1 | A bill to be entitled |
2 | An act relating to insurance; amending s. 628.461, |
3 | F.S., relating to acquisition of controlling stock |
4 | with respect to stock and mutual insurers; including |
5 | prepaid limited health service organizations, health |
6 | maintenance organizations, prepaid health clinics, |
7 | continuing care providers, and multiple-employer |
8 | welfare arrangements within the definition of the term |
9 | "insurer"; providing that a person may not acquire a |
10 | domestic stock insurer or a controlling company unless |
11 | such person has filed with the commissioner and sent |
12 | to the insurer a statement containing specified |
13 | information and the offer, request, invitation, |
14 | agreement, or acquisition has been approved by the |
15 | Commissioner of Insurance; requiring a controlling |
16 | person of a domestic insurer seeking to divest its |
17 | controlling interest in the domestic insurer to file |
18 | notice of the proposed divestiture; requiring the |
19 | filing of a preacquisition notification; providing for |
20 | contents of statement; providing for alternative |
21 | filing materials under specified circumstances; |
22 | providing for approval or disapproval by the |
23 | commissioner of any merger or acquisition of control |
24 | after a public hearing; providing procedures and |
25 | requirements, including notice requirements, with |
26 | respect to such hearings; providing for hearings on a |
27 | consolidated basis; authorizing the commissioner to |
28 | retain attorneys and experts in reviewing the proposed |
29 | acquisition of control; providing nonapplicability; |
30 | providing that failure to file any required statement, |
31 | amendment, or other material or the effectuation or |
32 | attempted effectuation of an acquisition of control |
33 | of, divestiture of, or merger with a domestic insurer |
34 | without approval of the commissioner constitutes a |
35 | violation of the section; providing for jurisdiction |
36 | of courts with respect to violations and service of |
37 | process; authorizing the commissioner to enter an |
38 | order under specified circumstances; defining terms; |
39 | providing criteria and establishing formulae for |
40 | competitive standards; providing that the burden of |
41 | showing prima facie evidence of violation of the |
42 | competitive standard rests with the commissioner; |
43 | authorizing the commissioner to issue specified orders |
44 | if an acquisition violates required standards; |
45 | requiring hearings; requiring an order to be |
46 | accompanied by a written decision of the commissioner; |
47 | authorizing penalties for violation of a cease and |
48 | desist order of the commissioner; providing a fine for |
49 | failure to make required filings and failure to |
50 | demonstrate a good faith effort to comply with any |
51 | filing requirement; specifying acquisitions and |
52 | purchase of securities that are exempt from the |
53 | section; providing procedures and requirements with |
54 | respect to approval or disapproval of the acquisition |
55 | of voting securities; amending s. 628.4615, F.S., |
56 | relating to specialty insurers, the acquisition of |
57 | controlling stock, ownership interest, assets, or |
58 | control thereof, and the merger or consolidation of |
59 | such insurers; removing prepaid limited health service |
60 | organizations, health maintenance organizations, |
61 | prepaid health clinics, continuing care providers, and |
62 | multiple-employer welfare arrangements from the |
63 | definition of specialty insurer; revising procedures |
64 | and requirements with respect to the acquisition of a |
65 | specialty insurer; requiring specified background |
66 | information with respect to new officers, directors, |
67 | trustees, partners, owners, or managers of a specialty |
68 | insurer that is the subject of an acquisition; |
69 | eliminating provisions relating to review of |
70 | acquisition applications, prohibited material change |
71 | in the operation of a specialty insurer or controlling |
72 | company by an acquiring person, acquisition |
73 | proceedings, approval and disapproval of acquisitions, |
74 | burden of proof, validity of acquisitions, and |
75 | unlawful representation of approval by the office, |
76 | penalties therefor, and statute of limitations |
77 | thereon; creating s. 628.800, F.S.; providing |
78 | definitions with respect to pt. IV, ch. 628, F.S., |
79 | relating to insurance holding companies; amending s. |
80 | 628.801, F.S.; substantially rewording provisions |
81 | relating to registration of members of an insurance |
82 | holding company system; providing procedures and |
83 | requirements with respect to such registration; |
84 | requiring reporting of dividends and other |
85 | distributions to shareholders; providing for |
86 | termination of registration; providing for filing of |
87 | consolidated registration statements; authorizing |
88 | specified insurers to register on behalf of an |
89 | affiliated insurer; providing inapplicability; |
90 | providing for filing of a disclaimer of affiliation |
91 | and procedures and requirements with respect thereto; |
92 | requiring the filing of an annual enterprise risk |
93 | report; providing that failure timely to file a |
94 | registration statement or summary thereof or an |
95 | enterprise risk filing constitutes a violation of the |
96 | section; creating s. 628.8011, F.S.; providing |
97 | procedures and requirements with respect to standards |
98 | and management of an insurer within an insurance |
99 | holding company system; establishing standards for |
100 | transactions within an insurance holding company |
101 | system; precluding specified transactions involving a |
102 | domestic insurer and any person in its insurance |
103 | holding company system; providing exceptions; |
104 | providing for review of transactions; requiring notice |
105 | with respect to specified investments; providing |
106 | procedures and requirements with respect to payment of |
107 | extraordinary dividends or the making of extraordinary |
108 | distributions by a domestic insurer; providing |
109 | requirements with respect to management of domestic |
110 | insurers; providing factors to be considered in |
111 | determining adequacy of an insurer's surplus; creating |
112 | 628.8012, F.S.; providing for the establishment of and |
113 | participation in a supervisory college; specifying |
114 | powers of the Commissioner of Insurance with respect |
115 | thereto; providing for payment of expenses of the |
116 | college; creating s. 628.8013, F.S.; providing |
117 | rulemaking authority of the commissioner; creating s. |
118 | 628.8014, providing restrictions on voting of |
119 | securities; amending s. 628.802, F.S.; providing for |
120 | injunctions against specified violations; |
121 | substantially revising provisions relating to the |
122 | voting of securities; substantially revising |
123 | provisions relating to the seizure or sequestration of |
124 | voting securities; amending s. 628.803, F.S.; |
125 | providing a penalty for failure to file a registration |
126 | statement; providing for deposit of funds derived |
127 | therefrom; providing a penalty for knowing violation, |
128 | participation in, or assent to specified violative |
129 | transactions or the making of investments by a |
130 | director or officer of an insurance holding company |
131 | system; authorizing the issuance of cease and desist |
132 | orders with respect to specified transactions or |
133 | contracts; providing penalties for willful violation |
134 | of pt. IV of ch. 628, F.S., by an insurer or any |
135 | director, officer, employee, or agent thereof; |
136 | providing a penalty for knowingly making false |
137 | statements, false reports, or false filings with the |
138 | intent to deceive in the performance duties as an |
139 | officer, director, or employee of an insurance holding |
140 | company system; providing that a violation of ch. 628, |
141 | F.S., which prevents full understanding of an |
142 | enterprise risk may serve as an independent basis for |
143 | disapproving dividends or distributions and for |
144 | placing the insurer under an order of supervision; |
145 | amending ss. 636.065, 641.255, 641.416, and 651.024, |
146 | F.S.; conforming cross-references; reenacting s. |
147 | 48.151(3), F.S., relating to service of process by the |
148 | Chief Financial Officer on specified insurers, to |
149 | incorporate the amendment to s. 628.461, F.S., in a |
150 | reference thereto; reenacting s. 624.310(1)(a), F.S., |
151 | relating to the definition of the term "affiliated |
152 | party," to incorporate the amendments to ss. 628.461 |
153 | and 628.4615, F.S., in references thereto; reenacting |
154 | s. 625.765, F.S., relating to exemptions from |
155 | specified provisions of pt. IV, ch. 625, F.S., |
156 | relating to domestic stock insurers and equity |
157 | securities, to incorporate the amendment to s. |
158 | 628.461, F.S., in a reference thereto; reenacting s. |
159 | 628.705(2), F.S., relating to prohibition of stock |
160 | transfers, to incorporate the amendment to s. 628.461, |
161 | F.S., in a reference thereto; reenacting s. |
162 | 631.051(7), F.S., relating to grounds for |
163 | rehabilitation of a domestic insurer or alien insurer, |
164 | to incorporate the amendments to ss. 628.461 and |
165 | 628.4615, F.S., in references thereto; reenacting s. |
166 | 409.912(19), F.S., relating to cost-effective |
167 | purchasing of health care, to incorporate the |
168 | amendment to s. 628.4615, F.S., in a reference |
169 | thereto; reenacting s. 624.80(1)(b), F.S., relating to |
170 | the definition of the term "insurer," to incorporate |
171 | the amendment to s. 628.4615, F.S., in a reference |
172 | thereto; reenacting s. 626.9928, F.S., relating to |
173 | acquisition of interest in a viatical settlement |
174 | provider, to incorporate the amendment to s. 628.4615, |
175 | F.S., in a reference thereto; reenacting s. 634.252, |
176 | F.S., relating to acquisition requirements with |
177 | respect to motor vehicle service agreement companies, |
178 | to incorporate the amendment to s. 628.4615, F.S., in |
179 | a reference thereto; reenacting s. 634.3073, F.S., |
180 | relating to acquisition requirements with respect to |
181 | home warranty associations, to incorporate the |
182 | amendment to s. 628.4615, F.S., in a reference |
183 | thereto; reenacting s. 634.4085, F.S., relating to |
184 | acquisition requirements with respect to service |
185 | warranty associations, to incorporate the amendment to |
186 | s. 628.4615, F.S., in a reference thereto; reenacting |
187 | s. 642.032(5), F.S., relating to provisions of general |
188 | insurance law applicable to legal expense insurance |
189 | corporations, to incorporate the amendment to s. |
190 | 628.4615, F.S., in a reference thereto; reenacting s. |
191 | 626.7492(6)(b), (8)(f), and (9)(f), F.S., relating to |
192 | duties of insurers using the services of a reinsurance |
193 | intermediary broker or manager, to incorporate the |
194 | amendments to s. 628.801, F.S., in references thereto; |
195 | reenacting s. 626.918(2)(d), F.S., relating to |
196 | conditions of eligibility for surplus lines insurers, |
197 | to incorporate the amendment to s. 628.801, F.S., in a |
198 | reference thereto; providing an effective date. |
199 |
|
200 | Be It Enacted by the Legislature of the State of Florida: |
201 |
|
202 | Section 1. Section 628.461, Florida Statutes, is amended |
203 | to read: |
204 | (Substantial rewording of section. See |
205 | s. 628.461, F.S., for present text.) |
206 | 628.461 Acquisition of controlling stock.- |
207 | (1) DEFINITIONS.-As used in this section, the term |
208 | "insurer" includes any: |
209 | (a) Multiple-employer welfare arrangements operating |
210 | pursuant to chapter 624. |
211 | (b) Prepaid limited health service organizations operating |
212 | under a certificate of authority issued under part I of chapter |
213 | 636. |
214 | (c) Health maintenance organizations operating under a |
215 | certificate of authority issued under part I of chapter 641. |
216 | (d) Prepaid health clinics operating under a certificate |
217 | of authority issued under part II of chapter 641. |
218 | (e) Provider of continuing care operating under a |
219 | certificate of authority or provisional certificate of authority |
220 | issued under chapter 651. |
221 | (2) FILING REQUIREMENTS.-A person may not, individually or |
222 | in conjunction with any affiliated person of such person, |
223 | acquire directly or indirectly, conclude a tender offer or |
224 | exchange offer for, enter into any agreement to exchange |
225 | securities for, or otherwise finally acquire 10 percent or more |
226 | of the outstanding voting securities of a domestic stock insurer |
227 | or of a controlling company, unless at the time the offer, |
228 | request, or invitation is made or the agreement is entered into, |
229 | or prior to the acquisition of the securities if no offer or |
230 | agreement is involved, such person has filed with the |
231 | commissioner and has sent to the insurer, a statement containing |
232 | the information required by this section and the offer, request, |
233 | invitation, agreement, or acquisition has been approved by the |
234 | commissioner in the manner prescribed in this section. |
235 | (a) For purposes of this section, any controlling person |
236 | of a domestic insurer seeking to divest its controlling interest |
237 | in the domestic insurer in any manner shall file with the |
238 | commissioner, with a copy provided to the insurer, notice of its |
239 | proposed divestiture at least 30 days prior to the cessation of |
240 | control. The commissioner shall determine those instances in |
241 | which the party or parties seeking to divest a controlling |
242 | interest in an insurer will be required to file for and obtain |
243 | approval of the transaction. |
244 | (b) With respect to a transaction subject to this |
245 | subsection, the acquiring person must also file a preacquisition |
246 | notification with the commissioner within 5 days of execution of |
247 | an agreement, which shall contain the information as prescribed |
248 | by the National Association of Insurance Commissioners relating |
249 | to those markets which cause the acquisition not to be exempted |
250 | from the provisions of this section. The commissioner may |
251 | require such additional material and information as deemed |
252 | necessary to determine whether the proposed acquisition, if |
253 | consummated, would violate the competitive standard set forth in |
254 | subsection (8). Failure to file the notification may subject the |
255 | violator to penalties specified in subsection (9). The waiting |
256 | period required begins on the date of receipt by the |
257 | commissioner of a preacquisition notification and ends on the |
258 | earlier of the 30th day after the date of receipt of |
259 | notification or termination of the waiting period by the |
260 | commissioner. Prior to the end of the waiting period, the |
261 | commissioner, on a one-time basis, may require the submission of |
262 | additional needed information relevant to the proposed |
263 | acquisition, in which event the waiting period shall end on the |
264 | earlier of the 30th day after receipt of the additional |
265 | information by the commissioner or termination of the waiting |
266 | period by the commissioner. |
267 | (c) For purposes of this section, the term "domestic |
268 | insurer" includes any person controlling a domestic insurer |
269 | unless the person, as determined by the commissioner, is either |
270 | directly or through its affiliates primarily engaged in business |
271 | other than the business of insurance. For the purposes of this |
272 | section, the term "person" does not include any securities |
273 | broker that holds, in the usual and customary broker's function, |
274 | less than 20 percent of the voting securities of an insurance |
275 | company or of any person who controls an insurance company. |
276 | (3) CONTENT OF STATEMENT.- |
277 | (a) The statement to be filed with the office and |
278 | furnished to the insurer and controlling company shall be made |
279 | under oath and contain the following information and any |
280 | additional information as the office deems necessary to |
281 | determine the character, experience, ability, and other |
282 | qualifications of the person or affiliated person of such person |
283 | for the protection of the policyholders and shareholders of the |
284 | insurer and the public: |
285 | 1. The name and address of each person by whom or on whose |
286 | behalf the merger or other acquisition of control referred to in |
287 | subsection (2) is to be effected, hereinafter referred to as the |
288 | "acquiring party," the background information on each natural |
289 | person by whom, or on whose behalf, the acquisition is to be |
290 | made, and, if the acquisition is to be made by or on behalf of a |
291 | corporation, association, or trust, the identity of, and the |
292 | background information specified in this section on, each |
293 | director, officer, trustee, or other natural person performing |
294 | duties similar to those of a director, officer, or trustee for |
295 | the corporation, association, or trust or any person who |
296 | controls, either directly or indirectly, the corporation, |
297 | association, or trust, and: |
298 | a. If the person is an individual, his or her principal |
299 | occupation and all offices and positions held during the past 10 |
300 | years, and any conviction of crimes other than minor traffic |
301 | violations during the past 10 years. |
302 | b. Whether, during such 10-year period, the person has |
303 | been the subject of any proceeding for the revocation of any |
304 | license and, if so, the nature of the proceeding and the |
305 | disposition of the proceeding. |
306 | c. Whether, during the 10-year period, the person has been |
307 | the subject of any proceeding under the Federal Bankruptcy Code |
308 | or whether, during the 10-year period, any corporation, |
309 | partnership, firm, trust, or association in which the person was |
310 | a director, officer, trustee, partner, or other official has |
311 | been subject to any such proceeding, either during the time in |
312 | which the person was a director, officer, trustee, partner, or |
313 | other official or within 12 months thereafter. |
314 | d. Whether, during the 10-year period, the person has been |
315 | enjoined, either temporarily or permanently, by a court of |
316 | competent jurisdiction from violating any federal or state law |
317 | regulating the business of insurance, securities, or banking, or |
318 | from carrying out any particular practice or practices in the |
319 | course of the business of insurance, securities, or banking, |
320 | together with details as to any such event. |
321 | e. If the person is not an individual, a report of the |
322 | nature of its business operations during the past 5 years or for |
323 | the period of time that the person and any predecessors have |
324 | been in existence, whichever is less, an informative description |
325 | of the business intended to be conducted by the person and the |
326 | person's subsidiaries, and a list of all individuals who are or |
327 | who have been selected to become directors, trustees, or |
328 | executive officers of the person, or who perform or will perform |
329 | functions appropriate to such positions. The list must include |
330 | for each individual the information required under subparagraph |
331 | (a)1. |
332 | 2. The source, nature, and amount of the consideration |
333 | used or to be used in effecting the merger or other acquisition |
334 | of control, a description of any transaction where funds were or |
335 | are to be obtained for any such purpose, including any pledge of |
336 | the insurer's stock or the stock of any of its subsidiaries or |
337 | controlling affiliates, and the identity of persons furnishing |
338 | consideration. |
339 | 3. Fully audited financial information as to the earnings |
340 | and financial condition of each acquiring party for the |
341 | preceding 5 fiscal years of each acquiring party, or for the |
342 | period the acquiring party and any predecessors have been in |
343 | existence, whichever is less, and similar unaudited information |
344 | as of a date not earlier than 90 days prior to the filing of the |
345 | statement. |
346 | 4. Any plans or proposals which each acquiring party may |
347 | have to liquidate the insurer, to sell its assets or merge or |
348 | consolidate it with any person, or to make any other material |
349 | change in its business or corporate structure or management. |
350 | 5. The number and class of shares of any security referred |
351 | to in subsection (2) that each acquiring party proposes to |
352 | acquire, the terms of the offer, request, invitation, agreement |
353 | or acquisition referred to in subsection (2), and a statement as |
354 | to the method used to determine the fairness of the proposal. |
355 | 6. The amount of each class of any security referred to in |
356 | subsection (2) which is beneficially owned or concerning which |
357 | there is a right to acquire beneficial ownership by each |
358 | acquiring party. |
359 | 7. A full description of any contracts, arrangement, or |
360 | understandings with respect to any security referred to in |
361 | subsection (2) in which any acquiring party is involved, |
362 | including, but not limited to, transfer of any of the |
363 | securities, joint ventures, loan or option arrangements, puts or |
364 | calls, guarantees of loans, guarantees against loss or |
365 | guarantees of profits, division of losses or profits, or the |
366 | giving or withholding of proxies. The description must identify |
367 | the persons with whom the contracts, arrangements, or |
368 | understandings have been entered into. |
369 | 8. A description of the purchase of any security referred |
370 | to in subsection (2) during the 12 calendar months preceding the |
371 | filing of the statement by any acquiring party, including the |
372 | dates of purchase, names of the purchasers, and consideration |
373 | paid or agreed to be paid. |
374 | 9. A description of any recommendations to purchase any |
375 | security referred to in subsection (2), made during the 12 |
376 | calendar months preceding the filing of the statement by any |
377 | acquiring party or by anyone based upon interviews or at the |
378 | suggestion of the acquiring party. |
379 | 10. Copies of all tender offers for, requests or |
380 | invitations for tenders of, exchange offers for, and agreements |
381 | to acquire or exchange any securities referred to in subsection |
382 | (2), and, if distributed, copies of additional soliciting |
383 | material relating to them. |
384 | 11. The term of any agreement, contract, or understanding |
385 | made with or proposed to be made with any broker-dealer as to |
386 | solicitation of securities referred to in subsection (2) for |
387 | tender, and the amount of any fees, commissions, or other |
388 | compensation to be paid to broker-dealers with regard thereto. |
389 | 12. An agreement by the person required to file the |
390 | statement referred to in subsection (2) that he or she will |
391 | provide the annual enterprise risk report, if applicable, |
392 | specified in s. 628.801, for so long as control exists. |
393 | 13. An acknowledgement by the person required to file the |
394 | statement referred to in subsection (2) that the person and all |
395 | subsidiaries within its control in the insurance holding company |
396 | system will provide information to the commissioner upon request |
397 | as necessary to evaluate enterprise risk to the insurer. |
398 | 14. Such additional information as the commissioner may by |
399 | rule or regulation prescribe as necessary or appropriate for the |
400 | protection of policyholders of the insurer or in the public |
401 | interest. |
402 | (b) If the person required to file the statement referred |
403 | to in subsection (2) is a partnership, limited partnership, |
404 | syndicate, or other group, the commissioner may require that the |
405 | information required by paragraph (a) be given with respect to |
406 | each partner of the partnership or limited partnership, each |
407 | member of the syndicate or group, and each person who controls |
408 | the partner or member. If any partner, member, or person is a |
409 | corporation or if the person required to file the statement |
410 | referred to in subsection (2) is a corporation, the commissioner |
411 | may require that the information required by paragraph (a) be |
412 | given with respect to the corporation, each officer and director |
413 | of the corporation, and each person who is directly or |
414 | indirectly the beneficial owner of more than 10 percent of the |
415 | outstanding voting securities of the corporation. |
416 | (c) If any material change occurs in the facts set forth |
417 | in the statement filed with the commissioner and sent to the |
418 | insurer pursuant to this section, an amendment setting forth the |
419 | change, together with copies of all documents and other material |
420 | relevant to the change, shall be filed with the commissioner and |
421 | sent to the insurer within 2 business days after the person |
422 | learns of the change. A material change in the operation of the |
423 | insurer is a transaction which disposes of or obligates 5 |
424 | percent or more of the capital and surplus of the insurer. A |
425 | material change in the management of the insurer is any change |
426 | in management involving officers or directors of the insurer or |
427 | any person of the insurer or controlling company having |
428 | authority to dispose of or obligate 5 percent or more of the |
429 | insurer's capital or surplus. |
430 | (3) ALTERNATIVE FILING MATERIALS.-If any offer, request, |
431 | invitation, agreement, or acquisition referred to in subsection |
432 | (2) is proposed to be made by means of a registration statement |
433 | under the Securities Act of 1933, or in circumstances requiring |
434 | the disclosure of similar information under the Securities |
435 | Exchange Act of 1934, or under a state law requiring similar |
436 | registration or disclosure, the person required to file the |
437 | statement referred to in subsection (2) may utilize the |
438 | documents in furnishing the information called for by that |
439 | statement. |
440 | (4) APPROVAL BY COMMISSIONER; HEARINGS.- |
441 | (a) The commissioner shall approve any merger or other |
442 | acquisition of control under subsection (2) unless, after a |
443 | public hearing, the commissioner finds that: |
444 | 1. After the change of control, the domestic insurer |
445 | referred to in subsection (2) would not be able to satisfy the |
446 | requirements for the issuance of a license to write the line or |
447 | lines of insurance for which it is presently licensed; |
448 | 2. The effect of the merger or other acquisition of |
449 | control would be substantially to lessen competition in |
450 | insurance in this state or tend to create a monopoly. In |
451 | applying the competitive standard in this subparagraph: |
452 | a. The informational requirements of subsection (2) and |
453 | the standards of subsection (8) shall apply; |
454 | b. The merger or other acquisition shall not be |
455 | disapproved if the commissioner finds that any of the situations |
456 | meeting the criteria provided by subsection (8) exist; and |
457 | c. The commissioner may condition the approval of the |
458 | merger or other acquisition on the removal of the basis of |
459 | disapproval within a specified period of time; |
460 | 3. The financial condition of any acquiring party is such |
461 | that it might jeopardize the financial stability of the insurer, |
462 | or prejudice the interest of its policyholders; |
463 | 4. The plans or proposals which the acquiring party has to |
464 | liquidate the insurer or controlling company, sell its assets, |
465 | consolidate or merge it with any person, or make any other |
466 | material change in its business or corporate structure or |
467 | management are unfair and unreasonable to policyholders of the |
468 | insurer and not in the public interest; |
469 | 5. The competence, experience, and integrity of those |
470 | persons who would control the operation of the insurer are such |
471 | that it would not be in the interest of policyholders of the |
472 | insurer and of the public to permit the merger or other |
473 | acquisition of control; |
474 | 6. The natural persons for whom background information is |
475 | required to be furnished pursuant to this section have |
476 | backgrounds which indicate that it is in the best interests of |
477 | the policyholders of the domestic stock insurer and in the |
478 | public interest to permit such persons to exercise control over |
479 | such domestic stock insurer; |
480 | 7. The officers and directors to be employed after the |
481 | acquisition have sufficient insurance experience and ability to |
482 | assure reasonable promise of successful operation; |
483 | 8. The management of the insurer after the acquisition |
484 | will be competent and trustworthy and will possess sufficient |
485 | managerial experience to make the proposed operation of the |
486 | insurer not hazardous to the insurance-buying public; |
487 | 9. The management of the insurer after the acquisition |
488 | will not include any person who has, directly or indirectly, |
489 | through ownership, control, reinsurance transactions, or other |
490 | insurance or business relations, unlawfully manipulated the |
491 | assets, accounts, finances, or books of any insurer or otherwise |
492 | acted in bad faith with respect thereto; or |
493 | 10. The acquisition is likely to be hazardous or |
494 | prejudicial to the insurance-buying public. |
495 | (b) The public hearing under paragraph (a) shall be held |
496 | within 30 days after the filing of the statement required by |
497 | subsection (2), and at least 20 days' notice shall be given by |
498 | the commissioner to the person filing the statement. Not less |
499 | than 7 days' notice of the public hearing shall be given by the |
500 | person filing the statement to the insurer and to such other |
501 | persons as may be designated by the commissioner. The |
502 | commissioner shall make a determination within the 60-day period |
503 | preceding the effective date of the proposed transaction. At the |
504 | hearing, the person filing the statement, the insurer, any |
505 | person to whom notice of hearing was sent, and any other person |
506 | whose interest may be affected shall have the right to present |
507 | evidence, examine and cross-examine witnesses, and offer oral |
508 | and written arguments and in connection therewith shall be |
509 | entitled to conduct discovery proceedings in the same manner as |
510 | is presently allowed in the circuit courts of this state. All |
511 | discovery proceedings shall be concluded not later than 3 days |
512 | prior to the commencement of the public hearing. |
513 | (c) If the proposed acquisition of control will require |
514 | the approval of more than one commissioner, the public hearing |
515 | referred to in paragraph (b) may be held on a consolidated basis |
516 | upon request of the person filing the statement referred to in |
517 | subsection (2). Such person shall file the statement with the |
518 | National Association of Insurance Commissioners within 5 days of |
519 | making the request for a public hearing. A commissioner may opt |
520 | out of a consolidated hearing and shall provide notice to the |
521 | applicant of the decision to do so within 10 days of the receipt |
522 | of the statement. A hearing conducted on a consolidated basis |
523 | shall be public and shall be held within the United States |
524 | before the commissioners of the states in which the insurers are |
525 | domiciled. At such hearing the commissioners shall hear and |
526 | receive evidence. A commissioner may attend such hearing in |
527 | person or by telecommunication. |
528 | (d) In connection with a change of control of a domestic |
529 | insurer, any determination by the commissioner that the person |
530 | acquiring control of the insurer shall be required to maintain |
531 | or restore the capital of the insurer to the level required by |
532 | the laws and regulations of this state must be made not later |
533 | than 60 days after the date of notification of the change in |
534 | control submitted pursuant to subsection (2). |
535 | (e) The commissioner may retain, at the acquiring person's |
536 | expense, any attorneys, actuaries, accountants, and other |
537 | experts not otherwise a part of the commissioner's staff as may |
538 | be reasonably necessary to assist the commissioner in reviewing |
539 | the proposed acquisition of control. |
540 | (5) NONAPPLICABILITY.-The provisions of this section do |
541 | not apply to any offer, request, invitation, agreement or |
542 | acquisition which the commissioner, by order or by letter, |
543 | exempts as not having been made or entered into for the purpose |
544 | of, and not having the effect of, changing or influencing the |
545 | control of a domestic insurer. |
546 | (6) VIOLATIONS.-The following constitute violations of |
547 | this section: |
548 | (a) The failure to file any statement, amendment, or other |
549 | material required to be filed pursuant to subsection (2) or |
550 | subsection (3); or |
551 | (b) The effectuation or any attempted effectuation of an |
552 | acquisition of control of, divestiture of, or merger with a |
553 | domestic insurer unless the commissioner has given approval. |
554 | (7) JURISDICTION; CONSENT TO SERVICE OF PROCESS.-The |
555 | courts of this state are hereby vested with jurisdiction over |
556 | every person not resident, domiciled, or authorized to do |
557 | business in this state who files a statement with the |
558 | commissioner under this section, and overall actions involving |
559 | such person arising out of violations of this section. Each such |
560 | person shall be deemed to have performed acts equivalent to and |
561 | constituting an appointment by the person of the commissioner to |
562 | be his true and lawful attorney upon whom may be served all |
563 | lawful process in any action, suit, or proceeding arising out of |
564 | violations of this section. Copies of all lawful process shall |
565 | be served on the commissioner and transmitted by registered or |
566 | certified mail by the commissioner to the person at his last |
567 | known address. |
568 | (8) COMPETITIVE STANDARD.- |
569 | (a) As used in this subsection: |
570 | 1. The term "insurer" includes any company or group of |
571 | companies under common management, ownership, or control. |
572 | 2. The term "market" means the relevant product and |
573 | geographical markets. In determining the relevant product and |
574 | geographical markets, the commissioner shall give due |
575 | consideration to, among other things, the definitions or |
576 | guidelines, if any, promulgated by the National Association of |
577 | Insurance Commissioners and to information, if any, submitted by |
578 | parties to the acquisition. In the absence of sufficient |
579 | information to the contrary, the relevant product market is |
580 | assumed to be the direct written insurance premium for a line of |
581 | business, such line being that used in the annual statement |
582 | required to be filed by insurers doing business in this state, |
583 | and the relevant geographical market is assumed to be this |
584 | state. |
585 | (b) The commissioner may enter an order or may send a |
586 | letter under subsection (9) with respect to an acquisition if |
587 | there is substantial evidence that the effect of the acquisition |
588 | may be substantially to lessen competition in any line of |
589 | insurance in this state or to tend to create a monopoly, or if |
590 | the insurer fails to file adequate information in compliance |
591 | with the preacquisition notification required by this section. |
592 | (c) In determining whether a proposed acquisition would |
593 | violate the competitive standard, the commissioner shall |
594 | consider the following: |
595 | 1. Any acquisition covered under subsection (11) involving |
596 | two or more insurers competing in the same market is prima facie |
597 | evidence of violation of the competitive standards. |
598 | a. If the market is highly concentrated and the involved |
599 | insurers possess the following shares of the market: |
600 |
|
601 | Insurer A Insurer B |
602 |
|
603 | 4% 4% or more |
604 | 10% 2% or more |
605 | 15% 1% or more |
606 |
|
607 | b. Or, if the market is not highly concentrated and the |
608 | involved insurers possess the following shares of the market: |
609 |
|
610 | Insurer A Insurer B |
611 |
|
612 | 5% 5% or more |
613 | 10% 4% or more |
614 | 15% 3% or more |
615 | 19% 1% or more |
616 |
|
617 | A highly concentrated market is one in which the share of the |
618 | four largest insurers is 75 percent or more of the market. |
619 | Percentages not shown in the tables are interpolated |
620 | proportionately to the percentages that are shown. If more than |
621 | two insurers are involved, exceeding the total of the two |
622 | columns in the table is prima facie evidence of violation of the |
623 | competitive standard in this subsection. For the purposes of |
624 | this paragraph, the insurer with the largest share of the market |
625 | is deemed to be Insurer A. |
626 | 2. There is a significant trend toward increased |
627 | concentration when the aggregate market share of any grouping of |
628 | the largest insurers in the market, from the two largest to the |
629 | eighth largest, has increased by 7 percent or more of the market |
630 | over a period of time extending from any base year 5 to 10 years |
631 | prior to the acquisition up to the time of the acquisition. Any |
632 | acquisition or merger covered under this section involving two |
633 | or more insurers competing in the same market is prima facie |
634 | evidence of violation of the competitive standard in this |
635 | subsection if: |
636 | a. There is a significant trend toward increased |
637 | concentration in the market; |
638 | b. One of the insurers involved is one of the insurers in |
639 | a grouping of large insurers showing the requisite increase in |
640 | the market share; and |
641 | c. Another involved insurer's market is 2 percent or more. |
642 | (d)1. The burden of showing prima facie evidence of |
643 | violation of the competitive standard rests upon the |
644 | commissioner. |
645 | 2. Even though an acquisition is not prima facie evidence |
646 | of violation of the competitive standard under this subsection, |
647 | the commissioner may establish the requisite anticompetitive |
648 | effect based upon other substantial evidence and a party may |
649 | establish the absence of the requisite anticompetitive effect |
650 | based upon other substantial evidence. Relevant factors in |
651 | making a determination under this subsection include, but are |
652 | not limited to, the following: |
653 | a. Market shares. |
654 | b. Volatility of ranking of market leaders. |
655 | c. Number of competitors. |
656 | d. Concentration. |
657 | e. Trend of concentration in the industry. |
658 | f. Ease of entry into and exit from the market. |
659 | (e) An order denying the acquisition may not be entered |
660 | if: |
661 | 1. The acquisition will yield substantial economies of |
662 | scale or economies in resource utilization that cannot be |
663 | feasibly achieved in any other way, and the public benefits |
664 | which would arise from such economies exceed the public benefits |
665 | which would arise from not lessening competition; or |
666 | 2. The acquisition will substantially increase the |
667 | availability of insurance, and the public benefits of the |
668 | increase exceed the public benefits which would arise from not |
669 | lessening competition. |
670 | (9) ORDERS AND PENALTIES.- |
671 | (a) If an acquisition violates the standards of this |
672 | section, the commissioner may enter an order: |
673 | 1. Requiring an involved insurer to cease and desist from |
674 | doing business in this state with respect to the line or lines |
675 | of insurance involved in the violation; or |
676 | 2. Denying the application of an acquired or acquiring |
677 | insurer for a license to do business in this state. |
678 | (b) Such an order shall not be entered unless: |
679 | 1. There is a hearing; |
680 | 2. Notice of the hearing is issued prior to the end of the |
681 | waiting period and not less than 15 days prior to the hearing; |
682 | and |
683 | 3. The hearing is concluded and the order is issued no |
684 | later than 60 days after the date of the filing of the |
685 | preacquisition notification with the commissioner. This deadline |
686 | may be waived by the parties. |
687 |
|
688 | Every order shall be accompanied by a written decision of the |
689 | commissioner setting forth findings of fact and conclusions of |
690 | law. |
691 | (c) An order pursuant to this section does not apply if |
692 | the acquisition is not consummated. |
693 | (d) Any person who violates a cease and desist order of |
694 | the commissioner under this section while the order is in effect |
695 | may, after notice and hearing and upon order of the |
696 | commissioner, be subject at the discretion of the commissioner |
697 | to one or more of the following: |
698 | 1. A monetary penalty of not more than $10,000 for every |
699 | day of violation; or |
700 | 2. Suspension or revocation of the person's license. |
701 | (e) Any insurer or other person who fails to make any |
702 | filing required by this section and who also fails to |
703 | demonstrate a good faith effort to comply with any filing |
704 | requirement shall be subject to a fine of not more than $50,000. |
705 | (10) EXEMPTIONS.-This section does not apply to the |
706 | following: |
707 | (a) A purchase of securities solely for investment |
708 | purposes so long as the securities are not used by voting or |
709 | otherwise to cause or attempt to cause the substantial lessening |
710 | of competition in any insurance market in this state. If a |
711 | purchase of securities results in a presumption of control it is |
712 | not solely for investment purposes unless the commissioner of |
713 | the insurer's state of domicile accepts a disclaimer of control |
714 | or affirmatively finds that control does not exist and the |
715 | disclaimer action or affirmative finding is communicated by the |
716 | domiciliary commissioner to the commissioner of this state. |
717 | (b) The acquisition of a person by another person when |
718 | both persons are neither directly nor through affiliates |
719 | primarily engaged in the business of insurance, if |
720 | preacquisition notification is filed with the commissioner in |
721 | accordance with this section 30 days prior to the proposed |
722 | effective date of the acquisition. However, such preacquisition |
723 | notification is not required for exclusion from this section if |
724 | the acquisition would otherwise be excluded from this section. |
725 | (c) The acquisition of already affiliated persons. |
726 | (d) An acquisition if, as an immediate result of the |
727 | acquisition: |
728 | 1. In no market would the combined market share of the |
729 | involved insurers exceed 5 percent of the total market; |
730 | 2. There would be no increase in any market share; or |
731 | 3. In no market would: |
732 | a. The combined market share of the involved insurers |
733 | exceed 12 percent of the total market; and |
734 | b. The market share increase by more than 2 percent of the |
735 | total market. |
736 |
|
737 | As used in this paragraph, the term "market" means direct |
738 | written insurance premium in this state for a line of business |
739 | as contained in the annual statement required to be filed by |
740 | insurers licensed to do business in this state. |
741 | (e) An acquisition for which a preacquisition notification |
742 | would be required pursuant to this section due solely to the |
743 | resulting effect on the ocean marine insurance line of business. |
744 | (f) An acquisition of an insurer whose domiciliary |
745 | commissioner affirmatively finds that: |
746 | 1. The insurer is in failing condition; |
747 | 2. There is a lack of feasible alternative to improving |
748 | such condition; |
749 | 3. The public benefits of improving the insurer's |
750 | condition through the acquisition exceed the public benefits |
751 | that would arise from not lessening competition; and |
752 | 4. The findings are communicated by the domiciliary |
753 | commissioner to the commissioner of this state. |
754 | (g) Acquisitions subject to s. 628.4615. |
755 | (11) APPROVAL; CONCLUSION OF ACQUISITION; DISAPPROVAL.-The |
756 | acquisition of voting securities shall be deemed approved unless |
757 | the office disapproves the proposed acquisition within 90 days |
758 | after the statement required by subsection (2) has been filed. |
759 | The office may on its own initiate or, if requested to do so in |
760 | writing by a substantially affected party, shall conduct a |
761 | proceeding to consider the appropriateness of the proposed |
762 | filing. The 90-day time period shall be tolled during the |
763 | pendency of the proceeding. Any written request for a proceeding |
764 | must be filed with the office within 10 days of the date on |
765 | which notice of the filing is given. During the pendency of the |
766 | proceeding or review period by the office, any person or |
767 | affiliated person complying with the filing requirements of this |
768 | section may proceed and take all steps necessary to conclude the |
769 | acquisition so long as the acquisition becoming final is |
770 | conditioned upon obtaining office approval. The office shall, |
771 | however, at any time that it finds an immediate danger to the |
772 | public health, safety, and welfare of the domestic policyholders |
773 | exists, immediately order, pursuant to s. 120.569(2)(n), the |
774 | proposed acquisition temporarily disapproved and any further |
775 | steps to conclude the acquisition ceased. |
776 | Section 2. Section 628.4615, Florida Statutes, is amended |
777 | to read: |
778 | 628.4615 Specialty insurers; acquisition of controlling |
779 | stock, ownership interest, assets, or control; merger or |
780 | consolidation.- |
781 | (1) For the purposes of this section, the term "specialty |
782 | insurer" means any person holding a license or certificate of |
783 | authority as: |
784 | (a) A motor vehicle service agreement company authorized |
785 | to issue motor vehicle service agreements as those terms are |
786 | defined in s. 634.011; |
787 | (b) A home warranty association authorized to issue "home |
788 | warranties" as those terms are defined in s. 634.301; |
789 | (c) A service warranty association authorized to issue |
790 | "service warranties" as those terms are defined in s. |
791 | 634.401(13) and (14); |
792 | (d) A prepaid limited health service organization |
793 | authorized to issue prepaid limited health service contracts, as |
794 | those terms are defined in chapter 636; |
795 | (e) An authorized health maintenance organization |
796 | operating pursuant to s. 641.21; |
797 | (f) An authorized prepaid health clinic operating pursuant |
798 | to s. 641.405; |
799 | (d)(g) A legal expense insurance corporation authorized to |
800 | engage in a legal expense insurance business pursuant to s. |
801 | 642.021; |
802 | (h) A provider that is licensed to operate a facility that |
803 | undertakes to provide continuing care as those terms are defined |
804 | in s. 651.011; |
805 | (i) A multiple-employer welfare arrangement operating |
806 | pursuant to ss. 624.436-624.446; |
807 | (e)(j) A premium finance company authorized to finance |
808 | insurance premiums pursuant to s. 627.828; or |
809 | (f)(k) A corporation authorized to accept donor annuity |
810 | agreements pursuant to s. 627.481. |
811 | (2) A person may not, individually or in conjunction with |
812 | any affiliated person of such person, directly or indirectly, |
813 | conclude a tender offer or exchange offer for, enter into any |
814 | agreement to exchange securities for, or otherwise finally |
815 | acquire, 10 percent or more of the outstanding voting securities |
816 | of a specialty insurer which is a stock corporation or of a |
817 | controlling company of a specialty insurer which is a stock |
818 | corporation; or conclude an acquisition of, or otherwise finally |
819 | acquire, 10 percent or more of the ownership interest of a |
820 | specialty insurer which is not a stock corporation or of a |
821 | controlling company of a specialty insurer which is not a stock |
822 | corporation, unless: |
823 | (a) the person or affiliated person has filed with the |
824 | office and sent by registered mail to the principal office of |
825 | the specialty insurer and controlling company a letter of |
826 | notification regarding the transaction or proposed transaction |
827 | no later than 5 days after any form of tender offer or exchange |
828 | offer is proposed, or no later than 5 days after the acquisition |
829 | of the securities or ownership interest if no tender offer or |
830 | exchange offer is involved. The notification must be provided on |
831 | forms prescribed by the commission containing information |
832 | determined necessary to understand the transaction and identify |
833 | all purchasers and owners involved.; |
834 | (b) The person or affiliated person has filed with the |
835 | office an application signed under oath and prepared on forms |
836 | prescribed by the commission which contains the information |
837 | specified in subsection (4). The application must be completed |
838 | and filed within 30 days after any form of tender offer or |
839 | exchange offer is proposed, or after the acquisition of the |
840 | securities if no tender offer or exchange offer is involved; and |
841 | (c) The office has approved the tender offer or exchange |
842 | offer, or acquisition if no tender offer or exchange offer is |
843 | involved. |
844 | (3) This section does not apply to any acquisition of |
845 | voting securities or ownership interest of a specialty insurer |
846 | or of a controlling company by any person who, on July 9, 1986, |
847 | is the owner of a majority of such voting securities or |
848 | ownership interest or who, on or after July 9, 1986, becomes the |
849 | owner of a majority of such voting securities or ownership |
850 | interest with the approval of the office under this section. The |
851 | person or affiliated person filing the required notice in |
852 | paragraph (2)(a) may request the office to waive the |
853 | requirements of paragraph (2)(b) if there is no change in the |
854 | ultimate controlling shareholder or ownership percentages of the |
855 | ultimate controlling shareholders and no unaffiliated parties |
856 | acquire any direct or indirect interest in the specialty |
857 | insurer. The office may waive the filing if it determines that |
858 | in fact there is no change in the ultimate controlling |
859 | shareholder or ownership percentages of the ultimate controlling |
860 | shareholders and no unaffiliated parties will acquire any direct |
861 | or indirect interest in the specialty insurer. |
862 | (3)(a)(4) Within 30 days of the tender offer or exchange |
863 | offer, the party or affiliated party shall provide to the office |
864 | the background information for any new officers, directors, |
865 | trustees, partners, owners, managers, or joint venturers, or |
866 | other persons performing duties similar to those of persons in |
867 | such positions, of the specialty insurer as a result of the |
868 | acquisition The application to be filed with the office and |
869 | furnished to the specialty insurer and controlling company shall |
870 | contain the following information and any additional information |
871 | as the office deems necessary to determine the character, |
872 | experience, ability, and other qualifications of the specialty |
873 | insurer's management person or affiliated person of such person |
874 | for the protection of the insureds of the specialty insurer and |
875 | of the public. The information as to the background and identity |
876 | of each such natural person shall include: |
877 | (a)1. The identity of, and the background information |
878 | specified in subsection (5) on, each natural person by whom, or |
879 | on whose behalf, the acquisition is to be made; and, |
880 | 2. If the acquisition is to be made by, or on behalf of, a |
881 | person other than a natural person and as to any person who |
882 | controls, either directly or indirectly, such other person, the |
883 | identity of, and the background information specified in |
884 | subsection (5) on: |
885 | a. Each director, officer, or trustee, if a corporation, |
886 | or |
887 | b. Each partner, owner, manager, or joint venturer, or |
888 | other person performing duties similar to those of persons in |
889 | the aforementioned positions, if not a corporation, |
890 |
|
891 | for the person. |
892 | (b) The source and amount of the funds or other |
893 | consideration used, or to be used, in making the acquisition. |
894 | (c) Any plans or proposals which such persons may have |
895 | made to liquidate the specialty insurer, to sell any of its |
896 | assets or merge or consolidate it with any person, or to make |
897 | any other major change in its business or corporate structure or |
898 | management; and any plans or proposals which such persons may |
899 | have made to liquidate any controlling company of the specialty |
900 | insurer, to sell any of its assets or merge or consolidate it |
901 | with any person, or to make any other major change in its |
902 | business or corporate structure or management. |
903 | (d) The nature and the extent of the controlling interest |
904 | which the person or affiliated person of such person proposes to |
905 | acquire, the terms of the proposed acquisition, and the manner |
906 | in which the controlling interest is to be acquired of a |
907 | specialty insurer or controlling company which is not a stock |
908 | corporation. |
909 | (e) The number of shares or other securities which the |
910 | person or affiliated person of such person proposes to acquire, |
911 | the terms of the proposed acquisition, and the manner in which |
912 | the securities are to be acquired. |
913 | (f) Information as to any contract, arrangement, or |
914 | understanding with any party with respect to any of the |
915 | securities of the specialty insurer or controlling company, |
916 | including, but not limited to, information relating to the |
917 | transfer of any of the securities, option arrangements, puts or |
918 | calls, or the giving or withholding of proxies, which |
919 | information names the party with whom the contract, arrangement, |
920 | or understanding has been entered into and gives the details |
921 | thereof. |
922 | (5)(a) The information as to the background and identity |
923 | of each natural person, which information is required to be |
924 | furnished pursuant to paragraph (4)(a), shall include: |
925 | 1. The natural person's occupations, positions of |
926 | employment, and offices held during the past 10 years. |
927 | 2. The principal business and address of any business, |
928 | corporation, or organization in which each such office of the |
929 | natural person was held, or in which each such occupation or |
930 | position of employment was carried on. |
931 | 3. Whether the natural person was, at any time during such |
932 | 10-year period, convicted of any crime other than a traffic |
933 | violation. |
934 | 4. Whether the natural person has been, during such 10- |
935 | year period, the subject of any proceeding for the revocation of |
936 | any license and, if so, the nature of the proceeding and the |
937 | disposition of the proceeding. |
938 | 5. Whether, during the 10-year period, the natural person |
939 | has been the subject of any proceeding under the federal |
940 | Bankruptcy Act; or whether, during the 10-year period, any |
941 | person or other business or organization in which the natural |
942 | person was a director, officer, trustee, partner, owner, |
943 | manager, or other official has been subject to any such |
944 | proceeding, either during the time in which the natural person |
945 | was a director, officer, or trustee, if a corporation, or a |
946 | partner, owner, manager, joint venturer, or other official, if |
947 | not a corporation, or within 12 months thereafter. |
948 | 6. Whether, during the 10-year period, the natural person |
949 | has been enjoined, either temporarily or permanently, by a court |
950 | of competent jurisdiction from violating any federal or state |
951 | law regulating the business of insurance, securities, or |
952 | banking, or from carrying out any particular practice or |
953 | practices in the course of the business of insurance, |
954 | securities, or banking, together with details as to any such |
955 | event. |
956 | 7. Fingerprints of each person referred to in this section |
957 | subsection (4). |
958 | (b) Any person filing the statement required by this |
959 | section shall give all required information that is within the |
960 | knowledge of: |
961 | 1. The directors, officers, or trustees, if a corporation, |
962 | or |
963 | 2. The partners, owners, managers, or joint venturers, or |
964 | others performing functions similar to those of a director, |
965 | officer, or trustee, if not a corporation, |
966 |
|
967 | of the person making the filing and of any person controlling |
968 | either directly or indirectly such person. If any material |
969 | change occurs in the facts set forth in the application filed |
970 | with the office pursuant to this section, an amendment setting |
971 | forth such changes shall be filed immediately with the office, |
972 | and a copy of the amendment shall be sent by registered mail to |
973 | the principal office of the specialty insurer and to the |
974 | principal office of the controlling company. |
975 | (6)(a) The acquisition application shall be reviewed in |
976 | accordance with chapter 120. The office may on its own initiate, |
977 | or, if requested to do so in writing by a substantially affected |
978 | person, shall conduct, a proceeding to consider the |
979 | appropriateness of the proposed filing. Time periods for |
980 | purposes of chapter 120 shall be tolled during the pendency of |
981 | the proceeding. Any written request for a proceeding must be |
982 | filed with the office within 10 days of the date notice of the |
983 | filing is given. During the pendency of the proceeding or review |
984 | period by the office, any person or affiliated person complying |
985 | with the filing requirements of this section may proceed and |
986 | take all steps necessary to conclude the acquisition so long as |
987 | the acquisition becoming final is conditioned upon obtaining |
988 | office approval. The office shall, however, at any time it finds |
989 | an immediate danger to the public health, safety, and welfare of |
990 | the insureds exists, immediately order, pursuant to s. |
991 | 120.569(2)(n), the proposed acquisition disapproved and any |
992 | further steps to conclude the acquisition ceased. |
993 | (b) During the pendency of the office's review of any |
994 | acquisition subject to the provisions of this section, the |
995 | acquiring person shall not make any material change in the |
996 | operation of the specialty insurer or controlling company unless |
997 | the office has specifically approved the change nor shall the |
998 | acquiring person make any material change in the management of |
999 | the specialty insurer unless advance written notice of the |
1000 | change in management is furnished to the office. A material |
1001 | change in the operation of the specialty insurer is a |
1002 | transaction which disposes of or obligates 5 percent or more of |
1003 | the capital and surplus of the specialty insurer. A material |
1004 | change in the management of the specialty insurer is any change |
1005 | in management involving officers or directors of the specialty |
1006 | insurer or any person of the specialty insurer or controlling |
1007 | company having authority to dispose of or obligate 5 percent or |
1008 | more of the specialty insurer's capital or surplus. The office |
1009 | shall approve a material change in operations if it finds the |
1010 | applicable provisions of subsection (8) have been met. The |
1011 | office may disapprove a material change in management if it |
1012 | finds that the applicable provisions of subsection (8) have not |
1013 | been met and in such case the specialty insurer shall promptly |
1014 | change management as acceptable to the office. |
1015 | (c) If a request for a proceeding is filed, the proceeding |
1016 | shall be conducted within 60 days after the date the written |
1017 | request for a proceeding is received by the office. A |
1018 | recommended order shall be issued within 20 days of the date of |
1019 | the close of the proceedings. A final order shall be issued |
1020 | within 20 days of the date of the recommended order or, if |
1021 | exceptions to the recommended order are filed, within 20 days of |
1022 | the date the exceptions are filed. |
1023 | (7) The office may disapprove any acquisition subject to |
1024 | the provisions of this section by any person or any affiliated |
1025 | person of such person who: |
1026 | (a) Willfully violates this section; |
1027 | (b) In violation of an order of the office issued pursuant |
1028 | to subsection (11), fails to divest himself or herself of any |
1029 | stock or ownership interest obtained in violation of this |
1030 | section or fails to divest himself or herself of any direct or |
1031 | indirect control of such stock or ownership interest, within 25 |
1032 | days after such order; or |
1033 | (c) In violation of an order issued by the office pursuant |
1034 | to subsection (11), acquires an additional stock or ownership |
1035 | interest in a specialty insurer or controlling company or direct |
1036 | or indirect control of such stock or ownership interest, without |
1037 | complying with this section. |
1038 | (8) The person or persons filing the application required |
1039 | by subsection (2) shall have the burden of proof. The office |
1040 | shall approve any such acquisition if it finds, on the basis of |
1041 | the record made during any proceeding or on the basis of the |
1042 | filed application if no proceeding is conducted, that: |
1043 | (a) Upon completion of the acquisition, the specialty |
1044 | insurer will be able to satisfy the requirements for the |
1045 | issuance of a license or certificate to write the line of |
1046 | insurance for which it is presently licensed or certificated. |
1047 | (b) The financial condition of the acquiring person or |
1048 | persons will not jeopardize the financial stability of the |
1049 | specialty insurer or prejudice the interests of its insureds or |
1050 | the public. |
1051 | (c) Any plan or proposal which the acquiring person has, |
1052 | or acquiring persons have, made: |
1053 | 1. To liquidate the specialty insurer, sell its assets, or |
1054 | merge or consolidate it with any person, or to make any other |
1055 | major change in its business or corporate structure or |
1056 | management, or |
1057 | 2. To liquidate any controlling company, sell its assets, |
1058 | or merge or consolidate it with any person, or to make any major |
1059 | change in its business or corporate structure or management |
1060 | which would have an effect upon the specialty insurer, |
1061 |
|
1062 | is fair and free of prejudice to the insureds of the specialty |
1063 | insurer or to the public. |
1064 | (d) The competence, experience, and integrity of those |
1065 | persons who will control directly or indirectly the operation of |
1066 | the specialty insurer indicate that the acquisition is in the |
1067 | best interest of the insureds of the insurer and in the public |
1068 | interest. |
1069 | (e) The natural persons for whom background information is |
1070 | required to be furnished pursuant to this section have such |
1071 | backgrounds as to indicate that it is in the best interests of |
1072 | the insureds of the specialty insurer and in the public interest |
1073 | to permit such persons to exercise control over the specialty |
1074 | insurer. |
1075 | (f) The directors and officers, if such specialty insurer |
1076 | or controlling company is a stock corporation, or the trustees, |
1077 | partners, owners, managers, or joint venturers or other persons |
1078 | performing duties similar to those of persons in the |
1079 | aforementioned positions, if such specialty insurer or |
1080 | controlling company is not a stock corporation, to be employed |
1081 | after the acquisition have sufficient insurance experience and |
1082 | ability to assure reasonable promise of successful operation. |
1083 | (g) The management of the specialty insurer after the |
1084 | acquisition will be competent and trustworthy, and will possess |
1085 | sufficient managerial experience so as to make the proposed |
1086 | operation of the specialty insurer not hazardous to the |
1087 | insurance-buying public. |
1088 | (h) The management of the specialty insurer after the |
1089 | acquisition shall not include any person who has directly or |
1090 | indirectly through ownership, control, reinsurance transactions, |
1091 | or other insurance or business relations unlawfully manipulated |
1092 | the assets, accounts, finances, or books of any insurer or |
1093 | otherwise acted in bad faith with respect thereto. |
1094 | (i) The acquisition is not likely to be hazardous or |
1095 | prejudicial to the insureds of the insurer or to the public. |
1096 | (j) The effect of the acquisition would not substantially |
1097 | lessen competition in the line of insurance for which the |
1098 | specialty insurer is licensed or certified in this state or |
1099 | would not tend to create a monopoly therein. |
1100 | (9) No vote by the stockholder of record, or by any other |
1101 | person, of any security acquired in contravention of the |
1102 | provisions of this section is valid. Any acquisition contrary to |
1103 | the provisions of this section is void. Upon the petition of the |
1104 | specialty insurer or the controlling company, the circuit court |
1105 | for the county in which the principal office of the specialty |
1106 | insurer is located may, without limiting the generality of its |
1107 | authority, order the issuance or entry of an injunction or other |
1108 | order to enforce the provisions of this section. There shall be |
1109 | a private right of action in favor of the specialty insurer or |
1110 | controlling company to enforce the provisions of this section. |
1111 | No demand upon the office that it perform its functions shall be |
1112 | required as a prerequisite to any suit by the specialty insurer |
1113 | or controlling company against any other person, and in no case |
1114 | shall the office be deemed a necessary party to any action by |
1115 | the specialty insurer or controlling company to enforce the |
1116 | provisions of this section. Any person who makes or proposes an |
1117 | acquisition requiring the filing of an application pursuant to |
1118 | this section, or who files such an application, shall be deemed |
1119 | to have thereby designated the Chief Financial Officer, or his |
1120 | or her assistant or deputy or another person in charge of his or |
1121 | her office, as such person's agent for service of process under |
1122 | this section and shall thereby be deemed to have submitted |
1123 | himself or herself to the administrative jurisdiction of the |
1124 | office and to the jurisdiction of the circuit court. |
1125 | (10) Any approval by the office under this section does |
1126 | not constitute a recommendation by the office of the tender |
1127 | offer or exchange offer, or acquisition, if no tender offer or |
1128 | exchange offer is involved. It is unlawful for a person to |
1129 | represent that the office's approval constitutes a |
1130 | recommendation. A person who violates the provisions of this |
1131 | subsection commits a felony of the third degree, punishable as |
1132 | provided in s. 775.082, s. 775.083, or s. 775.084. The statute- |
1133 | of-limitations period for the prosecution of an offense |
1134 | committed under this subsection is 5 years. |
1135 | (4)(11) If the office determines that any person or any |
1136 | affiliated person of such person has acquired 10 percent or more |
1137 | of the outstanding voting securities of a specialty insurer or |
1138 | controlling company which is a stock corporation, or 10 percent |
1139 | or more of the ownership interest of a specialty insurer or |
1140 | controlling company which is not a stock corporation, without |
1141 | complying with the provisions of this section, the office may |
1142 | order that the person and any affiliated person of such person |
1143 | cease acquisition of the specialty insurer or controlling |
1144 | company and, if appropriate, divest itself of any stock or |
1145 | ownership interest acquired in violation of this section. |
1146 | (5)(12)(a) The office shall, if necessary to protect the |
1147 | public interest, suspend or revoke the certificate of authority |
1148 | of any specialty insurer or controlling company acquired in |
1149 | violation of this section. |
1150 | (b) If any specialty insurer is subject to suspension or |
1151 | revocation pursuant to this section paragraph (a), the specialty |
1152 | insurer shall be deemed to be in such condition, or to be using |
1153 | or to have been subject to such methods or practices in the |
1154 | conduct of its business, as to render its further transaction of |
1155 | insurance presently or prospectively hazardous to its insureds, |
1156 | creditors, or stockholders or to the public. |
1157 | (6)(13)(a) For the purpose of this section, the term |
1158 | "acquisition" includes: |
1159 | 1. A tender offer or exchange offer for securities, |
1160 | assets, or other ownership interest; |
1161 | 2. An agreement to exchange securities for other |
1162 | securities, assets, or other ownership interest; |
1163 | 3. A merger of a person or affiliated person into a |
1164 | specialty insurer or a merger of any person with a specialty |
1165 | insurer; |
1166 | 4. A consolidation; or |
1167 | 5. Any other form of change of control |
1168 |
|
1169 | whereby any person or affiliated person acquires or attempts to |
1170 | acquire, directly or indirectly, 10 percent or more of the |
1171 | ownership interest or assets of a specialty insurer or of a |
1172 | controlling company. However, in the case of a health |
1173 | maintenance organization organized as a for-profit corporation, |
1174 | the provisions of s. 628.451 shall govern with respect to any |
1175 | merger or consolidation, and, in the case of a health |
1176 | maintenance organization organized as a not-for-profit |
1177 | corporation, the provisions of s. 628.471 shall govern with |
1178 | respect to any merger or consolidation. |
1179 | (b) For the purpose of this section, the term "affiliated |
1180 | person" of another person includes: |
1181 | 1. The spouse of such other natural person; |
1182 | 2. The parents of such other natural person and their |
1183 | lineal descendants and the parents of such other natural |
1184 | person's spouse and their lineal descendants; |
1185 | 3. Any person who directly or indirectly owns or controls, |
1186 | or holds with power to vote, 10 percent or more of the |
1187 | outstanding voting securities of such other person; |
1188 | 4. Any person who directly or indirectly owns 10 percent |
1189 | or more of the outstanding voting securities which are directly |
1190 | or indirectly owned or controlled, or held with power to vote, |
1191 | by such other person; |
1192 | 5. Any person or group of persons who directly or |
1193 | indirectly control, are controlled by, or are under common |
1194 | control with such other person; |
1195 | 6. Any director, officer, trustee, partner, owner, |
1196 | manager, joint venturer, or employee, or other person performing |
1197 | duties similar to those of persons in the aforementioned |
1198 | positions, of such other person; |
1199 | 7. If such other person is an investment company, any |
1200 | investment adviser of such company or any member of an advisory |
1201 | board of such company; |
1202 | 8. If such other person is an unincorporated investment |
1203 | company not having a board of directors, the depositor of such |
1204 | company; or |
1205 | 9. Any person who has entered into an agreement, written |
1206 | or unwritten, to act in concert with such other person in |
1207 | acquiring, or limiting the disposition of, securities of a |
1208 | specialty insurer or controlling company which is a stock |
1209 | corporation or in acquiring, or limiting the disposition of, an |
1210 | ownership interest of a specialty insurer or controlling company |
1211 | which is not a stock corporation. |
1212 | (c) For the purposes of this section, the term |
1213 | "controlling company" means any corporation, trust, or |
1214 | association owning, directly or indirectly, 25 percent or more |
1215 | of the voting securities of one or more specialty insurance |
1216 | companies which are stock corporations, or 25 percent or more of |
1217 | the ownership interest of one or more specialty insurance |
1218 | companies which are not stock corporations. |
1219 | (d) For the purpose of this section, the term "natural |
1220 | person" means an individual. |
1221 | (e) For the purpose of this section, the term "person" |
1222 | includes a natural person, corporation, association, trust, |
1223 | general partnership, limited partnership, joint venture, firm, |
1224 | proprietorship, or any other entity which may hold a license or |
1225 | certificate as a specialty insurer. |
1226 | (7)(14) The commission may adopt, amend, or repeal rules |
1227 | that are necessary to implement the provisions of this section, |
1228 | pursuant to chapter 120. |
1229 | Section 3. Section 628.800, Florida Statutes, is created |
1230 | to read: |
1231 | 628.800 Definitions.-As used in this part, unless the |
1232 | context otherwise requires, the term: |
1233 | (1) "Affiliate" means a person that, directly or |
1234 | indirectly, through one or more intermediaries, controls or is |
1235 | controlled by, or is under common control with, the person |
1236 | specified. |
1237 | (2) "Control" means the possession, whether direct or |
1238 | indirect, of the power to direct or cause the direction of the |
1239 | management and policies of a person, whether through the |
1240 | ownership of voting securities, by contract other than a |
1241 | commercial contract for goods or nonmanagement services, or |
1242 | otherwise, unless the power is the result of an official |
1243 | position with, or corporate office held by, the person. Control |
1244 | shall be presumed to exist if any person, directly or |
1245 | indirectly, owns, controls, holds with the power to vote, or |
1246 | holds proxies representing 10 percent or more of the voting |
1247 | securities of any other person. To disclaim control or |
1248 | affiliation, any person may file with the commissioner a |
1249 | disclaimer of control or affiliation with any authorized |
1250 | insurer, or a disclaimer of control or affiliation may be filed |
1251 | by the insurer or any member of an insurance holding company |
1252 | system. The disclaimer shall fully disclose all material |
1253 | relationships and bases for control or affiliation between the |
1254 | person and the insurer, as well as the basis for disclaiming the |
1255 | control or affiliation. A disclaimer of control or affiliation |
1256 | shall be deemed to have been granted unless the commissioner, |
1257 | within 30 days following receipt of a complete disclaimer, |
1258 | notifies the filing party that the disclaimer is disallowed. In |
1259 | the event of disallowance, the disclaiming party may request an |
1260 | administrative hearing, which shall be granted. The disclaiming |
1261 | party shall be relieved of its duty to register under this |
1262 | section if approval of the disclaimer has been granted by the |
1263 | commissioner or if the disclaimer is deemed to have been |
1264 | approved. The commissioner may determine, after furnishing all |
1265 | persons in interest notice and opportunity to be heard and |
1266 | making specific findings of fact to support such determination, |
1267 | that control exists in fact, notwithstanding the absence of a |
1268 | presumption to that effect. |
1269 | (3) "Insurance holding company system" consists of two or |
1270 | more affiliated persons, one or more of which is an insurer. |
1271 | (4) "Insurer" has the same meaning as set forth in s. |
1272 | 624.03, except that it shall not include: |
1273 | (a) Agencies, authorities, or instrumentalities of the |
1274 | United States, its possessions and territories, the Commonwealth |
1275 | of Puerto Rico, the District of Columbia, or a state or |
1276 | political subdivision of a state; |
1277 | (b) Fraternal benefit societies; |
1278 | (c) Nonprofit medical and hospital service associations; |
1279 | or |
1280 | (d) Business trusts. |
1281 | (5) "Commissioner" means the Commissioner of Insurance |
1282 | Regulation as designated under ss. 20.121 and 624.05, his or her |
1283 | deputies and assistants, or the Office of Insurance Regulation, |
1284 | as appropriate. |
1285 | (6) "Person" means an individual, a corporation, a |
1286 | partnership, an association, a business trust, an insurer, a |
1287 | company, an organization, Lloyds insurer, a society, a |
1288 | reciprocal insurer or interinsurance exchange, a syndicate, an |
1289 | agent, a general agent, a broker, a solicitor, a service |
1290 | representative, an adjuster, every legal entity, a joint stock |
1291 | company, an unincorporated organization, or any similar entity |
1292 | or combination acting in concert, but does not include any |
1293 | securities broker performing no more than the usual and |
1294 | customary broker's function. |
1295 | (7) "Securityholder" of a specified person means one who |
1296 | owns any security of such person, including common stock, |
1297 | preferred stock, debt obligation, and any other security |
1298 | convertible into or evidencing the right to acquire any of the |
1299 | foregoing. |
1300 | (8) "Subsidiary" of a specified person means an affiliate |
1301 | controlled by such person, directly or indirectly, through one |
1302 | or more intermediaries. |
1303 | (9) "Voting security" means any security convertible into |
1304 | or evidencing a right to acquire a voting security. |
1305 | Section 4. Section 628.801, Florida Statutes, is amended |
1306 | to read: |
1307 | (Substantial rewording of section. See |
1308 | s. 628.801, F.S., for present text.) |
1309 | 628.801 Insurance holding companies; registration; |
1310 | regulation.- |
1311 | (1) REGISTRATION.-Every insurer authorized to do business |
1312 | in this state that is a member of an insurance holding company |
1313 | system must register with the commissioner, except a foreign |
1314 | insurer subject to registration requirements and standards |
1315 | adopted by statute or regulation in the jurisdiction of its |
1316 | domicile which are substantially similar to those contained |
1317 | chapter 624. |
1318 | (a) Each registered insurer shall keep current the |
1319 | information required to be disclosed in its registration |
1320 | statement by reporting all material changes or additions within |
1321 | 15 days after the end of the month in which it learns of each |
1322 | change or addition. Any insurer that is subject to registration |
1323 | under this section shall register within 15 days after it |
1324 | becomes subject to registration, and annually thereafter by June |
1325 | 1 of each year for the previous calendar year, unless the |
1326 | commissioner for good cause shown extends the time for |
1327 | registration, in which case the insurer shall register within |
1328 | the extended registration period. The commissioner may require |
1329 | any insurer authorized to do business in the state that is a |
1330 | member of an insurance holding company system and that is not |
1331 | subject to registration under this section to furnish a copy of |
1332 | the registration statement, the report specified in subsection |
1333 | (9), or other information filed by the insurance company with |
1334 | the insurance regulatory authority of its domiciliary |
1335 | jurisdiction. |
1336 | (b) Every insurer subject to registration shall file the |
1337 | registration statement with the commissioner on a form and in a |
1338 | format prescribed by the National Association of Insurance |
1339 | Commissioners, which shall contain the following current |
1340 | information: |
1341 | 1. The capital structure, general financial condition, |
1342 | ownership, and management of the insurer and any person |
1343 | controlling the insurer. |
1344 | 2. The identity and relationship of every member of the |
1345 | insurance holding company system. |
1346 | 3. The following agreements in force and transactions |
1347 | currently outstanding or that have occurred during the last |
1348 | calendar year between the insurer and its affiliates: |
1349 | a. Loans, other investments, or purchases, sales, or |
1350 | exchanges of securities of the affiliates by the insurer or of |
1351 | the insurer by its affiliates. |
1352 | b. Purchases, sales, or exchange of assets. |
1353 | c. Transactions not in the ordinary course of business. |
1354 | d. Guarantees or undertakings for the benefit of an |
1355 | affiliate which result in an actual contingent exposure of the |
1356 | insurer's assets to liability, other than insurance contracts |
1357 | entered into in the ordinary course of the insurer's business. |
1358 | e. All management agreements, service contracts, and all |
1359 | cost-sharing arrangements. |
1360 | f. Reinsurance agreements. |
1361 | g. Dividends and other distributions to shareholders. |
1362 | h. Consolidated tax allocation agreements. |
1363 | 4. Any pledge of the insurer's stock, including stock of |
1364 | any subsidiary or controlling affiliate, for a loan made to any |
1365 | member of the insurance holding company system. |
1366 | 5. If requested by the commissioner, financial statements |
1367 | of or within an insurance holding company system, including all |
1368 | affiliates. Financial statements may include, but are not |
1369 | limited to, annual audited financial statements filed with the |
1370 | United States Securities and Exchange Commission pursuant to the |
1371 | Securities Act of 1933, as amended, or the Securities Exchange |
1372 | Act of 1934, as amended. An insurer required to file financial |
1373 | statements pursuant to this paragraph may satisfy the request by |
1374 | providing the commissioner with the most recently filed parent |
1375 | corporation financial statements that have been filed with the |
1376 | United States Securities and Exchange Commission. |
1377 | 6. Other matters concerning transactions between |
1378 | registered insurers and any affiliates as may be included from |
1379 | time to time in any registration forms adopted or approved by |
1380 | the commissioner. |
1381 | 7. Statements attesting that the insurer's board of |
1382 | directors oversees corporate governance and internal controls |
1383 | and that the insurer's officers or senior management have |
1384 | approved, implemented, and continue to maintain and monitor |
1385 | corporate governance and internal control procedures. |
1386 | 8. Any other information required by the commissioner by |
1387 | rule or regulation. |
1388 | (c) All registration statements must contain a summary |
1389 | outlining all items in the current registration statement |
1390 | representing changes from the prior registration statement. |
1391 | (d) Information need not be disclosed on the registration |
1392 | statement filed pursuant to this section that is not material |
1393 | for the purposes of this section. Unless the commissioner by |
1394 | rule, regulation, or order provides otherwise, sales, purchases, |
1395 | exchanges, loans, or extensions of credit, investments, or |
1396 | guarantees involving .5 percent or less of an insurer's admitted |
1397 | assets as of the 31st day of December next preceding shall not |
1398 | be deemed material for purposes of this section. |
1399 | (2) REPORTING OF DIVIDENDS TO SHAREHOLDERS.-Subject to the |
1400 | requirements of this section, each registered insurer shall |
1401 | report to the commissioner all dividends and other distributions |
1402 | to shareholders within 15 business days following the |
1403 | declaration thereof. |
1404 | (3) INFORMATION OF INSURERS.-Any person within an |
1405 | insurance holding company system subject to registration shall |
1406 | be required to provide complete and accurate information to an |
1407 | insurer, where the information is reasonably necessary to enable |
1408 | the insurer to comply with the provisions of this section. |
1409 | (4) TERMINATION OF REGISTRATION.-The commissioner shall |
1410 | terminate the registration of any insurer that demonstrates that |
1411 | it no longer is a member of an insurance holding company system. |
1412 | (5) CONSOLIDATED FILING.-The commissioner may require or |
1413 | allow two or more affiliated insurers subject to registration to |
1414 | file a consolidated registration statement. |
1415 | (6) ALTERNATIVE REGISTRATION.-The commissioner may allow |
1416 | an insurer authorized to do business in this state and that is |
1417 | part of an insurance holding company system to register on |
1418 | behalf of any affiliated insurer required to register under this |
1419 | section and to file all information and material required to be |
1420 | filed under this section. |
1421 | (7) EXEMPTIONS.-This section does not apply to any |
1422 | insurer, information, or transaction if, and to the extent that, |
1423 | the commissioner by rule, regulation, or order exempts the |
1424 | insurer, information, or transaction from the provisions of this |
1425 | section. |
1426 | (8) DISCLAIMER.-Any person may file with the commissioner |
1427 | a disclaimer of affiliation with any authorized insurer, or a |
1428 | disclaimer may be filed by the insurer or any member of an |
1429 | insurance holding company system. The disclaimer shall fully |
1430 | disclose all material relationships and bases for affiliation |
1431 | between the person and the insurer as well as the basis for |
1432 | disclaiming the affiliation. A disclaimer of affiliation shall |
1433 | be deemed to have been granted unless the commissioner, within |
1434 | 30 days following receipt of a complete disclaimer, notifies the |
1435 | filing party that the disclaimer is disallowed. In the event of |
1436 | disallowance, the disclaiming party may request an |
1437 | administrative hearing, which shall be granted. The disclaiming |
1438 | party shall be relieved of its duty to register under this |
1439 | section if approval of the disclaimer has been granted by the |
1440 | commissioner or if the disclaimer is deemed to have been |
1441 | approved. |
1442 | (9) ENTERPRISE RISK FILING.-The ultimate controlling |
1443 | person of every insurer subject to registration shall also file |
1444 | an annual enterprise risk report. The report shall, to the best |
1445 | of the ultimate controlling person's knowledge and belief, |
1446 | identify the material risks within the insurance holding company |
1447 | system that could pose enterprise risk to the insurer. The |
1448 | report shall be filed with the lead state commissioner of the |
1449 | insurance holding company system as determined by the procedures |
1450 | within the Financial Analysis Handbook adopted by the National |
1451 | Association of Insurance Commissioners. |
1452 | (10) VIOLATIONS.-Failure to file a registration statement |
1453 | or any summary of the registration statement or enterprise risk |
1454 | filing required by this section within the time specified for |
1455 | filing constitutes a violation of this section. |
1456 | Section 5. Section 628.8011, Florida Statues, is created |
1457 | to read: |
1458 | 628.8011 Standards and management of an insurer within an |
1459 | insurance holding company system.- |
1460 | (1) STANDARDS.-Transactions within an insurance holding |
1461 | company system to which an insurer subject to registration is a |
1462 | party shall be subject to the following standards: |
1463 | (a) The terms shall be fair and reasonable. |
1464 | (b) Agreements for cost-sharing services and management |
1465 | shall include such provisions as required by rule and regulation |
1466 | issued by the commissioner. |
1467 | (c) Charges or fees for services performed shall be |
1468 | reasonable. |
1469 | (d) Contracts or agreements with affiliates for the |
1470 | management or servicing of the business written by an insurer |
1471 | shall contain provisions providing that, if the combined ratio |
1472 | for the insurer exceeds 100 percent, then the fees paid to any |
1473 | affiliates for such services shall be decreased to bring the |
1474 | combined ratio down to 100 percent. |
1475 | (e) Expenses incurred and payment received shall be |
1476 | allocated to the insurer in conformity with customary insurance |
1477 | accounting practices consistently applied. |
1478 | (f) The books, accounts, and records of each party to all |
1479 | such transactions shall be so maintained as to clearly and |
1480 | accurately disclose the nature and details of the transactions, |
1481 | including such accounting information as is necessary to support |
1482 | the reasonableness of the charges or fees to the respective |
1483 | parties. |
1484 | (g) The insurer's surplus as regards policyholders |
1485 | following any dividends or distributions to shareholder |
1486 | affiliates shall be reasonable in relation to the insurer's |
1487 | outstanding liabilities and adequate to meet its financial |
1488 | needs. |
1489 | (2) PRECLUDED TRANSACTIONS.-The following transactions |
1490 | involving a domestic insurer and any person in its insurance |
1491 | holding company system, including amendments or modifications of |
1492 | affiliate agreements previously filed pursuant to this section, |
1493 | that are subject to any materiality standards contained in |
1494 | subsection (1), may not be entered into unless the insurer has |
1495 | notified the commissioner in writing of its intention to enter |
1496 | into the transaction at least 30 days prior thereto, or such |
1497 | shorter period as the commissioner may permit, and the |
1498 | commissioner has not disapproved the transaction within that |
1499 | period. The notice for amendments or modifications shall include |
1500 | the reasons for the change and the financial impact on the |
1501 | domestic insurer. Informal notice shall be reported, within 30 |
1502 | days after a termination of a previously filed agreement, to the |
1503 | commissioner for determination of the type of filing required, |
1504 | if any. |
1505 | (a) Sales, purchases, exchanges, loans, extensions of |
1506 | credit, or investments, provided the transactions are equal to |
1507 | or exceed: |
1508 | 1. With respect to nonlife insurers, the lesser of 3 |
1509 | percent of the insurer's admitted assets or 25 percent of |
1510 | surplus as regards policyholders as of the 31st day of December |
1511 | next preceding. |
1512 | 2. With respect to life insurers, 3 percent of the |
1513 | insurer's admitted assets as of the 31st day of December next |
1514 | preceding. |
1515 | (b) Loans or extensions of credit to any person who is not |
1516 | an affiliate, where the insurer makes loans or extensions of |
1517 | credit with the agreement or understanding that the proceeds of |
1518 | the transactions, in whole or in substantial part, are to be |
1519 | used to make loans or extensions of credit to, purchase assets |
1520 | of, or make investments in any affiliate of the insurer making |
1521 | the loans or extensions of credit, provided the transactions are |
1522 | equal to or exceed: |
1523 | 1. With respect to nonlife insurers, the lesser of 3 |
1524 | percent of the insurer's admitted assets or 25 percent of |
1525 | surplus as regards policyholders as of the 31st day of December |
1526 | next preceding; or |
1527 | 2. With respect to life insurers, 3 percent of the |
1528 | insurer's admitted assets as of the 31st day of December next |
1529 | preceding. |
1530 | (c) Reinsurance agreements or modifications thereto, |
1531 | including: |
1532 | 1. All reinsurance pooling agreements. |
1533 | 2. Agreements in which the reinsurance premium or a change |
1534 | in the insurer's liabilities, or the projected reinsurance |
1535 | premium or a change in the insurer's liabilities in any of the |
1536 | next 3 years, equals or exceeds 5 percent of the insurer's |
1537 | surplus as regards policyholders, as of the 31st day of December |
1538 | next preceding, including those agreements which may require as |
1539 | consideration the transfer of assets from an insurer to a |
1540 | nonaffiliate, if an agreement or understanding exists between |
1541 | the insurer and nonaffiliate that any portion of the assets will |
1542 | be transferred to one or more affiliates of the insurer. |
1543 | (d) All management agreements, service contracts, tax |
1544 | allocation agreements, guarantees, and all cost-sharing |
1545 | arrangements. |
1546 | (e) Guarantees when made by a domestic insurer. Provided, |
1547 | however, that a guarantee which is quantifiable as to amount is |
1548 | not subject to the notice requirements of this paragraph unless |
1549 | it exceeds the lesser of .5 percent of the insurer's admitted |
1550 | assets or 10 percent of surplus as regards policyholders as of |
1551 | the 31st day of December next preceding. Further, all guarantees |
1552 | which are not quantifiable as to amount are subject to the |
1553 | notice requirements of this paragraph. |
1554 | (f) Direct or indirect acquisitions or investments in a |
1555 | person that controls the insurer or in an affiliate of the |
1556 | insurer in an amount which, together with its present holdings |
1557 | in such investments, exceeds 2.5 percent of the insurer's |
1558 | surplus to policyholders. Direct or indirect acquisitions or |
1559 | investments in subsidiaries acquired pursuant to s. 628.461, or |
1560 | in nonsubsidiary insurance affiliates that are subject to the |
1561 | provisions of this part, are exempt from this requirement. |
1562 | (g) Any material transactions, specified by regulation, |
1563 | which the commissioner determines may adversely affect the |
1564 | interests of the insurer's policyholders. |
1565 |
|
1566 | Nothing in this subsection shall be deemed to authorize or |
1567 | permit any transactions which, in the case of an insurer that is |
1568 | not a member of the same insurance holding company system, would |
1569 | otherwise be contrary to law. |
1570 | (3) ADDITIONAL PRECLUDED TRANSACTION.-A domestic insurer |
1571 | may not enter into transactions that are part of a plan or |
1572 | series of like transactions with persons within the insurance |
1573 | holding company system if the purpose of those separate |
1574 | transactions is to avoid the statutory threshold amount and thus |
1575 | avoid the review that would occur otherwise. If the commissioner |
1576 | determines that separate transactions were entered into over any |
1577 | 12-month period for that purpose, the commissioner may exercise |
1578 | his or her authority under the Insurance Code or s. 628.803. |
1579 | (4) REVIEW OF TRANSACTIONS.-The commissioner, in reviewing |
1580 | transactions pursuant to this section, shall consider whether |
1581 | the transactions comply with the standards set forth in this |
1582 | section and whether they may adversely affect the interests of |
1583 | policyholders. |
1584 | (5) NOTIFICATION.-The commissioner shall be notified |
1585 | within 30 days of any investment of the domestic insurer in any |
1586 | one corporation if the total investment in the corporation by |
1587 | the insurance holding company system exceeds 10 percent of the |
1588 | corporation's voting securities. |
1589 | (6) DIVIDENDS AND OTHER DISTRIBUTIONS.- |
1590 | (a) No domestic insurer shall pay any extraordinary |
1591 | dividend or make any other extraordinary distribution to its |
1592 | shareholders until 30 days after the commissioner has received |
1593 | notice of the declaration thereof and has not within that period |
1594 | disapproved the payment, or until the commissioner has approved |
1595 | the payment within the 30-day period. |
1596 | (b) For purposes of this section, an extraordinary |
1597 | dividend or distribution includes any dividend or distribution |
1598 | of cash or other property, whose fair market value together with |
1599 | that of other dividends or distributions made within the |
1600 | preceding 12 months exceeds the lesser of: |
1601 | 1. Ten percent of the insurer's surplus as regards |
1602 | policyholders as of the 31st day of December next preceding; or |
1603 | 2. The net gain after taxes from operations of the |
1604 | insurer, if the insurer is a life insurer, or the net income |
1605 | after taxes, if the insurer is not a life insurer, not including |
1606 | realized capital gains, for the 12-month period ending the 31st |
1607 | day of December next preceding, excluding pro rata distributions |
1608 | of any class of the insurer's own securities. |
1609 | (c) In determining whether a dividend or distribution is |
1610 | extraordinary, an insurer other than a life insurer may carry |
1611 | forward net income from the previous 2 calendar years that has |
1612 | not already been paid out as dividends. This carryforward shall |
1613 | be computed by taking the net income from the second and third |
1614 | preceding calendar years, not including realized capital gains, |
1615 | less dividends paid in the second and immediate preceding |
1616 | calendar years. |
1617 | (d) Notwithstanding any other provision of law, an insurer |
1618 | may declare an extraordinary dividend or distribution which is |
1619 | conditional upon the commissioner's approval, and the |
1620 | declaration shall confer no rights upon shareholders until: |
1621 | 1. The commissioner has approved the payment of the |
1622 | dividend or distribution; or |
1623 | 2. The commissioner has not disapproved payment within the |
1624 | 30-day period provided for in this subsection. |
1625 | (7) MANAGEMENT OF DOMESTIC INSURERS SUBJECT TO |
1626 | REGISTRATION.- |
1627 | (a) Notwithstanding the control of a domestic insurer by |
1628 | any person, the officers and directors of the insurer may not |
1629 | thereby be relieved of any obligation or liability to which they |
1630 | would otherwise be subject by law, and the insurer shall be |
1631 | managed so as to assure its separate operating identity |
1632 | consistent with this section. |
1633 | (b) Nothing in this section shall preclude a domestic |
1634 | insurer from having or sharing a common management or |
1635 | cooperative or joint use of personnel, property, or services |
1636 | with one or more other persons under arrangements meeting the |
1637 | standards of this section. |
1638 | (c) Not less than one-third of the directors of a domestic |
1639 | insurer and not less than one-third of the members of each |
1640 | committee of the board of directors of any domestic insurer |
1641 | shall be persons who are not officers or employees of the |
1642 | insurer or of any entity controlling, controlled by, or under |
1643 | common control with the insurer and who are not beneficial |
1644 | owners of a controlling interest in the voting stock of the |
1645 | insurer or entity. At least one such person must be included in |
1646 | any quorum for the transaction of business at any meeting of the |
1647 | board of directors or any committee thereof. |
1648 | (d) The board of directors of a domestic insurer shall |
1649 | establish one or more committees comprised solely of directors |
1650 | who are not officers or employees of the insurer or of any |
1651 | entity controlling, controlled by, or under common control with |
1652 | the insurer and who are not beneficial owners of a controlling |
1653 | interest in the voting stock of the insurer or any such entity. |
1654 | The committee or committees shall have responsibility for |
1655 | nominating candidates for director for election by shareholders |
1656 | or policyholders, evaluating the performance of officers deemed |
1657 | to be principal officers of the insurer, and recommending to the |
1658 | board of directors the selection and compensation of the |
1659 | principal officers. |
1660 | (e) The provisions of paragraphs (c) and (d) do not apply |
1661 | to a domestic insurer if the person controlling the insurer, |
1662 | such as an insurer, a mutual insurance holding company, or a |
1663 | publicly held corporation, has a board of directors and |
1664 | committees thereof that meet the requirements of paragraphs (c) |
1665 | and (d) with respect to such controlling entity. |
1666 | (f) An insurer may make application to the commissioner |
1667 | for a waiver from the requirements of this subsection, if the |
1668 | insurer's annual direct written and assumed premium, excluding |
1669 | premiums reinsured with the Federal Crop Insurance Corporation |
1670 | and the federal flood insurance program, is less than $300 |
1671 | million. An insurer may also make application to the |
1672 | commissioner for a waiver from the requirements of this |
1673 | subsection based on unique circumstances. The commissioner may |
1674 | consider various factors including, but not limited to, the type |
1675 | of business entity, volume of business written, availability of |
1676 | qualified board members, or the ownership or organizational |
1677 | structure of the entity. |
1678 | (8) ADEQUACY OF SURPLUS.-For purposes of this section, in |
1679 | determining whether an insurer's surplus as regards |
1680 | policyholders is reasonable in relation to the insurer's |
1681 | outstanding liabilities and adequate to meet its financial |
1682 | needs, the following factors, among others, shall be considered: |
1683 | (a) The size of the insurer as measured by its assets, |
1684 | capital and surplus, reserves, premium writings, insurance in |
1685 | force, and other appropriate criteria. |
1686 | (b) The extent to which the insurer's business is |
1687 | diversified among several lines of insurance. |
1688 | (c) The number and size of risks insured in each line of |
1689 | business. |
1690 | (d) The extent of the geographical dispersion of the |
1691 | insurer's insured risks. |
1692 | (e) The nature and extent of the insurer's reinsurance |
1693 | program. |
1694 | (f) The quality, diversification, and liquidity of the |
1695 | insurer's investment portfolio. |
1696 | (g) The recent past and projected future trend in the size |
1697 | of the insurer's investment portfolio. |
1698 | (h) The surplus as regards policyholders maintained by |
1699 | other comparable insurers. |
1700 | (i) The adequacy of the insurer's reserves. |
1701 | (j) The quality and liquidity of investments in |
1702 | affiliates. The commissioner may treat any such investment as a |
1703 | disallowed asset for purposes of determining the adequacy of |
1704 | surplus as regards policyholders whenever in the judgment of the |
1705 | commissioner the investment so warrants. |
1706 | Section 6. Section 628.8012, Florida Statutes, is created |
1707 | to read: |
1708 | 628.8012 Supervisory colleges.- |
1709 | (1) POWER OF COMMISSIONER.-With respect to any insurer |
1710 | registered under this part and in accordance with subsection |
1711 | (3), the commissioner shall have the power to participate in a |
1712 | supervisory college for any domestic insurer that is part of an |
1713 | insurance holding company system with international operations |
1714 | in order to determine compliance by the insurer with this part. |
1715 | The powers of the commissioner with respect to supervisory |
1716 | colleges include, but are not limited to, the following: |
1717 | (a) Initiating the establishment of a supervisory college. |
1718 | (b) Clarifying the membership and participation of other |
1719 | supervisors in the supervisory college. |
1720 | (c) Clarifying the functions of the supervisory college |
1721 | and the role of other regulators, including the establishment of |
1722 | a group-wide supervisor. |
1723 | (d) Coordinating the ongoing activities of the supervisory |
1724 | college, including planning meetings, supervisory activities, |
1725 | and processes for information sharing. |
1726 | (e) Establishing a crisis management plan. |
1727 | (2) EXPENSES.-Each registered insurer subject to this |
1728 | section shall be liable for and shall pay the reasonable |
1729 | expenses of the commissioner's participation in a supervisory |
1730 | college in accordance with subsection (3), including reasonable |
1731 | travel expenses. For purposes of this section, a supervisory |
1732 | college may be convened as either a temporary or permanent forum |
1733 | for communication and cooperation between the regulators charged |
1734 | with the supervision of the insurer or its affiliates, and the |
1735 | commissioner may establish a regular assessment to the insurer |
1736 | for the payment of these expenses. |
1737 | (3) SUPERVISORY COLLEGE.-In order to assess the business |
1738 | strategy, financial position, legal and regulatory position, |
1739 | risk exposure, risk management, and governance processes, and as |
1740 | part of the examination of individual insurers, the commissioner |
1741 | may participate in a supervisory college with other regulators |
1742 | charged with supervision of the insurer or its affiliates, |
1743 | including other state, federal, and international regulatory |
1744 | agencies. The commissioner may enter into agreements in |
1745 | accordance with this chapter, providing the basis for |
1746 | cooperation between the commissioner, other regulatory agencies, |
1747 | and the supervisory college. Nothing in this section shall |
1748 | delegate to the supervisory college the authority of the |
1749 | commissioner to regulate or supervise the insurer or its |
1750 | affiliates within its jurisdiction. |
1751 | Section 7. Section 628.8013, Florida Statutes, is created |
1752 | to read: |
1753 | 628.8013 Rules and regulations.-The commissioner may, upon |
1754 | notice and opportunity for all interested persons to be heard, |
1755 | issue such rules, regulations, and orders necessary to carry out |
1756 | the provisions of this part. |
1757 | Section 8. Section 628.8014, Florida Statutes, is created |
1758 | to read: |
1759 | 628.8014 Voting of securities.-A security which is the |
1760 | subject of any agreement or arrangement regarding acquisition, |
1761 | or which is acquired or to be acquired, in contravention of any |
1762 | statute or rule adopted thereunder, may not be voted at any |
1763 | shareholder's meeting or counted for quorum purposes, and any |
1764 | action of shareholders requiring the affirmative vote of a |
1765 | percentage of shares may be taken as though such securities were |
1766 | not issued and outstanding. However, an action taken at any such |
1767 | meeting may not be invalidated by the voting of such securities |
1768 | unless the action would materially affect the control of the |
1769 | insurer or unless a court of competent jurisdiction has so |
1770 | ordered. If the office has reason to believe that any security |
1771 | of the insurer has been or is about to be acquired in |
1772 | contravention of s. 628.461, or this chapter, the office may |
1773 | pursue its remedies pursuant to ss. 628.802 and 628.803. |
1774 | Section 9. Section 628.802, Florida Statutes, is amended |
1775 | to read: |
1776 | (Substantial rewording of section. See |
1777 | s. 628.802, F.S., for present text.) |
1778 | 628.802 Injunctions; prohibitions against voting |
1779 | securities; sequestration of voting securities.- |
1780 | (1) INJUNCTIONS.-Whenever it appears to the commissioner |
1781 | that any insurer or any director, officer, employee, or agent |
1782 | thereof has committed or is about to commit a violation of this |
1783 | part or of any rule, regulation, or order issued by the |
1784 | commissioner thereunder, the commissioner may apply to the |
1785 | circuit court for the county in which the principal officer of |
1786 | the insurer is located or, if the insurer has no office in this |
1787 | state, to the Circuit Court for Leon County for an order |
1788 | enjoining the insurer or director, officer, employee or agent |
1789 | thereof from violating or continuing to violate this part or any |
1790 | rule, regulation or order, and for such other equitable relief |
1791 | as the nature of the case and the interest of the insurer's |
1792 | policyholders, creditors, and shareholders or the public may |
1793 | require. |
1794 | (2) VOTING OF SECURITIES; WHEN PROHIBITED.-No security |
1795 | which is the subject of any agreement or arrangement regarding |
1796 | acquisition, or which is acquired or to be acquired, in |
1797 | contravention of the provisions of this part or of any rule, |
1798 | regulation, or order issued by the commissioner thereunder may |
1799 | be voted at any shareholder's meeting, or may be counted for |
1800 | quorum purposes, and any action of shareholders requiring the |
1801 | affirmative vote of a percentage of shares may be taken as |
1802 | though the securities were not issued and outstanding. However, |
1803 | no action taken at any such meeting shall be invalidated by the |
1804 | voting of the securities, unless the action would materially |
1805 | affect control of the insurer or unless the courts of this state |
1806 | have so ordered. If an insurer or the commissioner has reason to |
1807 | believe that any security of the insurer has been or is about to |
1808 | be acquired in contravention of the provisions of this part or |
1809 | of any rule, regulation, or order issued by the commissioner |
1810 | hereunder, the insurer or the commissioner may apply to the |
1811 | circuit court for the county in which the insurer has its |
1812 | principal place of business to enjoin any offer, request, |
1813 | invitation, agreement, or acquisition made in contravention of |
1814 | s. 628.461 or any rule, regulation, or order issued by the |
1815 | commissioner thereunder to enjoin the voting of any security so |
1816 | acquired, to void any vote of the security already cast at any |
1817 | meeting of shareholders, and for such other equitable relief as |
1818 | the nature of the case and the interest of the insurer's |
1819 | policyholders, creditors, and shareholders or the public may |
1820 | require. |
1821 | (3) SEQUESTRATION OF VOTING SECURITIES.-In any case where |
1822 | a person has acquired or is proposing to acquire any voting |
1823 | securities in violation of this part or any rule, regulation, or |
1824 | order issued by the commissioner hereunder, the circuit court |
1825 | for Leon County or the circuit court for the county in which the |
1826 | insurer has its principal place of business may, on such notice |
1827 | as the court deems appropriate, upon the application of the |
1828 | insurer or the commissioner, seize or sequester any voting |
1829 | securities of the insurer owned directly or indirectly by the |
1830 | person, and issue such order as may be appropriate to effectuate |
1831 | the provisions of this part. |
1832 | (4) SITUS OF OWNERSHIP.-Notwithstanding any other |
1833 | provisions of law, for the purposes of this part, the situs of |
1834 | the ownership of the securities of domestic insurers shall be |
1835 | deemed to be in this state. |
1836 | Section 10. Section 628.803, Florida Statutes, is amended |
1837 | to read: |
1838 | (Substantial rewording of section. See |
1839 | s. 628.803, F.S., for present text.) |
1840 | 628.803 Sanctions.- |
1841 | (1) Any insurer failing, without just cause, to file any |
1842 | registration statement as required under this part shall be |
1843 | required, after notice and hearing, to pay a penalty of $1,000 |
1844 | for each day's delay, to be recovered by the commissioner. |
1845 | Penalties so recovered shall be paid into the General Revenue |
1846 | Fund. The maximum penalty under this section is $500,000. The |
1847 | commissioner may reduce the penalty if the insurer demonstrates |
1848 | to the commissioner that the imposition of the penalty would |
1849 | constitute a financial hardship to the insurer. |
1850 | (2) Every director or officer of an insurance holding |
1851 | company system who knowingly violates, participates in, or |
1852 | assents to, or who knowingly permits any of the officers or |
1853 | agents of the insurer to engage in, transactions or the making |
1854 | of investments which have not been properly reported or |
1855 | submitted pursuant to the Insurance Code or which violate this |
1856 | act, shall, in their individual capacity, pay a civil forfeiture |
1857 | of not more than $1,000 per violation after notice and hearing |
1858 | before the commissioner. In determining the amount of the civil |
1859 | forfeiture, the commissioner shall take into account the |
1860 | appropriateness of the forfeiture with respect to the gravity of |
1861 | the violation, the history of previous violations, and such |
1862 | other matters as justice may require. |
1863 | (3) Whenever it appears to the commissioner that any |
1864 | insurer subject to this part or any director, officer, employee, |
1865 | or agent thereof has engaged in any transaction or entered into |
1866 | a contract which is subject to s. 628.8011 and which would not |
1867 | have been approved had approval been requested, the commissioner |
1868 | may order the insurer to cease and desist immediately from any |
1869 | further activity under that transaction or contract. After |
1870 | notice and hearing, the commissioner may also order the insurer |
1871 | to void any contracts and restore the status quo if the action |
1872 | is in the best interests of the policyholders, creditors, or the |
1873 | public. |
1874 | (4) Whenever it appears to the commissioner that any |
1875 | insurer or any director, officer, employee, or agent thereof has |
1876 | committed a willful violation of this part, the commissioner may |
1877 | cause criminal proceedings to be instituted by the circuit court |
1878 | for the county in which the principal office of the insurer is |
1879 | located or, if the insurer has no office in this state, by the |
1880 | circuit court for Leon County against the insurer or the |
1881 | responsible director, officer, employee, or agent thereof. Any |
1882 | insurer which willfully violates this part may be fined not more |
1883 | than $1 million. Any individual who willfully violates this part |
1884 | may be fined in his or her individual capacity not more than |
1885 | $500,000 or be imprisoned for not more than one to 3 years, or |
1886 | both. |
1887 | (5) Any officer, director, or employee of an insurance |
1888 | holding company system who willfully and knowingly subscribes to |
1889 | or makes or causes to be made any false statements or false |
1890 | reports or false filings with the intent to deceive the |
1891 | commissioner in the performance of his or her duties under this |
1892 | part, upon conviction shall be imprisoned for not more than 3 |
1893 | years or fined $500,000 or both. Any fines imposed shall be paid |
1894 | by the officer, director, or employee in his or her individual |
1895 | capacity. |
1896 | (6) Whenever it appears to the commissioner that any |
1897 | person has committed a violation of chapter 628, which violation |
1898 | prevents the full understanding of the enterprise risk to the |
1899 | insurer by affiliates or by the insurance holding company |
1900 | system, the violation may serve as an independent basis for |
1901 | disapproving dividends or distributions and for placing the |
1902 | insurer under an order of supervision in accordance with part VI |
1903 | of chapter 624. |
1904 | Section 11. Section 636.065, Florida Statutes, is amended |
1905 | to read: |
1906 | 636.065 Acquisitions.-Each prepaid limited health service |
1907 | organization is subject to the provisions of s. 628.461 |
1908 | 628.4615. |
1909 | Section 12. Section 641.255, Florida Statutes, is amended |
1910 | to read: |
1911 | 641.255 Acquisition, merger, or consolidation.- |
1912 | (1) Every acquisition of a health maintenance organization |
1913 | shall be subject to the provisions of s. 628.461 628.4615. |
1914 | However, in the case of a health maintenance organization |
1915 | organized as a for-profit corporation, the provisions of s. |
1916 | 628.451 govern with respect to any merger or consolidation; and, |
1917 | in the case of a health maintenance organization organized as a |
1918 | not-for-profit corporation, the provisions of s. 628.471 govern |
1919 | with respect to any merger or consolidation. |
1920 | (2) In addition to the requirements set forth in ss. |
1921 | 628.451, 628.461 628.4615, and 628.471, each party to any |
1922 | transaction involving any licensee which, as indicated in its |
1923 | most recent quarterly or annual statement, derives income from |
1924 | Medicaid funds shall in the filing made with the office |
1925 | identify: |
1926 | (a) Any person who has received any payment from either |
1927 | party or any person on that party's behalf; or |
1928 | (b) The existence of any agreement entered into by either |
1929 | party or by any person on that party's behalf to pay a |
1930 | consultant fee, a broker fee, a commission, or other fee or |
1931 | charge, |
1932 |
|
1933 | which in any way relates to the acquisition, merger, or |
1934 | consolidation. The commission may adopt a form to be made part |
1935 | of the application which is to be sworn to by an officer of the |
1936 | entity which made or will make the payment. The form shall |
1937 | include the name of the person or entity paying the fee; the |
1938 | name of the person or entity receiving the fee; the date of |
1939 | payment; and a brief description of the work performed. |
1940 | Section 13. Section 641.416, Florida Statutes, is amended |
1941 | to read: |
1942 | 641.416 Acquisition.-Every prepaid health clinic shall be |
1943 | subject to the provisions of s. 628.461 628.4615. |
1944 | Section 14. Section 651.024, Florida Statutes, is amended |
1945 | to read: |
1946 | 651.024 Acquisition.-A person issued a certificate of |
1947 | authority to operate a continuing care facility or a provisional |
1948 | certificate of authority shall be subject to the provisions of |
1949 | s. 628.461 628.4615. |
1950 | Section 15. For the purpose of incorporating the amendment |
1951 | made by this act to section 628.461, Florida Statutes, in a |
1952 | reference thereto, subsection (3) of section 48.151, Florida |
1953 | Statutes, is reenacted to read: |
1954 | 48.151 Service on statutory agents for certain persons.- |
1955 | (3) The Chief Financial Officer or his or her assistant or |
1956 | deputy or another person in charge of the office is the agent |
1957 | for service of process on all insurers applying for authority to |
1958 | transact insurance in this state, all licensed nonresident |
1959 | insurance agents, all nonresident disability insurance agents |
1960 | licensed pursuant to s. 626.835, any unauthorized insurer under |
1961 | s. 626.906 or s. 626.937, domestic reciprocal insurers, |
1962 | fraternal benefit societies under chapter 632, warranty |
1963 | associations under chapter 634, prepaid limited health service |
1964 | organizations under chapter 636, and persons required to file |
1965 | statements under s. 628.461. |
1966 | Section 16. For the purpose of incorporating the |
1967 | amendments made by this act to sections 628.461 and 628.4615, |
1968 | Florida Statutes, in references thereto, paragraph (a) of |
1969 | subsection (1) of section 624.310, Florida Statutes, is |
1970 | reenacted to read: |
1971 | 624.310 Enforcement; cease and desist orders; removal of |
1972 | certain persons; fines.- |
1973 | (1) DEFINITIONS.-For the purposes of this section, the |
1974 | term: |
1975 | (a) "Affiliated party" means any person who directs or |
1976 | participates in the conduct of the affairs of a licensee and who |
1977 | is: |
1978 | 1. A director, officer, employee, trustee, committee |
1979 | member, or controlling stockholder of a licensee or a subsidiary |
1980 | or service corporation of the licensee, other than a controlling |
1981 | stockholder which is a holding company, or an agent of a |
1982 | licensee or a subsidiary or service corporation of the licensee; |
1983 | 2. A person who has filed or is required to file a |
1984 | statement or any other information required to be filed under s. |
1985 | 628.461 or s. 628.4615; |
1986 | 3. A stockholder, other than a stockholder that is a |
1987 | holding company of the licensee, who participates in the conduct |
1988 | of the affairs of the licensee; |
1989 | 4. An independent contractor who: |
1990 | a. Renders a written opinion required by the laws of this |
1991 | state under her or his professional credentials on behalf of the |
1992 | licensee, which opinion is reasonably relied on by the |
1993 | department or office in the performance of its duties; or |
1994 | b. Affirmatively and knowingly conceals facts, through a |
1995 | written misrepresentation to the department or office, with |
1996 | knowledge that such misrepresentation: |
1997 | (I) Constitutes a violation of the insurance code or a |
1998 | lawful rule or order of the department, commission, or office; |
1999 | and |
2000 | (II) Directly and materially endangers the ability of the |
2001 | licensee to meet its obligations to policyholders. |
2002 |
|
2003 | For the purposes of this subparagraph, any representation of |
2004 | fact made by an independent contractor on behalf of a licensee, |
2005 | affirmatively communicated as a representation of the licensee |
2006 | to the independent contractor, shall not be considered a |
2007 | misrepresentation by the independent contractor; or |
2008 | 5. A third-party marketer who aids or abets a licensee in |
2009 | a violation of the insurance code relating to the sale of an |
2010 | annuity to a person 65 years of age or older. |
2011 | Section 17. For the purpose of incorporating the amendment |
2012 | made by this act to section 628.461, Florida Statutes, in a |
2013 | reference thereto, section 625.765, Florida Statutes, is |
2014 | reenacted to read: |
2015 | 625.765 Exemptions from ss. 625.75 and 625.76.-The |
2016 | commission may adopt by rule exemptions from ss. 625.75 and |
2017 | 625.76 for transactions that are not subject to s. 628.461 and |
2018 | that are the result of proceedings in probate, incompetency, or |
2019 | bankruptcy; sales of securities by odd-lot securities dealers; |
2020 | small transactions by gift which do not exceed $3,000 over any |
2021 | 6-month period; transactions that are effected in connection |
2022 | with the distribution of a substantial block of securities; |
2023 | acquisitions of shares of stock and stock options under a stock |
2024 | bonus plan, stock option plan, or similar plan; securities |
2025 | acquired by redeeming other securities by an insurer; |
2026 | consolidations or mergers of insurers that hold over 85 percent |
2027 | of the companies being merged or consolidated; acquisitions or |
2028 | dispositions of an equity security involved in the deposit of |
2029 | the security under, or the withdrawal of the security from, a |
2030 | voting trust or deposit agreement; and conversions of an |
2031 | insurer's equity securities into another equity security of the |
2032 | same insurer. The commission may limit by rule the scope of |
2033 | exemptions and provide conditions for exemptions as necessary to |
2034 | maintain the purpose and intent of ss. 625.75 and 625.76 and |
2035 | prevent the circumvention of ss. 625.75 and 625.76. |
2036 | Section 18. For the purpose of incorporating the amendment |
2037 | made by this act to section 628.461, Florida Statutes, in a |
2038 | reference thereto, subsection (2) of section 628.705, Florida |
2039 | Statutes, is reenacted to read: |
2040 | 628.705 Prohibition of stock transfers.- |
2041 | (2) Voting shares of the capital stock of a subsidiary |
2042 | insurance company or the intermediate holding company may not be |
2043 | acquired by any affiliated member of the holding company system |
2044 | except where the affiliated member of the mutual holding company |
2045 | system is the majority shareholder. A number of shares equal to |
2046 | 5 percent of the outstanding voting shares of the capital stock |
2047 | of one corporate member of the Mutual Insurance Holding Company |
2048 | System selected by the mutual insurance holding company may be |
2049 | issued or sold to directors and officers as part of a plan of |
2050 | compensation, and such shares shall not be considered part of |
2051 | the majority shares to be owned by the mutual insurance company |
2052 | under subsection (1). A number of shares equal to an additional |
2053 | 5 percent of the outstanding voting shares of the capital stock |
2054 | of one corporate member of the Mutual Insurance Holding Company |
2055 | System selected by the mutual insurance holding company may be |
2056 | issued or sold to employees, which may not include any officer |
2057 | or director, as part of an employee stock dividend or benefit |
2058 | plan, and such shares shall not be considered part of the |
2059 | majority shares to be owned by the mutual insurance company |
2060 | under subsection (1). Prior to issuance of shares in excess of |
2061 | the authorized 5 percent to either officers and directors or |
2062 | employees, pursuant to this section, a fairness opinion shall be |
2063 | rendered by an independent authority acceptable to the office to |
2064 | assure that the long term interests of the shareholders and |
2065 | policyholders are adequately protected. The office shall approve |
2066 | or disapprove the transaction within 30 days after receipt of |
2067 | the fairness opinion. Nothing in this section prohibits any |
2068 | officer or director from purchasing shares of stock at market |
2069 | value which are not part of a plan of compensation, in |
2070 | accordance with the requirements of s. 628.461, and, if such |
2071 | stock is not regularly traded on a national stock exchange, the |
2072 | officer or director purchasing the shares of stock is |
2073 | responsible for establishing its market value. |
2074 | Section 19. For the purpose of incorporating the |
2075 | amendments made by this act to sections 628.461 and 628.4615, |
2076 | Florida Statutes, in references thereto, subsection (7) of |
2077 | section 631.051, Florida Statutes, is reenacted to read: |
2078 | 631.051 Grounds for rehabilitation; domestic insurers.-The |
2079 | department may petition for an order directing it to |
2080 | rehabilitate a domestic insurer or an alien insurer domiciled in |
2081 | this state on any one or more of the following grounds, that the |
2082 | insurer: |
2083 | (7) Has transferred or attempted to transfer substantially |
2084 | its entire property or business, or has entered into any |
2085 | transaction the effect of which is to merge substantially its |
2086 | entire property or business into that of any other insurer or |
2087 | entity without having first obtained the written approval of the |
2088 | office under the provisions of s. 628.451, s. 628.461, or s. |
2089 | 628.4615, as the case may be; |
2090 | Section 20. For the purpose of incorporating the amendment |
2091 | made by this act to section 628.4615, Florida Statutes, in a |
2092 | reference thereto, subsection (19) of section 409.912, Florida |
2093 | Statutes, is reenacted to read: |
2094 | 409.912 Cost-effective purchasing of health care.-The |
2095 | agency shall purchase goods and services for Medicaid recipients |
2096 | in the most cost-effective manner consistent with the delivery |
2097 | of quality medical care. To ensure that medical services are |
2098 | effectively utilized, the agency may, in any case, require a |
2099 | confirmation or second physician's opinion of the correct |
2100 | diagnosis for purposes of authorizing future services under the |
2101 | Medicaid program. This section does not restrict access to |
2102 | emergency services or poststabilization care services as defined |
2103 | in 42 C.F.R. part 438.114. Such confirmation or second opinion |
2104 | shall be rendered in a manner approved by the agency. The agency |
2105 | shall maximize the use of prepaid per capita and prepaid |
2106 | aggregate fixed-sum basis services when appropriate and other |
2107 | alternative service delivery and reimbursement methodologies, |
2108 | including competitive bidding pursuant to s. 287.057, designed |
2109 | to facilitate the cost-effective purchase of a case-managed |
2110 | continuum of care. The agency shall also require providers to |
2111 | minimize the exposure of recipients to the need for acute |
2112 | inpatient, custodial, and other institutional care and the |
2113 | inappropriate or unnecessary use of high-cost services. The |
2114 | agency shall contract with a vendor to monitor and evaluate the |
2115 | clinical practice patterns of providers in order to identify |
2116 | trends that are outside the normal practice patterns of a |
2117 | provider's professional peers or the national guidelines of a |
2118 | provider's professional association. The vendor must be able to |
2119 | provide information and counseling to a provider whose practice |
2120 | patterns are outside the norms, in consultation with the agency, |
2121 | to improve patient care and reduce inappropriate utilization. |
2122 | The agency may mandate prior authorization, drug therapy |
2123 | management, or disease management participation for certain |
2124 | populations of Medicaid beneficiaries, certain drug classes, or |
2125 | particular drugs to prevent fraud, abuse, overuse, and possible |
2126 | dangerous drug interactions. The Pharmaceutical and Therapeutics |
2127 | Committee shall make recommendations to the agency on drugs for |
2128 | which prior authorization is required. The agency shall inform |
2129 | the Pharmaceutical and Therapeutics Committee of its decisions |
2130 | regarding drugs subject to prior authorization. The agency is |
2131 | authorized to limit the entities it contracts with or enrolls as |
2132 | Medicaid providers by developing a provider network through |
2133 | provider credentialing. The agency may competitively bid single- |
2134 | source-provider contracts if procurement of goods or services |
2135 | results in demonstrated cost savings to the state without |
2136 | limiting access to care. The agency may limit its network based |
2137 | on the assessment of beneficiary access to care, provider |
2138 | availability, provider quality standards, time and distance |
2139 | standards for access to care, the cultural competence of the |
2140 | provider network, demographic characteristics of Medicaid |
2141 | beneficiaries, practice and provider-to-beneficiary standards, |
2142 | appointment wait times, beneficiary use of services, provider |
2143 | turnover, provider profiling, provider licensure history, |
2144 | previous program integrity investigations and findings, peer |
2145 | review, provider Medicaid policy and billing compliance records, |
2146 | clinical and medical record audits, and other factors. Providers |
2147 | are not entitled to enrollment in the Medicaid provider network. |
2148 | The agency shall determine instances in which allowing Medicaid |
2149 | beneficiaries to purchase durable medical equipment and other |
2150 | goods is less expensive to the Medicaid program than long-term |
2151 | rental of the equipment or goods. The agency may establish rules |
2152 | to facilitate purchases in lieu of long-term rentals in order to |
2153 | protect against fraud and abuse in the Medicaid program as |
2154 | defined in s. 409.913. The agency may seek federal waivers |
2155 | necessary to administer these policies. |
2156 | (19) When a merger or acquisition of a Medicaid prepaid |
2157 | contractor has been approved by the Office of Insurance |
2158 | Regulation pursuant to s. 628.4615, the agency shall approve the |
2159 | assignment or transfer of the appropriate Medicaid prepaid |
2160 | contract upon request of the surviving entity of the merger or |
2161 | acquisition if the contractor and the other entity have been in |
2162 | good standing with the agency for the most recent 12-month |
2163 | period, unless the agency determines that the assignment or |
2164 | transfer would be detrimental to the Medicaid recipients or the |
2165 | Medicaid program. To be in good standing, an entity must not |
2166 | have failed accreditation or committed any material violation of |
2167 | the requirements of s. 641.52 and must meet the Medicaid |
2168 | contract requirements. For purposes of this section, a merger or |
2169 | acquisition means a change in controlling interest of an entity, |
2170 | including an asset or stock purchase. This subsection expires |
2171 | October 1, 2014. |
2172 | Section 21. For the purpose of incorporating the amendment |
2173 | made by this act to section 628.4615, Florida Statutes, in a |
2174 | reference thereto, paragraph (b) of subsection (1) of section |
2175 | 624.80, Florida Statutes, is reenacted to read: |
2176 | 624.80 Definitions.-As used in this part: |
2177 | (1) "Insurer" means and includes every person as defined |
2178 | in s. 624.03 as limited to: |
2179 | (b) Any specialty insurer as that term is defined in s. |
2180 | 628.4615. |
2181 | Section 22. For the purpose of incorporating the amendment |
2182 | made by this act to section 628.4615, Florida Statutes, in a |
2183 | reference thereto, section 626.9928, Florida Statutes, is |
2184 | reenacted to read: |
2185 | 626.9928 Acquisitions.-Acquisition of interest in a |
2186 | viatical settlement provider is subject to s. 628.4615. |
2187 | Section 23. For the purpose of incorporating the amendment |
2188 | made by this act to section 628.4615, Florida Statutes, in a |
2189 | reference thereto, section 634.252, Florida Statutes, is |
2190 | reenacted to read: |
2191 | 634.252 Acquisition.-Every motor vehicle service agreement |
2192 | company shall be subject to the provisions of s. 628.4615. |
2193 | Section 24. For the purpose of incorporating the amendment |
2194 | made by this act to section 628.4615, Florida Statutes, in a |
2195 | reference thereto, section 634.3073, Florida Statutes, is |
2196 | reenacted to read: |
2197 | 634.3073 Acquisition.-Every home warranty association |
2198 | shall be subject to the provisions of s. 628.4615. |
2199 | Section 25. For the purpose of incorporating the amendment |
2200 | made by this act to section 628.4615, Florida Statutes, in a |
2201 | reference thereto, section 634.4085, Florida Statutes, is |
2202 | reenacted to read: |
2203 | 634.4085 Acquisition.-Except for manufacturers as defined |
2204 | in this part, every service warranty association shall be |
2205 | subject to the provisions of s. 628.4615. |
2206 | Section 26. For the purpose of incorporating the amendment |
2207 | made by this act to section 628.4615, Florida Statutes, in a |
2208 | reference thereto, subsection (5) of section 642.032, Florida |
2209 | Statutes, is reenacted to read: |
2210 | 642.032 Provisions of general insurance law applicable to |
2211 | legal expense insurance corporations.-The following provisions |
2212 | of the Florida Insurance Code shall apply to legal expense |
2213 | insurance corporations, to the extent that they are not |
2214 | inconsistent with the provisions of ss. 642.011-642.049: |
2215 | (5) Section 628.4615, specialty insurers; acquisition of |
2216 | controlling stock, ownership interest, assets, or control; |
2217 | merger or consolidation. |
2218 | Section 27. For the purpose of incorporating the amendment |
2219 | made by this act to section 628.801, Florida Statutes, in a |
2220 | reference thereto, paragraph (b) of subsection (6), paragraph |
2221 | (f) of subsection (8), and paragraph (f) of subsection (9) of |
2222 | section 626.7492, Florida Statutes, are reenacted to read: |
2223 | 626.7492 Reinsurance intermediaries.- |
2224 | (6) DUTIES OF INSURERS USING THE SERVICES OF A REINSURANCE |
2225 | INTERMEDIARY BROKER.- |
2226 | (b) An insurer may not employ an individual who is |
2227 | employed by a reinsurance intermediary broker with which it |
2228 | transacts business, unless the reinsurance intermediary broker |
2229 | is under common control with the insurer and subject to ss. |
2230 | 628.801, 628.802, and 628.803. |
2231 | (8) PROHIBITED ACTS.-The reinsurance intermediary manager |
2232 | shall not: |
2233 | (f) Jointly employ an individual who is employed by the |
2234 | reinsurer, unless such reinsurance intermediary manager is under |
2235 | common control with the reinsurer subject to ss. 628.801, |
2236 | 628.802, and 628.803. |
2237 | (9) DUTIES OF REINSURERS USING THE SERVICES OF A |
2238 | REINSURANCE INTERMEDIARY MANAGER.- |
2239 | (f) A reinsurer shall not appoint to its board of |
2240 | directors any officer, director, employee, controlling |
2241 | shareholder, or subproducer of its reinsurance intermediary |
2242 | manager. This paragraph shall not apply to relationships |
2243 | governed by ss. 628.801, 628.802, and 628.803 or, if applicable, |
2244 | this section. |
2245 | Section 28. For the purpose of incorporating the amendment |
2246 | made by this act to section 628.801, Florida Statutes, in a |
2247 | reference thereto, paragraph (d) of subsection (2) of section |
2248 | 626.918, Florida Statutes, is reenacted to read: |
2249 | 626.918 Eligible surplus lines insurers.- |
2250 | (2) An unauthorized insurer may not be or become an |
2251 | eligible surplus lines insurer unless made eligible by the |
2252 | office in accordance with the following conditions: |
2253 | (d)1.a. The insurer must have and maintain surplus as to |
2254 | policyholders of not less than $15 million; in addition, an |
2255 | alien insurer must also have and maintain in the United States a |
2256 | trust fund for the protection of all its policyholders in the |
2257 | United States under terms deemed by the office to be reasonably |
2258 | adequate, in an amount not less than $5.4 million. Any such |
2259 | surplus as to policyholders or trust fund shall be represented |
2260 | by investments consisting of eligible investments for like funds |
2261 | of like domestic insurers under part II of chapter 625 provided, |
2262 | however, that in the case of an alien insurance company, any |
2263 | such surplus as to policyholders may be represented by |
2264 | investments permitted by the domestic regulator of such alien |
2265 | insurance company if such investments are substantially similar |
2266 | in terms of quality, liquidity, and security to eligible |
2267 | investments for like funds of like domestic insurers under part |
2268 | II of chapter 625. Clean, irrevocable, unconditional, and |
2269 | evergreen letters of credit issued or confirmed by a qualified |
2270 | United States financial institution, as defined in subparagraph |
2271 | 2., may be used to fund the trust. |
2272 | b. For those surplus lines insurers that were eligible on |
2273 | January 1, 1994, and that maintained their eligibility |
2274 | thereafter, the required surplus as to policyholders shall be: |
2275 | (I) On December 31, 1994, and until December 30, 1995, |
2276 | $2.5 million. |
2277 | (II) On December 31, 1995, and until December 30, 1996, |
2278 | $3.5 million. |
2279 | (III) On December 31, 1996, and until December 30, 1997, |
2280 | $4.5 million. |
2281 | (IV) On December 31, 1997, and until December 30, 1998, |
2282 | $5.5 million. |
2283 | (V) On December 31, 1998, and until December 30, 1999, |
2284 | $6.5 million. |
2285 | (VI) On December 31, 1999, and until December 30, 2000, $8 |
2286 | million. |
2287 | (VII) On December 31, 2000, and until December 30, 2001, |
2288 | $9.5 million. |
2289 | (VIII) On December 31, 2001, and until December 30, 2002, |
2290 | $11 million. |
2291 | (IX) On December 31, 2002, and until December 30, 2003, |
2292 | $13 million. |
2293 | (X) On December 31, 2003, and thereafter, $15 million. |
2294 | c. The capital and surplus requirements as set forth in |
2295 | sub-subparagraph b. do not apply in the case of an insurance |
2296 | exchange created by the laws of individual states, where the |
2297 | exchange maintains capital and surplus pursuant to the |
2298 | requirements of that state, or maintains capital and surplus in |
2299 | an amount not less than $50 million in the aggregate. For an |
2300 | insurance exchange which maintains funds in the amount of at |
2301 | least $12 million for the protection of all insurance exchange |
2302 | policyholders, each individual syndicate shall maintain minimum |
2303 | capital and surplus in an amount not less than $3 million. If |
2304 | the insurance exchange does not maintain funds in the amount of |
2305 | at least $12 million for the protection of all insurance |
2306 | exchange policyholders, each individual syndicate shall meet the |
2307 | minimum capital and surplus requirements set forth in sub- |
2308 | subparagraph b. |
2309 | d. A surplus lines insurer which is a member of an |
2310 | insurance holding company that includes a member which is a |
2311 | Florida domestic insurer as set forth in its holding company |
2312 | registration statement, as set forth in s. 628.801 and rules |
2313 | adopted thereunder, may elect to maintain surplus as to |
2314 | policyholders in an amount equal to the requirements of s. |
2315 | 624.408, subject to the requirement that the surplus lines |
2316 | insurer shall at all times be in compliance with the |
2317 | requirements of chapter 625. |
2318 |
|
2319 | The election shall be submitted to the office and shall be |
2320 | effective upon the office's being satisfied that the |
2321 | requirements of sub-subparagraph d. have been met. The initial |
2322 | date of election shall be the date of office approval. The |
2323 | election approval application shall be on a form adopted by |
2324 | commission rule. The office may approve an election form |
2325 | submitted pursuant to sub-subparagraph d. only if it was on file |
2326 | with the former Department of Insurance before February 28, |
2327 | 1998. |
2328 | 2. For purposes of letters of credit under subparagraph |
2329 | 1., the term "qualified United States financial institution" |
2330 | means an institution that: |
2331 | a. Is organized or, in the case of a United States office |
2332 | of a foreign banking organization, is licensed under the laws of |
2333 | the United States or any state. |
2334 | b. Is regulated, supervised, and examined by authorities |
2335 | of the United States or any state having regulatory authority |
2336 | over banks and trust companies. |
2337 | c. Has been determined by the office or the Securities |
2338 | Valuation Office of the National Association of Insurance |
2339 | Commissioners to meet such standards of financial condition and |
2340 | standing as are considered necessary and appropriate to regulate |
2341 | the quality of financial institutions whose letters of credit |
2342 | are acceptable to the office. |
2343 | Section 29. This act shall take effect July 1, 2012. |