1 | A bill to be entitled |
2 | An act relating to insurance; amending s. 626.9541, F.S.; |
3 | prohibiting an insurer that issues motor vehicle insurance |
4 | from using a rate, rating schedule, rating manual, or an |
5 | underwriting rule that is not contained in a rating manual |
6 | and is determined in whole or in part on the basis of |
7 | certain characteristics of an insured; including the |
8 | refusal to insure or continue to insure any individual or |
9 | risk because of educational level, trade, business, |
10 | occupation, profession, credit report, credit score, or |
11 | certain forms of lawful employment among the list of |
12 | activities constituting unfair methods of competition and |
13 | unfair or deceptive acts; amending s. 626.9741, F.S.; |
14 | prohibiting the use by insurers of credit reports and |
15 | credit scores in making rating determinations; deleting |
16 | provisions limiting and regulating the use of credit |
17 | scores by insurers when making rating determinations; |
18 | deleting the definitions of the terms "adverse decision" |
19 | and "tier"; deleting provisions authorizing the Financial |
20 | Services Commission to adopt rules; providing an effective |
21 | date. |
22 |
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23 | Be It Enacted by the Legislature of the State of Florida: |
24 |
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25 | Section 1. Paragraphs (o) and (x) of subsection (1) of |
26 | section 626.9541, Florida Statutes, are amended to read: |
27 | 626.9541 Unfair methods of competition and unfair or |
28 | deceptive acts or practices defined.- |
29 | (1) UNFAIR METHODS OF COMPETITION AND UNFAIR OR DECEPTIVE |
30 | ACTS.-The following are defined as unfair methods of competition |
31 | and unfair or deceptive acts or practices: |
32 | (o) Illegal dealings in premiums; excess or reduced |
33 | charges for insurance.- |
34 | 1. Knowingly collecting any sum as a premium or charge for |
35 | insurance, which is not then provided, or is not in due course |
36 | to be provided, subject to acceptance of the risk by the |
37 | insurer, by an insurance policy issued by an insurer as |
38 | permitted by this code. |
39 | 2. Knowingly collecting as a premium or charge for |
40 | insurance any sum in excess of or less than the premium or |
41 | charge applicable to such insurance, in accordance with the |
42 | applicable classifications and rates as filed with and approved |
43 | by the office, and as specified in the policy; or, in cases when |
44 | classifications, premiums, or rates are not required by this |
45 | code to be so filed and approved, premiums and charges collected |
46 | from a Florida resident in excess of or less than those |
47 | specified in the policy and as fixed by the insurer. This |
48 | provision does shall not be deemed to prohibit the charging and |
49 | collection, by surplus lines agents licensed under part VIII of |
50 | this chapter, of the amount of applicable state and federal |
51 | taxes, or fees as authorized by s. 626.916(4), in addition to |
52 | the premium required by the insurer or the charging and |
53 | collection, by licensed agents, of the exact amount of any |
54 | discount or other such fee charged by a credit card facility in |
55 | connection with the use of a credit card, as authorized by |
56 | subparagraph (q)3., in addition to the premium required by the |
57 | insurer. This subparagraph does shall not be construed to |
58 | prohibit collection of a premium for a universal life or a |
59 | variable or indeterminate value insurance policy made in |
60 | accordance with the terms of the contract. |
61 | 3.a. Imposing or requesting an additional premium for a |
62 | policy of motor vehicle liability, personal injury protection, |
63 | medical payment, or collision insurance or any combination |
64 | thereof or refusing to renew the policy solely because the |
65 | insured was involved in a motor vehicle accident unless the |
66 | insurer's file contains information from which the insurer in |
67 | good faith determines that the insured was substantially at |
68 | fault in the accident. |
69 | b. An insurer that which imposes and collects such a |
70 | surcharge or which refuses to renew such policy shall, in |
71 | conjunction with the notice of premium due or notice of |
72 | nonrenewal, notify the named insured that he or she is entitled |
73 | to reimbursement of such amount or renewal of the policy under |
74 | the conditions listed below and will subsequently reimburse him |
75 | or her or renew the policy, if the named insured demonstrates |
76 | that the operator involved in the accident was: |
77 | (I) Lawfully parked; |
78 | (II) Reimbursed by, or on behalf of, a person responsible |
79 | for the accident or has a judgment against such person; |
80 | (III) Struck in the rear by another vehicle headed in the |
81 | same direction and was not convicted of a moving traffic |
82 | violation in connection with the accident; |
83 | (IV) Hit by a "hit-and-run" driver, if the accident was |
84 | reported to the proper authorities within 24 hours after |
85 | discovering the accident; |
86 | (V) Not convicted of a moving traffic violation in |
87 | connection with the accident, but the operator of the other |
88 | automobile involved in such accident was convicted of a moving |
89 | traffic violation; |
90 | (VI) Finally adjudicated not to be liable by a court of |
91 | competent jurisdiction; |
92 | (VII) In receipt of a traffic citation which was dismissed |
93 | or nolle prossed; or |
94 | (VIII) Not at fault as evidenced by a written statement |
95 | from the insured establishing facts demonstrating lack of fault |
96 | which are not rebutted by information in the insurer's file from |
97 | which the insurer in good faith determines that the insured was |
98 | substantially at fault. |
99 | c. In addition to the other provisions of this |
100 | subparagraph, an insurer may not fail to renew a policy if the |
101 | insured has had only one accident in which he or she was at |
102 | fault within the current 3-year period. However, an insurer may |
103 | nonrenew a policy for reasons other than accidents in accordance |
104 | with s. 627.728. This subparagraph does not prohibit nonrenewal |
105 | of a policy under which the insured has had three or more |
106 | accidents, regardless of fault, during the most recent 3-year |
107 | period. |
108 | 4. Imposing or requesting an additional premium for, or |
109 | refusing to renew, a policy for motor vehicle insurance solely |
110 | because the insured committed a noncriminal traffic infraction |
111 | as described in s. 318.14 unless the infraction is: |
112 | a. A second infraction committed within an 18-month |
113 | period, or a third or subsequent infraction committed within a |
114 | 36-month period. |
115 | b. A violation of s. 316.183, when such violation is a |
116 | result of exceeding the lawful speed limit by more than 15 miles |
117 | per hour. |
118 | 5. Upon the request of the insured, the insurer and |
119 | licensed agent shall supply to the insured the complete proof of |
120 | fault or other criteria that which justifies the additional |
121 | charge or cancellation. |
122 | 6. An No insurer may not shall impose or request an |
123 | additional premium for motor vehicle insurance, cancel or refuse |
124 | to issue a policy, or refuse to renew a policy because the |
125 | insured or the applicant is a handicapped or physically disabled |
126 | person, so long as such handicap or physical disability does not |
127 | substantially impair such person's mechanically assisted driving |
128 | ability. |
129 | 7. An No insurer may not cancel or otherwise terminate any |
130 | insurance contract or coverage, or require execution of a |
131 | consent to rate endorsement, during the stated policy term for |
132 | the purpose of offering to issue, or issuing, a similar or |
133 | identical contract or coverage to the same insured with the same |
134 | exposure at a higher premium rate or continuing an existing |
135 | contract or coverage with the same exposure at an increased |
136 | premium. |
137 | 8. An No insurer may not issue a nonrenewal notice on any |
138 | insurance contract or coverage, or require execution of a |
139 | consent to rate endorsement, for the purpose of offering to |
140 | issue, or issuing, a similar or identical contract or coverage |
141 | to the same insured at a higher premium rate or continuing an |
142 | existing contract or coverage at an increased premium without |
143 | meeting any applicable notice requirements. |
144 | 9. An No insurer may not shall, with respect to premiums |
145 | charged for motor vehicle insurance, unfairly discriminate |
146 | solely on the basis of age, sex, marital status, or scholastic |
147 | achievement. |
148 | 10. An insurer may not, with respect to premiums charged |
149 | for motor vehicle insurance, use any rate, rating schedule, |
150 | rating manual, or underwriting rule that is not contained in a |
151 | rating manual and that is determined in whole or in part on the |
152 | basis of any of the following as they relate to an insured: |
153 | a. Educational level. |
154 | b. Trade, business, occupation, profession, or any lawful |
155 | form of employment that does not directly involve the use of one |
156 | or more vehicles specifically insured or identified in the |
157 | insurance policy. |
158 | c. Credit report or credit score as defined in s. |
159 | 626.9741. |
160 | 11.10. Imposing or requesting an additional premium for |
161 | motor vehicle comprehensive or uninsured motorist coverage |
162 | solely because the insured was involved in a motor vehicle |
163 | accident or was convicted of a moving traffic violation. |
164 | 12.11. An No insurer may not shall cancel or issue a |
165 | nonrenewal notice on any insurance policy or contract without |
166 | complying with any applicable cancellation or nonrenewal |
167 | provision required under the Florida Insurance Code. |
168 | 13.12. An No insurer may not shall impose or request an |
169 | additional premium, cancel a policy, or issue a nonrenewal |
170 | notice on any insurance policy or contract because of any |
171 | traffic infraction when adjudication has been withheld and no |
172 | points have been assessed pursuant to s. 318.14(9) and (10). |
173 | However, this subparagraph does not apply to traffic infractions |
174 | involving accidents in which the insurer has incurred a loss due |
175 | to the fault of the insured. |
176 | (x) Refusal to insure.-In addition to other provisions of |
177 | this code, the refusal to insure, or continue to insure, any |
178 | individual or risk because of the individual's educational |
179 | level, trade, business, occupation, profession, any form of |
180 | lawful employment, or credit report or credit score as defined |
181 | in s. 626.9741, or solely because of: |
182 | 1. Race, color, creed, marital status, gender sex, or |
183 | national origin; |
184 | 2. The residence or, age, or lawful occupation of the |
185 | individual or the location of the risk, unless there is a |
186 | reasonable relationship between the residence or, age, or lawful |
187 | occupation of the individual or the location of the risk and the |
188 | coverage issued or to be issued; |
189 | 3. The insured's or applicant's failure to agree to place |
190 | collateral business with any insurer, unless the coverage |
191 | applied for would provide liability coverage which is excess |
192 | over that provided in policies maintained on property or motor |
193 | vehicles; |
194 | 4. The insured's or applicant's failure to purchase |
195 | noninsurance services or commodities, including automobile |
196 | services as defined in s. 624.124; |
197 | 5. The fact that the insured or applicant is a public |
198 | official; or |
199 | 6. The fact that the insured or applicant had been |
200 | previously refused insurance coverage by any insurer, when such |
201 | refusal to insure or continue to insure for this reason occurs |
202 | with such frequency as to indicate a general business practice. |
203 | Section 2. Section 626.9741, Florida Statutes, is amended |
204 | to read: |
205 | 626.9741 Use of credit reports and credit scores by |
206 | insurers.-An insurer may not use credit reports or credit scores |
207 | in making rating determinations. For purposes of this section, |
208 | the term: |
209 | (1) The purpose of this section is to regulate and limit |
210 | the use of credit reports and credit scores by insurers for |
211 | underwriting and rating purposes. This section applies only to |
212 | personal lines motor vehicle insurance and personal lines |
213 | residential insurance, which includes homeowners, mobile home |
214 | owners' dwelling, tenants, condominium unit owners, cooperative |
215 | unit owners, and similar types of insurance. |
216 | (2) As used in this section, the term: |
217 | (a) "Adverse decision" means a decision to refuse to issue |
218 | or renew a policy of insurance; to issue a policy with |
219 | exclusions or restrictions; to increase the rates or premium |
220 | charged for a policy of insurance; to place an insured or |
221 | applicant in a rating tier that does not have the lowest |
222 | available rates for which that insured or applicant is otherwise |
223 | eligible; or to place an applicant or insured with a company |
224 | operating under common management, control, or ownership which |
225 | does not offer the lowest rates available, within the affiliate |
226 | group of insurance companies, for which that insured or |
227 | applicant is otherwise eligible. |
228 | (1)(b) "Credit report" means any written, oral, or other |
229 | communication of any information by a consumer reporting agency, |
230 | as defined in the federal Fair Credit Reporting Act, 15 U.S.C. |
231 | ss. 1681 et seq., bearing on a consumer's credit worthiness, |
232 | credit standing, or credit capacity, which is used or expected |
233 | to be used or collected as a factor to establish a person's |
234 | eligibility for credit or insurance, or any other purpose |
235 | authorized pursuant to the applicable provision of such federal |
236 | act. A credit score alone, as calculated by a credit reporting |
237 | agency or by or for the insurer, may not be considered a credit |
238 | report. |
239 | (2)(c) "Credit score" means a score, grade, or value that |
240 | is derived by using any or all data from a credit report in any |
241 | type of model, method, or program, whether electronically, in an |
242 | algorithm, computer software or program, or any other process, |
243 | for the purpose of grading or ranking credit report data. |
244 | (d) "Tier" means a category within a single insurer into |
245 | which insureds with substantially similar risk, exposure, or |
246 | expense factors are placed for purposes of determining rate or |
247 | premium. |
248 | (3) An insurer must inform an applicant or insured, in the |
249 | same medium as the application is taken, that a credit report or |
250 | score is being requested for underwriting or rating purposes. An |
251 | insurer that makes an adverse decision based, in whole or in |
252 | part, upon a credit report must provide at no charge, a copy of |
253 | the credit report to the applicant or insured or provide the |
254 | applicant or insured with the name, address, and telephone |
255 | number of the consumer reporting agency from which the insured |
256 | or applicant may obtain the credit report. The insurer must |
257 | provide notification to the consumer explaining the reasons for |
258 | the adverse decision. The reasons must be provided in |
259 | sufficiently clear and specific language so that a person can |
260 | identify the basis for the insurer's adverse decision. Such |
261 | notification shall include a description of the four primary |
262 | reasons, or such fewer number as existed, which were the primary |
263 | influences of the adverse decision. The use of generalized terms |
264 | such as "poor credit history," "poor credit rating," or "poor |
265 | insurance score" does not meet the explanation requirements of |
266 | this subsection. A credit score may not be used in underwriting |
267 | or rating insurance unless the scoring process produces |
268 | information in sufficient detail to permit compliance with the |
269 | requirements of this subsection. It shall not be deemed an |
270 | adverse decision if, due to the insured's credit report or |
271 | credit score, the insured continues to receive a less favorable |
272 | rate or placement in a less favorable tier or company at the |
273 | time of renewal except for renewals or reunderwriting required |
274 | by this section. |
275 | (4)(a) An insurer may not request a credit report or score |
276 | based upon the race, color, religion, marital status, age, |
277 | gender, income, national origin, or place of residence of the |
278 | applicant or insured. |
279 | (b) An insurer may not make an adverse decision solely |
280 | because of information contained in a credit report or score |
281 | without consideration of any other underwriting or rating |
282 | factor. |
283 | (c) An insurer may not make an adverse decision or use a |
284 | credit score that could lead to such a decision if based, in |
285 | whole or in part, on: |
286 | 1. The absence of, or an insufficient, credit history, in |
287 | which instance the insurer shall: |
288 | a. Treat the consumer as otherwise approved by the Office |
289 | of Insurance Regulation if the insurer presents information that |
290 | such an absence or inability is related to the risk for the |
291 | insurer; |
292 | b. Treat the consumer as if the applicant or insured had |
293 | neutral credit information, as defined by the insurer; |
294 | c. Exclude the use of credit information as a factor and |
295 | use only other underwriting criteria; |
296 | 2. Collection accounts with a medical industry code, if so |
297 | identified on the consumer's credit report; |
298 | 3. Place of residence; or |
299 | 4. Any other circumstance that the Financial Services |
300 | Commission determines, by rule, lacks sufficient statistical |
301 | correlation and actuarial justification as a predictor of |
302 | insurance risk. |
303 | (d) An insurer may use the number of credit inquiries |
304 | requested or made regarding the applicant or insured except for: |
305 | 1. Credit inquiries not initiated by the consumer or |
306 | inquiries requested by the consumer for his or her own credit |
307 | information. |
308 | 2. Inquiries relating to insurance coverage, if so |
309 | identified on a consumer's credit report. |
310 | 3. Collection accounts with a medical industry code, if so |
311 | identified on the consumer's credit report. |
312 | 4. Multiple lender inquiries, if coded by the consumer |
313 | reporting agency on the consumer's credit report as being from |
314 | the home mortgage industry and made within 30 days of one |
315 | another, unless only one inquiry is considered. |
316 | 5. Multiple lender inquiries, if coded by the consumer |
317 | reporting agency on the consumer's credit report as being from |
318 | the automobile lending industry and made within 30 days of one |
319 | another, unless only one inquiry is considered. |
320 | (e) An insurer must, upon the request of an applicant or |
321 | insured, provide a means of appeal for an applicant or insured |
322 | whose credit report or credit score is unduly influenced by a |
323 | dissolution of marriage, the death of a spouse, or temporary |
324 | loss of employment. The insurer must complete its review within |
325 | 10 business days after the request by the applicant or insured |
326 | and receipt of reasonable documentation requested by the |
327 | insurer, and, if the insurer determines that the credit report |
328 | or credit score was unduly influenced by any of such factors, |
329 | the insurer shall treat the applicant or insured as if the |
330 | applicant or insured had neutral credit information or shall |
331 | exclude the credit information, as defined by the insurer, |
332 | whichever is more favorable to the applicant or insured. An |
333 | insurer shall not be considered out of compliance with its |
334 | underwriting rules or rates or forms filed with the Office of |
335 | Insurance Regulation or out of compliance with any other state |
336 | law or rule as a result of granting any exceptions pursuant to |
337 | this subsection. |
338 | (5) A rate filing that uses credit reports or credit |
339 | scores must comply with the requirements of s. 627.062 or s. |
340 | 627.0651 to ensure that rates are not excessive, inadequate, or |
341 | unfairly discriminatory. |
342 | (6) An insurer that requests or uses credit reports and |
343 | credit scoring in its underwriting and rating methods shall |
344 | maintain and adhere to established written procedures that |
345 | reflect the restrictions set forth in the federal Fair Credit |
346 | Reporting Act, this section, and all rules related thereto. |
347 | (7)(a) An insurer shall establish procedures to review the |
348 | credit history of an insured who was adversely affected by the |
349 | use of the insured's credit history at the initial rating of the |
350 | policy, or at a subsequent renewal thereof. This review must be |
351 | performed at a minimum of once every 2 years or at the request |
352 | of the insured, whichever is sooner, and the insurer shall |
353 | adjust the premium of the insured to reflect any improvement in |
354 | the credit history. The procedures must provide that, with |
355 | respect to existing policyholders, the review of a credit report |
356 | will not be used by the insurer to cancel, refuse to renew, or |
357 | require a change in the method of payment or payment plan. |
358 | (b) However, as an alternative to the requirements of |
359 | paragraph (a), an insurer that used a credit report or credit |
360 | score for an insured upon inception of a policy, who will not |
361 | use a credit report or score for reunderwriting, shall |
362 | reevaluate the insured within the first 3 years after inception, |
363 | based on other allowable underwriting or rating factors, |
364 | excluding credit information if the insurer does not increase |
365 | the rates or premium charged to the insured based on the |
366 | exclusion of credit reports or credit scores. |
367 | (8) The commission may adopt rules to administer this |
368 | section. The rules may include, but need not be limited to: |
369 | (a) Information that must be included in filings to |
370 | demonstrate compliance with subsection (3). |
371 | (b) Statistical detail that insurers using credit reports |
372 | or scores under subsection (5) must retain and report annually |
373 | to the Office of Insurance Regulation. |
374 | (c) Standards that ensure that rates or premiums |
375 | associated with the use of a credit report or score are not |
376 | unfairly discriminatory, based upon race, color, religion, |
377 | marital status, age, gender, income, national origin, or place |
378 | of residence. |
379 | (d) Standards for review of models, methods, programs, or |
380 | any other process by which to grade or rank credit report data |
381 | and which may produce credit scores in order to ensure that the |
382 | insurer demonstrates that such grading, ranking, or scoring is |
383 | valid in predicting insurance risk of an applicant or insured. |
384 | Section 3. This act shall take effect July 1, 2010. |