency assessments |
1183 | levied under this subparagraph on assessable insureds and shall |
1184 | assist the corporation in ensuring the accurate, timely |
1185 | collection and payment of assessments by surplus lines agents as |
1186 | required by the corporation. |
1187 | i. If a deficit is incurred in any account in 2008 or |
1188 | thereafter, the board of governors shall levy a Citizens |
1189 | policyholder surcharge an immediate assessment against the |
1190 | premium of each nonhomestead property policyholder in all |
1191 | accounts of the corporation, as a uniform percentage of the |
1192 | premium of the policy of up to 10 percent of such premium, which |
1193 | funds shall be used to offset the deficit. If this assessment is |
1194 | insufficient to eliminate the deficit, the board of governors |
1195 | shall levy an additional assessment against all policyholders of |
1196 | the corporation for a 12-month period, which shall be collected |
1197 | at the time of issuance or renewal of a policy, as a uniform |
1198 | percentage of the premium for the policy of up to 15 10 percent |
1199 | of such premium, which funds shall be used to further offset the |
1200 | deficit. Citizens policyholder surcharges under this sub- |
1201 | subparagraph are not considered premium and are not subject to |
1202 | commissions, fees, or premium taxes. However, failure to pay |
1203 | such surcharges shall be treated as failure to pay premium. |
1204 | j. If the amount of any assessments or surcharges |
1205 | collected from corporation policyholders, assessable insurers or |
1206 | their policyholders, or assessable insureds exceeds the amount |
1207 | of the deficits, such excess amounts shall be remitted to and |
1208 | retained by the corporation in a reserve to be used by the |
1209 | corporation, as determined by the board of governors and |
1210 | approved by the office, to pay claims or reduce any past, |
1211 | present, or future plan-year deficits or to reduce outstanding |
1212 | debt. The board of governors shall maintain separate accounting |
1213 | records that consolidate data for nonhomestead properties, |
1214 | including, but not limited to, number of policies, insured |
1215 | values, premiums written, and losses. The board of governors |
1216 | shall annually report to the office and the Legislature a |
1217 | summary of such data. |
1218 | (c) The plan of operation of the corporation: |
1219 | 1. Must provide for adoption of residential property and |
1220 | casualty insurance policy forms and commercial residential and |
1221 | nonresidential property insurance forms, which forms must be |
1222 | approved by the office prior to use. The corporation shall adopt |
1223 | the following policy forms: |
1224 | a. Standard personal lines policy forms that are |
1225 | comprehensive multiperil policies providing full coverage of a |
1226 | residential property equivalent to the coverage provided in the |
1227 | private insurance market under an HO-3, HO-4, or HO-6 policy. |
1228 | b. Basic personal lines policy forms that are policies |
1229 | similar to an HO-8 policy or a dwelling fire policy that provide |
1230 | coverage meeting the requirements of the secondary mortgage |
1231 | market, but which coverage is more limited than the coverage |
1232 | under a standard policy. |
1233 | c. Commercial lines residential and nonresidential policy |
1234 | forms that are generally similar to the basic perils of full |
1235 | coverage obtainable for commercial residential structures and |
1236 | commercial nonresidential structures in the admitted voluntary |
1237 | market. |
1238 | d. Personal lines and commercial lines residential |
1239 | property insurance forms that cover the peril of wind only. The |
1240 | forms are applicable only to residential properties located in |
1241 | areas eligible for coverage under the high-risk account referred |
1242 | to in sub-subparagraph (b)2.a. |
1243 | e. Commercial lines nonresidential property insurance |
1244 | forms that cover the peril of wind only. The forms are |
1245 | applicable only to nonresidential properties located in areas |
1246 | eligible for coverage under the high-risk account referred to in |
1247 | sub-subparagraph (b)2.a. |
1248 | f. The corporation may adopt variations of the policy |
1249 | forms listed in sub-subparagraphs a.-e. that contain more |
1250 | restrictive coverage. |
1251 | 2.a. Must provide that the corporation adopt a program in |
1252 | which the corporation and authorized insurers enter into quota |
1253 | share primary insurance agreements for hurricane coverage, as |
1254 | defined in s. 627.4025(2)(a), for eligible risks, and adopt |
1255 | property insurance forms for eligible risks which cover the |
1256 | peril of wind only. As used in this subsection, the term: |
1257 | (I) "Quota share primary insurance" means an arrangement |
1258 | in which the primary hurricane coverage of an eligible risk is |
1259 | provided in specified percentages by the corporation and an |
1260 | authorized insurer. The corporation and authorized insurer are |
1261 | each solely responsible for a specified percentage of hurricane |
1262 | coverage of an eligible risk as set forth in a quota share |
1263 | primary insurance agreement between the corporation and an |
1264 | authorized insurer and the insurance contract. The |
1265 | responsibility of the corporation or authorized insurer to pay |
1266 | its specified percentage of hurricane losses of an eligible |
1267 | risk, as set forth in the quota share primary insurance |
1268 | agreement, may not be altered by the inability of the other |
1269 | party to the agreement to pay its specified percentage of |
1270 | hurricane losses. Eligible risks that are provided hurricane |
1271 | coverage through a quota share primary insurance arrangement |
1272 | must be provided policy forms that set forth the obligations of |
1273 | the corporation and authorized insurer under the arrangement, |
1274 | clearly specify the percentages of quota share primary insurance |
1275 | provided by the corporation and authorized insurer, and |
1276 | conspicuously and clearly state that neither the authorized |
1277 | insurer nor the corporation may be held responsible beyond its |
1278 | specified percentage of coverage of hurricane losses. |
1279 | (II) "Eligible risks" means personal lines residential and |
1280 | commercial lines residential risks that meet the underwriting |
1281 | criteria of the corporation and are located in areas that were |
1282 | eligible for coverage by the Florida Windstorm Underwriting |
1283 | Association on January 1, 2002. |
1284 | b. The corporation may enter into quota share primary |
1285 | insurance agreements with authorized insurers at corporation |
1286 | coverage levels of 90 percent and 50 percent. |
1287 | c. If the corporation determines that additional coverage |
1288 | levels are necessary to maximize participation in quota share |
1289 | primary insurance agreements by authorized insurers, the |
1290 | corporation may establish additional coverage levels. However, |
1291 | the corporation's quota share primary insurance coverage level |
1292 | may not exceed 90 percent. |
1293 | d. Any quota share primary insurance agreement entered |
1294 | into between an authorized insurer and the corporation must |
1295 | provide for a uniform specified percentage of coverage of |
1296 | hurricane losses, by county or territory as set forth by the |
1297 | corporation board, for all eligible risks of the authorized |
1298 | insurer covered under the quota share primary insurance |
1299 | agreement. |
1300 | e. Any quota share primary insurance agreement entered |
1301 | into between an authorized insurer and the corporation is |
1302 | subject to review and approval by the office. However, such |
1303 | agreement shall be authorized only as to insurance contracts |
1304 | entered into between an authorized insurer and an insured who is |
1305 | already insured by the corporation for wind coverage. |
1306 | f. For all eligible risks covered under quota share |
1307 | primary insurance agreements, the exposure and coverage levels |
1308 | for both the corporation and authorized insurers shall be |
1309 | reported by the corporation to the Florida Hurricane Catastrophe |
1310 | Fund. For all policies of eligible risks covered under quota |
1311 | share primary insurance agreements, the corporation and the |
1312 | authorized insurer shall maintain complete and accurate records |
1313 | for the purpose of exposure and loss reimbursement audits as |
1314 | required by Florida Hurricane Catastrophe Fund rules. The |
1315 | corporation and the authorized insurer shall each maintain |
1316 | duplicate copies of policy declaration pages and supporting |
1317 | claims documents. |
1318 | g. The corporation board shall establish in its plan of |
1319 | operation standards for quota share agreements which ensure that |
1320 | there is no discriminatory application among insurers as to the |
1321 | terms of quota share agreements, pricing of quota share |
1322 | agreements, incentive provisions if any, and consideration paid |
1323 | for servicing policies or adjusting claims. |
1324 | h. The quota share primary insurance agreement between the |
1325 | corporation and an authorized insurer must set forth the |
1326 | specific terms under which coverage is provided, including, but |
1327 | not limited to, the sale and servicing of policies issued under |
1328 | the agreement by the insurance agent of the authorized insurer |
1329 | producing the business, the reporting of information concerning |
1330 | eligible risks, the payment of premium to the corporation, and |
1331 | arrangements for the adjustment and payment of hurricane claims |
1332 | incurred on eligible risks by the claims adjuster and personnel |
1333 | of the authorized insurer. Entering into a quota sharing |
1334 | insurance agreement between the corporation and an authorized |
1335 | insurer shall be voluntary and at the discretion of the |
1336 | authorized insurer. |
1337 | 3. May provide that the corporation may employ or |
1338 | otherwise contract with individuals or other entities to provide |
1339 | administrative or professional services that may be appropriate |
1340 | to effectuate the plan. The corporation shall have the power to |
1341 | borrow funds, by issuing bonds or by incurring other |
1342 | indebtedness, and shall have other powers reasonably necessary |
1343 | to effectuate the requirements of this subsection, including, |
1344 | without limitation, the power to issue bonds and incur other |
1345 | indebtedness in order to refinance outstanding bonds or other |
1346 | indebtedness. The corporation may, but is not required to, seek |
1347 | judicial validation of its bonds or other indebtedness under |
1348 | chapter 75. The corporation may issue bonds or incur other |
1349 | indebtedness, or have bonds issued on its behalf by a unit of |
1350 | local government pursuant to subparagraph (p)2., in the absence |
1351 | of a hurricane or other weather-related event, upon a |
1352 | determination by the corporation, subject to approval by the |
1353 | office, that such action would enable it to efficiently meet the |
1354 | financial obligations of the corporation and that such |
1355 | financings are reasonably necessary to effectuate the |
1356 | requirements of this subsection. The corporation is authorized |
1357 | to take all actions needed to facilitate tax-free status for any |
1358 | such bonds or indebtedness, including formation of trusts or |
1359 | other affiliated entities. The corporation shall have the |
1360 | authority to pledge assessments, projected recoveries from the |
1361 | Florida Hurricane Catastrophe Fund, other reinsurance |
1362 | recoverables, market equalization and other surcharges, and |
1363 | other funds available to the corporation as security for bonds |
1364 | or other indebtedness. In recognition of s. 10, Art. I of the |
1365 | State Constitution, prohibiting the impairment of obligations of |
1366 | contracts, it is the intent of the Legislature that no action be |
1367 | taken whose purpose is to impair any bond indenture or financing |
1368 | agreement or any revenue source committed by contract to such |
1369 | bond or other indebtedness. |
1370 | 4.a. Must require that the corporation operate subject to |
1371 | the supervision and approval of a board of governors consisting |
1372 | of eight individuals who are residents of this state, from |
1373 | different geographical areas of this state. The Governor, the |
1374 | Chief Financial Officer, the President of the Senate, and the |
1375 | Speaker of the House of Representatives shall each appoint two |
1376 | members of the board. At least one of the two members appointed |
1377 | by each appointing officer must have demonstrated expertise in |
1378 | insurance. The Chief Financial Officer shall designate one of |
1379 | the appointees as chair. All board members serve at the pleasure |
1380 | of the appointing officer. All members of the board of governors |
1381 | are subject to removal at will by the officers who appointed |
1382 | them. All board members, including the chair, must be appointed |
1383 | to serve for 3-year terms beginning annually on a date |
1384 | designated by the plan. Any board vacancy shall be filled for |
1385 | the unexpired term by the appointing officer. The Chief |
1386 | Financial Officer shall appoint a technical advisory group to |
1387 | provide information and advice to the board of governors in |
1388 | connection with the board's duties under this subsection. The |
1389 | executive director and senior managers of the corporation shall |
1390 | be engaged by the board and serve at the pleasure of the board. |
1391 | Any executive director appointed on or after July 1, 2006, is |
1392 | subject to confirmation by the Senate. The executive director is |
1393 | responsible for employing other staff as the corporation may |
1394 | require, subject to review and concurrence by the board. |
1395 | b. The board shall create a Market Accountability Advisory |
1396 | Committee to assist the corporation in developing awareness of |
1397 | its rates and its customer and agent service levels in |
1398 | relationship to the voluntary market insurers writing similar |
1399 | coverage. The members of the advisory committee shall consist of |
1400 | the following 11 persons, one of whom must be elected chair by |
1401 | the members of the committee: four representatives, one |
1402 | appointed by the Florida Association of Insurance Agents, one by |
1403 | the Florida Association of Insurance and Financial Advisors, one |
1404 | by the Professional Insurance Agents of Florida, and one by the |
1405 | Latin American Association of Insurance Agencies; three |
1406 | representatives appointed by the insurers with the three highest |
1407 | voluntary market share of residential property insurance |
1408 | business in the state; one representative from the Office of |
1409 | Insurance Regulation; one consumer appointed by the board who is |
1410 | insured by the corporation at the time of appointment to the |
1411 | committee; one representative appointed by the Florida |
1412 | Association of Realtors; and one representative appointed by the |
1413 | Florida Bankers Association. All members must serve for 3-year |
1414 | terms and may serve for consecutive terms. The committee shall |
1415 | report to the corporation at each board meeting on insurance |
1416 | market issues which may include rates and rate competition with |
1417 | the voluntary market; service, including policy issuance, claims |
1418 | processing, and general responsiveness to policyholders, |
1419 | applicants, and agents; and matters relating to depopulation. |
1420 | 5. Must provide a procedure for determining the |
1421 | eligibility of a risk for coverage, as follows: |
1422 | a. Subject to the provisions of s. 627.3517, with respect |
1423 | to personal lines residential risks, if the risk is offered |
1424 | coverage from an authorized insurer at the insurer's approved |
1425 | rate under either a standard policy including wind coverage or, |
1426 | if consistent with the insurer's underwriting rules as filed |
1427 | with the office, a basic policy including wind coverage, for a |
1428 | new application to the corporation for coverage, the risk is not |
1429 | eligible for any policy issued by the corporation unless the |
1430 | premium for coverage from the authorized insurer is more than 15 |
1431 | percent greater than the premium for comparable coverage from |
1432 | the corporation. If the risk is not able to obtain any such |
1433 | offer, the risk is eligible for either a standard policy |
1434 | including wind coverage or a basic policy including wind |
1435 | coverage issued by the corporation; however, if the risk could |
1436 | not be insured under a standard policy including wind coverage |
1437 | regardless of market conditions, the risk shall be eligible for |
1438 | a basic policy including wind coverage unless rejected under |
1439 | subparagraph 9. However, with regard to a policyholder of the |
1440 | corporation or a policyholder removed from the corporation |
1441 | through an assumption agreement until the end of the assumption |
1442 | period, the policyholder remains eligible for coverage from the |
1443 | corporation regardless of any offer of coverage from an |
1444 | authorized insurer or surplus lines insurer. The corporation |
1445 | shall determine the type of policy to be provided on the basis |
1446 | of objective standards specified in the underwriting manual and |
1447 | based on generally accepted underwriting practices. |
1448 | (I) If the risk accepts an offer of coverage through the |
1449 | market assistance plan or an offer of coverage through a |
1450 | mechanism established by the corporation before a policy is |
1451 | issued to the risk by the corporation or during the first 30 |
1452 | days of coverage by the corporation, and the producing agent who |
1453 | submitted the application to the plan or to the corporation is |
1454 | not currently appointed by the insurer, the insurer shall: |
1455 | (A) Pay to the producing agent of record of the policy, |
1456 | for the first year, an amount that is the greater of the |
1457 | insurer's usual and customary commission for the type of policy |
1458 | written or a fee equal to the usual and customary commission of |
1459 | the corporation; or |
1460 | (B) Offer to allow the producing agent of record of the |
1461 | policy to continue servicing the policy for a period of not less |
1462 | than 1 year and offer to pay the agent the greater of the |
1463 | insurer's or the corporation's usual and customary commission |
1464 | for the type of policy written. |
1465 |
|
1466 | If the producing agent is unwilling or unable to accept |
1467 | appointment, the new insurer shall pay the agent in accordance |
1468 | with sub-sub-sub-subparagraph (A). |
1469 | (II) When the corporation enters into a contractual |
1470 | agreement for a take-out plan, the producing agent of record of |
1471 | the corporation policy is entitled to retain any unearned |
1472 | commission on the policy, and the insurer shall: |
1473 | (A) Pay to the producing agent of record of the |
1474 | corporation policy, for the first year, an amount that is the |
1475 | greater of the insurer's usual and customary commission for the |
1476 | type of policy written or a fee equal to the usual and customary |
1477 | commission of the corporation; or |
1478 | (B) Offer to allow the producing agent of record of the |
1479 | corporation policy to continue servicing the policy for a period |
1480 | of not less than 1 year and offer to pay the agent the greater |
1481 | of the insurer's or the corporation's usual and customary |
1482 | commission for the type of policy written. |
1483 |
|
1484 | If the producing agent is unwilling or unable to accept |
1485 | appointment, the new insurer shall pay the agent in accordance |
1486 | with sub-sub-sub-subparagraph (A). |
1487 | b. With respect to commercial lines residential risks, for |
1488 | a new application to the corporation for coverage, if the risk |
1489 | is offered coverage under a policy including wind coverage from |
1490 | an authorized insurer at its approved rate, the risk is not |
1491 | eligible for any policy issued by the corporation unless the |
1492 | premium for coverage from the authorized insurer is more than 15 |
1493 | percent greater than the premium for comparable coverage from |
1494 | the corporation. If the risk is not able to obtain any such |
1495 | offer, the risk is eligible for a policy including wind coverage |
1496 | issued by the corporation. However, with regard to a |
1497 | policyholder of the corporation or a policyholder removed from |
1498 | the corporation through an assumption agreement until the end of |
1499 | the assumption period, the policyholder remains eligible for |
1500 | coverage from the corporation regardless of any offer of |
1501 | coverage from an authorized insurer or surplus lines insurer. |
1502 | (I) If the risk accepts an offer of coverage through the |
1503 | market assistance plan or an offer of coverage through a |
1504 | mechanism established by the corporation before a policy is |
1505 | issued to the risk by the corporation or during the first 30 |
1506 | days of coverage by the corporation, and the producing agent who |
1507 | submitted the application to the plan or the corporation is not |
1508 | currently appointed by the insurer, the insurer shall: |
1509 | (A) Pay to the producing agent of record of the policy, |
1510 | for the first year, an amount that is the greater of the |
1511 | insurer's usual and customary commission for the type of policy |
1512 | written or a fee equal to the usual and customary commission of |
1513 | the corporation; or |
1514 | (B) Offer to allow the producing agent of record of the |
1515 | policy to continue servicing the policy for a period of not less |
1516 | than 1 year and offer to pay the agent the greater of the |
1517 | insurer's or the corporation's usual and customary commission |
1518 | for the type of policy written. |
1519 |
|
1520 | If the producing agent is unwilling or unable to accept |
1521 | appointment, the new insurer shall pay the agent in accordance |
1522 | with sub-sub-sub-subparagraph (A). |
1523 | (II) When the corporation enters into a contractual |
1524 | agreement for a take-out plan, the producing agent of record of |
1525 | the corporation policy is entitled to retain any unearned |
1526 | commission on the policy, and the insurer shall: |
1527 | (A) Pay to the producing agent of record of the |
1528 | corporation policy, for the first year, an amount that is the |
1529 | greater of the insurer's usual and customary commission for the |
1530 | type of policy written or a fee equal to the usual and customary |
1531 | commission of the corporation; or |
1532 | (B) Offer to allow the producing agent of record of the |
1533 | corporation policy to continue servicing the policy for a period |
1534 | of not less than 1 year and offer to pay the agent the greater |
1535 | of the insurer's or the corporation's usual and customary |
1536 | commission for the type of policy written. |
1537 |
|
1538 | If the producing agent is unwilling or unable to accept |
1539 | appointment, the new insurer shall pay the agent in accordance |
1540 | with sub-sub-sub-subparagraph (A). |
1541 | c. For purposes of determining comparable coverage under |
1542 | sub-subparagraphs a. and b., the comparison shall be based on |
1543 | those forms and coverages that are reasonably comparable. The |
1544 | corporation may rely on a determination of comparable coverage |
1545 | and premium made by the producing agent who submits the |
1546 | application to the corporation, made in the agent's capacity as |
1547 | the corporation's agent. A comparison may be made solely of the |
1548 | premium with respect to the main building or structure only on |
1549 | the following basis: the same coverage A or other building |
1550 | limits; the same percentage hurricane deductible that applies on |
1551 | an annual basis or that applies to each hurricane for commercial |
1552 | residential property; the same percentage of ordinance and law |
1553 | coverage, if the same limit is offered by both the corporation |
1554 | and the authorized insurer; the same mitigation credits, to the |
1555 | extent the same types of credits are offered both by the |
1556 | corporation and the authorized insurer; the same method for loss |
1557 | payment, such as replacement cost or actual cash value, if the |
1558 | same method is offered both by the corporation and the |
1559 | authorized insurer in accordance with underwriting rules; and |
1560 | any other form or coverage that is reasonably comparable as |
1561 | determined by the board. If an application is submitted to the |
1562 | corporation for wind-only coverage in the high-risk account, the |
1563 | premium for the corporation's wind-only policy plus the premium |
1564 | for the ex-wind policy that is offered by an authorized insurer |
1565 | to the applicant shall be compared to the premium for multiperil |
1566 | coverage offered by an authorized insurer, subject to the |
1567 | standards for comparison specified in this subparagraph. If the |
1568 | corporation or the applicant requests from the authorized |
1569 | insurer a breakdown of the premium of the offer by types of |
1570 | coverage so that a comparison may be made by the corporation or |
1571 | its agent and the authorized insurer refuses or is unable to |
1572 | provide such information, the corporation may treat the offer as |
1573 | not being an offer of coverage from an authorized insurer at the |
1574 | insurer's approved rate. |
1575 | 6. Must include rules for classifications of risks and |
1576 | rates therefor. |
1577 | 7. Must provide that if premium and investment income for |
1578 | an account attributable to a particular calendar year are in |
1579 | excess of projected losses and expenses for the account |
1580 | attributable to that year, such excess shall be held in surplus |
1581 | in the account. Such surplus shall be available to defray |
1582 | deficits in that account as to future years and shall be used |
1583 | for that purpose prior to assessing assessable insurers and |
1584 | assessable insureds as to any calendar year. |
1585 | 8. Must provide objective criteria and procedures to be |
1586 | uniformly applied for all applicants in determining whether an |
1587 | individual risk is so hazardous as to be uninsurable. In making |
1588 | this determination and in establishing the criteria and |
1589 | procedures, the following shall be considered: |
1590 | a. Whether the likelihood of a loss for the individual |
1591 | risk is substantially higher than for other risks of the same |
1592 | class; and |
1593 | b. Whether the uncertainty associated with the individual |
1594 | risk is such that an appropriate premium cannot be determined. |
1595 |
|
1596 | The acceptance or rejection of a risk by the corporation shall |
1597 | be construed as the private placement of insurance, and the |
1598 | provisions of chapter 120 shall not apply. |
1599 | 9. Must provide that the corporation shall make its best |
1600 | efforts to procure catastrophe reinsurance at reasonable rates, |
1601 | to cover its projected 100-year probable maximum loss as |
1602 | determined by the board of governors. |
1603 | 10. Must provide that in the event of regular deficit |
1604 | assessments under sub-subparagraph (b)3.a. or sub-subparagraph |
1605 | (b)3.b., in the personal lines account, the commercial lines |
1606 | residential account, or the high-risk account, the corporation |
1607 | shall levy upon corporation policyholders in its next rate |
1608 | filing, or by a separate rate filing solely for this purpose, a |
1609 | Citizens policyholder surcharge arising from a regular |
1610 | assessment in such account in a percentage equal to the total |
1611 | amount of such regular assessments divided by the aggregate |
1612 | statewide direct written premium for subject lines of business |
1613 | for the prior calendar year. For purposes of calculating the |
1614 | Citizens policyholder surcharge to be levied under this |
1615 | subparagraph, the total amount of the regular assessment to |
1616 | which this surcharge is related shall be determined as set forth |
1617 | in subparagraph (b)3., without deducting the estimated Citizens |
1618 | policyholder surcharge. Citizens policyholder surcharges under |
1619 | this subparagraph are not considered premium and are not subject |
1620 | to commissions, fees, or premium taxes; however, failure to pay |
1621 | a market equalization surcharge shall be treated as failure to |
1622 | pay premium. |
1623 | 10.11. The policies issued by the corporation must provide |
1624 | that, if the corporation or the market assistance plan obtains |
1625 | an offer from an authorized insurer to cover the risk at its |
1626 | approved rates, the risk is no longer eligible for renewal |
1627 | through the corporation, except as otherwise provided in this |
1628 | subsection. |
1629 | 11.12. Corporation policies and applications must include |
1630 | a notice that the corporation policy could, under this section, |
1631 | be replaced with a policy issued by an authorized insurer that |
1632 | does not provide coverage identical to the coverage provided by |
1633 | the corporation. The notice shall also specify that acceptance |
1634 | of corporation coverage creates a conclusive presumption that |
1635 | the applicant or policyholder is aware of this potential. |
1636 | 12.13. May establish, subject to approval by the office, |
1637 | different eligibility requirements and operational procedures |
1638 | for any line or type of coverage for any specified county or |
1639 | area if the board determines that such changes to the |
1640 | eligibility requirements and operational procedures are |
1641 | justified due to the voluntary market being sufficiently stable |
1642 | and competitive in such area or for such line or type of |
1643 | coverage and that consumers who, in good faith, are unable to |
1644 | obtain insurance through the voluntary market through ordinary |
1645 | methods would continue to have access to coverage from the |
1646 | corporation. When coverage is sought in connection with a real |
1647 | property transfer, such requirements and procedures shall not |
1648 | provide for an effective date of coverage later than the date of |
1649 | the closing of the transfer as established by the transferor, |
1650 | the transferee, and, if applicable, the lender. |
1651 | 13.14. Must provide that, with respect to the high-risk |
1652 | account, any assessable insurer with a surplus as to |
1653 | policyholders of $25 million or less writing 25 percent or more |
1654 | of its total countrywide property insurance premiums in this |
1655 | state may petition the office, within the first 90 days of each |
1656 | calendar year, to qualify as a limited apportionment company. A |
1657 | regular assessment levied by the corporation on a limited |
1658 | apportionment company for a deficit incurred by the corporation |
1659 | for the high-risk account in 2006 or thereafter may be paid to |
1660 | the corporation on a monthly basis as the assessments are |
1661 | collected by the limited apportionment company from its insureds |
1662 | pursuant to s. 627.3512, but the regular assessment must be paid |
1663 | in full within 12 months after being levied by the corporation. |
1664 | A limited apportionment company shall collect from its |
1665 | policyholders any emergency assessment imposed under sub- |
1666 | subparagraph (b)3.d. The plan shall provide that, if the office |
1667 | determines that any regular assessment will result in an |
1668 | impairment of the surplus of a limited apportionment company, |
1669 | the office may direct that all or part of such assessment be |
1670 | deferred as provided in subparagraph (p)4. However, there shall |
1671 | be no limitation or deferment of an emergency assessment to be |
1672 | collected from policyholders under sub-subparagraph (b)3.d. |
1673 | 14.15. Must provide that the corporation appoint as its |
1674 | licensed agents only those agents who also hold an appointment |
1675 | as defined in s. 626.015(3) with an insurer who at the time of |
1676 | the agent's initial appointment by the corporation is authorized |
1677 | to write and is actually writing personal lines residential |
1678 | property coverage, commercial residential property coverage, or |
1679 | commercial nonresidential property coverage within the state. |
1680 | 15.16. Must provide, by July 1, 2007, a premium payment |
1681 | plan option to its policyholders which allows at a minimum for |
1682 | quarterly and semiannual payment of premiums. A monthly payment |
1683 | plan may, but is not required to, be offered. |
1684 | 16.17. Must limit coverage on mobile homes or manufactured |
1685 | homes built prior to 1994 to actual cash value of the dwelling |
1686 | rather than replacement costs of the dwelling. |
1687 | 17.18. May provide such limits of coverage as the board |
1688 | determines, consistent with the requirements of this subsection. |
1689 | 18.19. May require commercial property to meet specified |
1690 | hurricane mitigation construction features as a condition of |
1691 | eligibility for coverage. |
1692 | (m)1. Rates for coverage provided by the corporation shall |
1693 | be actuarially sound and subject to the requirements of s. |
1694 | 627.062, except as otherwise provided in this paragraph. The |
1695 | corporation shall file its recommended rates with the office at |
1696 | least annually. The corporation shall provide any additional |
1697 | information regarding the rates which the office requires. The |
1698 | office shall consider the recommendations of the board and issue |
1699 | a final order establishing the rates for the corporation within |
1700 | 45 days after the recommended rates are filed. The corporation |
1701 | may not pursue an administrative challenge or judicial review of |
1702 | the final order of the office. |
1703 | 2. In addition to the rates otherwise determined pursuant |
1704 | to this paragraph, the corporation shall impose and collect an |
1705 | amount equal to the premium tax provided for in s. 624.509 to |
1706 | augment the financial resources of the corporation. |
1707 | 3. After the public hurricane loss-projection model under |
1708 | s. 627.06281 has been found to be accurate and reliable by the |
1709 | Florida Commission on Hurricane Loss Projection Methodology, |
1710 | that model shall serve as the minimum benchmark for determining |
1711 | the windstorm portion of the corporation's rates. This |
1712 | subparagraph does not require or allow the corporation to adopt |
1713 | rates lower than the rates otherwise required or allowed by this |
1714 | paragraph. |
1715 | 4. The rate filings for the corporation which were |
1716 | approved by the office and which took effect January 1, 2007, |
1717 | are rescinded, except for those rates that were lowered. As soon |
1718 | as possible, the corporation shall begin using the lower rates |
1719 | that were in effect on December 31, 2006, and shall provide |
1720 | refunds to policyholders who have paid higher rates as a result |
1721 | of that rate filing. The rates in effect on December 31, 2006, |
1722 | shall remain in effect for the 2007 and 2008 calendar years |
1723 | except for any rate change that results in a lower rate. The |
1724 | next rate change that may increase rates shall take effect |
1725 | January 1, 2009, pursuant to a new rate filing recommended by |
1726 | the corporation and established by the office, subject to the |
1727 | requirements of this paragraph. |
1728 | 5.a. Beginning on January 15, 2009, and each year |
1729 | thereafter, the corporation must make a recommended actuarially |
1730 | sound rate filing for each personal and commercial line of |
1731 | business it writes, to be effective no earlier than July 1, |
1732 | 2009. |
1733 | b. For the 36-month period beginning with the effective |
1734 | date for each of the rate filings made by the corporation on |
1735 | January 15, 2009, the rates established by the office for the |
1736 | corporation for its personal residential multiperil policies, |
1737 | its commercial residential multiperil policies, and its |
1738 | commercial nonresidential multiperil policies may not result in |
1739 | an overall average statewide premium increase of more than 10 |
1740 | percent or an increase for any single policyholder of more than |
1741 | 10 percent, during the first 12-month period, and may not result |
1742 | in an overall average statewide premium increase of more than 10 |
1743 | percent, or an increase for any single policyholder of more than |
1744 | 10 percent, during each of the two subsequent 12-month periods, |
1745 | excluding coverage changes and surcharges. |
1746 | c. For the 36-month period beginning with the effective |
1747 | date for the rate filings made by the corporation on January 15, |
1748 | 2009, the rates established by the office for the corporation |
1749 | for its personal residential wind-only policies, its commercial |
1750 | residential wind-only policies, and its commercial |
1751 | nonresidential wind-only policies may not result in an overall |
1752 | average statewide premium increase of more than 10 percent, or |
1753 | an increase for any single policyholder of more than 10 percent, |
1754 | during the first 12-month period, and may not result in an |
1755 | overall average statewide premium increase of more than 10 |
1756 | percent, or an increase for any single policyholder of more than |
1757 | 10 percent, during each of the two subsequent 12-month periods, |
1758 | excluding coverage changes and surcharges. |
1759 | (p)1. The corporation shall certify to the office its |
1760 | needs for annual assessments as to a particular calendar year, |
1761 | and for any interim assessments that it deems to be necessary to |
1762 | sustain operations as to a particular year pending the receipt |
1763 | of annual assessments. Upon verification, the office shall |
1764 | approve such certification, and the corporation shall levy such |
1765 | annual or interim assessments. Such assessments shall be |
1766 | prorated as provided in paragraph (b). The corporation shall |
1767 | take all reasonable and prudent steps necessary to collect the |
1768 | amount of assessment due from each assessable insurer, |
1769 | including, if prudent, filing suit to collect such assessment. |
1770 | If the corporation is unable to collect an assessment from any |
1771 | assessable insurer, the uncollected assessments shall be levied |
1772 | as an additional assessment against the assessable insurers and |
1773 | any assessable insurer required to pay an additional assessment |
1774 | as a result of such failure to pay shall have a cause of action |
1775 | against such nonpaying assessable insurer. Assessments shall be |
1776 | included as an appropriate factor in the making of rates. The |
1777 | failure of a surplus lines agent to collect and remit any |
1778 | regular or emergency assessment levied by the corporation is |
1779 | considered to be a violation of s. 626.936 and subjects the |
1780 | surplus lines agent to the penalties provided in that section. |
1781 | 2. The governing body of any unit of local government, any |
1782 | residents of which are insured by the corporation, may issue |
1783 | bonds as defined in s. 125.013 or s. 166.101 from time to time |
1784 | to fund an assistance program, in conjunction with the |
1785 | corporation, for the purpose of defraying deficits of the |
1786 | corporation. In order to avoid needless and indiscriminate |
1787 | proliferation, duplication, and fragmentation of such assistance |
1788 | programs, any unit of local government, any residents of which |
1789 | are insured by the corporation, may provide for the payment of |
1790 | losses, regardless of whether or not the losses occurred within |
1791 | or outside of the territorial jurisdiction of the local |
1792 | government. Revenue bonds under this subparagraph may not be |
1793 | issued until validated pursuant to chapter 75, unless a state of |
1794 | emergency is declared by executive order or proclamation of the |
1795 | Governor pursuant to s. 252.36 making such findings as are |
1796 | necessary to determine that it is in the best interests of, and |
1797 | necessary for, the protection of the public health, safety, and |
1798 | general welfare of residents of this state and declaring it an |
1799 | essential public purpose to permit certain municipalities or |
1800 | counties to issue such bonds as will permit relief to claimants |
1801 | and policyholders of the corporation. Any such unit of local |
1802 | government may enter into such contracts with the corporation |
1803 | and with any other entity created pursuant to this subsection as |
1804 | are necessary to carry out this paragraph. Any bonds issued |
1805 | under this subparagraph shall be payable from and secured by |
1806 | moneys received by the corporation from emergency assessments |
1807 | under sub-subparagraph (b)3.d., and assigned and pledged to or |
1808 | on behalf of the unit of local government for the benefit of the |
1809 | holders of such bonds. The funds, credit, property, and taxing |
1810 | power of the state or of the unit of local government shall not |
1811 | be pledged for the payment of such bonds. If any of the bonds |
1812 | remain unsold 60 days after issuance, the office shall require |
1813 | all insurers subject to assessment to purchase the bonds, which |
1814 | shall be treated as admitted assets; each insurer shall be |
1815 | required to purchase that percentage of the unsold portion of |
1816 | the bond issue that equals the insurer's relative share of |
1817 | assessment liability under this subsection. An insurer shall not |
1818 | be required to purchase the bonds to the extent that the office |
1819 | determines that the purchase would endanger or impair the |
1820 | solvency of the insurer. |
1821 | 3.a. The corporation shall adopt one or more programs |
1822 | subject to approval by the office for the reduction of both new |
1823 | and renewal writings in the corporation. Beginning January 1, |
1824 | 2008, any program the corporation adopts for the payment of |
1825 | bonuses to an insurer for each risk the insurer removes from the |
1826 | corporation shall comply with s. 627.3511(2) and may not exceed |
1827 | the amount referenced in s. 627.3511(2) for each risk removed. |
1828 | The corporation may consider any prudent and not unfairly |
1829 | discriminatory approach to reducing corporation writings, and |
1830 | may adopt a credit against assessment liability or other |
1831 | liability that provides an incentive for insurers to take risks |
1832 | out of the corporation and to keep risks out of the corporation |
1833 | by maintaining or increasing voluntary writings in counties or |
1834 | areas in which corporation risks are highly concentrated and a |
1835 | program to provide a formula under which an insurer voluntarily |
1836 | taking risks out of the corporation by maintaining or increasing |
1837 | voluntary writings will be relieved wholly or partially from |
1838 | assessments under sub-subparagraphs (b)3.a. and b. However, any |
1839 | "take-out bonus" or payment to an insurer must be conditioned on |
1840 | the property being insured for at least 5 years by the insurer, |
1841 | unless canceled or nonrenewed by the policyholder. If the policy |
1842 | is canceled or nonrenewed by the policyholder before the end of |
1843 | the 5-year period, the amount of the take-out bonus must be |
1844 | prorated for the time period the policy was insured. When the |
1845 | corporation enters into a contractual agreement for a take-out |
1846 | plan, the producing agent of record of the corporation policy is |
1847 | entitled to retain any unearned commission on such policy, and |
1848 | the insurer shall either: |
1849 | (I) Pay to the producing agent of record of the policy, |
1850 | for the first year, an amount which is the greater of the |
1851 | insurer's usual and customary commission for the type of policy |
1852 | written or a policy fee equal to the usual and customary |
1853 | commission of the corporation; or |
1854 | (II) Offer to allow the producing agent of record of the |
1855 | policy to continue servicing the policy for a period of not less |
1856 | than 1 year and offer to pay the agent the insurer's usual and |
1857 | customary commission for the type of policy written. If the |
1858 | producing agent is unwilling or unable to accept appointment by |
1859 | the new insurer, the new insurer shall pay the agent in |
1860 | accordance with sub-sub-subparagraph (I). |
1861 | b. Any credit or exemption from regular assessments |
1862 | adopted under this subparagraph shall last no longer than the 3 |
1863 | years following the cancellation or expiration of the policy by |
1864 | the corporation. With the approval of the office, the board may |
1865 | extend such credits for an additional year if the insurer |
1866 | guarantees an additional year of renewability for all policies |
1867 | removed from the corporation, or for 2 additional years if the |
1868 | insurer guarantees 2 additional years of renewability for all |
1869 | policies so removed. |
1870 | c. There shall be no credit, limitation, exemption, or |
1871 | deferment from emergency assessments to be collected from |
1872 | policyholders pursuant to sub-subparagraph (b)3.d. |
1873 | 4. The plan shall provide for the deferment, in whole or |
1874 | in part, of the assessment of an assessable insurer, other than |
1875 | an emergency assessment collected from policyholders pursuant to |
1876 | sub-subparagraph (b)3.d., if the office finds that payment of |
1877 | the assessment would endanger or impair the solvency of the |
1878 | insurer. In the event an assessment against an assessable |
1879 | insurer is deferred in whole or in part, the amount by which |
1880 | such assessment is deferred may be assessed against the other |
1881 | assessable insurers in a manner consistent with the basis for |
1882 | assessments set forth in paragraph (b). |
1883 | 5. Effective July 1, 2007, in order to evaluate the costs |
1884 | and benefits of approved take-out plans, if the corporation pays |
1885 | a bonus or other payment to an insurer for an approved take-out |
1886 | plan, it shall maintain a record of the address or such other |
1887 | identifying information on the property or risk removed in order |
1888 | to track if and when the property or risk is later insured by |
1889 | the corporation. |
1890 | 6. Any policy taken out, assumed, or removed from the |
1891 | corporation is, as of the effective date of the take-out, |
1892 | assumption, or removal, direct insurance issued by the insurer |
1893 | and not by the corporation, even if the corporation continues to |
1894 | service the policies. This subparagraph applies to policies of |
1895 | the corporation and not policies taken out, assumed, or removed |
1896 | from any other entity. |
1897 | (w)1. The following records of the corporation are |
1898 | confidential and exempt from the provisions of s. 119.07(1) and |
1899 | s. 24(a), Art. I of the State Constitution: |
1900 | a. Underwriting files, except that a policyholder or an |
1901 | applicant shall have access to his or her own underwriting |
1902 | files. Confidential and exempt underwriting file records may |
1903 | also be released to other governmental agencies upon written |
1904 | request and demonstration of need; such records held by the |
1905 | receiving agency remain confidential and exempt as provided |
1906 | herein. |
1907 | b. Claims files, until termination of all litigation and |
1908 | settlement of all claims arising out of the same incident, |
1909 | although portions of the claims files may remain exempt, as |
1910 | otherwise provided by law. Confidential and exempt claims file |
1911 | records may be released to other governmental agencies upon |
1912 | written request and demonstration of need; such records held by |
1913 | the receiving agency remain confidential and exempt as provided |
1914 | for herein. |
1915 | c. Records obtained or generated by an internal auditor |
1916 | pursuant to a routine audit, until the audit is completed, or if |
1917 | the audit is conducted as part of an investigation, until the |
1918 | investigation is closed or ceases to be active. An investigation |
1919 | is considered "active" while the investigation is being |
1920 | conducted with a reasonable, good faith belief that it could |
1921 | lead to the filing of administrative, civil, or criminal |
1922 | proceedings. |
1923 | d. Matters reasonably encompassed in privileged attorney- |
1924 | client communications. |
1925 | e. Proprietary information licensed to the corporation |
1926 | under contract and the contract provides for the confidentiality |
1927 | of such proprietary information. |
1928 | f. All information relating to the medical condition or |
1929 | medical status of a corporation employee which is not relevant |
1930 | to the employee's capacity to perform his or her duties, except |
1931 | as otherwise provided in this paragraph. Information that which |
1932 | is exempt shall include, but is not limited to, information |
1933 | relating to workers' compensation, insurance benefits, and |
1934 | retirement or disability benefits. |
1935 | g. Upon an employee's entrance into the employee |
1936 | assistance program, a program to assist any employee who has a |
1937 | behavioral or medical disorder, substance abuse problem, or |
1938 | emotional difficulty which affects the employee's job |
1939 | performance, all records relative to that participation shall be |
1940 | confidential and exempt from the provisions of s. 119.07(1) and |
1941 | s. 24(a), Art. I of the State Constitution, except as otherwise |
1942 | provided in s. 112.0455(11). |
1943 | h. Information relating to negotiations for financing, |
1944 | reinsurance, depopulation, or contractual services, until the |
1945 | conclusion of the negotiations. |
1946 | i. Minutes of closed meetings regarding underwriting |
1947 | files, and minutes of closed meetings regarding an open claims |
1948 | file until termination of all litigation and settlement of all |
1949 | claims with regard to that claim, except that information |
1950 | otherwise confidential or exempt by law shall will be redacted. |
1951 | 2. If When an authorized insurer is considering |
1952 | underwriting a risk insured by the corporation, relevant |
1953 | underwriting files and confidential claims files may be released |
1954 | to the insurer provided the insurer agrees in writing, notarized |
1955 | and under oath, to maintain the confidentiality of such files. |
1956 | If When a file is transferred to an insurer that file is no |
1957 | longer a public record because it is not held by an agency |
1958 | subject to the provisions of the public records law. |
1959 | Underwriting files and confidential claims files may also be |
1960 | released to staff of and the board of governors of the market |
1961 | assistance plan established pursuant to s. 627.3515, who must |
1962 | retain the confidentiality of such files, except such files may |
1963 | be released to authorized insurers that are considering assuming |
1964 | the risks to which the files apply, provided the insurer agrees |
1965 | in writing, notarized and under oath, to maintain the |
1966 | confidentiality of such files. Finally, the corporation or the |
1967 | board or staff of the market assistance plan may make the |
1968 | following information obtained from underwriting files and |
1969 | confidential claims files available to licensed general lines |
1970 | insurance agents: name, address, and telephone number of the |
1971 | residential property owner or insured; location of the risk; |
1972 | rating information; loss history; and policy type. The receiving |
1973 | licensed general lines insurance agent must retain the |
1974 | confidentiality of the information received. |
1975 | 3. A policyholder who has filed suit against the |
1976 | corporation has the right to discover the contents of his or her |
1977 | own claims file to the same extent that discovery of such |
1978 | contents would be available from a private insurer in litigation |
1979 | as provided by the Florida Rules of Civil Procedure, the Florida |
1980 | Evidence Code, and other applicable law. Pursuant to subpoena, a |
1981 | third party has the right to discover the contents of an |
1982 | insured's or applicant's underwriting or claims file to the same |
1983 | extent that discovery of such contents would be available from a |
1984 | private insurer by subpoena as provided by the Florida Rules of |
1985 | Civil Procedure, the Florida Evidence Code, and other applicable |
1986 | law, and subject to any confidentiality protections requested by |
1987 | the corporation and agreed to by the seeking party or ordered by |
1988 | the court. The corporation may release confidential underwriting |
1989 | and claims file contents and information as it deems necessary |
1990 | and appropriate to underwrite or service insurance policies and |
1991 | claims, subject to any confidentiality protections deemed |
1992 | necessary and appropriate by the corporation. |
1993 | 4.2. Portions of meetings of the corporation are exempt |
1994 | from the provisions of s. 286.011 and s. 24(b), Art. I of the |
1995 | State Constitution wherein confidential underwriting files or |
1996 | confidential open claims files are discussed. All portions of |
1997 | corporation meetings which are closed to the public shall be |
1998 | recorded by a court reporter. The court reporter shall record |
1999 | the times of commencement and termination of the meeting, all |
2000 | discussion and proceedings, the names of all persons present at |
2001 | any time, and the names of all persons speaking. No portion of |
2002 | any closed meeting shall be off the record. Subject to the |
2003 | provisions hereof and s. 119.07(1)(e)-(g), the court reporter's |
2004 | notes of any closed meeting shall be retained by the corporation |
2005 | for a minimum of 5 years. A copy of the transcript, less any |
2006 | exempt matters, of any closed meeting wherein claims are |
2007 | discussed shall become public as to individual claims after |
2008 | settlement of the claim. |
2009 | (dd)1. For policies subject to nonrenewal as a result of |
2010 | the risk being no longer eligible for coverage due to being |
2011 | valued at $1 million or more, the corporation shall, directly or |
2012 | through the market assistance plan, make information from |
2013 | confidential underwriting and claims files of policyholders |
2014 | available only to licensed general lines agents who register |
2015 | with the corporation to receive such information according to |
2016 | the following procedures: |
2017 | 2. By August 1, 2006, the corporation shall provide such |
2018 | policyholders who are not eligible for renewal the opportunity |
2019 | to request in writing, within 30 days after the notification is |
2020 | sent, that information from their confidential underwriting and |
2021 | claims files not be released to licensed general lines agents |
2022 | registered pursuant to this paragraph. |
2023 | 3. By August 1, 2006, the corporation shall make available |
2024 | to licensed general lines agents the registration procedures to |
2025 | be used to obtain confidential information from underwriting and |
2026 | claims files for such policies not eligible for renewal. As a |
2027 | condition of registration, the corporation shall require the |
2028 | licensed general lines agent to attest that the agent has the |
2029 | experience and relationships with authorized or surplus lines |
2030 | carriers to attempt to offer replacement coverage for such |
2031 | policies. |
2032 | 4. By September 1, 2006, the corporation shall make |
2033 | available through a secured website to licensed general lines |
2034 | agents registered pursuant to this paragraph application, |
2035 | rating, loss history, mitigation, and policy type information |
2036 | relating to such policies not eligible for renewal and for which |
2037 | the policyholder has not requested the corporation withhold such |
2038 | information. The registered licensed general lines agent may use |
2039 | such information to contact and assist the policyholder in |
2040 | securing replacement policies, and the agent may disclose to the |
2041 | policyholder that such information was obtained from the |
2042 | corporation. |
2043 | (dd)(ee) The assets of the corporation may be invested and |
2044 | managed by the State Board of Administration. |
2045 | (ee)(ff) The office may establish a pilot program to offer |
2046 | optional sinkhole coverage in one or more counties or other |
2047 | territories of the corporation for the purpose of implementing |
2048 | s. 627.706, as amended by s. 30, chapter 2007-1, Laws of |
2049 | Florida. Under the pilot program, the corporation is not |
2050 | required to issue a notice of nonrenewal to exclude sinkhole |
2051 | coverage upon the renewal of existing policies, but may exclude |
2052 | such coverage using a notice of coverage change. |
2053 | (ff) The corporation shall report claims data and |
2054 | histories to a consumer reporting agency, as defined by the |
2055 | federal Fair Credit Reporting Act, 15 U.S.C. 1681 et seq., that |
2056 | maintains a national database of similar data for use in |
2057 | connection with the underwriting of insurance involving a |
2058 | consumer. |
2059 | Section 12. Paragraph (b) of subsection (2) of section |
2060 | 627.4133, Florida Statutes, is amended to read: |
2061 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
2062 | premium.-- |
2063 | (2) With respect to any personal lines or commercial |
2064 | residential property insurance policy, including, but not |
2065 | limited to, any homeowner's, mobile home owner's, farmowner's, |
2066 | condominium association, condominium unit owner's, apartment |
2067 | building, or other policy covering a residential structure or |
2068 | its contents: |
2069 | (b) The insurer shall give the named insured written |
2070 | notice of nonrenewal, cancellation, or termination at least 100 |
2071 | days prior to the effective date of the nonrenewal, |
2072 | cancellation, or termination. However, the insurer shall give at |
2073 | least 100 days' written notice, or written notice by June 1, |
2074 | whichever is earlier, for any nonrenewal, cancellation, or |
2075 | termination that would be effective between June 1 and November |
2076 | 30. The notice must include the reason or reasons for the |
2077 | nonrenewal, cancellation, or termination, except that: |
2078 | 1. The insurer shall give the named insured written notice |
2079 | of nonrenewal, cancellation, or termination at least 180 days |
2080 | prior to the effective date of the nonrenewal, cancellation, or |
2081 | termination for a named insured whose residential structure has |
2082 | been insured by that insurer or an affiliated insurer for at |
2083 | least a 5-year period immediately prior to date of the written |
2084 | notice. |
2085 | 2.1. When cancellation is for nonpayment of premium, at |
2086 | least 10 days' written notice of cancellation accompanied by the |
2087 | reason therefor shall be given. As used in this subparagraph, |
2088 | the term "nonpayment of premium" means failure of the named |
2089 | insured to discharge when due any of her or his obligations in |
2090 | connection with the payment of premiums on a policy or any |
2091 | installment of such premium, whether the premium is payable |
2092 | directly to the insurer or its agent or indirectly under any |
2093 | premium finance plan or extension of credit, or failure to |
2094 | maintain membership in an organization if such membership is a |
2095 | condition precedent to insurance coverage. "Nonpayment of |
2096 | premium" also means the failure of a financial institution to |
2097 | honor an insurance applicant's check after delivery to a |
2098 | licensed agent for payment of a premium, even if the agent has |
2099 | previously delivered or transferred the premium to the insurer. |
2100 | If a dishonored check represents the initial premium payment, |
2101 | the contract and all contractual obligations shall be void ab |
2102 | initio unless the nonpayment is cured within the earlier of 5 |
2103 | days after actual notice by certified mail is received by the |
2104 | applicant or 15 days after notice is sent to the applicant by |
2105 | certified mail or registered mail, and if the contract is void, |
2106 | any premium received by the insurer from a third party shall be |
2107 | refunded to that party in full. |
2108 | 3.2. When such cancellation or termination occurs during |
2109 | the first 90 days during which the insurance is in force and the |
2110 | insurance is canceled or terminated for reasons other than |
2111 | nonpayment of premium, at least 20 days' written notice of |
2112 | cancellation or termination accompanied by the reason therefor |
2113 | shall be given except where there has been a material |
2114 | misstatement or misrepresentation or failure to comply with the |
2115 | underwriting requirements established by the insurer. |
2116 | 4.3. The requirement for providing written notice of |
2117 | nonrenewal by June 1 of any nonrenewal that would be effective |
2118 | between June 1 and November 30 does not apply to the following |
2119 | situations, but the insurer remains subject to the requirement |
2120 | to provide such notice at least 100 days prior to the effective |
2121 | date of nonrenewal: |
2122 | a. A policy that is nonrenewed due to a revision in the |
2123 | coverage for sinkhole losses and catastrophic ground cover |
2124 | collapse pursuant to s. 627.730, as amended by s. 30, chapter |
2125 | 2007-1, Laws of Florida. |
2126 | b. A policy that is nonrenewed by Citizens Property |
2127 | Insurance Corporation, pursuant to s. 627.351(6), for a policy |
2128 | that has been assumed by an authorized insurer offering |
2129 | replacement or renewal coverage to the policyholder. |
2130 |
|
2131 | After the policy has been in effect for 90 days, the policy |
2132 | shall not be canceled by the insurer except when there has been |
2133 | a material misstatement, a nonpayment of premium, a failure to |
2134 | comply with underwriting requirements established by the insurer |
2135 | within 90 days of the date of effectuation of coverage, or a |
2136 | substantial change in the risk covered by the policy or when the |
2137 | cancellation is for all insureds under such policies for a given |
2138 | class of insureds. This paragraph does not apply to individually |
2139 | rated risks having a policy term of less than 90 days. |
2140 | Section 13. Effective January 1, 2011, section 689.262, |
2141 | Florida Statutes, is created to read: |
2142 | 689.262 Sale of residential property; disclosure of |
2143 | windstorm mitigation rating.--A purchaser of residential |
2144 | property must be informed of the windstorm mitigation rating of |
2145 | the structure, based on the uniform home grading scale adopted |
2146 | pursuant to s. 215.55865. The rating must be included in the |
2147 | contract for sale or as a separate document attached to the |
2148 | contract for sale. The Financial Services Commission may adopt |
2149 | rules, consistent with other state laws, to administer this |
2150 | section, including the form of the disclosure and the |
2151 | requirements for the windstorm mitigation inspection or report |
2152 | that is required for purposes of determining the rating. |
2153 | Section 14. (1) By December 15, 2008, Citizens Property |
2154 | Insurance Corporation shall transfer $250 million to the General |
2155 | Revenue Fund if the combined surplus of each account as defined |
2156 | in s. 627.351(6), Florida Statutes, exceeds $1 billion. The |
2157 | board of governors of Citizens Property Insurance Corporation |
2158 | must make a reasonable estimate of such surplus on or after |
2159 | December 1, 2008, and no later than December 14, 2008, using |
2160 | generally accepted actuarial and accounting practices, |
2161 | recognizing that audited financial statements will not yet be |
2162 | available. |
2163 | (2) Beginning July 1, 2009, the board shall make quarterly |
2164 | transfers of any interest earned prior to the issuance of any |
2165 | surplus notes, interest paid, and principal repaid to the state |
2166 | for any surplus notes issued by the program after December 1, |
2167 | 2008, to Citizens Property Insurance Corporation, provided such |
2168 | surplus notes were funded exclusively by an appropriation to the |
2169 | program by the Legislature for the 2008-2009 fiscal year. The |
2170 | corporation shall credit each account as defined in s. |
2171 | 627.351(6) in a pro rata manner for the funds removed from each |
2172 | account to make the transfer required by subsection (11). |
2173 | Section 15. Citizens Property Insurance Corporation may |
2174 | not use any amendments made to s. 215.5595, Florida Statutes, by |
2175 | this act or any transfer of funds authorized by this act as |
2176 | justification or cause in seeking any rate or assessment |
2177 | increase. |
2178 | Section 16. Subsection (3) is added to section 627.06281, |
2179 | Florida Statutes, to read: |
2180 | 627.06281 Public hurricane loss projection model; |
2181 | reporting of data by insurers.-- |
2182 | (3)(a) A residential property insurer may have access to |
2183 | and use the public hurricane loss projection model, including |
2184 | all assumptions and factors and all detailed loss results, for |
2185 | the purpose of calculating rate indications in a rate filing and |
2186 | for analytical purposes, including any analysis or evaluation of |
2187 | the model required under actuarial standards of practice. |
2188 | (b) By January 1, 2009, the office shall establish by rule |
2189 | a fee schedule for access to and the use of the model. The fee |
2190 | schedule must be reasonably calculated to cover only the actual |
2191 | costs of providing access to and the use of the model. |
2192 | Section 17. Section 627.0655, Florida Statutes, is amended |
2193 | to read: |
2194 | 627.0655 Policyholder loss or expense-related premium |
2195 | discounts.--An insurer or person authorized to engage in the |
2196 | business of insurance in this state may include, in the premium |
2197 | charged an insured for any policy, contract, or certificate of |
2198 | insurance, a discount based on the fact that another policy, |
2199 | contract, or certificate of any type has been purchased by the |
2200 | insured from the same insurer or insurer group, the Citizens |
2201 | Property Insurance Corporation created under s. 627.351(6) if |
2202 | the same insurance agent is servicing both policies, or an |
2203 | insurer that has removed the policy from the Citizens Property |
2204 | Insurance Corporation if the same insurance agent is servicing |
2205 | both policies. |
2206 | Section 18. (1) The Citizens Property Insurance |
2207 | Corporation Mission Review Task Force is created to analyze and |
2208 | compile available data and to develop a report setting forth the |
2209 | statutory and operational changes needed to return Citizens |
2210 | Property Insurance Corporation to its former role as a state- |
2211 | created, noncompetitive residual market mechanism that provides |
2212 | property insurance coverage to risks that are otherwise entitled |
2213 | but unable to obtain such coverage in the private insurance |
2214 | market. The task force shall submit a report to the Governor, |
2215 | the President of the Senate, and the Speaker of the House of |
2216 | Representatives by January 31, 2009. At a minimum, the task |
2217 | force shall analyze and evaluate relevant and applicable |
2218 | information and data and develop recommendations concerning: |
2219 | (a) The nature of Citizens Property Insurance |
2220 | Corporation's role in providing property insurance coverage only |
2221 | if such coverage is not available from private insurers. |
2222 | (b) The ability of the admitted market to offer policies |
2223 | to those consumers formerly insured through Citizens Property |
2224 | Insurance Corporation. This consideration shall include, but not |
2225 | be limited to, the availability of private market reinsurance |
2226 | and coverage through the Florida Hurricane Catastrophe Fund, the |
2227 | general adequacy of the admitted market's current rates, and the |
2228 | capacity of the industry to offer policies to former Citizens |
2229 | Property Insurance Corporation policyholders within existing |
2230 | writing ratio limitations. |
2231 | (c) The appropriate relationship of rates charged by |
2232 | Citizens Property Insurance Corporation to rates charged by |
2233 | private insurers, with due consideration for the corporation's |
2234 | role as a noncompetitive residual market mechanism. |
2235 | (d) The relationships between the exposure of Citizens |
2236 | Property Insurance Corporation to catastrophic hurricane losses, |
2237 | the corporation's history of purchasing inadequate or no |
2238 | reinsurance coverage, and the corporation's lack of adequate |
2239 | capital to meet its potential claim obligations without |
2240 | incurring large deficits. |
2241 | (e) The adverse effects on the people and the economy of |
2242 | this state of the large, multiyear deficit assessments by |
2243 | Citizens Property Insurance Corporation that may be levied on |
2244 | businesses and households in this state, and steps that can be |
2245 | taken to reduce those effects. |
2246 | (f) The operational implications of the variation in the |
2247 | number of policies in force over time in Citizens Property |
2248 | Insurance Corporation and the merits of outsourcing some or all |
2249 | of its operational responsibilities. |
2250 | (g) Changes in the mission and operations of Citizens |
2251 | Property Insurance Corporation to reduce or eliminate any |
2252 | adverse effect such mission and operations may be having on the |
2253 | promotion of sound and economic growth and development of the |
2254 | coastal areas of this state. |
2255 | (h) Appropriate and consistent geographic boundaries of |
2256 | the high-risk account. |
2257 | (2) The task force shall be composed of 19 members as |
2258 | follows: |
2259 | (a) Three members appointed by the Speaker of the House of |
2260 | Representatives. |
2261 | (b) Three members appointed by the President of the |
2262 | Senate. |
2263 | (c) Four members appointed by the Governor who are not |
2264 | employed by or professionally affiliated with an insurance |
2265 | company or a subsidiary of an insurance company, at least two of |
2266 | whom must be consumer advocates or members of a consumer |
2267 | advocacy organization or agency. |
2268 | (d) Nine members appointed as representatives of private |
2269 | insurance companies as follows: |
2270 | 1. Two members representing two separate insurance |
2271 | companies that each provide at least 150,000 homeowner's |
2272 | insurance policies in this state at the time of the creation of |
2273 | the task force. |
2274 | 2. Two members representing two separate insurance |
2275 | companies that each provide fewer than 150,000 homeowner's |
2276 | insurance policies in this state at the time of the creation of |
2277 | the task force. |
2278 | 3. Two members representing two separate insurance |
2279 | companies among the 10 insurance companies writing the greatest |
2280 | amount of commercial multiperil insurance premium in this state |
2281 | at the time of the creation of the task force. |
2282 | 4. Three members appointed by the Chief Financial Officer |
2283 | representing insurance agents in this state. |
2284 | |
2285 | Of each pair of members appointed under subparagraphs 1., 2., |
2286 | and 3., one shall be appointed by the President of the Senate |
2287 | and one by the Speaker of the House of Representatives. |
2288 | (3) The task force shall conduct research, hold public |
2289 | meetings, receive testimony, employ consultants and |
2290 | administrative staff, and undertake other activities determined |
2291 | by its members to be necessary to complete its responsibilities. |
2292 | Citizens Property Insurance Corporation shall have appropriate |
2293 | senior staff attend task force meetings, shall respond to |
2294 | requests for testimony and data by the task force, shall |
2295 | otherwise cooperate with the task force, and shall provide |
2296 | funding for the necessary costs of implementing the provisions |
2297 | of this section. |
2298 | (4) A member of the task force may not delegate his or her |
2299 | attendance or voting power to a designee. |
2300 | (5) Members of the task force shall serve without |
2301 | compensation but are entitled to receive reimbursement for |
2302 | travel and per diem as provided in s. 112.061, Florida Statutes. |
2303 | (6) The appointments to the task force must be completed |
2304 | within 30 calendar days after the effective date of this act, |
2305 | and the task force must hold its initial meeting within 1 month |
2306 | after appointment of all members. The task force shall expire no |
2307 | later than 60 calendar days after submission of the report |
2308 | required in subsection (1). |
2309 | Section 19. Section 627.0621, Florida Statutes, is created |
2310 | to read: |
2311 | 627.0621 Transparency in rate regulation.-- |
2312 | (1) DEFINITIONS.-As used in this section, the term: |
2313 | (a) "Rate Filing" means any original or amended rate |
2314 | filing required or authorized under s. 627.062, s. 627.0651, or |
2315 | chapter 2007-1, Laws of Florida. |
2316 | (b) "Recommendation" means any proposed, preliminary, or |
2317 | final recommendation from an office actuary reviewing a rate |
2318 | filing with respect to the issue of approval or disapproval of |
2319 | the rate filing or with respect to rate indications that the |
2320 | office would consider acceptable. |
2321 | (2) WEBSITE FOR PUBLIC ACCESS TO RATE FILING |
2322 | INFORMATION.--With respect to any rate filing made on after July |
2323 | 1, 2008, the office shall provide the following information on a |
2324 | publicly accessible Internet website: |
2325 | (a) The overall rate change requested by the insurer. |
2326 | (b) All assumptions made by the office's actuaries. |
2327 | (c) A statement describing any assumptions or methods that |
2328 | deviate from the actuarial standards of practice of the Casualty |
2329 | Actuarial Society or the American Academy of Actuaries, |
2330 | including an explanation of the nature, rationale, and effect of |
2331 | the deviation. |
2332 | (d) All recommendations made by any office actuary who |
2333 | reviewed the rate filing. |
2334 | (e) Certification by the office's actuary under oath and |
2335 | subject to the penalty of perjury that, based on the actuary's |
2336 | knowledge, his or her recommendations did not contain any untrue |
2337 | statement of a material fact or omit to state a material fact |
2338 | necessary to make a recommendation and, in light of the |
2339 | circumstances under which such recommendation was made, was not |
2340 | misleading. |
2341 | (f) The overall rate change approved by the office. |
2342 | (3) ATTORNEY-CLIENT PRIVILEGE; WORK PRODUCT.--In any |
2343 | administrative or judicial proceeding relating to a rate filing, |
2344 | attorney-client privilege and work product exemptions from |
2345 | disclosure do not apply to communications, including |
2346 | communications with office attorneys or records prepared by or |
2347 | at the direction of an office attorney, except when conditions |
2348 | of paragraphs (a) and (b) have been met: |
2349 | (a) The communication or record reflects a mental |
2350 | impression, conclusion, litigation strategy, or legal theory of |
2351 | the attorney or office. |
2352 | (b) The communication or record was prepared after the |
2353 | initiation of an action in a court of competent jurisdiction or |
2354 | after the filing of a request for a proceeding under ss. 120.569 |
2355 | and 120.57. |
2356 | |
2357 | Work product privilege claims that do not meet the conditions of |
2358 | paragraphs (a) and (b) shall be deemed waived. |
2359 | Section 20. Paragraph (b) of subsection (4) of section |
2360 | 215.555, Florida Statutes, is amended to read: |
2361 | 215.555 Florida Hurricane Catastrophe Fund.-- |
2362 | (4) REIMBURSEMENT CONTRACTS.-- |
2363 | (b)1. The contract shall contain a promise by the board to |
2364 | reimburse the insurer for 45 percent, 75 percent, or 90 percent |
2365 | of its losses from each covered event in excess of the insurer's |
2366 | retention, plus 5 percent of the reimbursed losses to cover loss |
2367 | adjustment expenses. |
2368 | 2. The insurer must elect one of the percentage coverage |
2369 | levels specified in this paragraph and may, upon renewal of a |
2370 | reimbursement contract, elect a lower percentage coverage level |
2371 | if no revenue bonds issued under subsection (6) after a covered |
2372 | event are outstanding, or elect a higher percentage coverage |
2373 | level, regardless of whether or not revenue bonds are |
2374 | outstanding. All members of an insurer group must elect the same |
2375 | percentage coverage level. Any joint underwriting association, |
2376 | risk apportionment plan, or other entity created under s. |
2377 | 627.351 must elect the 90-percent coverage level. |
2378 | 3. The contract shall provide that reimbursement amounts |
2379 | shall not be reduced by reinsurance paid or payable to the |
2380 | insurer from other sources. |
2381 | 4. Notwithstanding any other provision contained in this |
2382 | section, the board shall make available to insurers that |
2383 | purchased coverage provided by this subparagraph in 2007 2006, |
2384 | insurers qualifying as limited apportionment companies under s. |
2385 | 627.351(6)(c), and insurers that have been were approved to |
2386 | participate in 2006 or that are approved in 2007 for the |
2387 | Insurance Capital Build-Up Incentive Program pursuant to s. |
2388 | 215.5595, a contract or contract addendum that provides an |
2389 | additional amount of reimbursement coverage of up to $10 |
2390 | million. The premium to be charged for this additional |
2391 | reimbursement coverage shall be 50 percent of the additional |
2392 | reimbursement coverage provided, which shall include one prepaid |
2393 | reinstatement. The minimum retention level that an eligible |
2394 | participating insurer must retain associated with this |
2395 | additional coverage layer is 30 percent of the insurer's surplus |
2396 | as of December 31, 2007 2006. This coverage shall be in addition |
2397 | to all other coverage that may be provided under this section. |
2398 | The coverage provided by the fund under this subparagraph shall |
2399 | be in addition to the claims-paying capacity as defined in |
2400 | subparagraph (c)1., but only with respect to those insurers that |
2401 | select the additional coverage option and meet the requirements |
2402 | of this subparagraph. The claims-paying capacity with respect to |
2403 | all other participating insurers and limited apportionment |
2404 | companies that do not select the additional coverage option |
2405 | shall be limited to their reimbursement premium's proportionate |
2406 | share of the actual claims-paying capacity otherwise defined in |
2407 | subparagraph (c)1. and as provided for under the terms of the |
2408 | reimbursement contract. Coverage provided in the reimbursement |
2409 | contract shall will not be affected by the additional premiums |
2410 | paid by participating insurers exercising the additional |
2411 | coverage option allowed in this subparagraph. This subparagraph |
2412 | expires on May 31, 2009 2008. |
2413 | Section 21. Subsections (1) and (2) of section 627.712, |
2414 | Florida Statutes, are amended to read: |
2415 | 627.712 Residential windstorm coverage required; |
2416 | availability of exclusions for windstorm or contents.-- |
2417 | (1) An insurer issuing a residential property insurance |
2418 | policy must provide windstorm coverage. Except as provided in |
2419 | paragraph (2)(c), this section subsection does not apply with |
2420 | respect to risks that are eligible for wind-only coverage from |
2421 | Citizens Property Insurance Corporation under s. 627.351(6). |
2422 | (2) A property insurer must make available, at the option |
2423 | of the policyholder, an exclusion of windstorm coverage. |
2424 | (a) The coverage may be excluded only if: |
2425 | (a)1. When the policyholder is a natural person, the |
2426 | policyholder personally writes and provides to the insurer the |
2427 | following statement in his or her own handwriting and signs his |
2428 | or her name, which must also be signed by every other named |
2429 | insured on the policy, and dated: "I do not want the insurance |
2430 | on my (home/mobile home/condominium unit) to pay for damage from |
2431 | windstorms. I will pay those costs. My insurance will not." |
2432 | 2. When the policyholder is other than a natural person, |
2433 | the policyholder provides to the insurer on the policyholder's |
2434 | letterhead the following statement that must be signed by the |
2435 | policyholder's authorized representative and dated: " (Name of |
2436 | entity) does not want the insurance on its (type of |
2437 | structure) to pay for damage from windstorms. (Name of |
2438 | entity) will be responsible for these costs. (Name of |
2439 | entity's) insurance will not." |
2440 | (b) If the structure insured by the policy is subject to a |
2441 | mortgage or lien, the policyholder must provide the insurer with |
2442 | a written statement from the mortgageholder or lienholder |
2443 | indicating that the mortgageholder or lienholder approves the |
2444 | policyholder electing to exclude windstorm coverage or hurricane |
2445 | coverage from his or her or its property insurance policy. |
2446 | (c) If the residential structure is eligible for wind-only |
2447 | coverage from Citizens Property Insurance Corporation, an |
2448 | insurer nonrenewing a policy and issuing a replacement policy, |
2449 | or issuing a new policy, that does not provide wind coverage |
2450 | shall provide a notice to the mortgageholder or lienholder |
2451 | indicating the policyholder has elected coverage that does not |
2452 | cover wind. |
2453 | Section 22. Except as otherwise expressly provided in this |
2454 | act, this act shall take effect July 1, 2008. |
2455 |
|
2456 |
|
2457 |
|
2458 | ----------------------------------------------------- |
2459 | T I T L E A M E N D M E N T |
2460 | Remove the entire title and insert: |
2461 | A bill to be entitled |
2462 | An act relating to insurance; amending s. 215.5595, F.S.; |
2463 | revising legislative findings; providing for an appropriation of |
2464 | state funds in exchange for surplus notes issued by residential |
2465 | property insurers under the program; revising the conditions and |
2466 | requirements for providing funds to insurers under the program; |
2467 | requiring a commitment by the insurer to meet minimum premium- |
2468 | to-surplus writing ratios for residential property insurance and |
2469 | for taking policies out of Citizens Property Insurance |
2470 | Corporation; requiring insurers to commit to maintaining certain |
2471 | levels of surplus and reinsurance; authorizing the State Board |
2472 | of Administration to charge a fee for late payments; providing |
2473 | for payment of costs and fees incurred by the board in |
2474 | administering the program from funds appropriated to the |
2475 | program, subject to a specified limit; requiring the board to |
2476 | submit an annual report to the Legislature on the program and |
2477 | insurer compliance with certain requirements; providing that |
2478 | amendments made by the act do not affect the terms of surplus |
2479 | notes approved prior to a specified date; authorizing the State |
2480 | Board of Administration and an insurer to renegotiate such terms |
2481 | consistent with such amendments; amending s. 624.3161, F.S.; |
2482 | authorizing the Office of Insurance Regulation to require an |
2483 | insurer to file its claims handling practices and procedures as |
2484 | a public record based on findings of a market conduct |
2485 | examination; amending s. 624.4211, F.S.; increasing the maximum |
2486 | amounts of administrative fines that may be imposed upon an |
2487 | insurer by the Office of Insurance Regulation for nonwillful and |
2488 | willful violations of an order or rule of the office or any |
2489 | provision of the Florida Insurance Code; creating s. 624.4213, |
2490 | F.S.; specifying requirements for submission of a document or |
2491 | information to the Office of Insurance Regulation or the |
2492 | Department of Financial Services in order for a person to claim |
2493 | that the document is a trade secret; requiring each page or |
2494 | portion to be labeled as a trade secret and be separated from |
2495 | non-trade secret material; requiring the submitting party to |
2496 | include an affidavit certifying certain information about the |
2497 | documents claimed to be trade secrets; requiring the office or |
2498 | department to notify persons who submit trade secret documents |
2499 | of any public-records request and the opportunity to file a |
2500 | court action to bar disclosure; specifying conditions for the |
2501 | office to retain or release such documents; creating s. |
2502 | 624.4305, F.S.; requiring that an insurer planning to nonrenew |
2503 | more than a specified number of residential property insurance |
2504 | polices notify the Office of Insurance Regulation and obtain |
2505 | approval for such nonrenewals; specifying procedures for |
2506 | issuance of such notice; amending s. 626.9521, F.S.; increasing |
2507 | the maximum fines that may be imposed by the office or |
2508 | department for nonwillful and willful violations of state law |
2509 | regarding unfair methods of competition and unfair or deceptive |
2510 | acts or practices related to insurance; amending s. 627.0612, |
2511 | F.S.; providing criteria for administrative hearings to |
2512 | determine whether an insurer's property insurance rates, rating |
2513 | manuals, premium credits, discount schedules, and surcharge |
2514 | schedules comply with the law; providing for entry of certain |
2515 | orders; amending s. 627.062, F.S.; revising the factors the |
2516 | office must consider in reviewing a rate filing; prohibiting the |
2517 | Office of Insurance Regulation from disapproving as excessive a |
2518 | rate solely because the insurer obtained reinsurance covering a |
2519 | specified probably maximum loss; allowing the office to |
2520 | disapprove a rate as excessive within 1 year after the rate has |
2521 | been approved under certain conditions related to nonrenewal of |
2522 | policies by the insurer; requiring the Division of |
2523 | Administrative Hearings to expedite a hearing request by an |
2524 | insurer and for the administrative law judge to commence the |
2525 | hearing within a specified time; authorizing an insurer to |
2526 | request an expedited appellate review pursuant to the Florida |
2527 | Rules of Appellate Procedure; expressing legislative intent for |
2528 | an expedited appellate review; revising provisions relating to |
2529 | the submission of a disputed rate filing, other than a rate |
2530 | filing for medical malpractice insurance, to an arbitration |
2531 | panel in lieu of an administrative hearing if the rate is filed |
2532 | before a specified date; amending s. 627.0628, F.S.; providing |
2533 | legislative findings relating to final agency action for |
2534 | insurance ratemaking; requiring that with respect to rate |
2535 | filings, insurers must use actuarial methods or models found to |
2536 | be accurate or reliable by the Florida Commission on Hurricane |
2537 | Loss Projection Methodology; providing for use of other models |
2538 | under certain circumstances; deleting the requirement for the |
2539 | Office of Insurance Regulation and the Consumer Advocate to have |
2540 | access to all assumptions of a hurricane loss model in order for |
2541 | a model that has been found to be accurate and reliable by the |
2542 | Florida Commission on Hurricane Loss Projection Methodology to |
2543 | be admissible in a rate proceeding; deleting cross-references to |
2544 | conform to changes made by the act; amending s. 627.0629, F.S.; |
2545 | requiring that the Office of Insurance Regulation develop and |
2546 | make publicly available before a specified deadline a proposed |
2547 | method for insurers to establish windstorm mitigation premium |
2548 | discounts that correlate to the uniform home rating scale; |
2549 | requiring that the Financial Services Commission adopt rules |
2550 | before a specified deadline; requiring insurers to make rate |
2551 | filings pursuant to such method; authorizing the commission to |
2552 | make changes by rule to the uniform home grading scale and |
2553 | specify by rule the minimum required discounts, credits, or |
2554 | other rate differentials; requiring that such rate differentials |
2555 | be consistent with generally accepted actuarial principles and |
2556 | wind loss mitigation studies; amending s. 627.351, F.S., |
2557 | relating to Citizens Property Insurance Corporation; deleting |
2558 | provisions defining the terms "homestead property" and |
2559 | "nonhomestead property"; increasing threshold replacement costs |
2560 | of certain structures for eligibility for coverage by the |
2561 | corporation; deleting requirements for certain properties to |
2562 | meeting building code plus requirements as a condition of |
2563 | eligibility for coverage by the corporation; deleting outdated |
2564 | provisions requiring the corporation to submit a report for |
2565 | approval of offering multiperil coverage; revising threshold |
2566 | amounts of deficits incurred in a calendar year on which the |
2567 | decision to levy assessments and the types of such assessments |
2568 | are based; revising the formula used to calculate shares of |
2569 | assessments owed by certain assessable insureds; requiring that |
2570 | the board of governors make certain determinations before |
2571 | levying emergency assessments; providing the board of governors |
2572 | with discretion to set the amount of an emergency assessment |
2573 | within specified limits; requiring the board of governors to |
2574 | levy a Citizens policyholder surcharge under certain conditions; |
2575 | increasing the amount of the surcharge; deleting a provision |
2576 | requiring the levy of an immediate assessment against certain |
2577 | policyholders under such conditions; requiring that funds |
2578 | collected from the levy of such surcharges be used for certain |
2579 | purposes; providing that such surcharges are not considered |
2580 | premium and are not subject to commissions, fees, or premium |
2581 | taxes; requiring that the failure to pay such surcharges be |
2582 | treated as failure to pay premium; requiring that the amount of |
2583 | any assessment or surcharge which exceeds the amount of deficits |
2584 | be remitted to and used by the corporation for specified |
2585 | purposes; deleting provisions requiring that the plan of |
2586 | operation of the corporation provide for the levy of a Citizens |
2587 | policyholder surcharge if regular deficit assessments are levied |
2588 | as a result of deficits in certain accounts; deleting provisions |
2589 | related to the calculation, classification, and nonpayment of |
2590 | such surcharge; requiring that the corporation make an annual |
2591 | filing for each personal or commercial line of business it |
2592 | writes, beginning on a specified date; limiting the overall |
2593 | average statewide premium increase and the increase for an |
2594 | individual policyholder to a specified amount for rates |
2595 | established for certain policies during a specified period; |
2596 | deleting a provision requiring an insurer to purchase bonds that |
2597 | remain unsold; deleting provisions requiring the corporation to |
2598 | make certain confidential underwriting and claims files |
2599 | available to agents to conform to changes made by the act |
2600 | relating to ineligibility of certain dwellings; clarifying the |
2601 | right of certain parties to discover underwriting and claims |
2602 | file records; authorizing the corporation to release such |
2603 | records as it deems necessary; requiring the corporation to |
2604 | report certain information to a consumer reporting agency; |
2605 | amending s. 627.4133, F.S.; requiring insurers to provide |
2606 | written notice of certain cancellations, nonrenewals, or |
2607 | terminations; creating s. 689.262, F.S.; requiring a purchaser |
2608 | of residential property to be presented with the windstorm |
2609 | mitigation rating of the structure; authorizing the Financial |
2610 | Services Commission to adopt rules; requiring Citizens Property |
2611 | Insurance Corporation to transfer funds to the General Revenue |
2612 | Fund if the losses due to a hurricane do not exceed a specified |
2613 | amount; requiring the board of governors of Citizens Property |
2614 | Insurance Corporation to make a reasonable estimate of such |
2615 | losses by a certain date; requiring the board to make quarterly |
2616 | transfers of funds to the corporation under certain |
2617 | circumstances; requiring the corporation to credit certain |
2618 | accounts for funds removed to make certain transfers; |
2619 | prohibiting Citizens Property Insurance Corporation from using |
2620 | certain statutory changes or authorized transfers of funds as |
2621 | justification or cause to seek any rate or assessment increase; |
2622 | amending s. 627.06281, F.S.; providing for residential property |
2623 | insurers to have access to and use a public hurricane loss |
2624 | projection model; requiring the office to establish a fee |
2625 | schedule for such model access and use; amending s. 627.0655, |
2626 | F.S.; expanding application of policyholder loss or expense- |
2627 | related premium discounts; creating the Citizens Property |
2628 | Insurance Corporation Mission Review Task Force; providing |
2629 | purposes; requiring a report; providing report requirements; |
2630 | providing for appointment of members; providing |
2631 | responsibilities; specifying service without compensation; |
2632 | providing for reimbursement of per diem and travel expenses; |
2633 | providing meeting requirements; requiring the corporation to |
2634 | assist the task force; providing for the expiration of the task |
2635 | force; requiring the Chief Financial Officer to provide a report |
2636 | on the economic impact on the state of certain hurricanes; |
2637 | providing report requirements; creating s. 627.0621, F.S.; |
2638 | providing requirements for transparency in rate regulation; |
2639 | providing definitions; providing for a website for public access |
2640 | to rate filing information; providing requirements; providing |
2641 | for application of public meeting requirements; specifying |
2642 | nonapplication of attorney-client or work-product privileges to |
2643 | certain communications in certain administrative or judicial |
2644 | proceedings under certain circumstances; specifying criteria; |
2645 | providing for waiver of such privileges under certain |
2646 | circumstances; amending s. 215.555, F.S.; extending for an |
2647 | additional year the offer of reimbursement coverage for |
2648 | specified insurers; revising the qualifying criteria for such |
2649 | insurers; revising provisions to conform; amending s. 627.712, |
2650 | F.S.; requiring insurers to provide notice to mortgageholders or |
2651 | lienholders of certain policies not providing wind coverage for |
2652 | certain structures; providing effective dates. |
2653 |
|