1 | Representatives Ross, Reagan, and Brown offered the following: |
2 |
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3 | Substitute Amendment for Amendment (439287) to Senate Bill |
4 | (with title amendment) |
5 | Remove everything after the enacting clause and insert: |
6 |
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7 | Section 1. This act may be cited as the "Homeowner's Bill |
8 | of Rights Act." |
9 | Section 2. Section 215.5595, Florida Statutes, is amended |
10 | to read: |
11 | 215.5595 Insurance Capital Build-Up Incentive Program.-- |
12 | (1) Upon entering the 2008 2006 hurricane season, the |
13 | Legislature finds that: |
14 | (a) The losses in this state Florida from eight hurricanes |
15 | in 2004 and 2005 have seriously strained the resources of both |
16 | the voluntary insurance market and the public sector mechanisms |
17 | of Citizens Property Insurance Corporation and the Florida |
18 | Hurricane Catastrophe Fund. |
19 | (b) Private reinsurance is much less available and at a |
20 | significantly greater cost to residential property insurers as |
21 | compared to 1 year ago, particularly for amounts below the |
22 | insurer's retention or retained losses that must be paid before |
23 | reimbursement is provided by the Florida Hurricane Catastrophe |
24 | Fund. |
25 | (c) The Office of Insurance Regulation has reported that |
26 | the insolvency of certain insurers may be imminent. |
27 | (d) Hurricane forecast experts predict that the 2006 |
28 | hurricane season will be an active hurricane season and that the |
29 | Atlantic and Gulf Coast regions face an active hurricane cycle |
30 | of 10 to 20 years or longer. |
31 | (b)(e) Citizens Property Insurance Corporation has over |
32 | 1.2 million policies in force, has the largest market share of |
33 | any insurer writing residential property insurer in the state, |
34 | and faces the threat of a catastrophic loss that The number of |
35 | cancellations or nonrenewals of residential property insurance |
36 | policies is expected to increase and the number of new |
37 | residential policies written in the voluntary market are likely |
38 | to decrease, causing increased policy growth and exposure to the |
39 | state insurer of last resort, Citizens Property Insurance |
40 | Corporation, and threatening to increase the deficit of the |
41 | corporation, currently estimated to be over $1.7 billion. This |
42 | deficit must be funded by assessments against insurers and |
43 | policyholders, unless otherwise funded by the state. The program |
44 | has a substantial positive effect on the depopulation efforts of |
45 | Citizens Property Insurance Corporation since companies |
46 | participating in the program have removed over 199,000 policies |
47 | from the corporation. Companies participating in the program |
48 | have issued a significant number of new policies, thereby |
49 | keeping an estimated 480,000 new policies out of the |
50 | corporation. |
51 | (c)(f) Policyholders are subject to high increased |
52 | premiums and assessments that are increasingly making such |
53 | coverage unaffordable and that may force policyholders to sell |
54 | their homes and even leave the state. |
55 | (d)(g) The increased risk to the public sector and private |
56 | sector continues to pose poses a serious threat to the economy |
57 | of this state, particularly the building and financing of |
58 | residential structures, and existing mortgages may be placed in |
59 | default. |
60 | (h) The losses from 2004 and 2005, combined with the |
61 | expectation that the increase in hurricane activity will |
62 | continue for the foreseeable future, have caused both insurers |
63 | and reinsurers to limit the capital they are willing to commit |
64 | to covering the hurricane risk in Florida; attracting new |
65 | capital to the Florida market is a critical priority; and |
66 | providing a low-cost source of capital would enable insurers to |
67 | write additional residential property insurance coverage and act |
68 | to mitigate premium increases. |
69 | (e)(i) Appropriating state funds to be exchanged for used |
70 | as surplus notes issued by for residential property insurers, |
71 | under conditions requiring the insurer to contribute additional |
72 | private sector capital and to write a minimum level of premiums |
73 | for residential hurricane coverage, is a valid and important |
74 | public purpose. |
75 | (f) Extending the Insurance Capital Build-up Incentive |
76 | Program will provide an incentive for investors to commit |
77 | additional capital to Florida's residential insurance market. |
78 | (2) The purpose of this section is to provide funds in |
79 | exchange for surplus notes to be issued by to new or existing |
80 | authorized residential property insurers under the Insurance |
81 | Capital Build-Up Incentive Program administered by the State |
82 | Board of Administration, under the following conditions: |
83 | (a) The amount of state funds provided in exchange for a |
84 | the surplus note to for any insurer or insurer group, other than |
85 | an insurer writing only manufactured housing policies, may not |
86 | exceed $25 million or 20 percent of the total amount of funds |
87 | appropriated for available under the program, whichever is |
88 | greater. The amount of the surplus note for any insurer or |
89 | insurer group writing residential property insurance covering |
90 | only manufactured housing may not exceed $7 million. |
91 | (b) On or after April 1, 2008, the insurer must contribute |
92 | an amount of new capital to its surplus which is at least equal |
93 | to the amount of the surplus note and must apply to the board by |
94 | September 1, 2008 July 1, 2006. If an insurer applies after |
95 | September 1, 2008 July 1, 2006, but before June 1, 2009 2007, |
96 | the amount of the surplus note is limited to one-half of the new |
97 | capital that the insurer contributes to its surplus, except that |
98 | an insurer writing only manufactured housing policies is |
99 | eligible to receive a surplus note of up to $7 million. For |
100 | purposes of this section, new capital must be in the form of |
101 | cash or cash equivalents as specified in s. 625.012(1). |
102 | (c) The insurer's surplus, new capital, and the surplus |
103 | note must total at least $50 million, except for insurers |
104 | writing residential property insurance covering only |
105 | manufactured housing. The insurer's surplus, new capital, and |
106 | the surplus note must total at least $14 million for insurers |
107 | writing only residential property insurance covering |
108 | manufactured housing policies as provided in paragraph (a). |
109 | (d) The insurer must commit to increase its writings of |
110 | residential property insurance, including the peril of wind, and |
111 | to meet meeting a minimum writing ratio of net written premium |
112 | to surplus of at least 1:1 for the first calendar year after |
113 | receiving the state funds or renegotiation of the surplus note, |
114 | 1.5:1 for the second calendar year, and 2:1 for the remaining |
115 | term of the surplus note. Alternatively, the insurer must meet a |
116 | minimum writing ratio of gross written premium to surplus of at |
117 | least 3:1 for the first calendar year after receiving the state |
118 | funds or renegotiation of the surplus note, 4.5:1 for the second |
119 | calendar year, and 6:1 for the remaining term of the surplus |
120 | note. The writing ratios, which shall be determined by the |
121 | Office of Insurance Regulation and certified quarterly to the |
122 | board. For this purpose, the term "premium" "net written |
123 | premium" means net written premium for residential property |
124 | insurance in this state Florida, including the peril of wind, |
125 | and "surplus" means the new capital and surplus note refers to |
126 | the entire surplus of the insurer. An insurer that makes an |
127 | initial application after July 1, 2008, must also commit to |
128 | writing at least 15 percent of its net or gross written premium |
129 | for new policies, not including renewal premiums, for policies |
130 | taken out of Citizens Property Insurance Corporation, during |
131 | each of the first 3 years after receiving the state funds in |
132 | exchange for the surplus note, which shall be determined by the |
133 | Office of Insurance Regulation and certified annually to the |
134 | board. The insurer must also commit to maintaining a level of |
135 | surplus and reinsurance sufficient to cover in excess of its 1- |
136 | in-100 year probable maximum loss, as determined by a hurricane |
137 | loss model accepted by the Florida Commission on Hurricane Loss |
138 | Projection Methodology, which shall be determined by the Office |
139 | of Insurance Regulation and certified annually to the board. If |
140 | the board determines that the insurer has failed to meet any of |
141 | the requirements of this paragraph required ratio is not |
142 | maintained during the term of the surplus note, the board may |
143 | increase the interest rate, accelerate the repayment of interest |
144 | and principal, or shorten the term of the surplus note, subject |
145 | to approval by the Commissioner of Insurance of payments by the |
146 | insurer of principal and interest as provided in paragraph (f). |
147 | (e) If the requirements of this section are met, the board |
148 | may approve an application by an insurer for funds in exchange |
149 | for issuance of a surplus note, unless the board determines that |
150 | the financial condition of the insurer and its business plan for |
151 | writing residential property insurance in Florida places an |
152 | unreasonably high level of financial risk to the state of |
153 | nonpayment in full of the interest and principal. The board |
154 | shall consult with the Office of Insurance Regulation and may |
155 | contract with independent financial and insurance consultants in |
156 | making this determination. |
157 | (f) The surplus note must be repayable to the state with a |
158 | term of 20 years. The surplus note shall accrue interest on the |
159 | unpaid principal balance at a rate equivalent to the 10-year |
160 | U.S. Treasury Bond rate, require the payment only of interest |
161 | during the first 3 years, and include such other terms as |
162 | approved by the board. The board may charge late fees up to 5 |
163 | percent for late payments or other late remittances. Payment of |
164 | principal, or interest, or late fees by the insurer on the |
165 | surplus note must be approved by the Commissioner of Insurance, |
166 | who shall approve such payment unless the commissioner |
167 | determines that such payment will substantially impair the |
168 | financial condition of the insurer. If such a determination is |
169 | made, the commissioner shall approve such payment that will not |
170 | substantially impair the financial condition of the insurer. |
171 | (g) The total amount of funds available for the program is |
172 | limited to the amount appropriated by the Legislature for this |
173 | purpose. If the amount of surplus notes requested by insurers |
174 | exceeds the amount of funds available, the board may prioritize |
175 | insurers that are eligible and approved, with priority for |
176 | funding given to insurers writing only manufactured housing |
177 | policies, regardless of the date of application, based on the |
178 | financial strength of the insurer, the viability of its proposed |
179 | business plan for writing additional residential property |
180 | insurance in the state, and the effect on competition in the |
181 | residential property insurance market. Between insurers writing |
182 | residential property insurance covering manufactured housing, |
183 | priority shall be given to the insurer writing the highest |
184 | percentage of its policies covering manufactured housing. |
185 | (h) The board may allocate portions of the funds available |
186 | for the program and establish dates for insurers to apply for |
187 | surplus notes from such allocation which are earlier than the |
188 | dates established in paragraph (b). |
189 | (h)(i) Notwithstanding paragraph (d), a newly formed |
190 | manufactured housing insurer that is eligible for a surplus note |
191 | under this section shall meet the premium to surplus ratio |
192 | provisions of s. 624.4095. |
193 | (i)(j) As used in this section, "an insurer writing only |
194 | manufactured housing policies" includes: |
195 | 1. A Florida domiciled insurer that begins writing |
196 | personal lines residential manufactured housing policies in |
197 | Florida after March 1, 2007, and that removes a minimum of |
198 | 50,000 policies from Citizens Property Insurance Corporation |
199 | without accepting a bonus, provided at least 25 percent of its |
200 | policies cover manufactured housing. Such an insurer may count |
201 | any funds above the minimum capital and surplus requirement that |
202 | were contributed into the insurer after March 1, 2007, as new |
203 | capital under this section. |
204 | 2. A Florida domiciled insurer that writes at least 40 |
205 | percent of its policies covering manufactured housing in |
206 | Florida. |
207 | (3) As used in this section, the term: |
208 | (a) "Board" means the State Board of Administration. |
209 | (b) "Program" means the Insurance Capital Build-Up |
210 | Incentive Program established by this section. |
211 | (4) The state funds provided to the insurer in exchange |
212 | for the A surplus note provided to an insurer pursuant to this |
213 | section are is considered borrowed surplus an asset of the |
214 | insurer pursuant to s. 628.401 s. 625.012. |
215 | (5) If an insurer that receives funds in exchange for |
216 | issuance of a surplus note pursuant to this section is rendered |
217 | insolvent, the state is a class 3 creditor pursuant to s. |
218 | 631.271 for the unpaid principal and interest on the surplus |
219 | note. |
220 | (6) The board shall adopt rules prescribing the |
221 | procedures, administration, and criteria for approving the |
222 | applications of insurers to receive funds in exchange for |
223 | issuance of surplus notes pursuant to this section, which may be |
224 | adopted pursuant to the procedures for emergency rules of |
225 | chapter 120. Otherwise, actions and determinations by the board |
226 | pursuant to this section are exempt from chapter 120. |
227 | (7) The board shall invest and reinvest the funds |
228 | appropriated for the program in accordance with s. 215.47 and |
229 | consistent with board policy. |
230 | (8) Costs and fees incurred by the board in administering |
231 | this program, including fees for investment services, shall be |
232 | paid from funds appropriated by the Legislature for this |
233 | program, but are limited to 1 percent of the amount |
234 | appropriated. |
235 | (9) The board shall submit a report to the President of |
236 | the Senate and the Speaker of the House of Representatives by |
237 | February 1 of each year as to the results of the program and |
238 | each insurer's compliance with the terms of its surplus note. |
239 | (10) The amendments to this section enacted in 2008 do not |
240 | affect the terms or conditions of the surplus notes that were |
241 | approved prior to January 1, 2008. However, the board may |
242 | renegotiate the terms of any surplus note issued by an insurer |
243 | prior to January 2008 under this program upon the agreement of |
244 | the insurer and the board and consistent with the requirements |
245 | of this section as amended in 2008. |
246 | (11) On January 15, 2009, the State Board of |
247 | Administration shall transfer to Citizens Property Insurance |
248 | Corporation any funds that have not been committed or reserved |
249 | for insurers approved to receive such funds under the program, |
250 | from the funds that were transferred from Citizens Property |
251 | Insurance Corporation in 2008-2009 for such purposes. |
252 | Section 3. Subsection (6) is added to section, 624.3161, |
253 | Florida Statutes, to read: |
254 | 624.3161 Market conduct examinations.-- |
255 | (6) Based on the findings of a market conduct examination |
256 | that an insurer has exhibited a pattern or practice of willful |
257 | violations of an unfair insurance trade practice related to |
258 | claims-handling which caused harm to policyholders, as |
259 | prohibited by s. 626.9541(1)(i), the office may order an insurer |
260 | pursuant to chapter 120 to file its claims-handling practices |
261 | and procedures related to that line of insurance with the office |
262 | for review and inspection, to be held by the office for the |
263 | following 36-month period. Such claims-handling practices and |
264 | procedures are public records and are not trade secrets or |
265 | otherwise exempt from the provisions of s. 119.07(1). As used in |
266 | this section, "claims-handling practices and procedures" are any |
267 | policies, guidelines, rules, protocols, standard operating |
268 | procedures, instructions, or directives that govern or guide how |
269 | and the manner in which an insured's claims for benefits under |
270 | any policy will be processed. |
271 | Section 4. Subsections (2) and (3) of section 624.4211, |
272 | Florida Statutes, are amended to read: |
273 | 624.4211 Administrative fine in lieu of suspension or |
274 | revocation.-- |
275 | (2) With respect to any nonwillful violation, such fine |
276 | may shall not exceed $5,000 $2,500 per violation. In no event |
277 | shall such fine exceed an aggregate amount of $20,000 $10,000 |
278 | for all nonwillful violations arising out of the same action. If |
279 | When an insurer discovers a nonwillful violation, the insurer |
280 | shall correct the violation and, if restitution is due, make |
281 | restitution to all affected persons. Such restitution shall |
282 | include interest at 12 percent per year from either the date of |
283 | the violation or the date of inception of the affected person's |
284 | policy, at the insurer's option. The restitution may be a credit |
285 | against future premiums due provided that the interest |
286 | accumulates shall accumulate until the premiums are due. If the |
287 | amount of restitution due to any person is $50 or more and the |
288 | insurer wishes to credit it against future premiums, it shall |
289 | notify such person that she or he may receive a check instead of |
290 | a credit. If the credit is on a policy that which is not |
291 | renewed, the insurer shall pay the restitution to the person to |
292 | whom it is due. |
293 | (3) With respect to any knowing and willful violation of a |
294 | lawful order or rule of the office or commission or a provision |
295 | of this code, the office may impose a fine upon the insurer in |
296 | an amount not to exceed $40,000 $20,000 for each such violation. |
297 | In no event shall such fine exceed an aggregate amount of |
298 | $200,000 $100,000 for all knowing and willful violations arising |
299 | out of the same action. In addition to such fines, the such |
300 | insurer shall make restitution when due in accordance with the |
301 | provisions of subsection (2). |
302 | Section 5. Section 624.4213, Florida Statutes, is created |
303 | to read: |
304 | 624.4213 Trade secret documents.-- |
305 | (1) If any person who is required to submit documents or |
306 | other information to the office or department pursuant to the |
307 | Insurance Code or by rule or order of the office, department, or |
308 | commission claims that such submission contains a trade secret, |
309 | such person may file with the office or department a notice of |
310 | trade secret as provided in this section. Failure to do so |
311 | constitutes a waiver of any claim by such person that the |
312 | document or information is a trade secret. |
313 | (a) Each page of such document or specific portion of a |
314 | document claimed to be a trade secret must be clearly marked as |
315 | "trade secret." |
316 | (b) All material marked as a trade secret must be |
317 | separated from all non-trade secret material, such as being |
318 | submitted in a separate envelope clearly marked as "trade |
319 | secret." |
320 | (c) In submitting a notice of trade secret to the office |
321 | or department, the submitting party must include an affidavit |
322 | certifying under oath to the truth of the following statements |
323 | concerning all documents or information that are claimed to be |
324 | trade secrets: |
325 | 1. [I consider/My company considers] this information a |
326 | trade secret that has value and provides an advantage or an |
327 | opportunity to obtain an advantage over those who do not know or |
328 | use it. |
329 | 2. [I have/My company has] taken measures to prevent the |
330 | disclosure of the information to anyone other that those who |
331 | have been selected to have access for limited purposes, and [I |
332 | intend/my company intends] to continue to take such measures. |
333 | 3. The information is not, and has not been, reasonably |
334 | obtainable without [my/our] consent by other persons by use of |
335 | legitimate means. |
336 | 4. The information is not publicly available elsewhere. |
337 | (2) If the office or department receives a public-records |
338 | request for a document or information that is marked and |
339 | certified as a trade secret, the office or department shall |
340 | promptly notify the person that certified the document as a |
341 | trade secret. The notice shall inform such person that he or she |
342 | or his or her company has 30 days following receipt of such |
343 | notice to file an action in circuit court seeking a |
344 | determination whether the document in question contains trade |
345 | secrets and an order barring public disclosure of the document. |
346 | If that person or company files an action within 30 days after |
347 | receipt of notice of the public-records request, the office or |
348 | department may not release the documents pending the outcome of |
349 | the legal action. The failure to file an action within 30 days |
350 | constitutes a waiver of any claim of confidentiality and the |
351 | office or department shall release the document as requested. |
352 | (3) The office or department may disclose a trade secret, |
353 | together with the claim that it is a trade secret, to an officer |
354 | or employee of another governmental agency whose use of the |
355 | trade secret is within the scope of his or her employment. |
356 | Section 6. Section 624.4305, Florida Statutes, is created |
357 | to read: |
358 | 624.4305 Nonrenewal of residential property insurance |
359 | policies.--Any insurer planning to nonrenew more than 10,000 |
360 | residential property insurance policies in this state within a |
361 | 12-month period shall give notice in writing to the Office of |
362 | Insurance Regulation for informational purposes 90 days before |
363 | the issuance of any notices of nonrenewal. The notice provided |
364 | to the office must set forth the insurer's reasons for such |
365 | action, the effective dates of nonrenewal, and any arrangements |
366 | made for other insurers to offer coverage to affected |
367 | policyholders. |
368 | Section 7. Subsection (2) of section 626.9521, Florida |
369 | Statutes, is amended to read: |
370 | 626.9521 Unfair methods of competition and unfair or |
371 | deceptive acts or practices prohibited; penalties.-- |
372 | (2) Any person who violates any provision of this part |
373 | shall be subject to a fine in an amount not greater than $5,000 |
374 | $2,500 for each nonwillful violation and not greater than |
375 | $40,000 $20,000 for each willful violation. Fines under this |
376 | subsection imposed against an insurer may not exceed an |
377 | aggregate amount of $20,000 $10,000 for all nonwillful |
378 | violations arising out of the same action or an aggregate amount |
379 | of $200,000 $100,000 for all willful violations arising out of |
380 | the same action. The fines authorized by this subsection may be |
381 | imposed in addition to any other applicable penalty. |
382 | Section 8. Paragraph (i) of subsection (1) of section |
383 | 626.9541, Florida Statutes, is amended to read: |
384 | 626.9541 Unfair methods of competition and unfair or |
385 | deceptive acts or practices defined.-- |
386 | (1) UNFAIR METHODS OF COMPETITION AND UNFAIR OR DECEPTIVE |
387 | ACTS.--The following are defined as unfair methods of |
388 | competition and unfair or deceptive acts or practices: |
389 | (i) Unfair claim settlement practices.-- |
390 | 1. Attempting to settle claims on the basis of an |
391 | application, when serving as a binder or intended to become a |
392 | part of the policy, or any other material document which was |
393 | altered without notice to, or knowledge or consent of, the |
394 | insured; |
395 | 2. A material misrepresentation made to an insured or any |
396 | other person having an interest in the proceeds payable under |
397 | such contract or policy, for the purpose and with the intent of |
398 | effecting settlement of such claims, loss, or damage under such |
399 | contract or policy on less favorable terms than those provided |
400 | in, and contemplated by, such contract or policy; or |
401 | 3. Committing or performing with such frequency as to |
402 | indicate a general business practice any of the following: |
403 | a. Failing to adopt and implement standards for the proper |
404 | investigation of claims; |
405 | b. Misrepresenting pertinent facts or insurance policy |
406 | provisions relating to coverages at issue; |
407 | c. Failing to acknowledge and act promptly upon |
408 | communications with respect to claims; |
409 | d. Denying claims without conducting reasonable |
410 | investigations based upon available information; |
411 | e. Failing to affirm or deny full or partial coverage of |
412 | claims, and, as to partial coverage, the dollar amount or extent |
413 | of coverage, or failing to provide a written statement that the |
414 | claim is being investigated, upon the written request of the |
415 | insured within 30 days after proof-of-loss statements have been |
416 | completed; |
417 | f. Failing to promptly provide a reasonable explanation in |
418 | writing to the insured of the basis in the insurance policy, in |
419 | relation to the facts or applicable law, for denial of a claim |
420 | or for the offer of a compromise settlement; |
421 | g. Failing to promptly notify the insured of any |
422 | additional information necessary for the processing of a claim; |
423 | or |
424 | h. Failing to clearly explain the nature of the requested |
425 | information and the reasons why such information is necessary. |
426 | 4. Failing to pay undisputed amounts of partial or full |
427 | benefits owed under first-party property insurance policies |
428 | within 90 days after an insurer receives notice of a residential |
429 | property insurance claim, determines the amounts of partial or |
430 | full benefits, and agrees to coverage, unless payment of the |
431 | undisputed benefits is prevented by an act of God, prevented by |
432 | the impossibility of performance, or due to actions by the |
433 | insured or claimant that constitute fraud, lack of cooperation, |
434 | or intentional misrepresentation regarding the claim for which |
435 | benefits are owed. |
436 | Section 9. Section 627.0612, Florida Statutes, is amended |
437 | to read: |
438 | 627.0612 Administrative proceedings in rating |
439 | determinations.-- |
440 | (1) In any proceeding to determine whether rates, rating |
441 | plans, or other matters governed by this part comply with the |
442 | law, the appellate court shall set aside a final order of the |
443 | office if the office has violated s. 120.57(1)(k) by |
444 | substituting its findings of fact for findings of an |
445 | administrative law judge which were supported by competent |
446 | substantial evidence. |
447 | (2) In an administrative hearing to determine whether an |
448 | insurer's rates, rating schedules, rating manuals, premium |
449 | credits, discount schedules, surcharge schedules, or changes |
450 | thereto, for property insurance comply with the law, in addition |
451 | to any other findings of fact, findings on the following matters |
452 | shall be considered findings of fact: |
453 | (a) Whether a factor or factors used in a rate filing or |
454 | applied by the office is consistent with standard actuarial |
455 | techniques or practices or are otherwise based on reasonable |
456 | actuarial judgment. |
457 | (b) Whether a factor for underwriting profit and |
458 | contingencies is reasonable or excessive. |
459 | (c) Whether the cost of reinsurance is reasonable or |
460 | excessive. |
461 | (3) In an administrative hearing to determine whether an |
462 | insurer's rates, rating schedules, rating manuals, premium |
463 | credits, discount schedules, surcharge schedules, or changes |
464 | thereto, for property insurance comply with the law, a |
465 | recommended order may be entered that approves, modifies, or |
466 | rejects the requested change. A recommended order modifying the |
467 | requested rate change shall recommend such change as is |
468 | supported by the record in the case. |
469 | Section 10. Paragraphs (a), (b), and (g) of subsection |
470 | (2), subsection (6), and paragraph (a) of subsection (9) of |
471 | section 627.062, Florida Statutes, are amended to read: |
472 | 627.062 Rate standards.-- |
473 | (2) As to all such classes of insurance: |
474 | (a) Insurers or rating organizations shall establish and |
475 | use rates, rating schedules, or rating manuals to allow the |
476 | insurer a reasonable rate of return on such classes of insurance |
477 | written in this state. A copy of rates, rating schedules, rating |
478 | manuals, premium credits or discount schedules, and surcharge |
479 | schedules, and changes thereto, shall be filed with the office |
480 | under one of the following procedures except as provided in |
481 | subparagraph 3.: |
482 | 1. If the filing is made at least 90 days before the |
483 | proposed effective date and the filing is not implemented during |
484 | the office's review of the filing and any proceeding and |
485 | judicial review, then such filing shall be considered a "file |
486 | and use" filing. In such case, the office shall finalize its |
487 | review by issuance of a notice of intent to approve or a notice |
488 | of intent to disapprove within 90 days after receipt of the |
489 | filing. The notice of intent to approve and the notice of intent |
490 | to disapprove constitute agency action for purposes of the |
491 | Administrative Procedure Act. Requests for supporting |
492 | information, requests for mathematical or mechanical |
493 | corrections, or notification to the insurer by the office of its |
494 | preliminary findings shall not toll the 90-day period during any |
495 | such proceedings and subsequent judicial review. The rate shall |
496 | be deemed approved if the office does not issue a notice of |
497 | intent to approve or a notice of intent to disapprove within 90 |
498 | days after receipt of the filing. |
499 | 2. If the filing is not made in accordance with the |
500 | provisions of subparagraph 1., such filing shall be made as soon |
501 | as practicable, but no later than 30 days after the effective |
502 | date, and shall be considered a "use and file" filing. An |
503 | insurer making a "use and file" filing is potentially subject to |
504 | an order by the office to return to policyholders portions of |
505 | rates found to be excessive, as provided in paragraph (h). |
506 | 3. For all property insurance filings made or submitted |
507 | after January 25, 2007, but before December 31, 2009 2008, an |
508 | insurer seeking a rate that is greater than the rate most |
509 | recently approved by the office shall make a "file and use" |
510 | filing. This subparagraph applies to property insurance only. |
511 | For purposes of this subparagraph, motor vehicle collision and |
512 | comprehensive coverages are not considered to be property |
513 | coverages. |
514 | (b) Upon receiving a rate filing, the office shall review |
515 | the rate filing to determine if a rate is excessive, inadequate, |
516 | or unfairly discriminatory. In making that determination, the |
517 | office shall, in accordance with generally accepted and |
518 | reasonable actuarial techniques, consider the following factors: |
519 | 1. Past and prospective loss experience within and without |
520 | this state. |
521 | 2. Past and prospective expenses. |
522 | 3. The degree of competition among insurers for the risk |
523 | insured. |
524 | 4. Investment income reasonably expected by the insurer, |
525 | consistent with the insurer's investment practices, from |
526 | investable premiums anticipated in the filing, plus any other |
527 | expected income from currently invested assets representing the |
528 | amount expected on unearned premium reserves and loss reserves. |
529 | The commission may adopt rules using utilizing reasonable |
530 | techniques of actuarial science and economics to specify the |
531 | manner in which insurers shall calculate investment income |
532 | attributable to such classes of insurance written in this state |
533 | and the manner in which such investment income shall be used to |
534 | calculate in the calculation of insurance rates. Such manner |
535 | shall contemplate allowances for an underwriting profit factor |
536 | and full consideration of investment income which produce a |
537 | reasonable rate of return; however, investment income from |
538 | invested surplus may shall not be considered. |
539 | 5. The reasonableness of the judgment reflected in the |
540 | filing. |
541 | 6. Dividends, savings, or unabsorbed premium deposits |
542 | allowed or returned to Florida policyholders, members, or |
543 | subscribers. |
544 | 7. The adequacy of loss reserves. |
545 | 8. The cost of reinsurance. The office shall not |
546 | disapprove a rate as excessive solely due to the insurer having |
547 | obtained catastrophic reinsurance to cover the insurer's |
548 | estimated 250-year probable maximum loss or any lower level of |
549 | loss. |
550 | 9. Trend factors, including trends in actual losses per |
551 | insured unit for the insurer making the filing. |
552 | 10. Conflagration and catastrophe hazards, if applicable. |
553 | 11. Projected hurricane losses, if applicable, which must |
554 | be estimated using a model or method found to be acceptable or |
555 | reliable by the Florida Commission on Hurricane Loss Projection |
556 | Methodology, and as further provided in s. 627.0628. |
557 | 12.11. A reasonable margin for underwriting profit and |
558 | contingencies. For that portion of the rate covering the risk of |
559 | hurricanes and other catastrophic losses for which the insurer |
560 | has not purchased reinsurance and has exposed its capital and |
561 | surplus to such risk, the office must approve a rating factor |
562 | that provides the insurer a reasonable rate of return that is |
563 | commensurate with such risk. |
564 | 13.12. The cost of medical services, if applicable. |
565 | 14.13. Other relevant factors which impact upon the |
566 | frequency or severity of claims or upon expenses. |
567 | (g) The office may at any time review a rate, rating |
568 | schedule, rating manual, or rate change; the pertinent records |
569 | of the insurer; and market conditions. If the office finds on a |
570 | preliminary basis that a rate may be excessive, inadequate, or |
571 | unfairly discriminatory, the office shall initiate proceedings |
572 | to disapprove the rate and shall so notify the insurer. However, |
573 | the office may not disapprove as excessive any rate for which it |
574 | has given final approval or which has been deemed approved for a |
575 | period of 1 year after the effective date of the filing unless |
576 | the office finds that a material misrepresentation or material |
577 | error was made by the insurer or was contained in the filing. |
578 | Upon being so notified, the insurer or rating organization |
579 | shall, within 60 days, file with the office all information |
580 | which, in the belief of the insurer or organization, proves the |
581 | reasonableness, adequacy, and fairness of the rate or rate |
582 | change. The office shall issue a notice of intent to approve or |
583 | a notice of intent to disapprove pursuant to the procedures of |
584 | paragraph (a) within 90 days after receipt of the insurer's |
585 | initial response. In such instances and in any administrative |
586 | proceeding relating to the legality of the rate, the insurer or |
587 | rating organization shall carry the burden of proof by a |
588 | preponderance of the evidence to show that the rate is not |
589 | excessive, inadequate, or unfairly discriminatory. After the |
590 | office notifies an insurer that a rate may be excessive, |
591 | inadequate, or unfairly discriminatory, unless the office |
592 | withdraws the notification, the insurer shall not alter the rate |
593 | except to conform with the office's notice until the earlier of |
594 | 120 days after the date the notification was provided or 180 |
595 | days after the date of the implementation of the rate. The |
596 | office may, subject to chapter 120, disapprove without the 60- |
597 | day notification any rate increase filed by an insurer within |
598 | the prohibited time period or during the time that the legality |
599 | of the increased rate is being contested. |
600 |
|
601 | The provisions of this subsection shall not apply to workers' |
602 | compensation and employer's liability insurance and to motor |
603 | vehicle insurance. |
604 | (6)(a) If an insurer requests an administrative hearing |
605 | pursuant to s. 120.57 related to a rate filing under this |
606 | section, the director of the Division of Administrative Hearings |
607 | shall expedite the hearing and assign an administrative law |
608 | judge who shall commence the hearing within 30 days after the |
609 | receipt of the formal request and shall enter a recommended |
610 | order within 30 days after the hearing or within 30 days after |
611 | receipt of the hearing transcript by the administrative law |
612 | judge, whichever is later. Each party shall be allowed 10 days |
613 | in which to submit written exceptions to the recommended order. |
614 | The office shall enter a final order within 30 days after the |
615 | entry of the recommended order. The provisions of this paragraph |
616 | may be waived upon stipulation of all parties. |
617 | (b) Upon entry of a final order, the insurer may request a |
618 | expedited appellate review pursuant to the Florida Rules of |
619 | Appellate Procedure. It is the intent of the Legislature that |
620 | the First District Court of Appeal grant an insurer's request |
621 | for an expedited appellate review. |
622 | (a) After any action with respect to a rate filing that |
623 | constitutes agency action for purposes of the Administrative |
624 | Procedure Act, except for a rate filing for medical malpractice, |
625 | an insurer may, in lieu of demanding a hearing under s. 120.57, |
626 | require arbitration of the rate filing. However, the arbitration |
627 | option provision in this subsection does not apply to a rate |
628 | filing that is made on or after the effective date of this act |
629 | until January 1, 2009. Arbitration shall be conducted by a board |
630 | of arbitrators consisting of an arbitrator selected by the |
631 | office, an arbitrator selected by the insurer, and an arbitrator |
632 | selected jointly by the other two arbitrators. Each arbitrator |
633 | must be certified by the American Arbitration Association. A |
634 | decision is valid only upon the affirmative vote of at least two |
635 | of the arbitrators. No arbitrator may be an employee of any |
636 | insurance regulator or regulatory body or of any insurer, |
637 | regardless of whether or not the employing insurer does business |
638 | in this state. The office and the insurer must treat the |
639 | decision of the arbitrators as the final approval of a rate |
640 | filing. Costs of arbitration shall be paid by the insurer. |
641 | (b) Arbitration under this subsection shall be conducted |
642 | pursuant to the procedures specified in ss. 682.06-682.10. |
643 | Either party may apply to the circuit court to vacate or modify |
644 | the decision pursuant to s. 682.13 or s. 682.14. The commission |
645 | shall adopt rules for arbitration under this subsection, which |
646 | rules may not be inconsistent with the arbitration rules of the |
647 | American Arbitration Association as of January 1, 1996. |
648 | (c) Upon initiation of the arbitration process, the |
649 | insurer waives all rights to challenge the action of the office |
650 | under the Administrative Procedure Act or any other provision of |
651 | law; however, such rights are restored to the insurer if the |
652 | arbitrators fail to render a decision within 90 days after |
653 | initiation of the arbitration process. |
654 | (9)(a) Effective March 1, 2007, The chief executive |
655 | officer or chief financial officer of a property insurer and the |
656 | chief actuary of a property insurer must certify under oath and |
657 | subject to the penalty of perjury, on a form approved by the |
658 | commission, the following information, which must accompany a |
659 | rate filing: |
660 | 1. The signing officer and actuary have reviewed the rate |
661 | filing; |
662 | 2. Based on the signing officer's and actuary's knowledge, |
663 | the rate filing does not contain any untrue statement of a |
664 | material fact or omit to state a material fact necessary in |
665 | order to make the statements made, in light of the circumstances |
666 | under which such statements were made, not misleading; |
667 | 3. Based on the signing officer's and actuary's knowledge, |
668 | the information and other factors described in paragraph (2)(b), |
669 | including, but not limited to, investment income, fairly present |
670 | in all material respects the basis of the rate filing for the |
671 | periods presented in the filing; and |
672 | 4. Based on the signing officer's and actuary's knowledge, |
673 | the rate filing reflects all premium savings that are reasonably |
674 | expected to result from legislative enactments and are in |
675 | accordance with generally accepted and reasonable actuarial |
676 | techniques. |
677 | Section 11. Paragraph (c) of subsection (1) and subsection |
678 | (3) of section 627.0628, Florida Statutes, are amended, and |
679 | paragraph (e) is added to subsection (1) of that section, to |
680 | read: |
681 | 627.0628 Florida Commission on Hurricane Loss Projection |
682 | Methodology; public records exemption; public meetings |
683 | exemption.-- |
684 | (1) LEGISLATIVE FINDINGS AND INTENT.-- |
685 | (c) It is the intent of the Legislature to create the |
686 | Florida Commission on Hurricane Loss Projection Methodology as a |
687 | panel of experts to provide the most actuarially sophisticated |
688 | guidelines and standards for projection of hurricane losses |
689 | possible, given the current state of actuarial science. It is |
690 | the further intent of the Legislature that such standards and |
691 | guidelines must be used by the State Board of Administration in |
692 | developing reimbursement premium rates for the Florida Hurricane |
693 | Catastrophe Fund, and, subject to paragraph (3)(c), must may be |
694 | used by insurers in rate filings under s. 627.062 unless the way |
695 | in which such standards and guidelines were applied by the |
696 | insurer was erroneous, as shown by a preponderance of the |
697 | evidence. |
698 | (e) The Legislature finds that the authority to take final |
699 | agency action with respect to insurance ratemaking is vested in |
700 | the Office of Insurance Regulation and the Financial Services |
701 | Commission, and that the processes, standards, and guidelines of |
702 | the Florida Commission on Hurricane Loss Projection Methodology |
703 | do not constitute final agency action or statements of general |
704 | applicability that implement, interpret, or prescribe law or |
705 | policy; accordingly, chapter 120 does not apply to the |
706 | processes, standards, and guidelines of the Florida Commission |
707 | on Hurricane Loss Projection Methodology. |
708 | (3) ADOPTION AND EFFECT OF STANDARDS AND GUIDELINES.-- |
709 | (a) The commission shall consider any actuarial methods, |
710 | principles, standards, models, or output ranges that have the |
711 | potential for improving the accuracy of or reliability of the |
712 | hurricane loss projections used in residential property |
713 | insurance rate filings. The commission shall, from time to time, |
714 | adopt findings as to the accuracy or reliability of particular |
715 | methods, principles, standards, models, or output ranges. |
716 | (b) The commission shall consider any actuarial methods, |
717 | principles, standards, or models that have the potential for |
718 | improving the accuracy of or reliability of projecting probable |
719 | maximum loss levels. The commission shall adopt findings as to |
720 | the accuracy or reliability of particular methods, principles, |
721 | standards, or models related to probable maximum loss |
722 | calculations. |
723 | (c)(b) In establishing reimbursement premiums for the |
724 | Florida Hurricane Catastrophe Fund, the State Board of |
725 | Administration must, to the extent feasible, employ actuarial |
726 | methods, principles, standards, models, or output ranges found |
727 | by the commission to be accurate or reliable. |
728 | (d)(c) With respect to a rate filing under s. 627.062, an |
729 | insurer shall may employ and may not modify or adjust actuarial |
730 | methods, principles, standards, models, or output ranges found |
731 | by the commission to be accurate or reliable in determining to |
732 | determine hurricane loss factors for use in a rate filing under |
733 | s. 627.062. An insurer shall employ and may not modify or adjust |
734 | models found by the commission to be accurate or reliable in |
735 | determining probable maximum loss levels pursuant to paragraph |
736 | (b) with respect to a rate filing under s. 627.062 made more |
737 | than 60 days after the commission has made such findings. Such |
738 | findings and factors are admissible and relevant in |
739 | consideration of a rate filing by the office or in any |
740 | arbitration or administrative or judicial review only if the |
741 | office and the consumer advocate appointed pursuant to s. |
742 | 627.0613 have access to all of the assumptions and factors that |
743 | were used in developing the actuarial methods, principles, |
744 | standards, models, or output ranges, and are not precluded from |
745 | disclosing such information in a rate proceeding. In any rate |
746 | hearing under s. 120.57 or in any arbitration proceeding under |
747 | s. 627.062(6), the hearing officer, judge, or arbitration panel |
748 | may determine whether the office and the consumer advocate were |
749 | provided with access to all of the assumptions and factors that |
750 | were used in developing the actuarial methods, principles, |
751 | standards, models, or output ranges and to determine their |
752 | admissibility. |
753 | (e)(d) The commission shall adopt revisions to previously |
754 | adopted actuarial methods, principles, standards, models, or |
755 | output ranges at least annually. |
756 | (f)(e)1. A trade secret, as defined in s. 812.081, that is |
757 | used in designing and constructing a hurricane loss model and |
758 | that is provided pursuant to this section, by a private company, |
759 | to the commission, office, or consumer advocate appointed |
760 | pursuant to s. 627.0613, is confidential and exempt from s. |
761 | 119.07(1) and s. 24(a), Art. I of the State Constitution. |
762 | 2. That portion of a meeting of the commission or of a |
763 | rate proceeding on an insurer's rate filing at which a trade |
764 | secret made confidential and exempt by this paragraph is |
765 | discussed is exempt from s. 286.011 and s. 24(b), Art. I of the |
766 | State Constitution. |
767 | 3. This paragraph is subject to the Open Government Sunset |
768 | Review Act of 1995 in accordance with s. 119.15, and shall stand |
769 | repealed on October 2, 2010, unless reviewed and saved from |
770 | repeal through reenactment by the Legislature. |
771 | Section 12. Subsection (1) of section 627.0629, Florida |
772 | Statutes, is amended to read: |
773 | 627.0629 Residential property insurance; rate filings.-- |
774 | (1)(a) It is the intent of the Legislature that insurers |
775 | must provide savings to consumers who install or implement |
776 | windstorm damage mitigation techniques, alterations, or |
777 | solutions to their properties to prevent windstorm losses. A |
778 | rate filing for residential property insurance must include |
779 | actuarially reasonable discounts, credits, or other rate |
780 | differentials, or appropriate reductions in deductibles, for |
781 | properties on which fixtures or construction techniques |
782 | demonstrated to reduce the amount of loss in a windstorm have |
783 | been installed or implemented. The fixtures or construction |
784 | techniques shall include, but not be limited to, fixtures or |
785 | construction techniques which enhance roof strength, roof |
786 | covering performance, roof-to-wall strength, wall-to-floor-to- |
787 | foundation strength, opening protection, and window, door, and |
788 | skylight strength. Credits, discounts, or other rate |
789 | differentials, or appropriate reductions in deductibles, for |
790 | fixtures and construction techniques which meet the minimum |
791 | requirements of the Florida Building Code must be included in |
792 | the rate filing. All insurance companies must make a rate filing |
793 | which includes the credits, discounts, or other rate |
794 | differentials or reductions in deductibles by February 28, 2003. |
795 | By July 1, 2007, the office shall reevaluate the discounts, |
796 | credits, other rate differentials, and appropriate reductions in |
797 | deductibles for fixtures and construction techniques that meet |
798 | the minimum requirements of the Florida Building Code, based |
799 | upon actual experience or any other loss relativity studies |
800 | available to the office. The office shall determine the |
801 | discounts, credits, other rate differentials, and appropriate |
802 | reductions in deductibles that reflect the full actuarial value |
803 | of such revaluation, which may be used by insurers in rate |
804 | filings. |
805 | (b) By February 1, 2011, the Office of Insurance |
806 | Regulation, in consultation with the Department of Financial |
807 | Services and the Department of Community Affairs, shall develop |
808 | and make publicly available a proposed method for insurers to |
809 | establish discounts, credits, or other rate differentials for |
810 | hurricane mitigation measures which directly correlate to the |
811 | numerical rating assigned to a structure pursuant to the uniform |
812 | home grading scale adopted by the Financial Services Commission |
813 | pursuant to s. 215.55865, including any proposed changes to the |
814 | uniform home grading scale. By October 1, 2011, the commission |
815 | shall adopt rules requiring insurers to make rate filings for |
816 | residential property insurance which revise insurers' discounts, |
817 | credits, or other rate differentials for hurricane mitigation |
818 | measures so that such rate differentials correlate directly to |
819 | the uniform home grading scale. The rules may include such |
820 | changes to the uniform home grading scale as the commission |
821 | determines are necessary, and may specify the minimum required |
822 | discounts, credits, or other rate differentials. Such rate |
823 | differentials must be consistent with generally accepted |
824 | actuarial principles and wind-loss mitigation studies. The rules |
825 | shall allow a period of at least 2 years after the effective |
826 | date of the revised mitigation discounts, credits, or other rate |
827 | differentials for a property owner to obtain an inspection or |
828 | otherwise qualify for the revised credit, during which time the |
829 | insurer shall continue to apply the mitigation credit that was |
830 | applied immediately prior to the effective date of the revised |
831 | credit. |
832 | Section 13. Subsection (2) and paragraphs (a), (b), (c), |
833 | (m), (p), (w), (dd), (ee), and (ff) of subsection (6) of section |
834 | 627.351, Florida Statutes, are amended to read: |
835 | 627.351 Insurance risk apportionment plans.-- |
836 | (2) WINDSTORM INSURANCE RISK APPORTIONMENT.-- |
837 | (b) The department shall require all insurers holding a |
838 | certificate of authority to transact property insurance on a |
839 | direct basis in this state, other than joint underwriting |
840 | associations and other entities formed pursuant to this section, |
841 | to provide windstorm coverage to applicants from areas |
842 | determined to be eligible pursuant to paragraph (c) who in good |
843 | faith are entitled to, but are unable to procure, such coverage |
844 | through ordinary means; or it shall adopt a reasonable plan or |
845 | plans for the equitable apportionment or sharing among such |
846 | insurers of windstorm coverage, which may include formation of |
847 | an association for this purpose. As used in this subsection, the |
848 | term "property insurance" means insurance on real or personal |
849 | property, as defined in s. 624.604, including insurance for |
850 | fire, industrial fire, allied lines, farmowners multiperil, |
851 | homeowners' multiperil, commercial multiperil, and mobile homes, |
852 | and including liability coverages on all such insurance, but |
853 | excluding inland marine as defined in s. 624.607(3) and |
854 | excluding vehicle insurance as defined in s. 624.605(1)(a) other |
855 | than insurance on mobile homes used as permanent dwellings. The |
856 | department shall adopt rules that provide a formula for the |
857 | recovery and repayment of any deferred assessments. |
858 | 1. For the purpose of this section, properties eligible |
859 | for such windstorm coverage are defined as dwellings, buildings, |
860 | and other structures, including mobile homes which are used as |
861 | dwellings and which are tied down in compliance with mobile home |
862 | tie-down requirements prescribed by the Department of Highway |
863 | Safety and Motor Vehicles pursuant to s. 320.8325, and the |
864 | contents of all such properties. An applicant or policyholder is |
865 | eligible for coverage only if an offer of coverage cannot be |
866 | obtained by or for the applicant or policyholder from an |
867 | admitted insurer at approved rates. |
868 | 2.a.(I) All insurers required to be members of such |
869 | association shall participate in its writings, expenses, and |
870 | losses. Surplus of the association shall be retained for the |
871 | payment of claims and shall not be distributed to the member |
872 | insurers. Such participation by member insurers shall be in the |
873 | proportion that the net direct premiums of each member insurer |
874 | written for property insurance in this state during the |
875 | preceding calendar year bear to the aggregate net direct |
876 | premiums for property insurance of all member insurers, as |
877 | reduced by any credits for voluntary writings, in this state |
878 | during the preceding calendar year. For the purposes of this |
879 | subsection, the term "net direct premiums" means direct written |
880 | premiums for property insurance, reduced by premium for |
881 | liability coverage and for the following if included in allied |
882 | lines: rain and hail on growing crops; livestock; association |
883 | direct premiums booked; National Flood Insurance Program direct |
884 | premiums; and similar deductions specifically authorized by the |
885 | plan of operation and approved by the department. A member's |
886 | participation shall begin on the first day of the calendar year |
887 | following the year in which it is issued a certificate of |
888 | authority to transact property insurance in the state and shall |
889 | terminate 1 year after the end of the calendar year during which |
890 | it no longer holds a certificate of authority to transact |
891 | property insurance in the state. The commissioner, after review |
892 | of annual statements, other reports, and any other statistics |
893 | that the commissioner deems necessary, shall certify to the |
894 | association the aggregate direct premiums written for property |
895 | insurance in this state by all member insurers. |
896 | (II) Effective July 1, 2002, the association shall operate |
897 | subject to the supervision and approval of a board of governors |
898 | who are the same individuals that have been appointed by the |
899 | Treasurer to serve on the board of governors of the Citizens |
900 | Property Insurance Corporation. |
901 | (III) The plan of operation shall provide a formula |
902 | whereby a company voluntarily providing windstorm coverage in |
903 | affected areas will be relieved wholly or partially from |
904 | apportionment of a regular assessment pursuant to sub-sub- |
905 | subparagraph d.(I) or sub-sub-subparagraph d.(II). |
906 | (IV) A company which is a member of a group of companies |
907 | under common management may elect to have its credits applied on |
908 | a group basis, and any company or group may elect to have its |
909 | credits applied to any other company or group. |
910 | (V) There shall be no credits or relief from apportionment |
911 | to a company for emergency assessments collected from its |
912 | policyholders under sub-sub-subparagraph d.(III). |
913 | (VI) The plan of operation may also provide for the award |
914 | of credits, for a period not to exceed 3 years, from a regular |
915 | assessment pursuant to sub-sub-subparagraph d.(I) or sub-sub- |
916 | subparagraph d.(II) as an incentive for taking policies out of |
917 | the Residential Property and Casualty Joint Underwriting |
918 | Association. In order to qualify for the exemption under this |
919 | sub-sub-subparagraph, the take-out plan must provide that at |
920 | least 40 percent of the policies removed from the Residential |
921 | Property and Casualty Joint Underwriting Association cover risks |
922 | located in Dade, Broward, and Palm Beach Counties or at least 30 |
923 | percent of the policies so removed cover risks located in Dade, |
924 | Broward, and Palm Beach Counties and an additional 50 percent of |
925 | the policies so removed cover risks located in other coastal |
926 | counties, and must also provide that no more than 15 percent of |
927 | the policies so removed may exclude windstorm coverage. With the |
928 | approval of the department, the association may waive these |
929 | geographic criteria for a take-out plan that removes at least |
930 | the lesser of 100,000 Residential Property and Casualty Joint |
931 | Underwriting Association policies or 15 percent of the total |
932 | number of Residential Property and Casualty Joint Underwriting |
933 | Association policies, provided the governing board of the |
934 | Residential Property and Casualty Joint Underwriting Association |
935 | certifies that the take-out plan will materially reduce the |
936 | Residential Property and Casualty Joint Underwriting |
937 | Association's 100-year probable maximum loss from hurricanes. |
938 | With the approval of the department, the board may extend such |
939 | credits for an additional year if the insurer guarantees an |
940 | additional year of renewability for all policies removed from |
941 | the Residential Property and Casualty Joint Underwriting |
942 | Association, or for 2 additional years if the insurer guarantees |
943 | 2 additional years of renewability for all policies removed from |
944 | the Residential Property and Casualty Joint Underwriting |
945 | Association. |
946 | b. Assessments to pay deficits in the association under |
947 | this subparagraph shall be included as an appropriate factor in |
948 | the making of rates as provided in s. 627.3512. |
949 | c. The Legislature finds that the potential for unlimited |
950 | deficit assessments under this subparagraph may induce insurers |
951 | to attempt to reduce their writings in the voluntary market, and |
952 | that such actions would worsen the availability problems that |
953 | the association was created to remedy. It is the intent of the |
954 | Legislature that insurers remain fully responsible for paying |
955 | regular assessments and collecting emergency assessments for any |
956 | deficits of the association; however, it is also the intent of |
957 | the Legislature to provide a means by which assessment |
958 | liabilities may be amortized over a period of years. |
959 | d.(I) When the deficit incurred in a particular calendar |
960 | year is 10 percent or less of the aggregate statewide direct |
961 | written premium for property insurance for the prior calendar |
962 | year for all member insurers, the association shall levy an |
963 | assessment on member insurers in an amount equal to the deficit. |
964 | (II) When the deficit incurred in a particular calendar |
965 | year exceeds 10 percent of the aggregate statewide direct |
966 | written premium for property insurance for the prior calendar |
967 | year for all member insurers, the association shall levy an |
968 | assessment on member insurers in an amount equal to the greater |
969 | of 10 percent of the deficit or 10 percent of the aggregate |
970 | statewide direct written premium for property insurance for the |
971 | prior calendar year for member insurers. Any remaining deficit |
972 | shall be recovered through emergency assessments under sub-sub- |
973 | subparagraph (III). |
974 | (III) Upon a determination by the board of directors that |
975 | a deficit exceeds the amount that will be recovered through |
976 | regular assessments on member insurers, pursuant to sub-sub- |
977 | subparagraph (I) or sub-sub-subparagraph (II), the board shall |
978 | levy, after verification by the department, emergency |
979 | assessments to be collected by member insurers and by |
980 | underwriting associations created pursuant to this section which |
981 | write property insurance, upon issuance or renewal of property |
982 | insurance policies other than National Flood Insurance policies |
983 | in the year or years following levy of the regular assessments. |
984 | The amount of the emergency assessment collected in a particular |
985 | year shall be a uniform percentage of that year's direct written |
986 | premium for property insurance for all member insurers and |
987 | underwriting associations, excluding National Flood Insurance |
988 | policy premiums, as annually determined by the board and |
989 | verified by the department. The department shall verify the |
990 | arithmetic calculations involved in the board's determination |
991 | within 30 days after receipt of the information on which the |
992 | determination was based. Notwithstanding any other provision of |
993 | law, each member insurer and each underwriting association |
994 | created pursuant to this section shall collect emergency |
995 | assessments from its policyholders without such obligation being |
996 | affected by any credit, limitation, exemption, or deferment. The |
997 | emergency assessments so collected shall be transferred directly |
998 | to the association on a periodic basis as determined by the |
999 | association. The aggregate amount of emergency assessments |
1000 | levied under this sub-sub-subparagraph in any calendar year may |
1001 | not exceed the greater of 10 percent of the amount needed to |
1002 | cover the original deficit, plus interest, fees, commissions, |
1003 | required reserves, and other costs associated with financing of |
1004 | the original deficit, or 10 percent of the aggregate statewide |
1005 | direct written premium for property insurance written by member |
1006 | insurers and underwriting associations for the prior year, plus |
1007 | interest, fees, commissions, required reserves, and other costs |
1008 | associated with financing the original deficit. The board may |
1009 | pledge the proceeds of the emergency assessments under this sub- |
1010 | sub-subparagraph as the source of revenue for bonds, to retire |
1011 | any other debt incurred as a result of the deficit or events |
1012 | giving rise to the deficit, or in any other way that the board |
1013 | determines will efficiently recover the deficit. The emergency |
1014 | assessments under this sub-sub-subparagraph shall continue as |
1015 | long as any bonds issued or other indebtedness incurred with |
1016 | respect to a deficit for which the assessment was imposed remain |
1017 | outstanding, unless adequate provision has been made for the |
1018 | payment of such bonds or other indebtedness pursuant to the |
1019 | document governing such bonds or other indebtedness. Emergency |
1020 | assessments collected under this sub-sub-subparagraph are not |
1021 | part of an insurer's rates, are not premium, and are not subject |
1022 | to premium tax, fees, or commissions; however, failure to pay |
1023 | the emergency assessment shall be treated as failure to pay |
1024 | premium. |
1025 | (IV) Each member insurer's share of the total regular |
1026 | assessments under sub-sub-subparagraph (I) or sub-sub- |
1027 | subparagraph (II) shall be in the proportion that the insurer's |
1028 | net direct premium for property insurance in this state, for the |
1029 | year preceding the assessment bears to the aggregate statewide |
1030 | net direct premium for property insurance of all member |
1031 | insurers, as reduced by any credits for voluntary writings for |
1032 | that year. |
1033 | (V) If regular deficit assessments are made under sub-sub- |
1034 | subparagraph (I) or sub-sub-subparagraph (II), or by the |
1035 | Residential Property and Casualty Joint Underwriting Association |
1036 | under sub-subparagraph (6)(b)3.a. or sub-subparagraph |
1037 | (6)(b)3.b., the association shall levy upon the association's |
1038 | policyholders, as part of its next rate filing, or by a separate |
1039 | rate filing solely for this purpose, a market equalization |
1040 | surcharge in a percentage equal to the total amount of such |
1041 | regular assessments divided by the aggregate statewide direct |
1042 | written premium for property insurance for member insurers for |
1043 | the prior calendar year. Market equalization surcharges under |
1044 | this sub-sub-subparagraph are not considered premium and are not |
1045 | subject to commissions, fees, or premium taxes; however, failure |
1046 | to pay a market equalization surcharge shall be treated as |
1047 | failure to pay premium. |
1048 | e. The governing body of any unit of local government, any |
1049 | residents of which are insured under the plan, may issue bonds |
1050 | as defined in s. 125.013 or s. 166.101 to fund an assistance |
1051 | program, in conjunction with the association, for the purpose of |
1052 | defraying deficits of the association. In order to avoid |
1053 | needless and indiscriminate proliferation, duplication, and |
1054 | fragmentation of such assistance programs, any unit of local |
1055 | government, any residents of which are insured by the |
1056 | association, may provide for the payment of losses, regardless |
1057 | of whether or not the losses occurred within or outside of the |
1058 | territorial jurisdiction of the local government. Revenue bonds |
1059 | may not be issued until validated pursuant to chapter 75, unless |
1060 | a state of emergency is declared by executive order or |
1061 | proclamation of the Governor pursuant to s. 252.36 making such |
1062 | findings as are necessary to determine that it is in the best |
1063 | interests of, and necessary for, the protection of the public |
1064 | health, safety, and general welfare of residents of this state |
1065 | and the protection and preservation of the economic stability of |
1066 | insurers operating in this state, and declaring it an essential |
1067 | public purpose to permit certain municipalities or counties to |
1068 | issue bonds as will provide relief to claimants and |
1069 | policyholders of the association and insurers responsible for |
1070 | apportionment of plan losses. Any such unit of local government |
1071 | may enter into such contracts with the association and with any |
1072 | other entity created pursuant to this subsection as are |
1073 | necessary to carry out this paragraph. Any bonds issued under |
1074 | this sub-subparagraph shall be payable from and secured by |
1075 | moneys received by the association from assessments under this |
1076 | subparagraph, and assigned and pledged to or on behalf of the |
1077 | unit of local government for the benefit of the holders of such |
1078 | bonds. The funds, credit, property, and taxing power of the |
1079 | state or of the unit of local government shall not be pledged |
1080 | for the payment of such bonds. If any of the bonds remain unsold |
1081 | 60 days after issuance, the department shall require all |
1082 | insurers subject to assessment to purchase the bonds, which |
1083 | shall be treated as admitted assets; each insurer shall be |
1084 | required to purchase that percentage of the unsold portion of |
1085 | the bond issue that equals the insurer's relative share of |
1086 | assessment liability under this subsection. An insurer shall not |
1087 | be required to purchase the bonds to the extent that the |
1088 | department determines that the purchase would endanger or impair |
1089 | the solvency of the insurer. The authority granted by this sub- |
1090 | subparagraph is additional to any bonding authority granted by |
1091 | subparagraph 6. |
1092 | 3. The plan shall also provide that any member with a |
1093 | surplus as to policyholders of $20 million or less writing 25 |
1094 | percent or more of its total countrywide property insurance |
1095 | premiums in this state may petition the department, within the |
1096 | first 90 days of each calendar year, to qualify as a limited |
1097 | apportionment company. The apportionment of such a member |
1098 | company in any calendar year for which it is qualified shall not |
1099 | exceed its gross participation, which shall not be affected by |
1100 | the formula for voluntary writings. In no event shall a limited |
1101 | apportionment company be required to participate in any |
1102 | apportionment of losses pursuant to sub-sub-subparagraph 2.d.(I) |
1103 | or sub-sub-subparagraph 2.d.(II) in the aggregate which exceeds |
1104 | $50 million after payment of available plan funds in any |
1105 | calendar year. However, a limited apportionment company shall |
1106 | collect from its policyholders any emergency assessment imposed |
1107 | under sub-sub-subparagraph 2.d.(III). The plan shall provide |
1108 | that, if the department determines that any regular assessment |
1109 | will result in an impairment of the surplus of a limited |
1110 | apportionment company, the department may direct that all or |
1111 | part of such assessment be deferred. However, there shall be no |
1112 | limitation or deferment of an emergency assessment to be |
1113 | collected from policyholders under sub-sub-subparagraph |
1114 | 2.d.(III). |
1115 | 4. The plan shall provide for the deferment, in whole or |
1116 | in part, of a regular assessment of a member insurer under sub- |
1117 | sub-subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II), but |
1118 | not for an emergency assessment collected from policyholders |
1119 | under sub-sub-subparagraph 2.d.(III), if, in the opinion of the |
1120 | commissioner, payment of such regular assessment would endanger |
1121 | or impair the solvency of the member insurer. In the event a |
1122 | regular assessment against a member insurer is deferred in whole |
1123 | or in part, the amount by which such assessment is deferred may |
1124 | be assessed against the other member insurers in a manner |
1125 | consistent with the basis for assessments set forth in sub-sub- |
1126 | subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II). |
1127 | 5.a. The plan of operation may include deductibles and |
1128 | rules for classification of risks and rate modifications |
1129 | consistent with the objective of providing and maintaining funds |
1130 | sufficient to pay catastrophe losses. |
1131 | b. The association may require arbitration of a rate |
1132 | filing under s. 627.062(6). It is the intent of the Legislature |
1133 | that the rates for coverage provided by the association be |
1134 | actuarially sound and not competitive with approved rates |
1135 | charged in the admitted voluntary market such that the |
1136 | association functions as a residual market mechanism to provide |
1137 | insurance only when the insurance cannot be procured in the |
1138 | voluntary market. The plan of operation shall provide a |
1139 | mechanism to assure that, beginning no later than January 1, |
1140 | 1999, the rates charged by the association for each line of |
1141 | business are reflective of approved rates in the voluntary |
1142 | market for hurricane coverage for each line of business in the |
1143 | various areas eligible for association coverage. |
1144 | c. The association shall provide for windstorm coverage on |
1145 | residential properties in limits up to $10 million for |
1146 | commercial lines residential risks and up to $1 million for |
1147 | personal lines residential risks. If coverage with the |
1148 | association is sought for a residential risk valued in excess of |
1149 | these limits, coverage shall be available to the risk up to the |
1150 | replacement cost or actual cash value of the property, at the |
1151 | option of the insured, if coverage for the risk cannot be |
1152 | located in the authorized market. The association must accept a |
1153 | commercial lines residential risk with limits above $10 million |
1154 | or a personal lines residential risk with limits above $1 |
1155 | million if coverage is not available in the authorized market. |
1156 | The association may write coverage above the limits specified in |
1157 | this subparagraph with or without facultative or other |
1158 | reinsurance coverage, as the association determines appropriate. |
1159 | d. The plan of operation must provide objective criteria |
1160 | and procedures, approved by the department, to be uniformly |
1161 | applied for all applicants in determining whether an individual |
1162 | risk is so hazardous as to be uninsurable. In making this |
1163 | determination and in establishing the criteria and procedures, |
1164 | the following shall be considered: |
1165 | (I) Whether the likelihood of a loss for the individual |
1166 | risk is substantially higher than for other risks of the same |
1167 | class; and |
1168 | (II) Whether the uncertainty associated with the |
1169 | individual risk is such that an appropriate premium cannot be |
1170 | determined. |
1171 |
|
1172 | The acceptance or rejection of a risk by the association |
1173 | pursuant to such criteria and procedures must be construed as |
1174 | the private placement of insurance, and the provisions of |
1175 | chapter 120 do not apply. |
1176 | e. If the risk accepts an offer of coverage through the |
1177 | market assistance program or through a mechanism established by |
1178 | the association, either before the policy is issued by the |
1179 | association or during the first 30 days of coverage by the |
1180 | association, and the producing agent who submitted the |
1181 | application to the association is not currently appointed by the |
1182 | insurer, the insurer shall: |
1183 | (I) Pay to the producing agent of record of the policy, |
1184 | for the first year, an amount that is the greater of the |
1185 | insurer's usual and customary commission for the type of policy |
1186 | written or a fee equal to the usual and customary commission of |
1187 | the association; or |
1188 | (II) Offer to allow the producing agent of record of the |
1189 | policy to continue servicing the policy for a period of not less |
1190 | than 1 year and offer to pay the agent the greater of the |
1191 | insurer's or the association's usual and customary commission |
1192 | for the type of policy written. |
1193 |
|
1194 | If the producing agent is unwilling or unable to accept |
1195 | appointment, the new insurer shall pay the agent in accordance |
1196 | with sub-sub-subparagraph (I). Subject to the provisions of s. |
1197 | 627.3517, the policies issued by the association must provide |
1198 | that if the association obtains an offer from an authorized |
1199 | insurer to cover the risk at its approved rates under either a |
1200 | standard policy including wind coverage or, if consistent with |
1201 | the insurer's underwriting rules as filed with the department, a |
1202 | basic policy including wind coverage, the risk is no longer |
1203 | eligible for coverage through the association. Upon termination |
1204 | of eligibility, the association shall provide written notice to |
1205 | the policyholder and agent of record stating that the |
1206 | association policy must be canceled as of 60 days after the date |
1207 | of the notice because of the offer of coverage from an |
1208 | authorized insurer. Other provisions of the insurance code |
1209 | relating to cancellation and notice of cancellation do not apply |
1210 | to actions under this sub-subparagraph. |
1211 | f. When the association enters into a contractual |
1212 | agreement for a take-out plan, the producing agent of record of |
1213 | the association policy is entitled to retain any unearned |
1214 | commission on the policy, and the insurer shall: |
1215 | (I) Pay to the producing agent of record of the |
1216 | association policy, for the first year, an amount that is the |
1217 | greater of the insurer's usual and customary commission for the |
1218 | type of policy written or a fee equal to the usual and customary |
1219 | commission of the association; or |
1220 | (II) Offer to allow the producing agent of record of the |
1221 | association policy to continue servicing the policy for a period |
1222 | of not less than 1 year and offer to pay the agent the greater |
1223 | of the insurer's or the association's usual and customary |
1224 | commission for the type of policy written. |
1225 |
|
1226 | If the producing agent is unwilling or unable to accept |
1227 | appointment, the new insurer shall pay the agent in accordance |
1228 | with sub-sub-subparagraph (I). |
1229 | 6.a. The plan of operation may authorize the formation of |
1230 | a private nonprofit corporation, a private nonprofit |
1231 | unincorporated association, a partnership, a trust, a limited |
1232 | liability company, or a nonprofit mutual company which may be |
1233 | empowered, among other things, to borrow money by issuing bonds |
1234 | or by incurring other indebtedness and to accumulate reserves or |
1235 | funds to be used for the payment of insured catastrophe losses. |
1236 | The plan may authorize all actions necessary to facilitate the |
1237 | issuance of bonds, including the pledging of assessments or |
1238 | other revenues. |
1239 | b. Any entity created under this subsection, or any entity |
1240 | formed for the purposes of this subsection, may sue and be sued, |
1241 | may borrow money; issue bonds, notes, or debt instruments; |
1242 | pledge or sell assessments, market equalization surcharges and |
1243 | other surcharges, rights, premiums, contractual rights, |
1244 | projected recoveries from the Florida Hurricane Catastrophe |
1245 | Fund, other reinsurance recoverables, and other assets as |
1246 | security for such bonds, notes, or debt instruments; enter into |
1247 | any contracts or agreements necessary or proper to accomplish |
1248 | such borrowings; and take other actions necessary to carry out |
1249 | the purposes of this subsection. The association may issue bonds |
1250 | or incur other indebtedness, or have bonds issued on its behalf |
1251 | by a unit of local government pursuant to subparagraph (6)(p)2., |
1252 | in the absence of a hurricane or other weather-related event, |
1253 | upon a determination by the association subject to approval by |
1254 | the department that such action would enable it to efficiently |
1255 | meet the financial obligations of the association and that such |
1256 | financings are reasonably necessary to effectuate the |
1257 | requirements of this subsection. Any such entity may accumulate |
1258 | reserves and retain surpluses as of the end of any association |
1259 | year to provide for the payment of losses incurred by the |
1260 | association during that year or any future year. The association |
1261 | shall incorporate and continue the plan of operation and |
1262 | articles of agreement in effect on the effective date of chapter |
1263 | 76-96, Laws of Florida, to the extent that it is not |
1264 | inconsistent with chapter 76-96, and as subsequently modified |
1265 | consistent with chapter 76-96. The board of directors and |
1266 | officers currently serving shall continue to serve until their |
1267 | successors are duly qualified as provided under the plan. The |
1268 | assets and obligations of the plan in effect immediately prior |
1269 | to the effective date of chapter 76-96 shall be construed to be |
1270 | the assets and obligations of the successor plan created herein. |
1271 | c. In recognition of s. 10, Art. I of the State |
1272 | Constitution, prohibiting the impairment of obligations of |
1273 | contracts, it is the intent of the Legislature that no action be |
1274 | taken whose purpose is to impair any bond indenture or financing |
1275 | agreement or any revenue source committed by contract to such |
1276 | bond or other indebtedness issued or incurred by the association |
1277 | or any other entity created under this subsection. |
1278 | 7. On such coverage, an agent's remuneration shall be that |
1279 | amount of money payable to the agent by the terms of his or her |
1280 | contract with the company with which the business is placed. |
1281 | However, no commission will be paid on that portion of the |
1282 | premium which is in excess of the standard premium of that |
1283 | company. |
1284 | 8. Subject to approval by the department, the association |
1285 | may establish different eligibility requirements and operational |
1286 | procedures for any line or type of coverage for any specified |
1287 | eligible area or portion of an eligible area if the board |
1288 | determines that such changes to the eligibility requirements and |
1289 | operational procedures are justified due to the voluntary market |
1290 | being sufficiently stable and competitive in such area or for |
1291 | such line or type of coverage and that consumers who, in good |
1292 | faith, are unable to obtain insurance through the voluntary |
1293 | market through ordinary methods would continue to have access to |
1294 | coverage from the association. When coverage is sought in |
1295 | connection with a real property transfer, such requirements and |
1296 | procedures shall not provide for an effective date of coverage |
1297 | later than the date of the closing of the transfer as |
1298 | established by the transferor, the transferee, and, if |
1299 | applicable, the lender. |
1300 | 9. Notwithstanding any other provision of law: |
1301 | a. The pledge or sale of, the lien upon, and the security |
1302 | interest in any rights, revenues, or other assets of the |
1303 | association created or purported to be created pursuant to any |
1304 | financing documents to secure any bonds or other indebtedness of |
1305 | the association shall be and remain valid and enforceable, |
1306 | notwithstanding the commencement of and during the continuation |
1307 | of, and after, any rehabilitation, insolvency, liquidation, |
1308 | bankruptcy, receivership, conservatorship, reorganization, or |
1309 | similar proceeding against the association under the laws of |
1310 | this state or any other applicable laws. |
1311 | b. No such proceeding shall relieve the association of its |
1312 | obligation, or otherwise affect its ability to perform its |
1313 | obligation, to continue to collect, or levy and collect, |
1314 | assessments, market equalization or other surcharges, projected |
1315 | recoveries from the Florida Hurricane Catastrophe Fund, |
1316 | reinsurance recoverables, or any other rights, revenues, or |
1317 | other assets of the association pledged. |
1318 | c. Each such pledge or sale of, lien upon, and security |
1319 | interest in, including the priority of such pledge, lien, or |
1320 | security interest, any such assessments, emergency assessments, |
1321 | market equalization or renewal surcharges, projected recoveries |
1322 | from the Florida Hurricane Catastrophe Fund, reinsurance |
1323 | recoverables, or other rights, revenues, or other assets which |
1324 | are collected, or levied and collected, after the commencement |
1325 | of and during the pendency of or after any such proceeding shall |
1326 | continue unaffected by such proceeding. |
1327 | d. As used in this subsection, the term "financing |
1328 | documents" means any agreement, instrument, or other document |
1329 | now existing or hereafter created evidencing any bonds or other |
1330 | indebtedness of the association or pursuant to which any such |
1331 | bonds or other indebtedness has been or may be issued and |
1332 | pursuant to which any rights, revenues, or other assets of the |
1333 | association are pledged or sold to secure the repayment of such |
1334 | bonds or indebtedness, together with the payment of interest on |
1335 | such bonds or such indebtedness, or the payment of any other |
1336 | obligation of the association related to such bonds or |
1337 | indebtedness. |
1338 | e. Any such pledge or sale of assessments, revenues, |
1339 | contract rights or other rights or assets of the association |
1340 | shall constitute a lien and security interest, or sale, as the |
1341 | case may be, that is immediately effective and attaches to such |
1342 | assessments, revenues, contract, or other rights or assets, |
1343 | whether or not imposed or collected at the time the pledge or |
1344 | sale is made. Any such pledge or sale is effective, valid, |
1345 | binding, and enforceable against the association or other entity |
1346 | making such pledge or sale, and valid and binding against and |
1347 | superior to any competing claims or obligations owed to any |
1348 | other person or entity, including policyholders in this state, |
1349 | asserting rights in any such assessments, revenues, contract, or |
1350 | other rights or assets to the extent set forth in and in |
1351 | accordance with the terms of the pledge or sale contained in the |
1352 | applicable financing documents, whether or not any such person |
1353 | or entity has notice of such pledge or sale and without the need |
1354 | for any physical delivery, recordation, filing, or other action. |
1355 | f. There shall be no liability on the part of, and no |
1356 | cause of action of any nature shall arise against, any member |
1357 | insurer or its agents or employees, agents or employees of the |
1358 | association, members of the board of directors of the |
1359 | association, or the department or its representatives, for any |
1360 | action taken by them in the performance of their duties or |
1361 | responsibilities under this subsection. Such immunity does not |
1362 | apply to actions for breach of any contract or agreement |
1363 | pertaining to insurance, or any willful tort. |
1364 | (6) CITIZENS PROPERTY INSURANCE CORPORATION.-- |
1365 | (a)1. It is the public purpose of this subsection to |
1366 | ensure the existence of an orderly market for property insurance |
1367 | for Floridians and Florida businesses. The Legislature finds |
1368 | that private insurers are unwilling or unable to provide |
1369 | affordable property insurance coverage in this state to the |
1370 | extent sought and needed. The absence of affordable property |
1371 | insurance threatens the public health, safety, and welfare and |
1372 | likewise threatens the economic health of the state. The state |
1373 | therefore has a compelling public interest and a public purpose |
1374 | to assist in assuring that property in the state is insured and |
1375 | that it is insured at affordable rates so as to facilitate the |
1376 | remediation, reconstruction, and replacement of damaged or |
1377 | destroyed property in order to reduce or avoid the negative |
1378 | effects otherwise resulting to the public health, safety, and |
1379 | welfare, to the economy of the state, and to the revenues of the |
1380 | state and local governments which are needed to provide for the |
1381 | public welfare. It is necessary, therefore, to provide |
1382 | affordable property insurance to applicants who are in good |
1383 | faith entitled to procure insurance through the voluntary market |
1384 | but are unable to do so. The Legislature intends by this |
1385 | subsection that affordable property insurance be provided and |
1386 | that it continue to be provided, as long as necessary, through |
1387 | Citizens Property Insurance Corporation, a government entity |
1388 | that is an integral part of the state, and that is not a private |
1389 | insurance company. To that end, Citizens Property Insurance |
1390 | Corporation shall strive to increase the availability of |
1391 | affordable property insurance in this state, while achieving |
1392 | efficiencies and economies, and while providing service to |
1393 | policyholders, applicants, and agents which is no less than the |
1394 | quality generally provided in the voluntary market, for the |
1395 | achievement of the foregoing public purposes. Because it is |
1396 | essential for this government entity to have the maximum |
1397 | financial resources to pay claims following a catastrophic |
1398 | hurricane, it is the intent of the Legislature that Citizens |
1399 | Property Insurance Corporation continue to be an integral part |
1400 | of the state and that the income of the corporation be exempt |
1401 | from federal income taxation and that interest on the debt |
1402 | obligations issued by the corporation be exempt from federal |
1403 | income taxation. |
1404 | 2. The Residential Property and Casualty Joint |
1405 | Underwriting Association originally created by this statute |
1406 | shall be known, as of July 1, 2002, as the Citizens Property |
1407 | Insurance Corporation. The corporation shall provide insurance |
1408 | for residential and commercial property, for applicants who are |
1409 | in good faith entitled, but are unable, to procure insurance |
1410 | through the voluntary market. The corporation shall operate |
1411 | pursuant to a plan of operation approved by order of the |
1412 | Financial Services Commission. The plan is subject to continuous |
1413 | review by the commission. The commission may, by order, withdraw |
1414 | approval of all or part of a plan if the commission determines |
1415 | that conditions have changed since approval was granted and that |
1416 | the purposes of the plan require changes in the plan. The |
1417 | corporation shall continue to operate pursuant to the plan of |
1418 | operation approved by the Office of Insurance Regulation until |
1419 | October 1, 2006. For the purposes of this subsection, |
1420 | residential coverage includes both personal lines residential |
1421 | coverage, which consists of the type of coverage provided by |
1422 | homeowner's, mobile home owner's, dwelling, tenant's, |
1423 | condominium unit owner's, and similar policies, and commercial |
1424 | lines residential coverage, which consists of the type of |
1425 | coverage provided by condominium association, apartment |
1426 | building, and similar policies. |
1427 | 3. For the purposes of this subsection, the term |
1428 | "homestead property" means: |
1429 | a. Property that has been granted a homestead exemption |
1430 | under chapter 196; |
1431 | b. Property for which the owner has a current, written |
1432 | lease with a renter for a term of at least 7 months and for |
1433 | which the dwelling is insured by the corporation for $200,000 or |
1434 | less; |
1435 | c. An owner-occupied mobile home or manufactured home, as |
1436 | defined in s. 320.01, which is permanently affixed to real |
1437 | property, is owned by a Florida resident, and has been granted a |
1438 | homestead exemption under chapter 196 or, if the owner does not |
1439 | own the real property, the owner certifies that the mobile home |
1440 | or manufactured home is his or her principal place of residence; |
1441 | d. Tenant's coverage; |
1442 | e. Commercial lines residential property; or |
1443 | f. Any county, district, or municipal hospital; a hospital |
1444 | licensed by any not-for-profit corporation qualified under s. |
1445 | 501(c)(3) of the United States Internal Revenue Code; or a |
1446 | continuing care retirement community that is certified under |
1447 | chapter 651 and that receives an exemption from ad valorem taxes |
1448 | under chapter 196. |
1449 | 4. For the purposes of this subsection, the term |
1450 | "nonhomestead property" means property that is not homestead |
1451 | property. |
1452 | 3.5. Effective January 1, 2009, a personal lines |
1453 | residential structure that has a dwelling replacement cost of $2 |
1454 | $1 million or more, or a single condominium unit that has a |
1455 | combined dwelling and content replacement cost of $2 $1 million |
1456 | or more is not eligible for coverage by the corporation. Such |
1457 | dwellings insured by the corporation on December 31, 2008, may |
1458 | continue to be covered by the corporation until the end of the |
1459 | policy term. However, such dwellings that are insured by the |
1460 | corporation and become ineligible for coverage due to the |
1461 | provisions of this subparagraph may reapply and obtain coverage |
1462 | in the high-risk account and be considered "nonhomestead |
1463 | property" if the property owner provides the corporation with a |
1464 | sworn affidavit from one or more insurance agents, on a form |
1465 | provided by the corporation, stating that the agents have made |
1466 | their best efforts to obtain coverage and that the property has |
1467 | been rejected for coverage by at least one authorized insurer |
1468 | and at least three surplus lines insurers. If such conditions |
1469 | are met, the dwelling may be insured by the corporation for up |
1470 | to 3 years, after which time the dwelling is ineligible for |
1471 | coverage. The office shall approve the method used by the |
1472 | corporation for valuing the dwelling replacement cost for the |
1473 | purposes of this subparagraph. If a policyholder is insured by |
1474 | the corporation prior to being determined to be ineligible |
1475 | pursuant to this subparagraph and such policyholder files a |
1476 | lawsuit challenging the determination, the policyholder may |
1477 | remain insured by the corporation until the conclusion of the |
1478 | litigation. |
1479 | 6. For properties constructed on or after January 1, 2009, |
1480 | the corporation may not insure any property located within 2,500 |
1481 | feet landward of the coastal construction control line created |
1482 | pursuant to s. 161.053 unless the property meets the |
1483 | requirements of the code-plus building standards developed by |
1484 | the Florida Building Commission. |
1485 | 4.7. It is the intent of the Legislature that |
1486 | policyholders, applicants, and agents of the corporation receive |
1487 | service and treatment of the highest possible level but never |
1488 | less than that generally provided in the voluntary market. It |
1489 | also is intended that the corporation be held to service |
1490 | standards no less than those applied to insurers in the |
1491 | voluntary market by the office with respect to responsiveness, |
1492 | timeliness, customer courtesy, and overall dealings with |
1493 | policyholders, applicants, or agents of the corporation. |
1494 | 5.8. Effective January 1, 2009, a personal lines |
1495 | residential structure that is located in the "wind-borne debris |
1496 | region," as defined in s. 1609.2, International Building Code |
1497 | (2006), and that has an insured value on the structure of |
1498 | $750,000 or more is not eligible for coverage by the corporation |
1499 | unless the structure has opening protections as required under |
1500 | the Florida Building Code for a newly constructed residential |
1501 | structure in that area. A residential structure shall be deemed |
1502 | to comply with the requirements of this subparagraph if it has |
1503 | shutters or opening protections on all openings and if such |
1504 | opening protections complied with the Florida Building Code at |
1505 | the time they were installed. Effective January 1, 2010, for |
1506 | personal lines residential property insured by the corporation |
1507 | that is located in the wind-borne debris region and has an |
1508 | insured value on the structure of $500,000 or more, a |
1509 | prospective purchaser of any such residential property must be |
1510 | provided by the seller a written disclosure that contains the |
1511 | structure's windstorm mitigation rating based on the uniform |
1512 | home grading scale adopted under s. 215.55865. Such rating shall |
1513 | be provided to the purchaser at or before the time the purchaser |
1514 | executes a contract for sale and purchase. |
1515 | (b)1. All insurers authorized to write one or more subject |
1516 | lines of business in this state are subject to assessment by the |
1517 | corporation and, for the purposes of this subsection, are |
1518 | referred to collectively as "assessable insurers." Insurers |
1519 | writing one or more subject lines of business in this state |
1520 | pursuant to part VIII of chapter 626 are not assessable |
1521 | insurers, but insureds who procure one or more subject lines of |
1522 | business in this state pursuant to part VIII of chapter 626 are |
1523 | subject to assessment by the corporation and are referred to |
1524 | collectively as "assessable insureds." An authorized insurer's |
1525 | assessment liability shall begin on the first day of the |
1526 | calendar year following the year in which the insurer was issued |
1527 | a certificate of authority to transact insurance for subject |
1528 | lines of business in this state and shall terminate 1 year after |
1529 | the end of the first calendar year during which the insurer no |
1530 | longer holds a certificate of authority to transact insurance |
1531 | for subject lines of business in this state. |
1532 | 2.a. All revenues, assets, liabilities, losses, and |
1533 | expenses of the corporation shall be divided into three separate |
1534 | accounts as follows: |
1535 | (I) A personal lines account for personal residential |
1536 | policies issued by the corporation or issued by the Residential |
1537 | Property and Casualty Joint Underwriting Association and renewed |
1538 | by the corporation that provide comprehensive, multiperil |
1539 | coverage on risks that are not located in areas eligible for |
1540 | coverage in the Florida Windstorm Underwriting Association as |
1541 | those areas were defined on January 1, 2002, and for such |
1542 | policies that do not provide coverage for the peril of wind on |
1543 | risks that are located in such areas; |
1544 | (II) A commercial lines account for commercial residential |
1545 | and commercial nonresidential policies issued by the corporation |
1546 | or issued by the Residential Property and Casualty Joint |
1547 | Underwriting Association and renewed by the corporation that |
1548 | provide coverage for basic property perils on risks that are not |
1549 | located in areas eligible for coverage in the Florida Windstorm |
1550 | Underwriting Association as those areas were defined on January |
1551 | 1, 2002, and for such policies that do not provide coverage for |
1552 | the peril of wind on risks that are located in such areas; and |
1553 | (III) A high-risk account for personal residential |
1554 | policies and commercial residential and commercial |
1555 | nonresidential property policies issued by the corporation or |
1556 | transferred to the corporation that provide coverage for the |
1557 | peril of wind on risks that are located in areas eligible for |
1558 | coverage in the Florida Windstorm Underwriting Association as |
1559 | those areas were defined on January 1, 2002. Subject to the |
1560 | approval of a business plan by the Financial Services Commission |
1561 | and Legislative Budget Commission as provided in this sub-sub- |
1562 | subparagraph, but no earlier than March 31, 2007, The |
1563 | corporation may offer policies that provide multiperil coverage |
1564 | and the corporation shall continue to offer policies that |
1565 | provide coverage only for the peril of wind for risks located in |
1566 | areas eligible for coverage in the high-risk account. In issuing |
1567 | multiperil coverage, the corporation may use its approved policy |
1568 | forms and rates for the personal lines account. An applicant or |
1569 | insured who is eligible to purchase a multiperil policy from the |
1570 | corporation may purchase a multiperil policy from an authorized |
1571 | insurer without prejudice to the applicant's or insured's |
1572 | eligibility to prospectively purchase a policy that provides |
1573 | coverage only for the peril of wind from the corporation. An |
1574 | applicant or insured who is eligible for a corporation policy |
1575 | that provides coverage only for the peril of wind may elect to |
1576 | purchase or retain such policy and also purchase or retain |
1577 | coverage excluding wind from an authorized insurer without |
1578 | prejudice to the applicant's or insured's eligibility to |
1579 | prospectively purchase a policy that provides multiperil |
1580 | coverage from the corporation. It is the goal of the Legislature |
1581 | that there would be an overall average savings of 10 percent or |
1582 | more for a policyholder who currently has a wind-only policy |
1583 | with the corporation, and an ex-wind policy with a voluntary |
1584 | insurer or the corporation, and who then obtains a multiperil |
1585 | policy from the corporation. It is the intent of the Legislature |
1586 | that the offer of multiperil coverage in the high-risk account |
1587 | be made and implemented in a manner that does not adversely |
1588 | affect the tax-exempt status of the corporation or |
1589 | creditworthiness of or security for currently outstanding |
1590 | financing obligations or credit facilities of the high-risk |
1591 | account, the personal lines account, or the commercial lines |
1592 | account. By March 1, 2007, the corporation shall prepare and |
1593 | submit for approval by the Financial Services Commission and |
1594 | Legislative Budget Commission a report detailing the |
1595 | corporation's business plan for issuing multiperil coverage in |
1596 | the high-risk account. The business plan shall be approved or |
1597 | disapproved within 30 days after receipt, as submitted or |
1598 | modified and resubmitted by the corporation. The business plan |
1599 | must include: the impact of such multiperil coverage on the |
1600 | corporation's financial resources, the impact of such multiperil |
1601 | coverage on the corporation's tax-exempt status, the manner in |
1602 | which the corporation plans to implement the processing of |
1603 | applications and policy forms for new and existing |
1604 | policyholders, the impact of such multiperil coverage on the |
1605 | corporation's ability to deliver customer service at the high |
1606 | level required by this subsection, the ability of the |
1607 | corporation to process claims, the ability of the corporation to |
1608 | quote and issue policies, the impact of such multiperil coverage |
1609 | on the corporation's agents, the impact of such multiperil |
1610 | coverage on the corporation's existing policyholders, and the |
1611 | impact of such multiperil coverage on rates and premium. The |
1612 | high-risk account must also include quota share primary |
1613 | insurance under subparagraph (c)2. The area eligible for |
1614 | coverage under the high-risk account also includes the area |
1615 | within Port Canaveral, which is bordered on the south by the |
1616 | City of Cape Canaveral, bordered on the west by the Banana |
1617 | River, and bordered on the north by Federal Government property. |
1618 | b. The three separate accounts must be maintained as long |
1619 | as financing obligations entered into by the Florida Windstorm |
1620 | Underwriting Association or Residential Property and Casualty |
1621 | Joint Underwriting Association are outstanding, in accordance |
1622 | with the terms of the corresponding financing documents. When |
1623 | the financing obligations are no longer outstanding, in |
1624 | accordance with the terms of the corresponding financing |
1625 | documents, the corporation may use a single account for all |
1626 | revenues, assets, liabilities, losses, and expenses of the |
1627 | corporation. Consistent with the requirement of this |
1628 | subparagraph and prudent investment policies that minimize the |
1629 | cost of carrying debt, the board shall exercise its best efforts |
1630 | to retire existing debt or to obtain approval of necessary |
1631 | parties to amend the terms of existing debt, so as to structure |
1632 | the most efficient plan to consolidate the three separate |
1633 | accounts into a single account. By February 1, 2007, the board |
1634 | shall submit a report to the Financial Services Commission, the |
1635 | President of the Senate, and the Speaker of the House of |
1636 | Representatives which includes an analysis of consolidating the |
1637 | accounts, the actions the board has taken to minimize the cost |
1638 | of carrying debt, and its recommendations for executing the most |
1639 | efficient plan. |
1640 | c. Creditors of the Residential Property and Casualty |
1641 | Joint Underwriting Association and of the accounts specified in |
1642 | sub-sub-subparagraphs a.(I) and (II) may have a claim against, |
1643 | and recourse to, the accounts referred to in sub-sub- |
1644 | subparagraphs a.(I) and (II) and shall have no claim against, or |
1645 | recourse to, the account referred to in sub-sub-subparagraph |
1646 | a.(III). Creditors of the Florida Windstorm Underwriting |
1647 | Association shall have a claim against, and recourse to, the |
1648 | account referred to in sub-sub-subparagraph a.(III) and shall |
1649 | have no claim against, or recourse to, the accounts referred to |
1650 | in sub-sub-subparagraphs a.(I) and (II). |
1651 | d. Revenues, assets, liabilities, losses, and expenses not |
1652 | attributable to particular accounts shall be prorated among the |
1653 | accounts. |
1654 | e. The Legislature finds that the revenues of the |
1655 | corporation are revenues that are necessary to meet the |
1656 | requirements set forth in documents authorizing the issuance of |
1657 | bonds under this subsection. |
1658 | f. No part of the income of the corporation may inure to |
1659 | the benefit of any private person. |
1660 | 3. With respect to a deficit in an account: |
1661 | a. After accounting for the Citizens policyholder |
1662 | surcharge imposed under sub-subparagraph i., when the remaining |
1663 | projected deficit incurred in a particular calendar year is not |
1664 | greater than 6 10 percent of the aggregate statewide direct |
1665 | written premium for the subject lines of business for the prior |
1666 | calendar year, the entire deficit shall be recovered through |
1667 | regular assessments of assessable insurers under paragraph (p) |
1668 | and assessable insureds. |
1669 | b. After accounting for the Citizens policyholder |
1670 | surcharge imposed under sub-subparagraph i., when the remaining |
1671 | projected deficit incurred in a particular calendar year exceeds |
1672 | 6 10 percent of the aggregate statewide direct written premium |
1673 | for the subject lines of business for the prior calendar year, |
1674 | the corporation shall levy regular assessments on assessable |
1675 | insurers under paragraph (p) and on assessable insureds in an |
1676 | amount equal to the greater of 6 10 percent of the deficit or 6 |
1677 | 10 percent of the aggregate statewide direct written premium for |
1678 | the subject lines of business for the prior calendar year. Any |
1679 | remaining deficit shall be recovered through emergency |
1680 | assessments under sub-subparagraph d. |
1681 | c. Each assessable insurer's share of the amount being |
1682 | assessed under sub-subparagraph a. or sub-subparagraph b. shall |
1683 | be in the proportion that the assessable insurer's direct |
1684 | written premium for the subject lines of business for the year |
1685 | preceding the assessment bears to the aggregate statewide direct |
1686 | written premium for the subject lines of business for that year. |
1687 | The assessment percentage applicable to each assessable insured |
1688 | is the ratio of the amount being assessed under sub-subparagraph |
1689 | a. or sub-subparagraph b. to the aggregate statewide direct |
1690 | written premium for the subject lines of business for the prior |
1691 | year. Assessments levied by the corporation on assessable |
1692 | insurers under sub-subparagraphs a. and b. shall be paid as |
1693 | required by the corporation's plan of operation and paragraph |
1694 | (p). notwithstanding any other provision of this subsection, the |
1695 | aggregate amount of a regular assessment for a deficit incurred |
1696 | in a particular calendar year shall be reduced by the estimated |
1697 | amount to be received by the corporation from the Citizens |
1698 | policyholder surcharge under subparagraph (c)10. and the amount |
1699 | collected or estimated to be collected from the assessment on |
1700 | Citizens policyholders pursuant to sub-subparagraph i. |
1701 | Assessments levied by the corporation on assessable insureds |
1702 | under sub-subparagraphs a. and b. shall be collected by the |
1703 | surplus lines agent at the time the surplus lines agent collects |
1704 | the surplus lines tax required by s. 626.932 and shall be paid |
1705 | to the Florida Surplus Lines Service Office at the time the |
1706 | surplus lines agent pays the surplus lines tax to the Florida |
1707 | Surplus Lines Service Office. Upon receipt of regular |
1708 | assessments from surplus lines agents, the Florida Surplus Lines |
1709 | Service Office shall transfer the assessments directly to the |
1710 | corporation as determined by the corporation. |
1711 | d. Upon a determination by the board of governors that a |
1712 | deficit in an account exceeds the amount that will be recovered |
1713 | through regular assessments under sub-subparagraph a. or sub- |
1714 | subparagraph b., plus the amount that is expected to be |
1715 | recovered through surcharges under sub-subparagraph i., as to |
1716 | the remaining projected deficit the board shall levy, after |
1717 | verification by the office, emergency assessments, for as many |
1718 | years as necessary to cover the deficits, to be collected by |
1719 | assessable insurers and the corporation and collected from |
1720 | assessable insureds upon issuance or renewal of policies for |
1721 | subject lines of business, excluding National Flood Insurance |
1722 | policies. The amount of the emergency assessment collected in a |
1723 | particular year shall be a uniform percentage of that year's |
1724 | direct written premium for subject lines of business and all |
1725 | accounts of the corporation, excluding National Flood Insurance |
1726 | Program policy premiums, as annually determined by the board and |
1727 | verified by the office. The office shall verify the arithmetic |
1728 | calculations involved in the board's determination within 30 |
1729 | days after receipt of the information on which the determination |
1730 | was based. Notwithstanding any other provision of law, the |
1731 | corporation and each assessable insurer that writes subject |
1732 | lines of business shall collect emergency assessments from its |
1733 | policyholders without such obligation being affected by any |
1734 | credit, limitation, exemption, or deferment. Emergency |
1735 | assessments levied by the corporation on assessable insureds |
1736 | shall be collected by the surplus lines agent at the time the |
1737 | surplus lines agent collects the surplus lines tax required by |
1738 | s. 626.932 and shall be paid to the Florida Surplus Lines |
1739 | Service Office at the time the surplus lines agent pays the |
1740 | surplus lines tax to the Florida Surplus Lines Service Office. |
1741 | The emergency assessments so collected shall be transferred |
1742 | directly to the corporation on a periodic basis as determined by |
1743 | the corporation and shall be held by the corporation solely in |
1744 | the applicable account. The aggregate amount of emergency |
1745 | assessments levied for an account under this sub-subparagraph in |
1746 | any calendar year may, at the discretion of the board of |
1747 | governors, be less than but may not exceed the greater of 10 |
1748 | percent of the amount needed to cover the original deficit, plus |
1749 | interest, fees, commissions, required reserves, and other costs |
1750 | associated with financing of the original deficit, or 10 percent |
1751 | of the aggregate statewide direct written premium for subject |
1752 | lines of business and for all accounts of the corporation for |
1753 | the prior year, plus interest, fees, commissions, required |
1754 | reserves, and other costs associated with financing the original |
1755 | deficit. |
1756 | e. The corporation may pledge the proceeds of assessments, |
1757 | projected recoveries from the Florida Hurricane Catastrophe |
1758 | Fund, other insurance and reinsurance recoverables, policyholder |
1759 | surcharges and other surcharges, and other funds available to |
1760 | the corporation as the source of revenue for and to secure bonds |
1761 | issued under paragraph (p), bonds or other indebtedness issued |
1762 | under subparagraph (c)3., or lines of credit or other financing |
1763 | mechanisms issued or created under this subsection, or to retire |
1764 | any other debt incurred as a result of deficits or events giving |
1765 | rise to deficits, or in any other way that the board determines |
1766 | will efficiently recover such deficits. The purpose of the lines |
1767 | of credit or other financing mechanisms is to provide additional |
1768 | resources to assist the corporation in covering claims and |
1769 | expenses attributable to a catastrophe. As used in this |
1770 | subsection, the term "assessments" includes regular assessments |
1771 | under sub-subparagraph a., sub-subparagraph b., or subparagraph |
1772 | (p)1. and emergency assessments under sub-subparagraph d. |
1773 | Emergency assessments collected under sub-subparagraph d. are |
1774 | not part of an insurer's rates, are not premium, and are not |
1775 | subject to premium tax, fees, or commissions; however, failure |
1776 | to pay the emergency assessment shall be treated as failure to |
1777 | pay premium. The emergency assessments under sub-subparagraph d. |
1778 | shall continue as long as any bonds issued or other indebtedness |
1779 | incurred with respect to a deficit for which the assessment was |
1780 | imposed remain outstanding, unless adequate provision has been |
1781 | made for the payment of such bonds or other indebtedness |
1782 | pursuant to the documents governing such bonds or other |
1783 | indebtedness. |
1784 | f. As used in this subsection for purposes of any deficit |
1785 | incurred on or after January 25, 2007, the term "subject lines |
1786 | of business" means insurance written by assessable insurers or |
1787 | procured by assessable insureds for all property and casualty |
1788 | lines of business in this state, but not including workers' |
1789 | compensation or medical malpractice. As used in the sub- |
1790 | subparagraph, the term "property and casualty lines of business" |
1791 | includes all lines of business identified on Form 2, Exhibit of |
1792 | Premiums and Losses, in the annual statement required of |
1793 | authorized insurers by s. 624.424 and any rule adopted under |
1794 | this section, except for those lines identified as accident and |
1795 | health insurance and except for policies written under the |
1796 | National Flood Insurance Program or the Federal Crop Insurance |
1797 | Program. For purposes of this sub-subparagraph, the term |
1798 | "workers' compensation" includes both workers' compensation |
1799 | insurance and excess workers' compensation insurance. |
1800 | g. The Florida Surplus Lines Service Office shall |
1801 | determine annually the aggregate statewide written premium in |
1802 | subject lines of business procured by assessable insureds and |
1803 | shall report that information to the corporation in a form and |
1804 | at a time the corporation specifies to ensure that the |
1805 | corporation can meet the requirements of this subsection and the |
1806 | corporation's financing obligations. |
1807 | h. The Florida Surplus Lines Service Office shall verify |
1808 | the proper application by surplus lines agents of assessment |
1809 | percentages for regular assessments and emergency assessments |
1810 | levied under this subparagraph on assessable insureds and shall |
1811 | assist the corporation in ensuring the accurate, timely |
1812 | collection and payment of assessments by surplus lines agents as |
1813 | required by the corporation. |
1814 | i. If a deficit is incurred in any account in 2008 or |
1815 | thereafter, the board of governors shall levy a Citizens |
1816 | policyholder surcharge an immediate assessment against the |
1817 | premium of each nonhomestead property policyholder in all |
1818 | accounts of the corporation, as a uniform percentage of the |
1819 | premium of the policy of up to 10 percent of such premium, which |
1820 | funds shall be used to offset the deficit. If this assessment is |
1821 | insufficient to eliminate the deficit, the board of governors |
1822 | shall levy an additional assessment against all policyholders of |
1823 | the corporation for a 12-month period, which shall be collected |
1824 | at the time of issuance or renewal of a policy, as a uniform |
1825 | percentage of the premium for the policy of up to 15 10 percent |
1826 | of such premium, which funds shall be used to further offset the |
1827 | deficit. Citizens policyholder surcharges under this sub- |
1828 | subparagraph are not considered premium and are not subject to |
1829 | commissions, fees, or premium taxes. However, failure to pay |
1830 | such surcharges shall be treated as failure to pay premium. |
1831 | j. If the amount of any assessments or surcharges |
1832 | collected from corporation policyholders, assessable insurers or |
1833 | their policyholders, or assessable insureds exceeds the amount |
1834 | of the deficits, such excess amounts shall be remitted to and |
1835 | retained by the corporation in a reserve to be used by the |
1836 | corporation, as determined by the board of governors and |
1837 | approved by the office, to pay claims or reduce any past, |
1838 | present, or future plan-year deficits or to reduce outstanding |
1839 | debt. The board of governors shall maintain separate accounting |
1840 | records that consolidate data for nonhomestead properties, |
1841 | including, but not limited to, number of policies, insured |
1842 | values, premiums written, and losses. The board of governors |
1843 | shall annually report to the office and the Legislature a |
1844 | summary of such data. |
1845 | (c) The plan of operation of the corporation: |
1846 | 1. Must provide for adoption of residential property and |
1847 | casualty insurance policy forms and commercial residential and |
1848 | nonresidential property insurance forms, which forms must be |
1849 | approved by the office prior to use. The corporation shall adopt |
1850 | the following policy forms: |
1851 | a. Standard personal lines policy forms that are |
1852 | comprehensive multiperil policies providing full coverage of a |
1853 | residential property equivalent to the coverage provided in the |
1854 | private insurance market under an HO-3, HO-4, or HO-6 policy. |
1855 | b. Basic personal lines policy forms that are policies |
1856 | similar to an HO-8 policy or a dwelling fire policy that provide |
1857 | coverage meeting the requirements of the secondary mortgage |
1858 | market, but which coverage is more limited than the coverage |
1859 | under a standard policy. |
1860 | c. Commercial lines residential and nonresidential policy |
1861 | forms that are generally similar to the basic perils of full |
1862 | coverage obtainable for commercial residential structures and |
1863 | commercial nonresidential structures in the admitted voluntary |
1864 | market. |
1865 | d. Personal lines and commercial lines residential |
1866 | property insurance forms that cover the peril of wind only. The |
1867 | forms are applicable only to residential properties located in |
1868 | areas eligible for coverage under the high-risk account referred |
1869 | to in sub-subparagraph (b)2.a. |
1870 | e. Commercial lines nonresidential property insurance |
1871 | forms that cover the peril of wind only. The forms are |
1872 | applicable only to nonresidential properties located in areas |
1873 | eligible for coverage under the high-risk account referred to in |
1874 | sub-subparagraph (b)2.a. |
1875 | f. The corporation may adopt variations of the policy |
1876 | forms listed in sub-subparagraphs a.-e. that contain more |
1877 | restrictive coverage. |
1878 | 2.a. Must provide that the corporation adopt a program in |
1879 | which the corporation and authorized insurers enter into quota |
1880 | share primary insurance agreements for hurricane coverage, as |
1881 | defined in s. 627.4025(2)(a), for eligible risks, and adopt |
1882 | property insurance forms for eligible risks which cover the |
1883 | peril of wind only. As used in this subsection, the term: |
1884 | (I) "Quota share primary insurance" means an arrangement |
1885 | in which the primary hurricane coverage of an eligible risk is |
1886 | provided in specified percentages by the corporation and an |
1887 | authorized insurer. The corporation and authorized insurer are |
1888 | each solely responsible for a specified percentage of hurricane |
1889 | coverage of an eligible risk as set forth in a quota share |
1890 | primary insurance agreement between the corporation and an |
1891 | authorized insurer and the insurance contract. The |
1892 | responsibility of the corporation or authorized insurer to pay |
1893 | its specified percentage of hurricane losses of an eligible |
1894 | risk, as set forth in the quota share primary insurance |
1895 | agreement, may not be altered by the inability of the other |
1896 | party to the agreement to pay its specified percentage of |
1897 | hurricane losses. Eligible risks that are provided hurricane |
1898 | coverage through a quota share primary insurance arrangement |
1899 | must be provided policy forms that set forth the obligations of |
1900 | the corporation and authorized insurer under the arrangement, |
1901 | clearly specify the percentages of quota share primary insurance |
1902 | provided by the corporation and authorized insurer, and |
1903 | conspicuously and clearly state that neither the authorized |
1904 | insurer nor the corporation may be held responsible beyond its |
1905 | specified percentage of coverage of hurricane losses. |
1906 | (II) "Eligible risks" means personal lines residential and |
1907 | commercial lines residential risks that meet the underwriting |
1908 | criteria of the corporation and are located in areas that were |
1909 | eligible for coverage by the Florida Windstorm Underwriting |
1910 | Association on January 1, 2002. |
1911 | b. The corporation may enter into quota share primary |
1912 | insurance agreements with authorized insurers at corporation |
1913 | coverage levels of 90 percent and 50 percent. |
1914 | c. If the corporation determines that additional coverage |
1915 | levels are necessary to maximize participation in quota share |
1916 | primary insurance agreements by authorized insurers, the |
1917 | corporation may establish additional coverage levels. However, |
1918 | the corporation's quota share primary insurance coverage level |
1919 | may not exceed 90 percent. |
1920 | d. Any quota share primary insurance agreement entered |
1921 | into between an authorized insurer and the corporation must |
1922 | provide for a uniform specified percentage of coverage of |
1923 | hurricane losses, by county or territory as set forth by the |
1924 | corporation board, for all eligible risks of the authorized |
1925 | insurer covered under the quota share primary insurance |
1926 | agreement. |
1927 | e. Any quota share primary insurance agreement entered |
1928 | into between an authorized insurer and the corporation is |
1929 | subject to review and approval by the office. However, such |
1930 | agreement shall be authorized only as to insurance contracts |
1931 | entered into between an authorized insurer and an insured who is |
1932 | already insured by the corporation for wind coverage. |
1933 | f. For all eligible risks covered under quota share |
1934 | primary insurance agreements, the exposure and coverage levels |
1935 | for both the corporation and authorized insurers shall be |
1936 | reported by the corporation to the Florida Hurricane Catastrophe |
1937 | Fund. For all policies of eligible risks covered under quota |
1938 | share primary insurance agreements, the corporation and the |
1939 | authorized insurer shall maintain complete and accurate records |
1940 | for the purpose of exposure and loss reimbursement audits as |
1941 | required by Florida Hurricane Catastrophe Fund rules. The |
1942 | corporation and the authorized insurer shall each maintain |
1943 | duplicate copies of policy declaration pages and supporting |
1944 | claims documents. |
1945 | g. The corporation board shall establish in its plan of |
1946 | operation standards for quota share agreements which ensure that |
1947 | there is no discriminatory application among insurers as to the |
1948 | terms of quota share agreements, pricing of quota share |
1949 | agreements, incentive provisions if any, and consideration paid |
1950 | for servicing policies or adjusting claims. |
1951 | h. The quota share primary insurance agreement between the |
1952 | corporation and an authorized insurer must set forth the |
1953 | specific terms under which coverage is provided, including, but |
1954 | not limited to, the sale and servicing of policies issued under |
1955 | the agreement by the insurance agent of the authorized insurer |
1956 | producing the business, the reporting of information concerning |
1957 | eligible risks, the payment of premium to the corporation, and |
1958 | arrangements for the adjustment and payment of hurricane claims |
1959 | incurred on eligible risks by the claims adjuster and personnel |
1960 | of the authorized insurer. Entering into a quota sharing |
1961 | insurance agreement between the corporation and an authorized |
1962 | insurer shall be voluntary and at the discretion of the |
1963 | authorized insurer. |
1964 | 3. May provide that the corporation may employ or |
1965 | otherwise contract with individuals or other entities to provide |
1966 | administrative or professional services that may be appropriate |
1967 | to effectuate the plan. The corporation shall have the power to |
1968 | borrow funds, by issuing bonds or by incurring other |
1969 | indebtedness, and shall have other powers reasonably necessary |
1970 | to effectuate the requirements of this subsection, including, |
1971 | without limitation, the power to issue bonds and incur other |
1972 | indebtedness in order to refinance outstanding bonds or other |
1973 | indebtedness. The corporation may, but is not required to, seek |
1974 | judicial validation of its bonds or other indebtedness under |
1975 | chapter 75. The corporation may issue bonds or incur other |
1976 | indebtedness, or have bonds issued on its behalf by a unit of |
1977 | local government pursuant to subparagraph (p)2., in the absence |
1978 | of a hurricane or other weather-related event, upon a |
1979 | determination by the corporation, subject to approval by the |
1980 | office, that such action would enable it to efficiently meet the |
1981 | financial obligations of the corporation and that such |
1982 | financings are reasonably necessary to effectuate the |
1983 | requirements of this subsection. The corporation is authorized |
1984 | to take all actions needed to facilitate tax-free status for any |
1985 | such bonds or indebtedness, including formation of trusts or |
1986 | other affiliated entities. The corporation shall have the |
1987 | authority to pledge assessments, projected recoveries from the |
1988 | Florida Hurricane Catastrophe Fund, other reinsurance |
1989 | recoverables, market equalization and other surcharges, and |
1990 | other funds available to the corporation as security for bonds |
1991 | or other indebtedness. In recognition of s. 10, Art. I of the |
1992 | State Constitution, prohibiting the impairment of obligations of |
1993 | contracts, it is the intent of the Legislature that no action be |
1994 | taken whose purpose is to impair any bond indenture or financing |
1995 | agreement or any revenue source committed by contract to such |
1996 | bond or other indebtedness. |
1997 | 4.a. Must require that the corporation operate subject to |
1998 | the supervision and approval of a board of governors consisting |
1999 | of eight individuals who are residents of this state, from |
2000 | different geographical areas of this state. The Governor, the |
2001 | Chief Financial Officer, the President of the Senate, and the |
2002 | Speaker of the House of Representatives shall each appoint two |
2003 | members of the board. At least one of the two members appointed |
2004 | by each appointing officer must have demonstrated expertise in |
2005 | insurance. The Chief Financial Officer shall designate one of |
2006 | the appointees as chair. All board members serve at the pleasure |
2007 | of the appointing officer. All members of the board of governors |
2008 | are subject to removal at will by the officers who appointed |
2009 | them. All board members, including the chair, must be appointed |
2010 | to serve for 3-year terms beginning annually on a date |
2011 | designated by the plan. Any board vacancy shall be filled for |
2012 | the unexpired term by the appointing officer. The Chief |
2013 | Financial Officer shall appoint a technical advisory group to |
2014 | provide information and advice to the board of governors in |
2015 | connection with the board's duties under this subsection. The |
2016 | executive director and senior managers of the corporation shall |
2017 | be engaged by the board and serve at the pleasure of the board. |
2018 | Any executive director appointed on or after July 1, 2006, is |
2019 | subject to confirmation by the Senate. The executive director is |
2020 | responsible for employing other staff as the corporation may |
2021 | require, subject to review and concurrence by the board. |
2022 | b. The board shall create a Market Accountability Advisory |
2023 | Committee to assist the corporation in developing awareness of |
2024 | its rates and its customer and agent service levels in |
2025 | relationship to the voluntary market insurers writing similar |
2026 | coverage. The members of the advisory committee shall consist of |
2027 | the following 11 persons, one of whom must be elected chair by |
2028 | the members of the committee: four representatives, one |
2029 | appointed by the Florida Association of Insurance Agents, one by |
2030 | the Florida Association of Insurance and Financial Advisors, one |
2031 | by the Professional Insurance Agents of Florida, and one by the |
2032 | Latin American Association of Insurance Agencies; three |
2033 | representatives appointed by the insurers with the three highest |
2034 | voluntary market share of residential property insurance |
2035 | business in the state; one representative from the Office of |
2036 | Insurance Regulation; one consumer appointed by the board who is |
2037 | insured by the corporation at the time of appointment to the |
2038 | committee; one representative appointed by the Florida |
2039 | Association of Realtors; and one representative appointed by the |
2040 | Florida Bankers Association. All members must serve for 3-year |
2041 | terms and may serve for consecutive terms. The committee shall |
2042 | report to the corporation at each board meeting on insurance |
2043 | market issues which may include rates and rate competition with |
2044 | the voluntary market; service, including policy issuance, claims |
2045 | processing, and general responsiveness to policyholders, |
2046 | applicants, and agents; and matters relating to depopulation. |
2047 | 5. Must provide a procedure for determining the |
2048 | eligibility of a risk for coverage, as follows: |
2049 | a. Subject to the provisions of s. 627.3517, with respect |
2050 | to personal lines residential risks, if the risk is offered |
2051 | coverage from an authorized insurer at the insurer's approved |
2052 | rate under either a standard policy including wind coverage or, |
2053 | if consistent with the insurer's underwriting rules as filed |
2054 | with the office, a basic policy including wind coverage, for a |
2055 | new application to the corporation for coverage, the risk is not |
2056 | eligible for any policy issued by the corporation unless the |
2057 | premium for coverage from the authorized insurer is more than 15 |
2058 | percent greater than the premium for comparable coverage from |
2059 | the corporation. If the risk is not able to obtain any such |
2060 | offer, the risk is eligible for either a standard policy |
2061 | including wind coverage or a basic policy including wind |
2062 | coverage issued by the corporation; however, if the risk could |
2063 | not be insured under a standard policy including wind coverage |
2064 | regardless of market conditions, the risk shall be eligible for |
2065 | a basic policy including wind coverage unless rejected under |
2066 | subparagraph 9. However, with regard to a policyholder of the |
2067 | corporation or a policyholder removed from the corporation |
2068 | through an assumption agreement until the end of the assumption |
2069 | period, the policyholder remains eligible for coverage from the |
2070 | corporation regardless of any offer of coverage from an |
2071 | authorized insurer or surplus lines insurer. The corporation |
2072 | shall determine the type of policy to be provided on the basis |
2073 | of objective standards specified in the underwriting manual and |
2074 | based on generally accepted underwriting practices. |
2075 | (I) If the risk accepts an offer of coverage through the |
2076 | market assistance plan or an offer of coverage through a |
2077 | mechanism established by the corporation before a policy is |
2078 | issued to the risk by the corporation or during the first 30 |
2079 | days of coverage by the corporation, and the producing agent who |
2080 | submitted the application to the plan or to the corporation is |
2081 | not currently appointed by the insurer, the insurer shall: |
2082 | (A) Pay to the producing agent of record of the policy, |
2083 | for the first year, an amount that is the greater of the |
2084 | insurer's usual and customary commission for the type of policy |
2085 | written or a fee equal to the usual and customary commission of |
2086 | the corporation; or |
2087 | (B) Offer to allow the producing agent of record of the |
2088 | policy to continue servicing the policy for a period of not less |
2089 | than 1 year and offer to pay the agent the greater of the |
2090 | insurer's or the corporation's usual and customary commission |
2091 | for the type of policy written. |
2092 |
|
2093 | If the producing agent is unwilling or unable to accept |
2094 | appointment, the new insurer shall pay the agent in accordance |
2095 | with sub-sub-sub-subparagraph (A). |
2096 | (II) When the corporation enters into a contractual |
2097 | agreement for a take-out plan, the producing agent of record of |
2098 | the corporation policy is entitled to retain any unearned |
2099 | commission on the policy, and the insurer shall: |
2100 | (A) Pay to the producing agent of record of the |
2101 | corporation policy, for the first year, an amount that is the |
2102 | greater of the insurer's usual and customary commission for the |
2103 | type of policy written or a fee equal to the usual and customary |
2104 | commission of the corporation; or |
2105 | (B) Offer to allow the producing agent of record of the |
2106 | corporation policy to continue servicing the policy for a period |
2107 | of not less than 1 year and offer to pay the agent the greater |
2108 | of the insurer's or the corporation's usual and customary |
2109 | commission for the type of policy written. |
2110 |
|
2111 | If the producing agent is unwilling or unable to accept |
2112 | appointment, the new insurer shall pay the agent in accordance |
2113 | with sub-sub-sub-subparagraph (A). |
2114 | b. With respect to commercial lines residential risks, for |
2115 | a new application to the corporation for coverage, if the risk |
2116 | is offered coverage under a policy including wind coverage from |
2117 | an authorized insurer at its approved rate, the risk is not |
2118 | eligible for any policy issued by the corporation unless the |
2119 | premium for coverage from the authorized insurer is more than 15 |
2120 | percent greater than the premium for comparable coverage from |
2121 | the corporation. If the risk is not able to obtain any such |
2122 | offer, the risk is eligible for a policy including wind coverage |
2123 | issued by the corporation. However, with regard to a |
2124 | policyholder of the corporation or a policyholder removed from |
2125 | the corporation through an assumption agreement until the end of |
2126 | the assumption period, the policyholder remains eligible for |
2127 | coverage from the corporation regardless of any offer of |
2128 | coverage from an authorized insurer or surplus lines insurer. |
2129 | (I) If the risk accepts an offer of coverage through the |
2130 | market assistance plan or an offer of coverage through a |
2131 | mechanism established by the corporation before a policy is |
2132 | issued to the risk by the corporation or during the first 30 |
2133 | days of coverage by the corporation, and the producing agent who |
2134 | submitted the application to the plan or the corporation is not |
2135 | currently appointed by the insurer, the insurer shall: |
2136 | (A) Pay to the producing agent of record of the policy, |
2137 | for the first year, an amount that is the greater of the |
2138 | insurer's usual and customary commission for the type of policy |
2139 | written or a fee equal to the usual and customary commission of |
2140 | the corporation; or |
2141 | (B) Offer to allow the producing agent of record of the |
2142 | policy to continue servicing the policy for a period of not less |
2143 | than 1 year and offer to pay the agent the greater of the |
2144 | insurer's or the corporation's usual and customary commission |
2145 | for the type of policy written. |
2146 |
|
2147 | If the producing agent is unwilling or unable to accept |
2148 | appointment, the new insurer shall pay the agent in accordance |
2149 | with sub-sub-sub-subparagraph (A). |
2150 | (II) When the corporation enters into a contractual |
2151 | agreement for a take-out plan, the producing agent of record of |
2152 | the corporation policy is entitled to retain any unearned |
2153 | commission on the policy, and the insurer shall: |
2154 | (A) Pay to the producing agent of record of the |
2155 | corporation policy, for the first year, an amount that is the |
2156 | greater of the insurer's usual and customary commission for the |
2157 | type of policy written or a fee equal to the usual and customary |
2158 | commission of the corporation; or |
2159 | (B) Offer to allow the producing agent of record of the |
2160 | corporation policy to continue servicing the policy for a period |
2161 | of not less than 1 year and offer to pay the agent the greater |
2162 | of the insurer's or the corporation's usual and customary |
2163 | commission for the type of policy written. |
2164 |
|
2165 | If the producing agent is unwilling or unable to accept |
2166 | appointment, the new insurer shall pay the agent in accordance |
2167 | with sub-sub-sub-subparagraph (A). |
2168 | c. For purposes of determining comparable coverage under |
2169 | sub-subparagraphs a. and b., the comparison shall be based on |
2170 | those forms and coverages that are reasonably comparable. The |
2171 | corporation may rely on a determination of comparable coverage |
2172 | and premium made by the producing agent who submits the |
2173 | application to the corporation, made in the agent's capacity as |
2174 | the corporation's agent. A comparison may be made solely of the |
2175 | premium with respect to the main building or structure only on |
2176 | the following basis: the same coverage A or other building |
2177 | limits; the same percentage hurricane deductible that applies on |
2178 | an annual basis or that applies to each hurricane for commercial |
2179 | residential property; the same percentage of ordinance and law |
2180 | coverage, if the same limit is offered by both the corporation |
2181 | and the authorized insurer; the same mitigation credits, to the |
2182 | extent the same types of credits are offered both by the |
2183 | corporation and the authorized insurer; the same method for loss |
2184 | payment, such as replacement cost or actual cash value, if the |
2185 | same method is offered both by the corporation and the |
2186 | authorized insurer in accordance with underwriting rules; and |
2187 | any other form or coverage that is reasonably comparable as |
2188 | determined by the board. If an application is submitted to the |
2189 | corporation for wind-only coverage in the high-risk account, the |
2190 | premium for the corporation's wind-only policy plus the premium |
2191 | for the ex-wind policy that is offered by an authorized insurer |
2192 | to the applicant shall be compared to the premium for multiperil |
2193 | coverage offered by an authorized insurer, subject to the |
2194 | standards for comparison specified in this subparagraph. If the |
2195 | corporation or the applicant requests from the authorized |
2196 | insurer a breakdown of the premium of the offer by types of |
2197 | coverage so that a comparison may be made by the corporation or |
2198 | its agent and the authorized insurer refuses or is unable to |
2199 | provide such information, the corporation may treat the offer as |
2200 | not being an offer of coverage from an authorized insurer at the |
2201 | insurer's approved rate. |
2202 | 6. Must include rules for classifications of risks and |
2203 | rates therefor. |
2204 | 7. Must provide that if premium and investment income for |
2205 | an account attributable to a particular calendar year are in |
2206 | excess of projected losses and expenses for the account |
2207 | attributable to that year, such excess shall be held in surplus |
2208 | in the account. Such surplus shall be available to defray |
2209 | deficits in that account as to future years and shall be used |
2210 | for that purpose prior to assessing assessable insurers and |
2211 | assessable insureds as to any calendar year. |
2212 | 8. Must provide objective criteria and procedures to be |
2213 | uniformly applied for all applicants in determining whether an |
2214 | individual risk is so hazardous as to be uninsurable. In making |
2215 | this determination and in establishing the criteria and |
2216 | procedures, the following shall be considered: |
2217 | a. Whether the likelihood of a loss for the individual |
2218 | risk is substantially higher than for other risks of the same |
2219 | class; and |
2220 | b. Whether the uncertainty associated with the individual |
2221 | risk is such that an appropriate premium cannot be determined. |
2222 |
|
2223 | The acceptance or rejection of a risk by the corporation shall |
2224 | be construed as the private placement of insurance, and the |
2225 | provisions of chapter 120 shall not apply. |
2226 | 9. Must provide that the corporation shall make its best |
2227 | efforts to procure catastrophe reinsurance at reasonable rates, |
2228 | to cover its projected 100-year probable maximum loss as |
2229 | determined by the board of governors. |
2230 | 10. Must provide that in the event of regular deficit |
2231 | assessments under sub-subparagraph (b)3.a. or sub-subparagraph |
2232 | (b)3.b., in the personal lines account, the commercial lines |
2233 | residential account, or the high-risk account, the corporation |
2234 | shall levy upon corporation policyholders in its next rate |
2235 | filing, or by a separate rate filing solely for this purpose, a |
2236 | Citizens policyholder surcharge arising from a regular |
2237 | assessment in such account in a percentage equal to the total |
2238 | amount of such regular assessments divided by the aggregate |
2239 | statewide direct written premium for subject lines of business |
2240 | for the prior calendar year. For purposes of calculating the |
2241 | Citizens policyholder surcharge to be levied under this |
2242 | subparagraph, the total amount of the regular assessment to |
2243 | which this surcharge is related shall be determined as set forth |
2244 | in subparagraph (b)3., without deducting the estimated Citizens |
2245 | policyholder surcharge. Citizens policyholder surcharges under |
2246 | this subparagraph are not considered premium and are not subject |
2247 | to commissions, fees, or premium taxes; however, failure to pay |
2248 | a market equalization surcharge shall be treated as failure to |
2249 | pay premium. |
2250 | 10.11. The policies issued by the corporation must provide |
2251 | that, if the corporation or the market assistance plan obtains |
2252 | an offer from an authorized insurer to cover the risk at its |
2253 | approved rates, the risk is no longer eligible for renewal |
2254 | through the corporation, except as otherwise provided in this |
2255 | subsection. |
2256 | 11.12. Corporation policies and applications must include |
2257 | a notice that the corporation policy could, under this section, |
2258 | be replaced with a policy issued by an authorized insurer that |
2259 | does not provide coverage identical to the coverage provided by |
2260 | the corporation. The notice shall also specify that acceptance |
2261 | of corporation coverage creates a conclusive presumption that |
2262 | the applicant or policyholder is aware of this potential. |
2263 | 12.13. May establish, subject to approval by the office, |
2264 | different eligibility requirements and operational procedures |
2265 | for any line or type of coverage for any specified county or |
2266 | area if the board determines that such changes to the |
2267 | eligibility requirements and operational procedures are |
2268 | justified due to the voluntary market being sufficiently stable |
2269 | and competitive in such area or for such line or type of |
2270 | coverage and that consumers who, in good faith, are unable to |
2271 | obtain insurance through the voluntary market through ordinary |
2272 | methods would continue to have access to coverage from the |
2273 | corporation. When coverage is sought in connection with a real |
2274 | property transfer, such requirements and procedures shall not |
2275 | provide for an effective date of coverage later than the date of |
2276 | the closing of the transfer as established by the transferor, |
2277 | the transferee, and, if applicable, the lender. |
2278 | 13.14. Must provide that, with respect to the high-risk |
2279 | account, any assessable insurer with a surplus as to |
2280 | policyholders of $25 million or less writing 25 percent or more |
2281 | of its total countrywide property insurance premiums in this |
2282 | state may petition the office, within the first 90 days of each |
2283 | calendar year, to qualify as a limited apportionment company. A |
2284 | regular assessment levied by the corporation on a limited |
2285 | apportionment company for a deficit incurred by the corporation |
2286 | for the high-risk account in 2006 or thereafter may be paid to |
2287 | the corporation on a monthly basis as the assessments are |
2288 | collected by the limited apportionment company from its insureds |
2289 | pursuant to s. 627.3512, but the regular assessment must be paid |
2290 | in full within 12 months after being levied by the corporation. |
2291 | A limited apportionment company shall collect from its |
2292 | policyholders any emergency assessment imposed under sub- |
2293 | subparagraph (b)3.d. The plan shall provide that, if the office |
2294 | determines that any regular assessment will result in an |
2295 | impairment of the surplus of a limited apportionment company, |
2296 | the office may direct that all or part of such assessment be |
2297 | deferred as provided in subparagraph (p)4. However, there shall |
2298 | be no limitation or deferment of an emergency assessment to be |
2299 | collected from policyholders under sub-subparagraph (b)3.d. |
2300 | 14.15. Must provide that the corporation appoint as its |
2301 | licensed agents only those agents who also hold an appointment |
2302 | as defined in s. 626.015(3) with an insurer who at the time of |
2303 | the agent's initial appointment by the corporation is authorized |
2304 | to write and is actually writing personal lines residential |
2305 | property coverage, commercial residential property coverage, or |
2306 | commercial nonresidential property coverage within the state. |
2307 | 15.16. Must provide, by July 1, 2007, a premium payment |
2308 | plan option to its policyholders which allows at a minimum for |
2309 | quarterly and semiannual payment of premiums. A monthly payment |
2310 | plan may, but is not required to, be offered. |
2311 | 16.17. Must limit coverage on mobile homes or manufactured |
2312 | homes built prior to 1994 to actual cash value of the dwelling |
2313 | rather than replacement costs of the dwelling. |
2314 | 17.18. May provide such limits of coverage as the board |
2315 | determines, consistent with the requirements of this subsection. |
2316 | 18.19. May require commercial property to meet specified |
2317 | hurricane mitigation construction features as a condition of |
2318 | eligibility for coverage. |
2319 | (m)1. Rates for coverage provided by the corporation shall |
2320 | be actuarially sound and subject to the requirements of s. |
2321 | 627.062, except as otherwise provided in this paragraph. The |
2322 | corporation shall file its recommended rates with the office at |
2323 | least annually. The corporation shall provide any additional |
2324 | information regarding the rates which the office requires. The |
2325 | office shall consider the recommendations of the board and issue |
2326 | a final order establishing the rates for the corporation within |
2327 | 45 days after the recommended rates are filed. The corporation |
2328 | may not pursue an administrative challenge or judicial review of |
2329 | the final order of the office. |
2330 | 2. In addition to the rates otherwise determined pursuant |
2331 | to this paragraph, the corporation shall impose and collect an |
2332 | amount equal to the premium tax provided for in s. 624.509 to |
2333 | augment the financial resources of the corporation. |
2334 | 3. After the public hurricane loss-projection model under |
2335 | s. 627.06281 has been found to be accurate and reliable by the |
2336 | Florida Commission on Hurricane Loss Projection Methodology, |
2337 | that model shall serve as the minimum benchmark for determining |
2338 | the windstorm portion of the corporation's rates. This |
2339 | subparagraph does not require or allow the corporation to adopt |
2340 | rates lower than the rates otherwise required or allowed by this |
2341 | paragraph. |
2342 | 4. The rate filings for the corporation which were |
2343 | approved by the office and which took effect January 1, 2007, |
2344 | are rescinded, except for those rates that were lowered. As soon |
2345 | as possible, the corporation shall begin using the lower rates |
2346 | that were in effect on December 31, 2006, and shall provide |
2347 | refunds to policyholders who have paid higher rates as a result |
2348 | of that rate filing. The rates in effect on December 31, 2006, |
2349 | shall remain in effect for the 2007 and 2008 calendar years |
2350 | except for any rate change that results in a lower rate. The |
2351 | next rate change that may increase rates shall take effect |
2352 | January 1, 2009, pursuant to a new rate filing recommended by |
2353 | the corporation and established by the office, subject to the |
2354 | requirements of this paragraph. |
2355 | 5. Beginning on July 15, 2009, and each year thereafter, |
2356 | the corporation must make a recommended actuarially sound rate |
2357 | filing for each personal and commercial line of business it |
2358 | writes, to be effective no earlier than January 1, 2010. |
2359 | (p)1. The corporation shall certify to the office its |
2360 | needs for annual assessments as to a particular calendar year, |
2361 | and for any interim assessments that it deems to be necessary to |
2362 | sustain operations as to a particular year pending the receipt |
2363 | of annual assessments. Upon verification, the office shall |
2364 | approve such certification, and the corporation shall levy such |
2365 | annual or interim assessments. Such assessments shall be |
2366 | prorated as provided in paragraph (b). The corporation shall |
2367 | take all reasonable and prudent steps necessary to collect the |
2368 | amount of assessment due from each assessable insurer, |
2369 | including, if prudent, filing suit to collect such assessment. |
2370 | If the corporation is unable to collect an assessment from any |
2371 | assessable insurer, the uncollected assessments shall be levied |
2372 | as an additional assessment against the assessable insurers and |
2373 | any assessable insurer required to pay an additional assessment |
2374 | as a result of such failure to pay shall have a cause of action |
2375 | against such nonpaying assessable insurer. Assessments shall be |
2376 | included as an appropriate factor in the making of rates. The |
2377 | failure of a surplus lines agent to collect and remit any |
2378 | regular or emergency assessment levied by the corporation is |
2379 | considered to be a violation of s. 626.936 and subjects the |
2380 | surplus lines agent to the penalties provided in that section. |
2381 | 2. The governing body of any unit of local government, any |
2382 | residents of which are insured by the corporation, may issue |
2383 | bonds as defined in s. 125.013 or s. 166.101 from time to time |
2384 | to fund an assistance program, in conjunction with the |
2385 | corporation, for the purpose of defraying deficits of the |
2386 | corporation. In order to avoid needless and indiscriminate |
2387 | proliferation, duplication, and fragmentation of such assistance |
2388 | programs, any unit of local government, any residents of which |
2389 | are insured by the corporation, may provide for the payment of |
2390 | losses, regardless of whether or not the losses occurred within |
2391 | or outside of the territorial jurisdiction of the local |
2392 | government. Revenue bonds under this subparagraph may not be |
2393 | issued until validated pursuant to chapter 75, unless a state of |
2394 | emergency is declared by executive order or proclamation of the |
2395 | Governor pursuant to s. 252.36 making such findings as are |
2396 | necessary to determine that it is in the best interests of, and |
2397 | necessary for, the protection of the public health, safety, and |
2398 | general welfare of residents of this state and declaring it an |
2399 | essential public purpose to permit certain municipalities or |
2400 | counties to issue such bonds as will permit relief to claimants |
2401 | and policyholders of the corporation. Any such unit of local |
2402 | government may enter into such contracts with the corporation |
2403 | and with any other entity created pursuant to this subsection as |
2404 | are necessary to carry out this paragraph. Any bonds issued |
2405 | under this subparagraph shall be payable from and secured by |
2406 | moneys received by the corporation from emergency assessments |
2407 | under sub-subparagraph (b)3.d., and assigned and pledged to or |
2408 | on behalf of the unit of local government for the benefit of the |
2409 | holders of such bonds. The funds, credit, property, and taxing |
2410 | power of the state or of the unit of local government shall not |
2411 | be pledged for the payment of such bonds. If any of the bonds |
2412 | remain unsold 60 days after issuance, the office shall require |
2413 | all insurers subject to assessment to purchase the bonds, which |
2414 | shall be treated as admitted assets; each insurer shall be |
2415 | required to purchase that percentage of the unsold portion of |
2416 | the bond issue that equals the insurer's relative share of |
2417 | assessment liability under this subsection. An insurer shall not |
2418 | be required to purchase the bonds to the extent that the office |
2419 | determines that the purchase would endanger or impair the |
2420 | solvency of the insurer. |
2421 | 3.a. The corporation shall adopt one or more programs |
2422 | subject to approval by the office for the reduction of both new |
2423 | and renewal writings in the corporation. Beginning January 1, |
2424 | 2008, any program the corporation adopts for the payment of |
2425 | bonuses to an insurer for each risk the insurer removes from the |
2426 | corporation shall comply with s. 627.3511(2) and may not exceed |
2427 | the amount referenced in s. 627.3511(2) for each risk removed. |
2428 | The corporation may consider any prudent and not unfairly |
2429 | discriminatory approach to reducing corporation writings, and |
2430 | may adopt a credit against assessment liability or other |
2431 | liability that provides an incentive for insurers to take risks |
2432 | out of the corporation and to keep risks out of the corporation |
2433 | by maintaining or increasing voluntary writings in counties or |
2434 | areas in which corporation risks are highly concentrated and a |
2435 | program to provide a formula under which an insurer voluntarily |
2436 | taking risks out of the corporation by maintaining or increasing |
2437 | voluntary writings will be relieved wholly or partially from |
2438 | assessments under sub-subparagraphs (b)3.a. and b. However, any |
2439 | "take-out bonus" or payment to an insurer must be conditioned on |
2440 | the property being insured for at least 5 years by the insurer, |
2441 | unless canceled or nonrenewed by the policyholder. If the policy |
2442 | is canceled or nonrenewed by the policyholder before the end of |
2443 | the 5-year period, the amount of the take-out bonus must be |
2444 | prorated for the time period the policy was insured. When the |
2445 | corporation enters into a contractual agreement for a take-out |
2446 | plan, the producing agent of record of the corporation policy is |
2447 | entitled to retain any unearned commission on such policy, and |
2448 | the insurer shall either: |
2449 | (I) Pay to the producing agent of record of the policy, |
2450 | for the first year, an amount which is the greater of the |
2451 | insurer's usual and customary commission for the type of policy |
2452 | written or a policy fee equal to the usual and customary |
2453 | commission of the corporation; or |
2454 | (II) Offer to allow the producing agent of record of the |
2455 | policy to continue servicing the policy for a period of not less |
2456 | than 1 year and offer to pay the agent the insurer's usual and |
2457 | customary commission for the type of policy written. If the |
2458 | producing agent is unwilling or unable to accept appointment by |
2459 | the new insurer, the new insurer shall pay the agent in |
2460 | accordance with sub-sub-subparagraph (I). |
2461 | b. Any credit or exemption from regular assessments |
2462 | adopted under this subparagraph shall last no longer than the 3 |
2463 | years following the cancellation or expiration of the policy by |
2464 | the corporation. With the approval of the office, the board may |
2465 | extend such credits for an additional year if the insurer |
2466 | guarantees an additional year of renewability for all policies |
2467 | removed from the corporation, or for 2 additional years if the |
2468 | insurer guarantees 2 additional years of renewability for all |
2469 | policies so removed. |
2470 | c. There shall be no credit, limitation, exemption, or |
2471 | deferment from emergency assessments to be collected from |
2472 | policyholders pursuant to sub-subparagraph (b)3.d. |
2473 | 4. The plan shall provide for the deferment, in whole or |
2474 | in part, of the assessment of an assessable insurer, other than |
2475 | an emergency assessment collected from policyholders pursuant to |
2476 | sub-subparagraph (b)3.d., if the office finds that payment of |
2477 | the assessment would endanger or impair the solvency of the |
2478 | insurer. In the event an assessment against an assessable |
2479 | insurer is deferred in whole or in part, the amount by which |
2480 | such assessment is deferred may be assessed against the other |
2481 | assessable insurers in a manner consistent with the basis for |
2482 | assessments set forth in paragraph (b). |
2483 | 5. Effective July 1, 2007, in order to evaluate the costs |
2484 | and benefits of approved take-out plans, if the corporation pays |
2485 | a bonus or other payment to an insurer for an approved take-out |
2486 | plan, it shall maintain a record of the address or such other |
2487 | identifying information on the property or risk removed in order |
2488 | to track if and when the property or risk is later insured by |
2489 | the corporation. |
2490 | 6. Any policy taken out, assumed, or removed from the |
2491 | corporation is, as of the effective date of the take-out, |
2492 | assumption, or removal, direct insurance issued by the insurer |
2493 | and not by the corporation, even if the corporation continues to |
2494 | service the policies. This subparagraph applies to policies of |
2495 | the corporation and not policies taken out, assumed, or removed |
2496 | from any other entity. |
2497 | (w)1. The following records of the corporation are |
2498 | confidential and exempt from the provisions of s. 119.07(1) and |
2499 | s. 24(a), Art. I of the State Constitution: |
2500 | a. Underwriting files, except that a policyholder or an |
2501 | applicant shall have access to his or her own underwriting |
2502 | files. Confidential and exempt underwriting file records may |
2503 | also be released to other governmental agencies upon written |
2504 | request and demonstration of need; such records held by the |
2505 | receiving agency remain confidential and exempt as provided |
2506 | herein. |
2507 | b. Claims files, until termination of all litigation and |
2508 | settlement of all claims arising out of the same incident, |
2509 | although portions of the claims files may remain exempt, as |
2510 | otherwise provided by law. Confidential and exempt claims file |
2511 | records may be released to other governmental agencies upon |
2512 | written request and demonstration of need; such records held by |
2513 | the receiving agency remain confidential and exempt as provided |
2514 | for herein. |
2515 | c. Records obtained or generated by an internal auditor |
2516 | pursuant to a routine audit, until the audit is completed, or if |
2517 | the audit is conducted as part of an investigation, until the |
2518 | investigation is closed or ceases to be active. An investigation |
2519 | is considered "active" while the investigation is being |
2520 | conducted with a reasonable, good faith belief that it could |
2521 | lead to the filing of administrative, civil, or criminal |
2522 | proceedings. |
2523 | d. Matters reasonably encompassed in privileged attorney- |
2524 | client communications. |
2525 | e. Proprietary information licensed to the corporation |
2526 | under contract and the contract provides for the confidentiality |
2527 | of such proprietary information. |
2528 | f. All information relating to the medical condition or |
2529 | medical status of a corporation employee which is not relevant |
2530 | to the employee's capacity to perform his or her duties, except |
2531 | as otherwise provided in this paragraph. Information that which |
2532 | is exempt shall include, but is not limited to, information |
2533 | relating to workers' compensation, insurance benefits, and |
2534 | retirement or disability benefits. |
2535 | g. Upon an employee's entrance into the employee |
2536 | assistance program, a program to assist any employee who has a |
2537 | behavioral or medical disorder, substance abuse problem, or |
2538 | emotional difficulty which affects the employee's job |
2539 | performance, all records relative to that participation shall be |
2540 | confidential and exempt from the provisions of s. 119.07(1) and |
2541 | s. 24(a), Art. I of the State Constitution, except as otherwise |
2542 | provided in s. 112.0455(11). |
2543 | h. Information relating to negotiations for financing, |
2544 | reinsurance, depopulation, or contractual services, until the |
2545 | conclusion of the negotiations. |
2546 | i. Minutes of closed meetings regarding underwriting |
2547 | files, and minutes of closed meetings regarding an open claims |
2548 | file until termination of all litigation and settlement of all |
2549 | claims with regard to that claim, except that information |
2550 | otherwise confidential or exempt by law shall will be redacted. |
2551 | 2. If When an authorized insurer is considering |
2552 | underwriting a risk insured by the corporation, relevant |
2553 | underwriting files and confidential claims files may be released |
2554 | to the insurer provided the insurer agrees in writing, notarized |
2555 | and under oath, to maintain the confidentiality of such files. |
2556 | If When a file is transferred to an insurer that file is no |
2557 | longer a public record because it is not held by an agency |
2558 | subject to the provisions of the public records law. |
2559 | Underwriting files and confidential claims files may also be |
2560 | released to staff of and the board of governors of the market |
2561 | assistance plan established pursuant to s. 627.3515, who must |
2562 | retain the confidentiality of such files, except such files may |
2563 | be released to authorized insurers that are considering assuming |
2564 | the risks to which the files apply, provided the insurer agrees |
2565 | in writing, notarized and under oath, to maintain the |
2566 | confidentiality of such files. Finally, the corporation or the |
2567 | board or staff of the market assistance plan may make the |
2568 | following information obtained from underwriting files and |
2569 | confidential claims files available to licensed general lines |
2570 | insurance agents: name, address, and telephone number of the |
2571 | residential property owner or insured; location of the risk; |
2572 | rating information; loss history; and policy type. The receiving |
2573 | licensed general lines insurance agent must retain the |
2574 | confidentiality of the information received. |
2575 | 3. A policyholder who has filed suit against the |
2576 | corporation has the right to discover the contents of his or her |
2577 | own claims file to the same extent that discovery of such |
2578 | contents would be available from a private insurer in litigation |
2579 | as provided by the Florida Rules of Civil Procedure, the Florida |
2580 | Evidence Code, and other applicable law. Pursuant to subpoena, a |
2581 | third party has the right to discover the contents of an |
2582 | insured's or applicant's underwriting or claims file to the same |
2583 | extent that discovery of such contents would be available from a |
2584 | private insurer by subpoena as provided by the Florida Rules of |
2585 | Civil Procedure, the Florida Evidence Code, and other applicable |
2586 | law, and subject to any confidentiality protections requested by |
2587 | the corporation and agreed to by the seeking party or ordered by |
2588 | the court. The corporation may release confidential underwriting |
2589 | and claims file contents and information as it deems necessary |
2590 | and appropriate to underwrite or service insurance policies and |
2591 | claims, subject to any confidentiality protections deemed |
2592 | necessary and appropriate by the corporation. |
2593 | 4.2. Portions of meetings of the corporation are exempt |
2594 | from the provisions of s. 286.011 and s. 24(b), Art. I of the |
2595 | State Constitution wherein confidential underwriting files or |
2596 | confidential open claims files are discussed. All portions of |
2597 | corporation meetings which are closed to the public shall be |
2598 | recorded by a court reporter. The court reporter shall record |
2599 | the times of commencement and termination of the meeting, all |
2600 | discussion and proceedings, the names of all persons present at |
2601 | any time, and the names of all persons speaking. No portion of |
2602 | any closed meeting shall be off the record. Subject to the |
2603 | provisions hereof and s. 119.07(1)(e)-(g), the court reporter's |
2604 | notes of any closed meeting shall be retained by the corporation |
2605 | for a minimum of 5 years. A copy of the transcript, less any |
2606 | exempt matters, of any closed meeting wherein claims are |
2607 | discussed shall become public as to individual claims after |
2608 | settlement of the claim. |
2609 | (dd)1. For policies subject to nonrenewal as a result of |
2610 | the risk being no longer eligible for coverage due to being |
2611 | valued at $1 million or more, the corporation shall, directly or |
2612 | through the market assistance plan, make information from |
2613 | confidential underwriting and claims files of policyholders |
2614 | available only to licensed general lines agents who register |
2615 | with the corporation to receive such information according to |
2616 | the following procedures: |
2617 | 2. By August 1, 2006, the corporation shall provide such |
2618 | policyholders who are not eligible for renewal the opportunity |
2619 | to request in writing, within 30 days after the notification is |
2620 | sent, that information from their confidential underwriting and |
2621 | claims files not be released to licensed general lines agents |
2622 | registered pursuant to this paragraph. |
2623 | 3. By August 1, 2006, the corporation shall make available |
2624 | to licensed general lines agents the registration procedures to |
2625 | be used to obtain confidential information from underwriting and |
2626 | claims files for such policies not eligible for renewal. As a |
2627 | condition of registration, the corporation shall require the |
2628 | licensed general lines agent to attest that the agent has the |
2629 | experience and relationships with authorized or surplus lines |
2630 | carriers to attempt to offer replacement coverage for such |
2631 | policies. |
2632 | 4. By September 1, 2006, the corporation shall make |
2633 | available through a secured website to licensed general lines |
2634 | agents registered pursuant to this paragraph application, |
2635 | rating, loss history, mitigation, and policy type information |
2636 | relating to such policies not eligible for renewal and for which |
2637 | the policyholder has not requested the corporation withhold such |
2638 | information. The registered licensed general lines agent may use |
2639 | such information to contact and assist the policyholder in |
2640 | securing replacement policies, and the agent may disclose to the |
2641 | policyholder that such information was obtained from the |
2642 | corporation. |
2643 | (dd)(ee) The assets of the corporation may be invested and |
2644 | managed by the State Board of Administration. |
2645 | (ee)(ff) The office may establish a pilot program to offer |
2646 | optional sinkhole coverage in one or more counties or other |
2647 | territories of the corporation for the purpose of implementing |
2648 | s. 627.706, as amended by s. 30, chapter 2007-1, Laws of |
2649 | Florida. Under the pilot program, the corporation is not |
2650 | required to issue a notice of nonrenewal to exclude sinkhole |
2651 | coverage upon the renewal of existing policies, but may exclude |
2652 | such coverage using a notice of coverage change. |
2653 | Section 14. Paragraph (b) of subsection (2) of section |
2654 | 627.4133, Florida Statutes, is amended to read: |
2655 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
2656 | premium.-- |
2657 | (2) With respect to any personal lines or commercial |
2658 | residential property insurance policy, including, but not |
2659 | limited to, any homeowner's, mobile home owner's, farmowner's, |
2660 | condominium association, condominium unit owner's, apartment |
2661 | building, or other policy covering a residential structure or |
2662 | its contents: |
2663 | (b) The insurer shall give the named insured written |
2664 | notice of nonrenewal, cancellation, or termination at least 100 |
2665 | days prior to the effective date of the nonrenewal, |
2666 | cancellation, or termination. However, the insurer shall give at |
2667 | least 100 days' written notice, or written notice by June 1, |
2668 | whichever is earlier, for any nonrenewal, cancellation, or |
2669 | termination that would be effective between June 1 and November |
2670 | 30. The notice must include the reason or reasons for the |
2671 | nonrenewal, cancellation, or termination, except that: |
2672 | 1. The insurer shall give the named insured written notice |
2673 | of nonrenewal, cancellation, or termination at least 180 days |
2674 | prior to the effective date of the nonrenewal, cancellation, or |
2675 | termination for a named insured whose residential structure has |
2676 | been insured by that insurer or an affiliated insurer for at |
2677 | least a 5-year period immediately prior to date of the written |
2678 | notice. |
2679 | 2.1. When cancellation is for nonpayment of premium, at |
2680 | least 10 days' written notice of cancellation accompanied by the |
2681 | reason therefor shall be given. As used in this subparagraph, |
2682 | the term "nonpayment of premium" means failure of the named |
2683 | insured to discharge when due any of her or his obligations in |
2684 | connection with the payment of premiums on a policy or any |
2685 | installment of such premium, whether the premium is payable |
2686 | directly to the insurer or its agent or indirectly under any |
2687 | premium finance plan or extension of credit, or failure to |
2688 | maintain membership in an organization if such membership is a |
2689 | condition precedent to insurance coverage. "Nonpayment of |
2690 | premium" also means the failure of a financial institution to |
2691 | honor an insurance applicant's check after delivery to a |
2692 | licensed agent for payment of a premium, even if the agent has |
2693 | previously delivered or transferred the premium to the insurer. |
2694 | If a dishonored check represents the initial premium payment, |
2695 | the contract and all contractual obligations shall be void ab |
2696 | initio unless the nonpayment is cured within the earlier of 5 |
2697 | days after actual notice by certified mail is received by the |
2698 | applicant or 15 days after notice is sent to the applicant by |
2699 | certified mail or registered mail, and if the contract is void, |
2700 | any premium received by the insurer from a third party shall be |
2701 | refunded to that party in full. |
2702 | 3.2. When such cancellation or termination occurs during |
2703 | the first 90 days during which the insurance is in force and the |
2704 | insurance is canceled or terminated for reasons other than |
2705 | nonpayment of premium, at least 20 days' written notice of |
2706 | cancellation or termination accompanied by the reason therefor |
2707 | shall be given except where there has been a material |
2708 | misstatement or misrepresentation or failure to comply with the |
2709 | underwriting requirements established by the insurer. |
2710 | 4.3. The requirement for providing written notice of |
2711 | nonrenewal by June 1 of any nonrenewal that would be effective |
2712 | between June 1 and November 30 does not apply to the following |
2713 | situations, but the insurer remains subject to the requirement |
2714 | to provide such notice at least 100 days prior to the effective |
2715 | date of nonrenewal: |
2716 | a. A policy that is nonrenewed due to a revision in the |
2717 | coverage for sinkhole losses and catastrophic ground cover |
2718 | collapse pursuant to s. 627.730, as amended by s. 30, chapter |
2719 | 2007-1, Laws of Florida. |
2720 | b. A policy that is nonrenewed by Citizens Property |
2721 | Insurance Corporation, pursuant to s. 627.351(6), for a policy |
2722 | that has been assumed by an authorized insurer offering |
2723 | replacement or renewal coverage to the policyholder. |
2724 |
|
2725 | After the policy has been in effect for 90 days, the policy |
2726 | shall not be canceled by the insurer except when there has been |
2727 | a material misstatement, a nonpayment of premium, a failure to |
2728 | comply with underwriting requirements established by the insurer |
2729 | within 90 days of the date of effectuation of coverage, or a |
2730 | substantial change in the risk covered by the policy or when the |
2731 | cancellation is for all insureds under such policies for a given |
2732 | class of insureds. This paragraph does not apply to individually |
2733 | rated risks having a policy term of less than 90 days. |
2734 | Section 15. Effective January 1, 2011, section 689.262, |
2735 | Florida Statutes, is created to read: |
2736 | 689.262 Sale of residential property; disclosure of |
2737 | windstorm mitigation rating.--A purchaser of residential |
2738 | property that is located in the wind-borne debris region, as |
2739 | defined in s. 1609.2 of the International Building Code(2006), |
2740 | must be informed of the windstorm mitigation rating of the |
2741 | structure, based on the uniform home grading scale adopted |
2742 | pursuant to s. 215.55865. The rating must be included in the |
2743 | contract for sale or as a separate document attached to the |
2744 | contract for sale. The Financial Services Commission may adopt |
2745 | rules, consistent with other state laws, to administer this |
2746 | section, including the form of the disclosure and the |
2747 | requirements for the windstorm mitigation inspection or report |
2748 | that is required for purposes of determining the rating. |
2749 | Section 16. (1) By December 15, 2008, Citizens Property |
2750 | Insurance Corporation shall transfer $250 million to the General |
2751 | Revenue Fund, from the personal lines account and the commercial |
2752 | lines account only, if the combined surplus of the personal |
2753 | lines account and commercial lines account as defined in s. |
2754 | 627.351(6), Florida Statutes, exceeds $1 billion. The board of |
2755 | governors of Citizens Property Insurance Corporation must make a |
2756 | reasonable estimate of such surplus on or after December 1, |
2757 | 2008, and no later than December 14, 2008, using generally |
2758 | accepted actuarial and accounting practices, recognizing that |
2759 | audited financial statements will not yet be available. |
2760 | (2) Beginning July 1, 2009, the board shall make quarterly |
2761 | transfers of any interest earned prior to the issuance of any |
2762 | surplus notes, interest paid, and principal repaid to the state |
2763 | for any surplus notes issued by the program after December 1, |
2764 | 2008, to Citizens Property Insurance Corporation, provided such |
2765 | surplus notes were funded exclusively by an appropriation to the |
2766 | program by the Legislature for the 2008-2009 fiscal year. The |
2767 | corporation shall credit each account as defined in s. |
2768 | 627.351(6) in a pro rata manner for the funds removed from each |
2769 | account to make the transfer required by subsection (1). |
2770 | (3) On July 1, 2009, the State Board of Administration |
2771 | shall transfer to Citizens Property Insurance Corporation any |
2772 | funds that have not been committed or reserved for insurers |
2773 | approved to receive such funds under the program from the funds |
2774 | that were appropriated from the corporation in 2008-2009 for |
2775 | such purposes. |
2776 | Section 17. Citizens Property Insurance Corporation may |
2777 | not use any amendments made to s. 215.5595, Florida Statutes, by |
2778 | this act or any transfer of funds authorized by this act as |
2779 | justification or cause in seeking any rate or assessment |
2780 | increase. |
2781 | Section 18. Subsection (3) is added to section 627.06281, |
2782 | Florida Statutes, to read: |
2783 | 627.06281 Public hurricane loss projection model; |
2784 | reporting of data by insurers.-- |
2785 | (3)(a) A residential property insurer may have access to |
2786 | and use the public hurricane loss projection model, including |
2787 | all assumptions and factors and all detailed loss results, for |
2788 | the purpose of calculating rate indications in a rate filing and |
2789 | for analytical purposes, including any analysis or evaluation of |
2790 | the model required under actuarial standards of practice. |
2791 | (b) By January 1, 2009, the office shall establish by rule |
2792 | a fee schedule for access to and the use of the model. The fee |
2793 | schedule must be reasonably calculated to cover only the actual |
2794 | costs of providing access to and the use of the model. |
2795 | Section 19. Section 627.0655, Florida Statutes, is amended |
2796 | to read: |
2797 | 627.0655 Policyholder loss or expense-related premium |
2798 | discounts.--An insurer or person authorized to engage in the |
2799 | business of insurance in this state may include, in the premium |
2800 | charged an insured for any policy, contract, or certificate of |
2801 | insurance, a discount based on the fact that another policy, |
2802 | contract, or certificate of any type has been purchased by the |
2803 | insured from the same insurer or insurer group, the Citizens |
2804 | Property Insurance Corporation created under s. 627.351(6) if |
2805 | the same insurance agent is servicing both policies, or an |
2806 | insurer that has removed the policy from the Citizens Property |
2807 | Insurance Corporation if the same insurance agent is servicing |
2808 | both policies. |
2809 | Section 20. (1) The Citizens Property Insurance |
2810 | Corporation Mission Review Task Force is created to analyze and |
2811 | compile available data and to develop a report setting forth the |
2812 | statutory and operational changes needed to return Citizens |
2813 | Property Insurance Corporation to its former role as a state- |
2814 | created, noncompetitive residual market mechanism that provides |
2815 | property insurance coverage to risks that are otherwise entitled |
2816 | but unable to obtain such coverage in the private insurance |
2817 | market. The task force shall submit a report to the Governor, |
2818 | the President of the Senate, and the Speaker of the House of |
2819 | Representatives by January 31, 2009. At a minimum, the task |
2820 | force shall analyze and evaluate relevant and applicable |
2821 | information and data and develop recommendations concerning: |
2822 | (a) The nature of Citizens Property Insurance |
2823 | Corporation's role in providing property insurance coverage only |
2824 | if such coverage is not available from private insurers. |
2825 | (b) The ability of the admitted market to offer policies |
2826 | to those consumers formerly insured through Citizens Property |
2827 | Insurance Corporation. This consideration shall include, but not |
2828 | be limited to, the availability of private market reinsurance |
2829 | and coverage through the Florida Hurricane Catastrophe Fund and |
2830 | the capacity of the industry to offer policies to former |
2831 | Citizens Property Insurance Corporation policyholders within |
2832 | existing writing ratio limitations. |
2833 | (c) The relationship of rates charged by Citizens Property |
2834 | Insurance Corporation to rates charged by private insurers, with |
2835 | due consideration for the corporation's role as a noncompetitive |
2836 | residual market mechanism. |
2837 | (d) The relationships between the exposure of Citizens |
2838 | Property Insurance Corporation to catastrophic hurricane losses, |
2839 | the corporation's history of purchasing any reinsurance |
2840 | coverage, and the corporation's capital capacity to meet its |
2841 | potential claim obligations without incurring large deficits. |
2842 | (e) The projected assessments on all policies required to |
2843 | offset the lack of capitol to pay claims. |
2844 | (f) The projections under paragraph (e) shall be specific |
2845 | to losses of $3 billion, $12 billion, and $23 billion caused by |
2846 | a storm or a group of storms in any given year. |
2847 | (g) The operational implications of the variation in the |
2848 | number of policies in force over time in Citizens Property |
2849 | Insurance Corporation and the merits of outsourcing some or all |
2850 | of its operational responsibilities. |
2851 | (h) Changes in the mission and operations of Citizens |
2852 | Property Insurance Corporation to reduce or eliminate any |
2853 | adverse effect such mission and operations may be having on the |
2854 | promotion of sound and economic growth and development of the |
2855 | coastal areas of this state. |
2856 | (i) Appropriate and consistent geographic boundaries of |
2857 | the high-risk account. |
2858 | (j) The rankings, by county, of the average approved rates |
2859 | in Citizens Property Insurance Corporation and any savings |
2860 | associated with policyholder choice in selecting Citizens. |
2861 | (2) The task force shall be composed of 11 members as |
2862 | follows: |
2863 | (a) Two members appointed by the Speaker of the House of |
2864 | Representatives. |
2865 | 1. One member representing a property and casualty |
2866 | residential insurer that provides at least 150,000 homeowner's |
2867 | insurance policies in this state at the time of the creation of |
2868 | the task force. |
2869 | 2. One member representing a surplus lines insurance |
2870 | company. |
2871 | (b) Two members appointed by the President of the |
2872 | Senate. |
2873 | 1. One member representing a property and casualty |
2874 | commercial non-residential insurer. |
2875 | 2. One member representing a property and casualty |
2876 | residential insurer with fewer than 150,000 homeowner's policies |
2877 | in this state at the time of the creation of the task force. |
2878 | (c) Three members appointed by the Governor who are not |
2879 | employed by or professionally affiliated with an insurance |
2880 | company or a subsidiary of an insurance company, at least one of |
2881 | whom must be consumer advocates or members of a consumer |
2882 | advocacy organization or agency. |
2883 | (d) Two members appointed by the Chief Financial Officer |
2884 | representing insurance agents in this state. |
2885 | (e) One member representing Citizens Property Insurance |
2886 | Corporation selected by Citizens Chairman of the Board. |
2887 | (f) The Commissioner of Insurance Regulation or his or her |
2888 | designee. |
2889 | (3) The task force shall conduct research, hold public |
2890 | meetings, receive testimony, employ consultants and |
2891 | administrative staff, and undertake other activities determined |
2892 | by its members to be necessary to complete its responsibilities. |
2893 | Citizens Property Insurance Corporation shall have appropriate |
2894 | senior staff attend task force meetings, shall respond to |
2895 | requests for testimony and data by the task force, shall |
2896 | otherwise cooperate with the task force, and shall provide |
2897 | funding for the necessary costs of implementing the provisions |
2898 | of this section. |
2899 | (4) A member of the task force may not delegate his or her |
2900 | attendance or voting power to a designee. |
2901 | (5) Members of the task force shall serve without |
2902 | compensation but are entitled to receive reimbursement for |
2903 | travel and per diem as provided in s. 112.061, Florida Statutes. |
2904 | (6) The appointments to the task force must be completed |
2905 | within 30 calendar days after the effective date of this act, |
2906 | and the task force must hold its initial meeting within 1 month |
2907 | after appointment of all members. The task force shall expire no |
2908 | later than 60 calendar days after submission of the report |
2909 | required in subsection (1). |
2910 | Section 21. The Chief Financial Officer shall provide a |
2911 | report on the economic impact on the state of a 1-in-100-year |
2912 | hurricane to the Governor, the President of the Senate, and the |
2913 | Speaker of the House of Representatives by March 1 of each year. |
2914 | The report shall include an estimate of the short-term and long- |
2915 | term fiscal impacts of such a storm on Citizens Property |
2916 | Insurance Corporation, the Florida Hurricane Catastrophe Fund, |
2917 | the private insurance and reinsurance markets, the state |
2918 | economy, and the state debt. The report shall also include an |
2919 | analysis of the average premium increase to fund a 1-in-100-year |
2920 | hurricane event and list the average cost, in both a percentage |
2921 | and dollar amount, impact to consumers on a county-level basis. |
2922 | The report may also include recommendations by the Chief |
2923 | Financial Officer for preparing for such a hurricane and |
2924 | reducing the economic impact of such a hurricane on the state. |
2925 | In preparing the analysis, the Chief Financial Officer shall |
2926 | coordinate with and obtain data from the Office of Insurance |
2927 | Regulation, Citizens Property Insurance Corporation, the Florida |
2928 | Hurricane Catastrophe Fund, the Florida Commission on Hurricane |
2929 | Loss Projection Methodology, the State Board of Administration, |
2930 | the Office of Economic and Demographic Research, and other state |
2931 | agencies. |
2932 | Section 22. Section 627.0621, Florida Statutes, is created |
2933 | to read: |
2934 | 627.0621 Transparency in rate regulation.-- |
2935 | (1) DEFINITIONS.--As used in this section, the term: |
2936 | (a) "Rate filing" means any original or amended rate |
2937 | residential property insurance filing. |
2938 | (b) "Recommendation" means any proposed, preliminary, or |
2939 | final recommendation from an office actuary reviewing a rate |
2940 | filing with respect to the issue of approval or disapproval of |
2941 | the rate filing or with respect to rate indications that the |
2942 | office would consider acceptable. |
2943 | (2) WEBSITE FOR PUBLIC ACCESS TO RATE FILING |
2944 | INFORMATION.--With respect to any rate filing made on after July |
2945 | 1, 2008, the office shall provide the following information on a |
2946 | publicly accessible Internet website: |
2947 | (a) The overall rate change requested by the insurer. |
2948 | (b) All assumptions made by the office's actuaries. |
2949 | (c) A statement describing any assumptions or methods that |
2950 | deviate from the actuarial standards of practice of the Casualty |
2951 | Actuarial Society or the American Academy of Actuaries, |
2952 | including an explanation of the nature, rationale, and effect of |
2953 | the deviation. |
2954 | (d) All recommendations made by any office actuary who |
2955 | reviewed the rate filing. |
2956 | (e) Certification by the office's actuary that, based on |
2957 | the actuary's knowledge, his or her recommendations are |
2958 | consistent with accepted actuarial principles. |
2959 | (f) The overall rate change approved by the office. |
2960 | (3) ATTORNEY-CLIENT PRIVILEGE; WORK PRODUCT.--It is the |
2961 | intent of the Legislature that the principles of the public |
2962 | records and open meetings laws apply to the assertion of |
2963 | attorney-client privilege and work product confidentiality by |
2964 | the office in connection with a challenge to its actions on a |
2965 | rate filing. Therefore, in any administrative or judicial |
2966 | proceeding relating to a rate filing, attorney-client privilege |
2967 | and work product exemptions from disclosure do not apply to |
2968 | communications with office attorneys or records prepared by or |
2969 | at the direction of an office attorney, except when the |
2970 | conditions of paragraphs (a) and (b) have been met: |
2971 | (a) The communication or record reflects a mental |
2972 | impression, conclusion, litigation strategy, or legal theory of |
2973 | the attorney or office that was prepared exclusively for civil |
2974 | or criminal litigation or adversarial administrative |
2975 | proceedings. |
2976 | (b) The communication occurred or the record was prepared |
2977 | after the initiation of an action in a court of competent |
2978 | jurisdiction, after the issuance of a notice of intent to deny a |
2979 | rate filing, or after the filing of a request for a proceeding |
2980 | under ss. 120.569 and 120.57. |
2981 | Section 23. Paragraph (b) of subsection (4) of section |
2982 | 215.555, Florida Statutes, is amended to read: |
2983 | 215.555 Florida Hurricane Catastrophe Fund.-- |
2984 | (4) REIMBURSEMENT CONTRACTS.-- |
2985 | (b)1. The contract shall contain a promise by the board to |
2986 | reimburse the insurer for 45 percent, 75 percent, or 90 percent |
2987 | of its losses from each covered event in excess of the insurer's |
2988 | retention, plus 5 percent of the reimbursed losses to cover loss |
2989 | adjustment expenses. |
2990 | 2. The insurer must elect one of the percentage coverage |
2991 | levels specified in this paragraph and may, upon renewal of a |
2992 | reimbursement contract, elect a lower percentage coverage level |
2993 | if no revenue bonds issued under subsection (6) after a covered |
2994 | event are outstanding, or elect a higher percentage coverage |
2995 | level, regardless of whether or not revenue bonds are |
2996 | outstanding. All members of an insurer group must elect the same |
2997 | percentage coverage level. Any joint underwriting association, |
2998 | risk apportionment plan, or other entity created under s. |
2999 | 627.351 must elect the 90-percent coverage level. |
3000 | 3. The contract shall provide that reimbursement amounts |
3001 | shall not be reduced by reinsurance paid or payable to the |
3002 | insurer from other sources. |
3003 | 4. Notwithstanding any other provision contained in this |
3004 | section, the board shall make available to insurers that |
3005 | purchased coverage provided by this subparagraph in 2007 2006, |
3006 | insurers qualifying as limited apportionment companies under s. |
3007 | 627.351(6)(c), and insurers that have been were approved to |
3008 | participate in 2006 or that are approved in 2007 for the |
3009 | Insurance Capital Build-Up Incentive Program pursuant to s. |
3010 | 215.5595, a contract or contract addendum that provides an |
3011 | additional amount of reimbursement coverage of up to $10 |
3012 | million. The premium to be charged for this additional |
3013 | reimbursement coverage shall be 50 percent of the additional |
3014 | reimbursement coverage provided, which shall include one prepaid |
3015 | reinstatement. The minimum retention level that an eligible |
3016 | participating insurer must retain associated with this |
3017 | additional coverage layer is 30 percent of the insurer's surplus |
3018 | as of December 31, 2007 2006. This coverage shall be in addition |
3019 | to all other coverage that may be provided under this section. |
3020 | The coverage provided by the fund under this subparagraph shall |
3021 | be in addition to the claims-paying capacity as defined in |
3022 | subparagraph (c)1., but only with respect to those insurers that |
3023 | select the additional coverage option and meet the requirements |
3024 | of this subparagraph. The claims-paying capacity with respect to |
3025 | all other participating insurers and limited apportionment |
3026 | companies that do not select the additional coverage option |
3027 | shall be limited to their reimbursement premium's proportionate |
3028 | share of the actual claims-paying capacity otherwise defined in |
3029 | subparagraph (c)1. and as provided for under the terms of the |
3030 | reimbursement contract. Coverage provided in the reimbursement |
3031 | contract shall will not be affected by the additional premiums |
3032 | paid by participating insurers exercising the additional |
3033 | coverage option allowed in this subparagraph. This subparagraph |
3034 | expires on May 31, 2009 2008. |
3035 | Section 24. Subsection (1) of section 627.0613, Florida |
3036 | Statutes, is amended to read: |
3037 | 627.0613 Consumer advocate.--The Chief Financial Officer |
3038 | must appoint a consumer advocate who must represent the general |
3039 | public of the state before the department and the office. The |
3040 | consumer advocate must report directly to the Chief Financial |
3041 | Officer, but is not otherwise under the authority of the |
3042 | department or of any employee of the department. The consumer |
3043 | advocate has such powers as are necessary to carry out the |
3044 | duties of the office of consumer advocate, including, but not |
3045 | limited to, the powers to: |
3046 | (1) Recommend to the department or office, by petition, |
3047 | the commencement of any proceeding or action; appear in any |
3048 | proceeding or action before the department or office; or appear |
3049 | in any proceeding before the Division of Administrative Hearings |
3050 | or arbitration panel specified in s. 627.062(6) relating to |
3051 | subject matter under the jurisdiction of the department or |
3052 | office. |
3053 | Section 25. Subsections (1) and (2) of section 627.712, |
3054 | Florida Statutes, are amended to read: |
3055 | 627.712 Residential windstorm coverage required; |
3056 | availability of exclusions for windstorm or contents.-- |
3057 | (1) An insurer issuing a residential property insurance |
3058 | policy must provide windstorm coverage. Except as provided in |
3059 | paragraph (2)(c), this section subsection does not apply with |
3060 | respect to risks that are eligible for wind-only coverage from |
3061 | Citizens Property Insurance Corporation under s. 627.351(6). |
3062 | (2) A property insurer must make available, at the option |
3063 | of the policyholder, an exclusion of windstorm coverage. |
3064 | (a) The coverage may be excluded only if: |
3065 | (a)1. When the policyholder is a natural person, the |
3066 | policyholder personally writes and provides to the insurer the |
3067 | following statement in his or her own handwriting and signs his |
3068 | or her name, which must also be signed by every other named |
3069 | insured on the policy, and dated: "I do not want the insurance |
3070 | on my (home/mobile home/condominium unit) to pay for damage from |
3071 | windstorms. I will pay those costs. My insurance will not." |
3072 | 2. When the policyholder is other than a natural person, |
3073 | the policyholder provides to the insurer on the policyholder's |
3074 | letterhead the following statement that must be signed by the |
3075 | policyholder's authorized representative and dated: " (Name of |
3076 | entity) does not want the insurance on its (type of |
3077 | structure) to pay for damage from windstorms. (Name of |
3078 | entity) will be responsible for these costs. (Name of |
3079 | entity's) insurance will not." |
3080 | (b) If the structure insured by the policy is subject to a |
3081 | mortgage or lien, the policyholder must provide the insurer with |
3082 | a written statement from the mortgageholder or lienholder |
3083 | indicating that the mortgageholder or lienholder approves the |
3084 | policyholder electing to exclude windstorm coverage or hurricane |
3085 | coverage from his or her or its property insurance policy. |
3086 | (c) If the residential structure is eligible for wind-only |
3087 | coverage from Citizens Property Insurance Corporation, an |
3088 | insurer nonrenewing a policy and issuing a replacement policy, |
3089 | or issuing a new policy, that does not provide wind coverage |
3090 | shall provide a notice to the mortgageholder or lienholder |
3091 | indicating the policyholder has elected coverage that does not |
3092 | cover wind. |
3093 | Section 26. The provisions of this act shall supersede and |
3094 | control over any conflicting provisions adopted in House Bill |
3095 | 5057, 2008 Regular Session, to the extent of such conflict, if |
3096 | that bill becomes a law. |
3097 | Section 27. Except as otherwise expressly provided in this |
3098 | act, this act shall take effect July 1, 2008. |
3099 |
|
3100 |
|
3101 |
|
3102 |
|
3103 |
|
3104 | ----------------------------------------------------- |
3105 | T I T L E A M E N D M E N T |
3106 | Remove the entire title and insert: |
3107 | A bill to be entitled |
3108 | An act relating to insurance; providing a short title; amending |
3109 | s. 215.5595, F.S.; revising legislative findings; providing for |
3110 | an appropriation of state funds in exchange for surplus notes |
3111 | issued by residential property insurers under the program; |
3112 | revising the conditions and requirements for providing funds to |
3113 | insurers under the program; requiring a commitment by the |
3114 | insurer to meet minimum premium-to-surplus writing ratios for |
3115 | residential property insurance and for taking policies out of |
3116 | Citizens Property Insurance Corporation; requiring insurers to |
3117 | commit to maintaining certain levels of surplus and reinsurance; |
3118 | authorizing the State Board of Administration to charge a fee |
3119 | for late payments; providing for payment of costs and fees |
3120 | incurred by the board in administering the program from funds |
3121 | appropriated to the program, subject to a specified limit; |
3122 | requiring the board to submit an annual report to the |
3123 | Legislature on the program and insurer compliance with certain |
3124 | requirements; providing that amendments made by the act do not |
3125 | affect the terms of surplus notes approved prior to a specified |
3126 | date; authorizing the State Board of Administration and an |
3127 | insurer to renegotiate such terms consistent with such |
3128 | amendments; requiring the State Board of Administration to |
3129 | transfer to Citizens Property Insurance Corporation certain |
3130 | uncommitted or unreserved funds; amending s. 624.3161, F.S.; |
3131 | authorizing the Office of Insurance Regulation to require an |
3132 | insurer to file its claims handling practices and procedures as |
3133 | a public record based on findings of a market conduct |
3134 | examination; amending s. 624.4211, F.S.; increasing the maximum |
3135 | amounts of administrative fines that may be imposed upon an |
3136 | insurer by the Office of Insurance Regulation for nonwillful and |
3137 | willful violations of an order or rule of the office or any |
3138 | provision of the Florida Insurance Code; creating s. 624.4213, |
3139 | F.S.; specifying requirements for submission of a document or |
3140 | information to the Office of Insurance Regulation or the |
3141 | Department of Financial Services in order for a person to claim |
3142 | that the document is a trade secret; requiring each page or |
3143 | portion to be labeled as a trade secret and be separated from |
3144 | non-trade secret material; requiring the submitting party to |
3145 | include an affidavit certifying certain information about the |
3146 | documents claimed to be trade secrets; requiring the office or |
3147 | department to notify persons who submit trade secret documents |
3148 | of any public-records request and the opportunity to file a |
3149 | court action to bar disclosure; specifying conditions for the |
3150 | office to retain or release such documents; creating s. |
3151 | 624.4305, F.S.; requiring that an insurer planning to nonrenew |
3152 | more than a specified number of residential property insurance |
3153 | policies notify the Office of Insurance Regulation and obtain |
3154 | approval for such nonrenewals; specifying procedures for |
3155 | issuance of such notice; amending s. 626.9521, F.S.; increasing |
3156 | the maximum fines that may be imposed by the office or |
3157 | department for nonwillful and willful violations of state law |
3158 | regarding unfair methods of competition and unfair or deceptive |
3159 | acts or practices related to insurance; amending s. 626.9541, |
3160 | F.S.; specifying an additional unfair claims settlement |
3161 | practice; amending s. 627.0612, F.S.; providing criteria for |
3162 | administrative hearings to determine whether an insurer's |
3163 | property insurance rates, rating manuals, premium credits, |
3164 | discount schedules, and surcharge schedules comply with the law; |
3165 | providing for entry of certain orders; amending s. 627.062, |
3166 | F.S.; requiring that an insurer seeking a rate for property |
3167 | insurance that is greater than the rate most recently approved |
3168 | by the Office of Insurance Regulation make a "file and use" |
3169 | filing for all such rate filings made after a specified date; |
3170 | revising the factors the office must consider in reviewing a |
3171 | rate filing; prohibiting the Office of Insurance Regulation from |
3172 | disapproving as excessive a rate solely because the insurer |
3173 | obtained reinsurance covering a specified probably maximum loss; |
3174 | allowing the office to disapprove a rate as excessive within 1 |
3175 | year after the rate has been approved under certain conditions |
3176 | related to nonrenewal of policies by the insurer; requiring the |
3177 | Division of Administrative Hearings to expedite a hearing |
3178 | request by an insurer and for the administrative law judge to |
3179 | commence the hearing within a specified time; authorizing an |
3180 | insurer to request an expedited appellate review pursuant to the |
3181 | Florida Rules of Appellate Procedure; expressing legislative |
3182 | intent for an expedited appellate review; revising provisions |
3183 | relating to the submission of a disputed rate filing, other than |
3184 | a rate filing for medical malpractice insurance, to an |
3185 | arbitration panel in lieu of an administrative hearing if the |
3186 | rate is filed before a specified date; deleting provisions |
3187 | relating to mandatory arbitration in lieu of certain hearings; |
3188 | amending s. 627.0628, F.S.; providing legislative findings |
3189 | relating to final agency action for insurance ratemaking; |
3190 | requiring the Financial Services Commission to consider and |
3191 | adopt findings relating to certain actuarial models, principles, |
3192 | standards, or models for certain maximum loss level |
3193 | calculations; requiring that with respect to rate filings, |
3194 | insurers must use actuarial methods or models found to be |
3195 | accurate or reliable by the Florida Commission on Hurricane Loss |
3196 | Projection Methodology; deleting the requirement for the Office |
3197 | of Insurance Regulation and the Consumer Advocate to have access |
3198 | to all assumptions of a hurricane loss model in order for a |
3199 | model that has been found to be accurate and reliable by the |
3200 | Florida Commission on Hurricane Loss Projection Methodology to |
3201 | be admissible in a rate proceeding; deleting cross-references to |
3202 | conform to changes made by the act; amending s. 627.0629, F.S.; |
3203 | requiring that the Office of Insurance Regulation develop and |
3204 | make publicly available before a specified deadline a proposed |
3205 | method for insurers to establish windstorm mitigation premium |
3206 | discounts that correlate to the uniform home rating scale; |
3207 | requiring that the Financial Services Commission adopt rules |
3208 | before a specified deadline; requiring insurers to make rate |
3209 | filings pursuant to such method; authorizing the commission to |
3210 | make changes by rule to the uniform home grading scale and |
3211 | specify by rule the minimum required discounts, credits, or |
3212 | other rate differentials; requiring that such rate differentials |
3213 | be consistent with generally accepted actuarial principles and |
3214 | wind loss mitigation studies; amending s. 627.351, F.S., |
3215 | relating to Citizens Property Insurance Corporation; deleting a |
3216 | provision to conform to changes made in the act; deleting |
3217 | provisions defining the terms "homestead property" and |
3218 | "nonhomestead property"; increasing threshold replacement costs |
3219 | of certain structures for eligibility for coverage by the |
3220 | corporation; deleting requirements for certain properties to |
3221 | meeting building code plus requirements as a condition of |
3222 | eligibility for coverage by the corporation; decreasing the |
3223 | value at which certain structures are eligible for coverage; |
3224 | requiring written disclosure of windstorm mitigation ratings for |
3225 | certain structures; deleting outdated provisions requiring the |
3226 | corporation to submit a report for approval of offering |
3227 | multiperil coverage; revising threshold amounts of deficits |
3228 | incurred in a calendar year on which the decision to levy |
3229 | assessments and the types of such assessments are based; |
3230 | revising the formula used to calculate shares of assessments |
3231 | owed by certain assessable insureds; requiring that the board of |
3232 | governors make certain determinations before levying emergency |
3233 | assessments; providing the board of governors with discretion to |
3234 | set the amount of an emergency assessment within specified |
3235 | limits; requiring the board of governors to levy a Citizens |
3236 | policyholder surcharge under certain conditions; increasing the |
3237 | amount of the surcharge; deleting a provision requiring the levy |
3238 | of an immediate assessment against certain policyholders under |
3239 | such conditions; requiring that funds collected from the levy of |
3240 | such surcharges be used for certain purposes; providing that |
3241 | such surcharges are not considered premium and are not subject |
3242 | to commissions, fees, or premium taxes; requiring that the |
3243 | failure to pay such surcharges be treated as failure to pay |
3244 | premium; requiring that the amount of any assessment or |
3245 | surcharge which exceeds the amount of deficits be remitted to |
3246 | and used by the corporation for specified purposes; deleting |
3247 | provisions requiring that the plan of operation of the |
3248 | corporation provide for the levy of a Citizens policyholder |
3249 | surcharge if regular deficit assessments are levied as a result |
3250 | of deficits in certain accounts; deleting provisions related to |
3251 | the calculation, classification, and nonpayment of such |
3252 | surcharge; requiring that the corporation make an annual filing |
3253 | for each personal or commercial line of business it writes, |
3254 | beginning on a specified date; deleting a provision requiring an |
3255 | insurer to purchase bonds that remain unsold; deleting |
3256 | provisions requiring the corporation to make certain |
3257 | confidential underwriting and claims files available to agents |
3258 | to conform to changes made by the act relating to ineligibility |
3259 | of certain dwellings; clarifying the right of certain parties to |
3260 | discover underwriting and claims file records; authorizing the |
3261 | corporation to release such records as it deems necessary; |
3262 | amending s. 627.4133, F.S.; requiring insurers to provide |
3263 | written notice of certain cancellations, nonrenewals, or |
3264 | terminations; creating s. 689.262, F.S.; requiring a purchaser |
3265 | of residential property in wind-borne debris regions to be |
3266 | presented with the windstorm mitigation rating of the structure; |
3267 | authorizing the Financial Services Commission to adopt rules; |
3268 | requiring Citizens Property Insurance Corporation to transfer |
3269 | funds to the General Revenue Fund if the losses due to a |
3270 | hurricane do not exceed a specified amount; requiring the board |
3271 | of governors of Citizens Property Insurance Corporation to make |
3272 | a reasonable estimate of such losses by a certain date; |
3273 | requiring the board to make quarterly transfers of funds to the |
3274 | corporation under certain circumstances; requiring the |
3275 | corporation to credit certain accounts for funds removed to make |
3276 | certain transfers; requiring the State Board of Administration |
3277 | to transfer to Citizens Property Insurance Corporation certain |
3278 | uncommitted or unreserved funds under certain circumstances; |
3279 | prohibiting Citizens Property Insurance Corporation from using |
3280 | certain statutory changes or authorized transfers of funds as |
3281 | justification or cause to seek any rate or assessment increase; |
3282 | amending s. 627.06281, F.S.; providing for residential property |
3283 | insurers to have access to and use a public hurricane loss |
3284 | projection model; requiring the office to establish a fee |
3285 | schedule for such model access and use; amending s. 627.0655, |
3286 | F.S.; expanding application of policyholder loss or expense- |
3287 | related premium discounts; creating the Citizens Property |
3288 | Insurance Corporation Mission Review Task Force; providing |
3289 | purposes; requiring a report; providing report requirements; |
3290 | providing for appointment of members; providing |
3291 | responsibilities; specifying service without compensation; |
3292 | providing for reimbursement of per diem and travel expenses; |
3293 | providing meeting requirements; requiring the corporation to |
3294 | assist the task force; providing for the expiration of the task |
3295 | force; requiring the Chief Financial Officer to provide a report |
3296 | on the economic impact on the state of certain hurricanes; |
3297 | providing report requirements; creating s. 627.0621, F.S.; |
3298 | providing requirements for transparency in rate regulation; |
3299 | providing definitions; providing for a website for public access |
3300 | to rate filing information; providing requirements; providing |
3301 | for application of public meeting requirements; specifying |
3302 | nonapplication of attorney-client or work-product privileges to |
3303 | certain communications in certain administrative or judicial |
3304 | proceedings under certain circumstances; specifying criteria; |
3305 | amending s. 215.555, F.S.; extending for an additional year the |
3306 | offer of reimbursement coverage for specified insurers; revising |
3307 | the qualifying criteria for such insurers; revising provisions |
3308 | to conform; amending s. 627.0613, F.S.; deleting cross- |
3309 | references to conform to changes made by the act; amending s. |
3310 | 627.712, F.S.; requiring insurers to provide notice to |
3311 | mortgageholders or lienholders of certain policies not providing |
3312 | wind coverage for certain structures; providing for provisions |
3313 | of the act to supersede and control over conflicting provisions |
3314 | of House Bill 5057; providing effective dates. |