Florida Senate - 2008 COMMITTEE AMENDMENT
Bill No. CS for SB's 2860 & 1196
924300
Senate
Comm: RCS
4/8/2008
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House
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The Committee on General Government Appropriations (Alexander)
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recommended the following amendment:
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Senate Amendment (with title amendment)
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Delete everything after the enacting clause
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and insert:
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Section 1. Section 215.5595, Florida Statutes, is amended
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to read:
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215.5595 Insurance Capital Build-Up Incentive Program.--
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(1) Upon entering the 2008 2006 hurricane season, the
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Legislature finds that:
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(a) The losses in Florida from eight hurricanes in 2004 and
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2005 have seriously strained the resources of both the voluntary
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insurance market and the public sector mechanisms of Citizens
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Property Insurance Corporation and the Florida Hurricane
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Catastrophe Fund.
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(b) Private reinsurance is much less available and at a
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significantly greater cost to residential property insurers as
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compared to 1 year ago, particularly for amounts below the
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insurer's retention or retained losses that must be paid before
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reimbursement is provided by the Florida Hurricane Catastrophe
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Fund.
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(c) The Office of Insurance Regulation has reported that
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the insolvency of certain insurers may be imminent.
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(d) Hurricane forecast experts predict that the 2006
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hurricane season will be an active hurricane season and that the
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Atlantic and Gulf Coast regions face an active hurricane cycle of
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10 to 20 years or longer.
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(b)(e) Citizens Property Insurance Corporation has over 1.2
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million policies in force, has the largest market share of any
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insurer writing residential property insurer in the state, and
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faces the threat of a catastrophic loss that The number of
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cancellations or nonrenewals of residential property insurance
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policies is expected to increase and the number of new
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residential policies written in the voluntary market are likely
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to decrease, causing increased policy growth and exposure to the
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state insurer of last resort, Citizens Property Insurance
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Corporation, and threatening to increase the deficit of the
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corporation, currently estimated to be over $1.7 billion. This
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deficit must be funded by assessments against insurers and
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policyholders, unless otherwise funded by the state.
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(c)(f) Policyholders are subject to high increased premiums
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and assessments that are increasingly making such coverage
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unaffordable and that may force policyholders to sell their homes
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and even leave the state.
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(d)(g) The increased risk to the public sector and private
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sector continues to pose poses a serious threat to the economy of
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this state, particularly the building and financing of
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residential structures, and existing mortgages may be placed in
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default.
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(h) The losses from 2004 and 2005, combined with the
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expectation that the increase in hurricane activity will continue
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for the foreseeable future, have caused both insurers and
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reinsurers to limit the capital they are willing to commit to
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covering the hurricane risk in Florida; attracting new capital to
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the Florida market is a critical priority; and providing a low-
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cost source of capital would enable insurers to write additional
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residential property insurance coverage and act to mitigate
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premium increases.
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(e)(i) Appropriating state funds to be exchanged for used
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as surplus notes issued by for residential property insurers,
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under conditions requiring the insurer to contribute additional
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private sector capital and to write a minimum level of premiums
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for residential hurricane coverage, is a valid and important
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public purpose.
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(f) Extending the Insurance Capital Build-up Incentive
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Program will provide an incentive for investors to commit
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additional capital to Florida's residential insurance market.
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(2) The purpose of this section is to provide funds in
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exchange for surplus notes to be issued by to new or existing
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authorized residential property insurers under the Insurance
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Capital Build-Up Incentive Program administered by the State
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Board of Administration, under the following conditions:
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(a) The amount of state funds provided in exchange for a
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the surplus note to for any insurer or insurer group, other than
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an insurer writing only manufactured housing policies, may not
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exceed $25 million or 20 percent of the total amount of funds
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appropriated for available under the program, whichever is
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greater. The amount of the surplus note for any insurer or
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insurer group writing residential property insurance covering
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only manufactured housing may not exceed $7 million.
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(b) The insurer must contribute an amount of new capital to
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its surplus which is at least equal to the amount of the surplus
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note and must apply to the board by October 1, 2008 July 1, 2006.
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If an insurer applies after July 1, 2006, but before June 1,
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2007, the amount of the surplus note is limited to one-half of
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the new capital that the insurer contributes to its surplus,
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except that an insurer writing only manufactured housing policies
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is eligible to receive a surplus note of up to $7 million. For
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purposes of this section, new capital must be in the form of cash
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or cash equivalents as specified in s. 625.012(1).
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(c) The insurer's surplus, new capital, and the surplus
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note must total at least $50 million, except for insurers writing
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residential property insurance covering only manufactured
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housing. The insurer's surplus, new capital, and the surplus note
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must total at least $14 million for insurers writing only
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residential property insurance covering manufactured housing
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policies as provided in paragraph (a).
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(d) The insurer must commit to increase its writings of
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residential property insurance, including the peril of wind, and
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to meet meeting a minimum writing ratio of net written premium to
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surplus of at least 1:1 for the first year after receiving the
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state funds, 1.5:1 for the second year, and 2:1 for the remaining
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term of the surplus note. Alternatively, the insurer must meet a
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minimum writing ratio of gross written premium to surplus of at
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least 3:1 for the first year after receiving the state funds,
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4.5:1 for the second year, and 6:1 for the remaining term of the
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surplus note. The writing ratios, which shall be determined by
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the Office of Insurance Regulation and certified quarterly to the
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board. For this purpose, the term "premium" "net written premium"
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means net written premium for residential property insurance in
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Florida, including the peril of wind, and "surplus" refers to the
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amount of the state funds provided to the insurer in exchange for
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the surplus note plus the amount of new capital contributed by
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the insurer in order to obtain the state funds the entire surplus
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of the insurer. The insurer must also commit to writing at least
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15 percent of its net or gross written premium for new policies,
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not including renewal premiums, for policies taken out of
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Citizens Property Insurance Corporation, during each of the first
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3 years after receiving the state funds in exchange for the
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surplus note, which shall be determined by the Office of
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Insurance Regulation and certified annually to the board. The
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removal of such policies must result in a reduction in the
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probable maximum loss in the account from which the policies are
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removed. The insurer must also commit to maintaining a level of
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surplus and reinsurance sufficient to cover in excess of its 1-
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in-100 year probable maximum loss, as determined by a hurricane
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loss model accepted by the Florida Commission on Hurricane Loss
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Projection Methodology, which shall be determined by the Office
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of Insurance Regulation and certified annually the board. If the
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board determines that the insurer has failed to meet any of the
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requirements of this paragraph required ratio is not maintained
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during the term of the surplus note, the board may increase the
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interest rate, accelerate the repayment of interest and
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principal, or shorten the term of the surplus note, subject to
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approval by the Commissioner of Insurance of payments by the
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insurer of principal and interest as provided in paragraph (f).
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(e) If the requirements of this section are met, the board
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may approve an application by an insurer for funds in exchange
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for issuance of a surplus note, unless the board determines that
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the financial condition of the insurer and its business plan for
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writing residential property insurance in Florida places an
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unreasonably high level of financial risk to the state of
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nonpayment in full of the interest and principal. The board shall
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consult with the Office of Insurance Regulation and may contract
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with independent financial and insurance consultants in making
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this determination.
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(f) The surplus note must be repayable to the state with a
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term of 20 years. The surplus note shall accrue interest on the
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unpaid principal balance at a rate equivalent to the 10-year U.S.
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Treasury Bond rate, require the payment only of interest during
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the first 3 years, and include such other terms as approved by
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the board. The board may charge late fees up to 5 percent for
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late payments or other late remittances. Payment of principal, or
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interest, or late fees by the insurer on the surplus note must be
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approved by the Commissioner of Insurance, who shall approve such
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payment unless the commissioner determines that such payment will
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substantially impair the financial condition of the insurer. If
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such a determination is made, the commissioner shall approve such
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payment that will not substantially impair the financial
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condition of the insurer.
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(g) The total amount of funds available for the program is
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limited to the amount appropriated by the Legislature for this
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purpose. If the amount of surplus notes requested by insurers
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exceeds the amount of funds available, the board may prioritize
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insurers that are eligible and approved, with priority for
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funding given to insurers writing only manufactured housing
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policies, regardless of the date of application, based on the
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financial strength of the insurer, the viability of its proposed
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business plan for writing additional residential property
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insurance in the state, and the effect on competition in the
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residential property insurance market. Between insurers writing
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residential property insurance covering manufactured housing,
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priority shall be given to the insurer writing the highest
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percentage of its policies covering manufactured housing.
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(h) The board may allocate portions of the funds available
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for the program and establish dates for insurers to apply for
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surplus notes from such allocation which are earlier than the
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dates established in paragraph (b).
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(h)(i) Notwithstanding paragraph (d), a newly formed
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manufactured housing insurer that is eligible for a surplus note
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under this section shall meet the premium to surplus ratio
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provisions of s. 624.4095.
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(i)(j) As used in this section, "an insurer writing only
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manufactured housing policies" includes:
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1. A Florida domiciled insurer that begins writing personal
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lines residential manufactured housing policies in Florida after
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March 1, 2007, and that removes a minimum of 50,000 policies from
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Citizens Property Insurance Corporation without accepting a
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bonus, provided at least 25 percent of its policies cover
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manufactured housing. Such an insurer may count any funds above
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the minimum capital and surplus requirement that were contributed
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into the insurer after March 1, 2007, as new capital under this
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section.
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2. A Florida domiciled insurer that writes at least 40
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percent of its policies covering manufactured housing in Florida.
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(3) As used in this section, the term:
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(a) "Board" means the State Board of Administration.
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(b) "Program" means the Insurance Capital Build-Up
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Incentive Program established by this section.
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(4) The state funds provided to the insurer in exchange for
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the A surplus note provided to an insurer pursuant to this
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section are is considered borrowed surplus an asset of the
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insurer pursuant to s. 628.401 s. 625.012.
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(5) If an insurer that receives funds in exchange for
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issuance of a surplus note pursuant to this section is rendered
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insolvent, the state is a class 3 creditor pursuant to s. 631.271
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for the unpaid principal and interest on the surplus note.
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(6) The board shall adopt rules prescribing the procedures,
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administration, and criteria for approving the applications of
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insurers to receive funds in exchange for issuance of surplus
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notes pursuant to this section, which may be adopted pursuant to
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the procedures for emergency rules of chapter 120. Otherwise,
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actions and determinations by the board pursuant to this section
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are exempt from chapter 120.
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(7) The board shall invest and reinvest the funds
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appropriated for the program in accordance with s. 215.47 and
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consistent with board policy.
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(8) The board shall semiannually submit a report to the
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President of the Senate and the Speaker of the House of
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Representatives on February 1 and August 1 as to the results of
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the program and each insurer's compliance with the terms of its
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surplus note.
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(9) The amendments to this section enacted in 2008 do not
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affect the terms or conditions of the surplus notes that were
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approved prior to January 1, 2008. However, the board may
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renegotiate the terms of any surplus note issued by an insurer
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prior to January 2008 under this program upon the agreement of
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the insurer and the board and consistent with the requirements of
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this section as amended in 2008.
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(10) On January 15, 2009, the State Board of Administration
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shall transfer to Citizens Property Insurance Corporation any
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funds that have not been committed or reserved for insurers
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approved to receive such funds under the program, from the funds
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that were appropriated from Citizens Property Insurance
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Corporation in 2008-2009 for such purposes. Beginning July 1,
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2009, and each quarter thereafter, the State Board of
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Administration shall transfer any interest earned prior to
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issuance of any surplus notes, interest paid, and principal
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repaid to the state for any surplus notes issued by the program
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after December 1, 2008, to the Citizens Property Insurance
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Corporation. Such transfers shall be in the proportion that
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surplus notes were funded from 2008-2009 appropriations from
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Citizens Property Insurance Corporation and shall be made until
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principal or interest is no longer due to the state on surplus
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notes funded from such appropriations. Citizens Property
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Insurance Corporation shall deposit the transferred funds into
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each of its accounts in the proportion that moneys were
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transferred out of those accounts to the General Revenue Fund in
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December 2008.
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Section 2. Section 542.20, Florida Statutes, is amended to
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read:
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542.20 Exemptions.--
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(1) Any activity or conduct exempt under Florida statutory
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or common law or exempt from the provisions of the antitrust laws
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of the United States is exempt from the provisions of this
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chapter, except as provided in subsection (2).
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(2)(a) The business of insurance is subject to the
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provisions of this chapter. As applied to the business of
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insurance, any legal action to seek penalties or damages for
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violations or to otherwise enforce the provisions of this chapter
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shall be brought only by the Attorney General or a state
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attorney, as provided in this chapter, and another party may not
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bring suit against a person engaged in the business of insurance,
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notwithstanding any other provision of this chapter.
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(b) This chapter does not prohibit a rating organization or
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advisory organization from collecting claims, loss, or expense
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data from insurers and filing rates or advisory rates with the
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Office of Insurance Regulation.
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Section 3. Subsection (6) is added to section 624.3161,
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Florida Statutes, to read:
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624.3161 Market conduct examinations.--
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(6) Based on the findings of a market conduct examination
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that an insurer has exhibited a pattern or practice of willful
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violations of an unfair insurance trade practice related to
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claims-handling which caused harm to policyholders, as prohibited
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by s. 626.9541(1)(i), the office may require an insurer to file
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its claims-handling practices and procedures related to that line
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of insurance with the office for review and inspection, to be
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held by the office for the following 36-month period. Such
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claims-handling practices and procedures are public records and
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are not trade secrets or otherwise exempt from the provisions of
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s. 119.07(1). As used in this section, "claims-handling practices
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and procedures" are any policies, guidelines, rules, protocols,
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standard operating procedures, instructions, or directives that
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govern or guide how and the manner in which an insured's claims
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for benefits under any policy will be processed.
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Section 4. Subsections (2) and (3) of section 624.4211,
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Florida Statutes, are amended, and subsections (5) and (6) are
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added to that section, to read:
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624.4211 Administrative fine in lieu of suspension or
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revocation.--
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(2) With respect to any nonwillful violation, such fine may
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shall not exceed $25,000 $2,500 per violation. In no event shall
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such fine exceed an aggregate amount equal to 1 percent of the
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insurer's surplus, as determined by the most recent financial
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statements filed with the office, of $10,000 for all nonwillful
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violations arising out of the same action. If When an insurer
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discovers a nonwillful violation, the insurer shall correct the
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violation and, if restitution is due, make restitution to all
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affected persons. Such restitution shall include interest at 12
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percent per year from either the date of the violation or the
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date of inception of the affected person's policy, at the
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insurer's option. The restitution may be a credit against future
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premiums due provided that the interest accumulates shall
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accumulate until the premiums are due. If the amount of
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restitution due to any person is $50 or more and the insurer
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wishes to credit it against future premiums, it shall notify such
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person that she or he may receive a check instead of a credit. If
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the credit is on a policy that which is not renewed, the insurer
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shall pay the restitution to the person to whom it is due.
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(3) With respect to any knowing and willful violation of a
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lawful order or rule of the office or commission or a provision
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of this code, the office may impose a fine upon the insurer in an
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amount not to exceed $100,000 $20,000 for each such violation. In
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no event shall such fine exceed an aggregate amount equal to 5
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percent of the insurer's surplus, as determined by the most
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recent financial statements filed with the office, of $100,000
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for all knowing and willful violations arising out of the same
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action. In addition to such fines, the such insurer shall make
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restitution when due in accordance with the provisions of
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subsection (2).
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(5) The office may impose an administrative fine for each
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day the insurer is not in compliance with the Florida Insurance
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Code up to a maximum of $25,000 per violation per day, beginning
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with the 10th day of noncompliance, not to exceed an aggregate
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amount equal to 5 percent of the insurer's surplus, as determined
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by the most recent financial statements filed with the office.
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This aggregate cap includes all fines imposed by the office under
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this section.
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(6) In determining the amount of the fine, the office shall
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consider:
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(a) The degree of consumer harm caused or potentially
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caused by the violation;
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(b) Whether the violation constitutes an immediate danger
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to the public;
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(c) Whether the violation is a repeat violation or similar
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to past violations by the insurer;
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(d) The effect on the solvency of the insurer;
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(e) The premium volume of the insurer; and
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(f) The effect that fining the insurer will have on the
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insurer's compliance with the Florida Insurance Code.
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Section 5. Section 624.4213, Florida Statutes, is created
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to read:
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624.4213 Trade secret documents.--
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(1) If any person who is required to submit documents or
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other information to the office or department pursuant to the
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Insurance Code or by rule or order of the office, department, or
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commission claims that such submission contains a trade secret,
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such person may file with the office or department a notice of
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trade secret as provided in this section. Failure to do so
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constitutes a waiver of any claim by such person that the
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document or information is a trade secret.
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(a) Each page of such document or specific portion of a
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document claimed to be a trade secret must be clearly marked as
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"trade secret."
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(b) All material marked as a trade secret must be separated
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from all non-trade secret material, such as being submitted in a
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separate envelope clearly marked as "trade secret."
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(c) In submitting a notice of trade secret to the office or
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department, the submitting party must include an affidavit
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certifying under oath to the truth of the following statements
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concerning all documents or information that are claimed to be
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trade secrets:
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1. [I consider/My company considers] this information a
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trade secret that has value and provides an advantage or an
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opportunity to obtain an advantage over those who do not know or
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use it.
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2. [I have/My company has] taken measures to prevent the
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disclosure of the information to anyone other that those who have
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been selected to have access for limited purposes, and [I
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intend/my company intends] to continue to take such measures.
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3. The information is not, and has not been, reasonably
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obtainable without [my/our] consent by other persons by use of
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legitimate means.
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4. The information is not publicly available elsewhere.
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(2) If the office or department receives a public-records
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request for a document or information that is marked and
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certified as a trade secret, the office or department shall
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promptly notify the person that certified the document as a trade
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secret. The notice shall inform such person that he or she or his
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or her company has 30 days following receipt of such notice to
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file an action in circuit court seeking a determination whether
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the document in question contains trade secrets and an order
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barring public disclosure of the document. If that person or
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company files an action within 30 days after receipt of notice of
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the public-records request, the office or department may not
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release the documents pending the outcome of the legal action.
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The failure to file an action within 30 days constitutes a waiver
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of any claim of confidentiality and the office or department
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shall release the document as requested.
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(3) If a court or administrative tribunal finds that any
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document or information certified as a trade secret, submitted to
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the office or department under this section, and subsequently
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requested by a third party is not a trade secret, the company or
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the person certifying such document or information as a trade
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secret is liable for an award of reasonable attorney's fees and
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costs to the third party seeking access to such documents and to
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the office or department.
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(4) The office or department may disclose a trade secret,
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together with the claim that it is a trade secret, to an officer
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or employee of another governmental agency whose use of the trade
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secret is within the scope of his or her employment.
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Section 6. Subsection (2) of section 626.9521, Florida
405
Statutes, is amended to read:
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626.9521 Unfair methods of competition and unfair or
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deceptive acts or practices prohibited; penalties.--
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(2) Any person who violates any provision of this part
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shall be subject to a fine in an amount not greater than $25,000
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$2,500 for each nonwillful violation and not greater than
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$100,000 $20,000 for each willful violation. Fines under this
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subsection imposed against an insurer may not exceed an aggregate
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amount equal to 1 percent of the insurer's surplus of $10,000 for
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all nonwillful violations arising out of the same action or an
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aggregate amount equal to 5 percent of the insurer's surplus of
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$100,000 for all willful violations arising out of the same
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action, as surplus is determined by the insurer's most recent
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financial statements filed with the office. The fines authorized
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by this subsection may be imposed in addition to any other
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applicable penalty.
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Section 7. Paragraph (i) of subsection (1) of section
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626.9541, Florida Statutes, is amended to read:
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626.9541 Unfair methods of competition and unfair or
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deceptive acts or practices defined.--
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(1) UNFAIR METHODS OF COMPETITION AND UNFAIR OR DECEPTIVE
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ACTS.--The following are defined as unfair methods of competition
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and unfair or deceptive acts or practices:
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(i) Unfair claim settlement practices.--
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1. Attempting to settle claims on the basis of an
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application, when serving as a binder or intended to become a
431
part of the policy, or any other material document that is which
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was altered without notice to, or knowledge or consent of, the
433
insured;
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2. A material misrepresentation made to an insured or any
435
other person having an interest in the proceeds payable under a
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such contract or policy, for the purpose and with the intent of
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effecting settlement of such claims, loss, or damage under such
438
contract or policy on less favorable terms than those provided
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in, and contemplated by, the such contract or policy; or
440
3. Committing or performing with such frequency as to
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indicate a general business practice any of the following:
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a. Failing to adopt and implement standards for the proper
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investigation of claims.;
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b. Misrepresenting pertinent facts or insurance policy
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provisions relating to coverages at issue.;
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c. Failing to acknowledge and act promptly upon
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communications with respect to claims.;
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d. Denying claims without conducting reasonable
449
investigations based upon available information.;
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e. Failing to affirm or deny full or partial coverage of
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claims, and, as to partial coverage, the dollar amount or extent
452
of coverage, or failing to provide a written statement that the
453
claim is being investigated, upon the written request of the
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insured within 30 days after proof-of-loss statements have been
455
completed.;
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f. Failing to promptly provide a reasonable explanation in
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writing to the insured of the basis in the insurance policy, in
458
relation to the facts or applicable law, for denial of a claim or
459
for the offer of a compromise settlement.;
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g. Failing to promptly notify the insured of any additional
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information necessary for the processing of a claim.; or
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h. Failing to clearly explain the nature of the requested
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information and the reasons why such information is necessary.
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4. Giving consideration to the age, race, income level,
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education, credit score, or any other personal characteristic of
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a policyholder when evaluating, adjusting, settling, or
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attempting to settle a property insurance claim; or
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5. Failing to pay undisputed amounts of partial or full
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benefits owed under first-party property insurance policies
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within 90 days after determining the amounts of partial or full
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benefits and agreeing to coverage.
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Section 8. Paragraphs (a), (b), and (g) of subsection (2),
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and subsections (6) and (9) of section 627.062, Florida Statutes,
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are amended to read:
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627.062 Rate standards.--
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(2) As to all such classes of insurance:
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(a) Insurers or rating organizations shall establish and
478
use rates, rating schedules, or rating manuals to allow the
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insurer a reasonable rate of return on such classes of insurance
480
written in this state. A copy of rates, rating schedules, rating
481
manuals, premium credits or discount schedules, and surcharge
482
schedules, and changes thereto, shall be filed with the office
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under one of the following procedures except as provided in
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subparagraph 3.:
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1. If the filing is made at least 90 days before the
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proposed effective date and the filing is not implemented during
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the office's review of the filing and any proceeding and judicial
488
review, then such filing shall be considered a "file and use"
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filing. In such case, the office shall finalize its review by
490
issuance of a notice of intent to approve or a notice of intent
491
to disapprove within 90 days after receipt of the filing. The
492
notice of intent to approve and the notice of intent to
493
disapprove constitute agency action for purposes of the
494
Administrative Procedure Act. Requests for supporting
495
information, requests for mathematical or mechanical corrections,
496
or notification to the insurer by the office of its preliminary
497
findings shall not toll the 90-day period during any such
498
proceedings and subsequent judicial review. The rate shall be
499
deemed approved if the office does not issue a notice of intent
500
to approve or a notice of intent to disapprove within 90 days
501
after receipt of the filing.
502
2. If the filing is not made in accordance with the
503
provisions of subparagraph 1., such filing shall be made as soon
504
as practicable, but no later than 30 days after the effective
505
date, and shall be considered a "use and file" filing. An insurer
506
making a "use and file" filing is potentially subject to an order
507
by the office to return to policyholders portions of rates found
508
to be excessive, as provided in paragraph (h).
509
3. For all property insurance filings made or submitted
510
after January 25, 2007, but before December 31, 2008, an insurer
511
seeking a rate that is greater than the rate most recently
512
approved by the office shall make a "file and use" filing. This
513
subparagraph applies to property insurance only. For purposes of
514
this subparagraph, motor vehicle collision and comprehensive
515
coverages are not considered to be property coverages.
516
(b) Upon receiving a rate filing, the office shall review
517
the rate filing to determine if a rate is excessive, inadequate,
518
or unfairly discriminatory. In making that determination, the
519
office shall, in accordance with generally accepted and
520
reasonable actuarial techniques, consider the following factors:
521
1. Past and prospective loss experience within and without
522
this state.
523
2. Past and prospective expenses.
524
3. The degree of competition among insurers for the risk
525
insured.
526
4. Investment income reasonably expected by the insurer,
527
consistent with the insurer's investment practices, from
528
investable premiums anticipated in the filing, plus any other
529
expected income from currently invested assets representing the
530
amount expected on unearned premium reserves and loss reserves.
531
The commission may adopt rules using utilizing reasonable
532
techniques of actuarial science and economics to specify the
533
manner in which insurers shall calculate investment income
534
attributable to such classes of insurance written in this state
535
and the manner in which such investment income shall be used to
536
calculate in the calculation of insurance rates. Such manner
537
shall contemplate allowances for an underwriting profit factor
538
and full consideration of investment income which produce a
539
reasonable rate of return; however, investment income from
540
invested surplus may shall not be considered.
541
5. The reasonableness of the judgment reflected in the
542
filing.
543
6. Dividends, savings, or unabsorbed premium deposits
544
allowed or returned to Florida policyholders, members, or
545
subscribers.
546
7. The adequacy of loss reserves.
547
8. The cost of reinsurance. The office shall not disapprove
548
a rate as excessive solely due to the insurer having obtained
549
catastrophic reinsurance to cover the insurer's estimated 250-
550
year probable maximum loss or any lower level of loss.
551
9. Trend factors, including trends in actual losses per
552
insured unit for the insurer making the filing.
553
10. Conflagration and catastrophe hazards, if applicable.
554
11. Projected hurricane losses, if applicable, which must
555
be estimated using a model or method found to be acceptable or
556
reliable by the Florida Commission on Hurricane Loss Projection
557
Methodology, and as further provided in s. 627.0628.
558
12.11. A reasonable margin for underwriting profit and
559
contingencies. For that portion of the rate covering the risk of
560
hurricanes and other catastrophic losses for which the insurer
561
has not purchased reinsurance and has exposed its capital and
562
surplus to such risk, the office must approve a rating factor
563
that provides the insurer a reasonable rate of return that is
564
commensurate with such risk.
565
13.12. The cost of medical services, if applicable.
566
14.13. Other relevant factors which impact upon the
567
frequency or severity of claims or upon expenses.
568
(g) The office may at any time review a rate, rating
569
schedule, rating manual, or rate change; the pertinent records of
570
the insurer; and market conditions. If the office finds on a
571
preliminary basis that a rate may be excessive, inadequate, or
572
unfairly discriminatory, the office shall initiate proceedings to
573
disapprove the rate and shall so notify the insurer. However, the
574
office may not disapprove as excessive any rate for which it has
575
given final approval or which has been deemed approved for a
576
period of 1 year after the effective date of the filing unless
577
the office finds that a material misrepresentation or material
578
error was made by the insurer or was contained in the filing, or
579
unless the insurer has nonrenewed a number or percentage of
580
policies which the office determines may result in the insurer
581
having an excessive rate. Upon being so notified, the insurer or
582
rating organization shall, within 60 days, file with the office
583
all information which, in the belief of the insurer or
584
organization, proves the reasonableness, adequacy, and fairness
585
of the rate or rate change. The office shall issue a notice of
586
intent to approve or a notice of intent to disapprove pursuant to
587
the procedures of paragraph (a) within 90 days after receipt of
588
the insurer's initial response. In such instances and in any
589
administrative proceeding relating to the legality of the rate,
590
the insurer or rating organization shall carry the burden of
591
proof by a preponderance of the evidence to show that the rate is
592
not excessive, inadequate, or unfairly discriminatory. After the
593
office notifies an insurer that a rate may be excessive,
594
inadequate, or unfairly discriminatory, unless the office
595
withdraws the notification, the insurer shall not alter the rate
596
except to conform with the office's notice until the earlier of
597
120 days after the date the notification was provided or 180 days
598
after the date of the implementation of the rate. The office may,
599
subject to chapter 120, disapprove without the 60-day
600
notification any rate increase filed by an insurer within the
601
prohibited time period or during the time that the legality of
602
the increased rate is being contested.
603
604
The provisions of this subsection shall not apply to workers'
605
compensation and employer's liability insurance and to motor
606
vehicle insurance.
607
(6)(a) If, in any administrative hearing under s. 120.57,
608
any additional information related to a rate filing, other than
609
expert opinion, is offered or presented by the insurer to justify
610
the rate, or offered or presented by the office to challenge the
611
rate, which was not received by the other party prior to the date
612
that the office issues a notice of intent to disapprove the
613
filing, the administrative law judge shall grant a continuance of
614
at least 30 days if requested by the party that had not
615
previously received the information. After any action with
616
respect to a rate filing that constitutes agency action for
617
purposes of the Administrative Procedure Act, except for a rate
618
filing for medical malpractice, an insurer may, in lieu of
619
demanding a hearing under s. 120.57, require arbitration of the
620
rate filing. However, the arbitration option provision in this
621
subsection does not apply to a rate filing that is made on or
622
after the effective date of this act until January 1, 2009.
623
Arbitration shall be conducted by a board of arbitrators
624
consisting of an arbitrator selected by the office, an arbitrator
625
selected by the insurer, and an arbitrator selected jointly by
626
the other two arbitrators. Each arbitrator must be certified by
627
the American Arbitration Association. A decision is valid only
628
upon the affirmative vote of at least two of the arbitrators. No
629
arbitrator may be an employee of any insurance regulator or
630
regulatory body or of any insurer, regardless of whether or not
631
the employing insurer does business in this state. The office and
632
the insurer must treat the decision of the arbitrators as the
633
final approval of a rate filing. Costs of arbitration shall be
634
paid by the insurer.
635
(b) Arbitration under this subsection shall be conducted
636
pursuant to the procedures specified in ss. 682.06-682.10. Either
637
party may apply to the circuit court to vacate or modify the
638
decision pursuant to s. 682.13 or s. 682.14. The commission shall
639
adopt rules for arbitration under this subsection, which rules
640
may not be inconsistent with the arbitration rules of the
641
American Arbitration Association as of January 1, 1996.
642
(c) Upon initiation of the arbitration process, the insurer
643
waives all rights to challenge the action of the office under the
644
Administrative Procedure Act or any other provision of law;
645
however, such rights are restored to the insurer if the
646
arbitrators fail to render a decision within 90 days after
647
initiation of the arbitration process.
648
(9)(a) Effective March 1, 2007, The chief executive officer
649
or chief financial officer of a property insurer and the chief
650
actuary of a property insurer must certify under oath and subject
651
to the penalty of perjury, on a form approved by the commission,
652
the following information, which must accompany a rate filing:
653
1. The signing officer and actuary have reviewed the rate
654
filing;
655
2. Based on the signing officer's and actuary's knowledge,
656
the rate filing does not contain any untrue statement of a
657
material fact or omit to state a material fact necessary in order
658
to make the statements made, in light of the circumstances under
659
which such statements were made, not misleading;
660
3. Based on the signing officer's and actuary's knowledge,
661
the information and other factors described in paragraph (2)(b),
662
including, but not limited to, investment income, fairly present
663
in all material respects the basis of the rate filing for the
664
periods presented in the filing; and
665
4. Based on the signing officer's and actuary's knowledge,
666
the rate filing reflects all premium savings that are reasonably
667
expected to result from legislative enactments and are in
668
accordance with generally accepted and reasonable actuarial
669
techniques;.
670
5. Based on the signing officer's and actuary's knowledge,
671
the actuary responsible for preparing the rate filing reviewed
672
the rate indications used by the office in approving the
673
insurer's last rate filing, if made available to the insurer for
674
review, and identified factors used in the current rate filing
675
which are inconsistent with the factors used by the office in
676
developing such rate indications; and
677
6. Based on the signing officer's and actuary's knowledge,
678
the number and type of policies that the insurer intends to
679
nonrenew during the year following the proposed effective date of
680
the rate filing, and that the rate filing reflects the reduced
681
risk of loss associated with such nonrenewals.
682
(b) A signing officer or actuary knowingly making a false
683
certification under this subsection commits a violation of s.
684
626.9541(1)(e) and is subject to the penalties under s. 626.9521.
685
(c) Failure to provide such certification by the officer
686
and actuary shall result in the rate filing being disapproved
687
without prejudice to be refiled.
688
(d) The commission may adopt rules and forms pursuant to
689
ss. 120.536(1) and 120.54 to administer this subsection.
690
Section 9. Subsection (1) of section 627.0613, Florida
691
Statutes, is amended to read:
692
627.0613 Consumer advocate.--The Chief Financial Officer
693
must appoint a consumer advocate who must represent the general
694
public of the state before the department and the office. The
695
consumer advocate must report directly to the Chief Financial
696
Officer, but is not otherwise under the authority of the
697
department or of any employee of the department. The consumer
698
advocate has such powers as are necessary to carry out the duties
699
of the office of consumer advocate, including, but not limited
700
to, the powers to:
701
(1) Recommend to the department or office, by petition, the
702
commencement of any proceeding or action; appear in any
703
proceeding or action before the department or office; or appear
704
in any proceeding before the Division of Administrative Hearings
705
or arbitration panel specified in s. 627.062(6) relating to
706
subject matter under the jurisdiction of the department or
707
office.
708
Section 10. Paragraph (c) of subsection (1) and paragraph
709
(c) of subsection (3) of section 627.0628, Florida Statutes, are
710
amended to read:
711
627.0628 Florida Commission on Hurricane Loss Projection
712
Methodology; public records exemption; public meetings
713
exemption.--
714
(1) LEGISLATIVE FINDINGS AND INTENT.--
715
(c) It is the intent of the Legislature to create the
716
Florida Commission on Hurricane Loss Projection Methodology as a
717
panel of experts to provide the most actuarially sophisticated
718
guidelines and standards for projection of hurricane losses
719
possible, given the current state of actuarial science. It is the
720
further intent of the Legislature that such standards and
721
guidelines must be used by the State Board of Administration in
722
developing reimbursement premium rates for the Florida Hurricane
723
Catastrophe Fund, and, subject to paragraph (3)(c), must may be
724
used by insurers in rate filings under s. 627.062 unless the way
725
in which such standards and guidelines were applied by the
726
insurer was erroneous, as shown by a preponderance of the
727
evidence.
728
(3) ADOPTION AND EFFECT OF STANDARDS AND GUIDELINES.--
729
(c) With respect to a rate filing under s. 627.062, an
730
insurer must may employ and may not modify or adjust actuarial
731
methods, principles, standards, models, or output ranges found by
732
the commission to be accurate or reliable in determining to
733
determine hurricane loss factors used for use in a rate filing
734
and in determining probable maximum loss levels for reinsurance
735
costs included in a rate filing under s. 627.062. Such findings
736
and factors are admissible and relevant in consideration of a
737
rate filing by the office or in any arbitration or administrative
738
or judicial review only if the office and the consumer advocate
739
appointed pursuant to s. 627.0613 have access to all of the
740
assumptions and factors that were used in developing the
741
actuarial methods, principles, standards, models, or output
742
ranges, and are not precluded from disclosing such information in
743
a rate proceeding. In any rate hearing under s. 120.57 or in any
744
arbitration proceeding under s. 627.062(6), the hearing officer,
745
judge, or arbitration panel may determine whether the office and
746
the consumer advocate were provided with access to all of the
747
assumptions and factors that were used in developing the
748
actuarial methods, principles, standards, models, or output
749
ranges and to determine their admissibility.
750
Section 11. Subsection (1) of section 627.0629, Florida
751
Statutes, is amended to read:
752
627.0629 Residential property insurance; rate filings.--
753
(1)(a) It is the intent of the Legislature that insurers
754
must provide savings to consumers who install or implement
755
windstorm damage mitigation techniques, alterations, or solutions
756
to their properties to prevent windstorm losses. A rate filing
757
for residential property insurance must include actuarially
758
reasonable discounts, credits, or other rate differentials, or
759
appropriate reductions in deductibles, for properties on which
760
fixtures or construction techniques demonstrated to reduce the
761
amount of loss in a windstorm have been installed or implemented.
762
The fixtures or construction techniques shall include, but not be
763
limited to, fixtures or construction techniques which enhance
764
roof strength, roof covering performance, roof-to-wall strength,
765
wall-to-floor-to-foundation strength, opening protection, and
766
window, door, and skylight strength. Credits, discounts, or other
767
rate differentials, or appropriate reductions in deductibles, for
768
fixtures and construction techniques which meet the minimum
769
requirements of the Florida Building Code must be included in the
770
rate filing. All insurance companies must make a rate filing
771
which includes the credits, discounts, or other rate
772
differentials or reductions in deductibles by February 28, 2003.
773
By July 1, 2007, the office shall reevaluate the discounts,
774
credits, other rate differentials, and appropriate reductions in
775
deductibles for fixtures and construction techniques that meet
776
the minimum requirements of the Florida Building Code, based upon
777
actual experience or any other loss relativity studies available
778
to the office. The office shall determine the discounts, credits,
779
other rate differentials, and appropriate reductions in
780
deductibles that reflect the full actuarial value of such
781
revaluation, which may be used by insurers in rate filings.
782
(b) By February 1, 2009, the Office of Insurance
783
Regulation, in consultation with the Department of Financial
784
Services and the Department of Community Affairs, shall develop
785
and make publicly available a proposed method for insurers to
786
establish discounts, credits, or other rate differentials for
787
hurricane mitigation measures which directly correlate to the
788
numerical rating assigned to a structure pursuant to the uniform
789
home grading scale adopted by the Financial Services Commission
790
pursuant to s. 215.55865, including any proposed changes to the
791
uniform home grading scale. By October 1, 2009, the commission
792
shall adopt rules requiring insurers to make rate filings for
793
residential property insurance which revise insurers' discounts,
794
credits, or other rate differentials for hurricane mitigation
795
measures so that such rate differentials correlate directly to
796
the uniform home grading scale. The rules may include such
797
changes to the uniform home grading scale as the commission
798
determines are necessary, and may specify the minimum required
799
discounts, credits, or other rate differentials. Such rate
800
differentials must be consistent with generally accepted
801
actuarial principles and wind-loss mitigation studies. The rules
802
shall allow a period of at least 2 years after the effective date
803
of the revised mitigation discounts, credits, or other rate
804
differentials for a property owner to obtain an inspection or
805
otherwise qualify for the revised credit, during which time the
806
insurer shall continue to apply the mitigation credit that was
807
applied immediately prior to the effective date of the revised
808
credit.
809
Section 12. Paragraph (b) of subsection (2) and paragraphs
810
(a), (b), (c), (m), (p), (dd), (ee), and (ff) of subsection (6)
811
of section 627.351, Florida Statutes, are amended to read:
812
627.351 Insurance risk apportionment plans.--
813
(2) WINDSTORM INSURANCE RISK APPORTIONMENT.--
814
(b) The department shall require all insurers holding a
815
certificate of authority to transact property insurance on a
816
direct basis in this state, other than joint underwriting
817
associations and other entities formed pursuant to this section,
818
to provide windstorm coverage to applicants from areas determined
819
to be eligible pursuant to paragraph (c) who in good faith are
820
entitled to, but are unable to procure, such coverage through
821
ordinary means; or it shall adopt a reasonable plan or plans for
822
the equitable apportionment or sharing among such insurers of
823
windstorm coverage, which may include formation of an association
824
for this purpose. As used in this subsection, the term "property
825
insurance" means insurance on real or personal property, as
826
defined in s. 624.604, including insurance for fire, industrial
827
fire, allied lines, farmowners multiperil, homeowners'
828
multiperil, commercial multiperil, and mobile homes, and
829
including liability coverages on all such insurance, but
830
excluding inland marine as defined in s. 624.607(3) and excluding
831
vehicle insurance as defined in s. 624.605(1)(a) other than
832
insurance on mobile homes used as permanent dwellings. The
833
department shall adopt rules that provide a formula for the
834
recovery and repayment of any deferred assessments.
835
1. For the purpose of this section, properties eligible for
836
such windstorm coverage are defined as dwellings, buildings, and
837
other structures, including mobile homes which are used as
838
dwellings and which are tied down in compliance with mobile home
839
tie-down requirements prescribed by the Department of Highway
840
Safety and Motor Vehicles pursuant to s. 320.8325, and the
841
contents of all such properties. An applicant or policyholder is
842
eligible for coverage only if an offer of coverage cannot be
843
obtained by or for the applicant or policyholder from an admitted
844
insurer at approved rates.
845
2.a.(I) All insurers required to be members of such
846
association shall participate in its writings, expenses, and
847
losses. Surplus of the association shall be retained for the
848
payment of claims and shall not be distributed to the member
849
insurers. Such participation by member insurers shall be in the
850
proportion that the net direct premiums of each member insurer
851
written for property insurance in this state during the preceding
852
calendar year bear to the aggregate net direct premiums for
853
property insurance of all member insurers, as reduced by any
854
credits for voluntary writings, in this state during the
855
preceding calendar year. For the purposes of this subsection, the
856
term "net direct premiums" means direct written premiums for
857
property insurance, reduced by premium for liability coverage and
858
for the following if included in allied lines: rain and hail on
859
growing crops; livestock; association direct premiums booked;
860
National Flood Insurance Program direct premiums; and similar
861
deductions specifically authorized by the plan of operation and
862
approved by the department. A member's participation shall begin
863
on the first day of the calendar year following the year in which
864
it is issued a certificate of authority to transact property
865
insurance in the state and shall terminate 1 year after the end
866
of the calendar year during which it no longer holds a
867
certificate of authority to transact property insurance in the
868
state. The commissioner, after review of annual statements, other
869
reports, and any other statistics that the commissioner deems
870
necessary, shall certify to the association the aggregate direct
871
premiums written for property insurance in this state by all
872
member insurers.
873
(II) Effective July 1, 2002, the association shall operate
874
subject to the supervision and approval of a board of governors
875
who are the same individuals that have been appointed by the
876
Treasurer to serve on the board of governors of the Citizens
877
Property Insurance Corporation.
878
(III) The plan of operation shall provide a formula whereby
879
a company voluntarily providing windstorm coverage in affected
880
areas will be relieved wholly or partially from apportionment of
881
a regular assessment pursuant to sub-sub-subparagraph d.(I) or
882
sub-sub-subparagraph d.(II).
883
(IV) A company which is a member of a group of companies
884
under common management may elect to have its credits applied on
885
a group basis, and any company or group may elect to have its
886
credits applied to any other company or group.
887
(V) There shall be no credits or relief from apportionment
888
to a company for emergency assessments collected from its
889
policyholders under sub-sub-subparagraph d.(III).
890
(VI) The plan of operation may also provide for the award
891
of credits, for a period not to exceed 3 years, from a regular
892
assessment pursuant to sub-sub-subparagraph d.(I) or sub-sub-
893
subparagraph d.(II) as an incentive for taking policies out of
894
the Residential Property and Casualty Joint Underwriting
895
Association. In order to qualify for the exemption under this
896
sub-sub-subparagraph, the take-out plan must provide that at
897
least 40 percent of the policies removed from the Residential
898
Property and Casualty Joint Underwriting Association cover risks
899
located in Dade, Broward, and Palm Beach Counties or at least 30
900
percent of the policies so removed cover risks located in Dade,
901
Broward, and Palm Beach Counties and an additional 50 percent of
902
the policies so removed cover risks located in other coastal
903
counties, and must also provide that no more than 15 percent of
904
the policies so removed may exclude windstorm coverage. With the
905
approval of the department, the association may waive these
906
geographic criteria for a take-out plan that removes at least the
907
lesser of 100,000 Residential Property and Casualty Joint
908
Underwriting Association policies or 15 percent of the total
909
number of Residential Property and Casualty Joint Underwriting
910
Association policies, provided the governing board of the
911
Residential Property and Casualty Joint Underwriting Association
912
certifies that the take-out plan will materially reduce the
913
Residential Property and Casualty Joint Underwriting
914
Association's 100-year probable maximum loss from hurricanes.
915
With the approval of the department, the board may extend such
916
credits for an additional year if the insurer guarantees an
917
additional year of renewability for all policies removed from the
918
Residential Property and Casualty Joint Underwriting Association,
919
or for 2 additional years if the insurer guarantees 2 additional
920
years of renewability for all policies removed from the
921
Residential Property and Casualty Joint Underwriting Association.
922
b. Assessments to pay deficits in the association under
923
this subparagraph shall be included as an appropriate factor in
924
the making of rates as provided in s. 627.3512.
925
c. The Legislature finds that the potential for unlimited
926
deficit assessments under this subparagraph may induce insurers
927
to attempt to reduce their writings in the voluntary market, and
928
that such actions would worsen the availability problems that the
929
association was created to remedy. It is the intent of the
930
Legislature that insurers remain fully responsible for paying
931
regular assessments and collecting emergency assessments for any
932
deficits of the association; however, it is also the intent of
933
the Legislature to provide a means by which assessment
934
liabilities may be amortized over a period of years.
935
d.(I) When the deficit incurred in a particular calendar
936
year is 10 percent or less of the aggregate statewide direct
937
written premium for property insurance for the prior calendar
938
year for all member insurers, the association shall levy an
939
assessment on member insurers in an amount equal to the deficit.
940
(II) When the deficit incurred in a particular calendar
941
year exceeds 10 percent of the aggregate statewide direct written
942
premium for property insurance for the prior calendar year for
943
all member insurers, the association shall levy an assessment on
944
member insurers in an amount equal to the greater of 10 percent
945
of the deficit or 10 percent of the aggregate statewide direct
946
written premium for property insurance for the prior calendar
947
year for member insurers. Any remaining deficit shall be
948
recovered through emergency assessments under sub-sub-
949
subparagraph (III).
950
(III) Upon a determination by the board of directors that a
951
deficit exceeds the amount that will be recovered through regular
952
assessments on member insurers, pursuant to sub-sub-subparagraph
953
(I) or sub-sub-subparagraph (II), the board shall levy, after
954
verification by the department, emergency assessments to be
955
collected by member insurers and by underwriting associations
956
created pursuant to this section which write property insurance,
957
upon issuance or renewal of property insurance policies other
958
than National Flood Insurance policies in the year or years
959
following levy of the regular assessments. The amount of the
960
emergency assessment collected in a particular year shall be a
961
uniform percentage of that year's direct written premium for
962
property insurance for all member insurers and underwriting
963
associations, excluding National Flood Insurance policy premiums,
964
as annually determined by the board and verified by the
965
department. The department shall verify the arithmetic
966
calculations involved in the board's determination within 30 days
967
after receipt of the information on which the determination was
968
based. Notwithstanding any other provision of law, each member
969
insurer and each underwriting association created pursuant to
970
this section shall collect emergency assessments from its
971
policyholders without such obligation being affected by any
972
credit, limitation, exemption, or deferment. The emergency
973
assessments so collected shall be transferred directly to the
974
association on a periodic basis as determined by the association.
975
The aggregate amount of emergency assessments levied under this
976
sub-sub-subparagraph in any calendar year may not exceed the
977
greater of 10 percent of the amount needed to cover the original
978
deficit, plus interest, fees, commissions, required reserves, and
979
other costs associated with financing of the original deficit, or
980
10 percent of the aggregate statewide direct written premium for
981
property insurance written by member insurers and underwriting
982
associations for the prior year, plus interest, fees,
983
commissions, required reserves, and other costs associated with
984
financing the original deficit. The board may pledge the proceeds
985
of the emergency assessments under this sub-sub-subparagraph as
986
the source of revenue for bonds, to retire any other debt
987
incurred as a result of the deficit or events giving rise to the
988
deficit, or in any other way that the board determines will
989
efficiently recover the deficit. The emergency assessments under
990
this sub-sub-subparagraph shall continue as long as any bonds
991
issued or other indebtedness incurred with respect to a deficit
992
for which the assessment was imposed remain outstanding, unless
993
adequate provision has been made for the payment of such bonds or
994
other indebtedness pursuant to the document governing such bonds
995
or other indebtedness. Emergency assessments collected under this
996
sub-sub-subparagraph are not part of an insurer's rates, are not
997
premium, and are not subject to premium tax, fees, or
998
commissions; however, failure to pay the emergency assessment
999
shall be treated as failure to pay premium.
1000
(IV) Each member insurer's share of the total regular
1001
assessments under sub-sub-subparagraph (I) or sub-sub-
1002
subparagraph (II) shall be in the proportion that the insurer's
1003
net direct premium for property insurance in this state, for the
1004
year preceding the assessment bears to the aggregate statewide
1005
net direct premium for property insurance of all member insurers,
1006
as reduced by any credits for voluntary writings for that year.
1007
(V) If regular deficit assessments are made under sub-sub-
1008
subparagraph (I) or sub-sub-subparagraph (II), or by the
1009
Residential Property and Casualty Joint Underwriting Association
1010
under sub-subparagraph (6)(b)3.a. or sub-subparagraph (6)(b)3.b.,
1011
the association shall levy upon the association's policyholders,
1012
as part of its next rate filing, or by a separate rate filing
1013
solely for this purpose, a market equalization surcharge in a
1014
percentage equal to the total amount of such regular assessments
1015
divided by the aggregate statewide direct written premium for
1016
property insurance for member insurers for the prior calendar
1017
year. Market equalization surcharges under this sub-sub-
1018
subparagraph are not considered premium and are not subject to
1019
commissions, fees, or premium taxes; however, failure to pay a
1020
market equalization surcharge shall be treated as failure to pay
1021
premium.
1022
e. The governing body of any unit of local government, any
1023
residents of which are insured under the plan, may issue bonds as
1024
defined in s. 125.013 or s. 166.101 to fund an assistance
1025
program, in conjunction with the association, for the purpose of
1026
defraying deficits of the association. In order to avoid needless
1027
and indiscriminate proliferation, duplication, and fragmentation
1028
of such assistance programs, any unit of local government, any
1029
residents of which are insured by the association, may provide
1030
for the payment of losses, regardless of whether or not the
1031
losses occurred within or outside of the territorial jurisdiction
1032
of the local government. Revenue bonds may not be issued until
1033
validated pursuant to chapter 75, unless a state of emergency is
1034
declared by executive order or proclamation of the Governor
1035
pursuant to s. 252.36 making such findings as are necessary to
1036
determine that it is in the best interests of, and necessary for,
1037
the protection of the public health, safety, and general welfare
1038
of residents of this state and the protection and preservation of
1039
the economic stability of insurers operating in this state, and
1040
declaring it an essential public purpose to permit certain
1041
municipalities or counties to issue bonds as will provide relief
1042
to claimants and policyholders of the association and insurers
1043
responsible for apportionment of plan losses. Any such unit of
1044
local government may enter into such contracts with the
1045
association and with any other entity created pursuant to this
1046
subsection as are necessary to carry out this paragraph. Any
1047
bonds issued under this sub-subparagraph shall be payable from
1048
and secured by moneys received by the association from
1049
assessments under this subparagraph, and assigned and pledged to
1050
or on behalf of the unit of local government for the benefit of
1051
the holders of such bonds. The funds, credit, property, and
1052
taxing power of the state or of the unit of local government
1053
shall not be pledged for the payment of such bonds. If any of the
1054
bonds remain unsold 60 days after issuance, the department shall
1055
require all insurers subject to assessment to purchase the bonds,
1056
which shall be treated as admitted assets; each insurer shall be
1057
required to purchase that percentage of the unsold portion of the
1058
bond issue that equals the insurer's relative share of assessment
1059
liability under this subsection. An insurer shall not be required
1060
to purchase the bonds to the extent that the department
1061
determines that the purchase would endanger or impair the
1062
solvency of the insurer. The authority granted by this sub-
1063
subparagraph is additional to any bonding authority granted by
1064
subparagraph 6.
1065
3. The plan shall also provide that any member with a
1066
surplus as to policyholders of $20 million or less writing 25
1067
percent or more of its total countrywide property insurance
1068
premiums in this state may petition the department, within the
1069
first 90 days of each calendar year, to qualify as a limited
1070
apportionment company. The apportionment of such a member company
1071
in any calendar year for which it is qualified shall not exceed
1072
its gross participation, which shall not be affected by the
1073
formula for voluntary writings. In no event shall a limited
1074
apportionment company be required to participate in any
1075
apportionment of losses pursuant to sub-sub-subparagraph 2.d.(I)
1076
or sub-sub-subparagraph 2.d.(II) in the aggregate which exceeds
1077
$50 million after payment of available plan funds in any calendar
1078
year. However, a limited apportionment company shall collect from
1079
its policyholders any emergency assessment imposed under sub-sub-
1080
subparagraph 2.d.(III). The plan shall provide that, if the
1081
department determines that any regular assessment will result in
1082
an impairment of the surplus of a limited apportionment company,
1083
the department may direct that all or part of such assessment be
1084
deferred. However, there shall be no limitation or deferment of
1085
an emergency assessment to be collected from policyholders under
1086
sub-sub-subparagraph 2.d.(III).
1087
4. The plan shall provide for the deferment, in whole or in
1088
part, of a regular assessment of a member insurer under sub-sub-
1089
subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II), but not
1090
for an emergency assessment collected from policyholders under
1091
sub-sub-subparagraph 2.d.(III), if, in the opinion of the
1092
commissioner, payment of such regular assessment would endanger
1093
or impair the solvency of the member insurer. In the event a
1094
regular assessment against a member insurer is deferred in whole
1095
or in part, the amount by which such assessment is deferred may
1096
be assessed against the other member insurers in a manner
1097
consistent with the basis for assessments set forth in sub-sub-
1098
subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II).
1099
5.a. The plan of operation may include deductibles and
1100
rules for classification of risks and rate modifications
1101
consistent with the objective of providing and maintaining funds
1102
sufficient to pay catastrophe losses.
1103
b. The association may require arbitration of a rate filing
1104
under s. 627.062(6). It is the intent of the Legislature that the
1105
rates for coverage provided by the association be actuarially
1106
sound and not competitive with approved rates charged in the
1107
admitted voluntary market such that the association functions as
1108
a residual market mechanism to provide insurance only when the
1109
insurance cannot be procured in the voluntary market. The plan of
1110
operation shall provide a mechanism to assure that, beginning no
1111
later than January 1, 1999, the rates charged by the association
1112
for each line of business are reflective of approved rates in the
1113
voluntary market for hurricane coverage for each line of business
1114
in the various areas eligible for association coverage.
1115
c. The association shall provide for windstorm coverage on
1116
residential properties in limits up to $10 million for commercial
1117
lines residential risks and up to $1 million for personal lines
1118
residential risks. If coverage with the association is sought for
1119
a residential risk valued in excess of these limits, coverage
1120
shall be available to the risk up to the replacement cost or
1121
actual cash value of the property, at the option of the insured,
1122
if coverage for the risk cannot be located in the authorized
1123
market. The association must accept a commercial lines
1124
residential risk with limits above $10 million or a personal
1125
lines residential risk with limits above $1 million if coverage
1126
is not available in the authorized market. The association may
1127
write coverage above the limits specified in this subparagraph
1128
with or without facultative or other reinsurance coverage, as the
1129
association determines appropriate.
1130
d. The plan of operation must provide objective criteria
1131
and procedures, approved by the department, to be uniformly
1132
applied for all applicants in determining whether an individual
1133
risk is so hazardous as to be uninsurable. In making this
1134
determination and in establishing the criteria and procedures,
1135
the following shall be considered:
1136
(I) Whether the likelihood of a loss for the individual
1137
risk is substantially higher than for other risks of the same
1138
class; and
1139
(II) Whether the uncertainty associated with the individual
1140
risk is such that an appropriate premium cannot be determined.
1141
1142
The acceptance or rejection of a risk by the association pursuant
1143
to such criteria and procedures must be construed as the private
1144
placement of insurance, and the provisions of chapter 120 do not
1145
apply.
1146
e. If the risk accepts an offer of coverage through the
1147
market assistance program or through a mechanism established by
1148
the association, either before the policy is issued by the
1149
association or during the first 30 days of coverage by the
1150
association, and the producing agent who submitted the
1151
application to the association is not currently appointed by the
1152
insurer, the insurer shall:
1153
(I) Pay to the producing agent of record of the policy, for
1154
the first year, an amount that is the greater of the insurer's
1155
usual and customary commission for the type of policy written or
1156
a fee equal to the usual and customary commission of the
1157
association; or
1158
(II) Offer to allow the producing agent of record of the
1159
policy to continue servicing the policy for a period of not less
1160
than 1 year and offer to pay the agent the greater of the
1161
insurer's or the association's usual and customary commission for
1162
the type of policy written.
1163
1164
If the producing agent is unwilling or unable to accept
1165
appointment, the new insurer shall pay the agent in accordance
1166
with sub-sub-subparagraph (I). Subject to the provisions of s.
1167
627.3517, the policies issued by the association must provide
1168
that if the association obtains an offer from an authorized
1169
insurer to cover the risk at its approved rates under either a
1170
standard policy including wind coverage or, if consistent with
1171
the insurer's underwriting rules as filed with the department, a
1172
basic policy including wind coverage, the risk is no longer
1173
eligible for coverage through the association. Upon termination
1174
of eligibility, the association shall provide written notice to
1175
the policyholder and agent of record stating that the association
1176
policy must be canceled as of 60 days after the date of the
1177
notice because of the offer of coverage from an authorized
1178
insurer. Other provisions of the insurance code relating to
1179
cancellation and notice of cancellation do not apply to actions
1180
under this sub-subparagraph.
1181
f. When the association enters into a contractual agreement
1182
for a take-out plan, the producing agent of record of the
1183
association policy is entitled to retain any unearned commission
1184
on the policy, and the insurer shall:
1185
(I) Pay to the producing agent of record of the association
1186
policy, for the first year, an amount that is the greater of the
1187
insurer's usual and customary commission for the type of policy
1188
written or a fee equal to the usual and customary commission of
1189
the association; or
1190
(II) Offer to allow the producing agent of record of the
1191
association policy to continue servicing the policy for a period
1192
of not less than 1 year and offer to pay the agent the greater of
1193
the insurer's or the association's usual and customary commission
1194
for the type of policy written.
1195
1196
If the producing agent is unwilling or unable to accept
1197
appointment, the new insurer shall pay the agent in accordance
1198
with sub-sub-subparagraph (I).
1199
6.a. The plan of operation may authorize the formation of a
1200
private nonprofit corporation, a private nonprofit unincorporated
1201
association, a partnership, a trust, a limited liability company,
1202
or a nonprofit mutual company which may be empowered, among other
1203
things, to borrow money by issuing bonds or by incurring other
1204
indebtedness and to accumulate reserves or funds to be used for
1205
the payment of insured catastrophe losses. The plan may authorize
1206
all actions necessary to facilitate the issuance of bonds,
1207
including the pledging of assessments or other revenues.
1208
b. Any entity created under this subsection, or any entity
1209
formed for the purposes of this subsection, may sue and be sued,
1210
may borrow money; issue bonds, notes, or debt instruments; pledge
1211
or sell assessments, market equalization surcharges and other
1212
surcharges, rights, premiums, contractual rights, projected
1213
recoveries from the Florida Hurricane Catastrophe Fund, other
1214
reinsurance recoverables, and other assets as security for such
1215
bonds, notes, or debt instruments; enter into any contracts or
1216
agreements necessary or proper to accomplish such borrowings; and
1217
take other actions necessary to carry out the purposes of this
1218
subsection. The association may issue bonds or incur other
1219
indebtedness, or have bonds issued on its behalf by a unit of
1220
local government pursuant to subparagraph (6)(p)2., in the
1221
absence of a hurricane or other weather-related event, upon a
1222
determination by the association subject to approval by the
1223
department that such action would enable it to efficiently meet
1224
the financial obligations of the association and that such
1225
financings are reasonably necessary to effectuate the
1226
requirements of this subsection. Any such entity may accumulate
1227
reserves and retain surpluses as of the end of any association
1228
year to provide for the payment of losses incurred by the
1229
association during that year or any future year. The association
1230
shall incorporate and continue the plan of operation and articles
1231
of agreement in effect on the effective date of chapter 76-96,
1232
Laws of Florida, to the extent that it is not inconsistent with
1233
chapter 76-96, and as subsequently modified consistent with
1234
chapter 76-96. The board of directors and officers currently
1235
serving shall continue to serve until their successors are duly
1236
qualified as provided under the plan. The assets and obligations
1237
of the plan in effect immediately prior to the effective date of
1238
chapter 76-96 shall be construed to be the assets and obligations
1239
of the successor plan created herein.
1240
c. In recognition of s. 10, Art. I of the State
1241
Constitution, prohibiting the impairment of obligations of
1242
contracts, it is the intent of the Legislature that no action be
1243
taken whose purpose is to impair any bond indenture or financing
1244
agreement or any revenue source committed by contract to such
1245
bond or other indebtedness issued or incurred by the association
1246
or any other entity created under this subsection.
1247
7. On such coverage, an agent's remuneration shall be that
1248
amount of money payable to the agent by the terms of his or her
1249
contract with the company with which the business is placed.
1250
However, no commission will be paid on that portion of the
1251
premium which is in excess of the standard premium of that
1252
company.
1253
8. Subject to approval by the department, the association
1254
may establish different eligibility requirements and operational
1255
procedures for any line or type of coverage for any specified
1256
eligible area or portion of an eligible area if the board
1257
determines that such changes to the eligibility requirements and
1258
operational procedures are justified due to the voluntary market
1259
being sufficiently stable and competitive in such area or for
1260
such line or type of coverage and that consumers who, in good
1261
faith, are unable to obtain insurance through the voluntary
1262
market through ordinary methods would continue to have access to
1263
coverage from the association. When coverage is sought in
1264
connection with a real property transfer, such requirements and
1265
procedures shall not provide for an effective date of coverage
1266
later than the date of the closing of the transfer as established
1267
by the transferor, the transferee, and, if applicable, the
1268
lender.
1269
9. Notwithstanding any other provision of law:
1270
a. The pledge or sale of, the lien upon, and the security
1271
interest in any rights, revenues, or other assets of the
1272
association created or purported to be created pursuant to any
1273
financing documents to secure any bonds or other indebtedness of
1274
the association shall be and remain valid and enforceable,
1275
notwithstanding the commencement of and during the continuation
1276
of, and after, any rehabilitation, insolvency, liquidation,
1277
bankruptcy, receivership, conservatorship, reorganization, or
1278
similar proceeding against the association under the laws of this
1279
state or any other applicable laws.
1280
b. No such proceeding shall relieve the association of its
1281
obligation, or otherwise affect its ability to perform its
1282
obligation, to continue to collect, or levy and collect,
1283
assessments, market equalization or other surcharges, projected
1284
recoveries from the Florida Hurricane Catastrophe Fund,
1285
reinsurance recoverables, or any other rights, revenues, or other
1286
assets of the association pledged.
1287
c. Each such pledge or sale of, lien upon, and security
1288
interest in, including the priority of such pledge, lien, or
1289
security interest, any such assessments, emergency assessments,
1290
market equalization or renewal surcharges, projected recoveries
1291
from the Florida Hurricane Catastrophe Fund, reinsurance
1292
recoverables, or other rights, revenues, or other assets which
1293
are collected, or levied and collected, after the commencement of
1294
and during the pendency of or after any such proceeding shall
1295
continue unaffected by such proceeding.
1296
d. As used in this subsection, the term "financing
1297
documents" means any agreement, instrument, or other document now
1298
existing or hereafter created evidencing any bonds or other
1299
indebtedness of the association or pursuant to which any such
1300
bonds or other indebtedness has been or may be issued and
1301
pursuant to which any rights, revenues, or other assets of the
1302
association are pledged or sold to secure the repayment of such
1303
bonds or indebtedness, together with the payment of interest on
1304
such bonds or such indebtedness, or the payment of any other
1305
obligation of the association related to such bonds or
1306
indebtedness.
1307
e. Any such pledge or sale of assessments, revenues,
1308
contract rights or other rights or assets of the association
1309
shall constitute a lien and security interest, or sale, as the
1310
case may be, that is immediately effective and attaches to such
1311
assessments, revenues, contract, or other rights or assets,
1312
whether or not imposed or collected at the time the pledge or
1313
sale is made. Any such pledge or sale is effective, valid,
1314
binding, and enforceable against the association or other entity
1315
making such pledge or sale, and valid and binding against and
1316
superior to any competing claims or obligations owed to any other
1317
person or entity, including policyholders in this state,
1318
asserting rights in any such assessments, revenues, contract, or
1319
other rights or assets to the extent set forth in and in
1320
accordance with the terms of the pledge or sale contained in the
1321
applicable financing documents, whether or not any such person or
1322
entity has notice of such pledge or sale and without the need for
1323
any physical delivery, recordation, filing, or other action.
1324
f. There shall be no liability on the part of, and no cause
1325
of action of any nature shall arise against, any member insurer
1326
or its agents or employees, agents or employees of the
1327
association, members of the board of directors of the
1328
association, or the department or its representatives, for any
1329
action taken by them in the performance of their duties or
1330
responsibilities under this subsection. Such immunity does not
1331
apply to actions for breach of any contract or agreement
1332
pertaining to insurance, or any willful tort.
1333
(6) CITIZENS PROPERTY INSURANCE CORPORATION.--
1334
(a)1. It is the public purpose of this subsection to ensure
1335
the existence of an orderly market for property insurance for
1336
Floridians and Florida businesses. The Legislature finds that
1337
private insurers are unwilling or unable to provide affordable
1338
property insurance coverage in this state to the extent sought
1339
and needed. The absence of affordable property insurance
1340
threatens the public health, safety, and welfare and likewise
1341
threatens the economic health of the state. The state therefore
1342
has a compelling public interest and a public purpose to assist
1343
in assuring that property in the state is insured and that it is
1344
insured at affordable rates so as to facilitate the remediation,
1345
reconstruction, and replacement of damaged or destroyed property
1346
in order to reduce or avoid the negative effects otherwise
1347
resulting to the public health, safety, and welfare, to the
1348
economy of the state, and to the revenues of the state and local
1349
governments which are needed to provide for the public welfare.
1350
It is necessary, therefore, to provide affordable property
1351
insurance to applicants who are in good faith entitled to procure
1352
insurance through the voluntary market but are unable to do so.
1353
The Legislature intends by this subsection that affordable
1354
property insurance be provided and that it continue to be
1355
provided, as long as necessary, through Citizens Property
1356
Insurance Corporation, a government entity that is an integral
1357
part of the state, and that is not a private insurance company.
1358
To that end, Citizens Property Insurance Corporation shall strive
1359
to increase the availability of affordable property insurance in
1360
this state, while achieving efficiencies and economies, and while
1361
providing service to policyholders, applicants, and agents which
1362
is no less than the quality generally provided in the voluntary
1363
market, for the achievement of the foregoing public purposes.
1364
Because it is essential for this government entity to have the
1365
maximum financial resources to pay claims following a
1366
catastrophic hurricane, it is the intent of the Legislature that
1367
Citizens Property Insurance Corporation continue to be an
1368
integral part of the state and that the income of the corporation
1369
be exempt from federal income taxation and that interest on the
1370
debt obligations issued by the corporation be exempt from federal
1371
income taxation.
1372
2. The Residential Property and Casualty Joint Underwriting
1373
Association originally created by this statute shall be known, as
1374
of July 1, 2002, as the Citizens Property Insurance Corporation.
1375
The corporation shall provide insurance for residential and
1376
commercial property, for applicants who are in good faith
1377
entitled, but are unable, to procure insurance through the
1378
voluntary market. The corporation shall operate pursuant to a
1379
plan of operation approved by order of the Financial Services
1380
Commission. The plan is subject to continuous review by the
1381
commission. The commission may, by order, withdraw approval of
1382
all or part of a plan if the commission determines that
1383
conditions have changed since approval was granted and that the
1384
purposes of the plan require changes in the plan. The corporation
1385
shall continue to operate pursuant to the plan of operation
1386
approved by the Office of Insurance Regulation until October 1,
1387
2006. For the purposes of this subsection, residential coverage
1388
includes both personal lines residential coverage, which consists
1389
of the type of coverage provided by homeowner's, mobile home
1390
owner's, dwelling, tenant's, condominium unit owner's, and
1391
similar policies, and commercial lines residential coverage,
1392
which consists of the type of coverage provided by condominium
1393
association, apartment building, and similar policies.
1394
3. For the purposes of this subsection, the term "homestead
1395
property" means:
1396
a. Property that has been granted a homestead exemption
1397
under chapter 196;
1398
b. Property for which the owner has a current, written
1399
lease with a renter for a term of at least 7 months and for which
1400
the dwelling is insured by the corporation for $200,000 or less;
1401
c. An owner-occupied mobile home or manufactured home, as
1402
defined in s. 320.01, which is permanently affixed to real
1403
property, is owned by a Florida resident, and has been granted a
1404
homestead exemption under chapter 196 or, if the owner does not
1405
own the real property, the owner certifies that the mobile home
1406
or manufactured home is his or her principal place of residence;
1407
d. Tenant's coverage;
1408
e. Commercial lines residential property; or
1409
f. Any county, district, or municipal hospital; a hospital
1410
licensed by any not-for-profit corporation qualified under s.
1411
501(c)(3) of the United States Internal Revenue Code; or a
1412
continuing care retirement community that is certified under
1413
chapter 651 and that receives an exemption from ad valorem taxes
1414
under chapter 196.
1415
4. For the purposes of this subsection, the term
1416
"nonhomestead property" means property that is not homestead
1417
property.
1418
5. Effective January 1, 2009, a personal lines residential
1419
structure that has a dwelling replacement cost of $1 million or
1420
more, or a single condominium unit that has a combined dwelling
1421
and content replacement cost of $1 million or more is not
1422
eligible for coverage by the corporation. Such dwellings insured
1423
by the corporation on December 31, 2008, may continue to be
1424
covered by the corporation until the end of the policy term.
1425
However, such dwellings that are insured by the corporation and
1426
become ineligible for coverage due to the provisions of this
1427
subparagraph may reapply and obtain coverage in the high-risk
1428
account and be considered "nonhomestead property" if the property
1429
owner provides the corporation with a sworn affidavit from one or
1430
more insurance agents, on a form provided by the corporation,
1431
stating that the agents have made their best efforts to obtain
1432
coverage and that the property has been rejected for coverage by
1433
at least one authorized insurer and at least three surplus lines
1434
insurers. If such conditions are met, the dwelling may be insured
1435
by the corporation for up to 3 years, after which time the
1436
dwelling is ineligible for coverage. The office shall approve the
1437
method used by the corporation for valuing the dwelling
1438
replacement cost for the purposes of this subparagraph. If a
1439
policyholder is insured by the corporation prior to being
1440
determined to be ineligible pursuant to this subparagraph and
1441
such policyholder files a lawsuit challenging the determination,
1442
the policyholder may remain insured by the corporation until the
1443
conclusion of the litigation.
1444
3.6. For properties constructed on or after January 1,
1445
2009, the corporation may not insure any property located within
1446
2,500 feet landward of the coastal construction control line
1447
created pursuant to s. 161.053 unless the property meets the
1448
requirements of the code-plus building standards developed by the
1449
Florida Building Commission.
1450
4.7. It is the intent of the Legislature that
1451
policyholders, applicants, and agents of the corporation receive
1452
service and treatment of the highest possible level but never
1453
less than that generally provided in the voluntary market. It
1454
also is intended that the corporation be held to service
1455
standards no less than those applied to insurers in the voluntary
1456
market by the office with respect to responsiveness, timeliness,
1457
customer courtesy, and overall dealings with policyholders,
1458
applicants, or agents of the corporation.
1459
5.8. Effective January 1, 2009, a personal lines
1460
residential structure that is located in the "wind-borne debris
1461
region," as defined in s. 1609.2, International Building Code
1462
(2006), and that has an insured value on the structure of
1463
$750,000 or more is not eligible for coverage by the corporation
1464
unless the structure has opening protections as required under
1465
the Florida Building Code for a newly constructed residential
1466
structure in that area. A residential structure shall be deemed
1467
to comply with the requirements of this subparagraph if it has
1468
shutters or opening protections on all openings and if such
1469
opening protections complied with the Florida Building Code at
1470
the time they were installed. Effective January 1, 2011, the
1471
requirements of this subparagraph apply to a personal lines
1472
residential structure that is located in the wind-borne debris
1473
region and that has an insured value on the structure of $500,000
1474
or more.
1475
(b)1. All insurers authorized to write one or more subject
1476
lines of business in this state are subject to assessment by the
1477
corporation and, for the purposes of this subsection, are
1478
referred to collectively as "assessable insurers." Insurers
1479
writing one or more subject lines of business in this state
1480
pursuant to part VIII of chapter 626 are not assessable insurers,
1481
but insureds who procure one or more subject lines of business in
1482
this state pursuant to part VIII of chapter 626 are subject to
1483
assessment by the corporation and are referred to collectively as
1484
"assessable insureds." An authorized insurer's assessment
1485
liability shall begin on the first day of the calendar year
1486
following the year in which the insurer was issued a certificate
1487
of authority to transact insurance for subject lines of business
1488
in this state and shall terminate 1 year after the end of the
1489
first calendar year during which the insurer no longer holds a
1490
certificate of authority to transact insurance for subject lines
1491
of business in this state.
1492
2.a. All revenues, assets, liabilities, losses, and
1493
expenses of the corporation shall be divided into three separate
1494
accounts as follows:
1495
(I) A personal lines account for personal residential
1496
policies issued by the corporation or issued by the Residential
1497
Property and Casualty Joint Underwriting Association and renewed
1498
by the corporation that provide comprehensive, multiperil
1499
coverage on risks that are not located in areas eligible for
1500
coverage in the Florida Windstorm Underwriting Association as
1501
those areas were defined on January 1, 2002, and for such
1502
policies that do not provide coverage for the peril of wind on
1503
risks that are located in such areas;
1504
(II) A commercial lines account for commercial residential
1505
and commercial nonresidential policies issued by the corporation
1506
or issued by the Residential Property and Casualty Joint
1507
Underwriting Association and renewed by the corporation that
1508
provide coverage for basic property perils on risks that are not
1509
located in areas eligible for coverage in the Florida Windstorm
1510
Underwriting Association as those areas were defined on January
1511
1, 2002, and for such policies that do not provide coverage for
1512
the peril of wind on risks that are located in such areas; and
1513
(III) A high-risk account for personal residential policies
1514
and commercial residential and commercial nonresidential property
1515
policies issued by the corporation or transferred to the
1516
corporation that provide coverage for the peril of wind on risks
1517
that are located in areas eligible for coverage in the Florida
1518
Windstorm Underwriting Association as those areas were defined on
1519
January 1, 2002. Subject to the approval of a business plan by
1520
the Financial Services Commission and Legislative Budget
1521
Commission as provided in this sub-sub-subparagraph, but no
1522
earlier than March 31, 2007, The corporation shall may offer
1523
policies that provide multiperil coverage and the corporation
1524
shall continue to offer policies that provide coverage only for
1525
the peril of wind for risks located in areas eligible for
1526
coverage in the high-risk account. Beginning July 1, 2008, the
1527
corporation may not issue new policies that provide coverage only
1528
for the peril of wind, but may continue to renew such policies
1529
that were in force on that date. In issuing multiperil coverage,
1530
the corporation may use its approved policy forms and rates for
1531
the personal lines account. An applicant or insured who is
1532
eligible to purchase a multiperil policy from the corporation may
1533
purchase a multiperil policy from an authorized insurer without
1534
prejudice to the applicant's or insured's eligibility to
1535
prospectively purchase a policy that provides coverage only for
1536
the peril of wind from the corporation prior to July 1, 2008. An
1537
applicant or insured who is eligible for a corporation policy
1538
that provides coverage only for the peril of wind may elect to
1539
purchase or retain such policy and also purchase or retain
1540
coverage excluding wind from an authorized insurer without
1541
prejudice to the applicant's or insured's eligibility to
1542
prospectively purchase a policy that provides multiperil coverage
1543
from the corporation. It is the goal of the Legislature that
1544
there would be an overall average savings of 10 percent or more
1545
for a policyholder who currently has a wind-only policy with the
1546
corporation, and an ex-wind policy with a voluntary insurer or
1547
the corporation, and who then obtains a multiperil policy from
1548
the corporation. It is the intent of the Legislature that the
1549
offer of multiperil coverage in the high-risk account be made and
1550
implemented in a manner that does not adversely affect the tax-
1551
exempt status of the corporation or creditworthiness of or
1552
security for currently outstanding financing obligations or
1553
credit facilities of the high-risk account, the personal lines
1554
account, or the commercial lines account. By March 1, 2007, the
1555
corporation shall prepare and submit for approval by the
1556
Financial Services Commission and Legislative Budget Commission a
1557
report detailing the corporation's business plan for issuing
1558
multiperil coverage in the high-risk account. The business plan
1559
shall be approved or disapproved within 30 days after receipt, as
1560
submitted or modified and resubmitted by the corporation. The
1561
business plan must include: the impact of such multiperil
1562
coverage on the corporation's financial resources, the impact of
1563
such multiperil coverage on the corporation's tax-exempt status,
1564
the manner in which the corporation plans to implement the
1565
processing of applications and policy forms for new and existing
1566
policyholders, the impact of such multiperil coverage on the
1567
corporation's ability to deliver customer service at the high
1568
level required by this subsection, the ability of the corporation
1569
to process claims, the ability of the corporation to quote and
1570
issue policies, the impact of such multiperil coverage on the
1571
corporation's agents, the impact of such multiperil coverage on
1572
the corporation's existing policyholders, and the impact of such
1573
multiperil coverage on rates and premium. The high-risk account
1574
must also include quota share primary insurance under
1575
subparagraph (c)2. The area eligible for coverage under the high-
1576
risk account also includes the area within Port Canaveral, which
1577
is bordered on the south by the City of Cape Canaveral, bordered
1578
on the west by the Banana River, and bordered on the north by
1579
Federal Government property.
1580
b. The three separate accounts must be maintained as long
1581
as financing obligations entered into by the Florida Windstorm
1582
Underwriting Association or Residential Property and Casualty
1583
Joint Underwriting Association are outstanding, in accordance
1584
with the terms of the corresponding financing documents. When the
1585
financing obligations are no longer outstanding, in accordance
1586
with the terms of the corresponding financing documents, the
1587
corporation may use a single account for all revenues, assets,
1588
liabilities, losses, and expenses of the corporation. Consistent
1589
with the requirement of this subparagraph and prudent investment
1590
policies that minimize the cost of carrying debt, the board shall
1591
exercise its best efforts to retire existing debt or to obtain
1592
approval of necessary parties to amend the terms of existing
1593
debt, so as to structure the most efficient plan to consolidate
1594
the three separate accounts into a single account. By February 1,
1595
2007, the board shall submit a report to the Financial Services
1596
Commission, the President of the Senate, and the Speaker of the
1597
House of Representatives which includes an analysis of
1598
consolidating the accounts, the actions the board has taken to
1599
minimize the cost of carrying debt, and its recommendations for
1600
executing the most efficient plan.
1601
c. Creditors of the Residential Property and Casualty Joint
1602
Underwriting Association and of the accounts specified in sub-
1603
sub-subparagraphs a.(I) and (II) may have a claim against, and
1604
recourse to, the accounts referred to in sub-sub-subparagraphs
1605
a.(I) and (II) and shall have no claim against, or recourse to,
1606
the account referred to in sub-sub-subparagraph a.(III).
1607
Creditors of the Florida Windstorm Underwriting Association shall
1608
have a claim against, and recourse to, the account referred to in
1609
sub-sub-subparagraph a.(III) and shall have no claim against, or
1610
recourse to, the accounts referred to in sub-sub-subparagraphs
1611
a.(I) and (II).
1612
d. Revenues, assets, liabilities, losses, and expenses not
1613
attributable to particular accounts shall be prorated among the
1614
accounts.
1615
e. The Legislature finds that the revenues of the
1616
corporation are revenues that are necessary to meet the
1617
requirements set forth in documents authorizing the issuance of
1618
bonds under this subsection.
1619
f. No part of the income of the corporation may inure to
1620
the benefit of any private person.
1621
3. With respect to a deficit in an account:
1622
a. When the deficit incurred in a particular calendar year
1623
is not greater than 8 10 percent of the aggregate statewide
1624
direct written premium for the subject lines of business for the
1625
prior calendar year, the entire deficit shall be recovered
1626
through regular assessments of assessable insurers under
1627
paragraph (p) and assessable insureds.
1628
b. When the deficit incurred in a particular calendar year
1629
exceeds 8 10 percent of the aggregate statewide direct written
1630
premium for the subject lines of business for the prior calendar
1631
year, the corporation shall levy regular assessments on
1632
assessable insurers under paragraph (p) and on assessable
1633
insureds in an amount equal to the greater of 8 10 percent of the
1634
deficit or 8 10 percent of the aggregate statewide direct written
1635
premium for the subject lines of business for the prior calendar
1636
year. Any remaining deficit shall be recovered through emergency
1637
assessments under sub-subparagraph d.
1638
c. Each assessable insurer's share of the amount being
1639
assessed under sub-subparagraph a. or sub-subparagraph b. shall
1640
be in the proportion that the assessable insurer's direct written
1641
premium for the subject lines of business for the year preceding
1642
the assessment bears to the aggregate statewide direct written
1643
premium for the subject lines of business for that year. The
1644
assessment percentage applicable to each assessable insured is
1645
the ratio of the amount being assessed under sub-subparagraph a.
1646
or sub-subparagraph b. to the aggregate statewide direct written
1647
premium for the subject lines of business for the prior year.
1648
Assessments levied by the corporation on assessable insurers
1649
under sub-subparagraphs a. and b. shall be paid as required by
1650
the corporation's plan of operation and paragraph (p).
1651
notwithstanding any other provision of this subsection, the
1652
aggregate amount of a regular assessment for a deficit incurred
1653
in a particular calendar year shall be reduced by the estimated
1654
amount to be received by the corporation from the Citizens
1655
policyholder surcharge under subparagraph (c)10. and the amount
1656
collected or estimated to be collected from the assessment on
1657
Citizens policyholders pursuant to sub-subparagraph i.
1658
Assessments levied by the corporation on assessable insureds
1659
under sub-subparagraphs a. and b. shall be collected by the
1660
surplus lines agent at the time the surplus lines agent collects
1661
the surplus lines tax required by s. 626.932 and shall be paid to
1662
the Florida Surplus Lines Service Office at the time the surplus
1663
lines agent pays the surplus lines tax to the Florida Surplus
1664
Lines Service Office. Upon receipt of regular assessments from
1665
surplus lines agents, the Florida Surplus Lines Service Office
1666
shall transfer the assessments directly to the corporation as
1667
determined by the corporation.
1668
d. Upon a determination by the board of governors that a
1669
deficit in an account exceeds the amount that will be recovered
1670
through regular assessments under sub-subparagraph a. or sub-
1671
subparagraph b., plus the amount that is expected to be recovered
1672
through surcharges under sub-subparagraph i., as to the remaining
1673
projected deficit the board shall levy, after verification by the
1674
office, emergency assessments, for as many years as necessary to
1675
cover the deficits, to be collected by assessable insurers and
1676
the corporation and collected from assessable insureds upon
1677
issuance or renewal of policies for subject lines of business,
1678
excluding National Flood Insurance policies. The amount of the
1679
emergency assessment collected in a particular year shall be a
1680
uniform percentage of that year's direct written premium for
1681
subject lines of business and all accounts of the corporation,
1682
excluding National Flood Insurance Program policy premiums, as
1683
annually determined by the board and verified by the office. The
1684
office shall verify the arithmetic calculations involved in the
1685
board's determination within 30 days after receipt of the
1686
information on which the determination was based. Notwithstanding
1687
any other provision of law, the corporation and each assessable
1688
insurer that writes subject lines of business shall collect
1689
emergency assessments from its policyholders without such
1690
obligation being affected by any credit, limitation, exemption,
1691
or deferment. Emergency assessments levied by the corporation on
1692
assessable insureds shall be collected by the surplus lines agent
1693
at the time the surplus lines agent collects the surplus lines
1694
tax required by s. 626.932 and shall be paid to the Florida
1695
Surplus Lines Service Office at the time the surplus lines agent
1696
pays the surplus lines tax to the Florida Surplus Lines Service
1697
Office. The emergency assessments so collected shall be
1698
transferred directly to the corporation on a periodic basis as
1699
determined by the corporation and shall be held by the
1700
corporation solely in the applicable account. The aggregate
1701
amount of emergency assessments levied for an account under this
1702
sub-subparagraph in any calendar year may, at the discretion of
1703
the board of governors, be less than but may not exceed the
1704
greater of 10 percent of the amount needed to cover the original
1705
deficit, plus interest, fees, commissions, required reserves, and
1706
other costs associated with financing of the original deficit, or
1707
10 percent of the aggregate statewide direct written premium for
1708
subject lines of business and for all accounts of the corporation
1709
for the prior year, plus interest, fees, commissions, required
1710
reserves, and other costs associated with financing the original
1711
deficit.
1712
e. The corporation may pledge the proceeds of assessments,
1713
projected recoveries from the Florida Hurricane Catastrophe Fund,
1714
other insurance and reinsurance recoverables, policyholder
1715
surcharges and other surcharges, and other funds available to the
1716
corporation as the source of revenue for and to secure bonds
1717
issued under paragraph (p), bonds or other indebtedness issued
1718
under subparagraph (c)3., or lines of credit or other financing
1719
mechanisms issued or created under this subsection, or to retire
1720
any other debt incurred as a result of deficits or events giving
1721
rise to deficits, or in any other way that the board determines
1722
will efficiently recover such deficits. The purpose of the lines
1723
of credit or other financing mechanisms is to provide additional
1724
resources to assist the corporation in covering claims and
1725
expenses attributable to a catastrophe. As used in this
1726
subsection, the term "assessments" includes regular assessments
1727
under sub-subparagraph a., sub-subparagraph b., or subparagraph
1728
(p)1. and emergency assessments under sub-subparagraph d.
1729
Emergency assessments collected under sub-subparagraph d. are not
1730
part of an insurer's rates, are not premium, and are not subject
1731
to premium tax, fees, or commissions; however, failure to pay the
1732
emergency assessment shall be treated as failure to pay premium.
1733
The emergency assessments under sub-subparagraph d. shall
1734
continue as long as any bonds issued or other indebtedness
1735
incurred with respect to a deficit for which the assessment was
1736
imposed remain outstanding, unless adequate provision has been
1737
made for the payment of such bonds or other indebtedness pursuant
1738
to the documents governing such bonds or other indebtedness.
1739
f. As used in this subsection for purposes of any deficit
1740
incurred on or after January 25, 2007, the term "subject lines of
1741
business" means insurance written by assessable insurers or
1742
procured by assessable insureds for all property and casualty
1743
lines of business in this state, but not including workers'
1744
compensation or medical malpractice. As used in the sub-
1745
subparagraph, the term "property and casualty lines of business"
1746
includes all lines of business identified on Form 2, Exhibit of
1747
Premiums and Losses, in the annual statement required of
1748
authorized insurers by s. 624.424 and any rule adopted under this
1749
section, except for those lines identified as accident and health
1750
insurance and except for policies written under the National
1751
Flood Insurance Program or the Federal Crop Insurance Program.
1752
For purposes of this sub-subparagraph, the term "workers'
1753
compensation" includes both workers' compensation insurance and
1754
excess workers' compensation insurance.
1755
g. The Florida Surplus Lines Service Office shall determine
1756
annually the aggregate statewide written premium in subject lines
1757
of business procured by assessable insureds and shall report that
1758
information to the corporation in a form and at a time the
1759
corporation specifies to ensure that the corporation can meet the
1760
requirements of this subsection and the corporation's financing
1761
obligations.
1762
h. The Florida Surplus Lines Service Office shall verify
1763
the proper application by surplus lines agents of assessment
1764
percentages for regular assessments and emergency assessments
1765
levied under this subparagraph on assessable insureds and shall
1766
assist the corporation in ensuring the accurate, timely
1767
collection and payment of assessments by surplus lines agents as
1768
required by the corporation.
1769
i. If a deficit is incurred in any account in 2008 or
1770
thereafter, the board of governors shall levy a Citizens
1771
policyholder surcharge an immediate assessment against the
1772
premium of each nonhomestead property policyholder in all
1773
accounts of the corporation, as a uniform percentage of the
1774
premium of the policy of up to 10 percent of such premium, which
1775
funds shall be used to offset the deficit. If this assessment is
1776
insufficient to eliminate the deficit, the board of governors
1777
shall levy an additional assessment against all policyholders of
1778
the corporation for a 12-month period, which shall be collected
1779
at the time of issuance or renewal of a policy, as a uniform
1780
percentage of the premium for the policy of up to 10 percent of
1781
such premium, which funds shall be used to further offset the
1782
deficit and reduce the amount of the regular assessment as
1783
provided in sub-subparagraphs a. and b. Citizens policyholder
1784
surcharges under this sub-subparagraph are not considered premium
1785
and are not subject to commissions, fees, or premium taxes.
1786
However, failure to pay such surcharges shall be treated as
1787
failure to pay premium.
1788
j. If the amount of any assessments or surcharges collected
1789
from corporation policyholders, assessable insurers or their
1790
policyholders, or assessable insureds exceeds the amount of the
1791
deficits, such excess amounts shall be remitted to and retained
1792
by the corporation in a reserve to be used by the corporation, as
1793
determined by the board of governors and approved by the office,
1794
to pay claims or reduce any past, present, or future plan-year
1795
deficits or to reduce outstanding debt. The board of governors
1796
shall maintain separate accounting records that consolidate data
1797
for nonhomestead properties, including, but not limited to,
1798
number of policies, insured values, premiums written, and losses.
1799
The board of governors shall annually report to the office and
1800
the Legislature a summary of such data.
1801
(c) The plan of operation of the corporation:
1802
1. Must provide for adoption of residential property and
1803
casualty insurance policy forms and commercial residential and
1804
nonresidential property insurance forms, which forms must be
1805
approved by the office prior to use. The corporation shall adopt
1806
the following policy forms:
1807
a. Standard personal lines policy forms that are
1808
comprehensive multiperil policies providing full coverage of a
1809
residential property equivalent to the coverage provided in the
1810
private insurance market under an HO-3, HO-4, or HO-6 policy.
1811
b. Basic personal lines policy forms that are policies
1812
similar to an HO-8 policy or a dwelling fire policy that provide
1813
coverage meeting the requirements of the secondary mortgage
1814
market, but which coverage is more limited than the coverage
1815
under a standard policy.
1816
c. Commercial lines residential and nonresidential policy
1817
forms that are generally similar to the basic perils of full
1818
coverage obtainable for commercial residential structures and
1819
commercial nonresidential structures in the admitted voluntary
1820
market.
1821
d. Personal lines and commercial lines residential property
1822
insurance forms that cover the peril of wind only. The forms are
1823
applicable only to residential properties located in areas
1824
eligible for coverage under the high-risk account referred to in
1825
sub-subparagraph (b)2.a.
1826
e. Commercial lines nonresidential property insurance forms
1827
that cover the peril of wind only. The forms are applicable only
1828
to nonresidential properties located in areas eligible for
1829
coverage under the high-risk account referred to in sub-
1830
subparagraph (b)2.a.
1831
f. The corporation may adopt variations of the policy forms
1832
listed in sub-subparagraphs a.-e. that contain more restrictive
1833
coverage.
1834
2.a. Must provide that the corporation adopt a program in
1835
which the corporation and authorized insurers enter into quota
1836
share primary insurance agreements for hurricane coverage, as
1837
defined in s. 627.4025(2)(a), for eligible risks, and adopt
1838
property insurance forms for eligible risks which cover the peril
1839
of wind only. As used in this subsection, the term:
1840
(I) "Quota share primary insurance" means an arrangement in
1841
which the primary hurricane coverage of an eligible risk is
1842
provided in specified percentages by the corporation and an
1843
authorized insurer. The corporation and authorized insurer are
1844
each solely responsible for a specified percentage of hurricane
1845
coverage of an eligible risk as set forth in a quota share
1846
primary insurance agreement between the corporation and an
1847
authorized insurer and the insurance contract. The responsibility
1848
of the corporation or authorized insurer to pay its specified
1849
percentage of hurricane losses of an eligible risk, as set forth
1850
in the quota share primary insurance agreement, may not be
1851
altered by the inability of the other party to the agreement to
1852
pay its specified percentage of hurricane losses. Eligible risks
1853
that are provided hurricane coverage through a quota share
1854
primary insurance arrangement must be provided policy forms that
1855
set forth the obligations of the corporation and authorized
1856
insurer under the arrangement, clearly specify the percentages of
1857
quota share primary insurance provided by the corporation and
1858
authorized insurer, and conspicuously and clearly state that
1859
neither the authorized insurer nor the corporation may be held
1860
responsible beyond its specified percentage of coverage of
1861
hurricane losses.
1862
(II) "Eligible risks" means personal lines residential and
1863
commercial lines residential risks that meet the underwriting
1864
criteria of the corporation and are located in areas that were
1865
eligible for coverage by the Florida Windstorm Underwriting
1866
Association on January 1, 2002.
1867
b. The corporation may enter into quota share primary
1868
insurance agreements with authorized insurers at corporation
1869
coverage levels of 90 percent and 50 percent.
1870
c. If the corporation determines that additional coverage
1871
levels are necessary to maximize participation in quota share
1872
primary insurance agreements by authorized insurers, the
1873
corporation may establish additional coverage levels. However,
1874
the corporation's quota share primary insurance coverage level
1875
may not exceed 90 percent.
1876
d. Any quota share primary insurance agreement entered into
1877
between an authorized insurer and the corporation must provide
1878
for a uniform specified percentage of coverage of hurricane
1879
losses, by county or territory as set forth by the corporation
1880
board, for all eligible risks of the authorized insurer covered
1881
under the quota share primary insurance agreement.
1882
e. Any quota share primary insurance agreement entered into
1883
between an authorized insurer and the corporation is subject to
1884
review and approval by the office. However, such agreement shall
1885
be authorized only as to insurance contracts entered into between
1886
an authorized insurer and an insured who is already insured by
1887
the corporation for wind coverage.
1888
f. For all eligible risks covered under quota share primary
1889
insurance agreements, the exposure and coverage levels for both
1890
the corporation and authorized insurers shall be reported by the
1891
corporation to the Florida Hurricane Catastrophe Fund. For all
1892
policies of eligible risks covered under quota share primary
1893
insurance agreements, the corporation and the authorized insurer
1894
shall maintain complete and accurate records for the purpose of
1895
exposure and loss reimbursement audits as required by Florida
1896
Hurricane Catastrophe Fund rules. The corporation and the
1897
authorized insurer shall each maintain duplicate copies of policy
1898
declaration pages and supporting claims documents.
1899
g. The corporation board shall establish in its plan of
1900
operation standards for quota share agreements which ensure that
1901
there is no discriminatory application among insurers as to the
1902
terms of quota share agreements, pricing of quota share
1903
agreements, incentive provisions if any, and consideration paid
1904
for servicing policies or adjusting claims.
1905
h. The quota share primary insurance agreement between the
1906
corporation and an authorized insurer must set forth the specific
1907
terms under which coverage is provided, including, but not
1908
limited to, the sale and servicing of policies issued under the
1909
agreement by the insurance agent of the authorized insurer
1910
producing the business, the reporting of information concerning
1911
eligible risks, the payment of premium to the corporation, and
1912
arrangements for the adjustment and payment of hurricane claims
1913
incurred on eligible risks by the claims adjuster and personnel
1914
of the authorized insurer. Entering into a quota sharing
1915
insurance agreement between the corporation and an authorized
1916
insurer shall be voluntary and at the discretion of the
1917
authorized insurer.
1918
3. May provide that the corporation may employ or otherwise
1919
contract with individuals or other entities to provide
1920
administrative or professional services that may be appropriate
1921
to effectuate the plan. The corporation shall have the power to
1922
borrow funds, by issuing bonds or by incurring other
1923
indebtedness, and shall have other powers reasonably necessary to
1924
effectuate the requirements of this subsection, including,
1925
without limitation, the power to issue bonds and incur other
1926
indebtedness in order to refinance outstanding bonds or other
1927
indebtedness. The corporation may, but is not required to, seek
1928
judicial validation of its bonds or other indebtedness under
1929
chapter 75. The corporation may issue bonds or incur other
1930
indebtedness, or have bonds issued on its behalf by a unit of
1931
local government pursuant to subparagraph (p)2., in the absence
1932
of a hurricane or other weather-related event, upon a
1933
determination by the corporation, subject to approval by the
1934
office, that such action would enable it to efficiently meet the
1935
financial obligations of the corporation and that such financings
1936
are reasonably necessary to effectuate the requirements of this
1937
subsection. The corporation is authorized to take all actions
1938
needed to facilitate tax-free status for any such bonds or
1939
indebtedness, including formation of trusts or other affiliated
1940
entities. The corporation shall have the authority to pledge
1941
assessments, projected recoveries from the Florida Hurricane
1942
Catastrophe Fund, other reinsurance recoverables, market
1943
equalization and other surcharges, and other funds available to
1944
the corporation as security for bonds or other indebtedness. In
1945
recognition of s. 10, Art. I of the State Constitution,
1946
prohibiting the impairment of obligations of contracts, it is the
1947
intent of the Legislature that no action be taken whose purpose
1948
is to impair any bond indenture or financing agreement or any
1949
revenue source committed by contract to such bond or other
1950
indebtedness.
1951
4.a. Must require that the corporation operate subject to
1952
the supervision and approval of a board of governors consisting
1953
of eight individuals who are residents of this state, from
1954
different geographical areas of this state. The Governor, the
1955
Chief Financial Officer, the President of the Senate, and the
1956
Speaker of the House of Representatives shall each appoint two
1957
members of the board. At least one of the two members appointed
1958
by each appointing officer must have demonstrated expertise in
1959
insurance. The Chief Financial Officer shall designate one of the
1960
appointees as chair. All board members serve at the pleasure of
1961
the appointing officer. All members of the board of governors are
1962
subject to removal at will by the officers who appointed them.
1963
All board members, including the chair, must be appointed to
1964
serve for 3-year terms beginning annually on a date designated by
1965
the plan. Any board vacancy shall be filled for the unexpired
1966
term by the appointing officer. The Chief Financial Officer shall
1967
appoint a technical advisory group to provide information and
1968
advice to the board of governors in connection with the board's
1969
duties under this subsection. The executive director and senior
1970
managers of the corporation shall be engaged by the board and
1971
serve at the pleasure of the board. Any executive director
1972
appointed on or after July 1, 2006, is subject to confirmation by
1973
the Senate. The executive director is responsible for employing
1974
other staff as the corporation may require, subject to review and
1975
concurrence by the board.
1976
b. The board shall create a Market Accountability Advisory
1977
Committee to assist the corporation in developing awareness of
1978
its rates and its customer and agent service levels in
1979
relationship to the voluntary market insurers writing similar
1980
coverage. The members of the advisory committee shall consist of
1981
the following 11 persons, one of whom must be elected chair by
1982
the members of the committee: four representatives, one appointed
1983
by the Florida Association of Insurance Agents, one by the
1984
Florida Association of Insurance and Financial Advisors, one by
1985
the Professional Insurance Agents of Florida, and one by the
1986
Latin American Association of Insurance Agencies; three
1987
representatives appointed by the insurers with the three highest
1988
voluntary market share of residential property insurance business
1989
in the state; one representative from the Office of Insurance
1990
Regulation; one consumer appointed by the board who is insured by
1991
the corporation at the time of appointment to the committee; one
1992
representative appointed by the Florida Association of Realtors;
1993
and one representative appointed by the Florida Bankers
1994
Association. All members must serve for 3-year terms and may
1995
serve for consecutive terms. The committee shall report to the
1996
corporation at each board meeting on insurance market issues
1997
which may include rates and rate competition with the voluntary
1998
market; service, including policy issuance, claims processing,
1999
and general responsiveness to policyholders, applicants, and
2000
agents; and matters relating to depopulation.
2001
5. Must provide a procedure for determining the eligibility
2002
of a risk for coverage, as follows:
2003
a. Subject to the provisions of s. 627.3517, with respect
2004
to personal lines residential risks, if the risk is offered
2005
coverage from an authorized insurer at the insurer's approved
2006
rate under either a standard policy including wind coverage or,
2007
if consistent with the insurer's underwriting rules as filed with
2008
the office, a basic policy including wind coverage, for a new
2009
application to the corporation for coverage, the risk is not
2010
eligible for any policy issued by the corporation unless the
2011
premium for coverage from the authorized insurer is more than 15
2012
percent greater than the premium for comparable coverage from the
2013
corporation. If the risk is not able to obtain any such offer,
2014
the risk is eligible for either a standard policy including wind
2015
coverage or a basic policy including wind coverage issued by the
2016
corporation; however, if the risk could not be insured under a
2017
standard policy including wind coverage regardless of market
2018
conditions, the risk shall be eligible for a basic policy
2019
including wind coverage unless rejected under subparagraph 9.
2020
However, with regard to a policyholder of the corporation or a
2021
policyholder removed from the corporation through an assumption
2022
agreement until the end of the assumption period, the
2023
policyholder remains eligible for coverage from the corporation
2024
regardless of any offer of coverage from an authorized insurer or
2025
surplus lines insurer. The corporation shall determine the type
2026
of policy to be provided on the basis of objective standards
2027
specified in the underwriting manual and based on generally
2028
accepted underwriting practices.
2029
(I) If the risk accepts an offer of coverage through the
2030
market assistance plan or an offer of coverage through a
2031
mechanism established by the corporation before a policy is
2032
issued to the risk by the corporation or during the first 30 days
2033
of coverage by the corporation, and the producing agent who
2034
submitted the application to the plan or to the corporation is
2035
not currently appointed by the insurer, the insurer shall:
2036
(A) Pay to the producing agent of record of the policy, for
2037
the first year, an amount that is the greater of the insurer's
2038
usual and customary commission for the type of policy written or
2039
a fee equal to the usual and customary commission of the
2040
corporation; or
2041
(B) Offer to allow the producing agent of record of the
2042
policy to continue servicing the policy for a period of not less
2043
than 1 year and offer to pay the agent the greater of the
2044
insurer's or the corporation's usual and customary commission for
2045
the type of policy written.
2046
2047
If the producing agent is unwilling or unable to accept
2048
appointment, the new insurer shall pay the agent in accordance
2049
with sub-sub-sub-subparagraph (A).
2050
(II) When the corporation enters into a contractual
2051
agreement for a take-out plan, the producing agent of record of
2052
the corporation policy is entitled to retain any unearned
2053
commission on the policy, and the insurer shall:
2054
(A) Pay to the producing agent of record of the corporation
2055
policy, for the first year, an amount that is the greater of the
2056
insurer's usual and customary commission for the type of policy
2057
written or a fee equal to the usual and customary commission of
2058
the corporation; or
2059
(B) Offer to allow the producing agent of record of the
2060
corporation policy to continue servicing the policy for a period
2061
of not less than 1 year and offer to pay the agent the greater of
2062
the insurer's or the corporation's usual and customary commission
2063
for the type of policy written.
2064
2065
If the producing agent is unwilling or unable to accept
2066
appointment, the new insurer shall pay the agent in accordance
2067
with sub-sub-sub-subparagraph (A).
2068
b. With respect to commercial lines residential risks, for
2069
a new application to the corporation for coverage, if the risk is
2070
offered coverage under a policy including wind coverage from an
2071
authorized insurer at its approved rate, the risk is not eligible
2072
for any policy issued by the corporation unless the premium for
2073
coverage from the authorized insurer is more than 15 percent
2074
greater than the premium for comparable coverage from the
2075
corporation. If the risk is not able to obtain any such offer,
2076
the risk is eligible for a policy including wind coverage issued
2077
by the corporation. However, with regard to a policyholder of the
2078
corporation or a policyholder removed from the corporation
2079
through an assumption agreement until the end of the assumption
2080
period, the policyholder remains eligible for coverage from the
2081
corporation regardless of any offer of coverage from an
2082
authorized insurer or surplus lines insurer.
2083
(I) If the risk accepts an offer of coverage through the
2084
market assistance plan or an offer of coverage through a
2085
mechanism established by the corporation before a policy is
2086
issued to the risk by the corporation or during the first 30 days
2087
of coverage by the corporation, and the producing agent who
2088
submitted the application to the plan or the corporation is not
2089
currently appointed by the insurer, the insurer shall:
2090
(A) Pay to the producing agent of record of the policy, for
2091
the first year, an amount that is the greater of the insurer's
2092
usual and customary commission for the type of policy written or
2093
a fee equal to the usual and customary commission of the
2094
corporation; or
2095
(B) Offer to allow the producing agent of record of the
2096
policy to continue servicing the policy for a period of not less
2097
than 1 year and offer to pay the agent the greater of the
2098
insurer's or the corporation's usual and customary commission for
2099
the type of policy written.
2100
2101
If the producing agent is unwilling or unable to accept
2102
appointment, the new insurer shall pay the agent in accordance
2103
with sub-sub-sub-subparagraph (A).
2104
(II) When the corporation enters into a contractual
2105
agreement for a take-out plan, the producing agent of record of
2106
the corporation policy is entitled to retain any unearned
2107
commission on the policy, and the insurer shall:
2108
(A) Pay to the producing agent of record of the corporation
2109
policy, for the first year, an amount that is the greater of the
2110
insurer's usual and customary commission for the type of policy
2111
written or a fee equal to the usual and customary commission of
2112
the corporation; or
2113
(B) Offer to allow the producing agent of record of the
2114
corporation policy to continue servicing the policy for a period
2115
of not less than 1 year and offer to pay the agent the greater of
2116
the insurer's or the corporation's usual and customary commission
2117
for the type of policy written.
2118
2119
If the producing agent is unwilling or unable to accept
2120
appointment, the new insurer shall pay the agent in accordance
2121
with sub-sub-sub-subparagraph (A).
2122
c. For purposes of determining comparable coverage under
2123
sub-subparagraphs a. and b., the comparison shall be based on
2124
those forms and coverages that are reasonably comparable. The
2125
corporation may rely on a determination of comparable coverage
2126
and premium made by the producing agent who submits the
2127
application to the corporation, made in the agent's capacity as
2128
the corporation's agent. A comparison may be made solely of the
2129
premium with respect to the main building or structure only on
2130
the following basis: the same coverage A or other building
2131
limits; the same percentage hurricane deductible that applies on
2132
an annual basis or that applies to each hurricane for commercial
2133
residential property; the same percentage of ordinance and law
2134
coverage, if the same limit is offered by both the corporation
2135
and the authorized insurer; the same mitigation credits, to the
2136
extent the same types of credits are offered both by the
2137
corporation and the authorized insurer; the same method for loss
2138
payment, such as replacement cost or actual cash value, if the
2139
same method is offered both by the corporation and the authorized
2140
insurer in accordance with underwriting rules; and any other form
2141
or coverage that is reasonably comparable as determined by the
2142
board. If an application is submitted to the corporation for
2143
wind-only coverage in the high-risk account, the premium for the
2144
corporation's wind-only policy plus the premium for the ex-wind
2145
policy that is offered by an authorized insurer to the applicant
2146
shall be compared to the premium for multiperil coverage offered
2147
by an authorized insurer, subject to the standards for comparison
2148
specified in this subparagraph. If the corporation or the
2149
applicant requests from the authorized insurer a breakdown of the
2150
premium of the offer by types of coverage so that a comparison
2151
may be made by the corporation or its agent and the authorized
2152
insurer refuses or is unable to provide such information, the
2153
corporation may treat the offer as not being an offer of coverage
2154
from an authorized insurer at the insurer's approved rate.
2155
6. Must include rules for classifications of risks and
2156
rates therefor.
2157
7. Must provide that if premium and investment income for
2158
an account attributable to a particular calendar year are in
2159
excess of projected losses and expenses for the account
2160
attributable to that year, such excess shall be held in surplus
2161
in the account. Such surplus shall be available to defray
2162
deficits in that account as to future years and shall be used for
2163
that purpose prior to assessing assessable insurers and
2164
assessable insureds as to any calendar year.
2165
8. Must provide objective criteria and procedures to be
2166
uniformly applied for all applicants in determining whether an
2167
individual risk is so hazardous as to be uninsurable. In making
2168
this determination and in establishing the criteria and
2169
procedures, the following shall be considered:
2170
a. Whether the likelihood of a loss for the individual risk
2171
is substantially higher than for other risks of the same class;
2172
and
2173
b. Whether the uncertainty associated with the individual
2174
risk is such that an appropriate premium cannot be determined.
2175
2176
The acceptance or rejection of a risk by the corporation shall be
2177
construed as the private placement of insurance, and the
2178
provisions of chapter 120 shall not apply.
2179
9. Must provide that the corporation shall make its best
2180
efforts to procure catastrophe reinsurance at reasonable rates,
2181
to cover its projected 100-year probable maximum loss as
2182
determined by the board of governors.
2183
10. Must provide that in the event of regular deficit
2184
assessments under sub-subparagraph (b)3.a. or sub-subparagraph
2185
(b)3.b., in the personal lines account, the commercial lines
2186
residential account, or the high-risk account, the corporation
2187
shall levy upon corporation policyholders in its next rate
2188
filing, or by a separate rate filing solely for this purpose, a
2189
Citizens policyholder surcharge arising from a regular assessment
2190
in such account in a percentage equal to the total amount of such
2191
regular assessments divided by the aggregate statewide direct
2192
written premium for subject lines of business for the prior
2193
calendar year. For purposes of calculating the Citizens
2194
policyholder surcharge to be levied under this subparagraph, the
2195
total amount of the regular assessment to which this surcharge is
2196
related shall be determined as set forth in subparagraph (b)3.,
2197
without deducting the estimated Citizens policyholder surcharge.
2198
Citizens policyholder surcharges under this subparagraph are not
2199
considered premium and are not subject to commissions, fees, or
2200
premium taxes; however, failure to pay a market equalization
2201
surcharge shall be treated as failure to pay premium.
2202
10.11. The policies issued by the corporation must provide
2203
that, if the corporation or the market assistance plan obtains an
2204
offer from an authorized insurer to cover the risk at its
2205
approved rates, the risk is no longer eligible for renewal
2206
through the corporation, except as otherwise provided in this
2207
subsection.
2208
11.12. Corporation policies and applications must include a
2209
notice that the corporation policy could, under this section, be
2210
replaced with a policy issued by an authorized insurer that does
2211
not provide coverage identical to the coverage provided by the
2212
corporation. The notice shall also specify that acceptance of
2213
corporation coverage creates a conclusive presumption that the
2214
applicant or policyholder is aware of this potential.
2215
12.13. May establish, subject to approval by the office,
2216
different eligibility requirements and operational procedures for
2217
any line or type of coverage for any specified county or area if
2218
the board determines that such changes to the eligibility
2219
requirements and operational procedures are justified due to the
2220
voluntary market being sufficiently stable and competitive in
2221
such area or for such line or type of coverage and that consumers
2222
who, in good faith, are unable to obtain insurance through the
2223
voluntary market through ordinary methods would continue to have
2224
access to coverage from the corporation. When coverage is sought
2225
in connection with a real property transfer, such requirements
2226
and procedures shall not provide for an effective date of
2227
coverage later than the date of the closing of the transfer as
2228
established by the transferor, the transferee, and, if
2229
applicable, the lender.
2230
13.14. Must provide that, with respect to the high-risk
2231
account, any assessable insurer with a surplus as to
2232
policyholders of $25 million or less writing 25 percent or more
2233
of its total countrywide property insurance premiums in this
2234
state may petition the office, within the first 90 days of each
2235
calendar year, to qualify as a limited apportionment company. A
2236
regular assessment levied by the corporation on a limited
2237
apportionment company for a deficit incurred by the corporation
2238
for the high-risk account in 2006 or thereafter may be paid to
2239
the corporation on a monthly basis as the assessments are
2240
collected by the limited apportionment company from its insureds
2241
pursuant to s. 627.3512, but the regular assessment must be paid
2242
in full within 12 months after being levied by the corporation. A
2243
limited apportionment company shall collect from its
2244
policyholders any emergency assessment imposed under sub-
2245
subparagraph (b)3.d. The plan shall provide that, if the office
2246
determines that any regular assessment will result in an
2247
impairment of the surplus of a limited apportionment company, the
2248
office may direct that all or part of such assessment be deferred
2249
as provided in subparagraph (p)4. However, there shall be no
2250
limitation or deferment of an emergency assessment to be
2251
collected from policyholders under sub-subparagraph (b)3.d.
2252
14.15. Must provide that the corporation appoint as its
2253
licensed agents only those agents who also hold an appointment as
2254
defined in s. 626.015(3) with an insurer who at the time of the
2255
agent's initial appointment by the corporation is authorized to
2256
write and is actually writing personal lines residential property
2257
coverage, commercial residential property coverage, or commercial
2258
nonresidential property coverage within the state.
2259
15.16. Must provide, by July 1, 2007, a premium payment
2260
plan option to its policyholders which allows at a minimum for
2261
quarterly and semiannual payment of premiums. A monthly payment
2262
plan may, but is not required to, be offered.
2263
16.17. Must limit coverage on mobile homes or manufactured
2264
homes built prior to 1994 to actual cash value of the dwelling
2265
rather than replacement costs of the dwelling.
2266
17.18. May provide such limits of coverage as the board
2267
determines, consistent with the requirements of this subsection.
2268
18.19. May require commercial property to meet specified
2269
hurricane mitigation construction features as a condition of
2270
eligibility for coverage.
2271
(m)1. Rates for coverage provided by the corporation shall
2272
be actuarially sound and subject to the requirements of s.
2273
627.062, except as otherwise provided in this paragraph. The
2274
corporation shall file its recommended rates with the office at
2275
least annually. The corporation shall provide any additional
2276
information regarding the rates which the office requires. The
2277
office shall consider the recommendations of the board and issue
2278
a final order establishing the rates for the corporation within
2279
45 days after the recommended rates are filed. The corporation
2280
may not pursue an administrative challenge or judicial review of
2281
the final order of the office.
2282
2. In addition to the rates otherwise determined pursuant
2283
to this paragraph, the corporation shall impose and collect an
2284
amount equal to the premium tax provided for in s. 624.509 to
2285
augment the financial resources of the corporation.
2286
3. After the public hurricane loss-projection model under
2287
s. 627.06281 has been found to be accurate and reliable by the
2288
Florida Commission on Hurricane Loss Projection Methodology, that
2289
model shall serve as the minimum benchmark for determining the
2290
windstorm portion of the corporation's rates. This subparagraph
2291
does not require or allow the corporation to adopt rates lower
2292
than the rates otherwise required or allowed by this paragraph.
2293
4. The rate filings for the corporation which were approved
2294
by the office and which took effect January 1, 2007, are
2295
rescinded, except for those rates that were lowered. As soon as
2296
possible, the corporation shall begin using the lower rates that
2297
were in effect on December 31, 2006, and shall provide refunds to
2298
policyholders who have paid higher rates as a result of that rate
2299
filing. The rates in effect on December 31, 2006, shall remain in
2300
effect for the 2007 and 2008 calendar years except for any rate
2301
change that results in a lower rate. The next rate change that
2302
may increase rates shall take effect January 1, 2009, pursuant to
2303
a new rate filing recommended by the corporation and established
2304
by the office, subject to the requirements of this paragraph.
2305
5.a. Beginning on January 15, 2009, and each year
2306
thereafter, the corporation must make a recommended actuarially
2307
sound rate filing for each personal and commercial line of
2308
business it writes, to be effective no earlier than July 1, 2009.
2309
b. For the 36-month period beginning with the effective
2310
date for each of the rate filings made by the corporation on
2311
January 15, 2009, the rates established by the office for the
2312
corporation for its personal residential multiperil policies, its
2313
commercial residential multiperil policies, and its commercial
2314
nonresidential multiperil policies may not result in an overall
2315
average statewide premium increase of more than 5 percent or an
2316
increase for any single policyholder of more than 5 percent,
2317
during the first 12-month period, and may not result in an
2318
overall average statewide premium increase of more than 10
2319
percent, or an increase for any single policyholder of more than
2320
10 percent, during each of the two subsequent 12-month periods,
2321
excluding coverage changes and surcharges.
2322
c. For the 36-month period beginning with the effective
2323
date for the rate filings made by the corporation on January 15,
2324
2009, the rates established by the office for the corporation for
2325
its personal residential wind-only policies, its commercial
2326
residential wind-only policies, and its commercial nonresidential
2327
wind-only policies may not result in an overall average statewide
2328
premium increase of more than 10 percent, or an increase for any
2329
single policyholder of more than 10 percent, during the first 12-
2330
month period, and may not result in an overall average statewide
2331
premium increase of more than 10 percent, or an increase for any
2332
single policyholder of more than 10 percent, during each of the
2333
two subsequent 12-month periods, excluding coverage changes and
2334
surcharges.
2335
(p)1. The corporation shall certify to the office its needs
2336
for annual assessments as to a particular calendar year, and for
2337
any interim assessments that it deems to be necessary to sustain
2338
operations as to a particular year pending the receipt of annual
2339
assessments. Upon verification, the office shall approve such
2340
certification, and the corporation shall levy such annual or
2341
interim assessments. Such assessments shall be prorated as
2342
provided in paragraph (b). The corporation shall take all
2343
reasonable and prudent steps necessary to collect the amount of
2344
assessment due from each assessable insurer, including, if
2345
prudent, filing suit to collect such assessment. If the
2346
corporation is unable to collect an assessment from any
2347
assessable insurer, the uncollected assessments shall be levied
2348
as an additional assessment against the assessable insurers and
2349
any assessable insurer required to pay an additional assessment
2350
as a result of such failure to pay shall have a cause of action
2351
against such nonpaying assessable insurer. Assessments shall be
2352
included as an appropriate factor in the making of rates. The
2353
failure of a surplus lines agent to collect and remit any regular
2354
or emergency assessment levied by the corporation is considered
2355
to be a violation of s. 626.936 and subjects the surplus lines
2356
agent to the penalties provided in that section.
2357
2. The governing body of any unit of local government, any
2358
residents of which are insured by the corporation, may issue
2359
bonds as defined in s. 125.013 or s. 166.101 from time to time to
2360
fund an assistance program, in conjunction with the corporation,
2361
for the purpose of defraying deficits of the corporation. In
2362
order to avoid needless and indiscriminate proliferation,
2363
duplication, and fragmentation of such assistance programs, any
2364
unit of local government, any residents of which are insured by
2365
the corporation, may provide for the payment of losses,
2366
regardless of whether or not the losses occurred within or
2367
outside of the territorial jurisdiction of the local government.
2368
Revenue bonds under this subparagraph may not be issued until
2369
validated pursuant to chapter 75, unless a state of emergency is
2370
declared by executive order or proclamation of the Governor
2371
pursuant to s. 252.36 making such findings as are necessary to
2372
determine that it is in the best interests of, and necessary for,
2373
the protection of the public health, safety, and general welfare
2374
of residents of this state and declaring it an essential public
2375
purpose to permit certain municipalities or counties to issue
2376
such bonds as will permit relief to claimants and policyholders
2377
of the corporation. Any such unit of local government may enter
2378
into such contracts with the corporation and with any other
2379
entity created pursuant to this subsection as are necessary to
2380
carry out this paragraph. Any bonds issued under this
2381
subparagraph shall be payable from and secured by moneys received
2382
by the corporation from emergency assessments under sub-
2383
subparagraph (b)3.d., and assigned and pledged to or on behalf of
2384
the unit of local government for the benefit of the holders of
2385
such bonds. The funds, credit, property, and taxing power of the
2386
state or of the unit of local government shall not be pledged for
2387
the payment of such bonds. If any of the bonds remain unsold 60
2388
days after issuance, the office shall require all insurers
2389
subject to assessment to purchase the bonds, which shall be
2390
treated as admitted assets; each insurer shall be required to
2391
purchase that percentage of the unsold portion of the bond issue
2392
that equals the insurer's relative share of assessment liability
2393
under this subsection. An insurer shall not be required to
2394
purchase the bonds to the extent that the office determines that
2395
the purchase would endanger or impair the solvency of the
2396
insurer.
2397
3.a. The corporation shall adopt one or more programs
2398
subject to approval by the office for the reduction of both new
2399
and renewal writings in the corporation. Beginning January 1,
2400
2008, any program the corporation adopts for the payment of
2401
bonuses to an insurer for each risk the insurer removes from the
2402
corporation shall comply with s. 627.3511(2) and may not exceed
2403
the amount referenced in s. 627.3511(2) for each risk removed.
2404
The corporation may consider any prudent and not unfairly
2405
discriminatory approach to reducing corporation writings, and may
2406
adopt a credit against assessment liability or other liability
2407
that provides an incentive for insurers to take risks out of the
2408
corporation and to keep risks out of the corporation by
2409
maintaining or increasing voluntary writings in counties or areas
2410
in which corporation risks are highly concentrated and a program
2411
to provide a formula under which an insurer voluntarily taking
2412
risks out of the corporation by maintaining or increasing
2413
voluntary writings will be relieved wholly or partially from
2414
assessments under sub-subparagraphs (b)3.a. and b. However, any
2415
"take-out bonus" or payment to an insurer must be conditioned on
2416
the property being insured for at least 5 years by the insurer,
2417
unless canceled or nonrenewed by the policyholder. If the policy
2418
is canceled or nonrenewed by the policyholder before the end of
2419
the 5-year period, the amount of the take-out bonus must be
2420
prorated for the time period the policy was insured. When the
2421
corporation enters into a contractual agreement for a take-out
2422
plan, the producing agent of record of the corporation policy is
2423
entitled to retain any unearned commission on such policy, and
2424
the insurer shall either:
2425
(I) Pay to the producing agent of record of the policy, for
2426
the first year, an amount which is the greater of the insurer's
2427
usual and customary commission for the type of policy written or
2428
a policy fee equal to the usual and customary commission of the
2429
corporation; or
2430
(II) Offer to allow the producing agent of record of the
2431
policy to continue servicing the policy for a period of not less
2432
than 1 year and offer to pay the agent the insurer's usual and
2433
customary commission for the type of policy written. If the
2434
producing agent is unwilling or unable to accept appointment by
2435
the new insurer, the new insurer shall pay the agent in
2436
accordance with sub-sub-subparagraph (I).
2437
b. Any credit or exemption from regular assessments adopted
2438
under this subparagraph shall last no longer than the 3 years
2439
following the cancellation or expiration of the policy by the
2440
corporation. With the approval of the office, the board may
2441
extend such credits for an additional year if the insurer
2442
guarantees an additional year of renewability for all policies
2443
removed from the corporation, or for 2 additional years if the
2444
insurer guarantees 2 additional years of renewability for all
2445
policies so removed.
2446
c. There shall be no credit, limitation, exemption, or
2447
deferment from emergency assessments to be collected from
2448
policyholders pursuant to sub-subparagraph (b)3.d.
2449
d. Subject to the execution of the confidentiality
2450
agreement required by paragraph (w), the corporation shall make
2451
its database of policies available to prospective take-out
2452
insurers considering underwriting a risk insured by the
2453
corporation, without categorically eliminating policies from
2454
eligibility for removal. The corporation may not instruct or
2455
encourage prospective take-out insurers to avoid the selection of
2456
policies for which the agent has disapproved policy removals. The
2457
corporation must require agents to accept or decline appointment
2458
for any policy selected and, in the case of a declination, must
2459
notify the policyholder that an insurer, identified by name,
2460
selected his or her policy for a take-out offer, but that the
2461
policyholder's agent refused to be appointed by the insurer. The
2462
notice must also provide the policyholder with the take-out
2463
insurer's contact information so that the policyholder may
2464
contact the company directly and make his or her own
2465
determination of whether to seek coverage from the take-out
2466
insurer.
2467
4. The plan shall provide for the deferment, in whole or in
2468
part, of the assessment of an assessable insurer, other than an
2469
emergency assessment collected from policyholders pursuant to
2470
sub-subparagraph (b)3.d., if the office finds that payment of the
2471
assessment would endanger or impair the solvency of the insurer.
2472
In the event an assessment against an assessable insurer is
2473
deferred in whole or in part, the amount by which such assessment
2474
is deferred may be assessed against the other assessable insurers
2475
in a manner consistent with the basis for assessments set forth
2476
in paragraph (b).
2477
5. Effective July 1, 2007, in order to evaluate the costs
2478
and benefits of approved take-out plans, if the corporation pays
2479
a bonus or other payment to an insurer for an approved take-out
2480
plan, it shall maintain a record of the address or such other
2481
identifying information on the property or risk removed in order
2482
to track if and when the property or risk is later insured by the
2483
corporation.
2484
6. Any policy taken out, assumed, or removed from the
2485
corporation is, as of the effective date of the take-out,
2486
assumption, or removal, direct insurance issued by the insurer
2487
and not by the corporation, even if the corporation continues to
2488
service the policies. This subparagraph applies to policies of
2489
the corporation and not policies taken out, assumed, or removed
2490
from any other entity.
2491
(dd)1. For policies subject to nonrenewal as a result of
2492
the risk being no longer eligible for coverage due to being
2493
valued at $1 million or more, the corporation shall, directly or
2494
through the market assistance plan, make information from
2495
confidential underwriting and claims files of policyholders
2496
available only to licensed general lines agents who register with
2497
the corporation to receive such information according to the
2498
following procedures:
2499
2. By August 1, 2006, the corporation shall provide such
2500
policyholders who are not eligible for renewal the opportunity to
2501
request in writing, within 30 days after the notification is
2502
sent, that information from their confidential underwriting and
2503
claims files not be released to licensed general lines agents
2504
registered pursuant to this paragraph.
2505
3. By August 1, 2006, the corporation shall make available
2506
to licensed general lines agents the registration procedures to
2507
be used to obtain confidential information from underwriting and
2508
claims files for such policies not eligible for renewal. As a
2509
condition of registration, the corporation shall require the
2510
licensed general lines agent to attest that the agent has the
2511
experience and relationships with authorized or surplus lines
2512
carriers to attempt to offer replacement coverage for such
2513
policies.
2514
4. By September 1, 2006, the corporation shall make
2515
available through a secured website to licensed general lines
2516
agents registered pursuant to this paragraph application, rating,
2517
loss history, mitigation, and policy type information relating to
2518
such policies not eligible for renewal and for which the
2519
policyholder has not requested the corporation withhold such
2520
information. The registered licensed general lines agent may use
2521
such information to contact and assist the policyholder in
2522
securing replacement policies, and the agent may disclose to the
2523
policyholder that such information was obtained from the
2524
corporation.
2525
(dd)(ee) The assets of the corporation may be invested and
2526
managed by the State Board of Administration.
2527
(ee)(ff) The office may establish a pilot program to offer
2528
optional sinkhole coverage in one or more counties or other
2529
territories of the corporation for the purpose of implementing s.
2530
627.706, as amended by s. 30, chapter 2007-1, Laws of Florida.
2531
Under the pilot program, the corporation is not required to issue
2532
a notice of nonrenewal to exclude sinkhole coverage upon the
2533
renewal of existing policies, but may exclude such coverage using
2534
a notice of coverage change.
2535
Section 13. Paragraph (b) of subsection (2) of section
2536
627.4133, Florida Statutes, is amended to read:
2537
(2) With respect to any personal lines or commercial
2538
residential property insurance policy, including, but not limited
2539
to, any homeowner's, mobile home owner's, farmowner's,
2540
condominium association, condominium unit owner's, apartment
2541
building, or other policy covering a residential structure or its
2542
contents:
2543
(b) The insurer shall give the named insured written notice
2544
of nonrenewal, cancellation, or termination at least 180 100 days
2545
prior to the effective date of the nonrenewal, cancellation, or
2546
termination. However, the insurer shall give at least 100 days'
2547
written notice, or written notice by June 1, whichever is
2548
earlier, for any nonrenewal, cancellation, or termination that
2549
would be effective between June 1 and November 30. The notice
2550
must include the reason or reasons for the nonrenewal,
2551
cancellation, or termination, except that:
2552
1. When cancellation is for nonpayment of premium, at least
2553
10 days' written notice of cancellation accompanied by the reason
2554
therefor shall be given. As used in this subparagraph, the term
2555
"nonpayment of premium" means failure of the named insured to
2556
discharge when due any of her or his obligations in connection
2557
with the payment of premiums on a policy or any installment of
2558
such premium, whether the premium is payable directly to the
2559
insurer or its agent or indirectly under any premium finance plan
2560
or extension of credit, or failure to maintain membership in an
2561
organization if such membership is a condition precedent to
2562
insurance coverage. "Nonpayment of premium" also means the
2563
failure of a financial institution to honor an insurance
2564
applicant's check after delivery to a licensed agent for payment
2565
of a premium, even if the agent has previously delivered or
2566
transferred the premium to the insurer. If a dishonored check
2567
represents the initial premium payment, the contract and all
2568
contractual obligations shall be void ab initio unless the
2569
nonpayment is cured within the earlier of 5 days after actual
2570
notice by certified mail is received by the applicant or 15 days
2571
after notice is sent to the applicant by certified mail or
2572
registered mail, and if the contract is void, any premium
2573
received by the insurer from a third party shall be refunded to
2574
that party in full.
2575
2. When such cancellation or termination occurs during the
2576
first 90 days during which the insurance is in force and the
2577
insurance is canceled or terminated for reasons other than
2578
nonpayment of premium, at least 20 days' written notice of
2579
cancellation or termination accompanied by the reason therefor
2580
shall be given except where there has been a material
2581
misstatement or misrepresentation or failure to comply with the
2582
underwriting requirements established by the insurer.
2583
3. The requirement for providing written notice of
2584
nonrenewal by June 1 of any nonrenewal that would be effective
2585
between June 1 and November 30 does not apply to the following
2586
situations, but the insurer remains subject to the requirement to
2587
provide such notice at least 100 days prior to the effective date
2588
of nonrenewal:
2589
a. A policy that is nonrenewed due to a revision in the
2590
coverage for sinkhole losses and catastrophic ground cover
2591
collapse pursuant to s. 627.730, as amended by s. 30, chapter
2592
2007-1, Laws of Florida.
2593
b. A policy that is nonrenewed by Citizens Property
2594
Insurance Corporation, pursuant to s. 627.351(6), for a policy
2595
that has been assumed by an authorized insurer offering
2596
replacement or renewal coverage to the policyholder.
2597
2598
After the policy has been in effect for 90 days, the policy shall
2599
not be canceled by the insurer except when there has been a
2600
material misstatement, a nonpayment of premium, a failure to
2601
comply with underwriting requirements established by the insurer
2602
within 90 days of the date of effectuation of coverage, or a
2603
substantial change in the risk covered by the policy or when the
2604
cancellation is for all insureds under such policies for a given
2605
class of insureds. This paragraph does not apply to individually
2606
rated risks having a policy term of less than 90 days.
2607
Section 14. Effective January 1, 2011, section 689.262,
2608
Florida Statutes, is created to read:
2609
689.262 Sale of residential property; disclosure of
2610
windstorm mitigation rating.--A purchaser of residential property
2611
must be informed of the windstorm mitigation rating of the
2612
structure, based on the uniform home grading scale adopted
2613
pursuant to s. 215.55865. The rating must be included in the
2614
contract for sale or as a separate document attached to the
2615
contract for sale. The Financial Services Commission may adopt
2616
rules, consistent with other state laws, to administer this
2617
section, including the form of the disclosure and the
2618
requirements for the windstorm mitigation inspection or report
2619
that is required for purposes of determining the rating.
2620
Section 15. Effective October 1, 2008, subsection (1) of
2621
section 817.2341, Florida Statutes, is amended to read:
2622
817.2341 False or misleading statements or supporting
2623
documents; penalty.--
2624
(1) Any person who willfully files with the department or
2625
office, or who willfully signs for filing with the department or
2626
office, a materially false or materially misleading financial
2627
statement or document in support of such statement required by
2628
law or rule, or a materially false or materially misleading rate
2629
filing, with intent to deceive and with knowledge that the
2630
statement or document is materially false or materially
2631
misleading, commits a felony of the third degree, punishable as
2632
provided in s. 775.082, s. 775.083, or s. 775.084.
2633
Section 16. (1) By December 15, 2008, Citizens Property
2634
Insurance Corporation shall transfer $250 million to the General
2635
Revenue Fund by transferring an amount from the Personal Lines
2636
Account and the Commercial Lines Account, as defined in s.
2637
627.351(6), Florida Statutes, in proportion to the surplus of
2638
each account, if the combined losses in the Personal Lines
2639
Account and the Commercial Lines Account from one or more named
2640
hurricanes in 2008 do not exceed $750 million. The board of
2641
governors of Citizens Property Insurance Corporation must make a
2642
reasonable estimate of such losses on or after December 1, 2008,
2643
and no later than December 14, 2008, using generally accepted
2644
actuarial and accounting practices, recognizing that audited
2645
financial statements will not yet be available and that all
2646
losses will have not been reported or developed.
2647
(2) If Citizens Property Insurance Corporation transfers
2648
$250 million to General Revenue as provided in subsection (1),
2649
effective December 15, 2008, and for the 2008-2009 fiscal year,
2650
the sum of $250 million is appropriated from the General Revenue
2651
Fund on a nonrecurring basis to the State Board of Administration
2652
for purposes of the Insurance Capital Build-Up Incentive Program
2653
established pursuant to s. 215.5595, Florida Statutes, as amended
2654
by this act. Costs and fees incurred by the board in
2655
administering this program, including fees for investment
2656
services, shall be paid from funds appropriated by the
2657
Legislature for this program, but are limited to 1 percent of the
2658
amount appropriated. Notwithstanding the provisions of s.
2659
216.301, Florida Statutes, to the contrary, the unexpended
2660
balance of this appropriation shall not revert to the General
2661
Revenue Fund until June 30, 2009.
2662
Section 17. Except as otherwise expressly provided in this
2663
act, this act shall take effect upon becoming a law.
2664
2665
================ T I T L E A M E N D M E N T ================
2666
And the title is amended as follows:
2667
Delete everything before the enacting clause
2668
and insert:
2669
A bill to be entitled
2670
An act relating to insurance; amending s. 215.5595, F.S.;
2671
revising legislative findings with respect to the
2672
Insurance Capital Build-Up Incentive Program and the
2673
appropriation of state funds for surplus notes issued by
2674
residential property insurers; revising the conditions and
2675
requirements for providing funds to insurers under the
2676
program; requiring a commitment by the insurer to meet
2677
minimum premium-to-surplus writing ratios for residential
2678
property insurance, for taking policies out of Citizens
2679
Property Insurance Corporation, and for maintaining
2680
certain surplus and reinsurance; establishing deadlines
2681
for insurers to apply for funds; authorizing the State
2682
Board of Administration to charge a late fee for payment
2683
of remittances; requiring the board to submit semiannual
2684
reports to the Legislature regarding the program;
2685
providing that amendments made by the act do not affect
2686
the terms of surplus notes approved prior to a specified
2687
date, but authorizing the board and an insurer to
2688
renegotiate such terms consistent with such amendments;
2689
requiring the board to transfer to Citizens Property
2690
Insurance Corporation any funds that have not been
2691
reserved for insurers approved to receive such funds under
2692
the program, from the funds that were appropriated from
2693
Citizens; requiring the board to transfer to Citizens
2694
interest and principal payments to Citizens Property
2695
Insurance Corporation for surplus note funded from
2696
appropriations from Citizens; requiring Citizens to
2697
deposit such funds into accounts from which appropriations
2698
were made; amending s. 542.20, F.S.; subjecting the
2699
business of insurance to the Florida Antitrust Act;
2700
limiting enforcement to actions by the Attorney General or
2701
a state attorney; providing exceptions; amending s.
2702
624.3161, F.S.; authorizing the Office of Insurance
2703
Regulation to require an insurer to file its claims
2704
handling practices and procedures as a public record based
2705
on findings of a market conduct examination; amending s.
2706
624.4211, F.S.; increasing the maximum amounts of
2707
administrative fines that may be imposed upon an insurer
2708
by the Office of Insurance Regulation for nonwillful and
2709
willful violations of an order or rule of the office or
2710
any provision of the Florida Insurance Code; authorizing
2711
the office to impose a fine for each day of noncompliance
2712
up to a maximum amount; providing factors to consider when
2713
determining the amount of the fine; creating s. 624.4213,
2714
F.S.; specifying requirements for submission of a document
2715
or information to the Office of Insurance Regulation or
2716
the Department of Financial Services in order for a person
2717
to claim that the document is a trade secret; requiring
2718
each page or portion to be labeled as a trade secret and
2719
be separated from non-trade secret material; requiring the
2720
submitting party to include an affidavit certifying
2721
certain information about the documents claimed to be
2722
trade secrets; requiring the office or department to
2723
notify persons who submit trade secret documents of any
2724
public-records request and the opportunity to file a court
2725
action to bar disclosure; specifying conditions for the
2726
office to retain or release such documents; requiring an
2727
award of attorney's fees against a person who certified a
2728
document as trade secret if a court or administrative
2729
tribunal finds that the document is not a trade secret;
2730
amending s. 626.9521, F.S.; increasing the maximum fines
2731
that may be imposed by the office or department for
2732
nonwillful and willful violations of state law regarding
2733
unfair methods of competition and unfair or deceptive acts
2734
or practices related to insurance; amending s. 626.9541,
2735
F.S.; prohibiting an insurer from considering certain
2736
factors when evaluating or adjusting a property insurance
2737
claim; prohibiting an insurer from failing to pay
2738
undisputed amounts of benefits owed under a property
2739
insurance policy within a certain period; amending s.
2740
627.062, F.S.; requiring that an insurer seeking a rate
2741
for property insurance that is greater than the rate most
2742
recently approved by the Office of Insurance Regulation
2743
make a "file and use" filing for all such rate filings
2744
made after a specified date; revising the factors the
2745
office must consider in reviewing a rate filing;
2746
prohibiting the Office of Insurance Regulation from
2747
disapproving as excessive a rate solely because the
2748
insurer obtained reinsurance covering a specified probably
2749
maximum loss; allowing the office to disapprove a rate as
2750
excessive within 1 year after the rate has been approved
2751
under certain conditions related to nonrenewal of policies
2752
by the insurer; requiring an administrative law judge in a
2753
hearing on an insurance rate to grant a continuance if
2754
requested by a party due to receiving additional
2755
information that was not previously available; deleting
2756
provisions relating to the submission of a disputed rate
2757
filing, other than a rate filing for medical malpractice
2758
insurance, to an arbitration panel in lieu of an
2759
administrative hearing if the rate is filed before a
2760
specified date; requiring certain officers and the chief
2761
actuary of a property insurer to certify certain
2762
information as part of a rate filing, subject to the
2763
penalty of perjury; amending s. 627.0613, F.S.; deleting
2764
cross-references to conform to changes made by the act;
2765
amending s. 627.0628, F.S.; requiring that with respect to
2766
rate filings, insurers must use actuarial methods or
2767
models found to be accurate or reliable by the Florida
2768
Commission on Hurricane Loss Projection Methodology;
2769
deleting the requirement for the Office of Insurance
2770
Regulation and the Consumer Advocate to have access to all
2771
assumptions of a hurricane loss model in order for a model
2772
that has been found to be accurate and reliable by the
2773
Florida Commission on Hurricane Loss Projection
2774
Methodology to be admissible in a rate proceeding;
2775
deleting cross-references to conform to changes made by
2776
the act; amending s. 627.0629, F.S.; requiring that the
2777
Office of Insurance Regulation develop and make publicly
2778
available before a specified deadline a proposed method
2779
for insurers to establish windstorm mitigation premium
2780
discounts that correlate to the uniform home rating scale;
2781
requiring that the Financial Services Commission adopt
2782
rules before a specified deadline; requiring insurers to
2783
make rate filings pursuant to such method; authorizing the
2784
commission to make changes by rule to the uniform home
2785
grading scale and specify by rule the minimum required
2786
discounts, credits, or other rate differentials; requiring
2787
that such rate differentials be consistent with generally
2788
accepted actuarial principles and wind loss mitigation
2789
studies; amending s. 627.351, F.S., relating to Citizens
2790
Property Insurance Corporation; deleting a provision to
2791
conform to changes made in the act; deleting provisions
2792
defining the terms "homestead property" and "nonhomestead
2793
property"; deleting a provision providing for the
2794
classification of certain dwellings as "nonhomestead
2795
property"; deleting provisions making dwellings and
2796
condominium units that have a replacement cost above a
2797
specified value ineligible for coverage after a specified
2798
date; requiring certain structures to have opening
2799
protections as a condition of eligibility for coverage
2800
after a specified date; requiring that the corporation
2801
cease issuance of new wind-only coverage beginning on a
2802
specified date; deleting outdated provisions requiring the
2803
corporation to submit a report for approval of offering
2804
multiperil coverage; revising threshold amounts of
2805
deficits incurred in a calendar year on which the decision
2806
to levy assessments and the types of such assessments are
2807
based; revising the formula used to calculate shares of
2808
assessments owed by certain assessable insureds; requiring
2809
that the board of governors make certain determinations
2810
before levying emergency assessments; providing the board
2811
of governors with discretion to set the amount of an
2812
emergency assessment within specified limits; requiring
2813
the board of governors to levy a Citizens policyholder
2814
surcharge under certain conditions; deleting a provision
2815
requiring the levy of an immediate assessment against
2816
certain policyholders under such conditions; requiring
2817
that funds collected from the levy of such surcharges be
2818
used for certain purposes; providing that such surcharges
2819
are not considered premium and are not subject to
2820
commissions, fees, or premium taxes; requiring that the
2821
failure to pay such surcharges be treated as failure to
2822
pay premium; requiring that the amount of any assessment
2823
or surcharge which exceeds the amount of deficits be
2824
remitted to and used by the corporation for specified
2825
purposes; deleting provisions requiring that the plan of
2826
operation of the corporation provide for the levy of a
2827
Citizens policyholder surcharge if regular deficit
2828
assessments are levied as a result of deficits in certain
2829
accounts; deleting provisions related to the calculation,
2830
classification, and nonpayment of such surcharge;
2831
requiring that the corporation make an annual filing for
2832
each personal or commercial line of business it writes,
2833
beginning on a specified date; limiting the overall
2834
average statewide premium increase and the increase for an
2835
individual policyholder to a specified amount for rates
2836
established for certain policies during a specified
2837
period; deleting a provision requiring an insurer to
2838
purchase bonds that remain unsold; requiring the
2839
corporation to make its database of policies available to
2840
prospective take-out insurers under certain conditions;
2841
requiring the corporation to require agents to accept or
2842
decline appointment for any policy selected; requiring the
2843
corporation to notify the policyholder of certain
2844
information if an insurer selected his or her policy for a
2845
take-out offer but the policyholder's agent refused to be
2846
appointed; deleting provisions requiring the corporation
2847
to make certain confidential underwriting and claims files
2848
available to agents to conform to changes made by the act
2849
relating to ineligibility of certain dwellings; amending
2850
s. 627.4133, F.S.; increasing the required time period for
2851
an insurer to notify a policyholder of cancellation or
2852
nonrenewal of a personal lines or commercial residential
2853
property insurance policy; making conforming changes;
2854
creating s. 689.262, F.S.; requiring a purchaser of
2855
residential property to be presented with the windstorm
2856
mitigation rating of the structure; authorizing the
2857
Financial Services Commission to adopt rules; amending s.
2858
817.2341, F.S.; providing for criminal penalties to be
2859
imposed under certain conditions against any person who
2860
willfully files a materially false or misleading rate
2861
filing; requiring Citizens Property Insurance Corporation
2862
to transfer funds to the General Revenue Fund Revenue Fund
2863
if the losses due to a hurricane do not exceed a specified
2864
amount; requiring the board of governors of Citizens
2865
Property Insurance Corporation to make a reasonable
2866
estimate of such losses by a certain date; making
2867
nonrecurring appropriations for purposes of the Insurance
2868
Capital Build-Up Incentive Program established pursuant to
2869
s. 215.5595, F.S., as amended by the act; authorizing
2870
costs and fees to be paid from funds appropriated, subject
2871
to specified limitations; providing effective dates.
4/7/2008 5:45:00 PM 601-06879-08
CODING: Words stricken are deletions; words underlined are additions.