Florida 2023 2023 Regular Session

Florida House Bill H0799 Analysis / Analysis

Filed 06/02/2023

                     
This document does not reflect the intent or official position of the bill sponsor or House of Representatives. 
STORAGE NAME: h0799z1.DOCX 
DATE: 6/1/2023 
HOUSE OF REPRESENTATIVES STAFF FINAL BILL ANALYSIS  
 
BILL #: CS/CS/CS/HB 799    Property Insurance 
SPONSOR(S): Commerce Committee and State Administration & Technology Appropriations Subcommittee 
and Insurance & Banking Subcommittee, Griffitts and others 
TIED BILLS:   IDEN./SIM. BILLS: CS/CS/SB 594 
 
 
 
 
FINAL HOUSE FLOOR ACTION: 87 Y’s 
 
28 N’s  GOVERNOR’S ACTION: Approved 
 
 
SUMMARY ANALYSIS 
CS/CS/CS/HB 799 passed the House on April 26, 2023. The bill was amended in the Senate on May 1, 2023, 
and returned to the House. The House concurred in the Senate amendments on May 3, 2023, and passed the 
bill as amended.  
 
Windstorm Coverage  
 Establishing that a property insurer’s residential rate filing with the Office of Insurance Regulation (OIR) must 
allow for appropriate discounts for mitigation measures that reduce the potential for windstorm losses. 
 Adding wind uplift prevention to the list of fixtures or construction techniques for which an actuarially reasonable 
discount, credit, or other rate differential, or appropriate reduction in deductibles, must be included in a rate filing 
for residential property insurance. Wind uplift is the upward-acting pressure on parts of a roof caused by wind 
traveling across it. 
 
Citizens Property Insurance Corporation (Citizens) 
 Providing that the “glidepath” normally imposed on Citizens rates does not apply to policies where coverage for 
the risk insured by Citizens was last provided by an insurer determined by OIR to be unsound or placed into 
receivership due to impairment or insolvency.  
 Making certain that a limitation on Citizens rates for non-primary residences (current law) and policies assumed 
from unsound insurers (proposed by the bill) applies on a year-over-year basis, rather than based on a fixed date. 
 Eliminating the requirement that condominium owners insured by Citizens purchase flood insurance. 
 Making technical changes to the statutory language establishing when certain Citizens policyholders must obtain 
flood coverage so that Citizens can implement the flood coverage requirements.  
 Establishing that, in addition to any other method of alternative dispute resolution authorized by law, Citizens 
may adopt policy forms that allow both Citizens and Citizens’ policyholders to request a hearing by the Division 
of Administrative Hearings  (DOAH) to resolve claims disputes.  
 
Flood Coverage Required by Windstorm Policies  
 Requiring that, if an insurer requires an insured or applicant to have flood coverage when issuing a policy 
containing wind coverage, the insurer must verify that the insured or applicant has flood coverage.  
 Providing that an insurer may deny a wind claim where a policyholder fails to maintain his or her flood insurance 
policy after the insurer verifies the existence of the flood policy, but before making a wind claim.  
 Establishing that a master flood policy issued to someone other than the insured or applicant, and that includes 
the insured or applicant as an intended third-party beneficiary is acceptable proof of flood coverage. 
 
The bill provides a $750,000 nonrecurring appropriation from the Insurance Regulatory Trust Fund to the Office of 
Insurance Regulation to conduct a wind-loss mitigation study. The bill has no impact on local government revenues 
or expenditures. It will likely have a positive direct economic impact on the private sector. 
 
The bill was approved by the Governor on May 31, 2023, ch. 2023-175, L.O.F., and will become effective on 
July 1, 2023.     
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I. SUBSTANTIVE INFORMATION 
 
A. EFFECT OF CHANGES:  
 
Windstorm Coverage 
 
Background 
 
APPROVAL OF INSURANCE RATE FILINGS 
 
In general, insurers must file a copy of rates, rating schedules, rating manuals, premium credits or 
discount schedules, and surcharge schedules, and changes to these documents, for approval by the 
Office of Insurance Regulation (OIR).
1
 OIR must review insurers’ rate filings to determine whether rates 
are excessive, inadequate, or unfairly discriminatory.
2
 In doing so, OIR must consider factors including, 
but not limited to, the following: 
 Past and prospective loss experience in and out of Florida. 
 Past and prospective expenses. 
 Degree of competition among insurers for particular risk to be insured. 
 Investment income reasonably expected by the insurer. 
 Reasonableness of the judgment reflected in the filing. 
 Dividends, savings, or unabsorbed premium deposits allowed or returns to policyholders, 
members or subscribers in Florida. 
 Adequacy of loss reserves. 
 Cost of reinsurance. 
 Trend factors. 
 Conflagration and catastrophe hazards, if applicable. 
 Projected hurricane losses. 
 Projected flood losses. 
 Reasonable margin for underwriting profit and contingencies. 
 
Rate filings must also account for factors that should result in premium discounts or credited for 
policyholders. A residential property insurance rate filing must account for mitigation measures that 
policyholders undertake to reduce hurricane losses.
3
 
 
MITIGATION CREDITS IN RESIDENTIAL PROPERTY INSURANCE RATE FILINGS 
 
Residential property insurers must provide credits, discounts, other rate differentials, or appropriate 
reductions in deductibles to reduce insurance premiums for properties with mitigation features.
4
 
Mitigation features are construction techniques used or items installed to protect a structure against 
windstorm damage or loss.
 5
 These features must be accounted for in residential property insurance 
rate filings submitted to OIR for approval.
6
 Such features include, but are not limited to, measures that 
enhance roof strength, roof covering performance, roof-to-wall strength, wall-to-floor-to foundation 
strength, or appropriate protection, window, door, and skylight strength.
7
 Examples of items that might 
be installed to protect a structure include hurricane shutters, a hip roof, or a specific type of roof 
covering. 
 
WIND UPLIFT 
                                                
1
 S. 627.062(2)(a), F.S. 
2
 S. 627.062(1), F.S. 
3
 S. 627.062(2)(j), F.S. 
4
 See s. 627.0629, F.S. 
5
 See id.  
6
 S. 627.0629(1), F.S. 
7
 Id.   
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Wind uplift is the upward-acting pressure on the parts of a roof caused by wind traveling across the 
roof.
8
 It is a force measure in pounds per square foot and occurs when the pressure below a roof 
exceeds the pressure above it.
9
 Wind uplift can intensify during high winds, as air enters a building, 
causing an increase in the air pressure below the roof, while the speed of wind over the roof reduces 
the pressure above the roof.
10
 When wind uplift exceeds the limits of a building system design, a roof 
deck could detach from a supporting structure.
11
 Engineers and builders follow the applicable building 
code for each jurisdiction to attempt to prevent wind uplift.
12
 The standards vary based on building 
location and likelihood of exposure to high winds.
13
 
 
Effect of the Bill 
 
The bill establishes that, in addition to mitigation measures to reduce hurricane losses, an insurer’s rate 
filing must allow for appropriate discounts for mitigation measures that policyholders undertake to 
reduce the potential for windstorm losses. 
 
The bill adds wind uplift prevention to the list of fixtures or construction techniques for which an 
actuarially reasonable discount, credit, or other rate differential, or appropriate reduction in deductibles, 
must be included in a rate filing for residential property insurance.  
 
The bill also provides an appropriation for OIR to procure a wind-loss mitigation study. The study is 
required to evaluate roof strength, roof covering performance, roof-to-wall strength, wall-to-floor-to-
foundation strength, opening protections, window, door, and skylight strength, and methods and 
devices to prevent water intrusion through the tracks of sliding glass doors. The findings of the study 
shall be reported to the Governor, the President of the Senate, the Speaker of the House of 
Representatives, the Chief Financial Officer, and the Commissioner of Insurance Regulation no later 
than July 1, 2024.  
 
Citizens Property Insurance Corporation (Citizens) 
 
General Background 
 
Citizens Property Insurance Corporation (Citizens or corporation) is a state-created, not-for-profit, tax-
exempt governmental entity whose public purpose is to provide property insurance coverage to those 
unable to find affordable coverage in the voluntary admitted market.
14
 Citizens is not a private 
insurance company.
15
 Citizens was statutorily created in 2002 when the Florida Legislature combined 
the state’s two insurers of last resort, the Florida Residential Property and Casualty Joint Underwriting 
Association (RPCJUA) and the Florida Windstorm Underwriting Association (FWUA).
16
 
 
                                                
8
 Certified Commercial Property Inspectors Association, How Wind Uplift can Affect a Commercial Building’s Roof, 
https://ccpia.org/how-wind-uplift-can-affect-a-commercial-buildings-roof/ (last visited Mar. 6, 2023).  
9
 Id. 
10
 Id. 
11
 Id. 
12
 Id. 
13
 Id. Changes to Florida’s treatment of wind load were made in the 7
th
 edition of the Florida Building Code in 2020. See 
Wind Loads- Impacts from ASCE 7-16 (June 2020), https://floridabuilding.org/fbc/thecode/2020_7edition/ASCE_7-
16_Fact_Sheet_final_2_column_format052820final.pdf (last visited Mar. 6, 2023).  
14
 The term “admitted market” means insurance companies licensed to transact insurance in Florida. 
15
 Section 627.351(6)(a)1., F.S. 
16
 Section 2, ch. 2002-240, Laws of Fla.   
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POLICIES ASSUMED FROM OTHER INSURERS 
 
Background 
 
From 2007 until 2010, Citizens’ rates were frozen by statute at the level that had been established in 
2006. In 2010, the Legislature established a “glidepath” to impose annual rate increases up to a level 
that is actuarially sound. Under the original established glidepath, Citizens had to implement an annual 
rate increase which, except for sinkhole coverage, does not exceed 10 percent above the previous year 
for any individual policyholder, adjusted for coverage changes and surcharges. In 2021, the Legislature 
revised this glidepath to increase it one percent per year to 15 percent, as follows:
 17
 
 11 percent for 2022. 
 12 percent for 2023. 
 13 percent for 2024. 
 14 percent for 2025. 
 15 percent for 2026 and all subsequent years. 
 
Citizens’ rate cap, also known as the “glidepath,” is not closing the gap between Citizens rates and 
private market rates. Instead, because of the rate cap and the increasing rates of private property 
insurance, the gap is growing and making Citizens more like a competitor to private insurers than an 
insurer of last resort. Because Citizens’ rates are often well below those of private carriers, Citizens 
may be more competitive than otherwise intended. Due to Citizens’ structure, its rates do not contain 
certain elements that the rates of private insurers contain. Citizens does not pay taxes like private 
insurers and does not need to purchase as much reinsurance as private insurers because of Citizens’ 
higher levels of capital and surplus.  
 
Until December 2022, Citizens’ rates did not differ based upon whether the property that is a 
policyholder’s primary residence, a policyholder’s second home (e.g., a vacation home), or occupied by 
a long-term tenant.
18
 During Special Session 2022A, the Legislature removed the glidepath rate 
limitations for any new or renewal personal lines policy for non-primary residences written on or after 
November 1, 2023. The rate for these residences must be no more than 50% above, but not less than, 
the established rate for Citizens which was in effect one year before the date of the application for 
coverage. However, current law does not provide any similar exception for risks previously insured by 
an unsound or insolvent insurer. 
 
Effect of the Bill 
 
The bill provides that, in addition to non-primary residences, the “glidepath” normally imposed on 
Citizens year-to-year rate growth does not apply to policies where coverage for the risk insured by 
Citizens was last provided by an insurer determined by OIR to be unsound or placed into receivership 
due to impairment or insolvency.
19
 Instead, these risks must be no more than 50% above, but not less 
than, the established rate for Citizens which was in effect one year before the date of the application for 
coverage. The bill also makes certain that limitation on Citizens rate increases for non-primary 
residences and policies assumed from unsound insurers applies on a year-over-year basis, rather than 
being attached to a fixed date (i.e., the rate in effect the year before the date of application for 
coverage). 
 
CITIZENS ELIGIBILITY REQUIREMENTS 
 
                                                
17
 S. 627.351(6)(n)5., F.S. 
18
 Citizens would not issue a personal lines policy to someone using a home as a short-term vacation rental as that is 
considered a business use of the home.  
19
 In practical effect, this means that such policyholders might continue to pay the premium amount that they paid their 
prior insurer, not a lower premium that they might otherwise be charged by Citizens if subject to the rate increase 
limitations.   
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Background 
 
Until December 2022, Citizens Property Insurance Corporation could not require a policyholder or 
applicant to obtain flood insurance as a condition of coverage from Citizens if a policyholder or 
applicant signed a form affirming that Citizens does not provide flood insurance coverage, and that, if 
the policyholder or applicant did not obtain flood coverage in addition to a policy from Citizens, the risk 
was not covered for flood damage.
20
 A Citizens policyholder who did not obtain flood coverage and 
executed such a form, and who made a claim for water damage against Citizens, had the burden of 
proving the damage was not caused by flooding.
21
 Additionally, Citizens could deny coverage to a 
policyholder or applicant who refuses to execute the form.
22
 
 
Under s. 627.715, F.S., authorized insurers may issue personal lines residential flood coverage. Such 
coverage includes, but is not limited to, standard flood insurance, which is equivalent to that provided 
by the National Flood Insurance Program (NFIP), and preferred and customized flood insurance, which 
provide additional coverage from that provided by standard flood coverage.
23
  
 
A bill passed on December 2022 (SB 2-A) mandated that Citizens require personal lines residential 
policyholders and applicants to purchase and maintain flood insurance coverage that is at least 
equivalent to the coverage provided by the NFIP. The policyholder or applicant must execute a form 
affirming that Citizens does not provide flood insurance and that if the policyholder or applicant does 
not obtain flood insurance, his or her risk will not be eligible for coverage from Citizens. Citizens may 
deny coverage to a personal lines residential policyholder or applicant who refuses to purchase and 
maintain flood insurance. 
 
SB 2-A implemented the purchase of flood coverage by personal lines residential policyholders and 
applicants as follows: 
 Policyholders whose Citizens’ policies do not provide wind coverage are not required to 
purchase flood coverage as a condition of maintaining their Citizens’ policies. 
 All policyholders whose property insured by Citizens is located within the special flood hazard 
area defined by the Federal Emergency Management Agency must have flood coverage in 
place: 
o At the time of initial policy issuance for all new policies issued by Citizens on or after 
April 1, 2023. 
o By the time of policy renewal for all personal lines residential policies renewing on or 
after July 1, 2023. 
 All other policyholders must have flood coverage in place for policies effective on or after: 
o January 1, 2024, for property valued at $600,000 or more. 
o January 1, 2025, for property valued at $500,000 or more. 
o January 1, 2026, for property valued at $400,000 or more. 
o January 1, 2027, for all other personal lines residential property insured by Citizens. 
 
Citizens has expressed concerns with the ability to implement the flood coverage requirements for the 
policyholders who must have flood coverage in place on or after January 1, 2024, because of the way 
in which dwelling value is calculated for issuance of policies.
24
  
 
                                                
20
 S. 627.351(6)(aa), F.S. (2021). 
21
 Id. 
22
 Id. 
23
 Current NFIP personal lines flood policies have limits of $250,000 per claim. 
24
 Current law used the phrase “property valued at . . .,” but Citizens issues policies based on the replacement cost of a 
structure or unit (e.g. single-family home or condominium).   
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Effect of the Bill 
 
The bill eliminates the requirement that condominium owners insured by Citizens purchase flood 
insurance. It also makes technical changes to the statutory language establishing when certain Citizens 
policyholders must obtain flood coverage so that Citizens can implement the flood coverage 
requirements.  
 
REFERRAL OF CASES TO THE DIVISION OF ADMINISTRATIVE HEARINGS (DOAH) 
 
Background 
 
The Division of Administrative Hearings (DOAH) is a state agency that employs full-time Administrative 
Law Judges to conduct hearings in most cases in which the substantial interests of a person are 
determined by an agency and which involve a disputed issue of material fact.
25
 When a state agency 
proposes to take some action that is adverse to a person, the affected person is normally entitled to 
request an administrative hearing to determine the matter.
26
 Requests for hearings are initially made to 
the appropriate state agency.
27
 If the case does not involve disputed facts, the agency itself will conduct 
a proceeding and subsequently render a decision.
28
 If the request for hearing indicates that the affected 
person disputes facts upon which the proposed action is based, the agency ordinarily refers the case to 
DOAH for a hearing.
29
  
 
DOAH provides a hearing conducted by an independent and neutral Administrative Law Judge who 
thereafter enters a Recommendation or Final Order, which is provided to the state agency and the 
parties in the case. In the case of a Recommended Order, the agency reviews the Recommended 
Order and issues a Final Order which usually adopts the Judge's factual findings, but, under certain 
circumstances, the agency may reject or modify certain legal conclusions of the Judge or the 
recommended penalty, if any. If the Final Order is adverse to the non-agency party, an appeal may be 
taken within a limited time to a District Court of Appeal.
30
 
 
Currently, disputes between Citizens and a Citizens policyholder that are not resolved via informal 
negotiations or alternative dispute resolution may result in the filing of a civil suit in circuit court.
31
  
 
Effect of the Bill 
 
The bill provides that, in addition to any other method of alternative dispute resolution authorized by 
law, Citizens may adopt policy forms that allow both Citizens and Citizens’ policyholders to request a 
hearing by DOAH to resolve claims disputes. It also establishes that attorney fees may be awarded to 
either party for raising unsupported claims or defenses during a DOAH proceeding and for the use of 
offers of judgment and demands for judgment. The bill prohibits either party from serving an offer 
earlier than ten days after the filing of the request for a hearing with DOAH or later than 10 days before 
the date set for the final hearing at DOAH. Additionally, the bill prohibits OIR from approving a 
maximum hourly rate for attorney fees for hearings before DOAH.  
 
Flood Coverage Required by Windstorm Policies 
 
                                                
25
 Ch. 120, F.S. 
26
 s. 120.68(1), F.S. 
27
 See Uniform Rule 28-106.201(2). 
28
 s. 120.57(2), F.S. 
29
 s. 120.57(1), F.S. 
30
 s. 120.68(2)(a), F.S. 
31
 Bid protest resolutions involving Citizens are currently handled by the Division of Administrative Hearings. See Citizens, 
Board of Governors Procedure Protests, 
https://www.citizensfla.com/documents/20702/42664/Procurement+Protest+Procedure/816d9bfb-e636-40ec-a9f5-
34873d053bf7 (last visited Apr. 15, 2023).   
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Background 
 
Property insurance policies generally do not include flood coverage. Damage from flooding, including 
flooding from hurricane-generated storm surge, is not covered under a standard commercial policy, 
including a Commercial Package Policy or a Business Owners Policy.
32
 Standard homeowners, 
condominium owners, and renters insurance policies do not provide flood coverage, including damage 
from storm surge.
33
 However, some property insurers include language in property insurance policies 
providing windstorm coverage that requires that an insured or applicant maintain flood coverage in 
order for the windstorm coverage to be valid if a claim is made for windstorm damage. Compliance with 
this requirement may be problematic if an insurance agent has not made an insured or applicant aware 
of it at the time a property insurance policy is purchased.  
 
Effect of the Bill 
 
For residential and commercial property insurance policies issued or renewed on or after October 1, 
2023, the bill establishes that if the insurer requires an insured or applicant to have flood coverage 
when the insurer issues a policy containing wind coverage, the insurer must verify that the insured or 
applicant has flood coverage at the time of policy issuance or renewal.  
 
If such verification was made and flood coverage is not in force at the time of loss, the insurer may 
deny a claim solely because the insured does not have coverage for the peril of flood. However, if the 
insurer fails to make such verification, the insurer is prohibited from denying a claim for wind solely 
because the insured does not have coverage for the peril of flood.  
 
In addition to flood coverage directly obtained by the insured or applicant, the bill establishes that a 
master flood policy issued to someone other than the insured or applicant, but that covers the insured 
or applicant as an intended third-party beneficiary is acceptable proof of flood coverage. 
 
II.  FISCAL ANALYSIS & ECONOMIC IMPACT STATEMENT 
  
A. FISCAL IMPACT ON STATE GOVERNMENT: 
 
1. Revenues: 
 
None. 
 
2. Expenditures: 
 
The bill provides a $750,000 nonrecurring appropriation from the Insurance Regulatory Trust Fund 
to the Office of Insurance Regulation to conduct a wind-loss mitigation study. The findings of the 
study shall be reported to the Governor, the President of the Senate, the Speaker of the House of 
Representatives, the Chief Financial Officer, and the Commissioner of Insurance Regulation no 
later than July 1, 2024. 
 
B. FISCAL IMPACT ON LOCAL GOVERNMENTS: 
 
1. Revenues: 
 
None. 
 
                                                
32
 Insurance Information Institute, Does my Business Need Flood Insurance?, https://www.iii.org/article/does-my-
business-need-flood-insurance (last visited Mar. 7, 2023). 
33
 Insurance Information Institute, Hurricane Insurance FAQ: What Your Insurance Does–and does not–Cover, 
https://www.iii.org/article/hurricane-insurance-faq (last visited Mar. 7, 2023).   
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2. Expenditures: 
 
None. 
 
C. DIRECT ECONOMIC IMPACT ON PRIVATE SECTOR: 
 
The bill will likely have a positive direct economic impact on the private sector if rates are reduced due 
to the consideration required by the bill.  
 
D. FISCAL COMMENTS: 
 
None.