| 1 | A bill to be entitled |
| 2 | An act relating to civil remedies; amending s. 624.155, |
| 3 | F.S.; limiting actions against an insurer to insureds; |
| 4 | specifying a duty to cooperate with an insurer in |
| 5 | asserting a demand for settlement; specifying certain |
| 6 | activities as a defense in certain actions; revising |
| 7 | certain time periods relating to notices in certain |
| 8 | actions; revising notice requirements; providing for |
| 9 | preemption of specified civil remedies; specifying effect |
| 10 | of certain judgments; specifying a criterion for burden of |
| 11 | proof in actions against an insurer; limiting insurer |
| 12 | liability for failure to pay policy limits under certain |
| 13 | circumstances; authorizing parties to request certain |
| 14 | court orders relating to unnecessary delay; providing |
| 15 | requirements for amending witness lists; limiting |
| 16 | admissibility of certain evidence; specifying |
| 17 | considerations for a trier of fact in certain actions; |
| 18 | providing construction relating to assigning causes of |
| 19 | action; providing an effective date. |
| 20 |
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| 21 | Be It Enacted by the Legislature of the State of Florida: |
| 22 |
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| 23 | Section 1. Subsections (1), (3), and (8) of section |
| 24 | 624.155, Florida Statutes, are amended, and subsections (10), |
| 25 | (11), (12), and (13) are added to that section, to read: |
| 26 | 624.155 Civil remedy.-- |
| 27 | (1) An insured Any person may bring a civil action against |
| 28 | an insurer when such person is damaged: |
| 29 | (a) By a violation of any of the following provisions by |
| 30 | the insurer: |
| 31 | 1. Section 626.9541(1)(i), (o), or (x); |
| 32 | 2. Section 626.9551; |
| 33 | 3. Section 626.9705; |
| 34 | 4. Section 626.9706; |
| 35 | 5. Section 626.9707; or |
| 36 | 6. Section 627.7283. |
| 37 | (b) By the commission of any of the following acts by the |
| 38 | insurer: |
| 39 | 1. Not attempting in good faith to settle claims when, |
| 40 | under all the circumstances, it could and should have done so, |
| 41 | had it acted fairly and honestly toward its insured and with due |
| 42 | regard for her or his interests and the interests of all other |
| 43 | policyholders. However, both the insured and any person |
| 44 | asserting any demand for such settlement owes a similar duty to |
| 45 | the insurer to cooperate fully with the insurer, and it shall be |
| 46 | a defense to any action under this section if the court finds |
| 47 | that the insured or other person demanding settlement: |
| 48 | a. Failed to cooperate fully in facilitating the |
| 49 | settlement; |
| 50 | b. Imposed or adhered to time limits or other conditions |
| 51 | on settlement without at that time demonstrating to the insurer |
| 52 | valid reasons that such time limits or other conditions were |
| 53 | reasonable and necessary and that such reasons were totally |
| 54 | unrelated to the possibility of obtaining damages under this |
| 55 | section; or |
| 56 | c. Lacked authority to make the demand or to accept the |
| 57 | amount demanded in full settlement of all claims, including |
| 58 | liens, arising from the occurrence; |
| 59 | 2. Making claims payments to insureds or beneficiaries not |
| 60 | accompanied by a statement setting forth the coverage under |
| 61 | which payments are being made; or |
| 62 | 3. Except as to liability coverages, failing to promptly |
| 63 | settle claims, when the obligation to settle a claim has become |
| 64 | reasonably clear, under one portion of the insurance policy |
| 65 | coverage in order to influence settlements under other portions |
| 66 | of the insurance policy coverage. |
| 67 |
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| 68 | Notwithstanding the provisions of the above to the contrary, a |
| 69 | person pursuing a remedy under this section need not prove that |
| 70 | such act was committed or performed with such frequency as to |
| 71 | indicate a general business practice. |
| 72 | (3)(a) As a condition precedent to bringing an action |
| 73 | under this section, the department and the authorized insurer |
| 74 | must have been given 90 60 days' written notice of the |
| 75 | violation. If the department returns a notice for lack of |
| 76 | specificity, the 90-day 60-day time period shall not begin until |
| 77 | a proper notice is filed. |
| 78 | (b) The notice shall be on a form provided by the |
| 79 | department and shall state with specificity the following |
| 80 | information, and such other information as the department may |
| 81 | require: |
| 82 | 1. The statutory provision, including the specific |
| 83 | language of the statute, which the authorized insurer allegedly |
| 84 | violated. |
| 85 | 2. The specific facts and circumstances giving rise to the |
| 86 | violation, including facts and circumstances pertinent to each |
| 87 | factor stated in subsection (10) and the identity of all parties |
| 88 | who have made claims against the insured for the occurrence |
| 89 | giving rise to the claim and any documentation pertaining to |
| 90 | such claims. |
| 91 | 3. The name of any individual involved in the violation. |
| 92 | 4. Reference to specific policy coverage and language that |
| 93 | is relevant to the violation, if any. If the person bringing the |
| 94 | civil action is a third party claimant, she or he shall not be |
| 95 | required to reference the specific policy language if the |
| 96 | authorized insurer has not provided a copy of the policy to the |
| 97 | third party claimant pursuant to written request. |
| 98 | 5. A statement that the notice is given in order to |
| 99 | perfect the right to pursue the civil remedy authorized by this |
| 100 | section. |
| 101 | 6. A detailed description of the specific dollar amounts |
| 102 | that are due and unpaid under each available coverage and how |
| 103 | such amounts are calculated and of any other actions requested |
| 104 | to cure the violation. |
| 105 | (c) Within 30 20 days of receipt of the notice, the |
| 106 | department shall may return any notice that does not provide the |
| 107 | specific information required by this section, and the |
| 108 | department shall indicate the specific deficiencies contained in |
| 109 | the notice. A determination by the department to return a notice |
| 110 | for lack of specificity shall be exempt from the requirements of |
| 111 | chapter 120. |
| 112 | (d) No action shall lie if, within 90 60 days after filing |
| 113 | notice, the damages are paid or the circumstances giving rise to |
| 114 | the violation are corrected. |
| 115 | (e) The authorized insurer that is the recipient of a |
| 116 | notice filed pursuant to this section shall report to the |
| 117 | department on the disposition of the alleged violation. |
| 118 | (f) The applicable statute of limitations for an action |
| 119 | under this section shall be tolled for a period of 65 days by |
| 120 | the mailing of the notice required by this subsection or the |
| 121 | mailing of a subsequent notice required by this subsection. |
| 122 | (8) The civil remedy specified in this section preempts |
| 123 | all does not preempt any other remedies and causes remedy or |
| 124 | cause of action for extra-contractual damages for failure to |
| 125 | settle under an insurance contract provided for pursuant to any |
| 126 | other statute or pursuant to the common law of this state. Any |
| 127 | person may obtain a judgment under either the common-law remedy |
| 128 | of bad faith or this statutory remedy, but shall not be entitled |
| 129 | to a judgment under both remedies. This section shall not be |
| 130 | construed to create a common-law cause of action. The damages |
| 131 | recoverable pursuant to this section shall include, but not |
| 132 | exceed, those actual damages which are a reasonably foreseeable |
| 133 | result of a specified violation of this section by the |
| 134 | authorized insurer and may include an award or judgment in an |
| 135 | amount that exceeds the policy limits. The rendition of a |
| 136 | judgment against a liability insured shall not raise any |
| 137 | presumption or inference that the violation will foreseeably |
| 138 | result in actual damages, except to the extent it is proven that |
| 139 | the insured has or is reasonably expected to have assets from |
| 140 | which such judgment is expected to be paid. The satisfaction of |
| 141 | a judgment rendered against an insurer pursuant to this |
| 142 | subsection shall operate as the satisfaction of the underlying |
| 143 | judgment against the insured. |
| 144 | (10) In all actions against an insurer relating to failure |
| 145 | to settle claims for liability insurance coverage, the burden of |
| 146 | proof shall be clear and convincing evidence of an unreasonable |
| 147 | refusal to settle. |
| 148 | (a) An insurer shall not be held liable for failure to pay |
| 149 | its policy limits if the insurer tenders its policy limits by |
| 150 | the earlier of: |
| 151 | 1. The 210th day after service of the complaint in the |
| 152 | negligence action upon the insured. The time period specified in |
| 153 | this subparagraph shall be extended by an additional 60 days if |
| 154 | the court finds in the action for a violation of this section |
| 155 | that, at any time during such period and after the 150th day |
| 156 | after service of the complaint in the underlying liability |
| 157 | action, the claimant provided new information not previously |
| 158 | provided to the insurer relating to the identity or testimony of |
| 159 | any material witnesses or the identity of any additional |
| 160 | claimants or defendants if such disclosure materially alters the |
| 161 | risk to the insured of an excess judgment; or |
| 162 | 2. The 60th day after the conclusion of all of the |
| 163 | following: |
| 164 | a. Depositions of all claimants named in the complaint or |
| 165 | amended complaint. |
| 166 | b. Depositions of all defendants named in the complaint or |
| 167 | amended complaint, including, in the case of a corporate |
| 168 | defendant, deposition of a designated representative. |
| 169 | c. Depositions of all of the claimants' expert witnesses. |
| 170 | d. The initial disclosure of witnesses and production of |
| 171 | documents. |
| 172 | |
| 173 | When there are multiple claimants seeking compensation from the |
| 174 | same insured or multiple insureds or when there is a single |
| 175 | claimant seeking compensation from multiple insureds for damages |
| 176 | arising from the same occurrence, which compensation in the |
| 177 | aggregate exceeds policy limits, the insurer of the insured or |
| 178 | insureds shall not be held liable for extra-contractual damages |
| 179 | for failure to pay its policy limits if the insurer makes a |
| 180 | written offer of its policy limits within the timeframe set |
| 181 | forth in this subsection to all known potential claimants in |
| 182 | exchange for releases of all claims against all insureds or |
| 183 | tenders such limits to the court for apportionment to the |
| 184 | claimants. |
| 185 | (b) Either party may request that the court enter an order |
| 186 | finding that the other party has unnecessarily or |
| 187 | inappropriately delayed any of the events specified in |
| 188 | subparagraph (a)2. If the court finds that the claimant was |
| 189 | responsible for such unnecessary or inappropriate delay, |
| 190 | subparagraph (a)1. shall not apply to the insurer's tendering of |
| 191 | policy limits. If the court finds that the defendant or insurer |
| 192 | was responsible for such unnecessary or inappropriate delay, |
| 193 | subparagraph (a)2. shall not apply to the insurer's tendering of |
| 194 | policy limits. |
| 195 | (c) If any party to an action alleging liability for acts |
| 196 | covered by liability insurance amends its witness list after |
| 197 | service of the complaint in such action, that party shall |
| 198 | provide a copy of the amended witness list to the insurer of the |
| 199 | defendant. |
| 200 | (d) The time limits specified in this subsection shall not |
| 201 | be admissible as evidence that the insurer acted in violation of |
| 202 | this section. |
| 203 | (11) When an insurer does not tender its policy limits to |
| 204 | settle a liability insurance claim under subsection (10), the |
| 205 | trier of fact, in determining whether an insurer has acted in |
| 206 | violation of this section, shall consider only: |
| 207 | (a) The insurer's willingness to negotiate with the |
| 208 | claimant in anticipation of settlement. |
| 209 | (b) The propriety of the insurer's methods of |
| 210 | investigating and evaluating the claim. |
| 211 | (c) Whether the insurer timely informed the insured of an |
| 212 | offer to settle within the limits of coverage, the right to |
| 213 | retain personal counsel, and the risk of litigation. |
| 214 | (d) Whether the insured denied liability or requested that |
| 215 | the case be defended after the insurer fully advised the insured |
| 216 | as to the facts and risks. |
| 217 | (e) Whether the claimant imposed any condition, other than |
| 218 | the tender of the policy limits, on the settlement of the claim. |
| 219 | (f) Whether the claimant provided all relevant information |
| 220 | to the insurer on a timely basis. |
| 221 | (g) Whether and when other defendants in the case settled |
| 222 | or were dismissed from the case. |
| 223 | (h) Whether there were multiple claimants seeking, in the |
| 224 | aggregate, compensation in excess of policy limits from the |
| 225 | defendant or the defendant's insurer. |
| 226 | (i) Whether the insured or claimant misrepresented |
| 227 | material facts to the insurer or made material omissions of fact |
| 228 | to the insurer. |
| 229 | (j) Other matters that constitute defenses or limitations |
| 230 | to actions or damages that are specified in this section. |
| 231 | (12) An insurer that tenders policy limits shall be |
| 232 | entitled to a release of its insured if the claimant accepts the |
| 233 | tender. |
| 234 | (13) Nothing in this section shall be construed to |
| 235 | prohibit an insured from assigning the cause of action to an |
| 236 | injured third-party claimant for the insurer's failure to act |
| 237 | fairly and honestly towards its insured and with due regard for |
| 238 | the insured's interest. |
| 239 | Section 2. This act shall take effect upon becoming a law. |