CS for CS for SB's 2860 & 1196 First Engrossed
20082860e1
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A bill to be entitled
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An act relating to insurance; amending s. 215.5595, F.S.;
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revising legislative findings with respect to the
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Insurance Capital Build-Up Incentive Program and the
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appropriation of state funds for surplus notes issued by
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residential property insurers; revising the conditions and
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requirements for providing funds to insurers under the
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program; requiring a commitment by the insurer to meet
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minimum premium-to-surplus writing ratios for residential
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property insurance, for taking policies out of Citizens
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Property Insurance Corporation, and for maintaining
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certain surplus and reinsurance; establishing deadlines
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for insurers to apply for funds; authorizing the State
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Board of Administration to charge a late fee for payment
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of remittances; requiring the board to submit semiannual
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reports to the Legislature regarding the program;
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providing that amendments made by the act do not affect
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the terms of surplus notes approved prior to a specified
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date, but authorizing the board and an insurer to
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renegotiate such terms consistent with such amendments;
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requiring the board to transfer to Citizens Property
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Insurance Corporation any funds that have not been
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reserved for insurers approved to receive such funds under
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the program, from the funds that were appropriated from
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Citizens; requiring the board to transfer to Citizens
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interest and principal payments to Citizens Property
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Insurance Corporation for surplus note funded from
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appropriations from Citizens; requiring Citizens to
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deposit such funds into accounts from which appropriations
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were made; amending s. 542.20, F.S.; subjecting the
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business of insurance to the Florida Antitrust Act;
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limiting enforcement to actions by the Attorney General or
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a state attorney; providing exceptions; amending s.
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624.3161, F.S.; authorizing the Office of Insurance
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Regulation to require an insurer to file its claims
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handling practices and procedures as a public record based
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on findings of a market conduct examination; amending s.
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624.4211, F.S.; increasing the maximum amounts of
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administrative fines that may be imposed upon an insurer
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by the Office of Insurance Regulation for nonwillful and
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willful violations of an order or rule of the office or
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any provision of the Florida Insurance Code; authorizing
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the office to impose a fine for each day of noncompliance
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up to a maximum amount; providing factors to consider when
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determining the amount of the fine; creating s. 624.4213,
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F.S.; specifying requirements for submission of a document
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or information to the Office of Insurance Regulation or
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the Department of Financial Services in order for a person
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to claim that the document is a trade secret; requiring
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each page or portion to be labeled as a trade secret and
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be separated from non-trade secret material; requiring the
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submitting party to include an affidavit certifying
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certain information about the documents claimed to be
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trade secrets; requiring the office or department to
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notify persons who submit trade secret documents of any
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public-records request and the opportunity to file a court
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action to bar disclosure; specifying conditions for the
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office to retain or release such documents; requiring an
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award of attorney's fees against a person who certified a
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document as trade secret if a court or administrative
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tribunal finds that the document is not a trade secret;
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creating s. 624.4305, F.S.; requiring that an insurer
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planning to nonrenew more than a specified number of
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residential property insurance polices notify the Office
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of Insurance Regulation and obtain approval for such
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nonrenewals; specifying procedures for issuance of such
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notice; prohibiting the office from approving a nonrenewal
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plan unless it determines that the insurer has met certain
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conditions; prohibiting the office from requiring certain
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actions; limiting the ability of the office to disapprove
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or restrict nonrenewal of certain policies under certain
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conditions; amending s. 626.9521, F.S.; increasing the
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maximum fines that may be imposed by the office or
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department for nonwillful and willful violations of state
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law regarding unfair methods of competition and unfair or
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deceptive acts or practices related to insurance; amending
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s. 626.9541, F.S.; prohibiting an insurer from considering
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certain factors when evaluating or adjusting a property
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insurance claim; prohibiting an insurer from failing to
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pay undisputed amounts of benefits owed under a property
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insurance policy within a certain period; amending s.
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627.062, F.S.; requiring that an insurer seeking a rate
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for property insurance that is greater than the rate most
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recently approved by the Office of Insurance Regulation
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make a "file and use" filing for all such rate filings
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made after a specified date; revising the factors the
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office must consider in reviewing a rate filing;
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prohibiting the Office of Insurance Regulation from
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disapproving as excessive a rate solely because the
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insurer obtained reinsurance covering a specified probably
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maximum loss; allowing the office to disapprove a rate as
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excessive within 1 year after the rate has been approved
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under certain conditions related to nonrenewal of policies
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by the insurer; requiring the Division of Administrative
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Hearings to expedite a hearing request by an insurer and
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for the administrative law judge to commence the hearing
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within a specified time; establishing time limits for
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entry of a recommended order, for parties to submit
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written exceptions, and for the office to enter a final
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order, subject to waiver by all parties; authorizing an
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insurer to request an expedited appellate review pursuant
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to the Florida Rules of Appellate Procedure; expressing
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legislative intent for an expedited appellate review;
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requiring an administrative law judge in a hearing on an
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insurance rate to grant a continuance if requested by a
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party due to receiving additional information that was not
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previously available; deleting provisions relating to the
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submission of a disputed rate filing, other than a rate
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filing for medical malpractice insurance, to an
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arbitration panel in lieu of an administrative hearing if
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the rate is filed before a specified date; requiring
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certain officers and the chief actuary of a property
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insurer to certify certain information as part of a rate
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filing, subject to the penalty of perjury; amending s.
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627.0613, F.S.; deleting cross-references to conform to
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changes made by the act; amending s. 627.0628, F.S.;
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requiring that with respect to rate filings, insurers must
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use actuarial methods or models found to be accurate or
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reliable by the Florida Commission on Hurricane Loss
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Projection Methodology; deleting the requirement for the
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Office of Insurance Regulation and the Consumer Advocate
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to have access to all assumptions of a hurricane loss
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model in order for a model that has been found to be
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accurate and reliable by the Florida Commission on
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Hurricane Loss Projection Methodology to be admissible in
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a rate proceeding; deleting cross-references to conform to
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changes made by the act; amending s. 627.0629, F.S.;
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requiring that the Office of Insurance Regulation develop
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and make publicly available before a specified deadline a
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proposed method for insurers to establish windstorm
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mitigation premium discounts that correlate to the uniform
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home rating scale; requiring that the Financial Services
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Commission adopt rules before a specified deadline;
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requiring insurers to make rate filings pursuant to such
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method; authorizing the commission to make changes by rule
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to the uniform home grading scale and specify by rule the
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minimum required discounts, credits, or other rate
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differentials; requiring that such rate differentials be
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consistent with generally accepted actuarial principles
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and wind loss mitigation studies; amending s. 627.351,
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F.S., relating to Citizens Property Insurance Corporation;
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deleting a provision to conform to changes made in the
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act; deleting provisions defining the terms "homestead
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property" and "nonhomestead property"; deleting a
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provision providing for the classification of certain
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dwellings as "nonhomestead property"; deleting provisions
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making dwellings and condominium units that have a
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replacement cost above a specified value ineligible for
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coverage after a specified date; deleting requirements for
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certain properties to meeting building code plus
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requirements as a condition of eligibility for coverage by
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the corporation; requiring certain structures to have
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opening protections as a condition of eligibility for
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coverage after a specified date; requiring that the
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corporation cease issuance of new wind-only coverage
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beginning on a specified date; deleting outdated
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provisions requiring the corporation to submit a report
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for approval of offering multiperil coverage; revising
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threshold amounts of deficits incurred in a calendar year
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on which the decision to levy assessments and the types of
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such assessments are based; revising the formula used to
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calculate shares of assessments owed by certain assessable
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insureds; requiring that the board of governors make
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certain determinations before levying emergency
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assessments; providing the board of governors with
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discretion to set the amount of an emergency assessment
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within specified limits; requiring the board of governors
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to levy a Citizens policyholder surcharge under certain
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conditions; deleting a provision requiring the levy of an
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immediate assessment against certain policyholders under
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such conditions; requiring that funds collected from the
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levy of such surcharges be used for certain purposes;
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providing that such surcharges are not considered premium
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and are not subject to commissions, fees, or premium
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taxes; requiring that the failure to pay such surcharges
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be treated as failure to pay premium; requiring that the
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amount of any assessment or surcharge which exceeds the
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amount of deficits be remitted to and used by the
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corporation for specified purposes; deleting provisions
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requiring that the plan of operation of the corporation
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provide for the levy of a Citizens policyholder surcharge
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if regular deficit assessments are levied as a result of
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deficits in certain accounts; deleting provisions related
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to the calculation, classification, and nonpayment of such
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surcharge; requiring that the corporation make an annual
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filing for each personal or commercial line of business it
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writes, beginning on a specified date; limiting the
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overall average statewide premium increase and the
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increase for an individual policyholder to a specified
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amount for rates established for certain policies during a
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specified period; deleting a provision requiring an
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insurer to purchase bonds that remain unsold; requiring
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the corporation to make its database of policies available
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to prospective take-out insurers under certain conditions;
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requiring the corporation to require agents to accept or
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decline appointment for any policy selected; requiring the
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corporation to notify the policyholder of certain
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information if an insurer selected his or her policy for a
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take-out offer but the policyholder's agent refused to be
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appointed; deleting provisions requiring the corporation
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to make certain confidential underwriting and claims files
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available to agents to conform to changes made by the act
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relating to ineligibility of certain dwellings; amending
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s. 627.4133, F.S.; increasing the required time period for
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an insurer to notify a policyholder of cancellation or
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nonrenewal of a personal lines or commercial residential
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property insurance policy; making conforming changes;
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creating s. 627.714, F.S.; requiring that personal lines
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residential policies be guaranteed renewable for a
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specified period if the dwelling meets certain
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requirements for wind-borne debris protection; creating s.
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689.262, F.S.; requiring a purchaser of residential
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property to be presented with the windstorm mitigation
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rating of the structure; authorizing the Financial
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Services Commission to adopt rules; amending s. 817.2341,
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F.S.; providing for criminal penalties to be imposed under
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certain conditions against any person who willfully files
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a materially false or misleading rate filing; requiring
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Citizens Property Insurance Corporation to transfer funds
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to the General Revenue Fund if the losses due to a
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hurricane do not exceed a specified amount; requiring the
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board of governors of Citizens Property Insurance
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Corporation to make a reasonable estimate of such losses
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by a certain date; making nonrecurring appropriations for
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purposes of the Insurance Capital Build-Up Incentive
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Program established pursuant to s. 215.5595, F.S., as
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amended by the act; authorizing costs and fees to be paid
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from funds appropriated, subject to specified limitations;
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providing effective dates.
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Be It Enacted by the Legislature of the State of Florida:
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Section 1. Section 215.5595, Florida Statutes, is amended
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to read:
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215.5595 Insurance Capital Build-Up Incentive Program.--
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(1) Upon entering the 2008 2006 hurricane season, the
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Legislature finds that:
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(a) The losses in Florida from eight hurricanes in 2004 and
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2005 have seriously strained the resources of both the voluntary
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insurance market and the public sector mechanisms of Citizens
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Property Insurance Corporation and the Florida Hurricane
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Catastrophe Fund.
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(b) Private reinsurance is much less available and at a
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significantly greater cost to residential property insurers as
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compared to 1 year ago, particularly for amounts below the
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insurer's retention or retained losses that must be paid before
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reimbursement is provided by the Florida Hurricane Catastrophe
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Fund.
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(c) The Office of Insurance Regulation has reported that
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the insolvency of certain insurers may be imminent.
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(d) Hurricane forecast experts predict that the 2006
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hurricane season will be an active hurricane season and that the
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Atlantic and Gulf Coast regions face an active hurricane cycle of
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10 to 20 years or longer.
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(b)(e) Citizens Property Insurance Corporation has over 1.2
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million policies in force, has the largest market share of any
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insurer writing residential property insurer in the state, and
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faces the threat of a catastrophic loss that The number of
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cancellations or nonrenewals of residential property insurance
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policies is expected to increase and the number of new
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residential policies written in the voluntary market are likely
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to decrease, causing increased policy growth and exposure to the
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state insurer of last resort, Citizens Property Insurance
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Corporation, and threatening to increase the deficit of the
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corporation, currently estimated to be over $1.7 billion. This
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deficit must be funded by assessments against insurers and
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policyholders, unless otherwise funded by the state.
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(c)(f) Policyholders are subject to high increased premiums
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and assessments that are increasingly making such coverage
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unaffordable and that may force policyholders to sell their homes
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and even leave the state.
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(d)(g) The increased risk to the public sector and private
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sector continues to pose poses a serious threat to the economy of
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this state, particularly the building and financing of
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residential structures, and existing mortgages may be placed in
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default.
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(h) The losses from 2004 and 2005, combined with the
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expectation that the increase in hurricane activity will continue
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for the foreseeable future, have caused both insurers and
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reinsurers to limit the capital they are willing to commit to
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covering the hurricane risk in Florida; attracting new capital to
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the Florida market is a critical priority; and providing a low-
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cost source of capital would enable insurers to write additional
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residential property insurance coverage and act to mitigate
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premium increases.
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(e)(i) Appropriating state funds to be exchanged for used
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as surplus notes issued by for residential property insurers,
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under conditions requiring the insurer to contribute additional
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private sector capital and to write a minimum level of premiums
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for residential hurricane coverage, is a valid and important
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public purpose.
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(f) Extending the Insurance Capital Build-up Incentive
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Program will provide an incentive for investors to commit
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additional capital to Florida's residential insurance market.
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(2) The purpose of this section is to provide funds in
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exchange for surplus notes to be issued by to new or existing
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authorized residential property insurers under the Insurance
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Capital Build-Up Incentive Program administered by the State
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Board of Administration, under the following conditions:
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(a) The amount of state funds provided in exchange for a
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the surplus note to for any insurer or insurer group, other than
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an insurer writing only manufactured housing policies, may not
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exceed $25 million or 20 percent of the total amount of funds
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appropriated for available under the program, whichever is
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greater. The amount of the surplus note for any insurer or
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insurer group writing residential property insurance covering
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only manufactured housing may not exceed $7 million.
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(b) The insurer must contribute an amount of new capital to
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its surplus which is at least equal to the amount of the surplus
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note and must apply to the board by October 1, 2008 July 1, 2006.
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If an insurer applies after July 1, 2006, but before June 1,
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2007, the amount of the surplus note is limited to one-half of
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the new capital that the insurer contributes to its surplus,
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except that an insurer writing only manufactured housing policies
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is eligible to receive a surplus note of up to $7 million. For
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purposes of this section, new capital must be in the form of cash
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or cash equivalents as specified in s. 625.012(1).
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(c) The insurer's surplus, new capital, and the surplus
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note must total at least $50 million, except for insurers writing
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residential property insurance covering only manufactured
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housing. The insurer's surplus, new capital, and the surplus note
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must total at least $14 million for insurers writing only
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residential property insurance covering manufactured housing
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policies as provided in paragraph (a).
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(d) The insurer must commit to increase its writings of
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residential property insurance, including the peril of wind, and
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to meet meeting a minimum writing ratio of net written premium to
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surplus of at least 1:1 for the first year after receiving the
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state funds, 1.5:1 for the second year, and 2:1 for the remaining
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term of the surplus note. Alternatively, the insurer must meet a
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minimum writing ratio of gross written premium to surplus of at
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least 3:1 for the first year after receiving the state funds,
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4.5:1 for the second year, and 6:1 for the remaining term of the
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surplus note. The writing ratios, which shall be determined by
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the Office of Insurance Regulation and certified quarterly to the
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board. For this purpose, the term "premium" "net written premium"
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means net written premium for residential property insurance in
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Florida, including the peril of wind, and "surplus" refers to the
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amount of the state funds provided to the insurer in exchange for
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the surplus note plus the amount of new capital contributed by
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the insurer in order to obtain the state funds the entire surplus
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of the insurer. The insurer must also commit to writing at least
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15 percent of its net or gross written premium for new policies,
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not including renewal premiums, for policies taken out of
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Citizens Property Insurance Corporation, during each of the first
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3 years after receiving the state funds in exchange for the
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surplus note, which shall be determined by the Office of
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Insurance Regulation and certified annually to the board. The
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removal of such policies must result in a reduction in the
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probable maximum loss in the account from which the policies are
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removed. The insurer must also commit to maintaining a level of
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surplus and reinsurance sufficient to cover in excess of its 1-
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in-100 year probable maximum loss, as determined by a hurricane
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loss model accepted by the Florida Commission on Hurricane Loss
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Projection Methodology, which shall be determined by the Office
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of Insurance Regulation and certified annually the board. If the
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board determines that the insurer has failed to meet any of the
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requirements of this paragraph required ratio is not maintained
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during the term of the surplus note, the board may increase the
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interest rate, accelerate the repayment of interest and
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principal, or shorten the term of the surplus note, subject to
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approval by the Commissioner of Insurance of payments by the
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insurer of principal and interest as provided in paragraph (f).
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(e) If the requirements of this section are met, the board
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may approve an application by an insurer for funds in exchange
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for issuance of a surplus note, unless the board determines that
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the financial condition of the insurer and its business plan for
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writing residential property insurance in Florida places an
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unreasonably high level of financial risk to the state of
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nonpayment in full of the interest and principal. The board shall
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consult with the Office of Insurance Regulation and may contract
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with independent financial and insurance consultants in making
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this determination.
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(f) The surplus note must be repayable to the state with a
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term of 20 years. The surplus note shall accrue interest on the
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unpaid principal balance at a rate equivalent to the 10-year U.S.
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Treasury Bond rate, require the payment only of interest during
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the first 3 years, and include such other terms as approved by
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the board. The board may charge late fees up to 5 percent for
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late payments or other late remittances. Payment of principal, or
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interest, or late fees by the insurer on the surplus note must be
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approved by the Commissioner of Insurance, who shall approve such
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payment unless the commissioner determines that such payment will
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substantially impair the financial condition of the insurer. If
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such a determination is made, the commissioner shall approve such
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payment that will not substantially impair the financial
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condition of the insurer.
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(g) The total amount of funds available for the program is
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limited to the amount appropriated by the Legislature for this
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purpose. If the amount of surplus notes requested by insurers
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exceeds the amount of funds available, the board may prioritize
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insurers that are eligible and approved, with priority for
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funding given to insurers writing only manufactured housing
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policies, regardless of the date of application, based on the
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financial strength of the insurer, the viability of its proposed
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business plan for writing additional residential property
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insurance in the state, and the effect on competition in the
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residential property insurance market. Between insurers writing
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residential property insurance covering manufactured housing,
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priority shall be given to the insurer writing the highest
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percentage of its policies covering manufactured housing.
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(h) The board may allocate portions of the funds available
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for the program and establish dates for insurers to apply for
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surplus notes from such allocation which are earlier than the
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dates established in paragraph (b).
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(h)(i) Notwithstanding paragraph (d), a newly formed
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manufactured housing insurer that is eligible for a surplus note
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under this section shall meet the premium to surplus ratio
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provisions of s. 624.4095.
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(i)(j) As used in this section, "an insurer writing only
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manufactured housing policies" includes:
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1. A Florida domiciled insurer that begins writing personal
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lines residential manufactured housing policies in Florida after
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March 1, 2007, and that removes a minimum of 50,000 policies from
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Citizens Property Insurance Corporation without accepting a
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bonus, provided at least 25 percent of its policies cover
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manufactured housing. Such an insurer may count any funds above
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the minimum capital and surplus requirement that were contributed
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into the insurer after March 1, 2007, as new capital under this
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section.
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2. A Florida domiciled insurer that writes at least 40
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percent of its policies covering manufactured housing in Florida.
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(3) As used in this section, the term:
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(a) "Board" means the State Board of Administration.
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(b) "Program" means the Insurance Capital Build-Up
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Incentive Program established by this section.
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(4) The state funds provided to the insurer in exchange for
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the A surplus note provided to an insurer pursuant to this
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section are is considered borrowed surplus an asset of the
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(5) If an insurer that receives funds in exchange for
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issuance of a surplus note pursuant to this section is rendered
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insolvent, the state is a class 3 creditor pursuant to s. 631.271
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for the unpaid principal and interest on the surplus note.
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(6) The board shall adopt rules prescribing the procedures,
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administration, and criteria for approving the applications of
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insurers to receive funds in exchange for issuance of surplus
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notes pursuant to this section, which may be adopted pursuant to
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the procedures for emergency rules of chapter 120. Otherwise,
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actions and determinations by the board pursuant to this section
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are exempt from chapter 120.
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(7) The board shall invest and reinvest the funds
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appropriated for the program in accordance with s. 215.47 and
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consistent with board policy.
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(8) The board shall semiannually submit a report to the
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President of the Senate and the Speaker of the House of
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Representatives on February 1 and August 1 as to the results of
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the program and each insurer's compliance with the terms of its
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surplus note.
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(9) The amendments to this section enacted in 2008 do not
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affect the terms or conditions of the surplus notes that were
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approved prior to January 1, 2008. However, the board may
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renegotiate the terms of any surplus note issued by an insurer
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prior to January 2008 under this program upon the agreement of
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the insurer and the board and consistent with the requirements of
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this section as amended in 2008.
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(10) On January 15, 2009, the State Board of Administration
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shall transfer to Citizens Property Insurance Corporation any
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funds that have not been committed or reserved for insurers
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approved to receive such funds under the program, from the funds
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that were appropriated from Citizens Property Insurance
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Corporation in 2008-2009 for such purposes. Beginning July 1,
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2009, and each quarter thereafter, the State Board of
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Administration shall transfer any interest earned prior to
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issuance of any surplus notes, interest paid, and principal
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repaid to the state for any surplus notes issued by the program
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after December 1, 2008, to the Citizens Property Insurance
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Corporation. Such transfers shall be in the proportion that
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surplus notes were funded from 2008-2009 appropriations from
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Citizens Property Insurance Corporation and shall be made until
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principal or interest is no longer due to the state on surplus
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notes funded from such appropriations. Citizens Property
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Insurance Corporation shall deposit the transferred funds into
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each of its accounts in the proportion that moneys were
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transferred out of those accounts to the General Revenue Fund in
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December 2008.
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Section 2. Section 542.20, Florida Statutes, is amended to
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read:
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542.20 Exemptions.--
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(1) Any activity or conduct exempt under Florida statutory
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or common law or exempt from the provisions of the antitrust laws
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of the United States is exempt from the provisions of this
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chapter, except as provided in subsection (2).
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(2)(a) The business of insurance is subject to the
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provisions of this chapter. As applied to the business of
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insurance, any legal action to seek penalties or damages for
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violations or to otherwise enforce the provisions of this chapter
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shall be brought only by the Attorney General or a state
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attorney, as provided in this chapter, and another party may not
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bring suit against a person engaged in the business of insurance,
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notwithstanding any other provision of this chapter.
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(b) This chapter does not prohibit a rating organization or
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advisory organization from collecting claims, loss, or expense
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data from insurers and filing rates or advisory rates with the
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Office of Insurance Regulation, and does not prohibit any person
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from engaging in acts expressly allowed by the Florida Insurance
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Code, including, but not limited to, those listed in s. 627.314.
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Section 3. Subsection (6) is added to section 624.3161,
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Florida Statutes, to read:
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624.3161 Market conduct examinations.--
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(6) Based on the findings of a market conduct examination
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that an insurer has exhibited a pattern or practice of willful
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violations of an unfair insurance trade practice related to
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claims-handling which caused harm to policyholders, as prohibited
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by s. 626.9541(1)(i), the office may require an insurer to file
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its claims-handling practices and procedures related to that line
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of insurance with the office for review and inspection, to be
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held by the office for the following 36-month period. Such
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claims-handling practices and procedures are public records and
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are not trade secrets or otherwise exempt from the provisions of
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s. 119.07(1). As used in this section, "claims-handling practices
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and procedures" are any policies, guidelines, rules, protocols,
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standard operating procedures, instructions, or directives that
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govern or guide how and the manner in which an insured's claims
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for benefits under any policy will be processed.
516
Section 4. Subsections (2) and (3) of section 624.4211,
517
Florida Statutes, are amended, and subsections (5) and (6) are
518
added to that section, to read:
519
624.4211 Administrative fine in lieu of suspension or
520
revocation.--
521
(2) With respect to any nonwillful violation, such fine may
522
shall not exceed $25,000 $2,500 per violation. In no event shall
523
such fine exceed an aggregate amount equal to 1 percent of the
524
insurer's surplus, as determined by the most recent financial
525
statements filed with the office, of $10,000 for all nonwillful
526
violations arising out of the same action. If When an insurer
527
discovers a nonwillful violation, the insurer shall correct the
528
violation and, if restitution is due, make restitution to all
529
affected persons. Such restitution shall include interest at 12
530
percent per year from either the date of the violation or the
531
date of inception of the affected person's policy, at the
532
insurer's option. The restitution may be a credit against future
533
premiums due provided that the interest accumulates shall
534
accumulate until the premiums are due. If the amount of
535
restitution due to any person is $50 or more and the insurer
536
wishes to credit it against future premiums, it shall notify such
537
person that she or he may receive a check instead of a credit. If
538
the credit is on a policy that which is not renewed, the insurer
539
shall pay the restitution to the person to whom it is due.
540
(3) With respect to any knowing and willful violation of a
541
lawful order or rule of the office or commission or a provision
542
of this code, the office may impose a fine upon the insurer in an
543
amount not to exceed $100,000 $20,000 for each such violation. In
544
no event shall such fine exceed an aggregate amount equal to 5
545
percent of the insurer's surplus, as determined by the most
546
recent financial statements filed with the office, of $100,000
547
for all knowing and willful violations arising out of the same
548
action. In addition to such fines, the such insurer shall make
549
restitution when due in accordance with the provisions of
550
subsection (2).
551
(5) The office may impose an administrative fine for each
552
day the insurer is not in compliance with the Florida Insurance
553
Code up to a maximum of $25,000 per violation per day, beginning
554
with the 10th day of noncompliance, not to exceed an aggregate
555
amount equal to 5 percent of the insurer's surplus, as determined
556
by the most recent financial statements filed with the office.
557
This aggregate cap includes all fines imposed by the office under
558
this section.
559
(6) In determining the amount of the fine, the office shall
560
consider:
561
(a) The degree of consumer harm caused or potentially
562
caused by the violation;
563
(b) Whether the violation constitutes an immediate danger
564
to the public;
565
(c) Whether the violation is a repeat violation or similar
566
to past violations by the insurer;
567
(d) The effect on the solvency of the insurer;
568
(e) The premium volume of the insurer; and
569
(f) The effect that fining the insurer will have on the
570
insurer's compliance with the Florida Insurance Code.
571
Section 5. Section 624.4213, Florida Statutes, is created
572
to read:
573
624.4213 Trade secret documents.--
574
(1) If any person who is required to submit documents or
575
other information to the office or department pursuant to the
576
Insurance Code or by rule or order of the office, department, or
577
commission claims that such submission contains a trade secret,
578
such person may file with the office or department a notice of
579
trade secret as provided in this section. Failure to do so
580
constitutes a waiver of any claim by such person that the
581
document or information is a trade secret.
582
(a) Each page of such document or specific portion of a
583
document claimed to be a trade secret must be clearly marked as
584
"trade secret."
585
(b) All material marked as a trade secret must be separated
586
from all non-trade secret material, such as being submitted in a
587
separate envelope clearly marked as "trade secret."
588
(c) In submitting a notice of trade secret to the office or
589
department, the submitting party must include an affidavit
590
certifying under oath to the truth of the following statements
591
concerning all documents or information that are claimed to be
592
trade secrets:
593
1. [I consider/My company considers] this information a
594
trade secret that has value and provides an advantage or an
595
opportunity to obtain an advantage over those who do not know or
596
use it.
597
2. [I have/My company has] taken measures to prevent the
598
disclosure of the information to anyone other that those who have
599
been selected to have access for limited purposes, and [I
600
intend/my company intends] to continue to take such measures.
601
3. The information is not, and has not been, reasonably
602
obtainable without [my/our] consent by other persons by use of
603
legitimate means.
604
4. The information is not publicly available elsewhere.
605
(2) If the office or department receives a public-records
606
request for a document or information that is marked and
607
certified as a trade secret, the office or department shall
608
promptly notify the person that certified the document as a trade
609
secret. The notice shall inform such person that he or she or his
610
or her company has 30 days following receipt of such notice to
611
file an action in circuit court seeking a determination whether
612
the document in question contains trade secrets and an order
613
barring public disclosure of the document. If that person or
614
company files an action within 30 days after receipt of notice of
615
the public-records request, the office or department may not
616
release the documents pending the outcome of the legal action.
617
The failure to file an action within 30 days constitutes a waiver
618
of any claim of confidentiality and the office or department
619
shall release the document as requested.
620
(3) If a court or administrative tribunal finds that any
621
document or information certified as a trade secret, submitted to
622
the office or department under this section, and subsequently
623
requested by a third party is not a trade secret, the company or
624
the person certifying such document or information as a trade
625
secret is liable for an award of reasonable attorney's fees and
626
costs to the third party seeking access to such documents and to
627
the office or department.
628
(4) The office or department may disclose a trade secret,
629
together with the claim that it is a trade secret, to an officer
630
or employee of another governmental agency whose use of the trade
631
secret is within the scope of his or her employment.
632
Section 6. Section 624.4305, Florida Statutes, is created to
633
read:
634
624.4305 Nonrenewal of residential property insurance
635
policies.--
636
(1) Any insurer planning to nonrenew more than 10,000
637
residential property insurance policies in this state within a
638
12-month period shall give notice in writing to the Office of
639
Insurance Regulation 90 days before the issuance of any notices
640
of nonrenewal. The notice provided to the office must set forth
641
the insurer's reasons for such action, the effective dates of
642
nonrenewal, and any arrangements made for other insurers to offer
643
coverage to affected policyholders.
644
(2) An insurer may not issue a notice of nonrenewal to
645
policyholders unless the office approves or fails to disapprove
646
the nonrenewal plan within 90 days after the date on which it
647
receives the notice from the insurer. The office may not approve
648
the plan unless it finds that the insurer has staggered the
649
nonrenewals over a reasonable period relative to the number of
650
nonrenewals, or has made arrangements for offers of replacement
651
coverage. The office may not require that the effective dates of
652
nonrenewal be staggered over a period longer than 24 months
653
unless the insurer is nonrenewing more than 100,000 policies, in
654
which case the office may not require that the effective dates of
655
nonrenewal be staggered over a period longer than 36 months. If
656
the insurer has arranged for an offer of coverage to be made to
657
an affected policyholder by an authorized insurer, the office may
658
not restrict or disapprove the nonrenewal of such policy beyond
659
what is required by law.
660
Section 7. Subsection (2) of section 626.9521, Florida
661
Statutes, is amended to read:
662
626.9521 Unfair methods of competition and unfair or
663
deceptive acts or practices prohibited; penalties.--
664
(2) Any person who violates any provision of this part
665
shall be subject to a fine in an amount not greater than $25,000
666
$2,500 for each nonwillful violation and not greater than
667
$100,000 $20,000 for each willful violation. Fines under this
668
subsection imposed against an insurer may not exceed an aggregate
669
amount equal to 1 percent of the insurer's surplus of $10,000 for
670
all nonwillful violations arising out of the same action or an
671
aggregate amount equal to 5 percent of the insurer's surplus of
672
$100,000 for all willful violations arising out of the same
673
action, as surplus is determined by the insurer's most recent
674
financial statements filed with the office. The fines authorized
675
by this subsection may be imposed in addition to any other
676
applicable penalty.
677
Section 8. Paragraph (i) of subsection (1) of section
678
626.9541, Florida Statutes, is amended to read:
679
626.9541 Unfair methods of competition and unfair or
680
deceptive acts or practices defined.--
681
(1) UNFAIR METHODS OF COMPETITION AND UNFAIR OR DECEPTIVE
682
ACTS.--The following are defined as unfair methods of competition
683
and unfair or deceptive acts or practices:
684
(i) Unfair claim settlement practices.--
685
1. Attempting to settle claims on the basis of an
686
application, when serving as a binder or intended to become a
687
part of the policy, or any other material document that is which
688
was altered without notice to, or knowledge or consent of, the
689
insured;
690
2. A material misrepresentation made to an insured or any
691
other person having an interest in the proceeds payable under a
692
such contract or policy, for the purpose and with the intent of
693
effecting settlement of such claims, loss, or damage under such
694
contract or policy on less favorable terms than those provided
695
in, and contemplated by, the such contract or policy; or
696
3. Committing or performing with such frequency as to
697
indicate a general business practice any of the following:
698
a. Failing to adopt and implement standards for the proper
699
investigation of claims.;
700
b. Misrepresenting pertinent facts or insurance policy
701
provisions relating to coverages at issue.;
702
c. Failing to acknowledge and act promptly upon
703
communications with respect to claims.;
704
d. Denying claims without conducting reasonable
705
investigations based upon available information.;
706
e. Failing to affirm or deny full or partial coverage of
707
claims, and, as to partial coverage, the dollar amount or extent
708
of coverage, or failing to provide a written statement that the
709
claim is being investigated, upon the written request of the
710
insured within 30 days after proof-of-loss statements have been
711
completed.;
712
f. Failing to promptly provide a reasonable explanation in
713
writing to the insured of the basis in the insurance policy, in
714
relation to the facts or applicable law, for denial of a claim or
715
for the offer of a compromise settlement.;
716
g. Failing to promptly notify the insured of any additional
717
information necessary for the processing of a claim.; or
718
h. Failing to clearly explain the nature of the requested
719
information and the reasons why such information is necessary.
720
4. Giving consideration to the age, race, income level,
721
education, credit score, or any other personal characteristic of
722
a policyholder when evaluating, adjusting, settling, or
723
attempting to settle a property insurance claim; or
724
5. Failing to pay undisputed amounts of partial or full
725
benefits owed under first-party property insurance policies
726
within 90 days after determining the amounts of partial or full
727
benefits and agreeing to coverage.
728
Section 9. Paragraphs (a), (b), and (g) of subsection (2),
729
and subsections (6) and (9) of section 627.062, Florida Statutes,
730
are amended to read:
731
627.062 Rate standards.--
732
(2) As to all such classes of insurance:
733
(a) Insurers or rating organizations shall establish and
734
use rates, rating schedules, or rating manuals to allow the
735
insurer a reasonable rate of return on such classes of insurance
736
written in this state. A copy of rates, rating schedules, rating
737
manuals, premium credits or discount schedules, and surcharge
738
schedules, and changes thereto, shall be filed with the office
739
under one of the following procedures except as provided in
740
subparagraph 3.:
741
1. If the filing is made at least 90 days before the
742
proposed effective date and the filing is not implemented during
743
the office's review of the filing and any proceeding and judicial
744
review, then such filing shall be considered a "file and use"
745
filing. In such case, the office shall finalize its review by
746
issuance of a notice of intent to approve or a notice of intent
747
to disapprove within 90 days after receipt of the filing. The
748
notice of intent to approve and the notice of intent to
749
disapprove constitute agency action for purposes of the
750
Administrative Procedure Act. Requests for supporting
751
information, requests for mathematical or mechanical corrections,
752
or notification to the insurer by the office of its preliminary
753
findings shall not toll the 90-day period during any such
754
proceedings and subsequent judicial review. The rate shall be
755
deemed approved if the office does not issue a notice of intent
756
to approve or a notice of intent to disapprove within 90 days
757
after receipt of the filing.
758
2. If the filing is not made in accordance with the
759
provisions of subparagraph 1., such filing shall be made as soon
760
as practicable, but no later than 30 days after the effective
761
date, and shall be considered a "use and file" filing. An insurer
762
making a "use and file" filing is potentially subject to an order
763
by the office to return to policyholders portions of rates found
764
to be excessive, as provided in paragraph (h).
765
3. For all property insurance filings made or submitted
766
after January 25, 2007, but before December 31, 2008, an insurer
767
seeking a rate that is greater than the rate most recently
768
approved by the office shall make a "file and use" filing. This
769
subparagraph applies to property insurance only. For purposes of
770
this subparagraph, motor vehicle collision and comprehensive
771
coverages are not considered to be property coverages.
772
(b) Upon receiving a rate filing, the office shall review
773
the rate filing to determine if a rate is excessive, inadequate,
774
or unfairly discriminatory. In making that determination, the
775
office shall, in accordance with generally accepted and
776
reasonable actuarial techniques, consider the following factors:
777
1. Past and prospective loss experience within and without
778
this state.
779
2. Past and prospective expenses.
780
3. The degree of competition among insurers for the risk
781
insured.
782
4. Investment income reasonably expected by the insurer,
783
consistent with the insurer's investment practices, from
784
investable premiums anticipated in the filing, plus any other
785
expected income from currently invested assets representing the
786
amount expected on unearned premium reserves and loss reserves.
787
The commission may adopt rules using utilizing reasonable
788
techniques of actuarial science and economics to specify the
789
manner in which insurers shall calculate investment income
790
attributable to such classes of insurance written in this state
791
and the manner in which such investment income shall be used to
792
calculate in the calculation of insurance rates. Such manner
793
shall contemplate allowances for an underwriting profit factor
794
and full consideration of investment income which produce a
795
reasonable rate of return; however, investment income from
796
invested surplus may shall not be considered.
797
5. The reasonableness of the judgment reflected in the
798
filing.
799
6. Dividends, savings, or unabsorbed premium deposits
800
allowed or returned to Florida policyholders, members, or
801
subscribers.
802
7. The adequacy of loss reserves.
803
8. The cost of reinsurance. The office shall not disapprove
804
a rate as excessive solely due to the insurer having obtained
805
catastrophic reinsurance to cover the insurer's estimated 250-
806
year probable maximum loss or any lower level of loss.
807
9. Trend factors, including trends in actual losses per
808
insured unit for the insurer making the filing.
809
10. Conflagration and catastrophe hazards, if applicable.
810
11. Projected hurricane losses, if applicable, which must
811
be estimated using a model or method found to be acceptable or
812
reliable by the Florida Commission on Hurricane Loss Projection
813
Methodology, and as further provided in s. 627.0628.
814
12.11. A reasonable margin for underwriting profit and
815
contingencies. For that portion of the rate covering the risk of
816
hurricanes and other catastrophic losses for which the insurer
817
has not purchased reinsurance and has exposed its capital and
818
surplus to such risk, the office must approve a rating factor
819
that provides the insurer a reasonable rate of return that is
820
commensurate with such risk.
821
13.12. The cost of medical services, if applicable.
822
14.13. Other relevant factors which impact upon the
823
frequency or severity of claims or upon expenses.
824
(g) The office may at any time review a rate, rating
825
schedule, rating manual, or rate change; the pertinent records of
826
the insurer; and market conditions. If the office finds on a
827
preliminary basis that a rate may be excessive, inadequate, or
828
unfairly discriminatory, the office shall initiate proceedings to
829
disapprove the rate and shall so notify the insurer. However, the
830
office may not disapprove as excessive any rate for which it has
831
given final approval or which has been deemed approved for a
832
period of 1 year after the effective date of the filing unless
833
the office finds that a material misrepresentation or material
834
error was made by the insurer or was contained in the filing, or
835
unless the insurer has nonrenewed a number or percentage of
836
policies which the office determines may result in the insurer
837
having an excessive rate. Upon being so notified, the insurer or
838
rating organization shall, within 60 days, file with the office
839
all information which, in the belief of the insurer or
840
organization, proves the reasonableness, adequacy, and fairness
841
of the rate or rate change. The office shall issue a notice of
842
intent to approve or a notice of intent to disapprove pursuant to
843
the procedures of paragraph (a) within 90 days after receipt of
844
the insurer's initial response. In such instances and in any
845
administrative proceeding relating to the legality of the rate,
846
the insurer or rating organization shall carry the burden of
847
proof by a preponderance of the evidence to show that the rate is
848
not excessive, inadequate, or unfairly discriminatory. After the
849
office notifies an insurer that a rate may be excessive,
850
inadequate, or unfairly discriminatory, unless the office
851
withdraws the notification, the insurer shall not alter the rate
852
except to conform with the office's notice until the earlier of
853
120 days after the date the notification was provided or 180 days
854
after the date of the implementation of the rate. The office may,
855
subject to chapter 120, disapprove without the 60-day
856
notification any rate increase filed by an insurer within the
857
prohibited time period or during the time that the legality of
858
the increased rate is being contested.
859
860
The provisions of this subsection shall not apply to workers'
861
compensation and employer's liability insurance and to motor
862
vehicle insurance.
863
(6)(a) If an insurer requests an administrative hearing
864
pursuant to s. 120.57 related to a rate filing under this
865
section, the director of the Division of Administrative Hearings
866
shall expedite the hearing and assign an administrative law judge
867
who shall commence the hearing within 30 days after the receipt
868
of the formal request and shall enter a recommended order within
869
30 days after the hearing or within 30 days after receipt of the
870
hearing transcript by the administrative law judge, whichever is
871
later. Each party shall be allowed 10 days in which to submit
872
written exceptions to the recommended order. The office shall
873
enter a final order within 30 days after the entry of the
874
recommended order. The provisions of this paragraph may be waived
875
upon stipulation of all parties.
876
(b) Upon entry of a final order, the insurer may request a
877
expedited appellate review pursuant to the Florida Rules of
878
Appellate Procedure. It is the intent of the Legislature that the
879
First District Court of Appeal grant an insurer's request for an
880
expedited appellate review.
881
(c) If, in any administrative hearing under s. 120.57, any
882
additional information related to a rate filing, other than
883
expert opinion, is offered or presented by the insurer to justify
884
the rate, or offered or presented by the office to challenge the
885
rate, which was not received by the other party prior to the date
886
that the office issues a notice of intent to disapprove the
887
filing, the administrative law judge shall grant a continuance of
888
at least 30 days if requested by the party that had not
889
previously received the information. After any action with
890
respect to a rate filing that constitutes agency action for
891
purposes of the Administrative Procedure Act, except for a rate
892
filing for medical malpractice, an insurer may, in lieu of
893
demanding a hearing under s. 120.57, require arbitration of the
894
rate filing. However, the arbitration option provision in this
895
subsection does not apply to a rate filing that is made on or
896
after the effective date of this act until January 1, 2009.
897
Arbitration shall be conducted by a board of arbitrators
898
consisting of an arbitrator selected by the office, an arbitrator
899
selected by the insurer, and an arbitrator selected jointly by
900
the other two arbitrators. Each arbitrator must be certified by
901
the American Arbitration Association. A decision is valid only
902
upon the affirmative vote of at least two of the arbitrators. No
903
arbitrator may be an employee of any insurance regulator or
904
regulatory body or of any insurer, regardless of whether or not
905
the employing insurer does business in this state. The office and
906
the insurer must treat the decision of the arbitrators as the
907
final approval of a rate filing. Costs of arbitration shall be
908
paid by the insurer.
909
(b) Arbitration under this subsection shall be conducted
911
party may apply to the circuit court to vacate or modify the
913
adopt rules for arbitration under this subsection, which rules
914
may not be inconsistent with the arbitration rules of the
915
American Arbitration Association as of January 1, 1996.
916
(c) Upon initiation of the arbitration process, the insurer
917
waives all rights to challenge the action of the office under the
918
Administrative Procedure Act or any other provision of law;
919
however, such rights are restored to the insurer if the
920
arbitrators fail to render a decision within 90 days after
921
initiation of the arbitration process.
922
(9)(a) Effective March 1, 2007, The chief executive officer
923
or chief financial officer of a property insurer and the chief
924
actuary of a property insurer must certify under oath and subject
925
to the penalty of perjury, on a form approved by the commission,
926
the following information, which must accompany a rate filing:
927
1. The signing officer and actuary have reviewed the rate
928
filing;
929
2. Based on the signing officer's and actuary's knowledge,
930
the rate filing does not contain any untrue statement of a
931
material fact or omit to state a material fact necessary in order
932
to make the statements made, in light of the circumstances under
933
which such statements were made, not misleading;
934
3. Based on the signing officer's and actuary's knowledge,
935
the information and other factors described in paragraph (2)(b),
936
including, but not limited to, investment income, fairly present
937
in all material respects the basis of the rate filing for the
938
periods presented in the filing; and
939
4. Based on the signing officer's and actuary's knowledge,
940
the rate filing reflects all premium savings that are reasonably
941
expected to result from legislative enactments and are in
942
accordance with generally accepted and reasonable actuarial
943
techniques;.
944
5. Based on the signing officer's and actuary's knowledge,
945
the actuary responsible for preparing the rate filing reviewed
946
the rate indications used by the office in approving the
947
insurer's last rate filing, if made available to the insurer for
948
review, and identified factors used in the current rate filing
949
which are inconsistent with the factors used by the office in
950
developing such rate indications; and
951
6. Based on the signing officer's and actuary's knowledge,
952
the number and type of policies that the insurer intends to
953
nonrenew during the year following the proposed effective date of
954
the rate filing, and that the rate filing reflects the reduced
955
risk of loss associated with such nonrenewals.
956
(b) A signing officer or actuary knowingly making a false
957
certification under this subsection commits a violation of s.
959
(c) Failure to provide such certification by the officer
960
and actuary shall result in the rate filing being disapproved
961
without prejudice to be refiled.
962
(d) The commission may adopt rules and forms pursuant to
964
Section 10. Subsection (1) of section 627.0613, Florida
965
Statutes, is amended to read:
966
627.0613 Consumer advocate.--The Chief Financial Officer
967
must appoint a consumer advocate who must represent the general
968
public of the state before the department and the office. The
969
consumer advocate must report directly to the Chief Financial
970
Officer, but is not otherwise under the authority of the
971
department or of any employee of the department. The consumer
972
advocate has such powers as are necessary to carry out the duties
973
of the office of consumer advocate, including, but not limited
974
to, the powers to:
975
(1) Recommend to the department or office, by petition, the
976
commencement of any proceeding or action; appear in any
977
proceeding or action before the department or office; or appear
978
in any proceeding before the Division of Administrative Hearings
979
or arbitration panel specified in s. 627.062(6) relating to
980
subject matter under the jurisdiction of the department or
981
office.
982
Section 11. Paragraph (c) of subsection (1) and paragraph
983
(c) of subsection (3) of section 627.0628, Florida Statutes, are
984
amended to read:
985
627.0628 Florida Commission on Hurricane Loss Projection
986
Methodology; public records exemption; public meetings
987
exemption.--
988
(1) LEGISLATIVE FINDINGS AND INTENT.--
989
(c) It is the intent of the Legislature to create the
990
Florida Commission on Hurricane Loss Projection Methodology as a
991
panel of experts to provide the most actuarially sophisticated
992
guidelines and standards for projection of hurricane losses
993
possible, given the current state of actuarial science. It is the
994
further intent of the Legislature that such standards and
995
guidelines must be used by the State Board of Administration in
996
developing reimbursement premium rates for the Florida Hurricane
997
Catastrophe Fund, and, subject to paragraph (3)(c), must may be
998
used by insurers in rate filings under s. 627.062 unless the way
999
in which such standards and guidelines were applied by the
1000
insurer was erroneous, as shown by a preponderance of the
1001
evidence.
1002
(3) ADOPTION AND EFFECT OF STANDARDS AND GUIDELINES.--
1003
(c) With respect to a rate filing under s. 627.062, an
1004
insurer must may employ and may not modify or adjust actuarial
1005
methods, principles, standards, models, or output ranges found by
1006
the commission to be accurate or reliable in determining to
1007
determine hurricane loss factors used for use in a rate filing
1008
and in determining probable maximum loss levels for reinsurance
1009
costs included in a rate filing under s. 627.062. Such findings
1010
and factors are admissible and relevant in consideration of a
1011
rate filing by the office or in any arbitration or administrative
1012
or judicial review only if the office and the consumer advocate
1013
appointed pursuant to s. 627.0613 have access to all of the
1014
assumptions and factors that were used in developing the
1015
actuarial methods, principles, standards, models, or output
1016
ranges, and are not precluded from disclosing such information in
1017
a rate proceeding. In any rate hearing under s. 120.57 or in any
1018
arbitration proceeding under s. 627.062(6), the hearing officer,
1019
judge, or arbitration panel may determine whether the office and
1020
the consumer advocate were provided with access to all of the
1021
assumptions and factors that were used in developing the
1022
actuarial methods, principles, standards, models, or output
1023
ranges and to determine their admissibility.
1024
Section 12. Subsection (1) of section 627.0629, Florida
1025
Statutes, is amended to read:
1026
627.0629 Residential property insurance; rate filings.--
1027
(1)(a) It is the intent of the Legislature that insurers
1028
must provide savings to consumers who install or implement
1029
windstorm damage mitigation techniques, alterations, or solutions
1030
to their properties to prevent windstorm losses. A rate filing
1031
for residential property insurance must include actuarially
1032
reasonable discounts, credits, or other rate differentials, or
1033
appropriate reductions in deductibles, for properties on which
1034
fixtures or construction techniques demonstrated to reduce the
1035
amount of loss in a windstorm have been installed or implemented.
1036
The fixtures or construction techniques shall include, but not be
1037
limited to, fixtures or construction techniques which enhance
1038
roof strength, roof covering performance, roof-to-wall strength,
1039
wall-to-floor-to-foundation strength, opening protection, and
1040
window, door, and skylight strength. Credits, discounts, or other
1041
rate differentials, or appropriate reductions in deductibles, for
1042
fixtures and construction techniques which meet the minimum
1043
requirements of the Florida Building Code must be included in the
1044
rate filing. All insurance companies must make a rate filing
1045
which includes the credits, discounts, or other rate
1046
differentials or reductions in deductibles by February 28, 2003.
1047
By July 1, 2007, the office shall reevaluate the discounts,
1048
credits, other rate differentials, and appropriate reductions in
1049
deductibles for fixtures and construction techniques that meet
1050
the minimum requirements of the Florida Building Code, based upon
1051
actual experience or any other loss relativity studies available
1052
to the office. The office shall determine the discounts, credits,
1053
other rate differentials, and appropriate reductions in
1054
deductibles that reflect the full actuarial value of such
1055
revaluation, which may be used by insurers in rate filings.
1056
(b) By February 1, 2009, the Office of Insurance
1057
Regulation, in consultation with the Department of Financial
1058
Services and the Department of Community Affairs, shall develop
1059
and make publicly available a proposed method for insurers to
1060
establish discounts, credits, or other rate differentials for
1061
hurricane mitigation measures which directly correlate to the
1062
numerical rating assigned to a structure pursuant to the uniform
1063
home grading scale adopted by the Financial Services Commission
1064
pursuant to s. 215.55865, including any proposed changes to the
1065
uniform home grading scale. By October 1, 2009, the commission
1066
shall adopt rules requiring insurers to make rate filings for
1067
residential property insurance which revise insurers' discounts,
1068
credits, or other rate differentials for hurricane mitigation
1069
measures so that such rate differentials correlate directly to
1070
the uniform home grading scale. The rules may include such
1071
changes to the uniform home grading scale as the commission
1072
determines are necessary, and may specify the minimum required
1073
discounts, credits, or other rate differentials. Such rate
1074
differentials must be consistent with generally accepted
1075
actuarial principles and wind-loss mitigation studies. The rules
1076
shall allow a period of at least 2 years after the effective date
1077
of the revised mitigation discounts, credits, or other rate
1078
differentials for a property owner to obtain an inspection or
1079
otherwise qualify for the revised credit, during which time the
1080
insurer shall continue to apply the mitigation credit that was
1081
applied immediately prior to the effective date of the revised
1082
credit.
1083
Section 13. Paragraph (b) of subsection (2) and paragraphs
1084
(a), (b), (c), (m), (p), (dd), (ee), and (ff) of subsection (6)
1085
of section 627.351, Florida Statutes, are amended to read:
1086
627.351 Insurance risk apportionment plans.--
1087
(2) WINDSTORM INSURANCE RISK APPORTIONMENT.--
1088
(b) The department shall require all insurers holding a
1089
certificate of authority to transact property insurance on a
1090
direct basis in this state, other than joint underwriting
1091
associations and other entities formed pursuant to this section,
1092
to provide windstorm coverage to applicants from areas determined
1093
to be eligible pursuant to paragraph (c) who in good faith are
1094
entitled to, but are unable to procure, such coverage through
1095
ordinary means; or it shall adopt a reasonable plan or plans for
1096
the equitable apportionment or sharing among such insurers of
1097
windstorm coverage, which may include formation of an association
1098
for this purpose. As used in this subsection, the term "property
1099
insurance" means insurance on real or personal property, as
1100
defined in s. 624.604, including insurance for fire, industrial
1101
fire, allied lines, farmowners multiperil, homeowners'
1102
multiperil, commercial multiperil, and mobile homes, and
1103
including liability coverages on all such insurance, but
1104
excluding inland marine as defined in s. 624.607(3) and excluding
1105
vehicle insurance as defined in s. 624.605(1)(a) other than
1106
insurance on mobile homes used as permanent dwellings. The
1107
department shall adopt rules that provide a formula for the
1108
recovery and repayment of any deferred assessments.
1109
1. For the purpose of this section, properties eligible for
1110
such windstorm coverage are defined as dwellings, buildings, and
1111
other structures, including mobile homes which are used as
1112
dwellings and which are tied down in compliance with mobile home
1113
tie-down requirements prescribed by the Department of Highway
1114
Safety and Motor Vehicles pursuant to s. 320.8325, and the
1115
contents of all such properties. An applicant or policyholder is
1116
eligible for coverage only if an offer of coverage cannot be
1117
obtained by or for the applicant or policyholder from an admitted
1118
insurer at approved rates.
1119
2.a.(I) All insurers required to be members of such
1120
association shall participate in its writings, expenses, and
1121
losses. Surplus of the association shall be retained for the
1122
payment of claims and shall not be distributed to the member
1123
insurers. Such participation by member insurers shall be in the
1124
proportion that the net direct premiums of each member insurer
1125
written for property insurance in this state during the preceding
1126
calendar year bear to the aggregate net direct premiums for
1127
property insurance of all member insurers, as reduced by any
1128
credits for voluntary writings, in this state during the
1129
preceding calendar year. For the purposes of this subsection, the
1130
term "net direct premiums" means direct written premiums for
1131
property insurance, reduced by premium for liability coverage and
1132
for the following if included in allied lines: rain and hail on
1133
growing crops; livestock; association direct premiums booked;
1134
National Flood Insurance Program direct premiums; and similar
1135
deductions specifically authorized by the plan of operation and
1136
approved by the department. A member's participation shall begin
1137
on the first day of the calendar year following the year in which
1138
it is issued a certificate of authority to transact property
1139
insurance in the state and shall terminate 1 year after the end
1140
of the calendar year during which it no longer holds a
1141
certificate of authority to transact property insurance in the
1142
state. The commissioner, after review of annual statements, other
1143
reports, and any other statistics that the commissioner deems
1144
necessary, shall certify to the association the aggregate direct
1145
premiums written for property insurance in this state by all
1146
member insurers.
1147
(II) Effective July 1, 2002, the association shall operate
1148
subject to the supervision and approval of a board of governors
1149
who are the same individuals that have been appointed by the
1150
Treasurer to serve on the board of governors of the Citizens
1151
Property Insurance Corporation.
1152
(III) The plan of operation shall provide a formula whereby
1153
a company voluntarily providing windstorm coverage in affected
1154
areas will be relieved wholly or partially from apportionment of
1155
a regular assessment pursuant to sub-sub-subparagraph d.(I) or
1156
sub-sub-subparagraph d.(II).
1157
(IV) A company which is a member of a group of companies
1158
under common management may elect to have its credits applied on
1159
a group basis, and any company or group may elect to have its
1160
credits applied to any other company or group.
1161
(V) There shall be no credits or relief from apportionment
1162
to a company for emergency assessments collected from its
1163
policyholders under sub-sub-subparagraph d.(III).
1164
(VI) The plan of operation may also provide for the award
1165
of credits, for a period not to exceed 3 years, from a regular
1166
assessment pursuant to sub-sub-subparagraph d.(I) or sub-sub-
1167
subparagraph d.(II) as an incentive for taking policies out of
1168
the Residential Property and Casualty Joint Underwriting
1169
Association. In order to qualify for the exemption under this
1170
sub-sub-subparagraph, the take-out plan must provide that at
1171
least 40 percent of the policies removed from the Residential
1172
Property and Casualty Joint Underwriting Association cover risks
1173
located in Dade, Broward, and Palm Beach Counties or at least 30
1174
percent of the policies so removed cover risks located in Dade,
1175
Broward, and Palm Beach Counties and an additional 50 percent of
1176
the policies so removed cover risks located in other coastal
1177
counties, and must also provide that no more than 15 percent of
1178
the policies so removed may exclude windstorm coverage. With the
1179
approval of the department, the association may waive these
1180
geographic criteria for a take-out plan that removes at least the
1181
lesser of 100,000 Residential Property and Casualty Joint
1182
Underwriting Association policies or 15 percent of the total
1183
number of Residential Property and Casualty Joint Underwriting
1184
Association policies, provided the governing board of the
1185
Residential Property and Casualty Joint Underwriting Association
1186
certifies that the take-out plan will materially reduce the
1187
Residential Property and Casualty Joint Underwriting
1188
Association's 100-year probable maximum loss from hurricanes.
1189
With the approval of the department, the board may extend such
1190
credits for an additional year if the insurer guarantees an
1191
additional year of renewability for all policies removed from the
1192
Residential Property and Casualty Joint Underwriting Association,
1193
or for 2 additional years if the insurer guarantees 2 additional
1194
years of renewability for all policies removed from the
1195
Residential Property and Casualty Joint Underwriting Association.
1196
b. Assessments to pay deficits in the association under
1197
this subparagraph shall be included as an appropriate factor in
1198
the making of rates as provided in s. 627.3512.
1199
c. The Legislature finds that the potential for unlimited
1200
deficit assessments under this subparagraph may induce insurers
1201
to attempt to reduce their writings in the voluntary market, and
1202
that such actions would worsen the availability problems that the
1203
association was created to remedy. It is the intent of the
1204
Legislature that insurers remain fully responsible for paying
1205
regular assessments and collecting emergency assessments for any
1206
deficits of the association; however, it is also the intent of
1207
the Legislature to provide a means by which assessment
1208
liabilities may be amortized over a period of years.
1209
d.(I) When the deficit incurred in a particular calendar
1210
year is 10 percent or less of the aggregate statewide direct
1211
written premium for property insurance for the prior calendar
1212
year for all member insurers, the association shall levy an
1213
assessment on member insurers in an amount equal to the deficit.
1214
(II) When the deficit incurred in a particular calendar
1215
year exceeds 10 percent of the aggregate statewide direct written
1216
premium for property insurance for the prior calendar year for
1217
all member insurers, the association shall levy an assessment on
1218
member insurers in an amount equal to the greater of 10 percent
1219
of the deficit or 10 percent of the aggregate statewide direct
1220
written premium for property insurance for the prior calendar
1221
year for member insurers. Any remaining deficit shall be
1222
recovered through emergency assessments under sub-sub-
1223
subparagraph (III).
1224
(III) Upon a determination by the board of directors that a
1225
deficit exceeds the amount that will be recovered through regular
1226
assessments on member insurers, pursuant to sub-sub-subparagraph
1227
(I) or sub-sub-subparagraph (II), the board shall levy, after
1228
verification by the department, emergency assessments to be
1229
collected by member insurers and by underwriting associations
1230
created pursuant to this section which write property insurance,
1231
upon issuance or renewal of property insurance policies other
1232
than National Flood Insurance policies in the year or years
1233
following levy of the regular assessments. The amount of the
1234
emergency assessment collected in a particular year shall be a
1235
uniform percentage of that year's direct written premium for
1236
property insurance for all member insurers and underwriting
1237
associations, excluding National Flood Insurance policy premiums,
1238
as annually determined by the board and verified by the
1239
department. The department shall verify the arithmetic
1240
calculations involved in the board's determination within 30 days
1241
after receipt of the information on which the determination was
1242
based. Notwithstanding any other provision of law, each member
1243
insurer and each underwriting association created pursuant to
1244
this section shall collect emergency assessments from its
1245
policyholders without such obligation being affected by any
1246
credit, limitation, exemption, or deferment. The emergency
1247
assessments so collected shall be transferred directly to the
1248
association on a periodic basis as determined by the association.
1249
The aggregate amount of emergency assessments levied under this
1250
sub-sub-subparagraph in any calendar year may not exceed the
1251
greater of 10 percent of the amount needed to cover the original
1252
deficit, plus interest, fees, commissions, required reserves, and
1253
other costs associated with financing of the original deficit, or
1254
10 percent of the aggregate statewide direct written premium for
1255
property insurance written by member insurers and underwriting
1256
associations for the prior year, plus interest, fees,
1257
commissions, required reserves, and other costs associated with
1258
financing the original deficit. The board may pledge the proceeds
1259
of the emergency assessments under this sub-sub-subparagraph as
1260
the source of revenue for bonds, to retire any other debt
1261
incurred as a result of the deficit or events giving rise to the
1262
deficit, or in any other way that the board determines will
1263
efficiently recover the deficit. The emergency assessments under
1264
this sub-sub-subparagraph shall continue as long as any bonds
1265
issued or other indebtedness incurred with respect to a deficit
1266
for which the assessment was imposed remain outstanding, unless
1267
adequate provision has been made for the payment of such bonds or
1268
other indebtedness pursuant to the document governing such bonds
1269
or other indebtedness. Emergency assessments collected under this
1270
sub-sub-subparagraph are not part of an insurer's rates, are not
1271
premium, and are not subject to premium tax, fees, or
1272
commissions; however, failure to pay the emergency assessment
1273
shall be treated as failure to pay premium.
1274
(IV) Each member insurer's share of the total regular
1275
assessments under sub-sub-subparagraph (I) or sub-sub-
1276
subparagraph (II) shall be in the proportion that the insurer's
1277
net direct premium for property insurance in this state, for the
1278
year preceding the assessment bears to the aggregate statewide
1279
net direct premium for property insurance of all member insurers,
1280
as reduced by any credits for voluntary writings for that year.
1281
(V) If regular deficit assessments are made under sub-sub-
1282
subparagraph (I) or sub-sub-subparagraph (II), or by the
1283
Residential Property and Casualty Joint Underwriting Association
1284
under sub-subparagraph (6)(b)3.a. or sub-subparagraph (6)(b)3.b.,
1285
the association shall levy upon the association's policyholders,
1286
as part of its next rate filing, or by a separate rate filing
1287
solely for this purpose, a market equalization surcharge in a
1288
percentage equal to the total amount of such regular assessments
1289
divided by the aggregate statewide direct written premium for
1290
property insurance for member insurers for the prior calendar
1291
year. Market equalization surcharges under this sub-sub-
1292
subparagraph are not considered premium and are not subject to
1293
commissions, fees, or premium taxes; however, failure to pay a
1294
market equalization surcharge shall be treated as failure to pay
1295
premium.
1296
e. The governing body of any unit of local government, any
1297
residents of which are insured under the plan, may issue bonds as
1299
program, in conjunction with the association, for the purpose of
1300
defraying deficits of the association. In order to avoid needless
1301
and indiscriminate proliferation, duplication, and fragmentation
1302
of such assistance programs, any unit of local government, any
1303
residents of which are insured by the association, may provide
1304
for the payment of losses, regardless of whether or not the
1305
losses occurred within or outside of the territorial jurisdiction
1306
of the local government. Revenue bonds may not be issued until
1307
validated pursuant to chapter 75, unless a state of emergency is
1308
declared by executive order or proclamation of the Governor
1309
pursuant to s. 252.36 making such findings as are necessary to
1310
determine that it is in the best interests of, and necessary for,
1311
the protection of the public health, safety, and general welfare
1312
of residents of this state and the protection and preservation of
1313
the economic stability of insurers operating in this state, and
1314
declaring it an essential public purpose to permit certain
1315
municipalities or counties to issue bonds as will provide relief
1316
to claimants and policyholders of the association and insurers
1317
responsible for apportionment of plan losses. Any such unit of
1318
local government may enter into such contracts with the
1319
association and with any other entity created pursuant to this
1320
subsection as are necessary to carry out this paragraph. Any
1321
bonds issued under this sub-subparagraph shall be payable from
1322
and secured by moneys received by the association from
1323
assessments under this subparagraph, and assigned and pledged to
1324
or on behalf of the unit of local government for the benefit of
1325
the holders of such bonds. The funds, credit, property, and
1326
taxing power of the state or of the unit of local government
1327
shall not be pledged for the payment of such bonds. If any of the
1328
bonds remain unsold 60 days after issuance, the department shall
1329
require all insurers subject to assessment to purchase the bonds,
1330
which shall be treated as admitted assets; each insurer shall be
1331
required to purchase that percentage of the unsold portion of the
1332
bond issue that equals the insurer's relative share of assessment
1333
liability under this subsection. An insurer shall not be required
1334
to purchase the bonds to the extent that the department
1335
determines that the purchase would endanger or impair the
1336
solvency of the insurer. The authority granted by this sub-
1337
subparagraph is additional to any bonding authority granted by
1338
subparagraph 6.
1339
3. The plan shall also provide that any member with a
1340
surplus as to policyholders of $20 million or less writing 25
1341
percent or more of its total countrywide property insurance
1342
premiums in this state may petition the department, within the
1343
first 90 days of each calendar year, to qualify as a limited
1344
apportionment company. The apportionment of such a member company
1345
in any calendar year for which it is qualified shall not exceed
1346
its gross participation, which shall not be affected by the
1347
formula for voluntary writings. In no event shall a limited
1348
apportionment company be required to participate in any
1349
apportionment of losses pursuant to sub-sub-subparagraph 2.d.(I)
1350
or sub-sub-subparagraph 2.d.(II) in the aggregate which exceeds
1351
$50 million after payment of available plan funds in any calendar
1352
year. However, a limited apportionment company shall collect from
1353
its policyholders any emergency assessment imposed under sub-sub-
1354
subparagraph 2.d.(III). The plan shall provide that, if the
1355
department determines that any regular assessment will result in
1356
an impairment of the surplus of a limited apportionment company,
1357
the department may direct that all or part of such assessment be
1358
deferred. However, there shall be no limitation or deferment of
1359
an emergency assessment to be collected from policyholders under
1360
sub-sub-subparagraph 2.d.(III).
1361
4. The plan shall provide for the deferment, in whole or in
1362
part, of a regular assessment of a member insurer under sub-sub-
1363
subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II), but not
1364
for an emergency assessment collected from policyholders under
1365
sub-sub-subparagraph 2.d.(III), if, in the opinion of the
1366
commissioner, payment of such regular assessment would endanger
1367
or impair the solvency of the member insurer. In the event a
1368
regular assessment against a member insurer is deferred in whole
1369
or in part, the amount by which such assessment is deferred may
1370
be assessed against the other member insurers in a manner
1371
consistent with the basis for assessments set forth in sub-sub-
1372
subparagraph 2.d.(I) or sub-sub-subparagraph 2.d.(II).
1373
5.a. The plan of operation may include deductibles and
1374
rules for classification of risks and rate modifications
1375
consistent with the objective of providing and maintaining funds
1376
sufficient to pay catastrophe losses.
1377
b. The association may require arbitration of a rate filing
1378
under s. 627.062(6). It is the intent of the Legislature that the
1379
rates for coverage provided by the association be actuarially
1380
sound and not competitive with approved rates charged in the
1381
admitted voluntary market such that the association functions as
1382
a residual market mechanism to provide insurance only when the
1383
insurance cannot be procured in the voluntary market. The plan of
1384
operation shall provide a mechanism to assure that, beginning no
1385
later than January 1, 1999, the rates charged by the association
1386
for each line of business are reflective of approved rates in the
1387
voluntary market for hurricane coverage for each line of business
1388
in the various areas eligible for association coverage.
1389
c. The association shall provide for windstorm coverage on
1390
residential properties in limits up to $10 million for commercial
1391
lines residential risks and up to $1 million for personal lines
1392
residential risks. If coverage with the association is sought for
1393
a residential risk valued in excess of these limits, coverage
1394
shall be available to the risk up to the replacement cost or
1395
actual cash value of the property, at the option of the insured,
1396
if coverage for the risk cannot be located in the authorized
1397
market. The association must accept a commercial lines
1398
residential risk with limits above $10 million or a personal
1399
lines residential risk with limits above $1 million if coverage
1400
is not available in the authorized market. The association may
1401
write coverage above the limits specified in this subparagraph
1402
with or without facultative or other reinsurance coverage, as the
1403
association determines appropriate.
1404
d. The plan of operation must provide objective criteria
1405
and procedures, approved by the department, to be uniformly
1406
applied for all applicants in determining whether an individual
1407
risk is so hazardous as to be uninsurable. In making this
1408
determination and in establishing the criteria and procedures,
1409
the following shall be considered:
1410
(I) Whether the likelihood of a loss for the individual
1411
risk is substantially higher than for other risks of the same
1412
class; and
1413
(II) Whether the uncertainty associated with the individual
1414
risk is such that an appropriate premium cannot be determined.
1415
1416
The acceptance or rejection of a risk by the association pursuant
1417
to such criteria and procedures must be construed as the private
1418
placement of insurance, and the provisions of chapter 120 do not
1419
apply.
1420
e. If the risk accepts an offer of coverage through the
1421
market assistance program or through a mechanism established by
1422
the association, either before the policy is issued by the
1423
association or during the first 30 days of coverage by the
1424
association, and the producing agent who submitted the
1425
application to the association is not currently appointed by the
1426
insurer, the insurer shall:
1427
(I) Pay to the producing agent of record of the policy, for
1428
the first year, an amount that is the greater of the insurer's
1429
usual and customary commission for the type of policy written or
1430
a fee equal to the usual and customary commission of the
1431
association; or
1432
(II) Offer to allow the producing agent of record of the
1433
policy to continue servicing the policy for a period of not less
1434
than 1 year and offer to pay the agent the greater of the
1435
insurer's or the association's usual and customary commission for
1436
the type of policy written.
1437
1438
If the producing agent is unwilling or unable to accept
1439
appointment, the new insurer shall pay the agent in accordance
1440
with sub-sub-subparagraph (I). Subject to the provisions of s.
1441
627.3517, the policies issued by the association must provide
1442
that if the association obtains an offer from an authorized
1443
insurer to cover the risk at its approved rates under either a
1444
standard policy including wind coverage or, if consistent with
1445
the insurer's underwriting rules as filed with the department, a
1446
basic policy including wind coverage, the risk is no longer
1447
eligible for coverage through the association. Upon termination
1448
of eligibility, the association shall provide written notice to
1449
the policyholder and agent of record stating that the association
1450
policy must be canceled as of 60 days after the date of the
1451
notice because of the offer of coverage from an authorized
1452
insurer. Other provisions of the insurance code relating to
1453
cancellation and notice of cancellation do not apply to actions
1454
under this sub-subparagraph.
1455
f. When the association enters into a contractual agreement
1456
for a take-out plan, the producing agent of record of the
1457
association policy is entitled to retain any unearned commission
1458
on the policy, and the insurer shall:
1459
(I) Pay to the producing agent of record of the association
1460
policy, for the first year, an amount that is the greater of the
1461
insurer's usual and customary commission for the type of policy
1462
written or a fee equal to the usual and customary commission of
1463
the association; or
1464
(II) Offer to allow the producing agent of record of the
1465
association policy to continue servicing the policy for a period
1466
of not less than 1 year and offer to pay the agent the greater of
1467
the insurer's or the association's usual and customary commission
1468
for the type of policy written.
1469
1470
If the producing agent is unwilling or unable to accept
1471
appointment, the new insurer shall pay the agent in accordance
1472
with sub-sub-subparagraph (I).
1473
6.a. The plan of operation may authorize the formation of a
1474
private nonprofit corporation, a private nonprofit unincorporated
1475
association, a partnership, a trust, a limited liability company,
1476
or a nonprofit mutual company which may be empowered, among other
1477
things, to borrow money by issuing bonds or by incurring other
1478
indebtedness and to accumulate reserves or funds to be used for
1479
the payment of insured catastrophe losses. The plan may authorize
1480
all actions necessary to facilitate the issuance of bonds,
1481
including the pledging of assessments or other revenues.
1482
b. Any entity created under this subsection, or any entity
1483
formed for the purposes of this subsection, may sue and be sued,
1484
may borrow money; issue bonds, notes, or debt instruments; pledge
1485
or sell assessments, market equalization surcharges and other
1486
surcharges, rights, premiums, contractual rights, projected
1487
recoveries from the Florida Hurricane Catastrophe Fund, other
1488
reinsurance recoverables, and other assets as security for such
1489
bonds, notes, or debt instruments; enter into any contracts or
1490
agreements necessary or proper to accomplish such borrowings; and
1491
take other actions necessary to carry out the purposes of this
1492
subsection. The association may issue bonds or incur other
1493
indebtedness, or have bonds issued on its behalf by a unit of
1494
local government pursuant to subparagraph (6)(p)2., in the
1495
absence of a hurricane or other weather-related event, upon a
1496
determination by the association subject to approval by the
1497
department that such action would enable it to efficiently meet
1498
the financial obligations of the association and that such
1499
financings are reasonably necessary to effectuate the
1500
requirements of this subsection. Any such entity may accumulate
1501
reserves and retain surpluses as of the end of any association
1502
year to provide for the payment of losses incurred by the
1503
association during that year or any future year. The association
1504
shall incorporate and continue the plan of operation and articles
1505
of agreement in effect on the effective date of chapter 76-96,
1506
Laws of Florida, to the extent that it is not inconsistent with
1507
chapter 76-96, and as subsequently modified consistent with
1508
chapter 76-96. The board of directors and officers currently
1509
serving shall continue to serve until their successors are duly
1510
qualified as provided under the plan. The assets and obligations
1511
of the plan in effect immediately prior to the effective date of
1512
chapter 76-96 shall be construed to be the assets and obligations
1513
of the successor plan created herein.
1514
c. In recognition of s. 10, Art. I of the State
1515
Constitution, prohibiting the impairment of obligations of
1516
contracts, it is the intent of the Legislature that no action be
1517
taken whose purpose is to impair any bond indenture or financing
1518
agreement or any revenue source committed by contract to such
1519
bond or other indebtedness issued or incurred by the association
1520
or any other entity created under this subsection.
1521
7. On such coverage, an agent's remuneration shall be that
1522
amount of money payable to the agent by the terms of his or her
1523
contract with the company with which the business is placed.
1524
However, no commission will be paid on that portion of the
1525
premium which is in excess of the standard premium of that
1526
company.
1527
8. Subject to approval by the department, the association
1528
may establish different eligibility requirements and operational
1529
procedures for any line or type of coverage for any specified
1530
eligible area or portion of an eligible area if the board
1531
determines that such changes to the eligibility requirements and
1532
operational procedures are justified due to the voluntary market
1533
being sufficiently stable and competitive in such area or for
1534
such line or type of coverage and that consumers who, in good
1535
faith, are unable to obtain insurance through the voluntary
1536
market through ordinary methods would continue to have access to
1537
coverage from the association. When coverage is sought in
1538
connection with a real property transfer, such requirements and
1539
procedures shall not provide for an effective date of coverage
1540
later than the date of the closing of the transfer as established
1541
by the transferor, the transferee, and, if applicable, the
1542
lender.
1543
9. Notwithstanding any other provision of law:
1544
a. The pledge or sale of, the lien upon, and the security
1545
interest in any rights, revenues, or other assets of the
1546
association created or purported to be created pursuant to any
1547
financing documents to secure any bonds or other indebtedness of
1548
the association shall be and remain valid and enforceable,
1549
notwithstanding the commencement of and during the continuation
1550
of, and after, any rehabilitation, insolvency, liquidation,
1551
bankruptcy, receivership, conservatorship, reorganization, or
1552
similar proceeding against the association under the laws of this
1553
state or any other applicable laws.
1554
b. No such proceeding shall relieve the association of its
1555
obligation, or otherwise affect its ability to perform its
1556
obligation, to continue to collect, or levy and collect,
1557
assessments, market equalization or other surcharges, projected
1558
recoveries from the Florida Hurricane Catastrophe Fund,
1559
reinsurance recoverables, or any other rights, revenues, or other
1560
assets of the association pledged.
1561
c. Each such pledge or sale of, lien upon, and security
1562
interest in, including the priority of such pledge, lien, or
1563
security interest, any such assessments, emergency assessments,
1564
market equalization or renewal surcharges, projected recoveries
1565
from the Florida Hurricane Catastrophe Fund, reinsurance
1566
recoverables, or other rights, revenues, or other assets which
1567
are collected, or levied and collected, after the commencement of
1568
and during the pendency of or after any such proceeding shall
1569
continue unaffected by such proceeding.
1570
d. As used in this subsection, the term "financing
1571
documents" means any agreement, instrument, or other document now
1572
existing or hereafter created evidencing any bonds or other
1573
indebtedness of the association or pursuant to which any such
1574
bonds or other indebtedness has been or may be issued and
1575
pursuant to which any rights, revenues, or other assets of the
1576
association are pledged or sold to secure the repayment of such
1577
bonds or indebtedness, together with the payment of interest on
1578
such bonds or such indebtedness, or the payment of any other
1579
obligation of the association related to such bonds or
1580
indebtedness.
1581
e. Any such pledge or sale of assessments, revenues,
1582
contract rights or other rights or assets of the association
1583
shall constitute a lien and security interest, or sale, as the
1584
case may be, that is immediately effective and attaches to such
1585
assessments, revenues, contract, or other rights or assets,
1586
whether or not imposed or collected at the time the pledge or
1587
sale is made. Any such pledge or sale is effective, valid,
1588
binding, and enforceable against the association or other entity
1589
making such pledge or sale, and valid and binding against and
1590
superior to any competing claims or obligations owed to any other
1591
person or entity, including policyholders in this state,
1592
asserting rights in any such assessments, revenues, contract, or
1593
other rights or assets to the extent set forth in and in
1594
accordance with the terms of the pledge or sale contained in the
1595
applicable financing documents, whether or not any such person or
1596
entity has notice of such pledge or sale and without the need for
1597
any physical delivery, recordation, filing, or other action.
1598
f. There shall be no liability on the part of, and no cause
1599
of action of any nature shall arise against, any member insurer
1600
or its agents or employees, agents or employees of the
1601
association, members of the board of directors of the
1602
association, or the department or its representatives, for any
1603
action taken by them in the performance of their duties or
1604
responsibilities under this subsection. Such immunity does not
1605
apply to actions for breach of any contract or agreement
1606
pertaining to insurance, or any willful tort.
1607
(6) CITIZENS PROPERTY INSURANCE CORPORATION.--
1608
(a)1. It is the public purpose of this subsection to ensure
1609
the existence of an orderly market for property insurance for
1610
Floridians and Florida businesses. The Legislature finds that
1611
private insurers are unwilling or unable to provide affordable
1612
property insurance coverage in this state to the extent sought
1613
and needed. The absence of affordable property insurance
1614
threatens the public health, safety, and welfare and likewise
1615
threatens the economic health of the state. The state therefore
1616
has a compelling public interest and a public purpose to assist
1617
in assuring that property in the state is insured and that it is
1618
insured at affordable rates so as to facilitate the remediation,
1619
reconstruction, and replacement of damaged or destroyed property
1620
in order to reduce or avoid the negative effects otherwise
1621
resulting to the public health, safety, and welfare, to the
1622
economy of the state, and to the revenues of the state and local
1623
governments which are needed to provide for the public welfare.
1624
It is necessary, therefore, to provide affordable property
1625
insurance to applicants who are in good faith entitled to procure
1626
insurance through the voluntary market but are unable to do so.
1627
The Legislature intends by this subsection that affordable
1628
property insurance be provided and that it continue to be
1629
provided, as long as necessary, through Citizens Property
1630
Insurance Corporation, a government entity that is an integral
1631
part of the state, and that is not a private insurance company.
1632
To that end, Citizens Property Insurance Corporation shall strive
1633
to increase the availability of affordable property insurance in
1634
this state, while achieving efficiencies and economies, and while
1635
providing service to policyholders, applicants, and agents which
1636
is no less than the quality generally provided in the voluntary
1637
market, for the achievement of the foregoing public purposes.
1638
Because it is essential for this government entity to have the
1639
maximum financial resources to pay claims following a
1640
catastrophic hurricane, it is the intent of the Legislature that
1641
Citizens Property Insurance Corporation continue to be an
1642
integral part of the state and that the income of the corporation
1643
be exempt from federal income taxation and that interest on the
1644
debt obligations issued by the corporation be exempt from federal
1645
income taxation.
1646
2. The Residential Property and Casualty Joint Underwriting
1647
Association originally created by this statute shall be known, as
1648
of July 1, 2002, as the Citizens Property Insurance Corporation.
1649
The corporation shall provide insurance for residential and
1650
commercial property, for applicants who are in good faith
1651
entitled, but are unable, to procure insurance through the
1652
voluntary market. The corporation shall operate pursuant to a
1653
plan of operation approved by order of the Financial Services
1654
Commission. The plan is subject to continuous review by the
1655
commission. The commission may, by order, withdraw approval of
1656
all or part of a plan if the commission determines that
1657
conditions have changed since approval was granted and that the
1658
purposes of the plan require changes in the plan. The corporation
1659
shall continue to operate pursuant to the plan of operation
1660
approved by the Office of Insurance Regulation until October 1,
1661
2006. For the purposes of this subsection, residential coverage
1662
includes both personal lines residential coverage, which consists
1663
of the type of coverage provided by homeowner's, mobile home
1664
owner's, dwelling, tenant's, condominium unit owner's, and
1665
similar policies, and commercial lines residential coverage,
1666
which consists of the type of coverage provided by condominium
1667
association, apartment building, and similar policies.
1668
3. For the purposes of this subsection, the term "homestead
1669
property" means:
1670
a. Property that has been granted a homestead exemption
1671
under chapter 196;
1672
b. Property for which the owner has a current, written
1673
lease with a renter for a term of at least 7 months and for which
1674
the dwelling is insured by the corporation for $200,000 or less;
1675
c. An owner-occupied mobile home or manufactured home, as
1676
defined in s. 320.01, which is permanently affixed to real
1677
property, is owned by a Florida resident, and has been granted a
1678
homestead exemption under chapter 196 or, if the owner does not
1679
own the real property, the owner certifies that the mobile home
1680
or manufactured home is his or her principal place of residence;
1681
d. Tenant's coverage;
1682
e. Commercial lines residential property; or
1683
f. Any county, district, or municipal hospital; a hospital
1684
licensed by any not-for-profit corporation qualified under s.
1685
501(c)(3) of the United States Internal Revenue Code; or a
1686
continuing care retirement community that is certified under
1687
chapter 651 and that receives an exemption from ad valorem taxes
1688
under chapter 196.
1689
4. For the purposes of this subsection, the term
1690
"nonhomestead property" means property that is not homestead
1691
property.
1692
5. Effective January 1, 2009, a personal lines residential
1693
structure that has a dwelling replacement cost of $1 million or
1694
more, or a single condominium unit that has a combined dwelling
1695
and content replacement cost of $1 million or more is not
1696
eligible for coverage by the corporation. Such dwellings insured
1697
by the corporation on December 31, 2008, may continue to be
1698
covered by the corporation until the end of the policy term.
1699
However, such dwellings that are insured by the corporation and
1700
become ineligible for coverage due to the provisions of this
1701
subparagraph may reapply and obtain coverage in the high-risk
1702
account and be considered "nonhomestead property" if the property
1703
owner provides the corporation with a sworn affidavit from one or
1704
more insurance agents, on a form provided by the corporation,
1705
stating that the agents have made their best efforts to obtain
1706
coverage and that the property has been rejected for coverage by
1707
at least one authorized insurer and at least three surplus lines
1708
insurers. If such conditions are met, the dwelling may be insured
1709
by the corporation for up to 3 years, after which time the
1710
dwelling is ineligible for coverage. The office shall approve the
1711
method used by the corporation for valuing the dwelling
1712
replacement cost for the purposes of this subparagraph. If a
1713
policyholder is insured by the corporation prior to being
1714
determined to be ineligible pursuant to this subparagraph and
1715
such policyholder files a lawsuit challenging the determination,
1716
the policyholder may remain insured by the corporation until the
1717
conclusion of the litigation.
1718
6. For properties constructed on or after January 1, 2009,
1719
the corporation may not insure any property located within 2,500
1720
feet landward of the coastal construction control line created
1721
pursuant to s. 161.053 unless the property meets the requirements
1722
of the code-plus building standards developed by the Florida
1723
Building Commission.
1724
3.7. It is the intent of the Legislature that
1725
policyholders, applicants, and agents of the corporation receive
1726
service and treatment of the highest possible level but never
1727
less than that generally provided in the voluntary market. It
1728
also is intended that the corporation be held to service
1729
standards no less than those applied to insurers in the voluntary
1730
market by the office with respect to responsiveness, timeliness,
1731
customer courtesy, and overall dealings with policyholders,
1732
applicants, or agents of the corporation.
1733
4.8. Effective January 1, 2009, a personal lines
1734
residential structure that is located in the "wind-borne debris
1735
region," as defined in s. 1609.2, International Building Code
1736
(2006), and that has an insured value on the structure of
1737
$750,000 or more is not eligible for coverage by the corporation
1738
unless the structure has opening protections as required under
1739
the Florida Building Code for a newly constructed residential
1740
structure in that area. A residential structure shall be deemed
1741
to comply with the requirements of this subparagraph if it has
1742
shutters or opening protections on all openings and if such
1743
opening protections complied with the Florida Building Code at
1744
the time they were installed. Effective January 1, 2011, the
1745
requirements of this subparagraph apply to a personal lines
1746
residential structure that is located in the wind-borne debris
1747
region and that has an insured value on the structure of $500,000
1748
or more.
1749
(b)1. All insurers authorized to write one or more subject
1750
lines of business in this state are subject to assessment by the
1751
corporation and, for the purposes of this subsection, are
1752
referred to collectively as "assessable insurers." Insurers
1753
writing one or more subject lines of business in this state
1754
pursuant to part VIII of chapter 626 are not assessable insurers,
1755
but insureds who procure one or more subject lines of business in
1756
this state pursuant to part VIII of chapter 626 are subject to
1757
assessment by the corporation and are referred to collectively as
1758
"assessable insureds." An authorized insurer's assessment
1759
liability shall begin on the first day of the calendar year
1760
following the year in which the insurer was issued a certificate
1761
of authority to transact insurance for subject lines of business
1762
in this state and shall terminate 1 year after the end of the
1763
first calendar year during which the insurer no longer holds a
1764
certificate of authority to transact insurance for subject lines
1765
of business in this state.
1766
2.a. All revenues, assets, liabilities, losses, and
1767
expenses of the corporation shall be divided into three separate
1768
accounts as follows:
1769
(I) A personal lines account for personal residential
1770
policies issued by the corporation or issued by the Residential
1771
Property and Casualty Joint Underwriting Association and renewed
1772
by the corporation that provide comprehensive, multiperil
1773
coverage on risks that are not located in areas eligible for
1774
coverage in the Florida Windstorm Underwriting Association as
1775
those areas were defined on January 1, 2002, and for such
1776
policies that do not provide coverage for the peril of wind on
1777
risks that are located in such areas;
1778
(II) A commercial lines account for commercial residential
1779
and commercial nonresidential policies issued by the corporation
1780
or issued by the Residential Property and Casualty Joint
1781
Underwriting Association and renewed by the corporation that
1782
provide coverage for basic property perils on risks that are not
1783
located in areas eligible for coverage in the Florida Windstorm
1784
Underwriting Association as those areas were defined on January
1785
1, 2002, and for such policies that do not provide coverage for
1786
the peril of wind on risks that are located in such areas; and
1787
(III) A high-risk account for personal residential policies
1788
and commercial residential and commercial nonresidential property
1789
policies issued by the corporation or transferred to the
1790
corporation that provide coverage for the peril of wind on risks
1791
that are located in areas eligible for coverage in the Florida
1792
Windstorm Underwriting Association as those areas were defined on
1793
January 1, 2002. Subject to the approval of a business plan by
1794
the Financial Services Commission and Legislative Budget
1795
Commission as provided in this sub-sub-subparagraph, but no
1796
earlier than March 31, 2007, The corporation shall may offer
1797
policies that provide multiperil coverage and the corporation
1798
shall continue to offer policies that provide coverage only for
1799
the peril of wind for risks located in areas eligible for
1800
coverage in the high-risk account. Beginning July 1, 2008, the
1801
corporation may not issue new policies that provide coverage only
1802
for the peril of wind, but may continue to renew such policies
1803
that were in force on that date. In issuing multiperil coverage,
1804
the corporation may use its approved policy forms and rates for
1805
the personal lines account. An applicant or insured who is
1806
eligible to purchase a multiperil policy from the corporation may
1807
purchase a multiperil policy from an authorized insurer without
1808
prejudice to the applicant's or insured's eligibility to
1809
prospectively purchase a policy that provides coverage only for
1810
the peril of wind from the corporation prior to July 1, 2008. An
1811
applicant or insured who is eligible for a corporation policy
1812
that provides coverage only for the peril of wind may elect to
1813
purchase or retain such policy and also purchase or retain
1814
coverage excluding wind from an authorized insurer without
1815
prejudice to the applicant's or insured's eligibility to
1816
prospectively purchase a policy that provides multiperil coverage
1817
from the corporation. It is the goal of the Legislature that
1818
there would be an overall average savings of 10 percent or more
1819
for a policyholder who currently has a wind-only policy with the
1820
corporation, and an ex-wind policy with a voluntary insurer or
1821
the corporation, and who then obtains a multiperil policy from
1822
the corporation. It is the intent of the Legislature that the
1823
offer of multiperil coverage in the high-risk account be made and
1824
implemented in a manner that does not adversely affect the tax-
1825
exempt status of the corporation or creditworthiness of or
1826
security for currently outstanding financing obligations or
1827
credit facilities of the high-risk account, the personal lines
1828
account, or the commercial lines account. By March 1, 2007, the
1829
corporation shall prepare and submit for approval by the
1830
Financial Services Commission and Legislative Budget Commission a
1831
report detailing the corporation's business plan for issuing
1832
multiperil coverage in the high-risk account. The business plan
1833
shall be approved or disapproved within 30 days after receipt, as
1834
submitted or modified and resubmitted by the corporation. The
1835
business plan must include: the impact of such multiperil
1836
coverage on the corporation's financial resources, the impact of
1837
such multiperil coverage on the corporation's tax-exempt status,
1838
the manner in which the corporation plans to implement the
1839
processing of applications and policy forms for new and existing
1840
policyholders, the impact of such multiperil coverage on the
1841
corporation's ability to deliver customer service at the high
1842
level required by this subsection, the ability of the corporation
1843
to process claims, the ability of the corporation to quote and
1844
issue policies, the impact of such multiperil coverage on the
1845
corporation's agents, the impact of such multiperil coverage on
1846
the corporation's existing policyholders, and the impact of such
1847
multiperil coverage on rates and premium. The high-risk account
1848
must also include quota share primary insurance under
1849
subparagraph (c)2. The area eligible for coverage under the high-
1850
risk account also includes the area within Port Canaveral, which
1851
is bordered on the south by the City of Cape Canaveral, bordered
1852
on the west by the Banana River, and bordered on the north by
1853
Federal Government property.
1854
b. The three separate accounts must be maintained as long
1855
as financing obligations entered into by the Florida Windstorm
1856
Underwriting Association or Residential Property and Casualty
1857
Joint Underwriting Association are outstanding, in accordance
1858
with the terms of the corresponding financing documents. When the
1859
financing obligations are no longer outstanding, in accordance
1860
with the terms of the corresponding financing documents, the
1861
corporation may use a single account for all revenues, assets,
1862
liabilities, losses, and expenses of the corporation. Consistent
1863
with the requirement of this subparagraph and prudent investment
1864
policies that minimize the cost of carrying debt, the board shall
1865
exercise its best efforts to retire existing debt or to obtain
1866
approval of necessary parties to amend the terms of existing
1867
debt, so as to structure the most efficient plan to consolidate
1868
the three separate accounts into a single account. By February 1,
1869
2007, the board shall submit a report to the Financial Services
1870
Commission, the President of the Senate, and the Speaker of the
1871
House of Representatives which includes an analysis of
1872
consolidating the accounts, the actions the board has taken to
1873
minimize the cost of carrying debt, and its recommendations for
1874
executing the most efficient plan.
1875
c. Creditors of the Residential Property and Casualty Joint
1876
Underwriting Association and of the accounts specified in sub-
1877
sub-subparagraphs a.(I) and (II) may have a claim against, and
1878
recourse to, the accounts referred to in sub-sub-subparagraphs
1879
a.(I) and (II) and shall have no claim against, or recourse to,
1880
the account referred to in sub-sub-subparagraph a.(III).
1881
Creditors of the Florida Windstorm Underwriting Association shall
1882
have a claim against, and recourse to, the account referred to in
1883
sub-sub-subparagraph a.(III) and shall have no claim against, or
1884
recourse to, the accounts referred to in sub-sub-subparagraphs
1885
a.(I) and (II).
1886
d. Revenues, assets, liabilities, losses, and expenses not
1887
attributable to particular accounts shall be prorated among the
1888
accounts.
1889
e. The Legislature finds that the revenues of the
1890
corporation are revenues that are necessary to meet the
1891
requirements set forth in documents authorizing the issuance of
1892
bonds under this subsection.
1893
f. No part of the income of the corporation may inure to
1894
the benefit of any private person.
1895
3. With respect to a deficit in an account:
1896
a. When the deficit incurred in a particular calendar year
1897
is not greater than 8 10 percent of the aggregate statewide
1898
direct written premium for the subject lines of business for the
1899
prior calendar year, the entire deficit shall be recovered
1900
through regular assessments of assessable insurers under
1901
paragraph (p) and assessable insureds.
1902
b. When the deficit incurred in a particular calendar year
1903
exceeds 8 10 percent of the aggregate statewide direct written
1904
premium for the subject lines of business for the prior calendar
1905
year, the corporation shall levy regular assessments on
1906
assessable insurers under paragraph (p) and on assessable
1907
insureds in an amount equal to the greater of 8 10 percent of the
1908
deficit or 8 10 percent of the aggregate statewide direct written
1909
premium for the subject lines of business for the prior calendar
1910
year. Any remaining deficit shall be recovered through emergency
1911
assessments under sub-subparagraph d.
1912
c. Each assessable insurer's share of the amount being
1913
assessed under sub-subparagraph a. or sub-subparagraph b. shall
1914
be in the proportion that the assessable insurer's direct written
1915
premium for the subject lines of business for the year preceding
1916
the assessment bears to the aggregate statewide direct written
1917
premium for the subject lines of business for that year. The
1918
assessment percentage applicable to each assessable insured is
1919
the ratio of the amount being assessed under sub-subparagraph a.
1920
or sub-subparagraph b. to the aggregate statewide direct written
1921
premium for the subject lines of business for the prior year.
1922
Assessments levied by the corporation on assessable insurers
1923
under sub-subparagraphs a. and b. shall be paid as required by
1924
the corporation's plan of operation and paragraph (p).
1925
notwithstanding any other provision of this subsection, the
1926
aggregate amount of a regular assessment for a deficit incurred
1927
in a particular calendar year shall be reduced by the estimated
1928
amount to be received by the corporation from the Citizens
1929
policyholder surcharge under subparagraph (c)10. and the amount
1930
collected or estimated to be collected from the assessment on
1931
Citizens policyholders pursuant to sub-subparagraph i.
1932
Assessments levied by the corporation on assessable insureds
1933
under sub-subparagraphs a. and b. shall be collected by the
1934
surplus lines agent at the time the surplus lines agent collects
1935
the surplus lines tax required by s. 626.932 and shall be paid to
1936
the Florida Surplus Lines Service Office at the time the surplus
1937
lines agent pays the surplus lines tax to the Florida Surplus
1938
Lines Service Office. Upon receipt of regular assessments from
1939
surplus lines agents, the Florida Surplus Lines Service Office
1940
shall transfer the assessments directly to the corporation as
1941
determined by the corporation.
1942
d. Upon a determination by the board of governors that a
1943
deficit in an account exceeds the amount that will be recovered
1944
through regular assessments under sub-subparagraph a. or sub-
1945
subparagraph b., plus the amount that is expected to be recovered
1946
through surcharges under sub-subparagraph i., as to the remaining
1947
projected deficit the board shall levy, after verification by the
1948
office, emergency assessments, for as many years as necessary to
1949
cover the deficits, to be collected by assessable insurers and
1950
the corporation and collected from assessable insureds upon
1951
issuance or renewal of policies for subject lines of business,
1952
excluding National Flood Insurance policies. The amount of the
1953
emergency assessment collected in a particular year shall be a
1954
uniform percentage of that year's direct written premium for
1955
subject lines of business and all accounts of the corporation,
1956
excluding National Flood Insurance Program policy premiums, as
1957
annually determined by the board and verified by the office. The
1958
office shall verify the arithmetic calculations involved in the
1959
board's determination within 30 days after receipt of the
1960
information on which the determination was based. Notwithstanding
1961
any other provision of law, the corporation and each assessable
1962
insurer that writes subject lines of business shall collect
1963
emergency assessments from its policyholders without such
1964
obligation being affected by any credit, limitation, exemption,
1965
or deferment. Emergency assessments levied by the corporation on
1966
assessable insureds shall be collected by the surplus lines agent
1967
at the time the surplus lines agent collects the surplus lines
1968
tax required by s. 626.932 and shall be paid to the Florida
1969
Surplus Lines Service Office at the time the surplus lines agent
1970
pays the surplus lines tax to the Florida Surplus Lines Service
1971
Office. The emergency assessments so collected shall be
1972
transferred directly to the corporation on a periodic basis as
1973
determined by the corporation and shall be held by the
1974
corporation solely in the applicable account. The aggregate
1975
amount of emergency assessments levied for an account under this
1976
sub-subparagraph in any calendar year may, at the discretion of
1977
the board of governors, be less than but may not exceed the
1978
greater of 10 percent of the amount needed to cover the original
1979
deficit, plus interest, fees, commissions, required reserves, and
1980
other costs associated with financing of the original deficit, or
1981
10 percent of the aggregate statewide direct written premium for
1982
subject lines of business and for all accounts of the corporation
1983
for the prior year, plus interest, fees, commissions, required
1984
reserves, and other costs associated with financing the original
1985
deficit.
1986
e. The corporation may pledge the proceeds of assessments,
1987
projected recoveries from the Florida Hurricane Catastrophe Fund,
1988
other insurance and reinsurance recoverables, policyholder
1989
surcharges and other surcharges, and other funds available to the
1990
corporation as the source of revenue for and to secure bonds
1991
issued under paragraph (p), bonds or other indebtedness issued
1992
under subparagraph (c)3., or lines of credit or other financing
1993
mechanisms issued or created under this subsection, or to retire
1994
any other debt incurred as a result of deficits or events giving
1995
rise to deficits, or in any other way that the board determines
1996
will efficiently recover such deficits. The purpose of the lines
1997
of credit or other financing mechanisms is to provide additional
1998
resources to assist the corporation in covering claims and
1999
expenses attributable to a catastrophe. As used in this
2000
subsection, the term "assessments" includes regular assessments
2001
under sub-subparagraph a., sub-subparagraph b., or subparagraph
2002
(p)1. and emergency assessments under sub-subparagraph d.
2003
Emergency assessments collected under sub-subparagraph d. are not
2004
part of an insurer's rates, are not premium, and are not subject
2005
to premium tax, fees, or commissions; however, failure to pay the
2006
emergency assessment shall be treated as failure to pay premium.
2007
The emergency assessments under sub-subparagraph d. shall
2008
continue as long as any bonds issued or other indebtedness
2009
incurred with respect to a deficit for which the assessment was
2010
imposed remain outstanding, unless adequate provision has been
2011
made for the payment of such bonds or other indebtedness pursuant
2012
to the documents governing such bonds or other indebtedness.
2013
f. As used in this subsection for purposes of any deficit
2014
incurred on or after January 25, 2007, the term "subject lines of
2015
business" means insurance written by assessable insurers or
2016
procured by assessable insureds for all property and casualty
2017
lines of business in this state, but not including workers'
2018
compensation or medical malpractice. As used in the sub-
2019
subparagraph, the term "property and casualty lines of business"
2020
includes all lines of business identified on Form 2, Exhibit of
2021
Premiums and Losses, in the annual statement required of
2022
authorized insurers by s. 624.424 and any rule adopted under this
2023
section, except for those lines identified as accident and health
2024
insurance and except for policies written under the National
2025
Flood Insurance Program or the Federal Crop Insurance Program.
2026
For purposes of this sub-subparagraph, the term "workers'
2027
compensation" includes both workers' compensation insurance and
2028
excess workers' compensation insurance.
2029
g. The Florida Surplus Lines Service Office shall determine
2030
annually the aggregate statewide written premium in subject lines
2031
of business procured by assessable insureds and shall report that
2032
information to the corporation in a form and at a time the
2033
corporation specifies to ensure that the corporation can meet the
2034
requirements of this subsection and the corporation's financing
2035
obligations.
2036
h. The Florida Surplus Lines Service Office shall verify
2037
the proper application by surplus lines agents of assessment
2038
percentages for regular assessments and emergency assessments
2039
levied under this subparagraph on assessable insureds and shall
2040
assist the corporation in ensuring the accurate, timely
2041
collection and payment of assessments by surplus lines agents as
2042
required by the corporation.
2043
i. If a deficit is incurred in any account in 2008 or
2044
thereafter, the board of governors shall levy a Citizens
2045
policyholder surcharge an immediate assessment against the
2046
premium of each nonhomestead property policyholder in all
2047
accounts of the corporation, as a uniform percentage of the
2048
premium of the policy of up to 10 percent of such premium, which
2049
funds shall be used to offset the deficit. If this assessment is
2050
insufficient to eliminate the deficit, the board of governors
2051
shall levy an additional assessment against all policyholders of
2052
the corporation for a 12-month period, which shall be collected
2053
at the time of issuance or renewal of a policy, as a uniform
2054
percentage of the premium for the policy of up to 10 percent of
2055
such premium, which funds shall be used to further offset the
2056
deficit and reduce the amount of the regular assessment as
2057
provided in sub-subparagraphs a. and b. Citizens policyholder
2058
surcharges under this sub-subparagraph are not considered premium
2059
and are not subject to commissions, fees, or premium taxes.
2060
However, failure to pay such surcharges shall be treated as
2061
failure to pay premium.
2062
j. If the amount of any assessments or surcharges collected
2063
from corporation policyholders, assessable insurers or their
2064
policyholders, or assessable insureds exceeds the amount of the
2065
deficits, such excess amounts shall be remitted to and retained
2066
by the corporation in a reserve to be used by the corporation, as
2067
determined by the board of governors and approved by the office,
2068
to pay claims or reduce any past, present, or future plan-year
2069
deficits or to reduce outstanding debt. The board of governors
2070
shall maintain separate accounting records that consolidate data
2071
for nonhomestead properties, including, but not limited to,
2072
number of policies, insured values, premiums written, and losses.
2073
The board of governors shall annually report to the office and
2074
the Legislature a summary of such data.
2075
(c) The plan of operation of the corporation:
2076
1. Must provide for adoption of residential property and
2077
casualty insurance policy forms and commercial residential and
2078
nonresidential property insurance forms, which forms must be
2079
approved by the office prior to use. The corporation shall adopt
2080
the following policy forms:
2081
a. Standard personal lines policy forms that are
2082
comprehensive multiperil policies providing full coverage of a
2083
residential property equivalent to the coverage provided in the
2084
private insurance market under an HO-3, HO-4, or HO-6 policy.
2085
b. Basic personal lines policy forms that are policies
2086
similar to an HO-8 policy or a dwelling fire policy that provide
2087
coverage meeting the requirements of the secondary mortgage
2088
market, but which coverage is more limited than the coverage
2089
under a standard policy.
2090
c. Commercial lines residential and nonresidential policy
2091
forms that are generally similar to the basic perils of full
2092
coverage obtainable for commercial residential structures and
2093
commercial nonresidential structures in the admitted voluntary
2094
market.
2095
d. Personal lines and commercial lines residential property
2096
insurance forms that cover the peril of wind only. The forms are
2097
applicable only to residential properties located in areas
2098
eligible for coverage under the high-risk account referred to in
2099
sub-subparagraph (b)2.a.
2100
e. Commercial lines nonresidential property insurance forms
2101
that cover the peril of wind only. The forms are applicable only
2102
to nonresidential properties located in areas eligible for
2103
coverage under the high-risk account referred to in sub-
2104
subparagraph (b)2.a.
2105
f. The corporation may adopt variations of the policy forms
2106
listed in sub-subparagraphs a.-e. that contain more restrictive
2107
coverage.
2108
2.a. Must provide that the corporation adopt a program in
2109
which the corporation and authorized insurers enter into quota
2110
share primary insurance agreements for hurricane coverage, as
2111
defined in s. 627.4025(2)(a), for eligible risks, and adopt
2112
property insurance forms for eligible risks which cover the peril
2113
of wind only. As used in this subsection, the term:
2114
(I) "Quota share primary insurance" means an arrangement in
2115
which the primary hurricane coverage of an eligible risk is
2116
provided in specified percentages by the corporation and an
2117
authorized insurer. The corporation and authorized insurer are
2118
each solely responsible for a specified percentage of hurricane
2119
coverage of an eligible risk as set forth in a quota share
2120
primary insurance agreement between the corporation and an
2121
authorized insurer and the insurance contract. The responsibility
2122
of the corporation or authorized insurer to pay its specified
2123
percentage of hurricane losses of an eligible risk, as set forth
2124
in the quota share primary insurance agreement, may not be
2125
altered by the inability of the other party to the agreement to
2126
pay its specified percentage of hurricane losses. Eligible risks
2127
that are provided hurricane coverage through a quota share
2128
primary insurance arrangement must be provided policy forms that
2129
set forth the obligations of the corporation and authorized
2130
insurer under the arrangement, clearly specify the percentages of
2131
quota share primary insurance provided by the corporation and
2132
authorized insurer, and conspicuously and clearly state that
2133
neither the authorized insurer nor the corporation may be held
2134
responsible beyond its specified percentage of coverage of
2135
hurricane losses.
2136
(II) "Eligible risks" means personal lines residential and
2137
commercial lines residential risks that meet the underwriting
2138
criteria of the corporation and are located in areas that were
2139
eligible for coverage by the Florida Windstorm Underwriting
2140
Association on January 1, 2002.
2141
b. The corporation may enter into quota share primary
2142
insurance agreements with authorized insurers at corporation
2143
coverage levels of 90 percent and 50 percent.
2144
c. If the corporation determines that additional coverage
2145
levels are necessary to maximize participation in quota share
2146
primary insurance agreements by authorized insurers, the
2147
corporation may establish additional coverage levels. However,
2148
the corporation's quota share primary insurance coverage level
2149
may not exceed 90 percent.
2150
d. Any quota share primary insurance agreement entered into
2151
between an authorized insurer and the corporation must provide
2152
for a uniform specified percentage of coverage of hurricane
2153
losses, by county or territory as set forth by the corporation
2154
board, for all eligible risks of the authorized insurer covered
2155
under the quota share primary insurance agreement.
2156
e. Any quota share primary insurance agreement entered into
2157
between an authorized insurer and the corporation is subject to
2158
review and approval by the office. However, such agreement shall
2159
be authorized only as to insurance contracts entered into between
2160
an authorized insurer and an insured who is already insured by
2161
the corporation for wind coverage.
2162
f. For all eligible risks covered under quota share primary
2163
insurance agreements, the exposure and coverage levels for both
2164
the corporation and authorized insurers shall be reported by the
2165
corporation to the Florida Hurricane Catastrophe Fund. For all
2166
policies of eligible risks covered under quota share primary
2167
insurance agreements, the corporation and the authorized insurer
2168
shall maintain complete and accurate records for the purpose of
2169
exposure and loss reimbursement audits as required by Florida
2170
Hurricane Catastrophe Fund rules. The corporation and the
2171
authorized insurer shall each maintain duplicate copies of policy
2172
declaration pages and supporting claims documents.
2173
g. The corporation board shall establish in its plan of
2174
operation standards for quota share agreements which ensure that
2175
there is no discriminatory application among insurers as to the
2176
terms of quota share agreements, pricing of quota share
2177
agreements, incentive provisions if any, and consideration paid
2178
for servicing policies or adjusting claims.
2179
h. The quota share primary insurance agreement between the
2180
corporation and an authorized insurer must set forth the specific
2181
terms under which coverage is provided, including, but not
2182
limited to, the sale and servicing of policies issued under the
2183
agreement by the insurance agent of the authorized insurer
2184
producing the business, the reporting of information concerning
2185
eligible risks, the payment of premium to the corporation, and
2186
arrangements for the adjustment and payment of hurricane claims
2187
incurred on eligible risks by the claims adjuster and personnel
2188
of the authorized insurer. Entering into a quota sharing
2189
insurance agreement between the corporation and an authorized
2190
insurer shall be voluntary and at the discretion of the
2191
authorized insurer.
2192
3. May provide that the corporation may employ or otherwise
2193
contract with individuals or other entities to provide
2194
administrative or professional services that may be appropriate
2195
to effectuate the plan. The corporation shall have the power to
2196
borrow funds, by issuing bonds or by incurring other
2197
indebtedness, and shall have other powers reasonably necessary to
2198
effectuate the requirements of this subsection, including,
2199
without limitation, the power to issue bonds and incur other
2200
indebtedness in order to refinance outstanding bonds or other
2201
indebtedness. The corporation may, but is not required to, seek
2202
judicial validation of its bonds or other indebtedness under
2203
chapter 75. The corporation may issue bonds or incur other
2204
indebtedness, or have bonds issued on its behalf by a unit of
2205
local government pursuant to subparagraph (p)2., in the absence
2206
of a hurricane or other weather-related event, upon a
2207
determination by the corporation, subject to approval by the
2208
office, that such action would enable it to efficiently meet the
2209
financial obligations of the corporation and that such financings
2210
are reasonably necessary to effectuate the requirements of this
2211
subsection. The corporation is authorized to take all actions
2212
needed to facilitate tax-free status for any such bonds or
2213
indebtedness, including formation of trusts or other affiliated
2214
entities. The corporation shall have the authority to pledge
2215
assessments, projected recoveries from the Florida Hurricane
2216
Catastrophe Fund, other reinsurance recoverables, market
2217
equalization and other surcharges, and other funds available to
2218
the corporation as security for bonds or other indebtedness. In
2219
recognition of s. 10, Art. I of the State Constitution,
2220
prohibiting the impairment of obligations of contracts, it is the
2221
intent of the Legislature that no action be taken whose purpose
2222
is to impair any bond indenture or financing agreement or any
2223
revenue source committed by contract to such bond or other
2224
indebtedness.
2225
4.a. Must require that the corporation operate subject to
2226
the supervision and approval of a board of governors consisting
2227
of eight individuals who are residents of this state, from
2228
different geographical areas of this state. The Governor, the
2229
Chief Financial Officer, the President of the Senate, and the
2230
Speaker of the House of Representatives shall each appoint two
2231
members of the board. At least one of the two members appointed
2232
by each appointing officer must have demonstrated expertise in
2233
insurance. The Chief Financial Officer shall designate one of the
2234
appointees as chair. All board members serve at the pleasure of
2235
the appointing officer. All members of the board of governors are
2236
subject to removal at will by the officers who appointed them.
2237
All board members, including the chair, must be appointed to
2238
serve for 3-year terms beginning annually on a date designated by
2239
the plan. Any board vacancy shall be filled for the unexpired
2240
term by the appointing officer. The Chief Financial Officer shall
2241
appoint a technical advisory group to provide information and
2242
advice to the board of governors in connection with the board's
2243
duties under this subsection. The executive director and senior
2244
managers of the corporation shall be engaged by the board and
2245
serve at the pleasure of the board. Any executive director
2246
appointed on or after July 1, 2006, is subject to confirmation by
2247
the Senate. The executive director is responsible for employing
2248
other staff as the corporation may require, subject to review and
2249
concurrence by the board.
2250
b. The board shall create a Market Accountability Advisory
2251
Committee to assist the corporation in developing awareness of
2252
its rates and its customer and agent service levels in
2253
relationship to the voluntary market insurers writing similar
2254
coverage. The members of the advisory committee shall consist of
2255
the following 11 persons, one of whom must be elected chair by
2256
the members of the committee: four representatives, one appointed
2257
by the Florida Association of Insurance Agents, one by the
2258
Florida Association of Insurance and Financial Advisors, one by
2259
the Professional Insurance Agents of Florida, and one by the
2260
Latin American Association of Insurance Agencies; three
2261
representatives appointed by the insurers with the three highest
2262
voluntary market share of residential property insurance business
2263
in the state; one representative from the Office of Insurance
2264
Regulation; one consumer appointed by the board who is insured by
2265
the corporation at the time of appointment to the committee; one
2266
representative appointed by the Florida Association of Realtors;
2267
and one representative appointed by the Florida Bankers
2268
Association. All members must serve for 3-year terms and may
2269
serve for consecutive terms. The committee shall report to the
2270
corporation at each board meeting on insurance market issues
2271
which may include rates and rate competition with the voluntary
2272
market; service, including policy issuance, claims processing,
2273
and general responsiveness to policyholders, applicants, and
2274
agents; and matters relating to depopulation.
2275
5. Must provide a procedure for determining the eligibility
2276
of a risk for coverage, as follows:
2277
a. Subject to the provisions of s. 627.3517, with respect
2278
to personal lines residential risks, if the risk is offered
2279
coverage from an authorized insurer at the insurer's approved
2280
rate under either a standard policy including wind coverage or,
2281
if consistent with the insurer's underwriting rules as filed with
2282
the office, a basic policy including wind coverage, for a new
2283
application to the corporation for coverage, the risk is not
2284
eligible for any policy issued by the corporation unless the
2285
premium for coverage from the authorized insurer is more than 15
2286
percent greater than the premium for comparable coverage from the
2287
corporation. If the risk is not able to obtain any such offer,
2288
the risk is eligible for either a standard policy including wind
2289
coverage or a basic policy including wind coverage issued by the
2290
corporation; however, if the risk could not be insured under a
2291
standard policy including wind coverage regardless of market
2292
conditions, the risk shall be eligible for a basic policy
2293
including wind coverage unless rejected under subparagraph 9.
2294
However, with regard to a policyholder of the corporation or a
2295
policyholder removed from the corporation through an assumption
2296
agreement until the end of the assumption period, the
2297
policyholder remains eligible for coverage from the corporation
2298
regardless of any offer of coverage from an authorized insurer or
2299
surplus lines insurer. The corporation shall determine the type
2300
of policy to be provided on the basis of objective standards
2301
specified in the underwriting manual and based on generally
2302
accepted underwriting practices.
2303
(I) If the risk accepts an offer of coverage through the
2304
market assistance plan or an offer of coverage through a
2305
mechanism established by the corporation before a policy is
2306
issued to the risk by the corporation or during the first 30 days
2307
of coverage by the corporation, and the producing agent who
2308
submitted the application to the plan or to the corporation is
2309
not currently appointed by the insurer, the insurer shall:
2310
(A) Pay to the producing agent of record of the policy, for
2311
the first year, an amount that is the greater of the insurer's
2312
usual and customary commission for the type of policy written or
2313
a fee equal to the usual and customary commission of the
2314
corporation; or
2315
(B) Offer to allow the producing agent of record of the
2316
policy to continue servicing the policy for a period of not less
2317
than 1 year and offer to pay the agent the greater of the
2318
insurer's or the corporation's usual and customary commission for
2319
the type of policy written.
2320
2321
If the producing agent is unwilling or unable to accept
2322
appointment, the new insurer shall pay the agent in accordance
2323
with sub-sub-sub-subparagraph (A).
2324
(II) When the corporation enters into a contractual
2325
agreement for a take-out plan, the producing agent of record of
2326
the corporation policy is entitled to retain any unearned
2327
commission on the policy, and the insurer shall:
2328
(A) Pay to the producing agent of record of the corporation
2329
policy, for the first year, an amount that is the greater of the
2330
insurer's usual and customary commission for the type of policy
2331
written or a fee equal to the usual and customary commission of
2332
the corporation; or
2333
(B) Offer to allow the producing agent of record of the
2334
corporation policy to continue servicing the policy for a period
2335
of not less than 1 year and offer to pay the agent the greater of
2336
the insurer's or the corporation's usual and customary commission
2337
for the type of policy written.
2338
2339
If the producing agent is unwilling or unable to accept
2340
appointment, the new insurer shall pay the agent in accordance
2341
with sub-sub-sub-subparagraph (A).
2342
b. With respect to commercial lines residential risks, for
2343
a new application to the corporation for coverage, if the risk is
2344
offered coverage under a policy including wind coverage from an
2345
authorized insurer at its approved rate, the risk is not eligible
2346
for any policy issued by the corporation unless the premium for
2347
coverage from the authorized insurer is more than 15 percent
2348
greater than the premium for comparable coverage from the
2349
corporation. If the risk is not able to obtain any such offer,
2350
the risk is eligible for a policy including wind coverage issued
2351
by the corporation. However, with regard to a policyholder of the
2352
corporation or a policyholder removed from the corporation
2353
through an assumption agreement until the end of the assumption
2354
period, the policyholder remains eligible for coverage from the
2355
corporation regardless of any offer of coverage from an
2356
authorized insurer or surplus lines insurer.
2357
(I) If the risk accepts an offer of coverage through the
2358
market assistance plan or an offer of coverage through a
2359
mechanism established by the corporation before a policy is
2360
issued to the risk by the corporation or during the first 30 days
2361
of coverage by the corporation, and the producing agent who
2362
submitted the application to the plan or the corporation is not
2363
currently appointed by the insurer, the insurer shall:
2364
(A) Pay to the producing agent of record of the policy, for
2365
the first year, an amount that is the greater of the insurer's
2366
usual and customary commission for the type of policy written or
2367
a fee equal to the usual and customary commission of the
2368
corporation; or
2369
(B) Offer to allow the producing agent of record of the
2370
policy to continue servicing the policy for a period of not less
2371
than 1 year and offer to pay the agent the greater of the
2372
insurer's or the corporation's usual and customary commission for
2373
the type of policy written.
2374
2375
If the producing agent is unwilling or unable to accept
2376
appointment, the new insurer shall pay the agent in accordance
2377
with sub-sub-sub-subparagraph (A).
2378
(II) When the corporation enters into a contractual
2379
agreement for a take-out plan, the producing agent of record of
2380
the corporation policy is entitled to retain any unearned
2381
commission on the policy, and the insurer shall:
2382
(A) Pay to the producing agent of record of the corporation
2383
policy, for the first year, an amount that is the greater of the
2384
insurer's usual and customary commission for the type of policy
2385
written or a fee equal to the usual and customary commission of
2386
the corporation; or
2387
(B) Offer to allow the producing agent of record of the
2388
corporation policy to continue servicing the policy for a period
2389
of not less than 1 year and offer to pay the agent the greater of
2390
the insurer's or the corporation's usual and customary commission
2391
for the type of policy written.
2392
2393
If the producing agent is unwilling or unable to accept
2394
appointment, the new insurer shall pay the agent in accordance
2395
with sub-sub-sub-subparagraph (A).
2396
c. For purposes of determining comparable coverage under
2397
sub-subparagraphs a. and b., the comparison shall be based on
2398
those forms and coverages that are reasonably comparable. The
2399
corporation may rely on a determination of comparable coverage
2400
and premium made by the producing agent who submits the
2401
application to the corporation, made in the agent's capacity as
2402
the corporation's agent. A comparison may be made solely of the
2403
premium with respect to the main building or structure only on
2404
the following basis: the same coverage A or other building
2405
limits; the same percentage hurricane deductible that applies on
2406
an annual basis or that applies to each hurricane for commercial
2407
residential property; the same percentage of ordinance and law
2408
coverage, if the same limit is offered by both the corporation
2409
and the authorized insurer; the same mitigation credits, to the
2410
extent the same types of credits are offered both by the
2411
corporation and the authorized insurer; the same method for loss
2412
payment, such as replacement cost or actual cash value, if the
2413
same method is offered both by the corporation and the authorized
2414
insurer in accordance with underwriting rules; and any other form
2415
or coverage that is reasonably comparable as determined by the
2416
board. If an application is submitted to the corporation for
2417
wind-only coverage in the high-risk account, the premium for the
2418
corporation's wind-only policy plus the premium for the ex-wind
2419
policy that is offered by an authorized insurer to the applicant
2420
shall be compared to the premium for multiperil coverage offered
2421
by an authorized insurer, subject to the standards for comparison
2422
specified in this subparagraph. If the corporation or the
2423
applicant requests from the authorized insurer a breakdown of the
2424
premium of the offer by types of coverage so that a comparison
2425
may be made by the corporation or its agent and the authorized
2426
insurer refuses or is unable to provide such information, the
2427
corporation may treat the offer as not being an offer of coverage
2428
from an authorized insurer at the insurer's approved rate.
2429
6. Must include rules for classifications of risks and
2430
rates therefor.
2431
7. Must provide that if premium and investment income for
2432
an account attributable to a particular calendar year are in
2433
excess of projected losses and expenses for the account
2434
attributable to that year, such excess shall be held in surplus
2435
in the account. Such surplus shall be available to defray
2436
deficits in that account as to future years and shall be used for
2437
that purpose prior to assessing assessable insurers and
2438
assessable insureds as to any calendar year.
2439
8. Must provide objective criteria and procedures to be
2440
uniformly applied for all applicants in determining whether an
2441
individual risk is so hazardous as to be uninsurable. In making
2442
this determination and in establishing the criteria and
2443
procedures, the following shall be considered:
2444
a. Whether the likelihood of a loss for the individual risk
2445
is substantially higher than for other risks of the same class;
2446
and
2447
b. Whether the uncertainty associated with the individual
2448
risk is such that an appropriate premium cannot be determined.
2449
2450
The acceptance or rejection of a risk by the corporation shall be
2451
construed as the private placement of insurance, and the
2452
provisions of chapter 120 shall not apply.
2453
9. Must provide that the corporation shall make its best
2454
efforts to procure catastrophe reinsurance at reasonable rates,
2455
to cover its projected 100-year probable maximum loss as
2456
determined by the board of governors.
2457
10. Must provide that in the event of regular deficit
2458
assessments under sub-subparagraph (b)3.a. or sub-subparagraph
2459
(b)3.b., in the personal lines account, the commercial lines
2460
residential account, or the high-risk account, the corporation
2461
shall levy upon corporation policyholders in its next rate
2462
filing, or by a separate rate filing solely for this purpose, a
2463
Citizens policyholder surcharge arising from a regular assessment
2464
in such account in a percentage equal to the total amount of such
2465
regular assessments divided by the aggregate statewide direct
2466
written premium for subject lines of business for the prior
2467
calendar year. For purposes of calculating the Citizens
2468
policyholder surcharge to be levied under this subparagraph, the
2469
total amount of the regular assessment to which this surcharge is
2470
related shall be determined as set forth in subparagraph (b)3.,
2471
without deducting the estimated Citizens policyholder surcharge.
2472
Citizens policyholder surcharges under this subparagraph are not
2473
considered premium and are not subject to commissions, fees, or
2474
premium taxes; however, failure to pay a market equalization
2475
surcharge shall be treated as failure to pay premium.
2476
10.11. The policies issued by the corporation must provide
2477
that, if the corporation or the market assistance plan obtains an
2478
offer from an authorized insurer to cover the risk at its
2479
approved rates, the risk is no longer eligible for renewal
2480
through the corporation, except as otherwise provided in this
2481
subsection.
2482
11.12. Corporation policies and applications must include a
2483
notice that the corporation policy could, under this section, be
2484
replaced with a policy issued by an authorized insurer that does
2485
not provide coverage identical to the coverage provided by the
2486
corporation. The notice shall also specify that acceptance of
2487
corporation coverage creates a conclusive presumption that the
2488
applicant or policyholder is aware of this potential.
2489
12.13. May establish, subject to approval by the office,
2490
different eligibility requirements and operational procedures for
2491
any line or type of coverage for any specified county or area if
2492
the board determines that such changes to the eligibility
2493
requirements and operational procedures are justified due to the
2494
voluntary market being sufficiently stable and competitive in
2495
such area or for such line or type of coverage and that consumers
2496
who, in good faith, are unable to obtain insurance through the
2497
voluntary market through ordinary methods would continue to have
2498
access to coverage from the corporation. When coverage is sought
2499
in connection with a real property transfer, such requirements
2500
and procedures shall not provide for an effective date of
2501
coverage later than the date of the closing of the transfer as
2502
established by the transferor, the transferee, and, if
2503
applicable, the lender.
2504
13.14. Must provide that, with respect to the high-risk
2505
account, any assessable insurer with a surplus as to
2506
policyholders of $25 million or less writing 25 percent or more
2507
of its total countrywide property insurance premiums in this
2508
state may petition the office, within the first 90 days of each
2509
calendar year, to qualify as a limited apportionment company. A
2510
regular assessment levied by the corporation on a limited
2511
apportionment company for a deficit incurred by the corporation
2512
for the high-risk account in 2006 or thereafter may be paid to
2513
the corporation on a monthly basis as the assessments are
2514
collected by the limited apportionment company from its insureds
2515
pursuant to s. 627.3512, but the regular assessment must be paid
2516
in full within 12 months after being levied by the corporation. A
2517
limited apportionment company shall collect from its
2518
policyholders any emergency assessment imposed under sub-
2519
subparagraph (b)3.d. The plan shall provide that, if the office
2520
determines that any regular assessment will result in an
2521
impairment of the surplus of a limited apportionment company, the
2522
office may direct that all or part of such assessment be deferred
2523
as provided in subparagraph (p)4. However, there shall be no
2524
limitation or deferment of an emergency assessment to be
2525
collected from policyholders under sub-subparagraph (b)3.d.
2526
14.15. Must provide that the corporation appoint as its
2527
licensed agents only those agents who also hold an appointment as
2528
defined in s. 626.015(3) with an insurer who at the time of the
2529
agent's initial appointment by the corporation is authorized to
2530
write and is actually writing personal lines residential property
2531
coverage, commercial residential property coverage, or commercial
2532
nonresidential property coverage within the state.
2533
15.16. Must provide, by July 1, 2007, a premium payment
2534
plan option to its policyholders which allows at a minimum for
2535
quarterly and semiannual payment of premiums. A monthly payment
2536
plan may, but is not required to, be offered.
2537
16.17. Must limit coverage on mobile homes or manufactured
2538
homes built prior to 1994 to actual cash value of the dwelling
2539
rather than replacement costs of the dwelling.
2540
17.18. May provide such limits of coverage as the board
2541
determines, consistent with the requirements of this subsection.
2542
18.19. May require commercial property to meet specified
2543
hurricane mitigation construction features as a condition of
2544
eligibility for coverage.
2545
(m)1. Rates for coverage provided by the corporation shall
2546
be actuarially sound and subject to the requirements of s.
2547
627.062, except as otherwise provided in this paragraph. The
2548
corporation shall file its recommended rates with the office at
2549
least annually. The corporation shall provide any additional
2550
information regarding the rates which the office requires. The
2551
office shall consider the recommendations of the board and issue
2552
a final order establishing the rates for the corporation within
2553
45 days after the recommended rates are filed. The corporation
2554
may not pursue an administrative challenge or judicial review of
2555
the final order of the office.
2556
2. In addition to the rates otherwise determined pursuant
2557
to this paragraph, the corporation shall impose and collect an
2558
amount equal to the premium tax provided for in s. 624.509 to
2559
augment the financial resources of the corporation.
2560
3. After the public hurricane loss-projection model under
2561
s. 627.06281 has been found to be accurate and reliable by the
2562
Florida Commission on Hurricane Loss Projection Methodology, that
2563
model shall serve as the minimum benchmark for determining the
2564
windstorm portion of the corporation's rates. This subparagraph
2565
does not require or allow the corporation to adopt rates lower
2566
than the rates otherwise required or allowed by this paragraph.
2567
4. The rate filings for the corporation which were approved
2568
by the office and which took effect January 1, 2007, are
2569
rescinded, except for those rates that were lowered. As soon as
2570
possible, the corporation shall begin using the lower rates that
2571
were in effect on December 31, 2006, and shall provide refunds to
2572
policyholders who have paid higher rates as a result of that rate
2573
filing. The rates in effect on December 31, 2006, shall remain in
2574
effect for the 2007 and 2008 calendar years except for any rate
2575
change that results in a lower rate. The next rate change that
2576
may increase rates shall take effect January 1, 2009, pursuant to
2577
a new rate filing recommended by the corporation and established
2578
by the office, subject to the requirements of this paragraph.
2579
5.a. Beginning on January 15, 2009, and each year
2580
thereafter, the corporation must make a recommended actuarially
2581
sound rate filing for each personal and commercial line of
2582
business it writes, to be effective no earlier than July 1, 2009.
2583
b. For the 36-month period beginning with the effective
2584
date for each of the rate filings made by the corporation on
2585
January 15, 2009, the rates established by the office for the
2586
corporation for its personal residential multiperil policies, its
2587
commercial residential multiperil policies, and its commercial
2588
nonresidential multiperil policies may not result in an overall
2589
average statewide premium increase of more than 5 percent or an
2590
increase for any single policyholder of more than 5 percent,
2591
during the first 12-month period, and may not result in an
2592
overall average statewide premium increase of more than 10
2593
percent, or an increase for any single policyholder of more than
2594
10 percent, during each of the two subsequent 12-month periods,
2595
excluding coverage changes and surcharges.
2596
c. For the 36-month period beginning with the effective
2597
date for the rate filings made by the corporation on January 15,
2598
2009, the rates established by the office for the corporation for
2599
its personal residential wind-only policies, its commercial
2600
residential wind-only policies, and its commercial nonresidential
2601
wind-only policies may not result in an overall average statewide
2602
premium increase of more than 10 percent, or an increase for any
2603
single policyholder of more than 10 percent, during the first 12-
2604
month period, and may not result in an overall average statewide
2605
premium increase of more than 10 percent, or an increase for any
2606
single policyholder of more than 10 percent, during each of the
2607
two subsequent 12-month periods, excluding coverage changes and
2608
surcharges.
2609
(p)1. The corporation shall certify to the office its needs
2610
for annual assessments as to a particular calendar year, and for
2611
any interim assessments that it deems to be necessary to sustain
2612
operations as to a particular year pending the receipt of annual
2613
assessments. Upon verification, the office shall approve such
2614
certification, and the corporation shall levy such annual or
2615
interim assessments. Such assessments shall be prorated as
2616
provided in paragraph (b). The corporation shall take all
2617
reasonable and prudent steps necessary to collect the amount of
2618
assessment due from each assessable insurer, including, if
2619
prudent, filing suit to collect such assessment. If the
2620
corporation is unable to collect an assessment from any
2621
assessable insurer, the uncollected assessments shall be levied
2622
as an additional assessment against the assessable insurers and
2623
any assessable insurer required to pay an additional assessment
2624
as a result of such failure to pay shall have a cause of action
2625
against such nonpaying assessable insurer. Assessments shall be
2626
included as an appropriate factor in the making of rates. The
2627
failure of a surplus lines agent to collect and remit any regular
2628
or emergency assessment levied by the corporation is considered
2629
to be a violation of s. 626.936 and subjects the surplus lines
2630
agent to the penalties provided in that section.
2631
2. The governing body of any unit of local government, any
2632
residents of which are insured by the corporation, may issue
2634
fund an assistance program, in conjunction with the corporation,
2635
for the purpose of defraying deficits of the corporation. In
2636
order to avoid needless and indiscriminate proliferation,
2637
duplication, and fragmentation of such assistance programs, any
2638
unit of local government, any residents of which are insured by
2639
the corporation, may provide for the payment of losses,
2640
regardless of whether or not the losses occurred within or
2641
outside of the territorial jurisdiction of the local government.
2642
Revenue bonds under this subparagraph may not be issued until
2643
validated pursuant to chapter 75, unless a state of emergency is
2644
declared by executive order or proclamation of the Governor
2645
pursuant to s. 252.36 making such findings as are necessary to
2646
determine that it is in the best interests of, and necessary for,
2647
the protection of the public health, safety, and general welfare
2648
of residents of this state and declaring it an essential public
2649
purpose to permit certain municipalities or counties to issue
2650
such bonds as will permit relief to claimants and policyholders
2651
of the corporation. Any such unit of local government may enter
2652
into such contracts with the corporation and with any other
2653
entity created pursuant to this subsection as are necessary to
2654
carry out this paragraph. Any bonds issued under this
2655
subparagraph shall be payable from and secured by moneys received
2656
by the corporation from emergency assessments under sub-
2657
subparagraph (b)3.d., and assigned and pledged to or on behalf of
2658
the unit of local government for the benefit of the holders of
2659
such bonds. The funds, credit, property, and taxing power of the
2660
state or of the unit of local government shall not be pledged for
2661
the payment of such bonds. If any of the bonds remain unsold 60
2662
days after issuance, the office shall require all insurers
2663
subject to assessment to purchase the bonds, which shall be
2664
treated as admitted assets; each insurer shall be required to
2665
purchase that percentage of the unsold portion of the bond issue
2666
that equals the insurer's relative share of assessment liability
2667
under this subsection. An insurer shall not be required to
2668
purchase the bonds to the extent that the office determines that
2669
the purchase would endanger or impair the solvency of the
2670
insurer.
2671
3.a. The corporation shall adopt one or more programs
2672
subject to approval by the office for the reduction of both new
2673
and renewal writings in the corporation. Beginning January 1,
2674
2008, any program the corporation adopts for the payment of
2675
bonuses to an insurer for each risk the insurer removes from the
2676
corporation shall comply with s. 627.3511(2) and may not exceed
2677
the amount referenced in s. 627.3511(2) for each risk removed.
2678
The corporation may consider any prudent and not unfairly
2679
discriminatory approach to reducing corporation writings, and may
2680
adopt a credit against assessment liability or other liability
2681
that provides an incentive for insurers to take risks out of the
2682
corporation and to keep risks out of the corporation by
2683
maintaining or increasing voluntary writings in counties or areas
2684
in which corporation risks are highly concentrated and a program
2685
to provide a formula under which an insurer voluntarily taking
2686
risks out of the corporation by maintaining or increasing
2687
voluntary writings will be relieved wholly or partially from
2688
assessments under sub-subparagraphs (b)3.a. and b. However, any
2689
"take-out bonus" or payment to an insurer must be conditioned on
2690
the property being insured for at least 5 years by the insurer,
2691
unless canceled or nonrenewed by the policyholder. If the policy
2692
is canceled or nonrenewed by the policyholder before the end of
2693
the 5-year period, the amount of the take-out bonus must be
2694
prorated for the time period the policy was insured. When the
2695
corporation enters into a contractual agreement for a take-out
2696
plan, the producing agent of record of the corporation policy is
2697
entitled to retain any unearned commission on such policy, and
2698
the insurer shall either:
2699
(I) Pay to the producing agent of record of the policy, for
2700
the first year, an amount which is the greater of the insurer's
2701
usual and customary commission for the type of policy written or
2702
a policy fee equal to the usual and customary commission of the
2703
corporation; or
2704
(II) Offer to allow the producing agent of record of the
2705
policy to continue servicing the policy for a period of not less
2706
than 1 year and offer to pay the agent the insurer's usual and
2707
customary commission for the type of policy written. If the
2708
producing agent is unwilling or unable to accept appointment by
2709
the new insurer, the new insurer shall pay the agent in
2710
accordance with sub-sub-subparagraph (I).
2711
b. Any credit or exemption from regular assessments adopted
2712
under this subparagraph shall last no longer than the 3 years
2713
following the cancellation or expiration of the policy by the
2714
corporation. With the approval of the office, the board may
2715
extend such credits for an additional year if the insurer
2716
guarantees an additional year of renewability for all policies
2717
removed from the corporation, or for 2 additional years if the
2718
insurer guarantees 2 additional years of renewability for all
2719
policies so removed.
2720
c. There shall be no credit, limitation, exemption, or
2721
deferment from emergency assessments to be collected from
2722
policyholders pursuant to sub-subparagraph (b)3.d.
2723
d. Subject to the execution of the confidentiality
2724
agreement required by paragraph (w), the corporation shall make
2725
its database of policies available to prospective take-out
2726
insurers considering underwriting a risk insured by the
2727
corporation, without categorically eliminating policies from
2728
eligibility for removal. The corporation may not instruct or
2729
encourage prospective take-out insurers to avoid the selection of
2730
policies for which the agent has disapproved policy removals. The
2731
corporation must require agents to accept or decline appointment
2732
or a contract with the insurer for any policy selected and, in
2733
the case of a declination, must notify the policyholder that an
2734
insurer, identified by name, selected his or her policy for a
2735
take-out offer, but that the policyholder's agent did not accept
2736
an appointment or contract with the insurer. The notice must also
2737
provide the policyholder with the take-out insurer's contact
2738
information so that the policyholder may contact the company
2739
directly and make his or her own determination of whether to seek
2740
coverage from the take-out insurer.
2741
4. The plan shall provide for the deferment, in whole or in
2742
part, of the assessment of an assessable insurer, other than an
2743
emergency assessment collected from policyholders pursuant to
2744
sub-subparagraph (b)3.d., if the office finds that payment of the
2745
assessment would endanger or impair the solvency of the insurer.
2746
In the event an assessment against an assessable insurer is
2747
deferred in whole or in part, the amount by which such assessment
2748
is deferred may be assessed against the other assessable insurers
2749
in a manner consistent with the basis for assessments set forth
2750
in paragraph (b).
2751
5. Effective July 1, 2007, in order to evaluate the costs
2752
and benefits of approved take-out plans, if the corporation pays
2753
a bonus or other payment to an insurer for an approved take-out
2754
plan, it shall maintain a record of the address or such other
2755
identifying information on the property or risk removed in order
2756
to track if and when the property or risk is later insured by the
2757
corporation.
2758
6. Any policy taken out, assumed, or removed from the
2759
corporation is, as of the effective date of the take-out,
2760
assumption, or removal, direct insurance issued by the insurer
2761
and not by the corporation, even if the corporation continues to
2762
service the policies. This subparagraph applies to policies of
2763
the corporation and not policies taken out, assumed, or removed
2764
from any other entity.
2765
(dd)1. For policies subject to nonrenewal as a result of
2766
the risk being no longer eligible for coverage due to being
2767
valued at $1 million or more, the corporation shall, directly or
2768
through the market assistance plan, make information from
2769
confidential underwriting and claims files of policyholders
2770
available only to licensed general lines agents who register with
2771
the corporation to receive such information according to the
2772
following procedures:
2773
2. By August 1, 2006, the corporation shall provide such
2774
policyholders who are not eligible for renewal the opportunity to
2775
request in writing, within 30 days after the notification is
2776
sent, that information from their confidential underwriting and
2777
claims files not be released to licensed general lines agents
2778
registered pursuant to this paragraph.
2779
3. By August 1, 2006, the corporation shall make available
2780
to licensed general lines agents the registration procedures to
2781
be used to obtain confidential information from underwriting and
2782
claims files for such policies not eligible for renewal. As a
2783
condition of registration, the corporation shall require the
2784
licensed general lines agent to attest that the agent has the
2785
experience and relationships with authorized or surplus lines
2786
carriers to attempt to offer replacement coverage for such
2787
policies.
2788
4. By September 1, 2006, the corporation shall make
2789
available through a secured website to licensed general lines
2790
agents registered pursuant to this paragraph application, rating,
2791
loss history, mitigation, and policy type information relating to
2792
such policies not eligible for renewal and for which the
2793
policyholder has not requested the corporation withhold such
2794
information. The registered licensed general lines agent may use
2795
such information to contact and assist the policyholder in
2796
securing replacement policies, and the agent may disclose to the
2797
policyholder that such information was obtained from the
2798
corporation.
2799
(dd)(ee) The assets of the corporation may be invested and
2800
managed by the State Board of Administration.
2801
(ee)(ff) The office may establish a pilot program to offer
2802
optional sinkhole coverage in one or more counties or other
2803
territories of the corporation for the purpose of implementing s.
2804
627.706, as amended by s. 30, chapter 2007-1, Laws of Florida.
2805
Under the pilot program, the corporation is not required to issue
2806
a notice of nonrenewal to exclude sinkhole coverage upon the
2807
renewal of existing policies, but may exclude such coverage using
2808
a notice of coverage change.
2809
Section 14. Paragraph (b) of subsection (2) of section
2810
627.4133, Florida Statutes, is amended to read:
2811
(2) With respect to any personal lines or commercial
2812
residential property insurance policy, including, but not limited
2813
to, any homeowner's, mobile home owner's, farmowner's,
2814
condominium association, condominium unit owner's, apartment
2815
building, or other policy covering a residential structure or its
2816
contents:
2817
(b) The insurer shall give the named insured written notice
2818
of nonrenewal, cancellation, or termination at least 180 100 days
2819
prior to the effective date of the nonrenewal, cancellation, or
2820
termination. However, the insurer shall give at least 100 days'
2821
written notice, or written notice by June 1, whichever is
2822
earlier, for any nonrenewal, cancellation, or termination that
2823
would be effective between June 1 and November 30. The notice
2824
must include the reason or reasons for the nonrenewal,
2825
cancellation, or termination, except that:
2826
1. When cancellation is for nonpayment of premium, at least
2827
10 days' written notice of cancellation accompanied by the reason
2828
therefor shall be given. As used in this subparagraph, the term
2829
"nonpayment of premium" means failure of the named insured to
2830
discharge when due any of her or his obligations in connection
2831
with the payment of premiums on a policy or any installment of
2832
such premium, whether the premium is payable directly to the
2833
insurer or its agent or indirectly under any premium finance plan
2834
or extension of credit, or failure to maintain membership in an
2835
organization if such membership is a condition precedent to
2836
insurance coverage. "Nonpayment of premium" also means the
2837
failure of a financial institution to honor an insurance
2838
applicant's check after delivery to a licensed agent for payment
2839
of a premium, even if the agent has previously delivered or
2840
transferred the premium to the insurer. If a dishonored check
2841
represents the initial premium payment, the contract and all
2842
contractual obligations shall be void ab initio unless the
2843
nonpayment is cured within the earlier of 5 days after actual
2844
notice by certified mail is received by the applicant or 15 days
2845
after notice is sent to the applicant by certified mail or
2846
registered mail, and if the contract is void, any premium
2847
received by the insurer from a third party shall be refunded to
2848
that party in full.
2849
2. When such cancellation or termination occurs during the
2850
first 90 days during which the insurance is in force and the
2851
insurance is canceled or terminated for reasons other than
2852
nonpayment of premium, at least 20 days' written notice of
2853
cancellation or termination accompanied by the reason therefor
2854
shall be given except where there has been a material
2855
misstatement or misrepresentation or failure to comply with the
2856
underwriting requirements established by the insurer.
2857
3. The requirement for providing written notice of
2858
nonrenewal by June 1 of any nonrenewal that would be effective
2859
between June 1 and November 30 does not apply to the following
2860
situations, but the insurer remains subject to the requirement to
2861
provide such notice at least 100 days prior to the effective date
2862
of nonrenewal:
2863
a. A policy that is nonrenewed due to a revision in the
2864
coverage for sinkhole losses and catastrophic ground cover
2865
collapse pursuant to s. 627.730, as amended by s. 30, chapter
2866
2007-1, Laws of Florida.
2867
b. A policy that is nonrenewed by Citizens Property
2868
Insurance Corporation, pursuant to s. 627.351(6), for a policy
2869
that has been assumed by an authorized insurer offering
2870
replacement or renewal coverage to the policyholder.
2871
2872
After the policy has been in effect for 90 days, the policy shall
2873
not be canceled by the insurer except when there has been a
2874
material misstatement, a nonpayment of premium, a failure to
2875
comply with underwriting requirements established by the insurer
2876
within 90 days of the date of effectuation of coverage, or a
2877
substantial change in the risk covered by the policy or when the
2878
cancellation is for all insureds under such policies for a given
2879
class of insureds. This paragraph does not apply to individually
2880
rated risks having a policy term of less than 90 days.
2881
Section 15. Effective January 1, 2009, and applicable to
2882
policies issued or renewed on or after that date, section
2883
627.714, Florida Statutes, is created to read:
2884
627.714 Guaranteed renewability for mitigated homes.--A
2885
personal lines residential insurance policy shall be guaranteed
2886
renewable for at least 3 years if the dwelling has been built or
2887
retrofitted to meet the wind-borne-debris protection requirements
2888
of the Florida Building Code which apply to the wind-borne debris
2889
region as defined in the Florida Building Code. This requirement
2890
applies only for one 3-year period after the policy is issued or
2891
first renewed after the dwelling has been built or retrofitted to
2892
meet the wind-borne-debris protection requirements.
2893
Section 16. Effective January 1, 2011, section 689.262,
2894
Florida Statutes, is created to read:
2895
689.262 Sale of residential property; disclosure of
2896
windstorm mitigation rating.--A purchaser of residential property
2897
must be informed of the windstorm mitigation rating of the
2898
structure, based on the uniform home grading scale adopted
2899
pursuant to s. 215.55865. The rating must be included in the
2900
contract for sale or as a separate document attached to the
2901
contract for sale. The Financial Services Commission may adopt
2902
rules, consistent with other state laws, to administer this
2903
section, including the form of the disclosure and the
2904
requirements for the windstorm mitigation inspection or report
2905
that is required for purposes of determining the rating.
2906
Section 17. Effective October 1, 2008, subsection (1) of
2907
section 817.2341, Florida Statutes, is amended to read:
2908
817.2341 False or misleading statements or supporting
2909
documents; penalty.--
2910
(1) Any person who willfully files with the department or
2911
office, or who willfully signs for filing with the department or
2912
office, a materially false or materially misleading financial
2913
statement or document in support of such statement required by
2914
law or rule, or a materially false or materially misleading rate
2915
filing, with intent to deceive and with knowledge that the
2916
statement or document is materially false or materially
2917
misleading, commits a felony of the third degree, punishable as
2919
Section 18. (1) By December 15, 2008, Citizens Property
2920
Insurance Corporation shall transfer $250 million to the General
2921
Revenue Fund by transferring an amount from the Personal Lines
2922
Account and the Commercial Lines Account, as defined in s.
2923
627.351(6), Florida Statutes, in proportion to the surplus of
2924
each account, if the combined losses in the Personal Lines
2925
Account and the Commercial Lines Account from one or more named
2926
hurricanes in 2008 do not exceed $750 million. The board of
2927
governors of Citizens Property Insurance Corporation must make a
2928
reasonable estimate of such losses on or after December 1, 2008,
2929
and no later than December 14, 2008, using generally accepted
2930
actuarial and accounting practices, recognizing that audited
2931
financial statements will not yet be available and that all
2932
losses will have not been reported or developed.
2933
(2) If Citizens Property Insurance Corporation transfers
2934
$250 million to General Revenue as provided in subsection (1),
2935
effective December 15, 2008, and for the 2008-2009 fiscal year,
2936
the sum of $250 million is appropriated from the General Revenue
2937
Fund on a nonrecurring basis to the State Board of Administration
2938
for purposes of the Insurance Capital Build-Up Incentive Program
2939
established pursuant to s. 215.5595, Florida Statutes, as amended
2940
by this act. Costs and fees incurred by the board in
2941
administering this program, including fees for investment
2942
services, shall be paid from funds appropriated by the
2943
Legislature for this program, but are limited to 1 percent of the
2944
amount appropriated. Notwithstanding the provisions of s.
2945
216.301, Florida Statutes, to the contrary, the unexpended
2946
balance of this appropriation shall not revert to the General
2947
Revenue Fund until June 30, 2009.
2948
Section 19. Except as otherwise expressly provided in this
2949
act, this act shall take effect July 1, 2008.
CODING: Words stricken are deletions; words underlined are additions.