1 | A bill to be entitled |
2 | An act relating to insurance; amending s. 440.12, F.S.; |
3 | authorizing payment of workers' compensation benefits on a |
4 | prepaid card under certain circumstances; requiring the |
5 | keeping and furnishing, upon request, of certain records; |
6 | providing for the adoption of rules; amending s. 440.20, |
7 | F.S.; specifying when an insurer's obligation to pay |
8 | workers' compensation benefits is satisfied if payment is |
9 | made on a prepaid card; amending s. 440.49, F.S.; revising |
10 | the dates applicable to calculations of annual assessments |
11 | upon certain workers' compensation insurers relating to |
12 | the special disability trust fund; providing application |
13 | to specified years and rate filings; amending s. 624.402, |
14 | F.S.; providing an exemption from having to obtain a |
15 | certificate of authority to insurers that cover only |
16 | nonresidents of the United States under certain |
17 | conditions; requiring such insurers to provide certain |
18 | documentation to the Office of Insurance Regulation; |
19 | requiring certificates, policies, or contracts issued by |
20 | such insurers to include a disclaimer relating to the |
21 | coverage provided; defining a "nonresident" for purposes |
22 | of applying the exemption provided to such insurers from |
23 | having to obtain a certificate of authority; providing |
24 | penalties applicable to alien insurers who transact |
25 | insurance without complying with certain provisions; |
26 | deleting procedures and requirements relating to an |
27 | exemption from obtaining a certificate of authority |
28 | provided to alien insurers who issue life insurance |
29 | policies and annuity contracts to certain nonresidents; |
30 | amending s. 624.424, F.S.; revising the timeframes that |
31 | limit how frequently an insurer may use the same |
32 | accountant or partner to prepare an annual audited |
33 | financial report; amending s. 626.207, F.S.; defining the |
34 | term "financial services business"; precluding licensure |
35 | under the Florida Insurance Code of specified persons who |
36 | commit specified offenses; providing application to |
37 | convictions and certain pleas, regardless of adjudication; |
38 | establishing waiting periods relating to other specified |
39 | offenses during which time an applicant is disqualified |
40 | for licensure; granting rulemaking authority to the |
41 | Department of Financial Services relating to specific |
42 | penalties against licensees; clarifying rulemaking |
43 | authority relating to penalties against licensees; |
44 | providing that specified statutory provisions prohibiting |
45 | prior crimes from being a bar to employment are not |
46 | applicable to applicants for licensure under the Florida |
47 | Insurance Code; amending s. 626.7451, F.S.; requiring |
48 | funds collected for an insurer to be held in a bank |
49 | insured by the Federal Deposit Insurance Corporation; |
50 | amending s. 626.8651, F.S.; revising requirements for a |
51 | public adjuster apprentice license to include additional |
52 | qualifying designations; amending s. 627.4133, F.S.; |
53 | changing the designated person or persons who must be |
54 | notified by an insurer from the "insured" to the "first- |
55 | named insured" in situations involving the nonrenewal, |
56 | renewal premium, cancellation, or termination of workers' |
57 | compensation, employer liability, or certain property and |
58 | casualty insurance coverage; specifying that the date of |
59 | cancellation of a workers' compensation or employer's |
60 | liability policy is the date of the insured's written |
61 | request to cancel; amending s. 627.4137, F.S.; requiring a |
62 | claimant's request concerning insurance coverage to be |
63 | served upon the disclosing entity in a specified manner; |
64 | amending s. 627.7277, F.S.; making a conforming change |
65 | that specifies the "first-named insured" as the person who |
66 | is to receive notification of a renewal premium; amending |
67 | s. 627.728, F.S.; changing the designated person or |
68 | persons who must be notified by an insurer from the |
69 | "insured" to the "first-named insured" in certain |
70 | situations involving the cancellation or nonrenewal of |
71 | motor vehicle insurance coverage; making a conforming |
72 | change that specifies the "first-named insured's insurance |
73 | agent" as a person who is to receive certain notifications |
74 | relating to motor vehicle insurance coverage; amending s. |
75 | 627.7281, F.S.; making a conforming change that specifies |
76 | the "first-named insured" as the person who is to receive |
77 | notification of cancellation of motor vehicle insurance |
78 | coverage; amending s. 634.403, F.S.; exempting certain |
79 | persons providing service warranties relating to consumer |
80 | products from licensing requirements under certain |
81 | circumstances; amending s. 627.442, F.S.; limiting the |
82 | requirement for premium audits of workers' compensation |
83 | coverage to specified instances; amending s. 627.7295, |
84 | F.S.; providing application; requiring a certain amount of |
85 | motor vehicle insurance premium to be paid before the |
86 | effective date of a policy binder or policy in order to |
87 | issue the binder or policy; authorizing an insurer to |
88 | cancel certain motor vehicle insurance policies or binders |
89 | for nonpayment of premium; removing a restriction |
90 | requiring payment of the first policy payment of a motor |
91 | vehicle insurance policy before issuance of a binder or |
92 | policy when payments are being made in a specified manner; |
93 | amending s. 626.916, F.S.; revising provisions relating to |
94 | insurance coverage eligibility for export under the |
95 | Surplus Lines Law; providing applicability; amending s. |
96 | 817.234, F.S.; revising a cross-reference; providing civil |
97 | penalties consisting of monetary fines relating to making |
98 | false and fraudulent insurance claims for the purpose of |
99 | receiving motor vehicle insurance proceeds; providing |
100 | escalating monetary fines for repeat offenses; providing a |
101 | mandatory minimum civil fine relating to certain |
102 | international motor vehicle accident schemes; allocating |
103 | fine revenues to a specified trust fund for specified |
104 | purposes; authorizing certain agreements between a |
105 | defendant and a state attorney relating to the payment of |
106 | civil fines for making false and fraudulent insurance |
107 | claims for the purpose of receiving motor vehicle |
108 | insurance proceeds; providing effective dates. |
109 |
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110 | Be It Enacted by the Legislature of the State of Florida: |
111 |
|
112 | Section 1. Subsection (1) of section 440.12, Florida |
113 | Statutes, is amended to read: |
114 | 440.12 Time for commencement and limits on weekly rate of |
115 | compensation.- |
116 | (1) No Compensation is not shall be allowed for the first |
117 | 7 days of the disability, except for benefits provided under for |
118 | in s. 440.13. However, if the injury results in disability of |
119 | more than 21 days, compensation shall be allowed from the |
120 | commencement of the disability. |
121 | (a) All weekly compensation payments, except for the first |
122 | payment, shall be paid by check or, if authorized by the |
123 | employee, on a prepaid card pursuant to paragraph (b) or |
124 | deposited directly into the employee's account at a financial |
125 | institution. As used in this subsection, the term "financial |
126 | institution" means a financial institution as defined in s. |
127 | 655.005(1)(h). |
128 | (b) Upon receipt of authorization by the employee as |
129 | provided in paragraph (a), a carrier may use a prepaid card to |
130 | deliver the payment of compensation to an employee if the |
131 | employee is: |
132 | 1. Provided with at least one means of accessing his or |
133 | her entire compensation payment once per week without incurring |
134 | fees; |
135 | 2. Provided with the ability to make point-of-sale |
136 | purchases without incurring fees from the financial institution |
137 | issuing the prepaid card; and |
138 | 3. Provided with the terms and conditions of the prepaid |
139 | card program, including a description of any fees that may be |
140 | assessed. |
141 | (c) Each carrier shall keep a record of all payments made |
142 | under this subsection, including the time and manner of such |
143 | payments, and shall furnish these records or a report based on |
144 | these records to the Division of Insurance Fraud and the |
145 | Division of Workers' Compensation, upon request. |
146 | (d) The department may adopt rules to administer this |
147 | section. |
148 | Section 2. Paragraph (a) of subsection (1) of section |
149 | 440.20, Florida Statutes, is amended to read: |
150 | 440.20 Time for payment of compensation and medical bills; |
151 | penalties for late payment.- |
152 | (1)(a) Unless it denies compensability or entitlement to |
153 | benefits, the carrier shall pay compensation directly to the |
154 | employee as required by ss. 440.14, 440.15, and 440.16, in |
155 | accordance with the obligations set forth in those such |
156 | sections. Upon receipt of the employee's authorization as |
157 | provided for in s. 440.12(1)(a) If authorized by the employee, |
158 | the carrier's obligation to pay compensation directly to the |
159 | employee is satisfied when the carrier directly deposits, by |
160 | electronic transfer or other means, compensation into the |
161 | employee's account at a financial institution or onto a prepaid |
162 | card in accordance with s. 440.12(1). As used in this paragraph, |
163 | the term "financial institution" means a financial institution |
164 | as defined in s. 655.005(1)(h). Compensation by direct deposit |
165 | or through the use of a prepaid card is considered paid on the |
166 | date the funds become available for withdrawal by the employee. |
167 | Section 3. Paragraph (b) of subsection (9) of section |
168 | 440.49, Florida Statutes, is amended to read: |
169 | 440.49 Limitation of liability for subsequent injury |
170 | through Special Disability Trust Fund.- |
171 | (9) SPECIAL DISABILITY TRUST FUND.- |
172 | (b)1. The Special Disability Trust Fund shall be |
173 | maintained by annual assessments upon the insurance companies |
174 | writing compensation insurance in the state, the commercial |
175 | self-insurers under ss. 624.462 and 624.4621, the assessable |
176 | mutuals as defined in s. 628.6011, and the self-insurers under |
177 | this chapter, which assessments shall become due and be paid |
178 | quarterly at the same time and in addition to the assessments |
179 | provided in s. 440.51. The department shall estimate annually in |
180 | advance the amount necessary for the administration of this |
181 | subsection and the maintenance of this fund and shall make such |
182 | assessment in the manner hereinafter provided. |
183 | 2. The annual assessment shall be calculated to produce |
184 | during the next calendar ensuing fiscal year an amount which, |
185 | when combined with that part of the balance anticipated to be in |
186 | the fund on December 31 June 30 of the current calendar fiscal |
187 | year which is in excess of $100,000, is equal to the average of: |
188 | a. The sum of disbursements from the fund during the |
189 | immediate past 3 calendar years, and |
190 | b. Two times the disbursements of the most recent calendar |
191 | year. |
192 | c. Such assessment rate shall first apply on a calendar |
193 | year basis for the period beginning January 1, 2012, and shall |
194 | be included in workers' compensation rate filings approved by |
195 | the office which become effective on or after January 1, 2012. |
196 | The assessment rate effective January 1, 2011, shall also apply |
197 | to the interim period from July 1, 2011, through December 31, |
198 | 2011, and shall be included in workers' compensation rate |
199 | filings, whether regular or amended, approved by the office |
200 | which become effective on or after July 1, 2011. Thereafter, the |
201 | annual assessment rate shall take effect January 1 of the next |
202 | calendar year and shall be included in workers' compensation |
203 | rate filings approved by the office which become effective on or |
204 | after January 1 of the next calendar year. Assessments shall |
205 | become due and be paid quarterly. |
206 |
|
207 | Such amount shall be prorated among the insurance companies |
208 | writing compensation insurance in the state and the self- |
209 | insurers. Provided however, for those carriers that have |
210 | excluded ceded reinsurance premiums from their assessments on or |
211 | before January 1, 2000, no assessments on ceded reinsurance |
212 | premiums shall be paid by those carriers until such time as the |
213 | former Division of Workers' Compensation of the Department of |
214 | Labor and Employment Security or the department advises each of |
215 | those carriers of the impact that the inclusion of ceded |
216 | reinsurance premiums has on their assessment. The department may |
217 | not recover any past underpayments of assessments levied against |
218 | any carrier that on or before January 1, 2000, excluded ceded |
219 | reinsurance premiums from their assessment prior to the point |
220 | that the former Division of Workers' Compensation of the |
221 | Department of Labor and Employment Security or the department |
222 | advises of the appropriate assessment that should have been |
223 | paid. |
224 | 3. The net premiums written by the companies for workers' |
225 | compensation in this state and the net premium written |
226 | applicable to the self-insurers in this state are the basis for |
227 | computing the amount to be assessed as a percentage of net |
228 | premiums. Such payments shall be made by each carrier and self- |
229 | insurer to the department for the Special Disability Trust Fund |
230 | in accordance with such regulations as the department |
231 | prescribes. |
232 | 4. The Chief Financial Officer is authorized to receive |
233 | and credit to such Special Disability Trust Fund any sum or sums |
234 | that may at any time be contributed to the state by the United |
235 | States under any Act of Congress, or otherwise, to which the |
236 | state may be or become entitled by reason of any payments made |
237 | out of such fund. |
238 | Section 4. Subsection (8) of section 624.402, Florida |
239 | Statutes, is amended to read: |
240 | 624.402 Exceptions, certificate of authority required.-A |
241 | certificate of authority shall not be required of an insurer |
242 | with respect to: |
243 | (8)(a) An insurer domiciled outside the United States |
244 | covering only persons who, at the time of issuance or renewal, |
245 | are nonresidents of the United States if: |
246 | 1. The insurer or any affiliated person as defined in s. |
247 | 624.04 under common ownership or control with the insurer does |
248 | not solicit, sell, or accept application for any insurance |
249 | policy or contract to be delivered or issued for delivery to any |
250 | person in any state; |
251 | 2. The insurer registers with the office via a letter of |
252 | notification upon commencing business from this state; |
253 | 3. The insurer provides the following information, in |
254 | English, to the office annually by March 1: |
255 | a. The name of the insurer, the country of domicile, the |
256 | address of the insurer's principal office and office in this |
257 | state, the names of the owners of the insurer and their |
258 | percentage of ownership, the names of the officers and directors |
259 | of the insurer, the name, e-mail, and telephone number of a |
260 | contact person for the insurer, and the number of individuals |
261 | who are employed by the insurer or its affiliates in this state; |
262 | b. The lines of insurance and types of products offered by |
263 | the insurer; |
264 | c. A statement from the applicable regulatory body of the |
265 | insurer's domicile certifying that the insurer is licensed or |
266 | registered for those lines of insurance and types of products in |
267 | that domicile; and |
268 | d. A copy of the filings required by the applicable |
269 | regulatory body of the insurer's country of domicile in that |
270 | country's official language or in English, if available; |
271 | 4. All certificates, policies, or contracts issued in this |
272 | state showing coverage under the insurer's policy include the |
273 | following statement in a contrasting color and at least 10-point |
274 | type: "The policy providing your coverage and the insurer |
275 | providing this policy have not been approved by the Florida |
276 | Office of Insurance Regulation"; and |
277 | 5. In the event the insurer ceases to do business from |
278 | this state, the insurer will provide written notification to the |
279 | office within 30 days after cessation. |
280 | (b) For purposes of this subsection, "nonresident" means a |
281 | person who resides in and maintains a physical place of domicile |
282 | in a country other than the United States, which he or she |
283 | recognizes as and intends to maintain as his or her permanent |
284 | home. A nonresident does not include an unauthorized immigrant |
285 | present in the United States. Notwithstanding any other |
286 | provision of law, it is conclusively presumed, for purposes of |
287 | this subsection, that a person is a resident of the United |
288 | States if such person has: |
289 | 1. Had his or her principal place of domicile in the |
290 | United States for 180 days or more in the 365 days prior to |
291 | issuance or renewal of the policy; |
292 | 2. Registered to vote in any state; |
293 | 3. Made a statement of domicile in any state; or |
294 | 4. Filed for homestead tax exemption on property in any |
295 | state. |
296 | (c) Subject to the limitations provided in this |
297 | subsection, services, including those listed in s. 624.10, may |
298 | be provided by the insurer or an affiliated person as defined in |
299 | s. 624.04 under common ownership or control with the insurer. |
300 | (d) An alien insurer transacting insurance in this state |
301 | without complying with this subsection shall be in violation of |
302 | this chapter and subject to the penalties provided in s. 624.15. |
303 | (a) Life insurance policies or annuity contracts issued by |
304 | an insurer domiciled outside the United States covering only |
305 | persons who, at the time of issuance, are not residents of the |
306 | United States and are not nonresidents illegally residing in the |
307 | United States, provided: |
308 | 1. The insurer must currently be an authorized insurer in |
309 | its country of domicile as to the kind or kinds of insurance |
310 | proposed to be offered and must have been such an insurer for |
311 | not fewer than the immediately preceding 3 years, or must be the |
312 | wholly owned subsidiary of such authorized insurer or must be |
313 | the wholly owned subsidiary of an already eligible authorized |
314 | insurer as to the kind or kinds of insurance proposed for a |
315 | period of not fewer than the immediately preceding 3 years. |
316 | However, the office may waive the 3-year requirement if the |
317 | insurer has operated successfully for a period of at least the |
318 | immediately preceding year and has capital and surplus of not |
319 | less than $25 million. |
320 | 2. Before the office may grant eligibility, the requesting |
321 | insurer shall furnish the office with a duly authenticated copy |
322 | of its current annual financial statement, in English, and with |
323 | all monetary values therein expressed in United States dollars, |
324 | at an exchange rate then-current and shown in the statement, in |
325 | the case of statements originally made in the currencies of |
326 | other countries, and with such additional information relative |
327 | to the insurer as the office may request. |
328 | 3. The insurer must have and maintain surplus as to |
329 | policyholders of not less than $15 million. Any such surplus as |
330 | to policyholders shall be represented by investments consisting |
331 | of eligible investments for like funds of like domestic insurers |
332 | under part II of chapter 625; however, any such surplus as to |
333 | policyholders may be represented by investments permitted by the |
334 | domestic regulator of such alien insurance company if such |
335 | investments are substantially similar in terms of quality, |
336 | liquidity, and security to eligible investments for like funds |
337 | of like domestic insurers under part II of chapter 625. |
338 | 4. The insurer must be of good reputation as to the |
339 | providing of service to its policyholders and the payment of |
340 | losses and claims. |
341 | 5. To maintain eligibility, the insurer shall furnish the |
342 | office within the time period specified in s. 624.424(1)(a) a |
343 | duly authenticated copy of its current annual and quarterly |
344 | financial statements, in English, and with all monetary values |
345 | therein expressed in United States dollars, at an exchange rate |
346 | then-current and shown in the statement, in the case of |
347 | statements originally made in the currencies of other countries, |
348 | and with such additional information relative to the insurer as |
349 | the office may request. |
350 | 6. An insurer receiving eligibility under this subsection |
351 | shall agree to make its books and records pertaining to its |
352 | operations in this state available for inspection during normal |
353 | business hours upon request of the office. |
354 | 7. The insurer shall provide to the applicant for the |
355 | policy or contract a copy of the most recent quarterly financial |
356 | statements of the insurer providing, in clear and conspicuous |
357 | language: |
358 | a. The date of organization of the insurer. |
359 | b. The identity of and rating assigned by each recognized |
360 | insurance company rating organization that has rated the insurer |
361 | or, if applicable, that the insurer is unrated. |
362 | c. That the insurer does not hold a certificate of |
363 | authority issued in this state and that the office does not |
364 | exercise regulatory oversight over the insurer. |
365 | d. The identity and address of the regulatory authority |
366 | exercising oversight of the insurer. |
367 | |
368 | This paragraph does not impose upon the office any duty or |
369 | responsibility to determine the actual financial condition or |
370 | claims practices of any unauthorized insurer, and the status of |
371 | eligibility, if granted by the office, indicates only that the |
372 | insurer appears to be financially sound and to have satisfactory |
373 | claims practices and that the office has no credible evidence to |
374 | the contrary. |
375 | (b) If at any time the office has reason to believe that |
376 | an insurer issuing policies or contracts pursuant to this |
377 | subsection is insolvent or is in unsound financial condition, |
378 | does not make reasonable prompt payment of benefits, or is no |
379 | longer eligible under the conditions specified in this |
380 | subsection, the office may conduct an examination or |
381 | investigation in accordance with s. 624.316, s. 624.3161, or s. |
382 | 624.320 and, if the findings of such examination or |
383 | investigation warrant, may withdraw the eligibility of the |
384 | insurer to issue policies or contracts pursuant to this |
385 | subsection without having a certificate of authority issued by |
386 | the office. |
387 | (c) This subsection does not provide an exception to the |
388 | agent licensure requirements of chapter 626. Any insurer issuing |
389 | policies or contracts pursuant to this subsection shall appoint |
390 | the agents that the insurer uses to sell such policies or |
391 | contracts as provided in chapter 626. |
392 | (d) An insurer issuing policies or contracts pursuant to |
393 | this subsection is subject to part IX of chapter 626, Unfair |
394 | Insurance Trade Practices, and the office may take such actions |
395 | against the insurer for a violation as are provided in that |
396 | part. |
397 | (e) Policies and contracts issued pursuant to this |
398 | subsection are not subject to the premium tax specified in s. |
399 | 624.509. |
400 | (f) Applications for life insurance coverage offered under |
401 | this subsection must contain, in contrasting color and not less |
402 | than 12-point type, the following statement on the same page as |
403 | the applicant's signature: |
404 | |
405 | This policy is primarily governed by the laws of a |
406 | foreign country. As a result, all of the rating and |
407 | underwriting laws applicable to policies filed in this |
408 | state do not apply to this coverage, which may result |
409 | in your premiums being higher than would be |
410 | permissible under a Florida-approved policy. Any |
411 | purchase of individual life insurance should be |
412 | considered carefully, as future medical conditions may |
413 | make it impossible to qualify for another individual |
414 | life policy. If the insurer issuing your policy |
415 | becomes insolvent, this policy is not covered by the |
416 | Florida Life and Health Insurance Guaranty |
417 | Association. For information concerning individual |
418 | life coverage under a Florida-approved policy, consult |
419 | your agent or the Florida Department of Financial |
420 | Services. |
421 |
|
422 | (g) All life insurance policies and annuity contracts |
423 | issued pursuant to this subsection must contain on the first |
424 | page of the policy or contract, in contrasting color and not |
425 | less than 10-point type, the following statement: |
426 | |
427 | The benefits of the policy providing your coverage are |
428 | governed primarily by the law of a country other than |
429 | the United States. |
430 |
|
431 | (h) All single-premium life insurance policies and single- |
432 | premium annuity contracts issued to persons who are not |
433 | residents of the United States and are not nonresidents |
434 | illegally residing in the United States pursuant to this |
435 | subsection shall be subject to the provisions of chapter 896. |
436 | Section 5. Paragraph (d) of subsection (8) of section |
437 | 624.424, Florida Statutes, is amended to read: |
438 | 624.424 Annual statement and other information.- |
439 | (8) |
440 | (d) An insurer may not use the same accountant or partner |
441 | of an accounting firm responsible for preparing the report |
442 | required by this subsection for more than 5 7 consecutive years. |
443 | Following this period, the insurer may not use such accountant |
444 | or partner for a period of 5 2 years, but may use another |
445 | accountant or partner of the same firm. An insurer may request |
446 | the office to waive this prohibition based upon an unusual |
447 | hardship to the insurer and a determination that the accountant |
448 | is exercising independent judgment that is not unduly influenced |
449 | by the insurer considering such factors as the number of |
450 | partners, expertise of the partners or the number of insurance |
451 | clients of the accounting firm; the premium volume of the |
452 | insurer; and the number of jurisdictions in which the insurer |
453 | transacts business. |
454 | Section 6. Effective upon this act becoming a law, section |
455 | 626.207, Florida Statutes, is amended to read: |
456 | 626.207 Disqualification of applicants and licensees; |
457 | penalties against licensees; rulemaking authority Department |
458 | rulemaking authority; waiting periods for applicants; penalties |
459 | against licensees.- |
460 | (1) For purposes of this section, the term "financial |
461 | services business" means any financial activity regulated by the |
462 | Department of Financial Services, the Office of Insurance |
463 | Regulation, or the Office of Financial Regulation. The |
464 | department shall adopt rules establishing specific waiting |
465 | periods for applicants to become eligible for licensure |
466 | following denial, suspension, or revocation pursuant to s. |
467 | 626.611, s. 626.621, s. 626.8437, s. 626.844, s. 626.935, s. |
468 | 634.181, s. 634.191, s. 634.320, s. 634.321, s. 634.422, s. |
469 | 634.423, s. 642.041, or s. 642.043. The purpose of the waiting |
470 | periods is to provide sufficient time to demonstrate reformation |
471 | of character and rehabilitation. The waiting periods shall vary |
472 | based on the type of conduct and the length of time since the |
473 | conduct occurred and shall also be based on the probability that |
474 | the propensity to commit illegal conduct has been overcome. The |
475 | waiting periods may be adjusted based on aggravating and |
476 | mitigating factors established by rule and consistent with this |
477 | purpose. |
478 | (2) For purposes of this section, the terms "felony of the |
479 | first degree" and "capital felony" include all felonies |
480 | designated as such by the Florida Statutes, as well as any |
481 | felony so designated in the jurisdiction in which the plea is |
482 | entered or judgment is rendered. |
483 | (3) An applicant who commits a felony of the first degree, |
484 | a capital felony, a felony involving money laundering, fraud, or |
485 | embezzlement, or a felony directly related to the financial |
486 | services business is permanently barred from applying for a |
487 | license under this part. This bar applies to convictions, guilty |
488 | pleas, or nolo contendere pleas, regardless of adjudication, by |
489 | any applicant, officer, director, majority owner, partner, |
490 | manager, or other person who manages or controls any applicant. |
491 | (4) For all other crimes not included in subsection (3), |
492 | the department shall adopt rules establishing the process and |
493 | application of disqualifying periods that include: |
494 | (a) A 15-year disqualifying period for all felonies |
495 | involving moral turpitude that are not specifically included in |
496 | the permanent bar contained in subsection (3). |
497 | (b) A 7-year disqualifying period for all felonies to |
498 | which neither the permanent bar in subsection (3) nor the 15- |
499 | year disqualifying period in paragraph (a) applies. |
500 | (c) A 7-year disqualifying period for all misdemeanors |
501 | directly related to the financial services business. |
502 | (5) The department shall adopt rules providing for |
503 | additional disqualifying periods due to the commitment of |
504 | multiple crimes and other factors reasonably related to the |
505 | applicant's criminal history. The rules shall provide for |
506 | mitigating and aggravating factors. However, mitigation may not |
507 | result in a period of disqualification of less than 7 years and |
508 | may not mitigate the disqualifying periods in paragraphs (4)(b) |
509 | and (c). |
510 | (6) For purposes of this section, the disqualifying |
511 | periods begin upon the applicant's final release from |
512 | supervision or upon completion of the applicant's criminal |
513 | sentence, including payment of fines, restitution, and court |
514 | costs for the crime for which the disqualifying period applies. |
515 | (7) After the disqualifying period has been met, the |
516 | burden is on the applicant to demonstrate that the applicant has |
517 | been rehabilitated, does not pose a risk to the insurance-buying |
518 | public, is fit and trustworthy to engage in the business of |
519 | insurance pursuant to s. 626.611(7), and is otherwise qualified |
520 | for licensure. |
521 | (8)(2) The department shall adopt rules establishing |
522 | specific penalties against licensees in accordance with ss. |
523 | 626.641 and 626.651 for violations of s. 626.611, s. 626.621, s. |
524 | 626.8437, s. 626.844, s. 626.935, s. 634.181, s. 634.191, s. |
525 | 634.320, s. 634.321, s. 634.422, s. 634.423, s. 642.041, or s. |
526 | 642.043. The purpose of the revocation or suspension is to |
527 | provide a sufficient penalty to deter future violations of the |
528 | Florida Insurance Code. The imposition of a revocation or the |
529 | length of suspension shall be based on the type of conduct and |
530 | the probability that the propensity to commit further illegal |
531 | conduct has been overcome at the time of eligibility for |
532 | relicensure. The revocation or the length of suspension may be |
533 | adjusted based on aggravating or mitigating factors, established |
534 | by rule and consistent with this purpose. |
535 | (9) Section 112.011 does not apply to any applicants for |
536 | licensure under the Florida Insurance Code, including, but not |
537 | limited to, agents, agencies, adjusters, adjusting firms, |
538 | customer representatives, or managing general agents. |
539 | Section 7. Subsection (3) of section 626.7451, Florida |
540 | Statutes, is amended to read: |
541 | 626.7451 Managing general agents; required contract |
542 | provisions.-No person acting in the capacity of a managing |
543 | general agent shall place business with an insurer unless there |
544 | is in force a written contract between the parties which sets |
545 | forth the responsibility for a particular function, specifies |
546 | the division of responsibilities, and contains the following |
547 | minimum provisions: |
548 | (3) All funds collected for the account of the insurer |
549 | shall be held by the managing general agent in a fiduciary |
550 | capacity in a bank which is insured by the Federal Deposit |
551 | Insurance Corporation a member of the Federal Reserve System. |
552 | The This account shall be used for all payment as directed by |
553 | the insurer. The managing general agent may retain up to no more |
554 | than 60 days of estimated claims payments and allocated loss |
555 | adjustment expenses. |
556 |
|
557 | For the purposes of this section and ss. 626.7453 and 626.7454, |
558 | the term "controlling person" or "controlling" has the meaning |
559 | set forth in s. 625.012(5)(b)1., and the term "controlled |
560 | person" or "controlled" has the meaning set forth in s. |
561 | 625.012(5)(b)2. |
562 | Section 8. Subsection (4) of section 626.8651, Florida |
563 | Statutes, is amended to read: |
564 | 626.8651 Public adjuster apprentice license; |
565 | qualifications.- |
566 | (4) An applicant must have received designation as an |
567 | Accredited Claims Adjuster (ACA), as a Certified Adjuster (CA), |
568 | or as a Certified Claims Adjuster (CCA) after completion of |
569 | training that qualifies the applicant to engage in the business |
570 | of a public adjuster apprentice fairly and without injury to the |
571 | public. Such training and instruction must address adjusting |
572 | damages and losses under insurance contracts, the terms and |
573 | effects of insurance contracts, and knowledge of the laws of |
574 | this state relating to insurance contracts. |
575 | Section 9. Paragraphs (a) and (b) of subsection (1), |
576 | paragraphs (a) and (b) of subsection (2), and subsection (4) of |
577 | section 627.4133, Florida Statutes, are amended to read: |
578 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
579 | premium.- |
580 | (1) Except as provided in subsection (2): |
581 | (a) An insurer issuing a policy providing coverage for |
582 | workers' compensation and employer's liability insurance, |
583 | property, casualty, except mortgage guaranty, surety, or marine |
584 | insurance, other than motor vehicle insurance subject to s. |
585 | 627.728, shall give the first-named named insured at least 45 |
586 | days' advance written notice of nonrenewal or of the renewal |
587 | premium. If the policy is not to be renewed, the written notice |
588 | shall state the reason or reasons as to why the policy is not to |
589 | be renewed. This requirement applies only if the insured has |
590 | furnished all of the necessary information so as to enable the |
591 | insurer to develop the renewal premium prior to the expiration |
592 | date of the policy to be renewed. |
593 | (b) An insurer issuing a policy providing coverage for |
594 | property, casualty, except mortgage guaranty, surety, or marine |
595 | insurance, other than motor vehicle insurance subject to s. |
596 | 627.728 or s. 627.7281, shall give the first-named named insured |
597 | written notice of cancellation or termination other than |
598 | nonrenewal at least 45 days prior to the effective date of the |
599 | cancellation or termination, including in the written notice the |
600 | reason or reasons for the cancellation or termination, except |
601 | that: |
602 | 1. When cancellation is for nonpayment of premium, at |
603 | least 10 days' written notice of cancellation accompanied by the |
604 | reason therefor shall be given. As used in this subparagraph and |
605 | s. 440.42(3), the term "nonpayment of premium" means failure of |
606 | the named insured to discharge when due any of her or his |
607 | obligations in connection with the payment of premiums on a |
608 | policy or any installment of such premium, whether the premium |
609 | is payable directly to the insurer or its agent or indirectly |
610 | under any premium finance plan or extension of credit, or |
611 | failure to maintain membership in an organization if such |
612 | membership is a condition precedent to insurance coverage. |
613 | "Nonpayment of premium" also means the failure of a financial |
614 | institution to honor an insurance applicant's check after |
615 | delivery to a licensed agent for payment of a premium, even if |
616 | the agent has previously delivered or transferred the premium to |
617 | the insurer. If a dishonored check represents the initial |
618 | premium payment, the contract and all contractual obligations |
619 | shall be void ab initio unless the nonpayment is cured within |
620 | the earlier of 5 days after actual notice by certified mail is |
621 | received by the applicant or 15 days after notice is sent to the |
622 | applicant by certified mail or registered mail, and if the |
623 | contract is void, any premium received by the insurer from a |
624 | third party shall be refunded to that party in full; and |
625 | 2. When such cancellation or termination occurs during the |
626 | first 90 days during which the insurance is in force and the |
627 | insurance is canceled or terminated for reasons other than |
628 | nonpayment of premium, at least 20 days' written notice of |
629 | cancellation or termination accompanied by the reason therefor |
630 | shall be given except where there has been a material |
631 | misstatement or misrepresentation or failure to comply with the |
632 | underwriting requirements established by the insurer. |
633 |
|
634 | After the policy has been in effect for 90 days, no such policy |
635 | shall be canceled by the insurer except when there has been a |
636 | material misstatement, a nonpayment of premium, a failure to |
637 | comply with underwriting requirements established by the insurer |
638 | within 90 days of the date of effectuation of coverage, or a |
639 | substantial change in the risk covered by the policy or when the |
640 | cancellation is for all insureds under such policies for a given |
641 | class of insureds. This subsection does not apply to |
642 | individually rated risks having a policy term of less than 90 |
643 | days. |
644 | (2) With respect to any personal lines or commercial |
645 | residential property insurance policy, including, but not |
646 | limited to, any homeowner's, mobile home owner's, farmowner's, |
647 | condominium association, condominium unit owner's, apartment |
648 | building, or other policy covering a residential structure or |
649 | its contents: |
650 | (a) The insurer shall give the first-named named insured |
651 | at least 45 days' advance written notice of the renewal premium. |
652 | (b) The insurer shall give the first-named named insured |
653 | written notice of nonrenewal, cancellation, or termination at |
654 | least 100 days prior to the effective date of the nonrenewal, |
655 | cancellation, or termination. However, the insurer shall give at |
656 | least 100 days' written notice, or written notice by June 1, |
657 | whichever is earlier, for any nonrenewal, cancellation, or |
658 | termination that would be effective between June 1 and November |
659 | 30. The notice must include the reason or reasons for the |
660 | nonrenewal, cancellation, or termination, except that: |
661 | 1. The insurer shall give the first-named named insured |
662 | written notice of nonrenewal, cancellation, or termination at |
663 | least 180 days prior to the effective date of the nonrenewal, |
664 | cancellation, or termination for a first-named named insured |
665 | whose residential structure has been insured by that insurer or |
666 | an affiliated insurer for at least a 5-year period immediately |
667 | prior to the date of the written notice. |
668 | 2. When cancellation is for nonpayment of premium, at |
669 | least 10 days' written notice of cancellation accompanied by the |
670 | reason therefor shall be given. As used in this subparagraph, |
671 | the term "nonpayment of premium" means failure of the named |
672 | insured to discharge when due any of her or his obligations in |
673 | connection with the payment of premiums on a policy or any |
674 | installment of such premium, whether the premium is payable |
675 | directly to the insurer or its agent or indirectly under any |
676 | premium finance plan or extension of credit, or failure to |
677 | maintain membership in an organization if such membership is a |
678 | condition precedent to insurance coverage. "Nonpayment of |
679 | premium" also means the failure of a financial institution to |
680 | honor an insurance applicant's check after delivery to a |
681 | licensed agent for payment of a premium, even if the agent has |
682 | previously delivered or transferred the premium to the insurer. |
683 | If a dishonored check represents the initial premium payment, |
684 | the contract and all contractual obligations shall be void ab |
685 | initio unless the nonpayment is cured within the earlier of 5 |
686 | days after actual notice by certified mail is received by the |
687 | applicant or 15 days after notice is sent to the applicant by |
688 | certified mail or registered mail, and if the contract is void, |
689 | any premium received by the insurer from a third party shall be |
690 | refunded to that party in full. |
691 | 3. When such cancellation or termination occurs during the |
692 | first 90 days during which the insurance is in force and the |
693 | insurance is canceled or terminated for reasons other than |
694 | nonpayment of premium, at least 20 days' written notice of |
695 | cancellation or termination accompanied by the reason therefor |
696 | shall be given except where there has been a material |
697 | misstatement or misrepresentation or failure to comply with the |
698 | underwriting requirements established by the insurer. |
699 | 4. The requirement for providing written notice of |
700 | nonrenewal by June 1 of any nonrenewal that would be effective |
701 | between June 1 and November 30 does not apply to the following |
702 | situations, but the insurer remains subject to the requirement |
703 | to provide such notice at least 100 days prior to the effective |
704 | date of nonrenewal: |
705 | a. A policy that is nonrenewed due to a revision in the |
706 | coverage for sinkhole losses and catastrophic ground cover |
707 | collapse pursuant to s. 627.706, as amended by s. 30, chapter |
708 | 2007-1, Laws of Florida. |
709 | b. A policy that is nonrenewed by Citizens Property |
710 | Insurance Corporation, pursuant to s. 627.351(6), for a policy |
711 | that has been assumed by an authorized insurer offering |
712 | replacement or renewal coverage to the policyholder. |
713 |
|
714 | After the policy has been in effect for 90 days, the policy |
715 | shall not be canceled by the insurer except when there has been |
716 | a material misstatement, a nonpayment of premium, a failure to |
717 | comply with underwriting requirements established by the insurer |
718 | within 90 days of the date of effectuation of coverage, or a |
719 | substantial change in the risk covered by the policy or when the |
720 | cancellation is for all insureds under such policies for a given |
721 | class of insureds. This paragraph does not apply to individually |
722 | rated risks having a policy term of less than 90 days. |
723 | (4) Notwithstanding the provisions of s. 440.42(3), if |
724 | cancellation of a policy providing coverage for workers' |
725 | compensation and employer's liability insurance is requested in |
726 | writing by the insured, such cancellation shall be effective on |
727 | the date requested by the insured or, if no date is specified by |
728 | the insured, cancellation shall be effective on the date of the |
729 | written request. The carrier is not required to send notice of |
730 | cancellation to the insured if the cancellation is requested in |
731 | writing by the insured the carrier sends the notice of |
732 | cancellation to the insured. Any retroactive assumption of |
733 | coverage and liabilities under a policy providing workers' |
734 | compensation and employer's liability insurance may not exceed |
735 | 21 days. |
736 | Section 10. Subsection (3) is added to section 627.4137, |
737 | Florida Statutes, to read: |
738 | 627.4137 Disclosure of certain information required.- |
739 | (3) Any request made to a self-insured corporation |
740 | pursuant to this section shall be sent by certified mail to the |
741 | registered agent of the disclosing entity. |
742 | Section 11. Subsection (2) of section 627.7277, Florida |
743 | Statutes, is amended to read: |
744 | 627.7277 Notice of renewal premium.- |
745 | (2) An insurer shall mail or deliver to the first-named |
746 | insured its policyholder at least 30 days' advance written |
747 | notice of the renewal premium for the policy. |
748 | Section 12. Paragraph (a) of subsection (3), paragraphs |
749 | (a) and (d) of subsection (4), and subsections (5) and (6) of |
750 | section 627.728, Florida Statutes, are amended to read: |
751 | 627.728 Cancellations; nonrenewals.- |
752 | (3)(a) No notice of cancellation of a policy to which this |
753 | section applies shall be effective unless mailed or delivered by |
754 | the insurer to the first-named named insured and to the first- |
755 | named named insured's insurance agent at least 45 days prior to |
756 | the effective date of cancellation, except that, when |
757 | cancellation is for nonpayment of premium, at least 10 days' |
758 | notice of cancellation accompanied by the reason therefor shall |
759 | be given. No notice of cancellation of a policy to which this |
760 | section applies shall be effective unless the reason or reasons |
761 | for cancellation accompany the notice of cancellation. |
762 | (4)(a) No insurer shall fail to renew a policy unless it |
763 | mails or delivers to the first-named named insured, at the |
764 | address shown in the policy, and to the first-named named |
765 | insured's insurance agent at her or his business address, at |
766 | least 45 days' advance notice of its intention not to renew; and |
767 | the reasons for refusal to renew must accompany such notice. |
768 | This subsection does not apply: |
769 | 1. If the insurer has manifested its willingness to renew; |
770 | or |
771 | 2. In case of nonpayment of premium. |
772 |
|
773 | Notwithstanding the failure of an insurer to comply with this |
774 | subsection, the policy shall terminate on the effective date of |
775 | any other automobile liability insurance policy procured by the |
776 | insured with respect to any automobile designated in both |
777 | policies. Unless a written explanation for refusal to renew |
778 | accompanies the notice of intention not to renew, the policy |
779 | shall remain in full force and effect. |
780 | (d) Instead of canceling or nonrenewing a policy, an |
781 | insurer may, upon expiration of the policy term, transfer a |
782 | policy to another insurer under the same ownership or management |
783 | as the transferring insurer, by giving the first-named named |
784 | insured at least 45 days' advance notice of its intent to |
785 | transfer the policy and of the premium and the specific reasons |
786 | for any increase in the premium. |
787 | (5) United States postal proof of mailing or certified or |
788 | registered mailing of notice of cancellation, of intention not |
789 | to renew, or of reasons for cancellation, or of the intention of |
790 | the insurer to issue a policy by an insurer under the same |
791 | ownership or management, to the first-named named insured at the |
792 | address shown in the policy shall be sufficient proof of notice. |
793 | (6) When a policy is canceled, other than for nonpayment |
794 | of premium, or in the event of failure to renew a policy to |
795 | which subsection (4) applies, the insurer shall notify the |
796 | first-named named insured of her or his possible eligibility for |
797 | insurance through the Automobile Joint Underwriting Association. |
798 | Such notice shall accompany or be included in the notice of |
799 | cancellation or the notice of intent not to renew and shall |
800 | state that such notice of availability of the Automobile Joint |
801 | Underwriting Association is given pursuant to this section. |
802 | Section 13. Section 627.7281, Florida Statutes, is amended |
803 | to read: |
804 | 627.7281 Cancellation notice.-An insurer issuing a policy |
805 | of motor vehicle insurance not covered under the cancellation |
806 | provisions of s. 627.728 shall give the first-named named |
807 | insured notice of cancellation at least 45 days prior to the |
808 | effective date of cancellation, except that, when cancellation |
809 | is for nonpayment of premium, at least 10 days' notice of |
810 | cancellation accompanied by the reason therefor shall be given. |
811 | As used in this section, "policy" does not include a binder as |
812 | defined in s. 627.420 unless the duration of the binder period |
813 | exceeds 60 days. |
814 | Section 14. Section 634.403, Florida Statutes, is amended |
815 | to read: |
816 | 634.403 License required; exemptions.- |
817 | (1) No person in this state shall provide or offer to |
818 | provide service warranties to residents of this state unless |
819 | authorized therefor under a subsisting license issued by the |
820 | office. The service warranty association shall pay to the office |
821 | a license fee of $200 for such license for each license year, or |
822 | part thereof, the license is in force. |
823 | (2) An insurer, while authorized to transact property or |
824 | casualty insurance in this state, may also transact a service |
825 | warranty business without additional qualifications or |
826 | authority, but shall be otherwise subject to the applicable |
827 | provisions of this part. |
828 | (3) The office may, pursuant to s. 120.569, in its |
829 | discretion and without advance notice and hearing, issue an |
830 | immediate final order to cease and desist to any person or |
831 | entity which violates this section. The Legislature finds that a |
832 | violation of this section constitutes an imminent and immediate |
833 | threat to the public health, safety, and welfare of the |
834 | residents of this state. |
835 | (4) Any person that is an affiliate of a domestic insurer |
836 | as defined in chapter 624 is exempt from application of this |
837 | part if the person does not issue, or market or cause to be |
838 | marketed, service warranties to residents of this state and does |
839 | not administer service warranties that were originally issued to |
840 | residents of this state. The domestic insurer or its wholly |
841 | owned Florida licensed insurer must be the direct obligor of all |
842 | service warranties issued by such affiliate or must issue a |
843 | contractual liability insurance policy to such affiliate that |
844 | meets the conditions described in s. 634.406(3). If the Office |
845 | of Insurance Regulation determines, after notice and opportunity |
846 | for a hearing, that a person's intentional business practices do |
847 | not comply with any of the exemption requirements of this |
848 | subsection, the person shall be subject to this part. |
849 | (5) A person is exempt from the license requirement in |
850 | this section if the person complies with the following: |
851 | (a) The service warranties are only sold to nonresidents |
852 | of this state and the person does not issue, market, or cause to |
853 | be marketed service warranties to residents of this state. |
854 | (b) The person submits a letter of notification that |
855 | provides the following information to the office upon the start |
856 | of business from this state and annually thereafter by March 1: |
857 | 1. The type of products offered and a statement certifying |
858 | that the products are not regulated in the state in which the |
859 | person is transacting business or that the person is licensed in |
860 | the state in which the person is transacting business. |
861 | 2. The name of the person, the state of domicile, the home |
862 | address and address in this state of the person, the names of |
863 | the owners and their percentage of ownership, the names of the |
864 | officers and directors, the name, e-mail, and telephone number |
865 | of a contact person, the states in which the person is |
866 | transacting business, and how many individuals are employed in |
867 | this state. |
868 | (c) If the person ceases to do business from this state, |
869 | the person shall provide written notification to the office |
870 | within 30 days after cessation of business. |
871 | (6)(5) Any person who provides, offers to provide, or |
872 | holds oneself out as providing or offering to provide a service |
873 | warranty to residents of in this state or from this state |
874 | without holding a subsisting license commits, in addition to any |
875 | other violation, a misdemeanor of the first degree, punishable |
876 | as provided in s. 775.082 or s. 775.083. |
877 | Section 15. Section 627.442, Florida Statutes, is amended |
878 | to read: |
879 | 627.442 Insurance contracts.- |
880 | (1) A person who requires a workers' compensation |
881 | insurance policy pursuant to a construction contract may not |
882 | reject a workers' compensation insurance policy issued by a |
883 | self-insurance fund that is subject to part V of chapter 631 |
884 | based upon the self-insurance fund not being rated by a |
885 | nationally recognized insurance rating service. |
886 | (2) Notwithstanding s. 440.381(3), premium audits are not |
887 | required for workers' compensation coverage, other than an audit |
888 | required by the insurance policy or an order of the office, or |
889 | at least once each policy period, if requested by the insured. |
890 | Section 16. Subsections (4) and (7) of section 627.7295, |
891 | Florida Statutes, are amended to read: |
892 | 627.7295 Motor vehicle insurance contracts.- |
893 | (4) If subsection (7) does not apply, the insurer may |
894 | cancel the policy in accordance with this code except that, |
895 | notwithstanding s. 627.728, an insurer may not cancel a new |
896 | policy or binder during the first 60 days immediately following |
897 | the effective date of the policy or binder except for nonpayment |
898 | of premium unless the reason for the cancellation is the |
899 | issuance of a check for the premium that is dishonored for any |
900 | reason. |
901 | (7) A policy of private passenger motor vehicle insurance |
902 | or a binder for such a policy may be initially issued in this |
903 | state only if, before the effective date of such binder or |
904 | policy, the insurer or agent has collected from the insured an |
905 | amount equal to 2 months' premium. An insurer, agent, or premium |
906 | finance company may not, directly or indirectly, take any action |
907 | resulting in the insured having paid from the insured's own |
908 | funds an amount less than the 2 months' premium required by this |
909 | subsection. This subsection applies without regard to whether |
910 | the premium is financed by a premium finance company or is paid |
911 | pursuant to a periodic payment plan of an insurer or an |
912 | insurance agent. This subsection does not apply if an insured or |
913 | member of the insured's family is renewing or replacing a policy |
914 | or a binder for such policy written by the same insurer or a |
915 | member of the same insurer group. This subsection does not apply |
916 | to an insurer that issues private passenger motor vehicle |
917 | coverage primarily to active duty or former military personnel |
918 | or their dependents. This subsection does not apply if all |
919 | policy payments are paid pursuant to a payroll deduction plan or |
920 | an automatic electronic funds transfer payment plan from the |
921 | policyholder, provided that the first policy payment is made by |
922 | cash, cashier's check, check, or a money order. This subsection |
923 | and subsection (4) do not apply if all policy payments to an |
924 | insurer are paid pursuant to an automatic electronic funds |
925 | transfer payment plan from an agent, a managing general agent, |
926 | or a premium finance company and if the policy includes, at a |
927 | minimum, personal injury protection pursuant to ss. 627.730- |
928 | 627.7405; motor vehicle property damage liability pursuant to s. |
929 | 627.7275; and bodily injury liability in at least the amount of |
930 | $10,000 because of bodily injury to, or death of, one person in |
931 | any one accident and in the amount of $20,000 because of bodily |
932 | injury to, or death of, two or more persons in any one accident. |
933 | This subsection and subsection (4) do not apply if an insured |
934 | has had a policy in effect for at least 6 months, the insured's |
935 | agent is terminated by the insurer that issued the policy, and |
936 | the insured obtains coverage on the policy's renewal date with a |
937 | new company through the terminated agent. |
938 | Section 17. Subsection (3) of section 626.916, Florida |
939 | Statutes, is amended to read: |
940 | 626.916 Eligibility for export.- |
941 | (3)(a) Subsection (1) does not apply to wet marine and |
942 | transportation or aviation risks which are subject to s. |
943 | 626.917. |
944 | (b) Paragraphs (1)(a)-(d) do not apply to classes of |
945 | insurance which are subject to s. 627.062(3)(d)1. These classes |
946 | may be exportable under the following conditions: |
947 | 1. The insurance must be placed only by or through a |
948 | surplus lines agent licensed in this state; |
949 | 2. The insurer must be made eligible under s. 626.918; and |
950 | 3. The insured must sign a disclosure that substantially |
951 | provides the following: "You are agreeing to place coverage in |
952 | the surplus lines market. Superior coverage may be available in |
953 | the admitted market and at a lesser cost. Persons insured by |
954 | surplus lines carriers are not protected under the Florida |
955 | Insurance Guaranty Act with respect to any right of recovery for |
956 | the obligation of an insolvent unlicensed insurer." If the |
957 | notice is signed by the insured, the insured is presumed to have |
958 | been informed and to know that other coverage may be available, |
959 | and, with respect to the diligent-effort requirement under |
960 | subsection (1), there is no liability on the part of, and no |
961 | cause of action arises against, the retail agent presenting the |
962 | form. |
963 | Section 18. The amendments to s. 626.207, Florida |
964 | Statutes, made by this act do not apply retroactively and apply |
965 | only to applicants whose applications are pending or submitted |
966 | on or after the date that the amendments to s. 626.207, Florida |
967 | Statutes, made by this act become law. This section shall take |
968 | effect upon this act becoming a law. |
969 | Section 19. Paragraph (c) of subsection (7) of section |
970 | 817.234, Florida Statutes, is amended, present subsection (12) |
971 | of that section is renumbered as subsection (13), and a new |
972 | subsection (12) is added to that section, to read: |
973 | 817.234 False and fraudulent insurance claims.- |
974 | (7) |
975 | (c) An insurer, or any person acting at the direction of |
976 | or on behalf of an insurer, may not change an opinion in a |
977 | mental or physical report prepared under s. 627.736(8)(7) or |
978 | direct the physician preparing the report to change such |
979 | opinion; however, this provision does not preclude the insurer |
980 | from calling to the attention of the physician errors of fact in |
981 | the report based upon information in the claim file. Any person |
982 | who violates this paragraph commits a felony of the third |
983 | degree, punishable as provided in s. 775.082, s. 775.083, or s. |
984 | 775.084. |
985 | (12) In addition to any criminal liability, a person |
986 | convicted of violating any provision of this section for the |
987 | purpose of receiving insurance proceeds from a motor vehicle |
988 | insurance contract is subject to a civil penalty. |
989 | (a) Except for a violation of subsection (9), the civil |
990 | penalty shall be: |
991 | 1. A fine up to $5,000 for a first offense. |
992 | 2. A fine greater than $5,000, but not to exceed $10,000, |
993 | for a second offense. |
994 | 3. A fine greater than $10,000, but not to exceed $15,000, |
995 | for a third or subsequent offense. |
996 | (b) The civil penalty for a violation of subsection (9) |
997 | must be at least $15,000 but may not exceed $50,000. |
998 | (c) The civil penalty shall be paid to the Insurance |
999 | Regulatory Trust Fund within the Department of Financial |
1000 | Services and used by the department for the investigation and |
1001 | prosecution of insurance fraud. |
1002 | (d) This subsection does not prohibit a state attorney |
1003 | from entering into a written agreement in which the person |
1004 | charged with the violation does not admit to or deny the charges |
1005 | but consents to payment of the civil penalty. |
1006 | Section 20. Except as otherwise expressly provided in this |
1007 | act and except for this section, which shall take effect upon |
1008 | this act becoming a law, this act shall take effect July 1, |
1009 | 2011. |