| 1 | A bill to be entitled |
| 2 | An act relating to insurance; amending s. 628.461, F.S., |
| 3 | relating to acquisition of controlling stock with respect |
| 4 | to stock and mutual insurers; including prepaid limited |
| 5 | health service organizations, health maintenance |
| 6 | organizations, prepaid health clinics, continuing care |
| 7 | providers, and multiple-employer welfare arrangements |
| 8 | within the definition of "insurer"; providing that a |
| 9 | person may not acquire a domestic stock insurer or a |
| 10 | controlling company unless such person has filed with the |
| 11 | commissioner and sent to the insurer a statement |
| 12 | containing specified information and the offer, request, |
| 13 | invitation, agreement, or acquisition has been approved by |
| 14 | the Commissioner of Insurance; requiring a controlling |
| 15 | person of a domestic insurer seeking to divest its |
| 16 | controlling interest in the domestic insurer to file |
| 17 | notice of the proposed divestiture; requiring the filing |
| 18 | of a preacquisition notification; providing for contents |
| 19 | of statement; providing for alternative filing materials |
| 20 | under specified circumstances; providing for approval or |
| 21 | disapproval by the commissioner of any merger or |
| 22 | acquisition of control after a public hearing; providing |
| 23 | procedures and requirements, including notice |
| 24 | requirements, with respect to such hearings; providing for |
| 25 | hearings on a consolidated basis; authorizing the |
| 26 | commissioner to retain attorneys and experts in reviewing |
| 27 | the proposed acquisition of control; providing |
| 28 | nonapplicability; providing that failure to file any |
| 29 | required statement, amendment, or other material or the |
| 30 | effectuation or attempted effectuation of an acquisition |
| 31 | of control of, divestiture of, or merger with a domestic |
| 32 | insurer without approval of the commissioner constitutes a |
| 33 | violation of the section; providing for jurisdiction of |
| 34 | courts with respect to violations and service of process; |
| 35 | authorizing the commissioner to enter an order under |
| 36 | specified circumstances; defining terms; providing |
| 37 | criteria and establishing formulae for competitive |
| 38 | standards; providing that the burden of showing prima |
| 39 | facie evidence of violation of the competitive standard |
| 40 | rests with the commissioner; authorizing the commissioner |
| 41 | to issue specified orders if an acquisition violates |
| 42 | required standards; requiring hearings; requiring an order |
| 43 | to be accompanied by a written decision of the |
| 44 | commissioner; authorizing penalties for violation of a |
| 45 | cease and desist order of the commissioner; providing a |
| 46 | fine for failure to make required filings and failure to |
| 47 | demonstrate a good faith effort to comply with any filing |
| 48 | requirement; specifying acquisitions and purchase of |
| 49 | securities that are exempt from the section; providing |
| 50 | procedures and requirements with respect to approval or |
| 51 | disapproval of the acquisition of voting securities; |
| 52 | amending s. 628.4615, F.S., relating to specialty |
| 53 | insurers, the acquisition of controlling stock, ownership |
| 54 | interest, assets, or control thereof, and the merger or |
| 55 | consolidation of such insurers; removing prepaid limited |
| 56 | health service organizations, health maintenance |
| 57 | organizations, prepaid health clinics, continuing care |
| 58 | providers, and multiple-employer welfare arrangements from |
| 59 | the definition of specialty insurer; revising procedures |
| 60 | and requirements with respect to the acquisition of a |
| 61 | specialty insurer; requiring specified background |
| 62 | information with respect to new officers, directors, |
| 63 | trustees, partners, owners, or managers of a specialty |
| 64 | insurer that is the subject of an acquisition; eliminating |
| 65 | provisions relating to review of acquisition applications, |
| 66 | prohibited material change in the operation of a specialty |
| 67 | insurer or controlling company by an acquiring person, |
| 68 | acquisition proceedings, approval and disapproval of |
| 69 | acquisitions, burden of proof, validity of acquisitions, |
| 70 | and unlawful representation of approval by the office, |
| 71 | penalties therefor, and statute of limitations thereon; |
| 72 | creating s. 628.800, F.S.; providing definitions with |
| 73 | respect to pt. IV, ch. 628, F.S., relating to insurance |
| 74 | holding companies; amending s. 628.801, F.S.; |
| 75 | substantially rewording provisions relating to |
| 76 | registration of members of an insurance holding company |
| 77 | system; providing procedures and requirements with respect |
| 78 | to such registration; requiring reporting of dividends and |
| 79 | other distributions to shareholders; providing for |
| 80 | termination of registration; providing for filing of |
| 81 | consolidated registration statements; authorizing |
| 82 | specified insurers to register on behalf of an affiliated |
| 83 | insurer; providing inapplicability; providing for filing |
| 84 | of a disclaimer of affiliation and procedures and |
| 85 | requirements with respect thereto; requiring the filing of |
| 86 | an annual enterprise risk report; providing that failure |
| 87 | timely to file a registration statement or summary thereof |
| 88 | or an enterprise risk filing constitutes a violation of |
| 89 | the section; creating s. 628.8011, F.S.; providing |
| 90 | procedures and requirements with respect to standards and |
| 91 | management of an insurer within an insurance holding |
| 92 | company system; establishing standards for transactions |
| 93 | within an insurance holding company system; precluding |
| 94 | specified transactions involving a domestic insurer and |
| 95 | any person in its insurance holding company system; |
| 96 | providing exceptions; providing for review of |
| 97 | transactions; requiring notice with respect to specified |
| 98 | investments; providing procedures and requirements with |
| 99 | respect to payment of extraordinary dividends or the |
| 100 | making of extraordinary distributions by a domestic |
| 101 | insurer; providing requirements with respect to management |
| 102 | of domestic insurers; providing factors to be considered |
| 103 | in determining adequacy of an insurer's surplus; creating |
| 104 | 628.8012, F.S.; providing for the establishment of and |
| 105 | participation in a supervisory college; specifying powers |
| 106 | of the Commissioner of Insurance with respect thereto; |
| 107 | providing for payment of expenses of the college; creating |
| 108 | s. 628.8013, F.S.; providing rulemaking authority of the |
| 109 | commissioner; creating s. 628.8014, providing restrictions |
| 110 | on voting of securities; amending s. 628.802, F.S.; |
| 111 | providing for injunctions against specified violations; |
| 112 | substantially revising provisions relating to the voting |
| 113 | of securities; substantially revising provisions relating |
| 114 | to the seizure or sequestration of voting securities; |
| 115 | amending s. 628.803, F.S.; providing a penalty for failure |
| 116 | to file a registration statement; providing for deposit of |
| 117 | funds derived therefrom; providing a penalty for knowing |
| 118 | violation, participation in, or assent to specified |
| 119 | violative transactions or the making of investments by a |
| 120 | director or officer of an insurance holding company |
| 121 | system; authorizing the issuance of cease and desist |
| 122 | orders with respect to specified transactions or |
| 123 | contracts; providing penalties for willful violation of |
| 124 | pt. IV of ch. 628, F.S., by an insurer or any director, |
| 125 | officer, employee, or agent thereof; providing a penalty |
| 126 | for knowingly making false statements, false reports, or |
| 127 | false filings with the intent to deceive in the |
| 128 | performance duties as an officer, director, or employee of |
| 129 | an insurance holding company system; providing that a |
| 130 | violation of ch. 628, F.S., which prevents full |
| 131 | understanding of an enterprise risk may serve as an |
| 132 | independent basis for disapproving dividends or |
| 133 | distributions and for placing the insurer under an order |
| 134 | of supervision; amending ss. 636.05, 641.255, 641.416, and |
| 135 | 651.024, F.S.; conforming cross-references; reenacting s. |
| 136 | 48.151(3), F.S., relating to service of process by the |
| 137 | Chief Financial Officer on specified insurers, to |
| 138 | incorporate the amendment to s. 628.461, F.S., in a |
| 139 | reference thereto; reenacting s. 624.310(1)(a), F.S., |
| 140 | relating to the definitions of "affiliated party," to |
| 141 | incorporate the amendments to ss. 628.461 and 628.4615, |
| 142 | F.S., in references thereto; reenacting s. 625.765, F.S., |
| 143 | relating to exemptions from specified provisions of pt. |
| 144 | IV, ch. 625, F.S., relating to domestic stock insurers and |
| 145 | equity securities, to incorporate the amendment to s. |
| 146 | 628.461, F.S., in a reference thereto; reenacting s. |
| 147 | 628.705(2), F.S., relating to prohibition of stock |
| 148 | transfers, to incorporate the amendment to s. 628.461, |
| 149 | F.S., in a reference thereto; reenacting s. 631.051(7), |
| 150 | F.S., relating to grounds for rehabilitation of a domestic |
| 151 | insurer or alien insurer, to incorporate the amendments to |
| 152 | ss. 628.461 and 628.4615, F.S., in references thereto; |
| 153 | reenacting s. 409.912(20), F.S., relating to cost- |
| 154 | effective purchasing of health care, to incorporate the |
| 155 | amendment to s. 628.4615, F.S., in a reference thereto; |
| 156 | reenacting s. 624.80(1)(b), F.S., relating to the |
| 157 | definition of "insurer," to incorporate the amendment to |
| 158 | s. 628.4615, F.S., in a reference thereto; reenacting s. |
| 159 | 626.9928, F.S., relating to acquisition of interest in a |
| 160 | viatical settlement provider, to incorporate the amendment |
| 161 | to s. 628.4615, F.S., in a reference thereto; reenacting |
| 162 | s. 634.252, F.S., relating to acquisition requirements |
| 163 | with respect to motor vehicle service agreement companies, |
| 164 | to incorporate the amendment to s. 628.4615, F.S., in a |
| 165 | reference thereto; reenacting s. 634.3073, F.S., relating |
| 166 | to acquisition requirements with respect to home warranty |
| 167 | associations, to incorporate the amendment to s. 628.4615, |
| 168 | F.S., in a reference thereto; reenacting s. 634.4085, |
| 169 | F.S., relating to acquisition requirements with respect to |
| 170 | service warranty associations, to incorporate the |
| 171 | amendment to s. 628.4615, F.S., in a reference thereto; |
| 172 | reenacting s. 636.065, F.S., relating to acquisition |
| 173 | requirements with respect to prepaid limited health |
| 174 | service organizations, to incorporate the amendment to s. |
| 175 | 628.4615, F.S., in a reference thereto; reenacting s. |
| 176 | 642.032(5), F.S., relating to provisions of general |
| 177 | insurance law applicable to legal expense insurance |
| 178 | corporations, to incorporate the amendment to s. 628.4615, |
| 179 | F.S., in a reference thereto; reenacting s. |
| 180 | 626.7492(6)(b), (8)(f), and (9)(f), F.S., relating to |
| 181 | duties of insurers using the services of a reinsurance |
| 182 | intermediary broker or manager, to incorporate the |
| 183 | amendments to s. 628.801, F.S., in references thereto; |
| 184 | reenacting s. 626.918(2)(d), F.S., relating to conditions |
| 185 | of eligibility for surplus lines insurers, to incorporate |
| 186 | the amendment to s. 628.801, F.S., in a reference thereto; |
| 187 | providing an effective date. |
| 188 |
|
| 189 | Be It Enacted by the Legislature of the State of Florida: |
| 190 |
|
| 191 | Section 1. Section 628.461, Florida Statutes, is amended |
| 192 | to read: |
| 193 | (Substantial rewording of section. See |
| 194 | s. 628.461, F.S., for present text.) |
| 195 | 628.461 Acquisition of controlling stock.- |
| 196 | (1) DEFINITIONS.-As used in this section, the term |
| 197 | "insurer" includes any: |
| 198 | (a) Multiple-employer welfare arrangements operating |
| 199 | pursuant to chapter 624. |
| 200 | (b) Prepaid limited health service organizations operating |
| 201 | under a certificate of authority issued under part I of chapter |
| 202 | 636. |
| 203 | (c) Health maintenance organizations operating under a |
| 204 | certificate of authority issued under part I of chapter 641. |
| 205 | (d) Prepaid health clinics operating under a certificate |
| 206 | of authority issued under part II of chapter 641. |
| 207 | (e) Provider of continuing care operating under a |
| 208 | certificate of authority or provisional certificate of authority |
| 209 | issued under chapter 651. |
| 210 | (2) FILING REQUIREMENTS.-A person may not, individually or |
| 211 | in conjunction with any affiliated person of such person, |
| 212 | acquire directly or indirectly, conclude a tender offer or |
| 213 | exchange offer for, enter into any agreement to exchange |
| 214 | securities for, or otherwise finally acquire 10 percent or more |
| 215 | of the outstanding voting securities of a domestic stock insurer |
| 216 | or of a controlling company, unless at the time the offer, |
| 217 | request, or invitation is made or the agreement is entered into, |
| 218 | or prior to the acquisition of the securities if no offer or |
| 219 | agreement is involved, such person has filed with the |
| 220 | commissioner and has sent to the insurer, a statement containing |
| 221 | the information required by this section and the offer, request, |
| 222 | invitation, agreement, or acquisition has been approved by the |
| 223 | commissioner in the manner prescribed in this section. |
| 224 | (a) For purposes of this section, any controlling person |
| 225 | of a domestic insurer seeking to divest its controlling interest |
| 226 | in the domestic insurer in any manner shall file with the |
| 227 | commissioner, with a copy provided to the insurer, notice of its |
| 228 | proposed divestiture at least 30 days prior to the cessation of |
| 229 | control. The commissioner shall determine those instances in |
| 230 | which the party or parties seeking to divest a controlling |
| 231 | interest in an insurer will be required to file for and obtain |
| 232 | approval of the transaction. |
| 233 | (b) With respect to a transaction subject to this |
| 234 | subsection, the acquiring person must also file a preacquisition |
| 235 | notification with the commissioner within 5 days of execution of |
| 236 | an agreement, which shall contain the information as prescribed |
| 237 | by the National Association of Insurance Commissioners relating |
| 238 | to those markets which cause the acquisition not to be exempted |
| 239 | from the provisions of this section. The commissioner may |
| 240 | require such additional material and information as deemed |
| 241 | necessary to determine whether the proposed acquisition, if |
| 242 | consummated, would violate the competitive standard set forth in |
| 243 | subsection (8). Failure to file the notification may subject the |
| 244 | violator to penalties specified in subsection (9). The waiting |
| 245 | period required begins on the date of receipt by the |
| 246 | commissioner of a preacquisition notification and ends on the |
| 247 | earlier of the 30th day after the date of receipt of |
| 248 | notification or termination of the waiting period by the |
| 249 | commissioner. Prior to the end of the waiting period, the |
| 250 | commissioner, on a one-time basis, may require the submission of |
| 251 | additional needed information relevant to the proposed |
| 252 | acquisition, in which event the waiting period shall end on the |
| 253 | earlier of the 30th day after receipt of the additional |
| 254 | information by the commissioner or termination of the waiting |
| 255 | period by the commissioner. |
| 256 | (c) For purposes of this section, a "domestic insurer" |
| 257 | includes any person controlling a domestic insurer unless the |
| 258 | person, as determined by the commissioner, is either directly or |
| 259 | through its affiliates primarily engaged in business other than |
| 260 | the business of insurance. For the purposes of this section, |
| 261 | "person" does not include any securities broker that holds, in |
| 262 | the usual and customary broker's function, less than 20 percent |
| 263 | of the voting securities of an insurance company or of any |
| 264 | person who controls an insurance company. |
| 265 | (3) CONTENT OF STATEMENT.- |
| 266 | (a) The statement to be filed with the office and |
| 267 | furnished to the insurer and controlling company shall be made |
| 268 | under oath and contain the following information and any |
| 269 | additional information as the office deems necessary to |
| 270 | determine the character, experience, ability, and other |
| 271 | qualifications of the person or affiliated person of such person |
| 272 | for the protection of the policyholders and shareholders of the |
| 273 | insurer and the public: |
| 274 | 1. The name and address of each person by whom or on whose |
| 275 | behalf the merger or other acquisition of control referred to in |
| 276 | subsection (2) is to be effected, hereinafter referred to as the |
| 277 | "acquiring party," the background information on each natural |
| 278 | person by whom, or on whose behalf, the acquisition is to be |
| 279 | made, and, if the acquisition is to be made by or on behalf of a |
| 280 | corporation, association, or trust, the identity of, and the |
| 281 | background information specified in this section on, each |
| 282 | director, officer, trustee, or other natural person performing |
| 283 | duties similar to those of a director, officer, or trustee for |
| 284 | the corporation, association, or trust or any person who |
| 285 | controls, either directly or indirectly, the corporation, |
| 286 | association, or trust, and: |
| 287 | a. If the person is an individual, his or her principal |
| 288 | occupation and all offices and positions held during the past 10 |
| 289 | years, and any conviction of crimes other than minor traffic |
| 290 | violations during the past 10 years. |
| 291 | b. Whether, during such 10-year period, the person has |
| 292 | been the subject of any proceeding for the revocation of any |
| 293 | license and, if so, the nature of the proceeding and the |
| 294 | disposition of the proceeding. |
| 295 | c. Whether, during the 10-year period, the person has been |
| 296 | the subject of any proceeding under the Federal Bankruptcy Code |
| 297 | or whether, during the 10-year period, any corporation, |
| 298 | partnership, firm, trust, or association in which the person was |
| 299 | a director, officer, trustee, partner, or other official has |
| 300 | been subject to any such proceeding, either during the time in |
| 301 | which the person was a director, officer, trustee, partner, or |
| 302 | other official or within 12 months thereafter. |
| 303 | d. Whether, during the 10-year period, the person has been |
| 304 | enjoined, either temporarily or permanently, by a court of |
| 305 | competent jurisdiction from violating any federal or state law |
| 306 | regulating the business of insurance, securities, or banking, or |
| 307 | from carrying out any particular practice or practices in the |
| 308 | course of the business of insurance, securities, or banking, |
| 309 | together with details as to any such event. |
| 310 | e. If the person is not an individual, a report of the |
| 311 | nature of its business operations during the past 5 years or for |
| 312 | the period of time that the person and any predecessors have |
| 313 | been in existence, whichever is less, an informative description |
| 314 | of the business intended to be conducted by the person and the |
| 315 | person's subsidiaries, and a list of all individuals who are or |
| 316 | who have been selected to become directors, trustees, or |
| 317 | executive officers of the person, or who perform or will perform |
| 318 | functions appropriate to such positions. The list must include |
| 319 | for each individual the information required under subparagraph |
| 320 | (a)1. |
| 321 | 2. The source, nature, and amount of the consideration |
| 322 | used or to be used in effecting the merger or other acquisition |
| 323 | of control, a description of any transaction where funds were or |
| 324 | are to be obtained for any such purpose, including any pledge of |
| 325 | the insurer's stock or the stock of any of its subsidiaries or |
| 326 | controlling affiliates, and the identity of persons furnishing |
| 327 | consideration. |
| 328 | 3. Fully audited financial information as to the earnings |
| 329 | and financial condition of each acquiring party for the |
| 330 | preceding 5 fiscal years of each acquiring party, or for the |
| 331 | period the acquiring party and any predecessors have been in |
| 332 | existence, whichever is less, and similar unaudited information |
| 333 | as of a date not earlier than 90 days prior to the filing of the |
| 334 | statement. |
| 335 | 4. Any plans or proposals which each acquiring party may |
| 336 | have to liquidate the insurer, to sell its assets or merge or |
| 337 | consolidate it with any person, or to make any other material |
| 338 | change in its business or corporate structure or management. |
| 339 | 5. The number and class of shares of any security referred |
| 340 | to in subsection (2) that each acquiring party proposes to |
| 341 | acquire, the terms of the offer, request, invitation, agreement |
| 342 | or acquisition referred to in subsection (2), and a statement as |
| 343 | to the method used to determine the fairness of the proposal. |
| 344 | 6. The amount of each class of any security referred to in |
| 345 | subsection (2) which is beneficially owned or concerning which |
| 346 | there is a right to acquire beneficial ownership by each |
| 347 | acquiring party. |
| 348 | 7. A full description of any contracts, arrangement, or |
| 349 | understandings with respect to any security referred to in |
| 350 | subsection (2) in which any acquiring party is involved, |
| 351 | including, but not limited to, transfer of any of the |
| 352 | securities, joint ventures, loan or option arrangements, puts or |
| 353 | calls, guarantees of loans, guarantees against loss or |
| 354 | guarantees of profits, division of losses or profits, or the |
| 355 | giving or withholding of proxies. The description must identify |
| 356 | the persons with whom the contracts, arrangements, or |
| 357 | understandings have been entered into. |
| 358 | 8. A description of the purchase of any security referred |
| 359 | to in subsection (2) during the 12 calendar months preceding the |
| 360 | filing of the statement by any acquiring party, including the |
| 361 | dates of purchase, names of the purchasers, and consideration |
| 362 | paid or agreed to be paid. |
| 363 | 9. A description of any recommendations to purchase any |
| 364 | security referred to in subsection (2), made during the 12 |
| 365 | calendar months preceding the filing of the statement by any |
| 366 | acquiring party or by anyone based upon interviews or at the |
| 367 | suggestion of the acquiring party. |
| 368 | 10. Copies of all tender offers for, requests or |
| 369 | invitations for tenders of, exchange offers for, and agreements |
| 370 | to acquire or exchange any securities referred to in subsection |
| 371 | (2), and, if distributed, copies of additional soliciting |
| 372 | material relating to them. |
| 373 | 11. The term of any agreement, contract, or understanding |
| 374 | made with or proposed to be made with any broker-dealer as to |
| 375 | solicitation of securities referred to in subsection (2) for |
| 376 | tender, and the amount of any fees, commissions, or other |
| 377 | compensation to be paid to broker-dealers with regard thereto. |
| 378 | 12. An agreement by the person required to file the |
| 379 | statement referred to in subsection (2) that he or she will |
| 380 | provide the annual enterprise risk report, if applicable, |
| 381 | specified in s. 628.801, for so long as control exists. |
| 382 | 13. An acknowledgement by the person required to file the |
| 383 | statement referred to in subsection (2) that the person and all |
| 384 | subsidiaries within its control in the insurance holding company |
| 385 | system will provide information to the commissioner upon request |
| 386 | as necessary to evaluate enterprise risk to the insurer. |
| 387 | 14. Such additional information as the commissioner may by |
| 388 | rule or regulation prescribe as necessary or appropriate for the |
| 389 | protection of policyholders of the insurer or in the public |
| 390 | interest. |
| 391 | (b) If the person required to file the statement referred |
| 392 | to in subsection (2) is a partnership, limited partnership, |
| 393 | syndicate, or other group, the commissioner may require that the |
| 394 | information required by paragraph (a) be given with respect to |
| 395 | each partner of the partnership or limited partnership, each |
| 396 | member of the syndicate or group, and each person who controls |
| 397 | the partner or member. If any partner, member, or person is a |
| 398 | corporation or if the person required to file the statement |
| 399 | referred to in subsection (2) is a corporation, the commissioner |
| 400 | may require that the information required by paragraph (a) be |
| 401 | given with respect to the corporation, each officer and director |
| 402 | of the corporation, and each person who is directly or |
| 403 | indirectly the beneficial owner of more than 10 percent of the |
| 404 | outstanding voting securities of the corporation. |
| 405 | (c) If any material change occurs in the facts set forth |
| 406 | in the statement filed with the commissioner and sent to the |
| 407 | insurer pursuant to this section, an amendment setting forth the |
| 408 | change, together with copies of all documents and other material |
| 409 | relevant to the change, shall be filed with the commissioner and |
| 410 | sent to the insurer within 2 business days after the person |
| 411 | learns of the change. A material change in the operation of the |
| 412 | insurer is a transaction which disposes of or obligates 5 |
| 413 | percent or more of the capital and surplus of the insurer. A |
| 414 | material change in the management of the insurer is any change |
| 415 | in management involving officers or directors of the insurer or |
| 416 | any person of the insurer or controlling company having |
| 417 | authority to dispose of or obligate 5 percent or more of the |
| 418 | insurer's capital or surplus. |
| 419 | (3) ALTERNATIVE FILING MATERIALS.-If any offer, request, |
| 420 | invitation, agreement, or acquisition referred to in subsection |
| 421 | (2) is proposed to be made by means of a registration statement |
| 422 | under the Securities Act of 1933, or in circumstances requiring |
| 423 | the disclosure of similar information under the Securities |
| 424 | Exchange Act of 1934, or under a state law requiring similar |
| 425 | registration or disclosure, the person required to file the |
| 426 | statement referred to in subsection (2) may utilize the |
| 427 | documents in furnishing the information called for by that |
| 428 | statement. |
| 429 | (4) APPROVAL BY COMMISSIONER; HEARINGS.- |
| 430 | (a) The commissioner shall approve any merger or other |
| 431 | acquisition of control under subsection (2) unless, after a |
| 432 | public hearing, the commissioner finds that: |
| 433 | 1. After the change of control, the domestic insurer |
| 434 | referred to in subsection (2) would not be able to satisfy the |
| 435 | requirements for the issuance of a license to write the line or |
| 436 | lines of insurance for which it is presently licensed; |
| 437 | 2. The effect of the merger or other acquisition of |
| 438 | control would be substantially to lessen competition in |
| 439 | insurance in this state or tend to create a monopoly. In |
| 440 | applying the competitive standard in this subparagraph: |
| 441 | a. The informational requirements of subsection (2) and |
| 442 | the standards of subsection (8) shall apply; |
| 443 | b. The merger or other acquisition shall not be |
| 444 | disapproved if the commissioner finds that any of the situations |
| 445 | meeting the criteria provided by subsection (8) exist; and |
| 446 | c. The commissioner may condition the approval of the |
| 447 | merger or other acquisition on the removal of the basis of |
| 448 | disapproval within a specified period of time; |
| 449 | 3. The financial condition of any acquiring party is such |
| 450 | that it might jeopardize the financial stability of the insurer, |
| 451 | or prejudice the interest of its policyholders; |
| 452 | 4. The plans or proposals which the acquiring party has to |
| 453 | liquidate the insurer or controlling company, sell its assets, |
| 454 | consolidate or merge it with any person, or make any other |
| 455 | material change in its business or corporate structure or |
| 456 | management are unfair and unreasonable to policyholders of the |
| 457 | insurer and not in the public interest; |
| 458 | 5. The competence, experience, and integrity of those |
| 459 | persons who would control the operation of the insurer are such |
| 460 | that it would not be in the interest of policyholders of the |
| 461 | insurer and of the public to permit the merger or other |
| 462 | acquisition of control; |
| 463 | 6. The natural persons for whom background information is |
| 464 | required to be furnished pursuant to this section have |
| 465 | backgrounds which indicate that it is in the best interests of |
| 466 | the policyholders of the domestic stock insurer and in the |
| 467 | public interest to permit such persons to exercise control over |
| 468 | such domestic stock insurer; |
| 469 | 7. The officers and directors to be employed after the |
| 470 | acquisition have sufficient insurance experience and ability to |
| 471 | assure reasonable promise of successful operation; |
| 472 | 8. The management of the insurer after the acquisition |
| 473 | will be competent and trustworthy and will possess sufficient |
| 474 | managerial experience to make the proposed operation of the |
| 475 | insurer not hazardous to the insurance-buying public; |
| 476 | 9. The management of the insurer after the acquisition |
| 477 | will not include any person who has, directly or indirectly, |
| 478 | through ownership, control, reinsurance transactions, or other |
| 479 | insurance or business relations, unlawfully manipulated the |
| 480 | assets, accounts, finances, or books of any insurer or otherwise |
| 481 | acted in bad faith with respect thereto; or |
| 482 | 10. The acquisition is likely to be hazardous or |
| 483 | prejudicial to the insurance-buying public. |
| 484 | (b) The public hearing under paragraph (a) shall be held |
| 485 | within 30 days after the filing of the statement required by |
| 486 | subsection (2), and at least 20 days' notice shall be given by |
| 487 | the commissioner to the person filing the statement. Not less |
| 488 | than 7 days' notice of the public hearing shall be given by the |
| 489 | person filing the statement to the insurer and to such other |
| 490 | persons as may be designated by the commissioner. The |
| 491 | commissioner shall make a determination within the 60-day period |
| 492 | preceding the effective date of the proposed transaction. At the |
| 493 | hearing, the person filing the statement, the insurer, any |
| 494 | person to whom notice of hearing was sent, and any other person |
| 495 | whose interest may be affected shall have the right to present |
| 496 | evidence, examine and cross-examine witnesses, and offer oral |
| 497 | and written arguments and in connection therewith shall be |
| 498 | entitled to conduct discovery proceedings in the same manner as |
| 499 | is presently allowed in the circuit courts of this state. All |
| 500 | discovery proceedings shall be concluded not later than 3 days |
| 501 | prior to the commencement of the public hearing. |
| 502 | (c) If the proposed acquisition of control will require |
| 503 | the approval of more than one commissioner, the public hearing |
| 504 | referred to in paragraph (b) may be held on a consolidated basis |
| 505 | upon request of the person filing the statement referred to in |
| 506 | subsection (2). Such person shall file the statement with the |
| 507 | National Association of Insurance Commissioners within 5 days of |
| 508 | making the request for a public hearing. A commissioner may opt |
| 509 | out of a consolidated hearing and shall provide notice to the |
| 510 | applicant of the decision to do so within 10 days of the receipt |
| 511 | of the statement. A hearing conducted on a consolidated basis |
| 512 | shall be public and shall be held within the United States |
| 513 | before the commissioners of the states in which the insurers are |
| 514 | domiciled. At such hearing the commissioners shall hear and |
| 515 | receive evidence. A commissioner may attend such hearing in |
| 516 | person or by telecommunication. |
| 517 | (d) In connection with a change of control of a domestic |
| 518 | insurer, any determination by the commissioner that the person |
| 519 | acquiring control of the insurer shall be required to maintain |
| 520 | or restore the capital of the insurer to the level required by |
| 521 | the laws and regulations of this state must be made not later |
| 522 | than 60 days after the date of notification of the change in |
| 523 | control submitted pursuant to subsection (2). |
| 524 | (e) The commissioner may retain, at the acquiring person's |
| 525 | expense, any attorneys, actuaries, accountants, and other |
| 526 | experts not otherwise a part of the commissioner's staff as may |
| 527 | be reasonably necessary to assist the commissioner in reviewing |
| 528 | the proposed acquisition of control. |
| 529 | (5) NONAPPLICABILITY.-The provisions of this section do |
| 530 | not apply to: |
| 531 | (a) Any offer, request, invitation, agreement or |
| 532 | acquisition which the commissioner, by order or by letter, |
| 533 | exempts as not having been made or entered into for the purpose |
| 534 | of, and not having the effect of, changing or influencing the |
| 535 | control of a domestic insurer. |
| 536 | (6) VIOLATIONS.-The following constitute violations of |
| 537 | this section: |
| 538 | (a) The failure to file any statement, amendment, or other |
| 539 | material required to be filed pursuant to subsection (2) or |
| 540 | subsection (3); or |
| 541 | (b) The effectuation or any attempted effectuation of an |
| 542 | acquisition of control of, divestiture of, or merger with a |
| 543 | domestic insurer unless the commissioner has given approval. |
| 544 | (7) JURISDICTION; CONSENT TO SERVICE OF PROCESS.-The |
| 545 | courts of this state are hereby vested with jurisdiction over |
| 546 | every person not resident, domiciled, or authorized to do |
| 547 | business in this state who files a statement with the |
| 548 | commissioner under this section, and overall actions involving |
| 549 | such person arising out of violations of this section. Each such |
| 550 | person shall be deemed to have performed acts equivalent to and |
| 551 | constituting an appointment by the person of the commissioner to |
| 552 | be his true and lawful attorney upon whom may be served all |
| 553 | lawful process in any action, suit, or proceeding arising out of |
| 554 | violations of this section. Copies of all lawful process shall |
| 555 | be served on the commissioner and transmitted by registered or |
| 556 | certified mail by the commissioner to the person at his last |
| 557 | known address. |
| 558 | (8) COMPETITIVE STANDARD.- |
| 559 | (a) As used in this subsection: |
| 560 | 1. The term "insurer" includes any company or group of |
| 561 | companies under common management, ownership, or control. |
| 562 | 2. The term "market" means the relevant product and |
| 563 | geographical markets. In determining the relevant product and |
| 564 | geographical markets, the commissioner shall give due |
| 565 | consideration to, among other things, the definitions or |
| 566 | guidelines, if any, promulgated by the National Association of |
| 567 | Insurance Commissioners and to information, if any, submitted by |
| 568 | parties to the acquisition. In the absence of sufficient |
| 569 | information to the contrary, the relevant product market is |
| 570 | assumed to be the direct written insurance premium for a line of |
| 571 | business, such line being that used in the annual statement |
| 572 | required to be filed by insurers doing business in this state, |
| 573 | and the relevant geographical market is assumed to be this |
| 574 | state. |
| 575 | (b) The commissioner may enter an order or may send a |
| 576 | letter under subsection (9) with respect to an acquisition if |
| 577 | there is substantial evidence that the effect of the acquisition |
| 578 | may be substantially to lessen competition in any line of |
| 579 | insurance in this state or to tend to create a monopoly, or if |
| 580 | the insurer fails to file adequate information in compliance |
| 581 | with the preacquisition notification required by this section. |
| 582 | (c) In determining whether a proposed acquisition would |
| 583 | violate the competitive standard, the commissioner shall |
| 584 | consider the following: |
| 585 | 1. Any acquisition covered under subsection (11) involving |
| 586 | two or more insurers competing in the same market is prima facie |
| 587 | evidence of violation of the competitive standards. |
| 588 | a. If the market is highly concentrated and the involved |
| 589 | insurers possess the following shares of the market: |
| 590 |
|
| 591 | Insurer A Insurer B |
| 592 |
|
| 593 | 4% 4% or more |
| 594 | 10% 2% or more |
| 595 | 15% 1% or more |
| 596 |
|
| 597 | b. Or, if the market is not highly concentrated and the |
| 598 | involved insurers possess the following shares of the market: |
| 599 |
|
| 600 | Insurer A Insurer B |
| 601 |
|
| 602 | 5% 5% or more |
| 603 | 10% 4% or more |
| 604 | 15% 3% or more |
| 605 | 19% 1% or more |
| 606 |
|
| 607 | A highly concentrated market is one in which the share of the |
| 608 | four largest insurers is 75 percent or more of the market. |
| 609 | Percentages not shown in the tables are interpolated |
| 610 | proportionately to the percentages that are shown. If more than |
| 611 | two insurers are involved, exceeding the total of the two |
| 612 | columns in the table is prima facie evidence of violation of the |
| 613 | competitive standard in this subsection. For the purposes of |
| 614 | this paragraph, the insurer with the largest share of the market |
| 615 | is deemed to be Insurer A. |
| 616 | 2. There is a significant trend toward increased |
| 617 | concentration when the aggregate market share of any grouping of |
| 618 | the largest insurers in the market, from the two largest to the |
| 619 | eighth largest, has increased by 7 percent or more of the market |
| 620 | over a period of time extending from any base year 5 to 10 years |
| 621 | prior to the acquisition up to the time of the acquisition. Any |
| 622 | acquisition or merger covered under this section involving two |
| 623 | or more insurers competing in the same market is prima facie |
| 624 | evidence of violation of the competitive standard in this |
| 625 | subsection if: |
| 626 | a. There is a significant trend toward increased |
| 627 | concentration in the market; |
| 628 | b. One of the insurers involved is one of the insurers in |
| 629 | a grouping of large insurers showing the requisite increase in |
| 630 | the market share; and |
| 631 | c. Another involved insurer's market is 2 percent or more. |
| 632 | (d)1. The burden of showing prima facie evidence of |
| 633 | violation of the competitive standard rests upon the |
| 634 | commissioner. |
| 635 | 2. Even though an acquisition is not prima facie evidence |
| 636 | of violation of the competitive standard under this subsection, |
| 637 | the commissioner may establish the requisite anticompetitive |
| 638 | effect based upon other substantial evidence and a party may |
| 639 | establish the absence of the requisite anticompetitive effect |
| 640 | based upon other substantial evidence. Relevant factors in |
| 641 | making a determination under this subsection include, but are |
| 642 | not limited to, the following: |
| 643 | a. Market shares. |
| 644 | b. Volatility of ranking of market leaders. |
| 645 | c. Number of competitors. |
| 646 | d. Concentration. |
| 647 | e. Trend of concentration in the industry. |
| 648 | f. Ease of entry into and exit from the market. |
| 649 | (e) An order denying the acquisition may not be entered |
| 650 | if: |
| 651 | 1. The acquisition will yield substantial economies of |
| 652 | scale or economies in resource utilization that cannot be |
| 653 | feasibly achieved in any other way, and the public benefits |
| 654 | which would arise from such economies exceed the public benefits |
| 655 | which would arise from not lessening competition; or |
| 656 | 2. The acquisition will substantially increase the |
| 657 | availability of insurance, and the public benefits of the |
| 658 | increase exceed the public benefits which would arise from not |
| 659 | lessening competition. |
| 660 | (9) ORDERS AND PENALTIES.- |
| 661 | (a) If an acquisition violates the standards of this |
| 662 | section, the commissioner may enter an order: |
| 663 | 1. Requiring an involved insurer to cease and desist from |
| 664 | doing business in this state with respect to the line or lines |
| 665 | of insurance involved in the violation; or |
| 666 | 2. Denying the application of an acquired or acquiring |
| 667 | insurer for a license to do business in this state. |
| 668 | (b) Such an order shall not be entered unless: |
| 669 | 1. There is a hearing; |
| 670 | 2. Notice of the hearing is issued prior to the end of the |
| 671 | waiting period and not less than 15 days prior to the hearing; |
| 672 | and |
| 673 | 3. The hearing is concluded and the order is issued no |
| 674 | later than 60 days after the date of the filing of the |
| 675 | preacquisition notification with the commissioner. This deadline |
| 676 | may be waived by the parties. |
| 677 |
|
| 678 | Every order shall be accompanied by a written decision of the |
| 679 | commissioner setting forth findings of fact and conclusions of |
| 680 | law. |
| 681 | (c) An order pursuant to this section does not apply if |
| 682 | the acquisition is not consummated. |
| 683 | (d) Any person who violates a cease and desist order of |
| 684 | the commissioner under this section while the order is in effect |
| 685 | may, after notice and hearing and upon order of the |
| 686 | commissioner, be subject at the discretion of the commissioner |
| 687 | to one or more of the following: |
| 688 | 1. A monetary penalty of not more than $10,000 for every |
| 689 | day of violation; or |
| 690 | 2. Suspension or revocation of the person's license. |
| 691 | (e) Any insurer or other person who fails to make any |
| 692 | filing required by this section and who also fails to |
| 693 | demonstrate a good faith effort to comply with any filing |
| 694 | requirement shall be subject to a fine of not more than $50,000. |
| 695 | (10) EXEMPTIONS.-This section does not apply to the |
| 696 | following: |
| 697 | (a) A purchase of securities solely for investment |
| 698 | purposes so long as the securities are not used by voting or |
| 699 | otherwise to cause or attempt to cause the substantial lessening |
| 700 | of competition in any insurance market in this state. If a |
| 701 | purchase of securities results in a presumption of control it is |
| 702 | not solely for investment purposes unless the commissioner of |
| 703 | the insurer's state of domicile accepts a disclaimer of control |
| 704 | or affirmatively finds that control does not exist and the |
| 705 | disclaimer action or affirmative finding is communicated by the |
| 706 | domiciliary commissioner to the commissioner of this state. |
| 707 | (b) The acquisition of a person by another person when |
| 708 | both persons are neither directly nor through affiliates |
| 709 | primarily engaged in the business of insurance, if |
| 710 | preacquisition notification is filed with the commissioner in |
| 711 | accordance with this section 30 days prior to the proposed |
| 712 | effective date of the acquisition. However, such preacquisition |
| 713 | notification is not required for exclusion from this section if |
| 714 | the acquisition would otherwise be excluded from this section. |
| 715 | (c) The acquisition of already affiliated persons. |
| 716 | (d) An acquisition if, as an immediate result of the |
| 717 | acquisition: |
| 718 | 1. In no market would the combined market share of the |
| 719 | involved insurers exceed 5 percent of the total market; |
| 720 | 2. There would be no increase in any market share; or |
| 721 | 3. In no market would: |
| 722 | a. The combined market share of the involved insurers |
| 723 | exceed 12 percent of the total market; and |
| 724 | b. The market share increase by more than 2 percent of the |
| 725 | total market. |
| 726 |
|
| 727 | As used in this paragraph, a "market" means direct written |
| 728 | insurance premium in this state for a line of business as |
| 729 | contained in the annual statement required to be filed by |
| 730 | insurers licensed to do business in this state. |
| 731 | (e) An acquisition for which a preacquisition notification |
| 732 | would be required pursuant to this section due solely to the |
| 733 | resulting effect on the ocean marine insurance line of business. |
| 734 | (f) An acquisition of an insurer whose domiciliary |
| 735 | commissioner affirmatively finds that: |
| 736 | 1. The insurer is in failing condition; |
| 737 | 2. There is a lack of feasible alternative to improving |
| 738 | such condition; |
| 739 | 3. The public benefits of improving the insurer's |
| 740 | condition through the acquisition exceed the public benefits |
| 741 | that would arise from not lessening competition; and |
| 742 | 4. The findings are communicated by the domiciliary |
| 743 | commissioner to the commissioner of this state. |
| 744 | (g) Acquisitions subject to s. 628.4615. |
| 745 | (11) APPROVAL; CONCLUSION OF ACQUISITION; DISAPPROVAL.-The |
| 746 | acquisition of voting securities shall be deemed approved unless |
| 747 | the office disapproves the proposed acquisition within 90 days |
| 748 | after the statement required by subsection (2) has been filed. |
| 749 | The office may on its own initiate or, if requested to do so in |
| 750 | writing by a substantially affected party, shall conduct a |
| 751 | proceeding to consider the appropriateness of the proposed |
| 752 | filing. The 90-day time period shall be tolled during the |
| 753 | pendency of the proceeding. Any written request for a proceeding |
| 754 | must be filed with the office within 10 days of the date on |
| 755 | which notice of the filing is given. During the pendency of the |
| 756 | proceeding or review period by the office, any person or |
| 757 | affiliated person complying with the filing requirements of this |
| 758 | section may proceed and take all steps necessary to conclude the |
| 759 | acquisition so long as the acquisition becoming final is |
| 760 | conditioned upon obtaining office approval. The office shall, |
| 761 | however, at any time that it finds an immediate danger to the |
| 762 | public health, safety, and welfare of the domestic policyholders |
| 763 | exists, immediately order, pursuant to s. 120.569(2)(n), the |
| 764 | proposed acquisition temporarily disapproved and any further |
| 765 | steps to conclude the acquisition ceased. |
| 766 | Section 2. Section 628.4615, Florida Statutes, is amended |
| 767 | to read: |
| 768 | 628.4615 Specialty insurers; acquisition of controlling |
| 769 | stock, ownership interest, assets, or control; merger or |
| 770 | consolidation.- |
| 771 | (1) For the purposes of this section, the term "specialty |
| 772 | insurer" means any person holding a license or certificate of |
| 773 | authority as: |
| 774 | (a) A motor vehicle service agreement company authorized |
| 775 | to issue motor vehicle service agreements as those terms are |
| 776 | defined in s. 634.011; |
| 777 | (b) A home warranty association authorized to issue "home |
| 778 | warranties" as those terms are defined in s. 634.301; |
| 779 | (c) A service warranty association authorized to issue |
| 780 | "service warranties" as those terms are defined in s. |
| 781 | 634.401(13) and (14); |
| 782 | (d) A prepaid limited health service organization |
| 783 | authorized to issue prepaid limited health service contracts, as |
| 784 | those terms are defined in chapter 636; |
| 785 | (e) An authorized health maintenance organization |
| 786 | operating pursuant to s. 641.21; |
| 787 | (f) An authorized prepaid health clinic operating pursuant |
| 788 | to s. 641.405; |
| 789 | (d)(g) A legal expense insurance corporation authorized to |
| 790 | engage in a legal expense insurance business pursuant to s. |
| 791 | 642.021; |
| 792 | (h) A provider that is licensed to operate a facility that |
| 793 | undertakes to provide continuing care as those terms are defined |
| 794 | in s. 651.011; |
| 795 | (i) A multiple-employer welfare arrangement operating |
| 796 | pursuant to ss. 624.436-624.446; |
| 797 | (e)(j) A premium finance company authorized to finance |
| 798 | insurance premiums pursuant to s. 627.828; or |
| 799 | (f)(k) A corporation authorized to accept donor annuity |
| 800 | agreements pursuant to s. 627.481. |
| 801 | (2) A person may not, individually or in conjunction with |
| 802 | any affiliated person of such person, directly or indirectly, |
| 803 | conclude a tender offer or exchange offer for, enter into any |
| 804 | agreement to exchange securities for, or otherwise finally |
| 805 | acquire, 10 percent or more of the outstanding voting securities |
| 806 | of a specialty insurer which is a stock corporation or of a |
| 807 | controlling company of a specialty insurer which is a stock |
| 808 | corporation; or conclude an acquisition of, or otherwise finally |
| 809 | acquire, 10 percent or more of the ownership interest of a |
| 810 | specialty insurer which is not a stock corporation or of a |
| 811 | controlling company of a specialty insurer which is not a stock |
| 812 | corporation, unless: |
| 813 | (a) the person or affiliated person has filed with the |
| 814 | office and sent by registered mail to the principal office of |
| 815 | the specialty insurer and controlling company a letter of |
| 816 | notification regarding the transaction or proposed transaction |
| 817 | no later than 5 days after any form of tender offer or exchange |
| 818 | offer is proposed, or no later than 5 days after the acquisition |
| 819 | of the securities or ownership interest if no tender offer or |
| 820 | exchange offer is involved. The notification must be provided on |
| 821 | forms prescribed by the commission containing information |
| 822 | determined necessary to understand the transaction and identify |
| 823 | all purchasers and owners involved.; |
| 824 | (b) The person or affiliated person has filed with the |
| 825 | office an application signed under oath and prepared on forms |
| 826 | prescribed by the commission which contains the information |
| 827 | specified in subsection (4). The application must be completed |
| 828 | and filed within 30 days after any form of tender offer or |
| 829 | exchange offer is proposed, or after the acquisition of the |
| 830 | securities if no tender offer or exchange offer is involved; and |
| 831 | (c) The office has approved the tender offer or exchange |
| 832 | offer, or acquisition if no tender offer or exchange offer is |
| 833 | involved. |
| 834 | (3) This section does not apply to any acquisition of |
| 835 | voting securities or ownership interest of a specialty insurer |
| 836 | or of a controlling company by any person who, on July 9, 1986, |
| 837 | is the owner of a majority of such voting securities or |
| 838 | ownership interest or who, on or after July 9, 1986, becomes the |
| 839 | owner of a majority of such voting securities or ownership |
| 840 | interest with the approval of the office under this section. The |
| 841 | person or affiliated person filing the required notice in |
| 842 | paragraph (2)(a) may request the office to waive the |
| 843 | requirements of paragraph (2)(b) if there is no change in the |
| 844 | ultimate controlling shareholder or ownership percentages of the |
| 845 | ultimate controlling shareholders and no unaffiliated parties |
| 846 | acquire any direct or indirect interest in the specialty |
| 847 | insurer. The office may waive the filing if it determines that |
| 848 | in fact there is no change in the ultimate controlling |
| 849 | shareholder or ownership percentages of the ultimate controlling |
| 850 | shareholders and no unaffiliated parties will acquire any direct |
| 851 | or indirect interest in the specialty insurer. |
| 852 | (3)(a)(4) Within 30 days of the tender offer or exchange |
| 853 | offer, the party or affiliated party shall provide to the office |
| 854 | the background information for any new officers, directors, |
| 855 | trustees, partners, owners, managers, or joint venturers, or |
| 856 | other persons performing duties similar to those of persons in |
| 857 | such positions, of the specialty insurer as a result of the |
| 858 | acquisition The application to be filed with the office and |
| 859 | furnished to the specialty insurer and controlling company shall |
| 860 | contain the following information and any additional information |
| 861 | as the office deems necessary to determine the character, |
| 862 | experience, ability, and other qualifications of the specialty |
| 863 | insurer's management person or affiliated person of such person |
| 864 | for the protection of the insureds of the specialty insurer and |
| 865 | of the public. The information as to the background and identity |
| 866 | of each such natural person shall include: |
| 867 | (a)1. The identity of, and the background information |
| 868 | specified in subsection (5) on, each natural person by whom, or |
| 869 | on whose behalf, the acquisition is to be made; and, |
| 870 | 2. If the acquisition is to be made by, or on behalf of, a |
| 871 | person other than a natural person and as to any person who |
| 872 | controls, either directly or indirectly, such other person, the |
| 873 | identity of, and the background information specified in |
| 874 | subsection (5) on: |
| 875 | a. Each director, officer, or trustee, if a corporation, |
| 876 | or |
| 877 | b. Each partner, owner, manager, or joint venturer, or |
| 878 | other person performing duties similar to those of persons in |
| 879 | the aforementioned positions, if not a corporation, |
| 880 | |
| 881 | for the person. |
| 882 | (b) The source and amount of the funds or other |
| 883 | consideration used, or to be used, in making the acquisition. |
| 884 | (c) Any plans or proposals which such persons may have |
| 885 | made to liquidate the specialty insurer, to sell any of its |
| 886 | assets or merge or consolidate it with any person, or to make |
| 887 | any other major change in its business or corporate structure or |
| 888 | management; and any plans or proposals which such persons may |
| 889 | have made to liquidate any controlling company of the specialty |
| 890 | insurer, to sell any of its assets or merge or consolidate it |
| 891 | with any person, or to make any other major change in its |
| 892 | business or corporate structure or management. |
| 893 | (d) The nature and the extent of the controlling interest |
| 894 | which the person or affiliated person of such person proposes to |
| 895 | acquire, the terms of the proposed acquisition, and the manner |
| 896 | in which the controlling interest is to be acquired of a |
| 897 | specialty insurer or controlling company which is not a stock |
| 898 | corporation. |
| 899 | (e) The number of shares or other securities which the |
| 900 | person or affiliated person of such person proposes to acquire, |
| 901 | the terms of the proposed acquisition, and the manner in which |
| 902 | the securities are to be acquired. |
| 903 | (f) Information as to any contract, arrangement, or |
| 904 | understanding with any party with respect to any of the |
| 905 | securities of the specialty insurer or controlling company, |
| 906 | including, but not limited to, information relating to the |
| 907 | transfer of any of the securities, option arrangements, puts or |
| 908 | calls, or the giving or withholding of proxies, which |
| 909 | information names the party with whom the contract, arrangement, |
| 910 | or understanding has been entered into and gives the details |
| 911 | thereof. |
| 912 | (5)(a) The information as to the background and identity |
| 913 | of each natural person, which information is required to be |
| 914 | furnished pursuant to paragraph (4)(a), shall include: |
| 915 | 1. The natural person's occupations, positions of |
| 916 | employment, and offices held during the past 10 years. |
| 917 | 2. The principal business and address of any business, |
| 918 | corporation, or organization in which each such office of the |
| 919 | natural person was held, or in which each such occupation or |
| 920 | position of employment was carried on. |
| 921 | 3. Whether the natural person was, at any time during such |
| 922 | 10-year period, convicted of any crime other than a traffic |
| 923 | violation. |
| 924 | 4. Whether the natural person has been, during such 10- |
| 925 | year period, the subject of any proceeding for the revocation of |
| 926 | any license and, if so, the nature of the proceeding and the |
| 927 | disposition of the proceeding. |
| 928 | 5. Whether, during the 10-year period, the natural person |
| 929 | has been the subject of any proceeding under the federal |
| 930 | Bankruptcy Act; or whether, during the 10-year period, any |
| 931 | person or other business or organization in which the natural |
| 932 | person was a director, officer, trustee, partner, owner, |
| 933 | manager, or other official has been subject to any such |
| 934 | proceeding, either during the time in which the natural person |
| 935 | was a director, officer, or trustee, if a corporation, or a |
| 936 | partner, owner, manager, joint venturer, or other official, if |
| 937 | not a corporation, or within 12 months thereafter. |
| 938 | 6. Whether, during the 10-year period, the natural person |
| 939 | has been enjoined, either temporarily or permanently, by a court |
| 940 | of competent jurisdiction from violating any federal or state |
| 941 | law regulating the business of insurance, securities, or |
| 942 | banking, or from carrying out any particular practice or |
| 943 | practices in the course of the business of insurance, |
| 944 | securities, or banking, together with details as to any such |
| 945 | event. |
| 946 | 7. Fingerprints of each person referred to in this section |
| 947 | subsection (4). |
| 948 | (b) Any person filing the statement required by this |
| 949 | section shall give all required information that is within the |
| 950 | knowledge of: |
| 951 | 1. The directors, officers, or trustees, if a corporation, |
| 952 | or |
| 953 | 2. The partners, owners, managers, or joint venturers, or |
| 954 | others performing functions similar to those of a director, |
| 955 | officer, or trustee, if not a corporation, |
| 956 |
|
| 957 | of the person making the filing and of any person controlling |
| 958 | either directly or indirectly such person. If any material |
| 959 | change occurs in the facts set forth in the application filed |
| 960 | with the office pursuant to this section, an amendment setting |
| 961 | forth such changes shall be filed immediately with the office, |
| 962 | and a copy of the amendment shall be sent by registered mail to |
| 963 | the principal office of the specialty insurer and to the |
| 964 | principal office of the controlling company. |
| 965 | (6)(a) The acquisition application shall be reviewed in |
| 966 | accordance with chapter 120. The office may on its own initiate, |
| 967 | or, if requested to do so in writing by a substantially affected |
| 968 | person, shall conduct, a proceeding to consider the |
| 969 | appropriateness of the proposed filing. Time periods for |
| 970 | purposes of chapter 120 shall be tolled during the pendency of |
| 971 | the proceeding. Any written request for a proceeding must be |
| 972 | filed with the office within 10 days of the date notice of the |
| 973 | filing is given. During the pendency of the proceeding or review |
| 974 | period by the office, any person or affiliated person complying |
| 975 | with the filing requirements of this section may proceed and |
| 976 | take all steps necessary to conclude the acquisition so long as |
| 977 | the acquisition becoming final is conditioned upon obtaining |
| 978 | office approval. The office shall, however, at any time it finds |
| 979 | an immediate danger to the public health, safety, and welfare of |
| 980 | the insureds exists, immediately order, pursuant to s. |
| 981 | 120.569(2)(n), the proposed acquisition disapproved and any |
| 982 | further steps to conclude the acquisition ceased. |
| 983 | (b) During the pendency of the office's review of any |
| 984 | acquisition subject to the provisions of this section, the |
| 985 | acquiring person shall not make any material change in the |
| 986 | operation of the specialty insurer or controlling company unless |
| 987 | the office has specifically approved the change nor shall the |
| 988 | acquiring person make any material change in the management of |
| 989 | the specialty insurer unless advance written notice of the |
| 990 | change in management is furnished to the office. A material |
| 991 | change in the operation of the specialty insurer is a |
| 992 | transaction which disposes of or obligates 5 percent or more of |
| 993 | the capital and surplus of the specialty insurer. A material |
| 994 | change in the management of the specialty insurer is any change |
| 995 | in management involving officers or directors of the specialty |
| 996 | insurer or any person of the specialty insurer or controlling |
| 997 | company having authority to dispose of or obligate 5 percent or |
| 998 | more of the specialty insurer's capital or surplus. The office |
| 999 | shall approve a material change in operations if it finds the |
| 1000 | applicable provisions of subsection (8) have been met. The |
| 1001 | office may disapprove a material change in management if it |
| 1002 | finds that the applicable provisions of subsection (8) have not |
| 1003 | been met and in such case the specialty insurer shall promptly |
| 1004 | change management as acceptable to the office. |
| 1005 | (c) If a request for a proceeding is filed, the proceeding |
| 1006 | shall be conducted within 60 days after the date the written |
| 1007 | request for a proceeding is received by the office. A |
| 1008 | recommended order shall be issued within 20 days of the date of |
| 1009 | the close of the proceedings. A final order shall be issued |
| 1010 | within 20 days of the date of the recommended order or, if |
| 1011 | exceptions to the recommended order are filed, within 20 days of |
| 1012 | the date the exceptions are filed. |
| 1013 | (7) The office may disapprove any acquisition subject to |
| 1014 | the provisions of this section by any person or any affiliated |
| 1015 | person of such person who: |
| 1016 | (a) Willfully violates this section; |
| 1017 | (b) In violation of an order of the office issued pursuant |
| 1018 | to subsection (11), fails to divest himself or herself of any |
| 1019 | stock or ownership interest obtained in violation of this |
| 1020 | section or fails to divest himself or herself of any direct or |
| 1021 | indirect control of such stock or ownership interest, within 25 |
| 1022 | days after such order; or |
| 1023 | (c) In violation of an order issued by the office pursuant |
| 1024 | to subsection (11), acquires an additional stock or ownership |
| 1025 | interest in a specialty insurer or controlling company or direct |
| 1026 | or indirect control of such stock or ownership interest, without |
| 1027 | complying with this section. |
| 1028 | (8) The person or persons filing the application required |
| 1029 | by subsection (2) shall have the burden of proof. The office |
| 1030 | shall approve any such acquisition if it finds, on the basis of |
| 1031 | the record made during any proceeding or on the basis of the |
| 1032 | filed application if no proceeding is conducted, that: |
| 1033 | (a) Upon completion of the acquisition, the specialty |
| 1034 | insurer will be able to satisfy the requirements for the |
| 1035 | issuance of a license or certificate to write the line of |
| 1036 | insurance for which it is presently licensed or certificated. |
| 1037 | (b) The financial condition of the acquiring person or |
| 1038 | persons will not jeopardize the financial stability of the |
| 1039 | specialty insurer or prejudice the interests of its insureds or |
| 1040 | the public. |
| 1041 | (c) Any plan or proposal which the acquiring person has, |
| 1042 | or acquiring persons have, made: |
| 1043 | 1. To liquidate the specialty insurer, sell its assets, or |
| 1044 | merge or consolidate it with any person, or to make any other |
| 1045 | major change in its business or corporate structure or |
| 1046 | management, or |
| 1047 | 2. To liquidate any controlling company, sell its assets, |
| 1048 | or merge or consolidate it with any person, or to make any major |
| 1049 | change in its business or corporate structure or management |
| 1050 | which would have an effect upon the specialty insurer, |
| 1051 | |
| 1052 | is fair and free of prejudice to the insureds of the specialty |
| 1053 | insurer or to the public. |
| 1054 | (d) The competence, experience, and integrity of those |
| 1055 | persons who will control directly or indirectly the operation of |
| 1056 | the specialty insurer indicate that the acquisition is in the |
| 1057 | best interest of the insureds of the insurer and in the public |
| 1058 | interest. |
| 1059 | (e) The natural persons for whom background information is |
| 1060 | required to be furnished pursuant to this section have such |
| 1061 | backgrounds as to indicate that it is in the best interests of |
| 1062 | the insureds of the specialty insurer and in the public interest |
| 1063 | to permit such persons to exercise control over the specialty |
| 1064 | insurer. |
| 1065 | (f) The directors and officers, if such specialty insurer |
| 1066 | or controlling company is a stock corporation, or the trustees, |
| 1067 | partners, owners, managers, or joint venturers or other persons |
| 1068 | performing duties similar to those of persons in the |
| 1069 | aforementioned positions, if such specialty insurer or |
| 1070 | controlling company is not a stock corporation, to be employed |
| 1071 | after the acquisition have sufficient insurance experience and |
| 1072 | ability to assure reasonable promise of successful operation. |
| 1073 | (g) The management of the specialty insurer after the |
| 1074 | acquisition will be competent and trustworthy, and will possess |
| 1075 | sufficient managerial experience so as to make the proposed |
| 1076 | operation of the specialty insurer not hazardous to the |
| 1077 | insurance-buying public. |
| 1078 | (h) The management of the specialty insurer after the |
| 1079 | acquisition shall not include any person who has directly or |
| 1080 | indirectly through ownership, control, reinsurance transactions, |
| 1081 | or other insurance or business relations unlawfully manipulated |
| 1082 | the assets, accounts, finances, or books of any insurer or |
| 1083 | otherwise acted in bad faith with respect thereto. |
| 1084 | (i) The acquisition is not likely to be hazardous or |
| 1085 | prejudicial to the insureds of the insurer or to the public. |
| 1086 | (j) The effect of the acquisition would not substantially |
| 1087 | lessen competition in the line of insurance for which the |
| 1088 | specialty insurer is licensed or certified in this state or |
| 1089 | would not tend to create a monopoly therein. |
| 1090 | (9) No vote by the stockholder of record, or by any other |
| 1091 | person, of any security acquired in contravention of the |
| 1092 | provisions of this section is valid. Any acquisition contrary to |
| 1093 | the provisions of this section is void. Upon the petition of the |
| 1094 | specialty insurer or the controlling company, the circuit court |
| 1095 | for the county in which the principal office of the specialty |
| 1096 | insurer is located may, without limiting the generality of its |
| 1097 | authority, order the issuance or entry of an injunction or other |
| 1098 | order to enforce the provisions of this section. There shall be |
| 1099 | a private right of action in favor of the specialty insurer or |
| 1100 | controlling company to enforce the provisions of this section. |
| 1101 | No demand upon the office that it perform its functions shall be |
| 1102 | required as a prerequisite to any suit by the specialty insurer |
| 1103 | or controlling company against any other person, and in no case |
| 1104 | shall the office be deemed a necessary party to any action by |
| 1105 | the specialty insurer or controlling company to enforce the |
| 1106 | provisions of this section. Any person who makes or proposes an |
| 1107 | acquisition requiring the filing of an application pursuant to |
| 1108 | this section, or who files such an application, shall be deemed |
| 1109 | to have thereby designated the Chief Financial Officer, or his |
| 1110 | or her assistant or deputy or another person in charge of his or |
| 1111 | her office, as such person's agent for service of process under |
| 1112 | this section and shall thereby be deemed to have submitted |
| 1113 | himself or herself to the administrative jurisdiction of the |
| 1114 | office and to the jurisdiction of the circuit court. |
| 1115 | (10) Any approval by the office under this section does |
| 1116 | not constitute a recommendation by the office of the tender |
| 1117 | offer or exchange offer, or acquisition, if no tender offer or |
| 1118 | exchange offer is involved. It is unlawful for a person to |
| 1119 | represent that the office's approval constitutes a |
| 1120 | recommendation. A person who violates the provisions of this |
| 1121 | subsection commits a felony of the third degree, punishable as |
| 1122 | provided in s. 775.082, s. 775.083, or s. 775.084. The statute- |
| 1123 | of-limitations period for the prosecution of an offense |
| 1124 | committed under this subsection is 5 years. |
| 1125 | (4)(11) If the office determines that any person or any |
| 1126 | affiliated person of such person has acquired 10 percent or more |
| 1127 | of the outstanding voting securities of a specialty insurer or |
| 1128 | controlling company which is a stock corporation, or 10 percent |
| 1129 | or more of the ownership interest of a specialty insurer or |
| 1130 | controlling company which is not a stock corporation, without |
| 1131 | complying with the provisions of this section, the office may |
| 1132 | order that the person and any affiliated person of such person |
| 1133 | cease acquisition of the specialty insurer or controlling |
| 1134 | company and, if appropriate, divest itself of any stock or |
| 1135 | ownership interest acquired in violation of this section. |
| 1136 | (5)(12)(a) The office shall, if necessary to protect the |
| 1137 | public interest, suspend or revoke the certificate of authority |
| 1138 | of any specialty insurer or controlling company acquired in |
| 1139 | violation of this section. |
| 1140 | (b) If any specialty insurer is subject to suspension or |
| 1141 | revocation pursuant to this section paragraph (a), the specialty |
| 1142 | insurer shall be deemed to be in such condition, or to be using |
| 1143 | or to have been subject to such methods or practices in the |
| 1144 | conduct of its business, as to render its further transaction of |
| 1145 | insurance presently or prospectively hazardous to its insureds, |
| 1146 | creditors, or stockholders or to the public. |
| 1147 | (6)(13)(a) For the purpose of this section, the term |
| 1148 | "acquisition" includes: |
| 1149 | 1. A tender offer or exchange offer for securities, |
| 1150 | assets, or other ownership interest; |
| 1151 | 2. An agreement to exchange securities for other |
| 1152 | securities, assets, or other ownership interest; |
| 1153 | 3. A merger of a person or affiliated person into a |
| 1154 | specialty insurer or a merger of any person with a specialty |
| 1155 | insurer; |
| 1156 | 4. A consolidation; or |
| 1157 | 5. Any other form of change of control |
| 1158 |
|
| 1159 | whereby any person or affiliated person acquires or attempts to |
| 1160 | acquire, directly or indirectly, 10 percent or more of the |
| 1161 | ownership interest or assets of a specialty insurer or of a |
| 1162 | controlling company. However, in the case of a health |
| 1163 | maintenance organization organized as a for-profit corporation, |
| 1164 | the provisions of s. 628.451 shall govern with respect to any |
| 1165 | merger or consolidation, and, in the case of a health |
| 1166 | maintenance organization organized as a not-for-profit |
| 1167 | corporation, the provisions of s. 628.471 shall govern with |
| 1168 | respect to any merger or consolidation. |
| 1169 | (b) For the purpose of this section, the term "affiliated |
| 1170 | person" of another person includes: |
| 1171 | 1. The spouse of such other natural person; |
| 1172 | 2. The parents of such other natural person and their |
| 1173 | lineal descendants and the parents of such other natural |
| 1174 | person's spouse and their lineal descendants; |
| 1175 | 3. Any person who directly or indirectly owns or controls, |
| 1176 | or holds with power to vote, 10 percent or more of the |
| 1177 | outstanding voting securities of such other person; |
| 1178 | 4. Any person who directly or indirectly owns 10 percent |
| 1179 | or more of the outstanding voting securities which are directly |
| 1180 | or indirectly owned or controlled, or held with power to vote, |
| 1181 | by such other person; |
| 1182 | 5. Any person or group of persons who directly or |
| 1183 | indirectly control, are controlled by, or are under common |
| 1184 | control with such other person; |
| 1185 | 6. Any director, officer, trustee, partner, owner, |
| 1186 | manager, joint venturer, or employee, or other person performing |
| 1187 | duties similar to those of persons in the aforementioned |
| 1188 | positions, of such other person; |
| 1189 | 7. If such other person is an investment company, any |
| 1190 | investment adviser of such company or any member of an advisory |
| 1191 | board of such company; |
| 1192 | 8. If such other person is an unincorporated investment |
| 1193 | company not having a board of directors, the depositor of such |
| 1194 | company; or |
| 1195 | 9. Any person who has entered into an agreement, written |
| 1196 | or unwritten, to act in concert with such other person in |
| 1197 | acquiring, or limiting the disposition of, securities of a |
| 1198 | specialty insurer or controlling company which is a stock |
| 1199 | corporation or in acquiring, or limiting the disposition of, an |
| 1200 | ownership interest of a specialty insurer or controlling company |
| 1201 | which is not a stock corporation. |
| 1202 | (c) For the purposes of this section, the term |
| 1203 | "controlling company" means any corporation, trust, or |
| 1204 | association owning, directly or indirectly, 25 percent or more |
| 1205 | of the voting securities of one or more specialty insurance |
| 1206 | companies which are stock corporations, or 25 percent or more of |
| 1207 | the ownership interest of one or more specialty insurance |
| 1208 | companies which are not stock corporations. |
| 1209 | (d) For the purpose of this section, the term "natural |
| 1210 | person" means an individual. |
| 1211 | (e) For the purpose of this section, the term "person" |
| 1212 | includes a natural person, corporation, association, trust, |
| 1213 | general partnership, limited partnership, joint venture, firm, |
| 1214 | proprietorship, or any other entity which may hold a license or |
| 1215 | certificate as a specialty insurer. |
| 1216 | (7)(14) The commission may adopt, amend, or repeal rules |
| 1217 | that are necessary to implement the provisions of this section, |
| 1218 | pursuant to chapter 120. |
| 1219 | Section 3. Section 628.800, Florida Statutes, is created |
| 1220 | to read: |
| 1221 | 628.800 Definitions.-As used in this part, unless the |
| 1222 | context otherwise requires: |
| 1223 | (1) "Affiliate" means a person that, directly or |
| 1224 | indirectly, through one or more intermediaries, controls or is |
| 1225 | controlled by, or is under common control with, the person |
| 1226 | specified. |
| 1227 | (2) "Control" means the possession, whether direct or |
| 1228 | indirect, of the power to direct or cause the direction of the |
| 1229 | management and policies of a person, whether through the |
| 1230 | ownership of voting securities, by contract other than a |
| 1231 | commercial contract for goods or nonmanagement services, or |
| 1232 | otherwise, unless the power is the result of an official |
| 1233 | position with, or corporate office held by, the person. Control |
| 1234 | shall be presumed to exist if any person, directly or |
| 1235 | indirectly, owns, controls, holds with the power to vote, or |
| 1236 | holds proxies representing 10 percent or more of the voting |
| 1237 | securities of any other person. To disclaim control or |
| 1238 | affiliation, any person may file with the commissioner a |
| 1239 | disclaimer of control or affiliation with any authorized |
| 1240 | insurer, or a disclaimer of control or affiliation may be filed |
| 1241 | by the insurer or any member of an insurance holding company |
| 1242 | system. The disclaimer shall fully disclose all material |
| 1243 | relationships and bases for control or affiliation between the |
| 1244 | person and the insurer, as well as the basis for disclaiming the |
| 1245 | control or affiliation. A disclaimer of control or affiliation |
| 1246 | shall be deemed to have been granted unless the commissioner, |
| 1247 | within 30 days following receipt of a complete disclaimer, |
| 1248 | notifies the filing party that the disclaimer is disallowed. In |
| 1249 | the event of disallowance, the disclaiming party may request an |
| 1250 | administrative hearing, which shall be granted. The disclaiming |
| 1251 | party shall be relieved of its duty to register under this |
| 1252 | section if approval of the disclaimer has been granted by the |
| 1253 | commissioner or if the disclaimer is deemed to have been |
| 1254 | approved. The commissioner may determine, after furnishing all |
| 1255 | persons in interest notice and opportunity to be heard and |
| 1256 | making specific findings of fact to support such determination, |
| 1257 | that control exists in fact, notwithstanding the absence of a |
| 1258 | presumption to that effect. |
| 1259 | (3) "Insurance holding company system" consists of two or |
| 1260 | more affiliated persons, one or more of which is an insurer. |
| 1261 | (4) "Insurer" has the same meaning as set forth in s. |
| 1262 | 624.03, except that it shall not include: |
| 1263 | (a) Agencies, authorities, or instrumentalities of the |
| 1264 | United States, its possessions and territories, the Commonwealth |
| 1265 | of Puerto Rico, the District of Columbia, or a state or |
| 1266 | political subdivision of a state; |
| 1267 | (b) Fraternal benefit societies; |
| 1268 | (c) Nonprofit medical and hospital service associations; |
| 1269 | or |
| 1270 | (d) Business trusts. |
| 1271 | (5) "Commissioner" means the Commissioner of Insurance |
| 1272 | Regulation as designated under ss. 20.121 and 624.05, his or her |
| 1273 | deputies and assistants, or the Office of Insurance Regulation, |
| 1274 | as appropriate. |
| 1275 | (6) "Person" means an individual, a corporation, a |
| 1276 | partnership, an association, a business trust, an insurer, a |
| 1277 | company, an organization, Lloyds insurer, a society, a |
| 1278 | reciprocal insurer or interinsurance exchange, a syndicate, an |
| 1279 | agent, a general agent, a broker, a solicitor, a service |
| 1280 | representative, an adjuster, every legal entity, a joint stock |
| 1281 | company, an unincorporated organization, or any similar entity |
| 1282 | or combination acting in concert, but does not include any |
| 1283 | securities broker performing no more than the usual and |
| 1284 | customary broker's function. |
| 1285 | (7) "Securityholder" of a specified person means one who |
| 1286 | owns any security of such person, including common stock, |
| 1287 | preferred stock, debt obligation, and any other security |
| 1288 | convertible into or evidencing the right to acquire any of the |
| 1289 | foregoing. |
| 1290 | (8) "Subsidiary" of a specified person means an affiliate |
| 1291 | controlled by such person, directly or indirectly, through one |
| 1292 | or more intermediaries. |
| 1293 | (9) "Voting security" means any security convertible into |
| 1294 | or evidencing a right to acquire a voting security. |
| 1295 | Section 4. Section 628.801, Florida Statutes, is amended |
| 1296 | to read: |
| 1297 | (Substantial rewording of section. See s. 628.801, F.S., |
| 1298 | for present text.) |
| 1299 | 628.801 Insurance holding companies; registration; |
| 1300 | regulation.- |
| 1301 | (1) REGISTRATION.-Every insurer authorized to do business |
| 1302 | in this state that is a member of an insurance holding company |
| 1303 | system must register with the commissioner, except a foreign |
| 1304 | insurer subject to registration requirements and standards |
| 1305 | adopted by statute or regulation in the jurisdiction of its |
| 1306 | domicile which are substantially similar to those contained |
| 1307 | chapter 624. |
| 1308 | (a) Each registered insurer shall keep current the |
| 1309 | information required to be disclosed in its registration |
| 1310 | statement by reporting all material changes or additions within |
| 1311 | 15 days after the end of the month in which it learns of each |
| 1312 | change or addition. Any insurer that is subject to registration |
| 1313 | under this section shall register within 15 days after it |
| 1314 | becomes subject to registration, and annually thereafter by June |
| 1315 | 1 of each year for the previous calendar year, unless the |
| 1316 | commissioner for good cause shown extends the time for |
| 1317 | registration, in which case the insurer shall register within |
| 1318 | the extended registration period. The commissioner may require |
| 1319 | any insurer authorized to do business in the state that is a |
| 1320 | member of an insurance holding company system and that is not |
| 1321 | subject to registration under this section to furnish a copy of |
| 1322 | the registration statement, the report specified in subsection |
| 1323 | (9), or other information filed by the insurance company with |
| 1324 | the insurance regulatory authority of its domiciliary |
| 1325 | jurisdiction. |
| 1326 | (b) Every insurer subject to registration shall file the |
| 1327 | registration statement with the commissioner on a form and in a |
| 1328 | format prescribed by the National Association of Insurance |
| 1329 | Commissioners, which shall contain the following current |
| 1330 | information: |
| 1331 | 1. The capital structure, general financial condition, |
| 1332 | ownership, and management of the insurer and any person |
| 1333 | controlling the insurer. |
| 1334 | 2. The identity and relationship of every member of the |
| 1335 | insurance holding company system. |
| 1336 | 3. The following agreements in force and transactions |
| 1337 | currently outstanding or that have occurred during the last |
| 1338 | calendar year between the insurer and its affiliates: |
| 1339 | a. Loans, other investments, or purchases, sales, or |
| 1340 | exchanges of securities of the affiliates by the insurer or of |
| 1341 | the insurer by its affiliates. |
| 1342 | b. Purchases, sales, or exchange of assets. |
| 1343 | c. Transactions not in the ordinary course of business. |
| 1344 | d. Guarantees or undertakings for the benefit of an |
| 1345 | affiliate which result in an actual contingent exposure of the |
| 1346 | insurer's assets to liability, other than insurance contracts |
| 1347 | entered into in the ordinary course of the insurer's business. |
| 1348 | e. All management agreements, service contracts, and all |
| 1349 | cost-sharing arrangements. |
| 1350 | f. Reinsurance agreements. |
| 1351 | g. Dividends and other distributions to shareholders. |
| 1352 | h. Consolidated tax allocation agreements. |
| 1353 | 4. Any pledge of the insurer's stock, including stock of |
| 1354 | any subsidiary or controlling affiliate, for a loan made to any |
| 1355 | member of the insurance holding company system. |
| 1356 | 5. If requested by the commissioner, financial statements |
| 1357 | of or within an insurance holding company system, including all |
| 1358 | affiliates. Financial statements may include, but are not |
| 1359 | limited to, annual audited financial statements filed with the |
| 1360 | United States Securities and Exchange Commission pursuant to the |
| 1361 | Securities Act of 1933, as amended, or the Securities Exchange |
| 1362 | Act of 1934, as amended. An insurer required to file financial |
| 1363 | statements pursuant to this paragraph may satisfy the request by |
| 1364 | providing the commissioner with the most recently filed parent |
| 1365 | corporation financial statements that have been filed with the |
| 1366 | United States Securities and Exchange Commission. |
| 1367 | 6. Other matters concerning transactions between |
| 1368 | registered insurers and any affiliates as may be included from |
| 1369 | time to time in any registration forms adopted or approved by |
| 1370 | the commissioner. |
| 1371 | 7. Statements attesting that the insurer's board of |
| 1372 | directors oversees corporate governance and internal controls |
| 1373 | and that the insurer's officers or senior management have |
| 1374 | approved, implemented, and continue to maintain and monitor |
| 1375 | corporate governance and internal control procedures. |
| 1376 | 8. Any other information required by the commissioner by |
| 1377 | rule or regulation. |
| 1378 | (c) All registration statements must contain a summary |
| 1379 | outlining all items in the current registration statement |
| 1380 | representing changes from the prior registration statement. |
| 1381 | (d) Information need not be disclosed on the registration |
| 1382 | statement filed pursuant to this section that is not material |
| 1383 | for the purposes of this section. Unless the commissioner by |
| 1384 | rule, regulation, or order provides otherwise, sales, purchases, |
| 1385 | exchanges, loans, or extensions of credit, investments, or |
| 1386 | guarantees involving .5 percent or less of an insurer's admitted |
| 1387 | assets as of the 31st day of December next preceding shall not |
| 1388 | be deemed material for purposes of this section. |
| 1389 | (2) REPORTING OF DIVIDENDS TO SHAREHOLDERS.-Subject to the |
| 1390 | requirements of this section, each registered insurer shall |
| 1391 | report to the commissioner all dividends and other distributions |
| 1392 | to shareholders within 15 business days following the |
| 1393 | declaration thereof. |
| 1394 | (3) INFORMATION OF INSURERS.-Any person within an |
| 1395 | insurance holding company system subject to registration shall |
| 1396 | be required to provide complete and accurate information to an |
| 1397 | insurer, where the information is reasonably necessary to enable |
| 1398 | the insurer to comply with the provisions of this section. |
| 1399 | (4) TERMINATION OF REGISTRATION.-The commissioner shall |
| 1400 | terminate the registration of any insurer that demonstrates that |
| 1401 | it no longer is a member of an insurance holding company system. |
| 1402 | (5) CONSOLIDATED FILING.-The commissioner may require or |
| 1403 | allow two or more affiliated insurers subject to registration to |
| 1404 | file a consolidated registration statement. |
| 1405 | (6) ALTERNATIVE REGISTRATION.-The commissioner may allow |
| 1406 | an insurer authorized to do business in this state and that is |
| 1407 | part of an insurance holding company system to register on |
| 1408 | behalf of any affiliated insurer required to register under this |
| 1409 | section and to file all information and material required to be |
| 1410 | filed under this section. |
| 1411 | (7) EXEMPTIONS.-This section does not apply to any |
| 1412 | insurer, information, or transaction if, and to the extent that, |
| 1413 | the commissioner by rule, regulation, or order exempts the |
| 1414 | insurer, information, or transaction from the provisions of this |
| 1415 | section. |
| 1416 | (8) DISCLAIMER.-Any person may file with the commissioner |
| 1417 | a disclaimer of affiliation with any authorized insurer, or a |
| 1418 | disclaimer may be filed by the insurer or any member of an |
| 1419 | insurance holding company system. The disclaimer shall fully |
| 1420 | disclose all material relationships and bases for affiliation |
| 1421 | between the person and the insurer as well as the basis for |
| 1422 | disclaiming the affiliation. A disclaimer of affiliation shall |
| 1423 | be deemed to have been granted unless the commissioner, within |
| 1424 | 30 days following receipt of a complete disclaimer, notifies the |
| 1425 | filing party that the disclaimer is disallowed. In the event of |
| 1426 | disallowance, the disclaiming party may request an |
| 1427 | administrative hearing, which shall be granted. The disclaiming |
| 1428 | party shall be relieved of its duty to register under this |
| 1429 | section if approval of the disclaimer has been granted by the |
| 1430 | commissioner or if the disclaimer is deemed to have been |
| 1431 | approved. |
| 1432 | (9) ENTERPRISE RISK FILING.-The ultimate controlling |
| 1433 | person of every insurer subject to registration shall also file |
| 1434 | an annual enterprise risk report. The report shall, to the best |
| 1435 | of the ultimate controlling person's knowledge and belief, |
| 1436 | identify the material risks within the insurance holding company |
| 1437 | system that could pose enterprise risk to the insurer. The |
| 1438 | report shall be filed with the lead state commissioner of the |
| 1439 | insurance holding company system as determined by the procedures |
| 1440 | within the Financial Analysis Handbook adopted by the National |
| 1441 | Association of Insurance Commissioners. |
| 1442 | (10) VIOLATIONS.-Failure to file a registration statement |
| 1443 | or any summary of the registration statement or enterprise risk |
| 1444 | filing required by this section within the time specified for |
| 1445 | filing constitutes a violation of this section. |
| 1446 | Section 5. Section 628.8011, Florida Statues, is created |
| 1447 | to read: |
| 1448 | 628.8011 Standards and management of an insurer within an |
| 1449 | insurance holding company system.- |
| 1450 | (1) STANDARDS.-Transactions within an insurance holding |
| 1451 | company system to which an insurer subject to registration is a |
| 1452 | party shall be subject to the following standards: |
| 1453 | (a) The terms shall be fair and reasonable. |
| 1454 | (b) Agreements for cost-sharing services and management |
| 1455 | shall include such provisions as required by rule and regulation |
| 1456 | issued by the commissioner. |
| 1457 | (c) Charges or fees for services performed shall be |
| 1458 | reasonable. |
| 1459 | (d) Contracts or agreements with affiliates for the |
| 1460 | management or servicing of the business written by an insurer |
| 1461 | shall contain provisions providing that, if the combined ratio |
| 1462 | for the insurer exceeds 100 percent, then the fees paid to any |
| 1463 | affiliates for such services shall be decreased to bring the |
| 1464 | combined ratio down to 100 percent. |
| 1465 | (e) Expenses incurred and payment received shall be |
| 1466 | allocated to the insurer in conformity with customary insurance |
| 1467 | accounting practices consistently applied. |
| 1468 | (f) The books, accounts, and records of each party to all |
| 1469 | such transactions shall be so maintained as to clearly and |
| 1470 | accurately disclose the nature and details of the transactions, |
| 1471 | including such accounting information as is necessary to support |
| 1472 | the reasonableness of the charges or fees to the respective |
| 1473 | parties. |
| 1474 | (g) The insurer's surplus as regards policyholders |
| 1475 | following any dividends or distributions to shareholder |
| 1476 | affiliates shall be reasonable in relation to the insurer's |
| 1477 | outstanding liabilities and adequate to meet its financial |
| 1478 | needs. |
| 1479 | (2) PRECLUDED TRANSACTIONS.-The following transactions |
| 1480 | involving a domestic insurer and any person in its insurance |
| 1481 | holding company system, including amendments or modifications of |
| 1482 | affiliate agreements previously filed pursuant to this section, |
| 1483 | that are subject to any materiality standards contained in |
| 1484 | subsection (1), may not be entered into unless the insurer has |
| 1485 | notified the commissioner in writing of its intention to enter |
| 1486 | into the transaction at least 30 days prior thereto, or such |
| 1487 | shorter period as the commissioner may permit, and the |
| 1488 | commissioner has not disapproved the transaction within that |
| 1489 | period. The notice for amendments or modifications shall include |
| 1490 | the reasons for the change and the financial impact on the |
| 1491 | domestic insurer. Informal notice shall be reported, within 30 |
| 1492 | days after a termination of a previously filed agreement, to the |
| 1493 | commissioner for determination of the type of filing required, |
| 1494 | if any. |
| 1495 | (a) Sales, purchases, exchanges, loans, extensions of |
| 1496 | credit, or investments, provided the transactions are equal to |
| 1497 | or exceed: |
| 1498 | 1. With respect to nonlife insurers, the lesser of 3 |
| 1499 | percent of the insurer's admitted assets or 25 percent of |
| 1500 | surplus as regards policyholders as of the 31st day of December |
| 1501 | next preceding. |
| 1502 | 2. With respect to life insurers, 3 percent of the |
| 1503 | insurer's admitted assets as of the 31st day of December next |
| 1504 | preceding. |
| 1505 | (b) Loans or extensions of credit to any person who is not |
| 1506 | an affiliate, where the insurer makes loans or extensions of |
| 1507 | credit with the agreement or understanding that the proceeds of |
| 1508 | the transactions, in whole or in substantial part, are to be |
| 1509 | used to make loans or extensions of credit to, purchase assets |
| 1510 | of, or make investments in any affiliate of the insurer making |
| 1511 | the loans or extensions of credit, provided the transactions are |
| 1512 | equal to or exceed: |
| 1513 | 1. With respect to nonlife insurers, the lesser of 3 |
| 1514 | percent of the insurer's admitted assets or 25 percent of |
| 1515 | surplus as regards policyholders as of the 31st day of December |
| 1516 | next preceding; or |
| 1517 | 2. With respect to life insurers, 3 percent of the |
| 1518 | insurer's admitted assets as of the 31st day of December next |
| 1519 | preceding. |
| 1520 | (c) Reinsurance agreements or modifications thereto, |
| 1521 | including: |
| 1522 | 1. All reinsurance pooling agreements. |
| 1523 | 2. Agreements in which the reinsurance premium or a change |
| 1524 | in the insurer's liabilities, or the projected reinsurance |
| 1525 | premium or a change in the insurer's liabilities in any of the |
| 1526 | next 3 years, equals or exceeds 5 percent of the insurer's |
| 1527 | surplus as regards policyholders, as of the 31st day of December |
| 1528 | next preceding, including those agreements which may require as |
| 1529 | consideration the transfer of assets from an insurer to a |
| 1530 | nonaffiliate, if an agreement or understanding exists between |
| 1531 | the insurer and nonaffiliate that any portion of the assets will |
| 1532 | be transferred to one or more affiliates of the insurer. |
| 1533 | (d) All management agreements, service contracts, tax |
| 1534 | allocation agreements, guarantees, and all cost-sharing |
| 1535 | arrangements. |
| 1536 | (e) Guarantees when made by a domestic insurer. Provided, |
| 1537 | however, that a guarantee which is quantifiable as to amount is |
| 1538 | not subject to the notice requirements of this paragraph unless |
| 1539 | it exceeds the lesser of .5 percent of the insurer's admitted |
| 1540 | assets or 10 percent of surplus as regards policyholders as of |
| 1541 | the 31st day of December next preceding. Further, all guarantees |
| 1542 | which are not quantifiable as to amount are subject to the |
| 1543 | notice requirements of this paragraph. |
| 1544 | (f) Direct or indirect acquisitions or investments in a |
| 1545 | person that controls the insurer or in an affiliate of the |
| 1546 | insurer in an amount which, together with its present holdings |
| 1547 | in such investments, exceeds 2.5 percent of the insurer's |
| 1548 | surplus to policyholders. Direct or indirect acquisitions or |
| 1549 | investments in subsidiaries acquired pursuant to s. 628.461, or |
| 1550 | in nonsubsidiary insurance affiliates that are subject to the |
| 1551 | provisions of this part, are exempt from this requirement. |
| 1552 | (g) Any material transactions, specified by regulation, |
| 1553 | which the commissioner determines may adversely affect the |
| 1554 | interests of the insurer's policyholders. |
| 1555 |
|
| 1556 | Nothing in this subsection shall be deemed to authorize or |
| 1557 | permit any transactions which, in the case of an insurer that is |
| 1558 | not a member of the same insurance holding company system, would |
| 1559 | otherwise be contrary to law. |
| 1560 | (3) ADDITIONAL PRECLUDED TRANSACTION.-A domestic insurer |
| 1561 | may not enter into transactions that are part of a plan or |
| 1562 | series of like transactions with persons within the insurance |
| 1563 | holding company system if the purpose of those separate |
| 1564 | transactions is to avoid the statutory threshold amount and thus |
| 1565 | avoid the review that would occur otherwise. If the commissioner |
| 1566 | determines that separate transactions were entered into over any |
| 1567 | 12-month period for that purpose, the commissioner may exercise |
| 1568 | his or her authority under the Insurance Code or s. 628.803. |
| 1569 | (4) REVIEW OF TRANSACTIONS.-The commissioner, in reviewing |
| 1570 | transactions pursuant to this section, shall consider whether |
| 1571 | the transactions comply with the standards set forth in this |
| 1572 | section and whether they may adversely affect the interests of |
| 1573 | policyholders. |
| 1574 | (5) NOTIFICAITON.-The commissioner shall be notified |
| 1575 | within 30 days of any investment of the domestic insurer in any |
| 1576 | one corporation if the total investment in the corporation by |
| 1577 | the insurance holding company system exceeds 10 percent of the |
| 1578 | corporation's voting securities. |
| 1579 | (6) DIVIDENDS AND OTHER DISTRIBUTIONS.- |
| 1580 | (a) No domestic insurer shall pay any extraordinary |
| 1581 | dividend or make any other extraordinary distribution to its |
| 1582 | shareholders until 30 days after the commissioner has received |
| 1583 | notice of the declaration thereof and has not within that period |
| 1584 | disapproved the payment, or until the commissioner has approved |
| 1585 | the payment within the 30-day period. |
| 1586 | (b) For purposes of this section, an extraordinary |
| 1587 | dividend or distribution includes any dividend or distribution |
| 1588 | of cash or other property, whose fair market value together with |
| 1589 | that of other dividends or distributions made within the |
| 1590 | preceding 12 months exceeds the lesser of: |
| 1591 | 1. Ten percent of the insurer's surplus as regards |
| 1592 | policyholders as of the 31st day of December next preceding; or |
| 1593 | 2. The net gain after taxes from operations of the |
| 1594 | insurer, if the insurer is a life insurer, or the net income |
| 1595 | after taxes, if the insurer is not a life insurer, not including |
| 1596 | realized capital gains, for the 12-month period ending the 31st |
| 1597 | day of December next preceding, excluding pro rata distributions |
| 1598 | of any class of the insurer's own securities. |
| 1599 | (c) In determining whether a dividend or distribution is |
| 1600 | extraordinary, an insurer other than a life insurer may carry |
| 1601 | forward net income from the previous 2 calendar years that has |
| 1602 | not already been paid out as dividends. This carryforward shall |
| 1603 | be computed by taking the net income from the second and third |
| 1604 | preceding calendar years, not including realized capital gains, |
| 1605 | less dividends paid in the second and immediate preceding |
| 1606 | calendar years. |
| 1607 | (d) Notwithstanding any other provision of law, an insurer |
| 1608 | may declare an extraordinary dividend or distribution which is |
| 1609 | conditional upon the commissioner's approval, and the |
| 1610 | declaration shall confer no rights upon shareholders until: |
| 1611 | 1. The commissioner has approved the payment of the |
| 1612 | dividend or distribution; or |
| 1613 | 2. The commissioner has not disapproved payment within the |
| 1614 | 30-day period provided for in this subsection. |
| 1615 | (7) MANAGEMENT OF DOMESTIC INSURERS SUBJECT TO |
| 1616 | REGISTRATION.- |
| 1617 | (a) Notwithstanding the control of a domestic insurer by |
| 1618 | any person, the officers and directors of the insurer may not |
| 1619 | thereby be relieved of any obligation or liability to which they |
| 1620 | would otherwise be subject by law, and the insurer shall be |
| 1621 | managed so as to assure its separate operating identity |
| 1622 | consistent with this section. |
| 1623 | (b) Nothing in this section shall preclude a domestic |
| 1624 | insurer from having or sharing a common management or |
| 1625 | cooperative or joint use of personnel, property, or services |
| 1626 | with one or more other persons under arrangements meeting the |
| 1627 | standards of this section. |
| 1628 | (c) Not less than one-third of the directors of a domestic |
| 1629 | insurer and not less than one-third of the members of each |
| 1630 | committee of the board of directors of any domestic insurer |
| 1631 | shall be persons who are not officers or employees of the |
| 1632 | insurer or of any entity controlling, controlled by, or under |
| 1633 | common control with the insurer and who are not beneficial |
| 1634 | owners of a controlling interest in the voting stock of the |
| 1635 | insurer or entity. At least one such person must be included in |
| 1636 | any quorum for the transaction of business at any meeting of the |
| 1637 | board of directors or any committee thereof. |
| 1638 | (d) The board of directors of a domestic insurer shall |
| 1639 | establish one or more committees comprised solely of directors |
| 1640 | who are not officers or employees of the insurer or of any |
| 1641 | entity controlling, controlled by, or under common control with |
| 1642 | the insurer and who are not beneficial owners of a controlling |
| 1643 | interest in the voting stock of the insurer or any such entity. |
| 1644 | The committee or committees shall have responsibility for |
| 1645 | nominating candidates for director for election by shareholders |
| 1646 | or policyholders, evaluating the performance of officers deemed |
| 1647 | to be principal officers of the insurer, and recommending to the |
| 1648 | board of directors the selection and compensation of the |
| 1649 | principal officers. |
| 1650 | (e) The provisions of paragraphs (c) and (d) do not apply |
| 1651 | to a domestic insurer if the person controlling the insurer, |
| 1652 | such as an insurer, a mutual insurance holding company, or a |
| 1653 | publicly held corporation, has a board of directors and |
| 1654 | committees thereof that meet the requirements of paragraphs (c) |
| 1655 | and (d) with respect to such controlling entity. |
| 1656 | (f) An insurer may make application to the commissioner |
| 1657 | for a waiver from the requirements of this subsection, if the |
| 1658 | insurer's annual direct written and assumed premium, excluding |
| 1659 | premiums reinsured with the Federal Crop Insurance Corporation |
| 1660 | and the federal flood insurance program, is less than $300 |
| 1661 | million. An insurer may also make application to the |
| 1662 | commissioner for a waiver from the requirements of this |
| 1663 | subsection based on unique circumstances. The commissioner may |
| 1664 | consider various factors including, but not limited to, the type |
| 1665 | of business entity, volume of business written, availability of |
| 1666 | qualified board members, or the ownership or organizational |
| 1667 | structure of the entity. |
| 1668 | (8) ADEQUACY OF SURPLUS.-For purposes of this section, in |
| 1669 | determining whether an insurer's surplus as regards |
| 1670 | policyholders is reasonable in relation to the insurer's |
| 1671 | outstanding liabilities and adequate to meet its financial |
| 1672 | needs, the following factors, among others, shall be considered: |
| 1673 | (a) The size of the insurer as measured by its assets, |
| 1674 | capital and surplus, reserves, premium writings, insurance in |
| 1675 | force, and other appropriate criteria. |
| 1676 | (b) The extent to which the insurer's business is |
| 1677 | diversified among several lines of insurance. |
| 1678 | (c) The number and size of risks insured in each line of |
| 1679 | business. |
| 1680 | (d) The extent of the geographical dispersion of the |
| 1681 | insurer's insured risks. |
| 1682 | (e) The nature and extent of the insurer's reinsurance |
| 1683 | program. |
| 1684 | (f) The quality, diversification, and liquidity of the |
| 1685 | insurer's investment portfolio. |
| 1686 | (g) The recent past and projected future trend in the size |
| 1687 | of the insurer's investment portfolio. |
| 1688 | (h) The surplus as regards policyholders maintained by |
| 1689 | other comparable insurers. |
| 1690 | (i) The adequacy of the insurer's reserves. |
| 1691 | (j) The quality and liquidity of investments in |
| 1692 | affiliates. The commissioner may treat any such investment as a |
| 1693 | disallowed asset for purposes of determining the adequacy of |
| 1694 | surplus as regards policyholders whenever in the judgment of the |
| 1695 | commissioner the investment so warrants. |
| 1696 | Section 6. Section 628.8012, Florida Statutes, is created |
| 1697 | to read: |
| 1698 | 628.8012 Supervisory colleges.- |
| 1699 | (1) POWER OF COMMISSIONER.-With respect to any insurer |
| 1700 | registered under this part and in accordance with subsection |
| 1701 | (3), the commissioner shall have the power to participate in a |
| 1702 | supervisory college for any domestic insurer that is part of an |
| 1703 | insurance holding company system with international operations |
| 1704 | in order to determine compliance by the insurer with this part. |
| 1705 | The powers of the commissioner with respect to supervisory |
| 1706 | colleges include, but are not limited to, the following: |
| 1707 | (a) Initiating the establishment of a supervisory college. |
| 1708 | (b) Clarifying the membership and participation of other |
| 1709 | supervisors in the supervisory college. |
| 1710 | (c) Clarifying the functions of the supervisory college |
| 1711 | and the role of other regulators, including the establishment of |
| 1712 | a group-wide supervisor. |
| 1713 | (d) Coordinating the ongoing activities of the supervisory |
| 1714 | college, including planning meetings, supervisory activities, |
| 1715 | and processes for information sharing. |
| 1716 | (e) Establishing a crisis management plan. |
| 1717 | (2) EXPENSES.-Each registered insurer subject to this |
| 1718 | section shall be liable for and shall pay the reasonable |
| 1719 | expenses of the commissioner's participation in a supervisory |
| 1720 | college in accordance with subsection (3), including reasonable |
| 1721 | travel expenses. For purposes of this section, a supervisory |
| 1722 | college may be convened as either a temporary or permanent forum |
| 1723 | for communication and cooperation between the regulators charged |
| 1724 | with the supervision of the insurer or its affiliates, and the |
| 1725 | commissioner may establish a regular assessment to the insurer |
| 1726 | for the payment of these expenses. |
| 1727 | (3) SUPERVISORY COLLEGE.-In order to assess the business |
| 1728 | strategy, financial position, legal and regulatory position, |
| 1729 | risk exposure, risk management, and governance processes, and as |
| 1730 | part of the examination of individual insurers, the commissioner |
| 1731 | may participate in a supervisory college with other regulators |
| 1732 | charged with supervision of the insurer or its affiliates, |
| 1733 | including other state, federal, and international regulatory |
| 1734 | agencies. The commissioner may enter into agreements in |
| 1735 | accordance with this chapter, providing the basis for |
| 1736 | cooperation between the commissioner, other regulatory agencies, |
| 1737 | and the supervisory college. Nothing in this section shall |
| 1738 | delegate to the supervisory college the authority of the |
| 1739 | commissioner to regulate or supervise the insurer or its |
| 1740 | affiliates within its jurisdiction. |
| 1741 | Section 7. Section 628.8013, Florida Statutes, is created |
| 1742 | to read: |
| 1743 | 628.8013 Rules and regulations.-The commissioner may, upon |
| 1744 | notice and opportunity for all interested persons to be heard, |
| 1745 | issue such rules, regulations, and orders necessary to carry out |
| 1746 | the provisions of this part. |
| 1747 | Section 8. Section 628.8014, Florida Statutes, is created |
| 1748 | to read: |
| 1749 | 628.8014 Voting of securities.-A security which is the |
| 1750 | subject of any agreement or arrangement regarding acquisition, |
| 1751 | or which is acquired or to be acquired, in contravention of any |
| 1752 | statute or rule adopted thereunder, may not be voted at any |
| 1753 | shareholder's meeting or counted for quorum purposes, and any |
| 1754 | action of shareholders requiring the affirmative vote of a |
| 1755 | percentage of shares may be taken as though such securities were |
| 1756 | not issued and outstanding. However, an action taken at any such |
| 1757 | meeting may not be invalidated by the voting of such securities |
| 1758 | unless the action would materially affect the control of the |
| 1759 | insurer or unless a court of competent jurisdiction has so |
| 1760 | ordered. If the office has reason to believe that any security |
| 1761 | of the insurer has been or is about to be acquired in |
| 1762 | contravention of s. 628.461, or this chapter, the office may |
| 1763 | pursue its remedies pursuant to ss. 628.802 and 628.803. |
| 1764 | Section 9. Section 628.802, Florida Statutes, is amended |
| 1765 | to read: |
| 1766 | (Substantial rewording of section. See |
| 1767 | s. 628.802, F.S., for present text.) |
| 1768 | 628.802 Injunctions; prohibitions against voting |
| 1769 | securities; sequestration of voting securities.- |
| 1770 | (1) INJUNCTIONS.-Whenever it appears to the commissioner |
| 1771 | that any insurer or any director, officer, employee, or agent |
| 1772 | thereof has committed or is about to commit a violation of this |
| 1773 | part or of any rule, regulation, or order issued by the |
| 1774 | commissioner thereunder, the commissioner may apply to the |
| 1775 | circuit court for the county in which the principal officer of |
| 1776 | the insurer is located or, if the insurer has no office in this |
| 1777 | state, to the Circuit Court for Leon County for an order |
| 1778 | enjoining the insurer or director, officer, employee or agent |
| 1779 | thereof from violating or continuing to violate this part or any |
| 1780 | rule, regulation or order, and for such other equitable relief |
| 1781 | as the nature of the case and the interest of the insurer's |
| 1782 | policyholders, creditors, and shareholders or the public may |
| 1783 | require. |
| 1784 | (2) VOTING OF SECURITIES; WHEN PROHIBITED.-No security |
| 1785 | which is the subject of any agreement or arrangement regarding |
| 1786 | acquisition, or which is acquired or to be acquired, in |
| 1787 | contravention of the provisions of this part or of any rule, |
| 1788 | regulation, or order issued by the commissioner thereunder may |
| 1789 | be voted at any shareholder's meeting, or may be counted for |
| 1790 | quorum purposes, and any action of shareholders requiring the |
| 1791 | affirmative vote of a percentage of shares may be taken as |
| 1792 | though the securities were not issued and outstanding. However, |
| 1793 | no action taken at any such meeting shall be invalidated by the |
| 1794 | voting of the securities, unless the action would materially |
| 1795 | affect control of the insurer or unless the courts of this state |
| 1796 | have so ordered. If an insurer or the commissioner has reason to |
| 1797 | believe that any security of the insurer has been or is about to |
| 1798 | be acquired in contravention of the provisions of this part or |
| 1799 | of any rule, regulation, or order issued by the commissioner |
| 1800 | hereunder, the insurer or the commissioner may apply to the |
| 1801 | circuit court for the county in which the insurer has its |
| 1802 | principal place of business to enjoin any offer, request, |
| 1803 | invitation, agreement, or acquisition made in contravention of |
| 1804 | s. 628.461 or any rule, regulation, or order issued by the |
| 1805 | commissioner thereunder to enjoin the voting of any security so |
| 1806 | acquired, to void any vote of the security already cast at any |
| 1807 | meeting of shareholders, and for such other equitable relief as |
| 1808 | the nature of the case and the interest of the insurer's |
| 1809 | policyholders, creditors, and shareholders or the public may |
| 1810 | require. |
| 1811 | (3) SEQUESTRATION OF VOTING SECURITIES.-In any case where |
| 1812 | a person has acquired or is proposing to acquire any voting |
| 1813 | securities in violation of this part or any rule, regulation, or |
| 1814 | order issued by the commissioner hereunder, the circuit court |
| 1815 | for Leon County or the circuit court for the county in which the |
| 1816 | insurer has its principal place of business may, on such notice |
| 1817 | as the court deems appropriate, upon the application of the |
| 1818 | insurer or the commissioner, seize or sequester any voting |
| 1819 | securities of the insurer owned directly or indirectly by the |
| 1820 | person, and issue such order as may be appropriate to effectuate |
| 1821 | the provisions of this part. |
| 1822 | (4) SITUS OF OWNERSHIP.-Notwithstanding any other |
| 1823 | provisions of law, for the purposes of this part, the situs of |
| 1824 | the ownership of the securities of domestic insurers shall be |
| 1825 | deemed to be in this state. |
| 1826 | Section 10. Section 628.803, Florida Statutes, is amended |
| 1827 | to read: |
| 1828 | (Substantial rewording of section. See |
| 1829 | s. 628.803, F.S., for present text.) |
| 1830 | 628.803 Sanctions.- |
| 1831 | (1) Any insurer failing, without just cause, to file any |
| 1832 | registration statement as required under this part shall be |
| 1833 | required, after notice and hearing, to pay a penalty of $1,000 |
| 1834 | for each day's delay, to be recovered by the commissioner. |
| 1835 | Penalties so recovered shall be paid into the General Revenue |
| 1836 | Fund. The maximum penalty under this section is $500,000. The |
| 1837 | commissioner may reduce the penalty if the insurer demonstrates |
| 1838 | to the commissioner that the imposition of the penalty would |
| 1839 | constitute a financial hardship to the insurer. |
| 1840 | (2) Every director or officer of an insurance holding |
| 1841 | company system who knowingly violates, participates in, or |
| 1842 | assents to, or who knowingly permits any of the officers or |
| 1843 | agents of the insurer to engage in, transactions or the making |
| 1844 | of investments which have not been properly reported or |
| 1845 | submitted pursuant to the Insurance Code or which violate this |
| 1846 | act, shall, in their individual capacity, pay a civil forfeiture |
| 1847 | of not more than $1,000 per violation after notice and hearing |
| 1848 | before the commissioner. In determining the amount of the civil |
| 1849 | forfeiture, the commissioner shall take into account the |
| 1850 | appropriateness of the forfeiture with respect to the gravity of |
| 1851 | the violation, the history of previous violations, and such |
| 1852 | other matters as justice may require. |
| 1853 | (3) Whenever it appears to the commissioner that any |
| 1854 | insurer subject to this part or any director, officer, employee, |
| 1855 | or agent thereof has engaged in any transaction or entered into |
| 1856 | a contract which is subject to s. 628.8011 and which would not |
| 1857 | have been approved had approval been requested, the commissioner |
| 1858 | may order the insurer to cease and desist immediately from any |
| 1859 | further activity under that transaction or contract. After |
| 1860 | notice and hearing, the commissioner may also order the insurer |
| 1861 | to void any contracts and restore the status quo if the action |
| 1862 | is in the best interests of the policyholders, creditors, or the |
| 1863 | public. |
| 1864 | (4) Whenever it appears to the commissioner that any |
| 1865 | insurer or any director, officer, employee, or agent thereof has |
| 1866 | committed a willful violation of this part, the commissioner may |
| 1867 | cause criminal proceedings to be instituted by the circuit court |
| 1868 | for the county in which the principal office of the insurer is |
| 1869 | located or, if the insurer has no office in this state, by the |
| 1870 | circuit court for Leon County against the insurer or the |
| 1871 | responsible director, officer, employee, or agent thereof. Any |
| 1872 | insurer which willfully violates this part may be fined not more |
| 1873 | than $1 million. Any individual who willfully violates this part |
| 1874 | may be fined in his or her individual capacity not more than |
| 1875 | $500,000 or be imprisoned for not more than one to 3 years, or |
| 1876 | both. |
| 1877 | (5) Any officer, director, or employee of an insurance |
| 1878 | holding company system who willfully and knowingly subscribes to |
| 1879 | or makes or causes to be made any false statements or false |
| 1880 | reports or false filings with the intent to deceive the |
| 1881 | commissioner in the performance of his or her duties under this |
| 1882 | part, upon conviction shall be imprisoned for not more than 3 |
| 1883 | years or fined $500,000 or both. Any fines imposed shall be paid |
| 1884 | by the officer, director, or employee in his or her individual |
| 1885 | capacity. |
| 1886 | (6) Whenever it appears to the commissioner that any |
| 1887 | person has committed a violation of chapter 628, which violation |
| 1888 | prevents the full understanding of the enterprise risk to the |
| 1889 | insurer by affiliates or by the insurance holding company |
| 1890 | system, the violation may serve as an independent basis for |
| 1891 | disapproving dividends or distributions and for placing the |
| 1892 | insurer under an order of supervision in accordance with part VI |
| 1893 | of chapter 624. |
| 1894 | Section 11. Section 636.065, Florida Statutes, is amended |
| 1895 | to read: |
| 1896 | 636.065 Acquisitions.-Each prepaid limited health service |
| 1897 | organization is subject to the provisions of s. 628.461 |
| 1898 | 628.4615. |
| 1899 | Section 12. Section 641.255, Florida Statutes, is amended |
| 1900 | to read: |
| 1901 | 641.255 Acquisition, merger, or consolidation.- |
| 1902 | (1) Every acquisition of a health maintenance organization |
| 1903 | shall be subject to the provisions of s. 628.461 628.4615. |
| 1904 | However, in the case of a health maintenance organization |
| 1905 | organized as a for-profit corporation, the provisions of s. |
| 1906 | 628.451 govern with respect to any merger or consolidation; and, |
| 1907 | in the case of a health maintenance organization organized as a |
| 1908 | not-for-profit corporation, the provisions of s. 628.471 govern |
| 1909 | with respect to any merger or consolidation. |
| 1910 | (2) In addition to the requirements set forth in ss. |
| 1911 | 628.451, 628.461 628.4615, and 628.471, each party to any |
| 1912 | transaction involving any licensee which, as indicated in its |
| 1913 | most recent quarterly or annual statement, derives income from |
| 1914 | Medicaid funds shall in the filing made with the office |
| 1915 | identify: |
| 1916 | (a) Any person who has received any payment from either |
| 1917 | party or any person on that party's behalf; or |
| 1918 | (b) The existence of any agreement entered into by either |
| 1919 | party or by any person on that party's behalf to pay a |
| 1920 | consultant fee, a broker fee, a commission, or other fee or |
| 1921 | charge, |
| 1922 |
|
| 1923 | which in any way relates to the acquisition, merger, or |
| 1924 | consolidation. The commission may adopt a form to be made part |
| 1925 | of the application which is to be sworn to by an officer of the |
| 1926 | entity which made or will make the payment. The form shall |
| 1927 | include the name of the person or entity paying the fee; the |
| 1928 | name of the person or entity receiving the fee; the date of |
| 1929 | payment; and a brief description of the work performed. |
| 1930 | Section 13. Section 641.416, Florida Statutes, is amended |
| 1931 | to read: |
| 1932 | 641.416 Acquisition.-Every prepaid health clinic shall be |
| 1933 | subject to the provisions of s. 628.461 628.4615. |
| 1934 | Section 14. Section 651.024, Florida Statutes, is amended |
| 1935 | to read: |
| 1936 | 651.024 Acquisition.-A person issued a certificate of |
| 1937 | authority to operate a continuing care facility or a provisional |
| 1938 | certificate of authority shall be subject to the provisions of |
| 1939 | s. 628.461 628.4615. |
| 1940 | Section 15. For the purpose of incorporating the amendment |
| 1941 | made by this act to section 628.461, Florida Statutes, in a |
| 1942 | reference thereto, subsection (3) of section 48.151, Florida |
| 1943 | Statutes, is reenacted to read: |
| 1944 | 48.151 Service on statutory agents for certain persons.- |
| 1945 | (3) The Chief Financial Officer or his or her assistant or |
| 1946 | deputy or another person in charge of the office is the agent |
| 1947 | for service of process on all insurers applying for authority to |
| 1948 | transact insurance in this state, all licensed nonresident |
| 1949 | insurance agents, all nonresident disability insurance agents |
| 1950 | licensed pursuant to s. 626.835, any unauthorized insurer under |
| 1951 | s. 626.906 or s. 626.937, domestic reciprocal insurers, |
| 1952 | fraternal benefit societies under chapter 632, warranty |
| 1953 | associations under chapter 634, prepaid limited health service |
| 1954 | organizations under chapter 636, and persons required to file |
| 1955 | statements under s. 628.461. |
| 1956 | Section 16. For the purpose of incorporating the |
| 1957 | amendments made by this act to sections 628.461 and 628.4615, |
| 1958 | Florida Statutes, in references thereto, paragraph (a) of |
| 1959 | subsection (1) of section 624.310, Florida Statutes, is |
| 1960 | reenacted to read: |
| 1961 | 624.310 Enforcement; cease and desist orders; removal of |
| 1962 | certain persons; fines.- |
| 1963 | (1) DEFINITIONS.-For the purposes of this section, the |
| 1964 | term: |
| 1965 | (a) "Affiliated party" means any person who directs or |
| 1966 | participates in the conduct of the affairs of a licensee and who |
| 1967 | is: |
| 1968 | 1. A director, officer, employee, trustee, committee |
| 1969 | member, or controlling stockholder of a licensee or a subsidiary |
| 1970 | or service corporation of the licensee, other than a controlling |
| 1971 | stockholder which is a holding company, or an agent of a |
| 1972 | licensee or a subsidiary or service corporation of the licensee; |
| 1973 | 2. A person who has filed or is required to file a |
| 1974 | statement or any other information required to be filed under s. |
| 1975 | 628.461 or s. 628.4615; |
| 1976 | 3. A stockholder, other than a stockholder that is a |
| 1977 | holding company of the licensee, who participates in the conduct |
| 1978 | of the affairs of the licensee; |
| 1979 | 4. An independent contractor who: |
| 1980 | a. Renders a written opinion required by the laws of this |
| 1981 | state under her or his professional credentials on behalf of the |
| 1982 | licensee, which opinion is reasonably relied on by the |
| 1983 | department or office in the performance of its duties; or |
| 1984 | b. Affirmatively and knowingly conceals facts, through a |
| 1985 | written misrepresentation to the department or office, with |
| 1986 | knowledge that such misrepresentation: |
| 1987 | (I) Constitutes a violation of the insurance code or a |
| 1988 | lawful rule or order of the department, commission, or office; |
| 1989 | and |
| 1990 | (II) Directly and materially endangers the ability of the |
| 1991 | licensee to meet its obligations to policyholders; or |
| 1992 | 5. A third-party marketer who aids or abets a licensee in |
| 1993 | a violation of the insurance code relating to the sale of an |
| 1994 | annuity to a person 65 years of age or older. |
| 1995 |
|
| 1996 | For the purposes of this subparagraph, any representation of |
| 1997 | fact made by an independent contractor on behalf of a licensee, |
| 1998 | affirmatively communicated as a representation of the licensee |
| 1999 | to the independent contractor, shall not be considered a |
| 2000 | misrepresentation by the independent contractor. |
| 2001 | Section 17. For the purpose of incorporating the amendment |
| 2002 | made by this act to section 628.461, Florida Statutes, in a |
| 2003 | reference thereto, section 625.765, Florida Statutes, is |
| 2004 | reenacted to read: |
| 2005 | 625.765 Exemptions from ss. 625.75 and 625.76.-The |
| 2006 | commission may adopt by rule exemptions from ss. 625.75 and |
| 2007 | 625.76 for transactions that are not subject to s. 628.461 and |
| 2008 | that are the result of proceedings in probate, incompetency, or |
| 2009 | bankruptcy; sales of securities by odd-lot securities dealers; |
| 2010 | small transactions by gift which do not exceed $3,000 over any |
| 2011 | 6-month period; transactions that are effected in connection |
| 2012 | with the distribution of a substantial block of securities; |
| 2013 | acquisitions of shares of stock and stock options under a stock |
| 2014 | bonus plan, stock option plan, or similar plan; securities |
| 2015 | acquired by redeeming other securities by an insurer; |
| 2016 | consolidations or mergers of insurers that hold over 85 percent |
| 2017 | of the companies being merged or consolidated; acquisitions or |
| 2018 | dispositions of an equity security involved in the deposit of |
| 2019 | the security under, or the withdrawal of the security from, a |
| 2020 | voting trust or deposit agreement; and conversions of an |
| 2021 | insurer's equity securities into another equity security of the |
| 2022 | same insurer. The commission may limit by rule the scope of |
| 2023 | exemptions and provide conditions for exemptions as necessary to |
| 2024 | maintain the purpose and intent of ss. 625.75 and 625.76 and |
| 2025 | prevent the circumvention of ss. 625.75 and 625.76. |
| 2026 | Section 18. For the purpose of incorporating the amendment |
| 2027 | made by this act to section 628.461, Florida Statutes, in a |
| 2028 | reference thereto, subsection (2) of section 628.705, Florida |
| 2029 | Statutes, is reenacted to read: |
| 2030 | 628.705 Prohibition of stock transfers.- |
| 2031 | (2) Voting shares of the capital stock of a subsidiary |
| 2032 | insurance company or the intermediate holding company may not be |
| 2033 | acquired by any affiliated member of the holding company system |
| 2034 | except where the affiliated member of the mutual holding company |
| 2035 | system is the majority shareholder. A number of shares equal to |
| 2036 | 5 percent of the outstanding voting shares of the capital stock |
| 2037 | of one corporate member of the Mutual Insurance Holding Company |
| 2038 | System selected by the mutual insurance holding company may be |
| 2039 | issued or sold to directors and officers as part of a plan of |
| 2040 | compensation, and such shares shall not be considered part of |
| 2041 | the majority shares to be owned by the mutual insurance company |
| 2042 | under subsection (1). A number of shares equal to an additional |
| 2043 | 5 percent of the outstanding voting shares of the capital stock |
| 2044 | of one corporate member of the Mutual Insurance Holding Company |
| 2045 | System selected by the mutual insurance holding company may be |
| 2046 | issued or sold to employees, which may not include any officer |
| 2047 | or director, as part of an employee stock dividend or benefit |
| 2048 | plan, and such shares shall not be considered part of the |
| 2049 | majority shares to be owned by the mutual insurance company |
| 2050 | under subsection (1). Prior to issuance of shares in excess of |
| 2051 | the authorized 5 percent to either officers and directors or |
| 2052 | employees, pursuant to this section, a fairness opinion shall be |
| 2053 | rendered by an independent authority acceptable to the office to |
| 2054 | assure that the long term interests of the shareholders and |
| 2055 | policyholders are adequately protected. The office shall approve |
| 2056 | or disapprove the transaction within 30 days after receipt of |
| 2057 | the fairness opinion. Nothing in this section prohibits any |
| 2058 | officer or director from purchasing shares of stock at market |
| 2059 | value which are not part of a plan of compensation, in |
| 2060 | accordance with the requirements of s. 628.461, and, if such |
| 2061 | stock is not regularly traded on a national stock exchange, the |
| 2062 | officer or director purchasing the shares of stock is |
| 2063 | responsible for establishing its market value. |
| 2064 | Section 19. For the purpose of incorporating the amendment |
| 2065 | made by this act to sections 628.461 and 628.4615, Florida |
| 2066 | Statutes, in references thereto, subsection (7) of section |
| 2067 | 631.051, Florida Statutes, is reenacted to read: |
| 2068 | 631.051 Grounds for rehabilitation; domestic insurers.-The |
| 2069 | department may petition for an order directing it to |
| 2070 | rehabilitate a domestic insurer or an alien insurer domiciled in |
| 2071 | this state on any one or more of the following grounds, that the |
| 2072 | insurer: |
| 2073 | (7) Has transferred or attempted to transfer substantially |
| 2074 | its entire property or business, or has entered into any |
| 2075 | transaction the effect of which is to merge substantially its |
| 2076 | entire property or business into that of any other insurer or |
| 2077 | entity without having first obtained the written approval of the |
| 2078 | office under the provisions of s. 628.451, s. 628.461, or s. |
| 2079 | 628.4615, as the case may be; |
| 2080 | Section 20. For the purpose of incorporating the amendment |
| 2081 | made by this act to section 628.4615, Florida Statutes, in a |
| 2082 | reference thereto, subsection (20) of section 409.912, Florida |
| 2083 | Statutes, is reenacted to read: |
| 2084 | 409.912 Cost-effective purchasing of health care.-The |
| 2085 | agency shall purchase goods and services for Medicaid recipients |
| 2086 | in the most cost-effective manner consistent with the delivery |
| 2087 | of quality medical care. To ensure that medical services are |
| 2088 | effectively utilized, the agency may, in any case, require a |
| 2089 | confirmation or second physician's opinion of the correct |
| 2090 | diagnosis for purposes of authorizing future services under the |
| 2091 | Medicaid program. This section does not restrict access to |
| 2092 | emergency services or poststabilization care services as defined |
| 2093 | in 42 C.F.R. part 438.114. Such confirmation or second opinion |
| 2094 | shall be rendered in a manner approved by the agency. The agency |
| 2095 | shall maximize the use of prepaid per capita and prepaid |
| 2096 | aggregate fixed-sum basis services when appropriate and other |
| 2097 | alternative service delivery and reimbursement methodologies, |
| 2098 | including competitive bidding pursuant to s. 287.057, designed |
| 2099 | to facilitate the cost-effective purchase of a case-managed |
| 2100 | continuum of care. The agency shall also require providers to |
| 2101 | minimize the exposure of recipients to the need for acute |
| 2102 | inpatient, custodial, and other institutional care and the |
| 2103 | inappropriate or unnecessary use of high-cost services. The |
| 2104 | agency shall contract with a vendor to monitor and evaluate the |
| 2105 | clinical practice patterns of providers in order to identify |
| 2106 | trends that are outside the normal practice patterns of a |
| 2107 | provider's professional peers or the national guidelines of a |
| 2108 | provider's professional association. The vendor must be able to |
| 2109 | provide information and counseling to a provider whose practice |
| 2110 | patterns are outside the norms, in consultation with the agency, |
| 2111 | to improve patient care and reduce inappropriate utilization. |
| 2112 | The agency may mandate prior authorization, drug therapy |
| 2113 | management, or disease management participation for certain |
| 2114 | populations of Medicaid beneficiaries, certain drug classes, or |
| 2115 | particular drugs to prevent fraud, abuse, overuse, and possible |
| 2116 | dangerous drug interactions. The Pharmaceutical and Therapeutics |
| 2117 | Committee shall make recommendations to the agency on drugs for |
| 2118 | which prior authorization is required. The agency shall inform |
| 2119 | the Pharmaceutical and Therapeutics Committee of its decisions |
| 2120 | regarding drugs subject to prior authorization. The agency is |
| 2121 | authorized to limit the entities it contracts with or enrolls as |
| 2122 | Medicaid providers by developing a provider network through |
| 2123 | provider credentialing. The agency may competitively bid single- |
| 2124 | source-provider contracts if procurement of goods or services |
| 2125 | results in demonstrated cost savings to the state without |
| 2126 | limiting access to care. The agency may limit its network based |
| 2127 | on the assessment of beneficiary access to care, provider |
| 2128 | availability, provider quality standards, time and distance |
| 2129 | standards for access to care, the cultural competence of the |
| 2130 | provider network, demographic characteristics of Medicaid |
| 2131 | beneficiaries, practice and provider-to-beneficiary standards, |
| 2132 | appointment wait times, beneficiary use of services, provider |
| 2133 | turnover, provider profiling, provider licensure history, |
| 2134 | previous program integrity investigations and findings, peer |
| 2135 | review, provider Medicaid policy and billing compliance records, |
| 2136 | clinical and medical record audits, and other factors. Providers |
| 2137 | shall not be entitled to enrollment in the Medicaid provider |
| 2138 | network. The agency shall determine instances in which allowing |
| 2139 | Medicaid beneficiaries to purchase durable medical equipment and |
| 2140 | other goods is less expensive to the Medicaid program than long- |
| 2141 | term rental of the equipment or goods. The agency may establish |
| 2142 | rules to facilitate purchases in lieu of long-term rentals in |
| 2143 | order to protect against fraud and abuse in the Medicaid program |
| 2144 | as defined in s. 409.913. The agency may seek federal waivers |
| 2145 | necessary to administer these policies. |
| 2146 | (20) When a merger or acquisition of a Medicaid prepaid |
| 2147 | contractor has been approved by the Office of Insurance |
| 2148 | Regulation pursuant to s. 628.4615, the agency shall approve the |
| 2149 | assignment or transfer of the appropriate Medicaid prepaid |
| 2150 | contract upon request of the surviving entity of the merger or |
| 2151 | acquisition if the contractor and the other entity have been in |
| 2152 | good standing with the agency for the most recent 12-month |
| 2153 | period, unless the agency determines that the assignment or |
| 2154 | transfer would be detrimental to the Medicaid recipients or the |
| 2155 | Medicaid program. To be in good standing, an entity must not |
| 2156 | have failed accreditation or committed any material violation of |
| 2157 | the requirements of s. 641.52 and must meet the Medicaid |
| 2158 | contract requirements. For purposes of this section, a merger or |
| 2159 | acquisition means a change in controlling interest of an entity, |
| 2160 | including an asset or stock purchase. |
| 2161 | Section 21. For the purpose of incorporating the amendment |
| 2162 | made by this act to section 628.4615, Florida Statutes, in a |
| 2163 | reference thereto, paragraph (b) of subsection (1) of section |
| 2164 | 624.80, Florida Statutes, is reenacted to read: |
| 2165 | 624.80 Definitions.-As used in this part: |
| 2166 | (1) "Insurer" means and includes every person as defined |
| 2167 | in s. 624.03 as limited to: |
| 2168 | (b) Any specialty insurer as that term is defined in s. |
| 2169 | 628.4615. |
| 2170 | Section 22. For the purpose of incorporating the amendment |
| 2171 | made by this act to section 628.4615, Florida Statutes, in a |
| 2172 | reference thereto, section 626.9928, Florida Statutes, is |
| 2173 | reenacted to read: |
| 2174 | 626.9928 Acquisitions.-Acquisition of interest in a |
| 2175 | viatical settlement provider is subject to s. 628.4615. |
| 2176 | Section 23. For the purpose of incorporating the amendment |
| 2177 | made by this act to section 628.4615, Florida Statutes, in a |
| 2178 | reference thereto, section 634.252, Florida Statutes, is |
| 2179 | reenacted to read: |
| 2180 | 634.252 Acquisition.-Every motor vehicle service agreement |
| 2181 | company shall be subject to the provisions of s. 628.4615. |
| 2182 | Section 24. For the purpose of incorporating the amendment |
| 2183 | made by this act to section 628.4615, Florida Statutes, in a |
| 2184 | reference thereto, section 634.3073, Florida Statutes, is |
| 2185 | reenacted to read: |
| 2186 | 634.3073 Acquisition.-Every home warranty association |
| 2187 | shall be subject to the provisions of s. 628.4615. |
| 2188 | Section 25. For the purpose of incorporating the amendment |
| 2189 | made by this act to section 628.4615, Florida Statutes, in a |
| 2190 | reference thereto, section 634.4085, Florida Statutes, is |
| 2191 | reenacted to read: |
| 2192 | 634.4085 Acquisition.-Except for manufacturers as defined |
| 2193 | in this part, every service warranty association shall be |
| 2194 | subject to the provisions of s. 628.4615. |
| 2195 | Section 26. For the purpose of incorporating the amendment |
| 2196 | made by this act to section 628.4615, Florida Statutes, in a |
| 2197 | reference thereto, section 636.065, Florida Statutes, is |
| 2198 | reenacted to read: |
| 2199 | 636.065 Acquisitions.-Each prepaid limited health service |
| 2200 | organization is subject to the provisions of s. 628.4615. |
| 2201 | Section 27. For the purpose of incorporating the amendment |
| 2202 | made by this act to section 628.4615, Florida Statutes, in a |
| 2203 | reference thereto, subsection (5) of section 642.032, Florida |
| 2204 | Statutes, is reenacted to read: |
| 2205 | 642.032 Provisions of general insurance law applicable to |
| 2206 | legal expense insurance corporations.-The following provisions |
| 2207 | of the Florida Insurance Code shall apply to legal expense |
| 2208 | insurance corporations, to the extent that they are not |
| 2209 | inconsistent with the provisions of ss. 642.011-642.049: |
| 2210 | (5) Section 628.4615, specialty insurers; acquisition of |
| 2211 | controlling stock, ownership interest, assets, or control; |
| 2212 | merger or consolidation. |
| 2213 | Section 28. For the purpose of incorporating the amendment |
| 2214 | made by this act to section 628.801, Florida Statutes, in a |
| 2215 | reference thereto, paragraph (b) of subsection (6), paragraph |
| 2216 | (f) of subsection (8), and paragraph (f) of subsection (9) of |
| 2217 | section 626.7492, Florida Statutes, is reenacted to read: |
| 2218 | 626.7492 Reinsurance intermediaries.- |
| 2219 | (6) DUTIES OF INSURERS USING THE SERVICES OF A REINSURANCE |
| 2220 | INTERMEDIARY BROKER.- |
| 2221 | (b) An insurer may not employ an individual who is |
| 2222 | employed by a reinsurance intermediary broker with which it |
| 2223 | transacts business, unless the reinsurance intermediary broker |
| 2224 | is under common control with the insurer and subject to ss. |
| 2225 | 628.801, 628.802, and 628.803. |
| 2226 | (8) PROHIBITED ACTS.-The reinsurance intermediary manager |
| 2227 | shall not: |
| 2228 | (f) Jointly employ an individual who is employed by the |
| 2229 | reinsurer, unless such reinsurance intermediary manager is under |
| 2230 | common control with the reinsurer subject to ss. 628.801, |
| 2231 | 628.802, and 628.803. |
| 2232 | (9) DUTIES OF REINSURERS USING THE SERVICES OF A |
| 2233 | REINSURANCE INTERMEDIARY MANAGER.- |
| 2234 | (f) A reinsurer shall not appoint to its board of |
| 2235 | directors any officer, director, employee, controlling |
| 2236 | shareholder, or subproducer of its reinsurance intermediary |
| 2237 | manager. This paragraph shall not apply to relationships |
| 2238 | governed by ss. 628.801, 628.802, and 628.803 or, if applicable, |
| 2239 | this section. |
| 2240 | Section 29. For the purpose of incorporating the amendment |
| 2241 | made by this act to section 628.801, Florida Statutes, in a |
| 2242 | reference thereto, paragraph (d) of subsection (2) of section |
| 2243 | 626.918, Florida Statutes, is reenacted to read: |
| 2244 | 626.918 Eligible surplus lines insurers.- |
| 2245 | (2) An unauthorized insurer may not be or become an |
| 2246 | eligible surplus lines insurer unless made eligible by the |
| 2247 | office in accordance with the following conditions: |
| 2248 | (d)1.a. The insurer must have and maintain surplus as to |
| 2249 | policyholders of not less than $15 million; in addition, an |
| 2250 | alien insurer must also have and maintain in the United States a |
| 2251 | trust fund for the protection of all its policyholders in the |
| 2252 | United States under terms deemed by the office to be reasonably |
| 2253 | adequate, in an amount not less than $5.4 million. Any such |
| 2254 | surplus as to policyholders or trust fund shall be represented |
| 2255 | by investments consisting of eligible investments for like funds |
| 2256 | of like domestic insurers under part II of chapter 625 provided, |
| 2257 | however, that in the case of an alien insurance company, any |
| 2258 | such surplus as to policyholders may be represented by |
| 2259 | investments permitted by the domestic regulator of such alien |
| 2260 | insurance company if such investments are substantially similar |
| 2261 | in terms of quality, liquidity, and security to eligible |
| 2262 | investments for like funds of like domestic insurers under part |
| 2263 | II of chapter 625. Clean, irrevocable, unconditional, and |
| 2264 | evergreen letters of credit issued or confirmed by a qualified |
| 2265 | United States financial institution, as defined in subparagraph |
| 2266 | 2., may be used to fund the trust. |
| 2267 | b. For those surplus lines insurers that were eligible on |
| 2268 | January 1, 1994, and that maintained their eligibility |
| 2269 | thereafter, the required surplus as to policyholders shall be: |
| 2270 | (I) On December 31, 1994, and until December 30, 1995, |
| 2271 | $2.5 million. |
| 2272 | (II) On December 31, 1995, and until December 30, 1996, |
| 2273 | $3.5 million. |
| 2274 | (III) On December 31, 1996, and until December 30, 1997, |
| 2275 | $4.5 million. |
| 2276 | (IV) On December 31, 1997, and until December 30, 1998, |
| 2277 | $5.5 million. |
| 2278 | (V) On December 31, 1998, and until December 30, 1999, |
| 2279 | $6.5 million. |
| 2280 | (VI) On December 31, 1999, and until December 30, 2000, $8 |
| 2281 | million. |
| 2282 | (VII) On December 31, 2000, and until December 30, 2001, |
| 2283 | $9.5 million. |
| 2284 | (VIII) On December 31, 2001, and until December 30, 2002, |
| 2285 | $11 million. |
| 2286 | (IX) On December 31, 2002, and until December 30, 2003, |
| 2287 | $13 million. |
| 2288 | (X) On December 31, 2003, and thereafter, $15 million. |
| 2289 | c. The capital and surplus requirements as set forth in |
| 2290 | sub-subparagraph b. do not apply in the case of an insurance |
| 2291 | exchange created by the laws of individual states, where the |
| 2292 | exchange maintains capital and surplus pursuant to the |
| 2293 | requirements of that state, or maintains capital and surplus in |
| 2294 | an amount not less than $50 million in the aggregate. For an |
| 2295 | insurance exchange which maintains funds in the amount of at |
| 2296 | least $12 million for the protection of all insurance exchange |
| 2297 | policyholders, each individual syndicate shall maintain minimum |
| 2298 | capital and surplus in an amount not less than $3 million. If |
| 2299 | the insurance exchange does not maintain funds in the amount of |
| 2300 | at least $12 million for the protection of all insurance |
| 2301 | exchange policyholders, each individual syndicate shall meet the |
| 2302 | minimum capital and surplus requirements set forth in sub- |
| 2303 | subparagraph b. |
| 2304 | d. A surplus lines insurer which is a member of an |
| 2305 | insurance holding company that includes a member which is a |
| 2306 | Florida domestic insurer as set forth in its holding company |
| 2307 | registration statement, as set forth in s. 628.801 and rules |
| 2308 | adopted thereunder, may elect to maintain surplus as to |
| 2309 | policyholders in an amount equal to the requirements of s. |
| 2310 | 624.408, subject to the requirement that the surplus lines |
| 2311 | insurer shall at all times be in compliance with the |
| 2312 | requirements of chapter 625. |
| 2313 |
|
| 2314 | The election shall be submitted to the office and shall be |
| 2315 | effective upon the office's being satisfied that the |
| 2316 | requirements of sub-subparagraph d. have been met. The initial |
| 2317 | date of election shall be the date of office approval. The |
| 2318 | election approval application shall be on a form adopted by |
| 2319 | commission rule. The office may approve an election form |
| 2320 | submitted pursuant to sub-subparagraph d. only if it was on file |
| 2321 | with the former Department of Insurance before February 28, |
| 2322 | 1998. |
| 2323 | 2. For purposes of letters of credit under subparagraph |
| 2324 | 1., the term "qualified United States financial institution" |
| 2325 | means an institution that: |
| 2326 | a. Is organized or, in the case of a United States office |
| 2327 | of a foreign banking organization, is licensed under the laws of |
| 2328 | the United States or any state. |
| 2329 | b. Is regulated, supervised, and examined by authorities |
| 2330 | of the United States or any state having regulatory authority |
| 2331 | over banks and trust companies. |
| 2332 | c. Has been determined by the office or the Securities |
| 2333 | Valuation Office of the National Association of Insurance |
| 2334 | Commissioners to meet such standards of financial condition and |
| 2335 | standing as are considered necessary and appropriate to regulate |
| 2336 | the quality of financial institutions whose letters of credit |
| 2337 | are acceptable to the office. |
| 2338 | Section 30. This act shall take effect July 1, 2011. |