This docum ent does not reflect the intent or official position of the bill sponsor or House of Representatives. STORAGE NAME: h0749.IBS DATE: 1/16/2022 HOUSE OF REPRESENTATIVES STAFF ANALYSIS BILL #: HB 749 Fraud Prevention SPONSOR(S): Clemons TIED BILLS: IDEN./SIM. BILLS: SB 1292 REFERENCE ACTION ANALYST STAFF DIRECTOR or BUDGET/POLICY CHIEF 1) Insurance & Banking Subcommittee Fortenberry Luczynski 2) State Administration & Technology Appropriations Subcommittee 3) Commerce Committee SUMMARY ANALYSIS The bill makes the following changes to existing law to help prevent insurance fraud: Service Contracts and Agreements – o Contracts – establishes that sellers of service contracts that include automatic renewal provisions must allow consumers to cancel these contracts in the same manner and by the same means as the consumers entered the contracts; o Agreements – expands the advertising violations for which a service agreement company or salesperson can be subject to licensure discipline or criminal penalties; requires that a service agreement company’s or salesperson’s disclosures in written advertisements be made in at least 12- point, boldface type and include a Florida Company Code; requires such company or salesperson disclose the full name of the company or salesperson in radio or television advertisements; requires that a service agreement salesperson must identify his or her full legal name and license number when beginning a solicitation call and his or her telephone number when ending such a call. Public Adjusters and Public Adjuster Apprentices – establishes a new maximum fine amount, not to exceed $20,000 per act, for a public adjusters or public adjuster apprentices who commit certain prohibited acts during a state of emergency declared by the Governor; implements the same penalties for individuals who engage in these prohibited acts, but are not public adjusters or public adjuster apprentices, and are not otherwise exempt from licensure. Investigation by the Division of Investigative and Forensic Services (DIFS) and the State Fire Marshal (SFM) – o Public Records Exemptions for Active Investigations – amends the definition of “active” as it pertains to investigations of fraudulent insurance acts by DIFS and of fires and explosions by SFM so that it has the same meaning as “active” in the public records law; o Compliance with Investigations – removes language that makes it a misdemeanor for a person who violates the statute regarding investigation of fraudulent insurance claims and crimes related to a fire or explosion loss; establishes that the Department of Financial Services may fine an insurer up to $2,000 per day if the insurer fails or refuses to comply with the investigation of a fraudulent insurance act by DIFS, or a fire or explosion by the SFM. Prosecution of False and Fraudulent Insurance Claims – replaces the word “and” with the word “or” that violations of certain statutes are separate crimes, and criminal prosecution for violation of either section must begin within five years of the violation; allows an insurer that has been damaged by a false or fraudulent insurance act to recover investigation and litigation expenses, including attorney fees, if the insurer has reported the false or fraudulent act to DIFS and there has been a criminal adjudication of guilt. The bill has no impact on state or local government revenues or expenditures and no direct economic impact on the private sector. The bill as effective upon becoming law except as otherwise provided within the bill. STORAGE NAME: h0749.IBS PAGE: 2 DATE: 1/16/2022 FULL ANALYSIS I. SUBSTANTIVE ANALYSIS A. EFFECT OF PROPOSED CHANGES: Service Contracts and Agreements A service contract is a written contract for the performance of services over a fixed time period or for a specific duration of time. 1 A service agreement is a contract or agreement indemnifying the agreement holder for the motor vehicle listed on the agreement and arising out of the ownership, operation, and use of the motor vehicle against loss cause by failure of any mechanical or other component part, or any mechanical or other component part that does not function as it was originally intended. 2 Cancellation of Service Contracts A consumer may enter a service contract in a variety of ways. Sometimes entering a service contract is accomplished easily by a consumer, but the consumer may have difficulty cancelling the contract because the service contract requires cancellation by a different method. 3 Any seller that sells or offers to sell a service contract to a consumer that has an automatic renewal provision must “disclose the automatic renewal provision clearly and conspicuously in the contract or contract offer.” 4 However, current law does not require that a service contract or offer for a contract to provide a specific method of contract cancellation. 5 Effect of the Bill The bill establishes that sellers of service contracts that include automatic renewal provisions must allow consumers to cancel these contracts in the same manner and by the same means as the consumers entered into the contracts. Advertising Disclosures by Service Agreement Companies and Salespersons Current law provides that a service agreement company or salesperson that engages in certain acts is subject to denial, suspension, revocation, or refusal to renew or continue any appointment or license, or is guilty of a second-degree misdemeanor. 6 These acts include limited violations of advertising requirements. 7 Effect of the Bill The bill expands the advertising violations for which a service agreement company or salesperson can be subject to licensure discipline or criminal penalties. The bill requires that a service agreement company or salesperson make disclosures in written advertisements in at least 12-point, boldface type. Such written advertisements must include a Florida Company Code, in addition to the name and address of the company. The bill requires that a service agreement company or salesperson disclose the full legal name of the company or salesperson in radio or television advertisements. Additionally, the bill requires that a service agreement salesperson must identify his or her full legal name and license number when beginning a solicitation call and his or her telephone number when ending such a call. The bill specifies that the phone number may be either the telephone number on file with the Department of Financial Service (DFS) or another number at which the salesperson may be reached. Violation of any of these requirements by a company or a salesperson may result in the denial, 1 S. 501.165(1)(d), F.S. This statute does not apply to warranty associations licensed under ch. 634, F.S. 2 S. 634.011(8), F.S. 3 Department of Financial Services, Agency Analysis of 2022 House Bill 749, p. 1 (Dec. 16, 2021). 4 S. 501.165(2)(a), F.S. 5 DFS, supra, note 3, at 1. 6 S. 634.095, F.S. 7 S. 634.095(3), F.S. STORAGE NAME: h0749.IBS PAGE: 3 DATE: 1/16/2022 suspension, revocation, or refusal to renew or continue an appointment or license, or a second-degree misdemeanor. These portions of the bill are effective January 1, 2023. Public Adjusters and Public Adjuster Apprentices Public adjusters and public adjuster apprentices are prohibited from engaging in a list of practices in current law and can be fined up to $10,000 per act for engaging in these practices at any time, including a declared state of emergency. 8 Any person who engages in the same acts, but is not a public adjuster or public adjuster apprentice, and who is not otherwise exempt from licensure, is guilty of the unlicensed practice of public adjusting and may also be subject to the same fines. 9 Effect of the Bill The bill establishes a new maximum fine amount, not to exceed $20,000 per act, for a public adjusters or public adjuster apprentices who commit certain prohibited acts during a state of emergency declared by the Governor through an executive order or proclamation. The bill implements the same penalties for individuals who engage in these prohibited acts, but are not public adjusters or public adjuster apprentices, and are not otherwise exempt from licensure. Investigations by the Division of Investigative and Forensic Services (DIFS) and the State Fire Marshal (SFM) Public Records Exemptions for Active Investigations Chapter 119, F.S., contains the state policy on public records, including specifics about when documents are exempt from release in response to public records requests. In general, documents related to an investigation by a state agency are exempt while the investigation is “active.” Under s. 119.011(3)(d), F.S., “active” has the following meaning: 1. Criminal intelligence information shall be considered “active” as long as it is related to intelligence gathering conducted with a reasonable, good faith belief that it will lead to detection of ongoing or reasonably anticipated criminal activities. 2. Criminal investigative information shall be considered “active” as long as it is related to an ongoing investigation which is continuing with a reasonable, good faith anticipation of securing an arrest or prosecution in the foreseeable future. In addition, criminal intelligence and criminal investigative information shall be considered “active” while such information is directly related to pending prosecutions or appeals. The word “active” shall not apply to information in cases which are barred from prosecution under the provisions of s. 775.15 or other statute of limitation. However, the statutes regarding investigations of fraudulent insurance acts by DIFS 10 and investigations of fires and explosions by the SFM 11 contain their own definitions of an active investigation. These statutes provide that an investigation is “active” while the investigation with being conducted with a “reasonable, good faith belief” that it might lead to the filing of administrative, civil or criminal proceedings. 12 Additionally, an investigation does not cease to be active if DIFS or SFM is “proceeding with reasonable dispatch, and [has]…a good faith belief that action” might be initiated by DFS or another administrative or law enforcement agency. 13 8 S. 626.854(22), F.S. 9 S. 626.854(22)(c), F.S. 10 See s. 626.989, F.S. 11 See s.633.112, F.S. 12 Ss. 626.989 and 633.112, F.S. 13 Id. STORAGE NAME: h0749.IBS PAGE: 4 DATE: 1/16/2022 Effect of the Bill The bill amends the definition of “active” as it pertains to investigations of fraudulent insurance acts by DIFS and of fires and explosions by SFM so that they have the same meaning as “active” in the public records law. 14 Compliance with Investigation by DIFS and SFM Statutes require insurers to report knowledge of fraudulent insurance acts or any other act or practice which constitutes a crime to DIFS 15 and knowledge that an intentional act resulted in a fire or explosion loss to its insured’s real or personal property. 16 However, these statutes do not provide consequences for an insurer’s failure to report this knowledge. Effect of the Bill The bill specifies that DFS may fine an insurer up to $2,000 per day, until it deems the insurer to be compliant, if an insurer fails or refuses to comply with the DIFS’s investigation of a fraudulent insurance act or SFM’s investigation of a fire or explosion, including the requirement to report fraudulent acts to DFS. The bill removes language that makes it a misdemeanor for a person who violates the statute regarding investigation of fraudulent insurance claims and crimes related to a fire or explosion loss. Prosecution of False and Fraudulent Insurance Claims and Crimes Criminal Charges for Insurance Fraud Section 775.15(11), F.S., specifies that felony violations of two specific statutes 17 regarding criminal insurance fraud must be commenced within five years after the violation is committed. However, the present statutory construction could be interpreted to mean that someone must violate both of these statutes before they are prosecuted for a felony violation of s. 775.15(11), F.S. Effect of the Bill The bill replaces the word “and” with the word “or” between two statutory sections to clarify that violations of either section are separate crimes, and that criminal prosecution for violation of either section must begin within five years of the violation of that section. Recovery of Costs by Insurers Section 817.234, F.S., provides criminal penalties for any person who commits insurance fraud by engaging in certain acts with intent to injure, defraud, or deceive any insurer. An insurer that has been damaged as a result of a violation of this statute has a cause of action to recover compensatory damages, plus reasonable investigation and litigation expenses, including attorney fees, at a trial or appellate court, if the violation has resulted in a criminal adjudication of guilt. 18 Effect of the Bill In addition to the requirement under existing law that there has been a criminal adjudication of guilt, the bill adds the requirement that, in order to recover reasonable investigation and litigation expenses, 14 S. 119.011(3)(d), F.S.; This change may have the effect of expanding a public records exemption. Please see Drafting Issues for further detail. 15 S. 626.989(6), F.S. 16 S. 633.126(2), F.S. 17 See ss. 440.105 and 817.234, F.S. 18 S. 817.235(5), F.S. STORAGE NAME: h0749.IBS PAGE: 5 DATE: 1/16/2022 including attorney fees when it has been damaged due to a false or fraudulent insurance claim, an insurer must report the false or fraudulent claim to DIFS. B. SECTION DIRECTORY: Section 1. Amends s. 501.165, F.S., relating to automatic renewal of service contracts. Section 2. Amends s. 626.854, F.S., relating to “public adjuster” defined; prohibitions. Section 3. Amends s. 626.989, F.S., relating to investigation by department or Division of Investigative and Forensic Services; compliance; immunity; confidential information; reports to division; division investigator’s power of arrest. Section 4. Amends s.633.112, F.S., relating to State Fire Marshal; hearings; investigations; recordkeeping and reports; subpoenas of witnesses; orders of circuit court. Section 5. Amends s. 633.126, F.S., relating to Investigation of fraudulent insurance claims and crimes; immunity of insurance companies supplying information. Section 6. Amends s. 634.095, F.S., relating to prohibited acts. Section 7. Amends s. 775.15, F.S., relating to time limitations; general time limitations; exceptions. Section 8. Amends s. 817.234, F.S., relating to false and fraudulent insurance claims. Section 9. Provides that the bill is effective upon becoming law except as otherwise provided. II. FISCAL ANALYSIS & ECONOMIC IMPACT STATEMENT A. FISCAL IMPACT ON STATE GOVERNMENT: 1. Revenues: None. 2. Expenditures: None. B. FISCAL IMPACT ON LOCAL GOVERNMENTS: 1. Revenues: None. 2. Expenditures: None. C. DIRECT ECONOMIC IMPACT ON PRIVATE SECTOR: None. D. FISCAL COMMENTS: None. III. COMMENTS STORAGE NAME: h0749.IBS PAGE: 6 DATE: 1/16/2022 A. CONSTITUTIONAL ISSUES: 1. Applicability of Municipality/County Mandates Provision: Not applicable. The bill does not appear to affect county or municipal governments. 2. Other: None. B. RULE-MAKING AUTHORITY: The bill requires DIFS to adopt rules to administer the statutory sections regarding investigation of fraudulent insurance acts and fire or explosion claims or crimes, but the bill provides DIFS with the authority necessary to adopt these rules. C. DRAFTING ISSUES OR OTHER COMMENTS: The changes to the definition of “active” in sections 3 (lines 158-166) and 4 (lines 255-263) of the bill may have the unintended consequence of expanding existing public records exemptions for investigations by DIFS and SFM such that a separate public records bill might be required. However, this concern has been discussed with the bill sponsor and he intends to file an amendment to remove the language that changes the definition of “active” from the bill. IV. AMENDMENTS/COMMITTEE SUBSTITUTE CHANGES