| 1 | A bill to be entitled |
| 2 | An act relating to property and casualty insurance; |
| 3 | amending s. 95.11, F.S.; providing a statute of |
| 4 | limitations for breach of a property insurance contract; |
| 5 | specifying the time for commencement of a statute of |
| 6 | limitations for breach of a property insurance contract; |
| 7 | amending s. 215.555, F.S.; providing that specified losses |
| 8 | are excluded from the definition of the term "losses" as |
| 9 | used in certain provisions relating to the Florida |
| 10 | Hurricane Catastrophe Fund; providing for application of |
| 11 | the revisions made by this act to the term "losses"; |
| 12 | amending s. 215.5595, F.S.; authorizing an insurer to |
| 13 | renegotiate the terms of a surplus note issued before a |
| 14 | certain date; amending s. 624.407, F.S.; revising the |
| 15 | amount of surplus funds required for domestic insurers |
| 16 | applying for a certificate of authority after a certain |
| 17 | date; amending s. 624.408, F.S.; revising the minimum |
| 18 | surplus that must be maintained by certain insurers; |
| 19 | authorizing the Office of Insurance Regulation to reduce |
| 20 | specified surplus requirements under specified |
| 21 | circumstances; amending s. 626.852, F.S.; providing an |
| 22 | exemption from licensure as an adjuster to certain persons |
| 23 | who provide mortgage-related claims adjusting services to |
| 24 | certain institutions; providing an exception to the |
| 25 | exemption; amending s. 626.854, F.S.; providing |
| 26 | limitations on the amount of compensation that may be |
| 27 | received by a public adjuster for a reopened or |
| 28 | supplemental claim; providing limitations on the amount of |
| 29 | compensation that may be received by a public adjuster for |
| 30 | a claim; applying specified provisions regulating the |
| 31 | conduct of public adjusters to condominium unit owners |
| 32 | rather than to condominium associations as is currently |
| 33 | required; providing statements that may be considered |
| 34 | deceptive or misleading if made in any public adjuster's |
| 35 | advertisement or solicitation; providing a definition for |
| 36 | the term "written advertisement"; requiring that a |
| 37 | disclaimer be included in any public adjuster's written |
| 38 | advertisement; providing requirements for such disclaimer; |
| 39 | requiring certain persons who act on behalf of an insurer |
| 40 | to provide notice to the insurer, claimant, public |
| 41 | adjuster, or legal representative for an onsite inspection |
| 42 | of the insured property; authorizing the insured or |
| 43 | claimant to deny access to the property if notice is not |
| 44 | provided; requiring the public adjuster to ensure prompt |
| 45 | notice of certain property loss claims; providing that an |
| 46 | insurer be allowed to interview the insured directly about |
| 47 | the loss claim; prohibiting the insurer from excluding the |
| 48 | public adjuster from the insurer's meetings with the |
| 49 | insured; requiring that the insurer communicate with the |
| 50 | public adjuster in an effort to reach an agreement as to |
| 51 | the scope of the covered loss under the insurance policy; |
| 52 | prohibiting a public adjuster from restricting or |
| 53 | preventing persons acting on behalf of the insurer from |
| 54 | having reasonable access to the insured or the insured's |
| 55 | property; prohibiting a public adjuster from unreasonably |
| 56 | obstructing or preventing the insurer's adjuster from |
| 57 | timely conducting an inspection of the insured's property; |
| 58 | authorizing the insured's adjuster to be present for the |
| 59 | inspection; providing an exception to such authorization |
| 60 | under certain circumstances; prohibiting a licensed |
| 61 | contractor or subcontractor from adjusting a claim on |
| 62 | behalf of an insured if such contractor or subcontractor |
| 63 | is not a licensed public adjuster; providing an exception; |
| 64 | creating s. 626.70132, F.S.; requiring that notice of a |
| 65 | claim, supplemental claim, or reopened claim be given to |
| 66 | the insurer within a specified period after the date of |
| 67 | loss; providing a definition for the terms "supplemental |
| 68 | claim" or "reopened claim"; providing applicability; |
| 69 | amending s. 627.062, F.S.; extending the expiration date |
| 70 | for making a "file and use" filing; deleting an obsolete |
| 71 | provision; prohibiting the Office of Insurance Regulation |
| 72 | from, directly or indirectly, impeding the right of an |
| 73 | insurer to acquire policyholders, advertise or appoint |
| 74 | agents, or regulate agent commissions for property and |
| 75 | casualty insurance; revising the costs that may be |
| 76 | included in a rate filing; revising the overall premium |
| 77 | increase for a rate filing; revising the information that |
| 78 | must be included in a rate filing relating to reinsurance; |
| 79 | deleting a provision prohibiting an insurer from |
| 80 | implementing a rate increase within 6 months before it |
| 81 | makes certain rate filings; deleting a provision |
| 82 | prohibiting an insurer from filing for a rate increase |
| 83 | within 6 months after it makes certain rate filings; |
| 84 | deleting obsolete provisions relating to legislation |
| 85 | enacted during the 2003 Special Session D of the |
| 86 | Legislature; revising provisions relating to the |
| 87 | certifications that are required to be made under oath by |
| 88 | certain officers or actuaries of an insurer regarding |
| 89 | information that must accompany a rate filing; amending s. |
| 90 | 627.06281, F.S.; providing limitations relating to the |
| 91 | fees charged for use of the public hurricane model; |
| 92 | providing an exception to the fees; amending s. 627.0629, |
| 93 | F.S.; revising legislative intent; deleting obsolete |
| 94 | provisions; deleting a requirement that the Office of |
| 95 | Insurance Regulation propose a method for establishing |
| 96 | discounts, debits, credits, and other rate differentials |
| 97 | for hurricane mitigation by a certain date; conforming |
| 98 | provisions to changes made by the act; amending s. |
| 99 | 627.4133, F.S.; reducing the amount of time that a prior |
| 100 | notice must provide to specified policyholders before a |
| 101 | nonrenewal, cancellation, or termination becomes |
| 102 | effective; authorizing an insurer to cancel policies after |
| 103 | 45 days' notice if the Office of Insurance Regulation |
| 104 | determines that the cancellation of policies is necessary |
| 105 | to protect the interests of the public or policyholders; |
| 106 | creating s. 627.43141, F.S.; providing definitions; |
| 107 | requiring the delivery of a "Notice of Change in Policy |
| 108 | Terms" under certain circumstances; specifying |
| 109 | requirements for such notice; specifying actions |
| 110 | constituting proof of notice; authorizing policy renewals |
| 111 | to contain a change in policy terms; providing that |
| 112 | receipt of payment by an insurer is deemed acceptance of |
| 113 | new policy terms by an insured; providing that the |
| 114 | original policy remains in effect until the occurrence of |
| 115 | specified events if an insurer fails to provide notice; |
| 116 | providing intent; amending s. 627.7011, F.S.; revising |
| 117 | provisions relating to an insurer's payment of replacement |
| 118 | costs without reservation or holdback of any depreciation |
| 119 | in value if a loss occurs; amending s. 627.70131, F.S.; |
| 120 | specifying application of certain time periods to initial, |
| 121 | reopened, or supplemental property insurance claim notices |
| 122 | and payments; providing legislative findings with respect |
| 123 | to 2005 statutory changes relating to sinkhole insurance |
| 124 | coverage and statutory changes in this act; providing |
| 125 | legislative intent relating to sinkholes; amending s. |
| 126 | 627.706, F.S.; authorizing an insurer to require an |
| 127 | inspection of property before issuing sinkhole coverage; |
| 128 | authorizing an insurer to limit coverage for catastrophic |
| 129 | ground cover collapse and sinkhole loss to the principal |
| 130 | building; revising definitions relating to sinkhole |
| 131 | coverage; providing definitions relating to sinkhole |
| 132 | coverage for the terms "neutral evaluation," "neutral |
| 133 | evaluator," and "structural damage"; revising |
| 134 | applicability of nonrenewals for sinkhole coverage; |
| 135 | placing a 4-year statute of repose on claims for sinkhole |
| 136 | coverage; repealing s. 627.7065, F.S., relating to the |
| 137 | establishment of a sinkhole database; amending s. 627.707, |
| 138 | F.S.; revising provisions relating to the investigation of |
| 139 | sinkholes by insurers; providing a time limitation for |
| 140 | demanding sinkhole testing by a policyholder and entering |
| 141 | into a contract for repairs; requiring payment for |
| 142 | analyses and services; allowing for reimbursement of |
| 143 | payment for analyses and services; requiring all repairs |
| 144 | to be completed within a certain time; providing |
| 145 | exceptions; prohibiting rebates to policyholders from |
| 146 | persons performing repairs; voiding coverage if a rebate |
| 147 | is received; requiring policyholders to refund rebates |
| 148 | from persons performing repairs to insurers; providing |
| 149 | criminal penalties applicable to persons performing |
| 150 | repairs who offer or policyholders who accept rebates; |
| 151 | limiting a policyholder's liability for reimbursement of |
| 152 | the costs related to certain analyses and services under |
| 153 | certain circumstances; amending s. 627.7073, F.S.; |
| 154 | revising provisions relating to sinkhole inspection |
| 155 | reports; requiring an insurer to file a neutral |
| 156 | evaluator's report and other specific information; |
| 157 | requiring the policyholder to file certain reports as a |
| 158 | precondition to accepting payment; requiring certain |
| 159 | filing and recording costs to be borne by a policyholder; |
| 160 | specifying that a policyholder's recording of a report |
| 161 | does not legally affect title or create certain causes of |
| 162 | action relating to real property; amending s. 627.7074, |
| 163 | F.S.; revising provisions relating to neutral evaluation |
| 164 | of sinkhole insurance claims; requiring evaluation in |
| 165 | order to make certain determinations; requiring that the |
| 166 | neutral evaluator be allowed access to structures being |
| 167 | evaluated; providing grounds for disqualifying an |
| 168 | evaluator; allowing the Department of Financial Services |
| 169 | to appoint an evaluator if the parties cannot come to |
| 170 | agreement; revising the timeframes for scheduling a |
| 171 | neutral evaluation conference; authorizing an evaluator to |
| 172 | enlist another evaluator or other professionals; providing |
| 173 | a time certain for issuing a report; revising provisions |
| 174 | relating to compliance with the evaluator's |
| 175 | recommendations; providing that the evaluator is an agent |
| 176 | of the department for the purposes of immunity from suit; |
| 177 | requiring the department to adopt rules; amending s. |
| 178 | 627.711, F.S.; allowing an insurer to independently verify |
| 179 | mitigation forms from additional sources; amending s. |
| 180 | 631.54, F.S.; revising the definition of the term "covered |
| 181 | claim" for purposes of the Florida Insurance Guaranty |
| 182 | Association Act; providing severability; providing |
| 183 | effective dates. |
| 184 |
|
| 185 | Be It Enacted by the Legislature of the State of Florida: |
| 186 |
|
| 187 | Section 1. Subsection (11) is added to section 95.11, |
| 188 | Florida Statutes, to read: |
| 189 | 95.11 Limitations other than for the recovery of real |
| 190 | property.-Actions other than for recovery of real property shall |
| 191 | be commenced as follows: |
| 192 | (11) WITHIN SIX YEARS.-Notwithstanding paragraph (2)(b), |
| 193 | an action for breach of a property insurance contract, with the |
| 194 | period running from the date of loss. |
| 195 | Section 2. Paragraph (d) of subsection (2) of section |
| 196 | 215.555, Florida Statutes, is amended to read: |
| 197 | 215.555 Florida Hurricane Catastrophe Fund.- |
| 198 | (2) DEFINITIONS.-As used in this section: |
| 199 | (d) "Losses" means direct incurred losses under covered |
| 200 | policies, including which shall include losses for additional |
| 201 | living expenses not to exceed 40 percent of the insured value of |
| 202 | a residential structure or its contents and shall exclude loss |
| 203 | adjustment expenses. The term "Losses" does not include: |
| 204 | 1. Losses for fair rental value, loss of rent or rental |
| 205 | income, or business interruption losses;. |
| 206 | 2. Losses under liability coverages; |
| 207 | 3. Property losses that are proximately caused by any |
| 208 | peril other than a covered event, including, but not limited to, |
| 209 | fire, theft, flood or rising water, or a windstorm that does not |
| 210 | constitute a covered event; |
| 211 | 4. Amounts paid as the result of a voluntary expansion of |
| 212 | coverage by the insurer, including, but not limited to, a waiver |
| 213 | of an applicable deductible; |
| 214 | 5. Amounts paid to reimburse a policyholder for |
| 215 | condominium association or homeowners' association loss |
| 216 | assessments or under similar coverages for contractual |
| 217 | liabilities; |
| 218 | 6. Amounts paid as bad faith awards, punitive damage |
| 219 | awards, or other court-imposed fines, sanctions, or penalties; |
| 220 | 7. Amounts in excess of the coverage limits under the |
| 221 | covered policy; or |
| 222 | 8. Allocated or unallocated loss adjustment expenses. |
| 223 | Section 3. The amendments made by this act to s. 215.555, |
| 224 | Florida Statutes, apply first to the Florida Hurricane |
| 225 | Catastrophe Fund reimbursement contract that takes effect on |
| 226 | June 1, 2011. |
| 227 | Section 4. Subsection (12) is added to section 215.5595, |
| 228 | Florida Statutes, to read: |
| 229 | 215.5595 Insurance Capital Build-Up Incentive Program.- |
| 230 | (12) The insurer may request that the board renegotiate |
| 231 | the terms of any surplus note that was issued under this section |
| 232 | before January 1, 2011. The request must be submitted to the |
| 233 | board by January 1, 2012. If the insurer agrees to accelerate |
| 234 | the payment period of the note by at least 5 years, the board |
| 235 | must agree to exempt the insurer from the premium-to-surplus |
| 236 | ratios required under paragraph (2)(d). If the insurer agrees to |
| 237 | an acceleration of the payment period for less than 5 years, the |
| 238 | board may, after consultation with the Office of Insurance |
| 239 | Regulation, agree to an appropriate revision of the premium-to- |
| 240 | surplus ratios required under paragraph (2)(d) for the remaining |
| 241 | term of the note if the revised ratios are not lower than a |
| 242 | minimum writing ratio of net premium to surplus of at least 1 to |
| 243 | 1 and, alternatively, a minimum writing ratio of gross premium |
| 244 | to surplus of at least 3 to 1. |
| 245 | Section 5. Section 624.407, Florida Statutes, is amended |
| 246 | to read: |
| 247 | 624.407 Surplus Capital funds required; new insurers.- |
| 248 | (1) To receive authority to transact any one kind or |
| 249 | combinations of kinds of insurance, as defined in part V of this |
| 250 | chapter, an insurer applying for its original certificate of |
| 251 | authority in this state after November 10, 1993, the effective |
| 252 | date of this section shall possess surplus as to policyholders |
| 253 | at least not less than the greater of: |
| 254 | (a) Five million dollars For a property and casualty |
| 255 | insurer, $5 million, or $2.5 million for any other insurer; |
| 256 | (b) For life insurers, 4 percent of the insurer's total |
| 257 | liabilities; |
| 258 | (c) For life and health insurers, 4 percent of the |
| 259 | insurer's total liabilities, plus 6 percent of the insurer's |
| 260 | liabilities relative to health insurance; or |
| 261 | (d) For all insurers other than life insurers and life and |
| 262 | health insurers, 10 percent of the insurer's total liabilities; |
| 263 | or |
| 264 | (e) Notwithstanding paragraph (a) or paragraph (d), for a |
| 265 | domestic insurer that transacts residential property insurance |
| 266 | and is: |
| 267 | 1. Not a wholly owned subsidiary of an insurer domiciled |
| 268 | in any other state, $15 million. |
| 269 | 2. however, a domestic insurer that transacts residential |
| 270 | property insurance and is A wholly owned subsidiary of an |
| 271 | insurer domiciled in any other state, shall possess surplus as |
| 272 | to policyholders of at least $50 million. |
| 273 | (2) Notwithstanding subsection (1), a new insurer may not |
| 274 | be required, but no insurer shall be required under this |
| 275 | subsection to have surplus as to policyholders greater than $100 |
| 276 | million. |
| 277 | (3)(2) The requirements of this section shall be based |
| 278 | upon all the kinds of insurance actually transacted or to be |
| 279 | transacted by the insurer in any and all areas in which it |
| 280 | operates, whether or not only a portion of such kinds of |
| 281 | insurance are to be transacted in this state. |
| 282 | (4)(3) As to surplus as to policyholders required for |
| 283 | qualification to transact one or more kinds of insurance, |
| 284 | domestic mutual insurers are governed by chapter 628, and |
| 285 | domestic reciprocal insurers are governed by chapter 629. |
| 286 | (5)(4) For the purposes of this section, liabilities do |
| 287 | shall not include liabilities required under s. 625.041(4). For |
| 288 | purposes of computing minimum surplus as to policyholders |
| 289 | pursuant to s. 625.305(1), liabilities shall include liabilities |
| 290 | required under s. 625.041(4). |
| 291 | (6)(5) The provisions of this section, as amended by |
| 292 | chapter 89-360, Laws of Florida this act, shall apply only to |
| 293 | insurers applying for a certificate of authority on or after |
| 294 | October 1, 1989 the effective date of this act. |
| 295 | Section 6. Section 624.408, Florida Statutes, is amended |
| 296 | to read: |
| 297 | 624.408 Surplus as to policyholders required; current new |
| 298 | and existing insurers.- |
| 299 | (1)(a) To maintain a certificate of authority to transact |
| 300 | any one kind or combinations of kinds of insurance, as defined |
| 301 | in part V of this chapter, an insurer in this state must shall |
| 302 | at all times maintain surplus as to policyholders at least not |
| 303 | less than the greater of: |
| 304 | (a)1. Except as provided in paragraphs (e), (f), and (g) |
| 305 | subparagraph 5. and paragraph (b), $1.5 million.; |
| 306 | (b)2. For life insurers, 4 percent of the insurer's total |
| 307 | liabilities.; |
| 308 | (c)3. For life and health insurers, 4 percent of the |
| 309 | insurer's total liabilities plus 6 percent of the insurer's |
| 310 | liabilities relative to health insurance.; or |
| 311 | (d)4. For all insurers other than mortgage guaranty |
| 312 | insurers, life insurers, and life and health insurers, 10 |
| 313 | percent of the insurer's total liabilities. |
| 314 | (e)5. For property and casualty insurers, $4 million, |
| 315 | except for property and casualty insurers authorized to |
| 316 | underwrite any line of residential property insurance. |
| 317 | (f)(b) For residential any property insurers not and |
| 318 | casualty insurer holding a certificate of authority before July |
| 319 | 1, 2011 on December 1, 1993, $15 million. the |
| 320 | (g) For residential property insurers holding a |
| 321 | certificate of authority before July 1, 2011, and until June 30, |
| 322 | 2016, $5 million; on or after July 1, 2016, and until June 30, |
| 323 | 2021, $10 million; on or after July 1, 2021, $15 million. |
| 324 |
|
| 325 | The office may reduce the surplus requirement in paragraphs (f) |
| 326 | and (g) if the insurer is not writing new business, has premiums |
| 327 | in force of less than $1 million per year in residential |
| 328 | property insurance, or is a mutual insurance company. following |
| 329 | amounts apply instead of the $4 million required by subparagraph |
| 330 | (a)5.: |
| 331 | 1. On December 31, 2001, and until December 30, 2002, $3 |
| 332 | million. |
| 333 | 2. On December 31, 2002, and until December 30, 2003, |
| 334 | $3.25 million. |
| 335 | 3. On December 31, 2003, and until December 30, 2004, $3.6 |
| 336 | million. |
| 337 | 4. On December 31, 2004, and thereafter, $4 million. |
| 338 | (2) For purposes of this section, liabilities do shall not |
| 339 | include liabilities required under s. 625.041(4). For purposes |
| 340 | of computing minimum surplus as to policyholders pursuant to s. |
| 341 | 625.305(1), liabilities shall include liabilities required under |
| 342 | s. 625.041(4). |
| 343 | (3) This section does not require an No insurer shall be |
| 344 | required under this section to have surplus as to policyholders |
| 345 | greater than $100 million. |
| 346 | (4) A mortgage guaranty insurer shall maintain a minimum |
| 347 | surplus as required by s. 635.042. |
| 348 | Section 7. Subsection (7) is added to section 626.852, |
| 349 | Florida Statutes, to read: |
| 350 | 626.852 Scope of this part.- |
| 351 | (7) Notwithstanding any other provision of law, a person |
| 352 | providing claims adjusting services solely to institutions |
| 353 | servicing or guaranteeing mortgages shall be exempt from |
| 354 | licensure as an adjuster for services provided to the mortgage |
| 355 | institution with regards to policies covering the mortgaged |
| 356 | properties. This exemption does not apply to any person |
| 357 | providing insurance or property repair or preservation services |
| 358 | or to any affiliate of such persons. |
| 359 | Section 8. Effective June 1, 2011, section 626.854, |
| 360 | Florida Statutes, is amended to read: |
| 361 | 626.854 "Public adjuster" defined; prohibitions.-The |
| 362 | Legislature finds that it is necessary for the protection of the |
| 363 | public to regulate public insurance adjusters and to prevent the |
| 364 | unauthorized practice of law. |
| 365 | (1) A "public adjuster" is any person, except a duly |
| 366 | licensed attorney at law as hereinafter in s. 626.860 provided, |
| 367 | who, for money, commission, or any other thing of value, |
| 368 | prepares, completes, or files an insurance claim form for an |
| 369 | insured or third-party claimant or who, for money, commission, |
| 370 | or any other thing of value, acts or aids in any manner on |
| 371 | behalf of an insured or third-party claimant in negotiating for |
| 372 | or effecting the settlement of a claim or claims for loss or |
| 373 | damage covered by an insurance contract or who advertises for |
| 374 | employment as an adjuster of such claims, and also includes any |
| 375 | person who, for money, commission, or any other thing of value, |
| 376 | solicits, investigates, or adjusts such claims on behalf of any |
| 377 | such public adjuster. |
| 378 | (2) This definition does not apply to: |
| 379 | (a) A licensed health care provider or employee thereof |
| 380 | who prepares or files a health insurance claim form on behalf of |
| 381 | a patient. |
| 382 | (b) A person who files a health claim on behalf of another |
| 383 | and does so without compensation. |
| 384 | (3) A public adjuster may not give legal advice. A public |
| 385 | adjuster may not act on behalf of or aid any person in |
| 386 | negotiating or settling a claim relating to bodily injury, |
| 387 | death, or noneconomic damages. |
| 388 | (4) For purposes of this section, the term "insured" |
| 389 | includes only the policyholder and any beneficiaries named or |
| 390 | similarly identified in the policy. |
| 391 | (5) A public adjuster may not directly or indirectly |
| 392 | through any other person or entity solicit an insured or |
| 393 | claimant by any means except on Monday through Saturday of each |
| 394 | week and only between the hours of 8 a.m. and 8 p.m. on those |
| 395 | days. |
| 396 | (6) A public adjuster may not directly or indirectly |
| 397 | through any other person or entity initiate contact or engage in |
| 398 | face-to-face or telephonic solicitation or enter into a contract |
| 399 | with any insured or claimant under an insurance policy until at |
| 400 | least 48 hours after the occurrence of an event that may be the |
| 401 | subject of a claim under the insurance policy unless contact is |
| 402 | initiated by the insured or claimant. |
| 403 | (7) An insured or claimant may cancel a public adjuster's |
| 404 | contract to adjust a claim without penalty or obligation within |
| 405 | 3 business days after the date on which the contract is executed |
| 406 | or within 3 business days after the date on which the insured or |
| 407 | claimant has notified the insurer of the claim, by phone or in |
| 408 | writing, whichever is later. The public adjuster's contract |
| 409 | shall disclose to the insured or claimant his or her right to |
| 410 | cancel the contract and advise the insured or claimant that |
| 411 | notice of cancellation must be submitted in writing and sent by |
| 412 | certified mail, return receipt requested, or other form of |
| 413 | mailing which provides proof thereof, to the public adjuster at |
| 414 | the address specified in the contract; provided, during any |
| 415 | state of emergency as declared by the Governor and for a period |
| 416 | of 1 year after the date of loss, the insured or claimant shall |
| 417 | have 5 business days after the date on which the contract is |
| 418 | executed to cancel a public adjuster's contract. |
| 419 | (8) It is an unfair and deceptive insurance trade practice |
| 420 | pursuant to s. 626.9541 for a public adjuster or any other |
| 421 | person to circulate or disseminate any advertisement, |
| 422 | announcement, or statement containing any assertion, |
| 423 | representation, or statement with respect to the business of |
| 424 | insurance which is untrue, deceptive, or misleading. |
| 425 | (9) A public adjuster, a public adjuster apprentice, or |
| 426 | any person or entity acting on behalf of a public adjuster or |
| 427 | public adjuster apprentice may not give or offer to give a |
| 428 | monetary loan or advance to a client or prospective client. |
| 429 | (10) A public adjuster, public adjuster apprentice, or any |
| 430 | individual or entity acting on behalf of a public adjuster or |
| 431 | public adjuster apprentice may not give or offer to give, |
| 432 | directly or indirectly, any article of merchandise having a |
| 433 | value in excess of $25 to any individual for the purpose of |
| 434 | advertising or as an inducement to entering into a contract with |
| 435 | a public adjuster. |
| 436 | (11)(a) If a public adjuster enters into a contract with |
| 437 | an insured or claimant to reopen a claim or to file a |
| 438 | supplemental claim that seeks additional payments for a claim |
| 439 | that has been previously paid in part or in full or settled by |
| 440 | the insurer, the public adjuster may not charge, agree to, or |
| 441 | accept any compensation, payment, commission, fee, or other |
| 442 | thing of value based on a previous settlement or previous claim |
| 443 | payments by the insurer for the same cause of loss. The charge, |
| 444 | compensation, payment, commission, fee, or other thing of value |
| 445 | may be based only on the claim payments or settlement obtained |
| 446 | through the work of the public adjuster after entering into the |
| 447 | contract with the insured or claimant. Compensation for the |
| 448 | reopened or supplemental claim may not exceed 20 percent of the |
| 449 | reopened or supplemental claim payment. The contracts described |
| 450 | in this paragraph are not subject to the limitations in |
| 451 | paragraph (b). |
| 452 | (b) A public adjuster may not charge, agree to, or accept |
| 453 | any compensation, payment, commission, fee, or other thing of |
| 454 | value in excess of: |
| 455 | 1. Ten percent of the amount of insurance claim payments |
| 456 | made by the insurer for claims based on events that are the |
| 457 | subject of a declaration of a state of emergency by the |
| 458 | Governor. This provision applies to claims made during the |
| 459 | period of 1 year after the declaration of emergency. After that |
| 460 | 1-year period, 20 percent of the amount of insurance claim |
| 461 | payments made by the insurer. |
| 462 | 2. Twenty percent of the amount of all other insurance |
| 463 | claim payments made by the insurer for claims that are not based |
| 464 | on events that are the subject of a declaration of a state of |
| 465 | emergency by the Governor. |
| 466 | (12) Each public adjuster shall provide to the claimant or |
| 467 | insured a written estimate of the loss to assist in the |
| 468 | submission of a proof of loss or any other claim for payment of |
| 469 | insurance proceeds. The public adjuster shall retain such |
| 470 | written estimate for at least 5 years and shall make such |
| 471 | estimate available to the claimant or insured and the department |
| 472 | upon request. |
| 473 | (13) A public adjuster, public adjuster apprentice, or any |
| 474 | person acting on behalf of a public adjuster or apprentice may |
| 475 | not accept referrals of business from any person with whom the |
| 476 | public adjuster conducts business if there is any form or manner |
| 477 | of agreement to compensate the person, whether directly or |
| 478 | indirectly, for referring business to the public adjuster. A |
| 479 | public adjuster may not compensate any person, except for |
| 480 | another public adjuster, whether directly or indirectly, for the |
| 481 | principal purpose of referring business to the public adjuster. |
| 482 |
|
| 483 | The provisions of subsections (5)-(13) apply only to residential |
| 484 | property insurance policies and condominium unit owner |
| 485 | association policies as defined in s. 718.111(11). |
| 486 | Section 9. Effective January 1, 2012, section 626.854, |
| 487 | Florida Statutes, as amended by this act, is amended to read: |
| 488 | 626.854 "Public adjuster" defined; prohibitions.-The |
| 489 | Legislature finds that it is necessary for the protection of the |
| 490 | public to regulate public insurance adjusters and to prevent the |
| 491 | unauthorized practice of law. |
| 492 | (1) A "public adjuster" is any person, except a duly |
| 493 | licensed attorney at law as exempted under hereinafter in s. |
| 494 | 626.860 provided, who, for money, commission, or any other thing |
| 495 | of value, prepares, completes, or files an insurance claim form |
| 496 | for an insured or third-party claimant or who, for money, |
| 497 | commission, or any other thing of value, acts or aids in any |
| 498 | manner on behalf of, or aids an insured or third-party claimant |
| 499 | in negotiating for or effecting the settlement of a claim or |
| 500 | claims for loss or damage covered by an insurance contract or |
| 501 | who advertises for employment as an adjuster of such claims. The |
| 502 | term, and also includes any person who, for money, commission, |
| 503 | or any other thing of value, solicits, investigates, or adjusts |
| 504 | such claims on behalf of a any such public adjuster. |
| 505 | (2) This definition does not apply to: |
| 506 | (a) A licensed health care provider or employee thereof |
| 507 | who prepares or files a health insurance claim form on behalf of |
| 508 | a patient. |
| 509 | (b) A person who files a health claim on behalf of another |
| 510 | and does so without compensation. |
| 511 | (3) A public adjuster may not give legal advice or. A |
| 512 | public adjuster may not act on behalf of or aid any person in |
| 513 | negotiating or settling a claim relating to bodily injury, |
| 514 | death, or noneconomic damages. |
| 515 | (4) For purposes of this section, the term "insured" |
| 516 | includes only the policyholder and any beneficiaries named or |
| 517 | similarly identified in the policy. |
| 518 | (5) A public adjuster may not directly or indirectly |
| 519 | through any other person or entity solicit an insured or |
| 520 | claimant by any means except on Monday through Saturday of each |
| 521 | week and only between the hours of 8 a.m. and 8 p.m. on those |
| 522 | days. |
| 523 | (6) A public adjuster may not directly or indirectly |
| 524 | through any other person or entity initiate contact or engage in |
| 525 | face-to-face or telephonic solicitation or enter into a contract |
| 526 | with any insured or claimant under an insurance policy until at |
| 527 | least 48 hours after the occurrence of an event that may be the |
| 528 | subject of a claim under the insurance policy unless contact is |
| 529 | initiated by the insured or claimant. |
| 530 | (7) An insured or claimant may cancel a public adjuster's |
| 531 | contract to adjust a claim without penalty or obligation within |
| 532 | 3 business days after the date on which the contract is executed |
| 533 | or within 3 business days after the date on which the insured or |
| 534 | claimant has notified the insurer of the claim, by phone or in |
| 535 | writing, whichever is later. The public adjuster's contract must |
| 536 | shall disclose to the insured or claimant his or her right to |
| 537 | cancel the contract and advise the insured or claimant that |
| 538 | notice of cancellation must be submitted in writing and sent by |
| 539 | certified mail, return receipt requested, or other form of |
| 540 | mailing that which provides proof thereof, to the public |
| 541 | adjuster at the address specified in the contract; provided, |
| 542 | during any state of emergency as declared by the Governor and |
| 543 | for a period of 1 year after the date of loss, the insured or |
| 544 | claimant has shall have 5 business days after the date on which |
| 545 | the contract is executed to cancel a public adjuster's contract. |
| 546 | (8) It is an unfair and deceptive insurance trade practice |
| 547 | pursuant to s. 626.9541 for a public adjuster or any other |
| 548 | person to circulate or disseminate any advertisement, |
| 549 | announcement, or statement containing any assertion, |
| 550 | representation, or statement with respect to the business of |
| 551 | insurance which is untrue, deceptive, or misleading. |
| 552 | (a) The following statements, made in any public |
| 553 | adjuster's advertisement or solicitation, are considered |
| 554 | deceptive or misleading: |
| 555 | 1. A statement or representation that invites an insured |
| 556 | policyholder to submit a claim when the policyholder does not |
| 557 | have covered damage to insured property. |
| 558 | 2. A statement or representation that invites an insured |
| 559 | policyholder to submit a claim by offering monetary or other |
| 560 | valuable inducement. |
| 561 | 3. A statement or representation that invites an insured |
| 562 | policyholder to submit a claim by stating that there is "no |
| 563 | risk" to the policyholder by submitting such claim. |
| 564 | 4. A statement or representation, or use of a logo or |
| 565 | shield, that implies or could mistakenly be construed to imply |
| 566 | that the solicitation was issued or distributed by a |
| 567 | governmental agency or is sanctioned or endorsed by a |
| 568 | governmental agency. |
| 569 | (b) For purposes of this paragraph, the term "written |
| 570 | advertisement" includes only newspapers, magazines, flyers, and |
| 571 | bulk mailers. The following disclaimer, which is not required to |
| 572 | be printed on standard size business cards, must be added in |
| 573 | bold print and capital letters in typeface no smaller than the |
| 574 | typeface of the body of the text to all written advertisements |
| 575 | by a public adjuster: |
| 576 |
|
| 577 | "THIS IS A SOLICITATION FOR BUSINESS. IF YOU HAVE HAD |
| 578 | A CLAIM FOR AN INSURED PROPERTY LOSS OR DAMAGE AND YOU |
| 579 | ARE SATISFIED WITH THE PAYMENT BY YOUR INSURER, YOU |
| 580 | MAY DISREGARD THIS ADVERTISEMENT." |
| 581 |
|
| 582 | (9) A public adjuster, a public adjuster apprentice, or |
| 583 | any person or entity acting on behalf of a public adjuster or |
| 584 | public adjuster apprentice may not give or offer to give a |
| 585 | monetary loan or advance to a client or prospective client. |
| 586 | (10) A public adjuster, public adjuster apprentice, or any |
| 587 | individual or entity acting on behalf of a public adjuster or |
| 588 | public adjuster apprentice may not give or offer to give, |
| 589 | directly or indirectly, any article of merchandise having a |
| 590 | value in excess of $25 to any individual for the purpose of |
| 591 | advertising or as an inducement to entering into a contract with |
| 592 | a public adjuster. |
| 593 | (11)(a) If a public adjuster enters into a contract with |
| 594 | an insured or claimant to reopen a claim or file a supplemental |
| 595 | claim that seeks additional payments for a claim that has been |
| 596 | previously paid in part or in full or settled by the insurer, |
| 597 | the public adjuster may not charge, agree to, or accept any |
| 598 | compensation, payment, commission, fee, or other thing of value |
| 599 | based on a previous settlement or previous claim payments by the |
| 600 | insurer for the same cause of loss. The charge, compensation, |
| 601 | payment, commission, fee, or other thing of value may be based |
| 602 | only on the claim payments or settlement obtained through the |
| 603 | work of the public adjuster after entering into the contract |
| 604 | with the insured or claimant. Compensation for the reopened or |
| 605 | supplemental claim may not exceed 20 percent of the reopened or |
| 606 | supplemental claim payment. The contracts described in this |
| 607 | paragraph are not subject to the limitations in paragraph (b). |
| 608 | (b) A public adjuster may not charge, agree to, or accept |
| 609 | any compensation, payment, commission, fee, or other thing of |
| 610 | value in excess of: |
| 611 | 1. Ten percent of the amount of insurance claim payments |
| 612 | made by the insurer for claims based on events that are the |
| 613 | subject of a declaration of a state of emergency by the |
| 614 | Governor. This provision applies to claims made during the |
| 615 | period of 1 year after the declaration of emergency. After that |
| 616 | 1-year period, 20 percent of the amount of insurance claim |
| 617 | payments made by the insurer. |
| 618 | 2. Twenty percent of the amount of insurance claim |
| 619 | payments made by the insurer for claims that are not based on |
| 620 | events that are the subject of a declaration of a state of |
| 621 | emergency by the Governor. |
| 622 | (12) Each public adjuster must shall provide to the |
| 623 | claimant or insured a written estimate of the loss to assist in |
| 624 | the submission of a proof of loss or any other claim for payment |
| 625 | of insurance proceeds. The public adjuster shall retain such |
| 626 | written estimate for at least 5 years and shall make the such |
| 627 | estimate available to the claimant or insured and the department |
| 628 | upon request. |
| 629 | (13) A public adjuster, public adjuster apprentice, or any |
| 630 | person acting on behalf of a public adjuster or apprentice may |
| 631 | not accept referrals of business from any person with whom the |
| 632 | public adjuster conducts business if there is any form or manner |
| 633 | of agreement to compensate the person, whether directly or |
| 634 | indirectly, for referring business to the public adjuster. A |
| 635 | public adjuster may not compensate any person, except for |
| 636 | another public adjuster, whether directly or indirectly, for the |
| 637 | principal purpose of referring business to the public adjuster. |
| 638 | (14) A company employee adjuster, independent adjuster, |
| 639 | attorney, investigator, or other persons acting on behalf of an |
| 640 | insurer that needs access to an insured or claimant or to the |
| 641 | insured property that is the subject of a claim must provide at |
| 642 | least 48 hours' notice to the insured or claimant, public |
| 643 | adjuster, or legal representative before scheduling a meeting |
| 644 | with the claimant or an onsite inspection of the insured |
| 645 | property. The insured or claimant may deny access to the |
| 646 | property if the notice has not been provided. The insured or |
| 647 | claimant may waive the 48-hour notice. |
| 648 | (15) A public adjuster must ensure prompt notice of |
| 649 | property loss claims submitted to an insurer by or through a |
| 650 | public adjuster or on which a public adjuster represents the |
| 651 | insured at the time the claim or notice of loss is submitted to |
| 652 | the insurer. The public adjuster must ensure that notice is |
| 653 | given to the insurer, the public adjuster's contract is provided |
| 654 | to the insurer, the property is available for inspection of the |
| 655 | loss or damage by the insurer, and the insurer is given an |
| 656 | opportunity to interview the insured directly about the loss and |
| 657 | claim. The insurer must be allowed to obtain necessary |
| 658 | information to investigate and respond to the claim. |
| 659 | (a) The insurer may not exclude the public adjuster from |
| 660 | its in-person meetings with the insured. The insurer shall meet |
| 661 | or communicate with the public adjuster in an effort to reach |
| 662 | agreement as to the scope of the covered loss under the |
| 663 | insurance policy. This section does not impair the terms and |
| 664 | conditions of the insurance policy in effect at the time the |
| 665 | claim is filed. |
| 666 | (b) A public adjuster may not restrict or prevent an |
| 667 | insurer, company employee adjuster, independent adjuster, |
| 668 | attorney, investigator, or other person acting on behalf of the |
| 669 | insurer from having reasonable access at reasonable times to an |
| 670 | insured or claimant or to the insured property that is the |
| 671 | subject of a claim. |
| 672 | (c) A public adjuster may not act or fail to reasonably |
| 673 | act in any manner that obstructs or prevents an insurer or |
| 674 | insurer's adjuster from timely conducting an inspection of any |
| 675 | part of the insured property for which there is a claim for loss |
| 676 | or damage. The public adjuster representing the insured may be |
| 677 | present for the insurer's inspection, but if the unavailability |
| 678 | of the public adjuster otherwise delays the insurer's timely |
| 679 | inspection of the property, the public adjuster or the insured |
| 680 | must allow the insurer to have access to the property without |
| 681 | the participation or presence of the public adjuster or insured |
| 682 | in order to facilitate the insurer's prompt inspection of the |
| 683 | loss or damage. |
| 684 | (16) A licensed contractor under part I of chapter 489, or |
| 685 | a subcontractor, may not adjust a claim on behalf of an insured |
| 686 | unless licensed and compliant as a public adjuster under this |
| 687 | chapter. However, the contractor may discuss or explain a bid |
| 688 | for construction or repair of covered property with the |
| 689 | residential property owner who has suffered loss or damage |
| 690 | covered by a property insurance policy, or the insurer of such |
| 691 | property, if the contractor is doing so for the usual and |
| 692 | customary fees applicable to the work to be performed as stated |
| 693 | in the contract between the contractor and the insured. |
| 694 | (17) The provisions of subsections (5)-(16) (5)-(13) apply |
| 695 | only to residential property insurance policies and condominium |
| 696 | unit owner policies as defined in s. 718.111(11). |
| 697 | Section 10. Effective June 1, 2011, section 626.70132, |
| 698 | Florida Statutes, is created to read: |
| 699 | 626.70132 Notice of property insurance claim.-Except as |
| 700 | provided in s. 627.706(5), a claim, supplemental claim, or |
| 701 | reopened claim under an insurance policy that provides property |
| 702 | insurance, as defined in s. 624.604, is barred unless notice of |
| 703 | the claim, supplemental claim, or reopened claim was given to |
| 704 | the insurer in accordance with the terms of the policy within 4 |
| 705 | years after the date of loss that caused the covered damage. For |
| 706 | purposes of this section, the term "supplemental claim" or |
| 707 | "reopened claim" means any additional claim for recovery from |
| 708 | the insurer for losses from the same peril which the insurer has |
| 709 | previously adjusted pursuant to the initial claim. This section |
| 710 | does not affect any applicable limitation on civil actions |
| 711 | provided in s. 95.11 for claims, supplemental claims, or |
| 712 | reopened claims timely filed under this section. |
| 713 | Section 11. Section 627.062, Florida Statutes, is amended |
| 714 | to read: |
| 715 | 627.062 Rate standards.- |
| 716 | (1) The rates for all classes of insurance to which the |
| 717 | provisions of this part are applicable may shall not be |
| 718 | excessive, inadequate, or unfairly discriminatory. |
| 719 | (2) As to all such classes of insurance: |
| 720 | (a) Insurers or rating organizations shall establish and |
| 721 | use rates, rating schedules, or rating manuals that to allow the |
| 722 | insurer a reasonable rate of return on the such classes of |
| 723 | insurance written in this state. A copy of rates, rating |
| 724 | schedules, rating manuals, premium credits or discount |
| 725 | schedules, and surcharge schedules, and changes thereto, must |
| 726 | shall be filed with the office under one of the following |
| 727 | procedures except as provided in subparagraph 3.: |
| 728 | 1. If the filing is made at least 90 days before the |
| 729 | proposed effective date and the filing is not implemented during |
| 730 | the office's review of the filing and any proceeding and |
| 731 | judicial review, then such filing is shall be considered a "file |
| 732 | and use" filing. In such case, the office shall finalize its |
| 733 | review by issuance of a notice of intent to approve or a notice |
| 734 | of intent to disapprove within 90 days after receipt of the |
| 735 | filing. The notice of intent to approve and the notice of intent |
| 736 | to disapprove constitute agency action for purposes of the |
| 737 | Administrative Procedure Act. Requests for supporting |
| 738 | information, requests for mathematical or mechanical |
| 739 | corrections, or notification to the insurer by the office of its |
| 740 | preliminary findings does shall not toll the 90-day period |
| 741 | during any such proceedings and subsequent judicial review. The |
| 742 | rate shall be deemed approved if the office does not issue a |
| 743 | notice of intent to approve or a notice of intent to disapprove |
| 744 | within 90 days after receipt of the filing. |
| 745 | 2. If the filing is not made in accordance with the |
| 746 | provisions of subparagraph 1., such filing must shall be made as |
| 747 | soon as practicable, but within no later than 30 days after the |
| 748 | effective date, and is shall be considered a "use and file" |
| 749 | filing. An insurer making a "use and file" filing is potentially |
| 750 | subject to an order by the office to return to policyholders |
| 751 | those portions of rates found to be excessive, as provided in |
| 752 | paragraph (h). |
| 753 | 3. For all property insurance filings made or submitted |
| 754 | after January 25, 2007, but before May 1, 2012 December 31, |
| 755 | 2010, an insurer seeking a rate that is greater than the rate |
| 756 | most recently approved by the office shall make a "file and use" |
| 757 | filing. For purposes of this subparagraph, motor vehicle |
| 758 | collision and comprehensive coverages are not considered to be |
| 759 | property coverages. |
| 760 | (b) Upon receiving a rate filing, the office shall review |
| 761 | the rate filing to determine if a rate is excessive, inadequate, |
| 762 | or unfairly discriminatory. In making that determination, the |
| 763 | office shall, in accordance with generally accepted and |
| 764 | reasonable actuarial techniques, consider the following factors: |
| 765 | 1. Past and prospective loss experience within and without |
| 766 | this state. |
| 767 | 2. Past and prospective expenses. |
| 768 | 3. The degree of competition among insurers for the risk |
| 769 | insured. |
| 770 | 4. Investment income reasonably expected by the insurer, |
| 771 | consistent with the insurer's investment practices, from |
| 772 | investable premiums anticipated in the filing, plus any other |
| 773 | expected income from currently invested assets representing the |
| 774 | amount expected on unearned premium reserves and loss reserves. |
| 775 | The commission may adopt rules using reasonable techniques of |
| 776 | actuarial science and economics to specify the manner in which |
| 777 | insurers shall calculate investment income attributable to such |
| 778 | classes of insurance written in this state and the manner in |
| 779 | which such investment income is shall be used to calculate |
| 780 | insurance rates. Such manner must shall contemplate allowances |
| 781 | for an underwriting profit factor and full consideration of |
| 782 | investment income which produce a reasonable rate of return; |
| 783 | however, investment income from invested surplus may not be |
| 784 | considered. |
| 785 | 5. The reasonableness of the judgment reflected in the |
| 786 | filing. |
| 787 | 6. Dividends, savings, or unabsorbed premium deposits |
| 788 | allowed or returned to Florida policyholders, members, or |
| 789 | subscribers. |
| 790 | 7. The adequacy of loss reserves. |
| 791 | 8. The cost of reinsurance. The office may shall not |
| 792 | disapprove a rate as excessive solely due to the insurer having |
| 793 | obtained catastrophic reinsurance to cover the insurer's |
| 794 | estimated 250-year probable maximum loss or any lower level of |
| 795 | loss. |
| 796 | 9. Trend factors, including trends in actual losses per |
| 797 | insured unit for the insurer making the filing. |
| 798 | 10. Conflagration and catastrophe hazards, if applicable. |
| 799 | 11. Projected hurricane losses, if applicable, which must |
| 800 | be estimated using a model or method found to be acceptable or |
| 801 | reliable by the Florida Commission on Hurricane Loss Projection |
| 802 | Methodology, and as further provided in s. 627.0628. |
| 803 | 12. A reasonable margin for underwriting profit and |
| 804 | contingencies. |
| 805 | 13. The cost of medical services, if applicable. |
| 806 | 14. Other relevant factors that affect which impact upon |
| 807 | the frequency or severity of claims or upon expenses. |
| 808 | (c) In the case of fire insurance rates, consideration |
| 809 | must shall be given to the availability of water supplies and |
| 810 | the experience of the fire insurance business during a period of |
| 811 | not less than the most recent 5-year period for which such |
| 812 | experience is available. |
| 813 | (d) If conflagration or catastrophe hazards are considered |
| 814 | given consideration by an insurer in its rates or rating plan, |
| 815 | including surcharges and discounts, the insurer shall establish |
| 816 | a reserve for that portion of the premium allocated to such |
| 817 | hazard and shall maintain the premium in a catastrophe reserve. |
| 818 | Any Removal of such premiums from the reserve for purposes other |
| 819 | than paying claims associated with a catastrophe or purchasing |
| 820 | reinsurance for catastrophes must be approved by shall be |
| 821 | subject to approval of the office. Any ceding commission |
| 822 | received by an insurer purchasing reinsurance for catastrophes |
| 823 | must shall be placed in the catastrophe reserve. |
| 824 | (e) After consideration of the rate factors provided in |
| 825 | paragraphs (b), (c), and (d), the office may find a rate may be |
| 826 | found by the office to be excessive, inadequate, or unfairly |
| 827 | discriminatory based upon the following standards: |
| 828 | 1. Rates shall be deemed excessive if they are likely to |
| 829 | produce a profit from Florida business which that is |
| 830 | unreasonably high in relation to the risk involved in the class |
| 831 | of business or if expenses are unreasonably high in relation to |
| 832 | services rendered. |
| 833 | 2. Rates shall be deemed excessive if, among other things, |
| 834 | the rate structure established by a stock insurance company |
| 835 | provides for replenishment of surpluses from premiums, if when |
| 836 | the replenishment is attributable to investment losses. |
| 837 | 3. Rates shall be deemed inadequate if they are clearly |
| 838 | insufficient, together with the investment income attributable |
| 839 | to them, to sustain projected losses and expenses in the class |
| 840 | of business to which they apply. |
| 841 | 4. A rating plan, including discounts, credits, or |
| 842 | surcharges, shall be deemed unfairly discriminatory if it fails |
| 843 | to clearly and equitably reflect consideration of the |
| 844 | policyholder's participation in a risk management program |
| 845 | adopted pursuant to s. 627.0625. |
| 846 | 5. A rate shall be deemed inadequate as to the premium |
| 847 | charged to a risk or group of risks if discounts or credits are |
| 848 | allowed which exceed a reasonable reflection of expense savings |
| 849 | and reasonably expected loss experience from the risk or group |
| 850 | of risks. |
| 851 | 6. A rate shall be deemed unfairly discriminatory as to a |
| 852 | risk or group of risks if the application of premium discounts, |
| 853 | credits, or surcharges among such risks does not bear a |
| 854 | reasonable relationship to the expected loss and expense |
| 855 | experience among the various risks. |
| 856 | (f) In reviewing a rate filing, the office may require the |
| 857 | insurer to provide, at the insurer's expense, all information |
| 858 | necessary to evaluate the condition of the company and the |
| 859 | reasonableness of the filing according to the criteria |
| 860 | enumerated in this section. |
| 861 | (g) The office may at any time review a rate, rating |
| 862 | schedule, rating manual, or rate change; the pertinent records |
| 863 | of the insurer; and market conditions. If the office finds on a |
| 864 | preliminary basis that a rate may be excessive, inadequate, or |
| 865 | unfairly discriminatory, the office shall initiate proceedings |
| 866 | to disapprove the rate and shall so notify the insurer. However, |
| 867 | the office may not disapprove as excessive any rate for which it |
| 868 | has given final approval or which has been deemed approved for a |
| 869 | period of 1 year after the effective date of the filing unless |
| 870 | the office finds that a material misrepresentation or material |
| 871 | error was made by the insurer or was contained in the filing. |
| 872 | Upon being so notified, the insurer or rating organization |
| 873 | shall, within 60 days, file with the office all information that |
| 874 | which, in the belief of the insurer or organization, proves the |
| 875 | reasonableness, adequacy, and fairness of the rate or rate |
| 876 | change. The office shall issue a notice of intent to approve or |
| 877 | a notice of intent to disapprove pursuant to the procedures of |
| 878 | paragraph (a) within 90 days after receipt of the insurer's |
| 879 | initial response. In such instances and in any administrative |
| 880 | proceeding relating to the legality of the rate, the insurer or |
| 881 | rating organization shall carry the burden of proof by a |
| 882 | preponderance of the evidence to show that the rate is not |
| 883 | excessive, inadequate, or unfairly discriminatory. After the |
| 884 | office notifies an insurer that a rate may be excessive, |
| 885 | inadequate, or unfairly discriminatory, unless the office |
| 886 | withdraws the notification, the insurer may shall not alter the |
| 887 | rate except to conform to with the office's notice until the |
| 888 | earlier of 120 days after the date the notification was provided |
| 889 | or 180 days after the date of implementing the implementation of |
| 890 | the rate. The office may, subject to chapter 120, may disapprove |
| 891 | without the 60-day notification any rate increase filed by an |
| 892 | insurer within the prohibited time period or during the time |
| 893 | that the legality of the increased rate is being contested. |
| 894 | (h) If In the event the office finds that a rate or rate |
| 895 | change is excessive, inadequate, or unfairly discriminatory, the |
| 896 | office shall issue an order of disapproval specifying that a new |
| 897 | rate or rate schedule, which responds to the findings of the |
| 898 | office, be filed by the insurer. The office shall further order, |
| 899 | for any "use and file" filing made in accordance with |
| 900 | subparagraph (a)2., that premiums charged each policyholder |
| 901 | constituting the portion of the rate above that which was |
| 902 | actuarially justified be returned to the such policyholder in |
| 903 | the form of a credit or refund. If the office finds that an |
| 904 | insurer's rate or rate change is inadequate, the new rate or |
| 905 | rate schedule filed with the office in response to such a |
| 906 | finding is shall be applicable only to new or renewal business |
| 907 | of the insurer written on or after the effective date of the |
| 908 | responsive filing. |
| 909 | (i) Except as otherwise specifically provided in this |
| 910 | chapter, the office may shall not, directly or indirectly: |
| 911 | 1. Prohibit any insurer, including any residual market |
| 912 | plan or joint underwriting association, from paying acquisition |
| 913 | costs based on the full amount of premium, as defined in s. |
| 914 | 627.403, applicable to any policy, or prohibit any such insurer |
| 915 | from including the full amount of acquisition costs in a rate |
| 916 | filing; or. |
| 917 | 2. Impede, abridge, or otherwise compromise an insurer's |
| 918 | right to acquire policyholders, advertise, or appoint agents, |
| 919 | including the calculation, manner, or amount of such agent |
| 920 | commissions, if any, in property and casualty insurance. |
| 921 | (j) With respect to residential property insurance rate |
| 922 | filings, the rate filing must account for mitigation measures |
| 923 | undertaken by policyholders to reduce hurricane losses. |
| 924 | (k)1. A residential property An insurer may make a |
| 925 | separate filing limited solely to an adjustment of its rates for |
| 926 | reinsurance, the cost of financing products used as a |
| 927 | replacement for reinsurance, or financing costs incurred in the |
| 928 | purchase of reinsurance, or financing products to replace or |
| 929 | finance the payment of the amount covered by the Temporary |
| 930 | Increase in Coverage Limits (TICL) portion of the Florida |
| 931 | Hurricane Catastrophe Fund including replacement reinsurance for |
| 932 | the TICL reductions made pursuant to s. 215.555(17)(e); the |
| 933 | actual cost paid due to the application of the TICL premium |
| 934 | factor pursuant to s. 215.555(17)(f); and the actual cost paid |
| 935 | due to the application of the cash build-up factor pursuant to |
| 936 | s. 215.555(5)(b) if the insurer: |
| 937 | a. Elects to purchase financing products such as a |
| 938 | liquidity instrument or line of credit, in which case the cost |
| 939 | included in the filing for the liquidity instrument or line of |
| 940 | credit may not result in a premium increase exceeding 3 percent |
| 941 | for any individual policyholder. All costs contained in the |
| 942 | filing may not result in an overall premium increase of more |
| 943 | than 15 10 percent for any individual policyholder. |
| 944 | b. Includes in the filing a copy of all of its |
| 945 | reinsurance, liquidity instrument, or line of credit contracts; |
| 946 | proof of the billing or payment for the contracts; and the |
| 947 | calculation upon which the proposed rate change is based |
| 948 | demonstrating demonstrates that the costs meet the criteria of |
| 949 | this section and are not loaded for expenses or profit for the |
| 950 | insurer making the filing. |
| 951 | c. Includes no other changes to its rates in the filing. |
| 952 | d. Has not implemented a rate increase within the 6 months |
| 953 | immediately preceding the filing. |
| 954 | e. Does not file for a rate increase under any other |
| 955 | paragraph within 6 months after making a filing under this |
| 956 | paragraph. |
| 957 | 2.f. An insurer that purchases reinsurance or financing |
| 958 | products from an affiliated company may make a separate filing |
| 959 | in compliance with this paragraph does so only if the costs for |
| 960 | such reinsurance or financing products are charged at or below |
| 961 | charges made for comparable coverage by nonaffiliated reinsurers |
| 962 | or financial entities making such coverage or financing products |
| 963 | available in this state. |
| 964 | 3.2. An insurer may only make only one filing per in any |
| 965 | 12-month period under this paragraph. |
| 966 | 4.3. An insurer that elects to implement a rate change |
| 967 | under this paragraph must file its rate filing with the office |
| 968 | at least 45 days before the effective date of the rate change. |
| 969 | After an insurer submits a complete filing that meets all of the |
| 970 | requirements of this paragraph, the office has 45 days after the |
| 971 | date of the filing to review the rate filing and determine if |
| 972 | the rate is excessive, inadequate, or unfairly discriminatory. |
| 973 |
|
| 974 | The provisions of This subsection does shall not apply to |
| 975 | workers' compensation, and employer's liability insurance, and |
| 976 | to motor vehicle insurance. |
| 977 | (3)(a) For individual risks that are not rated in |
| 978 | accordance with the insurer's rates, rating schedules, rating |
| 979 | manuals, and underwriting rules filed with the office and that |
| 980 | which have been submitted to the insurer for individual rating, |
| 981 | the insurer must maintain documentation on each risk subject to |
| 982 | individual risk rating. The documentation must identify the |
| 983 | named insured and specify the characteristics and classification |
| 984 | of the risk supporting the reason for the risk being |
| 985 | individually risk rated, including any modifications to existing |
| 986 | approved forms to be used on the risk. The insurer must maintain |
| 987 | these records for a period of at least 5 years after the |
| 988 | effective date of the policy. |
| 989 | (b) Individual risk rates and modifications to existing |
| 990 | approved forms are not subject to this part or part II, except |
| 991 | for paragraph (a) and ss. 627.402, 627.403, 627.4035, 627.404, |
| 992 | 627.405, 627.406, 627.407, 627.4085, 627.409, 627.4132, |
| 993 | 627.4133, 627.415, 627.416, 627.417, 627.419, 627.425, 627.426, |
| 994 | 627.4265, 627.427, and 627.428, but are subject to all other |
| 995 | applicable provisions of this code and rules adopted thereunder. |
| 996 | (c) This subsection does not apply to private passenger |
| 997 | motor vehicle insurance. |
| 998 | (d)1. The following categories or kinds of insurance and |
| 999 | types of commercial lines risks are not subject to paragraph |
| 1000 | (2)(a) or paragraph (2)(f): |
| 1001 | a. Excess or umbrella. |
| 1002 | b. Surety and fidelity. |
| 1003 | c. Boiler and machinery and leakage and fire extinguishing |
| 1004 | equipment. |
| 1005 | d. Errors and omissions. |
| 1006 | e. Directors and officers, employment practices, and |
| 1007 | management liability. |
| 1008 | f. Intellectual property and patent infringement |
| 1009 | liability. |
| 1010 | g. Advertising injury and Internet liability insurance. |
| 1011 | h. Property risks rated under a highly protected risks |
| 1012 | rating plan. |
| 1013 | i. Any other commercial lines categories or kinds of |
| 1014 | insurance or types of commercial lines risks that the office |
| 1015 | determines should not be subject to paragraph (2)(a) or |
| 1016 | paragraph (2)(f) because of the existence of a competitive |
| 1017 | market for such insurance, similarity of such insurance to other |
| 1018 | categories or kinds of insurance not subject to paragraph (2)(a) |
| 1019 | or paragraph (2)(f), or to improve the general operational |
| 1020 | efficiency of the office. |
| 1021 | 2. Insurers or rating organizations shall establish and |
| 1022 | use rates, rating schedules, or rating manuals to allow the |
| 1023 | insurer a reasonable rate of return on insurance and risks |
| 1024 | described in subparagraph 1. which are written in this state. |
| 1025 | 3. An insurer must notify the office of any changes to |
| 1026 | rates for insurance and risks described in subparagraph 1. |
| 1027 | within no later than 30 days after the effective date of the |
| 1028 | change. The notice must include the name of the insurer, the |
| 1029 | type or kind of insurance subject to rate change, total premium |
| 1030 | written during the immediately preceding year by the insurer for |
| 1031 | the type or kind of insurance subject to the rate change, and |
| 1032 | the average statewide percentage change in rates. Underwriting |
| 1033 | files, premiums, losses, and expense statistics with regard to |
| 1034 | such insurance and risks described in subparagraph 1. written by |
| 1035 | an insurer must shall be maintained by the insurer and subject |
| 1036 | to examination by the office. Upon examination, the office |
| 1037 | shall, in accordance with generally accepted and reasonable |
| 1038 | actuarial techniques, shall consider the rate factors in |
| 1039 | paragraphs (2)(b), (c), and (d) and the standards in paragraph |
| 1040 | (2)(e) to determine if the rate is excessive, inadequate, or |
| 1041 | unfairly discriminatory. |
| 1042 | 4. A rating organization must notify the office of any |
| 1043 | changes to loss cost for insurance and risks described in |
| 1044 | subparagraph 1. within no later than 30 days after the effective |
| 1045 | date of the change. The notice must include the name of the |
| 1046 | rating organization, the type or kind of insurance subject to a |
| 1047 | loss cost change, loss costs during the immediately preceding |
| 1048 | year for the type or kind of insurance subject to the loss cost |
| 1049 | change, and the average statewide percentage change in loss |
| 1050 | cost. Loss and exposure statistics with regard to risks |
| 1051 | applicable to loss costs for a rating organization not subject |
| 1052 | to paragraph (2)(a) or paragraph (2)(f) must shall be maintained |
| 1053 | by the rating organization and are subject to examination by the |
| 1054 | office. Upon examination, the office shall, in accordance with |
| 1055 | generally accepted and reasonable actuarial techniques, shall |
| 1056 | consider the rate factors in paragraphs (2)(b)-(d) and the |
| 1057 | standards in paragraph (2)(e) to determine if the rate is |
| 1058 | excessive, inadequate, or unfairly discriminatory. |
| 1059 | 5. In reviewing a rate, the office may require the insurer |
| 1060 | to provide, at the insurer's expense, all information necessary |
| 1061 | to evaluate the condition of the company and the reasonableness |
| 1062 | of the rate according to the applicable criteria described in |
| 1063 | this section. |
| 1064 | (4) The establishment of any rate, rating classification, |
| 1065 | rating plan or schedule, or variation thereof in violation of |
| 1066 | part IX of chapter 626 is also in violation of this section. In |
| 1067 | order to enhance the ability of consumers to compare premiums |
| 1068 | and to increase the accuracy and usefulness of rate-comparison |
| 1069 | information provided by the office to the public, the office |
| 1070 | shall develop a proposed standard rating territory plan to be |
| 1071 | used by all authorized property and casualty insurers for |
| 1072 | residential property insurance. In adopting the proposed plan, |
| 1073 | the office may consider geographical characteristics relevant to |
| 1074 | risk, county lines, major roadways, existing rating territories |
| 1075 | used by a significant segment of the market, and other relevant |
| 1076 | factors. Such plan shall be submitted to the President of the |
| 1077 | Senate and the Speaker of the House of Representatives by |
| 1078 | January 15, 2006. The plan may not be implemented unless |
| 1079 | authorized by further act of the Legislature. |
| 1080 | (5) With respect to a rate filing involving coverage of |
| 1081 | the type for which the insurer is required to pay a |
| 1082 | reimbursement premium to the Florida Hurricane Catastrophe Fund, |
| 1083 | the insurer may fully recoup in its property insurance premiums |
| 1084 | any reimbursement premiums paid to the Florida Hurricane |
| 1085 | Catastrophe fund, together with reasonable costs of other |
| 1086 | reinsurance; however, but except as otherwise provided in this |
| 1087 | section, the insurer may not recoup reinsurance costs that |
| 1088 | duplicate coverage provided by the Florida Hurricane Catastrophe |
| 1089 | fund. An insurer may not recoup more than 1 year of |
| 1090 | reimbursement premium at a time. Any under-recoupment from the |
| 1091 | prior year may be added to the following year's reimbursement |
| 1092 | premium, and any over-recoupment must shall be subtracted from |
| 1093 | the following year's reimbursement premium. |
| 1094 | (6)(a) If an insurer requests an administrative hearing |
| 1095 | pursuant to s. 120.57 related to a rate filing under this |
| 1096 | section, the director of the Division of Administrative Hearings |
| 1097 | shall expedite the hearing and assign an administrative law |
| 1098 | judge who shall commence the hearing within 30 days after the |
| 1099 | receipt of the formal request and shall enter a recommended |
| 1100 | order within 30 days after the hearing or within 30 days after |
| 1101 | receipt of the hearing transcript by the administrative law |
| 1102 | judge, whichever is later. Each party shall have be allowed 10 |
| 1103 | days in which to submit written exceptions to the recommended |
| 1104 | order. The office shall enter a final order within 30 days after |
| 1105 | the entry of the recommended order. The provisions of this |
| 1106 | paragraph may be waived upon stipulation of all parties. |
| 1107 | (b) Upon entry of a final order, the insurer may request a |
| 1108 | expedited appellate review pursuant to the Florida Rules of |
| 1109 | Appellate Procedure. It is the intent of the Legislature that |
| 1110 | the First District Court of Appeal grant an insurer's request |
| 1111 | for an expedited appellate review. |
| 1112 | (7)(a) The provisions of this subsection apply only with |
| 1113 | respect to rates for medical malpractice insurance and shall |
| 1114 | control to the extent of any conflict with other provisions of |
| 1115 | this section. |
| 1116 | (a)(b) Any portion of a judgment entered or settlement |
| 1117 | paid as a result of a statutory or common-law bad faith action |
| 1118 | and any portion of a judgment entered which awards punitive |
| 1119 | damages against an insurer may not be included in the insurer's |
| 1120 | rate base, and shall not be used to justify a rate or rate |
| 1121 | change. Any common-law bad faith action identified as such, any |
| 1122 | portion of a settlement entered as a result of a statutory or |
| 1123 | common-law action, or any portion of a settlement wherein an |
| 1124 | insurer agrees to pay specific punitive damages may not be used |
| 1125 | to justify a rate or rate change. The portion of the taxable |
| 1126 | costs and attorney's fees which is identified as being related |
| 1127 | to the bad faith and punitive damages in these judgments and |
| 1128 | settlements may not be included in the insurer's rate base and |
| 1129 | used may not be utilized to justify a rate or rate change. |
| 1130 | (b)(c) Upon reviewing a rate filing and determining |
| 1131 | whether the rate is excessive, inadequate, or unfairly |
| 1132 | discriminatory, the office shall consider, in accordance with |
| 1133 | generally accepted and reasonable actuarial techniques, past and |
| 1134 | present prospective loss experience, either using loss |
| 1135 | experience solely for this state or giving greater credibility |
| 1136 | to this state's loss data after applying actuarially sound |
| 1137 | methods of assigning credibility to such data. |
| 1138 | (c)(d) Rates shall be deemed excessive if, among other |
| 1139 | standards established by this section, the rate structure |
| 1140 | provides for replenishment of reserves or surpluses from |
| 1141 | premiums when the replenishment is attributable to investment |
| 1142 | losses. |
| 1143 | (d)(e) The insurer must apply a discount or surcharge |
| 1144 | based on the health care provider's loss experience or shall |
| 1145 | establish an alternative method giving due consideration to the |
| 1146 | provider's loss experience. The insurer must include in the |
| 1147 | filing a copy of the surcharge or discount schedule or a |
| 1148 | description of the alternative method used, and must provide a |
| 1149 | copy of such schedule or description, as approved by the office, |
| 1150 | to policyholders at the time of renewal and to prospective |
| 1151 | policyholders at the time of application for coverage. |
| 1152 | (e)(f) Each medical malpractice insurer must make a rate |
| 1153 | filing under this section, sworn to by at least two executive |
| 1154 | officers of the insurer, at least once each calendar year. |
| 1155 | (8)(a)1. No later than 60 days after the effective date of |
| 1156 | medical malpractice legislation enacted during the 2003 Special |
| 1157 | Session D of the Florida Legislature, the office shall calculate |
| 1158 | a presumed factor that reflects the impact that the changes |
| 1159 | contained in such legislation will have on rates for medical |
| 1160 | malpractice insurance and shall issue a notice informing all |
| 1161 | insurers writing medical malpractice coverage of such presumed |
| 1162 | factor. In determining the presumed factor, the office shall use |
| 1163 | generally accepted actuarial techniques and standards provided |
| 1164 | in this section in determining the expected impact on losses, |
| 1165 | expenses, and investment income of the insurer. To the extent |
| 1166 | that the operation of a provision of medical malpractice |
| 1167 | legislation enacted during the 2003 Special Session D of the |
| 1168 | Florida Legislature is stayed pending a constitutional |
| 1169 | challenge, the impact of that provision shall not be included in |
| 1170 | the calculation of a presumed factor under this subparagraph. |
| 1171 | 2. No later than 60 days after the office issues its |
| 1172 | notice of the presumed rate change factor under subparagraph 1., |
| 1173 | each insurer writing medical malpractice coverage in this state |
| 1174 | shall submit to the office a rate filing for medical malpractice |
| 1175 | insurance, which will take effect no later than January 1, 2004, |
| 1176 | and apply retroactively to policies issued or renewed on or |
| 1177 | after the effective date of medical malpractice legislation |
| 1178 | enacted during the 2003 Special Session D of the Florida |
| 1179 | Legislature. Except as authorized under paragraph (b), the |
| 1180 | filing shall reflect an overall rate reduction at least as great |
| 1181 | as the presumed factor determined under subparagraph 1. With |
| 1182 | respect to policies issued on or after the effective date of |
| 1183 | such legislation and prior to the effective date of the rate |
| 1184 | filing required by this subsection, the office shall order the |
| 1185 | insurer to make a refund of the amount that was charged in |
| 1186 | excess of the rate that is approved. |
| 1187 | (b) Any insurer or rating organization that contends that |
| 1188 | the rate provided for in paragraph (a) is excessive, inadequate, |
| 1189 | or unfairly discriminatory shall separately state in its filing |
| 1190 | the rate it contends is appropriate and shall state with |
| 1191 | specificity the factors or data that it contends should be |
| 1192 | considered in order to produce such appropriate rate. The |
| 1193 | insurer or rating organization shall be permitted to use all of |
| 1194 | the generally accepted actuarial techniques provided in this |
| 1195 | section in making any filing pursuant to this subsection. The |
| 1196 | office shall review each such exception and approve or |
| 1197 | disapprove it prior to use. It shall be the insurer's burden to |
| 1198 | actuarially justify any deviations from the rates required to be |
| 1199 | filed under paragraph (a). The insurer making a filing under |
| 1200 | this paragraph shall include in the filing the expected impact |
| 1201 | of medical malpractice legislation enacted during the 2003 |
| 1202 | Special Session D of the Florida Legislature on losses, |
| 1203 | expenses, and rates. |
| 1204 | (c) If any provision of medical malpractice legislation |
| 1205 | enacted during the 2003 Special Session D of the Florida |
| 1206 | Legislature is held invalid by a court of competent |
| 1207 | jurisdiction, the office shall permit an adjustment of all |
| 1208 | medical malpractice rates filed under this section to reflect |
| 1209 | the impact of such holding on such rates so as to ensure that |
| 1210 | the rates are not excessive, inadequate, or unfairly |
| 1211 | discriminatory. |
| 1212 | (d) Rates approved on or before July 1, 2003, for medical |
| 1213 | malpractice insurance shall remain in effect until the effective |
| 1214 | date of a new rate filing approved under this subsection. |
| 1215 | (e) The calculation and notice by the office of the |
| 1216 | presumed factor pursuant to paragraph (a) is not an order or |
| 1217 | rule that is subject to chapter 120. If the office enters into a |
| 1218 | contract with an independent consultant to assist the office in |
| 1219 | calculating the presumed factor, such contract shall not be |
| 1220 | subject to the competitive solicitation requirements of s. |
| 1221 | 287.057. |
| 1222 | (8)(9)(a) The chief executive officer or chief financial |
| 1223 | officer of a property insurer and the chief actuary of a |
| 1224 | property insurer must certify under oath and subject to the |
| 1225 | penalty of perjury, on a form approved by the commission, the |
| 1226 | following information, which must accompany a rate filing: |
| 1227 | 1. The signing officer and actuary have reviewed the rate |
| 1228 | filing; |
| 1229 | 2. Based on the signing officer's and actuary's knowledge, |
| 1230 | the rate filing does not contain any untrue statement of a |
| 1231 | material fact or omit to state a material fact necessary in |
| 1232 | order to make the statements made, in light of the circumstances |
| 1233 | under which such statements were made, not misleading; |
| 1234 | 3. Based on the signing officer's and actuary's knowledge, |
| 1235 | the information and other factors described in paragraph (2)(b), |
| 1236 | including, but not limited to, investment income, fairly present |
| 1237 | in all material respects the basis of the rate filing for the |
| 1238 | periods presented in the filing; and |
| 1239 | 4. Based on the signing officer's and actuary's knowledge, |
| 1240 | the rate filing reflects all premium savings that are reasonably |
| 1241 | expected to result from legislative enactments and are in |
| 1242 | accordance with generally accepted and reasonable actuarial |
| 1243 | techniques. |
| 1244 | (b) A signing officer or actuary who knowingly makes |
| 1245 | making a false certification under this subsection commits a |
| 1246 | violation of s. 626.9541(1)(e) and is subject to the penalties |
| 1247 | under s. 626.9521. |
| 1248 | (c) Failure to provide such certification by the officer |
| 1249 | and actuary shall result in the rate filing being disapproved |
| 1250 | without prejudice to be refiled. |
| 1251 | (d) The certification made pursuant to paragraph (a) is |
| 1252 | not rendered false if, after making the subject rate filing, the |
| 1253 | insurer provides the office with additional or supplementary |
| 1254 | information pursuant to a formal or informal request from the |
| 1255 | office. However, the actuary primarily responsible for preparing |
| 1256 | and submitting the additional or supplementary information shall |
| 1257 | certify the information consistent with the certification |
| 1258 | required in paragraph (a) and the penalties in paragraph (b), |
| 1259 | except that the chief executive officer or chief financial |
| 1260 | officer or chief actuary is not required to certify to the |
| 1261 | additional or supplementary information. |
| 1262 | (e)(d) The commission may adopt rules and forms pursuant |
| 1263 | to ss. 120.536(1) and 120.54 to administer this subsection. |
| 1264 | (9)(10) The burden is on the office to establish that |
| 1265 | rates are excessive for personal lines residential coverage with |
| 1266 | a dwelling replacement cost of $1 million or more or for a |
| 1267 | single condominium unit with a combined dwelling and contents |
| 1268 | replacement cost of $1 million or more. Upon request of the |
| 1269 | office, the insurer shall provide to the office such loss and |
| 1270 | expense information as the office reasonably needs to meet this |
| 1271 | burden. |
| 1272 | (10)(11) Any interest paid pursuant to s. 627.70131(5) may |
| 1273 | not be included in the insurer's rate base and may not be used |
| 1274 | to justify a rate or rate change. |
| 1275 | Section 12. Paragraph (b) of subsection (3) of section |
| 1276 | 627.06281, Florida Statutes, is amended to read: |
| 1277 | 627.06281 Public hurricane loss projection model; |
| 1278 | reporting of data by insurers.- |
| 1279 | (3) |
| 1280 | (b) The fees charged for private sector access and use of |
| 1281 | the model shall be the reasonable costs associated with the |
| 1282 | operation and maintenance of the model. Such fees do not apply |
| 1283 | to access and use of the model by the office. By January 1, |
| 1284 | 2009, the office shall establish by rule a fee schedule for |
| 1285 | access to and the use of the model. The fee schedule must be |
| 1286 | reasonably calculated to cover only the actual costs of |
| 1287 | providing access to and the use of the model. |
| 1288 | Section 13. Subsections (1) and (5) and paragraph (b) of |
| 1289 | subsection (8) of section 627.0629, Florida Statutes, are |
| 1290 | amended to read: |
| 1291 | 627.0629 Residential property insurance; rate filings.- |
| 1292 | (1)(a) It is the intent of the Legislature that insurers |
| 1293 | must provide savings to consumers who install or implement |
| 1294 | windstorm damage mitigation techniques, alterations, or |
| 1295 | solutions to their properties to prevent windstorm losses. A |
| 1296 | rate filing for residential property insurance must include |
| 1297 | actuarially reasonable discounts, credits, or other rate |
| 1298 | differentials, or appropriate reductions in deductibles, for |
| 1299 | properties on which fixtures or construction techniques |
| 1300 | demonstrated to reduce the amount of loss in a windstorm have |
| 1301 | been installed or implemented. The fixtures or construction |
| 1302 | techniques must shall include, but not be limited to, fixtures |
| 1303 | or construction techniques that which enhance roof strength, |
| 1304 | roof covering performance, roof-to-wall strength, wall-to-floor- |
| 1305 | to-foundation strength, opening protection, and window, door, |
| 1306 | and skylight strength. Credits, discounts, or other rate |
| 1307 | differentials, or appropriate reductions in deductibles, for |
| 1308 | fixtures and construction techniques that which meet the minimum |
| 1309 | requirements of the Florida Building Code must be included in |
| 1310 | the rate filing. All insurance companies must make a rate filing |
| 1311 | which includes the credits, discounts, or other rate |
| 1312 | differentials or reductions in deductibles by February 28, 2003. |
| 1313 | By July 1, 2007, the office shall reevaluate the discounts, |
| 1314 | credits, other rate differentials, and appropriate reductions in |
| 1315 | deductibles for fixtures and construction techniques that meet |
| 1316 | the minimum requirements of the Florida Building Code, based |
| 1317 | upon actual experience or any other loss relativity studies |
| 1318 | available to the office. The office shall determine the |
| 1319 | discounts, credits, other rate differentials, and appropriate |
| 1320 | reductions in deductibles that reflect the full actuarial value |
| 1321 | of such revaluation, which may be used by insurers in rate |
| 1322 | filings. |
| 1323 | (b) By February 1, 2011, the Office of Insurance |
| 1324 | Regulation, in consultation with the Department of Financial |
| 1325 | Services and the Department of Community Affairs, shall develop |
| 1326 | and make publicly available a proposed method for insurers to |
| 1327 | establish discounts, credits, or other rate differentials for |
| 1328 | hurricane mitigation measures which directly correlate to the |
| 1329 | numerical rating assigned to a structure pursuant to the uniform |
| 1330 | home grading scale adopted by the Financial Services Commission |
| 1331 | pursuant to s. 215.55865, including any proposed changes to the |
| 1332 | uniform home grading scale. By October 1, 2011, the commission |
| 1333 | shall adopt rules requiring insurers to make rate filings for |
| 1334 | residential property insurance which revise insurers' discounts, |
| 1335 | credits, or other rate differentials for hurricane mitigation |
| 1336 | measures so that such rate differentials correlate directly to |
| 1337 | the uniform home grading scale. The rules may include such |
| 1338 | changes to the uniform home grading scale as the commission |
| 1339 | determines are necessary, and may specify the minimum required |
| 1340 | discounts, credits, or other rate differentials. Such rate |
| 1341 | differentials must be consistent with generally accepted |
| 1342 | actuarial principles and wind-loss mitigation studies. The rules |
| 1343 | shall allow a period of at least 2 years after the effective |
| 1344 | date of the revised mitigation discounts, credits, or other rate |
| 1345 | differentials for a property owner to obtain an inspection or |
| 1346 | otherwise qualify for the revised credit, during which time the |
| 1347 | insurer shall continue to apply the mitigation credit that was |
| 1348 | applied immediately prior to the effective date of the revised |
| 1349 | credit. Discounts, credits, and other rate differentials |
| 1350 | established for rate filings under this paragraph shall |
| 1351 | supersede, after adoption, the discounts, credits, and other |
| 1352 | rate differentials included in rate filings under paragraph (a). |
| 1353 | (5) In order to provide an appropriate transition period, |
| 1354 | an insurer may, in its sole discretion, implement an approved |
| 1355 | rate filing for residential property insurance over a period of |
| 1356 | years. Such An insurer electing to phase in its rate filing must |
| 1357 | provide an informational notice to the office setting out its |
| 1358 | schedule for implementation of the phased-in rate filing. The An |
| 1359 | insurer may include in its rate the actual cost of private |
| 1360 | market reinsurance that corresponds to available coverage of the |
| 1361 | Temporary Increase in Coverage Limits, TICL, from the Florida |
| 1362 | Hurricane Catastrophe Fund. The insurer may also include the |
| 1363 | cost of reinsurance to replace the TICL reduction implemented |
| 1364 | pursuant to s. 215.555(17)(d)9. However, this cost for |
| 1365 | reinsurance may not include any expense or profit load or result |
| 1366 | in a total annual base rate increase in excess of 10 percent. |
| 1367 | (8) EVALUATION OF RESIDENTIAL PROPERTY STRUCTURAL |
| 1368 | SOUNDNESS.- |
| 1369 | (b) To the extent that funds are provided for this purpose |
| 1370 | in the General Appropriations Act, the Legislature hereby |
| 1371 | authorizes the establishment of a program to be administered by |
| 1372 | the Citizens Property Insurance Corporation for homeowners |
| 1373 | insured in the high-risk account is authorized. |
| 1374 | Section 14. Paragraph (b) of subsection (2) of section |
| 1375 | 627.4133, Florida Statutes, is amended to read: |
| 1376 | 627.4133 Notice of cancellation, nonrenewal, or renewal |
| 1377 | premium.- |
| 1378 | (2) With respect to any personal lines or commercial |
| 1379 | residential property insurance policy, including, but not |
| 1380 | limited to, any homeowner's, mobile home owner's, farmowner's, |
| 1381 | condominium association, condominium unit owner's, apartment |
| 1382 | building, or other policy covering a residential structure or |
| 1383 | its contents: |
| 1384 | (b) The insurer shall give the named insured written |
| 1385 | notice of nonrenewal, cancellation, or termination at least 100 |
| 1386 | days before prior to the effective date of the nonrenewal, |
| 1387 | cancellation, or termination. However, the insurer shall give at |
| 1388 | least 100 days' written notice, or written notice by June 1, |
| 1389 | whichever is earlier, for any nonrenewal, cancellation, or |
| 1390 | termination that would be effective between June 1 and November |
| 1391 | 30. The notice must include the reason or reasons for the |
| 1392 | nonrenewal, cancellation, or termination, except that: |
| 1393 | 1. The insurer shall give the named insured written notice |
| 1394 | of nonrenewal, cancellation, or termination at least 120 180 |
| 1395 | days prior to the effective date of the nonrenewal, |
| 1396 | cancellation, or termination for a named insured whose |
| 1397 | residential structure has been insured by that insurer or an |
| 1398 | affiliated insurer for at least a 5-year period immediately |
| 1399 | prior to the date of the written notice. |
| 1400 | 2. If When cancellation is for nonpayment of premium, at |
| 1401 | least 10 days' written notice of cancellation accompanied by the |
| 1402 | reason therefor must shall be given. As used in this |
| 1403 | subparagraph, the term "nonpayment of premium" means failure of |
| 1404 | the named insured to discharge when due any of her or his |
| 1405 | obligations in connection with the payment of premiums on a |
| 1406 | policy or any installment of such premium, whether the premium |
| 1407 | is payable directly to the insurer or its agent or indirectly |
| 1408 | under any premium finance plan or extension of credit, or |
| 1409 | failure to maintain membership in an organization if such |
| 1410 | membership is a condition precedent to insurance coverage. The |
| 1411 | term "Nonpayment of premium" also means the failure of a |
| 1412 | financial institution to honor an insurance applicant's check |
| 1413 | after delivery to a licensed agent for payment of a premium, |
| 1414 | even if the agent has previously delivered or transferred the |
| 1415 | premium to the insurer. If a dishonored check represents the |
| 1416 | initial premium payment, the contract and all contractual |
| 1417 | obligations are shall be void ab initio unless the nonpayment is |
| 1418 | cured within the earlier of 5 days after actual notice by |
| 1419 | certified mail is received by the applicant or 15 days after |
| 1420 | notice is sent to the applicant by certified mail or registered |
| 1421 | mail, and if the contract is void, any premium received by the |
| 1422 | insurer from a third party must shall be refunded to that party |
| 1423 | in full. |
| 1424 | 3. If When such cancellation or termination occurs during |
| 1425 | the first 90 days during which the insurance is in force and the |
| 1426 | insurance is canceled or terminated for reasons other than |
| 1427 | nonpayment of premium, at least 20 days' written notice of |
| 1428 | cancellation or termination accompanied by the reason therefor |
| 1429 | must shall be given unless except where there has been a |
| 1430 | material misstatement or misrepresentation or failure to comply |
| 1431 | with the underwriting requirements established by the insurer. |
| 1432 | 4. The requirement for providing written notice of |
| 1433 | nonrenewal by June 1 of any nonrenewal that would be effective |
| 1434 | between June 1 and November 30 does not apply to the following |
| 1435 | situations, but the insurer remains subject to the requirement |
| 1436 | to provide such notice at least 100 days before prior to the |
| 1437 | effective date of nonrenewal: |
| 1438 | a. A policy that is nonrenewed due to a revision in the |
| 1439 | coverage for sinkhole losses and catastrophic ground cover |
| 1440 | collapse pursuant to s. 627.706, as amended by s. 30, chapter |
| 1441 | 2007-1, Laws of Florida. |
| 1442 | b. A policy that is nonrenewed by Citizens Property |
| 1443 | Insurance Corporation, pursuant to s. 627.351(6), for a policy |
| 1444 | that has been assumed by an authorized insurer offering |
| 1445 | replacement or renewal coverage to the policyholder. |
| 1446 |
|
| 1447 | After the policy has been in effect for 90 days, the policy may |
| 1448 | shall not be canceled by the insurer unless except when there |
| 1449 | has been a material misstatement, a nonpayment of premium, a |
| 1450 | failure to comply with underwriting requirements established by |
| 1451 | the insurer within 90 days after of the date of effectuation of |
| 1452 | coverage, or a substantial change in the risk covered by the |
| 1453 | policy or if when the cancellation is for all insureds under |
| 1454 | such policies for a given class of insureds. This paragraph does |
| 1455 | not apply to individually rated risks having a policy term of |
| 1456 | less than 90 days. |
| 1457 | 5. Notwithstanding any other provision of law, an insurer |
| 1458 | may cancel or nonrenew a property insurance policy after at |
| 1459 | least 45 days' notice if the office finds that the early |
| 1460 | cancellation of some or all of the insurer's policies is |
| 1461 | necessary to protect the best interests of the public or |
| 1462 | policyholders and the office approves the insurer's plan for |
| 1463 | early cancellation or nonrenewal of some or all of its policies. |
| 1464 | The office may base such finding upon the financial condition of |
| 1465 | the insurer, lack of adequate reinsurance coverage for hurricane |
| 1466 | risk, or other relevant factors. The office may condition its |
| 1467 | finding on the consent of the insurer to be placed under |
| 1468 | administrative supervision pursuant to s. 624.81 or to the |
| 1469 | appointment of a receiver under chapter 631. |
| 1470 | Section 15. Section 627.43141, Florida Statutes, is |
| 1471 | created to read: |
| 1472 | 627.43141 Notice of change in policy terms.- |
| 1473 | (1) As used in this section, the term: |
| 1474 | (a) "Change in policy terms" means the modification, |
| 1475 | addition, or deletion of any term, coverage, duty, or condition |
| 1476 | from the previous policy. The correction of typographical or |
| 1477 | scrivener's errors or the application of mandated legislative |
| 1478 | changes is not a change in policy terms. |
| 1479 | (b) "Policy" means a written contract of personal lines |
| 1480 | property and casualty insurance or a written agreement for |
| 1481 | insurance, or the certificate of such insurance, by whatever |
| 1482 | name called, and includes all clauses, riders, endorsements, and |
| 1483 | papers that are a part of such policy. The term does not include |
| 1484 | a binder as defined in s. 627.420 unless the duration of the |
| 1485 | binder period exceeds 60 days. |
| 1486 | (c) "Renewal" means the issuance and delivery by an |
| 1487 | insurer of a policy superseding at the end of the policy period |
| 1488 | a policy previously issued and delivered by the same insurer or |
| 1489 | the issuance and delivery of a certificate or notice extending |
| 1490 | the term of a policy beyond its policy period or term. Any |
| 1491 | policy that has a policy period or term of less than 6 months or |
| 1492 | that does not have a fixed expiration date shall, for purposes |
| 1493 | of this section, be considered as written for successive policy |
| 1494 | periods or terms of 6 months. |
| 1495 | (2) A renewal policy may contain a change in policy terms. |
| 1496 | If a renewal policy does contains such change, the insurer must |
| 1497 | give the named insured written notice of the change, which must |
| 1498 | be enclosed along with the written notice of renewal premium |
| 1499 | required by ss. 627.4133 and 627.728. Such notice shall be |
| 1500 | entitled "Notice of Change in Policy Terms." |
| 1501 | (3) Although not required, proof of mailing or registered |
| 1502 | mailing through the United States Postal Service of the Notice |
| 1503 | of Change in Policy Terms to the named insured at the address |
| 1504 | shown in the policy is sufficient proof of notice. |
| 1505 | (4) Receipt of the premium payment for the renewal policy |
| 1506 | by the insurer is deemed to be acceptance of the new policy |
| 1507 | terms by the named insured. |
| 1508 | (5) If an insurer fails to provide the notice required in |
| 1509 | subsection (2), the original policy terms remain in effect until |
| 1510 | the next renewal and the proper service of the notice, or until |
| 1511 | the effective date of replacement coverage obtained by the named |
| 1512 | insured, whichever occurs first. |
| 1513 | (6) The intent of this section is to: |
| 1514 | (a) Allow an insurer to make a change in policy terms |
| 1515 | without nonrenewing those policyholders that the insurer wishes |
| 1516 | to continue insuring. |
| 1517 | (b) Alleviate concern and confusion to the policyholder |
| 1518 | caused by the required policy nonrenewal for the limited issue |
| 1519 | if an insurer intends to renew the insurance policy, but the new |
| 1520 | policy contains a change in policy terms. |
| 1521 | (c) Encourage policyholders to discuss their coverages |
| 1522 | with their insurance agents. |
| 1523 | Section 16. Section 627.7011, Florida Statutes, is amended |
| 1524 | to read: |
| 1525 | 627.7011 Homeowners' policies; offer of replacement cost |
| 1526 | coverage and law and ordinance coverage.- |
| 1527 | (1) Before Prior to issuing or renewing a homeowner's |
| 1528 | insurance policy on or after October 1, 2005, or prior to the |
| 1529 | first renewal of a homeowner's insurance policy on or after |
| 1530 | October 1, 2005, the insurer must offer each of the following: |
| 1531 | (a) A policy or endorsement providing that any loss that |
| 1532 | which is repaired or replaced will be adjusted on the basis of |
| 1533 | replacement costs to the dwelling not exceeding policy limits as |
| 1534 | to the dwelling, rather than actual cash value, but not |
| 1535 | including costs necessary to meet applicable laws and ordinances |
| 1536 | regulating the construction, use, or repair of any property or |
| 1537 | requiring the tearing down of any property, including the costs |
| 1538 | of removing debris. |
| 1539 | (b) A policy or endorsement providing that, subject to |
| 1540 | other policy provisions, any loss that which is repaired or |
| 1541 | replaced at any location will be adjusted on the basis of |
| 1542 | replacement costs to the dwelling not exceeding policy limits as |
| 1543 | to the dwelling, rather than actual cash value, and also |
| 1544 | including costs necessary to meet applicable laws and ordinances |
| 1545 | regulating the construction, use, or repair of any property or |
| 1546 | requiring the tearing down of any property, including the costs |
| 1547 | of removing debris.; However, such additional costs necessary to |
| 1548 | meet applicable laws and ordinances may be limited to either 25 |
| 1549 | percent or 50 percent of the dwelling limit, as selected by the |
| 1550 | policyholder, and such coverage applies shall apply only to |
| 1551 | repairs of the damaged portion of the structure unless the total |
| 1552 | damage to the structure exceeds 50 percent of the replacement |
| 1553 | cost of the structure. |
| 1554 |
|
| 1555 | An insurer is not required to make the offers required by this |
| 1556 | subsection with respect to the issuance or renewal of a |
| 1557 | homeowner's policy that contains the provisions specified in |
| 1558 | paragraph (b) for law and ordinance coverage limited to 25 |
| 1559 | percent of the dwelling limit, except that the insurer must |
| 1560 | offer the law and ordinance coverage limited to 50 percent of |
| 1561 | the dwelling limit. This subsection does not prohibit the offer |
| 1562 | of a guaranteed replacement cost policy. |
| 1563 | (2) Unless the insurer obtains the policyholder's written |
| 1564 | refusal of the policies or endorsements specified in subsection |
| 1565 | (1), any policy covering the dwelling is deemed to include the |
| 1566 | law and ordinance coverage limited to 25 percent of the dwelling |
| 1567 | limit. The rejection or selection of alternative coverage shall |
| 1568 | be made on a form approved by the office. The form must shall |
| 1569 | fully advise the applicant of the nature of the coverage being |
| 1570 | rejected. If this form is signed by a named insured, it is will |
| 1571 | be conclusively presumed that there was an informed, knowing |
| 1572 | rejection of the coverage or election of the alternative |
| 1573 | coverage on behalf of all insureds. Unless the policyholder |
| 1574 | requests in writing the coverage specified in this section, it |
| 1575 | need not be provided in or supplemental to any other policy that |
| 1576 | renews, insures, extends, changes, supersedes, or replaces an |
| 1577 | existing policy if when the policyholder has rejected the |
| 1578 | coverage specified in this section or has selected alternative |
| 1579 | coverage. The insurer must provide the such policyholder with |
| 1580 | notice of the availability of such coverage in a form approved |
| 1581 | by the office at least once every 3 years. The failure to |
| 1582 | provide such notice constitutes a violation of this code, but |
| 1583 | does not affect the coverage provided under the policy. |
| 1584 | (3)(a) In the event of a loss for which a dwelling is |
| 1585 | insured on the basis of replacement costs, the insurer initially |
| 1586 | must pay at least the actual cash value of the insured loss, |
| 1587 | less any applicable deductible. An insured shall subsequently |
| 1588 | enter into a contract for the performance of building and |
| 1589 | structural repairs. The insurer shall pay any remaining amounts |
| 1590 | incurred to perform such repairs as the work is performed. With |
| 1591 | the exception of incidental expenses to mitigate further damage, |
| 1592 | the insurer or any contractor or subcontractor may not require |
| 1593 | the policyholder to advance payment for such repairs or |
| 1594 | expenses. The insurer may waive the requirement for a contract |
| 1595 | as provided in this paragraph. An insured shall have a period of |
| 1596 | 1 year after the date the insurer pays actual cash value to make |
| 1597 | a claim for replacement cost. If a total loss of a dwelling |
| 1598 | occurs, the insurer shall pay the replacement cost coverage |
| 1599 | without reservation or holdback of any depreciation in value, |
| 1600 | pursuant to s. 627.702. |
| 1601 | (b) In the event of a loss for which a dwelling or |
| 1602 | personal property is insured on the basis of replacement costs, |
| 1603 | the insurer shall pay the replacement cost without reservation |
| 1604 | or holdback of any depreciation in value, whether or not the |
| 1605 | insured replaces or repairs the dwelling or property. |
| 1606 | (4) A Any homeowner's insurance policy issued or renewed |
| 1607 | on or after October 1, 2005, must include in bold type no |
| 1608 | smaller than 18 points the following statement: |
| 1609 |
|
| 1610 | "LAW AND ORDINANCE COVERAGE IS AN IMPORTANT COVERAGE |
| 1611 | THAT YOU MAY WISH TO PURCHASE. YOU MAY ALSO NEED TO |
| 1612 | CONSIDER THE PURCHASE OF FLOOD INSURANCE FROM THE |
| 1613 | NATIONAL FLOOD INSURANCE PROGRAM. WITHOUT THIS |
| 1614 | COVERAGE, YOU MAY HAVE UNCOVERED LOSSES. PLEASE |
| 1615 | DISCUSS THESE COVERAGES WITH YOUR INSURANCE AGENT." |
| 1616 |
|
| 1617 | The intent of this subsection is to encourage policyholders to |
| 1618 | purchase sufficient coverage to protect them in case events |
| 1619 | excluded from the standard homeowners policy, such as law and |
| 1620 | ordinance enforcement and flood, combine with covered events to |
| 1621 | produce damage or loss to the insured property. The intent is |
| 1622 | also to encourage policyholders to discuss these issues with |
| 1623 | their insurance agent. |
| 1624 | (5) Nothing in This section does not: shall be construed |
| 1625 | to |
| 1626 | (a) Apply to policies not considered to be "homeowners' |
| 1627 | policies," as that term is commonly understood in the insurance |
| 1628 | industry. This section specifically does not |
| 1629 | (b) Apply to mobile home policies. Nothing in this section |
| 1630 | (c) Limit shall be construed as limiting the ability of an |
| 1631 | any insurer to reject or nonrenew any insured or applicant on |
| 1632 | the grounds that the structure does not meet underwriting |
| 1633 | criteria applicable to replacement cost or law and ordinance |
| 1634 | policies or for other lawful reasons. |
| 1635 | (d)(6) This section does not Prohibit an insurer from |
| 1636 | limiting its liability under a policy or endorsement providing |
| 1637 | that loss will be adjusted on the basis of replacement costs to |
| 1638 | the lesser of: |
| 1639 | 1.(a) The limit of liability shown on the policy |
| 1640 | declarations page; |
| 1641 | 2.(b) The reasonable and necessary cost to repair the |
| 1642 | damaged, destroyed, or stolen covered property; or |
| 1643 | 3.(c) The reasonable and necessary cost to replace the |
| 1644 | damaged, destroyed, or stolen covered property. |
| 1645 | (e)(7) This section does not Prohibit an insurer from |
| 1646 | exercising its right to repair damaged property in compliance |
| 1647 | with its policy and s. 627.702(7). |
| 1648 | Section 17. Paragraph (a) of subsection (5) of section |
| 1649 | 627.70131, Florida Statutes, is amended to read: |
| 1650 | 627.70131 Insurer's duty to acknowledge communications |
| 1651 | regarding claims; investigation.- |
| 1652 | (5)(a) Within 90 days after an insurer receives notice of |
| 1653 | an initial, reopened, or supplemental a property insurance claim |
| 1654 | from a policyholder, the insurer shall pay or deny such claim or |
| 1655 | a portion of the claim unless the failure to pay such claim or a |
| 1656 | portion of the claim is caused by factors beyond the control of |
| 1657 | the insurer which reasonably prevent such payment. Any payment |
| 1658 | of an initial or supplemental a claim or portion of such a claim |
| 1659 | made paid 90 days after the insurer receives notice of the |
| 1660 | claim, or made paid more than 15 days after there are no longer |
| 1661 | factors beyond the control of the insurer which reasonably |
| 1662 | prevented such payment, whichever is later, bears shall bear |
| 1663 | interest at the rate set forth in s. 55.03. Interest begins to |
| 1664 | accrue from the date the insurer receives notice of the claim. |
| 1665 | The provisions of this subsection may not be waived, voided, or |
| 1666 | nullified by the terms of the insurance policy. If there is a |
| 1667 | right to prejudgment interest, the insured shall select whether |
| 1668 | to receive prejudgment interest or interest under this |
| 1669 | subsection. Interest is payable when the claim or portion of the |
| 1670 | claim is paid. Failure to comply with this subsection |
| 1671 | constitutes a violation of this code. However, failure to comply |
| 1672 | with this subsection does shall not form the sole basis for a |
| 1673 | private cause of action. |
| 1674 | Section 18. The Legislature finds and declares: |
| 1675 | (1) There is a compelling state interest in maintaining a |
| 1676 | viable and orderly private-sector market for property insurance |
| 1677 | in this state. The lack of a viable and orderly property market |
| 1678 | reduces the availability of property insurance coverage to state |
| 1679 | residents, increases the cost of property insurance, and |
| 1680 | increases the state's reliance on a residual property insurance |
| 1681 | market and its potential for imposing assessments on |
| 1682 | policyholders throughout the state. |
| 1683 | (2) In 2005, the Legislature revised ss. 627.706-627.7074, |
| 1684 | Florida Statutes, to adopt certain geological or technical |
| 1685 | terms; to increase reliance on objective, scientific testing |
| 1686 | requirements; and generally to reduce the number of sinkhole |
| 1687 | claims and related disputes arising under prior law. The |
| 1688 | Legislature determined that since the enactment of these |
| 1689 | statutory revisions, both private-sector insurers and Citizens |
| 1690 | Property Insurance Corporation have, nevertheless, continued to |
| 1691 | experience high claims frequency and severity for sinkhole |
| 1692 | insurance claims. In addition, many properties remain unrepaired |
| 1693 | even after loss payments, which reduces the local property tax |
| 1694 | base and adversely affects the real estate market. Therefore, |
| 1695 | the Legislature finds that losses associated with sinkhole |
| 1696 | claims adversely affect the public health, safety, and welfare |
| 1697 | of this state and its citizens. |
| 1698 | (3) Pursuant to sections 19 through 23 of this act, |
| 1699 | technical or scientific definitions adopted in the 2005 |
| 1700 | legislation are clarified to implement and advance the |
| 1701 | Legislature's intended reduction of sinkhole claims and |
| 1702 | disputes. Certain other revisions to ss. 627.706-627.7074, |
| 1703 | Florida Statutes, are enacted to advance legislative intent to |
| 1704 | rely on scientific or technical determinations relating to |
| 1705 | sinkholes and sinkhole claims, reduce the number and cost of |
| 1706 | disputes relating to sinkhole claims, and ensure that repairs |
| 1707 | are made commensurate with the scientific and technical |
| 1708 | determinations and insurance claims payments. |
| 1709 | Section 19. Section 627.706, Florida Statutes, is amended |
| 1710 | to read: |
| 1711 | 627.706 Sinkhole insurance; catastrophic ground cover |
| 1712 | collapse; definitions.- |
| 1713 | (1)(a) Every insurer authorized to transact property |
| 1714 | insurance in this state must shall provide coverage for a |
| 1715 | catastrophic ground cover collapse. |
| 1716 | (b) The insurer and shall make available, for an |
| 1717 | appropriate additional premium, coverage for sinkhole losses on |
| 1718 | any structure, including the contents of personal property |
| 1719 | contained therein, to the extent provided in the form to which |
| 1720 | the coverage attaches. The insurer may require an inspection of |
| 1721 | the property before issuance of sinkhole loss coverage. A policy |
| 1722 | for residential property insurance may include a deductible |
| 1723 | amount applicable to sinkhole losses equal to 1 percent, 2 |
| 1724 | percent, 5 percent, or 10 percent of the policy dwelling limits, |
| 1725 | with appropriate premium discounts offered with each deductible |
| 1726 | amount. |
| 1727 | (c) The insurer may restrict catastrophic ground cover |
| 1728 | collapse and sinkhole loss coverage to the principal building, |
| 1729 | as defined in the applicable policy. |
| 1730 | (2) As used in ss. 627.706-627.7074, and as used in |
| 1731 | connection with any policy providing coverage for a catastrophic |
| 1732 | ground cover collapse or for sinkhole losses, the term: |
| 1733 | (a) "Catastrophic ground cover collapse" means geological |
| 1734 | activity that results in all the following: |
| 1735 | 1. The abrupt collapse of the ground cover; |
| 1736 | 2. A depression in the ground cover clearly visible to the |
| 1737 | naked eye; |
| 1738 | 3. Structural damage to the covered building, including |
| 1739 | the foundation; and |
| 1740 | 4. The insured structure being condemned and ordered to be |
| 1741 | vacated by the governmental agency authorized by law to issue |
| 1742 | such an order for that structure. |
| 1743 |
|
| 1744 | Contents coverage applies if there is a loss resulting from a |
| 1745 | catastrophic ground cover collapse. Structural Damage consisting |
| 1746 | merely of the settling or cracking of a foundation, structure, |
| 1747 | or building does not constitute a loss resulting from a |
| 1748 | catastrophic ground cover collapse. |
| 1749 | (b) "Neutral evaluation" means the alternative dispute |
| 1750 | resolution provided in s. 627.7074. |
| 1751 | (c) "Neutral evaluator" means a professional engineer or a |
| 1752 | professional geologist who has completed a course of study in |
| 1753 | alternative dispute resolution designed or approved by the |
| 1754 | department for use in the neutral evaluation process and who is |
| 1755 | determined to be fair and impartial. |
| 1756 | (d)(e) "Professional engineer" means a person, as defined |
| 1757 | in s. 471.005, who has a bachelor's degree or higher in |
| 1758 | engineering and has successfully completed at least five courses |
| 1759 | in any combination of the following: geotechnical engineering, |
| 1760 | structural engineering, soil mechanics, foundations, or geology |
| 1761 | with a specialty in the geotechnical engineering field. A |
| 1762 | professional engineer must also have geotechnical experience and |
| 1763 | expertise in the identification of sinkhole activity as well as |
| 1764 | other potential causes of structural damage to the structure. |
| 1765 | (e)(f) "Professional geologist" means a person, as defined |
| 1766 | in by s. 492.102, who has a bachelor's degree or higher in |
| 1767 | geology or related earth science and with expertise in the |
| 1768 | geology of Florida. A professional geologist must have |
| 1769 | geological experience and expertise in the identification of |
| 1770 | sinkhole activity as well as other potential geologic causes of |
| 1771 | structural damage to the structure. |
| 1772 | (f)(b) "Sinkhole" means a landform created by subsidence |
| 1773 | of soil, sediment, or rock as underlying strata are dissolved by |
| 1774 | groundwater. A sinkhole forms may form by collapse into |
| 1775 | subterranean voids created by dissolution of limestone or |
| 1776 | dolostone or by subsidence as these strata are dissolved. |
| 1777 | (g)(c) "Sinkhole loss" means structural damage to the |
| 1778 | covered building, including the foundation, caused by sinkhole |
| 1779 | activity. Contents coverage and additional living expenses shall |
| 1780 | apply only if there is structural damage to the covered building |
| 1781 | caused by sinkhole activity. |
| 1782 | (h)(d) "Sinkhole activity" means settlement or systematic |
| 1783 | weakening of the earth supporting such property only if the when |
| 1784 | such settlement or systematic weakening results from |
| 1785 | contemporaneous movement or raveling of soils, sediments, or |
| 1786 | rock materials into subterranean voids created by the effect of |
| 1787 | water on a limestone or similar rock formation. |
| 1788 | (i) "Structural damage" means a covered building has |
| 1789 | experienced: |
| 1790 | 1. Foundation displacement in excess of acceptable |
| 1791 | variances or deflections as defined in ACI 117-90 or the Florida |
| 1792 | Building Code and damage in the primary structural members or |
| 1793 | primary structural systems that prevents them from supporting |
| 1794 | the loads and forces they were designed to support as defined in |
| 1795 | the Florida Building Code; |
| 1796 | 2. Damage that results in stresses in a primary structural |
| 1797 | member greater than one and one-third the nominal strength |
| 1798 | allowed under the Florida Building Code for new buildings of |
| 1799 | similar structure, purpose, or location; |
| 1800 | 3. Listing, leaning, or buckling of the exterior load |
| 1801 | bearing walls or other vertical primary structural members to |
| 1802 | such an extent that a plumb line passing through the center of |
| 1803 | gravity does not fall inside the middle one-third of the base as |
| 1804 | defined within the Florida Building Code; |
| 1805 | 4. Damage that results in the building, or any portion |
| 1806 | thereof, being likely to imminently collapse partially or |
| 1807 | completely because of the movement or instability of the ground |
| 1808 | within the influence zone of the supporting ground within the |
| 1809 | sheer plane necessary for the purpose of supporting such |
| 1810 | building as defined within the Florida Building Code; or |
| 1811 | 5. Damage that qualifies as "substantial structural |
| 1812 | damage" as defined in the Florida Building Code. |
| 1813 | (3) On or before June 1, 2007, Every insurer authorized to |
| 1814 | transact property insurance in this state shall make a proper |
| 1815 | filing with the office for the purpose of extending the |
| 1816 | appropriate forms of property insurance to include coverage for |
| 1817 | catastrophic ground cover collapse or for sinkhole losses. |
| 1818 | coverage for catastrophic ground cover collapse may not go into |
| 1819 | effect until the effective date provided for in the filing |
| 1820 | approved by the office. |
| 1821 | (3)(4) Insurers offering policies that exclude coverage |
| 1822 | for sinkhole losses must shall inform policyholders in bold type |
| 1823 | of not less than 14 points as follows: "YOUR POLICY PROVIDES |
| 1824 | COVERAGE FOR A CATASTROPHIC GROUND COVER COLLAPSE THAT RESULTS |
| 1825 | IN THE PROPERTY BEING CONDEMNED AND UNINHABITABLE. OTHERWISE, |
| 1826 | YOUR POLICY DOES NOT PROVIDE COVERAGE FOR SINKHOLE LOSSES. YOU |
| 1827 | MAY PURCHASE ADDITIONAL COVERAGE FOR SINKHOLE LOSSES FOR AN |
| 1828 | ADDITIONAL PREMIUM." |
| 1829 | (4)(5) An insurer offering sinkhole coverage to |
| 1830 | policyholders before or after the adoption of s. 30, chapter |
| 1831 | 2007-1, Laws of Florida, may nonrenew the policies of |
| 1832 | policyholders maintaining sinkhole coverage in Pasco County or |
| 1833 | Hernando County, at the option of the insurer, and provide an |
| 1834 | offer of coverage that to such policyholders which includes |
| 1835 | catastrophic ground cover collapse and excludes sinkhole |
| 1836 | coverage. Insurers acting in accordance with this subsection are |
| 1837 | subject to the following requirements: |
| 1838 | (a) Policyholders must be notified that a nonrenewal is |
| 1839 | for purposes of removing sinkhole coverage, and that the |
| 1840 | policyholder is still being offered a policy that provides |
| 1841 | coverage for catastrophic ground cover collapse. |
| 1842 | (b) Policyholders must be provided an actuarially |
| 1843 | reasonable premium credit or discount for the removal of |
| 1844 | sinkhole coverage and provision of only catastrophic ground |
| 1845 | cover collapse. |
| 1846 | (c) Subject to the provisions of this subsection and the |
| 1847 | insurer's approved underwriting or insurability guidelines, the |
| 1848 | insurer shall provide each policyholder with the opportunity to |
| 1849 | purchase an endorsement to his or her policy providing sinkhole |
| 1850 | coverage and may require an inspection of the property before |
| 1851 | issuance of a sinkhole coverage endorsement. |
| 1852 | (d) Section 624.4305 does not apply to nonrenewal notices |
| 1853 | issued pursuant to this subsection. |
| 1854 | (5) Any claim, including, but not limited to, initial, |
| 1855 | supplemental, and reopened claims under an insurance policy that |
| 1856 | provides sinkhole coverage is barred unless notice of the claim |
| 1857 | was given to the insurer in accordance with the terms of the |
| 1858 | policy within 4 years after the policyholder knew or reasonably |
| 1859 | should have known about the sinkhole loss. |
| 1860 | Section 20. Section 627.7065, Florida Statutes, is |
| 1861 | repealed. |
| 1862 | Section 21. Section 627.707, Florida Statutes, is amended |
| 1863 | to read: |
| 1864 | 627.707 Standards for Investigation of sinkhole claims by |
| 1865 | insurers; insurer payment; nonrenewals.-Upon receipt of a claim |
| 1866 | for a sinkhole loss to a covered building, an insurer must meet |
| 1867 | the following standards in investigating a claim: |
| 1868 | (1) The insurer must inspect make an inspection of the |
| 1869 | policyholder's insured's premises to determine if there is |
| 1870 | structural has been physical damage that to the structure which |
| 1871 | may be the result of sinkhole activity. |
| 1872 | (2) If the insurer confirms that structural damage exists |
| 1873 | but is unable to identify a valid cause of such damage or |
| 1874 | discovers that such damage is consistent with sinkhole loss |
| 1875 | Following the insurer's initial inspection, the insurer shall |
| 1876 | engage a professional engineer or a professional geologist to |
| 1877 | conduct testing as provided in s. 627.7072 to determine the |
| 1878 | cause of the loss within a reasonable professional probability |
| 1879 | and issue a report as provided in s. 627.7073, only if sinkhole |
| 1880 | loss is covered under the policy. Except as provided in |
| 1881 | subsections (4) and (6), the fees and costs of the professional |
| 1882 | engineer or professional geologist shall be paid by the |
| 1883 | insurer.: |
| 1884 | (a) The insurer is unable to identify a valid cause of the |
| 1885 | damage or discovers damage to the structure which is consistent |
| 1886 | with sinkhole loss; or |
| 1887 | (b) The policyholder demands testing in accordance with |
| 1888 | this section or s. 627.7072. |
| 1889 | (3) Following the initial inspection of the policyholder's |
| 1890 | insured premises, the insurer shall provide written notice to |
| 1891 | the policyholder disclosing the following information: |
| 1892 | (a) What the insurer has determined to be the cause of |
| 1893 | damage, if the insurer has made such a determination. |
| 1894 | (b) A statement of the circumstances under which the |
| 1895 | insurer is required to engage a professional engineer or a |
| 1896 | professional geologist to verify or eliminate sinkhole loss and |
| 1897 | to engage a professional engineer to make recommendations |
| 1898 | regarding land and building stabilization and foundation repair. |
| 1899 | (c) A statement regarding the right of the policyholder to |
| 1900 | request testing by a professional engineer or a professional |
| 1901 | geologist, and the circumstances under which the policyholder |
| 1902 | may demand certain testing, and the circumstances under which |
| 1903 | the policyholder may incur costs associated with testing. |
| 1904 | (4)(a) If the insurer determines that there is no sinkhole |
| 1905 | loss, the insurer may deny the claim. |
| 1906 | (b) If coverage for sinkhole loss is available and If the |
| 1907 | insurer denies the claim, without performing testing under s. |
| 1908 | 627.7072, the policyholder may demand testing by the insurer |
| 1909 | under s. 627.7072. |
| 1910 | 1. The policyholder's demand for testing must be |
| 1911 | communicated to the insurer in writing within 60 days after the |
| 1912 | policyholder's receipt of the insurer's denial of the claim. |
| 1913 | 2. The policyholder shall pay 50 percent of the actual |
| 1914 | costs of the analyses and services provided under ss. 627.7072 |
| 1915 | and 627.7073 or $2,500, whichever is less. |
| 1916 | 3. The insurer shall reimburse the policyholder for the |
| 1917 | costs if the insurer obtains pursuant to s. 627.7073 written |
| 1918 | certification that there is sinkhole loss. |
| 1919 | (5)(a) Subject to paragraph (b), If a sinkhole loss is |
| 1920 | verified, the insurer shall pay to stabilize the land and |
| 1921 | building and repair the foundation in accordance with the |
| 1922 | recommendations of the professional engineer retained pursuant |
| 1923 | to subsection (2), as provided under s. 627.7073, and in |
| 1924 | consultation with notice to the policyholder, subject to the |
| 1925 | coverage and terms of the policy. The insurer shall pay for |
| 1926 | other repairs to the structure and contents in accordance with |
| 1927 | the terms of the policy. |
| 1928 | (a)(b) The insurer may limit its total claims payment to |
| 1929 | the actual cash value of the sinkhole loss, which does not |
| 1930 | include including underpinning or grouting or any other repair |
| 1931 | technique performed below the existing foundation of the |
| 1932 | building, until the policyholder enters into a contract for the |
| 1933 | performance of building stabilization or foundation repairs in |
| 1934 | accordance with the recommendations set forth in the insurer's |
| 1935 | report issued pursuant to s. 627.7073. |
| 1936 | (b) In order to prevent additional damage to the building |
| 1937 | or structure, the policyholder must enter into a contract for |
| 1938 | the performance of building stabilization or foundation repairs |
| 1939 | within 90 days after the insurance company confirms coverage for |
| 1940 | the sinkhole loss and notifies the policyholder of such |
| 1941 | confirmation. This time period is tolled if either party invokes |
| 1942 | the neutral evaluation process and begins again 10 days after |
| 1943 | the conclusion of the neutral evaluation process. |
| 1944 | (c) After the policyholder enters into the contract for |
| 1945 | the performance of building stabilization or foundation repairs, |
| 1946 | the insurer shall pay the amounts necessary to begin and perform |
| 1947 | such repairs as the work is performed and the expenses are |
| 1948 | incurred. The insurer may not require the policyholder to |
| 1949 | advance payment for such repairs. If repair covered by a |
| 1950 | personal lines residential property insurance policy has begun |
| 1951 | and the professional engineer selected or approved by the |
| 1952 | insurer determines that the repair cannot be completed within |
| 1953 | the policy limits, the insurer must either complete the |
| 1954 | professional engineer's recommended repair or tender the policy |
| 1955 | limits to the policyholder without a reduction for the repair |
| 1956 | expenses incurred. |
| 1957 | (d) The stabilization and all other repairs to the |
| 1958 | structure and contents must be completed within 12 months after |
| 1959 | entering into the contract for repairs described in paragraph |
| 1960 | (b) unless: |
| 1961 | 1. There is a mutual agreement between the insurer and the |
| 1962 | policyholder; |
| 1963 | 2. The claim is involved with the neutral evaluation |
| 1964 | process; |
| 1965 | 3. The claim is in litigation; or |
| 1966 | 4. The claim is under appraisal or mediation. |
| 1967 | (e)(c) Upon the insurer's obtaining the written approval |
| 1968 | of the policyholder and any lienholder, the insurer may make |
| 1969 | payment directly to the persons selected by the policyholder to |
| 1970 | perform the land and building stabilization and foundation |
| 1971 | repairs. The decision by the insurer to make payment to such |
| 1972 | persons does not hold the insurer liable for the work performed. |
| 1973 | The policyholder may not accept a rebate from any person |
| 1974 | performing the repairs specified in this section. If a |
| 1975 | policyholder does receive a rebate, coverage is void and the |
| 1976 | policyholder must refund the amount of the rebate to the |
| 1977 | insurer. Any person making the repairs specified in this section |
| 1978 | who offers a rebate, or any policyholder who accepts a rebate |
| 1979 | for such repairs, commits insurance fraud, a felony of the third |
| 1980 | degree punishable as provided in s. 775.082, s. 775.083, or s. |
| 1981 | 775.084. |
| 1982 | (6) Except as provided in subsection (7), the fees and |
| 1983 | costs of the professional engineer or the professional geologist |
| 1984 | shall be paid by the insurer. |
| 1985 | (6)(7) If the insurer obtains, pursuant to s. 627.7073, |
| 1986 | written certification that there is no sinkhole loss or that the |
| 1987 | cause of the damage was not sinkhole activity, and if the |
| 1988 | policyholder has submitted the sinkhole claim without good faith |
| 1989 | grounds for submitting such claim, the policyholder shall |
| 1990 | reimburse the insurer for 50 percent of the actual costs of the |
| 1991 | analyses and services provided under ss. 627.7072 and 627.7073; |
| 1992 | however, a policyholder is not required to reimburse an insurer |
| 1993 | more than $2,500 with respect to any claim. A policyholder is |
| 1994 | required to pay reimbursement under this subsection only if the |
| 1995 | policyholder requested the analysis and services provided under |
| 1996 | ss. 627.7072 and 627.7073 and the insurer, before prior to |
| 1997 | ordering the analysis under s. 627.7072, informs the |
| 1998 | policyholder in writing of the policyholder's potential |
| 1999 | liability for reimbursement and gives the policyholder the |
| 2000 | opportunity to withdraw the claim. |
| 2001 | (7)(8) An No insurer may not shall nonrenew any policy of |
| 2002 | property insurance on the basis of filing of claims for sinkhole |
| 2003 | partial loss if caused by sinkhole damage or clay shrinkage as |
| 2004 | long as the total of such payments does not exceed the current |
| 2005 | policy limits of coverage for the policy in effect on the date |
| 2006 | of loss, for property damage to the covered building, as set |
| 2007 | forth on the declarations page, and provided the insured has |
| 2008 | repaired the structure in accordance with the engineering |
| 2009 | recommendations made pursuant to subsection (2) upon which any |
| 2010 | payment or policy proceeds were based. |
| 2011 | (8)(9) The insurer may engage a professional structural |
| 2012 | engineer to make recommendations as to the repair of the |
| 2013 | structure. |
| 2014 | Section 22. Section 627.7073, Florida Statutes, is amended |
| 2015 | to read: |
| 2016 | 627.7073 Sinkhole reports.- |
| 2017 | (1) Upon completion of testing as provided in s. 627.7072, |
| 2018 | the professional engineer or professional geologist shall issue |
| 2019 | a report and certification to the insurer and the policyholder |
| 2020 | as provided in this section. |
| 2021 | (a) Sinkhole loss is verified if, based upon tests |
| 2022 | performed in accordance with s. 627.7072, a professional |
| 2023 | engineer or a professional geologist issues a written report and |
| 2024 | certification stating: |
| 2025 | 1. That structural damage to the covered building has been |
| 2026 | identified within a reasonable professional probability. |
| 2027 | 2.1. That the cause of the actual physical and structural |
| 2028 | damage is sinkhole activity within a reasonable professional |
| 2029 | probability. |
| 2030 | 3.2. That the analyses conducted were of sufficient scope |
| 2031 | to identify sinkhole activity as the cause of damage within a |
| 2032 | reasonable professional probability. |
| 2033 | 4.3. A description of the tests performed. |
| 2034 | 5.4. A recommendation by the professional engineer of |
| 2035 | methods for stabilizing the land and building and for making |
| 2036 | repairs to the foundation. |
| 2037 | (b) If there is no structural damage or if sinkhole |
| 2038 | activity is eliminated as the cause of such damage to the |
| 2039 | covered building structure, the professional engineer or |
| 2040 | professional geologist shall issue a written report and |
| 2041 | certification to the policyholder and the insurer stating: |
| 2042 | 1. That there is no structural damage or the cause of such |
| 2043 | the damage is not sinkhole activity within a reasonable |
| 2044 | professional probability. |
| 2045 | 2. That the analyses and tests conducted were of |
| 2046 | sufficient scope to eliminate sinkhole activity as the cause of |
| 2047 | the structural damage within a reasonable professional |
| 2048 | probability. |
| 2049 | 3. A statement of the cause of the structural damage |
| 2050 | within a reasonable professional probability. |
| 2051 | 4. A description of the tests performed. |
| 2052 | (c) The respective findings, opinions, and recommendations |
| 2053 | of the professional engineer or professional geologist as to the |
| 2054 | cause of distress to the property and the findings, opinions, |
| 2055 | and recommendations of the professional engineer as to land and |
| 2056 | building stabilization and foundation repair shall be presumed |
| 2057 | correct. |
| 2058 | (2)(a) Any insurer that has paid a claim for a sinkhole |
| 2059 | loss shall file a copy of the report and certification, prepared |
| 2060 | pursuant to subsection (1), including the legal description of |
| 2061 | the real property and the name of the property owner, the |
| 2062 | neutral evaluator's report, if any, that indicates that sinkhole |
| 2063 | activity caused the damage claimed, a copy of the certification |
| 2064 | indicating that stabilization has been completed, if applicable, |
| 2065 | and the amount of the payment, with the county clerk of court, |
| 2066 | who shall record the report and certification. The insurer shall |
| 2067 | bear the cost of filing and recording one or more reports and |
| 2068 | certifications the report and certification. There shall be no |
| 2069 | cause of action or liability against an insurer for compliance |
| 2070 | with this section. |
| 2071 | (a) The recording of the report and certification does |
| 2072 | not: |
| 2073 | 1. Constitute a lien, encumbrance, or restriction on the |
| 2074 | title to the real property or constitute a defect in the title |
| 2075 | to the real property; |
| 2076 | 2. Create any cause of action or liability against any |
| 2077 | grantor of the real property for breach of any warranty of good |
| 2078 | title or warranty against encumbrances; or |
| 2079 | 3. Create any cause of action or liability against any |
| 2080 | title insurer that insures the title to the real property. |
| 2081 | (b) As a precondition to accepting payment for a sinkhole |
| 2082 | loss, the policyholder must file a copy of any report prepared |
| 2083 | on behalf or at the request of the policyholder regarding the |
| 2084 | insured property. The policyholder shall bear the cost of filing |
| 2085 | and recording such sinkhole report. The recording of the report |
| 2086 | does not: |
| 2087 | 1. Constitute a lien, encumbrance, or restriction on the |
| 2088 | title to the real property or constitute a defect in the title |
| 2089 | to the real property; |
| 2090 | 2. Create any cause of action or liability against any |
| 2091 | grantor of the real property for breach of any warranty of good |
| 2092 | title or warranty against encumbrances; or |
| 2093 | 3. Create any cause of action or liability against any |
| 2094 | title insurer that insures the title to the real property. |
| 2095 | (c)(b) The seller of real property upon which a sinkhole |
| 2096 | claim has been made by the seller and paid by the insurer must |
| 2097 | shall disclose to the buyer of such property that a claim has |
| 2098 | been paid and whether or not the full amount of the proceeds |
| 2099 | were used to repair the sinkhole damage. |
| 2100 | Section 23. Section 627.7074, Florida Statutes, is amended |
| 2101 | to read: |
| 2102 | 627.7074 Alternative procedure for resolution of disputed |
| 2103 | sinkhole insurance claims.- |
| 2104 | (1) As used in this section, the term: |
| 2105 | (a) "Neutral evaluation" means the alternative dispute |
| 2106 | resolution provided for in this section. |
| 2107 | (b) "Neutral evaluator" means a professional engineer or a |
| 2108 | professional geologist who has completed a course of study in |
| 2109 | alternative dispute resolution designed or approved by the |
| 2110 | department for use in the neutral evaluation process, who is |
| 2111 | determined to be fair and impartial. |
| 2112 | (1)(2)(a) The department shall: |
| 2113 | (a) Certify and maintain a list of persons who are neutral |
| 2114 | evaluators. |
| 2115 | (b) The department shall Prepare a consumer information |
| 2116 | pamphlet for distribution by insurers to policyholders which |
| 2117 | clearly describes the neutral evaluation process and includes |
| 2118 | information and forms necessary for the policyholder to request |
| 2119 | a neutral evaluation. |
| 2120 | (2) Neutral evaluation is available to either party if a |
| 2121 | sinkhole report has been issued pursuant to s. 627.7073. At a |
| 2122 | minimum, neutral evaluation must determine: |
| 2123 | (a) Causation; |
| 2124 | (b) All methods of stabilization and repair both above and |
| 2125 | below ground; |
| 2126 | (c) The costs for stabilization and all repairs; and |
| 2127 | (d) Information necessary to carry out subsection (12). |
| 2128 | (3) Following the receipt of the report provided under s. |
| 2129 | 627.7073 or the denial of a claim for a sinkhole loss, the |
| 2130 | insurer shall notify the policyholder of his or her right to |
| 2131 | participate in the neutral evaluation program under this |
| 2132 | section. Neutral evaluation supersedes the alternative dispute |
| 2133 | resolution process under s. 627.7015, but does not invalidate |
| 2134 | the appraisal clause of the insurance policy. The insurer shall |
| 2135 | provide to the policyholder the consumer information pamphlet |
| 2136 | prepared by the department pursuant to subsection (1) |
| 2137 | electronically or by United States mail paragraph (2)(b). |
| 2138 | (4) Neutral evaluation is nonbinding, but mandatory if |
| 2139 | requested by either party. A request for neutral evaluation may |
| 2140 | be filed with the department by the policyholder or the insurer |
| 2141 | on a form approved by the department. The request for neutral |
| 2142 | evaluation must state the reason for the request and must |
| 2143 | include an explanation of all the issues in dispute at the time |
| 2144 | of the request. Filing a request for neutral evaluation tolls |
| 2145 | the applicable time requirements for filing suit for a period of |
| 2146 | 60 days following the conclusion of the neutral evaluation |
| 2147 | process or the time prescribed in s. 95.11, whichever is later. |
| 2148 | (5) Neutral evaluation shall be conducted as an informal |
| 2149 | process in which formal rules of evidence and procedure need not |
| 2150 | be observed. A party to neutral evaluation is not required to |
| 2151 | attend neutral evaluation if a representative of the party |
| 2152 | attends and has the authority to make a binding decision on |
| 2153 | behalf of the party. All parties shall participate in the |
| 2154 | evaluation in good faith. The neutral evaluator must be allowed |
| 2155 | reasonable access to the interior and exterior of insured |
| 2156 | structures to be evaluated or for which a claim has been made. |
| 2157 | Any reports initiated by the policyholder, or an agent of the |
| 2158 | policyholder, confirming a sinkhole loss or disputing another |
| 2159 | sinkhole report regarding insured structures must be provided to |
| 2160 | the neutral evaluator before the evaluator's physical inspection |
| 2161 | of the insured property. |
| 2162 | (6) The insurer shall pay the costs associated with the |
| 2163 | neutral evaluation. However, if a party chooses to hire a court |
| 2164 | reporter or stenographer to contemporaneously record and |
| 2165 | document the neutral evaluation, that party must bear such |
| 2166 | costs. |
| 2167 | (7) Upon receipt of a request for neutral evaluation, the |
| 2168 | department shall provide the parties a list of certified neutral |
| 2169 | evaluators. The parties shall mutually select a neutral |
| 2170 | evaluator from the list and promptly inform the department. If |
| 2171 | the parties cannot agree to a neutral evaluator within 10 |
| 2172 | business days, The department shall allow the parties to submit |
| 2173 | requests to disqualify evaluators on the list for cause. |
| 2174 | (a) The department shall disqualify neutral evaluators for |
| 2175 | cause based only on any of the following grounds: |
| 2176 | 1. A familial relationship exists between the neutral |
| 2177 | evaluator and either party or a representative of either party |
| 2178 | within the third degree. |
| 2179 | 2. The proposed neutral evaluator has, in a professional |
| 2180 | capacity, previously represented either party or a |
| 2181 | representative of either party, in the same or a substantially |
| 2182 | related matter. |
| 2183 | 3. The proposed neutral evaluator has, in a professional |
| 2184 | capacity, represented another person in the same or a |
| 2185 | substantially related matter and that person's interests are |
| 2186 | materially adverse to the interests of the parties. The term |
| 2187 | "substantially related matter" means participation by the |
| 2188 | neutral evaluator on the same claim, property, or adjacent |
| 2189 | property. |
| 2190 | 4. The proposed neutral evaluator has, within the |
| 2191 | preceding 5 years, worked as an employer or employee of any |
| 2192 | party to the case. |
| 2193 | (b) The parties shall appoint a neutral evaluator from the |
| 2194 | department list and promptly inform the department. If the |
| 2195 | parties cannot agree to a neutral evaluator within 14 days, the |
| 2196 | department shall appoint a neutral evaluator from the list of |
| 2197 | certified neutral evaluators. The department shall allow each |
| 2198 | party to disqualify two neutral evaluators without cause. Upon |
| 2199 | selection or appointment, the department shall promptly refer |
| 2200 | the request to the neutral evaluator. |
| 2201 | (c) Within 7 5 business days after the referral, the |
| 2202 | neutral evaluator shall notify the policyholder and the insurer |
| 2203 | of the date, time, and place of the neutral evaluation |
| 2204 | conference. The conference may be held by telephone, if feasible |
| 2205 | and desirable. The neutral evaluator shall hold the neutral |
| 2206 | evaluation conference shall be held within 90 45 days after the |
| 2207 | receipt of the request by the department. Failure of the neutral |
| 2208 | evaluator to hold the conference within 90 days does not |
| 2209 | invalidate either party's right to neutral evaluation or to a |
| 2210 | neutral evaluation conference held outside this timeframe. |
| 2211 | (8) The department shall adopt rules of procedure for the |
| 2212 | neutral evaluation process. |
| 2213 | (8)(9) For policyholders not represented by an attorney, a |
| 2214 | consumer affairs specialist of the department or an employee |
| 2215 | designated as the primary contact for consumers on issues |
| 2216 | relating to sinkholes under s. 20.121 shall be available for |
| 2217 | consultation to the extent that he or she may lawfully do so. |
| 2218 | (9)(10) Evidence of an offer to settle a claim during the |
| 2219 | neutral evaluation process, as well as any relevant conduct or |
| 2220 | statements made in negotiations concerning the offer to settle a |
| 2221 | claim, is inadmissible to prove liability or absence of |
| 2222 | liability for the claim or its value, except as provided in |
| 2223 | subsection (14) (13). |
| 2224 | (10)(11) Regardless of when noticed, any court proceeding |
| 2225 | related to the subject matter of the neutral evaluation shall be |
| 2226 | stayed pending completion of the neutral evaluation and for 5 |
| 2227 | days after the filing of the neutral evaluator's report with the |
| 2228 | court. |
| 2229 | (11) If, based upon his or her professional training and |
| 2230 | credentials, a neutral evaluator is qualified to determine only |
| 2231 | disputes relating to causation or method of repair, the |
| 2232 | department shall allow the neutral evaluator to enlist the |
| 2233 | assistance of another professional from the list of neutral |
| 2234 | evaluators not previously stricken, who, based upon his or her |
| 2235 | professional training and credentials, is able to provide an |
| 2236 | opinion as to other disputed issues. A professional who would be |
| 2237 | disqualified for any reason listed in subsection (7) must be |
| 2238 | disqualified. The neutral evaluator may also use the services of |
| 2239 | professional engineers and professional geologists who are not |
| 2240 | certified as neutral evaluators, as well as licensed building |
| 2241 | contractors, in order to ensure that all items in dispute are |
| 2242 | addressed and the neutral evaluation can be completed. Any |
| 2243 | professional engineer, professional geologist, or licensed |
| 2244 | building contractor retained may be disqualified for any of the |
| 2245 | reasons listed in subsection (7). |
| 2246 | (12) At For matters that are not resolved by the parties |
| 2247 | at the conclusion of the neutral evaluation, the neutral |
| 2248 | evaluator shall prepare a report describing all matters that are |
| 2249 | the subject of the neutral evaluation, including whether, |
| 2250 | stating that in his or her opinion the sinkhole loss has been |
| 2251 | verified or eliminated within a reasonable degree of |
| 2252 | professional probability and, if verified, whether the sinkhole |
| 2253 | activity caused structural damage to the covered building, and |
| 2254 | if so, the need for and estimated costs of stabilizing the land |
| 2255 | and any covered structures or buildings and other appropriate |
| 2256 | remediation or necessary building structural repairs due to the |
| 2257 | sinkhole loss. The evaluator's report shall be sent to all |
| 2258 | parties in attendance at the neutral evaluation and to the |
| 2259 | department, within 14 days after completing the neutral |
| 2260 | evaluation conference. |
| 2261 | (13) The recommendation of the neutral evaluator is not |
| 2262 | binding on any party, and the parties retain access to the |
| 2263 | court. The neutral evaluator's written recommendation is |
| 2264 | admissible in any subsequent action or proceeding relating to |
| 2265 | the claim or to the cause of action giving rise to the claim. |
| 2266 | (14) If the neutral evaluator first verifies the existence |
| 2267 | of a sinkhole that caused structural damage and, second, |
| 2268 | recommends the need for and estimates costs of stabilizing the |
| 2269 | land and any covered structures or buildings and other |
| 2270 | appropriate remediation or building structural repairs, which |
| 2271 | costs exceed the amount that the insurer has offered to pay the |
| 2272 | policyholder, the insurer is liable to the policyholder for up |
| 2273 | to $2,500 in attorney's fees for the attorney's participation in |
| 2274 | the neutral evaluation process. For purposes of this subsection, |
| 2275 | the term "offer to pay" means a written offer signed by the |
| 2276 | insurer or its legal representative and delivered to the |
| 2277 | policyholder within 10 days after the insurer receives notice |
| 2278 | that a request for neutral evaluation has been made under this |
| 2279 | section. |
| 2280 | (15) If the insurer timely agrees in writing to comply and |
| 2281 | timely complies with the recommendation of the neutral |
| 2282 | evaluator, but the policyholder declines to resolve the matter |
| 2283 | in accordance with the recommendation of the neutral evaluator |
| 2284 | pursuant to this section: |
| 2285 | (a) The insurer is not liable for extracontractual damages |
| 2286 | related to a claim for a sinkhole loss but only as related to |
| 2287 | the issues determined by the neutral evaluation process. This |
| 2288 | section does not affect or impair claims for extracontractual |
| 2289 | damages unrelated to the issues determined by the neutral |
| 2290 | evaluation process contained in this section; and |
| 2291 | (b) The insurer is not liable for attorney's fees under s. |
| 2292 | 627.428 or other provisions of the insurance code unless the |
| 2293 | policyholder obtains a judgment that is more favorable than the |
| 2294 | recommendation of the neutral evaluator. |
| 2295 | (16) Neutral evaluators are deemed to be agents of the |
| 2296 | department and have immunity from suit as provided in s. 44.107. |
| 2297 | (17) The department shall adopt rules of procedure for the |
| 2298 | neutral evaluation process. |
| 2299 | Section 24. Subsection (8) of section 627.711, Florida |
| 2300 | Statutes, is amended to read: |
| 2301 | 627.711 Notice of premium discounts for hurricane loss |
| 2302 | mitigation; uniform mitigation verification inspection form.- |
| 2303 | (8) At its expense, the insurer may require that any |
| 2304 | uniform mitigation verification form provided by a policyholder, |
| 2305 | policyholder's agent, an authorized mitigation inspector, or |
| 2306 | inspection company be independently verified by an inspector, an |
| 2307 | inspection company, or an independent third-party quality |
| 2308 | assurance provider which does possess a quality assurance |
| 2309 | program before prior to accepting the uniform mitigation |
| 2310 | verification form as valid. |
| 2311 | Section 25. Subsection (3) of section 631.54, Florida |
| 2312 | Statutes, is amended to read: |
| 2313 | 631.54 Definitions.-As used in this part: |
| 2314 | (3) "Covered claim" means an unpaid claim, including one |
| 2315 | of unearned premiums, which arises out of, and is within the |
| 2316 | coverage, and not in excess of, the applicable limits of an |
| 2317 | insurance policy to which this part applies, issued by an |
| 2318 | insurer, if such insurer becomes an insolvent insurer and the |
| 2319 | claimant or insured is a resident of this state at the time of |
| 2320 | the insured event or the property from which the claim arises is |
| 2321 | permanently located in this state. For entities other than |
| 2322 | individuals, the residence of a claimant, insured, or |
| 2323 | policyholder is the state in which the entity's principal place |
| 2324 | of business is located at the time of the insured event. The |
| 2325 | term does "Covered claim" shall not include: |
| 2326 | (a) Any amount due any reinsurer, insurer, insurance pool, |
| 2327 | or underwriting association, sought directly or indirectly |
| 2328 | through a third party, as subrogation, contribution, |
| 2329 | indemnification, or otherwise; or |
| 2330 | (b) Any claim that would otherwise be a covered claim |
| 2331 | under this part that has been rejected by any other state |
| 2332 | guaranty fund on the grounds that an insured's net worth is |
| 2333 | greater than that allowed under that state's guaranty law. |
| 2334 | Member insurers shall have no right of subrogation, |
| 2335 | contribution, indemnification, or otherwise, sought directly or |
| 2336 | indirectly through a third party, against the insured of any |
| 2337 | insolvent member; or |
| 2338 | (c) Any amount payable for a sinkhole loss other than |
| 2339 | testing deemed appropriate by the association or payable for the |
| 2340 | actual repair of the loss, except that the association may not |
| 2341 | pay for attorney's fees or public adjuster's fees in connection |
| 2342 | with a sinkhole loss or pay the policyholder. The association |
| 2343 | may pay for actual repairs to the property, but is not liable |
| 2344 | for amounts in excess of policy limits. |
| 2345 | Section 26. If any provision of this act, or the |
| 2346 | application thereof to any person or circumstance is held |
| 2347 | invalid, such invalidity shall not affect other provisions or |
| 2348 | applications of this act which can be given effect without the |
| 2349 | invalid provision or application. It is the express intent of |
| 2350 | the Legislature to enact multiple important, but independent, |
| 2351 | reforms to Florida law relating to sinkhole insurance coverage |
| 2352 | and related claims. The Legislature further intends that the |
| 2353 | multiple reforms in the act could and should be enforced if one |
| 2354 | or more provisions are held invalid. To this end, the provisions |
| 2355 | of this act are declared to be severable. |
| 2356 | Section 27. Except as otherwise expressly provided in this |
| 2357 | act, this act shall take effect upon becoming a law. |