| 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. 626.7452, F.S.; deleting an |
| 11 | exception to a provision allowing examination of a |
| 12 | managing general agent; amending s. 627.0613, F.S.; |
| 13 | revising annual reporting requirements for the consumer |
| 14 | advocate; providing a definition; amending s. 627.062, |
| 15 | F.S.; requiring that the Office of Insurance Regulation |
| 16 | issue an approval rather than a notice of intent to |
| 17 | approve following its approval of a file and use filing; |
| 18 | prohibiting the office from, directly or indirectly, |
| 19 | prohibiting an insurer from paying acquisition costs based |
| 20 | on the full amount of the premium; prohibiting the office |
| 21 | from, directly or indirectly, impeding or compromising the |
| 22 | right of an insurer to acquire policyholders, advertise or |
| 23 | appoint agents, or regulate agent commissions; requiring |
| 24 | the office to publish an annual information memorandum |
| 25 | establishing certain inflation trend factors for certain |
| 26 | purposes; specifying factor criteria; authorizing an |
| 27 | insurer to make a rate filing limited to changes in the |
| 28 | cost of reinsurance, the costs of financing products used |
| 29 | as a replacement for reinsurance, or changes in an |
| 30 | inflation trend factor published annually by the office; |
| 31 | authorizing certain insurers to use a rate different from |
| 32 | otherwise applicable filed rates; requiring such rates to |
| 33 | be filed with the office as a separate filing; providing |
| 34 | requirements and limitations for such separate filings; |
| 35 | prohibiting the consideration of certain policies when |
| 36 | making a specified calculation; preserving the authority |
| 37 | of the office to disapprove rates as inadequate or |
| 38 | disapprove a rate filing for using certain rating factors; |
| 39 | authorizing the office to direct an insurer to make a |
| 40 | specified type of rate filing under certain circumstances; |
| 41 | providing construction relating to certifications; |
| 42 | prohibiting the requirement of a new certification upon an |
| 43 | insurer providing certain additional information; |
| 44 | specifying nonapplication to certain filings; amending s. |
| 45 | 627.0621, F.S.; revising provisions relating to |
| 46 | transparency in rate regulation; amending s. 627.0629, |
| 47 | F.S.; revising legislative intent relating to residential |
| 48 | property insurance rate filings; deleting a requirement |
| 49 | that the office develop and make available a method for |
| 50 | insurers to establish discounts, credits, or rate |
| 51 | differentials for certain hurricane mitigation measures; |
| 52 | revising restrictions relating to including the cost of |
| 53 | reinsurance for certain purposes; requiring the office to |
| 54 | contract with a private entity to develop a comprehensive |
| 55 | consumer information program; specifying program criteria; |
| 56 | requiring the office to conduct a cost benefit analysis on |
| 57 | a program implementation plan; requiring review and |
| 58 | approval by the Financial Services Commission; amending s. |
| 59 | 627.351, F.S.; providing requirements for attachment and |
| 60 | payment of the Citizens policyholder surcharge; |
| 61 | prohibiting the corporation from levying certain regular |
| 62 | assessments until after levying the full amount of a |
| 63 | Citizens policyholder surcharge; providing that certain |
| 64 | members of Citizens Property Insurance Corporation's board |
| 65 | of governors are within the scope of an exemption from |
| 66 | certain conflict of interest provisions for public |
| 67 | officers; requiring the corporation's plan of operation to |
| 68 | require agents to obtain an acknowledgement of potential |
| 69 | surcharge and assessment liability from applicants and |
| 70 | policyholders; requiring the corporation to permanently |
| 71 | retain a copy of such acknowledgments; specifying that the |
| 72 | acknowledgement creates a conclusive presumption of |
| 73 | understanding and acceptance by the policyholder; |
| 74 | prohibiting votes on certain measures by board members; |
| 75 | specifying vote criteria; providing disclosure |
| 76 | requirements; deleting an obsolete legislative intent |
| 77 | provision; amending s. 627.4133, F.S.; authorizing an |
| 78 | insurer to cancel or nonrenew property insurance policies |
| 79 | under certain circumstances; specifying duties of the |
| 80 | office; requiring certain notice; creating s. 627.41341, |
| 81 | F.S.; specifying requirements for a notice of change in |
| 82 | policy terms; providing definitions; authorizing policy |
| 83 | renewals to contain a change in policy terms; specifying |
| 84 | notice requirements; providing procedural requirements; |
| 85 | providing intent; amending s. 627.7011, F.S.; revising |
| 86 | requirements and procedures under homeowners' insurance |
| 87 | policies for replacement cost coverage of a dwelling and |
| 88 | personal property; providing criteria for initial and |
| 89 | subsequent replacement cost payments by an insurer; |
| 90 | deleting obsolete time references; amending s. 627.70131, |
| 91 | F.S.; specifying application of certain time periods to |
| 92 | initial or supplemental property insurance claim notices |
| 93 | and payments; creating s. 627.7031, F.S.; authorizing |
| 94 | certain insurers to offer or renew policies at rates |
| 95 | established under certain circumstances; prohibiting |
| 96 | certain insurers from purchasing TICL option coverage from |
| 97 | the Florida Hurricane Catastrophe Fund under certain |
| 98 | circumstances; requiring that certain policies contain a |
| 99 | specified rate notice; requiring insurers to offer |
| 100 | applicants or insureds an estimate of the premium for a |
| 101 | policy from Citizens Property Insurance Corporation |
| 102 | reflecting similar coverage, limits, and deductibles; |
| 103 | requiring applicants or insureds to provide a signed |
| 104 | premium comparison acknowledgement; specifying criteria |
| 105 | for insurer compliance with certain requirements; |
| 106 | specifying acknowledgement contents; requiring insurers |
| 107 | and agents to retain a copy of the acknowledgement for a |
| 108 | specified time; specifying a presumption created by a |
| 109 | signed acknowledgement; specifying types of residential |
| 110 | property insurance policies that are not eligible for |
| 111 | certain rates or subject to other requirements; requiring |
| 112 | written notice of certain nonrenewals; preserving insurer |
| 113 | authority to cancel policies; specifying a criterion for |
| 114 | what constitutes an offer to renew a policy; amending s. |
| 115 | 627.707, F.S.; revising standards for investigation of |
| 116 | sinkhole claims by insurers; specifying requirements for |
| 117 | contracts for repairs to prevent additional damage to |
| 118 | buildings or structures; providing application; amending |
| 119 | s. 627.7072, F.S.; specifying requirements for tests |
| 120 | performed by professional engineers and professional |
| 121 | geologists for certain purposes; providing application; |
| 122 | amending s. 627.7073, F.S.; revising requirements for |
| 123 | sinkhole reports; providing application; amending s. |
| 124 | 627.7074, F.S.; revising requirements and procedures for |
| 125 | an alternative procedure for resolution of disputed |
| 126 | sinkhole insurance claims; providing a definition; |
| 127 | providing criteria and procedures for disqualification of |
| 128 | neutral evaluators; providing requirements and procedures |
| 129 | for neutral evaluators to enlist assistance from other |
| 130 | professionals under certain circumstances; providing |
| 131 | application; amending s. 627.711, F.S.; deleting a |
| 132 | provision for a uniform mitigation verification form to be |
| 133 | certified by the Department of Financial Services; |
| 134 | revising persons authorized to sign a uniform mitigation |
| 135 | verification form; authorizing an insurer to accept a |
| 136 | mitigation verification form from certain other persons; |
| 137 | providing personal inspection requirements; prohibiting |
| 138 | misconduct in performing hurricane mitigation inspections |
| 139 | or completing mitigation verification forms; specifying |
| 140 | criteria for misconduct; authorizing certain licensing |
| 141 | boards to commence disciplinary proceedings and impose |
| 142 | administrative fines and sanctions for certain violations; |
| 143 | requiring insurers, persons, or other entities obtaining |
| 144 | evidence of fraud or making false statements to report to |
| 145 | the Division of Insurance Fraud; specifying immunity from |
| 146 | liability for making such a report; providing duties and |
| 147 | responsibilities of the division; specifying a required |
| 148 | notice for insurance policies issued or renewed in this |
| 149 | state; providing notice requirements; repealing s. |
| 150 | 627.7065, F.S., relating to database of information |
| 151 | relating to sinkholes, the Department of Financial |
| 152 | Services, and the Department of Environmental Protection; |
| 153 | providing effective dates. |
| 154 |
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| 155 | Be It Enacted by the Legislature of the State of Florida: |
| 156 |
|
| 157 | Section 1. Paragraph (b) of subsection (6) of section |
| 158 | 215.555, Florida Statutes, is amended to read: |
| 159 | 215.555 Florida Hurricane Catastrophe Fund.- |
| 160 | (6) REVENUE BONDS.- |
| 161 | (b) Emergency assessments.- |
| 162 | 1. If the board determines that the amount of revenue |
| 163 | produced under subsection (5) is insufficient to fund the |
| 164 | obligations, costs, and expenses of the fund and the |
| 165 | corporation, including repayment of revenue bonds and that |
| 166 | portion of the debt service coverage not met by reimbursement |
| 167 | premiums, the board shall direct the Office of Insurance |
| 168 | Regulation to levy, by order, an emergency assessment on direct |
| 169 | premiums for all property and casualty lines of business in this |
| 170 | state, including property and casualty business of surplus lines |
| 171 | insurers regulated under part VIII of chapter 626, but not |
| 172 | including any workers' compensation premiums or medical |
| 173 | malpractice premiums. As used in this subsection, the term |
| 174 | "property and casualty business" includes all lines of business |
| 175 | identified on Form 2, Exhibit of Premiums and Losses, in the |
| 176 | annual statement required of authorized insurers by s. 624.424 |
| 177 | and any rule adopted under this section, except for those lines |
| 178 | identified as accident and health insurance and except for |
| 179 | policies written under the National Flood Insurance Program. The |
| 180 | assessment shall be specified as a percentage of direct written |
| 181 | premium and is subject to annual adjustments by the board in |
| 182 | order to meet debt obligations. The same percentage shall apply |
| 183 | to all policies in lines of business subject to the assessment |
| 184 | issued or renewed during the 12-month period beginning on the |
| 185 | effective date of the assessment. |
| 186 | 2. A premium is not subject to an annual assessment under |
| 187 | this paragraph in excess of 6 percent of premium with respect to |
| 188 | obligations arising out of losses attributable to any one |
| 189 | contract year, and a premium is not subject to an aggregate |
| 190 | annual assessment under this paragraph in excess of 10 percent |
| 191 | of premium. An annual assessment under this paragraph shall |
| 192 | continue as long as the revenue bonds issued with respect to |
| 193 | which the assessment was imposed are outstanding, including any |
| 194 | bonds the proceeds of which were used to refund the revenue |
| 195 | bonds, unless adequate provision has been made for the payment |
| 196 | of the bonds under the documents authorizing issuance of the |
| 197 | bonds. |
| 198 | 3. Emergency assessments shall be collected from |
| 199 | policyholders. Emergency assessments shall be remitted by |
| 200 | insurers as a percentage of direct written premium for the |
| 201 | preceding calendar quarter as specified in the order from the |
| 202 | Office of Insurance Regulation. The office shall verify the |
| 203 | accurate and timely collection and remittance of emergency |
| 204 | assessments and shall report the information to the board in a |
| 205 | form and at a time specified by the board. Each insurer |
| 206 | collecting assessments shall provide the information with |
| 207 | respect to premiums and collections as may be required by the |
| 208 | office to enable the office to monitor and verify compliance |
| 209 | with this paragraph. |
| 210 | 4. With respect to assessments of surplus lines premiums, |
| 211 | each surplus lines agent shall collect the assessment at the |
| 212 | same time as the agent collects the surplus lines tax required |
| 213 | by s. 626.932, and the surplus lines agent shall remit the |
| 214 | assessment to the Florida Surplus Lines Service Office created |
| 215 | by s. 626.921 at the same time as the agent remits the surplus |
| 216 | lines tax to the Florida Surplus Lines Service Office. The |
| 217 | emergency assessment on each insured procuring coverage and |
| 218 | filing under s. 626.938 shall be remitted by the insured to the |
| 219 | Florida Surplus Lines Service Office at the time the insured |
| 220 | pays the surplus lines tax to the Florida Surplus Lines Service |
| 221 | Office. The Florida Surplus Lines Service Office shall remit the |
| 222 | collected assessments to the fund or corporation as provided in |
| 223 | the order levied by the Office of Insurance Regulation. The |
| 224 | Florida Surplus Lines Service Office shall verify the proper |
| 225 | application of such emergency assessments and shall assist the |
| 226 | board in ensuring the accurate and timely collection and |
| 227 | remittance of assessments as required by the board. The Florida |
| 228 | Surplus Lines Service Office shall annually calculate the |
| 229 | aggregate written premium on property and casualty business, |
| 230 | other than workers' compensation and medical malpractice, |
| 231 | procured through surplus lines agents and insureds procuring |
| 232 | coverage and filing under s. 626.938 and shall report the |
| 233 | information to the board in a form and at a time specified by |
| 234 | the board. |
| 235 | 5. Any assessment authority not used for a particular |
| 236 | contract year may be used for a subsequent contract year. If, |
| 237 | for a subsequent contract year, the board determines that the |
| 238 | amount of revenue produced under subsection (5) is insufficient |
| 239 | to fund the obligations, costs, and expenses of the fund and the |
| 240 | corporation, including repayment of revenue bonds and that |
| 241 | portion of the debt service coverage not met by reimbursement |
| 242 | premiums, the board shall direct the Office of Insurance |
| 243 | Regulation to levy an emergency assessment up to an amount not |
| 244 | exceeding the amount of unused assessment authority from a |
| 245 | previous contract year or years, plus an additional 4 percent |
| 246 | provided that the assessments in the aggregate do not exceed the |
| 247 | limits specified in subparagraph 2. |
| 248 | 6. The assessments otherwise payable to the corporation |
| 249 | under this paragraph shall be paid to the fund unless and until |
| 250 | the Office of Insurance Regulation and the Florida Surplus Lines |
| 251 | Service Office have received from the corporation and the fund a |
| 252 | notice, which shall be conclusive and upon which they may rely |
| 253 | without further inquiry, that the corporation has issued bonds |
| 254 | and the fund has no agreements in effect with local governments |
| 255 | under paragraph (c). On or after the date of the notice and |
| 256 | until the date the corporation has no bonds outstanding, the |
| 257 | fund shall have no right, title, or interest in or to the |
| 258 | assessments, except as provided in the fund's agreement with the |
| 259 | corporation. |
| 260 | 7. Emergency assessments are not premium and are not |
| 261 | subject to the premium tax, to the surplus lines tax, to any |
| 262 | fees, or to any commissions. An insurer is liable for all |
| 263 | assessments that it collects and must treat the failure of an |
| 264 | insured to pay an assessment as a failure to pay the premium. An |
| 265 | insurer is not liable for uncollectible assessments. |
| 266 | 8. When an insurer is required to return an unearned |
| 267 | premium, it shall also return any collected assessment |
| 268 | attributable to the unearned premium. A credit adjustment to the |
| 269 | collected assessment may be made by the insurer with regard to |
| 270 | future remittances that are payable to the fund or corporation, |
| 271 | but the insurer is not entitled to a refund. |
| 272 | 9. When a surplus lines insured or an insured who has |
| 273 | procured coverage and filed under s. 626.938 is entitled to the |
| 274 | return of an unearned premium, the Florida Surplus Lines Service |
| 275 | Office shall provide a credit or refund to the agent or such |
| 276 | insured for the collected assessment attributable to the |
| 277 | unearned premium prior to remitting the emergency assessment |
| 278 | collected to the fund or corporation. |
| 279 | 10. The exemption of medical malpractice insurance |
| 280 | premiums from emergency assessments under this paragraph is |
| 281 | repealed May 31, 2013 2010, and medical malpractice insurance |
| 282 | premiums shall be subject to emergency assessments attributable |
| 283 | to loss events occurring in the contract years commencing on |
| 284 | June 1, 2013 2010. |
| 285 | Section 2. Subsection (1) of section 624.407, Florida |
| 286 | Statutes, is amended to read: |
| 287 | 624.407 Capital funds required; new insurers.- |
| 288 | (1) To receive authority to transact any one kind or |
| 289 | combinations of kinds of insurance, as defined in part V of this |
| 290 | chapter, an insurer applying for its original certificate of |
| 291 | authority in this state after the effective date of this section |
| 292 | shall possess surplus as to policyholders not less than the |
| 293 | greater of: |
| 294 | (a) Except as otherwise provided in this subsection, $5 |
| 295 | five million dollars for a property and casualty insurer, or |
| 296 | $2.5 million for any other insurer; |
| 297 | (b) For life insurers, 4 percent of the insurer's total |
| 298 | liabilities; |
| 299 | (c) For life and health insurers, 4 percent of the |
| 300 | insurer's total liabilities, plus 6 percent of the insurer's |
| 301 | liabilities relative to health insurance; or |
| 302 | (d) For all insurers other than life insurers and life and |
| 303 | health insurers, 10 percent of the insurer's total liabilities; |
| 304 | or |
| 305 | (e) For a domestic insurer initially licensed on or after |
| 306 | July 1, 2010, that transacts residential property insurance and |
| 307 | is not a wholly owned subsidiary of an insurer domiciled in any |
| 308 | other state, $15 million; however, this paragraph does not apply |
| 309 | to a domestic insurer that is a subsidiary or affiliate of a |
| 310 | domestic property insurer that was licensed before July 1, 2010; |
| 311 |
|
| 312 | however, a domestic insurer that transacts residential property |
| 313 | insurance and is a wholly owned subsidiary of an insurer |
| 314 | domiciled in any other state shall possess surplus as to |
| 315 | policyholders of at least $50 million, but no insurer shall be |
| 316 | required under this subsection to have surplus as to |
| 317 | policyholders greater than $100 million. |
| 318 | Section 3. Subsection (1) of section 624.408, Florida |
| 319 | Statutes, is amended to read: |
| 320 | 624.408 Surplus as to policyholders required; new and |
| 321 | existing insurers.- |
| 322 | (1)(a) To maintain a certificate of authority to transact |
| 323 | any one kind or combinations of kinds of insurance, as defined |
| 324 | in part V of this chapter, an insurer in this state shall at all |
| 325 | times maintain surplus as to policyholders not less than the |
| 326 | greater of: |
| 327 | (a)1. Except as provided in paragraphs (e) and (f) |
| 328 | subparagraph 5. and paragraph (b), $1.5 million; |
| 329 | (b)2. For life insurers, 4 percent of the insurer's total |
| 330 | liabilities; |
| 331 | (c)3. For life and health insurers, 4 percent of the |
| 332 | insurer's total liabilities plus 6 percent of the insurer's |
| 333 | liabilities relative to health insurance; or |
| 334 | (d)4. For all insurers other than mortgage guaranty |
| 335 | insurers, life insurers, and life and health insurers, 10 |
| 336 | percent of the insurer's total liabilities;. |
| 337 | (e)5. Except as provided in paragraph (f), for property |
| 338 | and casualty insurers, $4 million; or. |
| 339 | (f) For a domestic insurer initially licensed on or after |
| 340 | July 1, 2010, that transacts residential property insurance and |
| 341 | is not a wholly owned subsidiary of an insurer domiciled in any |
| 342 | other state, $12 million; however, this paragraph does not apply |
| 343 | to a domestic insurer that is a subsidiary or affiliate of a |
| 344 | domestic property insurer that was licensed before July 1, 2010. |
| 345 | (b) For any property and casualty insurer holding a |
| 346 | certificate of authority on December 1, 1993, the following |
| 347 | amounts apply instead of the $4 million required by subparagraph |
| 348 | (a)5.: |
| 349 | 1. On December 31, 2001, and until December 30, 2002, $3 |
| 350 | million. |
| 351 | 2. On December 31, 2002, and until December 30, 2003, |
| 352 | $3.25 million. |
| 353 | 3. On December 31, 2003, and until December 30, 2004, $3.6 |
| 354 | million. |
| 355 | 4. On December 31, 2004, and thereafter, $4 million. |
| 356 | Section 4. Section 626.7452, Florida Statutes, is amended |
| 357 | to read: |
| 358 | 626.7452 Managing general agents; examination authority.- |
| 359 | The acts of the managing general agent are considered to be the |
| 360 | acts of the insurer on whose behalf it is acting. A managing |
| 361 | general agent may be examined as if it were the insurer except |
| 362 | in the case where the managing general agent solely represents a |
| 363 | single domestic insurer. |
| 364 | Section 5. Subsection (4) of section 627.0613, Florida |
| 365 | Statutes, is amended to read: |
| 366 | 627.0613 Consumer advocate.-The Chief Financial Officer |
| 367 | must appoint a consumer advocate who must represent the general |
| 368 | public of the state before the department and the office. The |
| 369 | consumer advocate must report directly to the Chief Financial |
| 370 | Officer, but is not otherwise under the authority of the |
| 371 | department or of any employee of the department. The consumer |
| 372 | advocate has such powers as are necessary to carry out the |
| 373 | duties of the office of consumer advocate, including, but not |
| 374 | limited to, the powers to: |
| 375 | (4)(a) By June 1, 2012, and each June 1 thereafter, |
| 376 | prepare an annual report card for each authorized personal |
| 377 | residential property insurer, on a form and using a letter-grade |
| 378 | scale developed by the commission by rule, which objectively |
| 379 | grades each insurer based on the following factors: |
| 380 | 1.(a) The number and nature of valid consumer complaints, |
| 381 | as a market share ratio, received by the department against the |
| 382 | insurer. |
| 383 | 2.(b) The disposition of all valid consumer complaints |
| 384 | received by the department. |
| 385 | 3.(c) The average length of time for payment of claims by |
| 386 | the insurer. |
| 387 | 4.(d) Any other measurable and objective factors the |
| 388 | commission identifies as capable of assisting policyholders in |
| 389 | making informed choices about homeowner's insurance. |
| 390 | (b) For purposes of this subsection, the term "valid |
| 391 | consumer complaint" means a written communication from a |
| 392 | consumer that expresses dissatisfaction with a specific personal |
| 393 | residential property insurer whose conduct as described in the |
| 394 | communication is found to constitute a violation of the |
| 395 | insurance laws of this state by the Division of Consumer |
| 396 | Services of the Department of Financial Services. |
| 397 | Section 6. Paragraphs (a), (i), and (k) of subsection (2) |
| 398 | of section 627.062, Florida Statutes, are amended, paragraph (l) |
| 399 | is added to subsection (2), and paragraph (d) of subsection (9) |
| 400 | of that section is redesignated as paragraph (g) and new |
| 401 | paragraphs (d), (e), and (f) are added to that subsection, to |
| 402 | read: |
| 403 | 627.062 Rate standards.- |
| 404 | (2) As to all such classes of insurance: |
| 405 | (a) Insurers or rating organizations shall establish and |
| 406 | use rates, rating schedules, or rating manuals to allow the |
| 407 | insurer a reasonable rate of return on such classes of insurance |
| 408 | written in this state. A copy of rates, rating schedules, rating |
| 409 | manuals, premium credits or discount schedules, and surcharge |
| 410 | schedules, and changes thereto, shall be filed with the office |
| 411 | under one of the following procedures except as provided in |
| 412 | subparagraph 3.: |
| 413 | 1. If the filing is made at least 90 days before the |
| 414 | proposed effective date and the filing is not implemented during |
| 415 | the office's review of the filing and any proceeding and |
| 416 | judicial review, then such filing shall be considered a "file |
| 417 | and use" filing. In such case, the office shall finalize its |
| 418 | review by issuance of an approval a notice of intent to approve |
| 419 | or a notice of intent to disapprove within 90 days after receipt |
| 420 | of the filing. The approval notice of intent to approve and the |
| 421 | notice of intent to disapprove constitute agency action for |
| 422 | purposes of the Administrative Procedure Act. Requests for |
| 423 | supporting information, requests for mathematical or mechanical |
| 424 | corrections, or notification to the insurer by the office of its |
| 425 | preliminary findings shall not toll the 90-day period during any |
| 426 | such proceedings and subsequent judicial review. The rate shall |
| 427 | be deemed approved if the office does not issue an approval a |
| 428 | notice of intent to approve or a notice of intent to disapprove |
| 429 | within 90 days after receipt of the filing. |
| 430 | 2. If the filing is not made in accordance with the |
| 431 | provisions of subparagraph 1., such filing shall be made as soon |
| 432 | as practicable, but no later than 30 days after the effective |
| 433 | date, and shall be considered a "use and file" filing. An |
| 434 | insurer making a "use and file" filing is potentially subject to |
| 435 | an order by the office to return to policyholders portions of |
| 436 | rates found to be excessive, as provided in paragraph (h). |
| 437 | 3. For all property insurance filings made or submitted |
| 438 | after January 25, 2007, but before December 31, 2010, an insurer |
| 439 | seeking a rate that is greater than the rate most recently |
| 440 | approved by the office shall make a "file and use" filing. For |
| 441 | purposes of this subparagraph, motor vehicle collision and |
| 442 | comprehensive coverages are not considered to be property |
| 443 | coverages. |
| 444 | (i)1. Except as otherwise specifically provided in this |
| 445 | chapter, the office may shall not, directly or indirectly, |
| 446 | prohibit any insurer, including any residual market plan or |
| 447 | joint underwriting association, from paying acquisition costs |
| 448 | based on the full amount of premium, as defined in s. 627.403, |
| 449 | applicable to any policy, or prohibit, directly or indirectly, |
| 450 | any such insurer from including the full amount of acquisition |
| 451 | costs in a rate filing. |
| 452 | 2. The office may not, directly or indirectly, impede, |
| 453 | abridge, or otherwise compromise an insurer's right to acquire |
| 454 | policyholders or advertise, or appoint agents, including, but |
| 455 | not limited to, the calculation, manner, or amount of such |
| 456 | agents' commissions, if any. |
| 457 | (k)1.a. An insurer may make a separate filing limited |
| 458 | solely to an adjustment of its rates for reinsurance, financing |
| 459 | products to replace insurance, or financing costs incurred in |
| 460 | the purchase of reinsurance and may include an adjustment of its |
| 461 | rates based upon an inflation trend factor as set forth in |
| 462 | subparagraph 4. If an insurer chooses to make a separate filing |
| 463 | under this paragraph, the insurer shall implement the rate in |
| 464 | such a manner that all previously approved rate increases |
| 465 | implemented as a result of a separate filing, together with the |
| 466 | rate increase under a filing made under this paragraph or |
| 467 | financing products to replace or finance the payment of the |
| 468 | amount covered by the Temporary Increase in Coverage Limits |
| 469 | (TICL) portion of the Florida Hurricane Catastrophe Fund |
| 470 | including replacement reinsurance for the TICL reductions made |
| 471 | pursuant to s. 215.555(17)(e); the actual cost paid due to the |
| 472 | application of the TICL premium factor pursuant to s. |
| 473 | 215.555(17)(f); and the actual cost paid due to the application |
| 474 | of the cash build-up factor pursuant to s. 215.555(5)(b) if the |
| 475 | insurer: |
| 476 | a. Elects to purchase financing products such as a |
| 477 | liquidity instrument or line of credit, in which case the cost |
| 478 | included in the filing for the liquidity instrument or line of |
| 479 | credit may not result in a premium increase exceeding 3 percent |
| 480 | for any individual policyholder. All costs contained in the |
| 481 | filing may not result in an overall rate premium increase of |
| 482 | more than 10 percent for any individual policyholder, excluding |
| 483 | coverage changes and surcharges. |
| 484 | b. An insurer shall include Includes in the filing a copy |
| 485 | of all of its reinsurance, liquidity instrument, or line of |
| 486 | credit contracts; proof of the billing or payment for the |
| 487 | contracts; and the calculation upon which the proposed rate |
| 488 | change is based demonstrating demonstrates that the costs meet |
| 489 | the criteria of this section and are not loaded for expenses or |
| 490 | profit for the insurer making the filing. |
| 491 | c. Any such filing may not include Includes no other |
| 492 | changes to the insurer's its rates in the filing. |
| 493 | d. Has not implemented a rate increase within the 6 months |
| 494 | immediately preceding the filing. |
| 495 | e. Does not file for a rate increase under any other |
| 496 | paragraph within 6 months after making a filing under this |
| 497 | paragraph. |
| 498 | d.f. An insurer that purchases reinsurance or financing |
| 499 | products from an affiliate may make a filing under affiliated |
| 500 | company in compliance with this paragraph does so only if the |
| 501 | costs for such reinsurance or financing products are charged at |
| 502 | or below charges made for comparable coverage by nonaffiliated |
| 503 | reinsurers or financial entities making such coverage or |
| 504 | financing products available in this state. |
| 505 | 2. An insurer may only make one filing in any 12-month |
| 506 | period under this paragraph. |
| 507 | 3. An insurer that elects to implement a rate change under |
| 508 | this paragraph must file its rate filing with the office at |
| 509 | least 45 days before the effective date of the rate change. |
| 510 | After an insurer submits a complete filing that meets all of the |
| 511 | requirements of this paragraph, the office has 45 days after the |
| 512 | date of the filing to review the rate filing and determine if |
| 513 | the rate is excessive, inadequate, or unfairly discriminatory. |
| 514 | 4. Beginning January 1, 2011, the office shall publish an |
| 515 | annual informational memorandum to establish one or more inflation |
| 516 | trend factors which may be stated separately for personal and |
| 517 | residential property and for building coverage, contents |
| 518 | coverage, additional living expense coverage, and liability |
| 519 | coverage, if applicable. Such factors shall represent an estimate |
| 520 | of cost increases or decreases based on publicly available relevant |
| 521 | data and economic indices that are identified in the memorandum |
| 522 | including, but not limited to, overall claim cost data. Such |
| 523 | factors are exempt from the rulemaking requirements of chapter 120 |
| 524 | and insurers may not be required to adopt the factors. The office |
| 525 | may publish factors for any line, but is required to annually |
| 526 | publish a factor only for residential property insurance by March 1 |
| 527 | of each year. |
| 528 | (l)1. On or after January 1, 2011, an insurer complying |
| 529 | with the requirements of s. 627.7031 may use a rate for |
| 530 | residential property insurance, as defined in s. 627.4025, |
| 531 | different from the otherwise applicable filed rate as provided |
| 532 | in this paragraph. |
| 533 | 2. Policies subject to this paragraph may not be counted |
| 534 | in the calculation under s. 627.171(2). |
| 535 | 3. Such rates shall be filed with the office as a separate |
| 536 | filing. The filing must be accompanied by an actuary's |
| 537 | certification stating that the filing was prepared in accordance |
| 538 | with current actuarial standards of practice adopted by the |
| 539 | Actuarial Standards Board and that the statewide average rate |
| 540 | change is within a range consistent with applicable actuarial |
| 541 | principles or, if the percentage limitations of this paragraph |
| 542 | do not allow for a rate within a range consistent with |
| 543 | applicable actuarial principles, is below such range. The |
| 544 | initial rates used by an insurer under this paragraph may not |
| 545 | provide for rates that represent more than a 10-percent |
| 546 | statewide average rate increase over the most recently filed and |
| 547 | approved rate. A rate filing under this paragraph submitted in |
| 548 | any year following the implementation of such initial rates may |
| 549 | not provide for rates that represent more than a 10-percent |
| 550 | statewide average rate increase in any single year over the |
| 551 | rates in effect under this paragraph at the time of the filing. |
| 552 | A rate filing under this paragraph may not provide for a |
| 553 | percentage rate increase as to any single policyholder that |
| 554 | exceeds two times the statewide average rate increase provided |
| 555 | in the filing. |
| 556 | 4. This paragraph does not affect the authority of the |
| 557 | office to disapprove a rate as inadequate or to disapprove a |
| 558 | rate filing for charging any insured or applicant a higher |
| 559 | premium solely because of the insured's or applicant's race, |
| 560 | color, creed, marital status, sex, or national origin. Upon |
| 561 | finding that an insurer has used any such factor in charging an |
| 562 | insured or applicant a higher premium, the office may direct the |
| 563 | insurer to make a new filing for a new rate that does not use |
| 564 | such factor. |
| 565 |
|
| 566 | The provisions of this subsection shall not apply to workers' |
| 567 | compensation and employer's liability insurance and to motor |
| 568 | vehicle insurance. |
| 569 | (9) |
| 570 | (d) A certification under this subsection is not rendered |
| 571 | false when, after making the subject rate filing, the insurer |
| 572 | provides the office with additional or supplementary information |
| 573 | or clarification pursuant to a formal or informal request from |
| 574 | the office or for any other reason. |
| 575 | (e) If an insurer adds additional information to a pending |
| 576 | filing that has not yet been disapproved by the office, the |
| 577 | additional information may not be required to include a new |
| 578 | certification under this subsection. |
| 579 | (f) This subsection does not apply to a filing made |
| 580 | pursuant to paragraph (2)(k). |
| 581 | Section 7. Section 627.0621, Florida Statutes, is amended |
| 582 | to read: |
| 583 | 627.0621 Transparency in rate regulation.- |
| 584 | (1) DEFINITIONS.-As used in this section, the term: |
| 585 | (a) "Rate filing" means any original or amended rate |
| 586 | residential property insurance filing. |
| 587 | (b) "Recommendation" means any proposed, preliminary, or |
| 588 | final recommendation from an office actuary reviewing a rate |
| 589 | filing with respect to the issue of approval or disapproval of |
| 590 | the rate filing or with respect to rate indications that the |
| 591 | office would consider acceptable. |
| 592 | (2) WEBSITE FOR PUBLIC ACCESS TO RATE FILING INFORMATION.- |
| 593 | (1)(a) With respect to any residential property rate |
| 594 | filing, the office shall provide the following information on a |
| 595 | publicly accessible Internet website: |
| 596 | (a)1. The overall rate change requested by the insurer. |
| 597 | (b)2. The rate change approved by the office along with |
| 598 | all of the actuary's assumptions and recommendations forming the |
| 599 | basis of the office's decision. |
| 600 | 3. Certification by the office's actuary that, based on |
| 601 | the actuary's knowledge, his or her recommendations are |
| 602 | consistent with accepted actuarial principles. |
| 603 | (2)(b) For any rate filing, whether or not the filing is |
| 604 | subject to a public hearing, the office shall provide on its |
| 605 | website a means for any policyholder who may be affected by a |
| 606 | proposed rate change to send an e-mail regarding the proposed |
| 607 | rate change. Such e-mail must be accessible to the actuary |
| 608 | assigned to review the rate filing. |
| 609 | Section 8. Subsections (1) and (5) of section 627.0629, |
| 610 | Florida Statutes, are amended, and subsection (10) is added to |
| 611 | that section, to read: |
| 612 | 627.0629 Residential property insurance; rate filings.- |
| 613 | (1)(a) It is the intent of the Legislature that insurers |
| 614 | must provide the most accurate pricing signals available savings |
| 615 | to encourage consumers who install or implement windstorm damage |
| 616 | mitigation techniques, alterations, or solutions to their |
| 617 | properties to prevent windstorm losses. It is also the intent of |
| 618 | the Legislature that implementation of mitigation discounts not |
| 619 | result in a loss of income to the insurers granting the |
| 620 | discounts, so that the aggregate of mitigation discounts should |
| 621 | not exceed the aggregate of the expected reduction in loss that |
| 622 | is attributable to the mitigation efforts for which discounts |
| 623 | are granted. A rate filing for residential property insurance |
| 624 | must include actuarially reasonable discounts, credits, debits, |
| 625 | or other rate differentials, or appropriate reductions in |
| 626 | deductibles, that provide the proper pricing for all properties. |
| 627 | The rate filing must take into account the presence or absence |
| 628 | of on which fixtures or construction techniques demonstrated to |
| 629 | reduce the amount of loss in a windstorm have been installed or |
| 630 | implemented. The fixtures or construction techniques shall |
| 631 | include, but not be limited to, fixtures or construction |
| 632 | techniques that which enhance roof strength, roof covering |
| 633 | performance, roof-to-wall strength, wall-to-floor-to-foundation |
| 634 | strength, opening protection, and window, door, and skylight |
| 635 | strength. Credits, debits, discounts, or other rate |
| 636 | differentials, or appropriate reductions or increases in |
| 637 | deductibles, that recognize the presence or absence of for |
| 638 | fixtures and construction techniques that which meet the minimum |
| 639 | requirements of the Florida Building Code must be included in |
| 640 | the rate filing. If an insurer demonstrates that the aggregate |
| 641 | of its mitigation discounts results in a reduction to revenue |
| 642 | that exceeds the reduction of the aggregate loss that is |
| 643 | expected to result from the mitigation, the insurer may recover |
| 644 | the lost revenue through an increase in its base rates. All |
| 645 | insurance companies must make a rate filing which includes |
| 646 | credits, discounts, or other rate differentials or |
| 647 | deductibles by February 28, 2003. By July 1, 2007, |
| 648 | shall reevaluate the discounts, credits, other rate |
| 649 | differentials, and appropriate reductions in deductibles for |
| 650 | fixtures and construction techniques that meet the minimum |
| 651 | requirements of the Florida Building Code, based upon actual |
| 652 | experience or any other loss relativity studies available to the |
| 653 | office. The office shall determine the discounts, credits, |
| 654 | debits, other rate differentials, and appropriate reductions or |
| 655 | increases in deductibles that reflect the full actuarial value |
| 656 | of such revaluation, which may be used by insurers in rate |
| 657 | filings. |
| 658 | (b) By February 1, 2011, the Office of Insurance |
| 659 | Regulation, in consultation with the Department of Financial |
| 660 | Services and the Department of Community Affairs, shall develop |
| 661 | and make publicly available a proposed method for insurers to |
| 662 | establish discounts, credits, or other rate differentials for |
| 663 | hurricane mitigation measures which directly correlate to the |
| 664 | numerical rating assigned to a structure pursuant to the uniform |
| 665 | home grading scale adopted by the Financial Services Commission |
| 666 | pursuant to s. 215.55865, including any proposed changes to the |
| 667 | uniform home grading scale. By October 1, 2011, the commission |
| 668 | shall adopt rules requiring insurers to make rate filings for |
| 669 | residential property insurance which revise insurers' discounts, |
| 670 | credits, or other rate differentials for hurricane mitigation |
| 671 | measures so that such rate differentials correlate directly to |
| 672 | the uniform home grading scale. The rules may include such |
| 673 | changes to the uniform home grading scale as the commission |
| 674 | determines are necessary, and may specify the minimum required |
| 675 | discounts, credits, or other rate differentials. Such rate |
| 676 | differentials must be consistent with generally accepted |
| 677 | actuarial principles and wind-loss mitigation studies. The rules |
| 678 | shall allow a period of at least 2 years after the effective |
| 679 | date of the revised mitigation discounts, credits, or other rate |
| 680 | differentials for a property owner to obtain an inspection or |
| 681 | otherwise qualify for the revised credit, during which time the |
| 682 | insurer shall continue to apply the mitigation credit that was |
| 683 | applied immediately prior to the effective date of the revised |
| 684 | credit. Discounts, credits, and other rate differentials |
| 685 | established for rate filings under this paragraph shall |
| 686 | supersede, after adoption, the discounts, credits, and other |
| 687 | rate differentials included in rate filings under paragraph (a). |
| 688 | (5) In order to provide an appropriate transition period, |
| 689 | an insurer may, in its sole discretion, implement an approved |
| 690 | rate filing for residential property insurance over a period of |
| 691 | years. An insurer electing to phase in its rate filing must |
| 692 | provide an informational notice to the office setting out its |
| 693 | schedule for implementation of the phased-in rate filing. An |
| 694 | insurer may include in its rate the actual cost of private |
| 695 | market reinsurance that corresponds to available coverage of the |
| 696 | Temporary Increase in Coverage Limits, TICL, from the Florida |
| 697 | Hurricane Catastrophe Fund. The insurer may also include the |
| 698 | cost of reinsurance to replace the TICL reduction implemented |
| 699 | pursuant to s. 215.555(17)(d)9. However, this cost for |
| 700 | reinsurance may not include any expense or profit load or result |
| 701 | in a total annual base rate increase in excess of 10 percent. |
| 702 | (10)(a) Contingent upon specific appropriations made to |
| 703 | implement this subsection, in order to enhance the ability of |
| 704 | consumers to compare premiums and to increase the accuracy and |
| 705 | usefulness of rate and product comparison information for |
| 706 | homeowners' insurance, the office shall develop or contract with |
| 707 | a private entity to develop a comprehensive program for |
| 708 | providing the consumer with all available information necessary |
| 709 | to make an informed purchase of the insurance product that best |
| 710 | serves the needs of the individual. |
| 711 | (b) In developing the comprehensive program, the office |
| 712 | shall rely as much as is practical on information that is |
| 713 | currently available and shall consider: |
| 714 | 1. The most efficient means for developing, hosting, and |
| 715 | operating a separate website that consolidates all consumer |
| 716 | information for price comparisons, filed complaints, financial |
| 717 | strength, underwriting, and receivership information and other |
| 718 | data useful to consumers. |
| 719 | 2. Whether all admitted insurers should be required to |
| 720 | submit additional information to populate the composite website |
| 721 | and how often such submissions must be made. |
| 722 | 3. Whether all admitted insurers should be required to |
| 723 | provide links from the website into each individual insurer's |
| 724 | website in order to enable consumers to access product rate |
| 725 | information and apply for quotations. |
| 726 | 4. Developing a plan to publicize the existence, |
| 727 | availability, and value of the website. |
| 728 | 5. Any other provision that would make relevant |
| 729 | homeowners' insurance information more readily available so that |
| 730 | consumers can make informed product comparisons and purchasing |
| 731 | decisions. |
| 732 | (c) Before establishing the program or website, the office |
| 733 | shall conduct a cost-benefit analysis to determine the most |
| 734 | effective approach for establishing and operating the program |
| 735 | and website. Based on the results of the analysis, the office |
| 736 | shall submit a proposed implementation plan for review and |
| 737 | approval by the Financial Services Commission. The |
| 738 | implementation plan shall include an estimated timeline for |
| 739 | establishing the program and website; a description of the data |
| 740 | and functionality to be provided by the site; a strategy for |
| 741 | publicizing the website to consumers; a recommended approach for |
| 742 | developing, hosting, and operating the website; and an estimate |
| 743 | of all major nonrecurring and recurring costs required to |
| 744 | establish and operate the website. Upon approval of the plan, |
| 745 | the office may initiate the establishment of the program. |
| 746 | Section 9. Paragraphs (b), (c), (d), (y), (z), (aa), (bb), |
| 747 | (cc), (dd), (ee), and (ff) of subsection (6) of section 627.351, |
| 748 | Florida Statutes, are amended to read: |
| 749 | 627.351 Insurance risk apportionment plans.- |
| 750 | (6) CITIZENS PROPERTY INSURANCE CORPORATION.- |
| 751 | (b)1. All insurers authorized to write one or more subject |
| 752 | lines of business in this state are subject to assessment by the |
| 753 | corporation and, for the purposes of this subsection, are |
| 754 | referred to collectively as "assessable insurers." Insurers |
| 755 | writing one or more subject lines of business in this state |
| 756 | pursuant to part VIII of chapter 626 are not assessable |
| 757 | insurers, but insureds who procure one or more subject lines of |
| 758 | business in this state pursuant to part VIII of chapter 626 are |
| 759 | subject to assessment by the corporation and are referred to |
| 760 | collectively as "assessable insureds." An authorized insurer's |
| 761 | assessment liability shall begin on the first day of the |
| 762 | calendar year following the year in which the insurer was issued |
| 763 | a certificate of authority to transact insurance for subject |
| 764 | lines of business in this state and shall terminate 1 year after |
| 765 | the end of the first calendar year during which the insurer no |
| 766 | longer holds a certificate of authority to transact insurance |
| 767 | for subject lines of business in this state. |
| 768 | 2.a. All revenues, assets, liabilities, losses, and |
| 769 | expenses of the corporation shall be divided into three separate |
| 770 | accounts as follows: |
| 771 | (I) A personal lines account for personal residential |
| 772 | policies issued by the corporation or issued by the Residential |
| 773 | Property and Casualty Joint Underwriting Association and renewed |
| 774 | by the corporation that provide comprehensive, multiperil |
| 775 | coverage on risks that are not located in areas eligible for |
| 776 | coverage in the Florida Windstorm Underwriting Association as |
| 777 | those areas were defined on January 1, 2002, and for such |
| 778 | policies that do not provide coverage for the peril of wind on |
| 779 | risks that are located in such areas; |
| 780 | (II) A commercial lines account for commercial residential |
| 781 | and commercial nonresidential policies issued by the corporation |
| 782 | or issued by the Residential Property and Casualty Joint |
| 783 | Underwriting Association and renewed by the corporation that |
| 784 | provide coverage for basic property perils on risks that are not |
| 785 | located in areas eligible for coverage in the Florida Windstorm |
| 786 | Underwriting Association as those areas were defined on January |
| 787 | 1, 2002, and for such policies that do not provide coverage for |
| 788 | the peril of wind on risks that are located in such areas; and |
| 789 | (III) A high-risk account for personal residential |
| 790 | policies and commercial residential and commercial |
| 791 | nonresidential property policies issued by the corporation or |
| 792 | transferred to the corporation that provide coverage for the |
| 793 | peril of wind on risks that are located in areas eligible for |
| 794 | coverage in the Florida Windstorm Underwriting Association as |
| 795 | those areas were defined on January 1, 2002. The corporation may |
| 796 | offer policies that provide multiperil coverage and the |
| 797 | corporation shall continue to offer policies that provide |
| 798 | coverage only for the peril of wind for risks located in areas |
| 799 | eligible for coverage in the high-risk account. In issuing |
| 800 | multiperil coverage, the corporation may use its approved policy |
| 801 | forms and rates for the personal lines account. An applicant or |
| 802 | insured who is eligible to purchase a multiperil policy from the |
| 803 | corporation may purchase a multiperil policy from an authorized |
| 804 | insurer without prejudice to the applicant's or insured's |
| 805 | eligibility to prospectively purchase a policy that provides |
| 806 | coverage only for the peril of wind from the corporation. An |
| 807 | applicant or insured who is eligible for a corporation policy |
| 808 | that provides coverage only for the peril of wind may elect to |
| 809 | purchase or retain such policy and also purchase or retain |
| 810 | coverage excluding wind from an authorized insurer without |
| 811 | prejudice to the applicant's or insured's eligibility to |
| 812 | prospectively purchase a policy that provides multiperil |
| 813 | coverage from the corporation. It is the goal of the Legislature |
| 814 | that there would be an overall average savings of 10 percent or |
| 815 | more for a policyholder who currently has a wind-only policy |
| 816 | with the corporation, and an ex-wind policy with a voluntary |
| 817 | insurer or the corporation, and who then obtains a multiperil |
| 818 | policy from the corporation. It is the intent of the Legislature |
| 819 | that the offer of multiperil coverage in the high-risk account |
| 820 | be made and implemented in a manner that does not adversely |
| 821 | affect the tax-exempt status of the corporation or |
| 822 | creditworthiness of or security for currently outstanding |
| 823 | financing obligations or credit facilities of the high-risk |
| 824 | account, the personal lines account, or the commercial lines |
| 825 | account. The high-risk account must also include quota share |
| 826 | primary insurance under subparagraph (c)2. The area eligible for |
| 827 | coverage under the high-risk account also includes the area |
| 828 | within Port Canaveral, which is bordered on the south by the |
| 829 | City of Cape Canaveral, bordered on the west by the Banana |
| 830 | River, and bordered on the north by Federal Government property. |
| 831 | b. The three separate accounts must be maintained as long |
| 832 | as financing obligations entered into by the Florida Windstorm |
| 833 | Underwriting Association or Residential Property and Casualty |
| 834 | Joint Underwriting Association are outstanding, in accordance |
| 835 | with the terms of the corresponding financing documents. When |
| 836 | the financing obligations are no longer outstanding, in |
| 837 | accordance with the terms of the corresponding financing |
| 838 | documents, the corporation may use a single account for all |
| 839 | revenues, assets, liabilities, losses, and expenses of the |
| 840 | corporation. Consistent with the requirement of this |
| 841 | subparagraph and prudent investment policies that minimize the |
| 842 | cost of carrying debt, the board shall exercise its best efforts |
| 843 | to retire existing debt or to obtain approval of necessary |
| 844 | parties to amend the terms of existing debt, so as to structure |
| 845 | the most efficient plan to consolidate the three separate |
| 846 | accounts into a single account. By February 1, 2007, the board |
| 847 | shall submit a report to the Financial Services Commission, the |
| 848 | President of the Senate, and the Speaker of the House of |
| 849 | Representatives which includes an analysis of consolidating the |
| 850 | accounts, the actions the board has taken to minimize the cost |
| 851 | of carrying debt, and its recommendations for executing the most |
| 852 | efficient plan. |
| 853 | c. Creditors of the Residential Property and Casualty |
| 854 | Joint Underwriting Association and of the accounts specified in |
| 855 | sub-sub-subparagraphs a.(I) and (II) may have a claim against, |
| 856 | and recourse to, the accounts referred to in sub-sub- |
| 857 | subparagraphs a.(I) and (II) and shall have no claim against, or |
| 858 | recourse to, the account referred to in sub-sub-subparagraph |
| 859 | a.(III). Creditors of the Florida Windstorm Underwriting |
| 860 | Association shall have a claim against, and recourse to, the |
| 861 | account referred to in sub-sub-subparagraph a.(III) and shall |
| 862 | have no claim against, or recourse to, the accounts referred to |
| 863 | in sub-sub-subparagraphs a.(I) and (II). |
| 864 | d. Revenues, assets, liabilities, losses, and expenses not |
| 865 | attributable to particular accounts shall be prorated among the |
| 866 | accounts. |
| 867 | e. The Legislature finds that the revenues of the |
| 868 | corporation are revenues that are necessary to meet the |
| 869 | requirements set forth in documents authorizing the issuance of |
| 870 | bonds under this subsection. |
| 871 | f. No part of the income of the corporation may inure to |
| 872 | the benefit of any private person. |
| 873 | 3. With respect to a deficit in an account: |
| 874 | a. After accounting for the Citizens policyholder |
| 875 | surcharge imposed under sub-subparagraph i., when the remaining |
| 876 | projected deficit incurred in a particular calendar year is not |
| 877 | greater than 6 percent of the aggregate statewide direct written |
| 878 | premium for the subject lines of business for the prior calendar |
| 879 | year, the entire deficit shall be recovered through regular |
| 880 | assessments of assessable insurers under paragraph (p) and |
| 881 | assessable insureds. |
| 882 | b. After accounting for the Citizens policyholder |
| 883 | surcharge imposed under sub-subparagraph i., when the remaining |
| 884 | projected deficit incurred in a particular calendar year exceeds |
| 885 | 6 percent of the aggregate statewide direct written premium for |
| 886 | the subject lines of business for the prior calendar year, the |
| 887 | corporation shall levy regular assessments on assessable |
| 888 | insurers under paragraph (p) and on assessable insureds in an |
| 889 | amount equal to the greater of 6 percent of the deficit or 6 |
| 890 | percent of the aggregate statewide direct written premium for |
| 891 | the subject lines of business for the prior calendar year. Any |
| 892 | remaining deficit shall be recovered through emergency |
| 893 | assessments under sub-subparagraph d. |
| 894 | c. Each assessable insurer's share of the amount being |
| 895 | assessed under sub-subparagraph a. or sub-subparagraph b. shall |
| 896 | be in the proportion that the assessable insurer's direct |
| 897 | written premium for the subject lines of business for the year |
| 898 | preceding the assessment bears to the aggregate statewide direct |
| 899 | written premium for the subject lines of business for that year. |
| 900 | The assessment percentage applicable to each assessable insured |
| 901 | is the ratio of the amount being assessed under sub-subparagraph |
| 902 | a. or sub-subparagraph b. to the aggregate statewide direct |
| 903 | written premium for the subject lines of business for the prior |
| 904 | year. Assessments levied by the corporation on assessable |
| 905 | insurers under sub-subparagraphs a. and b. shall be paid as |
| 906 | required by the corporation's plan of operation and paragraph |
| 907 | (p). Assessments levied by the corporation on assessable |
| 908 | insureds under sub-subparagraphs a. and b. shall be collected by |
| 909 | the surplus lines agent at the time the surplus lines agent |
| 910 | collects the surplus lines tax required by s. 626.932 and shall |
| 911 | be paid to the Florida Surplus Lines Service Office at the time |
| 912 | the surplus lines agent pays the surplus lines tax to the |
| 913 | Florida Surplus Lines Service Office. Upon receipt of regular |
| 914 | assessments from surplus lines agents, the Florida Surplus Lines |
| 915 | Service Office shall transfer the assessments directly to the |
| 916 | corporation as determined by the corporation. |
| 917 | d. Upon a determination by the board of governors that a |
| 918 | deficit in an account exceeds the amount that will be recovered |
| 919 | through regular assessments under sub-subparagraph a. or sub- |
| 920 | subparagraph b., plus the amount that is expected to be |
| 921 | recovered through surcharges under sub-subparagraph i., as to |
| 922 | the remaining projected deficit the board shall levy, after |
| 923 | verification by the office, emergency assessments, for as many |
| 924 | years as necessary to cover the deficits, to be collected by |
| 925 | assessable insurers and the corporation and collected from |
| 926 | assessable insureds upon issuance or renewal of policies for |
| 927 | subject lines of business, excluding National Flood Insurance |
| 928 | policies. The amount of the emergency assessment collected in a |
| 929 | particular year shall be a uniform percentage of that year's |
| 930 | direct written premium for subject lines of business and all |
| 931 | accounts of the corporation, excluding National Flood Insurance |
| 932 | Program policy premiums, as annually determined by the board and |
| 933 | verified by the office. The office shall verify the arithmetic |
| 934 | calculations involved in the board's determination within 30 |
| 935 | days after receipt of the information on which the determination |
| 936 | was based. Notwithstanding any other provision of law, the |
| 937 | corporation and each assessable insurer that writes subject |
| 938 | lines of business shall collect emergency assessments from its |
| 939 | policyholders without such obligation being affected by any |
| 940 | credit, limitation, exemption, or deferment. Emergency |
| 941 | assessments levied by the corporation on assessable insureds |
| 942 | shall be collected by the surplus lines agent at the time the |
| 943 | surplus lines agent collects the surplus lines tax required by |
| 944 | s. 626.932 and shall be paid to the Florida Surplus Lines |
| 945 | Service Office at the time the surplus lines agent pays the |
| 946 | surplus lines tax to the Florida Surplus Lines Service Office. |
| 947 | The emergency assessments so collected shall be transferred |
| 948 | directly to the corporation on a periodic basis as determined by |
| 949 | the corporation and shall be held by the corporation solely in |
| 950 | the applicable account. The aggregate amount of emergency |
| 951 | assessments levied for an account under this sub-subparagraph in |
| 952 | any calendar year may, at the discretion of the board of |
| 953 | governors, be less than but may not exceed the greater of 10 |
| 954 | percent of the amount needed to cover the deficit, plus |
| 955 | interest, fees, commissions, required reserves, and other costs |
| 956 | associated with financing of the original deficit, or 10 percent |
| 957 | of the aggregate statewide direct written premium for subject |
| 958 | lines of business and for all accounts of the corporation for |
| 959 | the prior year, plus interest, fees, commissions, required |
| 960 | reserves, and other costs associated with financing the deficit. |
| 961 | e. The corporation may pledge the proceeds of assessments, |
| 962 | projected recoveries from the Florida Hurricane Catastrophe |
| 963 | Fund, other insurance and reinsurance recoverables, policyholder |
| 964 | surcharges and other surcharges, and other funds available to |
| 965 | the corporation as the source of revenue for and to secure bonds |
| 966 | issued under paragraph (p), bonds or other indebtedness issued |
| 967 | under subparagraph (c)3., or lines of credit or other financing |
| 968 | mechanisms issued or created under this subsection, or to retire |
| 969 | any other debt incurred as a result of deficits or events giving |
| 970 | rise to deficits, or in any other way that the board determines |
| 971 | will efficiently recover such deficits. The purpose of the lines |
| 972 | of credit or other financing mechanisms is to provide additional |
| 973 | resources to assist the corporation in covering claims and |
| 974 | expenses attributable to a catastrophe. As used in this |
| 975 | subsection, the term "assessments" includes regular assessments |
| 976 | under sub-subparagraph a., sub-subparagraph b., or subparagraph |
| 977 | (p)1. and emergency assessments under sub-subparagraph d. |
| 978 | Emergency assessments collected under sub-subparagraph d. are |
| 979 | not part of an insurer's rates, are not premium, and are not |
| 980 | subject to premium tax, fees, or commissions; however, failure |
| 981 | to pay the emergency assessment shall be treated as failure to |
| 982 | pay premium. The emergency assessments under sub-subparagraph d. |
| 983 | shall continue as long as any bonds issued or other indebtedness |
| 984 | incurred with respect to a deficit for which the assessment was |
| 985 | imposed remain outstanding, unless adequate provision has been |
| 986 | made for the payment of such bonds or other indebtedness |
| 987 | pursuant to the documents governing such bonds or other |
| 988 | indebtedness. |
| 989 | f. As used in this subsection for purposes of any deficit |
| 990 | incurred on or after January 25, 2007, the term "subject lines |
| 991 | of business" means insurance written by assessable insurers or |
| 992 | procured by assessable insureds for all property and casualty |
| 993 | lines of business in this state, but not including workers' |
| 994 | compensation or medical malpractice. As used in the sub- |
| 995 | subparagraph, the term "property and casualty lines of business" |
| 996 | includes all lines of business identified on Form 2, Exhibit of |
| 997 | Premiums and Losses, in the annual statement required of |
| 998 | authorized insurers by s. 624.424 and any rule adopted under |
| 999 | this section, except for those lines identified as accident and |
| 1000 | health insurance and except for policies written under the |
| 1001 | National Flood Insurance Program or the Federal Crop Insurance |
| 1002 | Program. For purposes of this sub-subparagraph, the term |
| 1003 | "workers' compensation" includes both workers' compensation |
| 1004 | insurance and excess workers' compensation insurance. |
| 1005 | g. The Florida Surplus Lines Service Office shall |
| 1006 | determine annually the aggregate statewide written premium in |
| 1007 | subject lines of business procured by assessable insureds and |
| 1008 | shall report that information to the corporation in a form and |
| 1009 | at a time the corporation specifies to ensure that the |
| 1010 | corporation can meet the requirements of this subsection and the |
| 1011 | corporation's financing obligations. |
| 1012 | h. The Florida Surplus Lines Service Office shall verify |
| 1013 | the proper application by surplus lines agents of assessment |
| 1014 | percentages for regular assessments and emergency assessments |
| 1015 | levied under this subparagraph on assessable insureds and shall |
| 1016 | assist the corporation in ensuring the accurate, timely |
| 1017 | collection and payment of assessments by surplus lines agents as |
| 1018 | required by the corporation. |
| 1019 | i.(I) If a deficit is incurred in any account in 2008 or |
| 1020 | thereafter, the board of governors shall levy a Citizens |
| 1021 | policyholder surcharge against all policyholders of the |
| 1022 | corporation. |
| 1023 | (II) The policyholder's liability for the Citizens |
| 1024 | policyholder surcharge attaches on the date of the event giving |
| 1025 | rise to an order levying the surcharge or the date of the order, |
| 1026 | whichever is earlier. The Citizens policyholder surcharge is |
| 1027 | payable upon cancellation or termination of the policy, upon |
| 1028 | renewal of the policy, or upon issuance of a new policy by |
| 1029 | Citizens within the first 12 months after the date of the levy |
| 1030 | or the period of time necessary to fully collect the Citizens |
| 1031 | policyholder surcharge amount. |
| 1032 | (III) The Citizens policyholder surcharge for a 12-month |
| 1033 | period, which shall be levied collected at the time of issuance |
| 1034 | or renewal of a policy, as a uniform percentage of the premium |
| 1035 | for the policy of up to 15 percent of such premium, which funds |
| 1036 | shall be used to offset the deficit. |
| 1037 | (IV) The corporation may not levy any regular assessments |
| 1038 | under sub-subparagraph a. or sub-subparagraph b. with respect to |
| 1039 | a particular year's deficit until the corporation has first |
| 1040 | levied a Citizens policyholder surcharge under this sub- |
| 1041 | subparagraph in the full amount authorized by this sub- |
| 1042 | subparagraph. |
| 1043 | (V) Citizens policyholder surcharges under this sub- |
| 1044 | subparagraph are not considered premium and are not subject to |
| 1045 | commissions, fees, or premium taxes. However, failure to pay |
| 1046 | such surcharges shall be treated as failure to pay premium. |
| 1047 | j. If the amount of any assessments or surcharges |
| 1048 | collected from corporation policyholders, assessable insurers or |
| 1049 | their policyholders, or assessable insureds exceeds the amount |
| 1050 | of the deficits, such excess amounts shall be remitted to and |
| 1051 | retained by the corporation in a reserve to be used by the |
| 1052 | corporation, as determined by the board of governors and |
| 1053 | approved by the office, to pay claims or reduce any past, |
| 1054 | present, or future plan-year deficits or to reduce outstanding |
| 1055 | debt. |
| 1056 | (c) The plan of operation of the corporation: |
| 1057 | 1. Must provide for adoption of residential property and |
| 1058 | casualty insurance policy forms and commercial residential and |
| 1059 | nonresidential property insurance forms, which forms must be |
| 1060 | approved by the office prior to use. The corporation shall adopt |
| 1061 | the following policy forms: |
| 1062 | a. Standard personal lines policy forms that are |
| 1063 | comprehensive multiperil policies providing full coverage of a |
| 1064 | residential property equivalent to the coverage provided in the |
| 1065 | private insurance market under an HO-3, HO-4, or HO-6 policy. |
| 1066 | b. Basic personal lines policy forms that are policies |
| 1067 | similar to an HO-8 policy or a dwelling fire policy that provide |
| 1068 | coverage meeting the requirements of the secondary mortgage |
| 1069 | market, but which coverage is more limited than the coverage |
| 1070 | under a standard policy. |
| 1071 | c. Commercial lines residential and nonresidential policy |
| 1072 | forms that are generally similar to the basic perils of full |
| 1073 | coverage obtainable for commercial residential structures and |
| 1074 | commercial nonresidential structures in the admitted voluntary |
| 1075 | market. |
| 1076 | d. Personal lines and commercial lines residential |
| 1077 | property insurance forms that cover the peril of wind only. The |
| 1078 | forms are applicable only to residential properties located in |
| 1079 | areas eligible for coverage under the high-risk account referred |
| 1080 | to in sub-subparagraph (b)2.a. |
| 1081 | e. Commercial lines nonresidential property insurance |
| 1082 | forms that cover the peril of wind only. The forms are |
| 1083 | applicable only to nonresidential properties located in areas |
| 1084 | eligible for coverage under the high-risk account referred to in |
| 1085 | sub-subparagraph (b)2.a. |
| 1086 | f. The corporation may adopt variations of the policy |
| 1087 | forms listed in sub-subparagraphs a.-e. that contain more |
| 1088 | restrictive coverage. |
| 1089 | 2.a. Must provide that the corporation adopt a program in |
| 1090 | which the corporation and authorized insurers enter into quota |
| 1091 | share primary insurance agreements for hurricane coverage, as |
| 1092 | defined in s. 627.4025(2)(a), for eligible risks, and adopt |
| 1093 | property insurance forms for eligible risks which cover the |
| 1094 | peril of wind only. As used in this subsection, the term: |
| 1095 | (I) "Quota share primary insurance" means an arrangement |
| 1096 | in which the primary hurricane coverage of an eligible risk is |
| 1097 | provided in specified percentages by the corporation and an |
| 1098 | authorized insurer. The corporation and authorized insurer are |
| 1099 | each solely responsible for a specified percentage of hurricane |
| 1100 | coverage of an eligible risk as set forth in a quota share |
| 1101 | primary insurance agreement between the corporation and an |
| 1102 | authorized insurer and the insurance contract. The |
| 1103 | responsibility of the corporation or authorized insurer to pay |
| 1104 | its specified percentage of hurricane losses of an eligible |
| 1105 | risk, as set forth in the quota share primary insurance |
| 1106 | agreement, may not be altered by the inability of the other |
| 1107 | party to the agreement to pay its specified percentage of |
| 1108 | hurricane losses. Eligible risks that are provided hurricane |
| 1109 | coverage through a quota share primary insurance arrangement |
| 1110 | must be provided policy forms that set forth the obligations of |
| 1111 | the corporation and authorized insurer under the arrangement, |
| 1112 | clearly specify the percentages of quota share primary insurance |
| 1113 | provided by the corporation and authorized insurer, and |
| 1114 | conspicuously and clearly state that neither the authorized |
| 1115 | insurer nor the corporation may be held responsible beyond its |
| 1116 | specified percentage of coverage of hurricane losses. |
| 1117 | (II) "Eligible risks" means personal lines residential and |
| 1118 | commercial lines residential risks that meet the underwriting |
| 1119 | criteria of the corporation and are located in areas that were |
| 1120 | eligible for coverage by the Florida Windstorm Underwriting |
| 1121 | Association on January 1, 2002. |
| 1122 | b. The corporation may enter into quota share primary |
| 1123 | insurance agreements with authorized insurers at corporation |
| 1124 | coverage levels of 90 percent and 50 percent. |
| 1125 | c. If the corporation determines that additional coverage |
| 1126 | levels are necessary to maximize participation in quota share |
| 1127 | primary insurance agreements by authorized insurers, the |
| 1128 | corporation may establish additional coverage levels. However, |
| 1129 | the corporation's quota share primary insurance coverage level |
| 1130 | may not exceed 90 percent. |
| 1131 | d. Any quota share primary insurance agreement entered |
| 1132 | into between an authorized insurer and the corporation must |
| 1133 | provide for a uniform specified percentage of coverage of |
| 1134 | hurricane losses, by county or territory as set forth by the |
| 1135 | corporation board, for all eligible risks of the authorized |
| 1136 | insurer covered under the quota share primary insurance |
| 1137 | agreement. |
| 1138 | e. Any quota share primary insurance agreement entered |
| 1139 | into between an authorized insurer and the corporation is |
| 1140 | subject to review and approval by the office. However, such |
| 1141 | agreement shall be authorized only as to insurance contracts |
| 1142 | entered into between an authorized insurer and an insured who is |
| 1143 | already insured by the corporation for wind coverage. |
| 1144 | f. For all eligible risks covered under quota share |
| 1145 | primary insurance agreements, the exposure and coverage levels |
| 1146 | for both the corporation and authorized insurers shall be |
| 1147 | reported by the corporation to the Florida Hurricane Catastrophe |
| 1148 | Fund. For all policies of eligible risks covered under quota |
| 1149 | share primary insurance agreements, the corporation and the |
| 1150 | authorized insurer shall maintain complete and accurate records |
| 1151 | for the purpose of exposure and loss reimbursement audits as |
| 1152 | required by Florida Hurricane Catastrophe Fund rules. The |
| 1153 | corporation and the authorized insurer shall each maintain |
| 1154 | duplicate copies of policy declaration pages and supporting |
| 1155 | claims documents. |
| 1156 | g. The corporation board shall establish in its plan of |
| 1157 | operation standards for quota share agreements which ensure that |
| 1158 | there is no discriminatory application among insurers as to the |
| 1159 | terms of quota share agreements, pricing of quota share |
| 1160 | agreements, incentive provisions if any, and consideration paid |
| 1161 | for servicing policies or adjusting claims. |
| 1162 | h. The quota share primary insurance agreement between the |
| 1163 | corporation and an authorized insurer must set forth the |
| 1164 | specific terms under which coverage is provided, including, but |
| 1165 | not limited to, the sale and servicing of policies issued under |
| 1166 | the agreement by the insurance agent of the authorized insurer |
| 1167 | producing the business, the reporting of information concerning |
| 1168 | eligible risks, the payment of premium to the corporation, and |
| 1169 | arrangements for the adjustment and payment of hurricane claims |
| 1170 | incurred on eligible risks by the claims adjuster and personnel |
| 1171 | of the authorized insurer. Entering into a quota sharing |
| 1172 | insurance agreement between the corporation and an authorized |
| 1173 | insurer shall be voluntary and at the discretion of the |
| 1174 | authorized insurer. |
| 1175 | 3. May provide that the corporation may employ or |
| 1176 | otherwise contract with individuals or other entities to provide |
| 1177 | administrative or professional services that may be appropriate |
| 1178 | to effectuate the plan. The corporation shall have the power to |
| 1179 | borrow funds, by issuing bonds or by incurring other |
| 1180 | indebtedness, and shall have other powers reasonably necessary |
| 1181 | to effectuate the requirements of this subsection, including, |
| 1182 | without limitation, the power to issue bonds and incur other |
| 1183 | indebtedness in order to refinance outstanding bonds or other |
| 1184 | indebtedness. The corporation may, but is not required to, seek |
| 1185 | judicial validation of its bonds or other indebtedness under |
| 1186 | chapter 75. The corporation may issue bonds or incur other |
| 1187 | indebtedness, or have bonds issued on its behalf by a unit of |
| 1188 | local government pursuant to subparagraph (p)2., in the absence |
| 1189 | of a hurricane or other weather-related event, upon a |
| 1190 | determination by the corporation, subject to approval by the |
| 1191 | office, that such action would enable it to efficiently meet the |
| 1192 | financial obligations of the corporation and that such |
| 1193 | financings are reasonably necessary to effectuate the |
| 1194 | requirements of this subsection. The corporation is authorized |
| 1195 | to take all actions needed to facilitate tax-free status for any |
| 1196 | such bonds or indebtedness, including formation of trusts or |
| 1197 | other affiliated entities. The corporation shall have the |
| 1198 | authority to pledge assessments, projected recoveries from the |
| 1199 | Florida Hurricane Catastrophe Fund, other reinsurance |
| 1200 | recoverables, market equalization and other surcharges, and |
| 1201 | other funds available to the corporation as security for bonds |
| 1202 | or other indebtedness. In recognition of s. 10, Art. I of the |
| 1203 | State Constitution, prohibiting the impairment of obligations of |
| 1204 | contracts, it is the intent of the Legislature that no action be |
| 1205 | taken whose purpose is to impair any bond indenture or financing |
| 1206 | agreement or any revenue source committed by contract to such |
| 1207 | bond or other indebtedness. |
| 1208 | 4.a. Must require that the corporation operate subject to |
| 1209 | the supervision and approval of a board of governors consisting |
| 1210 | of eight individuals who are residents of this state, from |
| 1211 | different geographical areas of this state. The Governor, the |
| 1212 | Chief Financial Officer, the President of the Senate, and the |
| 1213 | Speaker of the House of Representatives shall each appoint two |
| 1214 | members of the board. At least one of the two members appointed |
| 1215 | by each appointing officer must have demonstrated expertise in |
| 1216 | insurance. Members appointed for having a demonstrated expertise |
| 1217 | in insurance as provided in this subparagraph shall be deemed to |
| 1218 | be within the scope of the exemption set forth in s. |
| 1219 | 112.313(7)(b). The Chief Financial Officer shall designate one |
| 1220 | of the appointees as chair. All board members serve at the |
| 1221 | pleasure of the appointing officer. All members of the board of |
| 1222 | governors are subject to removal at will by the officers who |
| 1223 | appointed them. All board members, including the chair, must be |
| 1224 | appointed to serve for 3-year terms beginning annually on a date |
| 1225 | designated by the plan. However, for the first term beginning on |
| 1226 | or after July 1, 2009, each appointing officer shall appoint one |
| 1227 | member of the board for a 2-year term and one member for a 3- |
| 1228 | year term. Any board vacancy shall be filled for the unexpired |
| 1229 | term by the appointing officer. The Chief Financial Officer |
| 1230 | shall appoint a technical advisory group to provide information |
| 1231 | and advice to the board of governors in connection with the |
| 1232 | board's duties under this subsection. The executive director and |
| 1233 | senior managers of the corporation shall be engaged by the board |
| 1234 | and serve at the pleasure of the board. Any executive director |
| 1235 | appointed on or after July 1, 2006, is subject to confirmation |
| 1236 | by the Senate. The executive director is responsible for |
| 1237 | employing other staff as the corporation may require, subject to |
| 1238 | review and concurrence by the board. |
| 1239 | b. The board shall create a Market Accountability Advisory |
| 1240 | Committee to assist the corporation in developing awareness of |
| 1241 | its rates and its customer and agent service levels in |
| 1242 | relationship to the voluntary market insurers writing similar |
| 1243 | coverage. The members of the advisory committee shall consist of |
| 1244 | the following 11 persons, one of whom must be elected chair by |
| 1245 | the members of the committee: four representatives, one |
| 1246 | appointed by the Florida Association of Insurance Agents, one by |
| 1247 | the Florida Association of Insurance and Financial Advisors, one |
| 1248 | by the Professional Insurance Agents of Florida, and one by the |
| 1249 | Latin American Association of Insurance Agencies; three |
| 1250 | representatives appointed by the insurers with the three highest |
| 1251 | voluntary market share of residential property insurance |
| 1252 | business in the state; one representative from the Office of |
| 1253 | Insurance Regulation; one consumer appointed by the board who is |
| 1254 | insured by the corporation at the time of appointment to the |
| 1255 | committee; one representative appointed by the Florida |
| 1256 | Association of Realtors; and one representative appointed by the |
| 1257 | Florida Bankers Association. All members must serve for 3-year |
| 1258 | terms and may serve for consecutive terms. The committee shall |
| 1259 | report to the corporation at each board meeting on insurance |
| 1260 | market issues which may include rates and rate competition with |
| 1261 | the voluntary market; service, including policy issuance, claims |
| 1262 | processing, and general responsiveness to policyholders, |
| 1263 | applicants, and agents; and matters relating to depopulation. |
| 1264 | 5. Must provide a procedure for determining the |
| 1265 | eligibility of a risk for coverage, as follows: |
| 1266 | a. Subject to the provisions of s. 627.3517, with respect |
| 1267 | to personal lines residential risks, if the risk is offered |
| 1268 | coverage from an authorized insurer at the insurer's approved |
| 1269 | rate under either a standard policy including wind coverage or, |
| 1270 | if consistent with the insurer's underwriting rules as filed |
| 1271 | with the office, a basic policy including wind coverage, for a |
| 1272 | new application to the corporation for coverage, the risk is not |
| 1273 | eligible for any policy issued by the corporation unless the |
| 1274 | premium for coverage from the authorized insurer is more than 15 |
| 1275 | percent greater than the premium for comparable coverage from |
| 1276 | the corporation. If the risk is not able to obtain any such |
| 1277 | offer, the risk is eligible for either a standard policy |
| 1278 | including wind coverage or a basic policy including wind |
| 1279 | coverage issued by the corporation; however, if the risk could |
| 1280 | not be insured under a standard policy including wind coverage |
| 1281 | regardless of market conditions, the risk shall be eligible for |
| 1282 | a basic policy including wind coverage unless rejected under |
| 1283 | subparagraph 8. However, with regard to a policyholder of the |
| 1284 | corporation or a policyholder removed from the corporation |
| 1285 | through an assumption agreement until the end of the assumption |
| 1286 | period, the policyholder remains eligible for coverage from the |
| 1287 | corporation regardless of any offer of coverage from an |
| 1288 | authorized insurer or surplus lines insurer. The corporation |
| 1289 | shall determine the type of policy to be provided on the basis |
| 1290 | of objective standards specified in the underwriting manual and |
| 1291 | based on generally accepted underwriting practices. |
| 1292 | (I) If the risk accepts an offer of coverage through the |
| 1293 | market assistance plan or an offer of coverage through a |
| 1294 | mechanism established by the corporation before a policy is |
| 1295 | issued to the risk by the corporation or during the first 30 |
| 1296 | days of coverage by the corporation, and the producing agent who |
| 1297 | submitted the application to the plan or to the corporation is |
| 1298 | not currently appointed by the insurer, the insurer shall: |
| 1299 | (A) Pay to the producing agent of record of the policy, |
| 1300 | for the first year, an amount that is the greater of the |
| 1301 | insurer's usual and customary commission for the type of policy |
| 1302 | written or a fee equal to the usual and customary commission of |
| 1303 | the corporation; or |
| 1304 | (B) Offer to allow the producing agent of record of the |
| 1305 | policy to continue servicing the policy for a period of not less |
| 1306 | than 1 year and offer to pay the agent the greater of the |
| 1307 | insurer's or the corporation's usual and customary commission |
| 1308 | for the type of policy written. |
| 1309 |
|
| 1310 | If the producing agent is unwilling or unable to accept |
| 1311 | appointment, the new insurer shall pay the agent in accordance |
| 1312 | with sub-sub-sub-subparagraph (A). |
| 1313 | (II) When the corporation enters into a contractual |
| 1314 | agreement for a take-out plan, the producing agent of record of |
| 1315 | the corporation policy is entitled to retain any unearned |
| 1316 | commission on the policy, and the insurer shall: |
| 1317 | (A) Pay to the producing agent of record of the |
| 1318 | corporation policy, for the first year, an amount that is the |
| 1319 | greater of the insurer's usual and customary commission for the |
| 1320 | type of policy written or a fee equal to the usual and customary |
| 1321 | commission of the corporation; or |
| 1322 | (B) Offer to allow the producing agent of record of the |
| 1323 | corporation policy to continue servicing the policy for a period |
| 1324 | of not less than 1 year and offer to pay the agent the greater |
| 1325 | of the insurer's or the corporation's usual and customary |
| 1326 | commission for the type of policy written. |
| 1327 |
|
| 1328 | If the producing agent is unwilling or unable to accept |
| 1329 | appointment, the new insurer shall pay the agent in accordance |
| 1330 | with sub-sub-sub-subparagraph (A). |
| 1331 | b. With respect to commercial lines residential risks, for |
| 1332 | a new application to the corporation for coverage, if the risk |
| 1333 | is offered coverage under a policy including wind coverage from |
| 1334 | an authorized insurer at its approved rate, the risk is not |
| 1335 | eligible for any policy issued by the corporation unless the |
| 1336 | premium for coverage from the authorized insurer is more than 15 |
| 1337 | percent greater than the premium for comparable coverage from |
| 1338 | the corporation. If the risk is not able to obtain any such |
| 1339 | offer, the risk is eligible for a policy including wind coverage |
| 1340 | issued by the corporation. However, with regard to a |
| 1341 | policyholder of the corporation or a policyholder removed from |
| 1342 | the corporation through an assumption agreement until the end of |
| 1343 | the assumption period, the policyholder remains eligible for |
| 1344 | coverage from the corporation regardless of any offer of |
| 1345 | coverage from an authorized insurer or surplus lines insurer. |
| 1346 | (I) If the risk accepts an offer of coverage through the |
| 1347 | market assistance plan or an offer of coverage through a |
| 1348 | mechanism established by the corporation before a policy is |
| 1349 | issued to the risk by the corporation or during the first 30 |
| 1350 | days of coverage by the corporation, and the producing agent who |
| 1351 | submitted the application to the plan or the corporation is not |
| 1352 | currently appointed by the insurer, the insurer shall: |
| 1353 | (A) Pay to the producing agent of record of the policy, |
| 1354 | for the first year, an amount that is the greater of the |
| 1355 | insurer's usual and customary commission for the type of policy |
| 1356 | written or a fee equal to the usual and customary commission of |
| 1357 | the corporation; or |
| 1358 | (B) Offer to allow the producing agent of record of the |
| 1359 | policy to continue servicing the policy for a period of not less |
| 1360 | than 1 year and offer to pay the agent the greater of the |
| 1361 | insurer's or the corporation's usual and customary commission |
| 1362 | for the type of policy written. |
| 1363 |
|
| 1364 | If the producing agent is unwilling or unable to accept |
| 1365 | appointment, the new insurer shall pay the agent in accordance |
| 1366 | with sub-sub-sub-subparagraph (A). |
| 1367 | (II) When the corporation enters into a contractual |
| 1368 | agreement for a take-out plan, the producing agent of record of |
| 1369 | the corporation policy is entitled to retain any unearned |
| 1370 | commission on the policy, and the insurer shall: |
| 1371 | (A) Pay to the producing agent of record of the |
| 1372 | corporation policy, for the first year, an amount that is the |
| 1373 | greater of the insurer's usual and customary commission for the |
| 1374 | type of policy written or a fee equal to the usual and customary |
| 1375 | commission of the corporation; or |
| 1376 | (B) Offer to allow the producing agent of record of the |
| 1377 | corporation policy to continue servicing the policy for a period |
| 1378 | of not less than 1 year and offer to pay the agent the greater |
| 1379 | of the insurer's or the corporation's usual and customary |
| 1380 | commission for the type of policy written. |
| 1381 |
|
| 1382 | If the producing agent is unwilling or unable to accept |
| 1383 | appointment, the new insurer shall pay the agent in accordance |
| 1384 | with sub-sub-sub-subparagraph (A). |
| 1385 | c. For purposes of determining comparable coverage under |
| 1386 | sub-subparagraphs a. and b., the comparison shall be based on |
| 1387 | those forms and coverages that are reasonably comparable. The |
| 1388 | corporation may rely on a determination of comparable coverage |
| 1389 | and premium made by the producing agent who submits the |
| 1390 | application to the corporation, made in the agent's capacity as |
| 1391 | the corporation's agent. A comparison may be made solely of the |
| 1392 | premium with respect to the main building or structure only on |
| 1393 | the following basis: the same coverage A or other building |
| 1394 | limits; the same percentage hurricane deductible that applies on |
| 1395 | an annual basis or that applies to each hurricane for commercial |
| 1396 | residential property; the same percentage of ordinance and law |
| 1397 | coverage, if the same limit is offered by both the corporation |
| 1398 | and the authorized insurer; the same mitigation credits, to the |
| 1399 | extent the same types of credits are offered both by the |
| 1400 | corporation and the authorized insurer; the same method for loss |
| 1401 | payment, such as replacement cost or actual cash value, if the |
| 1402 | same method is offered both by the corporation and the |
| 1403 | authorized insurer in accordance with underwriting rules; and |
| 1404 | any other form or coverage that is reasonably comparable as |
| 1405 | determined by the board. If an application is submitted to the |
| 1406 | corporation for wind-only coverage in the high-risk account, the |
| 1407 | premium for the corporation's wind-only policy plus the premium |
| 1408 | for the ex-wind policy that is offered by an authorized insurer |
| 1409 | to the applicant shall be compared to the premium for multiperil |
| 1410 | coverage offered by an authorized insurer, subject to the |
| 1411 | standards for comparison specified in this subparagraph. If the |
| 1412 | corporation or the applicant requests from the authorized |
| 1413 | insurer a breakdown of the premium of the offer by types of |
| 1414 | coverage so that a comparison may be made by the corporation or |
| 1415 | its agent and the authorized insurer refuses or is unable to |
| 1416 | provide such information, the corporation may treat the offer as |
| 1417 | not being an offer of coverage from an authorized insurer at the |
| 1418 | insurer's approved rate. |
| 1419 | 6. Must include rules for classifications of risks and |
| 1420 | rates therefor. |
| 1421 | 7. Must provide that if premium and investment income for |
| 1422 | an account attributable to a particular calendar year are in |
| 1423 | excess of projected losses and expenses for the account |
| 1424 | attributable to that year, such excess shall be held in surplus |
| 1425 | in the account. Such surplus shall be available to defray |
| 1426 | deficits in that account as to future years and shall be used |
| 1427 | for that purpose prior to assessing assessable insurers and |
| 1428 | assessable insureds as to any calendar year. |
| 1429 | 8. Must provide objective criteria and procedures to be |
| 1430 | uniformly applied for all applicants in determining whether an |
| 1431 | individual risk is so hazardous as to be uninsurable. In making |
| 1432 | this determination and in establishing the criteria and |
| 1433 | procedures, the following shall be considered: |
| 1434 | a. Whether the likelihood of a loss for the individual |
| 1435 | risk is substantially higher than for other risks of the same |
| 1436 | class; and |
| 1437 | b. Whether the uncertainty associated with the individual |
| 1438 | risk is such that an appropriate premium cannot be determined. |
| 1439 |
|
| 1440 | The acceptance or rejection of a risk by the corporation shall |
| 1441 | be construed as the private placement of insurance, and the |
| 1442 | provisions of chapter 120 shall not apply. |
| 1443 | 9. Must provide that the corporation shall make its best |
| 1444 | efforts to procure catastrophe reinsurance at reasonable rates, |
| 1445 | to cover its projected 100-year probable maximum loss as |
| 1446 | determined by the board of governors. |
| 1447 | 10. The policies issued by the corporation must provide |
| 1448 | that, if the corporation or the market assistance plan obtains |
| 1449 | an offer from an authorized insurer to cover the risk at its |
| 1450 | approved rates, the risk is no longer eligible for renewal |
| 1451 | through the corporation, except as otherwise provided in this |
| 1452 | subsection. |
| 1453 | 11. Corporation policies and applications must include a |
| 1454 | notice that the corporation policy could, under this section, be |
| 1455 | replaced with a policy issued by an authorized insurer that does |
| 1456 | not provide coverage identical to the coverage provided by the |
| 1457 | corporation. The notice shall also specify that acceptance of |
| 1458 | corporation coverage creates a conclusive presumption that the |
| 1459 | applicant or policyholder is aware of this potential. |
| 1460 | 12. May establish, subject to approval by the office, |
| 1461 | different eligibility requirements and operational procedures |
| 1462 | for any line or type of coverage for any specified county or |
| 1463 | area if the board determines that such changes to the |
| 1464 | eligibility requirements and operational procedures are |
| 1465 | justified due to the voluntary market being sufficiently stable |
| 1466 | and competitive in such area or for such line or type of |
| 1467 | coverage and that consumers who, in good faith, are unable to |
| 1468 | obtain insurance through the voluntary market through ordinary |
| 1469 | methods would continue to have access to coverage from the |
| 1470 | corporation. When coverage is sought in connection with a real |
| 1471 | property transfer, such requirements and procedures shall not |
| 1472 | provide for an effective date of coverage later than the date of |
| 1473 | the closing of the transfer as established by the transferor, |
| 1474 | the transferee, and, if applicable, the lender. |
| 1475 | 13. Must provide that, with respect to the high-risk |
| 1476 | account, any assessable insurer with a surplus as to |
| 1477 | policyholders of $25 million or less writing 25 percent or more |
| 1478 | of its total countrywide property insurance premiums in this |
| 1479 | state may petition the office, within the first 90 days of each |
| 1480 | calendar year, to qualify as a limited apportionment company. A |
| 1481 | regular assessment levied by the corporation on a limited |
| 1482 | apportionment company for a deficit incurred by the corporation |
| 1483 | for the high-risk account in 2006 or thereafter may be paid to |
| 1484 | the corporation on a monthly basis as the assessments are |
| 1485 | collected by the limited apportionment company from its insureds |
| 1486 | pursuant to s. 627.3512, but the regular assessment must be paid |
| 1487 | in full within 12 months after being levied by the corporation. |
| 1488 | A limited apportionment company shall collect from its |
| 1489 | policyholders any emergency assessment imposed under sub- |
| 1490 | subparagraph (b)3.d. The plan shall provide that, if the office |
| 1491 | determines that any regular assessment will result in an |
| 1492 | impairment of the surplus of a limited apportionment company, |
| 1493 | the office may direct that all or part of such assessment be |
| 1494 | deferred as provided in subparagraph (p)4. However, there shall |
| 1495 | be no limitation or deferment of an emergency assessment to be |
| 1496 | collected from policyholders under sub-subparagraph (b)3.d. |
| 1497 | 14. Must provide that the corporation appoint as its |
| 1498 | licensed agents only those agents who also hold an appointment |
| 1499 | as defined in s. 626.015(3) with an insurer who at the time of |
| 1500 | the agent's initial appointment by the corporation is authorized |
| 1501 | to write and is actually writing personal lines residential |
| 1502 | property coverage, commercial residential property coverage, or |
| 1503 | commercial nonresidential property coverage within the state. |
| 1504 | 15. Must provide, by July 1, 2007, a premium payment plan |
| 1505 | option to its policyholders which allows at a minimum for |
| 1506 | quarterly and semiannual payment of premiums. A monthly payment |
| 1507 | plan may, but is not required to, be offered. |
| 1508 | 16. Must limit coverage on mobile homes or manufactured |
| 1509 | homes built prior to 1994 to actual cash value of the dwelling |
| 1510 | rather than replacement costs of the dwelling. |
| 1511 | 17. May provide such limits of coverage as the board |
| 1512 | determines, consistent with the requirements of this subsection. |
| 1513 | 18. May require commercial property to meet specified |
| 1514 | hurricane mitigation construction features as a condition of |
| 1515 | eligibility for coverage. |
| 1516 | 19.a. Shall require the agent to obtain from any applicant |
| 1517 | for coverage the following acknowledgement, signed by the |
| 1518 | applicant, and shall require the agent of record to obtain the |
| 1519 | following acknowledgment from each corporation policyholder |
| 1520 | prior to the policy's first renewal after the effective date of |
| 1521 | this act: |
| 1522 |
|
| 1523 | ACKNOWLEDGEMENT OF POTENTIAL SURCHARGE AND ASSESSMENT |
| 1524 | LIABILITY: |
| 1525 | 1. I UNDERSTAND, AS A CITIZENS PROPERTY |
| 1526 | INSURANCE CORPORATION POLICYHOLDER, THAT IF THE |
| 1527 | CORPORATION SUSTAINS A DEFICIT AS A RESULT OF |
| 1528 | HURRICANE LOSSES OR FOR ANY OTHER REASON, MY POLICY |
| 1529 | COULD BE SUBJECT TO CITIZENS POLICYHOLDER SURCHARGES, |
| 1530 | WHICH WOULD BE DUE AND PAYABLE UPON ISSUANCE, RENEWAL, |
| 1531 | CANCELLATION, OR TERMINATION OF THE POLICY, AND THAT |
| 1532 | THE SURCHARGES COULD BE AS HIGH AS 15 PERCENT OF MY |
| 1533 | PREMIUM FOR DEFICITS IN EACH OF THREE CITIZENS |
| 1534 | ACCOUNTS, OR A DIFFERENT AMOUNT AS ESTABLISHED BY THE |
| 1535 | FLORIDA LEGISLATURE. |
| 1536 | 2. I ALSO UNDERSTAND THAT I MAY BE SUBJECT TO |
| 1537 | EMERGENCY ASSESSMENTS TO THE SAME EXTENT AS |
| 1538 | POLICYHOLDERS OF OTHER INSURANCE COMPANIES. |
| 1539 |
|
| 1540 | b. The corporation shall permanently maintain a signed |
| 1541 | copy of the signed acknowledgement required by this |
| 1542 | subparagraph, and the agent may also retain a copy. |
| 1543 | c. The signed acknowledgement form creates a conclusive |
| 1544 | presumption that the policyholder understood and accepted his or |
| 1545 | her potential surcharge and assessment liability as a Citizens |
| 1546 | policyholder. |
| 1547 | (d)1. All prospective employees for senior management |
| 1548 | positions, as defined by the plan of operation, are subject to |
| 1549 | background checks as a prerequisite for employment. The office |
| 1550 | shall conduct background checks on such prospective employees |
| 1551 | pursuant to ss. 624.34, 624.404(3), and 628.261. |
| 1552 | 2. On or before July 1 of each year, employees of the |
| 1553 | corporation are required to sign and submit a statement |
| 1554 | attesting that they do not have a conflict of interest, as |
| 1555 | defined in part III of chapter 112. As a condition of |
| 1556 | employment, all prospective employees are required to sign and |
| 1557 | submit to the corporation a conflict-of-interest statement. |
| 1558 | 3. Senior managers and members of the board of governors |
| 1559 | are subject to the provisions of part III of chapter 112, |
| 1560 | including, but not limited to, the code of ethics and public |
| 1561 | disclosure and reporting of financial interests, pursuant to s. |
| 1562 | 112.3145. Notwithstanding s. 112.3143(2), a board member may not |
| 1563 | vote upon any measure that would inure to his or her special |
| 1564 | private gain or loss; that he or she knows would inure to the |
| 1565 | special private gain or loss of any principal by whom he or she |
| 1566 | is retained or to the parent organization or subsidiary of a |
| 1567 | corporate principal by which he or she is retained, other than |
| 1568 | an agency as defined in s. 112.312(2); or that he or she knows |
| 1569 | would inure to the special private gain or loss of a relative or |
| 1570 | business associate of the public officer. Such member shall, |
| 1571 | prior to the vote being taken, publicly state to the assembly |
| 1572 | the nature of his or her interest in the matter from which he or |
| 1573 | she is abstaining from voting and, within 15 days after the vote |
| 1574 | occurs, disclose the nature of his or her interest as a public |
| 1575 | record in a memorandum filed with the person responsible for |
| 1576 | recording the minutes of the meeting, who shall incorporate the |
| 1577 | memorandum in the minutes. Senior managers and board members are |
| 1578 | also required to file such disclosures with the Commission on |
| 1579 | Ethics and the Office of Insurance Regulation. The executive |
| 1580 | director of the corporation or his or her designee shall notify |
| 1581 | each newly appointed and existing appointed member of the board |
| 1582 | of governors and senior managers of their duty to comply with |
| 1583 | the reporting requirements of part III of chapter 112. At least |
| 1584 | quarterly, the executive director or his or her designee shall |
| 1585 | submit to the Commission on Ethics a list of names of the senior |
| 1586 | managers and members of the board of governors who are subject |
| 1587 | to the public disclosure requirements under s. 112.3145. |
| 1588 | 4. Notwithstanding s. 112.3148 or s. 112.3149, or any |
| 1589 | other provision of law, an employee or board member may not |
| 1590 | knowingly accept, directly or indirectly, any gift or |
| 1591 | expenditure from a person or entity, or an employee or |
| 1592 | representative of such person or entity, that has a contractual |
| 1593 | relationship with the corporation or who is under consideration |
| 1594 | for a contract. An employee or board member who fails to comply |
| 1595 | with subparagraph 3. or this subparagraph is subject to |
| 1596 | penalties provided under ss. 112.317 and 112.3173. |
| 1597 | 5. Any senior manager of the corporation who is employed |
| 1598 | on or after January 1, 2007, regardless of the date of hire, who |
| 1599 | subsequently retires or terminates employment is prohibited from |
| 1600 | representing another person or entity before the corporation for |
| 1601 | 2 years after retirement or termination of employment from the |
| 1602 | corporation. |
| 1603 | 6. Any senior manager of the corporation who is employed |
| 1604 | on or after January 1, 2007, regardless of the date of hire, who |
| 1605 | subsequently retires or terminates employment is prohibited from |
| 1606 | having any employment or contractual relationship for 2 years |
| 1607 | with an insurer that has entered into a take-out bonus agreement |
| 1608 | with the corporation. |
| 1609 | (y) It is the intent of the Legislature that the |
| 1610 | amendments to this subsection enacted in 2002 should, over time, |
| 1611 | reduce the probable maximum windstorm losses in the residual |
| 1612 | markets and should reduce the potential assessments to be levied |
| 1613 | on property insurers and policyholders statewide. In furtherance |
| 1614 | of this intent: |
| 1615 | 1. The board shall, on or before February 1 of each year, |
| 1616 | provide a report to the President of the Senate and the Speaker |
| 1617 | of the House of Representatives showing the reduction or |
| 1618 | increase in the 100-year probable maximum loss attributable to |
| 1619 | wind-only coverages and the quota share program under this |
| 1620 | subsection combined, as compared to the benchmark 100-year |
| 1621 | probable maximum loss of the Florida Windstorm Underwriting |
| 1622 | Association. For purposes of this paragraph, the benchmark 100- |
| 1623 | year probable maximum loss of the Florida Windstorm Underwriting |
| 1624 | Association shall be the calculation dated February 2001 and |
| 1625 | based on November 30, 2000, exposures. In order to ensure |
| 1626 | comparability of data, the board shall use the same methods for |
| 1627 | calculating its probable maximum loss as were used to calculate |
| 1628 | the benchmark probable maximum loss. |
| 1629 | 2. Beginning December 1, 2010, if the report under |
| 1630 | subparagraph 1. for any year indicates that the 100-year |
| 1631 | probable maximum loss attributable to wind-only coverages and |
| 1632 | the quota share program combined does not reflect a reduction of |
| 1633 | at least 25 percent from the benchmark, the board shall reduce |
| 1634 | the boundaries of the high-risk area eligible for wind-only |
| 1635 | coverages under this subsection in a manner calculated to reduce |
| 1636 | such probable maximum loss to an amount at least 25 percent |
| 1637 | below the benchmark. |
| 1638 | 3. Beginning February 1, 2015, if the report under |
| 1639 | subparagraph 1. for any year indicates that the 100-year |
| 1640 | probable maximum loss attributable to wind-only coverages and |
| 1641 | the quota share program combined does not reflect a reduction of |
| 1642 | at least 50 percent from the benchmark, the boundaries of the |
| 1643 | high-risk area eligible for wind-only coverages under this |
| 1644 | subsection shall be reduced by the elimination of any area that |
| 1645 | is not seaward of a line 1,000 feet inland from the Intracoastal |
| 1646 | Waterway. |
| 1647 | (y)(z) In enacting the provisions of this section, the |
| 1648 | Legislature recognizes that both the Florida Windstorm |
| 1649 | Underwriting Association and the Residential Property and |
| 1650 | Casualty Joint Underwriting Association have entered into |
| 1651 | financing arrangements that obligate each entity to service its |
| 1652 | debts and maintain the capacity to repay funds secured under |
| 1653 | these financing arrangements. It is the intent of the |
| 1654 | Legislature that nothing in this section be construed to |
| 1655 | compromise, diminish, or interfere with the rights of creditors |
| 1656 | under such financing arrangements. It is further the intent of |
| 1657 | the Legislature to preserve the obligations of the Florida |
| 1658 | Windstorm Underwriting Association and Residential Property and |
| 1659 | Casualty Joint Underwriting Association with regard to |
| 1660 | outstanding financing arrangements, with such obligations |
| 1661 | passing entirely and unchanged to the corporation and, |
| 1662 | specifically, to the applicable account of the corporation. So |
| 1663 | long as any bonds, notes, indebtedness, or other financing |
| 1664 | obligations of the Florida Windstorm Underwriting Association or |
| 1665 | the Residential Property and Casualty Joint Underwriting |
| 1666 | Association are outstanding, under the terms of the financing |
| 1667 | documents pertaining to them, the governing board of the |
| 1668 | corporation shall have and shall exercise the authority to levy, |
| 1669 | charge, collect, and receive all premiums, assessments, |
| 1670 | surcharges, charges, revenues, and receipts that the |
| 1671 | associations had authority to levy, charge, collect, or receive |
| 1672 | under the provisions of subsection (2) and this subsection, |
| 1673 | respectively, as they existed on January 1, 2002, to provide |
| 1674 | moneys, without exercise of the authority provided by this |
| 1675 | subsection, in at least the amounts, and by the times, as would |
| 1676 | be provided under those former provisions of subsection (2) or |
| 1677 | this subsection, respectively, so that the value, amount, and |
| 1678 | collectability of any assets, revenues, or revenue source |
| 1679 | pledged or committed to, or any lien thereon securing such |
| 1680 | outstanding bonds, notes, indebtedness, or other financing |
| 1681 | obligations will not be diminished, impaired, or adversely |
| 1682 | affected by the amendments made by this act and to permit |
| 1683 | compliance with all provisions of financing documents pertaining |
| 1684 | to such bonds, notes, indebtedness, or other financing |
| 1685 | obligations, or the security or credit enhancement for them, and |
| 1686 | any reference in this subsection to bonds, notes, indebtedness, |
| 1687 | financing obligations, or similar obligations, of the |
| 1688 | corporation shall include like instruments or contracts of the |
| 1689 | Florida Windstorm Underwriting Association and the Residential |
| 1690 | Property and Casualty Joint Underwriting Association to the |
| 1691 | extent not inconsistent with the provisions of the financing |
| 1692 | documents pertaining to them. |
| 1693 | (z)(aa) The corporation shall not require the securing of |
| 1694 | flood insurance as a condition of coverage if the insured or |
| 1695 | applicant executes a form approved by the office affirming that |
| 1696 | flood insurance is not provided by the corporation and that if |
| 1697 | flood insurance is not secured by the applicant or insured in |
| 1698 | addition to coverage by the corporation, the risk will not be |
| 1699 | covered for flood damage. A corporation policyholder electing |
| 1700 | not to secure flood insurance and executing a form as provided |
| 1701 | herein making a claim for water damage against the corporation |
| 1702 | shall have the burden of proving the damage was not caused by |
| 1703 | flooding. Notwithstanding other provisions of this subsection, |
| 1704 | the corporation may deny coverage to an applicant or insured who |
| 1705 | refuses to execute the form described herein. |
| 1706 | (aa)(bb) A salaried employee of the corporation who |
| 1707 | performs policy administration services subsequent to the |
| 1708 | effectuation of a corporation policy is not required to be |
| 1709 | licensed as an agent under the provisions of s. 626.112. |
| 1710 | (bb)(cc) By February 1, 2007, the corporation shall submit |
| 1711 | a report to the President of the Senate, the Speaker of the |
| 1712 | House of Representatives, the minority party leaders of the |
| 1713 | Senate and the House of Representatives, and the chairs of the |
| 1714 | standing committees of the Senate and the House of |
| 1715 | Representatives having jurisdiction over matters relating to |
| 1716 | property and casualty insurance. In preparing the report, the |
| 1717 | corporation shall consult with the Office of Insurance |
| 1718 | Regulation, the Department of Financial Services, and any other |
| 1719 | party the corporation determines appropriate. The report must |
| 1720 | include all findings and recommendations on the feasibility of |
| 1721 | requiring authorized insurers that issue and service personal |
| 1722 | and commercial residential policies and commercial |
| 1723 | nonresidential policies that provide coverage for basic property |
| 1724 | perils except for the peril of wind to issue and service for a |
| 1725 | fee personal and commercial residential policies and commercial |
| 1726 | nonresidential policies providing coverage for the peril of wind |
| 1727 | issued by the corporation. The report must include: |
| 1728 | 1. The expense savings to the corporation of issuing and |
| 1729 | servicing such policies as determined by a cost-benefit |
| 1730 | analysis. |
| 1731 | 2. The expenses and liability to authorized insurers |
| 1732 | associated with issuing and servicing such policies. |
| 1733 | 3. The effect on service to policyholders of the |
| 1734 | corporation relating to issuing and servicing such policies. |
| 1735 | 4. The effect on the producing agent of the corporation of |
| 1736 | issuing and servicing such policies. |
| 1737 | 5. Recommendations as to the amount of the fee which |
| 1738 | should be paid to authorized insurers for issuing and servicing |
| 1739 | such policies. |
| 1740 | 6. The effect that issuing and servicing such policies |
| 1741 | will have on the corporation's number of policies, total insured |
| 1742 | value, and probable maximum loss. |
| 1743 | (cc)(dd) There shall be no liability on the part of, and |
| 1744 | no cause of action of any nature shall arise against, producing |
| 1745 | agents of record of the corporation or employees of such agents |
| 1746 | for insolvency of any take-out insurer. |
| 1747 | (dd)(ee) The assets of the corporation may be invested and |
| 1748 | managed by the State Board of Administration. |
| 1749 | (ee)(ff) The office may establish a pilot program to offer |
| 1750 | optional sinkhole coverage in one or more counties or other |
| 1751 | territories of the corporation for the purpose of implementing |
| 1752 | s. 627.706, as amended by s. 30, chapter 2007-1, Laws of |
| 1753 | Florida. Under the pilot program, the corporation is not |
| 1754 | required to issue a notice of nonrenewal to exclude sinkhole |
| 1755 | coverage upon the renewal of existing policies, but may exclude |
| 1756 | such coverage using a notice of coverage change. |
| 1757 | Section 10. Paragraph (b) of subsection (2) of section |
| 1758 | 627.4133, Florida Statutes, is amended to read: |
| 1759 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
| 1760 | premium.- |
| 1761 | (2) With respect to any personal lines or commercial |
| 1762 | residential property insurance policy, including, but not |
| 1763 | limited to, any homeowner's, mobile home owner's, farmowner's, |
| 1764 | condominium association, condominium unit owner's, apartment |
| 1765 | building, or other policy covering a residential structure or |
| 1766 | its contents: |
| 1767 | (b) The insurer shall give the named insured written |
| 1768 | notice of nonrenewal, cancellation, or termination at least 100 |
| 1769 | days prior to the effective date of the nonrenewal, |
| 1770 | cancellation, or termination. However, the insurer shall give at |
| 1771 | least 100 days' written notice, or written notice by June 1, |
| 1772 | whichever is earlier, for any nonrenewal, cancellation, or |
| 1773 | termination that would be effective between June 1 and November |
| 1774 | 30. The notice must include the reason or reasons for the |
| 1775 | nonrenewal, cancellation, or termination, except that: |
| 1776 | 1. The insurer shall give the named insured written notice |
| 1777 | of nonrenewal, cancellation, or termination at least 180 days |
| 1778 | prior to the effective date of the nonrenewal, cancellation, or |
| 1779 | termination for a named insured whose residential structure has |
| 1780 | been insured by that insurer or an affiliated insurer for at |
| 1781 | least a 5-year period immediately prior to the date of the |
| 1782 | written notice. |
| 1783 | 2. When cancellation is for nonpayment of premium, at |
| 1784 | least 10 days' written notice of cancellation accompanied by the |
| 1785 | reason therefor shall be given. As used in this subparagraph, |
| 1786 | the term "nonpayment of premium" means failure of the named |
| 1787 | insured to discharge when due any of her or his obligations in |
| 1788 | connection with the payment of premiums on a policy or any |
| 1789 | installment of such premium, whether the premium is payable |
| 1790 | directly to the insurer or its agent or indirectly under any |
| 1791 | premium finance plan or extension of credit, or failure to |
| 1792 | maintain membership in an organization if such membership is a |
| 1793 | condition precedent to insurance coverage. "Nonpayment of |
| 1794 | premium" also means the failure of a financial institution to |
| 1795 | honor an insurance applicant's check after delivery to a |
| 1796 | licensed agent for payment of a premium, even if the agent has |
| 1797 | previously delivered or transferred the premium to the insurer. |
| 1798 | If a dishonored check represents the initial premium payment, |
| 1799 | the contract and all contractual obligations shall be void ab |
| 1800 | initio unless the nonpayment is cured within the earlier of 5 |
| 1801 | days after actual notice by certified mail is received by the |
| 1802 | applicant or 15 days after notice is sent to the applicant by |
| 1803 | certified mail or registered mail, and if the contract is void, |
| 1804 | any premium received by the insurer from a third party shall be |
| 1805 | refunded to that party in full. |
| 1806 | 3. When such cancellation or termination occurs during the |
| 1807 | first 90 days during which the insurance is in force and the |
| 1808 | insurance is canceled or terminated for reasons other than |
| 1809 | nonpayment of premium, at least 20 days' written notice of |
| 1810 | cancellation or termination accompanied by the reason therefor |
| 1811 | shall be given except where there has been a material |
| 1812 | misstatement or misrepresentation or failure to comply with the |
| 1813 | underwriting requirements established by the insurer. |
| 1814 | 4. The requirement for providing written notice of |
| 1815 | nonrenewal by June 1 of any nonrenewal that would be effective |
| 1816 | between June 1 and November 30 does not apply to the following |
| 1817 | situations, but the insurer remains subject to the requirement |
| 1818 | to provide such notice at least 100 days prior to the effective |
| 1819 | date of nonrenewal: |
| 1820 | a. A policy that is nonrenewed due to a revision in the |
| 1821 | coverage for sinkhole losses and catastrophic ground cover |
| 1822 | collapse pursuant to s. 627.706, as amended by s. 30, chapter |
| 1823 | 2007-1, Laws of Florida. |
| 1824 | b. A policy that is nonrenewed by Citizens Property |
| 1825 | Insurance Corporation, pursuant to s. 627.351(6), for a policy |
| 1826 | that has been assumed by an authorized insurer offering |
| 1827 | replacement or renewal coverage to the policyholder. |
| 1828 | 5. Notwithstanding any other provision of law, an insurer |
| 1829 | may cancel or nonrenew a property insurance policy upon a |
| 1830 | minimum of 45 days' notice if the office finds that the early |
| 1831 | cancellation of some or all of the insurer's policies is |
| 1832 | necessary to protect the best interests of the public or |
| 1833 | policyholders and the office approves the insurer's plan for |
| 1834 | early cancellation or nonrenewal of some or all of its policies. |
| 1835 | The office may base such a finding upon the financial condition |
| 1836 | of the insurer, lack of adequate reinsurance coverage for |
| 1837 | hurricane risk, or other relevant factors. The office may |
| 1838 | condition its finding on the consent of the insurer to be placed |
| 1839 | in administrative supervision pursuant to s. 624.81 or consent |
| 1840 | to the appointment of a receiver under chapter 631. |
| 1841 | 6. Citizens Property Insurance Corporation shall give the |
| 1842 | named insured written notice of nonrenewal, cancellation, or |
| 1843 | termination at least 45 days before the effective date of the |
| 1844 | nonrenewal, cancellation, or termination if the policy being |
| 1845 | nonrenewed, canceled, or terminated has been assumed by an |
| 1846 | authorized insurer offering coverage to the policyholder. |
| 1847 |
|
| 1848 | After the policy has been in effect for 90 days, the policy |
| 1849 | shall not be canceled by the insurer except when there has been |
| 1850 | a material misstatement, a nonpayment of premium, a failure to |
| 1851 | comply with underwriting requirements established by the insurer |
| 1852 | within 90 days of the date of effectuation of coverage, or a |
| 1853 | substantial change in the risk covered by the policy or when the |
| 1854 | cancellation is for all insureds under such policies for a given |
| 1855 | class of insureds. This paragraph does not apply to individually |
| 1856 | rated risks having a policy term of less than 90 days. |
| 1857 | Section 11. Section 627.41341, Florida Statutes, is |
| 1858 | created to read: |
| 1859 | 627.41341 Notice of change in policy terms.- |
| 1860 | (1) As used in this section, the term: |
| 1861 | (a) "Change in policy terms" means the modification, |
| 1862 | addition, or deletion of any term, coverage, duty, or condition |
| 1863 | from the prior policy. The correction of typographical or |
| 1864 | scrivener's errors or the application of mandated legislative |
| 1865 | changes is not a change in policy terms. |
| 1866 | (b) "Policy" means a written contract of personal lines |
| 1867 | insurance or a written agreement for or effecting insurance, or |
| 1868 | the certificate of such insurance, by whatever name called, and |
| 1869 | includes all clauses, riders, endorsements, and papers which are |
| 1870 | a part of such policy. The term "policy" does not include a |
| 1871 | binder as defined in s. 627.420 unless the duration of the |
| 1872 | binder period exceeds 60 days. |
| 1873 | (c) "Renewal" means the issuance and delivery by an |
| 1874 | insurer of a policy superseding at the end of the policy period |
| 1875 | a policy previously issued and delivered by the same insurer or |
| 1876 | the issuance and delivery of a certificate or notice extending |
| 1877 | the term of a policy beyond its policy period or term. Any |
| 1878 | policy with a policy period or term of less than 6 months or any |
| 1879 | policy with no fixed expiration date shall for the purpose of |
| 1880 | this section be considered as if written for successive policy |
| 1881 | periods or terms of 6 months. |
| 1882 | (2) A renewal policy may contain a change in policy terms. |
| 1883 | If a renewal policy contains a change in policy terms, the |
| 1884 | insurer shall give the named insured a written notice of change |
| 1885 | in policy terms that shall be enclosed with the written notice |
| 1886 | of renewal premium required by ss. 627.4133 and 627.728. The |
| 1887 | notice shall be entitled "Notice of Change in Policy Terms." |
| 1888 | (3) Although not required, United States Postal Service |
| 1889 | proof of mailing or registered mailing of the notice of change |
| 1890 | in policy terms to the named insured at the address shown in the |
| 1891 | policy shall be sufficient proof of notice. |
| 1892 | (4) Receipt of payment of the premium for the renewal |
| 1893 | policy by the insurer shall be deemed to be acceptance of the |
| 1894 | new policy terms by the named insured. |
| 1895 | (5) If an insurer fails to provide the notice of change in |
| 1896 | policy terms required under subsection (2), the original policy |
| 1897 | terms shall remain in effect until the next renewal and the |
| 1898 | proper service of the notice of change in policy terms or until |
| 1899 | the effective date of replacement coverage obtained by the named |
| 1900 | insured, whichever occurs first. |
| 1901 | (6) The intent of this section is to: |
| 1902 | (a) Allow an insurer to make a change in policy terms |
| 1903 | without nonrenewing policyholders that the insurer wishes to |
| 1904 | continue insuring. |
| 1905 | (b) Alleviate the concern and confusion to the |
| 1906 | policyholders caused by the required policy nonrenewal for the |
| 1907 | limited issue when an insurer intends to renew the insurance |
| 1908 | policy but the new policy contains a change in policy terms. |
| 1909 | (c) Encourage policyholders to discuss their coverages |
| 1910 | with their insurance agent. |
| 1911 | Section 12. Subsections (1), (3), (4), and (5) of section |
| 1912 | 627.7011, Florida Statutes, are amended to read: |
| 1913 | 627.7011 Homeowners' policies; offer of replacement cost |
| 1914 | coverage and law and ordinance coverage.- |
| 1915 | (1) Before Prior to issuing or renewing a homeowner's |
| 1916 | insurance policy on or after October 1, 2005, or prior to the |
| 1917 | first renewal of a homeowner's insurance policy on or after |
| 1918 | October 1, 2005, the insurer must offer each of the following: |
| 1919 | (a) A policy or endorsement providing that any loss which |
| 1920 | is repaired or replaced will be adjusted on the basis of |
| 1921 | replacement costs not exceeding policy limits as to the |
| 1922 | dwelling, rather than actual cash value, but not including costs |
| 1923 | necessary to meet applicable laws and ordinances regulating the |
| 1924 | construction, use, or repair of any property or requiring the |
| 1925 | tearing down of any property, including the costs of removing |
| 1926 | debris. |
| 1927 | (b) A policy or endorsement providing that, subject to |
| 1928 | other policy provisions, any loss which is repaired or replaced |
| 1929 | at any location will be adjusted on the basis of replacement |
| 1930 | costs not exceeding policy limits as to the dwelling, rather |
| 1931 | than actual cash value, and also including costs necessary to |
| 1932 | meet applicable laws and ordinances regulating the construction, |
| 1933 | use, or repair of any property or requiring the tearing down of |
| 1934 | any property, including the costs of removing debris; however, |
| 1935 | such additional costs necessary to meet applicable laws and |
| 1936 | ordinances may be limited to either 25 percent or 50 percent of |
| 1937 | the dwelling limit, as selected by the policyholder, and such |
| 1938 | coverage shall apply only to repairs of the damaged portion of |
| 1939 | the structure unless the total damage to the structure exceeds |
| 1940 | 50 percent of the replacement cost of the structure. |
| 1941 |
|
| 1942 | An insurer is not required to make the offers required by this |
| 1943 | subsection with respect to the issuance or renewal of a |
| 1944 | homeowner's policy that contains the provisions specified in |
| 1945 | paragraph (b) for law and ordinance coverage limited to 25 |
| 1946 | percent of the dwelling limit, except that the insurer must |
| 1947 | offer the law and ordinance coverage limited to 50 percent of |
| 1948 | the dwelling limit. This subsection does not prohibit the offer |
| 1949 | of a guaranteed replacement cost policy. |
| 1950 | (3)(a) If In the event of a loss occurs for which a |
| 1951 | dwelling or personal property is insured on the basis of |
| 1952 | replacement costs, the insurer shall initially pay at least the |
| 1953 | actual cash value of the loss and shall pay the actual cash |
| 1954 | value of the insured loss, less any applicable deductible. In |
| 1955 | order to receive payment from an insurer under this paragraph, a |
| 1956 | policyholder must enter into a contract for the performance of |
| 1957 | building and structural repairs. The insurer shall pay any |
| 1958 | remaining amounts necessary to perform such repairs as work is |
| 1959 | performed and expenses are incurred. Other than incidental |
| 1960 | expenses to mitigate further damage, the insurer or any |
| 1961 | contractor or subcontractor may not require the policyholder to |
| 1962 | advance payment for such repairs or expenses. The insurer may |
| 1963 | waive the requirement for a contract under this paragraph |
| 1964 | replacement cost without reservation or holdback of any |
| 1965 | depreciation in value, whether or not the insured replaces or |
| 1966 | repairs the dwelling or property. |
| 1967 | (b) If a loss occurs for which personal property is |
| 1968 | insured on the basis of replacement costs, the insurer may limit |
| 1969 | an initial payment to 50 percent of the replacement cost value |
| 1970 | of the personal property to be replaced, less any applicable |
| 1971 | deductible. An insurer may require an insured to provide the |
| 1972 | receipts for purchases of property financed by the initial 50- |
| 1973 | percent payment required by this paragraph, and the insurer |
| 1974 | shall use such receipts to make any remaining payments requested |
| 1975 | by the insured for the replacement of remaining insured personal |
| 1976 | property. If a total loss occurs, the insurer shall pay the |
| 1977 | replacement cost for content coverage without reservation or |
| 1978 | holdback of any depreciation in value. The insurer may not |
| 1979 | require the policyholder to advance payment for the replaced |
| 1980 | property. |
| 1981 | (4) A Any homeowner's insurance policy issued or renewed |
| 1982 | on or after October 1, 2005, must include in bold type no |
| 1983 | smaller than 18 points the following statement: |
| 1984 |
|
| 1985 | "LAW AND ORDINANCE COVERAGE IS AN IMPORTANT COVERAGE |
| 1986 | THAT YOU MAY WISH TO PURCHASE. YOU MAY ALSO NEED TO |
| 1987 | CONSIDER THE PURCHASE OF FLOOD INSURANCE FROM THE |
| 1988 | NATIONAL FLOOD INSURANCE PROGRAM. WITHOUT THIS |
| 1989 | COVERAGE, YOU MAY HAVE UNCOVERED LOSSES. PLEASE |
| 1990 | DISCUSS THESE COVERAGES WITH YOUR INSURANCE AGENT." |
| 1991 |
|
| 1992 | The intent of this subsection is to encourage policyholders to |
| 1993 | purchase sufficient coverage to protect them in case events |
| 1994 | excluded from the standard homeowners policy, such as law and |
| 1995 | ordinance enforcement and flood, combine with covered events to |
| 1996 | produce damage or loss to the insured property. The intent is |
| 1997 | also to encourage policyholders to discuss these issues with |
| 1998 | their insurance agent. |
| 1999 | (5) Nothing in This section does not shall be construed to |
| 2000 | apply to policies not considered to be "homeowners' policies," |
| 2001 | as that term is commonly understood in the insurance industry. |
| 2002 | This section specifically does not apply to mobile home |
| 2003 | policies. Nothing in This section does not limit shall be |
| 2004 | construed as limiting the ability of any insurer to reject or |
| 2005 | nonrenew any insured or applicant on the grounds that the |
| 2006 | structure does not meet underwriting criteria applicable to |
| 2007 | replacement cost or law and ordinance policies or for other |
| 2008 | lawful reasons. |
| 2009 | Section 13. Paragraph (a) of subsection (5) of section |
| 2010 | 627.70131, Florida Statutes, is amended to read: |
| 2011 | 627.70131 Insurer's duty to acknowledge communications |
| 2012 | regarding claims; investigation.- |
| 2013 | (5)(a) Within 90 days after an insurer receives notice of |
| 2014 | an initial or supplemental a property insurance claim from a |
| 2015 | policyholder, the insurer shall pay or deny such claim or a |
| 2016 | portion of the claim unless the failure to pay such claim or a |
| 2017 | portion of the claim is caused by factors beyond the control of |
| 2018 | the insurer which reasonably prevent such payment. Any payment |
| 2019 | of an initial or supplemental a claim or portion of such a claim |
| 2020 | made paid 90 days after the insurer receives notice of the |
| 2021 | claim, or made paid more than 15 days after there are no longer |
| 2022 | factors beyond the control of the insurer which reasonably |
| 2023 | prevented such payment, whichever is later, shall bear interest |
| 2024 | at the rate set forth in s. 55.03. Interest begins to accrue |
| 2025 | from the date the insurer receives notice of the claim. The |
| 2026 | provisions of this subsection may not be waived, voided, or |
| 2027 | nullified by the terms of the insurance policy. If there is a |
| 2028 | right to prejudgment interest, the insured shall select whether |
| 2029 | to receive prejudgment interest or interest under this |
| 2030 | subsection. Interest is payable when the claim or portion of the |
| 2031 | claim is paid. Failure to comply with this subsection |
| 2032 | constitutes a violation of this code. However, failure to comply |
| 2033 | with this subsection shall not form the sole basis for a private |
| 2034 | cause of action. |
| 2035 | Section 14. Effective January 1, 2011, section 627.7031, |
| 2036 | Florida Statutes, is created to read: |
| 2037 | 627.7031 Residential property insurance option.- |
| 2038 | (1) An insurer holding a certificate of authority to write |
| 2039 | property insurance in this state may offer or renew policies at |
| 2040 | rates established in accordance with s. 627.062(2)(l), subject |
| 2041 | to all of the requirements and prohibitions of this section. |
| 2042 | (2) An insurer offering or renewing policies at rates |
| 2043 | established in accordance with s. 627.062(2)(l) may not purchase |
| 2044 | coverage from the Florida Hurricane Catastrophe Fund under the |
| 2045 | temporary increase in coverage limit option under s. |
| 2046 | 215.555(17). |
| 2047 | (3)(a) Before the effective date of a newly issued policy |
| 2048 | at rates established in accordance with s. 627.062(2)(l) or |
| 2049 | before the effective date of a renewal policy at rates |
| 2050 | established in accordance with s. 627.062(2)(l), the applicant |
| 2051 | or insured must be given the following notice, printed in at |
| 2052 | least 12-point boldfaced type: |
| 2053 |
|
| 2054 | THE RATE FOR THIS POLICY IS NOT SUBJECT TO FULL RATE |
| 2055 | REGULATION BY THE FLORIDA OFFICE OF INSURANCE REGULATION AND MAY |
| 2056 | BE HIGHER THAN RATES APPROVED BY THAT OFFICE. A RESIDENTIAL |
| 2057 | PROPERTY POLICY SUBJECT TO FULL RATE REGULATION REQUIREMENTS MAY |
| 2058 | BE AVAILABLE FROM THIS INSURER, ANOTHER INSURER, OR CITIZENS |
| 2059 | PROPERTY INSURANCE CORPORATION. PLEASE DISCUSS YOUR POLICY |
| 2060 | OPTIONS WITH AN INSURANCE AGENT WHO CAN PROVIDE A CITIZENS |
| 2061 | QUOTE. YOU MAY WISH TO VIEW THE OFFICE OF INSURANCE REGULATION'S |
| 2062 | WEBSITE AT WWW.SHOPANDCOMPARERATES.COM FOR MORE INFORMATION |
| 2063 | ABOUT CHOICES AVAILABLE TO YOU. |
| 2064 |
|
| 2065 | (b) For policies renewed at a rate established in |
| 2066 | accordance with s. 627.062(2)(l), the notice described in |
| 2067 | paragraph (a) must be provided in writing at the same time as |
| 2068 | the renewal notice on a document separate from the renewal |
| 2069 | notice, but may be contained within the same mailing as the |
| 2070 | renewal notice. |
| 2071 | (4) Before the effective date of a newly issued policy at |
| 2072 | rates established in accordance with s. 627.062(2)(l), or before |
| 2073 | the effective date of the first renewal at rates established in |
| 2074 | accordance with s. 627.062(2)(l) of a policy originally issued |
| 2075 | before the effective date of this section, the applicant or |
| 2076 | insured must: |
| 2077 | (a) Be provided or offered, for comparison purposes, an |
| 2078 | estimate of the premium for a policy from Citizens Property |
| 2079 | Insurance Corporation reflecting substantially similar |
| 2080 | coverages, limits, and deductibles to the extent available. |
| 2081 | (b) Provide the insurer or agent with a signed copy of the |
| 2082 | following acknowledgement form, which must be retained by the |
| 2083 | insurer or agent for at least 3 years. If the acknowledgement |
| 2084 | form is signed by the insured or if the insured remits payment |
| 2085 | in the amount of the rate established in accordance with s. |
| 2086 | 627.062(2)(l) after being mailed, otherwise provided, or offered |
| 2087 | the comparison specified in paragraph (a), an insurer renewing a |
| 2088 | policy at such rate shall be deemed to comply with this section, |
| 2089 | and it is presumed that the insured has been informed and |
| 2090 | understands the information contained in the comparison and |
| 2091 | acknowledgement forms: |
| 2092 |
|
| 2093 | ACKNOWLEDGEMENT |
| 2094 | 1. I HAVE REVIEWED THE REQUIRED DISCLOSURES AND THE |
| 2095 | REQUIRED PREMIUM COMPARISON. |
| 2096 | 2. I UNDERSTAND THAT THE RATE FOR THIS RESIDENTIAL |
| 2097 | PROPERTY INSURANCE POLICY IS NOT SUBJECT TO FULL RATE REGULATION |
| 2098 | BY THE FLORIDA OFFICE OF INSURANCE REGULATION AND MAY BE HIGHER |
| 2099 | THAN RATES APPROVED BY THAT OFFICE. |
| 2100 | 3. I UNDERSTAND THAT A RESIDENTIAL PROPERTY INSURANCE |
| 2101 | POLICY SUBJECT TO FULL RATE REGULATION REQUIREMENTS MAY BE |
| 2102 | AVAILABLE FROM CITIZENS PROPERTY INSURANCE CORPORATION. |
| 2103 | 4. I UNDERSTAND THAT THE FLORIDA OFFICE OF INSURANCE |
| 2104 | REGULATION'S WEBSITE WWW.SHOPANDCOMPARERATES.COM CONTAINS |
| 2105 | RESIDENTIAL PROPERTY INSURANCE RATE COMPARISON INFORMATION. |
| 2106 | 5. I UNDERSTAND THAT IF CITIZENS PROPERTY INSURANCE |
| 2107 | CORPORATION INCURS A DEFICIT BECAUSE OF HURRICANE LOSSES OR |
| 2108 | OTHER LOSSES, I MAY BE REQUIRED TO PAY AN ASSESSMENT BASED UPON |
| 2109 | THE PREMIUM FOR THIS POLICY AND THAT A POLICYHOLDER OF CITIZENS |
| 2110 | PROPERTY INSURANCE CORPORATION MAY BE REQUIRED TO PAY A |
| 2111 | DIFFERENT ASSESSMENT. |
| 2112 |
|
| 2113 | (5) The following types of residential property insurance |
| 2114 | policies are not eligible for rates established in accordance |
| 2115 | with s. 627.062(2)(l) and are not subject to the other |
| 2116 | provisions of this section: |
| 2117 | (a) Residential property insurance policies that exclude |
| 2118 | coverage for the perils of windstorm or hurricane. |
| 2119 | (b) Residential property insurance policies that are |
| 2120 | subject to a consent decree, agreement, understanding, or other |
| 2121 | arrangement between the insurer and the office relating to rates |
| 2122 | or premiums for policies removed from Citizens Property |
| 2123 | Insurance Corporation. |
| 2124 | (6) Notwithstanding s. 627.4133, an insurer that has |
| 2125 | issued a policy under this section shall provide the named |
| 2126 | insured written notice of nonrenewal at least 180 days before |
| 2127 | the effective date of the nonrenewal as to subsequent |
| 2128 | nonrenewals. However, this subsection does not prohibit an |
| 2129 | insurer from canceling a policy as permitted under s. 627.4133. |
| 2130 | The offer of a policy at rates authorized by this section |
| 2131 | constitutes an offer to renew the policy at the rates specified |
| 2132 | in the offer and does not constitute a nonrenewal. |
| 2133 | Section 15. Effective June 1, 2010, and applying only to |
| 2134 | insurance claims made on or after that date, subsection (1), |
| 2135 | paragraph (b) of subsection (2), and subsections (5), (7), and |
| 2136 | (8) of section 627.707, Florida Statutes, are amended to read: |
| 2137 | 627.707 Standards for investigation of sinkhole claims by |
| 2138 | insurers; nonrenewals.-Upon receipt of a claim for a sinkhole |
| 2139 | loss, an insurer must meet the following standards in |
| 2140 | investigating a claim: |
| 2141 | (1) The insurer must make an inspection of the insured's |
| 2142 | premises to determine if there has been physical damage to the |
| 2143 | structure which is consistent with may be the result of sinkhole |
| 2144 | loss activity. |
| 2145 | (2) Following the insurer's initial inspection, the |
| 2146 | insurer shall engage a professional engineer or a professional |
| 2147 | geologist to conduct testing as provided in s. 627.7072 to |
| 2148 | determine the cause of the loss within a reasonable professional |
| 2149 | probability and issue a report as provided in s. 627.7073, if: |
| 2150 | (b) The policyholder demands testing in accordance with |
| 2151 | this section or s. 627.7072 and coverage under the policy is |
| 2152 | available if sinkhole loss is verified. |
| 2153 | (5)(a) Subject to paragraph (b), if a sinkhole loss is |
| 2154 | verified, the insurer shall pay to stabilize the land and |
| 2155 | building and repair the foundation in accordance with the |
| 2156 | recommendations of the professional engineer as provided under |
| 2157 | s. 627.7073, with notice to and in consultation with the |
| 2158 | policyholder, subject to the coverage and terms of the policy. |
| 2159 | The insurer shall pay for other repairs to the structure and |
| 2160 | contents in accordance with the terms of the policy. |
| 2161 | (b)1. After a The insurer may limit its payment to the |
| 2162 | actual cash value of the sinkhole loss, not including |
| 2163 | underpinning or grouting or any other repair technique performed |
| 2164 | below the existing foundation of the building, until the |
| 2165 | policyholder enters into a contract for the performance of |
| 2166 | building stabilization or foundation repairs, the claim shall be |
| 2167 | paid up to the full cost of the stabilization or foundation |
| 2168 | repairs and up to full replacement cost for above-ground repairs |
| 2169 | as set forth in this paragraph, less the insured's deductible. |
| 2170 | After the policyholder enters into a contract for the |
| 2171 | performance of building stabilization or foundation repairs in |
| 2172 | accordance with the recommendations set forth in s. 627.7073, |
| 2173 | the insurer may: |
| 2174 | a. Limit its initial payment to 10 percent of the |
| 2175 | estimated costs to implement the building stabilization and |
| 2176 | foundation repairs. |
| 2177 | b. Limit its initial payment to the actual cash value of |
| 2178 | the sinkhole loss for above-ground repairs to the structure. |
| 2179 | 2. However, after the policyholder enters into the |
| 2180 | contract for the performance of building stabilization or |
| 2181 | foundation repairs, the insurer shall pay the amounts necessary |
| 2182 | to begin and perform such stabilization and repairs as the work |
| 2183 | is performed and the expenses are incurred. Final payments for |
| 2184 | the structural or building stabilization and foundation repair |
| 2185 | work shall be remitted after such work is complete and finished |
| 2186 | in accordance with the terms of the policy and the report's |
| 2187 | recommendations and after final bills or receipts have been |
| 2188 | submitted to the insurer. The insurer may not require the |
| 2189 | policyholder to advance payment for such repairs. If repair |
| 2190 | covered by a personal lines residential property insurance |
| 2191 | policy has begun and the professional engineer selected or |
| 2192 | approved by the insurer determines that the repair cannot be |
| 2193 | completed within the policy limits, the insurer must either |
| 2194 | complete the professional engineer's recommended repair or |
| 2195 | tender the policy limits to the policyholder without a reduction |
| 2196 | for the repair expenses incurred. |
| 2197 | (c) The policyholder shall enter into such contract for |
| 2198 | repairs within 90 days after the insurance company approves |
| 2199 | coverage for a sinkhole loss to prevent additional damage to the |
| 2200 | building or structure. The 90-day time period may be extended |
| 2201 | for an additional reasonable time period if the policyholder is |
| 2202 | unable to find a qualified person or entity to contract for such |
| 2203 | repairs within the 90-day time period based upon factors beyond |
| 2204 | the policyholder's control or the policyholder is actively |
| 2205 | seeking to retain a professional engineer or geologist as |
| 2206 | provided in s. 627.7073(1)(c). This time period is tolled if |
| 2207 | either party invokes neutral evaluation. |
| 2208 | (d) The stabilization and all other repairs to the |
| 2209 | structure and contents must be completed within 12 months after |
| 2210 | entering into the contract for repairs as described in paragraph |
| 2211 | (c) unless: |
| 2212 | 1. There is a mutual agreement between the insurer and the |
| 2213 | insured; |
| 2214 | 2. The stabilization and all other repairs cannot be |
| 2215 | completed due to factors beyond the control of the insured which |
| 2216 | reasonably prevent completion; |
| 2217 | 3. The claim is involved with the neutral evaluation |
| 2218 | process under s. 627.7074; |
| 2219 | 4. The claim is in litigation; or |
| 2220 | 5. The claim is under appraisal. |
| 2221 | (e)(c) Upon the insurer's obtaining the written approval |
| 2222 | of the policyholder and any lienholder, the insurer may make |
| 2223 | payment directly to the persons selected by the policyholder to |
| 2224 | perform the land and building stabilization and foundation |
| 2225 | repairs. The decision by the insurer to make payment to such |
| 2226 | persons does not hold the insurer liable for the work performed. |
| 2227 | (7) If the insurer obtains, pursuant to s. 627.7073, |
| 2228 | written certification that there is no sinkhole loss or that the |
| 2229 | cause of the damage was not sinkhole activity, and if the |
| 2230 | policyholder has submitted the sinkhole claim without good faith |
| 2231 | grounds for submitting such claim, the policyholder shall |
| 2232 | reimburse the insurer for 50 percent of the actual costs of the |
| 2233 | analyses and services provided under ss. 627.7072 and 627.7073; |
| 2234 | however, a policyholder is not required to reimburse an insurer |
| 2235 | more than $2,500 with respect to any claim. A policyholder is |
| 2236 | required to pay reimbursement under this subsection only if the |
| 2237 | insurer, prior to ordering the analysis under s. 627.7072, |
| 2238 | informs the policyholder in writing of the policyholder's |
| 2239 | potential liability for reimbursement and gives the policyholder |
| 2240 | the opportunity to withdraw the claim. |
| 2241 | (8) An No insurer may not shall nonrenew any policy of |
| 2242 | property insurance on the basis of filing of claims for partial |
| 2243 | loss caused by sinkhole damage or clay shrinkage as long as the |
| 2244 | total of such payments does not exceed the current policy limits |
| 2245 | of coverage for property damage for the policy in effect on the |
| 2246 | date of the loss, or and provided the insured has repaired the |
| 2247 | structure in accordance with the engineering recommendations |
| 2248 | upon which any payment or policy proceeds were based. |
| 2249 | Section 16. Effective June 1, 2010, and applying only to |
| 2250 | insurance claims made on or after that date, section 627.7072, |
| 2251 | Florida Statutes, is amended to read: |
| 2252 | 627.7072 Testing standards for sinkholes.- |
| 2253 | (1) The professional engineer and professional geologist |
| 2254 | shall perform such tests as sufficient, in their professional |
| 2255 | opinion, to determine the presence or absence of sinkhole loss |
| 2256 | or other cause of damage within reasonable professional |
| 2257 | probability and for the professional engineer to make |
| 2258 | recommendations regarding necessary building stabilization and |
| 2259 | foundation repair. |
| 2260 | (2) The professional engineer and professional geologist |
| 2261 | shall perform tests under this section in accordance with |
| 2262 | Florida Geological Survey Special Publication 57 to determine |
| 2263 | the presence or absence of sinkhole loss or other cause of |
| 2264 | damage within a reasonable professional probability. |
| 2265 | Section 17. Effective June 1, 2010, and applying only to |
| 2266 | insurance claims made on or after that date, section 627.7073, |
| 2267 | Florida Statutes, is amended to read: |
| 2268 | 627.7073 Sinkhole reports.- |
| 2269 | (1) Upon completion of testing as provided in s. 627.7072, |
| 2270 | the professional engineer or professional geologist shall issue |
| 2271 | a report and certification to the insurer, with an additional |
| 2272 | copy and certification for the insurer to forward to and the |
| 2273 | policyholder as provided in this section. |
| 2274 | (a) Sinkhole loss is verified if, based upon tests |
| 2275 | performed in accordance with s. 627.7072, a professional |
| 2276 | engineer or a professional geologist issues a written report and |
| 2277 | certification stating: |
| 2278 | 1. That the cause of the actual physical and structural |
| 2279 | damage is sinkhole activity within a reasonable professional |
| 2280 | probability. |
| 2281 | 2. That the analyses conducted were of sufficient scope to |
| 2282 | identify sinkhole activity as the cause of damage within a |
| 2283 | reasonable professional probability. |
| 2284 | 3. A description of the tests performed. |
| 2285 | 4. A recommendation by the professional engineer of |
| 2286 | methods for stabilizing the land and building and for making |
| 2287 | repairs to the foundation. |
| 2288 | (b) If sinkhole activity is eliminated as the cause of |
| 2289 | damage to the structure, the professional engineer or |
| 2290 | professional geologist shall issue a written report and |
| 2291 | certification to the policyholder and the insurer stating: |
| 2292 | 1. That the cause of the damage is not sinkhole activity |
| 2293 | within a reasonable professional probability. |
| 2294 | 2. That the analyses and tests conducted were of |
| 2295 | sufficient scope to eliminate sinkhole activity as the cause of |
| 2296 | damage within a reasonable professional probability. |
| 2297 | 3. A statement of the cause of the damage within a |
| 2298 | reasonable professional probability. |
| 2299 | 4. A description of the tests performed. |
| 2300 | (c) If the policyholder disagrees with the findings, |
| 2301 | opinions, or recommendations of the professional engineer or |
| 2302 | professional geologist engaged by the insurer, the policyholder |
| 2303 | may engage a professional engineer or professional geologist, at |
| 2304 | the policyholder's expense, to conduct testing under s. 627.7072 |
| 2305 | and to render findings, opinions, and recommendations as to the |
| 2306 | cause of distress to the property and the appropriate method of |
| 2307 | land and building stabilization and foundation repair and |
| 2308 | certify such findings, opinions, and recommendations in a report |
| 2309 | that meets the requirements of this section and forward a copy |
| 2310 | of the report to the insurer. Unless the policyholder engages a |
| 2311 | professional engineer or professional geologist as described in |
| 2312 | this paragraph who disputes the findings of the insurer's |
| 2313 | engineer or geologist, the respective findings, opinions, and |
| 2314 | recommendations of the professional engineer or professional |
| 2315 | geologist as to the cause of distress to the property and the |
| 2316 | findings, opinions, and recommendations of the insurer's |
| 2317 | professional engineer as to land and building stabilization and |
| 2318 | foundation repair as required by s. 627.707(2), shall be |
| 2319 | presumed correct, which presumption shall shift the burden of |
| 2320 | proof under s. 90.304. |
| 2321 | (2)(a) Any insurer that has paid a claim for a sinkhole |
| 2322 | loss shall file a copy of the report and certification, prepared |
| 2323 | pursuant to subsection (1), including the legal description of |
| 2324 | the real property, and the name of the property owner, and the |
| 2325 | amount paid by the insurer, with the county clerk of court, who |
| 2326 | shall record the report and certification. The insurer shall |
| 2327 | also file a copy of any report prepared on behalf of the insured |
| 2328 | or the insured's representative that has been provided to the |
| 2329 | insurer that indicates that sinkhole loss caused the damage |
| 2330 | claimed. The insurer shall bear the cost of filing and recording |
| 2331 | of one or more reports the report and certifications |
| 2332 | certification. There shall be no cause of action or liability |
| 2333 | against an insurer for compliance with this section. The |
| 2334 | recording of the report and certification does not: |
| 2335 | 1. Constitute a lien, encumbrance, or restriction on the |
| 2336 | title to the real property or constitute a defect in the title |
| 2337 | to the real property; |
| 2338 | 2. Create any cause of action or liability against any |
| 2339 | grantor of the real property for breach of any warranty of good |
| 2340 | title or warranty against encumbrances; or |
| 2341 | 3. Create any cause of action or liability against any |
| 2342 | title insurer that insures the title to the real property. |
| 2343 | (b) The seller of real property upon which a sinkhole |
| 2344 | claim has been made by the seller and paid by the insurer shall |
| 2345 | disclose to the buyer of such property that a claim has been |
| 2346 | paid, the amount of the payment, and whether or not the full |
| 2347 | amount of the proceeds were used to repair the sinkhole damage. |
| 2348 | The seller shall also provide to the buyer a copy of the report |
| 2349 | prepared pursuant to subsection (1) and any report prepared on |
| 2350 | behalf of the insured. |
| 2351 | Section 18. Effective June 1, 2010, and applying only to |
| 2352 | insurance claims made on or after that date, section 627.7074, |
| 2353 | Florida Statutes, is amended to read: |
| 2354 | 627.7074 Alternative procedure for resolution of disputed |
| 2355 | sinkhole insurance claims.- |
| 2356 | (1) As used in this section, the term: |
| 2357 | (a) "Neutral evaluation" means the alternative dispute |
| 2358 | resolution provided for in this section. |
| 2359 | (b) "Neutral evaluator" means a professional engineer or a |
| 2360 | professional geologist who has completed a course of study in |
| 2361 | alternative dispute resolution designed or approved by the |
| 2362 | department for use in the neutral evaluation process, who is |
| 2363 | determined to be fair and impartial. |
| 2364 | (2)(a) The department shall certify and maintain a list of |
| 2365 | persons who are neutral evaluators. |
| 2366 | (b) The department shall prepare a consumer information |
| 2367 | pamphlet for distribution by insurers to policyholders which |
| 2368 | clearly describes the neutral evaluation process and includes |
| 2369 | information and forms necessary for the policyholder to request |
| 2370 | a neutral evaluation. |
| 2371 | (3) Neutral evaluation is available to either party if a |
| 2372 | sinkhole report has been issued pursuant to s. 627.7073. |
| 2373 | Following the receipt of the report provided under s. 627.7073 |
| 2374 | or the denial of a claim for a sinkhole loss, the insurer shall |
| 2375 | notify the policyholder of his or her right to participate in |
| 2376 | the neutral evaluation program under this section. Neutral |
| 2377 | evaluation supersedes the alternative dispute resolution process |
| 2378 | under s. 627.7015 but does not supersede the appraisal clause if |
| 2379 | an appraisal clause is provided by the insurance policy. The |
| 2380 | insurer shall provide to the policyholder the consumer |
| 2381 | information pamphlet prepared by the department pursuant to |
| 2382 | paragraph (2)(b). |
| 2383 | (4) Neutral evaluation is nonbinding, but mandatory if |
| 2384 | requested by either party. A request for neutral evaluation may |
| 2385 | be filed with the department by the policyholder or the insurer |
| 2386 | on a form approved by the department. The request for neutral |
| 2387 | evaluation must state the reason for the request and must |
| 2388 | include an explanation of all the issues in dispute at the time |
| 2389 | of the request. Filing a request for neutral evaluation tolls |
| 2390 | the applicable time requirements for filing suit for a period of |
| 2391 | 60 days following the conclusion of the neutral evaluation |
| 2392 | process or the time prescribed in s. 95.11, whichever is later. |
| 2393 | (5) Neutral evaluation shall be conducted as an informal |
| 2394 | process in which formal rules of evidence and procedure need not |
| 2395 | be observed. A party to neutral evaluation is not required to |
| 2396 | attend neutral evaluation if a representative of the party |
| 2397 | attends and has the authority to make a binding decision on |
| 2398 | behalf of the party. All parties shall participate in the |
| 2399 | evaluation in good faith. |
| 2400 | (6) The insurer shall pay the costs associated with the |
| 2401 | neutral evaluation. |
| 2402 | (7)(a) Upon receipt of a request for neutral evaluation, |
| 2403 | the department shall provide the parties a list of certified |
| 2404 | neutral evaluators. The parties shall mutually select a neutral |
| 2405 | evaluator from the list and promptly inform the department. If |
| 2406 | the parties cannot agree to a neutral evaluator within 10 |
| 2407 | business days, the department allow the parties to submit |
| 2408 | requests to disqualify neutral evaluators on the list for cause. |
| 2409 | For purposes of this subsection, a ground for cause is required |
| 2410 | to be found by the department only if: |
| 2411 | 1. A familial relationship exists between the neutral |
| 2412 | evaluator and either party or a representative of either party |
| 2413 | within the third degree; |
| 2414 | 2. The proposed neutral evaluator has, in a professional |
| 2415 | capacity, previously represented either party or a |
| 2416 | representative of either party in the same or a substantially |
| 2417 | related matter; |
| 2418 | 3. The proposed neutral evaluator has, in a professional |
| 2419 | capacity, represented another person in the same or a |
| 2420 | substantially related matter and that person's interests are |
| 2421 | materially adverse to the interests of the parties; |
| 2422 | 4. The proposed neutral evaluator works in the same firm |
| 2423 | or corporation as a person who has, in a professional capacity, |
| 2424 | previously represented either party or a representative of |
| 2425 | either party in the same or a substantially related matter; or |
| 2426 | 5. The proposed neutral evaluator has, within the |
| 2427 | preceding 5 years, worked as an employee of any party to the |
| 2428 | case. |
| 2429 | (b) The parties shall mutually appoint a neutral evaluator |
| 2430 | from the department list and promptly inform the department. If |
| 2431 | the parties cannot agree to a neutral evaluator within 10 |
| 2432 | business days, the department shall appoint a neutral evaluator |
| 2433 | from the department's list of certified neutral evaluators. The |
| 2434 | department shall allow each party to disqualify one neutral |
| 2435 | evaluator without cause. Upon selection or appointment, the |
| 2436 | department shall promptly refer the request to the neutral |
| 2437 | evaluator. |
| 2438 | (c) Within 5 business days after the referral, the neutral |
| 2439 | evaluator shall notify the policyholder and the insurer of the |
| 2440 | date, time, and place of the neutral evaluation conference. The |
| 2441 | conference may be held by telephone, if feasible and desirable. |
| 2442 | The neutral evaluation conference shall be held within 90 45 |
| 2443 | days after the receipt of the request by the department. If the |
| 2444 | neutral evaluator fails to hold a neutral evaluation conference |
| 2445 | in accordance with this paragraph, the neutral evaluator's fee |
| 2446 | shall be reduced by 10 percent unless the failure was due to |
| 2447 | factors beyond the control of the neutral evaluator. |
| 2448 | (d) As used in this subsection, the term "substantially |
| 2449 | related matter" means participation by the neutral evaluator on |
| 2450 | the same claim, property, or any adjacent property. |
| 2451 | (8) The department shall adopt rules of procedure for the |
| 2452 | neutral evaluation process. |
| 2453 | (9) For policyholders not represented by an attorney, a |
| 2454 | consumer affairs specialist of the department or an employee |
| 2455 | designated as the primary contact for consumers on issues |
| 2456 | relating to sinkholes under s. 20.121 shall be available for |
| 2457 | consultation to the extent that he or she may lawfully do so. |
| 2458 | (10) Evidence of an offer to settle a claim during the |
| 2459 | neutral evaluation process, as well as any relevant conduct or |
| 2460 | statements made in negotiations concerning the offer to settle a |
| 2461 | claim, is inadmissible to prove liability or absence of |
| 2462 | liability for the claim or its value, except as provided in |
| 2463 | subsection (14) (13). |
| 2464 | (11) Regardless of when invoked, any court proceeding |
| 2465 | related to the subject matter of the neutral evaluation shall be |
| 2466 | stayed pending completion of the neutral evaluation and for 5 |
| 2467 | days after the filing of the neutral evaluator's report with the |
| 2468 | court. |
| 2469 | (12) If the neutral evaluator, based upon his or her |
| 2470 | professional training and credentials, is qualified only to |
| 2471 | determine the causation issue or the method of repair issue, the |
| 2472 | department shall allow the neutral evaluator to enlist the |
| 2473 | assistance of another professional from the qualified neutral |
| 2474 | evaluators list, not previously struck by parties with respect |
| 2475 | to the subject evaluation, who, based upon his or her |
| 2476 | professional training and credentials, is able to provide an |
| 2477 | opinion as to the other disputed issue. Any professional who, if |
| 2478 | appointed as the neutral evaluator, would be disqualified for |
| 2479 | any reason listed in subsection (7) must be disqualified. In |
| 2480 | addition, the neutral evaluator may use the service of other |
| 2481 | experts or professionals as necessary to ensure that all items |
| 2482 | in dispute are addressed in order to complete the neutral |
| 2483 | evaluation. The neutral evaluator may request that the entity |
| 2484 | that performed testing pursuant to s. 627.7072 perform such |
| 2485 | additional reasonable testing deemed necessary in the |
| 2486 | professional opinion of the neutral evaluator to complete the |
| 2487 | neutral evaluation. |
| 2488 | (13)(12) For all matters that are not resolved by the |
| 2489 | parties at the conclusion of the neutral evaluation, the neutral |
| 2490 | evaluator shall prepare a report stating that in his or her |
| 2491 | opinion the sinkhole loss has been verified or eliminated within |
| 2492 | a reasonable degree of professional probability and, if |
| 2493 | verified, whether the sinkhole loss has caused structural or |
| 2494 | cosmetic damage to the building and, if so, the need for and |
| 2495 | estimated costs of stabilizing the land and any covered |
| 2496 | structures or buildings and other appropriate remediation or |
| 2497 | structural repairs that are necessary due to the sinkhole loss. |
| 2498 | The evaluator's report shall be sent to all parties in |
| 2499 | attendance at the neutral evaluation and to the department. |
| 2500 | (14)(13) The recommendation of the neutral evaluator is |
| 2501 | not binding on any party, and the parties retain access to |
| 2502 | court. The neutral evaluator's written recommendation is |
| 2503 | admissible in any subsequent action or proceeding relating to |
| 2504 | the claim or to the cause of action giving rise to the claim. |
| 2505 | (15)(14) If the neutral evaluator first verifies the |
| 2506 | existence of a sinkhole and, second, recommends the need for and |
| 2507 | estimates costs of stabilizing the land and any covered |
| 2508 | structures or buildings and other appropriate remediation or |
| 2509 | structural repairs, which costs exceed the amount that the |
| 2510 | insurer has offered to pay the policyholder, the insurer is |
| 2511 | liable to the policyholder for up to $2,500 in attorney's fees |
| 2512 | for the attorney's participation in the neutral evaluation |
| 2513 | process. For purposes of this subsection, the term "offer to |
| 2514 | pay" means a written offer signed by the insurer or its legal |
| 2515 | representative and delivered to the policyholder within 10 days |
| 2516 | after the insurer receives notice that a request for neutral |
| 2517 | evaluation has been made under this section. |
| 2518 | (16)(15) If the insurer timely agrees in writing to comply |
| 2519 | and timely complies with the recommendation of the neutral |
| 2520 | evaluator, but the policyholder declines to resolve the matter |
| 2521 | in accordance with the recommendation of the neutral evaluator |
| 2522 | pursuant to this section: |
| 2523 | (a) The insurer is not liable for extracontractual damages |
| 2524 | related to a claim for a sinkhole loss but only as related to |
| 2525 | the issues determined by the neutral evaluation process. This |
| 2526 | section does not affect or impair claims for extracontractual |
| 2527 | damages unrelated to the issues determined by the neutral |
| 2528 | evaluation process contained in this section; and |
| 2529 | (b) The actions of the insurer are not a confession of |
| 2530 | judgment or an admission of liability, and the insurer may is |
| 2531 | not be liable for attorney's fees under s. 627.428 or other |
| 2532 | provisions of the insurance code unless the policyholder obtains |
| 2533 | a judgment that is more favorable than the recommendation of the |
| 2534 | neutral evaluator. |
| 2535 | (17) If the insurer agrees to comply with the neutral |
| 2536 | evaluator's report, payment for stabilizing the land and |
| 2537 | building and repairing the foundation shall be made in |
| 2538 | accordance with the terms and conditions of the applicable |
| 2539 | insurance policy. |
| 2540 | Section 19. Section 627.711, Florida Statutes, is amended |
| 2541 | to read: |
| 2542 | 627.711 Notice of premium discounts for hurricane loss |
| 2543 | mitigation; uniform mitigation verification inspection form.- |
| 2544 | (1) Using a form prescribed by the Office of Insurance |
| 2545 | Regulation, the insurer shall clearly notify the applicant or |
| 2546 | policyholder of any personal lines residential property |
| 2547 | insurance policy, at the time of the issuance of the policy and |
| 2548 | at each renewal, of the availability and the range of each |
| 2549 | premium discount, credit, other rate differential, or reduction |
| 2550 | in deductibles, and combinations of discounts, credits, rate |
| 2551 | differentials, or reductions in deductibles, for properties on |
| 2552 | which fixtures or construction techniques demonstrated to reduce |
| 2553 | the amount of loss in a windstorm can be or have been installed |
| 2554 | or implemented. The prescribed form shall describe generally |
| 2555 | what actions the policyholders may be able to take to reduce |
| 2556 | their windstorm premium. The prescribed form and a list of such |
| 2557 | ranges approved by the office for each insurer licensed in the |
| 2558 | state and providing such discounts, credits, other rate |
| 2559 | differentials, or reductions in deductibles for properties |
| 2560 | described in this subsection shall be available for electronic |
| 2561 | viewing and download from the Department of Financial Services' |
| 2562 | or the Office of Insurance Regulation's Internet website. The |
| 2563 | Financial Services Commission may adopt rules to implement this |
| 2564 | subsection. |
| 2565 | (2)(a) By July 1, 2007, The Financial Services Commission |
| 2566 | shall develop by rule a uniform mitigation verification |
| 2567 | inspection form that shall be used by all insurers when |
| 2568 | submitted by policyholders for the purpose of factoring |
| 2569 | discounts for wind insurance. In developing the form, the |
| 2570 | commission shall seek input from insurance, construction, and |
| 2571 | building code representatives. Further, the commission shall |
| 2572 | provide guidance as to the length of time the inspection results |
| 2573 | are valid. An insurer shall accept as valid a uniform mitigation |
| 2574 | verification form certified by the Department of Financial |
| 2575 | Services or signed by: |
| 2576 | (a) A hurricane mitigation inspector certified by the My |
| 2577 | Safe Florida Home program; |
| 2578 | 1.(b) A building code inspector certified under s. |
| 2579 | 468.607; |
| 2580 | 2.(c) A general, building, or residential contractor |
| 2581 | licensed under s. 489.111; |
| 2582 | 3.(d) A professional engineer licensed under s. 471.015 |
| 2583 | who has passed the appropriate equivalency test of the building |
| 2584 | code training program as required by s. 553.841; or |
| 2585 | 4.(e) A professional architect licensed under s. 481.213; |
| 2586 | or |
| 2587 | (f) Any other individual or entity recognized by the |
| 2588 | insurer as possessing the necessary qualifications to properly |
| 2589 | complete a uniform mitigation verification form. |
| 2590 | (b) An insurer may, but is not required to, accept a |
| 2591 | mitigation verification form from any other person possessing |
| 2592 | qualifications and experience acceptable to the insurer. |
| 2593 | (3) A person who is authorized to sign a mitigation |
| 2594 | verification form must inspect the structures referenced by the |
| 2595 | form personally, not through employees or other persons, and |
| 2596 | must certify or attest to that person's personal inspection of |
| 2597 | the structures referenced by the form. |
| 2598 | (4) An individual or entity that signs a uniform |
| 2599 | mitigation form may not commit misconduct in performing |
| 2600 | hurricane mitigation inspections or in completing a uniform |
| 2601 | mitigation form that causes financial harm to a customer or the |
| 2602 | customer's insurer or that jeopardizes a customer's health and |
| 2603 | safety. Misconduct occurs when an authorized mitigation |
| 2604 | inspector signs a uniform mitigation verification form that: |
| 2605 | (a) Falsely indicates that he or she personally inspected |
| 2606 | the structures referenced by the form; |
| 2607 | (b) Falsely indicates the existence of a feature which |
| 2608 | entitles an insured to a mitigation discount that the inspector |
| 2609 | knows does not exist or did not personally inspect; |
| 2610 | (c) Contains erroneous information due to the gross |
| 2611 | negligence of the inspector; or |
| 2612 | (d) Contains demonstrably false information relating to |
| 2613 | the existence of mitigation features that may give an insured a |
| 2614 | false evaluation of the ability of the structure to withstand |
| 2615 | major damage from a hurricane endangering the safety of the |
| 2616 | insured's life and property. |
| 2617 | (5) The licensing board of an authorized mitigation |
| 2618 | inspector who violates subsection (4) may commence disciplinary |
| 2619 | proceedings and impose administrative fines and other sanctions |
| 2620 | authorized under the inspector's licensing act. |
| 2621 | (6) An insurer, person, or other entity that obtains |
| 2622 | evidence of fraud or evidence that an inspector has made false |
| 2623 | statements in the completion of a mitigation inspection form |
| 2624 | shall file a report with the Division of Insurance Fraud, |
| 2625 | together with all of the evidence in its possession that |
| 2626 | supports the allegation of fraud or falsity. An insurer, person, |
| 2627 | or other entity making the report is immune from liability in |
| 2628 | accordance with s. 626.989(4) for any statements made in the |
| 2629 | report, during the investigation, or in connection with the |
| 2630 | report. The Division of Insurance Fraud shall issue an |
| 2631 | investigative report if the division finds that probable cause |
| 2632 | exists to believe that the inspector made intentionally false or |
| 2633 | fraudulent statements in the inspection form. Upon conclusion of |
| 2634 | the investigation and a finding of probable cause that a |
| 2635 | violation has occurred, the Division of Insurance Fraud shall |
| 2636 | send a copy of the investigative report to the office and a copy |
| 2637 | to the agency responsible for the professional licensure of the |
| 2638 | inspector, whether or not a prosecutor takes action based upon |
| 2639 | the report. |
| 2640 | (7) The insurer may require the mitigation inspector or |
| 2641 | inspection company to provide evidence of the inspector's or |
| 2642 | inspection company's quality assurance program. At the insurer's |
| 2643 | expense, the insurer may require that any uniform mitigation |
| 2644 | verification form provided by a mitigation inspector or |
| 2645 | inspection company that does not possess or has not provided |
| 2646 | evidence to the insurer of a quality assurance program be |
| 2647 | independently verified by an inspector, inspection company, or |
| 2648 | independent third-party quality assurance provider that |
| 2649 | possesses a quality assurance program prior to accepting it as |
| 2650 | valid. |
| 2651 | (8)(3) An individual or entity who knowingly provides or |
| 2652 | utters a false or fraudulent mitigation verification form with |
| 2653 | the intent to obtain or receive a discount on an insurance |
| 2654 | premium to which the individual or entity is not entitled |
| 2655 | commits a misdemeanor of the first degree, punishable as |
| 2656 | provided in s. 775.082 or s. 775.083. |
| 2657 | Section 20. In the interest of full disclosure and |
| 2658 | transparency to insurance policy owners, and because most |
| 2659 | insurance policies sold in this state are subject to assessments |
| 2660 | to make up for the funding deficiencies of the Citizens Property |
| 2661 | Insurance Corporation, the Florida Insurance Guaranty |
| 2662 | Association, or the Florida Hurricane Catastrophe Fund, the |
| 2663 | following warning shall be printed in bold type of not less than |
| 2664 | 16 points and shall be displayed on the declarations page or on |
| 2665 | the renewal notice of every insurance policy sold or issued in |
| 2666 | this state that is or may be subject to assessment by the |
| 2667 | Citizens Property Insurance Corporation, the Florida Insurance |
| 2668 | Guaranty Association, or the Florida Hurricane Catastrophe Fund: |
| 2669 |
|
| 2670 | WARNING |
| 2671 | The premium you are about to pay may NOT be the full cost |
| 2672 | of this insurance policy. If a hurricane strikes Florida, |
| 2673 | you may be forced to pay additional moneys to offset the |
| 2674 | inability of the state-owned Citizens Property Insurance |
| 2675 | Corporation, the Florida Insurance Guaranty Association, |
| 2676 | or the Florida Hurricane Catastrophe Fund to pay claims |
| 2677 | resulting from the losses due to the hurricane. |
| 2678 | Section 21. Section 627.7065, Florida Statutes, is |
| 2679 | repealed. |
| 2680 | Section 22. Except as otherwise expressly provided in this |
| 2681 | act, this act shall take effect July 1, 2010. |