Florida Senate - 2008 CS for CS for SB's 2860 & 1196
By the Committees on General Government Appropriations; Banking and Insurance; and Senators Atwater, Geller, Fasano, Garcia, Jones and Gaetz
601-07018-08 20082860c2
1
A bill to be entitled
2
An act relating to insurance; amending s. 215.5595, F.S.;
3
revising legislative findings with respect to the
4
Insurance Capital Build-Up Incentive Program and the
5
appropriation of state funds for surplus notes issued by
6
residential property insurers; revising the conditions and
7
requirements for providing funds to insurers under the
8
program; requiring a commitment by the insurer to meet
9
minimum premium-to-surplus writing ratios for residential
10
property insurance, for taking policies out of Citizens
11
Property Insurance Corporation, and for maintaining
12
certain surplus and reinsurance; establishing deadlines
13
for insurers to apply for funds; authorizing the State
14
Board of Administration to charge a late fee for payment
15
of remittances; requiring the board to submit semiannual
16
reports to the Legislature regarding the program;
17
providing that amendments made by the act do not affect
18
the terms of surplus notes approved prior to a specified
19
date, but authorizing the board and an insurer to
20
renegotiate such terms consistent with such amendments;
21
requiring the board to transfer to Citizens Property
22
Insurance Corporation any funds that have not been
23
reserved for insurers approved to receive such funds under
24
the program, from the funds that were appropriated from
25
Citizens; requiring the board to transfer to Citizens
26
interest and principal payments to Citizens Property
27
Insurance Corporation for surplus note funded from
28
appropriations from Citizens; requiring Citizens to
29
deposit such funds into accounts from which appropriations
30
were made; amending s. 542.20, F.S.; subjecting the
31
business of insurance to the Florida Antitrust Act;
32
limiting enforcement to actions by the Attorney General or
33
a state attorney; providing exceptions; amending s.
34
624.3161, F.S.; authorizing the Office of Insurance
35
Regulation to require an insurer to file its claims
36
handling practices and procedures as a public record based
37
on findings of a market conduct examination; amending s.
38
624.4211, F.S.; increasing the maximum amounts of
39
administrative fines that may be imposed upon an insurer
40
by the Office of Insurance Regulation for nonwillful and
41
willful violations of an order or rule of the office or
42
any provision of the Florida Insurance Code; authorizing
43
the office to impose a fine for each day of noncompliance
44
up to a maximum amount; providing factors to consider when
45
determining the amount of the fine; creating s. 624.4213,
46
F.S.; specifying requirements for submission of a document
47
or information to the Office of Insurance Regulation or
48
the Department of Financial Services in order for a person
49
to claim that the document is a trade secret; requiring
50
each page or portion to be labeled as a trade secret and
51
be separated from non-trade secret material; requiring the
52
submitting party to include an affidavit certifying
53
certain information about the documents claimed to be
54
trade secrets; requiring the office or department to
55
notify persons who submit trade secret documents of any
56
public-records request and the opportunity to file a court
57
action to bar disclosure; specifying conditions for the
58
office to retain or release such documents; requiring an
59
award of attorney's fees against a person who certified a
60
document as trade secret if a court or administrative
61
tribunal finds that the document is not a trade secret;
62
amending s. 626.9521, F.S.; increasing the maximum fines
63
that may be imposed by the office or department for
64
nonwillful and willful violations of state law regarding
65
unfair methods of competition and unfair or deceptive acts
66
or practices related to insurance; amending s. 626.9541,
67
F.S.; prohibiting an insurer from considering certain
68
factors when evaluating or adjusting a property insurance
69
claim; prohibiting an insurer from failing to pay
70
undisputed amounts of benefits owed under a property
71
insurance policy within a certain period; amending s.
72
627.062, F.S.; requiring that an insurer seeking a rate
73
for property insurance that is greater than the rate most
74
recently approved by the Office of Insurance Regulation
75
make a "file and use" filing for all such rate filings
76
made after a specified date; revising the factors the
77
office must consider in reviewing a rate filing;
78
prohibiting the Office of Insurance Regulation from
79
disapproving as excessive a rate solely because the
80
insurer obtained reinsurance covering a specified probably
81
maximum loss; allowing the office to disapprove a rate as
82
excessive within 1 year after the rate has been approved
83
under certain conditions related to nonrenewal of policies
84
by the insurer; requiring the Division of Administrative
85
Hearings to expedite a hearing request by an insurer and
86
for the administrative law judge to commence the hearing
87
within a specified time; establishing time limits for
88
entry of a recommended order, for parties to submit
89
written exceptions, and for the office to enter a final
90
order, subject to waiver by all parties; authorizing an
91
insurer to request an expedited appellate review pursuant
92
to the Florida Rules of Appellate Procedure; expressing
93
legislative intent for an expedited appellate review;
94
requiring an administrative law judge in a hearing on an
95
insurance rate to grant a continuance if requested by a
96
party due to receiving additional information that was not
97
previously available; deleting provisions relating to the
98
submission of a disputed rate filing, other than a rate
99
filing for medical malpractice insurance, to an
100
arbitration panel in lieu of an administrative hearing if
101
the rate is filed before a specified date; requiring
102
certain officers and the chief actuary of a property
103
insurer to certify certain information as part of a rate
104
filing, subject to the penalty of perjury; amending s.
105
627.0613, F.S.; deleting cross-references to conform to
106
changes made by the act; amending s. 627.0628, F.S.;
107
requiring that with respect to rate filings, insurers must
108
use actuarial methods or models found to be accurate or
109
reliable by the Florida Commission on Hurricane Loss
110
Projection Methodology; deleting the requirement for the
111
Office of Insurance Regulation and the Consumer Advocate
112
to have access to all assumptions of a hurricane loss
113
model in order for a model that has been found to be
114
accurate and reliable by the Florida Commission on
115
Hurricane Loss Projection Methodology to be admissible in
116
a rate proceeding; deleting cross-references to conform to
117
changes made by the act; amending s. 627.0629, F.S.;
118
requiring that the Office of Insurance Regulation develop
119
and make publicly available before a specified deadline a
120
proposed method for insurers to establish windstorm
121
mitigation premium discounts that correlate to the uniform
122
home rating scale; requiring that the Financial Services
123
Commission adopt rules before a specified deadline;
124
requiring insurers to make rate filings pursuant to such
125
method; authorizing the commission to make changes by rule
126
to the uniform home grading scale and specify by rule the
127
minimum required discounts, credits, or other rate
128
differentials; requiring that such rate differentials be
129
consistent with generally accepted actuarial principles
130
and wind loss mitigation studies; amending s. 627.351,
131
F.S., relating to Citizens Property Insurance Corporation;
132
deleting a provision to conform to changes made in the
133
act; deleting provisions defining the terms "homestead
134
property" and "nonhomestead property"; deleting a
135
provision providing for the classification of certain
136
dwellings as "nonhomestead property"; deleting provisions
137
making dwellings and condominium units that have a
138
replacement cost above a specified value ineligible for
139
coverage after a specified date; requiring certain
140
structures to have opening protections as a condition of
141
eligibility for coverage after a specified date; requiring
142
that the corporation cease issuance of new wind-only
143
coverage beginning on a specified date; deleting outdated
144
provisions requiring the corporation to submit a report
145
for approval of offering multiperil coverage; revising
146
threshold amounts of deficits incurred in a calendar year
147
on which the decision to levy assessments and the types of
148
such assessments are based; revising the formula used to
149
calculate shares of assessments owed by certain assessable
150
insureds; requiring that the board of governors make
151
certain determinations before levying emergency
152
assessments; providing the board of governors with
153
discretion to set the amount of an emergency assessment
154
within specified limits; requiring the board of governors
155
to levy a Citizens policyholder surcharge under certain
156
conditions; deleting a provision requiring the levy of an
157
immediate assessment against certain policyholders under
158
such conditions; requiring that funds collected from the
159
levy of such surcharges be used for certain purposes;
160
providing that such surcharges are not considered premium
161
and are not subject to commissions, fees, or premium
162
taxes; requiring that the failure to pay such surcharges
163
be treated as failure to pay premium; requiring that the
164
amount of any assessment or surcharge which exceeds the
165
amount of deficits be remitted to and used by the
166
corporation for specified purposes; deleting provisions
167
requiring that the plan of operation of the corporation
168
provide for the levy of a Citizens policyholder surcharge
169
if regular deficit assessments are levied as a result of
170
deficits in certain accounts; deleting provisions related
171
to the calculation, classification, and nonpayment of such
172
surcharge; requiring that the corporation make an annual
173
filing for each personal or commercial line of business it
174
writes, beginning on a specified date; limiting the
175
overall average statewide premium increase and the
176
increase for an individual policyholder to a specified
177
amount for rates established for certain policies during a
178
specified period; deleting a provision requiring an
179
insurer to purchase bonds that remain unsold; requiring
180
the corporation to make its database of policies available
181
to prospective take-out insurers under certain conditions;
182
requiring the corporation to require agents to accept or
183
decline appointment for any policy selected; requiring the
184
corporation to notify the policyholder of certain
185
information if an insurer selected his or her policy for a
186
take-out offer but the policyholder's agent refused to be
187
appointed; deleting provisions requiring the corporation
188
to make certain confidential underwriting and claims files
189
available to agents to conform to changes made by the act
190
relating to ineligibility of certain dwellings; amending
191
s. 627.4133, F.S.; increasing the required time period for
192
an insurer to notify a policyholder of cancellation or
193
nonrenewal of a personal lines or commercial residential
194
property insurance policy; making conforming changes;
195
creating s. 689.262, F.S.; requiring a purchaser of
196
residential property to be presented with the windstorm
197
mitigation rating of the structure; authorizing the
198
Financial Services Commission to adopt rules; amending s.
199
817.2341, F.S.; providing for criminal penalties to be
200
imposed under certain conditions against any person who
201
willfully files a materially false or misleading rate
202
filing; requiring Citizens Property Insurance Corporation
203
to transfer funds to the General Revenue Fund Revenue Fund
204
if the losses due to a hurricane do not exceed a specified
205
amount; requiring the board of governors of Citizens
206
Property Insurance Corporation to make a reasonable
207
estimate of such losses by a certain date; making
208
nonrecurring appropriations for purposes of the Insurance
209
Capital Build-Up Incentive Program established pursuant to
210
s. 215.5595, F.S., as amended by the act; authorizing
211
costs and fees to be paid from funds appropriated, subject
212
to specified limitations; providing effective dates.
213
214
Be It Enacted by the Legislature of the State of Florida:
215
216
Section 1. Section 215.5595, Florida Statutes, is amended
217
to read:
218
215.5595 Insurance Capital Build-Up Incentive Program.--
219
(1) Upon entering the 2008 2006 hurricane season, the
220
Legislature finds that:
221
(a) The losses in Florida from eight hurricanes in 2004 and
222
2005 have seriously strained the resources of both the voluntary
223
insurance market and the public sector mechanisms of Citizens
224
Property Insurance Corporation and the Florida Hurricane
225
Catastrophe Fund.
226
(b) Private reinsurance is much less available and at a
227
significantly greater cost to residential property insurers as
228
compared to 1 year ago, particularly for amounts below the
229
insurer's retention or retained losses that must be paid before
230
reimbursement is provided by the Florida Hurricane Catastrophe
231
Fund.
232
(c) The Office of Insurance Regulation has reported that
233
the insolvency of certain insurers may be imminent.
234
(d) Hurricane forecast experts predict that the 2006
235
hurricane season will be an active hurricane season and that the
236
Atlantic and Gulf Coast regions face an active hurricane cycle of
237
10 to 20 years or longer.
238
(b)(e) Citizens Property Insurance Corporation has over 1.2
239
million policies in force, has the largest market share of any
240
insurer writing residential property insurer in the state, and
241
faces the threat of a catastrophic loss that The number of
242
cancellations or nonrenewals of residential property insurance
243
policies is expected to increase and the number of new
244
residential policies written in the voluntary market are likely
245
to decrease, causing increased policy growth and exposure to the
246
state insurer of last resort, Citizens Property Insurance
247
Corporation, and threatening to increase the deficit of the
248
corporation, currently estimated to be over $1.7 billion. This
249
deficit must be funded by assessments against insurers and
250
policyholders, unless otherwise funded by the state.
251
(c)(f) Policyholders are subject to high increased premiums
252
and assessments that are increasingly making such coverage
253
unaffordable and that may force policyholders to sell their homes
254
and even leave the state.
255
(d)(g) The increased risk to the public sector and private
256
sector continues to pose poses a serious threat to the economy of
257
this state, particularly the building and financing of
258
residential structures, and existing mortgages may be placed in
259
default.
260
(h) The losses from 2004 and 2005, combined with the
261
expectation that the increase in hurricane activity will continue
262
for the foreseeable future, have caused both insurers and
263
reinsurers to limit the capital they are willing to commit to
264
covering the hurricane risk in Florida; attracting new capital to
265
the Florida market is a critical priority; and providing a low-
266
cost source of capital would enable insurers to write additional
267
residential property insurance coverage and act to mitigate
268
premium increases.
269
(e)(i) Appropriating state funds to be exchanged for used
270
as surplus notes issued by for residential property insurers,
271
under conditions requiring the insurer to contribute additional
272
private sector capital and to write a minimum level of premiums
273
for residential hurricane coverage, is a valid and important
274
public purpose.
275
(f) Extending the Insurance Capital Build-up Incentive
276
Program will provide an incentive for investors to commit
277
additional capital to Florida's residential insurance market.
278
(2) The purpose of this section is to provide funds in
279
exchange for surplus notes to be issued by to new or existing
280
authorized residential property insurers under the Insurance
281
Capital Build-Up Incentive Program administered by the State
282
Board of Administration, under the following conditions:
283
(a) The amount of state funds provided in exchange for a
284
the surplus note to for any insurer or insurer group, other than
285
an insurer writing only manufactured housing policies, may not
286
exceed $25 million or 20 percent of the total amount of funds
287
appropriated for available under the program, whichever is
288
greater. The amount of the surplus note for any insurer or
289
insurer group writing residential property insurance covering
290
only manufactured housing may not exceed $7 million.
291
(b) The insurer must contribute an amount of new capital to
292
its surplus which is at least equal to the amount of the surplus
293
note and must apply to the board by October 1, 2008 July 1, 2006.
294
If an insurer applies after July 1, 2006, but before June 1,
295
2007, the amount of the surplus note is limited to one-half of
296
the new capital that the insurer contributes to its surplus,
297
except that an insurer writing only manufactured housing policies
298
is eligible to receive a surplus note of up to $7 million. For
299
purposes of this section, new capital must be in the form of cash
300
or cash equivalents as specified in s. 625.012(1).
301
(c) The insurer's surplus, new capital, and the surplus
302
note must total at least $50 million, except for insurers writing
303
residential property insurance covering only manufactured
304
housing. The insurer's surplus, new capital, and the surplus note
305
must total at least $14 million for insurers writing only
306
residential property insurance covering manufactured housing
307
policies as provided in paragraph (a).
308
(d) The insurer must commit to increase its writings of
309
residential property insurance, including the peril of wind, and
310
to meet meeting a minimum writing ratio of net written premium to
311
surplus of at least 1:1 for the first year after receiving the
312
state funds, 1.5:1 for the second year, and 2:1 for the remaining
313
term of the surplus note. Alternatively, the insurer must meet a
314
minimum writing ratio of gross written premium to surplus of at
315
least 3:1 for the first year after receiving the state funds,
316
4.5:1 for the second year, and 6:1 for the remaining term of the
317
surplus note. The writing ratios, which shall be determined by
318
the Office of Insurance Regulation and certified quarterly to the
319
board. For this purpose, the term "premium" "net written premium"
320
means net written premium for residential property insurance in
321
Florida, including the peril of wind, and "surplus" refers to the
322
amount of the state funds provided to the insurer in exchange for
323
the surplus note plus the amount of new capital contributed by
324
the insurer in order to obtain the state funds the entire surplus
325
of the insurer. The insurer must also commit to writing at least
326
15 percent of its net or gross written premium for new policies,
327
not including renewal premiums, for policies taken out of
328
Citizens Property Insurance Corporation, during each of the first
329
3 years after receiving the state funds in exchange for the
330
surplus note, which shall be determined by the Office of
331
Insurance Regulation and certified annually to the board. The
332
removal of such policies must result in a reduction in the
333
probable maximum loss in the account from which the policies are
334
removed. The insurer must also commit to maintaining a level of
335
surplus and reinsurance sufficient to cover in excess of its 1-
336
in-100 year probable maximum loss, as determined by a hurricane
337
loss model accepted by the Florida Commission on Hurricane Loss
338
Projection Methodology, which shall be determined by the Office
339
of Insurance Regulation and certified annually the board. If the
340
board determines that the insurer has failed to meet any of the
341
requirements of this paragraph required ratio is not maintained
342
during the term of the surplus note, the board may increase the
343
interest rate, accelerate the repayment of interest and
344
principal, or shorten the term of the surplus note, subject to
345
approval by the Commissioner of Insurance of payments by the
346
insurer of principal and interest as provided in paragraph (f).
347
(e) If the requirements of this section are met, the board
348
may approve an application by an insurer for funds in exchange
349
for issuance of a surplus note, unless the board determines that
350
the financial condition of the insurer and its business plan for
351
writing residential property insurance in Florida places an
352
unreasonably high level of financial risk to the state of
353
nonpayment in full of the interest and principal. The board shall
354
consult with the Office of Insurance Regulation and may contract
355
with independent financial and insurance consultants in making
356
this determination.
357
(f) The surplus note must be repayable to the state with a
358
term of 20 years. The surplus note shall accrue interest on the
359
unpaid principal balance at a rate equivalent to the 10-year U.S.
360
Treasury Bond rate, require the payment only of interest during
361
the first 3 years, and include such other terms as approved by
362
the board. The board may charge late fees up to 5 percent for
363
late payments or other late remittances. Payment of principal, or
364
interest, or late fees by the insurer on the surplus note must be
365
approved by the Commissioner of Insurance, who shall approve such
366
payment unless the commissioner determines that such payment will
367
substantially impair the financial condition of the insurer. If
368
such a determination is made, the commissioner shall approve such
369
payment that will not substantially impair the financial
370
condition of the insurer.
371
(g) The total amount of funds available for the program is
372
limited to the amount appropriated by the Legislature for this
373
purpose. If the amount of surplus notes requested by insurers
374
exceeds the amount of funds available, the board may prioritize
375
insurers that are eligible and approved, with priority for
376
funding given to insurers writing only manufactured housing
377
policies, regardless of the date of application, based on the
378
financial strength of the insurer, the viability of its proposed
379
business plan for writing additional residential property
380
insurance in the state, and the effect on competition in the
381
residential property insurance market. Between insurers writing
382
residential property insurance covering manufactured housing,
383
priority shall be given to the insurer writing the highest
384
percentage of its policies covering manufactured housing.
385
(h) The board may allocate portions of the funds available
386
for the program and establish dates for insurers to apply for
387
surplus notes from such allocation which are earlier than the
388
dates established in paragraph (b).
389
(h)(i) Notwithstanding paragraph (d), a newly formed
390
manufactured housing insurer that is eligible for a surplus note
391
under this section shall meet the premium to surplus ratio
392
provisions of s. 624.4095.
393
(i)(j) As used in this section, "an insurer writing only
394
manufactured housing policies" includes:
395
1. A Florida domiciled insurer that begins writing personal
396
lines residential manufactured housing policies in Florida after
397
March 1, 2007, and that removes a minimum of 50,000 policies from
398
Citizens Property Insurance Corporation without accepting a
399
bonus, provided at least 25 percent of its policies cover
400
manufactured housing. Such an insurer may count any funds above
401
the minimum capital and surplus requirement that were contributed
402
into the insurer after March 1, 2007, as new capital under this
403
section.
404
2. A Florida domiciled insurer that writes at least 40
405
percent of its policies covering manufactured housing in Florida.
406
(3) As used in this section, the term:
407
(a) "Board" means the State Board of Administration.
408
(b) "Program" means the Insurance Capital Build-Up
409
Incentive Program established by this section.
410
(4) The state funds provided to the insurer in exchange for
411
the A surplus note provided to an insurer pursuant to this
412
section are is considered borrowed surplus an asset of the
414
(5) If an insurer that receives funds in exchange for
415
issuance of a surplus note pursuant to this section is rendered
416
insolvent, the state is a class 3 creditor pursuant to s. 631.271
417
for the unpaid principal and interest on the surplus note.
418
(6) The board shall adopt rules prescribing the procedures,
419
administration, and criteria for approving the applications of
420
insurers to receive funds in exchange for issuance of surplus
421
notes pursuant to this section, which may be adopted pursuant to
422
the procedures for emergency rules of chapter 120. Otherwise,
423
actions and determinations by the board pursuant to this section
424
are exempt from chapter 120.
425
(7) The board shall invest and reinvest the funds
426
appropriated for the program in accordance with s. 215.47 and
427
consistent with board policy.
428
(8) The board shall semiannually submit a report to the
429
President of the Senate and the Speaker of the House of
430
Representatives on February 1 and August 1 as to the results of
431
the program and each insurer's compliance with the terms of its
432
surplus note.
433
(9) The amendments to this section enacted in 2008 do not
434
affect the terms or conditions of the surplus notes that were
435
approved prior to January 1, 2008. However, the board may
436
renegotiate the terms of any surplus note issued by an insurer
437
prior to January 2008 under this program upon the agreement of
438
the insurer and the board and consistent with the requirements of
439
this section as amended in 2008.
440
(10) On January 15, 2009, the State Board of Administration
441
shall transfer to Citizens Property Insurance Corporation any
442
funds that have not been committed or reserved for insurers
443
approved to receive such funds under the program, from the funds
444
that were appropriated from Citizens Property Insurance
445
Corporation in 2008-2009 for such purposes. Beginning July 1,
446
2009, and each quarter thereafter, the State Board of
447
Administration shall transfer any interest earned prior to
448
issuance of any surplus notes, interest paid, and principal
449
repaid to the state for any surplus notes issued by the program
450
after December 1, 2008, to the Citizens Property Insurance
451
Corporation. Such transfers shall be in the proportion that
452
surplus notes were funded from 2008-2009 appropriations from
453
Citizens Property Insurance Corporation and shall be made until
454
principal or interest is no longer due to the state on surplus
455
notes funded from such appropriations. Citizens Property
456
Insurance Corporation shall deposit the transferred funds into
457
each of its accounts in the proportion that moneys were
458
transferred out of those accounts to the General Revenue Fund in
459
December 2008.
460
Section 2. Section 542.20, Florida Statutes, is amended to
461
read:
462
542.20 Exemptions.--
463
(1) Any activity or conduct exempt under Florida statutory
464
or common law or exempt from the provisions of the antitrust laws
465
of the United States is exempt from the provisions of this
466
chapter, except as provided in subsection (2).
467
(2)(a) The business of insurance is subject to the
468
provisions of this chapter. As applied to the business of
469
insurance, any legal action to seek penalties or damages for
470
violations or to otherwise enforce the provisions of this chapter
471
shall be brought only by the Attorney General or a state
472
attorney, as provided in this chapter, and another party may not
473
bring suit against a person engaged in the business of insurance,
474
notwithstanding any other provision of this chapter.
475
(b) This chapter does not prohibit a rating organization or
476
advisory organization from collecting claims, loss, or expense
477
data from insurers and filing rates or advisory rates with the
478
Office of Insurance Regulation.
479
Section 3. Subsection (6) is added to section 624.3161,
480
Florida Statutes, to read:
481
624.3161 Market conduct examinations.--
482
(6) Based on the findings of a market conduct examination
483
that an insurer has exhibited a pattern or practice of willful
484
violations of an unfair insurance trade practice related to
485
claims-handling which caused harm to policyholders, as prohibited
486
by s. 626.9541(1)(i), the office may require an insurer to file
487
its claims-handling practices and procedures related to that line
488
of insurance with the office for review and inspection, to be
489
held by the office for the following 36-month period. Such
490
claims-handling practices and procedures are public records and
491
are not trade secrets or otherwise exempt from the provisions of
492
s. 119.07(1). As used in this section, "claims-handling practices
493
and procedures" are any policies, guidelines, rules, protocols,
494
standard operating procedures, instructions, or directives that
495
govern or guide how and the manner in which an insured's claims
496
for benefits under any policy will be processed.
497
Section 4. Subsections (2) and (3) of section 624.4211,
498
Florida Statutes, are amended, and subsections (5) and (6) are
499
added to that section, to read:
500
624.4211 Administrative fine in lieu of suspension or
501
revocation.--
502
(2) With respect to any nonwillful violation, such fine may
503
shall not exceed $25,000 $2,500 per violation. In no event shall
504
such fine exceed an aggregate amount equal to 1 percent of the
505
insurer's surplus, as determined by the most recent financial
506
statements filed with the office, of $10,000 for all nonwillful
507
violations arising out of the same action. If When an insurer
508
discovers a nonwillful violation, the insurer shall correct the
509
violation and, if restitution is due, make restitution to all
510
affected persons. Such restitution shall include interest at 12
511
percent per year from either the date of the violation or the
512
date of inception of the affected person's policy, at the
513
insurer's option. The restitution may be a credit against future
514
premiums due provided that the interest accumulates shall
515
accumulate until the premiums are due. If the amount of
516
restitution due to any person is $50 or more and the insurer
517
wishes to credit it against future premiums, it shall notify such
518
person that she or he may receive a check instead of a credit. If
519
the credit is on a policy that which is not renewed, the insurer
520
shall pay the restitution to the person to whom it is due.
521
(3) With respect to any knowing and willful violation of a
522
lawful order or rule of the office or commission or a provision
523
of this code, the office may impose a fine upon the insurer in an
524
amount not to exceed $100,000 $20,000 for each such violation. In
525
no event shall such fine exceed an aggregate amount equal to 5
526
percent of the insurer's surplus, as determined by the most
527
recent financial statements filed with the office, of $100,000
528
for all knowing and willful violations arising out of the same
529
action. In addition to such fines, the such insurer shall make
530
restitution when due in accordance with the provisions of
531
subsection (2).
532
(5) The office may impose an administrative fine for each
533
day the insurer is not in compliance with the Florida Insurance
534
Code up to a maximum of $25,000 per violation per day, beginning
535
with the 10th day of noncompliance, not to exceed an aggregate
536
amount equal to 5 percent of the insurer's surplus, as determined
537
by the most recent financial statements filed with the office.
538
This aggregate cap includes all fines imposed by the office under
539
this section.
540
(6) In determining the amount of the fine, the office shall
541
consider:
542
(a) The degree of consumer harm caused or potentially
543
caused by the violation;
544
(b) Whether the violation constitutes an immediate danger
545
to the public;
546
(c) Whether the violation is a repeat violation or similar
547
to past violations by the insurer;
548
(d) The effect on the solvency of the insurer;
549
(e) The premium volume of the insurer; and
550
(f) The effect that fining the insurer will have on the
551
insurer's compliance with the Florida Insurance Code.
552
Section 5. Section 624.4213, Florida Statutes, is created
553
to read:
554
624.4213 Trade secret documents.--
555
(1) If any person who is required to submit documents or
556
other information to the office or department pursuant to the
557
Insurance Code or by rule or order of the office, department, or
558
commission claims that such submission contains a trade secret,
559
such person may file with the office or department a notice of
560
trade secret as provided in this section. Failure to do so
561
constitutes a waiver of any claim by such person that the
562
document or information is a trade secret.
563
(a) Each page of such document or specific portion of a
564
document claimed to be a trade secret must be clearly marked as
565
"trade secret."
566
(b) All material marked as a trade secret must be separated
567
from all non-trade secret material, such as being submitted in a
568
separate envelope clearly marked as "trade secret."
569
(c) In submitting a notice of trade secret to the office or
570
department, the submitting party must include an affidavit
571
certifying under oath to the truth of the following statements
572
concerning all documents or information that are claimed to be
573
trade secrets:
574
1. [I consider/My company considers] this information a
575
trade secret that has value and provides an advantage or an
576
opportunity to obtain an advantage over those who do not know or
577
use it.
578
2. [I have/My company has] taken measures to prevent the
579
disclosure of the information to anyone other that those who have
580
been selected to have access for limited purposes, and [I
581
intend/my company intends] to continue to take such measures.
582
3. The information is not, and has not been, reasonably
583
obtainable without [my/our] consent by other persons by use of
584
legitimate means.
585
4. The information is not publicly available elsewhere.
586
(2) If the office or department receives a public-records
587
request for a document or information that is marked and
588
certified as a trade secret, the office or department shall
589
promptly notify the person that certified the document as a trade
590
secret. The notice shall inform such person that he or she or his
591
or her company has 30 days following receipt of such notice to
592
file an action in circuit court seeking a determination whether
593
the document in question contains trade secrets and an order
594
barring public disclosure of the document. If that person or
595
company files an action within 30 days after receipt of notice of
596
the public-records request, the office or department may not
597
release the documents pending the outcome of the legal action.
598
The failure to file an action within 30 days constitutes a waiver
599
of any claim of confidentiality and the office or department
600
shall release the document as requested.
601
(3) If a court or administrative tribunal finds that any
602
document or information certified as a trade secret, submitted to
603
the office or department under this section, and subsequently
604
requested by a third party is not a trade secret, the company or
605
the person certifying such document or information as a trade
606
secret is liable for an award of reasonable attorney's fees and
607
costs to the third party seeking access to such documents and to
608
the office or department.
609
(4) The office or department may disclose a trade secret,
610
together with the claim that it is a trade secret, to an officer
611
or employee of another governmental agency whose use of the trade
612
secret is within the scope of his or her employment.
613
Section 6. Subsection (2) of section 626.9521, Florida
614
Statutes, is amended to read:
615
626.9521 Unfair methods of competition and unfair or
616
deceptive acts or practices prohibited; penalties.--
617
(2) Any person who violates any provision of this part
618
shall be subject to a fine in an amount not greater than $25,000
619
$2,500 for each nonwillful violation and not greater than
620
$100,000 $20,000 for each willful violation. Fines under this
621
subsection imposed against an insurer may not exceed an aggregate
622
amount equal to 1 percent of the insurer's surplus of $10,000 for
623
all nonwillful violations arising out of the same action or an
624
aggregate amount equal to 5 percent of the insurer's surplus of
625
$100,000 for all willful violations arising out of the same
626
action, as surplus is determined by the insurer's most recent
627
financial statements filed with the office. The fines authorized
628
by this subsection may be imposed in addition to any other
629
applicable penalty.
630
Section 7. Paragraph (i) of subsection (1) of section
631
626.9541, Florida Statutes, is amended to read:
632
626.9541 Unfair methods of competition and unfair or
633
deceptive acts or practices defined.--
634
(1) UNFAIR METHODS OF COMPETITION AND UNFAIR OR DECEPTIVE
635
ACTS.--The following are defined as unfair methods of competition
636
and unfair or deceptive acts or practices:
637
(i) Unfair claim settlement practices.--
638
1. Attempting to settle claims on the basis of an
639
application, when serving as a binder or intended to become a
640
part of the policy, or any other material document that is which
641
was altered without notice to, or knowledge or consent of, the
642
insured;
643
2. A material misrepresentation made to an insured or any
644
other person having an interest in the proceeds payable under a
645
such contract or policy, for the purpose and with the intent of
646
effecting settlement of such claims, loss, or damage under such
647
contract or policy on less favorable terms than those provided
648
in, and contemplated by, the such contract or policy; or
649
3. Committing or performing with such frequency as to
650
indicate a general business practice any of the following:
651
a. Failing to adopt and implement standards for the proper
652
investigation of claims.;
653
b. Misrepresenting pertinent facts or insurance policy
654
provisions relating to coverages at issue.;
655
c. Failing to acknowledge and act promptly upon
656
communications with respect to claims.;
657
d. Denying claims without conducting reasonable
658
investigations based upon available information.;
659
e. Failing to affirm or deny full or partial coverage of
660
claims, and, as to partial coverage, the dollar amount or extent
661
of coverage, or failing to provide a written statement that the
662
claim is being investigated, upon the written request of the
663
insured within 30 days after proof-of-loss statements have been
664
completed.;
665
f. Failing to promptly provide a reasonable explanation in
666
writing to the insured of the basis in the insurance policy, in
667
relation to the facts or applicable law, for denial of a claim or
668
for the offer of a compromise settlement.;
669
g. Failing to promptly notify the insured of any additional
670
information necessary for the processing of a claim.; or
671
h. Failing to clearly explain the nature of the requested
672
information and the reasons why such information is necessary.
673
4. Giving consideration to the age, race, income level,
674
education, credit score, or any other personal characteristic of
675
a policyholder when evaluating, adjusting, settling, or
676
attempting to settle a property insurance claim; or
677
5. Failing to pay undisputed amounts of partial or full
678
benefits owed under first-party property insurance policies
679
within 90 days after determining the amounts of partial or full
680
benefits and agreeing to coverage.
681
Section 8. Paragraphs (a), (b), and (g) of subsection (2),
682
and subsections (6) and (9) of section 627.062, Florida Statutes,
683
are amended to read:
684
627.062 Rate standards.--
685
(2) As to all such classes of insurance:
686
(a) Insurers or rating organizations shall establish and
687
use rates, rating schedules, or rating manuals to allow the
688
insurer a reasonable rate of return on such classes of insurance
689
written in this state. A copy of rates, rating schedules, rating
690
manuals, premium credits or discount schedules, and surcharge
691
schedules, and changes thereto, shall be filed with the office
692
under one of the following procedures except as provided in
693
subparagraph 3.:
694
1. If the filing is made at least 90 days before the
695
proposed effective date and the filing is not implemented during
696
the office's review of the filing and any proceeding and judicial
697
review, then such filing shall be considered a "file and use"
698
filing. In such case, the office shall finalize its review by
699
issuance of a notice of intent to approve or a notice of intent
700
to disapprove within 90 days after receipt of the filing. The
701
notice of intent to approve and the notice of intent to
702
disapprove constitute agency action for purposes of the
703
Administrative Procedure Act. Requests for supporting
704
information, requests for mathematical or mechanical corrections,
705
or notification to the insurer by the office of its preliminary
706
findings shall not toll the 90-day period during any such
707
proceedings and subsequent judicial review. The rate shall be
708
deemed approved if the office does not issue a notice of intent
709
to approve or a notice of intent to disapprove within 90 days
710
after receipt of the filing.
711
2. If the filing is not made in accordance with the
712
provisions of subparagraph 1., such filing shall be made as soon
713
as practicable, but no later than 30 days after the effective
714
date, and shall be considered a "use and file" filing. An insurer
715
making a "use and file" filing is potentially subject to an order
716
by the office to return to policyholders portions of rates found
717
to be excessive, as provided in paragraph (h).
718
3. For all property insurance filings made or submitted
719
after January 25, 2007, but before December 31, 2008, an insurer
720
seeking a rate that is greater than the rate most recently
721
approved by the office shall make a "file and use" filing. This
722
subparagraph applies to property insurance only. For purposes of
723
this subparagraph, motor vehicle collision and comprehensive
724
coverages are not considered to be property coverages.
725
(b) Upon receiving a rate filing, the office shall review
726
the rate filing to determine if a rate is excessive, inadequate,
727
or unfairly discriminatory. In making that determination, the
728
office shall, in accordance with generally accepted and
729
reasonable actuarial techniques, consider the following factors:
730
1. Past and prospective loss experience within and without
731
this state.
732
2. Past and prospective expenses.
733
3. The degree of competition among insurers for the risk
734
insured.
735
4. Investment income reasonably expected by the insurer,
736
consistent with the insurer's investment practices, from
737
investable premiums anticipated in the filing, plus any other
738
expected income from currently invested assets representing the
739
amount expected on unearned premium reserves and loss reserves.
740
The commission may adopt rules using utilizing reasonable
741
techniques of actuarial science and economics to specify the
742
manner in which insurers shall calculate investment income
743
attributable to such classes of insurance written in this state
744
and the manner in which such investment income shall be used to
745
calculate in the calculation of insurance rates. Such manner
746
shall contemplate allowances for an underwriting profit factor
747
and full consideration of investment income which produce a
748
reasonable rate of return; however, investment income from
749
invested surplus may shall not be considered.
750
5. The reasonableness of the judgment reflected in the
751
filing.
752
6. Dividends, savings, or unabsorbed premium deposits
753
allowed or returned to Florida policyholders, members, or
754
subscribers.
755
7. The adequacy of loss reserves.
756
8. The cost of reinsurance. The office shall not disapprove
757
a rate as excessive solely due to the insurer having obtained
758
catastrophic reinsurance to cover the insurer's estimated 250-
759
year probable maximum loss or any lower level of loss.
760
9. Trend factors, including trends in actual losses per
761
insured unit for the insurer making the filing.
762
10. Conflagration and catastrophe hazards, if applicable.
763
11. Projected hurricane losses, if applicable, which must
764
be estimated using a model or method found to be acceptable or
765
reliable by the Florida Commission on Hurricane Loss Projection
766
Methodology, and as further provided in s. 627.0628.
767
12.11. A reasonable margin for underwriting profit and
768
contingencies. For that portion of the rate covering the risk of
769
hurricanes and other catastrophic losses for which the insurer
770
has not purchased reinsurance and has exposed its capital and
771
surplus to such risk, the office must approve a rating factor
772
that provides the insurer a reasonable rate of return that is
773
commensurate with such risk.
774
13.12. The cost of medical services, if applicable.
775
14.13. Other relevant factors which impact upon the
776
frequency or severity of claims or upon expenses.
777
(g) The office may at any time review a rate, rating
778
schedule, rating manual, or rate change; the pertinent records of
779
the insurer; and market conditions. If the office finds on a
780
preliminary basis that a rate may be excessive, inadequate, or
781
unfairly discriminatory, the office shall initiate proceedings to
782
disapprove the rate and shall so notify the insurer. However, the
783
office may not disapprove as excessive any rate for which it has
784
given final approval or which has been deemed approved for a
785
period of 1 year after the effective date of the filing unless
786
the office finds that a material misrepresentation or material
787
error was made by the insurer or was contained in the filing, or
788
unless the insurer has nonrenewed a number or percentage of
789
policies which the office determines may result in the insurer
790
having an excessive rate. Upon being so notified, the insurer or
791
rating organization shall, within 60 days, file with the office
792
all information which, in the belief of the insurer or
793
organization, proves the reasonableness, adequacy, and fairness
794
of the rate or rate change. The office shall issue a notice of
795
intent to approve or a notice of intent to disapprove pursuant to
796
the procedures of paragraph (a) within 90 days after receipt of
797
the insurer's initial response. In such instances and in any
798
administrative proceeding relating to the legality of the rate,
799
the insurer or rating organization shall carry the burden of
800
proof by a preponderance of the evidence to show that the rate is
801
not excessive, inadequate, or unfairly discriminatory. After the
802
office notifies an insurer that a rate may be excessive,
803
inadequate, or unfairly discriminatory, unless the office
804
withdraws the notification, the insurer shall not alter the rate
805
except to conform with the office's notice until the earlier of
806
120 days after the date the notification was provided or 180 days
807
after the date of the implementation of the rate. The office may,
808
subject to chapter 120, disapprove without the 60-day
809
notification any rate increase filed by an insurer within the
810
prohibited time period or during the time that the legality of
811
the increased rate is being contested.
812
813
The provisions of this subsection shall not apply to workers'
814
compensation and employer's liability insurance and to motor
815
vehicle insurance.
816
(6)(a) If an insurer requests an administrative hearing
817
pursuant to s. 120.57 related to a rate filing under this
818
section, the director of the Division of Administrative Hearings
819
shall expedite the hearing and assign an administrative law judge
820
who shall commence the hearing within 30 days after the receipt
821
of the formal request and shall enter a recommended order within
822
30 days after the hearing or within 30 days after receipt of the
823
hearing transcript by the administrative law judge, whichever is
824
later. Each party shall be allowed 10 days in which to submit
825
written exceptions to the recommended order. The office shall
826
enter a final order within 30 days after the entry of the
827
recommended order. The provisions of this paragraph may be waived
828
upon stipulation of all parties.
829
(b) Upon entry of a final order, the insurer may request a
830
expedited appellate review pursuant to the Florida Rules of
831
Appellate Procedure. It is the intent of the Legislature that the
832
First District Court of Appeal grant an insurer's request for an
833
expedited appellate review.
834
(c) If, in any administrative hearing under s. 120.57, any
835
additional information related to a rate filing, other than
836
expert opinion, is offered or presented by the insurer to justify
837
the rate, or offered or presented by the office to challenge the
838
rate, which was not received by the other party prior to the date
839
that the office issues a notice of intent to disapprove the
840
filing, the administrative law judge shall grant a continuance of
841
at least 30 days if requested by the party that had not
842
previously received the information. After any action with
843
respect to a rate filing that constitutes agency action for
844
purposes of the Administrative Procedure Act, except for a rate
845
filing for medical malpractice, an insurer may, in lieu of
846
demanding a hearing under s. 120.57, require arbitration of the
847
rate filing. However, the arbitration option provision in this
848
subsection does not apply to a rate filing that is made on or
849
after the effective date of this act until January 1, 2009.
850
Arbitration shall be conducted by a board of arbitrators
851
consisting of an arbitrator selected by the office, an arbitrator
852
selected by the insurer, and an arbitrator selected jointly by
853
the other two arbitrators. Each arbitrator must be certified by
854
the American Arbitration Association. A decision is valid only
855
upon the affirmative vote of at least two of the arbitrators. No
856
arbitrator may be an employee of any insurance regulator or
857
regulatory body or of any insurer, regardless of whether or not
858
the employing insurer does business in this state. The office and
859
the insurer must treat the decision of the arbitrators as the
860
final approval of a rate filing. Costs of arbitration shall be
861
paid by the insurer.
862
(b) Arbitration under this subsection shall be conducted
864
party may apply to the circuit court to vacate or modify the
866
adopt rules for arbitration under this subsection, which rules
867
may not be inconsistent with the arbitration rules of the
868
American Arbitration Association as of January 1, 1996.
869
(c) Upon initiation of the arbitration process, the insurer
870
waives all rights to challenge the action of the office under the
871
Administrative Procedure Act or any other provision of law;
872
however, such rights are restored to the insurer if the
873
arbitrators fail to render a decision within 90 days after
874
initiation of the arbitration process.
875
(9)(a) Effective March 1, 2007, The chief executive officer
876
or chief financial officer of a property insurer and the chief
877
actuary of a property insurer must certify under oath and subject
878
to the penalty of perjury, on a form approved by the commission,
879
the following information, which must accompany a rate filing:
880
1. The signing officer and actuary have reviewed the rate
881
filing;
882
2. Based on the signing officer's and actuary's knowledge,
883
the rate filing does not contain any untrue statement of a
884
material fact or omit to state a material fact necessary in order
885
to make the statements made, in light of the circumstances under
886
which such statements were made, not misleading;
887
3. Based on the signing officer's and actuary's knowledge,
888
the information and other factors described in paragraph (2)(b),
889
including, but not limited to, investment income, fairly present
890
in all material respects the basis of the rate filing for the
891
periods presented in the filing; and
892
4. Based on the signing officer's and actuary's knowledge,
893
the rate filing reflects all premium savings that are reasonably
894
expected to result from legislative enactments and are in
895
accordance with generally accepted and reasonable actuarial
896
techniques;.
897
5. Based on the signing officer's and actuary's knowledge,
898
the actuary responsible for preparing the rate filing reviewed
899
the rate indications used by the office in approving the
900
insurer's last rate filing, if made available to the insurer for
901
review, and identified factors used in the current rate filing
902
which are inconsistent with the factors used by the office in
903
developing such rate indications; and
904
6. Based on the signing officer's and actuary's knowledge,
905
the number and type of policies that the insurer intends to
906
nonrenew during the year following the proposed effective date of
907
the rate filing, and that the rate filing reflects the reduced
908
risk of loss associated with such nonrenewals.
909
(b) A signing officer or actuary knowingly making a false
910
certification under this subsection commits a violation of s.
912
(c) Failure to provide such certification by the officer
913
and actuary shall result in the rate filing being disapproved
914
without prejudice to be refiled.
915
(d) The commission may adopt rules and forms pursuant to
917
Section 9. Subsection (1) of section 627.0613, Florida
918
Statutes, is amended to read:
919
627.0613 Consumer advocate.--The Chief Financial Officer
920
must appoint a consumer advocate who must represent the general
921
public of the state before the department and the office. The
922
consumer advocate must report directly to the Chief Financial
923
Officer, but is not otherwise under the authority of the
924
department or of any employee of the department. The consumer
925
advocate has such powers as are necessary to carry out the duties
926
of the office of consumer advocate, including, but not limited
927
to, the powers to:
928
(1) Recommend to the department or office, by petition, the
929
commencement of any proceeding or action; appear in any
930
proceeding or action before the department or office; or appear
931
in any proceeding before the Division of Administrative Hearings
932
or arbitration panel specified in s. 627.062(6) relating to
933
subject matter under the jurisdiction of the department or
934
office.
935
Section 10. Paragraph (c) of subsection (1) and paragraph
936
(c) of subsection (3) of section 627.0628, Florida Statutes, are
937
amended to read:
938
627.0628 Florida Commission on Hurricane Loss Projection
939
Methodology; public records exemption; public meetings
940
exemption.--
941
(1) LEGISLATIVE FINDINGS AND INTENT.--
942
(c) It is the intent of the Legislature to create the
943
Florida Commission on Hurricane Loss Projection Methodology as a
944
panel of experts to provide the most actuarially sophisticated
945
guidelines and standards for projection of hurricane losses
946
possible, given the current state of actuarial science. It is the
947
further intent of the Legislature that such standards and
948
guidelines must be used by the State Board of Administration in
949
developing reimbursement premium rates for the Florida Hurricane
950
Catastrophe Fund, and, subject to paragraph (3)(c), must may be
951
used by insurers in rate filings under s. 627.062 unless the way
952
in which such standards and guidelines were applied by the
953
insurer was erroneous, as shown by a preponderance of the
954
evidence.
955
(3) ADOPTION AND EFFECT OF STANDARDS AND GUIDELINES.--
956
(c) With respect to a rate filing under s. 627.062, an
957
insurer must may employ and may not modify or adjust actuarial
958
methods, principles, standards, models, or output ranges found by
959
the commission to be accurate or reliable in determining to
960
determine hurricane loss factors used for use in a rate filing
961
and in determining probable maximum loss levels for reinsurance
962
costs included in a rate filing under s. 627.062. Such findings
963
and factors are admissible and relevant in consideration of a
964
rate filing by the office or in any arbitration or administrative
965
or judicial review only if the office and the consumer advocate
966
appointed pursuant to s. 627.0613 have access to all of the
967
assumptions and factors that were used in developing the
968
actuarial methods, principles, standards, models, or output
969
ranges, and are not precluded from disclosing such information in
970
a rate proceeding. In any rate hearing under s. 120.57 or in any
971
arbitration proceeding under s. 627.062(6), the hearing officer,
972
judge, or arbitration panel may determine whether the office and
973
the consumer advocate were provided with access to all of the
974
assumptions and factors that were used in developing the
975
actuarial methods, principles, standards, models, or output
976
ranges and to determine their admissibility.
977
Section 11. Subsection (1) of section 627.0629, Florida
978
Statutes, is amended to read:
979
627.0629 Residential property insurance; rate filings.--
980
(1)(a) It is the intent of the Legislature that insurers
981
must provide savings to consumers who install or implement
982
windstorm damage mitigation techniques, alterations, or solutions
983
to their properties to prevent windstorm losses. A rate filing
984
for residential property insurance must include actuarially
985
reasonable discounts, credits, or other rate differentials, or
986
appropriate reductions in deductibles, for properties on which
987
fixtures or construction techniques demonstrated to reduce the
988
amount of loss in a windstorm have been installed or implemented.
989
The fixtures or construction techniques shall include, but not be
990
limited to, fixtures or construction techniques which enhance
991
roof strength, roof covering performance, roof-to-wall strength,
992
wall-to-floor-to-foundation strength, opening protection, and
993
window, door, and skylight strength. Credits, discounts, or other
994
rate differentials, or appropriate reductions in deductibles, for
995
fixtures and construction techniques which meet the minimum
996
requirements of the Florida Building Code must be included in the
997
rate filing. All insurance companies must make a rate filing
998
which includes the credits, discounts, or other rate
999
differentials or reductions in deductibles by February 28, 2003.
1000
By July 1, 2007, the office shall reevaluate the discounts,
1001
credits, other rate differentials, and appropriate reductions in
1002
deductibles for fixtures and construction techniques that meet
1003
the minimum requirements of the Florida Building Code, based upon
1004
actual experience or any other loss relativity studies available
1005
to the office. The office shall determine the discounts, credits,
1006
other rate differentials, and appropriate reductions in
1007
deductibles that reflect the full actuarial value of such
1008
revaluation, which may be used by insurers in rate filings.
1009
(b) By February 1, 2009, the Office of Insurance
1010
Regulation, in consultation with the Department of Financial
1011
Services and the Department of Community Affairs, shall develop
1012
and make publicly available a proposed method for insurers to
1013
establish discounts, credits, or other rate differentials for
1014
hurricane mitigation measures which directly correlate to the
1015
numerical rating assigned to a structure pursuant to the uniform
1016
home grading scale adopted by the Financial Services Commission
1017
pursuant to s. 215.55865, including any proposed changes to the
1018
uniform home grading scale. By October 1, 2009, the commission
1019
shall adopt rules requiring insurers to make rate filings for
1020
residential property insurance which revise insurers' discounts,
1021
credits, or other rate differentials for hurricane mitigation
1022
measures so that such rate differentials correlate directly to
1023
the uniform home grading scale. The rules may include such
1024
changes to the uniform home grading scale as the commission
1025
determines are necessary, and may specify the minimum required
1026
discounts, credits, or other rate differentials. Such rate
1027
differentials must be consistent with generally accepted
1028
actuarial principles and wind-loss mitigation studies. The rules
1029
shall allow a period of at least 2 years after the effective date
1030
of the revised mitigation discounts, credits, or other rate
1031
differentials for a property owner to obtain an inspection or
1032
otherwise qualify for the revised credit, during which time the
1033
insurer shall continue to apply the mitigation credit that was
1034
applied immediately prior to the effective date of the revised
1035
credit.
1036
Section 12. Paragraph (b) of subsection (2) and paragraphs
1037
(a), (b), (c), (m), (p), (dd), (ee), and (ff) of subsection (6)
1038
of section 627.351, Florida Statutes, are amended to read:
1039
627.351 Insurance risk apportionment plans.--
1040
(2) WINDSTORM INSURANCE RISK APPORTIONMENT.--
1041
(b) The department shall require all insurers holding a
1042
certificate of authority to transact property insurance on a
1043
direct basis in this state, other than joint underwriting
1044
associations and other entities formed pursuant to this section,
1045
to provide windstorm coverage to applicants from areas determined
1046
to be eligible pursuant to paragraph (c) who in good faith are
1047
entitled to, but are unable to procure, such coverage through
1048
ordinary means; or it shall adopt a reasonable plan or plans for
1049
the equitable apportionment or sharing among such insurers of
1050
windstorm coverage, which may include formation of an association
1051
for this purpose. As used in this subsection, the term "property
1052
insurance" means insurance on real or personal property, as
1053
defined in s. 624.604, including insurance for fire, industrial
1054
fire, allied lines, farmowners multiperil, homeowners'
1055
multiperil, commercial multiperil, and mobile homes, and
1056
including liability coverages on all such insurance, but
1057
excluding inland marine as defined in s. 624.607(3) and excluding
1058
vehicle insurance as defined in s. 624.605(1)(a) other than
1059
insurance on mobile homes used as permanent dwellings. The
1060
department shall adopt rules that provide a formula for the
1061
recovery and repayment of any deferred assessments.
1062
1. For the purpose of this section, properties eligible for
1063
such windstorm coverage are defined as dwellings, buildings, and
1064
other structures, including mobile homes which are used as
1065
dwellings and which are tied down in compliance with mobile home
1066
tie-down requirements prescribed by the Department of Highway
1067
Safety and Motor Vehicles pursuant to s. 320.8325, and the
1068
contents of all such properties. An applicant or policyholder is
1069
eligible for coverage only if an offer of coverage cannot be
1070
obtained by or for the applicant or policyholder from an admitted
1071
insurer at approved rates.
1072
2.a.(I) All insurers required to be members of such
1073
association shall participate in its writings, expenses, and
1074
losses. Surplus of the association shall be retained for the
1075
payment of claims and shall not be distributed to the member
1076
insurers. Such participation by member insurers shall be in the
1077
proportion that the net direct premiums of each member insurer
1078
written for property insurance in this state during the preceding
1079
calendar year bear to the aggregate net direct premiums for
1080
property insurance of all member insurers, as reduced by any
1081
credits for voluntary writings, in this state during the
1082
preceding calendar year. For the purposes of this subsection, the
1083
term "net direct premiums" means direct written premiums for
1084
property insurance, reduced by premium for liability coverage and
1085
for the following if included in allied lines: rain and hail on
1086
growing crops; livestock; association direct premiums booked;
1087
National Flood Insurance Program direct premiums; and similar
1088
deductions specifically authorized by the plan of operation and
1089
approved by the department. A member's participation shall begin
1090
on the first day of the calendar year following the year in which
1091
it is issued a certificate of authority to transact property
1092
insurance in the state and shall terminate 1 year after the end
1093
of the calendar year during which it no longer holds a
1094
certificate of authority to transact property insurance in the
1095
state. The commissioner, after review of annual statements, other
1096
reports, and any other statistics that the commissioner deems
1097
necessary, shall certify to the association the aggregate direct
1098
premiums written for property insurance in this state by all
1099
member insurers.
1100
(II) Effective July 1, 2002, the association shall operate
1101
subject to the supervision and approval of a board of governors
1102
who are the same individuals that have been appointed by the
1103
Treasurer to serve on the board of governors of the Citizens
1104
Property Insurance Corporation.
1105
(III) The plan of operation shall provide a formula whereby
1106
a company voluntarily providing windstorm coverage in affected
1107
areas will be relieved wholly or partially from apportionment of
1108
a regular assessment pursuant to sub-sub-subparagraph d.(I) or
1109
sub-sub-subparagraph d.(II).
1110
(IV) A company which is a member of a group of companies
1111
under common management may elect to have its credits applied on
1112
a group basis, and any company or group may elect to have its
1113
credits applied to any other company or group.
1114
(V) There shall be no credits or relief from apportionment
1115
to a company for emergency assessments collected from its
1116
policyholders under sub-sub-subparagraph d.(III).
1117
(VI) The plan of operation may also provide for the award
1118
of credits, for a period not to exceed 3 years, from a regular
1119
assessment pursuant to sub-sub-subparagraph d.(I) or sub-sub-
1120
subparagraph d.(II) as an incentive for taking policies out of
1121
the Residential Property and Casualty Joint Underwriting
1122
Association. In order to qualify for the exemption under this
1123
sub-sub-subparagraph, the take-out plan must provide that at
1124
least 40 percent of the policies removed from the Residential
1125
Property and Casualty Joint Underwriting Association cover risks
1126
located in Dade, Broward, and Palm Beach Counties or at least 30
1127
percent of the policies so removed cover risks located in Dade,
1128
Broward, and Palm Beach Counties and an additional 50 percent of
1129
the policies so removed cover risks located in other coastal
1130
counties, and must also provide that no more than 15 percent of
1131
the policies so removed may exclude windstorm coverage. With the
1132
approval of the department, the association may waive these
1133
geographic criteria for a take-out plan that removes at least the
1134
lesser of 100,000 Residential Property and Casualty Joint
1135
Underwriting Association policies or 15 percent of the total
1136
number of Residential Property and Casualty Joint Underwriting
1137
Association policies, provided the governing board of the
1138
Residential Property and Casualty Joint Underwriting Association
1139
certifies that the take-out plan will materially reduce the
1140
Residential Property and Casualty Joint Underwriting
1141
Association's 100-year probable maximum loss from hurricanes.
1142
With the approval of the department, the board may extend such
1143
credits for an additional year if the insurer guarantees an
1144
additional year of renewability for all policies removed from the
1145
Residential Property and Casualty Joint Underwriting Association,
1146
or for 2 additional years if the insurer guarantees 2 additional
1147
years of renewability for all policies removed from the
1148
Residential Property and Casualty Joint Underwriting Association.
1149
b. Assessments to pay deficits in the association under
1150
this subparagraph shall be included as an appropriate factor in
1151
the making of rates as provided in s. 627.3512.
1152
c. The Legislature finds that the potential for unlimited
1153
deficit assessments under this subparagraph may induce insurers
1154
to attempt to reduce their writings in the voluntary market, and
1155
that such actions would worsen the availability problems that the
1156
association was created to remedy. It is the intent of the
1157
Legislature that insurers remain fully responsible for paying
1158
regular assessments and collecting emergency assessments for any
1159
deficits of the association; however, it is also the intent of
1160
the Legislature to provide a means by which assessment
1161
liabilities may be amortized over a period of years.
1162
d.(I) When the deficit incurred in a particular calendar
1163
year is 10 percent or less of the aggregate statewide direct
1164
written premium for property insurance for the prior calendar
1165
year for all member insurers, the association shall levy an
1166
assessment on member insurers in an amount equal to the deficit.
1167
(II) When the deficit incurred in a particular calendar
1168
year exceeds 10 percent of the aggregate statewide direct written
1169
premium for property insurance for the prior calendar year for
1170
all member insurers, the association shall levy an assessment on
1171
member insurers in an amount equal to the greater of 10 percent
1172
of the deficit or 10 percent of the aggregate statewide direct
1173
written premium for property insurance for the prior calendar
1174
year for member insurers. Any remaining deficit shall be
1175
recovered through emergency assessments under sub-sub-
1176
subparagraph (III).
1177
(III) Upon a determination by the board of directors that a
1178
deficit exceeds the amount that will be recovered through regular
1179
assessments on member insurers, pursuant to sub-sub-subparagraph
1180
(I) or sub-sub-subparagraph (II), the board shall levy, after
1181
verification by the department, emergency assessments to be
1182
collected by member insurers and by underwriting associations
1183
created pursuant to this section which write property insurance,
1184
upon issuance or renewal of property insurance policies other
1185
than National Flood Insurance policies in the year or years
1186
following levy of the regular assessments. The amount of the
1187
emergency assessment collected in a particular year shall be a
1188
uniform percentage of that year's direct written premium for
1189
property insurance for all member insurers and underwriting
1190
associations, excluding National Flood Insurance policy premiums,
1191
as annually determined by the board and verified by the
1192
department. The department shall verify the arithmetic
1193
calculations involved in the board's determination within 30 days
1194
after receipt of the information on which the determination was
1195
based. Notwithstanding any other provision of law, each member
1196
insurer and each underwriting association created pursuant to
1197
this section shall collect emergency assessments from its
1198
policyholders without such obligation being affected by any
1199
credit, limitation, exemption, or deferment. The emergency
1200
assessments so collected shall be transferred directly to the
1201
association on a periodic basis as determined by the association.
1202
The aggregate amount of emergency assessments levied under this
1203
sub-sub-subparagraph in any calendar year may not exceed the
1204
greater of 10 percent of the amount needed to cover the original
1205
deficit, plus interest, fees, commissions, required reserves, and
1206
other costs associated with financing of the original deficit, or
1207
10 percent of the aggregate statewide direct written premium for
1208
property insurance written by member insurers and underwriting
1209
associations for the prior year, plus interest, fees,
1210
commissions, required reserves, and other costs associated with
1211
financing the original deficit. The board may pledge the proceeds
1212
of the emergency assessments under this sub-sub-subparagraph as
1213
the source of revenue for bonds, to retire any other debt
1214
incurred as a result of the deficit or events giving rise to the
1215
deficit, or in any other way that the board determines will
1216
efficiently recover the deficit. The emergency assessments under
1217
this sub-sub-subparagraph shall continue as long as any bonds
1218
issued or other indebtedness incurred with respect to a deficit
1219
for which the assessment was imposed remain outstanding, unless
1220
adequate provision has been made for the payment of such bonds or
1221
other indebtedness pursuant to the document governing such bonds
1222
or other indebtedness. Emergency assessments collected under this
1223
sub-sub-subparagraph are not part of an insurer's rates, are not
1224
premium, and are not subject to premium tax, fees, or
1225
commissions; however, failure to pay the emergency assessment
1226
shall be treated as failure to pay premium.
1227
(IV) Each member insurer's share of the total regular
1228
assessments under sub-sub-subparagraph (I) or sub-sub-
1229
subparagraph (II) shall be in the proportion that the insurer's
1230
net direct premium for property insurance in this state, for the
1231
year preceding the assessment bears to the aggregate statewide
1232
net direct premium for property insurance of all member insurers,
1233
as reduced by any credits for voluntary writings for that year.
1234
(V) If regular deficit assessments are made under sub-sub-
1235
subparagraph (I) or sub-sub-subparagraph (II), or by the
1236
Residential Property and Casualty Joint Underwriting Association
1237
under sub-subparagraph (6)(b)3.a. or sub-subparagraph (6)(b)3.b.,
1238
the association shall levy upon the association's policyholders,
1239
as part of its next rate filing, or by a separate rate filing
1240
solely for this purpose, a market equalization surcharge in a
1241
percentage equal to the total amount of such regular assessments
1242
divided by the aggregate statewide direct written premium for
1243
property insurance for member insurers for the prior calendar
1244
year. Market equalization surcharges under this sub-sub-
1245
subparagraph are not considered premium and are not subject to
1246
commissions, fees, or premium taxes; however, failure to pay a
1247
market equalization surcharge shall be treated as failure to pay
1248
premium.
1249
e. The governing body of any unit of local government, any
1250
residents of which are insured under the plan, may issue bonds as
1252
program, in conjunction with the association, for the purpose of
1253
defraying deficits of the association. In order to avoid needless
1254
and indiscriminate proliferation, duplication, and fragmentation
1255
of such assistance programs, any unit of local government, any
1256
residents of which are insured by the association, may provide
1257
for the payment of losses, regardless of whether or not the
1258
losses occurred within or outside of the territorial jurisdiction
1259
of the local government. Revenue bonds may not be issued until
1260
validated pursuant to chapter 75, unless a state of emergency is
1261
declared by executive order or proclamation of the Governor
1262
pursuant to s. 252.36 making such findings as are necessary to
1263
determine that it is in the best interests of, and necessary for,
1264
the protection of the public health, safety, and general welfare
1265
of residents of this state and the protection and preservation of
1266
the economic stability of insurers operating in this state, and
1267
declaring it an essential public purpose to permit certain
1268
municipalities or counties to issue bonds as will provide relief
1269
to claimants and policyholders of the association and insurers
1270
responsible for apportionment of plan losses. Any such unit of
1271
local government may enter into such contracts with the
1272
association and with any other entity created pursuant to this
1273
subsection as are necessary to carry out this paragraph. Any
1274
bonds issued under this sub-subparagraph shall be payable from
1275
and secured by moneys received by the association from
1276
assessments under this subparagraph, and assigned and pledged to
1277
or on behalf of the unit of local government for the benefit of
1278
the holders of such bonds. The funds, credit, property, and
1279
taxing power of the state or of the unit of local government
1280
shall not be pledged for the payment of such bonds. If any of the
1281
bonds remain unsold 60 days after issuance, the department shall
1282
require all insurers subject to assessment to purchase the bonds,
1283
which shall be treated as admitted assets; each insurer shall be
1284
required to purchase that percentage of the unsold portion of the
1285
bond issue that equals the insurer's relative share of assessment
1286
liability under this subsection. An insurer shall not be required
1287
to purchase the bonds to the extent that the department
1288
determines that the purchase would endanger or impair the
1289
solvency of the insurer. The authority granted by this sub-
1290
subparagraph is additional to any bonding authority granted by
1291
subparagraph 6.
1292
3. The plan shall also provide that any member with a
1293
surplus as to policyholders of $20 million or less writing 25
1294
percent or more of its total countrywide property insurance
1295
premiums in this state may petition the department, within the
1296
first 90 days of each calendar year, to qualify as a limited
1297
apportionment company. The apportionment of such a member company
1298
in any calendar year for which it is qualified shall not exceed
1299
its gross participation, which shall not be affected by the
1300
formula for voluntary writings. In no event shall a limited
1301
apportionment company be required to participate in any
1302
apportionment of losses pursuant to sub-sub-subparagraph 2.d.(I)
1303
or sub-sub-subparagraph 2.d.(II) in the aggregate which exceeds
1304
$50 million after payment of available plan funds in any calendar
1305
year. However, a limited apportionment company shall collect from
1306
its policyholders any emergency assessment imposed under sub-sub-
1307
subparagraph 2.d.(III). The plan shall provide that, if the
1308
department determines that any regular assessment will result in
1309
an impairment of the surplus of a limited apportionment company,
1310
the department may direct that all or part of such assessment be
1311
deferred. However, there shall be no limitation or deferment of
1312
an emergency assessment to be collected from policyholders under
1313
sub-sub-subparagraph 2.d.(III).
1314
4. The plan shall provide for the deferment, in whole or in
1315
part, of a regular assessment of a member insurer under sub-sub-
1316
subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II), but not
1317
for an emergency assessment collected from policyholders under
1318
sub-sub-subparagraph 2.d.(III), if, in the opinion of the
1319
commissioner, payment of such regular assessment would endanger
1320
or impair the solvency of the member insurer. In the event a
1321
regular assessment against a member insurer is deferred in whole
1322
or in part, the amount by which such assessment is deferred may
1323
be assessed against the other member insurers in a manner
1324
consistent with the basis for assessments set forth in sub-sub-
1325
subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II).
1326
5.a. The plan of operation may include deductibles and
1327
rules for classification of risks and rate modifications
1328
consistent with the objective of providing and maintaining funds
1329
sufficient to pay catastrophe losses.
1330
b. The association may require arbitration of a rate filing
1331
under s. 627.062(6). It is the intent of the Legislature that the
1332
rates for coverage provided by the association be actuarially
1333
sound and not competitive with approved rates charged in the
1334
admitted voluntary market such that the association functions as
1335
a residual market mechanism to provide insurance only when the
1336
insurance cannot be procured in the voluntary market. The plan of
1337
operation shall provide a mechanism to assure that, beginning no
1338
later than January 1, 1999, the rates charged by the association
1339
for each line of business are reflective of approved rates in the
1340
voluntary market for hurricane coverage for each line of business
1341
in the various areas eligible for association coverage.
1342
c. The association shall provide for windstorm coverage on
1343
residential properties in limits up to $10 million for commercial
1344
lines residential risks and up to $1 million for personal lines
1345
residential risks. If coverage with the association is sought for
1346
a residential risk valued in excess of these limits, coverage
1347
shall be available to the risk up to the replacement cost or
1348
actual cash value of the property, at the option of the insured,
1349
if coverage for the risk cannot be located in the authorized
1350
market. The association must accept a commercial lines
1351
residential risk with limits above $10 million or a personal
1352
lines residential risk with limits above $1 million if coverage
1353
is not available in the authorized market. The association may
1354
write coverage above the limits specified in this subparagraph
1355
with or without facultative or other reinsurance coverage, as the
1356
association determines appropriate.
1357
d. The plan of operation must provide objective criteria
1358
and procedures, approved by the department, to be uniformly
1359
applied for all applicants in determining whether an individual
1360
risk is so hazardous as to be uninsurable. In making this
1361
determination and in establishing the criteria and procedures,
1362
the following shall be considered:
1363
(I) Whether the likelihood of a loss for the individual
1364
risk is substantially higher than for other risks of the same
1365
class; and
1366
(II) Whether the uncertainty associated with the individual
1367
risk is such that an appropriate premium cannot be determined.
1368
1369
The acceptance or rejection of a risk by the association pursuant
1370
to such criteria and procedures must be construed as the private
1371
placement of insurance, and the provisions of chapter 120 do not
1372
apply.
1373
e. If the risk accepts an offer of coverage through the
1374
market assistance program or through a mechanism established by
1375
the association, either before the policy is issued by the
1376
association or during the first 30 days of coverage by the
1377
association, and the producing agent who submitted the
1378
application to the association is not currently appointed by the
1379
insurer, the insurer shall:
1380
(I) Pay to the producing agent of record of the policy, for
1381
the first year, an amount that is the greater of the insurer's
1382
usual and customary commission for the type of policy written or
1383
a fee equal to the usual and customary commission of the
1384
association; or
1385
(II) Offer to allow the producing agent of record of the
1386
policy to continue servicing the policy for a period of not less
1387
than 1 year and offer to pay the agent the greater of the
1388
insurer's or the association's usual and customary commission for
1389
the type of policy written.
1390
1391
If the producing agent is unwilling or unable to accept
1392
appointment, the new insurer shall pay the agent in accordance
1393
with sub-sub-subparagraph (I). Subject to the provisions of s.
1394
627.3517, the policies issued by the association must provide
1395
that if the association obtains an offer from an authorized
1396
insurer to cover the risk at its approved rates under either a
1397
standard policy including wind coverage or, if consistent with
1398
the insurer's underwriting rules as filed with the department, a
1399
basic policy including wind coverage, the risk is no longer
1400
eligible for coverage through the association. Upon termination
1401
of eligibility, the association shall provide written notice to
1402
the policyholder and agent of record stating that the association
1403
policy must be canceled as of 60 days after the date of the
1404
notice because of the offer of coverage from an authorized
1405
insurer. Other provisions of the insurance code relating to
1406
cancellation and notice of cancellation do not apply to actions
1407
under this sub-subparagraph.
1408
f. When the association enters into a contractual agreement
1409
for a take-out plan, the producing agent of record of the
1410
association policy is entitled to retain any unearned commission
1411
on the policy, and the insurer shall:
1412
(I) Pay to the producing agent of record of the association
1413
policy, for the first year, an amount that is the greater of the
1414
insurer's usual and customary commission for the type of policy
1415
written or a fee equal to the usual and customary commission of
1416
the association; or
1417
(II) Offer to allow the producing agent of record of the
1418
association policy to continue servicing the policy for a period
1419
of not less than 1 year and offer to pay the agent the greater of
1420
the insurer's or the association's usual and customary commission
1421
for the type of policy written.
1422
1423
If the producing agent is unwilling or unable to accept
1424
appointment, the new insurer shall pay the agent in accordance
1425
with sub-sub-subparagraph (I).
1426
6.a. The plan of operation may authorize the formation of a
1427
private nonprofit corporation, a private nonprofit unincorporated
1428
association, a partnership, a trust, a limited liability company,
1429
or a nonprofit mutual company which may be empowered, among other
1430
things, to borrow money by issuing bonds or by incurring other
1431
indebtedness and to accumulate reserves or funds to be used for
1432
the payment of insured catastrophe losses. The plan may authorize
1433
all actions necessary to facilitate the issuance of bonds,
1434
including the pledging of assessments or other revenues.
1435
b. Any entity created under this subsection, or any entity
1436
formed for the purposes of this subsection, may sue and be sued,
1437
may borrow money; issue bonds, notes, or debt instruments; pledge
1438
or sell assessments, market equalization surcharges and other
1439
surcharges, rights, premiums, contractual rights, projected
1440
recoveries from the Florida Hurricane Catastrophe Fund, other
1441
reinsurance recoverables, and other assets as security for such
1442
bonds, notes, or debt instruments; enter into any contracts or
1443
agreements necessary or proper to accomplish such borrowings; and
1444
take other actions necessary to carry out the purposes of this
1445
subsection. The association may issue bonds or incur other
1446
indebtedness, or have bonds issued on its behalf by a unit of
1447
local government pursuant to subparagraph (6)(p)2., in the
1448
absence of a hurricane or other weather-related event, upon a
1449
determination by the association subject to approval by the
1450
department that such action would enable it to efficiently meet
1451
the financial obligations of the association and that such
1452
financings are reasonably necessary to effectuate the
1453
requirements of this subsection. Any such entity may accumulate
1454
reserves and retain surpluses as of the end of any association
1455
year to provide for the payment of losses incurred by the
1456
association during that year or any future year. The association
1457
shall incorporate and continue the plan of operation and articles
1458
of agreement in effect on the effective date of chapter 76-96,
1459
Laws of Florida, to the extent that it is not inconsistent with
1460
chapter 76-96, and as subsequently modified consistent with
1461
chapter 76-96. The board of directors and officers currently
1462
serving shall continue to serve until their successors are duly
1463
qualified as provided under the plan. The assets and obligations
1464
of the plan in effect immediately prior to the effective date of
1465
chapter 76-96 shall be construed to be the assets and obligations
1466
of the successor plan created herein.
1467
c. In recognition of s. 10, Art. I of the State
1468
Constitution, prohibiting the impairment of obligations of
1469
contracts, it is the intent of the Legislature that no action be
1470
taken whose purpose is to impair any bond indenture or financing
1471
agreement or any revenue source committed by contract to such
1472
bond or other indebtedness issued or incurred by the association
1473
or any other entity created under this subsection.
1474
7. On such coverage, an agent's remuneration shall be that
1475
amount of money payable to the agent by the terms of his or her
1476
contract with the company with which the business is placed.
1477
However, no commission will be paid on that portion of the
1478
premium which is in excess of the standard premium of that
1479
company.
1480
8. Subject to approval by the department, the association
1481
may establish different eligibility requirements and operational
1482
procedures for any line or type of coverage for any specified
1483
eligible area or portion of an eligible area if the board
1484
determines that such changes to the eligibility requirements and
1485
operational procedures are justified due to the voluntary market
1486
being sufficiently stable and competitive in such area or for
1487
such line or type of coverage and that consumers who, in good
1488
faith, are unable to obtain insurance through the voluntary
1489
market through ordinary methods would continue to have access to
1490
coverage from the association. When coverage is sought in
1491
connection with a real property transfer, such requirements and
1492
procedures shall not provide for an effective date of coverage
1493
later than the date of the closing of the transfer as established
1494
by the transferor, the transferee, and, if applicable, the
1495
lender.
1496
9. Notwithstanding any other provision of law:
1497
a. The pledge or sale of, the lien upon, and the security
1498
interest in any rights, revenues, or other assets of the
1499
association created or purported to be created pursuant to any
1500
financing documents to secure any bonds or other indebtedness of
1501
the association shall be and remain valid and enforceable,
1502
notwithstanding the commencement of and during the continuation
1503
of, and after, any rehabilitation, insolvency, liquidation,
1504
bankruptcy, receivership, conservatorship, reorganization, or
1505
similar proceeding against the association under the laws of this
1506
state or any other applicable laws.
1507
b. No such proceeding shall relieve the association of its
1508
obligation, or otherwise affect its ability to perform its
1509
obligation, to continue to collect, or levy and collect,
1510
assessments, market equalization or other surcharges, projected
1511
recoveries from the Florida Hurricane Catastrophe Fund,
1512
reinsurance recoverables, or any other rights, revenues, or other
1513
assets of the association pledged.
1514
c. Each such pledge or sale of, lien upon, and security
1515
interest in, including the priority of such pledge, lien, or
1516
security interest, any such assessments, emergency assessments,
1517
market equalization or renewal surcharges, projected recoveries
1518
from the Florida Hurricane Catastrophe Fund, reinsurance
1519
recoverables, or other rights, revenues, or other assets which
1520
are collected, or levied and collected, after the commencement of
1521
and during the pendency of or after any such proceeding shall
1522
continue unaffected by such proceeding.
1523
d. As used in this subsection, the term "financing
1524
documents" means any agreement, instrument, or other document now
1525
existing or hereafter created evidencing any bonds or other
1526
indebtedness of the association or pursuant to which any such
1527
bonds or other indebtedness has been or may be issued and
1528
pursuant to which any rights, revenues, or other assets of the
1529
association are pledged or sold to secure the repayment of such
1530
bonds or indebtedness, together with the payment of interest on
1531
such bonds or such indebtedness, or the payment of any other
1532
obligation of the association related to such bonds or
1533
indebtedness.
1534
e. Any such pledge or sale of assessments, revenues,
1535
contract rights or other rights or assets of the association
1536
shall constitute a lien and security interest, or sale, as the
1537
case may be, that is immediately effective and attaches to such
1538
assessments, revenues, contract, or other rights or assets,
1539
whether or not imposed or collected at the time the pledge or
1540
sale is made. Any such pledge or sale is effective, valid,
1541
binding, and enforceable against the association or other entity
1542
making such pledge or sale, and valid and binding against and
1543
superior to any competing claims or obligations owed to any other
1544
person or entity, including policyholders in this state,
1545
asserting rights in any such assessments, revenues, contract, or
1546
other rights or assets to the extent set forth in and in
1547
accordance with the terms of the pledge or sale contained in the
1548
applicable financing documents, whether or not any such person or
1549
entity has notice of such pledge or sale and without the need for
1550
any physical delivery, recordation, filing, or other action.
1551
f. There shall be no liability on the part of, and no cause
1552
of action of any nature shall arise against, any member insurer
1553
or its agents or employees, agents or employees of the
1554
association, members of the board of directors of the
1555
association, or the department or its representatives, for any
1556
action taken by them in the performance of their duties or
1557
responsibilities under this subsection. Such immunity does not
1558
apply to actions for breach of any contract or agreement
1559
pertaining to insurance, or any willful tort.
1560
(6) CITIZENS PROPERTY INSURANCE CORPORATION.--
1561
(a)1. It is the public purpose of this subsection to ensure
1562
the existence of an orderly market for property insurance for
1563
Floridians and Florida businesses. The Legislature finds that
1564
private insurers are unwilling or unable to provide affordable
1565
property insurance coverage in this state to the extent sought
1566
and needed. The absence of affordable property insurance
1567
threatens the public health, safety, and welfare and likewise
1568
threatens the economic health of the state. The state therefore
1569
has a compelling public interest and a public purpose to assist
1570
in assuring that property in the state is insured and that it is
1571
insured at affordable rates so as to facilitate the remediation,
1572
reconstruction, and replacement of damaged or destroyed property
1573
in order to reduce or avoid the negative effects otherwise
1574
resulting to the public health, safety, and welfare, to the
1575
economy of the state, and to the revenues of the state and local
1576
governments which are needed to provide for the public welfare.
1577
It is necessary, therefore, to provide affordable property
1578
insurance to applicants who are in good faith entitled to procure
1579
insurance through the voluntary market but are unable to do so.
1580
The Legislature intends by this subsection that affordable
1581
property insurance be provided and that it continue to be
1582
provided, as long as necessary, through Citizens Property
1583
Insurance Corporation, a government entity that is an integral
1584
part of the state, and that is not a private insurance company.
1585
To that end, Citizens Property Insurance Corporation shall strive
1586
to increase the availability of affordable property insurance in
1587
this state, while achieving efficiencies and economies, and while
1588
providing service to policyholders, applicants, and agents which
1589
is no less than the quality generally provided in the voluntary
1590
market, for the achievement of the foregoing public purposes.
1591
Because it is essential for this government entity to have the
1592
maximum financial resources to pay claims following a
1593
catastrophic hurricane, it is the intent of the Legislature that
1594
Citizens Property Insurance Corporation continue to be an
1595
integral part of the state and that the income of the corporation
1596
be exempt from federal income taxation and that interest on the
1597
debt obligations issued by the corporation be exempt from federal
1598
income taxation.
1599
2. The Residential Property and Casualty Joint Underwriting
1600
Association originally created by this statute shall be known, as
1601
of July 1, 2002, as the Citizens Property Insurance Corporation.
1602
The corporation shall provide insurance for residential and
1603
commercial property, for applicants who are in good faith
1604
entitled, but are unable, to procure insurance through the
1605
voluntary market. The corporation shall operate pursuant to a
1606
plan of operation approved by order of the Financial Services
1607
Commission. The plan is subject to continuous review by the
1608
commission. The commission may, by order, withdraw approval of
1609
all or part of a plan if the commission determines that
1610
conditions have changed since approval was granted and that the
1611
purposes of the plan require changes in the plan. The corporation
1612
shall continue to operate pursuant to the plan of operation
1613
approved by the Office of Insurance Regulation until October 1,
1614
2006. For the purposes of this subsection, residential coverage
1615
includes both personal lines residential coverage, which consists
1616
of the type of coverage provided by homeowner's, mobile home
1617
owner's, dwelling, tenant's, condominium unit owner's, and
1618
similar policies, and commercial lines residential coverage,
1619
which consists of the type of coverage provided by condominium
1620
association, apartment building, and similar policies.
1621
3. For the purposes of this subsection, the term "homestead
1622
property" means:
1623
a. Property that has been granted a homestead exemption
1624
under chapter 196;
1625
b. Property for which the owner has a current, written
1626
lease with a renter for a term of at least 7 months and for which
1627
the dwelling is insured by the corporation for $200,000 or less;
1628
c. An owner-occupied mobile home or manufactured home, as
1629
defined in s. 320.01, which is permanently affixed to real
1630
property, is owned by a Florida resident, and has been granted a
1631
homestead exemption under chapter 196 or, if the owner does not
1632
own the real property, the owner certifies that the mobile home
1633
or manufactured home is his or her principal place of residence;
1634
d. Tenant's coverage;
1635
e. Commercial lines residential property; or
1636
f. Any county, district, or municipal hospital; a hospital
1637
licensed by any not-for-profit corporation qualified under s.
1638
501(c)(3) of the United States Internal Revenue Code; or a
1639
continuing care retirement community that is certified under
1640
chapter 651 and that receives an exemption from ad valorem taxes
1641
under chapter 196.
1642
4. For the purposes of this subsection, the term
1643
"nonhomestead property" means property that is not homestead
1644
property.
1645
5. Effective January 1, 2009, a personal lines residential
1646
structure that has a dwelling replacement cost of $1 million or
1647
more, or a single condominium unit that has a combined dwelling
1648
and content replacement cost of $1 million or more is not
1649
eligible for coverage by the corporation. Such dwellings insured
1650
by the corporation on December 31, 2008, may continue to be
1651
covered by the corporation until the end of the policy term.
1652
However, such dwellings that are insured by the corporation and
1653
become ineligible for coverage due to the provisions of this
1654
subparagraph may reapply and obtain coverage in the high-risk
1655
account and be considered "nonhomestead property" if the property
1656
owner provides the corporation with a sworn affidavit from one or
1657
more insurance agents, on a form provided by the corporation,
1658
stating that the agents have made their best efforts to obtain
1659
coverage and that the property has been rejected for coverage by
1660
at least one authorized insurer and at least three surplus lines
1661
insurers. If such conditions are met, the dwelling may be insured
1662
by the corporation for up to 3 years, after which time the
1663
dwelling is ineligible for coverage. The office shall approve the
1664
method used by the corporation for valuing the dwelling
1665
replacement cost for the purposes of this subparagraph. If a
1666
policyholder is insured by the corporation prior to being
1667
determined to be ineligible pursuant to this subparagraph and
1668
such policyholder files a lawsuit challenging the determination,
1669
the policyholder may remain insured by the corporation until the
1670
conclusion of the litigation.
1671
3.6. For properties constructed on or after January 1,
1672
2009, the corporation may not insure any property located within
1673
2,500 feet landward of the coastal construction control line
1674
created pursuant to s. 161.053 unless the property meets the
1675
requirements of the code-plus building standards developed by the
1676
Florida Building Commission.
1677
4.7. It is the intent of the Legislature that
1678
policyholders, applicants, and agents of the corporation receive
1679
service and treatment of the highest possible level but never
1680
less than that generally provided in the voluntary market. It
1681
also is intended that the corporation be held to service
1682
standards no less than those applied to insurers in the voluntary
1683
market by the office with respect to responsiveness, timeliness,
1684
customer courtesy, and overall dealings with policyholders,
1685
applicants, or agents of the corporation.
1686
5.8. Effective January 1, 2009, a personal lines
1687
residential structure that is located in the "wind-borne debris
1688
region," as defined in s. 1609.2, International Building Code
1689
(2006), and that has an insured value on the structure of
1690
$750,000 or more is not eligible for coverage by the corporation
1691
unless the structure has opening protections as required under
1692
the Florida Building Code for a newly constructed residential
1693
structure in that area. A residential structure shall be deemed
1694
to comply with the requirements of this subparagraph if it has
1695
shutters or opening protections on all openings and if such
1696
opening protections complied with the Florida Building Code at
1697
the time they were installed. Effective January 1, 2011, the
1698
requirements of this subparagraph apply to a personal lines
1699
residential structure that is located in the wind-borne debris
1700
region and that has an insured value on the structure of $500,000
1701
or more.
1702
(b)1. All insurers authorized to write one or more subject
1703
lines of business in this state are subject to assessment by the
1704
corporation and, for the purposes of this subsection, are
1705
referred to collectively as "assessable insurers." Insurers
1706
writing one or more subject lines of business in this state
1707
pursuant to part VIII of chapter 626 are not assessable insurers,
1708
but insureds who procure one or more subject lines of business in
1709
this state pursuant to part VIII of chapter 626 are subject to
1710
assessment by the corporation and are referred to collectively as
1711
"assessable insureds." An authorized insurer's assessment
1712
liability shall begin on the first day of the calendar year
1713
following the year in which the insurer was issued a certificate
1714
of authority to transact insurance for subject lines of business
1715
in this state and shall terminate 1 year after the end of the
1716
first calendar year during which the insurer no longer holds a
1717
certificate of authority to transact insurance for subject lines
1718
of business in this state.
1719
2.a. All revenues, assets, liabilities, losses, and
1720
expenses of the corporation shall be divided into three separate
1721
accounts as follows:
1722
(I) A personal lines account for personal residential
1723
policies issued by the corporation or issued by the Residential
1724
Property and Casualty Joint Underwriting Association and renewed
1725
by the corporation that provide comprehensive, multiperil
1726
coverage on risks that are not located in areas eligible for
1727
coverage in the Florida Windstorm Underwriting Association as
1728
those areas were defined on January 1, 2002, and for such
1729
policies that do not provide coverage for the peril of wind on
1730
risks that are located in such areas;
1731
(II) A commercial lines account for commercial residential
1732
and commercial nonresidential policies issued by the corporation
1733
or issued by the Residential Property and Casualty Joint
1734
Underwriting Association and renewed by the corporation that
1735
provide coverage for basic property perils on risks that are not
1736
located in areas eligible for coverage in the Florida Windstorm
1737
Underwriting Association as those areas were defined on January
1738
1, 2002, and for such policies that do not provide coverage for
1739
the peril of wind on risks that are located in such areas; and
1740
(III) A high-risk account for personal residential policies
1741
and commercial residential and commercial nonresidential property
1742
policies issued by the corporation or transferred to the
1743
corporation that provide coverage for the peril of wind on risks
1744
that are located in areas eligible for coverage in the Florida
1745
Windstorm Underwriting Association as those areas were defined on
1746
January 1, 2002. Subject to the approval of a business plan by
1747
the Financial Services Commission and Legislative Budget
1748
Commission as provided in this sub-sub-subparagraph, but no
1749
earlier than March 31, 2007, The corporation shall may offer
1750
policies that provide multiperil coverage and the corporation
1751
shall continue to offer policies that provide coverage only for
1752
the peril of wind for risks located in areas eligible for
1753
coverage in the high-risk account. Beginning July 1, 2008, the
1754
corporation may not issue new policies that provide coverage only
1755
for the peril of wind, but may continue to renew such policies
1756
that were in force on that date. In issuing multiperil coverage,
1757
the corporation may use its approved policy forms and rates for
1758
the personal lines account. An applicant or insured who is
1759
eligible to purchase a multiperil policy from the corporation may
1760
purchase a multiperil policy from an authorized insurer without
1761
prejudice to the applicant's or insured's eligibility to
1762
prospectively purchase a policy that provides coverage only for
1763
the peril of wind from the corporation prior to July 1, 2008. An
1764
applicant or insured who is eligible for a corporation policy
1765
that provides coverage only for the peril of wind may elect to
1766
purchase or retain such policy and also purchase or retain
1767
coverage excluding wind from an authorized insurer without
1768
prejudice to the applicant's or insured's eligibility to
1769
prospectively purchase a policy that provides multiperil coverage
1770
from the corporation. It is the goal of the Legislature that
1771
there would be an overall average savings of 10 percent or more
1772
for a policyholder who currently has a wind-only policy with the
1773
corporation, and an ex-wind policy with a voluntary insurer or
1774
the corporation, and who then obtains a multiperil policy from
1775
the corporation. It is the intent of the Legislature that the
1776
offer of multiperil coverage in the high-risk account be made and
1777
implemented in a manner that does not adversely affect the tax-
1778
exempt status of the corporation or creditworthiness of or
1779
security for currently outstanding financing obligations or
1780
credit facilities of the high-risk account, the personal lines
1781
account, or the commercial lines account. By March 1, 2007, the
1782
corporation shall prepare and submit for approval by the
1783
Financial Services Commission and Legislative Budget Commission a
1784
report detailing the corporation's business plan for issuing
1785
multiperil coverage in the high-risk account. The business plan
1786
shall be approved or disapproved within 30 days after receipt, as
1787
submitted or modified and resubmitted by the corporation. The
1788
business plan must include: the impact of such multiperil
1789
coverage on the corporation's financial resources, the impact of
1790
such multiperil coverage on the corporation's tax-exempt status,
1791
the manner in which the corporation plans to implement the
1792
processing of applications and policy forms for new and existing
1793
policyholders, the impact of such multiperil coverage on the
1794
corporation's ability to deliver customer service at the high
1795
level required by this subsection, the ability of the corporation
1796
to process claims, the ability of the corporation to quote and
1797
issue policies, the impact of such multiperil coverage on the
1798
corporation's agents, the impact of such multiperil coverage on
1799
the corporation's existing policyholders, and the impact of such
1800
multiperil coverage on rates and premium. The high-risk account
1801
must also include quota share primary insurance under
1802
subparagraph (c)2. The area eligible for coverage under the high-
1803
risk account also includes the area within Port Canaveral, which
1804
is bordered on the south by the City of Cape Canaveral, bordered
1805
on the west by the Banana River, and bordered on the north by
1806
Federal Government property.
1807
b. The three separate accounts must be maintained as long
1808
as financing obligations entered into by the Florida Windstorm
1809
Underwriting Association or Residential Property and Casualty
1810
Joint Underwriting Association are outstanding, in accordance
1811
with the terms of the corresponding financing documents. When the
1812
financing obligations are no longer outstanding, in accordance
1813
with the terms of the corresponding financing documents, the
1814
corporation may use a single account for all revenues, assets,
1815
liabilities, losses, and expenses of the corporation. Consistent
1816
with the requirement of this subparagraph and prudent investment
1817
policies that minimize the cost of carrying debt, the board shall
1818
exercise its best efforts to retire existing debt or to obtain
1819
approval of necessary parties to amend the terms of existing
1820
debt, so as to structure the most efficient plan to consolidate
1821
the three separate accounts into a single account. By February 1,
1822
2007, the board shall submit a report to the Financial Services
1823
Commission, the President of the Senate, and the Speaker of the
1824
House of Representatives which includes an analysis of
1825
consolidating the accounts, the actions the board has taken to
1826
minimize the cost of carrying debt, and its recommendations for
1827
executing the most efficient plan.
1828
c. Creditors of the Residential Property and Casualty Joint
1829
Underwriting Association and of the accounts specified in sub-
1830
sub-subparagraphs a.(I) and (II) may have a claim against, and
1831
recourse to, the accounts referred to in sub-sub-subparagraphs
1832
a.(I) and (II) and shall have no claim against, or recourse to,
1833
the account referred to in sub-sub-subparagraph a.(III).
1834
Creditors of the Florida Windstorm Underwriting Association shall
1835
have a claim against, and recourse to, the account referred to in
1836
sub-sub-subparagraph a.(III) and shall have no claim against, or
1837
recourse to, the accounts referred to in sub-sub-subparagraphs
1838
a.(I) and (II).
1839
d. Revenues, assets, liabilities, losses, and expenses not
1840
attributable to particular accounts shall be prorated among the
1841
accounts.
1842
e. The Legislature finds that the revenues of the
1843
corporation are revenues that are necessary to meet the
1844
requirements set forth in documents authorizing the issuance of
1845
bonds under this subsection.
1846
f. No part of the income of the corporation may inure to
1847
the benefit of any private person.
1848
3. With respect to a deficit in an account:
1849
a. When the deficit incurred in a particular calendar year
1850
is not greater than 8 10 percent of the aggregate statewide
1851
direct written premium for the subject lines of business for the
1852
prior calendar year, the entire deficit shall be recovered
1853
through regular assessments of assessable insurers under
1854
paragraph (p) and assessable insureds.
1855
b. When the deficit incurred in a particular calendar year
1856
exceeds 8 10 percent of the aggregate statewide direct written
1857
premium for the subject lines of business for the prior calendar
1858
year, the corporation shall levy regular assessments on
1859
assessable insurers under paragraph (p) and on assessable
1860
insureds in an amount equal to the greater of 8 10 percent of the
1861
deficit or 8 10 percent of the aggregate statewide direct written
1862
premium for the subject lines of business for the prior calendar
1863
year. Any remaining deficit shall be recovered through emergency
1864
assessments under sub-subparagraph d.
1865
c. Each assessable insurer's share of the amount being
1866
assessed under sub-subparagraph a. or sub-subparagraph b. shall
1867
be in the proportion that the assessable insurer's direct written
1868
premium for the subject lines of business for the year preceding
1869
the assessment bears to the aggregate statewide direct written
1870
premium for the subject lines of business for that year. The
1871
assessment percentage applicable to each assessable insured is
1872
the ratio of the amount being assessed under sub-subparagraph a.
1873
or sub-subparagraph b. to the aggregate statewide direct written
1874
premium for the subject lines of business for the prior year.
1875
Assessments levied by the corporation on assessable insurers
1876
under sub-subparagraphs a. and b. shall be paid as required by
1877
the corporation's plan of operation and paragraph (p).
1878
notwithstanding any other provision of this subsection, the
1879
aggregate amount of a regular assessment for a deficit incurred
1880
in a particular calendar year shall be reduced by the estimated
1881
amount to be received by the corporation from the Citizens
1882
policyholder surcharge under subparagraph (c)10. and the amount
1883
collected or estimated to be collected from the assessment on
1884
Citizens policyholders pursuant to sub-subparagraph i.
1885
Assessments levied by the corporation on assessable insureds
1886
under sub-subparagraphs a. and b. shall be collected by the
1887
surplus lines agent at the time the surplus lines agent collects
1888
the surplus lines tax required by s. 626.932 and shall be paid to
1889
the Florida Surplus Lines Service Office at the time the surplus
1890
lines agent pays the surplus lines tax to the Florida Surplus
1891
Lines Service Office. Upon receipt of regular assessments from
1892
surplus lines agents, the Florida Surplus Lines Service Office
1893
shall transfer the assessments directly to the corporation as
1894
determined by the corporation.
1895
d. Upon a determination by the board of governors that a
1896
deficit in an account exceeds the amount that will be recovered
1897
through regular assessments under sub-subparagraph a. or sub-
1898
subparagraph b., plus the amount that is expected to be recovered
1899
through surcharges under sub-subparagraph i., as to the remaining
1900
projected deficit the board shall levy, after verification by the
1901
office, emergency assessments, for as many years as necessary to
1902
cover the deficits, to be collected by assessable insurers and
1903
the corporation and collected from assessable insureds upon
1904
issuance or renewal of policies for subject lines of business,
1905
excluding National Flood Insurance policies. The amount of the
1906
emergency assessment collected in a particular year shall be a
1907
uniform percentage of that year's direct written premium for
1908
subject lines of business and all accounts of the corporation,
1909
excluding National Flood Insurance Program policy premiums, as
1910
annually determined by the board and verified by the office. The
1911
office shall verify the arithmetic calculations involved in the
1912
board's determination within 30 days after receipt of the
1913
information on which the determination was based. Notwithstanding
1914
any other provision of law, the corporation and each assessable
1915
insurer that writes subject lines of business shall collect
1916
emergency assessments from its policyholders without such
1917
obligation being affected by any credit, limitation, exemption,
1918
or deferment. Emergency assessments levied by the corporation on
1919
assessable insureds shall be collected by the surplus lines agent
1920
at the time the surplus lines agent collects the surplus lines
1921
tax required by s. 626.932 and shall be paid to the Florida
1922
Surplus Lines Service Office at the time the surplus lines agent
1923
pays the surplus lines tax to the Florida Surplus Lines Service
1924
Office. The emergency assessments so collected shall be
1925
transferred directly to the corporation on a periodic basis as
1926
determined by the corporation and shall be held by the
1927
corporation solely in the applicable account. The aggregate
1928
amount of emergency assessments levied for an account under this
1929
sub-subparagraph in any calendar year may, at the discretion of
1930
the board of governors, be less than but may not exceed the
1931
greater of 10 percent of the amount needed to cover the original
1932
deficit, plus interest, fees, commissions, required reserves, and
1933
other costs associated with financing of the original deficit, or
1934
10 percent of the aggregate statewide direct written premium for
1935
subject lines of business and for all accounts of the corporation
1936
for the prior year, plus interest, fees, commissions, required
1937
reserves, and other costs associated with financing the original
1938
deficit.
1939
e. The corporation may pledge the proceeds of assessments,
1940
projected recoveries from the Florida Hurricane Catastrophe Fund,
1941
other insurance and reinsurance recoverables, policyholder
1942
surcharges and other surcharges, and other funds available to the
1943
corporation as the source of revenue for and to secure bonds
1944
issued under paragraph (p), bonds or other indebtedness issued
1945
under subparagraph (c)3., or lines of credit or other financing
1946
mechanisms issued or created under this subsection, or to retire
1947
any other debt incurred as a result of deficits or events giving
1948
rise to deficits, or in any other way that the board determines
1949
will efficiently recover such deficits. The purpose of the lines
1950
of credit or other financing mechanisms is to provide additional
1951
resources to assist the corporation in covering claims and
1952
expenses attributable to a catastrophe. As used in this
1953
subsection, the term "assessments" includes regular assessments
1954
under sub-subparagraph a., sub-subparagraph b., or subparagraph
1955
(p)1. and emergency assessments under sub-subparagraph d.
1956
Emergency assessments collected under sub-subparagraph d. are not
1957
part of an insurer's rates, are not premium, and are not subject
1958
to premium tax, fees, or commissions; however, failure to pay the
1959
emergency assessment shall be treated as failure to pay premium.
1960
The emergency assessments under sub-subparagraph d. shall
1961
continue as long as any bonds issued or other indebtedness
1962
incurred with respect to a deficit for which the assessment was
1963
imposed remain outstanding, unless adequate provision has been
1964
made for the payment of such bonds or other indebtedness pursuant
1965
to the documents governing such bonds or other indebtedness.
1966
f. As used in this subsection for purposes of any deficit
1967
incurred on or after January 25, 2007, the term "subject lines of
1968
business" means insurance written by assessable insurers or
1969
procured by assessable insureds for all property and casualty
1970
lines of business in this state, but not including workers'
1971
compensation or medical malpractice. As used in the sub-
1972
subparagraph, the term "property and casualty lines of business"
1973
includes all lines of business identified on Form 2, Exhibit of
1974
Premiums and Losses, in the annual statement required of
1975
authorized insurers by s. 624.424 and any rule adopted under this
1976
section, except for those lines identified as accident and health
1977
insurance and except for policies written under the National
1978
Flood Insurance Program or the Federal Crop Insurance Program.
1979
For purposes of this sub-subparagraph, the term "workers'
1980
compensation" includes both workers' compensation insurance and
1981
excess workers' compensation insurance.
1982
g. The Florida Surplus Lines Service Office shall determine
1983
annually the aggregate statewide written premium in subject lines
1984
of business procured by assessable insureds and shall report that
1985
information to the corporation in a form and at a time the
1986
corporation specifies to ensure that the corporation can meet the
1987
requirements of this subsection and the corporation's financing
1988
obligations.
1989
h. The Florida Surplus Lines Service Office shall verify
1990
the proper application by surplus lines agents of assessment
1991
percentages for regular assessments and emergency assessments
1992
levied under this subparagraph on assessable insureds and shall
1993
assist the corporation in ensuring the accurate, timely
1994
collection and payment of assessments by surplus lines agents as
1995
required by the corporation.
1996
i. If a deficit is incurred in any account in 2008 or
1997
thereafter, the board of governors shall levy a Citizens
1998
policyholder surcharge an immediate assessment against the
1999
premium of each nonhomestead property policyholder in all
2000
accounts of the corporation, as a uniform percentage of the
2001
premium of the policy of up to 10 percent of such premium, which
2002
funds shall be used to offset the deficit. If this assessment is
2003
insufficient to eliminate the deficit, the board of governors
2004
shall levy an additional assessment against all policyholders of
2005
the corporation for a 12-month period, which shall be collected
2006
at the time of issuance or renewal of a policy, as a uniform
2007
percentage of the premium for the policy of up to 10 percent of
2008
such premium, which funds shall be used to further offset the
2009
deficit and reduce the amount of the regular assessment as
2010
provided in sub-subparagraphs a. and b. Citizens policyholder
2011
surcharges under this sub-subparagraph are not considered premium
2012
and are not subject to commissions, fees, or premium taxes.
2013
However, failure to pay such surcharges shall be treated as
2014
failure to pay premium.
2015
j. If the amount of any assessments or surcharges collected
2016
from corporation policyholders, assessable insurers or their
2017
policyholders, or assessable insureds exceeds the amount of the
2018
deficits, such excess amounts shall be remitted to and retained
2019
by the corporation in a reserve to be used by the corporation, as
2020
determined by the board of governors and approved by the office,
2021
to pay claims or reduce any past, present, or future plan-year
2022
deficits or to reduce outstanding debt. The board of governors
2023
shall maintain separate accounting records that consolidate data
2024
for nonhomestead properties, including, but not limited to,
2025
number of policies, insured values, premiums written, and losses.
2026
The board of governors shall annually report to the office and
2027
the Legislature a summary of such data.
2028
(c) The plan of operation of the corporation:
2029
1. Must provide for adoption of residential property and
2030
casualty insurance policy forms and commercial residential and
2031
nonresidential property insurance forms, which forms must be
2032
approved by the office prior to use. The corporation shall adopt
2033
the following policy forms:
2034
a. Standard personal lines policy forms that are
2035
comprehensive multiperil policies providing full coverage of a
2036
residential property equivalent to the coverage provided in the
2037
private insurance market under an HO-3, HO-4, or HO-6 policy.
2038
b. Basic personal lines policy forms that are policies
2039
similar to an HO-8 policy or a dwelling fire policy that provide
2040
coverage meeting the requirements of the secondary mortgage
2041
market, but which coverage is more limited than the coverage
2042
under a standard policy.
2043
c. Commercial lines residential and nonresidential policy
2044
forms that are generally similar to the basic perils of full
2045
coverage obtainable for commercial residential structures and
2046
commercial nonresidential structures in the admitted voluntary
2047
market.
2048
d. Personal lines and commercial lines residential property
2049
insurance forms that cover the peril of wind only. The forms are
2050
applicable only to residential properties located in areas
2051
eligible for coverage under the high-risk account referred to in
2052
sub-subparagraph (b)2.a.
2053
e. Commercial lines nonresidential property insurance forms
2054
that cover the peril of wind only. The forms are applicable only
2055
to nonresidential properties located in areas eligible for
2056
coverage under the high-risk account referred to in sub-
2057
subparagraph (b)2.a.
2058
f. The corporation may adopt variations of the policy forms
2059
listed in sub-subparagraphs a.-e. that contain more restrictive
2060
coverage.
2061
2.a. Must provide that the corporation adopt a program in
2062
which the corporation and authorized insurers enter into quota
2063
share primary insurance agreements for hurricane coverage, as
2064
defined in s. 627.4025(2)(a), for eligible risks, and adopt
2065
property insurance forms for eligible risks which cover the peril
2066
of wind only. As used in this subsection, the term:
2067
(I) "Quota share primary insurance" means an arrangement in
2068
which the primary hurricane coverage of an eligible risk is
2069
provided in specified percentages by the corporation and an
2070
authorized insurer. The corporation and authorized insurer are
2071
each solely responsible for a specified percentage of hurricane
2072
coverage of an eligible risk as set forth in a quota share
2073
primary insurance agreement between the corporation and an
2074
authorized insurer and the insurance contract. The responsibility
2075
of the corporation or authorized insurer to pay its specified
2076
percentage of hurricane losses of an eligible risk, as set forth
2077
in the quota share primary insurance agreement, may not be
2078
altered by the inability of the other party to the agreement to
2079
pay its specified percentage of hurricane losses. Eligible risks
2080
that are provided hurricane coverage through a quota share
2081
primary insurance arrangement must be provided policy forms that
2082
set forth the obligations of the corporation and authorized
2083
insurer under the arrangement, clearly specify the percentages of
2084
quota share primary insurance provided by the corporation and
2085
authorized insurer, and conspicuously and clearly state that
2086
neither the authorized insurer nor the corporation may be held
2087
responsible beyond its specified percentage of coverage of
2088
hurricane losses.
2089
(II) "Eligible risks" means personal lines residential and
2090
commercial lines residential risks that meet the underwriting
2091
criteria of the corporation and are located in areas that were
2092
eligible for coverage by the Florida Windstorm Underwriting
2093
Association on January 1, 2002.
2094
b. The corporation may enter into quota share primary
2095
insurance agreements with authorized insurers at corporation
2096
coverage levels of 90 percent and 50 percent.
2097
c. If the corporation determines that additional coverage
2098
levels are necessary to maximize participation in quota share
2099
primary insurance agreements by authorized insurers, the
2100
corporation may establish additional coverage levels. However,
2101
the corporation's quota share primary insurance coverage level
2102
may not exceed 90 percent.
2103
d. Any quota share primary insurance agreement entered into
2104
between an authorized insurer and the corporation must provide
2105
for a uniform specified percentage of coverage of hurricane
2106
losses, by county or territory as set forth by the corporation
2107
board, for all eligible risks of the authorized insurer covered
2108
under the quota share primary insurance agreement.
2109
e. Any quota share primary insurance agreement entered into
2110
between an authorized insurer and the corporation is subject to
2111
review and approval by the office. However, such agreement shall
2112
be authorized only as to insurance contracts entered into between
2113
an authorized insurer and an insured who is already insured by
2114
the corporation for wind coverage.
2115
f. For all eligible risks covered under quota share primary
2116
insurance agreements, the exposure and coverage levels for both
2117
the corporation and authorized insurers shall be reported by the
2118
corporation to the Florida Hurricane Catastrophe Fund. For all
2119
policies of eligible risks covered under quota share primary
2120
insurance agreements, the corporation and the authorized insurer
2121
shall maintain complete and accurate records for the purpose of
2122
exposure and loss reimbursement audits as required by Florida
2123
Hurricane Catastrophe Fund rules. The corporation and the
2124
authorized insurer shall each maintain duplicate copies of policy
2125
declaration pages and supporting claims documents.
2126
g. The corporation board shall establish in its plan of
2127
operation standards for quota share agreements which ensure that
2128
there is no discriminatory application among insurers as to the
2129
terms of quota share agreements, pricing of quota share
2130
agreements, incentive provisions if any, and consideration paid
2131
for servicing policies or adjusting claims.
2132
h. The quota share primary insurance agreement between the
2133
corporation and an authorized insurer must set forth the specific
2134
terms under which coverage is provided, including, but not
2135
limited to, the sale and servicing of policies issued under the
2136
agreement by the insurance agent of the authorized insurer
2137
producing the business, the reporting of information concerning
2138
eligible risks, the payment of premium to the corporation, and
2139
arrangements for the adjustment and payment of hurricane claims
2140
incurred on eligible risks by the claims adjuster and personnel
2141
of the authorized insurer. Entering into a quota sharing
2142
insurance agreement between the corporation and an authorized
2143
insurer shall be voluntary and at the discretion of the
2144
authorized insurer.
2145
3. May provide that the corporation may employ or otherwise
2146
contract with individuals or other entities to provide
2147
administrative or professional services that may be appropriate
2148
to effectuate the plan. The corporation shall have the power to
2149
borrow funds, by issuing bonds or by incurring other
2150
indebtedness, and shall have other powers reasonably necessary to
2151
effectuate the requirements of this subsection, including,
2152
without limitation, the power to issue bonds and incur other
2153
indebtedness in order to refinance outstanding bonds or other
2154
indebtedness. The corporation may, but is not required to, seek
2155
judicial validation of its bonds or other indebtedness under
2156
chapter 75. The corporation may issue bonds or incur other
2157
indebtedness, or have bonds issued on its behalf by a unit of
2158
local government pursuant to subparagraph (p)2., in the absence
2159
of a hurricane or other weather-related event, upon a
2160
determination by the corporation, subject to approval by the
2161
office, that such action would enable it to efficiently meet the
2162
financial obligations of the corporation and that such financings
2163
are reasonably necessary to effectuate the requirements of this
2164
subsection. The corporation is authorized to take all actions
2165
needed to facilitate tax-free status for any such bonds or
2166
indebtedness, including formation of trusts or other affiliated
2167
entities. The corporation shall have the authority to pledge
2168
assessments, projected recoveries from the Florida Hurricane
2169
Catastrophe Fund, other reinsurance recoverables, market
2170
equalization and other surcharges, and other funds available to
2171
the corporation as security for bonds or other indebtedness. In
2172
recognition of s. 10, Art. I of the State Constitution,
2173
prohibiting the impairment of obligations of contracts, it is the
2174
intent of the Legislature that no action be taken whose purpose
2175
is to impair any bond indenture or financing agreement or any
2176
revenue source committed by contract to such bond or other
2177
indebtedness.
2178
4.a. Must require that the corporation operate subject to
2179
the supervision and approval of a board of governors consisting
2180
of eight individuals who are residents of this state, from
2181
different geographical areas of this state. The Governor, the
2182
Chief Financial Officer, the President of the Senate, and the
2183
Speaker of the House of Representatives shall each appoint two
2184
members of the board. At least one of the two members appointed
2185
by each appointing officer must have demonstrated expertise in
2186
insurance. The Chief Financial Officer shall designate one of the
2187
appointees as chair. All board members serve at the pleasure of
2188
the appointing officer. All members of the board of governors are
2189
subject to removal at will by the officers who appointed them.
2190
All board members, including the chair, must be appointed to
2191
serve for 3-year terms beginning annually on a date designated by
2192
the plan. Any board vacancy shall be filled for the unexpired
2193
term by the appointing officer. The Chief Financial Officer shall
2194
appoint a technical advisory group to provide information and
2195
advice to the board of governors in connection with the board's
2196
duties under this subsection. The executive director and senior
2197
managers of the corporation shall be engaged by the board and
2198
serve at the pleasure of the board. Any executive director
2199
appointed on or after July 1, 2006, is subject to confirmation by
2200
the Senate. The executive director is responsible for employing
2201
other staff as the corporation may require, subject to review and
2202
concurrence by the board.
2203
b. The board shall create a Market Accountability Advisory
2204
Committee to assist the corporation in developing awareness of
2205
its rates and its customer and agent service levels in
2206
relationship to the voluntary market insurers writing similar
2207
coverage. The members of the advisory committee shall consist of
2208
the following 11 persons, one of whom must be elected chair by
2209
the members of the committee: four representatives, one appointed
2210
by the Florida Association of Insurance Agents, one by the
2211
Florida Association of Insurance and Financial Advisors, one by
2212
the Professional Insurance Agents of Florida, and one by the
2213
Latin American Association of Insurance Agencies; three
2214
representatives appointed by the insurers with the three highest
2215
voluntary market share of residential property insurance business
2216
in the state; one representative from the Office of Insurance
2217
Regulation; one consumer appointed by the board who is insured by
2218
the corporation at the time of appointment to the committee; one
2219
representative appointed by the Florida Association of Realtors;
2220
and one representative appointed by the Florida Bankers
2221
Association. All members must serve for 3-year terms and may
2222
serve for consecutive terms. The committee shall report to the
2223
corporation at each board meeting on insurance market issues
2224
which may include rates and rate competition with the voluntary
2225
market; service, including policy issuance, claims processing,
2226
and general responsiveness to policyholders, applicants, and
2227
agents; and matters relating to depopulation.
2228
5. Must provide a procedure for determining the eligibility
2229
of a risk for coverage, as follows:
2230
a. Subject to the provisions of s. 627.3517, with respect
2231
to personal lines residential risks, if the risk is offered
2232
coverage from an authorized insurer at the insurer's approved
2233
rate under either a standard policy including wind coverage or,
2234
if consistent with the insurer's underwriting rules as filed with
2235
the office, a basic policy including wind coverage, for a new
2236
application to the corporation for coverage, the risk is not
2237
eligible for any policy issued by the corporation unless the
2238
premium for coverage from the authorized insurer is more than 15
2239
percent greater than the premium for comparable coverage from the
2240
corporation. If the risk is not able to obtain any such offer,
2241
the risk is eligible for either a standard policy including wind
2242
coverage or a basic policy including wind coverage issued by the
2243
corporation; however, if the risk could not be insured under a
2244
standard policy including wind coverage regardless of market
2245
conditions, the risk shall be eligible for a basic policy
2246
including wind coverage unless rejected under subparagraph 9.
2247
However, with regard to a policyholder of the corporation or a
2248
policyholder removed from the corporation through an assumption
2249
agreement until the end of the assumption period, the
2250
policyholder remains eligible for coverage from the corporation
2251
regardless of any offer of coverage from an authorized insurer or
2252
surplus lines insurer. The corporation shall determine the type
2253
of policy to be provided on the basis of objective standards
2254
specified in the underwriting manual and based on generally
2255
accepted underwriting practices.
2256
(I) If the risk accepts an offer of coverage through the
2257
market assistance plan or an offer of coverage through a
2258
mechanism established by the corporation before a policy is
2259
issued to the risk by the corporation or during the first 30 days
2260
of coverage by the corporation, and the producing agent who
2261
submitted the application to the plan or to the corporation is
2262
not currently appointed by the insurer, the insurer shall:
2263
(A) Pay to the producing agent of record of the policy, for
2264
the first year, an amount that is the greater of the insurer's
2265
usual and customary commission for the type of policy written or
2266
a fee equal to the usual and customary commission of the
2267
corporation; or
2268
(B) Offer to allow the producing agent of record of the
2269
policy to continue servicing the policy for a period of not less
2270
than 1 year and offer to pay the agent the greater of the
2271
insurer's or the corporation's usual and customary commission for
2272
the type of policy written.
2273
2274
If the producing agent is unwilling or unable to accept
2275
appointment, the new insurer shall pay the agent in accordance
2276
with sub-sub-sub-subparagraph (A).
2277
(II) When the corporation enters into a contractual
2278
agreement for a take-out plan, the producing agent of record of
2279
the corporation policy is entitled to retain any unearned
2280
commission on the policy, and the insurer shall:
2281
(A) Pay to the producing agent of record of the corporation
2282
policy, for the first year, an amount that is the greater of the
2283
insurer's usual and customary commission for the type of policy
2284
written or a fee equal to the usual and customary commission of
2285
the corporation; or
2286
(B) Offer to allow the producing agent of record of the
2287
corporation policy to continue servicing the policy for a period
2288
of not less than 1 year and offer to pay the agent the greater of
2289
the insurer's or the corporation's usual and customary commission
2290
for the type of policy written.
2291
2292
If the producing agent is unwilling or unable to accept
2293
appointment, the new insurer shall pay the agent in accordance
2294
with sub-sub-sub-subparagraph (A).
2295
b. With respect to commercial lines residential risks, for
2296
a new application to the corporation for coverage, if the risk is
2297
offered coverage under a policy including wind coverage from an
2298
authorized insurer at its approved rate, the risk is not eligible
2299
for any policy issued by the corporation unless the premium for
2300
coverage from the authorized insurer is more than 15 percent
2301
greater than the premium for comparable coverage from the
2302
corporation. If the risk is not able to obtain any such offer,
2303
the risk is eligible for a policy including wind coverage issued
2304
by the corporation. However, with regard to a policyholder of the
2305
corporation or a policyholder removed from the corporation
2306
through an assumption agreement until the end of the assumption
2307
period, the policyholder remains eligible for coverage from the
2308
corporation regardless of any offer of coverage from an
2309
authorized insurer or surplus lines insurer.
2310
(I) If the risk accepts an offer of coverage through the
2311
market assistance plan or an offer of coverage through a
2312
mechanism established by the corporation before a policy is
2313
issued to the risk by the corporation or during the first 30 days
2314
of coverage by the corporation, and the producing agent who
2315
submitted the application to the plan or the corporation is not
2316
currently appointed by the insurer, the insurer shall:
2317
(A) Pay to the producing agent of record of the policy, for
2318
the first year, an amount that is the greater of the insurer's
2319
usual and customary commission for the type of policy written or
2320
a fee equal to the usual and customary commission of the
2321
corporation; or
2322
(B) Offer to allow the producing agent of record of the
2323
policy to continue servicing the policy for a period of not less
2324
than 1 year and offer to pay the agent the greater of the
2325
insurer's or the corporation's usual and customary commission for
2326
the type of policy written.
2327
2328
If the producing agent is unwilling or unable to accept
2329
appointment, the new insurer shall pay the agent in accordance
2330
with sub-sub-sub-subparagraph (A).
2331
(II) When the corporation enters into a contractual
2332
agreement for a take-out plan, the producing agent of record of
2333
the corporation policy is entitled to retain any unearned
2334
commission on the policy, and the insurer shall:
2335
(A) Pay to the producing agent of record of the corporation
2336
policy, for the first year, an amount that is the greater of the
2337
insurer's usual and customary commission for the type of policy
2338
written or a fee equal to the usual and customary commission of
2339
the corporation; or
2340
(B) Offer to allow the producing agent of record of the
2341
corporation policy to continue servicing the policy for a period
2342
of not less than 1 year and offer to pay the agent the greater of
2343
the insurer's or the corporation's usual and customary commission
2344
for the type of policy written.
2345
2346
If the producing agent is unwilling or unable to accept
2347
appointment, the new insurer shall pay the agent in accordance
2348
with sub-sub-sub-subparagraph (A).
2349
c. For purposes of determining comparable coverage under
2350
sub-subparagraphs a. and b., the comparison shall be based on
2351
those forms and coverages that are reasonably comparable. The
2352
corporation may rely on a determination of comparable coverage
2353
and premium made by the producing agent who submits the
2354
application to the corporation, made in the agent's capacity as
2355
the corporation's agent. A comparison may be made solely of the
2356
premium with respect to the main building or structure only on
2357
the following basis: the same coverage A or other building
2358
limits; the same percentage hurricane deductible that applies on
2359
an annual basis or that applies to each hurricane for commercial
2360
residential property; the same percentage of ordinance and law
2361
coverage, if the same limit is offered by both the corporation
2362
and the authorized insurer; the same mitigation credits, to the
2363
extent the same types of credits are offered both by the
2364
corporation and the authorized insurer; the same method for loss
2365
payment, such as replacement cost or actual cash value, if the
2366
same method is offered both by the corporation and the authorized
2367
insurer in accordance with underwriting rules; and any other form
2368
or coverage that is reasonably comparable as determined by the
2369
board. If an application is submitted to the corporation for
2370
wind-only coverage in the high-risk account, the premium for the
2371
corporation's wind-only policy plus the premium for the ex-wind
2372
policy that is offered by an authorized insurer to the applicant
2373
shall be compared to the premium for multiperil coverage offered
2374
by an authorized insurer, subject to the standards for comparison
2375
specified in this subparagraph. If the corporation or the
2376
applicant requests from the authorized insurer a breakdown of the
2377
premium of the offer by types of coverage so that a comparison
2378
may be made by the corporation or its agent and the authorized
2379
insurer refuses or is unable to provide such information, the
2380
corporation may treat the offer as not being an offer of coverage
2381
from an authorized insurer at the insurer's approved rate.
2382
6. Must include rules for classifications of risks and
2383
rates therefor.
2384
7. Must provide that if premium and investment income for
2385
an account attributable to a particular calendar year are in
2386
excess of projected losses and expenses for the account
2387
attributable to that year, such excess shall be held in surplus
2388
in the account. Such surplus shall be available to defray
2389
deficits in that account as to future years and shall be used for
2390
that purpose prior to assessing assessable insurers and
2391
assessable insureds as to any calendar year.
2392
8. Must provide objective criteria and procedures to be
2393
uniformly applied for all applicants in determining whether an
2394
individual risk is so hazardous as to be uninsurable. In making
2395
this determination and in establishing the criteria and
2396
procedures, the following shall be considered:
2397
a. Whether the likelihood of a loss for the individual risk
2398
is substantially higher than for other risks of the same class;
2399
and
2400
b. Whether the uncertainty associated with the individual
2401
risk is such that an appropriate premium cannot be determined.
2402
2403
The acceptance or rejection of a risk by the corporation shall be
2404
construed as the private placement of insurance, and the
2405
provisions of chapter 120 shall not apply.
2406
9. Must provide that the corporation shall make its best
2407
efforts to procure catastrophe reinsurance at reasonable rates,
2408
to cover its projected 100-year probable maximum loss as
2409
determined by the board of governors.
2410
10. Must provide that in the event of regular deficit
2411
assessments under sub-subparagraph (b)3.a. or sub-subparagraph
2412
(b)3.b., in the personal lines account, the commercial lines
2413
residential account, or the high-risk account, the corporation
2414
shall levy upon corporation policyholders in its next rate
2415
filing, or by a separate rate filing solely for this purpose, a
2416
Citizens policyholder surcharge arising from a regular assessment
2417
in such account in a percentage equal to the total amount of such
2418
regular assessments divided by the aggregate statewide direct
2419
written premium for subject lines of business for the prior
2420
calendar year. For purposes of calculating the Citizens
2421
policyholder surcharge to be levied under this subparagraph, the
2422
total amount of the regular assessment to which this surcharge is
2423
related shall be determined as set forth in subparagraph (b)3.,
2424
without deducting the estimated Citizens policyholder surcharge.
2425
Citizens policyholder surcharges under this subparagraph are not
2426
considered premium and are not subject to commissions, fees, or
2427
premium taxes; however, failure to pay a market equalization
2428
surcharge shall be treated as failure to pay premium.
2429
10.11. The policies issued by the corporation must provide
2430
that, if the corporation or the market assistance plan obtains an
2431
offer from an authorized insurer to cover the risk at its
2432
approved rates, the risk is no longer eligible for renewal
2433
through the corporation, except as otherwise provided in this
2434
subsection.
2435
11.12. Corporation policies and applications must include a
2436
notice that the corporation policy could, under this section, be
2437
replaced with a policy issued by an authorized insurer that does
2438
not provide coverage identical to the coverage provided by the
2439
corporation. The notice shall also specify that acceptance of
2440
corporation coverage creates a conclusive presumption that the
2441
applicant or policyholder is aware of this potential.
2442
12.13. May establish, subject to approval by the office,
2443
different eligibility requirements and operational procedures for
2444
any line or type of coverage for any specified county or area if
2445
the board determines that such changes to the eligibility
2446
requirements and operational procedures are justified due to the
2447
voluntary market being sufficiently stable and competitive in
2448
such area or for such line or type of coverage and that consumers
2449
who, in good faith, are unable to obtain insurance through the
2450
voluntary market through ordinary methods would continue to have
2451
access to coverage from the corporation. When coverage is sought
2452
in connection with a real property transfer, such requirements
2453
and procedures shall not provide for an effective date of
2454
coverage later than the date of the closing of the transfer as
2455
established by the transferor, the transferee, and, if
2456
applicable, the lender.
2457
13.14. Must provide that, with respect to the high-risk
2458
account, any assessable insurer with a surplus as to
2459
policyholders of $25 million or less writing 25 percent or more
2460
of its total countrywide property insurance premiums in this
2461
state may petition the office, within the first 90 days of each
2462
calendar year, to qualify as a limited apportionment company. A
2463
regular assessment levied by the corporation on a limited
2464
apportionment company for a deficit incurred by the corporation
2465
for the high-risk account in 2006 or thereafter may be paid to
2466
the corporation on a monthly basis as the assessments are
2467
collected by the limited apportionment company from its insureds
2468
pursuant to s. 627.3512, but the regular assessment must be paid
2469
in full within 12 months after being levied by the corporation. A
2470
limited apportionment company shall collect from its
2471
policyholders any emergency assessment imposed under sub-
2472
subparagraph (b)3.d. The plan shall provide that, if the office
2473
determines that any regular assessment will result in an
2474
impairment of the surplus of a limited apportionment company, the
2475
office may direct that all or part of such assessment be deferred
2476
as provided in subparagraph (p)4. However, there shall be no
2477
limitation or deferment of an emergency assessment to be
2478
collected from policyholders under sub-subparagraph (b)3.d.
2479
14.15. Must provide that the corporation appoint as its
2480
licensed agents only those agents who also hold an appointment as
2481
defined in s. 626.015(3) with an insurer who at the time of the
2482
agent's initial appointment by the corporation is authorized to
2483
write and is actually writing personal lines residential property
2484
coverage, commercial residential property coverage, or commercial
2485
nonresidential property coverage within the state.
2486
15.16. Must provide, by July 1, 2007, a premium payment
2487
plan option to its policyholders which allows at a minimum for
2488
quarterly and semiannual payment of premiums. A monthly payment
2489
plan may, but is not required to, be offered.
2490
16.17. Must limit coverage on mobile homes or manufactured
2491
homes built prior to 1994 to actual cash value of the dwelling
2492
rather than replacement costs of the dwelling.
2493
17.18. May provide such limits of coverage as the board
2494
determines, consistent with the requirements of this subsection.
2495
18.19. May require commercial property to meet specified
2496
hurricane mitigation construction features as a condition of
2497
eligibility for coverage.
2498
(m)1. Rates for coverage provided by the corporation shall
2499
be actuarially sound and subject to the requirements of s.
2500
627.062, except as otherwise provided in this paragraph. The
2501
corporation shall file its recommended rates with the office at
2502
least annually. The corporation shall provide any additional
2503
information regarding the rates which the office requires. The
2504
office shall consider the recommendations of the board and issue
2505
a final order establishing the rates for the corporation within
2506
45 days after the recommended rates are filed. The corporation
2507
may not pursue an administrative challenge or judicial review of
2508
the final order of the office.
2509
2. In addition to the rates otherwise determined pursuant
2510
to this paragraph, the corporation shall impose and collect an
2511
amount equal to the premium tax provided for in s. 624.509 to
2512
augment the financial resources of the corporation.
2513
3. After the public hurricane loss-projection model under
2514
s. 627.06281 has been found to be accurate and reliable by the
2515
Florida Commission on Hurricane Loss Projection Methodology, that
2516
model shall serve as the minimum benchmark for determining the
2517
windstorm portion of the corporation's rates. This subparagraph
2518
does not require or allow the corporation to adopt rates lower
2519
than the rates otherwise required or allowed by this paragraph.
2520
4. The rate filings for the corporation which were approved
2521
by the office and which took effect January 1, 2007, are
2522
rescinded, except for those rates that were lowered. As soon as
2523
possible, the corporation shall begin using the lower rates that
2524
were in effect on December 31, 2006, and shall provide refunds to
2525
policyholders who have paid higher rates as a result of that rate
2526
filing. The rates in effect on December 31, 2006, shall remain in
2527
effect for the 2007 and 2008 calendar years except for any rate
2528
change that results in a lower rate. The next rate change that
2529
may increase rates shall take effect January 1, 2009, pursuant to
2530
a new rate filing recommended by the corporation and established
2531
by the office, subject to the requirements of this paragraph.
2532
5.a. Beginning on January 15, 2009, and each year
2533
thereafter, the corporation must make a recommended actuarially
2534
sound rate filing for each personal and commercial line of
2535
business it writes, to be effective no earlier than July 1, 2009.
2536
b. For the 36-month period beginning with the effective
2537
date for each of the rate filings made by the corporation on
2538
January 15, 2009, the rates established by the office for the
2539
corporation for its personal residential multiperil policies, its
2540
commercial residential multiperil policies, and its commercial
2541
nonresidential multiperil policies may not result in an overall
2542
average statewide premium increase of more than 5 percent or an
2543
increase for any single policyholder of more than 5 percent,
2544
during the first 12-month period, and may not result in an
2545
overall average statewide premium increase of more than 10
2546
percent, or an increase for any single policyholder of more than
2547
10 percent, during each of the two subsequent 12-month periods,
2548
excluding coverage changes and surcharges.
2549
c. For the 36-month period beginning with the effective
2550
date for the rate filings made by the corporation on January 15,
2551
2009, the rates established by the office for the corporation for
2552
its personal residential wind-only policies, its commercial
2553
residential wind-only policies, and its commercial nonresidential
2554
wind-only policies may not result in an overall average statewide
2555
premium increase of more than 10 percent, or an increase for any
2556
single policyholder of more than 10 percent, during the first 12-
2557
month period, and may not result in an overall average statewide
2558
premium increase of more than 10 percent, or an increase for any
2559
single policyholder of more than 10 percent, during each of the
2560
two subsequent 12-month periods, excluding coverage changes and
2561
surcharges.
2562
(p)1. The corporation shall certify to the office its needs
2563
for annual assessments as to a particular calendar year, and for
2564
any interim assessments that it deems to be necessary to sustain
2565
operations as to a particular year pending the receipt of annual
2566
assessments. Upon verification, the office shall approve such
2567
certification, and the corporation shall levy such annual or
2568
interim assessments. Such assessments shall be prorated as
2569
provided in paragraph (b). The corporation shall take all
2570
reasonable and prudent steps necessary to collect the amount of
2571
assessment due from each assessable insurer, including, if
2572
prudent, filing suit to collect such assessment. If the
2573
corporation is unable to collect an assessment from any
2574
assessable insurer, the uncollected assessments shall be levied
2575
as an additional assessment against the assessable insurers and
2576
any assessable insurer required to pay an additional assessment
2577
as a result of such failure to pay shall have a cause of action
2578
against such nonpaying assessable insurer. Assessments shall be
2579
included as an appropriate factor in the making of rates. The
2580
failure of a surplus lines agent to collect and remit any regular
2581
or emergency assessment levied by the corporation is considered
2582
to be a violation of s. 626.936 and subjects the surplus lines
2583
agent to the penalties provided in that section.
2584
2. The governing body of any unit of local government, any
2585
residents of which are insured by the corporation, may issue
2587
fund an assistance program, in conjunction with the corporation,
2588
for the purpose of defraying deficits of the corporation. In
2589
order to avoid needless and indiscriminate proliferation,
2590
duplication, and fragmentation of such assistance programs, any
2591
unit of local government, any residents of which are insured by
2592
the corporation, may provide for the payment of losses,
2593
regardless of whether or not the losses occurred within or
2594
outside of the territorial jurisdiction of the local government.
2595
Revenue bonds under this subparagraph may not be issued until
2596
validated pursuant to chapter 75, unless a state of emergency is
2597
declared by executive order or proclamation of the Governor
2598
pursuant to s. 252.36 making such findings as are necessary to
2599
determine that it is in the best interests of, and necessary for,
2600
the protection of the public health, safety, and general welfare
2601
of residents of this state and declaring it an essential public
2602
purpose to permit certain municipalities or counties to issue
2603
such bonds as will permit relief to claimants and policyholders
2604
of the corporation. Any such unit of local government may enter
2605
into such contracts with the corporation and with any other
2606
entity created pursuant to this subsection as are necessary to
2607
carry out this paragraph. Any bonds issued under this
2608
subparagraph shall be payable from and secured by moneys received
2609
by the corporation from emergency assessments under sub-
2610
subparagraph (b)3.d., and assigned and pledged to or on behalf of
2611
the unit of local government for the benefit of the holders of
2612
such bonds. The funds, credit, property, and taxing power of the
2613
state or of the unit of local government shall not be pledged for
2614
the payment of such bonds. If any of the bonds remain unsold 60
2615
days after issuance, the office shall require all insurers
2616
subject to assessment to purchase the bonds, which shall be
2617
treated as admitted assets; each insurer shall be required to
2618
purchase that percentage of the unsold portion of the bond issue
2619
that equals the insurer's relative share of assessment liability
2620
under this subsection. An insurer shall not be required to
2621
purchase the bonds to the extent that the office determines that
2622
the purchase would endanger or impair the solvency of the
2623
insurer.
2624
3.a. The corporation shall adopt one or more programs
2625
subject to approval by the office for the reduction of both new
2626
and renewal writings in the corporation. Beginning January 1,
2627
2008, any program the corporation adopts for the payment of
2628
bonuses to an insurer for each risk the insurer removes from the
2629
corporation shall comply with s. 627.3511(2) and may not exceed
2630
the amount referenced in s. 627.3511(2) for each risk removed.
2631
The corporation may consider any prudent and not unfairly
2632
discriminatory approach to reducing corporation writings, and may
2633
adopt a credit against assessment liability or other liability
2634
that provides an incentive for insurers to take risks out of the
2635
corporation and to keep risks out of the corporation by
2636
maintaining or increasing voluntary writings in counties or areas
2637
in which corporation risks are highly concentrated and a program
2638
to provide a formula under which an insurer voluntarily taking
2639
risks out of the corporation by maintaining or increasing
2640
voluntary writings will be relieved wholly or partially from
2641
assessments under sub-subparagraphs (b)3.a. and b. However, any
2642
"take-out bonus" or payment to an insurer must be conditioned on
2643
the property being insured for at least 5 years by the insurer,
2644
unless canceled or nonrenewed by the policyholder. If the policy
2645
is canceled or nonrenewed by the policyholder before the end of
2646
the 5-year period, the amount of the take-out bonus must be
2647
prorated for the time period the policy was insured. When the
2648
corporation enters into a contractual agreement for a take-out
2649
plan, the producing agent of record of the corporation policy is
2650
entitled to retain any unearned commission on such policy, and
2651
the insurer shall either:
2652
(I) Pay to the producing agent of record of the policy, for
2653
the first year, an amount which is the greater of the insurer's
2654
usual and customary commission for the type of policy written or
2655
a policy fee equal to the usual and customary commission of the
2656
corporation; or
2657
(II) Offer to allow the producing agent of record of the
2658
policy to continue servicing the policy for a period of not less
2659
than 1 year and offer to pay the agent the insurer's usual and
2660
customary commission for the type of policy written. If the
2661
producing agent is unwilling or unable to accept appointment by
2662
the new insurer, the new insurer shall pay the agent in
2663
accordance with sub-sub-subparagraph (I).
2664
b. Any credit or exemption from regular assessments adopted
2665
under this subparagraph shall last no longer than the 3 years
2666
following the cancellation or expiration of the policy by the
2667
corporation. With the approval of the office, the board may
2668
extend such credits for an additional year if the insurer
2669
guarantees an additional year of renewability for all policies
2670
removed from the corporation, or for 2 additional years if the
2671
insurer guarantees 2 additional years of renewability for all
2672
policies so removed.
2673
c. There shall be no credit, limitation, exemption, or
2674
deferment from emergency assessments to be collected from
2675
policyholders pursuant to sub-subparagraph (b)3.d.
2676
d. Subject to the execution of the confidentiality
2677
agreement required by paragraph (w), the corporation shall make
2678
its database of policies available to prospective take-out
2679
insurers considering underwriting a risk insured by the
2680
corporation, without categorically eliminating policies from
2681
eligibility for removal. The corporation may not instruct or
2682
encourage prospective take-out insurers to avoid the selection of
2683
policies for which the agent has disapproved policy removals. The
2684
corporation must require agents to accept or decline appointment
2685
for any policy selected and, in the case of a declination, must
2686
notify the policyholder that an insurer, identified by name,
2687
selected his or her policy for a take-out offer, but that the
2688
policyholder's agent refused to be appointed by the insurer. The
2689
notice must also provide the policyholder with the take-out
2690
insurer's contact information so that the policyholder may
2691
contact the company directly and make his or her own
2692
determination of whether to seek coverage from the take-out
2693
insurer.
2694
4. The plan shall provide for the deferment, in whole or in
2695
part, of the assessment of an assessable insurer, other than an
2696
emergency assessment collected from policyholders pursuant to
2697
sub-subparagraph (b)3.d., if the office finds that payment of the
2698
assessment would endanger or impair the solvency of the insurer.
2699
In the event an assessment against an assessable insurer is
2700
deferred in whole or in part, the amount by which such assessment
2701
is deferred may be assessed against the other assessable insurers
2702
in a manner consistent with the basis for assessments set forth
2703
in paragraph (b).
2704
5. Effective July 1, 2007, in order to evaluate the costs
2705
and benefits of approved take-out plans, if the corporation pays
2706
a bonus or other payment to an insurer for an approved take-out
2707
plan, it shall maintain a record of the address or such other
2708
identifying information on the property or risk removed in order
2709
to track if and when the property or risk is later insured by the
2710
corporation.
2711
6. Any policy taken out, assumed, or removed from the
2712
corporation is, as of the effective date of the take-out,
2713
assumption, or removal, direct insurance issued by the insurer
2714
and not by the corporation, even if the corporation continues to
2715
service the policies. This subparagraph applies to policies of
2716
the corporation and not policies taken out, assumed, or removed
2717
from any other entity.
2718
(dd)1. For policies subject to nonrenewal as a result of
2719
the risk being no longer eligible for coverage due to being
2720
valued at $1 million or more, the corporation shall, directly or
2721
through the market assistance plan, make information from
2722
confidential underwriting and claims files of policyholders
2723
available only to licensed general lines agents who register with
2724
the corporation to receive such information according to the
2725
following procedures:
2726
2. By August 1, 2006, the corporation shall provide such
2727
policyholders who are not eligible for renewal the opportunity to
2728
request in writing, within 30 days after the notification is
2729
sent, that information from their confidential underwriting and
2730
claims files not be released to licensed general lines agents
2731
registered pursuant to this paragraph.
2732
3. By August 1, 2006, the corporation shall make available
2733
to licensed general lines agents the registration procedures to
2734
be used to obtain confidential information from underwriting and
2735
claims files for such policies not eligible for renewal. As a
2736
condition of registration, the corporation shall require the
2737
licensed general lines agent to attest that the agent has the
2738
experience and relationships with authorized or surplus lines
2739
carriers to attempt to offer replacement coverage for such
2740
policies.
2741
4. By September 1, 2006, the corporation shall make
2742
available through a secured website to licensed general lines
2743
agents registered pursuant to this paragraph application, rating,
2744
loss history, mitigation, and policy type information relating to
2745
such policies not eligible for renewal and for which the
2746
policyholder has not requested the corporation withhold such
2747
information. The registered licensed general lines agent may use
2748
such information to contact and assist the policyholder in
2749
securing replacement policies, and the agent may disclose to the
2750
policyholder that such information was obtained from the
2751
corporation.
2752
(dd)(ee) The assets of the corporation may be invested and
2753
managed by the State Board of Administration.
2754
(ee)(ff) The office may establish a pilot program to offer
2755
optional sinkhole coverage in one or more counties or other
2756
territories of the corporation for the purpose of implementing s.
2757
627.706, as amended by s. 30, chapter 2007-1, Laws of Florida.
2758
Under the pilot program, the corporation is not required to issue
2759
a notice of nonrenewal to exclude sinkhole coverage upon the
2760
renewal of existing policies, but may exclude such coverage using
2761
a notice of coverage change.
2762
Section 13. Paragraph (b) of subsection (2) of section
2763
627.4133, Florida Statutes, is amended to read:
2764
(2) With respect to any personal lines or commercial
2765
residential property insurance policy, including, but not limited
2766
to, any homeowner's, mobile home owner's, farmowner's,
2767
condominium association, condominium unit owner's, apartment
2768
building, or other policy covering a residential structure or its
2769
contents:
2770
(b) The insurer shall give the named insured written notice
2771
of nonrenewal, cancellation, or termination at least 180 100 days
2772
prior to the effective date of the nonrenewal, cancellation, or
2773
termination. However, the insurer shall give at least 100 days'
2774
written notice, or written notice by June 1, whichever is
2775
earlier, for any nonrenewal, cancellation, or termination that
2776
would be effective between June 1 and November 30. The notice
2777
must include the reason or reasons for the nonrenewal,
2778
cancellation, or termination, except that:
2779
1. When cancellation is for nonpayment of premium, at least
2780
10 days' written notice of cancellation accompanied by the reason
2781
therefor shall be given. As used in this subparagraph, the term
2782
"nonpayment of premium" means failure of the named insured to
2783
discharge when due any of her or his obligations in connection
2784
with the payment of premiums on a policy or any installment of
2785
such premium, whether the premium is payable directly to the
2786
insurer or its agent or indirectly under any premium finance plan
2787
or extension of credit, or failure to maintain membership in an
2788
organization if such membership is a condition precedent to
2789
insurance coverage. "Nonpayment of premium" also means the
2790
failure of a financial institution to honor an insurance
2791
applicant's check after delivery to a licensed agent for payment
2792
of a premium, even if the agent has previously delivered or
2793
transferred the premium to the insurer. If a dishonored check
2794
represents the initial premium payment, the contract and all
2795
contractual obligations shall be void ab initio unless the
2796
nonpayment is cured within the earlier of 5 days after actual
2797
notice by certified mail is received by the applicant or 15 days
2798
after notice is sent to the applicant by certified mail or
2799
registered mail, and if the contract is void, any premium
2800
received by the insurer from a third party shall be refunded to
2801
that party in full.
2802
2. When such cancellation or termination occurs during the
2803
first 90 days during which the insurance is in force and the
2804
insurance is canceled or terminated for reasons other than
2805
nonpayment of premium, at least 20 days' written notice of
2806
cancellation or termination accompanied by the reason therefor
2807
shall be given except where there has been a material
2808
misstatement or misrepresentation or failure to comply with the
2809
underwriting requirements established by the insurer.
2810
3. The requirement for providing written notice of
2811
nonrenewal by June 1 of any nonrenewal that would be effective
2812
between June 1 and November 30 does not apply to the following
2813
situations, but the insurer remains subject to the requirement to
2814
provide such notice at least 100 days prior to the effective date
2815
of nonrenewal:
2816
a. A policy that is nonrenewed due to a revision in the
2817
coverage for sinkhole losses and catastrophic ground cover
2818
collapse pursuant to s. 627.730, as amended by s. 30, chapter
2819
2007-1, Laws of Florida.
2820
b. A policy that is nonrenewed by Citizens Property
2821
Insurance Corporation, pursuant to s. 627.351(6), for a policy
2822
that has been assumed by an authorized insurer offering
2823
replacement or renewal coverage to the policyholder.
2824
2825
After the policy has been in effect for 90 days, the policy shall
2826
not be canceled by the insurer except when there has been a
2827
material misstatement, a nonpayment of premium, a failure to
2828
comply with underwriting requirements established by the insurer
2829
within 90 days of the date of effectuation of coverage, or a
2830
substantial change in the risk covered by the policy or when the
2831
cancellation is for all insureds under such policies for a given
2832
class of insureds. This paragraph does not apply to individually
2833
rated risks having a policy term of less than 90 days.
2834
Section 14. Effective January 1, 2011, section 689.262,
2835
Florida Statutes, is created to read:
2836
689.262 Sale of residential property; disclosure of
2837
windstorm mitigation rating.--A purchaser of residential property
2838
must be informed of the windstorm mitigation rating of the
2839
structure, based on the uniform home grading scale adopted
2840
pursuant to s. 215.55865. The rating must be included in the
2841
contract for sale or as a separate document attached to the
2842
contract for sale. The Financial Services Commission may adopt
2843
rules, consistent with other state laws, to administer this
2844
section, including the form of the disclosure and the
2845
requirements for the windstorm mitigation inspection or report
2846
that is required for purposes of determining the rating.
2847
Section 15. Effective October 1, 2008, subsection (1) of
2848
section 817.2341, Florida Statutes, is amended to read:
2849
817.2341 False or misleading statements or supporting
2850
documents; penalty.--
2851
(1) Any person who willfully files with the department or
2852
office, or who willfully signs for filing with the department or
2853
office, a materially false or materially misleading financial
2854
statement or document in support of such statement required by
2855
law or rule, or a materially false or materially misleading rate
2856
filing, with intent to deceive and with knowledge that the
2857
statement or document is materially false or materially
2858
misleading, commits a felony of the third degree, punishable as
2860
Section 16. (1) By December 15, 2008, Citizens Property
2861
Insurance Corporation shall transfer $250 million to the General
2862
Revenue Fund by transferring an amount from the Personal Lines
2863
Account and the Commercial Lines Account, as defined in s.
2864
627.351(6), Florida Statutes, in proportion to the surplus of
2865
each account, if the combined losses in the Personal Lines
2866
Account and the Commercial Lines Account from one or more named
2867
hurricanes in 2008 do not exceed $750 million. The board of
2868
governors of Citizens Property Insurance Corporation must make a
2869
reasonable estimate of such losses on or after December 1, 2008,
2870
and no later than December 14, 2008, using generally accepted
2871
actuarial and accounting practices, recognizing that audited
2872
financial statements will not yet be available and that all
2873
losses will have not been reported or developed.
2874
(2) If Citizens Property Insurance Corporation transfers
2875
$250 million to General Revenue as provided in subsection (1),
2876
effective December 15, 2008, and for the 2008-2009 fiscal year,
2877
the sum of $250 million is appropriated from the General Revenue
2878
Fund on a nonrecurring basis to the State Board of Administration
2879
for purposes of the Insurance Capital Build-Up Incentive Program
2880
established pursuant to s. 215.5595, Florida Statutes, as amended
2881
by this act. Costs and fees incurred by the board in
2882
administering this program, including fees for investment
2883
services, shall be paid from funds appropriated by the
2884
Legislature for this program, but are limited to 1 percent of the
2885
amount appropriated. Notwithstanding the provisions of s.
2886
216.301, Florida Statutes, to the contrary, the unexpended
2887
balance of this appropriation shall not revert to the General
2888
Revenue Fund until June 30, 2009.
2889
Section 17. Except as otherwise expressly provided in this
2890
act, this act shall take effect July 1, 2008.
CODING: Words stricken are deletions; words underlined are additions.