Florida 2023 Regular Session

Florida House Bill H0721 Latest Draft

Bill / Enrolled Version Filed 05/01/2023

                                    
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      1 
An act relating to paid family leave insurance; 2 
amending s. 624.406, F.S.; authorizing life insurers 3 
to transact paid family leave insurance; creating s. 4 
624.6086, F.S.; defining terms; providing 5 
circumstances under which paid family leave insurance 6 
may be issued and purchased under group disability 7 
income policies and group insurance policies; creating 8 
s. 627.445, F.S.; defining terms; providing 9 
circumstances under which family leave insurance 10 
benefits may be provided; requiring that paid family 11 
leave insurance policies specify details and 12 
requirements relating to covered circumstances, 13 
benefit periods, waiting periods, benefit amounts, 14 
certain offsets, and payment of benefits; providing 15 
that eligibility for family leave insurance benefits 16 
may be limited, excluded, or reduced, but any such 17 
limitation, exclusion, or reduction must be specified 18 
in the policy; providing circumstances under which 19 
limitations, exclusions, and reductions are 20 
permissible; providing applicable provisions for 21 
calculating rates; providing that paid family leave 22 
insurance policy forms and riders are subject to 23 
review by the Office of Insurance Regulation; 24 
specifying the means by which a policy must offer 25          
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family leave insurance benefits; authorizing the 26 
Financial Services Commission to adopt rules; 27 
providing an effective date. 28 
 29 
Be It Enacted by the Legislature of the State of Florida: 30 
 31 
 Section 1.  Subsection (1) of section 624.406, Florida 32 
Statutes, is amended to read: 33 
 624.406  Combinations of insuring powers, one insurer. —An 34 
insurer which otherwise qualifies therefor may be authorized to 35 
transact any one kind or combination of kinds of insurance as 36 
defined in part V except: 37 
 (1)  A life insurer may also grant annuities, but shall not 38 
be authorized to transact any other kind of insurance except 39 
health insurance, disability income insurance, paid family leave 40 
insurance, excess coverage for health maintenance organizations, 41 
or excess insurance, specific and aggregate, for self -insurers 42 
of a plan of health insurance and multiple -employer welfare 43 
arrangements. 44 
 Section 2.  Section 624.6086, Florida Statutes, is created 45 
to read: 46 
 624.6086  "Paid family leave insurance" defined; paid 47 
family leave insurance issuance and purchase. — 48 
 (1)  As used in this section, the term "paid family leave 49 
insurance" means insurance issued to an employer which is 50          
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related to a benefit program provided to an employee to pay for 51 
a percentage or portion of the employee's income loss due to: 52 
 (a)  The birth of a child or the adoption of a child by the 53 
employee; 54 
 (b)  Placement of a child with the employee for foster 55 
care; 56 
 (c)  Care of the employee's family member who has a serious 57 
health condition; or 58 
 (d)  Circumstances arising out of the fact that the 59 
employee's family member who is a servicemember is on active 60 
duty or has been notified of an impending call or order to 61 
active duty. 62 
 63 
As used in this subsection, the terms "child," "family leave," 64 
and "family member" have the same meanings as in s. 627.445(1). 65 
 (2)  Paid family leave insurance may be issued to and 66 
purchased by an employer as an amendment or a rider to a group 67 
disability income policy, included in a group disability income 68 
policy, or issued as a separate group insurance policy. 69 
 Section 3.  Section 627.445, Florida Statutes, is created 70 
to read: 71 
 627.445  Paid family leave insurance. — 72 
 (1)  DEFINITIONS.—As used in this section, the term: 73 
 (a)  "Armed Forces of the United States" means an officer 74 
or enlisted member of the Army, Navy, Air Force, Marine Corps, 75          
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Space Force, or Coast Guard of the United States, the Florida 76 
National Guard, or the United States Reserve Forces. 77 
 (b)  "Child" means a person who is: 78 
 1.  Under 18 years of age, or 18 years o f age or older and 79 
incapable of self-care because of a mental or a physical 80 
disability; and 81 
 2.  A biological, an adopted, or a foster son or daughter; 82 
a stepson or a stepdaughter; a legal ward; or a son or a 83 
daughter of a person to whom the employee stand s in loco 84 
parentis. 85 
 (c)  "Family leave" means any leave taken by an employee 86 
from work for any of the circumstances specified in subsection 87 
(2). 88 
 (d)  "Family member" means a child, a spouse, a parent, or 89 
any other person defined as a family member of the employee in 90 
the policy. 91 
 (e)  "Health care provider" means a hospital licensed under 92 
chapter 395, a health care institution licensed under chapter 93 
400 or chapter 429, or an individual licensed under chapter 458, 94 
chapter 459, chapter 460, chapter 461, chap ter 464, or chapter 95 
466. 96 
 (f)  "Parent" means a biological, foster, or adoptive 97 
parent; a stepparent; a legal guardian; or other person who 98 
stood in loco parentis to the employee when the employee was a 99 
child. 100          
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 (g)  "Serious health condition" means an illn ess, an 101 
injury, an impairment, or a physical or mental condition, 102 
including, but not limited to, a pregnancy complication that 103 
threatens the life of the mother or unborn child; 104 
transplantation preparation and recovery from surgery related to 105 
organ or tissue donation which involve inpatient care in a 106 
hospital, hospice, or residential health care facility; 107 
continuing treatment; or continuing supervision by a health care 108 
provider. Continuing supervision by a health care provider 109 
includes a period of incapacity which is permanent or long -term 110 
due to a condition for which treatment may not be effective and 111 
during which the family member need not be receiving active 112 
treatment by a health care provider. 113 
 (2)  COVERED FAMILY LEAVE INSURANCE BENEFITS. —Family leave 114 
insurance benefits provided in a paid family leave insurance 115 
policy may be provided for any leave taken by an employee from 116 
work for any of the following circumstances: 117 
 (a)  Participation in providing care, including physical or 118 
psychological care, for a fa mily member made necessary by a 119 
serious health condition of the family member; 120 
 (b)  Bonding with the employee's child during the first 12 121 
months after the child's birth or the first 12 months after the 122 
placement of the child for adoption by or foster care with the 123 
employee; 124 
 (c)  Addressing a qualifying exigency as interpreted under 125          
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the Family and Medical Leave Act of 1993, 29 U.S.C. s. 126 
2612(a)(1)(E) and 29 C.F.R. s. 825.126(a)(1) -(8), arising out of 127 
the fact that the spouse, child, or parent of the employ ee is on 128 
active duty or has been notified of an impending call or order 129 
to active duty in the Armed Forces of the United States; 130 
 (d)  Caring for a family member who was injured in the line 131 
of duty while serving in the Armed Forces of the United States; 132 
or 133 
 (e)  Caring for a family member or other leave as specified 134 
in the policy. 135 
 (3)  REQUIRED POLICY SPECIFICITY. —A paid family leave 136 
insurance policy must specify all of the following: 137 
 (a)  Details and requirements with regard to each of the 138 
covered circumstances specified in subsection (2). 139 
 (b)  The length of family leave insurance benefits 140 
available for each covered circumstance, which may not be less 141 
than 2 weeks during a period of 52 consecutive calendar weeks. 142 
 (c)  Whether there is an uncovered waiti ng period and, if 143 
so, the terms and conditions of the uncovered waiting period, 144 
which may include, but are not limited to, whether: 145 
 1.  The period runs over a consecutive calendar -day period; 146 
 2.  The period is counted toward the annual allotment of 147 
covered family leave insurance benefits or is in addition to the 148 
annual allotment of covered family leave insurance benefits; 149 
 3.  The period must be met only once per benefit year or 150          
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must be met for each separate claim for benefits; and 151 
 4.  The employee may w ork or receive paid time off or other 152 
compensation during the period. 153 
 (d)  The amount of benefits that will be paid for covered 154 
circumstances specified in subsection (2). 155 
 (e)  The definition of the wages or other income upon which 156 
the amount of benefits will be issued. 157 
 (f)  The method by which such wages or other income will be 158 
calculated. 159 
 (g)  If the family leave insurance benefits are subject to 160 
offsets for wages or other income received or for which the 161 
insured may be eligible, all such wages or other income that may 162 
be set off and the circumstances under which the family leave 163 
insurance benefits may be offset. 164 
 (h)  The frequency of payments due for covered benefits. 165 
 (4)  CALCULATION OF 52 CONSECUTIVE CALENDAR WEEKS. —For 166 
purposes of this section, 52 consecutive calendar weeks may be 167 
calculated by: 168 
 (a)  A calendar year; 169 
 (b)  Any fixed period starting on a particular date, such 170 
as the effective date or anniversary date of the policy; 171 
 (c)  The employee's hiring date or anniversary of hiring 172 
date; 173 
 (d)  The period measured forward from the employee's first 174 
day of family leave; 175          
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 (e)  A rolling period measured by looking back from the 176 
employee's first day of family leave; or 177 
 (f)  Any other method specified in the policy. 178 
 (5)  PERMISSIBLE LIMITATIONS, EXCLUSIONS, OR REDUCTIONS. —179 
Eligibility for family leave insurance benefits under this 180 
section may be limited, excluded, or reduced, but any 181 
limitation, exclusion, or reductio n must be specified in the 182 
policy and not conflict with the Florida Insurance Code. 183 
Limitations, exclusions, or reductions are permissible for any 184 
of the following circumstances: 185 
 (a)  For any period during which the required notice and 186 
medical certification as prescribed in the policy have not been 187 
provided; 188 
 (b)  For any leave period related to a serious health 189 
condition or other harm to a family member brought about by a 190 
willful act by the employee; 191 
 (c)  For any period during which the employee performe d 192 
work for remuneration or profit; 193 
 (d)  For any period for which the employee is eligible to 194 
receive remuneration or maintenance from her or his employer, or 195 
from a fund to which the employer has contributed; 196 
 (e)  For any period during which the employee is eligible 197 
to receive benefits under any other statutory program or 198 
employer-sponsored program, including, but not limited to, 199 
unemployment insurance benefits, workers' compensation benefits, 200          
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or any paid time off or employer's paid leave policy; 201 
 (f)  For any period commencing before the employee becomes 202 
eligible for family leave insurance benefits under the policy; 203 
 (g)  For any period during which more than one person seeks 204 
family leave for the same family member under the same policy, 205 
unless the policy specifies otherwise; or 206 
 (h)  For any other reasons specified in the policy. 207 
 (6)  PAYMENT OF FAMILY LEAVE INSURANCE BENEFITS. —Family 208 
leave insurance benefits provided under a policy that complies 209 
with this section must be paid periodically and promptly, as 210 
specified in the policy, except as to a contested period of 211 
family leave and subject to any of the limitations, exclusions, 212 
or reductions permitted under subsection (5). 213 
 (7)  INSURANCE POLICY. — 214 
 (a)  Rates for policies or riders providing paid family 215 
leave insurance benefits must be calculated in accordance with 216 
the rate standards provided in s. 627.062. 217 
 (b)  Forms for policies or riders providing paid family 218 
leave insurance benefits are subject to review by the office 219 
under s. 627.410. 220 
 (c)  A policy issued under this section must meet the 221 
requirements of s. 624.6086(2). 222 
 (8)  RULEMAKING.—The commission may adopt rules to 223 
administer this section. 224 
 Section 4.  This act shall take effect upon becoming a law. 225