1 | A bill to be entitled |
2 | An act relating to property insurance; amending s. |
3 | 215.555, F.S.; extending a repeal date for an exemption of |
4 | medical malpractice insurance premiums from emergency |
5 | assessments; amending s. 624.407, F.S.; specifying an |
6 | additional surplus requirement for certain domestic |
7 | insurers; amending s. 624.408, F.S.; specifying an |
8 | additional surplus requirement for certain domestic |
9 | insurers; deleting obsolete surplus requirement |
10 | provisions; amending s. 627.0613, F.S.; revising annual |
11 | reporting requirements for the consumer advocate; |
12 | providing a definition; amending s. 627.062, F.S.; |
13 | prohibiting the Office of Insurance Regulation from |
14 | interfering with certain insurer rights; revising |
15 | provisions relating to separate filings limited to |
16 | adjustments of rates for reinsurance or financing costs; |
17 | authorizing certain insurers to use a rate different from |
18 | otherwise applicable filed rates; prohibiting the |
19 | consideration of certain policies when making a specified |
20 | calculation; preserving the authority of the Office of |
21 | Insurance Regulation to disapprove rates as inadequate or |
22 | disapprove a rate filing for using certain rating factors; |
23 | authorizing the office to direct an insurer to make a |
24 | specified type of rate filing under certain circumstances; |
25 | providing construction relating to certifications; |
26 | amending s. 627.0621, F.S.; revising provisions relating |
27 | to transparency in rate regulation; amending s. 627.0629, |
28 | F.S.; revising legislative intent relating to residential |
29 | property insurance rate filings; deleting a requirement |
30 | that the office develop and make available a method for |
31 | insurers to establish discounts, credits, or rate |
32 | differentials for certain hurricane mitigation measures; |
33 | revising restrictions relating to including the cost of |
34 | reinsurance for certain purposes; requiring the office to |
35 | contract with a private entity to develop a comprehensive |
36 | consumer information program; specifying program criteria; |
37 | requiring the office to conduct a cost benefit analysis on |
38 | a program implementation plan; requiring review and |
39 | approval by the Financial Services Commission; amending s. |
40 | 627.351, F.S.; providing requirements for attachment and |
41 | payment of the Citizens policyholder surcharge; |
42 | prohibiting the corporation from levying certain regular |
43 | assessments until after levying the full amount of a |
44 | Citizens policyholder surcharge; requiring the |
45 | corporation's plan of operation to require agents to |
46 | obtain an acknowledgement of potential surcharge and |
47 | assessment liability from applicants and policyholders; |
48 | requiring the corporation to permanently retain a copy of |
49 | such acknowledgments; specifying that the acknowledgement |
50 | creates a conclusive presumption of understanding and |
51 | acceptance by the policyholder; deleting an obsolete |
52 | legislative intent provision; amending s. 627.4133, F.S.; |
53 | authorizing an insurer to cancel or nonrenew property |
54 | insurance policies under certain circumstances; specifying |
55 | duties of the office; creating s. 627.41341, F.S.; |
56 | specifying requirements for a notice of change in policy |
57 | terms; providing definitions; authorizing policy renewals |
58 | to contain a change in policy terms; specifying notice |
59 | requirements; providing procedural requirements; providing |
60 | intent; amending s. 627.7011, F.S.; specifying criteria |
61 | for payment of dwelling and personal property replacement |
62 | costs; creating s. 627.7031, F.S.; authorizing certain |
63 | insurers to offer or renew policies at rates established |
64 | under certain circumstances; prohibiting certain insurers |
65 | from purchasing TICL option coverage from the Florida |
66 | Hurricane Catastrophe Fund under certain circumstances; |
67 | requiring that certain policies contain a specified rate |
68 | notice; requiring insurers to offer applicants or insureds |
69 | an estimate of the premium for a policy from Citizens |
70 | Property Insurance Corporation reflecting similar |
71 | coverage, limits, and deductibles; requiring applicants or |
72 | insureds to provide a signed premium comparison |
73 | acknowledgement; specifying criteria for insurer |
74 | compliance with certain requirements; specifying |
75 | acknowledgement contents; requiring insurers and agents to |
76 | retain a copy of the acknowledgement for a specified time; |
77 | specifying a presumption created by a signed |
78 | acknowledgement; specifying types of residential property |
79 | insurance policies that are not eligible for certain rates |
80 | or subject to other requirements; requiring written notice |
81 | of certain nonrenewals; preserving insurer authority to |
82 | cancel policies; specifying a criterion for what |
83 | constitutes an offer to renew a policy; amending s. |
84 | 627.707, F.S.; revising standards for investigation of |
85 | sinkhole claims by insurers; specifying requirements for |
86 | contracts for repairs to prevent additional damage to |
87 | buildings or structures; amending s. 627.7073, F.S.; |
88 | revising requirements for sinkhole reports; amending s. |
89 | 627.7074, F.S.; revising requirements and procedures for |
90 | an alternative procedure for resolution of disputed |
91 | sinkhole insurance claims; providing a definition; |
92 | providing criteria and procedures for disqualification of |
93 | neutral evaluators; providing requirements and procedures |
94 | for neutral evaluators to enlist assistance from other |
95 | professionals under certain circumstances; amending s. |
96 | 631.021, F.S.; specifying additional venue criteria for |
97 | the Circuit Court of Leon County; specifying a required |
98 | notice for insurance policies issued or renewed in this |
99 | state; providing notice requirements; repealing s. |
100 | 627.7065, F.S., relating to database of information |
101 | relating to sinkholes, the Department of Financial |
102 | Services, and the Department of Environmental Protection; |
103 | providing effective dates. |
104 |
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105 | Be It Enacted by the Legislature of the State of Florida: |
106 |
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107 | Section 1. Paragraph (b) of subsection (6) of section |
108 | 215.555, Florida Statutes, is amended to read: |
109 | 215.555 Florida Hurricane Catastrophe Fund.- |
110 | (6) REVENUE BONDS.- |
111 | (b) Emergency assessments.- |
112 | 1. If the board determines that the amount of revenue |
113 | produced under subsection (5) is insufficient to fund the |
114 | obligations, costs, and expenses of the fund and the |
115 | corporation, including repayment of revenue bonds and that |
116 | portion of the debt service coverage not met by reimbursement |
117 | premiums, the board shall direct the Office of Insurance |
118 | Regulation to levy, by order, an emergency assessment on direct |
119 | premiums for all property and casualty lines of business in this |
120 | state, including property and casualty business of surplus lines |
121 | insurers regulated under part VIII of chapter 626, but not |
122 | including any workers' compensation premiums or medical |
123 | malpractice premiums. As used in this subsection, the term |
124 | "property and casualty business" includes all lines of business |
125 | identified on Form 2, Exhibit of Premiums and Losses, in the |
126 | annual statement required of authorized insurers by s. 624.424 |
127 | and any rule adopted under this section, except for those lines |
128 | identified as accident and health insurance and except for |
129 | policies written under the National Flood Insurance Program. The |
130 | assessment shall be specified as a percentage of direct written |
131 | premium and is subject to annual adjustments by the board in |
132 | order to meet debt obligations. The same percentage shall apply |
133 | to all policies in lines of business subject to the assessment |
134 | issued or renewed during the 12-month period beginning on the |
135 | effective date of the assessment. |
136 | 2. A premium is not subject to an annual assessment under |
137 | this paragraph in excess of 6 percent of premium with respect to |
138 | obligations arising out of losses attributable to any one |
139 | contract year, and a premium is not subject to an aggregate |
140 | annual assessment under this paragraph in excess of 10 percent |
141 | of premium. An annual assessment under this paragraph shall |
142 | continue as long as the revenue bonds issued with respect to |
143 | which the assessment was imposed are outstanding, including any |
144 | bonds the proceeds of which were used to refund the revenue |
145 | bonds, unless adequate provision has been made for the payment |
146 | of the bonds under the documents authorizing issuance of the |
147 | bonds. |
148 | 3. Emergency assessments shall be collected from |
149 | policyholders. Emergency assessments shall be remitted by |
150 | insurers as a percentage of direct written premium for the |
151 | preceding calendar quarter as specified in the order from the |
152 | Office of Insurance Regulation. The office shall verify the |
153 | accurate and timely collection and remittance of emergency |
154 | assessments and shall report the information to the board in a |
155 | form and at a time specified by the board. Each insurer |
156 | collecting assessments shall provide the information with |
157 | respect to premiums and collections as may be required by the |
158 | office to enable the office to monitor and verify compliance |
159 | with this paragraph. |
160 | 4. With respect to assessments of surplus lines premiums, |
161 | each surplus lines agent shall collect the assessment at the |
162 | same time as the agent collects the surplus lines tax required |
163 | by s. 626.932, and the surplus lines agent shall remit the |
164 | assessment to the Florida Surplus Lines Service Office created |
165 | by s. 626.921 at the same time as the agent remits the surplus |
166 | lines tax to the Florida Surplus Lines Service Office. The |
167 | emergency assessment on each insured procuring coverage and |
168 | filing under s. 626.938 shall be remitted by the insured to the |
169 | Florida Surplus Lines Service Office at the time the insured |
170 | pays the surplus lines tax to the Florida Surplus Lines Service |
171 | Office. The Florida Surplus Lines Service Office shall remit the |
172 | collected assessments to the fund or corporation as provided in |
173 | the order levied by the Office of Insurance Regulation. The |
174 | Florida Surplus Lines Service Office shall verify the proper |
175 | application of such emergency assessments and shall assist the |
176 | board in ensuring the accurate and timely collection and |
177 | remittance of assessments as required by the board. The Florida |
178 | Surplus Lines Service Office shall annually calculate the |
179 | aggregate written premium on property and casualty business, |
180 | other than workers' compensation and medical malpractice, |
181 | procured through surplus lines agents and insureds procuring |
182 | coverage and filing under s. 626.938 and shall report the |
183 | information to the board in a form and at a time specified by |
184 | the board. |
185 | 5. Any assessment authority not used for a particular |
186 | contract year may be used for a subsequent contract year. If, |
187 | for a subsequent contract year, the board determines that the |
188 | amount of revenue produced under subsection (5) is insufficient |
189 | to fund the obligations, costs, and expenses of the fund and the |
190 | corporation, including repayment of revenue bonds and that |
191 | portion of the debt service coverage not met by reimbursement |
192 | premiums, the board shall direct the Office of Insurance |
193 | Regulation to levy an emergency assessment up to an amount not |
194 | exceeding the amount of unused assessment authority from a |
195 | previous contract year or years, plus an additional 4 percent |
196 | provided that the assessments in the aggregate do not exceed the |
197 | limits specified in subparagraph 2. |
198 | 6. The assessments otherwise payable to the corporation |
199 | under this paragraph shall be paid to the fund unless and until |
200 | the Office of Insurance Regulation and the Florida Surplus Lines |
201 | Service Office have received from the corporation and the fund a |
202 | notice, which shall be conclusive and upon which they may rely |
203 | without further inquiry, that the corporation has issued bonds |
204 | and the fund has no agreements in effect with local governments |
205 | under paragraph (c). On or after the date of the notice and |
206 | until the date the corporation has no bonds outstanding, the |
207 | fund shall have no right, title, or interest in or to the |
208 | assessments, except as provided in the fund's agreement with the |
209 | corporation. |
210 | 7. Emergency assessments are not premium and are not |
211 | subject to the premium tax, to the surplus lines tax, to any |
212 | fees, or to any commissions. An insurer is liable for all |
213 | assessments that it collects and must treat the failure of an |
214 | insured to pay an assessment as a failure to pay the premium. An |
215 | insurer is not liable for uncollectible assessments. |
216 | 8. When an insurer is required to return an unearned |
217 | premium, it shall also return any collected assessment |
218 | attributable to the unearned premium. A credit adjustment to the |
219 | collected assessment may be made by the insurer with regard to |
220 | future remittances that are payable to the fund or corporation, |
221 | but the insurer is not entitled to a refund. |
222 | 9. When a surplus lines insured or an insured who has |
223 | procured coverage and filed under s. 626.938 is entitled to the |
224 | return of an unearned premium, the Florida Surplus Lines Service |
225 | Office shall provide a credit or refund to the agent or such |
226 | insured for the collected assessment attributable to the |
227 | unearned premium prior to remitting the emergency assessment |
228 | collected to the fund or corporation. |
229 | 10. The exemption of medical malpractice insurance |
230 | premiums from emergency assessments under this paragraph is |
231 | repealed May 31, 2013 2010, and medical malpractice insurance |
232 | premiums shall be subject to emergency assessments attributable |
233 | to loss events occurring in the contract years commencing on |
234 | June 1, 2013 2010. |
235 | Section 2. Subsection (1) of section 624.407, Florida |
236 | Statutes, is amended to read: |
237 | 624.407 Capital funds required; new insurers.- |
238 | (1) To receive authority to transact any one kind or |
239 | combinations of kinds of insurance, as defined in part V of this |
240 | chapter, an insurer applying for its original certificate of |
241 | authority in this state after the effective date of this section |
242 | shall possess surplus as to policyholders not less than the |
243 | greater of: |
244 | (a) Except as otherwise provided in this subsection, $5 |
245 | five million dollars for a property and casualty insurer, or |
246 | $2.5 million for any other insurer; |
247 | (b) For life insurers, 4 percent of the insurer's total |
248 | liabilities; |
249 | (c) For life and health insurers, 4 percent of the |
250 | insurer's total liabilities, plus 6 percent of the insurer's |
251 | liabilities relative to health insurance; or |
252 | (d) For all insurers other than life insurers and life and |
253 | health insurers, 10 percent of the insurer's total liabilities; |
254 | or |
255 | (e) For a domestic insurer initially licensed on or after |
256 | July 1, 2010, that transacts residential property insurance and |
257 | is not a wholly owned subsidiary of an insurer domiciled in any |
258 | other state, $15 million; however, this paragraph does not apply |
259 | to a domestic insurer that is a subsidiary or affiliate of a |
260 | domestic property insurer that was licensed before July 1, 2010; |
261 |
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262 | however, a domestic insurer that transacts residential property |
263 | insurance and is a wholly owned subsidiary of an insurer |
264 | domiciled in any other state shall possess surplus as to |
265 | policyholders of at least $50 million, but no insurer shall be |
266 | required under this subsection to have surplus as to |
267 | policyholders greater than $100 million. |
268 | Section 3. Subsection (1) of section 624.408, Florida |
269 | Statutes, is amended to read: |
270 | 624.408 Surplus as to policyholders required; new and |
271 | existing insurers.- |
272 | (1)(a) To maintain a certificate of authority to transact |
273 | any one kind or combinations of kinds of insurance, as defined |
274 | in part V of this chapter, an insurer in this state shall at all |
275 | times maintain surplus as to policyholders not less than the |
276 | greater of: |
277 | (a)1. Except as provided in paragraphs (e) and (f) |
278 | subparagraph 5. and paragraph (b), $1.5 million; |
279 | (b)2. For life insurers, 4 percent of the insurer's total |
280 | liabilities; |
281 | (c)3. For life and health insurers, 4 percent of the |
282 | insurer's total liabilities plus 6 percent of the insurer's |
283 | liabilities relative to health insurance; or |
284 | (d)4. For all insurers other than mortgage guaranty |
285 | insurers, life insurers, and life and health insurers, 10 |
286 | percent of the insurer's total liabilities;. |
287 | (e)5. Except as provided in paragraph (f), for property |
288 | and casualty insurers, $4 million; or. |
289 | (f) For a domestic insurer initially licensed on or after |
290 | July 1, 2010, that transacts residential property insurance and |
291 | is not a wholly owned subsidiary of an insurer domiciled in any |
292 | other state, $12 million; however, this paragraph does not apply |
293 | to a domestic insurer that is a subsidiary or affiliate of a |
294 | domestic property insurer that was licensed before July 1, 2010. |
295 | (b) For any property and casualty insurer holding a |
296 | certificate of authority on December 1, 1993, the following |
297 | amounts apply instead of the $4 million required by subparagraph |
298 | (a)5.: |
299 | 1. On December 31, 2001, and until December 30, 2002, $3 |
300 | million. |
301 | 2. On December 31, 2002, and until December 30, 2003, |
302 | $3.25 million. |
303 | 3. On December 31, 2003, and until December 30, 2004, $3.6 |
304 | million. |
305 | 4. On December 31, 2004, and thereafter, $4 million. |
306 | Section 4. Subsection (4) of section 627.0613, Florida |
307 | Statutes, is amended to read: |
308 | 627.0613 Consumer advocate.-The Chief Financial Officer |
309 | must appoint a consumer advocate who must represent the general |
310 | public of the state before the department and the office. The |
311 | consumer advocate must report directly to the Chief Financial |
312 | Officer, but is not otherwise under the authority of the |
313 | department or of any employee of the department. The consumer |
314 | advocate has such powers as are necessary to carry out the |
315 | duties of the office of consumer advocate, including, but not |
316 | limited to, the powers to: |
317 | (4)(a) By June 1, 2012, and each June 1 thereafter, |
318 | prepare an annual report card for each authorized personal |
319 | residential property insurer, on a form and using a letter-grade |
320 | scale developed by the commission by rule, which objectively |
321 | grades each insurer based on the following factors: |
322 | 1.(a) The number and nature of valid consumer complaints, |
323 | as a market share ratio, received by the department against the |
324 | insurer. |
325 | 2.(b) The disposition of all valid complaints received by |
326 | the department. |
327 | 3.(c) The average length of time for payment of claims by |
328 | the insurer. |
329 | 4.(d) Any other measurable and objective factors the |
330 | commission identifies as capable of assisting policyholders in |
331 | making informed choices about homeowner's insurance. |
332 | (b) For purposes of this subsection, the term "valid |
333 | consumer complaint" means a written communication from a |
334 | consumer which expresses dissatisfaction with a specific |
335 | personal residential property insurer whose conduct as described |
336 | in the communication is found to constitute a violation of the |
337 | insurance laws of this state by the Division of Consumer |
338 | Services of the Department of Financial Services. |
339 | Section 5. Paragraphs (i) and (k) of subsection (2) of |
340 | section 627.062, Florida Statutes, are amended, paragraph (l) is |
341 | added to subsection (2), and paragraph (e) is added to |
342 | subsection (9) of that section, to read: |
343 | 627.062 Rate standards.- |
344 | (2) As to all such classes of insurance: |
345 | (i)1. Except as otherwise specifically provided in this |
346 | chapter, the office may shall not, directly or indirectly, |
347 | prohibit any insurer, including any residual market plan or |
348 | joint underwriting association, from paying acquisition costs |
349 | based on the full amount of premium, as defined in s. 627.403, |
350 | applicable to any policy, or prohibit, directly or indirectly, |
351 | any such insurer from including the full amount of acquisition |
352 | costs in a rate filing. |
353 | 2. The office may not, directly or indirectly, impede, |
354 | abridge, or otherwise compromise an insurer's right to acquire |
355 | policyholders, advertise, or appoint agents, including, but not |
356 | limited to, the calculation, manner, or amount of such agent |
357 | commissions, if any. |
358 | (k)1. An insurer may make a separate filing limited solely |
359 | to an adjustment of its rates for reinsurance or financing costs |
360 | incurred in the purchase of reinsurance or financing products to |
361 | replace or finance the payment of the amount covered by the |
362 | Temporary Increase in Coverage Limits (TICL) portion of the |
363 | Florida Hurricane Catastrophe Fund including replacement |
364 | reinsurance for the TICL reductions made pursuant to s. |
365 | 215.555(17)(e); the actual cost paid due to the application of |
366 | the TICL premium factor pursuant to s. 215.555(17)(f); and the |
367 | actual cost paid due to the application of the cash build-up |
368 | factor pursuant to s. 215.555(5)(b) if the insurer: |
369 | a. Elects to purchase financing products such as a |
370 | liquidity instrument or line of credit, in which case the cost |
371 | included in the filing for the liquidity instrument or line of |
372 | credit may not result in a premium increase exceeding 3 percent |
373 | for any individual policyholder. All costs contained in the |
374 | filing may not result in an overall premium increase of more |
375 | than 10 percent for any individual policyholder. |
376 | b. Includes in the filing a copy of all of its |
377 | reinsurance, liquidity instrument, or line of credit contracts; |
378 | proof of the billing or payment for the contracts; and the |
379 | calculation upon which the proposed rate change is based |
380 | demonstrates that the costs meet the criteria of this section |
381 | and are not loaded for expenses or profit for the insurer making |
382 | the filing. |
383 | c. Includes no other changes to its rates in the filing. |
384 | d. Has not implemented a rate increase within the 6 months |
385 | immediately preceding the filing. |
386 | e. Does not file for a rate increase under any other |
387 | paragraph within 6 months after making a filing under this |
388 | paragraph. |
389 | f. That purchases reinsurance or financing products from |
390 | an affiliated company in compliance with this paragraph does so |
391 | only if the costs for such reinsurance or financing products are |
392 | charged at or below charges made for comparable coverage by |
393 | nonaffiliated reinsurers or financial entities making such |
394 | coverage or financing products available in this state. |
395 | 2. An insurer may only make one filing in any 12-month |
396 | period under this paragraph. |
397 | 3. An insurer that elects to implement a rate change under |
398 | this paragraph must file its rate filing with the office at |
399 | least 45 days before the effective date of the rate change. |
400 | After an insurer submits a complete filing that meets all of the |
401 | requirements of this paragraph, the office has 45 days after the |
402 | date of the filing to review the rate filing and determine if |
403 | the rate is excessive, inadequate, or unfairly discriminatory. |
404 | (l)1. On or after January 1, 2011, an insurer complying |
405 | with the requirements of s. 627.7031 may use a rate for |
406 | residential property insurance, as defined in s. 627.4025, |
407 | different from the otherwise applicable filed rate as provided |
408 | in this paragraph. |
409 | 2. Policies subject to this paragraph may not be counted |
410 | in the calculation under s. 627.171(2). |
411 | 3. Such rates shall be filed with the office as a separate |
412 | filing. The initial rates used by an insurer under this |
413 | paragraph may not provide for rates that represent more than a |
414 | 5-percent statewide average rate increase over the most recently |
415 | filed and approved rate. A rate filing under this paragraph |
416 | submitted in the first year following the year of implementation |
417 | of such initial rates may not provide for rates that represent |
418 | more than a 10-percent statewide average rate increase in a year |
419 | over the rates in effect under this paragraph at the time of the |
420 | filing. A rate filing under this paragraph submitted in the |
421 | second year following the year of implementation of such initial |
422 | rates or in a subsequent year may not provide for rates that |
423 | represent more than a 15-percent statewide average rate increase |
424 | in a year over the rates in effect under this paragraph at the |
425 | time of the filing. |
426 | 4. This paragraph does not affect the authority of the |
427 | office to disapprove a rate as inadequate or to disapprove a |
428 | rate filing for charging any insured or applicant a higher |
429 | premium solely because of the insured's or applicant's race, |
430 | color, creed, marital status, sex, or national origin. Upon |
431 | finding that an insurer has used any such factor in charging an |
432 | insured or applicant a higher premium, the office may direct the |
433 | insurer to make a new filing for a new rate that does not use |
434 | such factor. |
435 |
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436 | The provisions of this subsection shall not apply to workers' |
437 | compensation and employer's liability insurance and to motor |
438 | vehicle insurance. |
439 | (9) |
440 | (e) A certification under this subsection is not rendered |
441 | false when, after making the subject rate filing, the insurer |
442 | provides the office with additional or supplementary information |
443 | or clarification pursuant to a formal or informal request from |
444 | the office or for any other reason. |
445 | Section 6. Section 627.0621, Florida Statutes, is amended |
446 | to read: |
447 | 627.0621 Transparency in rate regulation.- |
448 | (1) DEFINITIONS.-As used in this section, the term: |
449 | (a) "Rate filing" means any original or amended rate |
450 | residential property insurance filing. |
451 | (b) "Recommendation" means any proposed, preliminary, or |
452 | final recommendation from an office actuary reviewing a rate |
453 | filing with respect to the issue of approval or disapproval of |
454 | the rate filing or with respect to rate indications that the |
455 | office would consider acceptable. |
456 | (2) WEBSITE FOR PUBLIC ACCESS TO RATE FILING INFORMATION.- |
457 | (1)(a) With respect to any residential property rate |
458 | filing, the office shall provide the following information on a |
459 | publicly accessible Internet website: |
460 | (a)1. The overall rate change requested by the insurer. |
461 | (b)2. The rate change approved by the office along with |
462 | all of the actuary's assumptions and recommendations forming the |
463 | basis of the office's decision. |
464 | 3. Certification by the office's actuary that, based on |
465 | the actuary's knowledge, his or her recommendations are |
466 | consistent with accepted actuarial principles. |
467 | (2)(b) For any rate filing, whether or not the filing is |
468 | subject to a public hearing, the office shall provide on its |
469 | website a means for any policyholder who may be affected by a |
470 | proposed rate change to send an e-mail regarding the proposed |
471 | rate change. Such e-mail must be accessible to the actuary |
472 | assigned to review the rate filing. |
473 | Section 7. Subsections (1) and (5) of section 627.0629, |
474 | Florida Statutes, are amended, and subsection (10) is added to |
475 | that section, to read: |
476 | 627.0629 Residential property insurance; rate filings.- |
477 | (1)(a) It is the intent of the Legislature that insurers |
478 | must provide the most accurate pricing signals available savings |
479 | to encourage consumers who install or implement windstorm damage |
480 | mitigation techniques, alterations, or solutions to their |
481 | properties to prevent windstorm losses. It is also the intent of |
482 | the Legislature that implementation of mitigation discounts not |
483 | result in a loss of income to the insurers granting the |
484 | discounts, so that the aggregate of mitigation discounts should |
485 | not exceed the aggregate of the expected reduction in loss that |
486 | is attributable to the mitigation efforts for which discounts |
487 | are granted. A rate filing for residential property insurance |
488 | must include actuarially reasonable discounts, credits, debits, |
489 | or other rate differentials, or appropriate reductions in |
490 | deductibles, that provide the proper pricing for all properties. |
491 | The rate filing must take into account the presence or absence |
492 | of on which fixtures or construction techniques demonstrated to |
493 | reduce the amount of loss in a windstorm have been installed or |
494 | implemented. The fixtures or construction techniques shall |
495 | include, but not be limited to, fixtures or construction |
496 | techniques that which enhance roof strength, roof covering |
497 | performance, roof-to-wall strength, wall-to-floor-to-foundation |
498 | strength, opening protection, and window, door, and skylight |
499 | strength. Credits, debits, discounts, or other rate |
500 | differentials, or appropriate reductions or increases in |
501 | deductibles, that recognize the presence or absence of for |
502 | fixtures and construction techniques that which meet the minimum |
503 | requirements of the Florida Building Code must be included in |
504 | the rate filing. If an insurer demonstrates that the aggregate |
505 | of its mitigation discounts results in a reduction to revenue |
506 | that exceeds the reduction of the aggregate loss that is |
507 | expected to result from the mitigation, the insurer may recover |
508 | the lost revenue through an increase in its base rates. All |
509 | insurance companies must make a rate filing which includes the |
510 | credits, discounts, or other rate differentials or reductions in |
511 | deductibles by February 28, 2003. By July 1, 2007, the office |
512 | shall reevaluate the discounts, credits, other rate |
513 | differentials, and appropriate reductions in deductibles for |
514 | fixtures and construction techniques that meet the minimum |
515 | requirements of the Florida Building Code, based upon actual |
516 | experience or any other loss relativity studies available to the |
517 | office. The office shall determine the discounts, credits, |
518 | debits, other rate differentials, and appropriate reductions or |
519 | increases in deductibles that reflect the full actuarial value |
520 | of such revaluation, which may be used by insurers in rate |
521 | filings. |
522 | (b) By February 1, 2011, the Office of Insurance |
523 | Regulation, in consultation with the Department of Financial |
524 | Services and the Department of Community Affairs, shall develop |
525 | and make publicly available a proposed method for insurers to |
526 | establish discounts, credits, or other rate differentials for |
527 | hurricane mitigation measures which directly correlate to the |
528 | numerical rating assigned to a structure pursuant to the uniform |
529 | home grading scale adopted by the Financial Services Commission |
530 | pursuant to s. 215.55865, including any proposed changes to the |
531 | uniform home grading scale. By October 1, 2011, the commission |
532 | shall adopt rules requiring insurers to make rate filings for |
533 | residential property insurance which revise insurers' discounts, |
534 | credits, or other rate differentials for hurricane mitigation |
535 | measures so that such rate differentials correlate directly to |
536 | the uniform home grading scale. The rules may include such |
537 | changes to the uniform home grading scale as the commission |
538 | determines are necessary, and may specify the minimum required |
539 | discounts, credits, or other rate differentials. Such rate |
540 | differentials must be consistent with generally accepted |
541 | actuarial principles and wind-loss mitigation studies. The rules |
542 | shall allow a period of at least 2 years after the effective |
543 | date of the revised mitigation discounts, credits, or other rate |
544 | differentials for a property owner to obtain an inspection or |
545 | otherwise qualify for the revised credit, during which time the |
546 | insurer shall continue to apply the mitigation credit that was |
547 | applied immediately prior to the effective date of the revised |
548 | credit. Discounts, credits, and other rate differentials |
549 | established for rate filings under this paragraph shall |
550 | supersede, after adoption, the discounts, credits, and other |
551 | rate differentials included in rate filings under paragraph (a). |
552 | (5) In order to provide an appropriate transition period, |
553 | an insurer may, in its sole discretion, implement an approved |
554 | rate filing for residential property insurance over a period of |
555 | years. An insurer electing to phase in its rate filing must |
556 | provide an informational notice to the office setting out its |
557 | schedule for implementation of the phased-in rate filing. An |
558 | insurer may include in its rate the actual cost of private |
559 | market reinsurance that corresponds to available coverage of the |
560 | Temporary Increase in Coverage Limits, TICL, from the Florida |
561 | Hurricane Catastrophe Fund. The insurer may also include the |
562 | cost of reinsurance to replace the TICL reduction implemented |
563 | pursuant to s. 215.555(17)(d)9. However, this cost for |
564 | reinsurance may not include any expense or profit load or result |
565 | in a total annual base rate increase in excess of 10 percent. |
566 | (10)(a) Contingent upon specific appropriations made to |
567 | implement this subsection, in order to enhance the ability of |
568 | consumers to compare premiums and to increase the accuracy and |
569 | usefulness of rate and product comparison information for |
570 | homeowners' insurance, the office shall develop or contract with |
571 | a private entity to develop a comprehensive program for |
572 | providing the consumer with all available information necessary |
573 | to make an informed purchase of the insurance product that best |
574 | serves the needs of the individual. |
575 | (b) In developing the comprehensive program, the office |
576 | shall rely as much as is practical on information that is |
577 | currently available and shall consider: |
578 | 1. The most efficient means for developing, hosting, and |
579 | operating a separate website that consolidates all consumer |
580 | information for price comparisons, filed complaints, financial |
581 | strength, underwriting, and receivership information and other |
582 | data useful to consumers. |
583 | 2. Whether all admitted insurers should be required to |
584 | submit additional information to populate the composite website |
585 | and how often such submissions must be made. |
586 | 3. Whether all admitted insurers should be required to |
587 | provide links from the website into each individual insurer's |
588 | website in order to enable consumers to access product rate |
589 | information and apply for quotations. |
590 | 4. Developing a plan to publicize the existence, |
591 | availability, and value of the website. |
592 | 5. Any other provision that would make relevant |
593 | homeowners' insurance information more readily available so that |
594 | consumers can make informed product comparisons and purchasing |
595 | decisions. |
596 | (c) Before establishing the program or website, the office |
597 | shall conduct a cost-benefit analysis to determine the most |
598 | effective approach for establishing and operating the program |
599 | and website. Based on the results of the analysis, the office |
600 | shall submit a proposed implementation plan for review and |
601 | approval by the Financial Services Commission. The |
602 | implementation plan shall include an estimated timeline for |
603 | establishing the program and website; a description of the data |
604 | and functionality to be provided by the site; a strategy for |
605 | publicizing the website to consumers; a recommended approach for |
606 | developing, hosting, and operating the website; and an estimate |
607 | of all major nonrecurring and recurring costs required to |
608 | establish and operate the website. Upon approval of the plan, |
609 | the office may initiate the establishment of the program. |
610 | Section 8. Paragraphs (b), (c), (y), (z), (aa), (bb), |
611 | (cc), (dd), (ee), and (ff) of subsection (6) of section 627.351, |
612 | Florida Statutes, are amended to read: |
613 | 627.351 Insurance risk apportionment plans.- |
614 | (6) CITIZENS PROPERTY INSURANCE CORPORATION.- |
615 | (b)1. All insurers authorized to write one or more subject |
616 | lines of business in this state are subject to assessment by the |
617 | corporation and, for the purposes of this subsection, are |
618 | referred to collectively as "assessable insurers." Insurers |
619 | writing one or more subject lines of business in this state |
620 | pursuant to part VIII of chapter 626 are not assessable |
621 | insurers, but insureds who procure one or more subject lines of |
622 | business in this state pursuant to part VIII of chapter 626 are |
623 | subject to assessment by the corporation and are referred to |
624 | collectively as "assessable insureds." An authorized insurer's |
625 | assessment liability shall begin on the first day of the |
626 | calendar year following the year in which the insurer was issued |
627 | a certificate of authority to transact insurance for subject |
628 | lines of business in this state and shall terminate 1 year after |
629 | the end of the first calendar year during which the insurer no |
630 | longer holds a certificate of authority to transact insurance |
631 | for subject lines of business in this state. |
632 | 2.a. All revenues, assets, liabilities, losses, and |
633 | expenses of the corporation shall be divided into three separate |
634 | accounts as follows: |
635 | (I) A personal lines account for personal residential |
636 | policies issued by the corporation or issued by the Residential |
637 | Property and Casualty Joint Underwriting Association and renewed |
638 | by the corporation that provide comprehensive, multiperil |
639 | coverage on risks that are not located in areas eligible for |
640 | coverage in the Florida Windstorm Underwriting Association as |
641 | those areas were defined on January 1, 2002, and for such |
642 | policies that do not provide coverage for the peril of wind on |
643 | risks that are located in such areas; |
644 | (II) A commercial lines account for commercial residential |
645 | and commercial nonresidential policies issued by the corporation |
646 | or issued by the Residential Property and Casualty Joint |
647 | Underwriting Association and renewed by the corporation that |
648 | provide coverage for basic property perils on risks that are not |
649 | located in areas eligible for coverage in the Florida Windstorm |
650 | Underwriting Association as those areas were defined on January |
651 | 1, 2002, and for such policies that do not provide coverage for |
652 | the peril of wind on risks that are located in such areas; and |
653 | (III) A high-risk account for personal residential |
654 | policies and commercial residential and commercial |
655 | nonresidential property policies issued by the corporation or |
656 | transferred to the corporation that provide coverage for the |
657 | peril of wind on risks that are located in areas eligible for |
658 | coverage in the Florida Windstorm Underwriting Association as |
659 | those areas were defined on January 1, 2002. The corporation may |
660 | offer policies that provide multiperil coverage and the |
661 | corporation shall continue to offer policies that provide |
662 | coverage only for the peril of wind for risks located in areas |
663 | eligible for coverage in the high-risk account. In issuing |
664 | multiperil coverage, the corporation may use its approved policy |
665 | forms and rates for the personal lines account. An applicant or |
666 | insured who is eligible to purchase a multiperil policy from the |
667 | corporation may purchase a multiperil policy from an authorized |
668 | insurer without prejudice to the applicant's or insured's |
669 | eligibility to prospectively purchase a policy that provides |
670 | coverage only for the peril of wind from the corporation. An |
671 | applicant or insured who is eligible for a corporation policy |
672 | that provides coverage only for the peril of wind may elect to |
673 | purchase or retain such policy and also purchase or retain |
674 | coverage excluding wind from an authorized insurer without |
675 | prejudice to the applicant's or insured's eligibility to |
676 | prospectively purchase a policy that provides multiperil |
677 | coverage from the corporation. It is the goal of the Legislature |
678 | that there would be an overall average savings of 10 percent or |
679 | more for a policyholder who currently has a wind-only policy |
680 | with the corporation, and an ex-wind policy with a voluntary |
681 | insurer or the corporation, and who then obtains a multiperil |
682 | policy from the corporation. It is the intent of the Legislature |
683 | that the offer of multiperil coverage in the high-risk account |
684 | be made and implemented in a manner that does not adversely |
685 | affect the tax-exempt status of the corporation or |
686 | creditworthiness of or security for currently outstanding |
687 | financing obligations or credit facilities of the high-risk |
688 | account, the personal lines account, or the commercial lines |
689 | account. The high-risk account must also include quota share |
690 | primary insurance under subparagraph (c)2. The area eligible for |
691 | coverage under the high-risk account also includes the area |
692 | within Port Canaveral, which is bordered on the south by the |
693 | City of Cape Canaveral, bordered on the west by the Banana |
694 | River, and bordered on the north by Federal Government property. |
695 | b. The three separate accounts must be maintained as long |
696 | as financing obligations entered into by the Florida Windstorm |
697 | Underwriting Association or Residential Property and Casualty |
698 | Joint Underwriting Association are outstanding, in accordance |
699 | with the terms of the corresponding financing documents. When |
700 | the financing obligations are no longer outstanding, in |
701 | accordance with the terms of the corresponding financing |
702 | documents, the corporation may use a single account for all |
703 | revenues, assets, liabilities, losses, and expenses of the |
704 | corporation. Consistent with the requirement of this |
705 | subparagraph and prudent investment policies that minimize the |
706 | cost of carrying debt, the board shall exercise its best efforts |
707 | to retire existing debt or to obtain approval of necessary |
708 | parties to amend the terms of existing debt, so as to structure |
709 | the most efficient plan to consolidate the three separate |
710 | accounts into a single account. By February 1, 2007, the board |
711 | shall submit a report to the Financial Services Commission, the |
712 | President of the Senate, and the Speaker of the House of |
713 | Representatives which includes an analysis of consolidating the |
714 | accounts, the actions the board has taken to minimize the cost |
715 | of carrying debt, and its recommendations for executing the most |
716 | efficient plan. |
717 | c. Creditors of the Residential Property and Casualty |
718 | Joint Underwriting Association and of the accounts specified in |
719 | sub-sub-subparagraphs a.(I) and (II) may have a claim against, |
720 | and recourse to, the accounts referred to in sub-sub- |
721 | subparagraphs a.(I) and (II) and shall have no claim against, or |
722 | recourse to, the account referred to in sub-sub-subparagraph |
723 | a.(III). Creditors of the Florida Windstorm Underwriting |
724 | Association shall have a claim against, and recourse to, the |
725 | account referred to in sub-sub-subparagraph a.(III) and shall |
726 | have no claim against, or recourse to, the accounts referred to |
727 | in sub-sub-subparagraphs a.(I) and (II). |
728 | d. Revenues, assets, liabilities, losses, and expenses not |
729 | attributable to particular accounts shall be prorated among the |
730 | accounts. |
731 | e. The Legislature finds that the revenues of the |
732 | corporation are revenues that are necessary to meet the |
733 | requirements set forth in documents authorizing the issuance of |
734 | bonds under this subsection. |
735 | f. No part of the income of the corporation may inure to |
736 | the benefit of any private person. |
737 | 3. With respect to a deficit in an account: |
738 | a. After accounting for the Citizens policyholder |
739 | surcharge imposed under sub-subparagraph i., when the remaining |
740 | projected deficit incurred in a particular calendar year is not |
741 | greater than 6 percent of the aggregate statewide direct written |
742 | premium for the subject lines of business for the prior calendar |
743 | year, the entire deficit shall be recovered through regular |
744 | assessments of assessable insurers under paragraph (p) and |
745 | assessable insureds. |
746 | b. After accounting for the Citizens policyholder |
747 | surcharge imposed under sub-subparagraph i., when the remaining |
748 | projected deficit incurred in a particular calendar year exceeds |
749 | 6 percent of the aggregate statewide direct written premium for |
750 | the subject lines of business for the prior calendar year, the |
751 | corporation shall levy regular assessments on assessable |
752 | insurers under paragraph (p) and on assessable insureds in an |
753 | amount equal to the greater of 6 percent of the deficit or 6 |
754 | percent of the aggregate statewide direct written premium for |
755 | the subject lines of business for the prior calendar year. Any |
756 | remaining deficit shall be recovered through emergency |
757 | assessments under sub-subparagraph d. |
758 | c. Each assessable insurer's share of the amount being |
759 | assessed under sub-subparagraph a. or sub-subparagraph b. shall |
760 | be in the proportion that the assessable insurer's direct |
761 | written premium for the subject lines of business for the year |
762 | preceding the assessment bears to the aggregate statewide direct |
763 | written premium for the subject lines of business for that year. |
764 | The assessment percentage applicable to each assessable insured |
765 | is the ratio of the amount being assessed under sub-subparagraph |
766 | a. or sub-subparagraph b. to the aggregate statewide direct |
767 | written premium for the subject lines of business for the prior |
768 | year. Assessments levied by the corporation on assessable |
769 | insurers under sub-subparagraphs a. and b. shall be paid as |
770 | required by the corporation's plan of operation and paragraph |
771 | (p). Assessments levied by the corporation on assessable |
772 | insureds under sub-subparagraphs a. and b. shall be collected by |
773 | the surplus lines agent at the time the surplus lines agent |
774 | collects the surplus lines tax required by s. 626.932 and shall |
775 | be paid to the Florida Surplus Lines Service Office at the time |
776 | the surplus lines agent pays the surplus lines tax to the |
777 | Florida Surplus Lines Service Office. Upon receipt of regular |
778 | assessments from surplus lines agents, the Florida Surplus Lines |
779 | Service Office shall transfer the assessments directly to the |
780 | corporation as determined by the corporation. |
781 | d. Upon a determination by the board of governors that a |
782 | deficit in an account exceeds the amount that will be recovered |
783 | through regular assessments under sub-subparagraph a. or sub- |
784 | subparagraph b., plus the amount that is expected to be |
785 | recovered through surcharges under sub-subparagraph i., as to |
786 | the remaining projected deficit the board shall levy, after |
787 | verification by the office, emergency assessments, for as many |
788 | years as necessary to cover the deficits, to be collected by |
789 | assessable insurers and the corporation and collected from |
790 | assessable insureds upon issuance or renewal of policies for |
791 | subject lines of business, excluding National Flood Insurance |
792 | policies. The amount of the emergency assessment collected in a |
793 | particular year shall be a uniform percentage of that year's |
794 | direct written premium for subject lines of business and all |
795 | accounts of the corporation, excluding National Flood Insurance |
796 | Program policy premiums, as annually determined by the board and |
797 | verified by the office. The office shall verify the arithmetic |
798 | calculations involved in the board's determination within 30 |
799 | days after receipt of the information on which the determination |
800 | was based. Notwithstanding any other provision of law, the |
801 | corporation and each assessable insurer that writes subject |
802 | lines of business shall collect emergency assessments from its |
803 | policyholders without such obligation being affected by any |
804 | credit, limitation, exemption, or deferment. Emergency |
805 | assessments levied by the corporation on assessable insureds |
806 | shall be collected by the surplus lines agent at the time the |
807 | surplus lines agent collects the surplus lines tax required by |
808 | s. 626.932 and shall be paid to the Florida Surplus Lines |
809 | Service Office at the time the surplus lines agent pays the |
810 | surplus lines tax to the Florida Surplus Lines Service Office. |
811 | The emergency assessments so collected shall be transferred |
812 | directly to the corporation on a periodic basis as determined by |
813 | the corporation and shall be held by the corporation solely in |
814 | the applicable account. The aggregate amount of emergency |
815 | assessments levied for an account under this sub-subparagraph in |
816 | any calendar year may, at the discretion of the board of |
817 | governors, be less than but may not exceed the greater of 10 |
818 | percent of the amount needed to cover the deficit, plus |
819 | interest, fees, commissions, required reserves, and other costs |
820 | associated with financing of the original deficit, or 10 percent |
821 | of the aggregate statewide direct written premium for subject |
822 | lines of business and for all accounts of the corporation for |
823 | the prior year, plus interest, fees, commissions, required |
824 | reserves, and other costs associated with financing the deficit. |
825 | e. The corporation may pledge the proceeds of assessments, |
826 | projected recoveries from the Florida Hurricane Catastrophe |
827 | Fund, other insurance and reinsurance recoverables, policyholder |
828 | surcharges and other surcharges, and other funds available to |
829 | the corporation as the source of revenue for and to secure bonds |
830 | issued under paragraph (p), bonds or other indebtedness issued |
831 | under subparagraph (c)3., or lines of credit or other financing |
832 | mechanisms issued or created under this subsection, or to retire |
833 | any other debt incurred as a result of deficits or events giving |
834 | rise to deficits, or in any other way that the board determines |
835 | will efficiently recover such deficits. The purpose of the lines |
836 | of credit or other financing mechanisms is to provide additional |
837 | resources to assist the corporation in covering claims and |
838 | expenses attributable to a catastrophe. As used in this |
839 | subsection, the term "assessments" includes regular assessments |
840 | under sub-subparagraph a., sub-subparagraph b., or subparagraph |
841 | (p)1. and emergency assessments under sub-subparagraph d. |
842 | Emergency assessments collected under sub-subparagraph d. are |
843 | not part of an insurer's rates, are not premium, and are not |
844 | subject to premium tax, fees, or commissions; however, failure |
845 | to pay the emergency assessment shall be treated as failure to |
846 | pay premium. The emergency assessments under sub-subparagraph d. |
847 | shall continue as long as any bonds issued or other indebtedness |
848 | incurred with respect to a deficit for which the assessment was |
849 | imposed remain outstanding, unless adequate provision has been |
850 | made for the payment of such bonds or other indebtedness |
851 | pursuant to the documents governing such bonds or other |
852 | indebtedness. |
853 | f. As used in this subsection for purposes of any deficit |
854 | incurred on or after January 25, 2007, the term "subject lines |
855 | of business" means insurance written by assessable insurers or |
856 | procured by assessable insureds for all property and casualty |
857 | lines of business in this state, but not including workers' |
858 | compensation or medical malpractice. As used in the sub- |
859 | subparagraph, the term "property and casualty lines of business" |
860 | includes all lines of business identified on Form 2, Exhibit of |
861 | Premiums and Losses, in the annual statement required of |
862 | authorized insurers by s. 624.424 and any rule adopted under |
863 | this section, except for those lines identified as accident and |
864 | health insurance and except for policies written under the |
865 | National Flood Insurance Program or the Federal Crop Insurance |
866 | Program. For purposes of this sub-subparagraph, the term |
867 | "workers' compensation" includes both workers' compensation |
868 | insurance and excess workers' compensation insurance. |
869 | g. The Florida Surplus Lines Service Office shall |
870 | determine annually the aggregate statewide written premium in |
871 | subject lines of business procured by assessable insureds and |
872 | shall report that information to the corporation in a form and |
873 | at a time the corporation specifies to ensure that the |
874 | corporation can meet the requirements of this subsection and the |
875 | corporation's financing obligations. |
876 | h. The Florida Surplus Lines Service Office shall verify |
877 | the proper application by surplus lines agents of assessment |
878 | percentages for regular assessments and emergency assessments |
879 | levied under this subparagraph on assessable insureds and shall |
880 | assist the corporation in ensuring the accurate, timely |
881 | collection and payment of assessments by surplus lines agents as |
882 | required by the corporation. |
883 | i.(I) If a deficit is incurred in any account in 2008 or |
884 | thereafter, the board of governors shall levy a Citizens |
885 | policyholder surcharge against all policyholders of the |
886 | corporation. |
887 | (II) The policyholder's liability for the Citizens |
888 | policyholder surcharge attaches on the date of the order levying |
889 | the surcharge. The Citizens policyholder surcharge is payable |
890 | upon cancellation or termination of the policy, upon renewal of |
891 | the policy, or upon issuance of a new policy by Citizens within |
892 | the first 12 months after the date of the levy or the period of |
893 | time necessary to fully collect the Citizens policyholder |
894 | surcharge amount. |
895 | (III) The Citizens policyholder surcharge for a 12-month |
896 | period, which shall be levied collected at the time of issuance |
897 | or renewal of a policy, as a uniform percentage |
898 | for the policy of up to 15 percent of such premium, which funds |
899 | shall be used to offset the deficit. |
900 | (IV) The corporation may not levy any regular assessments |
901 | under sub-subparagraph a. or sub-subparagraph b. with respect to |
902 | a particular year's deficit until the corporation has first |
903 | levied a Citizens policyholder surcharge under this sub- |
904 | subparagraph in the full amount authorized by this sub- |
905 | subparagraph. |
906 | (V) Citizens policyholder surcharges under this sub- |
907 | subparagraph are not considered premium and are not subject to |
908 | commissions, fees, or premium taxes. However, failure to pay |
909 | such surcharges shall be treated as failure to pay premium. |
910 | j. If the amount of any assessments or surcharges |
911 | collected from corporation policyholders, assessable insurers or |
912 | their policyholders, or assessable insureds exceeds the amount |
913 | of the deficits, such excess amounts shall be remitted to and |
914 | retained by the corporation in a reserve to be used by the |
915 | corporation, as determined by the board of governors and |
916 | approved by the office, to pay claims or reduce any past, |
917 | present, or future plan-year deficits or to reduce outstanding |
918 | debt. |
919 | (c) The plan of operation of the corporation: |
920 | 1. Must provide for adoption of residential property and |
921 | casualty insurance policy forms and commercial residential and |
922 | nonresidential property insurance forms, which forms must be |
923 | approved by the office prior to use. The corporation shall adopt |
924 | the following policy forms: |
925 | a. Standard personal lines policy forms that are |
926 | comprehensive multiperil policies providing full coverage of a |
927 | residential property equivalent to the coverage provided in the |
928 | private insurance market under an HO-3, HO-4, or HO-6 policy. |
929 | b. Basic personal lines policy forms that are policies |
930 | similar to an HO-8 policy or a dwelling fire policy that provide |
931 | coverage meeting the requirements of the secondary mortgage |
932 | market, but which coverage is more limited than the coverage |
933 | under a standard policy. |
934 | c. Commercial lines residential and nonresidential policy |
935 | forms that are generally similar to the basic perils of full |
936 | coverage obtainable for commercial residential structures and |
937 | commercial nonresidential structures in the admitted voluntary |
938 | market. |
939 | d. Personal lines and commercial lines residential |
940 | property insurance forms that cover the peril of wind only. The |
941 | forms are applicable only to residential properties located in |
942 | areas eligible for coverage under the high-risk account referred |
943 | to in sub-subparagraph (b)2.a. |
944 | e. Commercial lines nonresidential property insurance |
945 | forms that cover the peril of wind only. The forms are |
946 | applicable only to nonresidential properties located in areas |
947 | eligible for coverage under the high-risk account referred to in |
948 | sub-subparagraph (b)2.a. |
949 | f. The corporation may adopt variations of the policy |
950 | forms listed in sub-subparagraphs a.-e. that contain more |
951 | restrictive coverage. |
952 | 2.a. Must provide that the corporation adopt a program in |
953 | which the corporation and authorized insurers enter into quota |
954 | share primary insurance agreements for hurricane coverage, as |
955 | defined in s. 627.4025(2)(a), for eligible risks, and adopt |
956 | property insurance forms for eligible risks which cover the |
957 | peril of wind only. As used in this subsection, the term: |
958 | (I) "Quota share primary insurance" means an arrangement |
959 | in which the primary hurricane coverage of an eligible risk is |
960 | provided in specified percentages by the corporation and an |
961 | authorized insurer. The corporation and authorized insurer are |
962 | each solely responsible for a specified percentage of hurricane |
963 | coverage of an eligible risk as set forth in a quota share |
964 | primary insurance agreement between the corporation and an |
965 | authorized insurer and the insurance contract. The |
966 | responsibility of the corporation or authorized insurer to pay |
967 | its specified percentage of hurricane losses of an eligible |
968 | risk, as set forth in the quota share primary insurance |
969 | agreement, may not be altered by the inability of the other |
970 | party to the agreement to pay its specified percentage of |
971 | hurricane losses. Eligible risks that are provided hurricane |
972 | coverage through a quota share primary insurance arrangement |
973 | must be provided policy forms that set forth the obligations of |
974 | the corporation and authorized insurer under the arrangement, |
975 | clearly specify the percentages of quota share primary insurance |
976 | provided by the corporation and authorized insurer, and |
977 | conspicuously and clearly state that neither the authorized |
978 | insurer nor the corporation may be held responsible beyond its |
979 | specified percentage of coverage of hurricane losses. |
980 | (II) "Eligible risks" means personal lines residential and |
981 | commercial lines residential risks that meet the underwriting |
982 | criteria of the corporation and are located in areas that were |
983 | eligible for coverage by the Florida Windstorm Underwriting |
984 | Association on January 1, 2002. |
985 | b. The corporation may enter into quota share primary |
986 | insurance agreements with authorized insurers at corporation |
987 | coverage levels of 90 percent and 50 percent. |
988 | c. If the corporation determines that additional coverage |
989 | levels are necessary to maximize participation in quota share |
990 | primary insurance agreements by authorized insurers, the |
991 | corporation may establish additional coverage levels. However, |
992 | the corporation's quota share primary insurance coverage level |
993 | may not exceed 90 percent. |
994 | d. Any quota share primary insurance agreement entered |
995 | into between an authorized insurer and the corporation must |
996 | provide for a uniform specified percentage of coverage of |
997 | hurricane losses, by county or territory as set forth by the |
998 | corporation board, for all eligible risks of the authorized |
999 | insurer covered under the quota share primary insurance |
1000 | agreement. |
1001 | e. Any quota share primary insurance agreement entered |
1002 | into between an authorized insurer and the corporation is |
1003 | subject to review and approval by the office. However, such |
1004 | agreement shall be authorized only as to insurance contracts |
1005 | entered into between an authorized insurer and an insured who is |
1006 | already insured by the corporation for wind coverage. |
1007 | f. For all eligible risks covered under quota share |
1008 | primary insurance agreements, the exposure and coverage levels |
1009 | for both the corporation and authorized insurers shall be |
1010 | reported by the corporation to the Florida Hurricane Catastrophe |
1011 | Fund. For all policies of eligible risks covered under quota |
1012 | share primary insurance agreements, the corporation and the |
1013 | authorized insurer shall maintain complete and accurate records |
1014 | for the purpose of exposure and loss reimbursement audits as |
1015 | required by Florida Hurricane Catastrophe Fund rules. The |
1016 | corporation and the authorized insurer shall each maintain |
1017 | duplicate copies of policy declaration pages and supporting |
1018 | claims documents. |
1019 | g. The corporation board shall establish in its plan of |
1020 | operation standards for quota share agreements which ensure that |
1021 | there is no discriminatory application among insurers as to the |
1022 | terms of quota share agreements, pricing of quota share |
1023 | agreements, incentive provisions if any, and consideration paid |
1024 | for servicing policies or adjusting claims. |
1025 | h. The quota share primary insurance agreement between the |
1026 | corporation and an authorized insurer must set forth the |
1027 | specific terms under which coverage is provided, including, but |
1028 | not limited to, the sale and servicing of policies issued under |
1029 | the agreement by the insurance agent of the authorized insurer |
1030 | producing the business, the reporting of information concerning |
1031 | eligible risks, the payment of premium to the corporation, and |
1032 | arrangements for the adjustment and payment of hurricane claims |
1033 | incurred on eligible risks by the claims adjuster and personnel |
1034 | of the authorized insurer. Entering into a quota sharing |
1035 | insurance agreement between the corporation and an authorized |
1036 | insurer shall be voluntary and at the discretion of the |
1037 | authorized insurer. |
1038 | 3. May provide that the corporation may employ or |
1039 | otherwise contract with individuals or other entities to provide |
1040 | administrative or professional services that may be appropriate |
1041 | to effectuate the plan. The corporation shall have the power to |
1042 | borrow funds, by issuing bonds or by incurring other |
1043 | indebtedness, and shall have other powers reasonably necessary |
1044 | to effectuate the requirements of this subsection, including, |
1045 | without limitation, the power to issue bonds and incur other |
1046 | indebtedness in order to refinance outstanding bonds or other |
1047 | indebtedness. The corporation may, but is not required to, seek |
1048 | judicial validation of its bonds or other indebtedness under |
1049 | chapter 75. The corporation may issue bonds or incur other |
1050 | indebtedness, or have bonds issued on its behalf by a unit of |
1051 | local government pursuant to subparagraph (p)2., in the absence |
1052 | of a hurricane or other weather-related event, upon a |
1053 | determination by the corporation, subject to approval by the |
1054 | office, that such action would enable it to efficiently meet the |
1055 | financial obligations of the corporation and that such |
1056 | financings are reasonably necessary to effectuate the |
1057 | requirements of this subsection. The corporation is authorized |
1058 | to take all actions needed to facilitate tax-free status for any |
1059 | such bonds or indebtedness, including formation of trusts or |
1060 | other affiliated entities. The corporation shall have the |
1061 | authority to pledge assessments, projected recoveries from the |
1062 | Florida Hurricane Catastrophe Fund, other reinsurance |
1063 | recoverables, market equalization and other surcharges, and |
1064 | other funds available to the corporation as security for bonds |
1065 | or other indebtedness. In recognition of s. 10, Art. I of the |
1066 | State Constitution, prohibiting the impairment of obligations of |
1067 | contracts, it is the intent of the Legislature that no action be |
1068 | taken whose purpose is to impair any bond indenture or financing |
1069 | agreement or any revenue source committed by contract to such |
1070 | bond or other indebtedness. |
1071 | 4.a. Must require that the corporation operate subject to |
1072 | the supervision and approval of a board of governors consisting |
1073 | of eight individuals who are residents of this state, from |
1074 | different geographical areas of this state. The Governor, the |
1075 | Chief Financial Officer, the President of the Senate, and the |
1076 | Speaker of the House of Representatives shall each appoint two |
1077 | members of the board. At least one of the two members appointed |
1078 | by each appointing officer must have demonstrated expertise in |
1079 | insurance. The Chief Financial Officer shall designate one of |
1080 | the appointees as chair. All board members serve at the pleasure |
1081 | of the appointing officer. All members of the board of governors |
1082 | are subject to removal at will by the officers who appointed |
1083 | them. All board members, including the chair, must be appointed |
1084 | to serve for 3-year terms beginning annually on a date |
1085 | designated by the plan. However, for the first term beginning on |
1086 | or after July 1, 2009, each appointing officer shall appoint one |
1087 | member of the board for a 2-year term and one member for a 3- |
1088 | year term. Any board vacancy shall be filled for the unexpired |
1089 | term by the appointing officer. The Chief Financial Officer |
1090 | shall appoint a technical advisory group to provide information |
1091 | and advice to the board of governors in connection with the |
1092 | board's duties under this subsection. The executive director and |
1093 | senior managers of the corporation shall be engaged by the board |
1094 | and serve at the pleasure of the board. Any executive director |
1095 | appointed on or after July 1, 2006, is subject to confirmation |
1096 | by the Senate. The executive director is responsible for |
1097 | employing other staff as the corporation may require, subject to |
1098 | review and concurrence by the board. |
1099 | b. The board shall create a Market Accountability Advisory |
1100 | Committee to assist the corporation in developing awareness of |
1101 | its rates and its customer and agent service levels in |
1102 | relationship to the voluntary market insurers writing similar |
1103 | coverage. The members of the advisory committee shall consist of |
1104 | the following 11 persons, one of whom must be elected chair by |
1105 | the members of the committee: four representatives, one |
1106 | appointed by the Florida Association of Insurance Agents, one by |
1107 | the Florida Association of Insurance and Financial Advisors, one |
1108 | by the Professional Insurance Agents of Florida, and one by the |
1109 | Latin American Association of Insurance Agencies; three |
1110 | representatives appointed by the insurers with the three highest |
1111 | voluntary market share of residential property insurance |
1112 | business in the state; one representative from the Office of |
1113 | Insurance Regulation; one consumer appointed by the board who is |
1114 | insured by the corporation at the time of appointment to the |
1115 | committee; one representative appointed by the Florida |
1116 | Association of Realtors; and one representative appointed by the |
1117 | Florida Bankers Association. All members must serve for 3-year |
1118 | terms and may serve for consecutive terms. The committee shall |
1119 | report to the corporation at each board meeting on insurance |
1120 | market issues which may include rates and rate competition with |
1121 | the voluntary market; service, including policy issuance, claims |
1122 | processing, and general responsiveness to policyholders, |
1123 | applicants, and agents; and matters relating to depopulation. |
1124 | 5. Must provide a procedure for determining the |
1125 | eligibility of a risk for coverage, as follows: |
1126 | a. Subject to the provisions of s. 627.3517, with respect |
1127 | to personal lines residential risks, if the risk is offered |
1128 | coverage from an authorized insurer at the insurer's approved |
1129 | rate under either a standard policy including wind coverage or, |
1130 | if consistent with the insurer's underwriting rules as filed |
1131 | with the office, a basic policy including wind coverage, for a |
1132 | new application to the corporation for coverage, the risk is not |
1133 | eligible for any policy issued by the corporation unless the |
1134 | premium for coverage from the authorized insurer is more than 15 |
1135 | percent greater than the premium for comparable coverage from |
1136 | the corporation. If the risk is not able to obtain any such |
1137 | offer, the risk is eligible for either a standard policy |
1138 | including wind coverage or a basic policy including wind |
1139 | coverage issued by the corporation; however, if the risk could |
1140 | not be insured under a standard policy including wind coverage |
1141 | regardless of market conditions, the risk shall be eligible for |
1142 | a basic policy including wind coverage unless rejected under |
1143 | subparagraph 8. However, with regard to a policyholder of the |
1144 | corporation or a policyholder removed from the corporation |
1145 | through an assumption agreement until the end of the assumption |
1146 | period, the policyholder remains eligible for coverage from the |
1147 | corporation regardless of any offer of coverage from an |
1148 | authorized insurer or surplus lines insurer. The corporation |
1149 | shall determine the type of policy to be provided on the basis |
1150 | of objective standards specified in the underwriting manual and |
1151 | based on generally accepted underwriting practices. |
1152 | (I) If the risk accepts an offer of coverage through the |
1153 | market assistance plan or an offer of coverage through a |
1154 | mechanism established by the corporation before a policy is |
1155 | issued to the risk by the corporation or during the first 30 |
1156 | days of coverage by the corporation, and the producing agent who |
1157 | submitted the application to the plan or to the corporation is |
1158 | not currently appointed by the insurer, the insurer shall: |
1159 | (A) Pay to the producing agent of record of the policy, |
1160 | for the first year, an amount that is the greater of the |
1161 | insurer's usual and customary commission for the type of policy |
1162 | written or a fee equal to the usual and customary commission of |
1163 | the corporation; or |
1164 | (B) Offer to allow the producing agent of record of the |
1165 | policy to continue servicing the policy for a period of not less |
1166 | than 1 year and offer to pay the agent the greater of the |
1167 | insurer's or the corporation's usual and customary commission |
1168 | for the type of policy written. |
1169 |
|
1170 | If the producing agent is unwilling or unable to accept |
1171 | appointment, the new insurer shall pay the agent in accordance |
1172 | with sub-sub-sub-subparagraph (A). |
1173 | (II) When the corporation enters into a contractual |
1174 | agreement for a take-out plan, the producing agent of record of |
1175 | the corporation policy is entitled to retain any unearned |
1176 | commission on the policy, and the insurer shall: |
1177 | (A) Pay to the producing agent of record of the |
1178 | corporation policy, for the first year, an amount that is the |
1179 | greater of the insurer's usual and customary commission for the |
1180 | type of policy written or a fee equal to the usual and customary |
1181 | commission of the corporation; or |
1182 | (B) Offer to allow the producing agent of record of the |
1183 | corporation policy to continue servicing the policy for a period |
1184 | of not less than 1 year and offer to pay the agent the greater |
1185 | of the insurer's or the corporation's usual and customary |
1186 | commission for the type of policy written. |
1187 |
|
1188 | If the producing agent is unwilling or unable to accept |
1189 | appointment, the new insurer shall pay the agent in accordance |
1190 | with sub-sub-sub-subparagraph (A). |
1191 | b. With respect to commercial lines residential risks, for |
1192 | a new application to the corporation for coverage, if the risk |
1193 | is offered coverage under a policy including wind coverage from |
1194 | an authorized insurer at its approved rate, the risk is not |
1195 | eligible for any policy issued by the corporation unless the |
1196 | premium for coverage from the authorized insurer is more than 15 |
1197 | percent greater than the premium for comparable coverage from |
1198 | the corporation. If the risk is not able to obtain any such |
1199 | offer, the risk is eligible for a policy including wind coverage |
1200 | issued by the corporation. However, with regard to a |
1201 | policyholder of the corporation or a policyholder removed from |
1202 | the corporation through an assumption agreement until the end of |
1203 | the assumption period, the policyholder remains eligible for |
1204 | coverage from the corporation regardless of any offer of |
1205 | coverage from an authorized insurer or surplus lines insurer. |
1206 | (I) If the risk accepts an offer of coverage through the |
1207 | market assistance plan or an offer of coverage through a |
1208 | mechanism established by the corporation before a policy is |
1209 | issued to the risk by the corporation or during the first 30 |
1210 | days of coverage by the corporation, and the producing agent who |
1211 | submitted the application to the plan or the corporation is not |
1212 | currently appointed by the insurer, the insurer shall: |
1213 | (A) Pay to the producing agent of record of the policy, |
1214 | for the first year, an amount that is the greater of the |
1215 | insurer's usual and customary commission for the type of policy |
1216 | written or a fee equal to the usual and customary commission of |
1217 | the corporation; or |
1218 | (B) Offer to allow the producing agent of record of the |
1219 | policy to continue servicing the policy for a period of not less |
1220 | than 1 year and offer to pay the agent the greater of the |
1221 | insurer's or the corporation's usual and customary commission |
1222 | for the type of policy written. |
1223 |
|
1224 | If the producing agent is unwilling or unable to accept |
1225 | appointment, the new insurer shall pay the agent in accordance |
1226 | with sub-sub-sub-subparagraph (A). |
1227 | (II) When the corporation enters into a contractual |
1228 | agreement for a take-out plan, the producing agent of record of |
1229 | the corporation policy is entitled to retain any unearned |
1230 | commission on the policy, and the insurer shall: |
1231 | (A) Pay to the producing agent of record of the |
1232 | corporation policy, for the first year, an amount that is the |
1233 | greater of the insurer's usual and customary commission for the |
1234 | type of policy written or a fee equal to the usual and customary |
1235 | commission of the corporation; or |
1236 | (B) Offer to allow the producing agent of record of the |
1237 | corporation policy to continue servicing the policy for a period |
1238 | of not less than 1 year and offer to pay the agent the greater |
1239 | of the insurer's or the corporation's usual and customary |
1240 | commission for the type of policy written. |
1241 |
|
1242 | If the producing agent is unwilling or unable to accept |
1243 | appointment, the new insurer shall pay the agent in accordance |
1244 | with sub-sub-sub-subparagraph (A). |
1245 | c. For purposes of determining comparable coverage under |
1246 | sub-subparagraphs a. and b., the comparison shall be based on |
1247 | those forms and coverages that are reasonably comparable. The |
1248 | corporation may rely on a determination of comparable coverage |
1249 | and premium made by the producing agent who submits the |
1250 | application to the corporation, made in the agent's capacity as |
1251 | the corporation's agent. A comparison may be made solely of the |
1252 | premium with respect to the main building or structure only on |
1253 | the following basis: the same coverage A or other building |
1254 | limits; the same percentage hurricane deductible that applies on |
1255 | an annual basis or that applies to each hurricane for commercial |
1256 | residential property; the same percentage of ordinance and law |
1257 | coverage, if the same limit is offered by both the corporation |
1258 | and the authorized insurer; the same mitigation credits, to the |
1259 | extent the same types of credits are offered both by the |
1260 | corporation and the authorized insurer; the same method for loss |
1261 | payment, such as replacement cost or actual cash value, if the |
1262 | same method is offered both by the corporation and the |
1263 | authorized insurer in accordance with underwriting rules; and |
1264 | any other form or coverage that is reasonably comparable as |
1265 | determined by the board. If an application is submitted to the |
1266 | corporation for wind-only coverage in the high-risk account, the |
1267 | premium for the corporation's wind-only policy plus the premium |
1268 | for the ex-wind policy that is offered by an authorized insurer |
1269 | to the applicant shall be compared to the premium for multiperil |
1270 | coverage offered by an authorized insurer, subject to the |
1271 | standards for comparison specified in this subparagraph. If the |
1272 | corporation or the applicant requests from the authorized |
1273 | insurer a breakdown of the premium of the offer by types of |
1274 | coverage so that a comparison may be made by the corporation or |
1275 | its agent and the authorized insurer refuses or is unable to |
1276 | provide such information, the corporation may treat the offer as |
1277 | not being an offer of coverage from an authorized insurer at the |
1278 | insurer's approved rate. |
1279 | 6. Must include rules for classifications of risks and |
1280 | rates therefor. |
1281 | 7. Must provide that if premium and investment income for |
1282 | an account attributable to a particular calendar year are in |
1283 | excess of projected losses and expenses for the account |
1284 | attributable to that year, such excess shall be held in surplus |
1285 | in the account. Such surplus shall be available to defray |
1286 | deficits in that account as to future years and shall be used |
1287 | for that purpose prior to assessing assessable insurers and |
1288 | assessable insureds as to any calendar year. |
1289 | 8. Must provide objective criteria and procedures to be |
1290 | uniformly applied for all applicants in determining whether an |
1291 | individual risk is so hazardous as to be uninsurable. In making |
1292 | this determination and in establishing the criteria and |
1293 | procedures, the following shall be considered: |
1294 | a. Whether the likelihood of a loss for the individual |
1295 | risk is substantially higher than for other risks of the same |
1296 | class; and |
1297 | b. Whether the uncertainty associated with the individual |
1298 | risk is such that an appropriate premium cannot be determined. |
1299 |
|
1300 | The acceptance or rejection of a risk by the corporation shall |
1301 | be construed as the private placement of insurance, and the |
1302 | provisions of chapter 120 shall not apply. |
1303 | 9. Must provide that the corporation shall make its best |
1304 | efforts to procure catastrophe reinsurance at reasonable rates, |
1305 | to cover its projected 100-year probable maximum loss as |
1306 | determined by the board of governors. |
1307 | 10. The policies issued by the corporation must provide |
1308 | that, if the corporation or the market assistance plan obtains |
1309 | an offer from an authorized insurer to cover the risk at its |
1310 | approved rates, the risk is no longer eligible for renewal |
1311 | through the corporation, except as otherwise provided in this |
1312 | subsection. |
1313 | 11. Corporation policies and applications must include a |
1314 | notice that the corporation policy could, under this section, be |
1315 | replaced with a policy issued by an authorized insurer that does |
1316 | not provide coverage identical to the coverage provided by the |
1317 | corporation. The notice shall also specify that acceptance of |
1318 | corporation coverage creates a conclusive presumption that the |
1319 | applicant or policyholder is aware of this potential. |
1320 | 12. May establish, subject to approval by the office, |
1321 | different eligibility requirements and operational procedures |
1322 | for any line or type of coverage for any specified county or |
1323 | area if the board determines that such changes to the |
1324 | eligibility requirements and operational procedures are |
1325 | justified due to the voluntary market being sufficiently stable |
1326 | and competitive in such area or for such line or type of |
1327 | coverage and that consumers who, in good faith, are unable to |
1328 | obtain insurance through the voluntary market through ordinary |
1329 | methods would continue to have access to coverage from the |
1330 | corporation. When coverage is sought in connection with a real |
1331 | property transfer, such requirements and procedures shall not |
1332 | provide for an effective date of coverage later than the date of |
1333 | the closing of the transfer as established by the transferor, |
1334 | the transferee, and, if applicable, the lender. |
1335 | 13. Must provide that, with respect to the high-risk |
1336 | account, any assessable insurer with a surplus as to |
1337 | policyholders of $25 million or less writing 25 percent or more |
1338 | of its total countrywide property insurance premiums in this |
1339 | state may petition the office, within the first 90 days of each |
1340 | calendar year, to qualify as a limited apportionment company. A |
1341 | regular assessment levied by the corporation on a limited |
1342 | apportionment company for a deficit incurred by the corporation |
1343 | for the high-risk account in 2006 or thereafter may be paid to |
1344 | the corporation on a monthly basis as the assessments are |
1345 | collected by the limited apportionment company from its insureds |
1346 | pursuant to s. 627.3512, but the regular assessment must be paid |
1347 | in full within 12 months after being levied by the corporation. |
1348 | A limited apportionment company shall collect from its |
1349 | policyholders any emergency assessment imposed under sub- |
1350 | subparagraph (b)3.d. The plan shall provide that, if the office |
1351 | determines that any regular assessment will result in an |
1352 | impairment of the surplus of a limited apportionment company, |
1353 | the office may direct that all or part of such assessment be |
1354 | deferred as provided in subparagraph (p)4. However, there shall |
1355 | be no limitation or deferment of an emergency assessment to be |
1356 | collected from policyholders under sub-subparagraph (b)3.d. |
1357 | 14. Must provide that the corporation appoint as its |
1358 | licensed agents only those agents who also hold an appointment |
1359 | as defined in s. 626.015(3) with an insurer who at the time of |
1360 | the agent's initial appointment by the corporation is authorized |
1361 | to write and is actually writing personal lines residential |
1362 | property coverage, commercial residential property coverage, or |
1363 | commercial nonresidential property coverage within the state. |
1364 | 15. Must provide, by July 1, 2007, a premium payment plan |
1365 | option to its policyholders which allows at a minimum for |
1366 | quarterly and semiannual payment of premiums. A monthly payment |
1367 | plan may, but is not required to, be offered. |
1368 | 16. Must limit coverage on mobile homes or manufactured |
1369 | homes built prior to 1994 to actual cash value of the dwelling |
1370 | rather than replacement costs of the dwelling. |
1371 | 17. May provide such limits of coverage as the board |
1372 | determines, consistent with the requirements of this subsection. |
1373 | 18. May require commercial property to meet specified |
1374 | hurricane mitigation construction features as a condition of |
1375 | eligibility for coverage. |
1376 | 19.a. Shall require the agent to obtain from any applicant |
1377 | for coverage the following acknowledgement, signed by the |
1378 | applicant, and shall require the agent of record to obtain the |
1379 | following acknowledgment from each corporation policyholder |
1380 | prior to the policy's first renewal after the effective date of |
1381 | this act: |
1382 |
|
1383 | ACKNOWLEDGEMENT OF POTENTIAL SURCHARGE AND ASSESSMENT |
1384 | LIABILITY: |
1385 | 1. I UNDERSTAND, AS A CITIZENS PROPERTY |
1386 | INSURANCE CORPORATION POLICYHOLDER, THAT IF THE |
1387 | CORPORATION SUSTAINS A DEFICIT AS A RESULT OF |
1388 | HURRICANE LOSSES OR FOR ANY OTHER REASON, MY POLICY |
1389 | COULD BE SUBJECT TO CITIZENS POLICYHOLDER SURCHARGES, |
1390 | WHICH WOULD BE DUE AND PAYABLE UPON ISSUANCE, RENEWAL, |
1391 | CANCELLATION, OR TERMINATION OF THE POLICY, AND THAT |
1392 | THE SURCHARGES COULD BE AS HIGH AS 15 PERCENT OF MY |
1393 | PREMIUM FOR DEFICITS IN EACH OF THREE CITIZENS |
1394 | ACCOUNTS, OR A DIFFERENT AMOUNT AS ESTABLISHED BY THE |
1395 | FLORIDA LEGISLATURE. |
1396 | 2. I ALSO UNDERSTAND THAT I MAY BE SUBJECT TO |
1397 | EMERGENCY ASSESSMENTS TO THE SAME EXTENT AS |
1398 | POLICYHOLDERS OF OTHER INSURANCE COMPANIES. |
1399 |
|
1400 | b. The corporation shall permanently maintain a signed |
1401 | copy of the signed acknowledgement required by this |
1402 | subparagraph, and the agent may also retain a copy. |
1403 | c. The signed acknowledgement form creates a conclusive |
1404 | presumption that the policyholder understood and accepted his or |
1405 | her potential surcharge and assessment liability as a Citizens |
1406 | policyholder. |
1407 | (y) It is the intent of the Legislature that the |
1408 | amendments to this subsection enacted in 2002 should, over time, |
1409 | reduce the probable maximum windstorm losses in the residual |
1410 | markets and should reduce the potential assessments to be levied |
1411 | on property insurers and policyholders statewide. In furtherance |
1412 | of this intent: |
1413 | 1. The board shall, on or before February 1 of each year, |
1414 | provide a report to the President of the Senate and the Speaker |
1415 | of the House of Representatives showing the reduction or |
1416 | increase in the 100-year probable maximum loss attributable to |
1417 | wind-only coverages and the quota share program under this |
1418 | subsection combined, as compared to the benchmark 100-year |
1419 | probable maximum loss of the Florida Windstorm Underwriting |
1420 | Association. For purposes of this paragraph, the benchmark 100- |
1421 | year probable maximum loss of the Florida Windstorm Underwriting |
1422 | Association shall be the calculation dated February 2001 and |
1423 | based on November 30, 2000, exposures. In order to ensure |
1424 | comparability of data, the board shall use the same methods for |
1425 | calculating its probable maximum loss as were used to calculate |
1426 | the benchmark probable maximum loss. |
1427 | 2. Beginning December 1, 2010, if the report under |
1428 | subparagraph 1. for any year indicates that the 100-year |
1429 | probable maximum loss attributable to wind-only coverages and |
1430 | the quota share program combined does not reflect a reduction of |
1431 | at least 25 percent from the benchmark, the board shall reduce |
1432 | the boundaries of the high-risk area eligible for wind-only |
1433 | coverages under this subsection in a manner calculated to reduce |
1434 | such probable maximum loss to an amount at least 25 percent |
1435 | below the benchmark. |
1436 | 3. Beginning February 1, 2015, if the report under |
1437 | subparagraph 1. for any year indicates that the 100-year |
1438 | probable maximum loss attributable to wind-only coverages and |
1439 | the quota share program combined does not reflect a reduction of |
1440 | at least 50 percent from the benchmark, the boundaries of the |
1441 | high-risk area eligible for wind-only coverages under this |
1442 | subsection shall be reduced by the elimination of any area that |
1443 | is not seaward of a line 1,000 feet inland from the Intracoastal |
1444 | Waterway. |
1445 | (y)(z) In enacting the provisions of this section, the |
1446 | Legislature recognizes that both the Florida Windstorm |
1447 | Underwriting Association and the Residential Property and |
1448 | Casualty Joint Underwriting Association have entered into |
1449 | financing arrangements that obligate each entity to service its |
1450 | debts and maintain the capacity to repay funds secured under |
1451 | these financing arrangements. It is the intent of the |
1452 | Legislature that nothing in this section be construed to |
1453 | compromise, diminish, or interfere with the rights of creditors |
1454 | under such financing arrangements. It is further the intent of |
1455 | the Legislature to preserve the obligations of the Florida |
1456 | Windstorm Underwriting Association and Residential Property and |
1457 | Casualty Joint Underwriting Association with regard to |
1458 | outstanding financing arrangements, with such obligations |
1459 | passing entirely and unchanged to the corporation and, |
1460 | specifically, to the applicable account of the corporation. So |
1461 | long as any bonds, notes, indebtedness, or other financing |
1462 | obligations of the Florida Windstorm Underwriting Association or |
1463 | the Residential Property and Casualty Joint Underwriting |
1464 | Association are outstanding, under the terms of the financing |
1465 | documents pertaining to them, the governing board of the |
1466 | corporation shall have and shall exercise the authority to levy, |
1467 | charge, collect, and receive all premiums, assessments, |
1468 | surcharges, charges, revenues, and receipts that the |
1469 | associations had authority to levy, charge, collect, or receive |
1470 | under the provisions of subsection (2) and this subsection, |
1471 | respectively, as they existed on January 1, 2002, to provide |
1472 | moneys, without exercise of the authority provided by this |
1473 | subsection, in at least the amounts, and by the times, as would |
1474 | be provided under those former provisions of subsection (2) or |
1475 | this subsection, respectively, so that the value, amount, and |
1476 | collectability of any assets, revenues, or revenue source |
1477 | pledged or committed to, or any lien thereon securing such |
1478 | outstanding bonds, notes, indebtedness, or other financing |
1479 | obligations will not be diminished, impaired, or adversely |
1480 | affected by the amendments made by this act and to permit |
1481 | compliance with all provisions of financing documents pertaining |
1482 | to such bonds, notes, indebtedness, or other financing |
1483 | obligations, or the security or credit enhancement for them, and |
1484 | any reference in this subsection to bonds, notes, indebtedness, |
1485 | financing obligations, or similar obligations, of the |
1486 | corporation shall include like instruments or contracts of the |
1487 | Florida Windstorm Underwriting Association and the Residential |
1488 | Property and Casualty Joint Underwriting Association to the |
1489 | extent not inconsistent with the provisions of the financing |
1490 | documents pertaining to them. |
1491 | (z)(aa) The corporation shall not require the securing of |
1492 | flood insurance as a condition of coverage if the insured or |
1493 | applicant executes a form approved by the office affirming that |
1494 | flood insurance is not provided by the corporation and that if |
1495 | flood insurance is not secured by the applicant or insured in |
1496 | addition to coverage by the corporation, the risk will not be |
1497 | covered for flood damage. A corporation policyholder electing |
1498 | not to secure flood insurance and executing a form as provided |
1499 | herein making a claim for water damage against the corporation |
1500 | shall have the burden of proving the damage was not caused by |
1501 | flooding. Notwithstanding other provisions of this subsection, |
1502 | the corporation may deny coverage to an applicant or insured who |
1503 | refuses to execute the form described herein. |
1504 | (aa)(bb) A salaried employee of the corporation who |
1505 | performs policy administration services subsequent to the |
1506 | effectuation of a corporation policy is not required to be |
1507 | licensed as an agent under the provisions of s. 626.112. |
1508 | (bb)(cc) By February 1, 2007, the corporation shall submit |
1509 | a report to the President of the Senate, the Speaker of the |
1510 | House of Representatives, the minority party leaders of the |
1511 | Senate and the House of Representatives, and the chairs of the |
1512 | standing committees of the Senate and the House of |
1513 | Representatives having jurisdiction over matters relating to |
1514 | property and casualty insurance. In preparing the report, the |
1515 | corporation shall consult with the Office of Insurance |
1516 | Regulation, the Department of Financial Services, and any other |
1517 | party the corporation determines appropriate. The report must |
1518 | include all findings and recommendations on the feasibility of |
1519 | requiring authorized insurers that issue and service personal |
1520 | and commercial residential policies and commercial |
1521 | nonresidential policies that provide coverage for basic property |
1522 | perils except for the peril of wind to issue and service for a |
1523 | fee personal and commercial residential policies and commercial |
1524 | nonresidential policies providing coverage for the peril of wind |
1525 | issued by the corporation. The report must include: |
1526 | 1. The expense savings to the corporation of issuing and |
1527 | servicing such policies as determined by a cost-benefit |
1528 | analysis. |
1529 | 2. The expenses and liability to authorized insurers |
1530 | associated with issuing and servicing such policies. |
1531 | 3. The effect on service to policyholders of the |
1532 | corporation relating to issuing and servicing such policies. |
1533 | 4. The effect on the producing agent of the corporation of |
1534 | issuing and servicing such policies. |
1535 | 5. Recommendations as to the amount of the fee which |
1536 | should be paid to authorized insurers for issuing and servicing |
1537 | such policies. |
1538 | 6. The effect that issuing and servicing such policies |
1539 | will have on the corporation's number of policies, total insured |
1540 | value, and probable maximum loss. |
1541 | (cc)(dd) There shall be no liability on the part of, and |
1542 | no cause of action of any nature shall arise against, producing |
1543 | agents of record of the corporation or employees of such agents |
1544 | for insolvency of any take-out insurer. |
1545 | (dd)(ee) The assets of the corporation may be invested and |
1546 | managed by the State Board of Administration. |
1547 | (ee)(ff) The office may establish a pilot program to offer |
1548 | optional sinkhole coverage in one or more counties or other |
1549 | territories of the corporation for the purpose of implementing |
1550 | s. 627.706, as amended by s. 30, chapter 2007-1, Laws of |
1551 | Florida. Under the pilot program, the corporation is not |
1552 | required to issue a notice of nonrenewal to exclude sinkhole |
1553 | coverage upon the renewal of existing policies, but may exclude |
1554 | such coverage using a notice of coverage change. |
1555 | Section 9. Paragraph (b) of subsection (2) of section |
1556 | 627.4133, Florida Statutes, is amended to read: |
1557 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
1558 | premium.- |
1559 | (2) With respect to any personal lines or commercial |
1560 | residential property insurance policy, including, but not |
1561 | limited to, any homeowner's, mobile home owner's, farmowner's, |
1562 | condominium association, condominium unit owner's, apartment |
1563 | building, or other policy covering a residential structure or |
1564 | its contents: |
1565 | (b) The insurer shall give the named insured written |
1566 | notice of nonrenewal, cancellation, or termination at least 100 |
1567 | days prior to the effective date of the nonrenewal, |
1568 | cancellation, or termination. However, the insurer shall give at |
1569 | least 100 days' written notice, or written notice by June 1, |
1570 | whichever is earlier, for any nonrenewal, cancellation, or |
1571 | termination that would be effective between June 1 and November |
1572 | 30. The notice must include the reason or reasons for the |
1573 | nonrenewal, cancellation, or termination, except that: |
1574 | 1. The insurer shall give the named insured written notice |
1575 | of nonrenewal, cancellation, or termination at least 180 days |
1576 | prior to the effective date of the nonrenewal, cancellation, or |
1577 | termination for a named insured whose residential structure has |
1578 | been insured by that insurer or an affiliated insurer for at |
1579 | least a 5-year period immediately prior to the date of the |
1580 | written notice. |
1581 | 2. When cancellation is for nonpayment of premium, at |
1582 | least 10 days' written notice of cancellation accompanied by the |
1583 | reason therefor shall be given. As used in this subparagraph, |
1584 | the term "nonpayment of premium" means failure of the named |
1585 | insured to discharge when due any of her or his obligations in |
1586 | connection with the payment of premiums on a policy or any |
1587 | installment of such premium, whether the premium is payable |
1588 | directly to the insurer or its agent or indirectly under any |
1589 | premium finance plan or extension of credit, or failure to |
1590 | maintain membership in an organization if such membership is a |
1591 | condition precedent to insurance coverage. "Nonpayment of |
1592 | premium" also means the failure of a financial institution to |
1593 | honor an insurance applicant's check after delivery to a |
1594 | licensed agent for payment of a premium, even if the agent has |
1595 | previously delivered or transferred the premium to the insurer. |
1596 | If a dishonored check represents the initial premium payment, |
1597 | the contract and all contractual obligations shall be void ab |
1598 | initio unless the nonpayment is cured within the earlier of 5 |
1599 | days after actual notice by certified mail is received by the |
1600 | applicant or 15 days after notice is sent to the applicant by |
1601 | certified mail or registered mail, and if the contract is void, |
1602 | any premium received by the insurer from a third party shall be |
1603 | refunded to that party in full. |
1604 | 3. When such cancellation or termination occurs during the |
1605 | first 90 days during which the insurance is in force and the |
1606 | insurance is canceled or terminated for reasons other than |
1607 | nonpayment of premium, at least 20 days' written notice of |
1608 | cancellation or termination accompanied by the reason therefor |
1609 | shall be given except where there has been a material |
1610 | misstatement or misrepresentation or failure to comply with the |
1611 | underwriting requirements established by the insurer. |
1612 | 4. The requirement for providing written notice of |
1613 | nonrenewal by June 1 of any nonrenewal that would be effective |
1614 | between June 1 and November 30 does not apply to the following |
1615 | situations, but the insurer remains subject to the requirement |
1616 | to provide such notice at least 100 days prior to the effective |
1617 | date of nonrenewal: |
1618 | a. A policy that is nonrenewed due to a revision in the |
1619 | coverage for sinkhole losses and catastrophic ground cover |
1620 | collapse pursuant to s. 627.706, as amended by s. 30, chapter |
1621 | 2007-1, Laws of Florida. |
1622 | b. A policy that is nonrenewed by Citizens Property |
1623 | Insurance Corporation, pursuant to s. 627.351(6), for a policy |
1624 | that has been assumed by an authorized insurer offering |
1625 | replacement or renewal coverage to the policyholder. |
1626 | 5. Notwithstanding any other provision of law, an insurer |
1627 | may cancel or nonrenew a property insurance policy upon a |
1628 | minimum of 45 days' notice if the office finds that the early |
1629 | cancellation of some or all of the insurer's policies is |
1630 | necessary to protect the best interests of the public or |
1631 | policyholders and the office approves the insurer's plan for |
1632 | early cancellation or nonrenewal of some or all of its policies. |
1633 | The office may base such a finding upon the financial condition |
1634 | of the insurer, lack of adequate reinsurance coverage for |
1635 | hurricane risk, or other relevant factors. The office may |
1636 | condition its finding on the consent of the insurer to be placed |
1637 | in administrative supervision pursuant to s. 624.81 or consent |
1638 | to the appointment of a receiver under chapter 631. |
1639 |
|
1640 | After the policy has been in effect for 90 days, the policy |
1641 | shall not be canceled by the insurer except when there has been |
1642 | a material misstatement, a nonpayment of premium, a failure to |
1643 | comply with underwriting requirements established by the insurer |
1644 | within 90 days of the date of effectuation of coverage, or a |
1645 | substantial change in the risk covered by the policy or when the |
1646 | cancellation is for all insureds under such policies for a given |
1647 | class of insureds. This paragraph does not apply to individually |
1648 | rated risks having a policy term of less than 90 days. |
1649 | Section 10. Section 627.41341, Florida Statutes, is |
1650 | created to read: |
1651 | 627.41341 Notice of change in policy terms.- |
1652 | (1) As used in this section, the term: |
1653 | (a) "Change in policy terms" means the modification, |
1654 | addition, or deletion of any term, coverage, duty, or condition |
1655 | from the prior policy. The correction of typographical or |
1656 | scrivener's errors or the application of mandated legislative |
1657 | changes is not a change in policy terms. |
1658 | (b) "Policy" means a written contract of personal lines |
1659 | insurance or a written agreement for or effecting insurance, or |
1660 | the certificate of such insurance, by whatever name called, and |
1661 | includes all clauses, riders, endorsements, and papers which are |
1662 | a part of such policy. The term "policy" does not include a |
1663 | binder as defined in s. 627.420 unless the duration of the |
1664 | binder period exceeds 60 days. |
1665 | (c) "Renewal" means the issuance and delivery by an |
1666 | insurer of a policy superseding at the end of the policy period |
1667 | a policy previously issued and delivered by the same insurer or |
1668 | the issuance and delivery of a certificate or notice extending |
1669 | the term of a policy beyond its policy period or term. Any |
1670 | policy with a policy period or term of less than 6 months or any |
1671 | policy with no fixed expiration date shall for the purpose of |
1672 | this section be considered as if written for successive policy |
1673 | periods or terms of 6 months. |
1674 | (2) A renewal policy may contain a change in policy terms. |
1675 | If a renewal policy contains a change in policy terms, the |
1676 | insurer shall give the named insured a written notice of change |
1677 | in policy terms that shall be enclosed with the written notice |
1678 | of renewal premium required by ss. 627.4133 and 627.728, stated |
1679 | separately, and entitled "Notice of Change in Policy Terms." |
1680 | (3) Although not required, United States Postal Service |
1681 | proof of mailing or registered mailing of the notice of change |
1682 | in policy terms to the named insured at the address shown in the |
1683 | policy shall be sufficient proof of notice. |
1684 | (4) Receipt of payment of the premium for the renewal |
1685 | policy by the insurer shall be deemed to be acceptance of the |
1686 | new policy terms by the named insured. |
1687 | (5) If an insurer fails to provide the notice of change in |
1688 | policy terms required under subsection (2), the original policy |
1689 | terms shall remain in effect until the next renewal and the |
1690 | proper service of the notice of change in policy terms or until |
1691 | the effective date of replacement coverage obtained by the named |
1692 | insured, whichever occurs first. |
1693 | (6) The intent of this section is to: |
1694 | (a) Allow an insurer to make a change in policy terms |
1695 | without nonrenewing policyholders that the insurer wishes to |
1696 | continue insuring. |
1697 | (b) Alleviate the concern and confusion to the |
1698 | policyholders caused by the required policy nonrenewal for the |
1699 | limited issue when an insurer intends to renew the insurance |
1700 | policy but the new policy contains a change in policy terms. |
1701 | (c) Encourage policyholders to discuss their coverages |
1702 | with their insurance agent. |
1703 | Section 11. Subsection (3) of section 627.7011, Florida |
1704 | Statutes, is amended to read: |
1705 | 627.7011 Homeowners' policies; offer of replacement cost |
1706 | coverage and law and ordinance coverage.- |
1707 | (3) In the event of a loss for which a dwelling or |
1708 | personal property is insured on the basis of replacement costs, |
1709 | the insurer shall initially pay only the depreciated value for |
1710 | structure and contents repair or replacement, or shall pay 40 |
1711 | percent of the replacement cost value, whichever is higher, and |
1712 | shall thereafter pay the remaining cost for repair or |
1713 | replacement of covered property up to the total replacement cost |
1714 | as the insured submits invoices or receipts for completed |
1715 | repairs or replacement of covered property the replacement cost |
1716 | without reservation or holdback of any depreciation in value, |
1717 | whether or not the insured replaces or repairs the dwelling or |
1718 | property. |
1719 | Section 12. Effective January 1, 2011, section 627.7031, |
1720 | Florida Statutes, is created to read: |
1721 | 627.7031 Residential property insurance option.- |
1722 | (1) An insurer holding a certificate of authority to write |
1723 | property insurance in this state may offer or renew policies at |
1724 | rates established in accordance with s. 627.062(2)(l), subject |
1725 | to all of the requirements and prohibitions of this section. |
1726 | (2) An insurer offering or renewing policies at rates |
1727 | established in accordance with s. 627.062(2)(l) may not purchase |
1728 | coverage from the Florida Hurricane Catastrophe Fund under the |
1729 | temporary increase in coverage limit option under s. |
1730 | 215.555(17). |
1731 | (3)(a) Before the effective date of a newly issued policy |
1732 | at rates established in accordance with s. 627.062(2)(l) or |
1733 | before the effective date of a renewal policy at rates |
1734 | established in accordance with s. 627.062(2)(k), the applicant |
1735 | or insured must be given the following notice, printed in at |
1736 | least 12-point boldfaced type: |
1737 |
|
1738 | THE RATE FOR THIS POLICY IS NOT SUBJECT TO FULL RATE |
1739 | REGULATION BY THE FLORIDA OFFICE OF INSURANCE REGULATION AND MAY |
1740 | BE HIGHER THAN RATES APPROVED BY THAT OFFICE. A RESIDENTIAL |
1741 | PROPERTY POLICY SUBJECT TO FULL RATE REGULATION REQUIREMENTS MAY |
1742 | BE AVAILABLE FROM THIS INSURER, ANOTHER INSURER, OR CITIZENS |
1743 | PROPERTY INSURANCE CORPORATION. PLEASE DISCUSS YOUR POLICY |
1744 | OPTIONS WITH AN INSURANCE AGENT WHO CAN PROVIDE A CITIZENS |
1745 | QUOTE. YOU MAY WISH TO VIEW THE OFFICE OF INSURANCE REGULATION'S |
1746 | WEBSITE AT WWW.SHOPANDCOMPARERATES.COM FOR MORE INFORMATION |
1747 | ABOUT CHOICES AVAILABLE TO YOU. |
1748 |
|
1749 | (b) For policies renewed at a rate established in |
1750 | accordance with s. 627.062(2)(l), the notice described in |
1751 | paragraph (a) must be provided in writing at the same time as |
1752 | the renewal notice on a document separate from the renewal |
1753 | notice, but may be contained within the same mailing as the |
1754 | renewal notice. |
1755 | (4) Before the effective date of a newly issued policy at |
1756 | rates established in accordance with s. 627.062(2)(l), or before |
1757 | the effective date of the first renewal at rates established in |
1758 | accordance with s. 627.062(2)(l) of a policy originally issued |
1759 | before the effective date of this section, the applicant or |
1760 | insured must: |
1761 | (a) Be provided or offered, for comparison purposes, an |
1762 | estimate of the premium for a policy from Citizens Property |
1763 | Insurance Corporation reflecting substantially similar |
1764 | coverages, limits, and deductibles to the extent available. |
1765 | (b) Provide the insurer or agent with a signed copy of the |
1766 | following acknowledgement form, which must be retained by the |
1767 | insurer or agent for at least 3 years. If the acknowledgement |
1768 | form is signed by the insured or if the insured remits payment |
1769 | in the amount of the rate established in accordance with s. |
1770 | 627.062(2)(l) after being mailed, otherwise provided, or offered |
1771 | the comparison specified in paragraph (a), an insurer renewing a |
1772 | policy at such rate shall be deemed to comply with this section, |
1773 | and it is presumed that the insured has been informed and |
1774 | understands the information contained in the comparison and |
1775 | acknowledgement forms: |
1776 |
|
1777 | ACKNOWLEDGEMENT |
1778 | 1. I HAVE REVIEWED THE REQUIRED DISCLOSURES AND THE |
1779 | REQUIRED PREMIUM COMPARISON. |
1780 | 2. I UNDERSTAND THAT THE RATE FOR THIS RESIDENTIAL |
1781 | PROPERTY INSURANCE POLICY IS NOT SUBJECT TO FULL RATE REGULATION |
1782 | BY THE FLORIDA OFFICE OF INSURANCE REGULATION AND MAY BE HIGHER |
1783 | THAN RATES APPROVED BY THAT OFFICE. |
1784 | 3. I UNDERSTAND THAT A RESIDENTIAL PROPERTY INSURANCE |
1785 | POLICY SUBJECT TO FULL RATE REGULATION REQUIREMENTS MAY BE |
1786 | AVAILABLE FROM CITIZENS PROPERTY INSURANCE CORPORATION. |
1787 | 4. I UNDERSTAND THAT THE FLORIDA OFFICE OF INSURANCE |
1788 | REGULATION'S WEBSITE WWW.SHOPANDCOMPARERATES.COM CONTAINS |
1789 | RESIDENTIAL PROPERTY INSURANCE RATE COMPARISON INFORMATION. |
1790 | 5. I UNDERSTAND THAT IF CITIZENS PROPERTY INSURANCE |
1791 | CORPORATION INCURS A DEFICIT BECAUSE OF HURRICANE LOSSES OR |
1792 | OTHER LOSSES, I MAY BE REQUIRED TO PAY AN ASSESSMENT BASED UPON |
1793 | THE PREMIUM FOR THIS POLICY AND THAT A POLICYHOLDER OF CITIZENS |
1794 | PROPERTY INSURANCE CORPORATION MAY BE REQUIRED TO PAY A |
1795 | DIFFERENT ASSESSMENT. |
1796 |
|
1797 | (5) The following types of residential property insurance |
1798 | policies are not eligible for rates established in accordance |
1799 | with s. 627.062(2)(l) and are not subject to the other |
1800 | provisions of this section: |
1801 | (a) Residential property insurance policies that exclude |
1802 | coverage for the perils of windstorm or hurricane. |
1803 | (b) Residential property insurance policies that are |
1804 | subject to a consent decree, agreement, understanding, or other |
1805 | arrangement between the insurer and the office relating to rates |
1806 | or premiums for policies removed from Citizens Property |
1807 | Insurance Corporation. |
1808 | (6) Notwithstanding s. 627.4133, an insurer that has |
1809 | issued a policy under this section shall provide the named |
1810 | insured written notice of nonrenewal at least 180 days before |
1811 | the effective date of the nonrenewal as to subsequent |
1812 | nonrenewals. However, this subsection does not prohibit an |
1813 | insurer from canceling a policy as permitted under s. 627.4133. |
1814 | The offer of a policy at rates authorized by this section |
1815 | constitutes an offer to renew the policy at the rates specified |
1816 | in the offer and does not constitute a nonrenewal. |
1817 | Section 13. Subsection (1), paragraph (b) of subsection |
1818 | (2), and subsections (5), (7), and (8) of section 627.707, |
1819 | Florida Statutes, are amended to read: |
1820 | 627.707 Standards for investigation of sinkhole claims by |
1821 | insurers; nonrenewals.-Upon receipt of a claim for a sinkhole |
1822 | loss, an insurer must meet the following standards in |
1823 | investigating a claim: |
1824 | (1) The insurer must make an inspection of the insured's |
1825 | premises to determine if there has been physical damage to the |
1826 | structure which is consistent with may be the result of sinkhole |
1827 | loss activity. |
1828 | (2) Following the insurer's initial inspection, the |
1829 | insurer shall engage a professional engineer or a professional |
1830 | geologist to conduct testing as provided in s. 627.7072 to |
1831 | determine the cause of the loss within a reasonable professional |
1832 | probability and issue a report as provided in s. 627.7073, if: |
1833 | (b) The policyholder demands testing in accordance with |
1834 | this section or s. 627.7072 and coverage under the policy is |
1835 | available if sinkhole loss is verified. |
1836 | (5)(a) Subject to paragraph (b), if a sinkhole loss is |
1837 | verified, the insurer shall pay to stabilize the land and |
1838 | building and repair the foundation in accordance with the |
1839 | recommendations of the professional engineer as provided under |
1840 | s. 627.7073, with notice to and in consultation with the |
1841 | policyholder, subject to the coverage and terms of the policy. |
1842 | The insurer shall pay for other repairs to the structure and |
1843 | contents in accordance with the terms of the policy. |
1844 | (b) The insurer may limit its payment to the actual cash |
1845 | value of the sinkhole loss, not including underpinning or |
1846 | grouting or any other repair technique performed below the |
1847 | existing foundation of the building, until the policyholder |
1848 | enters into a contract for the performance of building |
1849 | stabilization or foundation repairs. After the policyholder |
1850 | enters into the contract, the insurer shall pay the amounts |
1851 | necessary to begin and perform such repairs as the work is |
1852 | performed and the expenses are incurred. The insurer may not |
1853 | require the policyholder to advance payment for such repairs. If |
1854 | repair covered by a personal lines residential property |
1855 | insurance policy has begun and the professional engineer |
1856 | selected or approved by the insurer determines that the repair |
1857 | cannot be completed within the policy limits, the insurer must |
1858 | either complete the professional engineer's recommended repair |
1859 | or tender the policy limits to the policyholder without a |
1860 | reduction for the repair expenses incurred. |
1861 | 1. The policyholder shall enter into such contract for |
1862 | repairs within 90 days after the insurance company approves |
1863 | coverage for a sinkhole loss to prevent additional damage to the |
1864 | building or structure. The 90-day time period may be extended |
1865 | for an additional reasonable time period if the policyholder is |
1866 | unable to find a qualified person or entity to contract for such |
1867 | repairs within the 90-day time period based upon factors beyond |
1868 | the policyholder's control. |
1869 | 2. The stabilization and all other repairs to the |
1870 | structure and contents must be completed within 12 months after |
1871 | entering into the contract for repairs as described in |
1872 | subparagraph 1. unless there is a mutual agreement between the |
1873 | insurer and the insured, the stabilization and all other repairs |
1874 | cannot be completed due to factors beyond the control of the |
1875 | insured which reasonably prevent completion, the claim is |
1876 | involved with the neutral evaluation process under s. 627.7074, |
1877 | or the claim is in litigation. |
1878 | (c) Upon the insurer's obtaining the written approval of |
1879 | the policyholder and any lienholder, the insurer may make |
1880 | payment directly to the persons selected by the policyholder to |
1881 | perform the land and building stabilization and foundation |
1882 | repairs. The decision by the insurer to make payment to such |
1883 | persons does not hold the insurer liable for the work performed. |
1884 | (7) If the insurer obtains, pursuant to s. 627.7073, |
1885 | written certification that there is no sinkhole loss or that the |
1886 | cause of the damage was not sinkhole activity, and if the |
1887 | policyholder has submitted the sinkhole claim without good faith |
1888 | grounds for submitting such claim, the policyholder shall |
1889 | reimburse the insurer for 50 percent of the actual costs of the |
1890 | analyses and services provided under ss. 627.7072 and 627.7073; |
1891 | however, a policyholder is not required to reimburse an insurer |
1892 | more than $2,500 with respect to any claim. A policyholder is |
1893 | required to pay reimbursement under this subsection only if the |
1894 | insurer, prior to ordering the analysis under s. 627.7072, |
1895 | informs the policyholder in writing of the policyholder's |
1896 | potential liability for reimbursement and gives the policyholder |
1897 | the opportunity to withdraw the claim. |
1898 | (8) No insurer shall nonrenew any policy of property |
1899 | insurance on the basis of filing of claims for partial loss |
1900 | caused by sinkhole damage or clay shrinkage as long as the total |
1901 | of such payments does not exceed the current policy limits of |
1902 | coverage for property damage for the policy in effect on the |
1903 | date of the loss, and provided the insured has repaired the |
1904 | structure in accordance with the engineering recommendations |
1905 | upon which any payment or policy proceeds were based. |
1906 | Section 14. Section 627.7073, Florida Statutes, is amended |
1907 | to read: |
1908 | 627.7073 Sinkhole reports.- |
1909 | (1) Upon completion of testing as provided in s. 627.7072, |
1910 | the professional engineer or professional geologist shall issue |
1911 | a report and certification to the insurer, with an additional |
1912 | copy and certification for the insurer to forward to and the |
1913 | policyholder as provided in this section. |
1914 | (a) Sinkhole loss is verified if, based upon tests |
1915 | performed in accordance with s. 627.7072, a professional |
1916 | engineer or a professional geologist issues a written report and |
1917 | certification stating: |
1918 | 1. That the cause of the actual physical and structural |
1919 | damage is sinkhole activity within a reasonable professional |
1920 | probability. |
1921 | 2. That the analyses conducted were of sufficient scope to |
1922 | identify sinkhole activity as the cause of damage within a |
1923 | reasonable professional probability. |
1924 | 3. A description of the tests performed. |
1925 | 4. A recommendation by the professional engineer of |
1926 | methods for stabilizing the land and building and for making |
1927 | repairs to the foundation. |
1928 | (b) If sinkhole activity is eliminated as the cause of |
1929 | damage to the structure, the professional engineer or |
1930 | professional geologist shall issue a written report and |
1931 | certification to the policyholder and the insurer stating: |
1932 | 1. That the cause of the damage is not sinkhole activity |
1933 | within a reasonable professional probability. |
1934 | 2. That the analyses and tests conducted were of |
1935 | sufficient scope to eliminate sinkhole activity as the cause of |
1936 | damage within a reasonable professional probability. |
1937 | 3. A statement of the cause of the damage within a |
1938 | reasonable professional probability. |
1939 | 4. A description of the tests performed. |
1940 | (c) The respective findings, opinions, and recommendations |
1941 | of the professional engineer or professional geologist as to the |
1942 | cause of distress to the property and the findings, opinions, |
1943 | and recommendations of the professional engineer as to land and |
1944 | building stabilization and foundation repair as required by s. |
1945 | 627.707(2), shall be presumed correct. The presumption of |
1946 | correctness is based upon the public policy concerns relating to |
1947 | the availability and affordability of sinkhole coverage, to |
1948 | provide consistency in claims handling and reduce the number of |
1949 | disputed sinkhole claims and is therefore a presumption shifting |
1950 | the burden of proof by clear and convincing evidence under s. |
1951 | 90.304. |
1952 | (2)(a) Any insurer that has paid a claim for a sinkhole |
1953 | loss shall file a copy of the report and certification, prepared |
1954 | pursuant to subsection (1), including the legal description of |
1955 | the real property, and the name of the property owner, and the |
1956 | amount paid by the insurer, with the county clerk of court, who |
1957 | shall record the report and certification. The insurer shall |
1958 | also file a copy of any report prepared on behalf of the insured |
1959 | or the insured's representative which indicates that sinkhole |
1960 | loss caused the damage claimed. The insurer shall bear the cost |
1961 | of filing and recording of one or more reports the report and |
1962 | certifications certification. There shall be no cause of action |
1963 | or liability against an insurer for compliance with this |
1964 | section. The recording of the report and certification does not: |
1965 | 1. Constitute a lien, encumbrance, or restriction on the |
1966 | title to the real property or constitute a defect in the title |
1967 | to the real property; |
1968 | 2. Create any cause of action or liability against any |
1969 | grantor of the real property for breach of any warranty of good |
1970 | title or warranty against encumbrances; or |
1971 | 3. Create any cause of action or liability against any |
1972 | title insurer that insures the title to the real property. |
1973 | (b) The seller of real property upon which a sinkhole |
1974 | claim has been made by the seller and paid by the insurer shall |
1975 | disclose to the buyer of such property that a claim has been |
1976 | paid, the amount of the payment, and whether or not the full |
1977 | amount of the proceeds were used to repair the sinkhole damage. |
1978 | The seller shall also provide to the buyer a copy of the report |
1979 | prepared pursuant to subsection (1) and any report prepared on |
1980 | behalf of the insured. |
1981 | Section 15. Section 627.7074, Florida Statutes, is amended |
1982 | to read: |
1983 | 627.7074 Alternative procedure for resolution of disputed |
1984 | sinkhole insurance claims.- |
1985 | (1) As used in this section, the term: |
1986 | (a) "Neutral evaluation" means the alternative dispute |
1987 | resolution provided for in this section. |
1988 | (b) "Neutral evaluator" means a professional engineer or a |
1989 | professional geologist who has completed a course of study in |
1990 | alternative dispute resolution designed or approved by the |
1991 | department for use in the neutral evaluation process, who is |
1992 | determined to be fair and impartial. |
1993 | (2)(a) The department shall certify and maintain a list of |
1994 | persons who are neutral evaluators. |
1995 | (b) The department shall prepare a consumer information |
1996 | pamphlet for distribution by insurers to policyholders which |
1997 | clearly describes the neutral evaluation process and includes |
1998 | information and forms necessary for the policyholder to request |
1999 | a neutral evaluation. |
2000 | (3) Neutral evaluation is available to either party if a |
2001 | sinkhole report has been issued pursuant to s. 627.7073. |
2002 | Following the receipt of the report provided under s. 627.7073 |
2003 | or the denial of a claim for a sinkhole loss, the insurer shall |
2004 | notify the policyholder of his or her right to participate in |
2005 | the neutral evaluation program under this section. Neutral |
2006 | evaluation supersedes the alternative dispute resolution process |
2007 | under s. 627.7015 but does not supersede the appraisal clause, |
2008 | if provided by the insurance policy. The insurer shall provide |
2009 | to the policyholder the consumer information pamphlet prepared |
2010 | by the department pursuant to paragraph (2)(b). |
2011 | (4) Neutral evaluation is nonbinding, but mandatory if |
2012 | requested by either party. A request for neutral evaluation may |
2013 | be filed with the department by the policyholder or the insurer |
2014 | on a form approved by the department. The request for neutral |
2015 | evaluation must state the reason for the request and must |
2016 | include an explanation of all the issues in dispute at the time |
2017 | of the request. Filing a request for neutral evaluation tolls |
2018 | the applicable time requirements for filing suit for a period of |
2019 | 60 days following the conclusion of the neutral evaluation |
2020 | process or the time prescribed in s. 95.11, whichever is later. |
2021 | (5) Neutral evaluation shall be conducted as an informal |
2022 | process in which formal rules of evidence and procedure need not |
2023 | be observed. A party to neutral evaluation is not required to |
2024 | attend neutral evaluation if a representative of the party |
2025 | attends and has the authority to make a binding decision on |
2026 | behalf of the party. All parties shall participate in the |
2027 | evaluation in good faith. |
2028 | (6) The insurer shall pay the costs associated with the |
2029 | neutral evaluation. |
2030 | (7) Upon receipt of a request for neutral evaluation, the |
2031 | department shall provide the parties a list of certified neutral |
2032 | evaluators from which. the parties shall mutually select a |
2033 | neutral evaluator from the list and promptly inform the |
2034 | department. |
2035 | (a) If the parties cannot agree to a neutral evaluator |
2036 | within 10 business days, the department shall allow the parties |
2037 | to submit requests to disqualify neutral evaluators on the list |
2038 | for cause. The department shall find a ground for cause under |
2039 | this paragraph only if: |
2040 | 1. A familial relationship exists between the neutral |
2041 | evaluator and either party or a representative of either party |
2042 | within the third degree; |
2043 | 2. The proposed neutral evaluator has, in a professional |
2044 | capacity, previously represented either party or a |
2045 | representative of either party in the same or a substantially |
2046 | related matter; |
2047 | 3. The proposed neutral evaluator has, in a professional |
2048 | capacity, represented another person in the same or a |
2049 | substantially related matter and that person's interests are |
2050 | materially adverse to the interests of the parties; or |
2051 | 4. The proposed neutral evaluator works in the same firm |
2052 | or corporation as a person who has, in a professional capacity, |
2053 | previously represented either party or a representative of |
2054 | either party in the same or a substantially related matter. |
2055 | (b) The department shall appoint a neutral evaluator from |
2056 | the department list and, if requested by either party, shall |
2057 | appoint a neutral evaluator who can determine both causation and |
2058 | method of repair. The department shall allow each party to |
2059 | disqualify one neutral evaluator without cause. Upon selection |
2060 | or appointment, the department shall promptly refer the request |
2061 | to the neutral evaluator. |
2062 | (c) Within 5 business days after the referral, the neutral |
2063 | evaluator shall notify the policyholder and the insurer of the |
2064 | date, time, and place of the neutral evaluation conference. The |
2065 | conference may be held by telephone, if feasible and desirable. |
2066 | The neutral evaluation conference shall be held within 45 days |
2067 | after the receipt of the request by the department. |
2068 | (d) As used in this subsection, the term "substantially |
2069 | related matter" means participation by the neutral evaluator on |
2070 | the same claim, property, or any adjacent property. |
2071 | (8) The department shall adopt rules of procedure for the |
2072 | neutral evaluation process. |
2073 | (9) For policyholders not represented by an attorney, a |
2074 | consumer affairs specialist of the department or an employee |
2075 | designated as the primary contact for consumers on issues |
2076 | relating to sinkholes under s. 20.121 shall be available for |
2077 | consultation to the extent that he or she may lawfully do so. |
2078 | (10) Evidence of an offer to settle a claim during the |
2079 | neutral evaluation process, as well as any relevant conduct or |
2080 | statements made in negotiations concerning the offer to settle a |
2081 | claim, is inadmissible to prove liability or absence of |
2082 | liability for the claim or its value, except as provided in |
2083 | subsection (14) (13). |
2084 | (11) Regardless of when invoked, any court proceeding |
2085 | related to the subject matter of the neutral evaluation shall be |
2086 | stayed pending completion of the neutral evaluation and for 5 |
2087 | days after the filing of the neutral evaluator's report with the |
2088 | court. |
2089 | (12) If the neutral evaluator, based upon his or her |
2090 | professional training and credentials, is only qualified to |
2091 | determine the causation issue or the method of repair issue, the |
2092 | department shall allow the neutral evaluator to enlist the |
2093 | assistance of another professional from the qualified neutral |
2094 | evaluators list, not previously stricken by parties with respect |
2095 | to the subject evaluation, who, based upon his or her |
2096 | professional training and credentials, is able to provide an |
2097 | opinion as to the other disputed issue. Any professional who, if |
2098 | appointed as the neutral evaluator, would be disqualified for |
2099 | any reason enumerated in subsection (7) must be disqualified. In |
2100 | addition, the neutral evaluator may use the service of other |
2101 | experts or professionals on the qualified neutral evaluators |
2102 | list as necessary to ensure that all items in dispute are |
2103 | addressed in order to complete the neutral evaluation. The |
2104 | neutral evaluator may request that the entity that performed |
2105 | testing pursuant to s. 627.7072 perform such additional |
2106 | reasonable testing deemed necessary in the professional opinion |
2107 | of the neutral evaluator to complete the neutral evaluation. |
2108 | (13)(12) For all matters that are not resolved by the |
2109 | parties at the conclusion of the neutral evaluation, the neutral |
2110 | evaluator shall prepare a report stating that in his or her |
2111 | opinion the sinkhole loss has been verified or eliminated within |
2112 | a reasonable degree of professional probability and, if |
2113 | verified, whether the sinkhole loss has caused structural or |
2114 | cosmetic damage to the building and, if so, the need for and |
2115 | estimated costs of stabilizing the land and any covered |
2116 | structures or buildings and other appropriate remediation or |
2117 | structural repairs that are necessary due to the sinkhole loss. |
2118 | The evaluator's report shall be sent to all parties in |
2119 | attendance at the neutral evaluation and to the department. |
2120 | (14)(13) The recommendation of the neutral evaluator is |
2121 | not binding on any party, and the parties retain access to |
2122 | court. The neutral evaluator's written recommendation is |
2123 | admissible in any subsequent action or proceeding relating to |
2124 | the claim or to the cause of action giving rise to the claim. |
2125 | (15)(14) If the neutral evaluator first verifies the |
2126 | existence of a sinkhole and, second, recommends the need for and |
2127 | estimates costs of stabilizing the land and any covered |
2128 | structures or buildings and other appropriate remediation or |
2129 | structural repairs, which costs exceed the amount that the |
2130 | insurer has offered to pay the policyholder, the insurer is |
2131 | liable to the policyholder for up to $2,500 in attorney's fees |
2132 | for the attorney's participation in the neutral evaluation |
2133 | process. For purposes of this subsection, the term "offer to |
2134 | pay" means a written offer signed by the insurer or its legal |
2135 | representative and delivered to the policyholder within 10 days |
2136 | after the insurer receives notice that a request for neutral |
2137 | evaluation has been made under this section. |
2138 | (16)(15) If the insurer timely agrees in writing to comply |
2139 | and timely complies with the recommendation of the neutral |
2140 | evaluator, but the policyholder declines to resolve the matter |
2141 | in accordance with the recommendation of the neutral evaluator |
2142 | pursuant to this section: |
2143 | (a) The insurer is not liable for extracontractual damages |
2144 | related to a claim for a sinkhole loss but only as related to |
2145 | the issues determined by the neutral evaluation process. This |
2146 | section does not affect or impair claims for extracontractual |
2147 | damages unrelated to the issues determined by the neutral |
2148 | evaluation process contained in this section; and |
2149 | (b) The actions of the insurer are not a confession of |
2150 | judgment or an admission of liability, and the insurer may is |
2151 | not be liable for attorney's fees under s. 627.428 or other |
2152 | provisions of the insurance code unless the policyholder obtains |
2153 | a judgment that is more favorable than the recommendation of the |
2154 | neutral evaluator. |
2155 | (17) If the insurer agrees to comply with the neutral |
2156 | evaluator's report, payment for stabilizing the land and |
2157 | building and repairing the foundation shall be made in |
2158 | accordance with the terms and conditions of the applicable |
2159 | insurance policy. |
2160 | Section 16. Subsection (2) of section 631.021, Florida |
2161 | Statutes, is amended to read: |
2162 | 631.021 Jurisdiction of delinquency proceeding; venue; |
2163 | change of venue; exclusiveness of remedy; appeal.- |
2164 | (2) The venue of a delinquency proceeding or summary |
2165 | proceeding against a domestic, foreign, or alien insurer shall |
2166 | be in the Circuit Court of Leon County. The Circuit Court of |
2167 | Leon County is also the venue for any collateral actions against |
2168 | an insurer's affiliate, including, but not limited to, voidable |
2169 | or fraudulent transfers made by an insurer or affiliate; actions |
2170 | that constitute a breach of fiduciary duty by an officer, |
2171 | director, or agent; or misreporting or misrepresenting what is |
2172 | property, funds, or assets of the insurer, including premium and |
2173 | unearned commissions. |
2174 | Section 17. In the interest of full disclosure and |
2175 | transparency to insurance policy owners, and because most |
2176 | insurance policies sold in this state are subject to assessments |
2177 | to make up for the funding deficiencies of the Citizens Property |
2178 | Insurance Corporation or the Florida Hurricane Catastrophe Fund, |
2179 | the following warning shall be printed in bold type of not less |
2180 | than 16 points and shall be displayed on the declarations page |
2181 | or on the renewal notice of every insurance policy sold or |
2182 | issued in this state that is or may be subject to assessment by |
2183 | the Citizens Property Insurance Corporation or the Florida |
2184 | Hurricane Catastrophe Fund: |
2185 |
|
2186 | WARNING |
2187 | The premium you are about to pay may NOT be the full cost |
2188 | of this insurance policy. If a hurricane strikes Florida, |
2189 | you may be forced to pay additional moneys to offset the |
2190 | inability of the state-owned Citizens Property Insurance |
2191 | Corporation or the Florida Hurricane Catastrophe Fund to |
2192 | pay claims resulting from the losses due to the |
2193 | hurricane. |
2194 | Section 18. Section 627.7065, Florida Statutes, is |
2195 | repealed. |
2196 | Section 19. Except as otherwise expressly provided in this |
2197 | act, this act shall take effect July 1, 2010. |