Florida Senate - 2009               CS for CS for CS for SB 1138
       
       
       
       By the Policy and Steering Committee on Ways and Means; the
       Committees on Higher Education; and Communications, Energy, and
       Public Utilities; and Senator Gaetz
       
       
       576-05820-09                                          20091138c3
    1                        A bill to be entitled                      
    2         An act relating to self-insurance funds; amending s.
    3         624.4621, F.S.; requiring an application for workers’
    4         compensation coverage issued by a group self-insurance
    5         fund to notify applicants that policyholders must make
    6         additional contributions to the fund if the fund is
    7         unable to pay its obligations; creating s. 624.4626,
    8         F.S.; authorizing any two or more electric
    9         cooperatives to operate a self-insurance fund for
   10         certain purposes; providing for membership in the
   11         fund; requiring that the fund fulfill certain
   12         criteria; providing for the applicability of certain
   13         assessments and certain provisions of state law to
   14         such a fund; amending s. 626.89, F.S.; requiring
   15         certain administrators to submit certain statements
   16         within a specified period after the end of the
   17         administrator’s fiscal year; amending s. 631.904,
   18         F.S.; exempting certain self-insurance funds from
   19         specified provisions of state law; providing an
   20         effective date.
   21  
   22  Be It Enacted by the Legislature of the State of Florida:
   23  
   24         Section 1. Subsection (11) is added to section 624.4621,
   25  Florida Statutes, to read:
   26         624.4621 Group self-insurance funds.—
   27         (11)Notwithstanding any other provision of law, each
   28  application for workers’ compensation coverage issued by a group
   29  self-insurance fund established under this section must contain
   30  in boldface and in not less than 10-point type, the following
   31  statement: “This is a fully assessable policy. If the fund is
   32  unable to pay its obligations, policyholders must contribute, on
   33  a pro rata earned premium basis, the money necessary to meet any
   34  unfilled obligations.” If the application is signed by the
   35  applicant, the applicant is deemed to have made an informed,
   36  knowing acceptance of the assessment liability that exists as a
   37  result of participation in the fund.
   38         Section 2. Section 624.4626, Florida Statutes, is created
   39  to read:
   40         624.4626Electric cooperative self-insurance funds.—
   41         (1) Notwithstanding any other provision of law, any two or
   42  more electric cooperatives organized pursuant to chapter 425 may
   43  operate a self-insurance fund for the purpose of pooling and
   44  spreading liabilities of group members in securing the payment
   45  of benefits under chapter 440. A self-insurance fund established
   46  under this section must:
   47         (a) Require that every member of the fund be jointly and
   48  severally liable for the obligations of the fund;
   49         (b) Maintain a continuing program of excess insurance
   50  coverage and reserve evaluation to protect the financial
   51  stability of the fund in an amount and manner determined by a
   52  qualified and independent actuary;
   53         (c)Subscribe to, or be a member of, a rating organization
   54  as prescribed in s. 627.231;
   55         (d) Employ an independent certified public accountant to
   56  complete an audit of its fiscal year-end financial statement
   57  within 6 months after the end of the fiscal year;
   58         (e) Have a governing body comprised of a representative
   59  from each member of the fund;
   60         (f)Limit membership in the fund to electric cooperatives
   61  operating in this state, their subsidiaries, and the current
   62  members of the Florida Rural Electric Self-Insurer’s Fund; and
   63         (g)Provide members of the fund, at renewal, a disclosure
   64  statement notifying the members that the fund is not regulated
   65  by the Office of Insurance Regulation.
   66         (2)A self-insurance fund meeting the requirements of this
   67  section is subject to the assessments set forth in s.
   68  624.4621(7) and is subject to the assessments set forth in
   69  ss.440.49(9) and 440.51(1), but is not subject to any other
   70  provision of s. 624.4621 and is not required to file any report
   71  with the department under s. 440.38(2)(b) which is uniquely
   72  required of group self-insurer funds qualified under s.
   73  624.4621.
   74         Section 3. Subsections (1) and (2) of section 626.89,
   75  Florida Statutes, are amended to read:
   76         626.89 Annual financial statement and filing fee; notice of
   77  change of ownership.—
   78         (1) Each authorized administrator shall file with the
   79  office a full and true statement of its financial condition,
   80  transactions, and affairs. The statement shall be filed annually
   81  on or before March 1 or within such extension of time therefor
   82  as the office for good cause may have granted and shall be for
   83  the preceding calendar year. The statement shall be in such form
   84  and contain such matters as the commission prescribes and shall
   85  be verified by at least two officers of such administrator. An
   86  administrator whose sole stockholder is an association
   87  representing health care providers which is not an affiliate of
   88  an insurer, an administrator of a pooled governmental self-
   89  insurance program, or an administrator that is a university may
   90  submit the preceding fiscal year’s statement within 2 months
   91  after the end of its fiscal year.
   92         (2) Each authorized administrator shall also file an
   93  audited financial statement performed by an independent
   94  certified public accountant. The audited financial statement
   95  shall be filed with the office on or before June 1 for the
   96  preceding calendar year ending December 31. An administrator
   97  with an established fiscal year of July 1 through June 30 whose
   98  sole stockholder is an association representing health care
   99  providers which is not an affiliate of an insurer, an
  100  administrator of a pooled governmental self-insurance program,
  101  or an administrator that is a university may submit the
  102  preceding fiscal year’s audited financial statement within 5
  103  months after the end of its fiscal year on or before December
  104  31. An audited financial statement prepared on a consolidated
  105  basis must include a columnar consolidating or combining
  106  worksheet that must be filed with the statement and must comply
  107  with the following:
  108         (a) Amounts shown on the consolidated audited financial
  109  statement must be shown on the worksheet;
  110         (b) Amounts for each entity must be stated separately; and
  111         (c) Explanations of consolidating and eliminating entries
  112  must be included.
  113         Section 4. Subsection (6) of section 631.904, Florida
  114  Statutes, is amended to read:
  115         631.904 Definitions.—As used in this part, the term:
  116         (6) “Self-insurance fund” means a group self-insurance fund
  117  authorized under s. 624.4621, a commercial self-insurance fund
  118  writing workers’ compensation insurance authorized under s.
  119  624.462, or an assessable mutual insurer authorized under s.
  120  628.6011. For purposes of this act, “self-insurance fund” does
  121  not include a qualified local government self-insurance fund, as
  122  defined in s. 624.4622, an independent educational institution
  123  self-insurance fund as defined in s. 624.4623, an electric
  124  cooperative self-insurance fund as defined in s. 624.4626, or an
  125  individual self-insurer as defined in s. 440.385.
  126         Section 5. This act shall take effect July 1, 2009.