| 1 | Representatives Ross and Reagan 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. Section 215.5595, Florida Statutes, is amended |
| 8 | to read: |
| 9 | 215.5595 Insurance Capital Build-Up Incentive Program.-- |
| 10 | (1) Upon entering the 2008 2006 hurricane season, the |
| 11 | Legislature finds that: |
| 12 | (a) The losses in this state Florida from eight hurricanes |
| 13 | in 2004 and 2005 have seriously strained the resources of both |
| 14 | the voluntary insurance market and the public sector mechanisms |
| 15 | of Citizens Property Insurance Corporation and the Florida |
| 16 | Hurricane Catastrophe Fund. |
| 17 | (b) Private reinsurance is much less available and at a |
| 18 | significantly greater cost to residential property insurers as |
| 19 | compared to 1 year ago, particularly for amounts below the |
| 20 | insurer's retention or retained losses that must be paid before |
| 21 | reimbursement is provided by the Florida Hurricane Catastrophe |
| 22 | Fund. |
| 23 | (c) The Office of Insurance Regulation has reported that |
| 24 | the insolvency of certain insurers may be imminent. |
| 25 | (d) Hurricane forecast experts predict that the 2006 |
| 26 | hurricane season will be an active hurricane season and that the |
| 27 | Atlantic and Gulf Coast regions face an active hurricane cycle |
| 28 | of 10 to 20 years or longer. |
| 29 | (b)(e) Citizens Property Insurance Corporation has over |
| 30 | 1.2 million policies in force, has the largest market share of |
| 31 | any insurer writing residential property insurer in the state, |
| 32 | and faces the threat of a catastrophic loss that The number of |
| 33 | cancellations or nonrenewals of residential property insurance |
| 34 | policies is expected to increase and the number of new |
| 35 | residential policies written in the voluntary market are likely |
| 36 | to decrease, causing increased policy growth and exposure to the |
| 37 | state insurer of last resort, Citizens Property Insurance |
| 38 | Corporation, and threatening to increase the deficit of the |
| 39 | corporation, currently estimated to be over $1.7 billion. This |
| 40 | deficit must be funded by assessments against insurers and |
| 41 | policyholders, unless otherwise funded by the state. The program |
| 42 | has a substantial positive effect on the depopulation efforts of |
| 43 | Citizens Property Insurance Corporation since companies |
| 44 | participating in the program have removed over 199,000 policies |
| 45 | from the corporation. Companies participating in the program |
| 46 | have issued a significant number of new policies, thereby |
| 47 | keeping an estimated 480,000 new policies out of the |
| 48 | corporation. |
| 49 | (c)(f) Policyholders are subject to high increased |
| 50 | premiums and assessments that are increasingly making such |
| 51 | coverage unaffordable and that may force policyholders to sell |
| 52 | their homes and even leave the state. |
| 53 | (d)(g) The increased risk to the public sector and private |
| 54 | sector continues to pose poses a serious threat to the economy |
| 55 | of this state, particularly the building and financing of |
| 56 | residential structures, and existing mortgages may be placed in |
| 57 | default. |
| 58 | (h) The losses from 2004 and 2005, combined with the |
| 59 | expectation that the increase in hurricane activity will |
| 60 | continue for the foreseeable future, have caused both insurers |
| 61 | and reinsurers to limit the capital they are willing to commit |
| 62 | to covering the hurricane risk in Florida; attracting new |
| 63 | capital to the Florida market is a critical priority; and |
| 64 | providing a low-cost source of capital would enable insurers to |
| 65 | write additional residential property insurance coverage and act |
| 66 | to mitigate premium increases. |
| 67 | (e)(i) Appropriating state funds to be exchanged for used |
| 68 | as surplus notes issued by for residential property insurers, |
| 69 | under conditions requiring the insurer to contribute additional |
| 70 | private sector capital and to write a minimum level of premiums |
| 71 | for residential hurricane coverage, is a valid and important |
| 72 | public purpose. |
| 73 | (f) Extending the Insurance Capital Build-up Incentive |
| 74 | Program will provide an incentive for investors to commit |
| 75 | additional capital to Florida's residential insurance market. |
| 76 | (2) The purpose of this section is to provide funds in |
| 77 | exchange for surplus notes to be issued by to new or existing |
| 78 | authorized residential property insurers under the Insurance |
| 79 | Capital Build-Up Incentive Program administered by the State |
| 80 | Board of Administration, under the following conditions: |
| 81 | (a) The amount of state funds provided in exchange for a |
| 82 | the surplus note to for any insurer or insurer group, other than |
| 83 | an insurer writing only manufactured housing policies, may not |
| 84 | exceed $25 million or 20 percent of the total amount of funds |
| 85 | appropriated for available under the program, whichever is |
| 86 | greater. The amount of the surplus note for any insurer or |
| 87 | insurer group writing residential property insurance covering |
| 88 | only manufactured housing may not exceed $7 million. |
| 89 | (b) On or after April 1, 2008, the insurer must contribute |
| 90 | an amount of new capital to its surplus which is at least equal |
| 91 | to the amount of the surplus note and must apply to the board by |
| 92 | September 1, 2008 July 1, 2006. If an insurer applies after |
| 93 | September 1, 2008 July 1, 2006, but before June 1, 2009 2007, |
| 94 | the amount of the surplus note is limited to one-half of the new |
| 95 | capital that the insurer contributes to its surplus, except that |
| 96 | an insurer writing only manufactured housing policies is |
| 97 | eligible to receive a surplus note of up to $7 million. For |
| 98 | purposes of this section, new capital must be in the form of |
| 99 | cash or cash equivalents as specified in s. 625.012(1). |
| 100 | (c) The insurer's surplus, new capital, and the surplus |
| 101 | note must total at least $50 million, except for insurers |
| 102 | writing residential property insurance covering only |
| 103 | manufactured housing. The insurer's surplus, new capital, and |
| 104 | the surplus note must total at least $14 million for insurers |
| 105 | writing only residential property insurance covering |
| 106 | manufactured housing policies as provided in paragraph (a). |
| 107 | (d) The insurer must commit to increase its writings of |
| 108 | residential property insurance, including the peril of wind, and |
| 109 | to meet meeting a minimum writing ratio of net written premium |
| 110 | to surplus of at least 1:1 for the first calendar year after |
| 111 | receiving the state funds or renegotiation of the surplus note, |
| 112 | 1.5:1 for the second calendar year, and 2:1 for the remaining |
| 113 | term of the surplus note. Alternatively, the insurer must meet a |
| 114 | minimum writing ratio of gross written premium to surplus of at |
| 115 | least 3:1 for the first calendar year after receiving the state |
| 116 | funds or renegotiation of the surplus note, 4.5:1 for the second |
| 117 | calendar year, and 6:1 for the remaining term of the surplus |
| 118 | note. The writing ratios, which shall be determined by the |
| 119 | Office of Insurance Regulation and certified quarterly to the |
| 120 | board. For this purpose, the term "premium" "net written |
| 121 | premium" means net written premium for residential property |
| 122 | insurance in this state Florida, including the peril of wind, |
| 123 | and "surplus" means the new capital and surplus note refers to |
| 124 | the entire surplus of the insurer. An insurer that makes an |
| 125 | initial application after July 1, 2008, must also commit to |
| 126 | writing at least 15 percent of its net or gross written premium |
| 127 | for new policies, not including renewal premiums, for policies |
| 128 | taken out of Citizens Property Insurance Corporation, during |
| 129 | each of the first 3 years after receiving the state funds in |
| 130 | exchange for the surplus note, which shall be determined by the |
| 131 | Office of Insurance Regulation and certified annually to the |
| 132 | board. The office may determine that an insurer meets the |
| 133 | requirement for taking policies out the corporation, by written |
| 134 | notice to the board, upon a finding that the insurer made offers |
| 135 | of coverage to policyholders of the corporation which would have |
| 136 | resulted in meeting this requirement had the policyholders |
| 137 | accepted the offer. The insurer must also commit to maintaining |
| 138 | a level of surplus and reinsurance sufficient to cover in excess |
| 139 | of its 1-in-100 year probable maximum loss, as determined by a |
| 140 | hurricane loss model accepted by the Florida Commission on |
| 141 | Hurricane Loss Projection Methodology, which shall be determined |
| 142 | by the Office of Insurance Regulation and certified annually to |
| 143 | the board. If the board determines that the insurer has failed |
| 144 | to meet any of the requirements of this paragraph required ratio |
| 145 | is not maintained during the term of the surplus note, the board |
| 146 | may increase the interest rate, accelerate the repayment of |
| 147 | interest and principal, or shorten the term of the surplus note, |
| 148 | subject to approval by the Commissioner of Insurance of payments |
| 149 | by the insurer of principal and interest as provided in |
| 150 | paragraph (f). |
| 151 | (e) If the requirements of this section are met, the board |
| 152 | may approve an application by an insurer for funds in exchange |
| 153 | for issuance of a surplus note, unless the board determines that |
| 154 | the financial condition of the insurer and its business plan for |
| 155 | writing residential property insurance in Florida places an |
| 156 | unreasonably high level of financial risk to the state of |
| 157 | nonpayment in full of the interest and principal. The board |
| 158 | shall consult with the Office of Insurance Regulation and may |
| 159 | contract with independent financial and insurance consultants in |
| 160 | making this determination. |
| 161 | (f) The surplus note must be repayable to the state with a |
| 162 | term of 20 years. The surplus note shall accrue interest on the |
| 163 | unpaid principal balance at a rate equivalent to the 10-year |
| 164 | U.S. Treasury Bond rate, require the payment only of interest |
| 165 | during the first 3 years, and include such other terms as |
| 166 | approved by the board. The board may charge late fees up to 5 |
| 167 | percent for late payments or other late remittances. Payment of |
| 168 | principal, or interest, or late fees by the insurer on the |
| 169 | surplus note must be approved by the Commissioner of Insurance, |
| 170 | who shall approve such payment unless the commissioner |
| 171 | determines that such payment will substantially impair the |
| 172 | financial condition of the insurer. If such a determination is |
| 173 | made, the commissioner shall approve such payment that will not |
| 174 | substantially impair the financial condition of the insurer. |
| 175 | (g) The total amount of funds available for the program is |
| 176 | limited to the amount appropriated by the Legislature for this |
| 177 | purpose. If the amount of surplus notes requested by insurers |
| 178 | exceeds the amount of funds available, the board may prioritize |
| 179 | insurers that are eligible and approved, with priority for |
| 180 | funding given to insurers writing only manufactured housing |
| 181 | policies, regardless of the date of application, based on the |
| 182 | financial strength of the insurer, the viability of its proposed |
| 183 | business plan for writing additional residential property |
| 184 | insurance in the state, and the effect on competition in the |
| 185 | residential property insurance market. Between insurers writing |
| 186 | residential property insurance covering manufactured housing, |
| 187 | priority shall be given to the insurer writing the highest |
| 188 | percentage of its policies covering manufactured housing. |
| 189 | (h) The board may allocate portions of the funds available |
| 190 | for the program and establish dates for insurers to apply for |
| 191 | surplus notes from such allocation which are earlier than the |
| 192 | dates established in paragraph (b). |
| 193 | (h)(i) Notwithstanding paragraph (d), a newly formed |
| 194 | manufactured housing insurer that is eligible for a surplus note |
| 195 | under this section shall meet the premium to surplus ratio |
| 196 | provisions of s. 624.4095. |
| 197 | (i)(j) As used in this section, "an insurer writing only |
| 198 | manufactured housing policies" includes: |
| 199 | 1. A Florida domiciled insurer that begins writing |
| 200 | personal lines residential manufactured housing policies in |
| 201 | Florida after March 1, 2007, and that removes a minimum of |
| 202 | 50,000 policies from Citizens Property Insurance Corporation |
| 203 | without accepting a bonus, provided at least 25 percent of its |
| 204 | policies cover manufactured housing. Such an insurer may count |
| 205 | any funds above the minimum capital and surplus requirement that |
| 206 | were contributed into the insurer after March 1, 2007, as new |
| 207 | capital under this section. |
| 208 | 2. A Florida domiciled insurer that writes at least 40 |
| 209 | percent of its policies covering manufactured housing in |
| 210 | Florida. |
| 211 | (3) As used in this section, the term: |
| 212 | (a) "Board" means the State Board of Administration. |
| 213 | (b) "Program" means the Insurance Capital Build-Up |
| 214 | Incentive Program established by this section. |
| 215 | (4) The state funds provided to the insurer in exchange |
| 216 | for the A surplus note provided to an insurer pursuant to this |
| 217 | section are is considered borrowed surplus an asset of the |
| 218 | insurer pursuant to s. 628.401 s. 625.012. |
| 219 | (5) If an insurer that receives funds in exchange for |
| 220 | issuance of a surplus note pursuant to this section is rendered |
| 221 | insolvent, the state is a class 3 creditor pursuant to s. |
| 222 | 631.271 for the unpaid principal and interest on the surplus |
| 223 | note. |
| 224 | (6) The board shall adopt rules prescribing the |
| 225 | procedures, administration, and criteria for approving the |
| 226 | applications of insurers to receive funds in exchange for |
| 227 | issuance of surplus notes pursuant to this section, which may be |
| 228 | adopted pursuant to the procedures for emergency rules of |
| 229 | chapter 120. Otherwise, actions and determinations by the board |
| 230 | pursuant to this section are exempt from chapter 120. |
| 231 | (7) The board shall invest and reinvest the funds |
| 232 | appropriated for the program in accordance with s. 215.47 and |
| 233 | consistent with board policy. |
| 234 | (8) Costs and fees incurred by the board in administering |
| 235 | this program, including fees for investment services, shall be |
| 236 | paid from funds appropriated by the Legislature for this |
| 237 | program, but are limited to 1 percent of the amount |
| 238 | appropriated. |
| 239 | (9) The board shall submit a report to the President of |
| 240 | the Senate and the Speaker of the House of Representatives by |
| 241 | February 1 of each year as to the results of the program and |
| 242 | each insurer's compliance with the terms of its surplus note. |
| 243 | (10) The amendments to this section enacted in 2008 do not |
| 244 | affect the terms or conditions of the surplus notes that were |
| 245 | approved prior to January 1, 2008. However, the board may |
| 246 | renegotiate the terms of any surplus note issued by an insurer |
| 247 | prior to January 2008 under this program upon the agreement of |
| 248 | the insurer and the board and consistent with the requirements |
| 249 | of this section as amended in 2008. |
| 250 | Section 2. Subsection (6) is added to section 624.3161, |
| 251 | Florida Statutes, to read: |
| 252 | 624.3161 Market conduct examinations.-- |
| 253 | (6) Based on the findings of a market conduct examination |
| 254 | that an insurer has exhibited a pattern or practice of willful |
| 255 | violations of an unfair insurance trade practice related to |
| 256 | claims-handling which caused harm to policyholders, as |
| 257 | prohibited by s. 626.9541(1)(i), the office, after a proceeding |
| 258 | under ss. 120.569 and 120.57(1), may require an insurer to file |
| 259 | its claims-handling practices and procedures related to that |
| 260 | line of insurance with the office for review and inspection, to |
| 261 | be held by the office for the following 36-month period. Such |
| 262 | claims-handling practices and procedures are public records and |
| 263 | are not trade secrets or otherwise exempt from the provisions of |
| 264 | s. 119.07(1). As used in this section, "claims-handling |
| 265 | practices and procedures" are any policies, guidelines, rules, |
| 266 | protocols, standard operating procedures, instructions, or |
| 267 | directives that govern or guide how and the manner in which an |
| 268 | insured's claims for benefits under any policy will be |
| 269 | processed. |
| 270 | Section 3. Subsections (2) and (3) of section 624.4211, |
| 271 | Florida Statutes, are amended to read: |
| 272 | 624.4211 Administrative fine in lieu of suspension or |
| 273 | revocation.-- |
| 274 | (2) With respect to any nonwillful violation, such fine |
| 275 | may shall not exceed $5,000 $2,500 per violation. In no event |
| 276 | shall such fine exceed an aggregate amount of $20,000 $10,000 |
| 277 | for all nonwillful violations arising out of the same action. If |
| 278 | When an insurer discovers a nonwillful violation, the insurer |
| 279 | shall correct the violation and, if restitution is due, make |
| 280 | restitution to all affected persons. Such restitution shall |
| 281 | include interest at 12 percent per year from either the date of |
| 282 | the violation or the date of inception of the affected person's |
| 283 | policy, at the insurer's option. The restitution may be a credit |
| 284 | against future premiums due provided that the interest |
| 285 | accumulates shall accumulate until the premiums are due. If the |
| 286 | amount of restitution due to any person is $50 or more and the |
| 287 | insurer wishes to credit it against future premiums, it shall |
| 288 | notify such person that she or he may receive a check instead of |
| 289 | a credit. If the credit is on a policy that which is not |
| 290 | renewed, the insurer shall pay the restitution to the person to |
| 291 | whom it is due. |
| 292 | (3) With respect to any knowing and willful violation of a |
| 293 | lawful order or rule of the office or commission or a provision |
| 294 | of this code, the office may impose a fine upon the insurer in |
| 295 | an amount not to exceed $40,000 $20,000 for each such violation. |
| 296 | In no event shall such fine exceed an aggregate amount of |
| 297 | $200,000 $100,000 for all knowing and willful violations arising |
| 298 | out of the same action. In addition to such fines, the such |
| 299 | insurer shall make restitution when due in accordance with the |
| 300 | provisions of subsection (2). |
| 301 | Section 4. Section 624.4213, Florida Statutes, is created |
| 302 | to read: |
| 303 | 624.4213 Trade secret documents.-- |
| 304 | (1) If any person who is required to submit documents or |
| 305 | other information to the office or department pursuant to the |
| 306 | Insurance Code or by rule or order of the office, department, or |
| 307 | commission claims that such submission contains a trade secret, |
| 308 | such person may file with the office or department a notice of |
| 309 | trade secret as provided in this section. Failure to do so |
| 310 | constitutes a waiver of any claim by such person that the |
| 311 | document or information is a trade secret. |
| 312 | (a) Each page of such document or specific portion of a |
| 313 | document claimed to be a trade secret must be clearly marked as |
| 314 | "trade secret." |
| 315 | (b) All material marked as a trade secret must be |
| 316 | separated from all non-trade secret material, such as being |
| 317 | submitted in a separate envelope clearly marked as "trade |
| 318 | secret." |
| 319 | (c) In submitting a notice of trade secret to the office |
| 320 | or department, the submitting party must include an affidavit |
| 321 | certifying under oath to the truth of the following statements |
| 322 | concerning all documents or information that are claimed to be |
| 323 | trade secrets: |
| 324 | 1. [I consider/My company considers] this information a |
| 325 | trade secret that has value and provides an advantage or an |
| 326 | opportunity to obtain an advantage over those who do not know or |
| 327 | use it. |
| 328 | 2. [I have/My company has] taken measures to prevent the |
| 329 | disclosure of the information to anyone other that those who |
| 330 | have been selected to have access for limited purposes, and [I |
| 331 | intend/my company intends] to continue to take such measures. |
| 332 | 3. The information is not, and has not been, reasonably |
| 333 | obtainable without [my/our] consent by other persons by use of |
| 334 | legitimate means. |
| 335 | 4. The information is not publicly available elsewhere. |
| 336 | (2) If the office or department receives a public-records |
| 337 | request for a document or information that is marked and |
| 338 | certified as a trade secret, the office or department shall |
| 339 | promptly notify the person that certified the document as a |
| 340 | trade secret. The notice shall inform such person that he or she |
| 341 | or his or her company has 30 days following receipt of such |
| 342 | notice to file an action in circuit court seeking a |
| 343 | determination whether the document in question contains trade |
| 344 | secrets and an order barring public disclosure of the document. |
| 345 | If that person or company files an action within 30 days after |
| 346 | receipt of notice of the public-records request, the office or |
| 347 | department may not release the documents pending the outcome of |
| 348 | the legal action. The failure to file an action within 30 days |
| 349 | constitutes a waiver of any claim of confidentiality and the |
| 350 | office or department shall release the document as requested. |
| 351 | (3) The office or department may disclose a trade secret, |
| 352 | together with the claim that it is a trade secret, to an officer |
| 353 | or employee of another governmental agency whose use of the |
| 354 | trade secret is within the scope of his or her employment. |
| 355 | Section 5. Section 624.4305, Florida Statutes, is created |
| 356 | to read: |
| 357 | 624.4305 Nonrenewal of residential property insurance |
| 358 | policies.--Any insurer planning to nonrenew more than 10,000 |
| 359 | residential property insurance policies in this state within a |
| 360 | 12-month period shall give notice in writing to the Office of |
| 361 | Insurance Regulation for informational purposes 90 days before |
| 362 | the issuance of any notices of nonrenewal. The notice provided |
| 363 | to the office must set forth the insurer's reasons for such |
| 364 | action, the effective dates of nonrenewal, and any arrangements |
| 365 | made for other insurers to offer coverage to affected |
| 366 | policyholders. |
| 367 | Section 6. Subsection (2) of section 626.9521, Florida |
| 368 | Statutes, is amended to read: |
| 369 | 626.9521 Unfair methods of competition and unfair or |
| 370 | deceptive acts or practices prohibited; penalties.-- |
| 371 | (2) Any person who violates any provision of this part |
| 372 | shall be subject to a fine in an amount not greater than $5,000 |
| 373 | $2,500 for each nonwillful violation and not greater than |
| 374 | $40,000 $20,000 for each willful violation. Fines under this |
| 375 | subsection imposed against an insurer may not exceed an |
| 376 | aggregate amount of $20,000 $10,000 for all nonwillful |
| 377 | violations arising out of the same action or an aggregate amount |
| 378 | of $200,000 $100,000 for all willful violations arising out of |
| 379 | the same action. The fines authorized by this subsection may be |
| 380 | imposed in addition to any other applicable penalty. |
| 381 | Section 7. Section 627.0612, Florida Statutes, is amended |
| 382 | to read: |
| 383 | 627.0612 Administrative proceedings in rating |
| 384 | determinations.-- |
| 385 | (1) In any proceeding to determine whether rates, rating |
| 386 | plans, or other matters governed by this part comply with the |
| 387 | law, the appellate court shall set aside a final order of the |
| 388 | office if the office has violated s. 120.57(1)(k) by |
| 389 | substituting its findings of fact for findings of an |
| 390 | administrative law judge which were supported by competent |
| 391 | substantial evidence. |
| 392 | (2) In an administrative hearing to determine whether an |
| 393 | insurer's rates, rating schedules, rating manuals, premium |
| 394 | credits, discount schedules, surcharge schedules, or changes |
| 395 | thereto, for property insurance comply with the law, in addition |
| 396 | to any other findings of fact, findings on the following matters |
| 397 | shall be considered findings of fact: |
| 398 | (a) Whether a factor or factors used in a rate filing or |
| 399 | applied by the office is consistent with standard actuarial |
| 400 | techniques or practices or are otherwise based on reasonable |
| 401 | actuarial judgment. |
| 402 | (b) Whether a factor for underwriting profit and |
| 403 | contingencies is reasonable or excessive. |
| 404 | (c) Whether the cost of reinsurance is reasonable or |
| 405 | excessive. |
| 406 | (d) Whether a factor or factors used in a rate filing or |
| 407 | applied by the office demonstrate that a rate is excessive, |
| 408 | inadequate or unfairly discriminatory. |
| 409 | (3) In an administrative hearing to determine whether an |
| 410 | insurer's rates, rating schedules, rating manuals, premium |
| 411 | credits, discount schedules, surcharge schedules, or changes |
| 412 | thereto, for property insurance comply with the law, an order |
| 413 | may be entered that approves, modifies, or rejects the requested |
| 414 | change. An order modifying the requested rate change shall |
| 415 | recommend such change as is supported by the record in the case. |
| 416 | Section 8. Paragraphs (a), (b), and (g) of subsection |
| 417 | (2),subsection (6), and paragraph (a) of subsection (9) of |
| 418 | section 627.062, Florida Statutes, are amended to read: |
| 419 | 627.062 Rate standards.-- |
| 420 | (2) As to all such classes of insurance: |
| 421 | (a) Insurers or rating organizations shall establish and |
| 422 | use rates, rating schedules, or rating manuals to allow the |
| 423 | insurer a reasonable rate of return on such classes of insurance |
| 424 | written in this state. A copy of rates, rating schedules, rating |
| 425 | manuals, premium credits or discount schedules, and surcharge |
| 426 | schedules, and changes thereto, shall be filed with the office |
| 427 | under one of the following procedures except as provided in |
| 428 | subparagraph 3.: |
| 429 | 1. If the filing is made at least 90 days before the |
| 430 | proposed effective date and the filing is not implemented during |
| 431 | the office's review of the filing and any proceeding and |
| 432 | judicial review, then such filing shall be considered a "file |
| 433 | and use" filing. In such case, the office shall finalize its |
| 434 | review by issuance of a notice of intent to approve or a notice |
| 435 | of intent to disapprove within 90 days after receipt of the |
| 436 | filing. The notice of intent to approve and the notice of intent |
| 437 | to disapprove constitute agency action for purposes of the |
| 438 | Administrative Procedure Act. Requests for supporting |
| 439 | information, requests for mathematical or mechanical |
| 440 | corrections, or notification to the insurer by the office of its |
| 441 | preliminary findings shall not toll the 90-day period during any |
| 442 | such proceedings and subsequent judicial review. The rate shall |
| 443 | be deemed approved if the office does not issue a notice of |
| 444 | intent to approve or a notice of intent to disapprove within 90 |
| 445 | days after receipt of the filing. |
| 446 | 2. If the filing is not made in accordance with the |
| 447 | provisions of subparagraph 1., such filing shall be made as soon |
| 448 | as practicable, but no later than 30 days after the effective |
| 449 | date, and shall be considered a "use and file" filing. An |
| 450 | insurer making a "use and file" filing is potentially subject to |
| 451 | an order by the office to return to policyholders portions of |
| 452 | rates found to be excessive, as provided in paragraph (h). |
| 453 | 3. For all property insurance filings made or submitted |
| 454 | after January 25, 2007, but before December 31, 2009 2008, an |
| 455 | insurer seeking a rate that is greater than the rate most |
| 456 | recently approved by the office shall make a "file and use" |
| 457 | filing. This subparagraph applies to property insurance only. |
| 458 | For purposes of this subparagraph, motor vehicle collision and |
| 459 | comprehensive coverages are not considered to be property |
| 460 | coverages. |
| 461 | (b) Upon receiving a rate filing, the office shall review |
| 462 | the rate filing to determine if a rate is excessive, inadequate, |
| 463 | or unfairly discriminatory. In making that determination, the |
| 464 | office shall, in accordance with generally accepted and |
| 465 | reasonable actuarial techniques, consider the following factors: |
| 466 | 1. Past and prospective loss experience within and without |
| 467 | this state. |
| 468 | 2. Past and prospective expenses. |
| 469 | 3. The degree of competition among insurers for the risk |
| 470 | insured. |
| 471 | 4. Investment income reasonably expected by the insurer, |
| 472 | consistent with the insurer's investment practices, from |
| 473 | investable premiums anticipated in the filing, plus any other |
| 474 | expected income from currently invested assets representing the |
| 475 | amount expected on unearned premium reserves and loss reserves. |
| 476 | The commission may adopt rules using utilizing reasonable |
| 477 | techniques of actuarial science and economics to specify the |
| 478 | manner in which insurers shall calculate investment income |
| 479 | attributable to such classes of insurance written in this state |
| 480 | and the manner in which such investment income shall be used to |
| 481 | calculate in the calculation of insurance rates. Such manner |
| 482 | shall contemplate allowances for an underwriting profit factor |
| 483 | and full consideration of investment income which produce a |
| 484 | reasonable rate of return; however, investment income from |
| 485 | invested surplus may shall not be considered. |
| 486 | 5. The reasonableness of the judgment reflected in the |
| 487 | filing. |
| 488 | 6. Dividends, savings, or unabsorbed premium deposits |
| 489 | allowed or returned to Florida policyholders, members, or |
| 490 | subscribers. |
| 491 | 7. The adequacy of loss reserves. |
| 492 | 8. The cost of reinsurance. The office shall not |
| 493 | disapprove a rate as excessive solely due to the insurer having |
| 494 | obtained catastrophic reinsurance to cover the insurer's |
| 495 | estimated 250-year probable maximum loss or any lower level of |
| 496 | loss. |
| 497 | 9. Trend factors, including trends in actual losses per |
| 498 | insured unit for the insurer making the filing. |
| 499 | 10. Conflagration and catastrophe hazards, if applicable. |
| 500 | 11. Projected hurricane losses, if applicable, which must |
| 501 | be estimated using a model or method found to be acceptable or |
| 502 | reliable by the Florida Commission on Hurricane Loss Projection |
| 503 | Methodology, and as further provided in s. 627.0628. |
| 504 | 12.11. A reasonable margin for underwriting profit and |
| 505 | contingencies. For that portion of the rate covering the risk of |
| 506 | hurricanes and other catastrophic losses for which the insurer |
| 507 | has not purchased reinsurance and has exposed its capital and |
| 508 | surplus to such risk, the office must approve a rating factor |
| 509 | that provides the insurer a reasonable rate of return that is |
| 510 | commensurate with such risk. |
| 511 | 13.12. The cost of medical services, if applicable. |
| 512 | 14.13. Other relevant factors which impact upon the |
| 513 | frequency or severity of claims or upon expenses. |
| 514 | (g) The office may at any time review a rate, rating |
| 515 | schedule, rating manual, or rate change; the pertinent records |
| 516 | of the insurer; and market conditions. If the office finds on a |
| 517 | preliminary basis that a rate may be excessive, inadequate, or |
| 518 | unfairly discriminatory, the office shall initiate proceedings |
| 519 | to disapprove the rate and shall so notify the insurer. However, |
| 520 | the office may not disapprove as excessive any rate for which it |
| 521 | has given final approval or which has been deemed approved for a |
| 522 | period of 1 year after the effective date of the filing unless |
| 523 | the office finds that a material misrepresentation or material |
| 524 | error was made by the insurer or was contained in the filing. |
| 525 | Upon being so notified, the insurer or rating organization |
| 526 | shall, within 60 days, file with the office all information |
| 527 | which, in the belief of the insurer or organization, proves the |
| 528 | reasonableness, adequacy, and fairness of the rate or rate |
| 529 | change. The office shall issue a notice of intent to approve or |
| 530 | a notice of intent to disapprove pursuant to the procedures of |
| 531 | paragraph (a) within 90 days after receipt of the insurer's |
| 532 | initial response. In such instances and in any administrative |
| 533 | proceeding relating to the legality of the rate, the insurer or |
| 534 | rating organization shall carry the burden of proof by a |
| 535 | preponderance of the evidence to show that the rate is not |
| 536 | excessive, inadequate, or unfairly discriminatory. After the |
| 537 | office notifies an insurer that a rate may be excessive, |
| 538 | inadequate, or unfairly discriminatory, unless the office |
| 539 | withdraws the notification, the insurer shall not alter the rate |
| 540 | except to conform with the office's notice until the earlier of |
| 541 | 120 days after the date the notification was provided or 180 |
| 542 | days after the date of the implementation of the rate. The |
| 543 | office may, subject to chapter 120, disapprove without the 60- |
| 544 | day notification any rate increase filed by an insurer within |
| 545 | the prohibited time period or during the time that the legality |
| 546 | of the increased rate is being contested. |
| 547 |
|
| 548 | The provisions of this subsection shall not apply to workers' |
| 549 | compensation and employer's liability insurance and to motor |
| 550 | vehicle insurance. |
| 551 | (6)(a) If an insurer requests an administrative hearing |
| 552 | pursuant to s. 120.57 related to a rate filing under this |
| 553 | section, the director of the Division of Administrative Hearings |
| 554 | shall expedite the hearing and assign an administrative law |
| 555 | judge who shall commence the hearing within 30 days after the |
| 556 | receipt of the formal request and shall enter a recommended |
| 557 | order within 30 days after the hearing or within 30 days after |
| 558 | receipt of the hearing transcript by the administrative law |
| 559 | judge, whichever is later. Each party shall be allowed 10 days |
| 560 | in which to submit written exceptions to the recommended order. |
| 561 | The office shall enter a final order within 30 days after the |
| 562 | entry of the recommended order. The provisions of this paragraph |
| 563 | may be waived upon stipulation of all parties. |
| 564 | (b) Upon entry of a final order, the insurer may request a |
| 565 | expedited appellate review pursuant to the Florida Rules of |
| 566 | Appellate Procedure. It is the intent of the Legislature that |
| 567 | the First District Court of Appeal grant an insurer's request |
| 568 | for an expedited appellate review. |
| 569 | (a) After any action with respect to a rate filing that |
| 570 | constitutes agency action for purposes of the Administrative |
| 571 | Procedure Act, except for a rate filing for medical malpractice, |
| 572 | an insurer may, in lieu of demanding a hearing under s. 120.57, |
| 573 | require arbitration of the rate filing. However, the arbitration |
| 574 | option provision in this subsection does not apply to a rate |
| 575 | filing that is made on or after the effective date of this act |
| 576 | until January 1, 2009. Arbitration shall be conducted by a board |
| 577 | of arbitrators consisting of an arbitrator selected by the |
| 578 | office, an arbitrator selected by the insurer, and an arbitrator |
| 579 | selected jointly by the other two arbitrators. Each arbitrator |
| 580 | must be certified by the American Arbitration Association. A |
| 581 | decision is valid only upon the affirmative vote of at least two |
| 582 | of the arbitrators. No arbitrator may be an employee of any |
| 583 | insurance regulator or regulatory body or of any insurer, |
| 584 | regardless of whether or not the employing insurer does business |
| 585 | in this state. The office and the insurer must treat the |
| 586 | decision of the arbitrators as the final approval of a rate |
| 587 | filing. Costs of arbitration shall be paid by the insurer. |
| 588 | (b) Arbitration under this subsection shall be conducted |
| 589 | pursuant to the procedures specified in ss. 682.06-682.10. |
| 590 | Either party may apply to the circuit court to vacate or modify |
| 591 | the decision pursuant to s. 682.13 or s. 682.14. The commission |
| 592 | shall adopt rules for arbitration under this subsection, which |
| 593 | rules may not be inconsistent with the arbitration rules of the |
| 594 | American Arbitration Association as of January 1, 1996. |
| 595 | (c) Upon initiation of the arbitration process, the |
| 596 | insurer waives all rights to challenge the action of the office |
| 597 | under the Administrative Procedure Act or any other provision of |
| 598 | law; however, such rights are restored to the insurer if the |
| 599 | arbitrators fail to render a decision within 90 days after |
| 600 | initiation of the arbitration process. |
| 601 | (9)(a) Effective March 1, 2007, The chief executive |
| 602 | officer or chief financial officer of a property insurer and the |
| 603 | chief actuary of a property insurer must certify under oath and |
| 604 | subject to the penalty of perjury, on a form approved by the |
| 605 | commission, the following information, which must accompany a |
| 606 | rate filing: |
| 607 | 1. The signing officer and actuary have reviewed the rate |
| 608 | filing; |
| 609 | 2. Based on the signing officer's and actuary's knowledge, |
| 610 | the rate filing does not contain any untrue statement of a |
| 611 | material fact or omit to state a material fact necessary in |
| 612 | order to make the statements made, in light of the circumstances |
| 613 | under which such statements were made, not misleading; |
| 614 | 3. Based on the signing officer's and actuary's knowledge, |
| 615 | the information and other factors described in paragraph (2)(b), |
| 616 | including, but not limited to, investment income, fairly present |
| 617 | in all material respects the basis of the rate filing for the |
| 618 | periods presented in the filing; and |
| 619 | 4. Based on the signing officer's and actuary's knowledge, |
| 620 | the rate filing reflects all premium savings that are reasonably |
| 621 | expected to result from legislative enactments and are in |
| 622 | accordance with generally accepted and reasonable actuarial |
| 623 | techniques. |
| 624 | Section 9. Paragraph (c) of subsection (1) and paragraph |
| 625 | (c) of subsection (3) of section 627.0628, Florida Statutes, are |
| 626 | amended, and paragraph (e) is added to subsection (1) of that |
| 627 | section, to read: |
| 628 | 627.0628 Florida Commission on Hurricane Loss Projection |
| 629 | Methodology; public records exemption; public meetings |
| 630 | exemption.-- |
| 631 | (1) LEGISLATIVE FINDINGS AND INTENT.-- |
| 632 | (c) It is the intent of the Legislature to create the |
| 633 | Florida Commission on Hurricane Loss Projection Methodology as a |
| 634 | panel of experts to provide the most actuarially sophisticated |
| 635 | guidelines and standards for projection of hurricane losses |
| 636 | possible, given the current state of actuarial science. It is |
| 637 | the further intent of the Legislature that such standards and |
| 638 | guidelines must be used by the State Board of Administration in |
| 639 | developing reimbursement premium rates for the Florida Hurricane |
| 640 | Catastrophe Fund, and, subject to paragraph (3)(c), must may be |
| 641 | used by insurers in rate filings under s. 627.062 unless the way |
| 642 | in which such standards and guidelines were applied by the |
| 643 | insurer was erroneous, as shown by a preponderance of the |
| 644 | evidence. |
| 645 | (e) The Legislature finds that the authority to take final |
| 646 | agency action with respect to insurance ratemaking is vested in |
| 647 | the Office of Insurance Regulation and the Financial Services |
| 648 | Commission, and that the processes, standards, and guidelines of |
| 649 | the Florida Commission on Hurricane Loss Projection Methodology |
| 650 | do not constitute final agency action or statements of general |
| 651 | applicability that implement, interpret, or prescribe law or |
| 652 | policy; accordingly, chapter 120 does not apply to the |
| 653 | processes, standards, and guidelines of the Florida Commission |
| 654 | on Hurricane Loss Projection Methodology. |
| 655 | (3) ADOPTION AND EFFECT OF STANDARDS AND GUIDELINES.-- |
| 656 | (c) With respect to a rate filing under s. 627.062, an |
| 657 | insurer must may employ and may not modify or adjust actuarial |
| 658 | methods, principles, standards, models, or output ranges found |
| 659 | by the commission to be accurate or reliable in determining to |
| 660 | determine hurricane loss factors for use in a rate filing and in |
| 661 | determining probable maximum loss levels for reinsurance costs |
| 662 | included in a rate filing under s. 627.062; except as provided |
| 663 | in s. 627.062(2)(b)12., the use of any other model is reasonable |
| 664 | if the insurer provides justification that establishes by a |
| 665 | preponderance of the evidence that such use is reasonable and |
| 666 | consistent with actuarial standards of practice. Such findings |
| 667 | and factors are admissible and relevant in consideration of a |
| 668 | rate filing by the office or in any arbitration or |
| 669 | administrative or judicial review only if the office and the |
| 670 | consumer advocate appointed pursuant to s. 627.0613 have access |
| 671 | to all of the assumptions and factors that were used in |
| 672 | developing the actuarial methods, principles, standards, models, |
| 673 | or output ranges, and are not precluded from disclosing such |
| 674 | information in a rate proceeding. In any rate hearing under s. |
| 675 | 120.57 or in any arbitration proceeding under s. 627.062(6), the |
| 676 | hearing officer, judge, or arbitration panel may determine |
| 677 | whether the office and the consumer advocate were provided with |
| 678 | access to all of the assumptions and factors that were used in |
| 679 | developing the actuarial methods, principles, standards, models, |
| 680 | or output ranges and to determine their admissibility. |
| 681 | Section 10. Subsection (1) of section 627.0629, Florida |
| 682 | Statutes, is amended to read: |
| 683 | 627.0629 Residential property insurance; rate filings.-- |
| 684 | (1)(a) It is the intent of the Legislature that insurers |
| 685 | must provide savings to consumers who install or implement |
| 686 | windstorm damage mitigation techniques, alterations, or |
| 687 | solutions to their properties to prevent windstorm losses. A |
| 688 | rate filing for residential property insurance must include |
| 689 | actuarially reasonable discounts, credits, or other rate |
| 690 | differentials, or appropriate reductions in deductibles, for |
| 691 | properties on which fixtures or construction techniques |
| 692 | demonstrated to reduce the amount of loss in a windstorm have |
| 693 | been installed or implemented. The fixtures or construction |
| 694 | techniques shall include, but not be limited to, fixtures or |
| 695 | construction techniques which enhance roof strength, roof |
| 696 | covering performance, roof-to-wall strength, wall-to-floor-to- |
| 697 | foundation strength, opening protection, and window, door, and |
| 698 | skylight strength. Credits, discounts, or other rate |
| 699 | differentials, or appropriate reductions in deductibles, for |
| 700 | fixtures and construction techniques which meet the minimum |
| 701 | requirements of the Florida Building Code must be included in |
| 702 | the rate filing. All insurance companies must make a rate filing |
| 703 | which includes the credits, discounts, or other rate |
| 704 | differentials or reductions in deductibles by February 28, 2003. |
| 705 | By July 1, 2007, the office shall reevaluate the discounts, |
| 706 | credits, other rate differentials, and appropriate reductions in |
| 707 | deductibles for fixtures and construction techniques that meet |
| 708 | the minimum requirements of the Florida Building Code, based |
| 709 | upon actual experience or any other loss relativity studies |
| 710 | available to the office. The office shall determine the |
| 711 | discounts, credits, other rate differentials, and appropriate |
| 712 | reductions in deductibles that reflect the full actuarial value |
| 713 | of such revaluation, which may be used by insurers in rate |
| 714 | filings. |
| 715 | (b) By February 1, 2011, the Office of Insurance |
| 716 | Regulation, in consultation with the Department of Financial |
| 717 | Services and the Department of Community Affairs, shall develop |
| 718 | and make publicly available a proposed method for insurers to |
| 719 | establish discounts, credits, or other rate differentials for |
| 720 | hurricane mitigation measures which directly correlate to the |
| 721 | numerical rating assigned to a structure pursuant to the uniform |
| 722 | home grading scale adopted by the Financial Services Commission |
| 723 | pursuant to s. 215.55865, including any proposed changes to the |
| 724 | uniform home grading scale. By October 1, 2011, the commission |
| 725 | shall adopt rules requiring insurers to make rate filings for |
| 726 | residential property insurance which revise insurers' discounts, |
| 727 | credits, or other rate differentials for hurricane mitigation |
| 728 | measures so that such rate differentials correlate directly to |
| 729 | the uniform home grading scale. The rules may include such |
| 730 | changes to the uniform home grading scale as the commission |
| 731 | determines are necessary, and may specify the minimum required |
| 732 | discounts, credits, or other rate differentials. Such rate |
| 733 | differentials must be consistent with generally accepted |
| 734 | actuarial principles and wind-loss mitigation studies. The rules |
| 735 | shall allow a period of at least 2 years after the effective |
| 736 | date of the revised mitigation discounts, credits, or other rate |
| 737 | differentials for a property owner to obtain an inspection or |
| 738 | otherwise qualify for the revised credit, during which time the |
| 739 | insurer shall continue to apply the mitigation credit that was |
| 740 | applied immediately prior to the effective date of the revised |
| 741 | credit. |
| 742 | Section 11. Subsection (2) and paragraphs (a), (b), (c), |
| 743 | (m), (p), (w), (dd), and (ee) of subsection (6) of section |
| 744 | 627.351, Florida Statutes, are amended, and new paragraph (ff) |
| 745 | is added to that subsection, to read: |
| 746 | 627.351 Insurance risk apportionment plans.-- |
| 747 | (2) WINDSTORM INSURANCE RISK APPORTIONMENT.-- |
| 748 | (b) The department shall require all insurers holding a |
| 749 | certificate of authority to transact property insurance on a |
| 750 | direct basis in this state, other than joint underwriting |
| 751 | associations and other entities formed pursuant to this section, |
| 752 | to provide windstorm coverage to applicants from areas |
| 753 | determined to be eligible pursuant to paragraph (c) who in good |
| 754 | faith are entitled to, but are unable to procure, such coverage |
| 755 | through ordinary means; or it shall adopt a reasonable plan or |
| 756 | plans for the equitable apportionment or sharing among such |
| 757 | insurers of windstorm coverage, which may include formation of |
| 758 | an association for this purpose. As used in this subsection, the |
| 759 | term "property insurance" means insurance on real or personal |
| 760 | property, as defined in s. 624.604, including insurance for |
| 761 | fire, industrial fire, allied lines, farmowners multiperil, |
| 762 | homeowners' multiperil, commercial multiperil, and mobile homes, |
| 763 | and including liability coverages on all such insurance, but |
| 764 | excluding inland marine as defined in s. 624.607(3) and |
| 765 | excluding vehicle insurance as defined in s. 624.605(1)(a) other |
| 766 | than insurance on mobile homes used as permanent dwellings. The |
| 767 | department shall adopt rules that provide a formula for the |
| 768 | recovery and repayment of any deferred assessments. |
| 769 | 1. For the purpose of this section, properties eligible |
| 770 | for such windstorm coverage are defined as dwellings, buildings, |
| 771 | and other structures, including mobile homes which are used as |
| 772 | dwellings and which are tied down in compliance with mobile home |
| 773 | tie-down requirements prescribed by the Department of Highway |
| 774 | Safety and Motor Vehicles pursuant to s. 320.8325, and the |
| 775 | contents of all such properties. An applicant or policyholder is |
| 776 | eligible for coverage only if an offer of coverage cannot be |
| 777 | obtained by or for the applicant or policyholder from an |
| 778 | admitted insurer at approved rates. |
| 779 | 2.a.(I) All insurers required to be members of such |
| 780 | association shall participate in its writings, expenses, and |
| 781 | losses. Surplus of the association shall be retained for the |
| 782 | payment of claims and shall not be distributed to the member |
| 783 | insurers. Such participation by member insurers shall be in the |
| 784 | proportion that the net direct premiums of each member insurer |
| 785 | written for property insurance in this state during the |
| 786 | preceding calendar year bear to the aggregate net direct |
| 787 | premiums for property insurance of all member insurers, as |
| 788 | reduced by any credits for voluntary writings, in this state |
| 789 | during the preceding calendar year. For the purposes of this |
| 790 | subsection, the term "net direct premiums" means direct written |
| 791 | premiums for property insurance, reduced by premium for |
| 792 | liability coverage and for the following if included in allied |
| 793 | lines: rain and hail on growing crops; livestock; association |
| 794 | direct premiums booked; National Flood Insurance Program direct |
| 795 | premiums; and similar deductions specifically authorized by the |
| 796 | plan of operation and approved by the department. A member's |
| 797 | participation shall begin on the first day of the calendar year |
| 798 | following the year in which it is issued a certificate of |
| 799 | authority to transact property insurance in the state and shall |
| 800 | terminate 1 year after the end of the calendar year during which |
| 801 | it no longer holds a certificate of authority to transact |
| 802 | property insurance in the state. The commissioner, after review |
| 803 | of annual statements, other reports, and any other statistics |
| 804 | that the commissioner deems necessary, shall certify to the |
| 805 | association the aggregate direct premiums written for property |
| 806 | insurance in this state by all member insurers. |
| 807 | (II) Effective July 1, 2002, the association shall operate |
| 808 | subject to the supervision and approval of a board of governors |
| 809 | who are the same individuals that have been appointed by the |
| 810 | Treasurer to serve on the board of governors of the Citizens |
| 811 | Property Insurance Corporation. |
| 812 | (III) The plan of operation shall provide a formula |
| 813 | whereby a company voluntarily providing windstorm coverage in |
| 814 | affected areas will be relieved wholly or partially from |
| 815 | apportionment of a regular assessment pursuant to sub-sub- |
| 816 | subparagraph d.(I) or sub-sub-subparagraph d.(II). |
| 817 | (IV) A company which is a member of a group of companies |
| 818 | under common management may elect to have its credits applied on |
| 819 | a group basis, and any company or group may elect to have its |
| 820 | credits applied to any other company or group. |
| 821 | (V) There shall be no credits or relief from apportionment |
| 822 | to a company for emergency assessments collected from its |
| 823 | policyholders under sub-sub-subparagraph d.(III). |
| 824 | (VI) The plan of operation may also provide for the award |
| 825 | of credits, for a period not to exceed 3 years, from a regular |
| 826 | assessment pursuant to sub-sub-subparagraph d.(I) or sub-sub- |
| 827 | subparagraph d.(II) as an incentive for taking policies out of |
| 828 | the Residential Property and Casualty Joint Underwriting |
| 829 | Association. In order to qualify for the exemption under this |
| 830 | sub-sub-subparagraph, the take-out plan must provide that at |
| 831 | least 40 percent of the policies removed from the Residential |
| 832 | Property and Casualty Joint Underwriting Association cover risks |
| 833 | located in Dade, Broward, and Palm Beach Counties or at least 30 |
| 834 | percent of the policies so removed cover risks located in Dade, |
| 835 | Broward, and Palm Beach Counties and an additional 50 percent of |
| 836 | the policies so removed cover risks located in other coastal |
| 837 | counties, and must also provide that no more than 15 percent of |
| 838 | the policies so removed may exclude windstorm coverage. With the |
| 839 | approval of the department, the association may waive these |
| 840 | geographic criteria for a take-out plan that removes at least |
| 841 | the lesser of 100,000 Residential Property and Casualty Joint |
| 842 | Underwriting Association policies or 15 percent of the total |
| 843 | number of Residential Property and Casualty Joint Underwriting |
| 844 | Association policies, provided the governing board of the |
| 845 | Residential Property and Casualty Joint Underwriting Association |
| 846 | certifies that the take-out plan will materially reduce the |
| 847 | Residential Property and Casualty Joint Underwriting |
| 848 | Association's 100-year probable maximum loss from hurricanes. |
| 849 | With the approval of the department, the board may extend such |
| 850 | credits for an additional year if the insurer guarantees an |
| 851 | additional year of renewability for all policies removed from |
| 852 | the Residential Property and Casualty Joint Underwriting |
| 853 | Association, or for 2 additional years if the insurer guarantees |
| 854 | 2 additional years of renewability for all policies removed from |
| 855 | the Residential Property and Casualty Joint Underwriting |
| 856 | Association. |
| 857 | b. Assessments to pay deficits in the association under |
| 858 | this subparagraph shall be included as an appropriate factor in |
| 859 | the making of rates as provided in s. 627.3512. |
| 860 | c. The Legislature finds that the potential for unlimited |
| 861 | deficit assessments under this subparagraph may induce insurers |
| 862 | to attempt to reduce their writings in the voluntary market, and |
| 863 | that such actions would worsen the availability problems that |
| 864 | the association was created to remedy. It is the intent of the |
| 865 | Legislature that insurers remain fully responsible for paying |
| 866 | regular assessments and collecting emergency assessments for any |
| 867 | deficits of the association; however, it is also the intent of |
| 868 | the Legislature to provide a means by which assessment |
| 869 | liabilities may be amortized over a period of years. |
| 870 | d.(I) When the deficit incurred in a particular calendar |
| 871 | year is 10 percent or less of the aggregate statewide direct |
| 872 | written premium for property insurance for the prior calendar |
| 873 | year for all member insurers, the association shall levy an |
| 874 | assessment on member insurers in an amount equal to the deficit. |
| 875 | (II) When the deficit incurred in a particular calendar |
| 876 | year exceeds 10 percent of the aggregate statewide direct |
| 877 | written premium for property insurance for the prior calendar |
| 878 | year for all member insurers, the association shall levy an |
| 879 | assessment on member insurers in an amount equal to the greater |
| 880 | of 10 percent of the deficit or 10 percent of the aggregate |
| 881 | statewide direct written premium for property insurance for the |
| 882 | prior calendar year for member insurers. Any remaining deficit |
| 883 | shall be recovered through emergency assessments under sub-sub- |
| 884 | subparagraph (III). |
| 885 | (III) Upon a determination by the board of directors that |
| 886 | a deficit exceeds the amount that will be recovered through |
| 887 | regular assessments on member insurers, pursuant to sub-sub- |
| 888 | subparagraph (I) or sub-sub-subparagraph (II), the board shall |
| 889 | levy, after verification by the department, emergency |
| 890 | assessments to be collected by member insurers and by |
| 891 | underwriting associations created pursuant to this section which |
| 892 | write property insurance, upon issuance or renewal of property |
| 893 | insurance policies other than National Flood Insurance policies |
| 894 | in the year or years following levy of the regular assessments. |
| 895 | The amount of the emergency assessment collected in a particular |
| 896 | year shall be a uniform percentage of that year's direct written |
| 897 | premium for property insurance for all member insurers and |
| 898 | underwriting associations, excluding National Flood Insurance |
| 899 | policy premiums, as annually determined by the board and |
| 900 | verified by the department. The department shall verify the |
| 901 | arithmetic calculations involved in the board's determination |
| 902 | within 30 days after receipt of the information on which the |
| 903 | determination was based. Notwithstanding any other provision of |
| 904 | law, each member insurer and each underwriting association |
| 905 | created pursuant to this section shall collect emergency |
| 906 | assessments from its policyholders without such obligation being |
| 907 | affected by any credit, limitation, exemption, or deferment. The |
| 908 | emergency assessments so collected shall be transferred directly |
| 909 | to the association on a periodic basis as determined by the |
| 910 | association. The aggregate amount of emergency assessments |
| 911 | levied under this sub-sub-subparagraph in any calendar year may |
| 912 | not exceed the greater of 10 percent of the amount needed to |
| 913 | cover the original deficit, plus interest, fees, commissions, |
| 914 | required reserves, and other costs associated with financing of |
| 915 | the original deficit, or 10 percent of the aggregate statewide |
| 916 | direct written premium for property insurance written by member |
| 917 | insurers and underwriting associations for the prior year, plus |
| 918 | interest, fees, commissions, required reserves, and other costs |
| 919 | associated with financing the original deficit. The board may |
| 920 | pledge the proceeds of the emergency assessments under this sub- |
| 921 | sub-subparagraph as the source of revenue for bonds, to retire |
| 922 | any other debt incurred as a result of the deficit or events |
| 923 | giving rise to the deficit, or in any other way that the board |
| 924 | determines will efficiently recover the deficit. The emergency |
| 925 | assessments under this sub-sub-subparagraph shall continue as |
| 926 | long as any bonds issued or other indebtedness incurred with |
| 927 | respect to a deficit for which the assessment was imposed remain |
| 928 | outstanding, unless adequate provision has been made for the |
| 929 | payment of such bonds or other indebtedness pursuant to the |
| 930 | document governing such bonds or other indebtedness. Emergency |
| 931 | assessments collected under this sub-sub-subparagraph are not |
| 932 | part of an insurer's rates, are not premium, and are not subject |
| 933 | to premium tax, fees, or commissions; however, failure to pay |
| 934 | the emergency assessment shall be treated as failure to pay |
| 935 | premium. |
| 936 | (IV) Each member insurer's share of the total regular |
| 937 | assessments under sub-sub-subparagraph (I) or sub-sub- |
| 938 | subparagraph (II) shall be in the proportion that the insurer's |
| 939 | net direct premium for property insurance in this state, for the |
| 940 | year preceding the assessment bears to the aggregate statewide |
| 941 | net direct premium for property insurance of all member |
| 942 | insurers, as reduced by any credits for voluntary writings for |
| 943 | that year. |
| 944 | (V) If regular deficit assessments are made under sub-sub- |
| 945 | subparagraph (I) or sub-sub-subparagraph (II), or by the |
| 946 | Residential Property and Casualty Joint Underwriting Association |
| 947 | under sub-subparagraph (6)(b)3.a. or sub-subparagraph |
| 948 | (6)(b)3.b., the association shall levy upon the association's |
| 949 | policyholders, as part of its next rate filing, or by a separate |
| 950 | rate filing solely for this purpose, a market equalization |
| 951 | surcharge in a percentage equal to the total amount of such |
| 952 | regular assessments divided by the aggregate statewide direct |
| 953 | written premium for property insurance for member insurers for |
| 954 | the prior calendar year. Market equalization surcharges under |
| 955 | this sub-sub-subparagraph are not considered premium and are not |
| 956 | subject to commissions, fees, or premium taxes; however, failure |
| 957 | to pay a market equalization surcharge shall be treated as |
| 958 | failure to pay premium. |
| 959 | e. The governing body of any unit of local government, any |
| 960 | residents of which are insured under the plan, may issue bonds |
| 961 | as defined in s. 125.013 or s. 166.101 to fund an assistance |
| 962 | program, in conjunction with the association, for the purpose of |
| 963 | defraying deficits of the association. In order to avoid |
| 964 | needless and indiscriminate proliferation, duplication, and |
| 965 | fragmentation of such assistance programs, any unit of local |
| 966 | government, any residents of which are insured by the |
| 967 | association, may provide for the payment of losses, regardless |
| 968 | of whether or not the losses occurred within or outside of the |
| 969 | territorial jurisdiction of the local government. Revenue bonds |
| 970 | may not be issued until validated pursuant to chapter 75, unless |
| 971 | a state of emergency is declared by executive order or |
| 972 | proclamation of the Governor pursuant to s. 252.36 making such |
| 973 | findings as are necessary to determine that it is in the best |
| 974 | interests of, and necessary for, the protection of the public |
| 975 | health, safety, and general welfare of residents of this state |
| 976 | and the protection and preservation of the economic stability of |
| 977 | insurers operating in this state, and declaring it an essential |
| 978 | public purpose to permit certain municipalities or counties to |
| 979 | issue bonds as will provide relief to claimants and |
| 980 | policyholders of the association and insurers responsible for |
| 981 | apportionment of plan losses. Any such unit of local government |
| 982 | may enter into such contracts with the association and with any |
| 983 | other entity created pursuant to this subsection as are |
| 984 | necessary to carry out this paragraph. Any bonds issued under |
| 985 | this sub-subparagraph shall be payable from and secured by |
| 986 | moneys received by the association from assessments under this |
| 987 | subparagraph, and assigned and pledged to or on behalf of the |
| 988 | unit of local government for the benefit of the holders of such |
| 989 | bonds. The funds, credit, property, and taxing power of the |
| 990 | state or of the unit of local government shall not be pledged |
| 991 | for the payment of such bonds. If any of the bonds remain unsold |
| 992 | 60 days after issuance, the department shall require all |
| 993 | insurers subject to assessment to purchase the bonds, which |
| 994 | shall be treated as admitted assets; each insurer shall be |
| 995 | required to purchase that percentage of the unsold portion of |
| 996 | the bond issue that equals the insurer's relative share of |
| 997 | assessment liability under this subsection. An insurer shall not |
| 998 | be required to purchase the bonds to the extent that the |
| 999 | department determines that the purchase would endanger or impair |
| 1000 | the solvency of the insurer. The authority granted by this sub- |
| 1001 | subparagraph is additional to any bonding authority granted by |
| 1002 | subparagraph 6. |
| 1003 | 3. The plan shall also provide that any member with a |
| 1004 | surplus as to policyholders of $20 million or less writing 25 |
| 1005 | percent or more of its total countrywide property insurance |
| 1006 | premiums in this state may petition the department, within the |
| 1007 | first 90 days of each calendar year, to qualify as a limited |
| 1008 | apportionment company. The apportionment of such a member |
| 1009 | company in any calendar year for which it is qualified shall not |
| 1010 | exceed its gross participation, which shall not be affected by |
| 1011 | the formula for voluntary writings. In no event shall a limited |
| 1012 | apportionment company be required to participate in any |
| 1013 | apportionment of losses pursuant to sub-sub-subparagraph 2.d.(I) |
| 1014 | or sub-sub-subparagraph 2.d.(II) in the aggregate which exceeds |
| 1015 | $50 million after payment of available plan funds in any |
| 1016 | calendar year. However, a limited apportionment company shall |
| 1017 | collect from its policyholders any emergency assessment imposed |
| 1018 | under sub-sub-subparagraph 2.d.(III). The plan shall provide |
| 1019 | that, if the department determines that any regular assessment |
| 1020 | will result in an impairment of the surplus of a limited |
| 1021 | apportionment company, the department may direct that all or |
| 1022 | part of such assessment be deferred. However, there shall be no |
| 1023 | limitation or deferment of an emergency assessment to be |
| 1024 | collected from policyholders under sub-sub-subparagraph |
| 1025 | 2.d.(III). |
| 1026 | 4. The plan shall provide for the deferment, in whole or |
| 1027 | in part, of a regular assessment of a member insurer under sub- |
| 1028 | sub-subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II), but |
| 1029 | not for an emergency assessment collected from policyholders |
| 1030 | under sub-sub-subparagraph 2.d.(III), if, in the opinion of the |
| 1031 | commissioner, payment of such regular assessment would endanger |
| 1032 | or impair the solvency of the member insurer. In the event a |
| 1033 | regular assessment against a member insurer is deferred in whole |
| 1034 | or in part, the amount by which such assessment is deferred may |
| 1035 | be assessed against the other member insurers in a manner |
| 1036 | consistent with the basis for assessments set forth in sub-sub- |
| 1037 | subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II). |
| 1038 | 5.a. The plan of operation may include deductibles and |
| 1039 | rules for classification of risks and rate modifications |
| 1040 | consistent with the objective of providing and maintaining funds |
| 1041 | sufficient to pay catastrophe losses. |
| 1042 | b. The association may require arbitration of a rate |
| 1043 | filing under s. 627.062(6). It is the intent of the Legislature |
| 1044 | that the rates for coverage provided by the association be |
| 1045 | actuarially sound and not competitive with approved rates |
| 1046 | charged in the admitted voluntary market such that the |
| 1047 | association functions as a residual market mechanism to provide |
| 1048 | insurance only when the insurance cannot be procured in the |
| 1049 | voluntary market. The plan of operation shall provide a |
| 1050 | mechanism to assure that, beginning no later than January 1, |
| 1051 | 1999, the rates charged by the association for each line of |
| 1052 | business are reflective of approved rates in the voluntary |
| 1053 | market for hurricane coverage for each line of business in the |
| 1054 | various areas eligible for association coverage. |
| 1055 | c. The association shall provide for windstorm coverage on |
| 1056 | residential properties in limits up to $10 million for |
| 1057 | commercial lines residential risks and up to $1 million for |
| 1058 | personal lines residential risks. If coverage with the |
| 1059 | association is sought for a residential risk valued in excess of |
| 1060 | these limits, coverage shall be available to the risk up to the |
| 1061 | replacement cost or actual cash value of the property, at the |
| 1062 | option of the insured, if coverage for the risk cannot be |
| 1063 | located in the authorized market. The association must accept a |
| 1064 | commercial lines residential risk with limits above $10 million |
| 1065 | or a personal lines residential risk with limits above $1 |
| 1066 | million if coverage is not available in the authorized market. |
| 1067 | The association may write coverage above the limits specified in |
| 1068 | this subparagraph with or without facultative or other |
| 1069 | reinsurance coverage, as the association determines appropriate. |
| 1070 | d. The plan of operation must provide objective criteria |
| 1071 | and procedures, approved by the department, to be uniformly |
| 1072 | applied for all applicants in determining whether an individual |
| 1073 | risk is so hazardous as to be uninsurable. In making this |
| 1074 | determination and in establishing the criteria and procedures, |
| 1075 | the following shall be considered: |
| 1076 | (I) Whether the likelihood of a loss for the individual |
| 1077 | risk is substantially higher than for other risks of the same |
| 1078 | class; and |
| 1079 | (II) Whether the uncertainty associated with the |
| 1080 | individual risk is such that an appropriate premium cannot be |
| 1081 | determined. |
| 1082 |
|
| 1083 | The acceptance or rejection of a risk by the association |
| 1084 | pursuant to such criteria and procedures must be construed as |
| 1085 | the private placement of insurance, and the provisions of |
| 1086 | chapter 120 do not apply. |
| 1087 | e. If the risk accepts an offer of coverage through the |
| 1088 | market assistance program or through a mechanism established by |
| 1089 | the association, either before the policy is issued by the |
| 1090 | association or during the first 30 days of coverage by the |
| 1091 | association, and the producing agent who submitted the |
| 1092 | application to the association is not currently appointed by the |
| 1093 | insurer, the insurer shall: |
| 1094 | (I) Pay to the producing agent of record of the policy, |
| 1095 | for the first year, an amount that is the greater of the |
| 1096 | insurer's usual and customary commission for the type of policy |
| 1097 | written or a fee equal to the usual and customary commission of |
| 1098 | the association; or |
| 1099 | (II) Offer to allow the producing agent of record of the |
| 1100 | policy to continue servicing the policy for a period of not less |
| 1101 | than 1 year and offer to pay the agent the greater of the |
| 1102 | insurer's or the association's usual and customary commission |
| 1103 | for the type of policy written. |
| 1104 |
|
| 1105 | If the producing agent is unwilling or unable to accept |
| 1106 | appointment, the new insurer shall pay the agent in accordance |
| 1107 | with sub-sub-subparagraph (I). Subject to the provisions of s. |
| 1108 | 627.3517, the policies issued by the association must provide |
| 1109 | that if the association obtains an offer from an authorized |
| 1110 | insurer to cover the risk at its approved rates under either a |
| 1111 | standard policy including wind coverage or, if consistent with |
| 1112 | the insurer's underwriting rules as filed with the department, a |
| 1113 | basic policy including wind coverage, the risk is no longer |
| 1114 | eligible for coverage through the association. Upon termination |
| 1115 | of eligibility, the association shall provide written notice to |
| 1116 | the policyholder and agent of record stating that the |
| 1117 | association policy must be canceled as of 60 days after the date |
| 1118 | of the notice because of the offer of coverage from an |
| 1119 | authorized insurer. Other provisions of the insurance code |
| 1120 | relating to cancellation and notice of cancellation do not apply |
| 1121 | to actions under this sub-subparagraph. |
| 1122 | f. When the association enters into a contractual |
| 1123 | agreement for a take-out plan, the producing agent of record of |
| 1124 | the association policy is entitled to retain any unearned |
| 1125 | commission on the policy, and the insurer shall: |
| 1126 | (I) Pay to the producing agent of record of the |
| 1127 | association policy, for the first year, an amount that is the |
| 1128 | greater of the insurer's usual and customary commission for the |
| 1129 | type of policy written or a fee equal to the usual and customary |
| 1130 | commission of the association; or |
| 1131 | (II) Offer to allow the producing agent of record of the |
| 1132 | association policy to continue servicing the policy for a period |
| 1133 | of not less than 1 year and offer to pay the agent the greater |
| 1134 | of the insurer's or the association's usual and customary |
| 1135 | commission for the type of policy written. |
| 1136 |
|
| 1137 | If the producing agent is unwilling or unable to accept |
| 1138 | appointment, the new insurer shall pay the agent in accordance |
| 1139 | with sub-sub-subparagraph (I). |
| 1140 | 6.a. The plan of operation may authorize the formation of |
| 1141 | a private nonprofit corporation, a private nonprofit |
| 1142 | unincorporated association, a partnership, a trust, a limited |
| 1143 | liability company, or a nonprofit mutual company which may be |
| 1144 | empowered, among other things, to borrow money by issuing bonds |
| 1145 | or by incurring other indebtedness and to accumulate reserves or |
| 1146 | funds to be used for the payment of insured catastrophe losses. |
| 1147 | The plan may authorize all actions necessary to facilitate the |
| 1148 | issuance of bonds, including the pledging of assessments or |
| 1149 | other revenues. |
| 1150 | b. Any entity created under this subsection, or any entity |
| 1151 | formed for the purposes of this subsection, may sue and be sued, |
| 1152 | may borrow money; issue bonds, notes, or debt instruments; |
| 1153 | pledge or sell assessments, market equalization surcharges and |
| 1154 | other surcharges, rights, premiums, contractual rights, |
| 1155 | projected recoveries from the Florida Hurricane Catastrophe |
| 1156 | Fund, other reinsurance recoverables, and other assets as |
| 1157 | security for such bonds, notes, or debt instruments; enter into |
| 1158 | any contracts or agreements necessary or proper to accomplish |
| 1159 | such borrowings; and take other actions necessary to carry out |
| 1160 | the purposes of this subsection. The association may issue bonds |
| 1161 | or incur other indebtedness, or have bonds issued on its behalf |
| 1162 | by a unit of local government pursuant to subparagraph (6)(p)2., |
| 1163 | in the absence of a hurricane or other weather-related event, |
| 1164 | upon a determination by the association subject to approval by |
| 1165 | the department that such action would enable it to efficiently |
| 1166 | meet the financial obligations of the association and that such |
| 1167 | financings are reasonably necessary to effectuate the |
| 1168 | requirements of this subsection. Any such entity may accumulate |
| 1169 | reserves and retain surpluses as of the end of any association |
| 1170 | year to provide for the payment of losses incurred by the |
| 1171 | association during that year or any future year. The association |
| 1172 | shall incorporate and continue the plan of operation and |
| 1173 | articles of agreement in effect on the effective date of chapter |
| 1174 | 76-96, Laws of Florida, to the extent that it is not |
| 1175 | inconsistent with chapter 76-96, and as subsequently modified |
| 1176 | consistent with chapter 76-96. The board of directors and |
| 1177 | officers currently serving shall continue to serve until their |
| 1178 | successors are duly qualified as provided under the plan. The |
| 1179 | assets and obligations of the plan in effect immediately prior |
| 1180 | to the effective date of chapter 76-96 shall be construed to be |
| 1181 | the assets and obligations of the successor plan created herein. |
| 1182 | c. In recognition of s. 10, Art. I of the State |
| 1183 | Constitution, prohibiting the impairment of obligations of |
| 1184 | contracts, it is the intent of the Legislature that no action be |
| 1185 | taken whose purpose is to impair any bond indenture or financing |
| 1186 | agreement or any revenue source committed by contract to such |
| 1187 | bond or other indebtedness issued or incurred by the association |
| 1188 | or any other entity created under this subsection. |
| 1189 | 7. On such coverage, an agent's remuneration shall be that |
| 1190 | amount of money payable to the agent by the terms of his or her |
| 1191 | contract with the company with which the business is placed. |
| 1192 | However, no commission will be paid on that portion of the |
| 1193 | premium which is in excess of the standard premium of that |
| 1194 | company. |
| 1195 | 8. Subject to approval by the department, the association |
| 1196 | may establish different eligibility requirements and operational |
| 1197 | procedures for any line or type of coverage for any specified |
| 1198 | eligible area or portion of an eligible area if the board |
| 1199 | determines that such changes to the eligibility requirements and |
| 1200 | operational procedures are justified due to the voluntary market |
| 1201 | being sufficiently stable and competitive in such area or for |
| 1202 | such line or type of coverage and that consumers who, in good |
| 1203 | faith, are unable to obtain insurance through the voluntary |
| 1204 | market through ordinary methods would continue to have access to |
| 1205 | coverage from the association. When coverage is sought in |
| 1206 | connection with a real property transfer, such requirements and |
| 1207 | procedures shall not provide for an effective date of coverage |
| 1208 | later than the date of the closing of the transfer as |
| 1209 | established by the transferor, the transferee, and, if |
| 1210 | applicable, the lender. |
| 1211 | 9. Notwithstanding any other provision of law: |
| 1212 | a. The pledge or sale of, the lien upon, and the security |
| 1213 | interest in any rights, revenues, or other assets of the |
| 1214 | association created or purported to be created pursuant to any |
| 1215 | financing documents to secure any bonds or other indebtedness of |
| 1216 | the association shall be and remain valid and enforceable, |
| 1217 | notwithstanding the commencement of and during the continuation |
| 1218 | of, and after, any rehabilitation, insolvency, liquidation, |
| 1219 | bankruptcy, receivership, conservatorship, reorganization, or |
| 1220 | similar proceeding against the association under the laws of |
| 1221 | this state or any other applicable laws. |
| 1222 | b. No such proceeding shall relieve the association of its |
| 1223 | obligation, or otherwise affect its ability to perform its |
| 1224 | obligation, to continue to collect, or levy and collect, |
| 1225 | assessments, market equalization or other surcharges, projected |
| 1226 | recoveries from the Florida Hurricane Catastrophe Fund, |
| 1227 | reinsurance recoverables, or any other rights, revenues, or |
| 1228 | other assets of the association pledged. |
| 1229 | c. Each such pledge or sale of, lien upon, and security |
| 1230 | interest in, including the priority of such pledge, lien, or |
| 1231 | security interest, any such assessments, emergency assessments, |
| 1232 | market equalization or renewal surcharges, projected recoveries |
| 1233 | from the Florida Hurricane Catastrophe Fund, reinsurance |
| 1234 | recoverables, or other rights, revenues, or other assets which |
| 1235 | are collected, or levied and collected, after the commencement |
| 1236 | of and during the pendency of or after any such proceeding shall |
| 1237 | continue unaffected by such proceeding. |
| 1238 | d. As used in this subsection, the term "financing |
| 1239 | documents" means any agreement, instrument, or other document |
| 1240 | now existing or hereafter created evidencing any bonds or other |
| 1241 | indebtedness of the association or pursuant to which any such |
| 1242 | bonds or other indebtedness has been or may be issued and |
| 1243 | pursuant to which any rights, revenues, or other assets of the |
| 1244 | association are pledged or sold to secure the repayment of such |
| 1245 | bonds or indebtedness, together with the payment of interest on |
| 1246 | such bonds or such indebtedness, or the payment of any other |
| 1247 | obligation of the association related to such bonds or |
| 1248 | indebtedness. |
| 1249 | e. Any such pledge or sale of assessments, revenues, |
| 1250 | contract rights or other rights or assets of the association |
| 1251 | shall constitute a lien and security interest, or sale, as the |
| 1252 | case may be, that is immediately effective and attaches to such |
| 1253 | assessments, revenues, contract, or other rights or assets, |
| 1254 | whether or not imposed or collected at the time the pledge or |
| 1255 | sale is made. Any such pledge or sale is effective, valid, |
| 1256 | binding, and enforceable against the association or other entity |
| 1257 | making such pledge or sale, and valid and binding against and |
| 1258 | superior to any competing claims or obligations owed to any |
| 1259 | other person or entity, including policyholders in this state, |
| 1260 | asserting rights in any such assessments, revenues, contract, or |
| 1261 | other rights or assets to the extent set forth in and in |
| 1262 | accordance with the terms of the pledge or sale contained in the |
| 1263 | applicable financing documents, whether or not any such person |
| 1264 | or entity has notice of such pledge or sale and without the need |
| 1265 | for any physical delivery, recordation, filing, or other action. |
| 1266 | f. There shall be no liability on the part of, and no |
| 1267 | cause of action of any nature shall arise against, any member |
| 1268 | insurer or its agents or employees, agents or employees of the |
| 1269 | association, members of the board of directors of the |
| 1270 | association, or the department or its representatives, for any |
| 1271 | action taken by them in the performance of their duties or |
| 1272 | responsibilities under this subsection. Such immunity does not |
| 1273 | apply to actions for breach of any contract or agreement |
| 1274 | pertaining to insurance, or any willful tort. |
| 1275 | (6) CITIZENS PROPERTY INSURANCE CORPORATION.-- |
| 1276 | (a)1. It is the public purpose of this subsection to |
| 1277 | ensure the existence of an orderly market for property insurance |
| 1278 | for Floridians and Florida businesses. The Legislature finds |
| 1279 | that private insurers are unwilling or unable to provide |
| 1280 | affordable property insurance coverage in this state to the |
| 1281 | extent sought and needed. The absence of affordable property |
| 1282 | insurance threatens the public health, safety, and welfare and |
| 1283 | likewise threatens the economic health of the state. The state |
| 1284 | therefore has a compelling public interest and a public purpose |
| 1285 | to assist in assuring that property in the state is insured and |
| 1286 | that it is insured at affordable rates so as to facilitate the |
| 1287 | remediation, reconstruction, and replacement of damaged or |
| 1288 | destroyed property in order to reduce or avoid the negative |
| 1289 | effects otherwise resulting to the public health, safety, and |
| 1290 | welfare, to the economy of the state, and to the revenues of the |
| 1291 | state and local governments which are needed to provide for the |
| 1292 | public welfare. It is necessary, therefore, to provide |
| 1293 | affordable property insurance to applicants who are in good |
| 1294 | faith entitled to procure insurance through the voluntary market |
| 1295 | but are unable to do so. The Legislature intends by this |
| 1296 | subsection that affordable property insurance be provided and |
| 1297 | that it continue to be provided, as long as necessary, through |
| 1298 | Citizens Property Insurance Corporation, a government entity |
| 1299 | that is an integral part of the state, and that is not a private |
| 1300 | insurance company. To that end, Citizens Property Insurance |
| 1301 | Corporation shall strive to increase the availability of |
| 1302 | affordable property insurance in this state, while achieving |
| 1303 | efficiencies and economies, and while providing service to |
| 1304 | policyholders, applicants, and agents which is no less than the |
| 1305 | quality generally provided in the voluntary market, for the |
| 1306 | achievement of the foregoing public purposes. Because it is |
| 1307 | essential for this government entity to have the maximum |
| 1308 | financial resources to pay claims following a catastrophic |
| 1309 | hurricane, it is the intent of the Legislature that Citizens |
| 1310 | Property Insurance Corporation continue to be an integral part |
| 1311 | of the state and that the income of the corporation be exempt |
| 1312 | from federal income taxation and that interest on the debt |
| 1313 | obligations issued by the corporation be exempt from federal |
| 1314 | income taxation. |
| 1315 | 2. The Residential Property and Casualty Joint |
| 1316 | Underwriting Association originally created by this statute |
| 1317 | shall be known, as of July 1, 2002, as the Citizens Property |
| 1318 | Insurance Corporation. The corporation shall provide insurance |
| 1319 | for residential and commercial property, for applicants who are |
| 1320 | in good faith entitled, but are unable, to procure insurance |
| 1321 | through the voluntary market. The corporation shall operate |
| 1322 | pursuant to a plan of operation approved by order of the |
| 1323 | Financial Services Commission. The plan is subject to continuous |
| 1324 | review by the commission. The commission may, by order, withdraw |
| 1325 | approval of all or part of a plan if the commission determines |
| 1326 | that conditions have changed since approval was granted and that |
| 1327 | the purposes of the plan require changes in the plan. The |
| 1328 | corporation shall continue to operate pursuant to the plan of |
| 1329 | operation approved by the Office of Insurance Regulation until |
| 1330 | October 1, 2006. For the purposes of this subsection, |
| 1331 | residential coverage includes both personal lines residential |
| 1332 | coverage, which consists of the type of coverage provided by |
| 1333 | homeowner's, mobile home owner's, dwelling, tenant's, |
| 1334 | condominium unit owner's, and similar policies, and commercial |
| 1335 | lines residential coverage, which consists of the type of |
| 1336 | coverage provided by condominium association, apartment |
| 1337 | building, and similar policies. |
| 1338 | 3. For the purposes of this subsection, the term |
| 1339 | "homestead property" means: |
| 1340 | a. Property that has been granted a homestead exemption |
| 1341 | under chapter 196; |
| 1342 | b. Property for which the owner has a current, written |
| 1343 | lease with a renter for a term of at least 7 months and for |
| 1344 | which the dwelling is insured by the corporation for $200,000 or |
| 1345 | less; |
| 1346 | c. An owner-occupied mobile home or manufactured home, as |
| 1347 | defined in s. 320.01, which is permanently affixed to real |
| 1348 | property, is owned by a Florida resident, and has been granted a |
| 1349 | homestead exemption under chapter 196 or, if the owner does not |
| 1350 | own the real property, the owner certifies that the mobile home |
| 1351 | or manufactured home is his or her principal place of residence; |
| 1352 | d. Tenant's coverage; |
| 1353 | e. Commercial lines residential property; or |
| 1354 | f. Any county, district, or municipal hospital; a hospital |
| 1355 | licensed by any not-for-profit corporation qualified under s. |
| 1356 | 501(c)(3) of the United States Internal Revenue Code; or a |
| 1357 | continuing care retirement community that is certified under |
| 1358 | chapter 651 and that receives an exemption from ad valorem taxes |
| 1359 | under chapter 196. |
| 1360 | 4. For the purposes of this subsection, the term |
| 1361 | "nonhomestead property" means property that is not homestead |
| 1362 | property. |
| 1363 | 3.5. Effective January 1, 2009, a personal lines |
| 1364 | residential structure that has a dwelling replacement cost of $2 |
| 1365 | $1 million or more, or a single condominium unit that has a |
| 1366 | combined dwelling and content replacement cost of $2 $1 million |
| 1367 | or more is not eligible for coverage by the corporation. Such |
| 1368 | dwellings insured by the corporation on December 31, 2008, may |
| 1369 | continue to be covered by the corporation until the end of the |
| 1370 | policy term. However, such dwellings that are insured by the |
| 1371 | corporation and become ineligible for coverage due to the |
| 1372 | provisions of this subparagraph may reapply and obtain coverage |
| 1373 | in the high-risk account and be considered "nonhomestead |
| 1374 | property" if the property owner provides the corporation with a |
| 1375 | sworn affidavit from one or more insurance agents, on a form |
| 1376 | provided by the corporation, stating that the agents have made |
| 1377 | their best efforts to obtain coverage and that the property has |
| 1378 | been rejected for coverage by at least one authorized insurer |
| 1379 | and at least three surplus lines insurers. If such conditions |
| 1380 | are met, the dwelling may be insured by the corporation for up |
| 1381 | to 3 years, after which time the dwelling is ineligible for |
| 1382 | coverage. The office shall approve the method used by the |
| 1383 | corporation for valuing the dwelling replacement cost for the |
| 1384 | purposes of this subparagraph. If a policyholder is insured by |
| 1385 | the corporation prior to being determined to be ineligible |
| 1386 | pursuant to this subparagraph and such policyholder files a |
| 1387 | lawsuit challenging the determination, the policyholder may |
| 1388 | remain insured by the corporation until the conclusion of the |
| 1389 | litigation. |
| 1390 | 6. For properties constructed on or after January 1, 2009, |
| 1391 | the corporation may not insure any property located within 2,500 |
| 1392 | feet landward of the coastal construction control line created |
| 1393 | pursuant to s. 161.053 unless the property meets the |
| 1394 | requirements of the code-plus building standards developed by |
| 1395 | the Florida Building Commission. |
| 1396 | 4.7. It is the intent of the Legislature that |
| 1397 | policyholders, applicants, and agents of the corporation receive |
| 1398 | service and treatment of the highest possible level but never |
| 1399 | less than that generally provided in the voluntary market. It |
| 1400 | also is intended that the corporation be held to service |
| 1401 | standards no less than those applied to insurers in the |
| 1402 | voluntary market by the office with respect to responsiveness, |
| 1403 | timeliness, customer courtesy, and overall dealings with |
| 1404 | policyholders, applicants, or agents of the corporation. |
| 1405 | 5.8. Effective January 1, 2009, a personal lines |
| 1406 | residential structure that is located in the "wind-borne debris |
| 1407 | region," as defined in s. 1609.2, International Building Code |
| 1408 | (2006), and that has an insured value on the structure of |
| 1409 | $750,000 or more is not eligible for coverage by the corporation |
| 1410 | unless the structure has opening protections as required under |
| 1411 | the Florida Building Code for a newly constructed residential |
| 1412 | structure in that area. A residential structure shall be deemed |
| 1413 | to comply with the requirements of this subparagraph if it has |
| 1414 | shutters or opening protections on all openings and if such |
| 1415 | opening protections complied with the Florida Building Code at |
| 1416 | the time they were installed. |
| 1417 | (b)1. All insurers authorized to write one or more subject |
| 1418 | lines of business in this state are subject to assessment by the |
| 1419 | corporation and, for the purposes of this subsection, are |
| 1420 | referred to collectively as "assessable insurers." Insurers |
| 1421 | writing one or more subject lines of business in this state |
| 1422 | pursuant to part VIII of chapter 626 are not assessable |
| 1423 | insurers, but insureds who procure one or more subject lines of |
| 1424 | business in this state pursuant to part VIII of chapter 626 are |
| 1425 | subject to assessment by the corporation and are referred to |
| 1426 | collectively as "assessable insureds." An authorized insurer's |
| 1427 | assessment liability shall begin on the first day of the |
| 1428 | calendar year following the year in which the insurer was issued |
| 1429 | a certificate of authority to transact insurance for subject |
| 1430 | lines of business in this state and shall terminate 1 year after |
| 1431 | the end of the first calendar year during which the insurer no |
| 1432 | longer holds a certificate of authority to transact insurance |
| 1433 | for subject lines of business in this state. |
| 1434 | 2.a. All revenues, assets, liabilities, losses, and |
| 1435 | expenses of the corporation shall be divided into three separate |
| 1436 | accounts as follows: |
| 1437 | (I) A personal lines account for personal residential |
| 1438 | policies issued by the corporation or issued by the Residential |
| 1439 | Property and Casualty Joint Underwriting Association and renewed |
| 1440 | by the corporation that provide comprehensive, multiperil |
| 1441 | coverage on risks that are not located in areas eligible for |
| 1442 | coverage in the Florida Windstorm Underwriting Association as |
| 1443 | those areas were defined on January 1, 2002, and for such |
| 1444 | policies that do not provide coverage for the peril of wind on |
| 1445 | risks that are located in such areas; |
| 1446 | (II) A commercial lines account for commercial residential |
| 1447 | and commercial nonresidential policies issued by the corporation |
| 1448 | or issued by the Residential Property and Casualty Joint |
| 1449 | Underwriting Association and renewed by the corporation that |
| 1450 | provide coverage for basic property perils on risks that are not |
| 1451 | located in areas eligible for coverage in the Florida Windstorm |
| 1452 | Underwriting Association as those areas were defined on January |
| 1453 | 1, 2002, and for such policies that do not provide coverage for |
| 1454 | the peril of wind on risks that are located in such areas; and |
| 1455 | (III) A high-risk account for personal residential |
| 1456 | policies and commercial residential and commercial |
| 1457 | nonresidential property policies issued by the corporation or |
| 1458 | transferred to the corporation that provide coverage for the |
| 1459 | peril of wind on risks that are located in areas eligible for |
| 1460 | coverage in the Florida Windstorm Underwriting Association as |
| 1461 | those areas were defined on January 1, 2002. Subject to the |
| 1462 | approval of a business plan by the Financial Services Commission |
| 1463 | and Legislative Budget Commission as provided in this sub-sub- |
| 1464 | subparagraph, but no earlier than March 31, 2007, The |
| 1465 | corporation may offer policies that provide multiperil coverage |
| 1466 | and the corporation shall continue to offer policies that |
| 1467 | provide coverage only for the peril of wind for risks located in |
| 1468 | areas eligible for coverage in the high-risk account. In issuing |
| 1469 | multiperil coverage, the corporation may use its approved policy |
| 1470 | forms and rates for the personal lines account. An applicant or |
| 1471 | insured who is eligible to purchase a multiperil policy from the |
| 1472 | corporation may purchase a multiperil policy from an authorized |
| 1473 | insurer without prejudice to the applicant's or insured's |
| 1474 | eligibility to prospectively purchase a policy that provides |
| 1475 | coverage only for the peril of wind from the corporation. An |
| 1476 | applicant or insured who is eligible for a corporation policy |
| 1477 | that provides coverage only for the peril of wind may elect to |
| 1478 | purchase or retain such policy and also purchase or retain |
| 1479 | coverage excluding wind from an authorized insurer without |
| 1480 | prejudice to the applicant's or insured's eligibility to |
| 1481 | prospectively purchase a policy that provides multiperil |
| 1482 | coverage from the corporation. It is the goal of the Legislature |
| 1483 | that there would be an overall average savings of 10 percent or |
| 1484 | more for a policyholder who currently has a wind-only policy |
| 1485 | with the corporation, and an ex-wind policy with a voluntary |
| 1486 | insurer or the corporation, and who then obtains a multiperil |
| 1487 | policy from the corporation. It is the intent of the Legislature |
| 1488 | that the offer of multiperil coverage in the high-risk account |
| 1489 | be made and implemented in a manner that does not adversely |
| 1490 | affect the tax-exempt status of the corporation or |
| 1491 | creditworthiness of or security for currently outstanding |
| 1492 | financing obligations or credit facilities of the high-risk |
| 1493 | account, the personal lines account, or the commercial lines |
| 1494 | account. By March 1, 2007, the corporation shall prepare and |
| 1495 | submit for approval by the Financial Services Commission and |
| 1496 | Legislative Budget Commission a report detailing the |
| 1497 | corporation's business plan for issuing multiperil coverage in |
| 1498 | the high-risk account. The business plan shall be approved or |
| 1499 | disapproved within 30 days after receipt, as submitted or |
| 1500 | modified and resubmitted by the corporation. The business plan |
| 1501 | must include: the impact of such multiperil coverage on the |
| 1502 | corporation's financial resources, the impact of such multiperil |
| 1503 | coverage on the corporation's tax-exempt status, the manner in |
| 1504 | which the corporation plans to implement the processing of |
| 1505 | applications and policy forms for new and existing |
| 1506 | policyholders, the impact of such multiperil coverage on the |
| 1507 | corporation's ability to deliver customer service at the high |
| 1508 | level required by this subsection, the ability of the |
| 1509 | corporation to process claims, the ability of the corporation to |
| 1510 | quote and issue policies, the impact of such multiperil coverage |
| 1511 | on the corporation's agents, the impact of such multiperil |
| 1512 | coverage on the corporation's existing policyholders, and the |
| 1513 | impact of such multiperil coverage on rates and premium. The |
| 1514 | high-risk account must also include quota share primary |
| 1515 | insurance under subparagraph (c)2. The area eligible for |
| 1516 | coverage under the high-risk account also includes the area |
| 1517 | within Port Canaveral, which is bordered on the south by the |
| 1518 | City of Cape Canaveral, bordered on the west by the Banana |
| 1519 | River, and bordered on the north by Federal Government property. |
| 1520 | b. The three separate accounts must be maintained as long |
| 1521 | as financing obligations entered into by the Florida Windstorm |
| 1522 | Underwriting Association or Residential Property and Casualty |
| 1523 | Joint Underwriting Association are outstanding, in accordance |
| 1524 | with the terms of the corresponding financing documents. When |
| 1525 | the financing obligations are no longer outstanding, in |
| 1526 | accordance with the terms of the corresponding financing |
| 1527 | documents, the corporation may use a single account for all |
| 1528 | revenues, assets, liabilities, losses, and expenses of the |
| 1529 | corporation. Consistent with the requirement of this |
| 1530 | subparagraph and prudent investment policies that minimize the |
| 1531 | cost of carrying debt, the board shall exercise its best efforts |
| 1532 | to retire existing debt or to obtain approval of necessary |
| 1533 | parties to amend the terms of existing debt, so as to structure |
| 1534 | the most efficient plan to consolidate the three separate |
| 1535 | accounts into a single account. By February 1, 2007, the board |
| 1536 | shall submit a report to the Financial Services Commission, the |
| 1537 | President of the Senate, and the Speaker of the House of |
| 1538 | Representatives which includes an analysis of consolidating the |
| 1539 | accounts, the actions the board has taken to minimize the cost |
| 1540 | of carrying debt, and its recommendations for executing the most |
| 1541 | efficient plan. |
| 1542 | c. Creditors of the Residential Property and Casualty |
| 1543 | Joint Underwriting Association and of the accounts specified in |
| 1544 | sub-sub-subparagraphs a.(I) and (II) may have a claim against, |
| 1545 | and recourse to, the accounts referred to in sub-sub- |
| 1546 | subparagraphs a.(I) and (II) and shall have no claim against, or |
| 1547 | recourse to, the account referred to in sub-sub-subparagraph |
| 1548 | a.(III). Creditors of the Florida Windstorm Underwriting |
| 1549 | Association shall have a claim against, and recourse to, the |
| 1550 | account referred to in sub-sub-subparagraph a.(III) and shall |
| 1551 | have no claim against, or recourse to, the accounts referred to |
| 1552 | in sub-sub-subparagraphs a.(I) and (II). |
| 1553 | d. Revenues, assets, liabilities, losses, and expenses not |
| 1554 | attributable to particular accounts shall be prorated among the |
| 1555 | accounts. |
| 1556 | e. The Legislature finds that the revenues of the |
| 1557 | corporation are revenues that are necessary to meet the |
| 1558 | requirements set forth in documents authorizing the issuance of |
| 1559 | bonds under this subsection. |
| 1560 | f. No part of the income of the corporation may inure to |
| 1561 | the benefit of any private person. |
| 1562 | 3. With respect to a deficit in an account: |
| 1563 | a. After accounting for the Citizens policyholder |
| 1564 | surcharge imposed under sub-subparagraph i., when the remaining |
| 1565 | projected deficit incurred in a particular calendar year is not |
| 1566 | greater than 6 10 percent of the aggregate statewide direct |
| 1567 | written premium for the subject lines of business for the prior |
| 1568 | calendar year, the entire deficit shall be recovered through |
| 1569 | regular assessments of assessable insurers under paragraph (p) |
| 1570 | and assessable insureds. |
| 1571 | b. After accounting for the Citizens policyholder |
| 1572 | surcharge imposed under sub-subparagraph i., when the remaining |
| 1573 | projected deficit incurred in a particular calendar year exceeds |
| 1574 | 6 10 percent of the aggregate statewide direct written premium |
| 1575 | for the subject lines of business for the prior calendar year, |
| 1576 | the corporation shall levy regular assessments on assessable |
| 1577 | insurers under paragraph (p) and on assessable insureds in an |
| 1578 | amount equal to the greater of 6 10 percent of the deficit or 6 |
| 1579 | 10 percent of the aggregate statewide direct written premium for |
| 1580 | the subject lines of business for the prior calendar year. Any |
| 1581 | remaining deficit shall be recovered through emergency |
| 1582 | assessments under sub-subparagraph d. |
| 1583 | c. Each assessable insurer's share of the amount being |
| 1584 | assessed under sub-subparagraph a. or sub-subparagraph b. shall |
| 1585 | be in the proportion that the assessable insurer's direct |
| 1586 | written premium for the subject lines of business for the year |
| 1587 | preceding the assessment bears to the aggregate statewide direct |
| 1588 | written premium for the subject lines of business for that year. |
| 1589 | The assessment percentage applicable to each assessable insured |
| 1590 | is the ratio of the amount being assessed under sub-subparagraph |
| 1591 | a. or sub-subparagraph b. to the aggregate statewide direct |
| 1592 | written premium for the subject lines of business for the prior |
| 1593 | year. Assessments levied by the corporation on assessable |
| 1594 | insurers under sub-subparagraphs a. and b. shall be paid as |
| 1595 | required by the corporation's plan of operation and paragraph |
| 1596 | (p). notwithstanding any other provision of this subsection, the |
| 1597 | aggregate amount of a regular assessment for a deficit incurred |
| 1598 | in a particular calendar year shall be reduced by the estimated |
| 1599 | amount to be received by the corporation from the Citizens |
| 1600 | policyholder surcharge under subparagraph (c)10. and the amount |
| 1601 | collected or estimated to be collected from the assessment on |
| 1602 | Citizens policyholders pursuant to sub-subparagraph i. |
| 1603 | Assessments levied by the corporation on assessable insureds |
| 1604 | under sub-subparagraphs a. and b. shall be collected by the |
| 1605 | surplus lines agent at the time the surplus lines agent collects |
| 1606 | the surplus lines tax required by s. 626.932 and shall be paid |
| 1607 | to the Florida Surplus Lines Service Office at the time the |
| 1608 | surplus lines agent pays the surplus lines tax to the Florida |
| 1609 | Surplus Lines Service Office. Upon receipt of regular |
| 1610 | assessments from surplus lines agents, the Florida Surplus Lines |
| 1611 | Service Office shall transfer the assessments directly to the |
| 1612 | corporation as determined by the corporation. |
| 1613 | d. Upon a determination by the board of governors that a |
| 1614 | deficit in an account exceeds the amount that will be recovered |
| 1615 | through regular assessments under sub-subparagraph a. or sub- |
| 1616 | subparagraph b., plus the amount that is expected to be |
| 1617 | recovered through surcharges under sub-subparagraph i., as to |
| 1618 | the remaining projected deficit the board shall levy, after |
| 1619 | verification by the office, emergency assessments, for as many |
| 1620 | years as necessary to cover the deficits, to be collected by |
| 1621 | assessable insurers and the corporation and collected from |
| 1622 | assessable insureds upon issuance or renewal of policies for |
| 1623 | subject lines of business, excluding National Flood Insurance |
| 1624 | policies. The amount of the emergency assessment collected in a |
| 1625 | particular year shall be a uniform percentage of that year's |
| 1626 | direct written premium for subject lines of business and all |
| 1627 | accounts of the corporation, excluding National Flood Insurance |
| 1628 | Program policy premiums, as annually determined by the board and |
| 1629 | verified by the office. The office shall verify the arithmetic |
| 1630 | calculations involved in the board's determination within 30 |
| 1631 | days after receipt of the information on which the determination |
| 1632 | was based. Notwithstanding any other provision of law, the |
| 1633 | corporation and each assessable insurer that writes subject |
| 1634 | lines of business shall collect emergency assessments from its |
| 1635 | policyholders without such obligation being affected by any |
| 1636 | credit, limitation, exemption, or deferment. Emergency |
| 1637 | assessments levied by the corporation on assessable insureds |
| 1638 | shall be collected by the surplus lines agent at the time the |
| 1639 | surplus lines agent collects the surplus lines tax required by |
| 1640 | s. 626.932 and shall be paid to the Florida Surplus Lines |
| 1641 | Service Office at the time the surplus lines agent pays the |
| 1642 | surplus lines tax to the Florida Surplus Lines Service Office. |
| 1643 | The emergency assessments so collected shall be transferred |
| 1644 | directly to the corporation on a periodic basis as determined by |
| 1645 | the corporation and shall be held by the corporation solely in |
| 1646 | the applicable account. The aggregate amount of emergency |
| 1647 | assessments levied for an account under this sub-subparagraph in |
| 1648 | any calendar year may, at the discretion of the board of |
| 1649 | governors, be less than but may not exceed the greater of 10 |
| 1650 | percent of the amount needed to cover the original deficit, plus |
| 1651 | interest, fees, commissions, required reserves, and other costs |
| 1652 | associated with financing of the original deficit, or 10 percent |
| 1653 | of the aggregate statewide direct written premium for subject |
| 1654 | lines of business and for all accounts of the corporation for |
| 1655 | the prior year, plus interest, fees, commissions, required |
| 1656 | reserves, and other costs associated with financing the original |
| 1657 | deficit. |
| 1658 | e. The corporation may pledge the proceeds of assessments, |
| 1659 | projected recoveries from the Florida Hurricane Catastrophe |
| 1660 | Fund, other insurance and reinsurance recoverables, policyholder |
| 1661 | surcharges and other surcharges, and other funds available to |
| 1662 | the corporation as the source of revenue for and to secure bonds |
| 1663 | issued under paragraph (p), bonds or other indebtedness issued |
| 1664 | under subparagraph (c)3., or lines of credit or other financing |
| 1665 | mechanisms issued or created under this subsection, or to retire |
| 1666 | any other debt incurred as a result of deficits or events giving |
| 1667 | rise to deficits, or in any other way that the board determines |
| 1668 | will efficiently recover such deficits. The purpose of the lines |
| 1669 | of credit or other financing mechanisms is to provide additional |
| 1670 | resources to assist the corporation in covering claims and |
| 1671 | expenses attributable to a catastrophe. As used in this |
| 1672 | subsection, the term "assessments" includes regular assessments |
| 1673 | under sub-subparagraph a., sub-subparagraph b., or subparagraph |
| 1674 | (p)1. and emergency assessments under sub-subparagraph d. |
| 1675 | Emergency assessments collected under sub-subparagraph d. are |
| 1676 | not part of an insurer's rates, are not premium, and are not |
| 1677 | subject to premium tax, fees, or commissions; however, failure |
| 1678 | to pay the emergency assessment shall be treated as failure to |
| 1679 | pay premium. The emergency assessments under sub-subparagraph d. |
| 1680 | shall continue as long as any bonds issued or other indebtedness |
| 1681 | incurred with respect to a deficit for which the assessment was |
| 1682 | imposed remain outstanding, unless adequate provision has been |
| 1683 | made for the payment of such bonds or other indebtedness |
| 1684 | pursuant to the documents governing such bonds or other |
| 1685 | indebtedness. |
| 1686 | f. As used in this subsection for purposes of any deficit |
| 1687 | incurred on or after January 25, 2007, the term "subject lines |
| 1688 | of business" means insurance written by assessable insurers or |
| 1689 | procured by assessable insureds for all property and casualty |
| 1690 | lines of business in this state, but not including workers' |
| 1691 | compensation or medical malpractice. As used in the sub- |
| 1692 | subparagraph, the term "property and casualty lines of business" |
| 1693 | includes all lines of business identified on Form 2, Exhibit of |
| 1694 | Premiums and Losses, in the annual statement required of |
| 1695 | authorized insurers by s. 624.424 and any rule adopted under |
| 1696 | this section, except for those lines identified as accident and |
| 1697 | health insurance and except for policies written under the |
| 1698 | National Flood Insurance Program or the Federal Crop Insurance |
| 1699 | Program. For purposes of this sub-subparagraph, the term |
| 1700 | "workers' compensation" includes both workers' compensation |
| 1701 | insurance and excess workers' compensation insurance. |
| 1702 | g. The Florida Surplus Lines Service Office shall |
| 1703 | determine annually the aggregate statewide written premium in |
| 1704 | subject lines of business procured by assessable insureds and |
| 1705 | shall report that information to the corporation in a form and |
| 1706 | at a time the corporation specifies to ensure that the |
| 1707 | corporation can meet the requirements of this subsection and the |
| 1708 | corporation's financing obligations. |
| 1709 | h. The Florida Surplus Lines Service Office shall verify |
| 1710 | the proper application by surplus lines agents of assessment |
| 1711 | percentages for regular assessments and emergency assessments |
| 1712 | levied under this subparagraph on assessable insureds and shall |
| 1713 | assist the corporation in ensuring the accurate, timely |
| 1714 | collection and payment of assessments by surplus lines agents as |
| 1715 | required by the corporation. |
| 1716 | i. If a deficit is incurred in any account in 2008 or |
| 1717 | thereafter, the board of governors shall levy a Citizens |
| 1718 | policyholder surcharge an immediate assessment against the |
| 1719 | premium of each nonhomestead property policyholder in all |
| 1720 | accounts of the corporation, as a uniform percentage of the |
| 1721 | premium of the policy of up to 10 percent of such premium, which |
| 1722 | funds shall be used to offset the deficit. If this assessment is |
| 1723 | insufficient to eliminate the deficit, the board of governors |
| 1724 | shall levy an additional assessment against all policyholders of |
| 1725 | the corporation for a 12-month period, which shall be collected |
| 1726 | at the time of issuance or renewal of a policy, as a uniform |
| 1727 | percentage of the premium for the policy of up to 15 10 percent |
| 1728 | of such premium, which funds shall be used to further offset the |
| 1729 | deficit. Citizens policyholder surcharges under this sub- |
| 1730 | subparagraph are not considered premium and are not subject to |
| 1731 | commissions, fees, or premium taxes. However, failure to pay |
| 1732 | such surcharges shall be treated as failure to pay premium. |
| 1733 | j. If the amount of any assessments or surcharges |
| 1734 | collected from corporation policyholders, assessable insurers or |
| 1735 | their policyholders, or assessable insureds exceeds the amount |
| 1736 | of the deficits, such excess amounts shall be remitted to and |
| 1737 | retained by the corporation in a reserve to be used by the |
| 1738 | corporation, as determined by the board of governors and |
| 1739 | approved by the office, to pay claims or reduce any past, |
| 1740 | present, or future plan-year deficits or to reduce outstanding |
| 1741 | debt. The board of governors shall maintain separate accounting |
| 1742 | records that consolidate data for nonhomestead properties, |
| 1743 | including, but not limited to, number of policies, insured |
| 1744 | values, premiums written, and losses. The board of governors |
| 1745 | shall annually report to the office and the Legislature a |
| 1746 | summary of such data. |
| 1747 | (c) The plan of operation of the corporation: |
| 1748 | 1. Must provide for adoption of residential property and |
| 1749 | casualty insurance policy forms and commercial residential and |
| 1750 | nonresidential property insurance forms, which forms must be |
| 1751 | approved by the office prior to use. The corporation shall adopt |
| 1752 | the following policy forms: |
| 1753 | a. Standard personal lines policy forms that are |
| 1754 | comprehensive multiperil policies providing full coverage of a |
| 1755 | residential property equivalent to the coverage provided in the |
| 1756 | private insurance market under an HO-3, HO-4, or HO-6 policy. |
| 1757 | b. Basic personal lines policy forms that are policies |
| 1758 | similar to an HO-8 policy or a dwelling fire policy that provide |
| 1759 | coverage meeting the requirements of the secondary mortgage |
| 1760 | market, but which coverage is more limited than the coverage |
| 1761 | under a standard policy. |
| 1762 | c. Commercial lines residential and nonresidential policy |
| 1763 | forms that are generally similar to the basic perils of full |
| 1764 | coverage obtainable for commercial residential structures and |
| 1765 | commercial nonresidential structures in the admitted voluntary |
| 1766 | market. |
| 1767 | d. Personal lines and commercial lines residential |
| 1768 | property insurance forms that cover the peril of wind only. The |
| 1769 | forms are applicable only to residential properties located in |
| 1770 | areas eligible for coverage under the high-risk account referred |
| 1771 | to in sub-subparagraph (b)2.a. |
| 1772 | e. Commercial lines nonresidential property insurance |
| 1773 | forms that cover the peril of wind only. The forms are |
| 1774 | applicable only to nonresidential properties located in areas |
| 1775 | eligible for coverage under the high-risk account referred to in |
| 1776 | sub-subparagraph (b)2.a. |
| 1777 | f. The corporation may adopt variations of the policy |
| 1778 | forms listed in sub-subparagraphs a.-e. that contain more |
| 1779 | restrictive coverage. |
| 1780 | 2.a. Must provide that the corporation adopt a program in |
| 1781 | which the corporation and authorized insurers enter into quota |
| 1782 | share primary insurance agreements for hurricane coverage, as |
| 1783 | defined in s. 627.4025(2)(a), for eligible risks, and adopt |
| 1784 | property insurance forms for eligible risks which cover the |
| 1785 | peril of wind only. As used in this subsection, the term: |
| 1786 | (I) "Quota share primary insurance" means an arrangement |
| 1787 | in which the primary hurricane coverage of an eligible risk is |
| 1788 | provided in specified percentages by the corporation and an |
| 1789 | authorized insurer. The corporation and authorized insurer are |
| 1790 | each solely responsible for a specified percentage of hurricane |
| 1791 | coverage of an eligible risk as set forth in a quota share |
| 1792 | primary insurance agreement between the corporation and an |
| 1793 | authorized insurer and the insurance contract. The |
| 1794 | responsibility of the corporation or authorized insurer to pay |
| 1795 | its specified percentage of hurricane losses of an eligible |
| 1796 | risk, as set forth in the quota share primary insurance |
| 1797 | agreement, may not be altered by the inability of the other |
| 1798 | party to the agreement to pay its specified percentage of |
| 1799 | hurricane losses. Eligible risks that are provided hurricane |
| 1800 | coverage through a quota share primary insurance arrangement |
| 1801 | must be provided policy forms that set forth the obligations of |
| 1802 | the corporation and authorized insurer under the arrangement, |
| 1803 | clearly specify the percentages of quota share primary insurance |
| 1804 | provided by the corporation and authorized insurer, and |
| 1805 | conspicuously and clearly state that neither the authorized |
| 1806 | insurer nor the corporation may be held responsible beyond its |
| 1807 | specified percentage of coverage of hurricane losses. |
| 1808 | (II) "Eligible risks" means personal lines residential and |
| 1809 | commercial lines residential risks that meet the underwriting |
| 1810 | criteria of the corporation and are located in areas that were |
| 1811 | eligible for coverage by the Florida Windstorm Underwriting |
| 1812 | Association on January 1, 2002. |
| 1813 | b. The corporation may enter into quota share primary |
| 1814 | insurance agreements with authorized insurers at corporation |
| 1815 | coverage levels of 90 percent and 50 percent. |
| 1816 | c. If the corporation determines that additional coverage |
| 1817 | levels are necessary to maximize participation in quota share |
| 1818 | primary insurance agreements by authorized insurers, the |
| 1819 | corporation may establish additional coverage levels. However, |
| 1820 | the corporation's quota share primary insurance coverage level |
| 1821 | may not exceed 90 percent. |
| 1822 | d. Any quota share primary insurance agreement entered |
| 1823 | into between an authorized insurer and the corporation must |
| 1824 | provide for a uniform specified percentage of coverage of |
| 1825 | hurricane losses, by county or territory as set forth by the |
| 1826 | corporation board, for all eligible risks of the authorized |
| 1827 | insurer covered under the quota share primary insurance |
| 1828 | agreement. |
| 1829 | e. Any quota share primary insurance agreement entered |
| 1830 | into between an authorized insurer and the corporation is |
| 1831 | subject to review and approval by the office. However, such |
| 1832 | agreement shall be authorized only as to insurance contracts |
| 1833 | entered into between an authorized insurer and an insured who is |
| 1834 | already insured by the corporation for wind coverage. |
| 1835 | f. For all eligible risks covered under quota share |
| 1836 | primary insurance agreements, the exposure and coverage levels |
| 1837 | for both the corporation and authorized insurers shall be |
| 1838 | reported by the corporation to the Florida Hurricane Catastrophe |
| 1839 | Fund. For all policies of eligible risks covered under quota |
| 1840 | share primary insurance agreements, the corporation and the |
| 1841 | authorized insurer shall maintain complete and accurate records |
| 1842 | for the purpose of exposure and loss reimbursement audits as |
| 1843 | required by Florida Hurricane Catastrophe Fund rules. The |
| 1844 | corporation and the authorized insurer shall each maintain |
| 1845 | duplicate copies of policy declaration pages and supporting |
| 1846 | claims documents. |
| 1847 | g. The corporation board shall establish in its plan of |
| 1848 | operation standards for quota share agreements which ensure that |
| 1849 | there is no discriminatory application among insurers as to the |
| 1850 | terms of quota share agreements, pricing of quota share |
| 1851 | agreements, incentive provisions if any, and consideration paid |
| 1852 | for servicing policies or adjusting claims. |
| 1853 | h. The quota share primary insurance agreement between the |
| 1854 | corporation and an authorized insurer must set forth the |
| 1855 | specific terms under which coverage is provided, including, but |
| 1856 | not limited to, the sale and servicing of policies issued under |
| 1857 | the agreement by the insurance agent of the authorized insurer |
| 1858 | producing the business, the reporting of information concerning |
| 1859 | eligible risks, the payment of premium to the corporation, and |
| 1860 | arrangements for the adjustment and payment of hurricane claims |
| 1861 | incurred on eligible risks by the claims adjuster and personnel |
| 1862 | of the authorized insurer. Entering into a quota sharing |
| 1863 | insurance agreement between the corporation and an authorized |
| 1864 | insurer shall be voluntary and at the discretion of the |
| 1865 | authorized insurer. |
| 1866 | 3. May provide that the corporation may employ or |
| 1867 | otherwise contract with individuals or other entities to provide |
| 1868 | administrative or professional services that may be appropriate |
| 1869 | to effectuate the plan. The corporation shall have the power to |
| 1870 | borrow funds, by issuing bonds or by incurring other |
| 1871 | indebtedness, and shall have other powers reasonably necessary |
| 1872 | to effectuate the requirements of this subsection, including, |
| 1873 | without limitation, the power to issue bonds and incur other |
| 1874 | indebtedness in order to refinance outstanding bonds or other |
| 1875 | indebtedness. The corporation may, but is not required to, seek |
| 1876 | judicial validation of its bonds or other indebtedness under |
| 1877 | chapter 75. The corporation may issue bonds or incur other |
| 1878 | indebtedness, or have bonds issued on its behalf by a unit of |
| 1879 | local government pursuant to subparagraph (p)2., in the absence |
| 1880 | of a hurricane or other weather-related event, upon a |
| 1881 | determination by the corporation, subject to approval by the |
| 1882 | office, that such action would enable it to efficiently meet the |
| 1883 | financial obligations of the corporation and that such |
| 1884 | financings are reasonably necessary to effectuate the |
| 1885 | requirements of this subsection. The corporation is authorized |
| 1886 | to take all actions needed to facilitate tax-free status for any |
| 1887 | such bonds or indebtedness, including formation of trusts or |
| 1888 | other affiliated entities. The corporation shall have the |
| 1889 | authority to pledge assessments, projected recoveries from the |
| 1890 | Florida Hurricane Catastrophe Fund, other reinsurance |
| 1891 | recoverables, market equalization and other surcharges, and |
| 1892 | other funds available to the corporation as security for bonds |
| 1893 | or other indebtedness. In recognition of s. 10, Art. I of the |
| 1894 | State Constitution, prohibiting the impairment of obligations of |
| 1895 | contracts, it is the intent of the Legislature that no action be |
| 1896 | taken whose purpose is to impair any bond indenture or financing |
| 1897 | agreement or any revenue source committed by contract to such |
| 1898 | bond or other indebtedness. |
| 1899 | 4.a. Must require that the corporation operate subject to |
| 1900 | the supervision and approval of a board of governors consisting |
| 1901 | of eight individuals who are residents of this state, from |
| 1902 | different geographical areas of this state. The Governor, the |
| 1903 | Chief Financial Officer, the President of the Senate, and the |
| 1904 | Speaker of the House of Representatives shall each appoint two |
| 1905 | members of the board. At least one of the two members appointed |
| 1906 | by each appointing officer must have demonstrated expertise in |
| 1907 | insurance. The Chief Financial Officer shall designate one of |
| 1908 | the appointees as chair. All board members serve at the pleasure |
| 1909 | of the appointing officer. All members of the board of governors |
| 1910 | are subject to removal at will by the officers who appointed |
| 1911 | them. All board members, including the chair, must be appointed |
| 1912 | to serve for 3-year terms beginning annually on a date |
| 1913 | designated by the plan. Any board vacancy shall be filled for |
| 1914 | the unexpired term by the appointing officer. The Chief |
| 1915 | Financial Officer shall appoint a technical advisory group to |
| 1916 | provide information and advice to the board of governors in |
| 1917 | connection with the board's duties under this subsection. The |
| 1918 | executive director and senior managers of the corporation shall |
| 1919 | be engaged by the board and serve at the pleasure of the board. |
| 1920 | Any executive director appointed on or after July 1, 2006, is |
| 1921 | subject to confirmation by the Senate. The executive director is |
| 1922 | responsible for employing other staff as the corporation may |
| 1923 | require, subject to review and concurrence by the board. |
| 1924 | b. The board shall create a Market Accountability Advisory |
| 1925 | Committee to assist the corporation in developing awareness of |
| 1926 | its rates and its customer and agent service levels in |
| 1927 | relationship to the voluntary market insurers writing similar |
| 1928 | coverage. The members of the advisory committee shall consist of |
| 1929 | the following 11 persons, one of whom must be elected chair by |
| 1930 | the members of the committee: four representatives, one |
| 1931 | appointed by the Florida Association of Insurance Agents, one by |
| 1932 | the Florida Association of Insurance and Financial Advisors, one |
| 1933 | by the Professional Insurance Agents of Florida, and one by the |
| 1934 | Latin American Association of Insurance Agencies; three |
| 1935 | representatives appointed by the insurers with the three highest |
| 1936 | voluntary market share of residential property insurance |
| 1937 | business in the state; one representative from the Office of |
| 1938 | Insurance Regulation; one consumer appointed by the board who is |
| 1939 | insured by the corporation at the time of appointment to the |
| 1940 | committee; one representative appointed by the Florida |
| 1941 | Association of Realtors; and one representative appointed by the |
| 1942 | Florida Bankers Association. All members must serve for 3-year |
| 1943 | terms and may serve for consecutive terms. The committee shall |
| 1944 | report to the corporation at each board meeting on insurance |
| 1945 | market issues which may include rates and rate competition with |
| 1946 | the voluntary market; service, including policy issuance, claims |
| 1947 | processing, and general responsiveness to policyholders, |
| 1948 | applicants, and agents; and matters relating to depopulation. |
| 1949 | 5. Must provide a procedure for determining the |
| 1950 | eligibility of a risk for coverage, as follows: |
| 1951 | a. Subject to the provisions of s. 627.3517, with respect |
| 1952 | to personal lines residential risks, if the risk is offered |
| 1953 | coverage from an authorized insurer at the insurer's approved |
| 1954 | rate under either a standard policy including wind coverage or, |
| 1955 | if consistent with the insurer's underwriting rules as filed |
| 1956 | with the office, a basic policy including wind coverage, for a |
| 1957 | new application to the corporation for coverage, the risk is not |
| 1958 | eligible for any policy issued by the corporation unless the |
| 1959 | premium for coverage from the authorized insurer is more than 15 |
| 1960 | percent greater than the premium for comparable coverage from |
| 1961 | the corporation. If the risk is not able to obtain any such |
| 1962 | offer, the risk is eligible for either a standard policy |
| 1963 | including wind coverage or a basic policy including wind |
| 1964 | coverage issued by the corporation; however, if the risk could |
| 1965 | not be insured under a standard policy including wind coverage |
| 1966 | regardless of market conditions, the risk shall be eligible for |
| 1967 | a basic policy including wind coverage unless rejected under |
| 1968 | subparagraph 9. However, with regard to a policyholder of the |
| 1969 | corporation or a policyholder removed from the corporation |
| 1970 | through an assumption agreement until the end of the assumption |
| 1971 | period, the policyholder remains eligible for coverage from the |
| 1972 | corporation regardless of any offer of coverage from an |
| 1973 | authorized insurer or surplus lines insurer. The corporation |
| 1974 | shall determine the type of policy to be provided on the basis |
| 1975 | of objective standards specified in the underwriting manual and |
| 1976 | based on generally accepted underwriting practices. |
| 1977 | (I) If the risk accepts an offer of coverage through the |
| 1978 | market assistance plan or an offer of coverage through a |
| 1979 | mechanism established by the corporation before a policy is |
| 1980 | issued to the risk by the corporation or during the first 30 |
| 1981 | days of coverage by the corporation, and the producing agent who |
| 1982 | submitted the application to the plan or to the corporation is |
| 1983 | not currently appointed by the insurer, the insurer shall: |
| 1984 | (A) Pay to the producing agent of record of the policy, |
| 1985 | for the first year, an amount that is the greater of the |
| 1986 | insurer's usual and customary commission for the type of policy |
| 1987 | written or a fee equal to the usual and customary commission of |
| 1988 | the corporation; or |
| 1989 | (B) Offer to allow the producing agent of record of the |
| 1990 | policy to continue servicing the policy for a period of not less |
| 1991 | than 1 year and offer to pay the agent the greater of the |
| 1992 | insurer's or the corporation's usual and customary commission |
| 1993 | for the type of policy written. |
| 1994 |
|
| 1995 | If the producing agent is unwilling or unable to accept |
| 1996 | appointment, the new insurer shall pay the agent in accordance |
| 1997 | with sub-sub-sub-subparagraph (A). |
| 1998 | (II) When the corporation enters into a contractual |
| 1999 | agreement for a take-out plan, the producing agent of record of |
| 2000 | the corporation policy is entitled to retain any unearned |
| 2001 | commission on the policy, and the insurer shall: |
| 2002 | (A) Pay to the producing agent of record of the |
| 2003 | corporation policy, for the first year, an amount that is the |
| 2004 | greater of the insurer's usual and customary commission for the |
| 2005 | type of policy written or a fee equal to the usual and customary |
| 2006 | commission of the corporation; or |
| 2007 | (B) Offer to allow the producing agent of record of the |
| 2008 | corporation policy to continue servicing the policy for a period |
| 2009 | of not less than 1 year and offer to pay the agent the greater |
| 2010 | of the insurer's or the corporation's usual and customary |
| 2011 | commission for the type of policy written. |
| 2012 |
|
| 2013 | If the producing agent is unwilling or unable to accept |
| 2014 | appointment, the new insurer shall pay the agent in accordance |
| 2015 | with sub-sub-sub-subparagraph (A). |
| 2016 | b. With respect to commercial lines residential risks, for |
| 2017 | a new application to the corporation for coverage, if the risk |
| 2018 | is offered coverage under a policy including wind coverage from |
| 2019 | an authorized insurer at its approved rate, the risk is not |
| 2020 | eligible for any policy issued by the corporation unless the |
| 2021 | premium for coverage from the authorized insurer is more than 15 |
| 2022 | percent greater than the premium for comparable coverage from |
| 2023 | the corporation. If the risk is not able to obtain any such |
| 2024 | offer, the risk is eligible for a policy including wind coverage |
| 2025 | issued by the corporation. However, with regard to a |
| 2026 | policyholder of the corporation or a policyholder removed from |
| 2027 | the corporation through an assumption agreement until the end of |
| 2028 | the assumption period, the policyholder remains eligible for |
| 2029 | coverage from the corporation regardless of any offer of |
| 2030 | coverage from an authorized insurer or surplus lines insurer. |
| 2031 | (I) If the risk accepts an offer of coverage through the |
| 2032 | market assistance plan or an offer of coverage through a |
| 2033 | mechanism established by the corporation before a policy is |
| 2034 | issued to the risk by the corporation or during the first 30 |
| 2035 | days of coverage by the corporation, and the producing agent who |
| 2036 | submitted the application to the plan or the corporation is not |
| 2037 | currently appointed by the insurer, the insurer shall: |
| 2038 | (A) Pay to the producing agent of record of the policy, |
| 2039 | for the first year, an amount that is the greater of the |
| 2040 | insurer's usual and customary commission for the type of policy |
| 2041 | written or a fee equal to the usual and customary commission of |
| 2042 | the corporation; or |
| 2043 | (B) Offer to allow the producing agent of record of the |
| 2044 | policy to continue servicing the policy for a period of not less |
| 2045 | than 1 year and offer to pay the agent the greater of the |
| 2046 | insurer's or the corporation's usual and customary commission |
| 2047 | for the type of policy written. |
| 2048 |
|
| 2049 | If the producing agent is unwilling or unable to accept |
| 2050 | appointment, the new insurer shall pay the agent in accordance |
| 2051 | with sub-sub-sub-subparagraph (A). |
| 2052 | (II) When the corporation enters into a contractual |
| 2053 | agreement for a take-out plan, the producing agent of record of |
| 2054 | the corporation policy is entitled to retain any unearned |
| 2055 | commission on the policy, and the insurer shall: |
| 2056 | (A) Pay to the producing agent of record of the |
| 2057 | corporation policy, for the first year, an amount that is the |
| 2058 | greater of the insurer's usual and customary commission for the |
| 2059 | type of policy written or a fee equal to the usual and customary |
| 2060 | commission of the corporation; or |
| 2061 | (B) Offer to allow the producing agent of record of the |
| 2062 | corporation policy to continue servicing the policy for a period |
| 2063 | of not less than 1 year and offer to pay the agent the greater |
| 2064 | of the insurer's or the corporation's usual and customary |
| 2065 | commission for the type of policy written. |
| 2066 |
|
| 2067 | If the producing agent is unwilling or unable to accept |
| 2068 | appointment, the new insurer shall pay the agent in accordance |
| 2069 | with sub-sub-sub-subparagraph (A). |
| 2070 | c. For purposes of determining comparable coverage under |
| 2071 | sub-subparagraphs a. and b., the comparison shall be based on |
| 2072 | those forms and coverages that are reasonably comparable. The |
| 2073 | corporation may rely on a determination of comparable coverage |
| 2074 | and premium made by the producing agent who submits the |
| 2075 | application to the corporation, made in the agent's capacity as |
| 2076 | the corporation's agent. A comparison may be made solely of the |
| 2077 | premium with respect to the main building or structure only on |
| 2078 | the following basis: the same coverage A or other building |
| 2079 | limits; the same percentage hurricane deductible that applies on |
| 2080 | an annual basis or that applies to each hurricane for commercial |
| 2081 | residential property; the same percentage of ordinance and law |
| 2082 | coverage, if the same limit is offered by both the corporation |
| 2083 | and the authorized insurer; the same mitigation credits, to the |
| 2084 | extent the same types of credits are offered both by the |
| 2085 | corporation and the authorized insurer; the same method for loss |
| 2086 | payment, such as replacement cost or actual cash value, if the |
| 2087 | same method is offered both by the corporation and the |
| 2088 | authorized insurer in accordance with underwriting rules; and |
| 2089 | any other form or coverage that is reasonably comparable as |
| 2090 | determined by the board. If an application is submitted to the |
| 2091 | corporation for wind-only coverage in the high-risk account, the |
| 2092 | premium for the corporation's wind-only policy plus the premium |
| 2093 | for the ex-wind policy that is offered by an authorized insurer |
| 2094 | to the applicant shall be compared to the premium for multiperil |
| 2095 | coverage offered by an authorized insurer, subject to the |
| 2096 | standards for comparison specified in this subparagraph. If the |
| 2097 | corporation or the applicant requests from the authorized |
| 2098 | insurer a breakdown of the premium of the offer by types of |
| 2099 | coverage so that a comparison may be made by the corporation or |
| 2100 | its agent and the authorized insurer refuses or is unable to |
| 2101 | provide such information, the corporation may treat the offer as |
| 2102 | not being an offer of coverage from an authorized insurer at the |
| 2103 | insurer's approved rate. |
| 2104 | 6. Must include rules for classifications of risks and |
| 2105 | rates therefor. |
| 2106 | 7. Must provide that if premium and investment income for |
| 2107 | an account attributable to a particular calendar year are in |
| 2108 | excess of projected losses and expenses for the account |
| 2109 | attributable to that year, such excess shall be held in surplus |
| 2110 | in the account. Such surplus shall be available to defray |
| 2111 | deficits in that account as to future years and shall be used |
| 2112 | for that purpose prior to assessing assessable insurers and |
| 2113 | assessable insureds as to any calendar year. |
| 2114 | 8. Must provide objective criteria and procedures to be |
| 2115 | uniformly applied for all applicants in determining whether an |
| 2116 | individual risk is so hazardous as to be uninsurable. In making |
| 2117 | this determination and in establishing the criteria and |
| 2118 | procedures, the following shall be considered: |
| 2119 | a. Whether the likelihood of a loss for the individual |
| 2120 | risk is substantially higher than for other risks of the same |
| 2121 | class; and |
| 2122 | b. Whether the uncertainty associated with the individual |
| 2123 | risk is such that an appropriate premium cannot be determined. |
| 2124 |
|
| 2125 | The acceptance or rejection of a risk by the corporation shall |
| 2126 | be construed as the private placement of insurance, and the |
| 2127 | provisions of chapter 120 shall not apply. |
| 2128 | 9. Must provide that the corporation shall make its best |
| 2129 | efforts to procure catastrophe reinsurance at reasonable rates, |
| 2130 | to cover its projected 100-year probable maximum loss as |
| 2131 | determined by the board of governors. |
| 2132 | 10. Must provide that in the event of regular deficit |
| 2133 | assessments under sub-subparagraph (b)3.a. or sub-subparagraph |
| 2134 | (b)3.b., in the personal lines account, the commercial lines |
| 2135 | residential account, or the high-risk account, the corporation |
| 2136 | shall levy upon corporation policyholders in its next rate |
| 2137 | filing, or by a separate rate filing solely for this purpose, a |
| 2138 | Citizens policyholder surcharge arising from a regular |
| 2139 | assessment in such account in a percentage equal to the total |
| 2140 | amount of such regular assessments divided by the aggregate |
| 2141 | statewide direct written premium for subject lines of business |
| 2142 | for the prior calendar year. For purposes of calculating the |
| 2143 | Citizens policyholder surcharge to be levied under this |
| 2144 | subparagraph, the total amount of the regular assessment to |
| 2145 | which this surcharge is related shall be determined as set forth |
| 2146 | in subparagraph (b)3., without deducting the estimated Citizens |
| 2147 | policyholder surcharge. Citizens policyholder surcharges under |
| 2148 | this subparagraph are not considered premium and are not subject |
| 2149 | to commissions, fees, or premium taxes; however, failure to pay |
| 2150 | a market equalization surcharge shall be treated as failure to |
| 2151 | pay premium. |
| 2152 | 10.11. The policies issued by the corporation must provide |
| 2153 | that, if the corporation or the market assistance plan obtains |
| 2154 | an offer from an authorized insurer to cover the risk at its |
| 2155 | approved rates, the risk is no longer eligible for renewal |
| 2156 | through the corporation, except as otherwise provided in this |
| 2157 | subsection. |
| 2158 | 11.12. Corporation policies and applications must include |
| 2159 | a notice that the corporation policy could, under this section, |
| 2160 | be replaced with a policy issued by an authorized insurer that |
| 2161 | does not provide coverage identical to the coverage provided by |
| 2162 | the corporation. The notice shall also specify that acceptance |
| 2163 | of corporation coverage creates a conclusive presumption that |
| 2164 | the applicant or policyholder is aware of this potential. |
| 2165 | 12.13. May establish, subject to approval by the office, |
| 2166 | different eligibility requirements and operational procedures |
| 2167 | for any line or type of coverage for any specified county or |
| 2168 | area if the board determines that such changes to the |
| 2169 | eligibility requirements and operational procedures are |
| 2170 | justified due to the voluntary market being sufficiently stable |
| 2171 | and competitive in such area or for such line or type of |
| 2172 | coverage and that consumers who, in good faith, are unable to |
| 2173 | obtain insurance through the voluntary market through ordinary |
| 2174 | methods would continue to have access to coverage from the |
| 2175 | corporation. When coverage is sought in connection with a real |
| 2176 | property transfer, such requirements and procedures shall not |
| 2177 | provide for an effective date of coverage later than the date of |
| 2178 | the closing of the transfer as established by the transferor, |
| 2179 | the transferee, and, if applicable, the lender. |
| 2180 | 13.14. Must provide that, with respect to the high-risk |
| 2181 | account, any assessable insurer with a surplus as to |
| 2182 | policyholders of $25 million or less writing 25 percent or more |
| 2183 | of its total countrywide property insurance premiums in this |
| 2184 | state may petition the office, within the first 90 days of each |
| 2185 | calendar year, to qualify as a limited apportionment company. A |
| 2186 | regular assessment levied by the corporation on a limited |
| 2187 | apportionment company for a deficit incurred by the corporation |
| 2188 | for the high-risk account in 2006 or thereafter may be paid to |
| 2189 | the corporation on a monthly basis as the assessments are |
| 2190 | collected by the limited apportionment company from its insureds |
| 2191 | pursuant to s. 627.3512, but the regular assessment must be paid |
| 2192 | in full within 12 months after being levied by the corporation. |
| 2193 | A limited apportionment company shall collect from its |
| 2194 | policyholders any emergency assessment imposed under sub- |
| 2195 | subparagraph (b)3.d. The plan shall provide that, if the office |
| 2196 | determines that any regular assessment will result in an |
| 2197 | impairment of the surplus of a limited apportionment company, |
| 2198 | the office may direct that all or part of such assessment be |
| 2199 | deferred as provided in subparagraph (p)4. However, there shall |
| 2200 | be no limitation or deferment of an emergency assessment to be |
| 2201 | collected from policyholders under sub-subparagraph (b)3.d. |
| 2202 | 14.15. Must provide that the corporation appoint as its |
| 2203 | licensed agents only those agents who also hold an appointment |
| 2204 | as defined in s. 626.015(3) with an insurer who at the time of |
| 2205 | the agent's initial appointment by the corporation is authorized |
| 2206 | to write and is actually writing personal lines residential |
| 2207 | property coverage, commercial residential property coverage, or |
| 2208 | commercial nonresidential property coverage within the state. |
| 2209 | 15.16. Must provide, by July 1, 2007, a premium payment |
| 2210 | plan option to its policyholders which allows at a minimum for |
| 2211 | quarterly and semiannual payment of premiums. A monthly payment |
| 2212 | plan may, but is not required to, be offered. |
| 2213 | 16.17. Must limit coverage on mobile homes or manufactured |
| 2214 | homes built prior to 1994 to actual cash value of the dwelling |
| 2215 | rather than replacement costs of the dwelling. |
| 2216 | 17.18. May provide such limits of coverage as the board |
| 2217 | determines, consistent with the requirements of this subsection. |
| 2218 | 18.19. May require commercial property to meet specified |
| 2219 | hurricane mitigation construction features as a condition of |
| 2220 | eligibility for coverage. |
| 2221 | (m)1. Rates for coverage provided by the corporation shall |
| 2222 | be actuarially sound and subject to the requirements of s. |
| 2223 | 627.062, except as otherwise provided in this paragraph. The |
| 2224 | corporation shall file its recommended rates with the office at |
| 2225 | least annually. The corporation shall provide any additional |
| 2226 | information regarding the rates which the office requires. The |
| 2227 | office shall consider the recommendations of the board and issue |
| 2228 | a final order establishing the rates for the corporation within |
| 2229 | 45 days after the recommended rates are filed. The corporation |
| 2230 | may not pursue an administrative challenge or judicial review of |
| 2231 | the final order of the office. |
| 2232 | 2. In addition to the rates otherwise determined pursuant |
| 2233 | to this paragraph, the corporation shall impose and collect an |
| 2234 | amount equal to the premium tax provided for in s. 624.509 to |
| 2235 | augment the financial resources of the corporation. |
| 2236 | 3. After the public hurricane loss-projection model under |
| 2237 | s. 627.06281 has been found to be accurate and reliable by the |
| 2238 | Florida Commission on Hurricane Loss Projection Methodology, |
| 2239 | that model shall serve as the minimum benchmark for determining |
| 2240 | the windstorm portion of the corporation's rates. This |
| 2241 | subparagraph does not require or allow the corporation to adopt |
| 2242 | rates lower than the rates otherwise required or allowed by this |
| 2243 | paragraph. |
| 2244 | 4. The rate filings for the corporation which were |
| 2245 | approved by the office and which took effect January 1, 2007, |
| 2246 | are rescinded, except for those rates that were lowered. As soon |
| 2247 | as possible, the corporation shall begin using the lower rates |
| 2248 | that were in effect on December 31, 2006, and shall provide |
| 2249 | refunds to policyholders who have paid higher rates as a result |
| 2250 | of that rate filing. The rates in effect on December 31, 2006, |
| 2251 | shall remain in effect for the 2007 and 2008 calendar years |
| 2252 | except for any rate change that results in a lower rate. The |
| 2253 | next rate change that may increase rates shall take effect |
| 2254 | January 1, 2009, pursuant to a new rate filing recommended by |
| 2255 | the corporation and established by the office, subject to the |
| 2256 | requirements of this paragraph. |
| 2257 | 5.a. Beginning on January 15, 2009, and each year |
| 2258 | thereafter, the corporation must make a recommended actuarially |
| 2259 | sound rate filing for each personal and commercial line of |
| 2260 | business it writes, to be effective no earlier than July 1, |
| 2261 | 2009. |
| 2262 | b. For the 36-month period beginning with the effective |
| 2263 | date for each of the rate filings made by the corporation on |
| 2264 | January 15, 2009, the rates established by the office for the |
| 2265 | corporation for its personal residential multiperil policies, |
| 2266 | its commercial residential multiperil policies, and its |
| 2267 | commercial nonresidential multiperil policies may not result in |
| 2268 | an overall average statewide premium increase of more than 10 |
| 2269 | percent or an increase for any single policyholder of more than |
| 2270 | 10 percent, during the first 12-month period, and may not result |
| 2271 | in an overall average statewide premium increase of more than 10 |
| 2272 | percent, or an increase for any single policyholder of more than |
| 2273 | 10 percent, during each of the two subsequent 12-month periods, |
| 2274 | excluding coverage changes and surcharges. |
| 2275 | c. For the 36-month period beginning with the effective |
| 2276 | date for the rate filings made by the corporation on January 15, |
| 2277 | 2009, the rates established by the office for the corporation |
| 2278 | for its personal residential wind-only policies, its commercial |
| 2279 | residential wind-only policies, and its commercial |
| 2280 | nonresidential wind-only policies may not result in an overall |
| 2281 | average statewide premium increase of more than 10 percent, or |
| 2282 | an increase for any single policyholder of more than 10 percent, |
| 2283 | during the first 12-month period, and may not result in an |
| 2284 | overall average statewide premium increase of more than 10 |
| 2285 | percent, or an increase for any single policyholder of more than |
| 2286 | 10 percent, during each of the two subsequent 12-month periods, |
| 2287 | excluding coverage changes and surcharges. |
| 2288 | (p)1. The corporation shall certify to the office its |
| 2289 | needs for annual assessments as to a particular calendar year, |
| 2290 | and for any interim assessments that it deems to be necessary to |
| 2291 | sustain operations as to a particular year pending the receipt |
| 2292 | of annual assessments. Upon verification, the office shall |
| 2293 | approve such certification, and the corporation shall levy such |
| 2294 | annual or interim assessments. Such assessments shall be |
| 2295 | prorated as provided in paragraph (b). The corporation shall |
| 2296 | take all reasonable and prudent steps necessary to collect the |
| 2297 | amount of assessment due from each assessable insurer, |
| 2298 | including, if prudent, filing suit to collect such assessment. |
| 2299 | If the corporation is unable to collect an assessment from any |
| 2300 | assessable insurer, the uncollected assessments shall be levied |
| 2301 | as an additional assessment against the assessable insurers and |
| 2302 | any assessable insurer required to pay an additional assessment |
| 2303 | as a result of such failure to pay shall have a cause of action |
| 2304 | against such nonpaying assessable insurer. Assessments shall be |
| 2305 | included as an appropriate factor in the making of rates. The |
| 2306 | failure of a surplus lines agent to collect and remit any |
| 2307 | regular or emergency assessment levied by the corporation is |
| 2308 | considered to be a violation of s. 626.936 and subjects the |
| 2309 | surplus lines agent to the penalties provided in that section. |
| 2310 | 2. The governing body of any unit of local government, any |
| 2311 | residents of which are insured by the corporation, may issue |
| 2312 | bonds as defined in s. 125.013 or s. 166.101 from time to time |
| 2313 | to fund an assistance program, in conjunction with the |
| 2314 | corporation, for the purpose of defraying deficits of the |
| 2315 | corporation. In order to avoid needless and indiscriminate |
| 2316 | proliferation, duplication, and fragmentation of such assistance |
| 2317 | programs, any unit of local government, any residents of which |
| 2318 | are insured by the corporation, may provide for the payment of |
| 2319 | losses, regardless of whether or not the losses occurred within |
| 2320 | or outside of the territorial jurisdiction of the local |
| 2321 | government. Revenue bonds under this subparagraph may not be |
| 2322 | issued until validated pursuant to chapter 75, unless a state of |
| 2323 | emergency is declared by executive order or proclamation of the |
| 2324 | Governor pursuant to s. 252.36 making such findings as are |
| 2325 | necessary to determine that it is in the best interests of, and |
| 2326 | necessary for, the protection of the public health, safety, and |
| 2327 | general welfare of residents of this state and declaring it an |
| 2328 | essential public purpose to permit certain municipalities or |
| 2329 | counties to issue such bonds as will permit relief to claimants |
| 2330 | and policyholders of the corporation. Any such unit of local |
| 2331 | government may enter into such contracts with the corporation |
| 2332 | and with any other entity created pursuant to this subsection as |
| 2333 | are necessary to carry out this paragraph. Any bonds issued |
| 2334 | under this subparagraph shall be payable from and secured by |
| 2335 | moneys received by the corporation from emergency assessments |
| 2336 | under sub-subparagraph (b)3.d., and assigned and pledged to or |
| 2337 | on behalf of the unit of local government for the benefit of the |
| 2338 | holders of such bonds. The funds, credit, property, and taxing |
| 2339 | power of the state or of the unit of local government shall not |
| 2340 | be pledged for the payment of such bonds. If any of the bonds |
| 2341 | remain unsold 60 days after issuance, the office shall require |
| 2342 | all insurers subject to assessment to purchase the bonds, which |
| 2343 | shall be treated as admitted assets; each insurer shall be |
| 2344 | required to purchase that percentage of the unsold portion of |
| 2345 | the bond issue that equals the insurer's relative share of |
| 2346 | assessment liability under this subsection. An insurer shall not |
| 2347 | be required to purchase the bonds to the extent that the office |
| 2348 | determines that the purchase would endanger or impair the |
| 2349 | solvency of the insurer. |
| 2350 | 3.a. The corporation shall adopt one or more programs |
| 2351 | subject to approval by the office for the reduction of both new |
| 2352 | and renewal writings in the corporation. Beginning January 1, |
| 2353 | 2008, any program the corporation adopts for the payment of |
| 2354 | bonuses to an insurer for each risk the insurer removes from the |
| 2355 | corporation shall comply with s. 627.3511(2) and may not exceed |
| 2356 | the amount referenced in s. 627.3511(2) for each risk removed. |
| 2357 | The corporation may consider any prudent and not unfairly |
| 2358 | discriminatory approach to reducing corporation writings, and |
| 2359 | may adopt a credit against assessment liability or other |
| 2360 | liability that provides an incentive for insurers to take risks |
| 2361 | out of the corporation and to keep risks out of the corporation |
| 2362 | by maintaining or increasing voluntary writings in counties or |
| 2363 | areas in which corporation risks are highly concentrated and a |
| 2364 | program to provide a formula under which an insurer voluntarily |
| 2365 | taking risks out of the corporation by maintaining or increasing |
| 2366 | voluntary writings will be relieved wholly or partially from |
| 2367 | assessments under sub-subparagraphs (b)3.a. and b. However, any |
| 2368 | "take-out bonus" or payment to an insurer must be conditioned on |
| 2369 | the property being insured for at least 5 years by the insurer, |
| 2370 | unless canceled or nonrenewed by the policyholder. If the policy |
| 2371 | is canceled or nonrenewed by the policyholder before the end of |
| 2372 | the 5-year period, the amount of the take-out bonus must be |
| 2373 | prorated for the time period the policy was insured. When the |
| 2374 | corporation enters into a contractual agreement for a take-out |
| 2375 | plan, the producing agent of record of the corporation policy is |
| 2376 | entitled to retain any unearned commission on such policy, and |
| 2377 | the insurer shall either: |
| 2378 | (I) Pay to the producing agent of record of the policy, |
| 2379 | for the first year, an amount which is the greater of the |
| 2380 | insurer's usual and customary commission for the type of policy |
| 2381 | written or a policy fee equal to the usual and customary |
| 2382 | commission of the corporation; or |
| 2383 | (II) Offer to allow the producing agent of record of the |
| 2384 | policy to continue servicing the policy for a period of not less |
| 2385 | than 1 year and offer to pay the agent the insurer's usual and |
| 2386 | customary commission for the type of policy written. If the |
| 2387 | producing agent is unwilling or unable to accept appointment by |
| 2388 | the new insurer, the new insurer shall pay the agent in |
| 2389 | accordance with sub-sub-subparagraph (I). |
| 2390 | b. Any credit or exemption from regular assessments |
| 2391 | adopted under this subparagraph shall last no longer than the 3 |
| 2392 | years following the cancellation or expiration of the policy by |
| 2393 | the corporation. With the approval of the office, the board may |
| 2394 | extend such credits for an additional year if the insurer |
| 2395 | guarantees an additional year of renewability for all policies |
| 2396 | removed from the corporation, or for 2 additional years if the |
| 2397 | insurer guarantees 2 additional years of renewability for all |
| 2398 | policies so removed. |
| 2399 | c. There shall be no credit, limitation, exemption, or |
| 2400 | deferment from emergency assessments to be collected from |
| 2401 | policyholders pursuant to sub-subparagraph (b)3.d. |
| 2402 | 4. The plan shall provide for the deferment, in whole or |
| 2403 | in part, of the assessment of an assessable insurer, other than |
| 2404 | an emergency assessment collected from policyholders pursuant to |
| 2405 | sub-subparagraph (b)3.d., if the office finds that payment of |
| 2406 | the assessment would endanger or impair the solvency of the |
| 2407 | insurer. In the event an assessment against an assessable |
| 2408 | insurer is deferred in whole or in part, the amount by which |
| 2409 | such assessment is deferred may be assessed against the other |
| 2410 | assessable insurers in a manner consistent with the basis for |
| 2411 | assessments set forth in paragraph (b). |
| 2412 | 5. Effective July 1, 2007, in order to evaluate the costs |
| 2413 | and benefits of approved take-out plans, if the corporation pays |
| 2414 | a bonus or other payment to an insurer for an approved take-out |
| 2415 | plan, it shall maintain a record of the address or such other |
| 2416 | identifying information on the property or risk removed in order |
| 2417 | to track if and when the property or risk is later insured by |
| 2418 | the corporation. |
| 2419 | 6. Any policy taken out, assumed, or removed from the |
| 2420 | corporation is, as of the effective date of the take-out, |
| 2421 | assumption, or removal, direct insurance issued by the insurer |
| 2422 | and not by the corporation, even if the corporation continues to |
| 2423 | service the policies. This subparagraph applies to policies of |
| 2424 | the corporation and not policies taken out, assumed, or removed |
| 2425 | from any other entity. |
| 2426 | (w)1. The following records of the corporation are |
| 2427 | confidential and exempt from the provisions of s. 119.07(1) and |
| 2428 | s. 24(a), Art. I of the State Constitution: |
| 2429 | a. Underwriting files, except that a policyholder or an |
| 2430 | applicant shall have access to his or her own underwriting |
| 2431 | files. Confidential and exempt underwriting file records may |
| 2432 | also be released to other governmental agencies upon written |
| 2433 | request and demonstration of need; such records held by the |
| 2434 | receiving agency remain confidential and exempt as provided |
| 2435 | herein. |
| 2436 | b. Claims files, until termination of all litigation and |
| 2437 | settlement of all claims arising out of the same incident, |
| 2438 | although portions of the claims files may remain exempt, as |
| 2439 | otherwise provided by law. Confidential and exempt claims file |
| 2440 | records may be released to other governmental agencies upon |
| 2441 | written request and demonstration of need; such records held by |
| 2442 | the receiving agency remain confidential and exempt as provided |
| 2443 | for herein. |
| 2444 | c. Records obtained or generated by an internal auditor |
| 2445 | pursuant to a routine audit, until the audit is completed, or if |
| 2446 | the audit is conducted as part of an investigation, until the |
| 2447 | investigation is closed or ceases to be active. An investigation |
| 2448 | is considered "active" while the investigation is being |
| 2449 | conducted with a reasonable, good faith belief that it could |
| 2450 | lead to the filing of administrative, civil, or criminal |
| 2451 | proceedings. |
| 2452 | d. Matters reasonably encompassed in privileged attorney- |
| 2453 | client communications. |
| 2454 | e. Proprietary information licensed to the corporation |
| 2455 | under contract and the contract provides for the confidentiality |
| 2456 | of such proprietary information. |
| 2457 | f. All information relating to the medical condition or |
| 2458 | medical status of a corporation employee which is not relevant |
| 2459 | to the employee's capacity to perform his or her duties, except |
| 2460 | as otherwise provided in this paragraph. Information that which |
| 2461 | is exempt shall include, but is not limited to, information |
| 2462 | relating to workers' compensation, insurance benefits, and |
| 2463 | retirement or disability benefits. |
| 2464 | g. Upon an employee's entrance into the employee |
| 2465 | assistance program, a program to assist any employee who has a |
| 2466 | behavioral or medical disorder, substance abuse problem, or |
| 2467 | emotional difficulty which affects the employee's job |
| 2468 | performance, all records relative to that participation shall be |
| 2469 | confidential and exempt from the provisions of s. 119.07(1) and |
| 2470 | s. 24(a), Art. I of the State Constitution, except as otherwise |
| 2471 | provided in s. 112.0455(11). |
| 2472 | h. Information relating to negotiations for financing, |
| 2473 | reinsurance, depopulation, or contractual services, until the |
| 2474 | conclusion of the negotiations. |
| 2475 | i. Minutes of closed meetings regarding underwriting |
| 2476 | files, and minutes of closed meetings regarding an open claims |
| 2477 | file until termination of all litigation and settlement of all |
| 2478 | claims with regard to that claim, except that information |
| 2479 | otherwise confidential or exempt by law shall will be redacted. |
| 2480 | 2. If When an authorized insurer is considering |
| 2481 | underwriting a risk insured by the corporation, relevant |
| 2482 | underwriting files and confidential claims files may be released |
| 2483 | to the insurer provided the insurer agrees in writing, notarized |
| 2484 | and under oath, to maintain the confidentiality of such files. |
| 2485 | If When a file is transferred to an insurer that file is no |
| 2486 | longer a public record because it is not held by an agency |
| 2487 | subject to the provisions of the public records law. |
| 2488 | Underwriting files and confidential claims files may also be |
| 2489 | released to staff of and the board of governors of the market |
| 2490 | assistance plan established pursuant to s. 627.3515, who must |
| 2491 | retain the confidentiality of such files, except such files may |
| 2492 | be released to authorized insurers that are considering assuming |
| 2493 | the risks to which the files apply, provided the insurer agrees |
| 2494 | in writing, notarized and under oath, to maintain the |
| 2495 | confidentiality of such files. Finally, the corporation or the |
| 2496 | board or staff of the market assistance plan may make the |
| 2497 | following information obtained from underwriting files and |
| 2498 | confidential claims files available to licensed general lines |
| 2499 | insurance agents: name, address, and telephone number of the |
| 2500 | residential property owner or insured; location of the risk; |
| 2501 | rating information; loss history; and policy type. The receiving |
| 2502 | licensed general lines insurance agent must retain the |
| 2503 | confidentiality of the information received. |
| 2504 | 3. A policyholder who has filed suit against the |
| 2505 | corporation has the right to discover the contents of his or her |
| 2506 | own claims file to the same extent that discovery of such |
| 2507 | contents would be available from a private insurer in litigation |
| 2508 | as provided by the Florida Rules of Civil Procedure, the Florida |
| 2509 | Evidence Code, and other applicable law. Pursuant to subpoena, a |
| 2510 | third party has the right to discover the contents of an |
| 2511 | insured's or applicant's underwriting or claims file to the same |
| 2512 | extent that discovery of such contents would be available from a |
| 2513 | private insurer by subpoena as provided by the Florida Rules of |
| 2514 | Civil Procedure, the Florida Evidence Code, and other applicable |
| 2515 | law, and subject to any confidentiality protections requested by |
| 2516 | the corporation and agreed to by the seeking party or ordered by |
| 2517 | the court. The corporation may release confidential underwriting |
| 2518 | and claims file contents and information as it deems necessary |
| 2519 | and appropriate to underwrite or service insurance policies and |
| 2520 | claims, subject to any confidentiality protections deemed |
| 2521 | necessary and appropriate by the corporation. |
| 2522 | 4.2. Portions of meetings of the corporation are exempt |
| 2523 | from the provisions of s. 286.011 and s. 24(b), Art. I of the |
| 2524 | State Constitution wherein confidential underwriting files or |
| 2525 | confidential open claims files are discussed. All portions of |
| 2526 | corporation meetings which are closed to the public shall be |
| 2527 | recorded by a court reporter. The court reporter shall record |
| 2528 | the times of commencement and termination of the meeting, all |
| 2529 | discussion and proceedings, the names of all persons present at |
| 2530 | any time, and the names of all persons speaking. No portion of |
| 2531 | any closed meeting shall be off the record. Subject to the |
| 2532 | provisions hereof and s. 119.07(1)(e)-(g), the court reporter's |
| 2533 | notes of any closed meeting shall be retained by the corporation |
| 2534 | for a minimum of 5 years. A copy of the transcript, less any |
| 2535 | exempt matters, of any closed meeting wherein claims are |
| 2536 | discussed shall become public as to individual claims after |
| 2537 | settlement of the claim. |
| 2538 | (dd)1. For policies subject to nonrenewal as a result of |
| 2539 | the risk being no longer eligible for coverage due to being |
| 2540 | valued at $1 million or more, the corporation shall, directly or |
| 2541 | through the market assistance plan, make information from |
| 2542 | confidential underwriting and claims files of policyholders |
| 2543 | available only to licensed general lines agents who register |
| 2544 | with the corporation to receive such information according to |
| 2545 | the following procedures: |
| 2546 | 2. By August 1, 2006, the corporation shall provide such |
| 2547 | policyholders who are not eligible for renewal the opportunity |
| 2548 | to request in writing, within 30 days after the notification is |
| 2549 | sent, that information from their confidential underwriting and |
| 2550 | claims files not be released to licensed general lines agents |
| 2551 | registered pursuant to this paragraph. |
| 2552 | 3. By August 1, 2006, the corporation shall make available |
| 2553 | to licensed general lines agents the registration procedures to |
| 2554 | be used to obtain confidential information from underwriting and |
| 2555 | claims files for such policies not eligible for renewal. As a |
| 2556 | condition of registration, the corporation shall require the |
| 2557 | licensed general lines agent to attest that the agent has the |
| 2558 | experience and relationships with authorized or surplus lines |
| 2559 | carriers to attempt to offer replacement coverage for such |
| 2560 | policies. |
| 2561 | 4. By September 1, 2006, the corporation shall make |
| 2562 | available through a secured website to licensed general lines |
| 2563 | agents registered pursuant to this paragraph application, |
| 2564 | rating, loss history, mitigation, and policy type information |
| 2565 | relating to such policies not eligible for renewal and for which |
| 2566 | the policyholder has not requested the corporation withhold such |
| 2567 | information. The registered licensed general lines agent may use |
| 2568 | such information to contact and assist the policyholder in |
| 2569 | securing replacement policies, and the agent may disclose to the |
| 2570 | policyholder that such information was obtained from the |
| 2571 | corporation. |
| 2572 | (dd)(ee) The assets of the corporation may be invested and |
| 2573 | managed by the State Board of Administration. |
| 2574 | (ee)(ff) The office may establish a pilot program to offer |
| 2575 | optional sinkhole coverage in one or more counties or other |
| 2576 | territories of the corporation for the purpose of implementing |
| 2577 | s. 627.706, as amended by s. 30, chapter 2007-1, Laws of |
| 2578 | Florida. Under the pilot program, the corporation is not |
| 2579 | required to issue a notice of nonrenewal to exclude sinkhole |
| 2580 | coverage upon the renewal of existing policies, but may exclude |
| 2581 | such coverage using a notice of coverage change. |
| 2582 | (ff) The corporation shall report claims data and |
| 2583 | histories to a consumer reporting agency, as defined by the |
| 2584 | federal Fair Credit Reporting Act, 15 U.S.C. 1681 et seq., that |
| 2585 | maintains a national database of similar data for use in |
| 2586 | connection with the underwriting of insurance involving a |
| 2587 | consumer. |
| 2588 | Section 12. Paragraph (b) of subsection (2) of section |
| 2589 | 627.4133, Florida Statutes, is amended to read: |
| 2590 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
| 2591 | premium.-- |
| 2592 | (2) With respect to any personal lines or commercial |
| 2593 | residential property insurance policy, including, but not |
| 2594 | limited to, any homeowner's, mobile home owner's, farmowner's, |
| 2595 | condominium association, condominium unit owner's, apartment |
| 2596 | building, or other policy covering a residential structure or |
| 2597 | its contents: |
| 2598 | (b) The insurer shall give the named insured written |
| 2599 | notice of nonrenewal, cancellation, or termination at least 100 |
| 2600 | days prior to the effective date of the nonrenewal, |
| 2601 | cancellation, or termination. However, the insurer shall give at |
| 2602 | least 100 days' written notice, or written notice by June 1, |
| 2603 | whichever is earlier, for any nonrenewal, cancellation, or |
| 2604 | termination that would be effective between June 1 and November |
| 2605 | 30. The notice must include the reason or reasons for the |
| 2606 | nonrenewal, cancellation, or termination, except that: |
| 2607 | 1. The insurer shall give the named insured written notice |
| 2608 | of nonrenewal, cancellation, or termination at least 180 days |
| 2609 | prior to the effective date of the nonrenewal, cancellation, or |
| 2610 | termination for a named insured whose residential structure has |
| 2611 | been insured by that insurer or an affiliated insurer for at |
| 2612 | least a 5-year period immediately prior to date of the written |
| 2613 | notice. |
| 2614 | 2.1. When cancellation is for nonpayment of premium, at |
| 2615 | least 10 days' written notice of cancellation accompanied by the |
| 2616 | reason therefor shall be given. As used in this subparagraph, |
| 2617 | the term "nonpayment of premium" means failure of the named |
| 2618 | insured to discharge when due any of her or his obligations in |
| 2619 | connection with the payment of premiums on a policy or any |
| 2620 | installment of such premium, whether the premium is payable |
| 2621 | directly to the insurer or its agent or indirectly under any |
| 2622 | premium finance plan or extension of credit, or failure to |
| 2623 | maintain membership in an organization if such membership is a |
| 2624 | condition precedent to insurance coverage. "Nonpayment of |
| 2625 | premium" also means the failure of a financial institution to |
| 2626 | honor an insurance applicant's check after delivery to a |
| 2627 | licensed agent for payment of a premium, even if the agent has |
| 2628 | previously delivered or transferred the premium to the insurer. |
| 2629 | If a dishonored check represents the initial premium payment, |
| 2630 | the contract and all contractual obligations shall be void ab |
| 2631 | initio unless the nonpayment is cured within the earlier of 5 |
| 2632 | days after actual notice by certified mail is received by the |
| 2633 | applicant or 15 days after notice is sent to the applicant by |
| 2634 | certified mail or registered mail, and if the contract is void, |
| 2635 | any premium received by the insurer from a third party shall be |
| 2636 | refunded to that party in full. |
| 2637 | 3.2. When such cancellation or termination occurs during |
| 2638 | the first 90 days during which the insurance is in force and the |
| 2639 | insurance is canceled or terminated for reasons other than |
| 2640 | nonpayment of premium, at least 20 days' written notice of |
| 2641 | cancellation or termination accompanied by the reason therefor |
| 2642 | shall be given except where there has been a material |
| 2643 | misstatement or misrepresentation or failure to comply with the |
| 2644 | underwriting requirements established by the insurer. |
| 2645 | 4.3. The requirement for providing written notice of |
| 2646 | nonrenewal by June 1 of any nonrenewal that would be effective |
| 2647 | between June 1 and November 30 does not apply to the following |
| 2648 | situations, but the insurer remains subject to the requirement |
| 2649 | to provide such notice at least 100 days prior to the effective |
| 2650 | date of nonrenewal: |
| 2651 | a. A policy that is nonrenewed due to a revision in the |
| 2652 | coverage for sinkhole losses and catastrophic ground cover |
| 2653 | collapse pursuant to s. 627.730, as amended by s. 30, chapter |
| 2654 | 2007-1, Laws of Florida. |
| 2655 | b. A policy that is nonrenewed by Citizens Property |
| 2656 | Insurance Corporation, pursuant to s. 627.351(6), for a policy |
| 2657 | that has been assumed by an authorized insurer offering |
| 2658 | replacement or renewal coverage to the policyholder. |
| 2659 |
|
| 2660 | After the policy has been in effect for 90 days, the policy |
| 2661 | shall not be canceled by the insurer except when there has been |
| 2662 | a material misstatement, a nonpayment of premium, a failure to |
| 2663 | comply with underwriting requirements established by the insurer |
| 2664 | within 90 days of the date of effectuation of coverage, or a |
| 2665 | substantial change in the risk covered by the policy or when the |
| 2666 | cancellation is for all insureds under such policies for a given |
| 2667 | class of insureds. This paragraph does not apply to individually |
| 2668 | rated risks having a policy term of less than 90 days. |
| 2669 | Section 13. Effective January 1, 2011, section 689.262, |
| 2670 | Florida Statutes, is created to read: |
| 2671 | 689.262 Sale of residential property; disclosure of |
| 2672 | windstorm mitigation rating.--A purchaser of residential |
| 2673 | property must be informed of the windstorm mitigation rating of |
| 2674 | the structure, based on the uniform home grading scale adopted |
| 2675 | pursuant to s. 215.55865. The rating must be included in the |
| 2676 | contract for sale or as a separate document attached to the |
| 2677 | contract for sale. The Financial Services Commission may adopt |
| 2678 | rules, consistent with other state laws, to administer this |
| 2679 | section, including the form of the disclosure and the |
| 2680 | requirements for the windstorm mitigation inspection or report |
| 2681 | that is required for purposes of determining the rating. |
| 2682 | Section 14. (1) By December 15, 2008, Citizens Property |
| 2683 | Insurance Corporation shall transfer $250 million to the General |
| 2684 | Revenue Fund if the combined surplus of each account as defined |
| 2685 | in s. 627.351(6), Florida Statutes, exceeds $1 billion. The |
| 2686 | board of governors of Citizens Property Insurance Corporation |
| 2687 | must make a reasonable estimate of such surplus on or after |
| 2688 | December 1, 2008, and no later than December 14, 2008, using |
| 2689 | generally accepted actuarial and accounting practices, |
| 2690 | recognizing that audited financial statements will not yet be |
| 2691 | available. |
| 2692 | (2) Beginning July 1, 2009, the board shall make quarterly |
| 2693 | transfers of any interest earned prior to the issuance of any |
| 2694 | surplus notes, interest paid, and principal repaid to the state |
| 2695 | for any surplus notes issued by the program after December 1, |
| 2696 | 2008, to Citizens Property Insurance Corporation, provided such |
| 2697 | surplus notes were funded exclusively by an appropriation to the |
| 2698 | program by the Legislature for the 2008-2009 fiscal year. The |
| 2699 | corporation shall credit each account as defined in s. |
| 2700 | 627.351(6) in a pro rata manner for the funds removed from each |
| 2701 | account to make the transfer required by subsection (11). |
| 2702 | Section 15. Citizens Property Insurance Corporation may |
| 2703 | not use any amendments made to s. 215.5595, Florida Statutes, by |
| 2704 | this act or any transfer of funds authorized by this act as |
| 2705 | justification or cause in seeking any rate or assessment |
| 2706 | increase. |
| 2707 | Section 16. Subsection (3) is added to section 627.06281, |
| 2708 | Florida Statutes, to read: |
| 2709 | 627.06281 Public hurricane loss projection model; |
| 2710 | reporting of data by insurers.-- |
| 2711 | (3)(a) A residential property insurer may have access to |
| 2712 | and use the public hurricane loss projection model, including |
| 2713 | all assumptions and factors and all detailed loss results, for |
| 2714 | the purpose of calculating rate indications in a rate filing and |
| 2715 | for analytical purposes, including any analysis or evaluation of |
| 2716 | the model required under actuarial standards of practice. |
| 2717 | (b) By January 1, 2009, the office shall establish by rule |
| 2718 | a fee schedule for access to and the use of the model. The fee |
| 2719 | schedule must be reasonably calculated to cover only the actual |
| 2720 | costs of providing access to and the use of the model. |
| 2721 | Section 17. Section 627.0655, Florida Statutes, is amended |
| 2722 | to read: |
| 2723 | 627.0655 Policyholder loss or expense-related premium |
| 2724 | discounts.--An insurer or person authorized to engage in the |
| 2725 | business of insurance in this state may include, in the premium |
| 2726 | charged an insured for any policy, contract, or certificate of |
| 2727 | insurance, a discount based on the fact that another policy, |
| 2728 | contract, or certificate of any type has been purchased by the |
| 2729 | insured from the same insurer or insurer group, the Citizens |
| 2730 | Property Insurance Corporation created under s. 627.351(6) if |
| 2731 | the same insurance agent is servicing both policies, or an |
| 2732 | insurer that has removed the policy from the Citizens Property |
| 2733 | Insurance Corporation if the same insurance agent is servicing |
| 2734 | both policies. |
| 2735 | Section 18. (1) The Citizens Property Insurance |
| 2736 | Corporation Mission Review Task Force is created to analyze and |
| 2737 | compile available data and to develop a report setting forth the |
| 2738 | statutory and operational changes needed to return Citizens |
| 2739 | Property Insurance Corporation to its former role as a state- |
| 2740 | created, noncompetitive residual market mechanism that provides |
| 2741 | property insurance coverage to risks that are otherwise entitled |
| 2742 | but unable to obtain such coverage in the private insurance |
| 2743 | market. The task force shall submit a report to the Governor, |
| 2744 | the President of the Senate, and the Speaker of the House of |
| 2745 | Representatives by January 31, 2009. At a minimum, the task |
| 2746 | force shall analyze and evaluate relevant and applicable |
| 2747 | information and data and develop recommendations concerning: |
| 2748 | (a) The nature of Citizens Property Insurance |
| 2749 | Corporation's role in providing property insurance coverage only |
| 2750 | if such coverage is not available from private insurers. |
| 2751 | (b) The ability of the admitted market to offer policies |
| 2752 | to those consumers formerly insured through Citizens Property |
| 2753 | Insurance Corporation. This consideration shall include, but not |
| 2754 | be limited to, the availability of private market reinsurance |
| 2755 | and coverage through the Florida Hurricane Catastrophe Fund, the |
| 2756 | general adequacy of the admitted market's current rates, and the |
| 2757 | capacity of the industry to offer policies to former Citizens |
| 2758 | Property Insurance Corporation policyholders within existing |
| 2759 | writing ratio limitations. |
| 2760 | (c) The appropriate relationship of rates charged by |
| 2761 | Citizens Property Insurance Corporation to rates charged by |
| 2762 | private insurers, with due consideration for the corporation's |
| 2763 | role as a noncompetitive residual market mechanism. |
| 2764 | (d) The relationships between the exposure of Citizens |
| 2765 | Property Insurance Corporation to catastrophic hurricane losses, |
| 2766 | the corporation's history of purchasing inadequate or no |
| 2767 | reinsurance coverage, and the corporation's lack of adequate |
| 2768 | capital to meet its potential claim obligations without |
| 2769 | incurring large deficits. |
| 2770 | (e) The adverse effects on the people and the economy of |
| 2771 | this state of the large, multiyear deficit assessments by |
| 2772 | Citizens Property Insurance Corporation that may be levied on |
| 2773 | businesses and households in this state, and steps that can be |
| 2774 | taken to reduce those effects. |
| 2775 | (f) The operational implications of the variation in the |
| 2776 | number of policies in force over time in Citizens Property |
| 2777 | Insurance Corporation and the merits of outsourcing some or all |
| 2778 | of its operational responsibilities. |
| 2779 | (g) Changes in the mission and operations of Citizens |
| 2780 | Property Insurance Corporation to reduce or eliminate any |
| 2781 | adverse effect such mission and operations may be having on the |
| 2782 | promotion of sound and economic growth and development of the |
| 2783 | coastal areas of this state. |
| 2784 | (h) Appropriate and consistent geographic boundaries of |
| 2785 | the high-risk account. |
| 2786 | (2) The task force shall be composed of 19 members as |
| 2787 | follows: |
| 2788 | (a) Three members appointed by the Speaker of the House of |
| 2789 | Representatives. |
| 2790 | (b) Three members appointed by the President of the |
| 2791 | Senate. |
| 2792 | (c) Four members appointed by the Governor who are not |
| 2793 | employed by or professionally affiliated with an insurance |
| 2794 | company or a subsidiary of an insurance company, at least two of |
| 2795 | whom must be consumer advocates or members of a consumer |
| 2796 | advocacy organization or agency. |
| 2797 | (d) Nine members appointed as representatives of private |
| 2798 | insurance companies as follows: |
| 2799 | 1. Two members representing two separate insurance |
| 2800 | companies that each provide at least 150,000 homeowner's |
| 2801 | insurance policies in this state at the time of the creation of |
| 2802 | the task force. |
| 2803 | 2. Two members representing two separate insurance |
| 2804 | companies that each provide fewer than 150,000 homeowner's |
| 2805 | insurance policies in this state at the time of the creation of |
| 2806 | the task force. |
| 2807 | 3. Two members representing two separate insurance |
| 2808 | companies among the 10 insurance companies writing the greatest |
| 2809 | amount of commercial multiperil insurance premium in this state |
| 2810 | at the time of the creation of the task force. |
| 2811 | 4. Three members appointed by the Chief Financial Officer |
| 2812 | representing insurance agents in this state. |
| 2813 | |
| 2814 | Of each pair of members appointed under subparagraphs 1., 2., |
| 2815 | and 3., one shall be appointed by the President of the Senate |
| 2816 | and one by the Speaker of the House of Representatives. |
| 2817 | (3) The task force shall conduct research, hold public |
| 2818 | meetings, receive testimony, employ consultants and |
| 2819 | administrative staff, and undertake other activities determined |
| 2820 | by its members to be necessary to complete its responsibilities. |
| 2821 | Citizens Property Insurance Corporation shall have appropriate |
| 2822 | senior staff attend task force meetings, shall respond to |
| 2823 | requests for testimony and data by the task force, shall |
| 2824 | otherwise cooperate with the task force, and shall provide |
| 2825 | funding for the necessary costs of implementing the provisions |
| 2826 | of this section. |
| 2827 | (4) A member of the task force may not delegate his or her |
| 2828 | attendance or voting power to a designee. |
| 2829 | (5) Members of the task force shall serve without |
| 2830 | compensation but are entitled to receive reimbursement for |
| 2831 | travel and per diem as provided in s. 112.061, Florida Statutes. |
| 2832 | (6) The appointments to the task force must be completed |
| 2833 | within 30 calendar days after the effective date of this act, |
| 2834 | and the task force must hold its initial meeting within 1 month |
| 2835 | after appointment of all members. The task force shall expire no |
| 2836 | later than 60 calendar days after submission of the report |
| 2837 | required in subsection (1). |
| 2838 | Section 19. Section 627.0621, Florida Statutes, is created |
| 2839 | to read: |
| 2840 | 627.0621 Transparency in rate regulation.-- |
| 2841 | (1) DEFINITIONS.-As used in this section, the term: |
| 2842 | (a) "Rate Filing" means any original or amended rate |
| 2843 | filing required or authorized under s. 627.062, s. 627.0651, or |
| 2844 | chapter 2007-1, Laws of Florida. |
| 2845 | (b) "Recommendation" means any proposed, preliminary, or |
| 2846 | final recommendation from an office actuary reviewing a rate |
| 2847 | filing with respect to the issue of approval or disapproval of |
| 2848 | the rate filing or with respect to rate indications that the |
| 2849 | office would consider acceptable. |
| 2850 | (2) WEBSITE FOR PUBLIC ACCESS TO RATE FILING |
| 2851 | INFORMATION.--With respect to any rate filing made on after July |
| 2852 | 1, 2008, the office shall provide the following information on a |
| 2853 | publicly accessible Internet website: |
| 2854 | (a) The overall rate change requested by the insurer. |
| 2855 | (b) All assumptions made by the office's actuaries. |
| 2856 | (c) A statement describing any assumptions or methods that |
| 2857 | deviate from the actuarial standards of practice of the Casualty |
| 2858 | Actuarial Society or the American Academy of Actuaries, |
| 2859 | including an explanation of the nature, rationale, and effect of |
| 2860 | the deviation. |
| 2861 | (d) All recommendations made by any office actuary who |
| 2862 | reviewed the rate filing. |
| 2863 | (e) Certification by the office's actuary under oath and |
| 2864 | subject to the penalty of perjury that, based on the actuary's |
| 2865 | knowledge, his or her recommendations did not contain any untrue |
| 2866 | statement of a material fact or omit to state a material fact |
| 2867 | necessary to make a recommendation and, in light of the |
| 2868 | circumstances under which such recommendation was made, was not |
| 2869 | misleading. |
| 2870 | (f) The overall rate change approved by the office. |
| 2871 | (3) ATTORNEY-CLIENT PRIVILEGE; WORK PRODUCT.--In any |
| 2872 | administrative or judicial proceeding relating to a rate filing, |
| 2873 | attorney-client privilege and work product exemptions from |
| 2874 | disclosure do not apply to communications, including |
| 2875 | communications with office attorneys or records prepared by or |
| 2876 | at the direction of an office attorney, except when conditions |
| 2877 | of paragraphs (a) and (b) have been met: |
| 2878 | (a) The communication or record reflects a mental |
| 2879 | impression, conclusion, litigation strategy, or legal theory of |
| 2880 | the attorney or office. |
| 2881 | (b) The communication or record was prepared after the |
| 2882 | initiation of an action in a court of competent jurisdiction or |
| 2883 | after the filing of a request for a proceeding under ss. 120.569 |
| 2884 | and 120.57. |
| 2885 | |
| 2886 | Work product privilege claims that do not meet the conditions of |
| 2887 | paragraphs (a) and (b) shall be deemed waived. |
| 2888 | Section 20. Paragraph (b) of subsection (4) of section |
| 2889 | 215.555, Florida Statutes, is amended to read: |
| 2890 | 215.555 Florida Hurricane Catastrophe Fund.-- |
| 2891 | (4) REIMBURSEMENT CONTRACTS.-- |
| 2892 | (b)1. The contract shall contain a promise by the board to |
| 2893 | reimburse the insurer for 45 percent, 75 percent, or 90 percent |
| 2894 | of its losses from each covered event in excess of the insurer's |
| 2895 | retention, plus 5 percent of the reimbursed losses to cover loss |
| 2896 | adjustment expenses. |
| 2897 | 2. The insurer must elect one of the percentage coverage |
| 2898 | levels specified in this paragraph and may, upon renewal of a |
| 2899 | reimbursement contract, elect a lower percentage coverage level |
| 2900 | if no revenue bonds issued under subsection (6) after a covered |
| 2901 | event are outstanding, or elect a higher percentage coverage |
| 2902 | level, regardless of whether or not revenue bonds are |
| 2903 | outstanding. All members of an insurer group must elect the same |
| 2904 | percentage coverage level. Any joint underwriting association, |
| 2905 | risk apportionment plan, or other entity created under s. |
| 2906 | 627.351 must elect the 90-percent coverage level. |
| 2907 | 3. The contract shall provide that reimbursement amounts |
| 2908 | shall not be reduced by reinsurance paid or payable to the |
| 2909 | insurer from other sources. |
| 2910 | 4. Notwithstanding any other provision contained in this |
| 2911 | section, the board shall make available to insurers that |
| 2912 | purchased coverage provided by this subparagraph in 2007 2006, |
| 2913 | insurers qualifying as limited apportionment companies under s. |
| 2914 | 627.351(6)(c), and insurers that have been were approved to |
| 2915 | participate in 2006 or that are approved in 2007 for the |
| 2916 | Insurance Capital Build-Up Incentive Program pursuant to s. |
| 2917 | 215.5595, a contract or contract addendum that provides an |
| 2918 | additional amount of reimbursement coverage of up to $10 |
| 2919 | million. The premium to be charged for this additional |
| 2920 | reimbursement coverage shall be 50 percent of the additional |
| 2921 | reimbursement coverage provided, which shall include one prepaid |
| 2922 | reinstatement. The minimum retention level that an eligible |
| 2923 | participating insurer must retain associated with this |
| 2924 | additional coverage layer is 30 percent of the insurer's surplus |
| 2925 | as of December 31, 2007 2006. This coverage shall be in addition |
| 2926 | to all other coverage that may be provided under this section. |
| 2927 | The coverage provided by the fund under this subparagraph shall |
| 2928 | be in addition to the claims-paying capacity as defined in |
| 2929 | subparagraph (c)1., but only with respect to those insurers that |
| 2930 | select the additional coverage option and meet the requirements |
| 2931 | of this subparagraph. The claims-paying capacity with respect to |
| 2932 | all other participating insurers and limited apportionment |
| 2933 | companies that do not select the additional coverage option |
| 2934 | shall be limited to their reimbursement premium's proportionate |
| 2935 | share of the actual claims-paying capacity otherwise defined in |
| 2936 | subparagraph (c)1. and as provided for under the terms of the |
| 2937 | reimbursement contract. Coverage provided in the reimbursement |
| 2938 | contract shall will not be affected by the additional premiums |
| 2939 | paid by participating insurers exercising the additional |
| 2940 | coverage option allowed in this subparagraph. This subparagraph |
| 2941 | expires on May 31, 2009 2008. |
| 2942 | Section 21. Subsection (1) of section 627.0613, Florida |
| 2943 | Statutes, is amended to read: |
| 2944 | 627.0613 Consumer advocate.--The Chief Financial Officer |
| 2945 | must appoint a consumer advocate who must represent the general |
| 2946 | public of the state before the department and the office. The |
| 2947 | consumer advocate must report directly to the Chief Financial |
| 2948 | Officer, but is not otherwise under the authority of the |
| 2949 | department or of any employee of the department. The consumer |
| 2950 | advocate has such powers as are necessary to carry out the |
| 2951 | duties of the office of consumer advocate, including, but not |
| 2952 | limited to, the powers to: |
| 2953 | (1) Recommend to the department or office, by petition, |
| 2954 | the commencement of any proceeding or action; appear in any |
| 2955 | proceeding or action before the department or office; or appear |
| 2956 | in any proceeding before the Division of Administrative Hearings |
| 2957 | or arbitration panel specified in s. 627.062(6) relating to |
| 2958 | subject matter under the jurisdiction of the department or |
| 2959 | office. |
| 2960 | Section 22. Subsections (1) and (2) of section 627.712, |
| 2961 | Florida Statutes, are amended to read: |
| 2962 | 627.712 Residential windstorm coverage required; |
| 2963 | availability of exclusions for windstorm or contents.-- |
| 2964 | (1) An insurer issuing a residential property insurance |
| 2965 | policy must provide windstorm coverage. Except as provided in |
| 2966 | paragraph (2)(c), this section subsection does not apply with |
| 2967 | respect to risks that are eligible for wind-only coverage from |
| 2968 | Citizens Property Insurance Corporation under s. 627.351(6). |
| 2969 | (2) A property insurer must make available, at the option |
| 2970 | of the policyholder, an exclusion of windstorm coverage. |
| 2971 | (a) The coverage may be excluded only if: |
| 2972 | (a)1. When the policyholder is a natural person, the |
| 2973 | policyholder personally writes and provides to the insurer the |
| 2974 | following statement in his or her own handwriting and signs his |
| 2975 | or her name, which must also be signed by every other named |
| 2976 | insured on the policy, and dated: "I do not want the insurance |
| 2977 | on my (home/mobile home/condominium unit) to pay for damage from |
| 2978 | windstorms. I will pay those costs. My insurance will not." |
| 2979 | 2. When the policyholder is other than a natural person, |
| 2980 | the policyholder provides to the insurer on the policyholder's |
| 2981 | letterhead the following statement that must be signed by the |
| 2982 | policyholder's authorized representative and dated: " (Name of |
| 2983 | entity) does not want the insurance on its (type of |
| 2984 | structure) to pay for damage from windstorms. (Name of |
| 2985 | entity) will be responsible for these costs. (Name of |
| 2986 | entity's) insurance will not." |
| 2987 | (b) If the structure insured by the policy is subject to a |
| 2988 | mortgage or lien, the policyholder must provide the insurer with |
| 2989 | a written statement from the mortgageholder or lienholder |
| 2990 | indicating that the mortgageholder or lienholder approves the |
| 2991 | policyholder electing to exclude windstorm coverage or hurricane |
| 2992 | coverage from his or her or its property insurance policy. |
| 2993 | (c) If the residential structure is eligible for wind-only |
| 2994 | coverage from Citizens Property Insurance Corporation, an |
| 2995 | insurer nonrenewing a policy and issuing a replacement policy, |
| 2996 | or issuing a new policy, that does not provide wind coverage |
| 2997 | shall provide a notice to the mortgageholder or lienholder |
| 2998 | indicating the policyholder has elected coverage that does not |
| 2999 | cover wind. |
| 3000 | Section 23. Except as otherwise expressly provided in this |
| 3001 | act, this act shall take effect July 1, 2008. |
| 3002 |
|
| 3003 |
|
| 3004 |
|
| 3005 | ----------------------------------------------------- |
| 3006 | T I T L E A M E N D M E N T |
| 3007 | Remove the entire title and insert: |
| 3008 | A bill to be entitled |
| 3009 | An act relating to insurance; amending s. 215.5595, F.S.; |
| 3010 | revising legislative findings; providing for an appropriation of |
| 3011 | state funds in exchange for surplus notes issued by residential |
| 3012 | property insurers under the program; revising the conditions and |
| 3013 | requirements for providing funds to insurers under the program; |
| 3014 | requiring a commitment by the insurer to meet minimum premium- |
| 3015 | to-surplus writing ratios for residential property insurance and |
| 3016 | for taking policies out of Citizens Property Insurance |
| 3017 | Corporation; requiring insurers to commit to maintaining certain |
| 3018 | levels of surplus and reinsurance; authorizing the State Board |
| 3019 | of Administration to charge a fee for late payments; providing |
| 3020 | for payment of costs and fees incurred by the board in |
| 3021 | administering the program from funds appropriated to the |
| 3022 | program, subject to a specified limit; requiring the board to |
| 3023 | submit an annual report to the Legislature on the program and |
| 3024 | insurer compliance with certain requirements; providing that |
| 3025 | amendments made by the act do not affect the terms of surplus |
| 3026 | notes approved prior to a specified date; authorizing the State |
| 3027 | Board of Administration and an insurer to renegotiate such terms |
| 3028 | consistent with such amendments; amending s. 624.3161, F.S.; |
| 3029 | authorizing the Office of Insurance Regulation to require an |
| 3030 | insurer to file its claims handling practices and procedures as |
| 3031 | a public record based on findings of a market conduct |
| 3032 | examination; amending s. 624.4211, F.S.; increasing the maximum |
| 3033 | amounts of administrative fines that may be imposed upon an |
| 3034 | insurer by the Office of Insurance Regulation for nonwillful and |
| 3035 | willful violations of an order or rule of the office or any |
| 3036 | provision of the Florida Insurance Code; creating s. 624.4213, |
| 3037 | F.S.; specifying requirements for submission of a document or |
| 3038 | information to the Office of Insurance Regulation or the |
| 3039 | Department of Financial Services in order for a person to claim |
| 3040 | that the document is a trade secret; requiring each page or |
| 3041 | portion to be labeled as a trade secret and be separated from |
| 3042 | non-trade secret material; requiring the submitting party to |
| 3043 | include an affidavit certifying certain information about the |
| 3044 | documents claimed to be trade secrets; requiring the office or |
| 3045 | department to notify persons who submit trade secret documents |
| 3046 | of any public-records request and the opportunity to file a |
| 3047 | court action to bar disclosure; specifying conditions for the |
| 3048 | office to retain or release such documents; creating s. |
| 3049 | 624.4305, F.S.; requiring that an insurer planning to nonrenew |
| 3050 | more than a specified number of residential property insurance |
| 3051 | polices notify the Office of Insurance Regulation and obtain |
| 3052 | approval for such nonrenewals; specifying procedures for |
| 3053 | issuance of such notice; amending s. 626.9521, F.S.; increasing |
| 3054 | the maximum fines that may be imposed by the office or |
| 3055 | department for nonwillful and willful violations of state law |
| 3056 | regarding unfair methods of competition and unfair or deceptive |
| 3057 | acts or practices related to insurance; amending s. 627.0612, |
| 3058 | F.S.; providing criteria for administrative hearings to |
| 3059 | determine whether an insurer's property insurance rates, rating |
| 3060 | manuals, premium credits, discount schedules, and surcharge |
| 3061 | schedules comply with the law; providing for entry of certain |
| 3062 | orders; amending s. 627.062, F.S.; requiring that an insurer |
| 3063 | seeking a rate for property insurance that is greater than the |
| 3064 | rate most recently approved by the Office of Insurance |
| 3065 | Regulation make a "file and use" filing for all such rate |
| 3066 | filings made after a specified date; revising the factors the |
| 3067 | office must consider in reviewing a rate filing; prohibiting the |
| 3068 | Office of Insurance Regulation from disapproving as excessive a |
| 3069 | rate solely because the insurer obtained reinsurance covering a |
| 3070 | specified probably maximum loss; allowing the office to |
| 3071 | disapprove a rate as excessive within 1 year after the rate has |
| 3072 | been approved under certain conditions related to nonrenewal of |
| 3073 | policies by the insurer; requiring the Division of |
| 3074 | Administrative Hearings to expedite a hearing request by an |
| 3075 | insurer and for the administrative law judge to commence the |
| 3076 | hearing within a specified time; authorizing an insurer to |
| 3077 | request an expedited appellate review pursuant to the Florida |
| 3078 | Rules of Appellate Procedure; expressing legislative intent for |
| 3079 | an expedited appellate review; revising provisions relating to |
| 3080 | the submission of a disputed rate filing, other than a rate |
| 3081 | filing for medical malpractice insurance, to an arbitration |
| 3082 | panel in lieu of an administrative hearing if the rate is filed |
| 3083 | before a specified date; deleting provisions relating to |
| 3084 | mandatory arbitration in lieu of certain hearings; amending s. |
| 3085 | 627.0628, F.S.; providing legislative findings relating to final |
| 3086 | agency action for insurance ratemaking; requiring that with |
| 3087 | respect to rate filings, insurers must use actuarial methods or |
| 3088 | models found to be accurate or reliable by the Florida |
| 3089 | Commission on Hurricane Loss Projection Methodology; providing |
| 3090 | for use of other models under certain circumstances; deleting |
| 3091 | the requirement for the Office of Insurance Regulation and the |
| 3092 | Consumer Advocate to have access to all assumptions of a |
| 3093 | hurricane loss model in order for a model that has been found to |
| 3094 | be accurate and reliable by the Florida Commission on Hurricane |
| 3095 | Loss Projection Methodology to be admissible in a rate |
| 3096 | proceeding; deleting cross-references to conform to changes made |
| 3097 | by the act; amending s. 627.0629, F.S.; requiring that the |
| 3098 | Office of Insurance Regulation develop and make publicly |
| 3099 | available before a specified deadline a proposed method for |
| 3100 | insurers to establish windstorm mitigation premium discounts |
| 3101 | that correlate to the uniform home rating scale; requiring that |
| 3102 | the Financial Services Commission adopt rules before a specified |
| 3103 | deadline; requiring insurers to make rate filings pursuant to |
| 3104 | such method; authorizing the commission to make changes by rule |
| 3105 | to the uniform home grading scale and specify by rule the |
| 3106 | minimum required discounts, credits, or other rate |
| 3107 | differentials; requiring that such rate differentials be |
| 3108 | consistent with generally accepted actuarial principles and wind |
| 3109 | loss mitigation studies; amending s. 627.351, F.S., relating to |
| 3110 | Citizens Property Insurance Corporation; deleting a provision to |
| 3111 | conform to changes made in the act; deleting provisions defining |
| 3112 | the terms "homestead property" and "nonhomestead property"; |
| 3113 | increasing threshold replacement costs of certain structures for |
| 3114 | eligibility for coverage by the corporation; deleting |
| 3115 | requirements for certain properties to meeting building code |
| 3116 | plus requirements as a condition of eligibility for coverage by |
| 3117 | the corporation; deleting outdated provisions requiring the |
| 3118 | corporation to submit a report for approval of offering |
| 3119 | multiperil coverage; revising threshold amounts of deficits |
| 3120 | incurred in a calendar year on which the decision to levy |
| 3121 | assessments and the types of such assessments are based; |
| 3122 | revising the formula used to calculate shares of assessments |
| 3123 | owed by certain assessable insureds; requiring that the board of |
| 3124 | governors make certain determinations before levying emergency |
| 3125 | assessments; providing the board of governors with discretion to |
| 3126 | set the amount of an emergency assessment within specified |
| 3127 | limits; requiring the board of governors to levy a Citizens |
| 3128 | policyholder surcharge under certain conditions; increasing the |
| 3129 | amount of the surcharge; deleting a provision requiring the levy |
| 3130 | of an immediate assessment against certain policyholders under |
| 3131 | such conditions; requiring that funds collected from the levy of |
| 3132 | such surcharges be used for certain purposes; providing that |
| 3133 | such surcharges are not considered premium and are not subject |
| 3134 | to commissions, fees, or premium taxes; requiring that the |
| 3135 | failure to pay such surcharges be treated as failure to pay |
| 3136 | premium; requiring that the amount of any assessment or |
| 3137 | surcharge which exceeds the amount of deficits be remitted to |
| 3138 | and used by the corporation for specified purposes; deleting |
| 3139 | provisions requiring that the plan of operation of the |
| 3140 | corporation provide for the levy of a Citizens policyholder |
| 3141 | surcharge if regular deficit assessments are levied as a result |
| 3142 | of deficits in certain accounts; deleting provisions related to |
| 3143 | the calculation, classification, and nonpayment of such |
| 3144 | surcharge; requiring that the corporation make an annual filing |
| 3145 | for each personal or commercial line of business it writes, |
| 3146 | beginning on a specified date; limiting the overall average |
| 3147 | statewide premium increase and the increase for an individual |
| 3148 | policyholder to a specified amount for rates established for |
| 3149 | certain policies during a specified period; deleting a provision |
| 3150 | requiring an insurer to purchase bonds that remain unsold; |
| 3151 | deleting provisions requiring the corporation to make certain |
| 3152 | confidential underwriting and claims files available to agents |
| 3153 | to conform to changes made by the act relating to ineligibility |
| 3154 | of certain dwellings; clarifying the right of certain parties to |
| 3155 | discover underwriting and claims file records; authorizing the |
| 3156 | corporation to release such records as it deems necessary; |
| 3157 | requiring the corporation to report certain information to a |
| 3158 | consumer reporting agency; amending s. 627.4133, F.S.; requiring |
| 3159 | insurers to provide written notice of certain cancellations, |
| 3160 | nonrenewals, or terminations; creating s. 689.262, F.S.; |
| 3161 | requiring a purchaser of residential property to be presented |
| 3162 | with the windstorm mitigation rating of the structure; |
| 3163 | authorizing the Financial Services Commission to adopt rules; |
| 3164 | requiring Citizens Property Insurance Corporation to transfer |
| 3165 | funds to the General Revenue Fund if the losses due to a |
| 3166 | hurricane do not exceed a specified amount; requiring the board |
| 3167 | of governors of Citizens Property Insurance Corporation to make |
| 3168 | a reasonable estimate of such losses by a certain date; |
| 3169 | requiring the board to make quarterly transfers of funds to the |
| 3170 | corporation under certain circumstances; requiring the |
| 3171 | corporation to credit certain accounts for funds removed to make |
| 3172 | certain transfers; prohibiting Citizens Property Insurance |
| 3173 | Corporation from using certain statutory changes or authorized |
| 3174 | transfers of funds as justification or cause to seek any rate or |
| 3175 | assessment increase; amending s. 627.06281, F.S.; providing for |
| 3176 | residential property insurers to have access to and use a public |
| 3177 | hurricane loss projection model; requiring the office to |
| 3178 | establish a fee schedule for such model access and use; amending |
| 3179 | s. 627.0655, F.S.; expanding application of policyholder loss or |
| 3180 | expense-related premium discounts; creating the Citizens |
| 3181 | Property Insurance Corporation Mission Review Task Force; |
| 3182 | providing purposes; requiring a report; providing report |
| 3183 | requirements; providing for appointment of members; providing |
| 3184 | responsibilities; specifying service without compensation; |
| 3185 | providing for reimbursement of per diem and travel expenses; |
| 3186 | providing meeting requirements; requiring the corporation to |
| 3187 | assist the task force; providing for the expiration of the task |
| 3188 | force; requiring the Chief Financial Officer to provide a report |
| 3189 | on the economic impact on the state of certain hurricanes; |
| 3190 | providing report requirements; creating s. 627.0621, F.S.; |
| 3191 | providing requirements for transparency in rate regulation; |
| 3192 | providing definitions; providing for a website for public access |
| 3193 | to rate filing information; providing requirements; providing |
| 3194 | for application of public meeting requirements; specifying |
| 3195 | nonapplication of attorney-client or work-product privileges to |
| 3196 | certain communications in certain administrative or judicial |
| 3197 | proceedings under certain circumstances; specifying criteria; |
| 3198 | providing for waiver of such privileges under certain |
| 3199 | circumstances; amending s. 215.555, F.S.; extending for an |
| 3200 | additional year the offer of reimbursement coverage for |
| 3201 | specified insurers; revising the qualifying criteria for such |
| 3202 | insurers; revising provisions to conform; amending s. 627.0613, |
| 3203 | F.S.; deleting cross-references to conform to changes made by |
| 3204 | the act; amending s. 627.712, F.S.; requiring insurers to |
| 3205 | provide notice to mortgageholders or lienholders of certain |
| 3206 | policies not providing wind coverage for certain structures; |
| 3207 | providing effective dates. |
| 3208 |
|