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. |