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PCS for HB 305 (2021): An act relating to insurance

Summary

A proposed committee substitute, PCS for HB 305, of 2021, a bill to be entitled an act relating to insurance, running 39 pages. It would authorize the Office of Insurance Regulation to examine insurer affiliates, require property insurers to include closed-claim data in quarterly reports, and revise the plan of operation and rate provisions for Citizens Property Insurance Corporation. It amends section 627.70132 on notice deadlines for property insurance claims and creates section 627.70152, requiring written notice to an insurer before suit is filed under an insurance policy. A subsection on attorney fees addresses a court dismissal of a claimant's suit, and Section 11 states that the act takes effect July 1, 2021.

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“PCS for HB 305 (2021): An act relating to insurance.” Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2021-3100-insurance-banking-subcommittee-proposed-committee-bills-pcbs-908231a77b/, SHA-256 e89a19b9d5f9e470154e94c32524d6f04c2a4bfd5dc3ed01b108167b28f7ea3b.

Full text

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           PCS for HB 305                                                                                       2021




    1                                         A bill to be entitled
    2              An act relating to insurance; amending s. 624.316,
    3              F.S.; authorizing the Office of Insurance Regulation
    4              to examine insurer affiliates; amending s. 624.318,
    5              F.S.; requiring insurer affiliates to provide certain
    6              items and information to the office during examination
    7              or investigation; amending s. 624.424, F.S.; requiring
    8              property insurers to include certain data regarding
    9              closed claims in their quarterly reports to the
10                 office; requiring insurers to provide information
11                 regarding payments to affiliates upon request by the
12                 office; requiring the office to consider certain costs
13                 in determining whether payments made by an insurer to
14                 an affiliate are fair and reasonable; amending s.
15                 626.7451, F.S; requiring that managing general agents
16                 enter into specified contracts with insurers even when
17                 the managing general agents control, or are controlled
18                 by, the insurers; amending s. 626.7452, F.S.;
19                 providing that a managing general agent may be
20                 examined as if it were the insurer even if the
21                 managing general agent solely represents a single
22                 domestic insurer; amending s. 627.351, F.S.; revising
23                 a procedure that the plan of operation of Citizens
24                 Property Insurance Corporation must provide; requiring
25                 the corporation to include the costs of catastrophe

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        PCS for HB 305                                                                                       2021




26              reinsurance to its projected 100-year probable maximum
27              loss in its rate calculations even if the corporation
28              does not purchase such reinsurance; deleting obsolete
29              language relating to the corporation's rate filings;
30              requiring the corporation to annually implement a rate
31              increase that does not exceed a certain percent for
32              specified years; prohibiting the corporation from
33              seeking approval by the office for a rate reduction;
34              providing limits on salaries and salary raises of
35              current employees of the corporation and employees
36              hired by the corporation on or after a specified date;
37              amending s. 627.3518, F.S.; conforming a cross-
38              reference; amending s. 627.70132, F.S.; providing that
39              claims, supplemental claims, and reopened claims under
40              certain property insurance policies for loss or damage
41              caused by perils are barred unless notice is given
42              within a specified timeframe; revising the timeframe
43              for notice for loss or damage caused by windstorm or
44              hurricane; providing date of loss for weather-related
45              events; revising the definition of the term
46              "supplemental claim" or "reopened claim" to include
47              all perils; amending s. 627.7015, F.S.; conforming a
48              provision to changes made by the act; creating s.
49              627.70152, F.S.; providing applicability; providing
50              definitions; requiring that written notice be provided

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        PCS for HB 305                                                                                       2021




51              to an insurer before suit is filed under an insurance
52              policy; requiring that certain information be included
53              in the notice; requiring that notice be served within
54              specified time limits; requiring that an insurer
55              provide a response to the notice within specified
56              timeframe; providing for tolling of time if
57              appropriate; requiring an insurer to investigate,
58              review, and evaluate a dispute stated in the notice;
59              requiring an insurer to investigate each claim in the
60              notice in accordance with the Florida Insurance Code;
61              requiring a court to dismiss without prejudice a
62              claimant's suit under certain circumstances; providing
63              for evidentiary requirements regarding the notice;
64              prohibiting a court from awarding attorney fees to a
65              claimant under certain circumstances; providing an
66              effective date.
67
68      Be It Enacted by the Legislature of the State of Florida:
69
70              Section 1.         Paragraph (a) of subsection (2) of section
71      624.316, Florida Statutes, is amended to read:
72              Section 624.316            Examination of insurers.—
73              (2)(a)        Except as provided in paragraph (f), the office
74          may examine each insurer, including affiliates, as often as may
75          be warranted for the protection of the policyholders and in the

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         PCS for HB 305                                                                                       2021




76           public interest, and shall examine each domestic insurer not
77           less frequently than once every 5 years. The examination shall
78           cover the preceding 5 fiscal years of the insurer and shall be
79           commenced within 12 months after the end of the most recent
80           fiscal year being covered by the examination. The examination
81           may cover any period of the insurer's operations since the last
82           previous examination. The examination may include examination
83           of events subsequent to the end of the most recent fiscal year
84           and the events of any prior period that affect the present
85           financial condition of the insurer.
86               Section 2.         Subsection (2) of section 624.318, Florida
87       Statutes, is amended to read:
88               624.318 Conduct of examination or investigation; access to
89       records; correction of accounts; appraisals.—
90               (2)      Every person, including an affiliate, being examined
91       or investigated, and its officers, attorneys, employees, agents,
92       and representatives, shall make freely available to the
93       department or office or its examiners or investigators the
94       accounts, records, documents, files, information, assets, and
95       matters in their possession or control relating to the subject
96       of the examination or investigation. An agent who provides other
97       products or services or maintains customer information not
98       related to insurance must maintain records relating to insurance
99       products and transactions separately if necessary to give the
100      department or office access to such records. If records relating

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         PCS for HB 305                                                                                       2021




101      to the insurance transactions are maintained by an agent on
102      premises owned or operated by a third party, the agent and the
103      third party must provide access to the records by the department
104      or office.
105              Section 3.         Subsection (11) of section 624.424, Florida
106      Statutes, is renumbered as subsection (12), and a new subsection
107      (11) and subsection (13) are added to that section, to read:
108              624.424         Annual statement and other information.—
109              (11)         Each authorized insurer or insurer group issuing
110      personal lines or commercial lines residential property
111      insurance policies in this state shall file with the office on a
112      quarterly basis in conjunction with the statements required by
113      paragraph (1)(a) a supplemental report on an individual and
114      group basis for closed claims. The report must be on a form
115      prescribed by the commission and must include the following
116      information for each claim closed, excluding liability only
117      claims, within the reporting period in this state:
118              (a)      Unique claim identification number.
119              (b)      Type of policy.
120              (c)      Zip code of the property where the claim occurred.
121              (d)      County where the claim occurred.
122              (e)      Date of loss.
123              (f)      Peril or type of loss.
124              (g)      Date reported to insurer.
125              (h)      Initial date closed.

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         PCS for HB 305                                                                                       2021




126              (i)      Date claim most recently reopened, if applicable.
127              (j)      Most recent date closed.
128              (k)      Public adjuster on the claim.
129              (l)      Attorney for the claimant.
130              (m)      Water mitigation firm used.
131              (n)      Total indemnity paid by the insurer.
132              (o)      Total loss adjustment expenses paid by the insurer.
133              (p)      Amount paid for insured's attorney fees.
134              (q)      Contingency fee multiplier requested to be applied to
135      the calculation of the insured's attorney fees payment, and, if
136      so, contingency risk multiplier requested.
137              (r)      Contingency risk multiplier applied to the calculation
138      of the insured's attorney fees payment, and, if so, contingency
139      fee multiplier applied.
140              (s)      Other information deemed necessary by the commission
141      to provide the office with the ability to track litigation and
142      claims trends occurring in the property market.
143              (13)         Each insurer doing business in this state which pays
144      a fee, commission, or other financial consideration or payment
145      to any affiliate directly or indirectly is required upon request
146      to provide to the office any information the office deems
147      necessary. The fee, commission, or other financial consideration
148      or payment to any affiliate must be fair and reasonable. In
149      determining whether the fee, commission, or other financial
150      consideration or payment is fair and reasonable, the office

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         PCS for HB 305                                                                                       2021




151      shall consider, among other things, the actual cost of the
152      service being provided.
153              Section 4.          Subsection (6) of section 626.7451, Florida
154      Statutes, is amended to read:
155              626.7451          Managing general agents; required contract
156      provisions.—No person acting in the capacity of a managing
157      general agent shall place business with an insurer unless there
158      is in force a written contract between the parties which sets
159      forth the responsibility for a particular function, specifies
160      the division of responsibilities, and contains the following
161      minimum provisions:
162              (6)      The contract shall specify appropriate underwriting
163      guidelines, including:
164              (a)      The maximum annual premium volume.
165              (b)      The basis of the rates to be charged.
166              (c)      The types of risks which may be written.
167              (d)      Maximum limits of liability.
168              (e)      Applicable exclusions.
169              (f)      Territorial limitations.
170              (g)      Policy cancellation provisions.
171              (h)      The maximum policy period.
172
173      This subsection shall not apply when the managing general agent
174      is a controlled or controlling person.
175

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         PCS for HB 305                                                                                       2021




176      For the purposes of this section and ss. 626.7453 and 626.7454,
177      the term "controlling person" or "controlling" has the meaning
178      set forth in s. 625.012(5)(b)1., and the term "controlled
179      person" or "controlled" has the meaning set forth in s.
180      625.012(5)(b)2.
181              Section 5.         Section 626.7452, Florida Statutes, is amended
182      to read:
183              Section 626.7452 Managing general agents; examination
184      authority.—The acts of the managing general agent are considered
185      to be the acts of the insurer on whose behalf it is acting. A
186      managing general agent may be examined as if it were the insurer
187      except in the case where the managing general agent solely
188      represents a single domestic insurer.
189              Section 6.         Paragraphs (c) and (n) of subsection (6) of
190      section 627.351, Florida Statutes, are amended, and a new
191      paragraph (jj) is added to subsection (6) of that section, to
192      read:
193              627.351       Insurance risk apportionment plans.—
194              (6)       CITIZENS PROPERTY INSURANCE CORPORATION.—
195              (c)       The corporation's plan of operation:
196              1.       Must provide for adoption of residential property and
197      casualty insurance policy forms and commercial residential and
198      nonresidential property insurance forms, which must be approved
199      by the office before use. The corporation shall adopt the
200      following policy forms:

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         PCS for HB 305                                                                                       2021




201              a.       Standard personal lines policy forms that are
202      comprehensive multiperil policies providing full coverage of a
203      residential property equivalent to the coverage provided in the
204      private insurance market under an HO-3, HO-4, or HO-6 policy.
205              b.       Basic personal lines policy forms that are policies
206      similar to an HO-8 policy or a dwelling fire policy that provide
207      coverage meeting the requirements of the secondary mortgage
208      market, but which is more limited than the coverage under a
209      standard policy.
210              c.       Commercial lines residential and nonresidential policy
211      forms that are generally similar to the basic perils of full
212      coverage obtainable for commercial residential structures and
213      commercial nonresidential structures in the admitted voluntary
214      market.
215              d.       Personal lines and commercial lines residential
216      property insurance forms that cover the peril of wind only. The
217      forms are applicable only to residential properties located in
218      areas eligible for coverage under the coastal account referred
219      to in sub-subparagraph (b)2.a.
220              e.       Commercial lines nonresidential property insurance
221      forms that cover the peril of wind only. The forms are
222      applicable only to nonresidential properties located in areas
223      eligible for coverage under the coastal account referred to in
224      sub-subparagraph (b)2.a.
225              f.       The corporation may adopt variations of the policy

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         PCS for HB 305                                                                                       2021




226      forms listed in sub-subparagraphs a.-e. which contain more
227      restrictive coverage.
228              g.       Effective January 1, 2013, the corporation shall offer
229      a basic personal lines policy similar to an HO-8 policy with
230      dwelling repair based on common construction materials and
231      methods.
232              2.       Must provide that the corporation adopt a program in
233      which the corporation and authorized insurers enter into quota
234      share primary insurance agreements for hurricane coverage, as
235      defined in s. 627.4025(2)(a), for eligible risks, and adopt
236      property insurance forms for eligible risks which cover the
237      peril of wind only.
238              a.       As used in this subsection, the term:
239              (I)       "Quota share primary insurance" means an arrangement
240      in which the primary hurricane coverage of an eligible risk is
241      provided in specified percentages by the corporation and an
242      authorized insurer. The corporation and authorized insurer are
243      each solely responsible for a specified percentage of hurricane
244      coverage of an eligible risk as set forth in a quota share
245      primary insurance agreement between the corporation and an
246      authorized insurer and the insurance contract. The
247      responsibility of the corporation or authorized insurer to pay
248      its specified percentage of hurricane losses of an eligible
249      risk, as set forth in the agreement, may not be altered by the
250      inability of the other party to pay its specified percentage of

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         PCS for HB 305                                                                                       2021




251      losses. Eligible risks that are provided hurricane coverage
252      through a quota share primary insurance arrangement must be
253      provided policy forms that set forth the obligations of the
254      corporation and authorized insurer under the arrangement,
255      clearly specify the percentages of quota share primary insurance
256      provided by the corporation and authorized insurer, and
257      conspicuously and clearly state that the authorized insurer and
258      the corporation may not be held responsible beyond their
259      specified percentage of coverage of hurricane losses.
260              (II)         "Eligible risks" means personal lines residential and
261      commercial lines residential risks that meet the underwriting
262      criteria of the corporation and are located in areas that were
263      eligible for coverage by the Florida Windstorm Underwriting
264      Association on January 1, 2002.
265              b.       The corporation may enter into quota share primary
266      insurance agreements with authorized insurers at corporation
267      coverage levels of 90 percent and 50 percent.
268              c.       If the corporation determines that additional coverage
269      levels are necessary to maximize participation in quota share
270      primary insurance agreements by authorized insurers, the
271      corporation may establish additional coverage levels. However,
272      the corporation's quota share primary insurance coverage level
273      may not exceed 90 percent.
274              d.       Any quota share primary insurance agreement entered
275      into between an authorized insurer and the corporation must

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         PCS for HB 305                                                                                       2021




276      provide for a uniform specified percentage of coverage of
277      hurricane losses, by county or territory as set forth by the
278      corporation board, for all eligible risks of the authorized
279      insurer covered under the agreement.
280              e.       Any quota share primary insurance agreement entered
281      into between an authorized insurer and the corporation is
282      subject to review and approval by the office. However, such
283      agreement shall be authorized only as to insurance contracts
284      entered into between an authorized insurer and an insured who is
285      already insured by the corporation for wind coverage.
286              f.       For all eligible risks covered under quota share
287      primary insurance agreements, the exposure and coverage levels
288      for both the corporation and authorized insurers shall be
289      reported by the corporation to the Florida Hurricane Catastrophe
290      Fund. For all policies of eligible risks covered under such
291      agreements, the corporation and the authorized insurer must
292      maintain complete and accurate records for the purpose of
293      exposure and loss reimbursement audits as required by fund
294      rules. The corporation and the authorized insurer shall each
295      maintain duplicate copies of policy declaration pages and
296      supporting claims documents.
297              g.       The corporation board shall establish in its plan of
298      operation standards for quota share agreements which ensure that
299      there is no discriminatory application among insurers as to the
300      terms of the agreements, pricing of the agreements, incentive

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         PCS for HB 305                                                                                       2021




301      provisions if any, and consideration paid for servicing policies
302      or adjusting claims.
303              h.       The quota share primary insurance agreement between the
304      corporation and an authorized insurer must set forth the
305      specific terms under which coverage is provided, including, but
306      not limited to, the sale and servicing of policies issued under
307      the agreement by the insurance agent of the authorized insurer
308      producing the business, the reporting of information concerning
309      eligible risks, the payment of premium to the corporation, and
310      arrangements for the adjustment and payment of hurricane claims
311      incurred on eligible risks by the claims adjuster and personnel
312      of the authorized insurer. Entering into a quota sharing
313      insurance agreement between the corporation and an authorized
314      insurer is voluntary and at the discretion of the authorized
315      insurer.
316              3.       May provide that the corporation may employ or
317      otherwise contract with individuals or other entities to provide
318      administrative or professional services that may be appropriate
319      to effectuate the plan. The corporation may borrow funds by
320      issuing bonds or by incurring other indebtedness, and shall have
321      other powers reasonably necessary to effectuate the requirements
322      of this subsection, including, without limitation, the power to
323      issue bonds and incur other indebtedness in order to refinance
324      outstanding bonds or other indebtedness. The corporation may
325      seek judicial validation of its bonds or other indebtedness

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         PCS for HB 305                                                                                       2021




326      under chapter 75. The corporation may issue bonds or incur other
327      indebtedness, or have bonds issued on its behalf by a unit of
328      local government pursuant to subparagraph (q)2. in the absence
329      of a hurricane or other weather-related event, upon a
330      determination by the corporation, subject to approval by the
331      office, that such action would enable it to efficiently meet the
332      financial obligations of the corporation and that such
333      financings are reasonably necessary to effectuate the
334      requirements of this subsection. The corporation may take all
335      actions needed to facilitate tax-free status for such bonds or
336      indebtedness, including formation of trusts or other affiliated
337      entities. The corporation may pledge assessments, projected
338      recoveries from the Florida Hurricane Catastrophe Fund, other
339      reinsurance recoverables, policyholder surcharges and other
340      surcharges, and other funds available to the corporation as
341      security for bonds or other indebtedness. In recognition of s.
342      10, Art. I of the State Constitution, prohibiting the impairment
343      of obligations of contracts, it is the intent of the Legislature
344      that no action be taken whose purpose is to impair any bond
345      indenture or financing agreement or any revenue source committed
346      by contract to such bond or other indebtedness.
347              4.       Must require that the corporation operate subject to
348      the supervision and approval of a board of governors consisting
349      of nine individuals who are residents of this state and who are
350      from different geographical areas of the state, one of whom is

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         PCS for HB 305                                                                                       2021




351      appointed by the Governor and serves solely to advocate on
352      behalf of the consumer. The appointment of a consumer
353      representative by the Governor is deemed to be within the scope
354      of the exemption provided in s. 112.313(7)(b) and is in addition
355      to the appointments authorized under sub-subparagraph a.
356              a.       The Governor, the Chief Financial Officer, the
357      President of the Senate, and the Speaker of the House of
358      Representatives shall each appoint two members of the board. At
359      least one of the two members appointed by each appointing
360      officer must have demonstrated expertise in insurance and be
361      deemed to be within the scope of the exemption provided in s.
362      112.313(7)(b). The Chief Financial Officer shall designate one
363      of the appointees as chair. All board members serve at the
364      pleasure of the appointing officer. All members of the board are
365      subject to removal at will by the officers who appointed them.
366      All board members, including the chair, must be appointed to
367      serve for 3-year terms beginning annually on a date designated
368      by the plan. However, for the first term beginning on or after
369      July 1, 2009, each appointing officer shall appoint one member
370      of the board for a 2-year term and one member for a 3-year term.
371      A board vacancy shall be filled for the unexpired term by the
372      appointing officer. The Chief Financial Officer shall appoint a
373      technical advisory group to provide information and advice to
374      the board in connection with the board's duties under this
375      subsection. The executive director and senior managers of the

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         PCS for HB 305                                                                                       2021




376      corporation shall be engaged by the board and serve at the
377      pleasure of the board. Any executive director appointed on or
378      after July 1, 2006, is subject to confirmation by the Senate.
379      The executive director is responsible for employing other staff
380      as the corporation may require, subject to review and
381      concurrence by the board.
382              b.       The board shall create a Market Accountability Advisory
383      Committee to assist the corporation in developing awareness of
384      its rates and its customer and agent service levels in
385      relationship to the voluntary market insurers writing similar
386      coverage.
387              (I)       The members of the advisory committee consist of the
388      following 11 persons, one of whom must be elected chair by the
389      members of the committee: four representatives, one appointed by
390      the Florida Association of Insurance Agents, one by the Florida
391      Association of Insurance and Financial Advisors, one by the
392      Professional Insurance Agents of Florida, and one by the Latin
393      American Association of Insurance Agencies; three
394      representatives appointed by the insurers with the three highest
395      voluntary market share of residential property insurance
396      business in the state; one representative from the Office of
397      Insurance Regulation; one consumer appointed by the board who is
398      insured by the corporation at the time of appointment to the
399      committee; one representative appointed by the Florida
400      Association of Realtors; and one representative appointed by the

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         PCS for HB 305                                                                                       2021




401      Florida Bankers Association. All members shall be appointed to
402      3-year terms and may serve for consecutive terms.
403              (II)         The committee shall report to the corporation at each
404      board meeting on insurance market issues which may include rates
405      and rate competition with the voluntary market; service,
406      including policy issuance, claims processing, and general
407      responsiveness to policyholders, applicants, and agents; and
408      matters relating to depopulation.
409              5.       Must provide a procedure for determining the
410      eligibility of a risk for coverage, as follows:
411              a.       Subject to s. 627.3517, with respect to personal lines
412      residential risks, if the risk is offered coverage from an
413      authorized insurer at the insurer's approved rate under a
414      standard policy including wind coverage or, if consistent with
415      the insurer's underwriting rules as filed with the office, a
416      basic policy including wind coverage, for a new application to
417      the corporation for coverage, the risk is not eligible for any
418      policy issued by the corporation unless the premium for coverage
419      from the authorized insurer is more than 20 15 percent greater
420      than the premium for comparable coverage from the corporation.
421      Whenever an offer of coverage for a personal lines residential
422      risk is received for a policyholder of the corporation at
423      renewal from an authorized insurer, if the offer is equal to or
424      less than the corporation's renewal premium for comparable
425      coverage, the risk is not eligible for coverage with the

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         PCS for HB 305                                                                                       2021




426      corporation. If the risk is not able to obtain such offer, the
427      risk is eligible for a standard policy including wind coverage
428      or a basic policy including wind coverage issued by the
429      corporation; however, if the risk could not be insured under a
430      standard policy including wind coverage regardless of market
431      conditions, the risk is eligible for a basic policy including
432      wind coverage unless rejected under subparagraph 8. However, a
433      policyholder removed from the corporation through an assumption
434      agreement remains eligible for coverage from the corporation
435      until the end of the assumption period. The corporation shall
436      determine the type of policy to be provided on the basis of
437      objective standards specified in the underwriting manual and
438      based on generally accepted underwriting practices.
439              (I)      If the risk accepts an offer of coverage through the
440      market assistance plan or through a mechanism established by the
441      corporation other than a plan established by s. 627.3518, before
442      a policy is issued to the risk by the corporation or during the
443      first 30 days of coverage by the corporation, and the producing
444      agent who submitted the application to the plan or to the
445      corporation is not currently appointed by the insurer, the
446      insurer shall:
447              (A)      Pay to the producing agent of record of the policy for
448      the first year, an amount that is the greater of the insurer's
449      usual and customary commission for the type of policy written or
450      a fee equal to the usual and customary commission of the

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         PCS for HB 305                                                                                       2021




451      corporation; or
452               (B)     Offer to allow the producing agent of record of the
453      policy to continue servicing the policy for at least 1 year and
454      offer to pay the agent the greater of the insurer's or the
455      corporation's usual and customary commission for the type of
456      policy written.
457
458      If the producing agent is unwilling or unable to accept
459      appointment, the new insurer shall pay the agent in accordance
460      with sub-sub-sub-subparagraph (A).
461               (II)        If the corporation enters into a contractual
462      agreement for a take-out plan, the producing agent of record of
463      the corporation policy is entitled to retain any unearned
464      commission on the policy, and the insurer shall:
465               (A)     Pay to the producing agent of record, for the first
466      year, an amount that is the greater of the insurer's usual and
467      customary commission for the type of policy written or a fee
468      equal to the usual and customary commission of the corporation;
469      or
470               (B)     Offer to allow the producing agent of record to
471      continue servicing the policy for at least 1 year and offer to
472      pay the agent the greater of the insurer's or the corporation's
473      usual and customary commission for the type of policy written.
474
475      If the producing agent is unwilling or unable to accept

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         PCS for HB 305                                                                                       2021




476      appointment, the new insurer shall pay the agent in accordance
477      with sub-sub-sub-subparagraph (A).
478              b.       With respect to commercial lines residential risks, for
479      a new application to the corporation for coverage, if the risk
480      is offered coverage under a policy including wind coverage from
481      an authorized insurer at its approved rate, the risk is not
482      eligible for a policy issued by the corporation unless the
483      premium for coverage from the authorized insurer is more than 15
484      percent greater than the premium for comparable coverage from
485      the corporation. Whenever an offer of coverage for a commercial
486      lines residential risk is received for a policyholder of the
487      corporation at renewal from an authorized insurer, if the offer
488      is equal to or less than the corporation's renewal premium for
489      comparable coverage, the risk is not eligible for coverage with
490      the corporation. If the risk is not able to obtain any such
491      offer, the risk is eligible for a policy including wind coverage
492      issued by the corporation. However, a policyholder removed from
493      the corporation through an assumption agreement remains eligible
494      for coverage from the corporation until the end of the
495      assumption period.
496              (I)       If the risk accepts an offer of coverage through the
497      market assistance plan or through a mechanism established by the
498      corporation other than a plan established by s. 627.3518, before
499      a policy is issued to the risk by the corporation or during the
500      first 30 days of coverage by the corporation, and the producing

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         PCS for HB 305                                                                                       2021




501      agent who submitted the application to the plan or the
502      corporation is not currently appointed by the insurer, the
503      insurer shall:
504              (A)      Pay to the producing agent of record of the policy,
505      for the first year, an amount that is the greater of the
506      insurer's usual and customary commission for the type of policy
507      written or a fee equal to the usual and customary commission of
508      the corporation; or
509              (B)      Offer to allow the producing agent of record of the
510      policy to continue servicing the policy for at least 1 year and
511      offer to pay the agent the greater of the insurer's or the
512      corporation's usual and customary commission for the type of
513      policy written.
514
515      If the producing agent is unwilling or unable to accept
516      appointment, the new insurer shall pay the agent in accordance
517      with sub-sub-sub-subparagraph (A).
518              (II)         If the corporation enters into a contractual
519      agreement for a take-out plan, the producing agent of record of
520      the corporation policy is entitled to retain any unearned
521      commission on the policy, and the insurer shall:
522              (A)      Pay to the producing agent of record, for the first
523      year, an amount that is the greater of the insurer's usual and
524      customary commission for the type of policy written or a fee
525      equal to the usual and customary commission of the corporation;

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         PCS for HB 305                                                                                       2021




526      or
527               (B)      Offer to allow the producing agent of record to
528      continue servicing the policy for at least 1 year and offer to
529      pay the agent the greater of the insurer's or the corporation's
530      usual and customary commission for the type of policy written.
531
532      If the producing agent is unwilling or unable to accept
533      appointment, the new insurer shall pay the agent in accordance
534      with sub-sub-sub-subparagraph (A).
535               c.      For purposes of determining comparable coverage under
536      sub-subparagraphs a. and b., the comparison must be based on
537      those forms and coverages that are reasonably comparable. The
538      corporation may rely on a determination of comparable coverage
539      and premium made by the producing agent who submits the
540      application to the corporation, made in the agent's capacity as
541      the corporation's agent. A comparison may be made solely of the
542      premium with respect to the main building or structure only on
543      the following basis: the same coverage A or other building
544      limits; the same percentage hurricane deductible that applies on
545      an annual basis or that applies to each hurricane for commercial
546      residential property; the same percentage of ordinance and law
547      coverage, if the same limit is offered by both the corporation
548      and the authorized insurer; the same mitigation credits, to the
549      extent the same types of credits are offered both by the
550      corporation and the authorized insurer; the same method for loss

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         PCS for HB 305                                                                                       2021




551      payment, such as replacement cost or actual cash value, if the
552      same method is offered both by the corporation and the
553      authorized insurer in accordance with underwriting rules; and
554      any other form or coverage that is reasonably comparable as
555      determined by the board. If an application is submitted to the
556      corporation for wind-only coverage in the coastal account, the
557      premium for the corporation's wind-only policy plus the premium
558      for the ex-wind policy that is offered by an authorized insurer
559      to the applicant must be compared to the premium for multiperil
560      coverage offered by an authorized insurer, subject to the
561      standards for comparison specified in this subparagraph. If the
562      corporation or the applicant requests from the authorized
563      insurer a breakdown of the premium of the offer by types of
564      coverage so that a comparison may be made by the corporation or
565      its agent and the authorized insurer refuses or is unable to
566      provide such information, the corporation may treat the offer as
567      not being an offer of coverage from an authorized insurer at the
568      insurer's approved rate.
569              6.       Must include rules for classifications of risks and
570      rates.
571              7.       Must provide that if premium and investment income for
572      an account attributable to a particular calendar year are in
573      excess of projected losses and expenses for the account
574      attributable to that year, such excess shall be held in surplus
575      in the account. Such surplus must be available to defray

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         PCS for HB 305                                                                                       2021




576      deficits in that account as to future years and used for that
577      purpose before assessing assessable insurers and assessable
578      insureds as to any calendar year.
579              8.       Must provide objective criteria and procedures to be
580      uniformly applied to all applicants in determining whether an
581      individual risk is so hazardous as to be uninsurable. In making
582      this determination and in establishing the criteria and
583      procedures, the following must be considered:
584              a.       Whether the likelihood of a loss for the individual
585      risk is substantially higher than for other risks of the same
586      class; and
587              b.       Whether the uncertainty associated with the individual
588      risk is such that an appropriate premium cannot be determined.
589
590      The acceptance or rejection of a risk by the corporation shall
591      be construed as the private placement of insurance, and the
592      provisions of chapter 120 do not apply.
593              9.       Must provide that the corporation make its best efforts
594      to procure catastrophe reinsurance at reasonable rates, to cover
595      its projected 100-year probable maximum loss as determined by
596      the board of governors. If catastrophe reinsurance is not
597      available at reasonable rates, the corporation need not purchase
598      it, but the corporation shall include the costs of reinsurance
599      to cover its projected 100-year probable maximum loss in its
600      rate calculations even if it does not purchase catastrophe

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         PCS for HB 305                                                                                       2021




601      reinsurance.
602              10.      The policies issued by the corporation must provide
603      that if the corporation or the market assistance plan obtains an
604      offer from an authorized insurer to cover the risk at its
605      approved rates, the risk is no longer eligible for renewal
606      through the corporation, except as otherwise provided in this
607      subsection.
608              11.      Corporation policies and applications must include a
609      notice that the corporation policy could, under this section, be
610      replaced with a policy issued by an authorized insurer which
611      does not provide coverage identical to the coverage provided by
612      the corporation. The notice must also specify that acceptance of
613      corporation coverage creates a conclusive presumption that the
614      applicant or policyholder is aware of this potential.
615              12.      May establish, subject to approval by the office,
616      different eligibility requirements and operational procedures
617      for any line or type of coverage for any specified county or
618      area if the board determines that such changes are justified due
619      to the voluntary market being sufficiently stable and
620      competitive in such area or for such line or type of coverage
621      and that consumers who, in good faith, are unable to obtain
622      insurance through the voluntary market through ordinary methods
623      continue to have access to coverage from the corporation. If
624      coverage is sought in connection with a real property transfer,
625      the requirements and procedures may not provide an effective

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         PCS for HB 305                                                                                       2021




626      date of coverage later than the date of the closing of the
627      transfer as established by the transferor, the transferee, and,
628      if applicable, the lender.
629              13.      Must provide that, with respect to the coastal
630      account, any assessable insurer with a surplus as to
631      policyholders of $25 million or less writing 25 percent or more
632      of its total countrywide property insurance premiums in this
633      state may petition the office, within the first 90 days of each
634      calendar year, to qualify as a limited apportionment company. A
635      regular assessment levied by the corporation on a limited
636      apportionment company for a deficit incurred by the corporation
637      for the coastal account may be paid to the corporation on a
638      monthly basis as the assessments are collected by the limited
639      apportionment company from its insureds, but a limited
640      apportionment company must begin collecting the regular
641      assessments not later than 90 days after the regular assessments
642      are levied by the corporation, and the regular assessments must
643      be paid in full within 15 months after being levied by the
644      corporation. A limited apportionment company shall collect from
645      its policyholders any emergency assessment imposed under sub-
646      subparagraph (b)3.d. The plan must provide that, if the office
647      determines that any regular assessment will result in an
648      impairment of the surplus of a limited apportionment company,
649      the office may direct that all or part of such assessment be
650      deferred as provided in subparagraph (q)4. However, an emergency

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         PCS for HB 305                                                                                       2021




651      assessment to be collected from policyholders under sub-
652      subparagraph (b)3.d. may not be limited or deferred.
653              14.       Must provide that the corporation appoint as its
654      licensed agents only those agents who throughout such
655      appointments also hold an appointment as defined in s. 626.015
656      by an insurer who is authorized to write and is actually writing
657      or renewing personal lines residential property coverage,
658      commercial residential property coverage, or commercial
659      nonresidential property coverage within the state.
660              15.       Must provide a premium payment plan option to its
661      policyholders which, at a minimum, allows for quarterly and
662      semiannual payment of premiums. A monthly payment plan may, but
663      is not required to, be offered.
664              16.       Must limit coverage on mobile homes or manufactured
665      homes built before 1994 to actual cash value of the dwelling
666      rather than replacement costs of the dwelling.
667              17.       Must provide coverage for manufactured or mobile home
668      dwellings. Such coverage must also include the following
669      attached structures:
670              a.       Screened enclosures that are aluminum framed or
671      screened enclosures that are not covered by the same or
672      substantially the same materials as those of the primary
673      dwelling;
674              b.       Carports that are aluminum or carports that are not
675      covered by the same or substantially the same materials as those

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         PCS for HB 305                                                                                       2021




676      of the primary dwelling; and
677              c.       Patios that have a roof covering that is constructed of
678      materials that are not the same or substantially the same
679      materials as those of the primary dwelling.
680
681      The corporation shall make available a policy for mobile homes
682      or manufactured homes for a minimum insured value of at least
683      $3,000.
684              18.       May provide such limits of coverage as the board
685      determines, consistent with the requirements of this subsection.
686              19.       May require commercial property to meet specified
687      hurricane mitigation construction features as a condition of
688      eligibility for coverage.
689              20.       Must provide that new or renewal policies issued by
690      the corporation on or after January 1, 2012, which cover
691      sinkhole loss do not include coverage for any loss to
692      appurtenant structures, driveways, sidewalks, decks, or patios
693      that are directly or indirectly caused by sinkhole activity. The
694      corporation shall exclude such coverage using a notice of
695      coverage change, which may be included with the policy renewal,
696      and not by issuance of a notice of nonrenewal of the excluded
697      coverage upon renewal of the current policy.
698              21.       As of January 1, 2012, must require that the agent
699      obtain from an applicant for coverage from the corporation an
700      acknowledgment signed by the applicant, which includes, at a

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         PCS for HB 305                                                                                       2021




701      minimum, the following statement:
702
703                            ACKNOWLEDGMENT OF POTENTIAL SURCHARGE
704                                        AND ASSESSMENT LIABILITY:
705
706              1.       AS A POLICYHOLDER OF CITIZENS PROPERTY INSURANCE
707      CORPORATION, I UNDERSTAND THAT IF THE CORPORATION SUSTAINS A
708      DEFICIT AS A RESULT OF HURRICANE LOSSES OR FOR ANY OTHER REASON,
709      MY POLICY COULD BE SUBJECT TO SURCHARGES, WHICH WILL BE DUE AND
710      PAYABLE UPON RENEWAL, CANCELLATION, OR TERMINATION OF THE
711      POLICY, AND THAT THE SURCHARGES COULD BE AS HIGH AS 45 PERCENT
712      OF MY PREMIUM, OR A DIFFERENT AMOUNT AS IMPOSED BY THE FLORIDA
713      LEGISLATURE.
714              2.       I UNDERSTAND THAT I CAN AVOID THE CITIZENS POLICYHOLDER
715      SURCHARGE, WHICH COULD BE AS HIGH AS 45 PERCENT OF MY PREMIUM,
716      BY OBTAINING COVERAGE FROM A PRIVATE MARKET INSURER AND THAT TO
717      BE ELIGIBLE FOR COVERAGE BY CITIZENS, I MUST FIRST TRY TO OBTAIN
718      PRIVATE MARKET COVERAGE BEFORE APPLYING FOR OR RENEWING COVERAGE
719      WITH CITIZENS. I UNDERSTAND THAT PRIVATE MARKET INSURANCE RATES
720      ARE REGULATED AND APPROVED BY THE STATE.
721              3.       I UNDERSTAND THAT I MAY BE SUBJECT TO EMERGENCY
722      ASSESSMENTS TO THE SAME EXTENT AS POLICYHOLDERS OF OTHER
723      INSURANCE COMPANIES, OR A DIFFERENT AMOUNT AS IMPOSED BY THE
724      FLORIDA LEGISLATURE.
725              4.       I ALSO UNDERSTAND THAT CITIZENS PROPERTY INSURANCE

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         PCS for HB 305                                                                                       2021




726      CORPORATION IS NOT SUPPORTED BY THE FULL FAITH AND CREDIT OF THE
727      STATE OF FLORIDA.
728
729              a.       The corporation shall maintain, in electronic format or
730      otherwise, a copy of the applicant's signed acknowledgment and
731      provide a copy of the statement to the policyholder as part of
732      the first renewal after the effective date of this subparagraph.
733              b.       The signed acknowledgment form creates a conclusive
734      presumption that the policyholder understood and accepted his or
735      her potential surcharge and assessment liability as a
736      policyholder of the corporation.
737              (n)1.        Rates for coverage provided by the corporation must
738      be actuarially sound and subject to s. 627.062, except as
739      otherwise provided in this paragraph. The corporation shall file
740      its recommended rates with the office at least annually. The
741      corporation shall provide any additional information regarding
742      the rates which the office requires. The office shall consider
743      the recommendations of the board and issue a final order
744      establishing the rates for the corporation within 45 days after
745      the recommended rates are filed. The corporation may not pursue
746      an administrative challenge or judicial review of the final
747      order of the office.
748              2.       In addition to the rates otherwise determined pursuant
749      to this paragraph, the corporation shall impose and collect an
750      amount equal to the premium tax provided in s. 624.509 to

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         PCS for HB 305                                                                                       2021




751      augment the financial resources of the corporation.
752              3.       After the public hurricane loss-projection model under
753      s. 627.06281 has been found to be accurate and reliable by the
754      Florida Commission on Hurricane Loss Projection Methodology, the
755      model shall be considered when establishing the windstorm
756      portion of the corporation's rates. The corporation may use the
757      public model results in combination with the results of private
758      models to calculate rates for the windstorm portion of the
759      corporation's rates. This subparagraph does not require or allow
760      the corporation to adopt rates lower than the rates otherwise
761      required or allowed by this paragraph.
762              4.       The rate filings for the corporation which were
763      approved by the office and took effect January 1, 2007, are
764      rescinded, except for those rates that were lowered. As soon as
765      possible, the corporation shall begin using the lower rates that
766      were in effect on December 31, 2006, and provide refunds to
767      policyholders who paid higher rates as a result of that rate
768      filing. The rates in effect on December 31, 2006, remain in
769      effect for the 2007 and 2008 calendar years except for any rate
770      change that results in a lower rate. The next rate change that
771      may increase rates shall take effect pursuant to a new rate
772      filing recommended by the corporation and established by the
773      office, subject to this paragraph.
774              4.5.         Beginning on July 15, 2009, and annually thereafter,
775      The corporation must make a recommended actuarially sound rate

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         PCS for HB 305                                                                                       2021




776      filing for each personal and commercial line of business it
777      writes, to be effective no earlier than January 1, 2010.
778              5.6. Beginning on or after January 1, 2010, and
779      Notwithstanding the board's recommended rates and the office's
780      final order regarding the corporation's filed rates under
781      subparagraph 1., the corporation shall annually implement a rate
782      increase which, except for sinkhole coverage, does not exceed
783      the following 10 percent for any single policy issued by the
784      corporation, excluding coverage changes and surcharges:
785              a.       Eleven percent for 2022.
786              b.       Twelve percent for 2023.
787              c.       Thirteen percent for 2024.
788              d.       Fourteen percent for 2025.
789              e.       Fifteen percent for 2026 and all subsequent years.
790              6.       At no time may the corporation file for approval by the
791      office for a rate reduction.
792              7.       The corporation may also implement an increase to
793      reflect the effect on the corporation of the cash buildup factor
794      pursuant to s. 215.555(5)(b).
795              8.       The corporation's implementation of rates as prescribed
796      in subparagraph 6. shall cease for any line of business written
797      by the corporation upon the corporation's implementation of
798      actuarially sound rates. Thereafter, the corporation shall
799      annually make a recommended actuarially sound rate filing for
800      each commercial and personal line of business the corporation

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         PCS for HB 305                                                                                       2021




801      writes.
802              (jj)         An employee of the corporation may not receive an
803      annual salary, whether base pay or base pay combined with any
804      bonus or incentive payments, in excess of 150 percent of the
805      annual salary paid to the head of the office, subject to the
806      following:
807              1.       Anyone employed by the corporation as of June 30, 2021,
808      whose salary exceeds the salary limits in this paragraph may
809      retain his or her current salary but may not receive a raise.
810              2.       Anyone employed by the corporation as of June 30, 2021,
811      whose salary does not exceed the salary limits in this paragraph
812      may receive a raise such that his or her salary does not exceed
813      the salary limits in this paragraph.
814              3.       Anyone hired by the corporation on or after July 1,
815      2021, is subject to the salary limits in this paragraph.
816              Section 7.          Subsection (5) of section 627.3518, Florida
817      Statutes, is amended to read:
818              627.3518           Citizens Property Insurance Corporation
819      policyholder eligibility clearinghouse program.—The purpose of
820      this section is to provide a framework for the corporation to
821      implement a clearinghouse program by January 1, 2014.
822              (5)       Notwithstanding s. 627.3517, any applicant for new
823      coverage from the corporation is not eligible for coverage from
824      the corporation if provided an offer of coverage from an
825      authorized insurer through the program at a premium that is at

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         PCS for HB 305                                                                                       2021




826      or below the eligibility threshold established in s.
827      627.351(6)(c)5.a. Whenever an offer of coverage for a personal
828      lines risk is received for a policyholder of the corporation at
829      renewal from an authorized insurer through the program, if the
830      offer is equal to or less than the corporation's renewal premium
831      for comparable coverage, the risk is not eligible for coverage
832      with the corporation. In the event an offer of coverage for a
833      new applicant is received from an authorized insurer through the
834      program, and the premium offered exceeds the eligibility
835      threshold contained in s. 627.351(6)(c)5.a., the applicant or
836      insured may elect to accept such coverage, or may elect to
837      accept or continue coverage with the corporation. In the event
838      an offer of coverage for a personal lines risk is received from
839      an authorized insurer at renewal through the program, and the
840      premium offered is more than the corporation's renewal premium
841      for comparable coverage, the insured may elect to accept such
842      coverage, or may elect to accept or continue coverage with the
843      corporation. Section 627.351(6)(c)5.a.(I) does not apply to an
844      offer of coverage from an authorized insurer obtained through
845      the program. An applicant for coverage from the corporation who
846      was declared ineligible for coverage at renewal by the
847      corporation in the previous 36 months due to an offer of
848      coverage pursuant to this subsection shall be considered a
849      renewal under this section if the corporation determines that
850      the authorized insurer making the offer of coverage pursuant to

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         PCS for HB 305                                                                                       2021




851      this subsection continues to insure the applicant and increased
852      the rate on the policy in excess of the increase allowed for the
853      corporation under s. 627.351(6)(n)5. s. 627.351(6)(n)6.
854              Section 8.         Section 627.70132, Florida Statutes, is amended
855      to read:
856              627.70132         Notice of property insurance windstorm or
857      hurricane claim.—A claim, supplemental claim, or reopened claim
858      under an insurance policy that provides property insurance, as
859      defined in s. 624.604, including a property insurance policy
860      issued by an eligible surplus lines insurer, for loss or damage
861      caused by any the peril of windstorm or hurricane is barred
862      unless notice of the claim, supplemental claim, or reopened
863      claim was given to the insurer in accordance with the terms of
864      the policy within 2 3 years after the date of loss hurricane
865      first made landfall or the windstorm caused the covered damage.
866      For claims resulting from hurricanes, tornadoes, windstorms,
867      severe rain, or other weather-related events that are tracked by
868      weather services and media, the date of loss is the date that
869      the hurricane made landfall, or the tornado, windstorm, severe
870      rain, or other weather-related event is verified by the National
871      Oceanic and Atmospheric Administration or another disinterested
872      verifiable third party to have occurred, in the location of the
873      property that is the subject of the claim. For purposes of this
874      section, the term "supplemental claim" or "reopened claim" means
875      any additional claim for recovery from the insurer for losses

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         PCS for HB 305                                                                                       2021




876      from the same peril hurricane or windstorm which the insurer has
877      previously adjusted pursuant to the initial claim. This section
878      does not affect any applicable limitation on civil actions
879      provided in s. 95.11 for claims, supplemental claims, or
880      reopened claims timely filed under this section.
881              Section 9.          Paragraph (e) of subsection (9) of section
882      627.7015, Florida Statutes, is amended to read:
883              627.7015          Alternative procedure for resolution of disputed
884      property insurance claims.—
885              (9)      For purposes of this section, the term "claim" refers
886      to any dispute between an insurer and a policyholder relating to
887      a material issue of fact other than a dispute:
888              (e)      With respect to a windstorm or hurricane loss that
889      does not comply with s. 627.70132.
890              Section 10.            Section 627.70152, Florida Statutes, is
891      created to read:
892              627.70152          Suits arising under a property insurance
893      policy.—
894              (1)      APPLICATION.—This section applies to all residential
895      or commercial property suits not brought by an assignee.
896              (2)      DEFINITIONS.—As used in this section, the term:
897              (a)      "Claimant" means an insured who is filing suit under a
898      residential or commercial property insurance policy.
899              (b)      "Demand" means the specific amount alleged to be owed
900      by the insurer to the claimant under the residential or

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         PCS for HB 305                                                                                       2021




901      commercial property insurance policy.
902              (c)       "Notice" means claimant presuit notice.
903              (3)       NOTICE.—
904              (a)       As a condition precedent to filing a suit under a
905      property insurance policy, a claimant or the claimant's attorney
906      must provide the insurer with a written notice of intent to
907      initiate litigation before filing suit under the policy. Such
908      notice must be served by certified mail, return receipt
909      requested, or electronic delivery at least 10 business days
910      before filing suit, but may not be served before the insurer has
911      made a determination of coverage under s. 627.70131. The notice
912      must specify all of the following:
913              1.       That the notice is being provided pursuant to this
914      section.
915              2.       The alleged acts or omissions of the insurer giving
916      rise to the suit.
917              3.       The damages in dispute.
918              4.       The demand.
919              5.       The amount of reasonable and necessary attorney fees
920      and costs incurred by the claimant, to be calculated by
921      multiplying the number of hours actually worked on the claim as
922      of the date of the notice by the claimant's attorney by a
923      reasonable hourly rate.
924              6.       If provided by an attorney or other representative,
925      that a copy of the notice was provided to the claimant.

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         PCS for HB 305                                                                                       2021




926
927      Documentation to support the information provided in this
928      paragraph may be provided along with the notice to the insurer.
929              (b)      A notice of intent to initiate litigation must be
930      served within the time limits provided in s. 95.11. However, the
931      notice is not required if the suit is a counterclaim. Service of
932      a notice tolls the time limits provided in s. 95.11 for 10 days
933      if such time limits will expire before the end of the 10-day
934      notice period.
935              (c)      An insurer must respond in writing to the notice
936      within 10 business days after receiving the notice specified in
937      paragraph (a) by making a settlement offer or requiring the
938      claimant to participate in appraisal or another method of
939      alternative dispute resolution under the policy. The time limits
940      provided in s. 95.11 are tolled as long as appraisal or other
941      alternative dispute resolution is ongoing. An insurer must have
942      a procedure for the prompt investigation, review, and evaluation
943      of the dispute stated in the notice and must investigate each
944      claim contained in the notice in accordance with the Florida
945      Insurance Code.
946              (d)      A court must dismiss without prejudice any claimant's
947      suit relating to a claim for which a notice of intent to
948      initiate litigation is given as required by this subsection if
949      such suit is commenced before the expiration of the 10-day
950      notice period.

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         PCS for HB 305                                                                                       2021




951              (4)      ADMISSIBILITY OF NOTICE AND RESPONSE.—The notice
952      provided pursuant to subsection (3) and, if applicable, the
953      documentation to support the information provided pursuant to
954      paragraph (3)(a):
955              (a)      Are admissible as evidence in a civil suit or an
956      alternative dispute resolution proceeding relating to the claim
957      for which the notice is given.
958              (b)      Do not limit the evidence of attorney fees or costs,
959      damages, or loss which may be offered at trial.
960              (c)      Do not relieve any obligation that an insured or
961      assignee has to give notice under any other provision of law.
962              (5)      ATTORNEY FEES.—If a court dismisses a claimant's suit
963      pursuant to paragraph (3)(d), the court may not award to the
964      claimant any incurred attorney fees for services rendered before
965      the dismissal of the suit.
966              Section 11.           This act shall take effect July 1, 2021.




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