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3 | 3 | | HB 1141 2025 |
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9 | 9 | | Page 1 of 168 |
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10 | 10 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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13 | 13 | | |
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14 | 14 | | A bill to be entitled 1 |
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15 | 15 | | An act relating to insurance regulations; amending s. 2 |
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16 | 16 | | 48.151, F.S.; providing that the Chief Financial 3 |
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17 | 17 | | Officer is the agent for service of process on health 4 |
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18 | 18 | | maintenance organizations; amending s. 252.63, F.S.; 5 |
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19 | 19 | | revising the content of a publication from the 6 |
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20 | 20 | | Commissioner of Insurance Regulation relating to 7 |
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21 | 21 | | orders applicable to insurance in areas under the 8 |
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22 | 22 | | state of emergency; amending s. 624.4085, F.S.; 9 |
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23 | 23 | | revising the definition of the term "life and health 10 |
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24 | 24 | | insurer"; amending s. 624.422, F.S.; providing that 11 |
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25 | 25 | | the appointment of the Chief Financial Officer for 12 |
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26 | 26 | | service of process applies to insurers withdrawing 13 |
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27 | 27 | | from and ceasing operations in this state until all 14 |
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28 | 28 | | insurers' liabilities in this state are extinguished; 15 |
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29 | 29 | | amending s. 624.45, F.S.; conforming a provision to 16 |
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30 | 30 | | changes made by the act; amending s. 624.610, F.S.; 17 |
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31 | 31 | | removing certain provisions relating to credits 18 |
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32 | 32 | | allowed in specified reinsurance circumstances and 19 |
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33 | 33 | | relating to assuming insurers' accreditations; 20 |
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34 | 34 | | requiring filing fees from reinsurers requesting to 21 |
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35 | 35 | | operate in this state; removing applicability 22 |
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36 | 36 | | provisions; amending s. 626.9651, F.S.; requiring the 23 |
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37 | 37 | | Office of Insurance Regulation and the Financial 24 |
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38 | 38 | | Services Commission to adopt rules on cybersecurity of 25 |
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39 | 39 | | |
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40 | 40 | | HB 1141 2025 |
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46 | 46 | | Page 2 of 168 |
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47 | 47 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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48 | 48 | | |
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50 | 50 | | |
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51 | 51 | | certain insurance data; providing requirements for 26 |
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52 | 52 | | such rules; providing duties of the office; amending 27 |
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53 | 53 | | s. 627.062, F.S.; prohibiting personal residential 28 |
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54 | 54 | | property insurers from submitting more than one "use 29 |
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55 | 55 | | and file" filing under certain circumstances; 30 |
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56 | 56 | | providing an exception; amending s. 627.0621, F.S.; 31 |
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57 | 57 | | requiring certain rate filings with the office from 32 |
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58 | 58 | | residential property insurers to include rate 33 |
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59 | 59 | | transparency reports; providing for acceptance or 34 |
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60 | 60 | | rejection by the office of such reports; providing 35 |
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61 | 61 | | requirements for such reports; requiring insurers to 36 |
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62 | 62 | | provide such reports to consumers; requiring the 37 |
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63 | 63 | | office to define terms used in such reports; requiring 38 |
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64 | 64 | | the office to establish and maintain a specified 39 |
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65 | 65 | | center on its website; providing requirements for the 40 |
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66 | 66 | | website; amending s. 627.0645, F.S.; revising 41 |
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67 | 67 | | requirements of rate filing with the office; amending 42 |
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68 | 68 | | s. 627.0651, F.S.; prohibiting motor vehicle insurers 43 |
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69 | 69 | | from submitting more than one "use and file" filing 44 |
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70 | 70 | | under certain circumstances; amending s. 627.4554, 45 |
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71 | 71 | | F.S.; requiring that certain forms be posted on the 46 |
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72 | 72 | | website of the Department of Financial Services, 47 |
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73 | 73 | | rather than the office; amending s. 627.6699, F.S.; 48 |
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74 | 74 | | removing and revising definitions; removing provisions 49 |
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75 | 75 | | relating to the creation of the Florida Small Employer 50 |
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76 | 76 | | |
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77 | 77 | | HB 1141 2025 |
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83 | 83 | | Page 3 of 168 |
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84 | 84 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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85 | 85 | | |
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86 | 86 | | |
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87 | 87 | | |
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88 | 88 | | Health Reinsurance Program; amending s. 627.711, F.S .; 51 |
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89 | 89 | | requiring the office to contract with a state 52 |
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90 | 90 | | university to design, operate, upgrade, and maintain a 53 |
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91 | 91 | | specified database; requiring property insurers to 54 |
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92 | 92 | | file certain policyholder forms in the database; 55 |
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93 | 93 | | requiring the commission to adopt rules; amending s. 56 |
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94 | 94 | | 627.7152, F.S.; removing provisions relating to 57 |
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95 | 95 | | requirements for reporting and rulemaking regarding 58 |
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96 | 96 | | property insurance claims paid under assignment 59 |
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97 | 97 | | agreements; creating s. 627.9145, F.S.; providing 60 |
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98 | 98 | | reporting requirements for residential property 61 |
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99 | 99 | | insurers; requiring the commission to adopt rules; 62 |
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100 | 100 | | amending s. 627.915, F.S.; revising reporting 63 |
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101 | 101 | | requirements for private passenger automobile 64 |
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102 | 102 | | insurers; requiring the commission to adopt rules; 65 |
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103 | 103 | | providing requirements for such rules; removing 66 |
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104 | 104 | | reporting requirement p rovisions for certain insurers; 67 |
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105 | 105 | | amending ss. 628.081 and 628.091, F.S.; removing the 68 |
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106 | 106 | | requirement that domestic insurer incorporators 69 |
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107 | 107 | | execute articles of incorporation and file them with 70 |
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108 | 108 | | the office in triplicate; amending s. 628.111, F.S.; 71 |
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109 | 109 | | removing the requirement that domestic insurers make 72 |
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110 | 110 | | copies of amendments to articles of incorporation in 73 |
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111 | 111 | | triplicate; amending s. 628.461, F.S.; specifying the 74 |
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112 | 112 | | method of sending notifications regarding transactions 75 |
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114 | 114 | | HB 1141 2025 |
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121 | 121 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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123 | 123 | | |
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124 | 124 | | |
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125 | 125 | | or proposed transactions of voting securities of stock 76 |
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126 | 126 | | insurers or controlling companies; revising the method 77 |
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127 | 127 | | of filing certain statements; amending s. 628.4615, 78 |
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128 | 128 | | F.S.; revising the method by which amendments to 79 |
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129 | 129 | | certain applications must be sent to specialty 80 |
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130 | 130 | | insurers; amending s. 628.717, F.S.; revising 81 |
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131 | 131 | | requirements for the office's responses upon receipt 82 |
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132 | 132 | | of articles of incorporation; amending s. 628.719, 83 |
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133 | 133 | | F.S.; revising the method by which mutual insurance 84 |
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134 | 134 | | holding companies show their adoption of article of 85 |
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135 | 135 | | incorporation amendments and deliver the amendments to 86 |
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136 | 136 | | the office; revising the requirements for the office's 87 |
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137 | 137 | | responses upon receipt of amendments; amending s. 88 |
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138 | 138 | | 628.910, F.S.; removing the requirement that captive 89 |
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139 | 139 | | insurance company incorporators file articles of 90 |
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140 | 140 | | incorporation in triplicate; revising the office's 91 |
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141 | 141 | | responses upon receipt of captive insurance company 92 |
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142 | 142 | | articles of incorporation; amending s. 629.011, F.S.; 93 |
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143 | 143 | | revising and providing definitions; amending s. 94 |
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144 | 144 | | 629.071, F.S.; authorizing assessable and 95 |
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145 | 145 | | nonassessable reciprocal insurers, rather than 96 |
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146 | 146 | | domestic reciprocal insurers, to transact insurance if 97 |
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147 | 147 | | they maintain specified amounts of surplus funds; 98 |
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148 | 148 | | amending s. 629.081, F.S.; conforming a provision to 99 |
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149 | 149 | | changes made by the act; creating s. 629.082, F.S.; 100 |
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150 | 150 | | |
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151 | 151 | | HB 1141 2025 |
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158 | 158 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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159 | 159 | | |
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160 | 160 | | |
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161 | 161 | | |
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162 | 162 | | providing that attorneys in fact of reciprocals are 101 |
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163 | 163 | | affiliates of the reciprocals for specified purposes; 102 |
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164 | 164 | | creating s. 629.1015, F.S.; requiring documentation 103 |
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165 | 165 | | supporting that fees, commissions, and other financial 104 |
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166 | 166 | | considerations and payments to affiliates by 105 |
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167 | 167 | | reciprocal insurers are fair and reasonable; providing 106 |
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168 | 168 | | guidelines for the office in determining whether the 107 |
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169 | 169 | | fees, commissions, and other financial considerations 108 |
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170 | 170 | | and payments are fair and reasonable; providing 109 |
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171 | 171 | | requirements for documentation of such fees; amending 110 |
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172 | 172 | | s. 629.121, F.S.; providing that certain bonds fil ed 111 |
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173 | 173 | | with the office as security are filed by attorneys in 112 |
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174 | 174 | | fact, rather than attorneys of domestic reciprocal 113 |
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175 | 175 | | insurers; increasing the bond amount; creating s. 114 |
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176 | 176 | | 629.162, F.S.; authorizing reciprocal insurers to 115 |
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177 | 177 | | require subscriber contributions; providing disc losure 116 |
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178 | 178 | | and reporting requirements for subscriber 117 |
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179 | 179 | | contributions; creating s. 629.163, F.S.; authorizing 118 |
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180 | 180 | | reciprocal insurers to establish subscriber savings 119 |
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181 | 181 | | accounts; providing construction; providing 120 |
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182 | 182 | | requirements for subscriber savings accounts; creating 121 |
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183 | 183 | | s. 629.164, F.S.; authorizing reciprocal insurers to 122 |
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184 | 184 | | make distributions to subscribers from subscriber 123 |
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185 | 185 | | savings accounts; granting to subscribers' advisory 124 |
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186 | 186 | | committees sole authority to authorize distributions, 125 |
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187 | 187 | | |
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188 | 188 | | HB 1141 2025 |
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195 | 195 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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196 | 196 | | |
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197 | 197 | | |
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198 | 198 | | |
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199 | 199 | | subject to prior written approval by the office; 126 |
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200 | 200 | | providing requirements for reciprocal insurers that 127 |
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201 | 201 | | prohibit subscribers from receiving distributions for 128 |
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202 | 202 | | a specified period of time; providing construction; 129 |
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203 | 203 | | authorizing reciprocal insurers to return to 130 |
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204 | 204 | | subscribers unused premiums, savings, and credits 131 |
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205 | 205 | | accruing to their accounts; authorizing domestic 132 |
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206 | 206 | | reciprocal insurers to pay portions of unassigned 133 |
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207 | 207 | | funds; providing distribution limits; prohibiting 134 |
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208 | 208 | | distribution discriminations; amending s. 629.171, 135 |
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209 | 209 | | F.S.; revising requirements for filing with the office 136 |
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210 | 210 | | annual statements by reciprocal insurers; amending s. 137 |
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211 | 211 | | 629.181, F.S; replacing surplus deposits of 138 |
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212 | 212 | | subscribers with subscriber contributions; providing 139 |
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213 | 213 | | limits on subscriber contributions; amending s. 140 |
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214 | 214 | | 629.201, F.S.; requiring that each domestic reciprocal 141 |
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215 | 215 | | insurer have a subscribers' advisory committee; 142 |
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216 | 216 | | requiring that such committee be formed in compliance 143 |
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217 | 217 | | with specified laws; requiring that rules and 144 |
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218 | 218 | | amendments adopted by subscribers have prior approval 145 |
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219 | 219 | | by the office; revising subscribers' advisory 146 |
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220 | 220 | | committees' duties and membership; providing for 147 |
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221 | 221 | | election and terms; repealing s. 629.271, F.S., 148 |
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222 | 222 | | relating to distribution of savings; amending s. 149 |
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223 | 223 | | 629.291, F.S.; providing that forms filed with the 150 |
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225 | 225 | | HB 1141 2025 |
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232 | 232 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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233 | 233 | | |
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234 | 234 | | |
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235 | 235 | | |
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236 | 236 | | office for plans to merge a reciprocal insurer with 151 |
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237 | 237 | | another reciprocal in surer or to convert a reciprocal 152 |
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238 | 238 | | insurer to a stock or mutual insurer are adopted by 153 |
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239 | 239 | | the commission rather than the office; amending s. 154 |
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240 | 240 | | 629.301, F.S.; specifying the manner in which impaired 155 |
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241 | 241 | | reciprocal insurers are proceeded against if they 156 |
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242 | 242 | | cannot make up deficiencies in assets; specifying the 157 |
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243 | 243 | | manner in which assessments are levied upon 158 |
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244 | 244 | | subscribers if reciprocal insurers are liquidated; 159 |
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245 | 245 | | providing that assessments are subject to specified 160 |
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246 | 246 | | limits; repealing ss. 629.401 and 629.520, F.S., 161 |
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247 | 247 | | relating to insurance exchange and the authority of a 162 |
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248 | 248 | | limited reciprocal insurer, respectively; creating s. 163 |
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249 | 249 | | 629.56, F.S.; requiring reciprocal insurers to 164 |
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250 | 250 | | maintain unearned premium reserves at all times; 165 |
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251 | 251 | | amending s. 634.401, F.S.; revising provisions 166 |
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252 | 252 | | relating to coverage for a ccidental damage under a 167 |
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253 | 253 | | service warranty; creating s. 641.2012, F.S.; 168 |
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254 | 254 | | providing applicability of service of process 169 |
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255 | 255 | | provisions to health maintenance organizations; 170 |
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256 | 256 | | amending s. 641.26, F.S.; revising requirements for 171 |
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257 | 257 | | filing annual and quarterly reports by health 172 |
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258 | 258 | | maintenance organizations; creating s. 641.283, F.S.; 173 |
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259 | 259 | | providing applicability of administrative supervision 174 |
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260 | 260 | | and hazardous insurer condition provisions to health 175 |
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261 | 261 | | |
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262 | 262 | | HB 1141 2025 |
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269 | 269 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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271 | 271 | | |
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272 | 272 | | |
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273 | 273 | | maintenance organizations; amending s. 651.011, F.S.; 176 |
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274 | 274 | | providing and revising definitions ; amending s. 177 |
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275 | 275 | | 651.018, F.S.; providing duties for the office if 178 |
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276 | 276 | | certain conditions exist in continuing care 179 |
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277 | 277 | | facilities; amending s. 651.019, F.S.; requiring 180 |
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278 | 278 | | continuing care providers to provide to the office 181 |
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279 | 279 | | specified information on financing and intended use of 182 |
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280 | 280 | | proceeds under certain circumstances; creating s. 183 |
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281 | 281 | | 651.0212, F.S.; requiring and authorizing the office 184 |
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282 | 282 | | to deny or revoke a provider's authority to engage in 185 |
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283 | 283 | | certain continuing care activities under certain 186 |
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284 | 284 | | circumstances; amending s. 651.0215, F.S.; revising 187 |
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285 | 285 | | the timeframe for the office to examine and respond to 188 |
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286 | 286 | | consolidated applications for provisional certificates 189 |
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287 | 287 | | of authority and certificates of authority for 190 |
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288 | 288 | | providers of continuing care; removing provisions 191 |
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289 | 289 | | relating to the duties of the office in responding to 192 |
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290 | 290 | | such applications; amending s. 651.022, F.S.; revising 193 |
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291 | 291 | | requirements for applications for provisional 194 |
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292 | 292 | | certificates of authority of providers of continuing 195 |
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293 | 293 | | care; removing provisions relating to duties of the 196 |
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294 | 294 | | office in responding to such applica tions; amending s. 197 |
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295 | 295 | | 651.023, F.S.; conforming cross -references and 198 |
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296 | 296 | | provisions to changes made by the act; amending s. 199 |
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297 | 297 | | 651.024, F.S.; providing applicability of certain 200 |
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298 | 298 | | |
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299 | 299 | | HB 1141 2025 |
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306 | 306 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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307 | 307 | | |
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308 | 308 | | |
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309 | 309 | | |
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310 | 310 | | specialty insurer provisions and nonapplicability of 201 |
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311 | 311 | | certain continuing care provider req uirements to 202 |
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312 | 312 | | bondholders under certain circumstances; defining the 203 |
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313 | 313 | | term "consent rights"; providing applicability of such 204 |
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314 | 314 | | provisions to certain entities under certain 205 |
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315 | 315 | | circumstances; amending s. 651.0246, F.S.; revising 206 |
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316 | 316 | | requirements for applications for exp ansion of 207 |
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317 | 317 | | certificated continuing care facilities; removing 208 |
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318 | 318 | | specified duties of the office in responding to such 209 |
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319 | 319 | | applications; revising the timeframe for the office to 210 |
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320 | 320 | | review such applications; amending s. 651.026, F.S.; 211 |
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321 | 321 | | revising requirements for annual re ports filed by 212 |
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322 | 322 | | providers of continuing care; providing requirements 213 |
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323 | 323 | | for quarterly reports; amending s. 651.0261, F.S.; 214 |
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324 | 324 | | providing additional requirements for quarterly 215 |
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325 | 325 | | reports filed by continuing care facilities; amending 216 |
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326 | 326 | | s. 651.033, F.S.; requiring office approval before 217 |
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327 | 327 | | execution of an agreement for establishing an escrow 218 |
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328 | 328 | | account; defining the terms "emergency" and "business 219 |
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329 | 329 | | day"; specifying circumstances under which providers 220 |
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330 | 330 | | of continuing care may withdraw a specified percentage 221 |
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331 | 331 | | of the required minimum l iquid reserve; revising the 222 |
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332 | 332 | | timeframe for the office to deny petitions for 223 |
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333 | 333 | | emergency withdrawals; providing duties of escrow 224 |
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334 | 334 | | agents; amending s. 651.034, F.S.; revising duties of 225 |
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343 | 343 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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344 | 344 | | |
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345 | 345 | | |
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346 | 346 | | |
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347 | 347 | | the office relating to impaired continuing care 226 |
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348 | 348 | | providers; amending s. 651.03 5, F.S.; providing 227 |
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349 | 349 | | requirements for continuing care providers' minimum 228 |
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350 | 350 | | liquid reserve accounts in escrow; providing 229 |
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351 | 351 | | requirements for debt service reserve transfers from 230 |
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352 | 352 | | one financial institution or lender to another; 231 |
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353 | 353 | | revising and providing requirements for continuing 232 |
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354 | 354 | | care providers' operating reserves in escrow; amending 233 |
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355 | 355 | | s. 651.043, F.S.; revising circumstances under which 234 |
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356 | 356 | | certain notices of management changes must be provided 235 |
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357 | 357 | | to the office; amending s. 651.055, F.S.; conforming 236 |
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358 | 358 | | cross-references; amending s . 651.071, F.S.; providing 237 |
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359 | 359 | | that continuing care and continuing care at -home 238 |
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360 | 360 | | contracts are not subordinate to any secured claims 239 |
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361 | 361 | | and must be treated with higher priority over all 240 |
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362 | 362 | | other claims in the event of receivership or 241 |
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363 | 363 | | liquidation proceedings against a provider; providing 242 |
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364 | 364 | | an exception; amending s. 651.085, F.S.; requiring 243 |
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365 | 365 | | designated resident representatives in continuing care 244 |
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366 | 366 | | facilities to perform their duties in good faith; 245 |
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367 | 367 | | requiring each continuing care facility to have its 246 |
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368 | 368 | | own designated resident rep resentative; specifying the 247 |
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369 | 369 | | methods for notifications to designated resident 248 |
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370 | 370 | | representatives of certain meetings; creating s. 249 |
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371 | 371 | | 651.087, F.S; providing requirements for certain 250 |
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380 | 380 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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381 | 381 | | |
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382 | 382 | | |
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383 | 383 | | |
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384 | 384 | | collection and distribution of funds by residents of 251 |
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385 | 385 | | continuing care facilities; providing duties of 252 |
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386 | 386 | | providers relating to such funds; providing 253 |
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387 | 387 | | requirements for providers who borrow or solicit funds 254 |
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388 | 388 | | from residents; providing that failure to comply with 255 |
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389 | 389 | | specified collection and distribution provisions is a 256 |
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390 | 390 | | violation of minimum liquid r eserve requirements; 257 |
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391 | 391 | | authorizing the commission to require certain 258 |
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392 | 392 | | statements or filing to be submitted by electronic 259 |
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393 | 393 | | means; amending s. 651.091, F.S.; requiring continuing 260 |
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394 | 394 | | care facilities to post notices of bankruptcy 261 |
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395 | 395 | | proceedings; providing requirements f or such notices; 262 |
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396 | 396 | | requiring continuing care facilities to maintain 263 |
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397 | 397 | | certain records; requiring providers of continuing 264 |
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398 | 398 | | care to make certain records available for review and 265 |
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399 | 399 | | to deliver copies of specified disclosure statements; 266 |
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400 | 400 | | providing liability and penalti es; providing 267 |
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401 | 401 | | applicability; prohibiting persons from filing or 268 |
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402 | 402 | | maintaining actions under certain circumstances; 269 |
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403 | 403 | | creating s. 651.104, F.S.; prohibiting persons from 270 |
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404 | 404 | | acting or holding themselves out as management 271 |
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405 | 405 | | companies for continuing care retirement com munities 272 |
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406 | 406 | | without a certificate of authority; providing 273 |
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407 | 407 | | requirements for certificate of authority 274 |
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408 | 408 | | applications; prohibiting the office from issuing 275 |
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409 | 409 | | |
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417 | 417 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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418 | 418 | | |
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419 | 419 | | |
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420 | 420 | | |
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421 | 421 | | certificates of authority under certain circumstances; 276 |
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422 | 422 | | creating s. 651.1041, F.S.; providing applicability of 277 |
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423 | 423 | | specified insurer provisions to acquisitions of 278 |
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424 | 424 | | management companies; creating s. 651.1043, F.S.; 279 |
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425 | 425 | | providing requirements for management company annual 280 |
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426 | 426 | | and quarterly financial statements; requiring 281 |
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427 | 427 | | acquisition application filings under certain 282 |
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428 | 428 | | circumstances; requiring monthly statement filings 283 |
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429 | 429 | | under certain circumstances; providing fines for 284 |
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430 | 430 | | noncompliance; providing rulemaking authority; 285 |
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431 | 431 | | creating s. 651.1045, F.S.; providing grounds for the 286 |
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432 | 432 | | office to refuse, suspend, and revoke management 287 |
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433 | 433 | | company certificates of authority; providing that 288 |
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434 | 434 | | revocation of a management company's certificate of 289 |
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435 | 435 | | authority does not relieve a provider from specified 290 |
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436 | 436 | | obligations to residents and from annual statement 291 |
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437 | 437 | | filings and license fees; authorizing the office to 292 |
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438 | 438 | | seek enforcement actions; amending s. 651.105, F.S.; 293 |
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439 | 439 | | authorizing the office to examine the businesses of 294 |
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440 | 440 | | management companies and their parents, subsidiaries, 295 |
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441 | 441 | | and affiliates under certain circumstances; requiring 296 |
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442 | 442 | | the office to notify management companies of 297 |
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443 | 443 | | compliance deficiencies and to require corrective 298 |
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444 | 444 | | actions or plans; requiring management companies to 299 |
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445 | 445 | | respond to such notices; amending s. 651.1065, F.S.; 300 |
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446 | 446 | | |
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447 | 447 | | HB 1141 2025 |
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448 | 448 | | |
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454 | 454 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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455 | 455 | | |
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456 | 456 | | |
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457 | 457 | | |
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458 | 458 | | prohibiting management companies from engaging in 301 |
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459 | 459 | | certain acts if delinquency proceedings have been or 302 |
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460 | 460 | | are to be initiated; providing penalties; creating s. 303 |
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461 | 461 | | 651.1068, F.S.; prohibiting officers and directors of 304 |
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462 | 462 | | insolvent providers or management companies from 305 |
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463 | 463 | | serving as officers and directors of providers and 306 |
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464 | 464 | | management companies and from having control over the 307 |
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465 | 465 | | selection of officers and directors under certain 308 |
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466 | 466 | | circumstances; amending s. 651.107, F.S.; requiring 309 |
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467 | 467 | | management companies to file annual statements and pay 310 |
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468 | 468 | | license fees during periods of certificate of 311 |
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469 | 469 | | authority suspension; providing for automatic 312 |
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470 | 470 | | reinstatement or revocation of certificates of 313 |
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471 | 471 | | authority; amending s. 651.108, F.S.; providing 314 |
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472 | 472 | | administrative fines for management companies for 315 |
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473 | 473 | | certain violations; creating s. 651.113, F.S.; 316 |
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474 | 474 | | defining the term "negative fund balance"; providing 317 |
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475 | 475 | | guidelines for the commi ssioner to determine whether a 318 |
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476 | 476 | | provider or facility is insolvent or in imminent 319 |
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477 | 477 | | danger of becoming insolvent; requiring providers and 320 |
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478 | 478 | | facilities determined to be insolvent or in danger of 321 |
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479 | 479 | | insolvency to prepare a plan; authorizing the office 322 |
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480 | 480 | | to issue an order requiring a provider or facility to 323 |
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481 | 481 | | engage in certain acts under certain circumstances; 324 |
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482 | 482 | | authorizing the office to issue immediate final orders 325 |
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483 | 483 | | |
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484 | 484 | | HB 1141 2025 |
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485 | 485 | | |
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486 | 486 | | |
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487 | 487 | | |
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490 | 490 | | Page 14 of 168 |
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491 | 491 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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492 | 492 | | |
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493 | 493 | | |
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494 | 494 | | |
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495 | 495 | | requiring certain acts; providing construction; 326 |
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496 | 496 | | amending s. 651.114, F.S.; removing provisions 327 |
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497 | 497 | | relating to continuing care facility trustees and 328 |
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498 | 498 | | lenders; creating s. 651.1165, F.S.; requiring the 329 |
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499 | 499 | | office to record notices of lien against continuing 330 |
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500 | 500 | | care facilities' properties; providing requirements 331 |
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501 | 501 | | for such liens; providing for lien foreclosures in 332 |
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502 | 502 | | civil actions; providing that such liens are preferred 333 |
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503 | 503 | | to all liens, mortgages, and other encumbrances upon 334 |
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504 | 504 | | the property and all unrecorded liens, mortgages, and 335 |
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505 | 505 | | other encumbrances; providing conditions for lien 336 |
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506 | 506 | | releases; amending ss. 627.642, 627.6475, 627.657, and 337 |
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507 | 507 | | 627.66997, F.S.; conforming cross -references; 338 |
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508 | 508 | | providing applicability dates; providing effective 339 |
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509 | 509 | | dates. 340 |
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510 | 510 | | 341 |
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511 | 511 | | Be It Enacted by the Legislature of the State of Florida: 342 |
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512 | 512 | | 343 |
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513 | 513 | | Section 1. Subsection (3) of section 48.151, Florida 344 |
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514 | 514 | | Statutes, is amended to read: 345 |
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515 | 515 | | 48.151 Service on statutory agents for certain persons. — 346 |
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516 | 516 | | (3) The Chief Financial Officer is the agent for service 347 |
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517 | 517 | | of process on all insurers applying for authority to transact 348 |
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518 | 518 | | insurance in this state, all licensed nonresident insurance 349 |
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519 | 519 | | agents, all nonreside nt disability insurance agents licensed 350 |
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520 | 520 | | |
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521 | 521 | | HB 1141 2025 |
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522 | 522 | | |
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523 | 523 | | |
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524 | 524 | | |
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527 | 527 | | Page 15 of 168 |
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528 | 528 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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529 | 529 | | |
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530 | 530 | | |
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531 | 531 | | |
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532 | 532 | | pursuant to s. 626.835, any unauthorized insurer under s. 351 |
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533 | 533 | | 626.906 or s. 626.937, domestic reciprocal insurers, fraternal 352 |
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534 | 534 | | benefit societies under chapter 632, warranty associations under 353 |
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535 | 535 | | chapter 634, prepaid limited h ealth service organizations under 354 |
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536 | 536 | | chapter 636, health maintenance organizations under chapter 641, 355 |
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537 | 537 | | and persons required to file statements under s. 628.461. The 356 |
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538 | 538 | | Department of Financial Services shall create a secure online 357 |
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539 | 539 | | portal as the sole means to accep t service of process on the 358 |
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540 | 540 | | Chief Financial Officer under this section. 359 |
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541 | 541 | | Section 2. Subsection (3) of section 252.63, Florida 360 |
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542 | 542 | | Statutes, is amended to read: 361 |
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543 | 543 | | 252.63 Commissioner of Insurance Regulation; powers in a 362 |
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544 | 544 | | state of emergency.— 363 |
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545 | 545 | | (3) The commissioner shall publish in the next available 364 |
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546 | 546 | | publication of the Florida Administrative Register a notice 365 |
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547 | 547 | | identifying the date the emergency order was issued and shall 366 |
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548 | 548 | | include a hyperlink or website address providing direct access 367 |
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549 | 549 | | to the emergency order copy of the text of any order issued 368 |
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550 | 550 | | under this section, together with a statement describing the 369 |
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551 | 551 | | modification or suspension and explaining how the modification 370 |
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552 | 552 | | or suspension will facilitate recovery from the emergency . 371 |
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553 | 553 | | Section 3. Paragraph (g) of subsection (1) of section 372 |
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554 | 554 | | 624.4085, Florida Statutes, is amended to read: 373 |
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555 | 555 | | 624.4085 Risk-based capital requirements for insurers. — 374 |
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556 | 556 | | (1) As used in this section, the term: 375 |
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557 | 557 | | |
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558 | 558 | | HB 1141 2025 |
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559 | 559 | | |
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560 | 560 | | |
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561 | 561 | | |
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564 | 564 | | Page 16 of 168 |
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565 | 565 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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566 | 566 | | |
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567 | 567 | | |
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568 | 568 | | |
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569 | 569 | | (g) "Life and health insurer" means an insurer authorized 376 |
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570 | 570 | | or eligible under the Florida Ins urance Code to underwrite life 377 |
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571 | 571 | | or health insurance. The term includes a property and casualty 378 |
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572 | 572 | | insurer that writes accident and health insurance only. 379 |
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573 | 573 | | Effective January 1, 2015, The term also includes a health 380 |
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574 | 574 | | maintenance organization that is authorized in this state and 381 |
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575 | 575 | | one or more other states, jurisdictions, or countries and a 382 |
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576 | 576 | | prepaid limited health service organization that is authorized 383 |
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577 | 577 | | in this state and one or more other states, jurisdictions, or 384 |
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578 | 578 | | countries. 385 |
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579 | 579 | | Section 4. Subsection (3) of section 624. 422, Florida 386 |
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580 | 580 | | Statutes, is renumbered as subsection (4), and a new subsection 387 |
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581 | 581 | | (3) is added to that section to read: 388 |
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582 | 582 | | 624.422 Service of process; appointment of Chief Financial 389 |
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583 | 583 | | Officer as process agent. — 390 |
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584 | 584 | | (3) The appointment of the Chief Financial Officer under 391 |
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585 | 585 | | this section applies to any insurer that withdraws from or 392 |
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586 | 586 | | ceases operations in this state until the insurer has completed 393 |
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587 | 587 | | its runoff of, or otherwise extinguished, all liabilities in 394 |
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588 | 588 | | Florida. 395 |
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589 | 589 | | Section 5. Subsection (2) of section 624.45, Florida 396 |
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590 | 590 | | Statutes, is amended to read: 397 |
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591 | 591 | | 624.45 Participation of financial institutions in 398 |
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592 | 592 | | reinsurance and in insurance exchanges. —Subject to applicable 399 |
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593 | 593 | | laws relating to financial institutions and to any other 400 |
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594 | 594 | | |
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595 | 595 | | HB 1141 2025 |
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596 | 596 | | |
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597 | 597 | | |
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598 | 598 | | |
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601 | 601 | | Page 17 of 168 |
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602 | 602 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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603 | 603 | | |
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604 | 604 | | |
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605 | 605 | | |
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606 | 606 | | applicable provision of the Florida Insurance Code, any 401 |
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607 | 607 | | financial institution or aggregation of such institutions may: 402 |
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608 | 608 | | (2) Participate, directly or indirectly, as an 403 |
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609 | 609 | | underwriting member or as an investor in an underwriting member 404 |
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610 | 610 | | of any insurance exchange authorized in accordance with s. 405 |
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611 | 611 | | 629.401, which underwriting member transacts only aggregate or 406 |
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612 | 612 | | specific excess insurance over underlying self -insurance 407 |
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613 | 613 | | coverage for self-insurance organizations authorized under the 408 |
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614 | 614 | | Florida Insurance Code, for multiple -employer welfare 409 |
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615 | 615 | | arrangements, or for workers' compensat ion self-insurance 410 |
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616 | 616 | | trusts, in addition to any reinsurance the underwriting member 411 |
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617 | 617 | | may transact. 412 |
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618 | 618 | | 413 |
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619 | 619 | | Nothing in this section shall be deemed to prohibit a financial 414 |
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620 | 620 | | institution from engaging in any presently authorized insurance 415 |
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621 | 621 | | activity. 416 |
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622 | 622 | | Section 6. Subsection (15) of section 624.610, Florida 417 |
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623 | 623 | | Statutes, is renumbered as subsection (16), paragraph (b) of 418 |
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624 | 624 | | subsection (3), paragraph (b) of subsection (12), and present 419 |
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625 | 625 | | subsection (16) are amended, and a new subsection (15) is added 420 |
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626 | 626 | | to that section, to read: 421 |
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627 | 627 | | 624.610 Reinsurance.— 422 |
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628 | 628 | | (3) 423 |
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629 | 629 | | (b)1. Credit must be allowed when the reinsurance is ceded 424 |
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630 | 630 | | to an assuming insurer that is accredited as a reinsurer in this 425 |
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631 | 631 | | |
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632 | 632 | | HB 1141 2025 |
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633 | 633 | | |
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634 | 634 | | |
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635 | 635 | | |
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638 | 638 | | Page 18 of 168 |
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639 | 639 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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640 | 640 | | |
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641 | 641 | | |
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642 | 642 | | |
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643 | 643 | | state. An accredited reinsurer is one that: 426 |
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644 | 644 | | a. Files with the office evidence of its submission to 427 |
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645 | 645 | | this state's jurisdiction; 428 |
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646 | 646 | | b. Submits to this state's authority to examine its books 429 |
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647 | 647 | | and records; 430 |
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648 | 648 | | c. Is licensed or authorized to transact insurance or 431 |
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649 | 649 | | reinsurance in at least one state or, in the case of a United 432 |
---|
650 | 650 | | States branch of an alien assuming insurer, is entered through, 433 |
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651 | 651 | | licensed, or authorized to transact insurance or reinsurance in 434 |
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652 | 652 | | at least one state; 435 |
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653 | 653 | | d. Files annually with the office a copy of its annual 436 |
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654 | 654 | | statement filed with the insurance department of its state of 437 |
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655 | 655 | | domicile any quarterly statement s if required by its state of 438 |
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656 | 656 | | domicile or such quarterly statements if specifically requested 439 |
---|
657 | 657 | | by the office, and a copy of its most recent audited financial 440 |
---|
658 | 658 | | statement; and 441 |
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659 | 659 | | (I) Maintains a surplus as regards policyholders in an 442 |
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660 | 660 | | amount not less than $20 mi llion and whose accreditation has not 443 |
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661 | 661 | | been denied by the office within 90 days after its submission; 444 |
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662 | 662 | | or 445 |
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663 | 663 | | (II) Maintains a surplus as regards policyholders in an 446 |
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664 | 664 | | amount not less than $20 million and whose accreditation has 447 |
---|
665 | 665 | | been approved by the office. 448 |
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666 | 666 | | 2. The office may deny or revoke an assuming insurer's 449 |
---|
667 | 667 | | accreditation if the assuming insurer does not submit the 450 |
---|
668 | 668 | | |
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669 | 669 | | HB 1141 2025 |
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670 | 670 | | |
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671 | 671 | | |
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672 | 672 | | |
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675 | 675 | | Page 19 of 168 |
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676 | 676 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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677 | 677 | | |
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678 | 678 | | |
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679 | 679 | | |
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680 | 680 | | required documentation pursuant to subparagraph 1., if the 451 |
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681 | 681 | | assuming insurer fails to meet all of the standards required of 452 |
---|
682 | 682 | | an accredited reinsure r, or if the assuming insurer's 453 |
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683 | 683 | | accreditation would be hazardous to the policyholders of this 454 |
---|
684 | 684 | | state. In determining whether to deny or revoke accreditation, 455 |
---|
685 | 685 | | the office may consider the qualifications of the assuming 456 |
---|
686 | 686 | | insurer with respect to all the followin g subjects: 457 |
---|
687 | 687 | | a. Its financial stability; 458 |
---|
688 | 688 | | b. The lawfulness and quality of its investments; 459 |
---|
689 | 689 | | c. The competency, character, and integrity of its 460 |
---|
690 | 690 | | management; 461 |
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691 | 691 | | d. The competency, character, and integrity of persons who 462 |
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692 | 692 | | own or have a controlling interest i n the assuming insurer; and 463 |
---|
693 | 693 | | e. Whether claims under its contracts are promptly and 464 |
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694 | 694 | | fairly adjusted and are promptly and fairly paid in accordance 465 |
---|
695 | 695 | | with the law and the terms of the contracts. 466 |
---|
696 | 696 | | 3. Credit must not be allowed a ceding insurer if the 467 |
---|
697 | 697 | | assuming insurer's accreditation has been revoked by the office 468 |
---|
698 | 698 | | after notice and the opportunity for a hearing. 469 |
---|
699 | 699 | | 4. The actual costs and expenses incurred by the office to 470 |
---|
700 | 700 | | review a reinsurer's request for accreditation and subsequent 471 |
---|
701 | 701 | | reviews must be charged to a nd collected from the requesting 472 |
---|
702 | 702 | | reinsurer. If the reinsurer fails to pay the actual costs and 473 |
---|
703 | 703 | | expenses promptly when due, the office may refuse to accredit 474 |
---|
704 | 704 | | the reinsurer or may revoke the reinsurer's accreditation. 475 |
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705 | 705 | | |
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706 | 706 | | HB 1141 2025 |
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707 | 707 | | |
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708 | 708 | | |
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709 | 709 | | |
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710 | 710 | | CODING: Words stricken are deletions; words underlined are additions. |
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712 | 712 | | Page 20 of 168 |
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713 | 713 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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714 | 714 | | |
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715 | 715 | | |
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716 | 716 | | |
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717 | 717 | | (12) 476 |
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718 | 718 | | (b) The summary statement must b e signed and attested to 477 |
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719 | 719 | | by either the chief executive officer or the chief financial 478 |
---|
720 | 720 | | officer of the reporting insurer. In addition to the summary 479 |
---|
721 | 721 | | statement, the office may require the filing of any supporting 480 |
---|
722 | 722 | | information relating to the ceding of such ris ks as it deems 481 |
---|
723 | 723 | | necessary. If the summary statement prepared by the ceding 482 |
---|
724 | 724 | | insurer discloses that the net effect of a reinsurance treaty or 483 |
---|
725 | 725 | | treaties (or series of treaties with one or more affiliated 484 |
---|
726 | 726 | | reinsurers entered into for the purpose of avoiding the 485 |
---|
727 | 727 | | following threshold amount) at any time results in an increase 486 |
---|
728 | 728 | | of more than 25 percent to the insurer's surplus as to 487 |
---|
729 | 729 | | policyholders, then the insurer shall certify in writing to the 488 |
---|
730 | 730 | | office that the relevant reinsurance treaty or treaties comply 489 |
---|
731 | 731 | | with the accounting requirements contained in any rule adopted 490 |
---|
732 | 732 | | by the commission under subsection (16) (15). If such 491 |
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733 | 733 | | certificate is filed after the summary statement of such 492 |
---|
734 | 734 | | reinsurance treaty or treaties, the insurer shall refile the 493 |
---|
735 | 735 | | summary statement with the certif icate. In any event, the 494 |
---|
736 | 736 | | certificate must state that a copy of the certificate was sent 495 |
---|
737 | 737 | | to the reinsurer under the reinsurance treaty. 496 |
---|
738 | 738 | | (15) Any application filed with the office to review a 497 |
---|
739 | 739 | | reinsurer's request to operate in this state under this section 498 |
---|
740 | 740 | | must be accompanied by a filing fee equal to the application fee 499 |
---|
741 | 741 | | charged under s. 624.501(1)(a). 500 |
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742 | 742 | | |
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743 | 743 | | HB 1141 2025 |
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744 | 744 | | |
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745 | 745 | | |
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746 | 746 | | |
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749 | 749 | | Page 21 of 168 |
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750 | 750 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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751 | 751 | | |
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752 | 752 | | |
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753 | 753 | | |
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754 | 754 | | (16) This act shall apply to all cessions on or after 501 |
---|
755 | 755 | | January 1, 2001, under reinsurance agreements that have an 502 |
---|
756 | 756 | | inception, anniversary, or renewal date on o r after January 1, 503 |
---|
757 | 757 | | 2001. 504 |
---|
758 | 758 | | Section 7. Section 626.9651, Florida Statutes, is amended 505 |
---|
759 | 759 | | to read: 506 |
---|
760 | 760 | | 626.9651 Security of consumer data Privacy.— 507 |
---|
761 | 761 | | (1) The department and commission shall must each adopt 508 |
---|
762 | 762 | | rules consistent with other provisions of the Florida Insurance 509 |
---|
763 | 763 | | Code to govern the use of a consumer's nonpublic personal 510 |
---|
764 | 764 | | financial and health information. These rules must be based on, 511 |
---|
765 | 765 | | consistent with, and not more restrictive than the Privacy of 512 |
---|
766 | 766 | | Consumer Financial and Health Information Regulation, adopted 513 |
---|
767 | 767 | | September 26, 2000, by the National Association of Insurance 514 |
---|
768 | 768 | | Commissioners; however, the rules must permit the use and 515 |
---|
769 | 769 | | disclosure of nonpublic personal health information for 516 |
---|
770 | 770 | | scientific, medical, or public policy research, in accordance 517 |
---|
771 | 771 | | with federal law. In addition, these rules must be consistent 518 |
---|
772 | 772 | | with, and not more restrictive than, the standards contained in 519 |
---|
773 | 773 | | Title V of the Gramm -Leach-Bliley Act of 1999, Pub. L. No. 106 -520 |
---|
774 | 774 | | 102, as amended in T itle LXXV of the Fixing America's Surface 521 |
---|
775 | 775 | | Transportation (FAST) Act, Pub. L. No. 114 -94. If the office 522 |
---|
776 | 776 | | determines that a health insurer or health maintenance 523 |
---|
777 | 777 | | organization is in compliance with, or is actively undertaking 524 |
---|
778 | 778 | | compliance with, the consumer priva cy protection rules adopted 525 |
---|
779 | 779 | | |
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780 | 780 | | HB 1141 2025 |
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781 | 781 | | |
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782 | 782 | | |
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783 | 783 | | |
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786 | 786 | | Page 22 of 168 |
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787 | 787 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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788 | 788 | | |
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789 | 789 | | |
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790 | 790 | | |
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791 | 791 | | by the United States Department of Health and Human Services, in 526 |
---|
792 | 792 | | conformance with the Health Insurance Portability and 527 |
---|
793 | 793 | | Affordability Act, that health insurer or health maintenance 528 |
---|
794 | 794 | | organization is in compliance with this subsection section. 529 |
---|
795 | 795 | | (2) The office and the commission shall adopt rules 530 |
---|
796 | 796 | | consistent with state law, including the Florida Insurance Code, 531 |
---|
797 | 797 | | to ensure the cybersecurity of a consumer's nonpublic insurance 532 |
---|
798 | 798 | | data. These rules may not be more restrictive than the Nation al 533 |
---|
799 | 799 | | Association of Insurance Commissioners Insurance Data Security 534 |
---|
800 | 800 | | Model Law, adopted as of October 2017, and subsequent amendments 535 |
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801 | 801 | | thereto if the methodology remains substantially consistent. The 536 |
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802 | 802 | | rules must: 537 |
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803 | 803 | | (a) Apply to all entities acting as insurers, transacting 538 |
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804 | 804 | | insurance, or otherwise engaging in insurance activities in this 539 |
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805 | 805 | | state, including entities licensed under chapter 641, and any 540 |
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806 | 806 | | entity that has been contracted to maintain, store, or process 541 |
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807 | 807 | | personal information on behalf of a covered entity; 542 |
---|
808 | 808 | | (b) Require the development and implementation of an 543 |
---|
809 | 809 | | information security program as defined in the model law; 544 |
---|
810 | 810 | | (c) Require investigation and notification of a 545 |
---|
811 | 811 | | cybersecurity event as required under the model law; 546 |
---|
812 | 812 | | (d) Require that each insurer submit to the department or 547 |
---|
813 | 813 | | office all or part of the information required to be reported to 548 |
---|
814 | 814 | | the department or office in a computer -readable form compatible 549 |
---|
815 | 815 | | with the electronic data processing system of the department or 550 |
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816 | 816 | | |
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817 | 817 | | HB 1141 2025 |
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818 | 818 | | |
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819 | 819 | | |
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824 | 824 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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825 | 825 | | |
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826 | 826 | | |
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827 | 827 | | |
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828 | 828 | | office; and 551 |
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829 | 829 | | (e) Require that the office be copied on any notice 552 |
---|
830 | 830 | | provided to the Attorney General under s. 501.171. 553 |
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831 | 831 | | (3) Upon receiving information under this section, the 554 |
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832 | 832 | | office shall review the information and may initiate an 555 |
---|
833 | 833 | | examination or investigation under s. 624.316, s. 624.3161, or 556 |
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834 | 834 | | s. 626.8828. 557 |
---|
835 | 835 | | Section 8. Paragraph (a) of subsection (2) of section 558 |
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836 | 836 | | 627.062, Florida Statutes, is amended to read: 559 |
---|
837 | 837 | | 627.062 Rate standards. — 560 |
---|
838 | 838 | | (2) As to all such classes of insurance: 561 |
---|
839 | 839 | | (a) Insurers or rating organizations shall establish and 562 |
---|
840 | 840 | | use rates, rating schedules, or rating manuals that allow the 563 |
---|
841 | 841 | | insurer a reasonable rate of return on the classes of insurance 564 |
---|
842 | 842 | | written in this state. A copy of rates, rating schedules, rating 565 |
---|
843 | 843 | | manuals, premium credits or discount schedules, and surcharge 566 |
---|
844 | 844 | | schedules, and chang es thereto, must be filed with the office 567 |
---|
845 | 845 | | under one of the following procedures: 568 |
---|
846 | 846 | | 1. If the filing is made at least 90 days before the 569 |
---|
847 | 847 | | proposed effective date and is not implemented during the 570 |
---|
848 | 848 | | office's review of the filing and any proceeding and judicial 571 |
---|
849 | 849 | | review, such filing is considered a "file and use" filing. In 572 |
---|
850 | 850 | | such case, the office shall finalize its review by issuance of a 573 |
---|
851 | 851 | | notice of intent to approve or a notice of intent to disapprove 574 |
---|
852 | 852 | | within 90 days after receipt of the filing. If the 90 -day period 575 |
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853 | 853 | | |
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854 | 854 | | HB 1141 2025 |
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855 | 855 | | |
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856 | 856 | | |
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857 | 857 | | |
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861 | 861 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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862 | 862 | | |
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863 | 863 | | |
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864 | 864 | | |
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865 | 865 | | ends on a weekend or a holiday under s. 110.117(1)(a) -(i), it 576 |
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866 | 866 | | must be extended until the conclusion of the next business day. 577 |
---|
867 | 867 | | The notice of intent to approve and the notice of intent to 578 |
---|
868 | 868 | | disapprove constitute agency action for purposes of the 579 |
---|
869 | 869 | | Administrative Procedure Act. Requests for supporting 580 |
---|
870 | 870 | | information, requests for mathematical or mechanical 581 |
---|
871 | 871 | | corrections, or notification to the insurer by the office of its 582 |
---|
872 | 872 | | preliminary findings does not toll the 90 -day period during any 583 |
---|
873 | 873 | | such proceedings and subsequent ju dicial review. The rate shall 584 |
---|
874 | 874 | | be deemed approved if the office does not issue a notice of 585 |
---|
875 | 875 | | intent to approve or a notice of intent to disapprove within 90 586 |
---|
876 | 876 | | days after receipt of the filing. 587 |
---|
877 | 877 | | 2. If the filing is not made in accordance with 588 |
---|
878 | 878 | | subparagraph 1., such filing must be made as soon as 589 |
---|
879 | 879 | | practicable, but within 30 days after the effective date, and is 590 |
---|
880 | 880 | | considered a "use and file" filing. An insurer making a "use and 591 |
---|
881 | 881 | | file" filing is potentially subject to an order by the office to 592 |
---|
882 | 882 | | return to policyholders th ose portions of rates found to be 593 |
---|
883 | 883 | | excessive, as provided in paragraph (h). For purposes of this 594 |
---|
884 | 884 | | subparagraph, a personal residential property insurer may not 595 |
---|
885 | 885 | | submit more than one "use and file" filing affecting 596 |
---|
886 | 886 | | policyholders within a single policy period, unless the filing 597 |
---|
887 | 887 | | is exclusively related to reinsurance. 598 |
---|
888 | 888 | | 3. For all property insurance filings made or submitted 599 |
---|
889 | 889 | | after January 25, 2007, but before May 1, 2012, an insurer 600 |
---|
890 | 890 | | |
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891 | 891 | | HB 1141 2025 |
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892 | 892 | | |
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893 | 893 | | |
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894 | 894 | | |
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897 | 897 | | Page 25 of 168 |
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898 | 898 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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899 | 899 | | |
---|
900 | 900 | | |
---|
901 | 901 | | |
---|
902 | 902 | | seeking a rate that is greater than the rate most recently 601 |
---|
903 | 903 | | approved by the office shall make a "file and use" filing. For 602 |
---|
904 | 904 | | purposes of this subparagraph, motor vehicle collision and 603 |
---|
905 | 905 | | comprehensive coverages are not considered property coverages. 604 |
---|
906 | 906 | | 605 |
---|
907 | 907 | | The provisions of this subsection do not apply to workers' 606 |
---|
908 | 908 | | compensation, employer's liability insurance, and motor vehicle 607 |
---|
909 | 909 | | insurance. 608 |
---|
910 | 910 | | Section 9. Subsection (2) of section 627.0621, Florida 609 |
---|
911 | 911 | | Statutes, is renumbered as subsection (3), present subsection 610 |
---|
912 | 912 | | (2) is amended, and a new subsection (2) is added to that 611 |
---|
913 | 913 | | section, to read: 612 |
---|
914 | 914 | | 627.0621 Transparency in rate regulation. — 613 |
---|
915 | 915 | | (2) RATE TRANSPARENCY REPORT. — 614 |
---|
916 | 916 | | (a) Beginning October 1, 2025, every rate filing 615 |
---|
917 | 917 | | requesting a rate change for residential property coverage from 616 |
---|
918 | 918 | | a property insurer must include a rate transparency report for 617 |
---|
919 | 919 | | acceptance for use or modification by the office. The office may 618 |
---|
920 | 920 | | accept the rate transparency report for filing, or if the office 619 |
---|
921 | 921 | | finds that the report fails to provide the required information 620 |
---|
922 | 922 | | in concise and plain language which aids consumers in their 621 |
---|
923 | 923 | | understanding of ins urance, or finds the report to be 622 |
---|
924 | 924 | | misleading, the office shall return the rate transparency report 623 |
---|
925 | 925 | | to the property insurer for modification. The office's 624 |
---|
926 | 926 | | acceptance for use or modification of the report may not be 625 |
---|
927 | 927 | | |
---|
928 | 928 | | HB 1141 2025 |
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929 | 929 | | |
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930 | 930 | | |
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931 | 931 | | |
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934 | 934 | | Page 26 of 168 |
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935 | 935 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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936 | 936 | | |
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937 | 937 | | |
---|
938 | 938 | | |
---|
939 | 939 | | deemed approval pursuant to s. 627.062. Th e report shall be 626 |
---|
940 | 940 | | compiled in a uniform format prescribed by the commission and 627 |
---|
941 | 941 | | must include a graphical representation identifying a percentage 628 |
---|
942 | 942 | | breakdown of rating factors anticipated of the company, book, or 629 |
---|
943 | 943 | | program affected by the filing. 630 |
---|
944 | 944 | | (b) Along with an offer of coverage and upon renewal, an 631 |
---|
945 | 945 | | insurer must provide the corresponding copy of the rate 632 |
---|
946 | 946 | | transparency report for the consumer's offered rate to aid 633 |
---|
947 | 947 | | consumers in their understanding of insurance. If the report has 634 |
---|
948 | 948 | | not been accepted for use or mo dified by the office, the report 635 |
---|
949 | 949 | | must indicate that it is preliminary and subject to modification 636 |
---|
950 | 950 | | by the office. 637 |
---|
951 | 951 | | (c) The rate transparency report must include the 638 |
---|
952 | 952 | | following categories of the book or program at the cumulative 639 |
---|
953 | 953 | | level: 640 |
---|
954 | 954 | | 1. The percentage of the total rate factor associated with 641 |
---|
955 | 955 | | the cost of reinsurance. 642 |
---|
956 | 956 | | 2. The percentage of the total rate factor associated with 643 |
---|
957 | 957 | | the cost of claims. 644 |
---|
958 | 958 | | 3. The percentage of the total rate factor associated with 645 |
---|
959 | 959 | | the defense containment and costs. 646 |
---|
960 | 960 | | 4. The percentage of the total rate factor associated with 647 |
---|
961 | 961 | | fees and commissions. 648 |
---|
962 | 962 | | 5. The percentage of the rate factor associated with 649 |
---|
963 | 963 | | profit and contingency of the insurer. 650 |
---|
964 | 964 | | |
---|
965 | 965 | | HB 1141 2025 |
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966 | 966 | | |
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967 | 967 | | |
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968 | 968 | | |
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969 | 969 | | CODING: Words stricken are deletions; words underlined are additions. |
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970 | 970 | | hb1141-00 |
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971 | 971 | | Page 27 of 168 |
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972 | 972 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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973 | 973 | | |
---|
974 | 974 | | |
---|
975 | 975 | | |
---|
976 | 976 | | 6. Any other categories deemed necessary by the office or 651 |
---|
977 | 977 | | commission. 652 |
---|
978 | 978 | | 653 |
---|
979 | 979 | | An estimated percentage of the influence of each listed factor 654 |
---|
980 | 980 | | must be provided to equal 100 percent. 655 |
---|
981 | 981 | | (d) The insurer shall provide the rate transparency report 656 |
---|
982 | 982 | | to the office upon the filing of a rate change with the office. 657 |
---|
983 | 983 | | (e) The rate transparency report must a lso include the 658 |
---|
984 | 984 | | following information: 659 |
---|
985 | 985 | | 1. Any major adverse findings by the office for the 660 |
---|
986 | 986 | | previous 3 calendar years. 661 |
---|
987 | 987 | | 2. Whether the insurer uses affiliated entities to perform 662 |
---|
988 | 988 | | functions of the insurer. 663 |
---|
989 | 989 | | 3. Contact information, to include a telephone number, 664 |
---|
990 | 990 | | hours of service, and e -mail address for the Division of 665 |
---|
991 | 991 | | Consumer Services of the department. 666 |
---|
992 | 992 | | 4. Contact information for the office. 667 |
---|
993 | 993 | | 5. Address for the website for public access to rate 668 |
---|
994 | 994 | | filing and affiliate information outlined in subsection (3 ). 669 |
---|
995 | 995 | | 6. Any changes in the total insured value from the last 670 |
---|
996 | 996 | | policy period. 671 |
---|
997 | 997 | | (f) The office shall define, in concise and plain 672 |
---|
998 | 998 | | language, any terms used with the rate transparency report to 673 |
---|
999 | 999 | | aid consumers in their understanding of insurance. 674 |
---|
1000 | 1000 | | (3)(2) WEBSITE FOR PUBLIC ACCESS TO RATE FILING 675 |
---|
1001 | 1001 | | |
---|
1002 | 1002 | | HB 1141 2025 |
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1003 | 1003 | | |
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1004 | 1004 | | |
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1005 | 1005 | | |
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1006 | 1006 | | CODING: Words stricken are deletions; words underlined are additions. |
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1007 | 1007 | | hb1141-00 |
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1008 | 1008 | | Page 28 of 168 |
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1009 | 1009 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1010 | 1010 | | |
---|
1011 | 1011 | | |
---|
1012 | 1012 | | |
---|
1013 | 1013 | | INFORMATION.— 676 |
---|
1014 | 1014 | | (a) The office shall establish and maintain a 677 |
---|
1015 | 1015 | | comprehensive resource center on its website that uses concise 678 |
---|
1016 | 1016 | | and plain language to aid consumers in their understanding of 679 |
---|
1017 | 1017 | | insurance. The website must inclu de substantive information on 680 |
---|
1018 | 1018 | | the current and historical dynamics of the market, data 681 |
---|
1019 | 1019 | | concerning the financial condition and market conduct of 682 |
---|
1020 | 1020 | | insurance companies available to consumers, and choices 683 |
---|
1021 | 1021 | | available to consumers. At a minimum, the website must co ntain 684 |
---|
1022 | 1022 | | the following: 685 |
---|
1023 | 1023 | | 1. Reports, using graphical information wherever possible, 686 |
---|
1024 | 1024 | | which outline information about the state of the market and 687 |
---|
1025 | 1025 | | adverse and positive trends affecting it. 688 |
---|
1026 | 1026 | | 2. Tools that aid consumers in finding insurers. 689 |
---|
1027 | 1027 | | 3. Tools that aid c onsumers in selecting the coverages 690 |
---|
1028 | 1028 | | beneficial to them. 691 |
---|
1029 | 1029 | | 4. Information about mitigation credits and the My Safe 692 |
---|
1030 | 1030 | | Florida Home Program, as well as other credits insurers may 693 |
---|
1031 | 1031 | | offer beyond wind mitigation. 694 |
---|
1032 | 1032 | | 5. Access to the rate transparency report, annual 695 |
---|
1033 | 1033 | | statements, market conduct information, and other information 696 |
---|
1034 | 1034 | | related to each insurer. 697 |
---|
1035 | 1035 | | 6. Information on the Citizens Property Insurance 698 |
---|
1036 | 1036 | | Corporation takeout process, the clearinghouse, and general 699 |
---|
1037 | 1037 | | information as reported by the office. 700 |
---|
1038 | 1038 | | |
---|
1039 | 1039 | | HB 1141 2025 |
---|
1040 | 1040 | | |
---|
1041 | 1041 | | |
---|
1042 | 1042 | | |
---|
1043 | 1043 | | CODING: Words stricken are deletions; words underlined are additions. |
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1044 | 1044 | | hb1141-00 |
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1045 | 1045 | | Page 29 of 168 |
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1046 | 1046 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1047 | 1047 | | |
---|
1048 | 1048 | | |
---|
1049 | 1049 | | |
---|
1050 | 1050 | | 7.(a) With respect to any residential property rate 701 |
---|
1051 | 1051 | | filing, the office shall provide the following information on a 702 |
---|
1052 | 1052 | | publicly accessible Internet website : 703 |
---|
1053 | 1053 | | a.1. The overall rate change requested by the insurer. 704 |
---|
1054 | 1054 | | b.2. The rate change approved by the office along with all 705 |
---|
1055 | 1055 | | of the actuary's assumptions and recommendations forming the 706 |
---|
1056 | 1056 | | basis of the office's decision. 707 |
---|
1057 | 1057 | | c.3. Certification by the office's actuary that, based on 708 |
---|
1058 | 1058 | | the actuary's knowledge, his or her recommendations are 709 |
---|
1059 | 1059 | | consistent with accepted actuarial principles. 710 |
---|
1060 | 1060 | | d. Whether the insurer uses affiliated entities to perform 711 |
---|
1061 | 1061 | | administrative, claims handling, or other functions of the 712 |
---|
1062 | 1062 | | insurer and, if so, the total percentage of direct written 713 |
---|
1063 | 1063 | | premium paid to the affiliated entities by the insurer in the 714 |
---|
1064 | 1064 | | preceding annual calendar year. 715 |
---|
1065 | 1065 | | (b) For any rate filing, regardless of whether or not the 716 |
---|
1066 | 1066 | | filing is subject to a public hearing, the office shall provide 717 |
---|
1067 | 1067 | | on its website a means for any policyholder who may be affected 718 |
---|
1068 | 1068 | | by a proposed rate change to send an e -mail regarding the 719 |
---|
1069 | 1069 | | proposed rate change. Such e -mail must be accessible to the 720 |
---|
1070 | 1070 | | actuary assigned to review the rate filing. 721 |
---|
1071 | 1071 | | (c) The statewide average requested rate change and final 722 |
---|
1072 | 1072 | | approved statewide average rate change within a filing is not a 723 |
---|
1073 | 1073 | | trade secret as defined in s. 688.002 or s. 812.081(1) and is 724 |
---|
1074 | 1074 | | not subject to the public recor ds exemption for trade secrets 725 |
---|
1075 | 1075 | | |
---|
1076 | 1076 | | HB 1141 2025 |
---|
1077 | 1077 | | |
---|
1078 | 1078 | | |
---|
1079 | 1079 | | |
---|
1080 | 1080 | | CODING: Words stricken are deletions; words underlined are additions. |
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1081 | 1081 | | hb1141-00 |
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1082 | 1082 | | Page 30 of 168 |
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1083 | 1083 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1084 | 1084 | | |
---|
1085 | 1085 | | |
---|
1086 | 1086 | | |
---|
1087 | 1087 | | provided in s. 119.0715 or s. 624.4213. 726 |
---|
1088 | 1088 | | (d) County rating examples submitted to the office through 727 |
---|
1089 | 1089 | | the rate collection system for the purposes of displaying rates 728 |
---|
1090 | 1090 | | on the office website are not a trade secret as defined in s . 729 |
---|
1091 | 1091 | | 688.002 or s. 812.081(1) and are not subject to the public 730 |
---|
1092 | 1092 | | records exemption for trade secrets provided in s. 119.0715 or 731 |
---|
1093 | 1093 | | s. 624.4213. 732 |
---|
1094 | 1094 | | Section 10. Paragraph (b) of subsection (3) of section 733 |
---|
1095 | 1095 | | 627.0645, Florida Statutes, is amended to read: 734 |
---|
1096 | 1096 | | 627.0645 Annual filings.— 735 |
---|
1097 | 1097 | | (3) The filing requirements of this section shall be 736 |
---|
1098 | 1098 | | satisfied by one of the following methods: 737 |
---|
1099 | 1099 | | (b) If no rate change is proposed, a filing which consists 738 |
---|
1100 | 1100 | | of a certification by an actuary that the existing rate level 739 |
---|
1101 | 1101 | | produces rates which are actuarially sound and which are not 740 |
---|
1102 | 1102 | | inadequate, as defined in s. 627.062. However, a full rate 741 |
---|
1103 | 1103 | | filing is required after 2 consecutive years of certification 742 |
---|
1104 | 1104 | | under this paragraph. 743 |
---|
1105 | 1105 | | Section 11. Paragraph (b) of subsection (1) of section 744 |
---|
1106 | 1106 | | 627.0651, Florida Statutes, is amended to read: 745 |
---|
1107 | 1107 | | 627.0651 Making and use of rates for motor vehicle 746 |
---|
1108 | 1108 | | insurance.— 747 |
---|
1109 | 1109 | | (1) Insurers shall establish and use rates, rating 748 |
---|
1110 | 1110 | | schedules, or rating manuals to allow the insurer a reasonable 749 |
---|
1111 | 1111 | | rate of return on motor vehicle insura nce written in this state. 750 |
---|
1112 | 1112 | | |
---|
1113 | 1113 | | HB 1141 2025 |
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1114 | 1114 | | |
---|
1115 | 1115 | | |
---|
1116 | 1116 | | |
---|
1117 | 1117 | | CODING: Words stricken are deletions; words underlined are additions. |
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1118 | 1118 | | hb1141-00 |
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1119 | 1119 | | Page 31 of 168 |
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1120 | 1120 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1121 | 1121 | | |
---|
1122 | 1122 | | |
---|
1123 | 1123 | | |
---|
1124 | 1124 | | A copy of rates, rating schedules, and rating manuals, and 751 |
---|
1125 | 1125 | | changes therein, shall be filed with the office under one of the 752 |
---|
1126 | 1126 | | following procedures: 753 |
---|
1127 | 1127 | | (b) If the filing is not made in accordance with the 754 |
---|
1128 | 1128 | | provisions of paragraph (a), such filing shall be made as soon 755 |
---|
1129 | 1129 | | as practicable, but no later than 30 days after the effective 756 |
---|
1130 | 1130 | | date, and shall be considered a "use and file" filing. An 757 |
---|
1131 | 1131 | | insurer making a "use and file" filing is potentially subject to 758 |
---|
1132 | 1132 | | an order by the office to return to policyholders portions of 759 |
---|
1133 | 1133 | | rates found to be excessive, as provided in subsection (11). For 760 |
---|
1134 | 1134 | | purposes of this paragraph, an insurer may not submit more than 761 |
---|
1135 | 1135 | | one "use and file" filing impacting policyholders within a 762 |
---|
1136 | 1136 | | single policy period. 763 |
---|
1137 | 1137 | | Section 12. Effective upon this act becoming a law, 764 |
---|
1138 | 1138 | | paragraph (a) of subsection (5) of section 627.4554, Florida 765 |
---|
1139 | 1139 | | Statutes, is amended to read: 766 |
---|
1140 | 1140 | | 627.4554 Suitability in annuity transactions. — 767 |
---|
1141 | 1141 | | (5) DUTIES OF INSURERS AND AGENTS. — 768 |
---|
1142 | 1142 | | (a) An agent, when making a recommendati on of an annuity, 769 |
---|
1143 | 1143 | | shall act in the best interest of the consumer under the 770 |
---|
1144 | 1144 | | circumstances known at the time the recommendation is made, 771 |
---|
1145 | 1145 | | without placing the financial interest of the agent or insurer 772 |
---|
1146 | 1146 | | ahead of the consumer's interest. An agent has acted in th e best 773 |
---|
1147 | 1147 | | interest of the consumer if the agent has satisfied the 774 |
---|
1148 | 1148 | | following obligations regarding care, disclosure, conflict of 775 |
---|
1149 | 1149 | | |
---|
1150 | 1150 | | HB 1141 2025 |
---|
1151 | 1151 | | |
---|
1152 | 1152 | | |
---|
1153 | 1153 | | |
---|
1154 | 1154 | | CODING: Words stricken are deletions; words underlined are additions. |
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1155 | 1155 | | hb1141-00 |
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1156 | 1156 | | Page 32 of 168 |
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1157 | 1157 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1158 | 1158 | | |
---|
1159 | 1159 | | |
---|
1160 | 1160 | | |
---|
1161 | 1161 | | interest, and documentation: 776 |
---|
1162 | 1162 | | 1.a. The agent, in making a recommendation, shall exercise 777 |
---|
1163 | 1163 | | reasonable diligence, care, and skill to: 778 |
---|
1164 | 1164 | | (I) Know the financial situation, insurance needs, and 779 |
---|
1165 | 1165 | | financial objectives of the customer. 780 |
---|
1166 | 1166 | | (II) Understand the available options after making a 781 |
---|
1167 | 1167 | | reasonable inquiry into options available to the agent. 782 |
---|
1168 | 1168 | | (III) Have a reasonable basis to believe the re commended 783 |
---|
1169 | 1169 | | option effectively addresses the consumer's financial situation, 784 |
---|
1170 | 1170 | | insurance needs, and financial objectives over the life of the 785 |
---|
1171 | 1171 | | product, as evaluated in light of the consumer profile 786 |
---|
1172 | 1172 | | information. 787 |
---|
1173 | 1173 | | (IV) Communicate the reason or reasons for the 788 |
---|
1174 | 1174 | | recommendation. 789 |
---|
1175 | 1175 | | b. The requirements of sub -subparagraph a. include: 790 |
---|
1176 | 1176 | | (I) Making reasonable efforts to obtain consumer profile 791 |
---|
1177 | 1177 | | information from the consumer before the recommendation of an 792 |
---|
1178 | 1178 | | annuity. 793 |
---|
1179 | 1179 | | (II) Requiring an agent to consider the types of produc ts 794 |
---|
1180 | 1180 | | the agent is authorized and licensed to recommend or sell which 795 |
---|
1181 | 1181 | | address the consumer's financial situation, insurance needs, and 796 |
---|
1182 | 1182 | | financial objectives. This does not require analysis or 797 |
---|
1183 | 1183 | | consideration of any products outside the authority and license 798 |
---|
1184 | 1184 | | of the agent or other possible alternative products or 799 |
---|
1185 | 1185 | | strategies available in the market at the time of the 800 |
---|
1186 | 1186 | | |
---|
1187 | 1187 | | HB 1141 2025 |
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1188 | 1188 | | |
---|
1189 | 1189 | | |
---|
1190 | 1190 | | |
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1193 | 1193 | | Page 33 of 168 |
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1194 | 1194 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1195 | 1195 | | |
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1196 | 1196 | | |
---|
1197 | 1197 | | |
---|
1198 | 1198 | | recommendation. Agents shall be held to standards applicable to 801 |
---|
1199 | 1199 | | agents with similar authority and licensure. 802 |
---|
1200 | 1200 | | (III) Having a reasonable basis to belie ve the consumer 803 |
---|
1201 | 1201 | | would benefit from certain features of the annuity, such as 804 |
---|
1202 | 1202 | | annuitization, death or living benefit, or other insurance -805 |
---|
1203 | 1203 | | related features. 806 |
---|
1204 | 1204 | | c. The requirements of this subsection do not create a 807 |
---|
1205 | 1205 | | fiduciary obligation or relationship and only create a 808 |
---|
1206 | 1206 | | regulatory obligation as provided in this section. 809 |
---|
1207 | 1207 | | d. The consumer profile information; characteristics of 810 |
---|
1208 | 1208 | | the insurer; and product costs, rates, benefits, and features 811 |
---|
1209 | 1209 | | are those factors generally relevant in making a determination 812 |
---|
1210 | 1210 | | whether an annuity effectively addresses the consumer's 813 |
---|
1211 | 1211 | | financial situation, insurance needs, and financial objectives, 814 |
---|
1212 | 1212 | | but the level of importance of each factor under the care 815 |
---|
1213 | 1213 | | obligation of this paragraph may vary depending on the facts and 816 |
---|
1214 | 1214 | | circumstances of a particu lar case. However, each factor may not 817 |
---|
1215 | 1215 | | be considered in isolation. 818 |
---|
1216 | 1216 | | e. The requirements under sub -subparagraph a. apply to the 819 |
---|
1217 | 1217 | | particular annuity as a whole and the underlying subaccounts to 820 |
---|
1218 | 1218 | | which funds are allocated at the time of purchase or exchange of 821 |
---|
1219 | 1219 | | an annuity, and riders and similar product enhancements, if any. 822 |
---|
1220 | 1220 | | f. Sub-subparagraph a. does not require that the annuity 823 |
---|
1221 | 1221 | | with the lowest one-time occurrence compensation structure or 824 |
---|
1222 | 1222 | | multiple occurrence compensation structure shall necessarily be 825 |
---|
1223 | 1223 | | |
---|
1224 | 1224 | | HB 1141 2025 |
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1225 | 1225 | | |
---|
1226 | 1226 | | |
---|
1227 | 1227 | | |
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1230 | 1230 | | Page 34 of 168 |
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1231 | 1231 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1232 | 1232 | | |
---|
1233 | 1233 | | |
---|
1234 | 1234 | | |
---|
1235 | 1235 | | recommended. 826 |
---|
1236 | 1236 | | g. Sub-subparagraph a. does not require the agent to have 827 |
---|
1237 | 1237 | | ongoing monitoring obligations under the care obligation, 828 |
---|
1238 | 1238 | | although such an obligation may be separately owed under the 829 |
---|
1239 | 1239 | | terms of a fiduciary, consulting, investment, advising, or 830 |
---|
1240 | 1240 | | financial planning agreement between the consumer and the agent. 831 |
---|
1241 | 1241 | | h. In the case of an exchange or replacement of an 832 |
---|
1242 | 1242 | | annuity, the agent shall consider the whole transaction, which 833 |
---|
1243 | 1243 | | includes taking into consideration whether: 834 |
---|
1244 | 1244 | | (I) The consumer will incur a surrender charge; be subject 835 |
---|
1245 | 1245 | | to the commencement of a new surrender period; lose existing 836 |
---|
1246 | 1246 | | benefits, such as death, living, or other contractual benefits; 837 |
---|
1247 | 1247 | | or be subject to increased fees, investment advisory fees, or 838 |
---|
1248 | 1248 | | charges for riders and similar product enhancemen ts. 839 |
---|
1249 | 1249 | | (II) The replacing product would substantially benefit the 840 |
---|
1250 | 1250 | | consumer in comparison to the replaced product over the life of 841 |
---|
1251 | 1251 | | the product. 842 |
---|
1252 | 1252 | | (III) The consumer has had another annuity exchange or 843 |
---|
1253 | 1253 | | replacement and, in particular, an exchange or replacement 844 |
---|
1254 | 1254 | | within the preceding 60 months. 845 |
---|
1255 | 1255 | | i. This section does not require an agent to obtain any 846 |
---|
1256 | 1256 | | license other than an agent license with the appropriate line of 847 |
---|
1257 | 1257 | | authority to sell, solicit, or negotiate insurance in this 848 |
---|
1258 | 1258 | | state, including, but not limi ted to, any securities license, in 849 |
---|
1259 | 1259 | | order to fulfill the duties and obligations contained in this 850 |
---|
1260 | 1260 | | |
---|
1261 | 1261 | | HB 1141 2025 |
---|
1262 | 1262 | | |
---|
1263 | 1263 | | |
---|
1264 | 1264 | | |
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1265 | 1265 | | CODING: Words stricken are deletions; words underlined are additions. |
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1266 | 1266 | | hb1141-00 |
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1267 | 1267 | | Page 35 of 168 |
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1268 | 1268 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1269 | 1269 | | |
---|
1270 | 1270 | | |
---|
1271 | 1271 | | |
---|
1272 | 1272 | | section; provided, the agent does not give advice or provide 851 |
---|
1273 | 1273 | | services that are otherwise subject to securities laws or engage 852 |
---|
1274 | 1274 | | in any other activity requiring o ther professional licenses. 853 |
---|
1275 | 1275 | | 2.a. Before the recommendation or sale of an annuity, the 854 |
---|
1276 | 1276 | | agent shall prominently disclose to the consumer, on a form 855 |
---|
1277 | 1277 | | substantially similar to that posted on the department office 856 |
---|
1278 | 1278 | | website as Appendix A, related to an insurance agent disclosure 857 |
---|
1279 | 1279 | | for annuities: 858 |
---|
1280 | 1280 | | (I) A description of the scope and terms of the 859 |
---|
1281 | 1281 | | relationship with the consumer and the role of the agent in the 860 |
---|
1282 | 1282 | | transaction. 861 |
---|
1283 | 1283 | | (II) An affirmative statement on whether the agent is 862 |
---|
1284 | 1284 | | licensed and authorized to sell the foll owing products: 863 |
---|
1285 | 1285 | | (A) Fixed annuities. 864 |
---|
1286 | 1286 | | (B) Fixed indexed annuities. 865 |
---|
1287 | 1287 | | (C) Variable annuities. 866 |
---|
1288 | 1288 | | (D) Life insurance. 867 |
---|
1289 | 1289 | | (E) Mutual funds. 868 |
---|
1290 | 1290 | | (F) Stocks and bonds. 869 |
---|
1291 | 1291 | | (G) Certificates of deposit. 870 |
---|
1292 | 1292 | | (III) An affirmative statement describing the insurers for 871 |
---|
1293 | 1293 | | which the agent is authorized, contracted, or appointed, or 872 |
---|
1294 | 1294 | | otherwise able to sell insurance products, using the following 873 |
---|
1295 | 1295 | | descriptions: 874 |
---|
1296 | 1296 | | (A) From one insurer; 875 |
---|
1297 | 1297 | | |
---|
1298 | 1298 | | HB 1141 2025 |
---|
1299 | 1299 | | |
---|
1300 | 1300 | | |
---|
1301 | 1301 | | |
---|
1302 | 1302 | | CODING: Words stricken are deletions; words underlined are additions. |
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1303 | 1303 | | hb1141-00 |
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1304 | 1304 | | Page 36 of 168 |
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1305 | 1305 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1306 | 1306 | | |
---|
1307 | 1307 | | |
---|
1308 | 1308 | | |
---|
1309 | 1309 | | (B) From two or more insurers; or 876 |
---|
1310 | 1310 | | (C) From two or more insurers, although primarily 877 |
---|
1311 | 1311 | | contracted with one insurer. 878 |
---|
1312 | 1312 | | (IV) A description of the sources and types of cash 879 |
---|
1313 | 1313 | | compensation and noncash compensation to be received by the 880 |
---|
1314 | 1314 | | agent, including whether the agent is to be compensated for the 881 |
---|
1315 | 1315 | | sale of a recommended annuity by commission as part of pre mium 882 |
---|
1316 | 1316 | | or other remuneration received from the insurer, intermediary, 883 |
---|
1317 | 1317 | | or other agent, or by fee as a result of a contract for advice 884 |
---|
1318 | 1318 | | or consulting services. 885 |
---|
1319 | 1319 | | (V) A notice of the consumer's right to request additional 886 |
---|
1320 | 1320 | | information regarding cash compensation described in sub-887 |
---|
1321 | 1321 | | subparagraph b. 888 |
---|
1322 | 1322 | | b. Upon request of the consumer or the consumer's 889 |
---|
1323 | 1323 | | designated representative, the agent shall disclose: 890 |
---|
1324 | 1324 | | (I) A reasonable estimate of the amount of cash 891 |
---|
1325 | 1325 | | compensation to be received by the agent, which may be stated as 892 |
---|
1326 | 1326 | | a range of amounts or percentages. 893 |
---|
1327 | 1327 | | (II) Whether the cash compensation is a one -time or 894 |
---|
1328 | 1328 | | multiple occurrence amount; and if a multiple occurrence amount, 895 |
---|
1329 | 1329 | | the frequency and amount of the occurrence, which may be stated 896 |
---|
1330 | 1330 | | as a range of amounts or percentages. 897 |
---|
1331 | 1331 | | c. Before or at the time of the recommendation or sale of 898 |
---|
1332 | 1332 | | an annuity, the agent shall have a reasonable basis to believe 899 |
---|
1333 | 1333 | | the consumer has been informed of various features of the 900 |
---|
1334 | 1334 | | |
---|
1335 | 1335 | | HB 1141 2025 |
---|
1336 | 1336 | | |
---|
1337 | 1337 | | |
---|
1338 | 1338 | | |
---|
1339 | 1339 | | CODING: Words stricken are deletions; words underlined are additions. |
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1340 | 1340 | | hb1141-00 |
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1341 | 1341 | | Page 37 of 168 |
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1342 | 1342 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1343 | 1343 | | |
---|
1344 | 1344 | | |
---|
1345 | 1345 | | |
---|
1346 | 1346 | | annuity, such as the potential surrender period and surrender 901 |
---|
1347 | 1347 | | charge; potential tax penalty if the consumer sells, exchanges, 902 |
---|
1348 | 1348 | | surrenders, or annuitizes the annuity; mortality and expense 903 |
---|
1349 | 1349 | | fees; any annual fees; investment advisory fees; potential 904 |
---|
1350 | 1350 | | charges for and features of riders or other options of the 905 |
---|
1351 | 1351 | | annuity; limitations on inter est returns; potential changes in 906 |
---|
1352 | 1352 | | nonguaranteed elements of the annuity; insurance and investment 907 |
---|
1353 | 1353 | | components; and market risk. 908 |
---|
1354 | 1354 | | 3. An agent shall identify and avoid or reasonably manage 909 |
---|
1355 | 1355 | | and disclose material conflicts of interest, including material 910 |
---|
1356 | 1356 | | conflicts of interest related to an ownership interest. 911 |
---|
1357 | 1357 | | 4. An agent shall at the time of the recommendation or 912 |
---|
1358 | 1358 | | sale: 913 |
---|
1359 | 1359 | | a. Make a written record of any recommendation and the 914 |
---|
1360 | 1360 | | basis for the recommendation, subject to this section. 915 |
---|
1361 | 1361 | | b. Obtain a consumer -signed statement on a form 916 |
---|
1362 | 1362 | | substantially similar to that posted on the department office 917 |
---|
1363 | 1363 | | website as Appendix B, related to a consumer's refusal to 918 |
---|
1364 | 1364 | | provide information, documenting: 919 |
---|
1365 | 1365 | | (I) A customer's refusal to provide the consumer profile 920 |
---|
1366 | 1366 | | information, if any. 921 |
---|
1367 | 1367 | | (II) A customer's understanding of the ramifications of 922 |
---|
1368 | 1368 | | not providing his or her consumer profile information or 923 |
---|
1369 | 1369 | | providing insufficient consumer profile information. 924 |
---|
1370 | 1370 | | c. Obtain a consumer -signed statement on a form 925 |
---|
1371 | 1371 | | |
---|
1372 | 1372 | | HB 1141 2025 |
---|
1373 | 1373 | | |
---|
1374 | 1374 | | |
---|
1375 | 1375 | | |
---|
1376 | 1376 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
1377 | 1377 | | hb1141-00 |
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1378 | 1378 | | Page 38 of 168 |
---|
1379 | 1379 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1380 | 1380 | | |
---|
1381 | 1381 | | |
---|
1382 | 1382 | | |
---|
1383 | 1383 | | substantially similar to that posted on the department office 926 |
---|
1384 | 1384 | | website as Appendix C, related to a consumer's decision to 927 |
---|
1385 | 1385 | | purchase an annuity not based on a recommendation, acknowledging 928 |
---|
1386 | 1386 | | the annuity transaction is not recommended if a customer decides 929 |
---|
1387 | 1387 | | to enter into an annuity transaction that is not based on the 930 |
---|
1388 | 1388 | | agent's recommendation. 931 |
---|
1389 | 1389 | | 5. Any requirement applicable to an agent under this 932 |
---|
1390 | 1390 | | subsection applies to every agent who has exercised material 933 |
---|
1391 | 1391 | | control or influence in the making of a recommendation and has 934 |
---|
1392 | 1392 | | received direct compensation as a result of the recommendation 935 |
---|
1393 | 1393 | | or sale, regardless of whether the agent has had any direct 936 |
---|
1394 | 1394 | | contact with the consumer. Activities such as providing or 937 |
---|
1395 | 1395 | | delivering marketing or education materials, product wholesaling 938 |
---|
1396 | 1396 | | or other back office product support, and g eneral supervision of 939 |
---|
1397 | 1397 | | an agent do not, in and of themselves, constitute material 940 |
---|
1398 | 1398 | | control or influence. 941 |
---|
1399 | 1399 | | Section 13. Paragraphs (c) through (o) and (r) through (w) 942 |
---|
1400 | 1400 | | of subsection (3) of section 627.6699, Florida Statutes, are 943 |
---|
1401 | 1401 | | redesignated as paragraphs (b ) through (n) and (o) through (t), 944 |
---|
1402 | 1402 | | respectively, subsections (12) through (17) are renumbered as 945 |
---|
1403 | 1403 | | subsections (11) through (16), respectively, and present 946 |
---|
1404 | 1404 | | paragraphs (b), (p), (q), and (s) of subsection (3), paragraph 947 |
---|
1405 | 1405 | | (d) of subsection (9), paragraphs (b) a nd (c) of subsection 948 |
---|
1406 | 1406 | | (10), and present subsection (11) of that section are amended, 949 |
---|
1407 | 1407 | | to read: 950 |
---|
1408 | 1408 | | |
---|
1409 | 1409 | | HB 1141 2025 |
---|
1410 | 1410 | | |
---|
1411 | 1411 | | |
---|
1412 | 1412 | | |
---|
1413 | 1413 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
1414 | 1414 | | hb1141-00 |
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1415 | 1415 | | Page 39 of 168 |
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1416 | 1416 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1417 | 1417 | | |
---|
1418 | 1418 | | |
---|
1419 | 1419 | | |
---|
1420 | 1420 | | 627.6699 Employee Health Care Access Act. — 951 |
---|
1421 | 1421 | | (3) DEFINITIONS.—As used in this section, the term: 952 |
---|
1422 | 1422 | | (b) "Board" means the board of directors of the program. 953 |
---|
1423 | 1423 | | (p) "Plan of operation" means the plan of operation of the 954 |
---|
1424 | 1424 | | program, including articles, bylaws, and operating rules, 955 |
---|
1425 | 1425 | | adopted by the board under subsection (11). 956 |
---|
1426 | 1426 | | (q) "Program" means the Florida Small Employer Carrier 957 |
---|
1427 | 1427 | | Reinsurance Program created under subsect ion (11). 958 |
---|
1428 | 1428 | | (p)(s) "Reinsuring carrier" means a small employer carrier 959 |
---|
1429 | 1429 | | that elects to comply with reinsurance the requirements set 960 |
---|
1430 | 1430 | | forth in subsection (11) . 961 |
---|
1431 | 1431 | | (9) SMALL EMPLOYER CARRIER'S ELECTION TO BECOME A RISK -962 |
---|
1432 | 1432 | | ASSUMING CARRIER OR A REINSURING CARRIER. — 963 |
---|
1433 | 1433 | | (d) A small employer carrier that elects to cease 964 |
---|
1434 | 1434 | | participating as a reinsuring carrier and to become a risk -965 |
---|
1435 | 1435 | | assuming carrier is prohibited from reinsuring or continuing to 966 |
---|
1436 | 1436 | | reinsure any small employer health benefits plan under 967 |
---|
1437 | 1437 | | subsection (11) as soon as the carrier becomes a risk -assuming 968 |
---|
1438 | 1438 | | carrier and must pay a prorated assessment based upon business 969 |
---|
1439 | 1439 | | issued as a reinsuring carrier for any portion of the year that 970 |
---|
1440 | 1440 | | the business was reinsured. A small employer carrier that elects 971 |
---|
1441 | 1441 | | to cease participating as a risk-assuming carrier and to become 972 |
---|
1442 | 1442 | | a reinsuring carrier is permitted to reinsure small employer 973 |
---|
1443 | 1443 | | health benefit plans under the terms set forth in subsection 974 |
---|
1444 | 1444 | | (11) and must pay a prorated assessment based upon business 975 |
---|
1445 | 1445 | | |
---|
1446 | 1446 | | HB 1141 2025 |
---|
1447 | 1447 | | |
---|
1448 | 1448 | | |
---|
1449 | 1449 | | |
---|
1450 | 1450 | | CODING: Words stricken are deletions; words underlined are additions. |
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1451 | 1451 | | hb1141-00 |
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1452 | 1452 | | Page 40 of 168 |
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1453 | 1453 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1454 | 1454 | | |
---|
1455 | 1455 | | |
---|
1456 | 1456 | | |
---|
1457 | 1457 | | issued as a reinsuring carrier for a ny portion of the year that 976 |
---|
1458 | 1458 | | the business was reinsured. 977 |
---|
1459 | 1459 | | (10) ELECTION PROCESS TO BECOME A RISK -ASSUMING CARRIER.— 978 |
---|
1460 | 1460 | | (b) In determining whether to approve an application by a 979 |
---|
1461 | 1461 | | small employer carrier to become a risk -assuming carrier, the 980 |
---|
1462 | 1462 | | office shall consider: 981 |
---|
1463 | 1463 | | 1. The carrier's financial ability to support the 982 |
---|
1464 | 1464 | | assumption of the risk of small employer groups. 983 |
---|
1465 | 1465 | | 2. The carrier's history of rating and underwriting small 984 |
---|
1466 | 1466 | | employer groups. 985 |
---|
1467 | 1467 | | 3. The carrier's commitment to market fairly to all small 986 |
---|
1468 | 1468 | | employers in the state or its service area, as applicable. 987 |
---|
1469 | 1469 | | 4. The carrier's ability to assume and manage the risk of 988 |
---|
1470 | 1470 | | enrolling small employer groups without the protection of the 989 |
---|
1471 | 1471 | | reinsurance program provided in subsection (11) . 990 |
---|
1472 | 1472 | | (c) A small employer carrier that bec omes a risk-assuming 991 |
---|
1473 | 1473 | | carrier pursuant to this subsection is not subject to 992 |
---|
1474 | 1474 | | reinsurance the assessment provisions of subsection (11) . 993 |
---|
1475 | 1475 | | (11) SMALL EMPLOYER HEALTH REINSURANCE PROGRAM. — 994 |
---|
1476 | 1476 | | (a) There is created a nonprofit entity to be known as the 995 |
---|
1477 | 1477 | | "Florida Small Employer Health Reinsurance Program." 996 |
---|
1478 | 1478 | | (b)1. The program shall operate subject to the supervision 997 |
---|
1479 | 1479 | | and control of the board. 998 |
---|
1480 | 1480 | | 2. Effective upon this act becoming a law, the board shall 999 |
---|
1481 | 1481 | | consist of the director of the office or his or her designee, 1000 |
---|
1482 | 1482 | | |
---|
1483 | 1483 | | HB 1141 2025 |
---|
1484 | 1484 | | |
---|
1485 | 1485 | | |
---|
1486 | 1486 | | |
---|
1487 | 1487 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
1488 | 1488 | | hb1141-00 |
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1489 | 1489 | | Page 41 of 168 |
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1490 | 1490 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1491 | 1491 | | |
---|
1492 | 1492 | | |
---|
1493 | 1493 | | |
---|
1494 | 1494 | | who shall serve as the chairperson, and 13 additional members 1001 |
---|
1495 | 1495 | | who are representatives of carriers and insurance agents and are 1002 |
---|
1496 | 1496 | | appointed by the director of the office and serve as follows: 1003 |
---|
1497 | 1497 | | a. Five members shall be representatives of health 1004 |
---|
1498 | 1498 | | insurers licensed under chapter 624 or chapter 641. Two members 1005 |
---|
1499 | 1499 | | shall be agents who are actively engaged in the sale of health 1006 |
---|
1500 | 1500 | | insurance. Four members shall be employers or representatives of 1007 |
---|
1501 | 1501 | | employers. One member shall be a person covered under an 1008 |
---|
1502 | 1502 | | individual health insuran ce policy issued by a licensed insurer 1009 |
---|
1503 | 1503 | | in this state. One member shall represent the Agency for Health 1010 |
---|
1504 | 1504 | | Care Administration and shall be recommended by the Secretary of 1011 |
---|
1505 | 1505 | | Health Care Administration. 1012 |
---|
1506 | 1506 | | b. A member appointed under this subparagraph shall serve 1013 |
---|
1507 | 1507 | | a term of 4 years and shall continue in office until the 1014 |
---|
1508 | 1508 | | member's successor takes office, except that, in order to 1015 |
---|
1509 | 1509 | | provide for staggered terms, the director of the office shall 1016 |
---|
1510 | 1510 | | designate two of the initial appointees under this subparagraph 1017 |
---|
1511 | 1511 | | to serve terms of 2 years and shall designate three of the 1018 |
---|
1512 | 1512 | | initial appointees under this subparagraph to serve terms of 3 1019 |
---|
1513 | 1513 | | years. 1020 |
---|
1514 | 1514 | | 3. The director of the office may remove a member for 1021 |
---|
1515 | 1515 | | cause. 1022 |
---|
1516 | 1516 | | 4. Vacancies on the board shall be filled in the same 1023 |
---|
1517 | 1517 | | manner as the original appointment for the unexpired portion of 1024 |
---|
1518 | 1518 | | the term. 1025 |
---|
1519 | 1519 | | |
---|
1520 | 1520 | | HB 1141 2025 |
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1521 | 1521 | | |
---|
1522 | 1522 | | |
---|
1523 | 1523 | | |
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1526 | 1526 | | Page 42 of 168 |
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1527 | 1527 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1528 | 1528 | | |
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1529 | 1529 | | |
---|
1530 | 1530 | | |
---|
1531 | 1531 | | (c)1. The board shall submit to the office a plan of 1026 |
---|
1532 | 1532 | | operation to assure the fair, reasonable, and equitable 1027 |
---|
1533 | 1533 | | administration of the program. The board may at any time submit 1028 |
---|
1534 | 1534 | | to the office any amendments t o the plan that the board finds to 1029 |
---|
1535 | 1535 | | be necessary or suitable. 1030 |
---|
1536 | 1536 | | 2. The office shall, after notice and hearing, approve the 1031 |
---|
1537 | 1537 | | plan of operation if it determines that the plan submitted by 1032 |
---|
1538 | 1538 | | the board is suitable to assure the fair, reasonable, and 1033 |
---|
1539 | 1539 | | equitable administration of the program and provides for the 1034 |
---|
1540 | 1540 | | sharing of program gains and losses equitably and 1035 |
---|
1541 | 1541 | | proportionately in accordance with paragraph (j). 1036 |
---|
1542 | 1542 | | 3. The plan of operation, or any amendment thereto, 1037 |
---|
1543 | 1543 | | becomes effective upon written approval of the office. 1038 |
---|
1544 | 1544 | | (d) The plan of operation must, among other things: 1039 |
---|
1545 | 1545 | | 1. Establish procedures for handling and accounting for 1040 |
---|
1546 | 1546 | | program assets and moneys and for an annual fiscal reporting to 1041 |
---|
1547 | 1547 | | the office. 1042 |
---|
1548 | 1548 | | 2. Establish procedures for selecting an administering 1043 |
---|
1549 | 1549 | | carrier and set forth the powers and duties of the administering 1044 |
---|
1550 | 1550 | | carrier. 1045 |
---|
1551 | 1551 | | 3. Establish procedures for reinsuring risks. 1046 |
---|
1552 | 1552 | | 4. Establish procedures for collecting assessments from 1047 |
---|
1553 | 1553 | | participating carriers to provide for claims reinsured by the 1048 |
---|
1554 | 1554 | | program and for administr ative expenses, other than amounts 1049 |
---|
1555 | 1555 | | payable to the administrative carrier, incurred or estimated to 1050 |
---|
1556 | 1556 | | |
---|
1557 | 1557 | | HB 1141 2025 |
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1558 | 1558 | | |
---|
1559 | 1559 | | |
---|
1560 | 1560 | | |
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1562 | 1562 | | hb1141-00 |
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1563 | 1563 | | Page 43 of 168 |
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1564 | 1564 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1565 | 1565 | | |
---|
1566 | 1566 | | |
---|
1567 | 1567 | | |
---|
1568 | 1568 | | be incurred during the period for which the assessment is made. 1051 |
---|
1569 | 1569 | | 5. Provide for any additional matters at the discretion of 1052 |
---|
1570 | 1570 | | the board. 1053 |
---|
1571 | 1571 | | (e) The board shall recommend to the office market conduct 1054 |
---|
1572 | 1572 | | requirements and other requirements for carriers and agents, 1055 |
---|
1573 | 1573 | | including requirements relating to: 1056 |
---|
1574 | 1574 | | 1. Registration by each carrier with the office of its 1057 |
---|
1575 | 1575 | | intention to be a small employer carrier under this section; 1058 |
---|
1576 | 1576 | | 2. Publication by the office of a list of all small 1059 |
---|
1577 | 1577 | | employer carriers, including a requirement applicable to agents 1060 |
---|
1578 | 1578 | | and carriers that a health benefit plan may not be sold by a 1061 |
---|
1579 | 1579 | | carrier that is not identified as a small employer carrier; 1062 |
---|
1580 | 1580 | | 3. The availability of a broadly publicized, toll -free 1063 |
---|
1581 | 1581 | | telephone number for access by small employers to information 1064 |
---|
1582 | 1582 | | concerning this section; 1065 |
---|
1583 | 1583 | | 4. Periodic reports by carriers and agents concerning 1066 |
---|
1584 | 1584 | | health benefit plans issued; and 1067 |
---|
1585 | 1585 | | 5. Methods concerning periodic demonstr ation by small 1068 |
---|
1586 | 1586 | | employer carriers and agents that they are marketing or issuing 1069 |
---|
1587 | 1587 | | health benefit plans to small employers. 1070 |
---|
1588 | 1588 | | (f) The program has the general powers and authority 1071 |
---|
1589 | 1589 | | granted under the laws of this state to insurance companies and 1072 |
---|
1590 | 1590 | | health maintenance organizations licensed to transact business, 1073 |
---|
1591 | 1591 | | except the power to issue health benefit plans directly to 1074 |
---|
1592 | 1592 | | groups or individuals. In addition thereto, the program has 1075 |
---|
1593 | 1593 | | |
---|
1594 | 1594 | | HB 1141 2025 |
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1595 | 1595 | | |
---|
1596 | 1596 | | |
---|
1597 | 1597 | | |
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1599 | 1599 | | hb1141-00 |
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1600 | 1600 | | Page 44 of 168 |
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1601 | 1601 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1602 | 1602 | | |
---|
1603 | 1603 | | |
---|
1604 | 1604 | | |
---|
1605 | 1605 | | specific authority to: 1076 |
---|
1606 | 1606 | | 1. Enter into contracts as necessary or proper to carry 1077 |
---|
1607 | 1607 | | out the provisions and purposes of this act, including the 1078 |
---|
1608 | 1608 | | authority to enter into contracts with similar programs of other 1079 |
---|
1609 | 1609 | | states for the joint performance of common functions or with 1080 |
---|
1610 | 1610 | | persons or other organizations for the performance of 1081 |
---|
1611 | 1611 | | administrative functions. 1082 |
---|
1612 | 1612 | | 2. Sue or be sued, including taking any legal action 1083 |
---|
1613 | 1613 | | necessary or proper for recovering any assessments and penalties 1084 |
---|
1614 | 1614 | | for, on behalf of, or against the program or any carrier. 1085 |
---|
1615 | 1615 | | 3. Take any legal action necessary to avoid the payment of 1086 |
---|
1616 | 1616 | | improper claims against the program. 1087 |
---|
1617 | 1617 | | 4. Issue reinsurance policies, in accordance with the 1088 |
---|
1618 | 1618 | | requirements of this act. 1089 |
---|
1619 | 1619 | | 5. Establish rules, conditions, and procedures for 1090 |
---|
1620 | 1620 | | reinsurance risks under the program participation. 1091 |
---|
1621 | 1621 | | 6. Establish actuarial functions as appropriate for the 1092 |
---|
1622 | 1622 | | operation of the program. 1093 |
---|
1623 | 1623 | | 7. Assess participating carriers in accordance with 1094 |
---|
1624 | 1624 | | paragraph (j), and make advance interim assessments as may be 1095 |
---|
1625 | 1625 | | reasonable and necessary for organizational and interim 1096 |
---|
1626 | 1626 | | operating expenses. Interim assessments shall be c redited as 1097 |
---|
1627 | 1627 | | offsets against any regular assessments due following the close 1098 |
---|
1628 | 1628 | | of the calendar year. 1099 |
---|
1629 | 1629 | | 8. Appoint appropriate legal, actuarial, and other 1100 |
---|
1630 | 1630 | | |
---|
1631 | 1631 | | HB 1141 2025 |
---|
1632 | 1632 | | |
---|
1633 | 1633 | | |
---|
1634 | 1634 | | |
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1637 | 1637 | | Page 45 of 168 |
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1638 | 1638 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1639 | 1639 | | |
---|
1640 | 1640 | | |
---|
1641 | 1641 | | |
---|
1642 | 1642 | | committees as necessary to provide technical assistance in the 1101 |
---|
1643 | 1643 | | operation of the program, and in any other function within the 1102 |
---|
1644 | 1644 | | authority of the program. 1103 |
---|
1645 | 1645 | | 9. Borrow money to effect the purposes of the program. Any 1104 |
---|
1646 | 1646 | | notes or other evidences of indebtedness of the program which 1105 |
---|
1647 | 1647 | | are not in default constitute legal investments for carriers and 1106 |
---|
1648 | 1648 | | may be carried as admi tted assets. 1107 |
---|
1649 | 1649 | | 10. To the extent necessary, increase the $5,000 1108 |
---|
1650 | 1650 | | deductible reinsurance requirement to adjust for the effects of 1109 |
---|
1651 | 1651 | | inflation. 1110 |
---|
1652 | 1652 | | (g) A reinsuring carrier may reinsure with the program 1111 |
---|
1653 | 1653 | | coverage of an eligible employee of a small employer, or any 1112 |
---|
1654 | 1654 | | dependent of such an employee, subject to each of the following 1113 |
---|
1655 | 1655 | | provisions: 1114 |
---|
1656 | 1656 | | 1. Except in the case of a late enrollee, a reinsuring 1115 |
---|
1657 | 1657 | | carrier may reinsure an eligible employee or dependent within 60 1116 |
---|
1658 | 1658 | | days after the commencement of the coverage of the small 1117 |
---|
1659 | 1659 | | employer. A newly employed eligible employee or dependent of a 1118 |
---|
1660 | 1660 | | small employer may be reinsured within 60 days after the 1119 |
---|
1661 | 1661 | | commencement of his or her coverage. 1120 |
---|
1662 | 1662 | | 2. A small employer carrier may reinsure an entire 1121 |
---|
1663 | 1663 | | employer group within 60 days after the commen cement of the 1122 |
---|
1664 | 1664 | | group's coverage under the plan. 1123 |
---|
1665 | 1665 | | 3. The program may not reimburse a participating carrier 1124 |
---|
1666 | 1666 | | with respect to the claims of a reinsured employee or dependent 1125 |
---|
1667 | 1667 | | |
---|
1668 | 1668 | | HB 1141 2025 |
---|
1669 | 1669 | | |
---|
1670 | 1670 | | |
---|
1671 | 1671 | | |
---|
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1673 | 1673 | | hb1141-00 |
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1674 | 1674 | | Page 46 of 168 |
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1675 | 1675 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1676 | 1676 | | |
---|
1677 | 1677 | | |
---|
1678 | 1678 | | |
---|
1679 | 1679 | | until the carrier has paid incurred claims of at least $5,000 in 1126 |
---|
1680 | 1680 | | a calendar year for b enefits covered by the program. In 1127 |
---|
1681 | 1681 | | addition, the reinsuring carrier shall be responsible for 10 1128 |
---|
1682 | 1682 | | percent of the next $50,000 and 5 percent of the next $100,000 1129 |
---|
1683 | 1683 | | of incurred claims during a calendar year and the program shall 1130 |
---|
1684 | 1684 | | reinsure the remainder. 1131 |
---|
1685 | 1685 | | 4. The board annually shall adjust the initial level of 1132 |
---|
1686 | 1686 | | claims and the maximum limit to be retained by the carrier to 1133 |
---|
1687 | 1687 | | reflect increases in costs and utilization within the standard 1134 |
---|
1688 | 1688 | | market for health benefit plans within the state. The adjustment 1135 |
---|
1689 | 1689 | | shall not be less than the annual change in the medical 1136 |
---|
1690 | 1690 | | component of the "Consumer Price Index for All Urban Consumers" 1137 |
---|
1691 | 1691 | | of the Bureau of Labor Statistics of the Department of Labor, 1138 |
---|
1692 | 1692 | | unless the board proposes and the office approves a lower 1139 |
---|
1693 | 1693 | | adjustment factor. 1140 |
---|
1694 | 1694 | | 5. A small employer carrier may terminate reinsurance for 1141 |
---|
1695 | 1695 | | all reinsured employees or dependents on any plan anniversary. 1142 |
---|
1696 | 1696 | | 6. The premium rate charged for reinsurance by the program 1143 |
---|
1697 | 1697 | | to a health maintenance organization that is approved by the 1144 |
---|
1698 | 1698 | | Secretary of Health and H uman Services as a federally qualified 1145 |
---|
1699 | 1699 | | health maintenance organization pursuant to 42 U.S.C. s. 1146 |
---|
1700 | 1700 | | 300e(c)(2)(A) and that, as such, is subject to requirements that 1147 |
---|
1701 | 1701 | | limit the amount of risk that may be ceded to the program, which 1148 |
---|
1702 | 1702 | | requirements are more restrict ive than subparagraph 3., shall be 1149 |
---|
1703 | 1703 | | reduced by an amount equal to that portion of the risk, if any, 1150 |
---|
1704 | 1704 | | |
---|
1705 | 1705 | | HB 1141 2025 |
---|
1706 | 1706 | | |
---|
1707 | 1707 | | |
---|
1708 | 1708 | | |
---|
1709 | 1709 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
1710 | 1710 | | hb1141-00 |
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1711 | 1711 | | Page 47 of 168 |
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1712 | 1712 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1713 | 1713 | | |
---|
1714 | 1714 | | |
---|
1715 | 1715 | | |
---|
1716 | 1716 | | which exceeds the amount set forth in subparagraph 3. which may 1151 |
---|
1717 | 1717 | | not be ceded to the program. 1152 |
---|
1718 | 1718 | | 7. The board may consider adjustments to the premium rates 1153 |
---|
1719 | 1719 | | charged for reinsurance by the program for carriers that use 1154 |
---|
1720 | 1720 | | effective cost containment measures, including high -cost case 1155 |
---|
1721 | 1721 | | management, as defined by the board. 1156 |
---|
1722 | 1722 | | 8. A reinsuring carrier shall apply its case -management 1157 |
---|
1723 | 1723 | | and claims-handling techniques, includ ing, but not limited to, 1158 |
---|
1724 | 1724 | | utilization review, individual case management, preferred 1159 |
---|
1725 | 1725 | | provider provisions, other managed care provisions or methods of 1160 |
---|
1726 | 1726 | | operation, consistently with both reinsured business and 1161 |
---|
1727 | 1727 | | nonreinsured business. 1162 |
---|
1728 | 1728 | | (h)1. The board, as part o f the plan of operation, shall 1163 |
---|
1729 | 1729 | | establish a methodology for determining premium rates to be 1164 |
---|
1730 | 1730 | | charged by the program for reinsuring small employers and 1165 |
---|
1731 | 1731 | | individuals pursuant to this section. The methodology shall 1166 |
---|
1732 | 1732 | | include a system for classification of small em ployers that 1167 |
---|
1733 | 1733 | | reflects the types of case characteristics commonly used by 1168 |
---|
1734 | 1734 | | small employer carriers in the state. The methodology shall 1169 |
---|
1735 | 1735 | | provide for the development of basic reinsurance premium rates, 1170 |
---|
1736 | 1736 | | which shall be multiplied by the factors set for them in th is 1171 |
---|
1737 | 1737 | | paragraph to determine the premium rates for the program. The 1172 |
---|
1738 | 1738 | | basic reinsurance premium rates shall be established by the 1173 |
---|
1739 | 1739 | | board, subject to the approval of the office. The premium rates 1174 |
---|
1740 | 1740 | | set by the board may vary by geographical area, as determined 1175 |
---|
1741 | 1741 | | |
---|
1742 | 1742 | | HB 1141 2025 |
---|
1743 | 1743 | | |
---|
1744 | 1744 | | |
---|
1745 | 1745 | | |
---|
1746 | 1746 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
1747 | 1747 | | hb1141-00 |
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1748 | 1748 | | Page 48 of 168 |
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1749 | 1749 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1750 | 1750 | | |
---|
1751 | 1751 | | |
---|
1752 | 1752 | | |
---|
1753 | 1753 | | under this section, to reflect differences in cost. The 1176 |
---|
1754 | 1754 | | multiplying factors must be established as follows: 1177 |
---|
1755 | 1755 | | a. The entire group may be reinsured for a rate that is 1178 |
---|
1756 | 1756 | | 1.5 times the rate established by the board. 1179 |
---|
1757 | 1757 | | b. An eligible employee or dependent may be rein sured for 1180 |
---|
1758 | 1758 | | a rate that is 5 times the rate established by the board. 1181 |
---|
1759 | 1759 | | 2. The board periodically shall review the methodology 1182 |
---|
1760 | 1760 | | established, including the system of classification and any 1183 |
---|
1761 | 1761 | | rating factors, to assure that it reasonably reflects the claims 1184 |
---|
1762 | 1762 | | experience of the program. The board may propose changes to the 1185 |
---|
1763 | 1763 | | rates which shall be subject to the approval of the office. 1186 |
---|
1764 | 1764 | | (i) If a health benefit plan for a small employer issued 1187 |
---|
1765 | 1765 | | in accordance with this subsection is entirely or partially 1188 |
---|
1766 | 1766 | | reinsured with the program, the premium charged to the small 1189 |
---|
1767 | 1767 | | employer for any rating period for the coverage issued must be 1190 |
---|
1768 | 1768 | | consistent with the requirements relating to premium rates set 1191 |
---|
1769 | 1769 | | forth in this section. 1192 |
---|
1770 | 1770 | | (j)1. Before July 1 of each calendar year, the board shall 1193 |
---|
1771 | 1771 | | determine and report to the office the program net loss for the 1194 |
---|
1772 | 1772 | | previous year, including administrative expenses for that year, 1195 |
---|
1773 | 1773 | | and the incurred losses for the year, taking into account 1196 |
---|
1774 | 1774 | | investment income and other appropriate gains and losses. 1197 |
---|
1775 | 1775 | | 2. Any net loss for the year shall be recouped by 1198 |
---|
1776 | 1776 | | assessment of the carriers, as follows: 1199 |
---|
1777 | 1777 | | a. The operating losses of the program shall be assessed 1200 |
---|
1778 | 1778 | | |
---|
1779 | 1779 | | HB 1141 2025 |
---|
1780 | 1780 | | |
---|
1781 | 1781 | | |
---|
1782 | 1782 | | |
---|
1783 | 1783 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
1784 | 1784 | | hb1141-00 |
---|
1785 | 1785 | | Page 49 of 168 |
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1786 | 1786 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1787 | 1787 | | |
---|
1788 | 1788 | | |
---|
1789 | 1789 | | |
---|
1790 | 1790 | | in the following order subject to the specified limitations. The 1201 |
---|
1791 | 1791 | | first tier of assessments shall be made against reinsuri ng 1202 |
---|
1792 | 1792 | | carriers in an amount which shall not exceed 5 percent of each 1203 |
---|
1793 | 1793 | | reinsuring carrier's premiums from health benefit plans covering 1204 |
---|
1794 | 1794 | | small employers. If such assessments have been collected and 1205 |
---|
1795 | 1795 | | additional moneys are needed, the board shall make a second tier 1206 |
---|
1796 | 1796 | | of assessments in an amount which shall not exceed 0.5 percent 1207 |
---|
1797 | 1797 | | of each carrier's health benefit plan premiums. Except as 1208 |
---|
1798 | 1798 | | provided in paragraph (m), risk -assuming carriers are exempt 1209 |
---|
1799 | 1799 | | from all assessments authorized pursuant to this section. The 1210 |
---|
1800 | 1800 | | amount paid by a reinsuring carrier for the first tier of 1211 |
---|
1801 | 1801 | | assessments shall be credited against any additional assessments 1212 |
---|
1802 | 1802 | | made. 1213 |
---|
1803 | 1803 | | b. The board shall equitably assess carriers for operating 1214 |
---|
1804 | 1804 | | losses of the plan based on market share. The board shall 1215 |
---|
1805 | 1805 | | annually assess each carrier a portion of the operating losses 1216 |
---|
1806 | 1806 | | of the plan. The first tier of assessments shall be determined 1217 |
---|
1807 | 1807 | | by multiplying the operating losses by a fraction, the numerator 1218 |
---|
1808 | 1808 | | of which equals the reinsuring carrier's earned premium 1219 |
---|
1809 | 1809 | | pertaining to direct writing s of small employer health benefit 1220 |
---|
1810 | 1810 | | plans in the state during the calendar year for which the 1221 |
---|
1811 | 1811 | | assessment is levied, and the denominator of which equals the 1222 |
---|
1812 | 1812 | | total of all such premiums earned by reinsuring carriers in the 1223 |
---|
1813 | 1813 | | state during that calendar year. The second tier of assessments 1224 |
---|
1814 | 1814 | | shall be based on the premiums that all carriers, except risk -1225 |
---|
1815 | 1815 | | |
---|
1816 | 1816 | | HB 1141 2025 |
---|
1817 | 1817 | | |
---|
1818 | 1818 | | |
---|
1819 | 1819 | | |
---|
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1822 | 1822 | | Page 50 of 168 |
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1823 | 1823 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1824 | 1824 | | |
---|
1825 | 1825 | | |
---|
1826 | 1826 | | |
---|
1827 | 1827 | | assuming carriers, earned on all health benefit plans written in 1226 |
---|
1828 | 1828 | | this state. The board may levy interim assessments against 1227 |
---|
1829 | 1829 | | carriers to ensure the financial ability of the plan to cover 1228 |
---|
1830 | 1830 | | claims expenses and administrative expenses paid or estimated to 1229 |
---|
1831 | 1831 | | be paid in the operation of the plan for the calendar year prior 1230 |
---|
1832 | 1832 | | to the association's anticipated receipt of annual assessments 1231 |
---|
1833 | 1833 | | for that calendar year. Any interim assessme nt is due and 1232 |
---|
1834 | 1834 | | payable within 30 days after receipt by a carrier of the interim 1233 |
---|
1835 | 1835 | | assessment notice. Interim assessment payments shall be credited 1234 |
---|
1836 | 1836 | | against the carrier's annual assessment. Health benefit plan 1235 |
---|
1837 | 1837 | | premiums and benefits paid by a carrier that are le ss than an 1236 |
---|
1838 | 1838 | | amount determined by the board to justify the cost of collection 1237 |
---|
1839 | 1839 | | may not be considered for purposes of determining assessments. 1238 |
---|
1840 | 1840 | | c. Subject to the approval of the office, the board shall 1239 |
---|
1841 | 1841 | | make an adjustment to the assessment formula for reinsuri ng 1240 |
---|
1842 | 1842 | | carriers that are approved as federally qualified health 1241 |
---|
1843 | 1843 | | maintenance organizations by the Secretary of Health and Human 1242 |
---|
1844 | 1844 | | Services pursuant to 42 U.S.C. s. 300e(c)(2)(A) to the extent, 1243 |
---|
1845 | 1845 | | if any, that restrictions are placed on them that are not 1244 |
---|
1846 | 1846 | | imposed on other small employer carriers. 1245 |
---|
1847 | 1847 | | 3. Before July 1 of each year, the board shall determine 1246 |
---|
1848 | 1848 | | and file with the office an estimate of the assessments needed 1247 |
---|
1849 | 1849 | | to fund the losses incurred by the program in the previous 1248 |
---|
1850 | 1850 | | calendar year. 1249 |
---|
1851 | 1851 | | 4. If the board determines t hat the assessments needed to 1250 |
---|
1852 | 1852 | | |
---|
1853 | 1853 | | HB 1141 2025 |
---|
1854 | 1854 | | |
---|
1855 | 1855 | | |
---|
1856 | 1856 | | |
---|
1857 | 1857 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
1858 | 1858 | | hb1141-00 |
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1859 | 1859 | | Page 51 of 168 |
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1860 | 1860 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1861 | 1861 | | |
---|
1862 | 1862 | | |
---|
1863 | 1863 | | |
---|
1864 | 1864 | | fund the losses incurred by the program in the previous calendar 1251 |
---|
1865 | 1865 | | year will exceed the amount specified in subparagraph 2., the 1252 |
---|
1866 | 1866 | | board shall evaluate the operation of the program and report its 1253 |
---|
1867 | 1867 | | findings, including any recommenda tions for changes to the plan 1254 |
---|
1868 | 1868 | | of operation, to the office within 180 days following the end of 1255 |
---|
1869 | 1869 | | the calendar year in which the losses were incurred. The 1256 |
---|
1870 | 1870 | | evaluation shall include an estimate of future assessments, the 1257 |
---|
1871 | 1871 | | administrative costs of the program, the appropriateness of the 1258 |
---|
1872 | 1872 | | premiums charged and the level of carrier retention under the 1259 |
---|
1873 | 1873 | | program, and the costs of coverage for small employers. If the 1260 |
---|
1874 | 1874 | | board fails to file a report with the office within 180 days 1261 |
---|
1875 | 1875 | | following the end of the applicable calendar y ear, the office 1262 |
---|
1876 | 1876 | | may evaluate the operations of the program and implement such 1263 |
---|
1877 | 1877 | | amendments to the plan of operation the office deems necessary 1264 |
---|
1878 | 1878 | | to reduce future losses and assessments. 1265 |
---|
1879 | 1879 | | 5. If assessments exceed the amount of the actual losses 1266 |
---|
1880 | 1880 | | and administrative expenses of the program, the excess shall be 1267 |
---|
1881 | 1881 | | held as interest and used by the board to offset future losses 1268 |
---|
1882 | 1882 | | or to reduce program premiums. As used in this paragraph, the 1269 |
---|
1883 | 1883 | | term "future losses" includes reserves for incurred but not 1270 |
---|
1884 | 1884 | | reported claims. 1271 |
---|
1885 | 1885 | | 6. Each carrier's proportion of the assessment shall be 1272 |
---|
1886 | 1886 | | determined annually by the board, based on annual statements and 1273 |
---|
1887 | 1887 | | other reports considered necessary by the board and filed by the 1274 |
---|
1888 | 1888 | | carriers with the board. 1275 |
---|
1889 | 1889 | | |
---|
1890 | 1890 | | HB 1141 2025 |
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1891 | 1891 | | |
---|
1892 | 1892 | | |
---|
1893 | 1893 | | |
---|
1894 | 1894 | | CODING: Words stricken are deletions; words underlined are additions. |
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1895 | 1895 | | hb1141-00 |
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1896 | 1896 | | Page 52 of 168 |
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1897 | 1897 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1898 | 1898 | | |
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1899 | 1899 | | |
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1900 | 1900 | | |
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1901 | 1901 | | 7. Provision shall be made in the plan of oper ation for 1276 |
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1902 | 1902 | | the imposition of an interest penalty for late payment of an 1277 |
---|
1903 | 1903 | | assessment. 1278 |
---|
1904 | 1904 | | 8. A carrier may seek, from the office, a deferment, in 1279 |
---|
1905 | 1905 | | whole or in part, from any assessment made by the board. The 1280 |
---|
1906 | 1906 | | office may defer, in whole or in part, the assessment of a 1281 |
---|
1907 | 1907 | | carrier if, in the opinion of the office, the payment of the 1282 |
---|
1908 | 1908 | | assessment would place the carrier in a financially impaired 1283 |
---|
1909 | 1909 | | condition. If an assessment against a carrier is deferred, in 1284 |
---|
1910 | 1910 | | whole or in part, the amount by which the assessment is deferred 1285 |
---|
1911 | 1911 | | may be assessed against the other carriers in a manner 1286 |
---|
1912 | 1912 | | consistent with the basis for assessment set forth in this 1287 |
---|
1913 | 1913 | | section. The carrier receiving such deferment remains liable to 1288 |
---|
1914 | 1914 | | the program for the amount deferred and is prohibited from 1289 |
---|
1915 | 1915 | | reinsuring any indivi duals or groups in the program if it fails 1290 |
---|
1916 | 1916 | | to pay assessments. 1291 |
---|
1917 | 1917 | | (k) Neither the participation in the program as reinsuring 1292 |
---|
1918 | 1918 | | carriers, the establishment of rates, forms, or procedures, nor 1293 |
---|
1919 | 1919 | | any other joint or collective action required by this act, may 1294 |
---|
1920 | 1920 | | be the basis of any legal action, criminal or civil liability, 1295 |
---|
1921 | 1921 | | or penalty against the program or any of its carriers either 1296 |
---|
1922 | 1922 | | jointly or separately. 1297 |
---|
1923 | 1923 | | (l) The board shall monitor compliance with this section, 1298 |
---|
1924 | 1924 | | including the market conduct of small employer carriers, and 1299 |
---|
1925 | 1925 | | shall report to the office any unfair trade practices and 1300 |
---|
1926 | 1926 | | |
---|
1927 | 1927 | | HB 1141 2025 |
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1928 | 1928 | | |
---|
1929 | 1929 | | |
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1930 | 1930 | | |
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1931 | 1931 | | CODING: Words stricken are deletions; words underlined are additions. |
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1932 | 1932 | | hb1141-00 |
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1933 | 1933 | | Page 53 of 168 |
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1934 | 1934 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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1935 | 1935 | | |
---|
1936 | 1936 | | |
---|
1937 | 1937 | | |
---|
1938 | 1938 | | misleading or unfair conduct by a small employer carrier that 1301 |
---|
1939 | 1939 | | has been reported to the board by agents, consumers, or any 1302 |
---|
1940 | 1940 | | other person. The office shall investigate all reports and, upon 1303 |
---|
1941 | 1941 | | a finding of noncompliance with this section or of unfair or 1304 |
---|
1942 | 1942 | | misleading practices, shall take action against the small 1305 |
---|
1943 | 1943 | | employer carrier as permitte d under the insurance code or 1306 |
---|
1944 | 1944 | | chapter 641. The board is not given investigatory or regulatory 1307 |
---|
1945 | 1945 | | powers, but must forward all reports of cases or abuse or 1308 |
---|
1946 | 1946 | | misrepresentation to the office. 1309 |
---|
1947 | 1947 | | (m) Notwithstanding paragraph (j), the administrative 1310 |
---|
1948 | 1948 | | expenses of the program shall be recouped by assessment of risk -1311 |
---|
1949 | 1949 | | assuming carriers and reinsuring carriers and such amounts shall 1312 |
---|
1950 | 1950 | | not be considered part of the operating losses of the plan for 1313 |
---|
1951 | 1951 | | the purposes of this paragraph. Each carrier's portion of such 1314 |
---|
1952 | 1952 | | administrative expenses shall be determined by multiplying the 1315 |
---|
1953 | 1953 | | total of such administrative expenses by a fraction, the 1316 |
---|
1954 | 1954 | | numerator of which equals the carrier's earned premium 1317 |
---|
1955 | 1955 | | pertaining to direct writing of small employer health benefit 1318 |
---|
1956 | 1956 | | plans in the state during the calen dar year for which the 1319 |
---|
1957 | 1957 | | assessment is levied, and the denominator of which equals the 1320 |
---|
1958 | 1958 | | total of such premiums earned by all carriers in the state 1321 |
---|
1959 | 1959 | | during such calendar year. 1322 |
---|
1960 | 1960 | | (n) The board shall advise the office, the Agency for 1323 |
---|
1961 | 1961 | | Health Care Administration, t he department, other executive 1324 |
---|
1962 | 1962 | | departments, and the Legislature on health insurance issues. 1325 |
---|
1963 | 1963 | | |
---|
1964 | 1964 | | HB 1141 2025 |
---|
1965 | 1965 | | |
---|
1966 | 1966 | | |
---|
1967 | 1967 | | |
---|
1968 | 1968 | | CODING: Words stricken are deletions; words underlined are additions. |
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1969 | 1969 | | hb1141-00 |
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1970 | 1970 | | Page 54 of 168 |
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1971 | 1971 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1972 | 1972 | | |
---|
1973 | 1973 | | |
---|
1974 | 1974 | | |
---|
1975 | 1975 | | Specifically, the board shall: 1326 |
---|
1976 | 1976 | | 1. Provide a forum for stakeholders, consisting of 1327 |
---|
1977 | 1977 | | insurers, employers, agents, consumers, and regulators, in the 1328 |
---|
1978 | 1978 | | private health insurance market in this state. 1329 |
---|
1979 | 1979 | | 2. Review and recommend strategies to improve the 1330 |
---|
1980 | 1980 | | functioning of the health insurance markets in this state with a 1331 |
---|
1981 | 1981 | | specific focus on market stability, access, and pricing. 1332 |
---|
1982 | 1982 | | 3. Make recommendations to the office for legislat ion 1333 |
---|
1983 | 1983 | | addressing health insurance market issues and provide comments 1334 |
---|
1984 | 1984 | | on health insurance legislation proposed by the office. 1335 |
---|
1985 | 1985 | | 4. Meet at least three times each year. One meeting shall 1336 |
---|
1986 | 1986 | | be held to hear reports and to secure public comment on the 1337 |
---|
1987 | 1987 | | health insurance market, to develop any legislation needed to 1338 |
---|
1988 | 1988 | | address health insurance market issues, and to provide comments 1339 |
---|
1989 | 1989 | | on health insurance legislation proposed by the office. 1340 |
---|
1990 | 1990 | | 5. Issue a report to the office on the state of the health 1341 |
---|
1991 | 1991 | | insurance market by Septem ber 1 each year. The report shall 1342 |
---|
1992 | 1992 | | include recommendations for changes in the health insurance 1343 |
---|
1993 | 1993 | | market, results from implementation of previous recommendations, 1344 |
---|
1994 | 1994 | | and information on health insurance markets. 1345 |
---|
1995 | 1995 | | Section 14. Paragraphs (c), (d), and (e) are add ed to 1346 |
---|
1996 | 1996 | | subsection (2) of section 627.711, Florida Statutes, to read: 1347 |
---|
1997 | 1997 | | 627.711 Notice of premium discounts for hurricane loss 1348 |
---|
1998 | 1998 | | mitigation; uniform mitigation verification inspection form. — 1349 |
---|
1999 | 1999 | | (2) 1350 |
---|
2000 | 2000 | | |
---|
2001 | 2001 | | HB 1141 2025 |
---|
2002 | 2002 | | |
---|
2003 | 2003 | | |
---|
2004 | 2004 | | |
---|
2005 | 2005 | | CODING: Words stricken are deletions; words underlined are additions. |
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2006 | 2006 | | hb1141-00 |
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2007 | 2007 | | Page 55 of 168 |
---|
2008 | 2008 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2009 | 2009 | | |
---|
2010 | 2010 | | |
---|
2011 | 2011 | | |
---|
2012 | 2012 | | (c) The office shall contract with a state university to 1351 |
---|
2013 | 2013 | | design, operate, upgrade, and maintain a statewide database for 1352 |
---|
2014 | 2014 | | uniform mitigation verification inspection forms. This database 1353 |
---|
2015 | 2015 | | must be managed by the office to collect and evaluate mitigation 1354 |
---|
2016 | 2016 | | features of residential properties within the state. 1355 |
---|
2017 | 2017 | | (d) Beginning January 1, 2026, each insurer shall 1356 |
---|
2018 | 2018 | | electronically file a copy of uniform mitigation inspection 1357 |
---|
2019 | 2019 | | forms submitted by policyholders in the database created 1358 |
---|
2020 | 2020 | | pursuant to paragraph (c) within 15 business days after receipt 1359 |
---|
2021 | 2021 | | using the electronic format presc ribed by the office. 1360 |
---|
2022 | 2022 | | (e) The Financial Services Commission shall adopt rules to 1361 |
---|
2023 | 2023 | | implement this subsection. 1362 |
---|
2024 | 2024 | | Section 15. Effective upon this act becoming a law, 1363 |
---|
2025 | 2025 | | subsection (12) of section 627.7152, Florida Statutes, is 1364 |
---|
2026 | 2026 | | amended to read: 1365 |
---|
2027 | 2027 | | 627.7152 Assignment agreements.— 1366 |
---|
2028 | 2028 | | (12) The office shall require each insurer to report by 1367 |
---|
2029 | 2029 | | January 30, 2022, and each year thereafter data on each 1368 |
---|
2030 | 2030 | | residential and commercial property insurance claim paid in the 1369 |
---|
2031 | 2031 | | prior calendar year under an assignment agreement. The Fina ncial 1370 |
---|
2032 | 2032 | | Services Commission shall adopt by rule a list of the data 1371 |
---|
2033 | 2033 | | required, which must include specific data about claims 1372 |
---|
2034 | 2034 | | adjustment and settlement timeframes and trends, grouped by 1373 |
---|
2035 | 2035 | | whether litigated or not litigated and by loss adjustment 1374 |
---|
2036 | 2036 | | expenses. 1375 |
---|
2037 | 2037 | | |
---|
2038 | 2038 | | HB 1141 2025 |
---|
2039 | 2039 | | |
---|
2040 | 2040 | | |
---|
2041 | 2041 | | |
---|
2042 | 2042 | | CODING: Words stricken are deletions; words underlined are additions. |
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2043 | 2043 | | hb1141-00 |
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2044 | 2044 | | Page 56 of 168 |
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2045 | 2045 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2046 | 2046 | | |
---|
2047 | 2047 | | |
---|
2048 | 2048 | | |
---|
2049 | 2049 | | Section 16. Section 627.9145, Florida Statutes, is created 1376 |
---|
2050 | 2050 | | to read: 1377 |
---|
2051 | 2051 | | 627.9145 Reports by residential property insurers. —1378 |
---|
2052 | 2052 | | Beginning March 1, 2026, and by March 1 every year thereafter, 1379 |
---|
2053 | 2053 | | each authorized insurer and surplus lines insurer transacting 1380 |
---|
2054 | 2054 | | residential property insurance in this state shall file with the 1381 |
---|
2055 | 2055 | | office a report addressing the following areas: 1382 |
---|
2056 | 2056 | | (1) Policy types, perils covered, statuses, and premiums. 1383 |
---|
2057 | 2057 | | (2) Location and limits of writings in this state. 1384 |
---|
2058 | 2058 | | (3) Coverages, deductibles, and exclusion s. 1385 |
---|
2059 | 2059 | | (4) Mitigation discounts. 1386 |
---|
2060 | 2060 | | (5) Claims reporting requirements. 1387 |
---|
2061 | 2061 | | (6) Any other information deemed necessary by the 1388 |
---|
2062 | 2062 | | commission to provide the office with the ability to track 1389 |
---|
2063 | 2063 | | mitigation and resiliency trends occurring in the residential 1390 |
---|
2064 | 2064 | | property market. 1391 |
---|
2065 | 2065 | | 1392 |
---|
2066 | 2066 | | The commission shall adopt rules specifying the information 1393 |
---|
2067 | 2067 | | required to be reported under this section and the format 1394 |
---|
2068 | 2068 | | required for the reports. 1395 |
---|
2069 | 2069 | | Section 17. Subsections (2) and (5) of section 627.915, 1396 |
---|
2070 | 2070 | | Florida Statutes, are amended, and a new subsecti on (2) is added 1397 |
---|
2071 | 2071 | | to that section, to read: 1398 |
---|
2072 | 2072 | | 627.915 Insurer experience reporting. — 1399 |
---|
2073 | 2073 | | (2) Beginning January 1, 2026, each insurer transacting 1400 |
---|
2074 | 2074 | | |
---|
2075 | 2075 | | HB 1141 2025 |
---|
2076 | 2076 | | |
---|
2077 | 2077 | | |
---|
2078 | 2078 | | |
---|
2079 | 2079 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
2080 | 2080 | | hb1141-00 |
---|
2081 | 2081 | | Page 57 of 168 |
---|
2082 | 2082 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2083 | 2083 | | |
---|
2084 | 2084 | | |
---|
2085 | 2085 | | |
---|
2086 | 2086 | | private passenger automobile insurance in this state shall file 1401 |
---|
2087 | 2087 | | monthly with the office a report addressing the fol lowing areas: 1402 |
---|
2088 | 2088 | | (a) Policy coverage categories, including policies in 1403 |
---|
2089 | 2089 | | force and total direct premiums earned and written. 1404 |
---|
2090 | 2090 | | (b) Type, location, and limits of writings in this state. 1405 |
---|
2091 | 2091 | | (c) Claims reporting requirements. 1406 |
---|
2092 | 2092 | | (d) Any other information deemed ne cessary by the 1407 |
---|
2093 | 2093 | | commission to provide the office with the ability to track 1408 |
---|
2094 | 2094 | | trends occurring in the private passenger automobile insurance 1409 |
---|
2095 | 2095 | | market. 1410 |
---|
2096 | 2096 | | 1411 |
---|
2097 | 2097 | | The commission shall adopt rules specifying the information 1412 |
---|
2098 | 2098 | | required to be reported under this subsection and the format 1413 |
---|
2099 | 2099 | | required for the reports. 1414 |
---|
2100 | 2100 | | (2) Each insurer transacting fire, homeowner's multiple 1415 |
---|
2101 | 2101 | | peril, commercial multiple peril, medical malpractice, products 1416 |
---|
2102 | 2102 | | liability, workers' compensation, private passenger automobile 1417 |
---|
2103 | 2103 | | liability, commercial automobile liability, private passenger 1418 |
---|
2104 | 2104 | | automobile physical damage, commercial automobile physical 1419 |
---|
2105 | 2105 | | damage, officers' and directors' liability insurance, or other 1420 |
---|
2106 | 2106 | | liability insurance shall report, for each such line of 1421 |
---|
2107 | 2107 | | insurance, the information specified in this subs ection to the 1422 |
---|
2108 | 2108 | | office. The information shall be reported for direct Florida 1423 |
---|
2109 | 2109 | | business only and shall be reported on a calendar -year basis 1424 |
---|
2110 | 2110 | | annually by April 1 for the preceding calendar year: 1425 |
---|
2111 | 2111 | | |
---|
2112 | 2112 | | HB 1141 2025 |
---|
2113 | 2113 | | |
---|
2114 | 2114 | | |
---|
2115 | 2115 | | |
---|
2116 | 2116 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
2117 | 2117 | | hb1141-00 |
---|
2118 | 2118 | | Page 58 of 168 |
---|
2119 | 2119 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2120 | 2120 | | |
---|
2121 | 2121 | | |
---|
2122 | 2122 | | |
---|
2123 | 2123 | | (a) Direct premiums written. 1426 |
---|
2124 | 2124 | | (b) Direct premiums earned. 1427 |
---|
2125 | 2125 | | (c) Loss reserves for all known claims: 1428 |
---|
2126 | 2126 | | 1. At beginning of the year. 1429 |
---|
2127 | 2127 | | 2. At end of the year. 1430 |
---|
2128 | 2128 | | (d) Reserves for losses incurred but not reported: 1431 |
---|
2129 | 2129 | | 1. At beginning of the year. 1432 |
---|
2130 | 2130 | | 2. At end of the year. 1433 |
---|
2131 | 2131 | | (e) Allocated loss adjustment expense: 1434 |
---|
2132 | 2132 | | 1. Reserve at beginning of the year. 1435 |
---|
2133 | 2133 | | 2. Reserve at end of the year. 1436 |
---|
2134 | 2134 | | 3. Paid during the year. 1437 |
---|
2135 | 2135 | | (f) Unallocated loss adjustment expense: 1438 |
---|
2136 | 2136 | | 1. Reserve at beginning of the year. 1439 |
---|
2137 | 2137 | | 2. Reserve at end of the year. 1440 |
---|
2138 | 2138 | | 3. Paid during the year. 1441 |
---|
2139 | 2139 | | (g) Direct losses paid. 1442 |
---|
2140 | 2140 | | (h) Underwriting income or loss. 1443 |
---|
2141 | 2141 | | (i) Commissions and brokerage fees. 1444 |
---|
2142 | 2142 | | (j) Taxes, licenses, and fees. 1445 |
---|
2143 | 2143 | | (k) Other acquisition costs. 1446 |
---|
2144 | 2144 | | (l) General expenses. 1447 |
---|
2145 | 2145 | | (m) Policyholder dividends. 1448 |
---|
2146 | 2146 | | (n) Net investment gain or loss and other income gain or 1449 |
---|
2147 | 2147 | | loss allocated pro rata by earned premium to Florida business 1450 |
---|
2148 | 2148 | | |
---|
2149 | 2149 | | HB 1141 2025 |
---|
2150 | 2150 | | |
---|
2151 | 2151 | | |
---|
2152 | 2152 | | |
---|
2153 | 2153 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
2154 | 2154 | | hb1141-00 |
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2155 | 2155 | | Page 59 of 168 |
---|
2156 | 2156 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2157 | 2157 | | |
---|
2158 | 2158 | | |
---|
2159 | 2159 | | |
---|
2160 | 2160 | | utilizing the investment allocation formula contained in the 1451 |
---|
2161 | 2161 | | National Association of Insurance Commissioner's Profitability 1452 |
---|
2162 | 2162 | | Report by line by state. 1453 |
---|
2163 | 2163 | | (5) Any insurer or insurer group which does not wr ite at 1454 |
---|
2164 | 2164 | | least 0.5 percent of the Florida market based on premiums 1455 |
---|
2165 | 2165 | | written shall not have to file any report required by subsection 1456 |
---|
2166 | 2166 | | (2) other than a report indicating its percentage of the market 1457 |
---|
2167 | 2167 | | share. That percentage shall be calculated by dividing the 1458 |
---|
2168 | 2168 | | current premiums written by the preceding year's total premiums 1459 |
---|
2169 | 2169 | | written in the state for that line of insurance. 1460 |
---|
2170 | 2170 | | Section 18. Effective upon this act becoming a law, 1461 |
---|
2171 | 2171 | | subsection (2) of section 628.081, Florida Statutes, is amended 1462 |
---|
2172 | 2172 | | to read: 1463 |
---|
2173 | 2173 | | 628.081 Incorporation of domestic insurer. — 1464 |
---|
2174 | 2174 | | (2) The incorporators shall execute articles of 1465 |
---|
2175 | 2175 | | incorporation in triplicate. At least three of them shall 1466 |
---|
2176 | 2176 | | acknowledge execution before an officer authorized to take 1467 |
---|
2177 | 2177 | | acknowledgments. 1468 |
---|
2178 | 2178 | | Section 19. Effective upon this act bec oming a law, 1469 |
---|
2179 | 2179 | | subsections (2), (3), and (4) of section 628.091, Florida 1470 |
---|
2180 | 2180 | | Statutes, are amended to read: 1471 |
---|
2181 | 2181 | | 628.091 Filing, approval of articles of incorporation. — 1472 |
---|
2182 | 2182 | | (2) The incorporators shall file the triplicate originals 1473 |
---|
2183 | 2183 | | of the articles of incorporation with the office, accompanied by 1474 |
---|
2184 | 2184 | | the filing fee specified in s. 624.501. 1475 |
---|
2185 | 2185 | | |
---|
2186 | 2186 | | HB 1141 2025 |
---|
2187 | 2187 | | |
---|
2188 | 2188 | | |
---|
2189 | 2189 | | |
---|
2190 | 2190 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
2191 | 2191 | | hb1141-00 |
---|
2192 | 2192 | | Page 60 of 168 |
---|
2193 | 2193 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2194 | 2194 | | |
---|
2195 | 2195 | | |
---|
2196 | 2196 | | |
---|
2197 | 2197 | | (3) The office shall promptly examine the articles of 1476 |
---|
2198 | 2198 | | incorporation. If it finds that the articles of incorporation 1477 |
---|
2199 | 2199 | | conform to law, and that a permit has b een or will be issued, it 1478 |
---|
2200 | 2200 | | shall endorse its approval on each of the triplicate originals 1479 |
---|
2201 | 2201 | | of the articles of incorporation , retain one copy for its files, 1480 |
---|
2202 | 2202 | | and return the articles of incorporation remaining copies to the 1481 |
---|
2203 | 2203 | | incorporators for filing with the Dep artment of State. 1482 |
---|
2204 | 2204 | | (4) If the office does not so find, it shall refuse to 1483 |
---|
2205 | 2205 | | approve the articles of incorporation and shall return the 1484 |
---|
2206 | 2206 | | originals. 1485 |
---|
2207 | 2207 | | Section 20. Effective upon this act becoming a law, 1486 |
---|
2208 | 2208 | | subsections (2) and (3) of section 628.111, Florida Sta tutes, 1487 |
---|
2209 | 2209 | | are amended to read: 1488 |
---|
2210 | 2210 | | 628.111 Amendment of articles of incorporation; mutual 1489 |
---|
2211 | 2211 | | insurer.— 1490 |
---|
2212 | 2212 | | (2)(a) Upon adoption of the amendment, the insurer shall 1491 |
---|
2213 | 2213 | | make in triplicate under its corporate seal a certificate 1492 |
---|
2214 | 2214 | | thereof, setting forth the amendment and the date and manner of 1493 |
---|
2215 | 2215 | | the adoption thereof, which certificate shall be executed by the 1494 |
---|
2216 | 2216 | | insurer's president or vice president and secretary or assistant 1495 |
---|
2217 | 2217 | | secretary and acknowledged before an officer authorized to take 1496 |
---|
2218 | 2218 | | acknowledgments. The insurer shall deliver the triplicate 1497 |
---|
2219 | 2219 | | originals of the certificate to the office, together with the 1498 |
---|
2220 | 2220 | | filing fee specified in s. 624.501. 1499 |
---|
2221 | 2221 | | (b) The office shall promptly examine the certificate of 1500 |
---|
2222 | 2222 | | |
---|
2223 | 2223 | | HB 1141 2025 |
---|
2224 | 2224 | | |
---|
2225 | 2225 | | |
---|
2226 | 2226 | | |
---|
2227 | 2227 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
2228 | 2228 | | hb1141-00 |
---|
2229 | 2229 | | Page 61 of 168 |
---|
2230 | 2230 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2231 | 2231 | | |
---|
2232 | 2232 | | |
---|
2233 | 2233 | | |
---|
2234 | 2234 | | amendment,; and, if it finds that the certificate and the 1501 |
---|
2235 | 2235 | | amendment comply with law , it shall endorse its approval on the 1502 |
---|
2236 | 2236 | | certificate of amendment upon each of the triplicate originals, 1503 |
---|
2237 | 2237 | | place one on file in its office, and return the remaining sets 1504 |
---|
2238 | 2238 | | to the insurer. The insurer shall forthwith file such endorsed 1505 |
---|
2239 | 2239 | | certificate certificates of amendment with the Department of 1506 |
---|
2240 | 2240 | | State. The amendment shall be effective when filed with and 1507 |
---|
2241 | 2241 | | approved by the Department of State. 1508 |
---|
2242 | 2242 | | (3) If the office finds that the proposed amendment or 1509 |
---|
2243 | 2243 | | certificate does not comply with the law, it shall not approve 1510 |
---|
2244 | 2244 | | the same, and shall return the triplicate certificate of 1511 |
---|
2245 | 2245 | | amendment to the insurer. 1512 |
---|
2246 | 2246 | | Section 21. Paragraph (a) of subsection (1) and paragraph 1513 |
---|
2247 | 2247 | | (b) of subsection (4) of section 628.461, Florida Statutes, are 1514 |
---|
2248 | 2248 | | amended to read: 1515 |
---|
2249 | 2249 | | 628.461 Acquisition of controllin g stock.— 1516 |
---|
2250 | 2250 | | (1) A person may not, individually or in conjunction with 1517 |
---|
2251 | 2251 | | any affiliated person of such person, acquire directly or 1518 |
---|
2252 | 2252 | | indirectly, conclude a tender offer or exchange offer for, enter 1519 |
---|
2253 | 2253 | | into any agreement to exchange securities for, or otherwise 1520 |
---|
2254 | 2254 | | finally acquire 10 percent or more of the outstanding voting 1521 |
---|
2255 | 2255 | | securities of a domestic stock insurer or of a controlling 1522 |
---|
2256 | 2256 | | company, unless: 1523 |
---|
2257 | 2257 | | (a) The person or affiliated person has filed with the 1524 |
---|
2258 | 2258 | | office and sent by registered mail to the principal office of 1525 |
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2259 | 2259 | | |
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2260 | 2260 | | HB 1141 2025 |
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2261 | 2261 | | |
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2262 | 2262 | | |
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2263 | 2263 | | |
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2266 | 2266 | | Page 62 of 168 |
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2267 | 2267 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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2268 | 2268 | | |
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2269 | 2269 | | |
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2270 | 2270 | | |
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2271 | 2271 | | the insurer and controlling company a letter of notification 1526 |
---|
2272 | 2272 | | regarding the transaction or proposed transaction within 5 days 1527 |
---|
2273 | 2273 | | after any form of tender offer or exchange offer is proposed, or 1528 |
---|
2274 | 2274 | | within 5 days after the acquisition of the securities if no 1529 |
---|
2275 | 2275 | | tender offer or exchange offer is involved. The notification 1530 |
---|
2276 | 2276 | | must be provided on forms prescribed by the commission 1531 |
---|
2277 | 2277 | | containing information determined necessary to understand the 1532 |
---|
2278 | 2278 | | transaction and identify all purchasers and owners involved; 1533 |
---|
2279 | 2279 | | 1534 |
---|
2280 | 2280 | | A filing required under t his subsection must be made for any 1535 |
---|
2281 | 2281 | | acquisition that equals or exceeds 10 percent of the outstanding 1536 |
---|
2282 | 2282 | | voting securities. 1537 |
---|
2283 | 2283 | | (4) 1538 |
---|
2284 | 2284 | | (b) Any corporation, association, or trust filing the 1539 |
---|
2285 | 2285 | | statement required by this section shall give all required 1540 |
---|
2286 | 2286 | | information that is within the knowledge of the directors, 1541 |
---|
2287 | 2287 | | officers, or trustees (or others performing functions similar to 1542 |
---|
2288 | 2288 | | those of a director, officer, or trustee) of the corporation, 1543 |
---|
2289 | 2289 | | association, or trust making the filing and of any person 1544 |
---|
2290 | 2290 | | controlling either directly or indirectly such corporation, 1545 |
---|
2291 | 2291 | | association, or trust. A copy of the statement and any 1546 |
---|
2292 | 2292 | | amendments to the statement shall be sent by registered mail to 1547 |
---|
2293 | 2293 | | the insurer at its principal office within the state and to any 1548 |
---|
2294 | 2294 | | controlling company at its principal offi ce. If any material 1549 |
---|
2295 | 2295 | | change occurs in the facts set forth in the statement filed with 1550 |
---|
2296 | 2296 | | |
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2297 | 2297 | | HB 1141 2025 |
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2298 | 2298 | | |
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2299 | 2299 | | |
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2300 | 2300 | | |
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2303 | 2303 | | Page 63 of 168 |
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2304 | 2304 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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2305 | 2305 | | |
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2306 | 2306 | | |
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2307 | 2307 | | |
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2308 | 2308 | | the office and sent to such insurer or controlling company 1551 |
---|
2309 | 2309 | | pursuant to this section, an amendment setting forth such 1552 |
---|
2310 | 2310 | | changes shall be filed immediately with the office and sent 1553 |
---|
2311 | 2311 | | immediately to such insurer and controlling company. 1554 |
---|
2312 | 2312 | | Section 22. Paragraph (b) of subsection (5) of section 1555 |
---|
2313 | 2313 | | 628.4615, Florida Statutes, is amended to read: 1556 |
---|
2314 | 2314 | | 628.4615 Specialty insurers; acquisition of controlling 1557 |
---|
2315 | 2315 | | stock, ownership interest, assets, or control; merger or 1558 |
---|
2316 | 2316 | | consolidation.— 1559 |
---|
2317 | 2317 | | (5) 1560 |
---|
2318 | 2318 | | (b) Any person filing the statement required by this 1561 |
---|
2319 | 2319 | | section shall give all required information that is within the 1562 |
---|
2320 | 2320 | | knowledge of: 1563 |
---|
2321 | 2321 | | 1. The directors, officers, or trustees, if a corporation, 1564 |
---|
2322 | 2322 | | or 1565 |
---|
2323 | 2323 | | 2. The partners, owners, managers, or joint venturers, or 1566 |
---|
2324 | 2324 | | others performing functions similar to those of a director, 1567 |
---|
2325 | 2325 | | officer, or trustee, if not a corporation, 1568 |
---|
2326 | 2326 | | 1569 |
---|
2327 | 2327 | | of the person making the filing and of any person controlling 1570 |
---|
2328 | 2328 | | either directly or indirectly such pers on. If any material 1571 |
---|
2329 | 2329 | | change occurs in the facts set forth in the application filed 1572 |
---|
2330 | 2330 | | with the office pursuant to this section, an amendment setting 1573 |
---|
2331 | 2331 | | forth such changes shall be filed immediately with the office, 1574 |
---|
2332 | 2332 | | and a copy of the amendment shall be sent by registered mail to 1575 |
---|
2333 | 2333 | | |
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2334 | 2334 | | HB 1141 2025 |
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2335 | 2335 | | |
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2336 | 2336 | | |
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2337 | 2337 | | |
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2340 | 2340 | | Page 64 of 168 |
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2341 | 2341 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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2342 | 2342 | | |
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2343 | 2343 | | |
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2344 | 2344 | | |
---|
2345 | 2345 | | the principal office of the specialty insurer and to the 1576 |
---|
2346 | 2346 | | principal office of the controlling company. 1577 |
---|
2347 | 2347 | | Section 23. Effective upon this act becoming a law, 1578 |
---|
2348 | 2348 | | subsection (2) of section 628.717, Florida Statutes, is amended 1579 |
---|
2349 | 2349 | | to read: 1580 |
---|
2350 | 2350 | | 628.717 Filing of articles of incorporation. — 1581 |
---|
2351 | 2351 | | (2) The office shall promptly examine the articles of 1582 |
---|
2352 | 2352 | | incorporation,; and, if it finds that the articles of 1583 |
---|
2353 | 2353 | | incorporation comply with law, the office shall endorse its 1584 |
---|
2354 | 2354 | | approval on the certificate of amendment upon each of the 1585 |
---|
2355 | 2355 | | originals, place one on file in its office, and return the 1586 |
---|
2356 | 2356 | | remaining sets to the incorporators . The incorporators shall 1587 |
---|
2357 | 2357 | | promptly file such endorsed articles of incorporation with the 1588 |
---|
2358 | 2358 | | Department of State. The articles of incorporation shall be 1589 |
---|
2359 | 2359 | | effective when filed with and approved by the Department of 1590 |
---|
2360 | 2360 | | State. 1591 |
---|
2361 | 2361 | | Section 24. Effective upon this act becoming a law, 1592 |
---|
2362 | 2362 | | subsection (2) of section 628.719, Florida Statutes, is amended 1593 |
---|
2363 | 2363 | | to read: 1594 |
---|
2364 | 2364 | | 628.719 Amendment of articles of incorporation. — 1595 |
---|
2365 | 2365 | | (2)(a) Upon adoption of an amendment, the mutual insurance 1596 |
---|
2366 | 2366 | | holding company shall make under its corporate seal a 1597 |
---|
2367 | 2367 | | certificate thereof, setting forth the amendment and the date 1598 |
---|
2368 | 2368 | | and manner of the adoption thereof, which certificate shall be 1599 |
---|
2369 | 2369 | | executed by the mutual insurance holding company's president or 1600 |
---|
2370 | 2370 | | |
---|
2371 | 2371 | | HB 1141 2025 |
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2372 | 2372 | | |
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2373 | 2373 | | |
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2374 | 2374 | | |
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2377 | 2377 | | Page 65 of 168 |
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2378 | 2378 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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2379 | 2379 | | |
---|
2380 | 2380 | | |
---|
2381 | 2381 | | |
---|
2382 | 2382 | | vice president and secretary or assistant secretary and 1601 |
---|
2383 | 2383 | | acknowledged before an officer authorized to take 1602 |
---|
2384 | 2384 | | acknowledgments. The mutual insurance holding company shall 1603 |
---|
2385 | 2385 | | deliver the originals of the certificate to the office. 1604 |
---|
2386 | 2386 | | (b) The office shall promptly examine the certificate of 1605 |
---|
2387 | 2387 | | amendment, and, if the office finds that the certificate and the 1606 |
---|
2388 | 2388 | | amendment comply with law, the office shall endorse its approval 1607 |
---|
2389 | 2389 | | on the certificate of amendment upon each of the origi nals, 1608 |
---|
2390 | 2390 | | place one on file in its office, and return the remaining sets 1609 |
---|
2391 | 2391 | | to the mutual insurance holding company . The mutual insurance 1610 |
---|
2392 | 2392 | | holding company shall promptly file such endorsed certificate 1611 |
---|
2393 | 2393 | | certificates of amendment with the Department of State. The 1612 |
---|
2394 | 2394 | | amendment shall be effective when filed with and approved by the 1613 |
---|
2395 | 2395 | | Department of State. 1614 |
---|
2396 | 2396 | | Section 25. Effective upon this act becoming a law, 1615 |
---|
2397 | 2397 | | subsection (4) of section 628.910, Florida Statutes, is amended 1616 |
---|
2398 | 2398 | | to read: 1617 |
---|
2399 | 2399 | | 628.910 Incorporation options and requirem ents.— 1618 |
---|
2400 | 2400 | | (4) In the case of a captive insurance company formed as a 1619 |
---|
2401 | 2401 | | corporation or a nonprofit corporation, before the articles of 1620 |
---|
2402 | 2402 | | incorporation are transmitted to the Secretary of State, the 1621 |
---|
2403 | 2403 | | incorporators shall file the articles of incorporation in 1622 |
---|
2404 | 2404 | | triplicate with the office. The office shall promptly examine 1623 |
---|
2405 | 2405 | | the articles of incorporation. If it finds that the articles of 1624 |
---|
2406 | 2406 | | incorporation conform to law, it shall endorse its approval on 1625 |
---|
2407 | 2407 | | |
---|
2408 | 2408 | | HB 1141 2025 |
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2409 | 2409 | | |
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2410 | 2410 | | |
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2411 | 2411 | | |
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2414 | 2414 | | Page 66 of 168 |
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2415 | 2415 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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2416 | 2416 | | |
---|
2417 | 2417 | | |
---|
2418 | 2418 | | |
---|
2419 | 2419 | | each of the triplicate originals of the articles of 1626 |
---|
2420 | 2420 | | incorporation, retain one copy for its files, and return the 1627 |
---|
2421 | 2421 | | articles of incorporation remaining copies to the incorporators 1628 |
---|
2422 | 2422 | | for filing with the Department of State. 1629 |
---|
2423 | 2423 | | Section 26. Subsection (5) of section 629.011, Florida 1630 |
---|
2424 | 2424 | | Statutes, is amended, and subsections (6), (7), and (8) are 1631 |
---|
2425 | 2425 | | added to that section, to read: 1632 |
---|
2426 | 2426 | | 629.011 Definitions. —As used in this part, the term: 1633 |
---|
2427 | 2427 | | (5) "Reciprocal insurer" means an unincorporated 1634 |
---|
2428 | 2428 | | aggregation of subscribers operating individually and 1635 |
---|
2429 | 2429 | | collectively through an attorney in fact to provide reci procal 1636 |
---|
2430 | 2430 | | insurance among themselves. 1637 |
---|
2431 | 2431 | | (a) An assessable reciprocal insurer is a reciprocal 1638 |
---|
2432 | 2432 | | insurer that is able to levy an assessment on its subscribers to 1639 |
---|
2433 | 2433 | | make up any shortfall in capital and surplus to cover claims and 1640 |
---|
2434 | 2434 | | expenses as specified in s. 629.231. 1641 |
---|
2435 | 2435 | | (b) A nonassessable reciprocal insurer is a reciprocal 1642 |
---|
2436 | 2436 | | insurer authorized under s. 629.091(3) or s. 629.291(5) to issue 1643 |
---|
2437 | 2437 | | policies where there is no recourse against subscribers for any 1644 |
---|
2438 | 2438 | | shortfall in capital and surplus to cover claims and expenses. 1645 |
---|
2439 | 2439 | | (6) "Subscriber contribution" means any transfer of money 1646 |
---|
2440 | 2440 | | by a subscriber of a reciprocal insurer to the reciprocal 1647 |
---|
2441 | 2441 | | insurer in excess of the premium approved by the office, when 1648 |
---|
2442 | 2442 | | such money is counted as surplus for the reciprocal insurer or 1649 |
---|
2443 | 2443 | | used to pay surplus notes. 1650 |
---|
2444 | 2444 | | |
---|
2445 | 2445 | | HB 1141 2025 |
---|
2446 | 2446 | | |
---|
2447 | 2447 | | |
---|
2448 | 2448 | | |
---|
2449 | 2449 | | CODING: Words stricken are deletions; words underlined are additions. |
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2450 | 2450 | | hb1141-00 |
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2451 | 2451 | | Page 67 of 168 |
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2452 | 2452 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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2453 | 2453 | | |
---|
2454 | 2454 | | |
---|
2455 | 2455 | | |
---|
2456 | 2456 | | (7) "Subscriber savings account" means any account in 1651 |
---|
2457 | 2457 | | which a reciprocal insurer allocates money to be held in whole 1652 |
---|
2458 | 2458 | | or in part for the benefit of an individual subscriber, other 1653 |
---|
2459 | 2459 | | than accounts holding money for the payment of a specific claim 1654 |
---|
2460 | 2460 | | by or settlement of a specific legal dispute with that 1655 |
---|
2461 | 2461 | | individual subscriber. 1656 |
---|
2462 | 2462 | | (8) "Subscribers' advisory committee" means the governing 1657 |
---|
2463 | 2463 | | committee of a domestic reciprocal insurer which is formed in 1658 |
---|
2464 | 2464 | | compliance with s. 629.201 and represents the interests of the 1659 |
---|
2465 | 2465 | | subscribers. 1660 |
---|
2466 | 2466 | | Section 27. Section 629.071, Florida Statutes, is amended 1661 |
---|
2467 | 2467 | | to read: 1662 |
---|
2468 | 2468 | | 629.071 Surplus funds required. — 1663 |
---|
2469 | 2469 | | (1) An assessable A domestic reciprocal insurer hereunder 1664 |
---|
2470 | 2470 | | formed, if it has otherwise complied with the applicable 1665 |
---|
2471 | 2471 | | provisions of this code, may be authorized to transact insurance 1666 |
---|
2472 | 2472 | | if it has and thereafter maintains surplus funds of not less 1667 |
---|
2473 | 2473 | | than $3 million $250,000. 1668 |
---|
2474 | 2474 | | (2) A nonassessable reciprocal insurer, if it has 1669 |
---|
2475 | 2475 | | otherwise complied with the applicable provisions of this code, 1670 |
---|
2476 | 2476 | | may be authorized to transact insurance if it has and thereafter 1671 |
---|
2477 | 2477 | | maintains a surplus as to policyholders which is equal to that 1672 |
---|
2478 | 2478 | | required under s. 624.408 for a domestic stock insurer 1673 |
---|
2479 | 2479 | | authorized to transact like kinds of insurance In addition to 1674 |
---|
2480 | 2480 | | the surplus required to be maintained under subsection (1), the 1675 |
---|
2481 | 2481 | | |
---|
2482 | 2482 | | HB 1141 2025 |
---|
2483 | 2483 | | |
---|
2484 | 2484 | | |
---|
2485 | 2485 | | |
---|
2486 | 2486 | | CODING: Words stricken are deletions; words underlined are additions. |
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2487 | 2487 | | hb1141-00 |
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2488 | 2488 | | Page 68 of 168 |
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2489 | 2489 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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2490 | 2490 | | |
---|
2491 | 2491 | | |
---|
2492 | 2492 | | |
---|
2493 | 2493 | | insurer shall have, when first so authorized, an expendable 1676 |
---|
2494 | 2494 | | surplus of not less than $750,000 . 1677 |
---|
2495 | 2495 | | Section 28. Effective upon this act becoming a law, 1678 |
---|
2496 | 2496 | | subsection (3) of section 629.081, Florida Statutes, is amended 1679 |
---|
2497 | 2497 | | to read: 1680 |
---|
2498 | 2498 | | 629.081 Organization of reciprocal insurer. — 1681 |
---|
2499 | 2499 | | (3) The filing must be accompanied by the application fee 1682 |
---|
2500 | 2500 | | required by s. 624.501(1)(a) . 1683 |
---|
2501 | 2501 | | Section 29. Section 629.082, Florida Statutes, is created 1684 |
---|
2502 | 2502 | | to read: 1685 |
---|
2503 | 2503 | | 629.082 Reciprocal affiliates.—The attorney in fact of a 1686 |
---|
2504 | 2504 | | reciprocal is an affiliate of the reciprocal for purposes of s. 1687 |
---|
2505 | 2505 | | 624.10. 1688 |
---|
2506 | 2506 | | Section 30. Section 629.1015, Florida Statutes, is created 1689 |
---|
2507 | 2507 | | to read: 1690 |
---|
2508 | 2508 | | 629.1015 Affiliate fees. — 1691 |
---|
2509 | 2509 | | (1) Each reciprocal insurer doing business i n this state 1692 |
---|
2510 | 2510 | | which pays a fee, commission, or other financial consideration 1693 |
---|
2511 | 2511 | | or payment to any affiliate directly or indirectly must provide 1694 |
---|
2512 | 2512 | | to the office documentation supporting that such fee, 1695 |
---|
2513 | 2513 | | commission, or other financial consideration or payment to any 1696 |
---|
2514 | 2514 | | affiliate is fair and reasonable for each service being provided 1697 |
---|
2515 | 2515 | | by contract. In determining whether the fee, commission, or 1698 |
---|
2516 | 2516 | | other financial consideration or payment is fair and reasonable, 1699 |
---|
2517 | 2517 | | the office must consider the following: 1700 |
---|
2518 | 2518 | | |
---|
2519 | 2519 | | HB 1141 2025 |
---|
2520 | 2520 | | |
---|
2521 | 2521 | | |
---|
2522 | 2522 | | |
---|
2523 | 2523 | | CODING: Words stricken are deletions; words underlined are additions. |
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2524 | 2524 | | hb1141-00 |
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2525 | 2525 | | Page 69 of 168 |
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2526 | 2526 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2527 | 2527 | | |
---|
2528 | 2528 | | |
---|
2529 | 2529 | | |
---|
2530 | 2530 | | (a) The actual cost of each service provided by an 1701 |
---|
2531 | 2531 | | affiliate; 1702 |
---|
2532 | 2532 | | (b) The relative financial condition of the reciprocal 1703 |
---|
2533 | 2533 | | insurer and of the attorney in fact; 1704 |
---|
2534 | 2534 | | (c) The level of debt and how that debt is serviced; 1705 |
---|
2535 | 2535 | | (d) The amount of dividends paid by the attorney in fact 1706 |
---|
2536 | 2536 | | and its affiliates and for what purpose; 1707 |
---|
2537 | 2537 | | (e) Whether the terms of the written contract benefit the 1708 |
---|
2538 | 2538 | | reciprocal insurer and are in the best interest of the 1709 |
---|
2539 | 2539 | | subscribers; and 1710 |
---|
2540 | 2540 | | (f) Any other such information as the office reasonably 1711 |
---|
2541 | 2541 | | requires in making this determina tion. 1712 |
---|
2542 | 2542 | | (2) For each agreement with an affiliate in force on July 1713 |
---|
2543 | 2543 | | 1, 2025, each domestic reciprocal insurer shall provide to the 1714 |
---|
2544 | 2544 | | office no later than October 1, 2025, the cost incurred by the 1715 |
---|
2545 | 2545 | | affiliate to provide each service, the amount charged to the 1716 |
---|
2546 | 2546 | | domestic reciprocal insurer for each service, and the dollar 1717 |
---|
2547 | 2547 | | amount of fees forgiven, waived, or reimbursed by the affiliate 1718 |
---|
2548 | 2548 | | for the 2 most recent preceding years. If the total dollar 1719 |
---|
2549 | 2549 | | amount charged to the domestic reciprocal insurer was greater 1720 |
---|
2550 | 2550 | | than the total cost to provide services for either year, the 1721 |
---|
2551 | 2551 | | domestic reciprocal insurer must explain how it determined the 1722 |
---|
2552 | 2552 | | fee was fair and reasonable. For any proposed contract with an 1723 |
---|
2553 | 2553 | | affiliate effective after July 1, 2025, the domestic reciprocal 1724 |
---|
2554 | 2554 | | insurer must provide documentation to support that the fee, 1725 |
---|
2555 | 2555 | | |
---|
2556 | 2556 | | HB 1141 2025 |
---|
2557 | 2557 | | |
---|
2558 | 2558 | | |
---|
2559 | 2559 | | |
---|
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2561 | 2561 | | hb1141-00 |
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2562 | 2562 | | Page 70 of 168 |
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2563 | 2563 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2564 | 2564 | | |
---|
2565 | 2565 | | |
---|
2566 | 2566 | | |
---|
2567 | 2567 | | commission, or other financial consideration or payment to the 1726 |
---|
2568 | 2568 | | affiliate is fair and reasonable. 1727 |
---|
2569 | 2569 | | Section 31. Section 629.121, Florida Statutes, is amended 1728 |
---|
2570 | 2570 | | to read: 1729 |
---|
2571 | 2571 | | 629.121 Attorney in fact Attorney's bond.— 1730 |
---|
2572 | 2572 | | (1) Concurrently with the filing of the declaration 1731 |
---|
2573 | 2573 | | provided for in s. 629.081, the attorney in fact of a domestic 1732 |
---|
2574 | 2574 | | reciprocal insurer shall file with the office a bond in favor of 1733 |
---|
2575 | 2575 | | this state for the benefit of all persons damaged as a result of 1734 |
---|
2576 | 2576 | | breach by the attorney in fact of the conditions of his or her 1735 |
---|
2577 | 2577 | | bond as set forth in subsection (2). The bond shall be executed 1736 |
---|
2578 | 2578 | | by the attorney in fact and by an authorized corporate surety 1737 |
---|
2579 | 2579 | | and shall be subject to the approval of the office. 1738 |
---|
2580 | 2580 | | (2) The bond shall be i n the sum of $300,000 $100,000, 1739 |
---|
2581 | 2581 | | aggregate in form, the bond conditioned that the attorney in 1740 |
---|
2582 | 2582 | | fact will faithfully account for all moneys and other property 1741 |
---|
2583 | 2583 | | of the insurer coming into his or her hands, and that he or she 1742 |
---|
2584 | 2584 | | will not withdraw or appropriate to his or her own use from the 1743 |
---|
2585 | 2585 | | funds of the insurer any moneys or property to which he or she 1744 |
---|
2586 | 2586 | | is not entitled under the power of attorney. 1745 |
---|
2587 | 2587 | | (3) The bond shall provide that it is not subject to 1746 |
---|
2588 | 2588 | | cancellation unless 30 days' advance notice in writing of 1747 |
---|
2589 | 2589 | | cancellation is given both the attorney in fact and the office. 1748 |
---|
2590 | 2590 | | Section 32. Section 629.162, Florida Statutes, is created 1749 |
---|
2591 | 2591 | | to read: 1750 |
---|
2592 | 2592 | | |
---|
2593 | 2593 | | HB 1141 2025 |
---|
2594 | 2594 | | |
---|
2595 | 2595 | | |
---|
2596 | 2596 | | |
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2597 | 2597 | | CODING: Words stricken are deletions; words underlined are additions. |
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2598 | 2598 | | hb1141-00 |
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2599 | 2599 | | Page 71 of 168 |
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2600 | 2600 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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2601 | 2601 | | |
---|
2602 | 2602 | | |
---|
2603 | 2603 | | |
---|
2604 | 2604 | | 629.162 Subscriber contributions. — 1751 |
---|
2605 | 2605 | | (1) Reciprocal insurers may, subject to prior approval by 1752 |
---|
2606 | 2606 | | the office, require contributio ns from subscribers in addition 1753 |
---|
2607 | 2607 | | to premiums approved by the office. 1754 |
---|
2608 | 2608 | | (2) A reciprocal insurer shall clearly disclose required 1755 |
---|
2609 | 2609 | | subscriber contributions on the declarations page of any policy 1756 |
---|
2610 | 2610 | | issued by the reciprocal insurer, separate from any cost 1757 |
---|
2611 | 2611 | | associated with the premium. 1758 |
---|
2612 | 2612 | | (3) Reciprocal insurers must provide subscribers an annual 1759 |
---|
2613 | 2613 | | report detailing how each dollar of subscriber contributions was 1760 |
---|
2614 | 2614 | | allocated or spent. 1761 |
---|
2615 | 2615 | | Section 33. Section 629.163, Florida Statutes, is created 1762 |
---|
2616 | 2616 | | to read: 1763 |
---|
2617 | 2617 | | 629.163 Subscriber savings accounts. — 1764 |
---|
2618 | 2618 | | (1) Reciprocal insurers may establish subscriber savings 1765 |
---|
2619 | 2619 | | accounts. 1766 |
---|
2620 | 2620 | | (2) Moneys placed in subscriber savings accounts are not 1767 |
---|
2621 | 2621 | | considered distributions under s. 629.164. 1768 |
---|
2622 | 2622 | | (3) Subscriber savings accounts are subject to the 1769 |
---|
2623 | 2623 | | following requirements: 1770 |
---|
2624 | 2624 | | (a) Reciprocal insurers must inform each subscriber, in 1771 |
---|
2625 | 2625 | | writing, of the limitations and restrictions imposed upon the 1772 |
---|
2626 | 2626 | | use or possession of moneys held in subscriber savings accounts. 1773 |
---|
2627 | 2627 | | (b) Reciprocal insurers must inform each subscriber, in 1774 |
---|
2628 | 2628 | | writing, of the procedures used to distribute moneys to 1775 |
---|
2629 | 2629 | | |
---|
2630 | 2630 | | HB 1141 2025 |
---|
2631 | 2631 | | |
---|
2632 | 2632 | | |
---|
2633 | 2633 | | |
---|
2634 | 2634 | | CODING: Words stricken are deletions; words underlined are additions. |
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2635 | 2635 | | hb1141-00 |
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2636 | 2636 | | Page 72 of 168 |
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2637 | 2637 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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2638 | 2638 | | |
---|
2639 | 2639 | | |
---|
2640 | 2640 | | |
---|
2641 | 2641 | | subscriber savings accounts and any calculations used to 1776 |
---|
2642 | 2642 | | determine the amount of moneys to be distributed to subscriber 1777 |
---|
2643 | 2643 | | savings accounts. 1778 |
---|
2644 | 2644 | | (c) Advertisements marketing the benefits of subscriber 1779 |
---|
2645 | 2645 | | savings accounts must note the limitations and restrictions 1780 |
---|
2646 | 2646 | | imposed upon the use or possession of moneys held in subscriber 1781 |
---|
2647 | 2647 | | savings accounts. 1782 |
---|
2648 | 2648 | | (d) Upon cancellation or nonrenewal of a subscriber's 1783 |
---|
2649 | 2649 | | policy, the subscriber is entitled to all moneys held in the 1784 |
---|
2650 | 2650 | | subscriber's savings account, except when such moneys are 1785 |
---|
2651 | 2651 | | otherwise allocated by law or contract, or when such 1786 |
---|
2652 | 2652 | | distribution is prohibited by order of the office. 1787 |
---|
2653 | 2653 | | Section 34. Section 629.164, Florida Statutes, is created 1788 |
---|
2654 | 2654 | | to read: 1789 |
---|
2655 | 2655 | | 629.164 Subscriber di stributions.— 1790 |
---|
2656 | 2656 | | (1) Reciprocal insurers may make distributions to 1791 |
---|
2657 | 2657 | | subscribers from their subscriber savings accounts. 1792 |
---|
2658 | 2658 | | (2) The subscribers' advisory committee shall have the 1793 |
---|
2659 | 2659 | | sole authority to authorize distributions, subject to prior 1794 |
---|
2660 | 2660 | | written approval by the office. 1795 |
---|
2661 | 2661 | | (3) Any reciprocal insurer that otherwise authorizes 1796 |
---|
2662 | 2662 | | distributions but prohibits subscribers from receiving 1797 |
---|
2663 | 2663 | | distributions for a specified period of time, including after 1798 |
---|
2664 | 2664 | | initial subscription, must renew the subscriber's policy for 1799 |
---|
2665 | 2665 | | that period of time plus 1 additional policy year. This 1800 |
---|
2666 | 2666 | | |
---|
2667 | 2667 | | HB 1141 2025 |
---|
2668 | 2668 | | |
---|
2669 | 2669 | | |
---|
2670 | 2670 | | |
---|
2671 | 2671 | | CODING: Words stricken are deletions; words underlined are additions. |
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2672 | 2672 | | hb1141-00 |
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2673 | 2673 | | Page 73 of 168 |
---|
2674 | 2674 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2675 | 2675 | | |
---|
2676 | 2676 | | |
---|
2677 | 2677 | | |
---|
2678 | 2678 | | subsection does not prohibit the cancellation or nonrenewal of a 1801 |
---|
2679 | 2679 | | policy pursuant to s. 624.4133 or by order of the office. 1802 |
---|
2680 | 2680 | | (4) A reciprocal insurer may return to its subscribers any 1803 |
---|
2681 | 2681 | | unused premiums, savings, or credits accruing to their accounts. 1804 |
---|
2682 | 2682 | | Such distribution may not unfairly discriminate between classes 1805 |
---|
2683 | 2683 | | of risks or policies, or between subscribers, but may vary as to 1806 |
---|
2684 | 2684 | | classes of subscribers based on the experience of the classes. 1807 |
---|
2685 | 2685 | | (5) In addition to the option provided in subsection (4), 1808 |
---|
2686 | 2686 | | a domestic reciprocal insurer may, upon the prior written 1809 |
---|
2687 | 2687 | | approval of the office, pay to its subscribers a portion of 1810 |
---|
2688 | 2688 | | unassigned funds of up to 10 percent of surplus, with 1811 |
---|
2689 | 2689 | | distribution limited to 50 percent of net income from the 1812 |
---|
2690 | 2690 | | previous calendar year. Such distribution may not unfairly 1813 |
---|
2691 | 2691 | | discriminate between classes of risks or policies, or between 1814 |
---|
2692 | 2692 | | subscribers, but may vary as to classes of subscribers based on 1815 |
---|
2693 | 2693 | | the experience of the classes. 1816 |
---|
2694 | 2694 | | Section 35. Section 629.171 , Florida Statutes, is amended 1817 |
---|
2695 | 2695 | | to read: 1818 |
---|
2696 | 2696 | | 629.171 Annual statement. — 1819 |
---|
2697 | 2697 | | (1) The subscribers' advisory committee shall procure an 1820 |
---|
2698 | 2698 | | audited annual statement of the accounts and records of the 1821 |
---|
2699 | 2699 | | insurer and the attorney in fact. The statement of the insurer 1822 |
---|
2700 | 2700 | | must be prepared by an independent auditor at the expense of the 1823 |
---|
2701 | 2701 | | reciprocal insurer and must be available for inspection by any 1824 |
---|
2702 | 2702 | | subscriber. The statement of the attorney in fact must be 1825 |
---|
2703 | 2703 | | |
---|
2704 | 2704 | | HB 1141 2025 |
---|
2705 | 2705 | | |
---|
2706 | 2706 | | |
---|
2707 | 2707 | | |
---|
2708 | 2708 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
2709 | 2709 | | hb1141-00 |
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2710 | 2710 | | Page 74 of 168 |
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2711 | 2711 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2712 | 2712 | | |
---|
2713 | 2713 | | |
---|
2714 | 2714 | | |
---|
2715 | 2715 | | prepared by an independent auditor at the expense of the 1826 |
---|
2716 | 2716 | | attorney in fact. 1827 |
---|
2717 | 2717 | | (2)(1) The annual statement filing of a reciprocal insurer 1828 |
---|
2718 | 2718 | | must shall be submitted made and filed by its attorney in fact. 1829 |
---|
2719 | 2719 | | (3)(2) The audited statement of the attorney in fact must 1830 |
---|
2720 | 2720 | | shall be submitted with the annual statement filing of the 1831 |
---|
2721 | 2721 | | reciprocal insurer, as required under s. 624.424, and 1832 |
---|
2722 | 2722 | | supplemented by such information as may be required by the 1833 |
---|
2723 | 2723 | | office relative to the affairs and transactions of the attorney 1834 |
---|
2724 | 2724 | | in fact relating insofar as they relate to the reciprocal 1835 |
---|
2725 | 2725 | | insurer. 1836 |
---|
2726 | 2726 | | Section 36. Subsecti on (1) of section 629.181, Florida 1837 |
---|
2727 | 2727 | | Statutes, is amended to read: 1838 |
---|
2728 | 2728 | | 629.181 Financial condition; method of determining. —In 1839 |
---|
2729 | 2729 | | determining the financial condition of a reciprocal insurer, the 1840 |
---|
2730 | 2730 | | office shall apply the following rules: 1841 |
---|
2731 | 2731 | | (1) Subscriber contribution s are The surplus deposits of 1842 |
---|
2732 | 2732 | | subscribers shall be allowed as assets, except that any premium 1843 |
---|
2733 | 2733 | | deposits delinquent for 90 days must shall first be charged 1844 |
---|
2734 | 2734 | | against such subscriber contributions. Subscriber contributions 1845 |
---|
2735 | 2735 | | may not exceed 2 percent of each indiv idual subscribers' policy 1846 |
---|
2736 | 2736 | | premium for a nonassessable reciprocal insurer and 10 percent of 1847 |
---|
2737 | 2737 | | each individual subscribers' policy premium for an assessable 1848 |
---|
2738 | 2738 | | reciprocal insurer surplus deposit. 1849 |
---|
2739 | 2739 | | Section 37. Section 629.201, Florida Statutes, is amended 1850 |
---|
2740 | 2740 | | |
---|
2741 | 2741 | | HB 1141 2025 |
---|
2742 | 2742 | | |
---|
2743 | 2743 | | |
---|
2744 | 2744 | | |
---|
2745 | 2745 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
2746 | 2746 | | hb1141-00 |
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2747 | 2747 | | Page 75 of 168 |
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2748 | 2748 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2749 | 2749 | | |
---|
2750 | 2750 | | |
---|
2751 | 2751 | | |
---|
2752 | 2752 | | to read: 1851 |
---|
2753 | 2753 | | 629.201 Subscribers' advisory committee. —Each domestic 1852 |
---|
2754 | 2754 | | reciprocal insurer must have a subscribers' advisory committee 1853 |
---|
2755 | 2755 | | representing the interests of the subscribers. 1854 |
---|
2756 | 2756 | | (1) The subscribers' advisory committee of a domestic 1855 |
---|
2757 | 2757 | | reciprocal insurer exercising the subscribers' rights must shall 1856 |
---|
2758 | 2758 | | be formed in compliance with this section and selected under 1857 |
---|
2759 | 2759 | | such rules as the subscribers adopt. Such rules, along with any 1858 |
---|
2760 | 2760 | | amendments, must be approved by the office before becoming 1859 |
---|
2761 | 2761 | | effective. 1860 |
---|
2762 | 2762 | | (2) Not less than two -thirds of such committee shall be 1861 |
---|
2763 | 2763 | | subscribers other than the attorney, or any person employed by, 1862 |
---|
2764 | 2764 | | representing, or having a financial interest in the attorney. 1863 |
---|
2765 | 2765 | | (2)(3) The subscribers' advisory committee shall perform 1864 |
---|
2766 | 2766 | | all of the following duties : 1865 |
---|
2767 | 2767 | | (a) Supervise the finances of the insurer .; 1866 |
---|
2768 | 2768 | | (b) Supervise the insurer's operations to such extent as 1867 |
---|
2769 | 2769 | | to ensure assure conformity with the subscribers' agreement , and 1868 |
---|
2770 | 2770 | | power of attorney, and other governing documents. ; 1869 |
---|
2771 | 2771 | | (c) Hire independent auditors, counsel, and other experts 1870 |
---|
2772 | 2772 | | at the expense of the insurer as necessary to fulfill the 1871 |
---|
2773 | 2773 | | committee's duties. Procure the audit of the accounts and 1872 |
---|
2774 | 2774 | | records of the insurer and of the attorney at the expense of the 1873 |
---|
2775 | 2775 | | insurer; and 1874 |
---|
2776 | 2776 | | (d) Exercise any Have such additional powers and functions 1875 |
---|
2777 | 2777 | | |
---|
2778 | 2778 | | HB 1141 2025 |
---|
2779 | 2779 | | |
---|
2780 | 2780 | | |
---|
2781 | 2781 | | |
---|
2782 | 2782 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
2783 | 2783 | | hb1141-00 |
---|
2784 | 2784 | | Page 76 of 168 |
---|
2785 | 2785 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2786 | 2786 | | |
---|
2787 | 2787 | | |
---|
2788 | 2788 | | |
---|
2789 | 2789 | | as may be conferred by the subscribers' agreement. 1876 |
---|
2790 | 2790 | | (3) The initial subscribers' advisory committee must be 1877 |
---|
2791 | 2791 | | appointed by the original subscribers or the attorney in fact. 1878 |
---|
2792 | 2792 | | Within 6 months after the reciprocal insurer is authorized to 1879 |
---|
2793 | 2793 | | transact insurance, at least two -thirds of the committee members 1880 |
---|
2794 | 2794 | | must be elected as provided for in subsections (4) and (5). 1881 |
---|
2795 | 2795 | | (4) The subscribers' advisory committee must consist of 1882 |
---|
2796 | 2796 | | subscribers of the reciprocal insurer. At least two -thirds of 1883 |
---|
2797 | 2797 | | the subscribers' advisory committee must consist of subscribers 1884 |
---|
2798 | 2798 | | who are independent of, not employed by, not representing, not 1885 |
---|
2799 | 2799 | | selected by, and without any financial interest in the attorney 1886 |
---|
2800 | 2800 | | in fact. The independent subscribers must be elected by the 1887 |
---|
2801 | 2801 | | subscribers of the reciprocal insurer. 1888 |
---|
2802 | 2802 | | (5) Any rules governing the election of subscribers to the 1889 |
---|
2803 | 2803 | | subscribers' advisory committee require all of the following: 1890 |
---|
2804 | 2804 | | (a) An electorate composed exclusively of all subscribers 1891 |
---|
2805 | 2805 | | of the reciprocal insurer. 1892 |
---|
2806 | 2806 | | (b) Terms of not more than 5 years. 1893 |
---|
2807 | 2807 | | (c) A process that allows subscribers to nominate other 1894 |
---|
2808 | 2808 | | subscribers for election to the subscribers' advisory committee. 1895 |
---|
2809 | 2809 | | (6) If a reciprocal insurer has more than 50 subscribers, 1896 |
---|
2810 | 2810 | | the attorney in fact must provide a platform by which 1897 |
---|
2811 | 2811 | | subscribers can communicate with each other regarding the 1898 |
---|
2812 | 2812 | | subscribers' advisory committee election process. 1899 |
---|
2813 | 2813 | | Section 38. Section 629.271, Florida Statutes, is 1900 |
---|
2814 | 2814 | | |
---|
2815 | 2815 | | HB 1141 2025 |
---|
2816 | 2816 | | |
---|
2817 | 2817 | | |
---|
2818 | 2818 | | |
---|
2819 | 2819 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
2820 | 2820 | | hb1141-00 |
---|
2821 | 2821 | | Page 77 of 168 |
---|
2822 | 2822 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2823 | 2823 | | |
---|
2824 | 2824 | | |
---|
2825 | 2825 | | |
---|
2826 | 2826 | | repealed. 1901 |
---|
2827 | 2827 | | Section 39. Effective upon this act becoming a law, 1902 |
---|
2828 | 2828 | | subsections (1) and (2) of sectio n 629.291, Florida Statutes, 1903 |
---|
2829 | 2829 | | are amended to read: 1904 |
---|
2830 | 2830 | | 629.291 Merger or conversion. — 1905 |
---|
2831 | 2831 | | (1) A reciprocal insurer, upon affirmative vote of not 1906 |
---|
2832 | 2832 | | less than two-thirds of its subscribers who vote on such merger 1907 |
---|
2833 | 2833 | | or conversion pursuant to due notice, and subject to approval by 1908 |
---|
2834 | 2834 | | the office of the terms therefor, may merge with another 1909 |
---|
2835 | 2835 | | reciprocal insurer or be converted to a stock or mutual insurer, 1910 |
---|
2836 | 2836 | | to be thereafter governed by the applicable sections of the 1911 |
---|
2837 | 2837 | | Florida Insurance Code . However, a domestic stock insurer may 1912 |
---|
2838 | 2838 | | not convert to a reciprocal insurer. 1913 |
---|
2839 | 2839 | | (2) A plan to merge a reciprocal insurer with another 1914 |
---|
2840 | 2840 | | reciprocal insurer or for conversion of the reciprocal insurer 1915 |
---|
2841 | 2841 | | to a stock or mutual insurer must be filed with the office o n 1916 |
---|
2842 | 2842 | | forms adopted by the commission office and must contain such 1917 |
---|
2843 | 2843 | | information as the office reasonably requires to evaluate the 1918 |
---|
2844 | 2844 | | transaction. 1919 |
---|
2845 | 2845 | | Section 40. Section 629.301, Florida Statutes, is amended 1920 |
---|
2846 | 2846 | | to read: 1921 |
---|
2847 | 2847 | | 629.301 Impaired reciprocal insurers. — 1922 |
---|
2848 | 2848 | | (1) If the assets of a domestic reciprocal insurer are at 1923 |
---|
2849 | 2849 | | any time insufficient to discharge its liabilities, other than 1924 |
---|
2850 | 2850 | | any liability on account of funds contributed by the attorney in 1925 |
---|
2851 | 2851 | | |
---|
2852 | 2852 | | HB 1141 2025 |
---|
2853 | 2853 | | |
---|
2854 | 2854 | | |
---|
2855 | 2855 | | |
---|
2856 | 2856 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
2857 | 2857 | | hb1141-00 |
---|
2858 | 2858 | | Page 78 of 168 |
---|
2859 | 2859 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2860 | 2860 | | |
---|
2861 | 2861 | | |
---|
2862 | 2862 | | |
---|
2863 | 2863 | | fact or others, and to maintain the required surplus, its 1926 |
---|
2864 | 2864 | | attorney shall forthwith make up the deficiency or levy an 1927 |
---|
2865 | 2865 | | assessment upon the subscribers for the amount needed to make up 1928 |
---|
2866 | 2866 | | the deficiency, but subject to the limitation set forth in the 1929 |
---|
2867 | 2867 | | power of attorney or policy. 1930 |
---|
2868 | 2868 | | (2) If the attorney in fact fails to make up such 1931 |
---|
2869 | 2869 | | deficiency or to make the assessment within 30 days after the 1932 |
---|
2870 | 2870 | | office orders the attorney in fact him or her to do so, or if 1933 |
---|
2871 | 2871 | | the deficiency is not fully made up within 60 days after the 1934 |
---|
2872 | 2872 | | date the assessment was made, the insurer shall be deemed 1935 |
---|
2873 | 2873 | | insolvent and shall be proceeded against in the same manner as 1936 |
---|
2874 | 2874 | | any other insurer under chapter 631 and the insurance as 1937 |
---|
2875 | 2875 | | authorized by this code. 1938 |
---|
2876 | 2876 | | (3) If liquidation of a reciprocal such an insurer is 1939 |
---|
2877 | 2877 | | ordered, the receiver shall levy an assessment shall be levied 1940 |
---|
2878 | 2878 | | upon the subscribers an assessment for such an amount as the 1941 |
---|
2879 | 2879 | | receiver determines to be necessary to discharge all liabilities 1942 |
---|
2880 | 2880 | | of the insurer. The liabilities must be , subject to limits as 1943 |
---|
2881 | 2881 | | provided by this chapter, as the office determines to be 1944 |
---|
2882 | 2882 | | necessary to dischar ge all liabilities of the insurer, exclusive 1945 |
---|
2883 | 2883 | | of any funds contributed by the attorney in fact or other 1946 |
---|
2884 | 2884 | | persons, but inclusive of including the reasonable cost of the 1947 |
---|
2885 | 2885 | | liquidation. The assessment is subject to any limits set forth 1948 |
---|
2886 | 2886 | | in the power of attorney, the policy, or this chapter. 1949 |
---|
2887 | 2887 | | Section 41. Section 629.401, Florida Statutes, is 1950 |
---|
2888 | 2888 | | |
---|
2889 | 2889 | | HB 1141 2025 |
---|
2890 | 2890 | | |
---|
2891 | 2891 | | |
---|
2892 | 2892 | | |
---|
2893 | 2893 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
2894 | 2894 | | hb1141-00 |
---|
2895 | 2895 | | Page 79 of 168 |
---|
2896 | 2896 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2897 | 2897 | | |
---|
2898 | 2898 | | |
---|
2899 | 2899 | | |
---|
2900 | 2900 | | repealed. 1951 |
---|
2901 | 2901 | | Section 42. Section 629.520, Florida Statutes, is 1952 |
---|
2902 | 2902 | | repealed. 1953 |
---|
2903 | 2903 | | Section 43. Section 629.56, Florida Statutes, is created 1954 |
---|
2904 | 2904 | | to read: 1955 |
---|
2905 | 2905 | | 629.56 Unearned premium res erves.—A reciprocal insurer 1956 |
---|
2906 | 2906 | | must maintain an unearned premium reserve at all times and as 1957 |
---|
2907 | 2907 | | required under s. 625.051. 1958 |
---|
2908 | 2908 | | Section 44. Paragraph (c) of subsection (13) of section 1959 |
---|
2909 | 2909 | | 634.401, Florida Statutes, is amended to read: 1960 |
---|
2910 | 2910 | | 634.401 Definitions. —As used in this part, the term: 1961 |
---|
2911 | 2911 | | (13) "Service warranty" means any warranty, guaranty, 1962 |
---|
2912 | 2912 | | extended warranty or extended guaranty, maintenance service 1963 |
---|
2913 | 2913 | | contract equal to or greater than 1 year in length or which does 1964 |
---|
2914 | 2914 | | not meet the exemption in paragraph (a), contract ag reement, or 1965 |
---|
2915 | 2915 | | other written promise for a specific duration to perform the 1966 |
---|
2916 | 2916 | | repair, replacement, or maintenance of a consumer product, or 1967 |
---|
2917 | 2917 | | for indemnification for repair, replacement, or maintenance, for 1968 |
---|
2918 | 2918 | | operational or structural failure due to a defect in mat erials 1969 |
---|
2919 | 2919 | | or workmanship, normal wear and tear, power surge, or accidental 1970 |
---|
2920 | 2920 | | damage from handling in return for the payment of a segregated 1971 |
---|
2921 | 2921 | | charge by the consumer; however: 1972 |
---|
2922 | 2922 | | (c) All contracts that include coverage for accidental 1973 |
---|
2923 | 2923 | | damage from handling must be co vered by the contractual 1974 |
---|
2924 | 2924 | | liability policy referred to in s. 634.406(3) , unless issued by 1975 |
---|
2925 | 2925 | | |
---|
2926 | 2926 | | HB 1141 2025 |
---|
2927 | 2927 | | |
---|
2928 | 2928 | | |
---|
2929 | 2929 | | |
---|
2930 | 2930 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
2931 | 2931 | | hb1141-00 |
---|
2932 | 2932 | | Page 80 of 168 |
---|
2933 | 2933 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
2934 | 2934 | | |
---|
2935 | 2935 | | |
---|
2936 | 2936 | | |
---|
2937 | 2937 | | an association not required to establish an unearned premium 1976 |
---|
2938 | 2938 | | reserve or maintain contractual liability insurance under s. 1977 |
---|
2939 | 2939 | | 634.406(7). 1978 |
---|
2940 | 2940 | | Section 45. Section 641.2012, Florida Statutes, is created 1979 |
---|
2941 | 2941 | | to read: 1980 |
---|
2942 | 2942 | | 641.2012 Service of process. —Sections 624.422 and 624.423 1981 |
---|
2943 | 2943 | | apply to health maintenance organizations. 1982 |
---|
2944 | 2944 | | Section 46. Subsections (1) and (3), paragraph (a) of 1983 |
---|
2945 | 2945 | | subsection (5), and subsection (6) of section 641.26, Fl orida 1984 |
---|
2946 | 2946 | | Statutes, are amended to read: 1985 |
---|
2947 | 2947 | | 641.26 Annual and quarterly reports. — 1986 |
---|
2948 | 2948 | | (1) Every health maintenance organization shall file an 1987 |
---|
2949 | 2949 | | annual statement covering the preceding calendar year on or 1988 |
---|
2950 | 2950 | | before March 1, and quarterly statements covering the periods 1989 |
---|
2951 | 2951 | | ending on March 31, June 30, and September 30 within 45 days 1990 |
---|
2952 | 2952 | | after each such date , annually within 3 months after the end of 1991 |
---|
2953 | 2953 | | its fiscal year, or within an extension of time therefor as the 1992 |
---|
2954 | 2954 | | office, for good cause, may grant, in a form prescribed by the 1993 |
---|
2955 | 2955 | | commission, file a report with the office , verified by the oath 1994 |
---|
2956 | 2956 | | of two officers of the organization or, if not a corporation, of 1995 |
---|
2957 | 2957 | | two persons who are principal managing directors of the affairs 1996 |
---|
2958 | 2958 | | of the organization, properly notarized, showing its condition 1997 |
---|
2959 | 2959 | | on the last day of the immediately preceding reporting period. 1998 |
---|
2960 | 2960 | | Such report shall include: 1999 |
---|
2961 | 2961 | | (a) A financial statement of the health maintenance 2000 |
---|
2962 | 2962 | | |
---|
2963 | 2963 | | HB 1141 2025 |
---|
2964 | 2964 | | |
---|
2965 | 2965 | | |
---|
2966 | 2966 | | |
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2967 | 2967 | | CODING: Words stricken are deletions; words underlined are additions. |
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2968 | 2968 | | hb1141-00 |
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2969 | 2969 | | Page 81 of 168 |
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2970 | 2970 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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2971 | 2971 | | |
---|
2972 | 2972 | | |
---|
2973 | 2973 | | |
---|
2974 | 2974 | | organization filed by electronic means in a computer -readable 2001 |
---|
2975 | 2975 | | form using a format acceptable to the office. 2002 |
---|
2976 | 2976 | | (b) A financial statement of the health maintenance 2003 |
---|
2977 | 2977 | | organization filed on forms acceptable to the office. 2004 |
---|
2978 | 2978 | | (c) An audited financial statement of the health 2005 |
---|
2979 | 2979 | | maintenance organization, including its balance sheet and a 2006 |
---|
2980 | 2980 | | statement of operations for the preceding ye ar certified by an 2007 |
---|
2981 | 2981 | | independent certified public accountant, prepared in accordance 2008 |
---|
2982 | 2982 | | with statutory accounting principles. 2009 |
---|
2983 | 2983 | | (d) The number of health maintenance contracts issued and 2010 |
---|
2984 | 2984 | | outstanding and the number of health maintenance contracts 2011 |
---|
2985 | 2985 | | terminated. 2012 |
---|
2986 | 2986 | | (e) The number and amount of damage claims for medical 2013 |
---|
2987 | 2987 | | injury initiated against the health maintenance organization and 2014 |
---|
2988 | 2988 | | any of the providers engaged by it during the reporting year, 2015 |
---|
2989 | 2989 | | broken down into claims with and without formal legal process, 2016 |
---|
2990 | 2990 | | and the disposition, if any, of each such claim. 2017 |
---|
2991 | 2991 | | (f) An actuarial certification that: 2018 |
---|
2992 | 2992 | | 1. The health maintenance organization is actuarially 2019 |
---|
2993 | 2993 | | sound, which certification shall consider the rates, benefits, 2020 |
---|
2994 | 2994 | | and expenses of, and any other funds available for the payment 2021 |
---|
2995 | 2995 | | of obligations of, the organization. 2022 |
---|
2996 | 2996 | | 2. The rates being charged or to be charged are 2023 |
---|
2997 | 2997 | | actuarially adequate to the end of the period for which rates 2024 |
---|
2998 | 2998 | | have been guaranteed. 2025 |
---|
2999 | 2999 | | |
---|
3000 | 3000 | | HB 1141 2025 |
---|
3001 | 3001 | | |
---|
3002 | 3002 | | |
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3003 | 3003 | | |
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3004 | 3004 | | CODING: Words stricken are deletions; words underlined are additions. |
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3005 | 3005 | | hb1141-00 |
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3006 | 3006 | | Page 82 of 168 |
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3007 | 3007 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3008 | 3008 | | |
---|
3009 | 3009 | | |
---|
3010 | 3010 | | |
---|
3011 | 3011 | | 3. Incurred but not reported claims and claims reported 2026 |
---|
3012 | 3012 | | but not fully paid have been adequately provided for. 2027 |
---|
3013 | 3013 | | 4. The health maintenance organization has adequately 2028 |
---|
3014 | 3014 | | provided for all obligations required by s. 641.35(3)(a). 2029 |
---|
3015 | 3015 | | (g) A report prepared by the certified public accountant 2030 |
---|
3016 | 3016 | | and filed with the office describing material weaknes ses in the 2031 |
---|
3017 | 3017 | | health maintenance organization's internal control structure as 2032 |
---|
3018 | 3018 | | noted by the certified public accountant during the audit. The 2033 |
---|
3019 | 3019 | | report must be filed with the annual audited financial report as 2034 |
---|
3020 | 3020 | | required in paragraph (c). The health maintenance org anization 2035 |
---|
3021 | 3021 | | shall provide a description of remedial actions taken or 2036 |
---|
3022 | 3022 | | proposed to correct material weaknesses, if the actions are not 2037 |
---|
3023 | 3023 | | described in the independent certified public accountant's 2038 |
---|
3024 | 3024 | | report. 2039 |
---|
3025 | 3025 | | (h) Such other information relating to the performance o f 2040 |
---|
3026 | 3026 | | health maintenance organizations as is required by the 2041 |
---|
3027 | 3027 | | commission or office. 2042 |
---|
3028 | 3028 | | (3) Every health maintenance organization shall file 2043 |
---|
3029 | 3029 | | quarterly, for the first three calendar quarters of each year, 2044 |
---|
3030 | 3030 | | an unaudited financial statement of the organization as 2045 |
---|
3031 | 3031 | | described in paragraphs (1)(a) and (b). The statement for the 2046 |
---|
3032 | 3032 | | quarter ending March 31 shall be filed on or before May 15, the 2047 |
---|
3033 | 3033 | | statement for the quarter ending June 30 shall be filed on or 2048 |
---|
3034 | 3034 | | before August 15, and the statement for the quarter ending 2049 |
---|
3035 | 3035 | | September 30 shall be filed on or before November 15. The 2050 |
---|
3036 | 3036 | | |
---|
3037 | 3037 | | HB 1141 2025 |
---|
3038 | 3038 | | |
---|
3039 | 3039 | | |
---|
3040 | 3040 | | |
---|
3041 | 3041 | | CODING: Words stricken are deletions; words underlined are additions. |
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3042 | 3042 | | hb1141-00 |
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3043 | 3043 | | Page 83 of 168 |
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3044 | 3044 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3045 | 3045 | | |
---|
3046 | 3046 | | |
---|
3047 | 3047 | | |
---|
3048 | 3048 | | quarterly report shall be verified by the oath of two officers 2051 |
---|
3049 | 3049 | | of the organization, properly notarized. 2052 |
---|
3050 | 3050 | | (5) Each authorized health maintenance organization shall 2053 |
---|
3051 | 3051 | | retain an independent certified public account ant, referred to 2054 |
---|
3052 | 3052 | | in this section as "CPA," who agrees by written contract with 2055 |
---|
3053 | 3053 | | the health maintenance organization to comply with the 2056 |
---|
3054 | 3054 | | provisions of this part. 2057 |
---|
3055 | 3055 | | (a) The CPA shall provide to the HMO audited financial 2058 |
---|
3056 | 3056 | | statements consistent with this part and s. 624.424. 2059 |
---|
3057 | 3057 | | (6) To facilitate uniformity in financial statements and 2060 |
---|
3058 | 3058 | | to facilitate office analysis, the commission may by rule adopt 2061 |
---|
3059 | 3059 | | the form for financial statements of a health maintenance 2062 |
---|
3060 | 3060 | | organization, requiring the financial statement to comply with 2063 |
---|
3061 | 3061 | | s. 624.424 including supplements as approved by the National 2064 |
---|
3062 | 3062 | | Association of Insurance Commissioners in 1995, and may adopt 2065 |
---|
3063 | 3063 | | subsequent amendments thereto if the methodology remains 2066 |
---|
3064 | 3064 | | substantially consistent , and may by rule require each health 2067 |
---|
3065 | 3065 | | maintenance organization to submit to the office all or part of 2068 |
---|
3066 | 3066 | | the information contained in the annual statement in a computer -2069 |
---|
3067 | 3067 | | readable form compatible with the electronic data processing 2070 |
---|
3068 | 3068 | | system specified by the office. 2071 |
---|
3069 | 3069 | | Section 47. Section 641.283, Florida Statute s, is created 2072 |
---|
3070 | 3070 | | to read: 2073 |
---|
3071 | 3071 | | 641.283 Administrative supervision and hazardous insurer 2074 |
---|
3072 | 3072 | | conditions.—Sections 624.80-624.87 apply to health maintenance 2075 |
---|
3073 | 3073 | | |
---|
3074 | 3074 | | HB 1141 2025 |
---|
3075 | 3075 | | |
---|
3076 | 3076 | | |
---|
3077 | 3077 | | |
---|
3078 | 3078 | | CODING: Words stricken are deletions; words underlined are additions. |
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3079 | 3079 | | hb1141-00 |
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3080 | 3080 | | Page 84 of 168 |
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3081 | 3081 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3082 | 3082 | | |
---|
3083 | 3083 | | |
---|
3084 | 3084 | | |
---|
3085 | 3085 | | organizations. 2076 |
---|
3086 | 3086 | | Section 48. Subsections (5) through (15) and (16) through 2077 |
---|
3087 | 3087 | | (29) of section 651.011, Florida S tatutes, are renumbered as 2078 |
---|
3088 | 3088 | | subsections (7) through (17) and (19) through (32), 2079 |
---|
3089 | 3089 | | respectively, present subsections (7), (8), (19), and (26) are 2080 |
---|
3090 | 3090 | | amended, and new subsections (5), (6), and (18) are added to 2081 |
---|
3091 | 3091 | | that section, to read: 2082 |
---|
3092 | 3092 | | 651.011 Definitions. —As used in this chapter, the term: 2083 |
---|
3093 | 3093 | | (5) "Affiliate" means an entity that exercises control 2084 |
---|
3094 | 3094 | | over or is directly or indirectly controlled by the insurer 2085 |
---|
3095 | 3095 | | provider through: 2086 |
---|
3096 | 3096 | | (a) Equity ownership of voting securities; 2087 |
---|
3097 | 3097 | | (b) Common managerial control; or 2088 |
---|
3098 | 3098 | | (c) Collusive participation by the management of the 2089 |
---|
3099 | 3099 | | insurer and affiliate in the management of the insurer or the 2090 |
---|
3100 | 3100 | | affiliate. 2091 |
---|
3101 | 3101 | | (6) "Affiliated person" of another person means: 2092 |
---|
3102 | 3102 | | (a) The spouse of the other person; 2093 |
---|
3103 | 3103 | | (b) The parents of the other person and their lin eal 2094 |
---|
3104 | 3104 | | descendants, or the parents of the other person's spouse and 2095 |
---|
3105 | 3105 | | their lineal descendants; 2096 |
---|
3106 | 3106 | | (c) A person who directly or indirectly owns or controls, 2097 |
---|
3107 | 3107 | | or holds with the power to vote, 10 percent or more of the 2098 |
---|
3108 | 3108 | | outstanding voting securities of the other per son; 2099 |
---|
3109 | 3109 | | (d) A person 10 percent or more of whose outstanding 2100 |
---|
3110 | 3110 | | |
---|
3111 | 3111 | | HB 1141 2025 |
---|
3112 | 3112 | | |
---|
3113 | 3113 | | |
---|
3114 | 3114 | | |
---|
3115 | 3115 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
3116 | 3116 | | hb1141-00 |
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3117 | 3117 | | Page 85 of 168 |
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3118 | 3118 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
3119 | 3119 | | |
---|
3120 | 3120 | | |
---|
3121 | 3121 | | |
---|
3122 | 3122 | | voting securities are directly or indirectly owned or 2101 |
---|
3123 | 3123 | | controlled, or held with power to vote, by the other person; 2102 |
---|
3124 | 3124 | | (e) A person or group of persons who directly or 2103 |
---|
3125 | 3125 | | indirectly control, are contro lled by, or are under common 2104 |
---|
3126 | 3126 | | control with the other person; 2105 |
---|
3127 | 3127 | | (f) An officer, director, partner, copartner, or employee 2106 |
---|
3128 | 3128 | | of the other person; 2107 |
---|
3129 | 3129 | | (g) If the other person is an investment company, an 2108 |
---|
3130 | 3130 | | investment adviser of such company, or a member of an adviso ry 2109 |
---|
3131 | 3131 | | board of such company; 2110 |
---|
3132 | 3132 | | (h) If the other person is an unincorporated investment 2111 |
---|
3133 | 3133 | | company not having a board of directors, the depositor of such 2112 |
---|
3134 | 3134 | | company; or 2113 |
---|
3135 | 3135 | | (i) A person who has entered into a written or unwritten 2114 |
---|
3136 | 3136 | | agreement to act in concert with the o ther person in acquiring 2115 |
---|
3137 | 3137 | | or limiting the disposition of securities of a domestic stock 2116 |
---|
3138 | 3138 | | insurer provider or controlling company. 2117 |
---|
3139 | 3139 | | (9)(7) "Continuing care at-home" means, pursuant to a 2118 |
---|
3140 | 3140 | | contract other than a contract described in subsection (7) (5), 2119 |
---|
3141 | 3141 | | furnishing to a resident who resides outside the facility the 2120 |
---|
3142 | 3142 | | right to future access to shelter and nursing care or personal 2121 |
---|
3143 | 3143 | | services, whether such services are provided in the facility or 2122 |
---|
3144 | 3144 | | in another setting designated in the contract, by an individual 2123 |
---|
3145 | 3145 | | not related by consanguinity or affinity to the resident, upon 2124 |
---|
3146 | 3146 | | payment of an entrance fee. 2125 |
---|
3147 | 3147 | | |
---|
3148 | 3148 | | HB 1141 2025 |
---|
3149 | 3149 | | |
---|
3150 | 3150 | | |
---|
3151 | 3151 | | |
---|
3152 | 3152 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
3153 | 3153 | | hb1141-00 |
---|
3154 | 3154 | | Page 86 of 168 |
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3155 | 3155 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
3156 | 3156 | | |
---|
3157 | 3157 | | |
---|
3158 | 3158 | | |
---|
3159 | 3159 | | (10)(8) "Control," "controlling," "controlled by," "under 2126 |
---|
3160 | 3160 | | common control with," or "controlling company" means any 2127 |
---|
3161 | 3161 | | corporation, trust, or association that directly or indirectly 2128 |
---|
3162 | 3162 | | owns 10 25 percent or more of either the following : 2129 |
---|
3163 | 3163 | | (a) The direct or indirect possession of the power to 2130 |
---|
3164 | 3164 | | direct or cause the direction of the management and policies of 2131 |
---|
3165 | 3165 | | a person, whether through the ownership of voting securities, by 2132 |
---|
3166 | 3166 | | contract other than a commercial contract for goods or 2133 |
---|
3167 | 3167 | | nonmanagement services, or otherwise. Control is presumed to 2134 |
---|
3168 | 3168 | | exist if a person, directly or indirectly, owns, controls, holds 2135 |
---|
3169 | 3169 | | with the power to vote, or holds proxies representing 10 percent 2136 |
---|
3170 | 3170 | | or more of the voting securities of another person; or 2137 |
---|
3171 | 3171 | | (b) A management company exercising control through a 2138 |
---|
3172 | 3172 | | management agreement whereby the management company is 2139 |
---|
3173 | 3173 | | responsible for the day -to-day business operations of the 2140 |
---|
3174 | 3174 | | provider or the day-to-day decisionmaking on behalf of the 2141 |
---|
3175 | 3175 | | provider. 2142 |
---|
3176 | 3176 | | (a) The voting securities of one or more providers that 2143 |
---|
3177 | 3177 | | are stock corporations; or 2144 |
---|
3178 | 3178 | | (b) The ownership interest of one or more providers that 2145 |
---|
3179 | 3179 | | are not stock corporations. 2146 |
---|
3180 | 3180 | | (18) "Governing body" or "full governing body" means a 2147 |
---|
3181 | 3181 | | board of directors, a management company, a body of a provider, 2148 |
---|
3182 | 3182 | | or an obligated group whose members are elected or appointed to 2149 |
---|
3183 | 3183 | | set strategy, oversee management or operations of a provider, 2150 |
---|
3184 | 3184 | | |
---|
3185 | 3185 | | HB 1141 2025 |
---|
3186 | 3186 | | |
---|
3187 | 3187 | | |
---|
3188 | 3188 | | |
---|
3189 | 3189 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
3190 | 3190 | | hb1141-00 |
---|
3191 | 3191 | | Page 87 of 168 |
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3192 | 3192 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
3193 | 3193 | | |
---|
3194 | 3194 | | |
---|
3195 | 3195 | | |
---|
3196 | 3196 | | facility, or obligated group, and protect the interests of the 2151 |
---|
3197 | 3197 | | provider, facility, or group. 2152 |
---|
3198 | 3198 | | (22)(19) "Manager," "management," or "management company" 2153 |
---|
3199 | 3199 | | means a person who administers the day -to-day business 2154 |
---|
3200 | 3200 | | operations of a facility for a provider, is part of a committee 2155 |
---|
3201 | 3201 | | that supervises the activities of a business that pro vides 2156 |
---|
3202 | 3202 | | continuing care or a member of the full governing body of a 2157 |
---|
3203 | 3203 | | business that provides continuing care, or is subject to the 2158 |
---|
3204 | 3204 | | policies, directives, and oversight of the provider or governing 2159 |
---|
3205 | 3205 | | body. 2160 |
---|
3206 | 3206 | | (29)(26) "Regulatory action level event" means that any 2161 |
---|
3207 | 3207 | | two of the following have occurred: 2162 |
---|
3208 | 3208 | | (a) The provider's debt service coverage ratio is less 2163 |
---|
3209 | 3209 | | than the greater of the minimum ratio specified in the 2164 |
---|
3210 | 3210 | | provider's bond covenants or lending agreement for long -term 2165 |
---|
3211 | 3211 | | financing or 1.20:1 as of the most recent annual report filed 2166 |
---|
3212 | 3212 | | with the office pursuant to s. 651.026 or s. 651.0261, or, if 2167 |
---|
3213 | 3213 | | the provider does not have a debt service coverage ratio 2168 |
---|
3214 | 3214 | | required by its lending institution, the provider's debt service 2169 |
---|
3215 | 3215 | | coverage ratio is less than 1.20:1 as of the most recent annual 2170 |
---|
3216 | 3216 | | report filed with the office pursuant to s. 651.026 or s. 2171 |
---|
3217 | 3217 | | 651.0261. If the provider is a member of an obligated group 2172 |
---|
3218 | 3218 | | having cross-collateralized debt, the obligated group's debt 2173 |
---|
3219 | 3219 | | service coverage ratio must be used as the provider's debt 2174 |
---|
3220 | 3220 | | service coverage ratio. 2175 |
---|
3221 | 3221 | | |
---|
3222 | 3222 | | HB 1141 2025 |
---|
3223 | 3223 | | |
---|
3224 | 3224 | | |
---|
3225 | 3225 | | |
---|
3226 | 3226 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
3227 | 3227 | | hb1141-00 |
---|
3228 | 3228 | | Page 88 of 168 |
---|
3229 | 3229 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
3230 | 3230 | | |
---|
3231 | 3231 | | |
---|
3232 | 3232 | | |
---|
3233 | 3233 | | (b) The provider's days cash on hand is less than the 2176 |
---|
3234 | 3234 | | greater of the minimum number of days cash on hand specified in 2177 |
---|
3235 | 3235 | | the provider's bond covenants or lending agreement for long -term 2178 |
---|
3236 | 3236 | | financing or 100 days. If the provider does not have a day s cash 2179 |
---|
3237 | 3237 | | on hand required by its lending institution, the days cash on 2180 |
---|
3238 | 3238 | | hand may not be less than 100 as of the most recent annual 2181 |
---|
3239 | 3239 | | report filed with the office pursuant to s. 651.026 or s. 2182 |
---|
3240 | 3240 | | 651.0261. If the provider is a member of an obligated group 2183 |
---|
3241 | 3241 | | having cross-collateralized debt, the days cash on hand of the 2184 |
---|
3242 | 3242 | | obligated group must be used as the provider's days cash on 2185 |
---|
3243 | 3243 | | hand. 2186 |
---|
3244 | 3244 | | (c) The occupancy of the provider's facility is less than 2187 |
---|
3245 | 3245 | | 80 percent averaged over the 12 -month period immediately 2188 |
---|
3246 | 3246 | | preceding the annual report filed with the office pursuant to s. 2189 |
---|
3247 | 3247 | | 651.026. 2190 |
---|
3248 | 3248 | | Section 49. Section 651.018, Florida Statutes, is amended 2191 |
---|
3249 | 3249 | | to read: 2192 |
---|
3250 | 3250 | | 651.018 Administrative supervision. —The office may place a 2193 |
---|
3251 | 3251 | | facility in administrative supervision pursuant to part VI of 2194 |
---|
3252 | 3252 | | chapter 624. If the office finds that any of the following 2195 |
---|
3253 | 3253 | | conditions exist, the office shall place a facility in 2196 |
---|
3254 | 3254 | | administrative supervision until the condition is resolved to 2197 |
---|
3255 | 3255 | | the satisfaction of the office: 2198 |
---|
3256 | 3256 | | (1) The facility is insolvent or impaired. 2199 |
---|
3257 | 3257 | | (2) The facility is at a regulatory action level, pursuant 2200 |
---|
3258 | 3258 | | |
---|
3259 | 3259 | | HB 1141 2025 |
---|
3260 | 3260 | | |
---|
3261 | 3261 | | |
---|
3262 | 3262 | | |
---|
3263 | 3263 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
3264 | 3264 | | hb1141-00 |
---|
3265 | 3265 | | Page 89 of 168 |
---|
3266 | 3266 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
3267 | 3267 | | |
---|
3268 | 3268 | | |
---|
3269 | 3269 | | |
---|
3270 | 3270 | | to s. 651.034. 2201 |
---|
3271 | 3271 | | (3) The facility reports a negative debt service reserve. 2202 |
---|
3272 | 3272 | | (4) The facility has failed to file a monthly, quarterly, 2203 |
---|
3273 | 3273 | | or annual financial statement or an audited financial statement 2204 |
---|
3274 | 3274 | | as required by this chapter. 2205 |
---|
3275 | 3275 | | (5) The facility was issued a financial statement with a 2206 |
---|
3276 | 3276 | | going concern issue by an independent certified public 2207 |
---|
3277 | 3277 | | accountant. 2208 |
---|
3278 | 3278 | | (6) The facility is found to be in hazardous financial 2209 |
---|
3279 | 3279 | | condition pursuant to s. 651.113. 2210 |
---|
3280 | 3280 | | (7) The facility has entered into a forbearance agreement 2211 |
---|
3281 | 3281 | | with a lender. 2212 |
---|
3282 | 3282 | | Section 50. Paragraph (a) of subsection (1) of section 2213 |
---|
3283 | 3283 | | 651.019, Florida Statutes, is amended to read: 2214 |
---|
3284 | 3284 | | 651.019 New financing, additional financing, or 2215 |
---|
3285 | 3285 | | refinancing.— 2216 |
---|
3286 | 3286 | | (1)(a) A provider shall p rovide a written general outline 2217 |
---|
3287 | 3287 | | of the amount and the anticipated terms of any new financing or 2218 |
---|
3288 | 3288 | | refinancing, and the intended use of proceeds, to the office and 2219 |
---|
3289 | 3289 | | the residents' council at least 30 days before the closing date 2220 |
---|
3290 | 3290 | | of the financing or refinancin g transaction. If there is a 2221 |
---|
3291 | 3291 | | material change in the noticed information, a provider shall 2222 |
---|
3292 | 3292 | | provide an updated notice to the office and the residents' 2223 |
---|
3293 | 3293 | | council within 10 business days after the provider becomes aware 2224 |
---|
3294 | 3294 | | of such change. 2225 |
---|
3295 | 3295 | | |
---|
3296 | 3296 | | HB 1141 2025 |
---|
3297 | 3297 | | |
---|
3298 | 3298 | | |
---|
3299 | 3299 | | |
---|
3300 | 3300 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
3301 | 3301 | | hb1141-00 |
---|
3302 | 3302 | | Page 90 of 168 |
---|
3303 | 3303 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
3304 | 3304 | | |
---|
3305 | 3305 | | |
---|
3306 | 3306 | | |
---|
3307 | 3307 | | Section 51. Section 65 1.0212, Florida Statutes, is created 2226 |
---|
3308 | 3308 | | to read: 2227 |
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3309 | 3309 | | 651.0212 General eligibility requirements to operate in 2228 |
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3310 | 3310 | | this state.— 2229 |
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3311 | 3311 | | (1) The office must deny or revoke a provider's authority 2230 |
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3312 | 3312 | | to conduct business relating to continuing care in this state, 2231 |
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3313 | 3313 | | including, but not limited to, the authority to enter into 2232 |
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3314 | 3314 | | contracts, provide continuing care or continuing care at -home, 2233 |
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3315 | 3315 | | or construct facilities for the purpose of providing continuing 2234 |
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3316 | 3316 | | care in this state, if the office determines that any of the 2235 |
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3317 | 3317 | | following applies to the provider's management, officers, or 2236 |
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3318 | 3318 | | directors: 2237 |
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3319 | 3319 | | (a) They are incompetent or untrustworthy. 2238 |
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3320 | 3320 | | (b) They lack sufficient experience in continuing care 2239 |
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3321 | 3321 | | management, posing a risk to contract holders. 2240 |
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3322 | 3322 | | (c) They lack the experience, ability, or reputation 2241 |
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3323 | 3323 | | necessary to ensure a reasonable likelihood of successful 2242 |
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3324 | 3324 | | operation. 2243 |
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3325 | 3325 | | (d) They are affiliated, directly or indirectly, with 2244 |
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3326 | 3326 | | individuals or entities whose business practices have harmed 2245 |
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3327 | 3327 | | residents, stockholders, investors, creditors, or the public 2246 |
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3328 | 3328 | | through asset manipulation, fraudulent accounting, or bad faith 2247 |
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3329 | 3329 | | actions. 2248 |
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3330 | 3330 | | (2) The office must deny or revoke a provider's authority 2249 |
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3331 | 3331 | | to conduct business relating to continuing care in this state, 2250 |
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3332 | 3332 | | |
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3333 | 3333 | | HB 1141 2025 |
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3334 | 3334 | | |
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3335 | 3335 | | |
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3336 | 3336 | | |
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3337 | 3337 | | CODING: Words stricken are deletions; words underlined are additions. |
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3338 | 3338 | | hb1141-00 |
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3339 | 3339 | | Page 91 of 168 |
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3340 | 3340 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3341 | 3341 | | |
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3342 | 3342 | | |
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3343 | 3343 | | |
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3344 | 3344 | | including, but not limited to, the authority to enter into 2251 |
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3345 | 3345 | | contracts, provide continuing care or continuing care at -home, 2252 |
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3346 | 3346 | | or construct facilities for the purpose of providing continuing 2253 |
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3347 | 3347 | | care in this state, if the office determines that any general 2254 |
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3348 | 3348 | | partner, subscriber, stockholder, or incorporator who exercises 2255 |
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3349 | 3349 | | or has the ability to exercise effective control of the 2256 |
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3350 | 3350 | | provider, or who influences or has the ability to influence the 2257 |
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3351 | 3351 | | provider's business transactions, lacks the financial standing 2258 |
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3352 | 3352 | | and business experience necessary for the provider's successful 2259 |
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3353 | 3353 | | operation. 2260 |
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3354 | 3354 | | (3) The office may deny, suspend, or revoke a provider's 2261 |
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3355 | 3355 | | authority to conduct business relating to continuing care in 2262 |
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3356 | 3356 | | this state, including, but not limited to, the authority to 2263 |
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3357 | 3357 | | enter into contracts, provide continuing care or continuing care 2264 |
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3358 | 3358 | | at-home, or construct facilities for the purpose of providing 2265 |
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3359 | 3359 | | continuing care, if the office determines that any general 2266 |
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3360 | 3360 | | partner, subscriber, stockholder, or incorporator who exercises 2267 |
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3361 | 3361 | | or has the ability to exercise effective control of the 2268 |
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3362 | 3362 | | provider, or who influences or has the ability to influence the 2269 |
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3363 | 3363 | | provider's business transactions, has been found guilty of, or 2270 |
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3364 | 3364 | | has pleaded guilty or nolo contendere to, any felony or crime 2271 |
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3365 | 3365 | | punishable by imprisonment of 1 year or more under the laws of 2272 |
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3366 | 3366 | | the United States, any state, o r any other country, if the crime 2273 |
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3367 | 3367 | | involves moral turpitude, regardless of whether a judgment of 2274 |
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3368 | 3368 | | conviction has been entered by the court. However, if a provider 2275 |
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3369 | 3369 | | |
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3370 | 3370 | | HB 1141 2025 |
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3371 | 3371 | | |
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3372 | 3372 | | |
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3373 | 3373 | | |
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3374 | 3374 | | CODING: Words stricken are deletions; words underlined are additions. |
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3375 | 3375 | | hb1141-00 |
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3376 | 3376 | | Page 92 of 168 |
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3377 | 3377 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3378 | 3378 | | |
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3379 | 3379 | | |
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3380 | 3380 | | |
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3381 | 3381 | | operates under a valid certificate of authority, the provider 2276 |
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3382 | 3382 | | must immediately remove any such person from his or her role in 2277 |
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3383 | 3383 | | the business upon discovery of the conditions set forth in this 2278 |
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3384 | 3384 | | subsection or remove such person upon the order of the office. 2279 |
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3385 | 3385 | | Failure to remove such person constitutes grounds for suspension 2280 |
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3386 | 3386 | | or revocation of the provider's c ertificate of authority. 2281 |
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3387 | 3387 | | (4) The office may deny, suspend, or revoke a provider's 2282 |
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3388 | 3388 | | authority to conduct business relating to continuing care in 2283 |
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3389 | 3389 | | this state, including, but not limited to, the authority to 2284 |
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3390 | 3390 | | enter into contracts, provide continuing care or co ntinuing care 2285 |
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3391 | 3391 | | at-home, or construct facilities for providing continuing care, 2286 |
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3392 | 3392 | | if the office determines that any general partner, subscriber, 2287 |
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3393 | 3393 | | stockholder, or incorporator who exercises or has the ability to 2288 |
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3394 | 3394 | | exercise effective control of the provider, or who influences or 2289 |
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3395 | 3395 | | has the ability to influence the provider's business 2290 |
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3396 | 3396 | | transactions, is now or was previously affiliated, directly or 2291 |
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3397 | 3397 | | indirectly, through ownership of 10 percent or more, with any 2292 |
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3398 | 3398 | | business, corporation, or entity that has been found guilty of, 2293 |
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3399 | 3399 | | or has pleaded guilty or nolo contendere to, any felony or crime 2294 |
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3400 | 3400 | | punishable by imprisonment for 1 year or more under the laws of 2295 |
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3401 | 3401 | | the United States, any state, or any other country. However, if 2296 |
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3402 | 3402 | | a provider operates under a valid certificate of authority, th e 2297 |
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3403 | 3403 | | provider must immediately remove any such person from his or her 2298 |
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3404 | 3404 | | role in the business or notify the office upon discovery of the 2299 |
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3405 | 3405 | | conditions set forth in this subsection. Failure to remove the 2300 |
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3406 | 3406 | | |
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3407 | 3407 | | HB 1141 2025 |
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3408 | 3408 | | |
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3409 | 3409 | | |
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3410 | 3410 | | |
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3411 | 3411 | | CODING: Words stricken are deletions; words underlined are additions. |
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3412 | 3412 | | hb1141-00 |
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3413 | 3413 | | Page 93 of 168 |
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3414 | 3414 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3415 | 3415 | | |
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3416 | 3416 | | |
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3417 | 3417 | | |
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3418 | 3418 | | person, provide notice to the office, or comply with an order 2301 |
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3419 | 3419 | | from the office to remove the person from his or her role 2302 |
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3420 | 3420 | | constitutes grounds for suspension or revocation of the 2303 |
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3421 | 3421 | | provider's certificate of authority. 2304 |
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3422 | 3422 | | Section 52. Subsections (6) through (10) of section 2305 |
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3423 | 3423 | | 651.0215, Florida Statutes, are renumbered as sub sections (5) 2306 |
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3424 | 3424 | | through (9), respectively, and subsection (4) and present 2307 |
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3425 | 3425 | | subsection (5) of that section are amended to read: 2308 |
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3426 | 3426 | | 651.0215 Consolidated application for a provisional 2309 |
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3427 | 3427 | | certificate of authority and a certificate of authority; 2310 |
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3428 | 3428 | | required restrictions on use of entrance fees. — 2311 |
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3429 | 3429 | | (4) Within 30 45 days after receipt of the information 2312 |
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3430 | 3430 | | required under subsection (2), the office shall examine the 2313 |
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3431 | 3431 | | information and notify the applicant in writing, specifically 2314 |
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3432 | 3432 | | requesting any additional information that the offi ce is 2315 |
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3433 | 3433 | | authorized to require. An application is deemed complete when 2316 |
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3434 | 3434 | | the office receives all requested information and the applicant 2317 |
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3435 | 3435 | | corrects any error or omission of which the applicant was timely 2318 |
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3436 | 3436 | | notified or when the time for such notification has expired . 2319 |
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3437 | 3437 | | Within 15 days after receipt of all of the requested additional 2320 |
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3438 | 3438 | | information, the office shall notify the applicant in writing 2321 |
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3439 | 3439 | | that all of the requested information has been received and that 2322 |
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3440 | 3440 | | the application is deemed complete as of the date of the notice . 2323 |
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3441 | 3441 | | Failure to notify the applicant in writing within the 15 -day 2324 |
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3442 | 3442 | | period constitutes acknowledgment by the office that it has 2325 |
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3443 | 3443 | | |
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3444 | 3444 | | HB 1141 2025 |
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3445 | 3445 | | |
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3446 | 3446 | | |
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3447 | 3447 | | |
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3448 | 3448 | | CODING: Words stricken are deletions; words underlined are additions. |
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3449 | 3449 | | hb1141-00 |
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3450 | 3450 | | Page 94 of 168 |
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3451 | 3451 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3452 | 3452 | | |
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3453 | 3453 | | |
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3454 | 3454 | | |
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3455 | 3455 | | received all requested additional information, and the 2326 |
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3456 | 3456 | | application is deemed complete for purposes of review on the 2327 |
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3457 | 3457 | | date the applicant files all of the required additional 2328 |
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3458 | 3458 | | information. 2329 |
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3459 | 3459 | | (5) Within 45 days after an application is deemed complete 2330 |
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3460 | 3460 | | as set forth in subsection (4) and upon completion of the 2331 |
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3461 | 3461 | | remaining requirements of this section, the office shall 2332 |
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3462 | 3462 | | complete its review and issu e or deny a certificate of authority 2333 |
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3463 | 3463 | | to the applicant. If a certificate of authority is denied, the 2334 |
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3464 | 3464 | | office shall notify the applicant in writing, citing the 2335 |
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3465 | 3465 | | specific failures to satisfy this chapter, and the applicant is 2336 |
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3466 | 3466 | | entitled to an administrative heari ng pursuant to chapter 120. 2337 |
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3467 | 3467 | | Section 53. Subsections (7) and (8) of section 651.022, 2338 |
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3468 | 3468 | | Florida Statutes, are renumbered as subsections (6) and (7), 2339 |
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3469 | 3469 | | respectively, and subsections (3) and (5) and present subsection 2340 |
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3470 | 3470 | | (6) of that section are amended to read: 2341 |
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3471 | 3471 | | 651.022 Provisional certificate of authority; 2342 |
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3472 | 3472 | | application.— 2343 |
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3473 | 3473 | | (3) In addition to the information required in subsection 2344 |
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3474 | 3474 | | (2), an applicant for a provisional certificate of authority 2345 |
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3475 | 3475 | | shall submit a feasibility study , prepared by an independent 2346 |
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3476 | 3476 | | consultant, with appropriate financial, marketing, and actuarial 2347 |
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3477 | 3477 | | assumptions for the first 5 years of operations. The feasibility 2348 |
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3478 | 3478 | | study must include at least the following information: 2349 |
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3479 | 3479 | | (a) A description of the proposed facility, including the 2350 |
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3480 | 3480 | | |
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3481 | 3481 | | HB 1141 2025 |
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3482 | 3482 | | |
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3483 | 3483 | | |
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3484 | 3484 | | |
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3485 | 3485 | | CODING: Words stricken are deletions; words underlined are additions. |
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3486 | 3486 | | hb1141-00 |
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3487 | 3487 | | Page 95 of 168 |
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3488 | 3488 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3489 | 3489 | | |
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3490 | 3490 | | |
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3491 | 3491 | | |
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3492 | 3492 | | location, size, anticipa ted completion date, and the proposed 2351 |
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3493 | 3493 | | construction program. 2352 |
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3494 | 3494 | | (b) An identification and evaluation of the primary and, 2353 |
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3495 | 3495 | | if appropriate, the secondary market areas of the facility and 2354 |
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3496 | 3496 | | the projected unit sales per month. 2355 |
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3497 | 3497 | | (c) Projected revenues, including an ticipated entrance 2356 |
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3498 | 3498 | | fees; monthly service fees; nursing care revenues, if 2357 |
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3499 | 3499 | | applicable; and all other sources of revenue. 2358 |
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3500 | 3500 | | (d) Projected expenses, including staffing requirements 2359 |
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3501 | 3501 | | and salaries; cost of property, plant, and equipment, including 2360 |
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3502 | 3502 | | depreciation expense; interest expense; marketing expense; and 2361 |
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3503 | 3503 | | other operating expenses. 2362 |
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3504 | 3504 | | (e) A projected balance sheet. 2363 |
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3505 | 3505 | | (f) Expectations of the financial condition of the 2364 |
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3506 | 3506 | | project, including the projected cash flow, and an estimate of 2365 |
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3507 | 3507 | | the funds anticipated to be neces sary to cover startup losses. 2366 |
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3508 | 3508 | | (g) The inflation factor, if any, assumed in the 2367 |
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3509 | 3509 | | feasibility study for the proposed facility and how and where it 2368 |
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3510 | 3510 | | is applied. 2369 |
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3511 | 3511 | | (h) Project costs and the total amount of debt financing 2370 |
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3512 | 3512 | | required, marketing projections, reside nt fees and charges, the 2371 |
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3513 | 3513 | | competition, resident contract provisions, and other factors 2372 |
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3514 | 3514 | | that affect the feasibility of the facility. 2373 |
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3515 | 3515 | | (i) Appropriate population projections, including 2374 |
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3516 | 3516 | | morbidity and mortality assumptions. 2375 |
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3517 | 3517 | | |
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3518 | 3518 | | HB 1141 2025 |
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3519 | 3519 | | |
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3520 | 3520 | | |
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3521 | 3521 | | |
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3522 | 3522 | | CODING: Words stricken are deletions; words underlined are additions. |
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3523 | 3523 | | hb1141-00 |
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3524 | 3524 | | Page 96 of 168 |
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3525 | 3525 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3526 | 3526 | | |
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3527 | 3527 | | |
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3528 | 3528 | | |
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3529 | 3529 | | (j) The name of the person who pre pared the feasibility 2376 |
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3530 | 3530 | | study and the experience of such person in preparing similar 2377 |
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3531 | 3531 | | studies or otherwise consulting in the field of continuing care. 2378 |
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3532 | 3532 | | The preparer of the feasibility study may be the provider or a 2379 |
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3533 | 3533 | | contracted third party. 2380 |
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3534 | 3534 | | (k) Any other infor mation that the applicant deems 2381 |
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3535 | 3535 | | relevant and appropriate to enable the office to make a more 2382 |
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3536 | 3536 | | informed determination. 2383 |
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3537 | 3537 | | (5)(a) Within 30 days after receipt of an application for 2384 |
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3538 | 3538 | | a provisional certificate of authority, the office shall examine 2385 |
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3539 | 3539 | | the application and shall notify the applicant in writing, 2386 |
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3540 | 3540 | | specifically setting forth and specifically requesting any 2387 |
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3541 | 3541 | | additional information the office is permitted by law to 2388 |
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3542 | 3542 | | require. If the application submitted is determined by the 2389 |
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3543 | 3543 | | office to be substantially incomplet e so as to require 2390 |
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3544 | 3544 | | substantial additional information, including biographical 2391 |
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3545 | 3545 | | information, the office may return the application to the 2392 |
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3546 | 3546 | | applicant with a written notice that the application as received 2393 |
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3547 | 3547 | | is substantially incomplete and, therefore, unacceptabl e for 2394 |
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3548 | 3548 | | filing without further action required by the office. Any filing 2395 |
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3549 | 3549 | | fee received shall be refunded to the applicant. 2396 |
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3550 | 3550 | | (b) Within 15 days after receipt of all of the requested 2397 |
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3551 | 3551 | | additional information, the office shall notify the applicant in 2398 |
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3552 | 3552 | | writing that all of the requested information has been received 2399 |
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3553 | 3553 | | and the application is deemed to be complete as of the date of 2400 |
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3554 | 3554 | | |
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3555 | 3555 | | HB 1141 2025 |
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3556 | 3556 | | |
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3557 | 3557 | | |
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3558 | 3558 | | |
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3559 | 3559 | | CODING: Words stricken are deletions; words underlined are additions. |
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3560 | 3560 | | hb1141-00 |
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3561 | 3561 | | Page 97 of 168 |
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3562 | 3562 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3563 | 3563 | | |
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3564 | 3564 | | |
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3565 | 3565 | | |
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3566 | 3566 | | the notice. Failure to so notify the applicant in writing within 2401 |
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3567 | 3567 | | the 15-day period shall constitute acknowledgment by the office 2402 |
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3568 | 3568 | | that it has received all requested additional information, and 2403 |
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3569 | 3569 | | the application shall be deemed to be complete for purposes of 2404 |
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3570 | 3570 | | review upon the date of the filing of all of the requested 2405 |
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3571 | 3571 | | additional information. 2406 |
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3572 | 3572 | | (6) Within 45 days after the date an application is deeme d 2407 |
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3573 | 3573 | | complete as set forth in paragraph (5)(b), the office shall 2408 |
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3574 | 3574 | | complete its review and issue a provisional certificate of 2409 |
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3575 | 3575 | | authority to the applicant based upon its review and a 2410 |
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3576 | 3576 | | determination that the application meets all requirements of 2411 |
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3577 | 3577 | | law, that the feasibility study was based on sufficient data and 2412 |
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3578 | 3578 | | reasonable assumptions, and that the applicant will be able to 2413 |
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3579 | 3579 | | provide continuing care or continuing care at -home as proposed 2414 |
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3580 | 3580 | | and meet all financial and contractual obligations related to 2415 |
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3581 | 3581 | | its operations, includ ing the financial requirements of this 2416 |
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3582 | 3582 | | chapter. If the application is denied, the office shall notify 2417 |
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3583 | 3583 | | the applicant in writing, citing the specific failures to meet 2418 |
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3584 | 3584 | | the provisions of this chapter. Such denial entitles the 2419 |
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3585 | 3585 | | applicant to a hearing pursuant to chapter 120. 2420 |
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3586 | 3586 | | Section 54. Subsections (4) through (9) of section 2421 |
---|
3587 | 3587 | | 651.023, Florida Statutes, are renumbered as subsections (3) 2422 |
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3588 | 3588 | | through (8), respectively, and paragraphs (c) and (h) of 2423 |
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3589 | 3589 | | subsection (1), subsection (2), and present subsections (3) and 2424 |
---|
3590 | 3590 | | (7) of that section are amended to read: 2425 |
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3591 | 3591 | | |
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3592 | 3592 | | HB 1141 2025 |
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3593 | 3593 | | |
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3594 | 3594 | | |
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3595 | 3595 | | |
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3596 | 3596 | | CODING: Words stricken are deletions; words underlined are additions. |
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3597 | 3597 | | hb1141-00 |
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3598 | 3598 | | Page 98 of 168 |
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3599 | 3599 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3600 | 3600 | | |
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3601 | 3601 | | |
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3602 | 3602 | | |
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3603 | 3603 | | 651.023 Certificate of authority; application. — 2426 |
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3604 | 3604 | | (1) After issuance of a provisional certificate of 2427 |
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3605 | 3605 | | authority, the office shall issue to the holder of such 2428 |
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3606 | 3606 | | provisional certificate a certificate of authority if the hol der 2429 |
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3607 | 3607 | | of the provisional certificate provides the office with the 2430 |
---|
3608 | 3608 | | following information: 2431 |
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3609 | 3609 | | (c) Subject to subsection (3) (4), a provider may submit 2432 |
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3610 | 3610 | | an application for a certificate of authority and any required 2433 |
---|
3611 | 3611 | | exhibits upon submission of documents evidencin g that the 2434 |
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3612 | 3612 | | project has a minimum of 30 percent of the units reserved for 2435 |
---|
3613 | 3613 | | which the provider is charging an entrance fee. 2436 |
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3614 | 3614 | | (h) Documents evidencing that the applicant has complied 2437 |
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3615 | 3615 | | with the escrow requirements of subsection (4) (5) or subsection 2438 |
---|
3616 | 3616 | | (6) (7) and will be able to comply with s. 651.035. 2439 |
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3617 | 3617 | | 2440 |
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3618 | 3618 | | If any material change occurs in the facts set forth in an 2441 |
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3619 | 3619 | | application filed with the office pursuant to this subsection, 2442 |
---|
3620 | 3620 | | an amendment setting forth such change must be filed with the 2443 |
---|
3621 | 3621 | | office within 10 business days after the applicant becomes aware 2444 |
---|
3622 | 3622 | | of such change, and a copy of the amendment must be sent by 2445 |
---|
3623 | 3623 | | registered mail to the principal office of the facility and to 2446 |
---|
3624 | 3624 | | the principal office of the controlling company. 2447 |
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3625 | 3625 | | (2) Within 30 days after receipt of the informa tion 2448 |
---|
3626 | 3626 | | required under subsection (1), the office shall examine such 2449 |
---|
3627 | 3627 | | information and notify the provider in writing, specifically 2450 |
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3628 | 3628 | | |
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3629 | 3629 | | HB 1141 2025 |
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3630 | 3630 | | |
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3631 | 3631 | | |
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3632 | 3632 | | |
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3633 | 3633 | | CODING: Words stricken are deletions; words underlined are additions. |
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3634 | 3634 | | hb1141-00 |
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3635 | 3635 | | Page 99 of 168 |
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3636 | 3636 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3637 | 3637 | | |
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3638 | 3638 | | |
---|
3639 | 3639 | | |
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3640 | 3640 | | requesting any additional information the office is permitted by 2451 |
---|
3641 | 3641 | | law to require. Within 15 days after receipt of all of the 2452 |
---|
3642 | 3642 | | requested additional information, the office shall notify the 2453 |
---|
3643 | 3643 | | provider in writing that all of the requested information has 2454 |
---|
3644 | 3644 | | been received and the application is deemed to be complete as of 2455 |
---|
3645 | 3645 | | the date of the notice. Failure to notify the applicant in 2456 |
---|
3646 | 3646 | | writing within the 15-day period constitutes acknowledgment by 2457 |
---|
3647 | 3647 | | the office that it has received all requested additional 2458 |
---|
3648 | 3648 | | information, and the application shall be deemed complete for 2459 |
---|
3649 | 3649 | | purposes of review on the date of filing all of the required 2460 |
---|
3650 | 3650 | | additional information. 2461 |
---|
3651 | 3651 | | (3) Within 45 days after an application is deemed complete 2462 |
---|
3652 | 3652 | | as set forth in subsection (2), and upon completion of the 2463 |
---|
3653 | 3653 | | remaining requirements of this section, the office shall 2464 |
---|
3654 | 3654 | | complete its review and issue or deny a certificate of authority 2465 |
---|
3655 | 3655 | | to the holder of a provisional certificate of authority. If a 2466 |
---|
3656 | 3656 | | certificate of authority is denied, the office must notify the 2467 |
---|
3657 | 3657 | | holder of the provisional certificate in writing, citing the 2468 |
---|
3658 | 3658 | | specific failures to satisfy the provisions of this chapter. If 2469 |
---|
3659 | 3659 | | denied, the holder of the provisional certificate is entitled to 2470 |
---|
3660 | 3660 | | an administrative hearing pursuant to chapter 120. 2471 |
---|
3661 | 3661 | | (6)(7) In lieu of the provider fulfilling the requirements 2472 |
---|
3662 | 3662 | | imposed under in subsection (4) (5) and paragraphs (5)(b) (6)(b) 2473 |
---|
3663 | 3663 | | and (c), the office may authorize th e release of escrowed funds 2474 |
---|
3664 | 3664 | | to retire all outstanding debts on the facility and equipment 2475 |
---|
3665 | 3665 | | |
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3666 | 3666 | | HB 1141 2025 |
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3667 | 3667 | | |
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3668 | 3668 | | |
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3669 | 3669 | | |
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3670 | 3670 | | CODING: Words stricken are deletions; words underlined are additions. |
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3671 | 3671 | | hb1141-00 |
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3672 | 3672 | | Page 100 of 168 |
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3673 | 3673 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3674 | 3674 | | |
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3675 | 3675 | | |
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3676 | 3676 | | |
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3677 | 3677 | | upon application of the provider and upon the provider's showing 2476 |
---|
3678 | 3678 | | that the provider will grant to the residents a first mortgage 2477 |
---|
3679 | 3679 | | on the land, buildings, and equipment that constitute the 2478 |
---|
3680 | 3680 | | facility, and that the provider has satisfied paragraphs (5)(a) 2479 |
---|
3681 | 3681 | | (6)(a) and (d). Such mortgage shall secure the refund of the 2480 |
---|
3682 | 3682 | | entrance fee in the amount required by this chapter. The 2481 |
---|
3683 | 3683 | | granting of such mortgage is subject to the following: 2482 |
---|
3684 | 3684 | | (a) The first mortgage is granted to an independent trust 2483 |
---|
3685 | 3685 | | that is beneficially held by the residents. The document 2484 |
---|
3686 | 3686 | | creating the trust must include a provision that agrees to an 2485 |
---|
3687 | 3687 | | annual audit and will furnish to the office all information the 2486 |
---|
3688 | 3688 | | office may reasonably require. The mortgage may secure payment 2487 |
---|
3689 | 3689 | | on bonds issued to the residents or trustee. Such bonds are 2488 |
---|
3690 | 3690 | | redeemable after termination of the residency contract in the 2489 |
---|
3691 | 3691 | | amount and manner required by this chapter for the refund of an 2490 |
---|
3692 | 3692 | | entrance fee. 2491 |
---|
3693 | 3693 | | (b) Before granting a first mortgage to the residents, all 2492 |
---|
3694 | 3694 | | construction must be substantially completed and substantially 2493 |
---|
3695 | 3695 | | all equipment must be purchased. No part of the entrance fees 2494 |
---|
3696 | 3696 | | may be pledged as security for a construction loan or otherwise 2495 |
---|
3697 | 3697 | | used for construction expenses before the completion of 2496 |
---|
3698 | 3698 | | construction. 2497 |
---|
3699 | 3699 | | (c) If the provider is leasing the land or buildings used 2498 |
---|
3700 | 3700 | | by the facility, the leasehold interest must be for a term of at 2499 |
---|
3701 | 3701 | | least 30 years. 2500 |
---|
3702 | 3702 | | |
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3703 | 3703 | | HB 1141 2025 |
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3704 | 3704 | | |
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3705 | 3705 | | |
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3706 | 3706 | | |
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3707 | 3707 | | CODING: Words stricken are deletions; words underlined are additions. |
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3708 | 3708 | | hb1141-00 |
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3709 | 3709 | | Page 101 of 168 |
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3710 | 3710 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3711 | 3711 | | |
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3712 | 3712 | | |
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3713 | 3713 | | |
---|
3714 | 3714 | | Section 55. Subsection (3) of section 651.024, Flori da 2501 |
---|
3715 | 3715 | | Statutes, is renumbered as subsection (5), and new subsections 2502 |
---|
3716 | 3716 | | (3) and (4) are added to that section to read: 2503 |
---|
3717 | 3717 | | 651.024 Acquisition. — 2504 |
---|
3718 | 3718 | | (3) A bondholder that obtains consent rights from a 2505 |
---|
3719 | 3719 | | provider which allow the bondholder to have oversight or 2506 |
---|
3720 | 3720 | | decisionmaking authority over a facility or in the financial 2507 |
---|
3721 | 3721 | | decisions of the facility is subject to s. 628.4615 and is not 2508 |
---|
3722 | 3722 | | required to submit filings pursuant to s. 651.022, s. 651.023, 2509 |
---|
3723 | 3723 | | or s. 651.0245. For purposes of this subsection, the term 2510 |
---|
3724 | 3724 | | "consent rights" includes, but is not limited to, all of the 2511 |
---|
3725 | 3725 | | following: 2512 |
---|
3726 | 3726 | | (a) Approving or initiating the sale of a facility. 2513 |
---|
3727 | 3727 | | (b) Approving or entering into an affiliation arrangement 2514 |
---|
3728 | 3728 | | on behalf of the facility. 2515 |
---|
3729 | 3729 | | (c) Approving or executing new or amended financing for 2516 |
---|
3730 | 3730 | | the facility. 2517 |
---|
3731 | 3731 | | (d) Approving or entering into a forbearance agreement for 2518 |
---|
3732 | 3732 | | the facility. 2519 |
---|
3733 | 3733 | | (4) A continuing care retirement community that enters 2520 |
---|
3734 | 3734 | | into an affiliation agreement with another entity resulting in a 2521 |
---|
3735 | 3735 | | change of officers, directors, or effective contr ol is subject 2522 |
---|
3736 | 3736 | | to s. 628.4615 and is not required to submit filings pursuant to 2523 |
---|
3737 | 3737 | | s. 651.022, s. 651.023, or s. 651.0245. 2524 |
---|
3738 | 3738 | | Section 56. Paragraph (a) of subsection (2), paragraph (a) 2525 |
---|
3739 | 3739 | | |
---|
3740 | 3740 | | HB 1141 2025 |
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3741 | 3741 | | |
---|
3742 | 3742 | | |
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3743 | 3743 | | |
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3744 | 3744 | | CODING: Words stricken are deletions; words underlined are additions. |
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3745 | 3745 | | hb1141-00 |
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3746 | 3746 | | Page 102 of 168 |
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3747 | 3747 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3748 | 3748 | | |
---|
3749 | 3749 | | |
---|
3750 | 3750 | | |
---|
3751 | 3751 | | of subsection (5), and subsection (6) of section 651.0246, 2526 |
---|
3752 | 3752 | | Florida Statutes, are amended to read: 2527 |
---|
3753 | 3753 | | 651.0246 Expansions. — 2528 |
---|
3754 | 3754 | | (2) A provider applying for expansion of a certificated 2529 |
---|
3755 | 3755 | | facility must submit all of the following: 2530 |
---|
3756 | 3756 | | (a) A feasibility study prepared by an independent 2531 |
---|
3757 | 3757 | | certified public accountant. The feasibility study mus t include 2532 |
---|
3758 | 3758 | | at least the following information: 2533 |
---|
3759 | 3759 | | 1. A description of the facility and proposed expansion, 2534 |
---|
3760 | 3760 | | including the location, the size, the anticipated completion 2535 |
---|
3761 | 3761 | | date, and the proposed construction program. 2536 |
---|
3762 | 3762 | | 2. An identification and evaluation of the primary and, if 2537 |
---|
3763 | 3763 | | applicable, secondary market areas of the facility and the 2538 |
---|
3764 | 3764 | | projected unit sales per month. 2539 |
---|
3765 | 3765 | | 3. Projected revenues, including anticipated entrance 2540 |
---|
3766 | 3766 | | fees; monthly service fees; nursing care revenues, if 2541 |
---|
3767 | 3767 | | applicable; and all other sources of re venue. 2542 |
---|
3768 | 3768 | | 4. Projected expenses, including for staffing requirements 2543 |
---|
3769 | 3769 | | and salaries; the cost of property, plant, and equipment, 2544 |
---|
3770 | 3770 | | including depreciation expense; interest expense; marketing 2545 |
---|
3771 | 3771 | | expense; and other operating expenses. 2546 |
---|
3772 | 3772 | | 5. A projected balance sheet of the applicant. 2547 |
---|
3773 | 3773 | | 6. The expectations for the financial condition of the 2548 |
---|
3774 | 3774 | | project, including the projected cash flow and an estimate of 2549 |
---|
3775 | 3775 | | the funds anticipated to be necessary to cover startup losses. 2550 |
---|
3776 | 3776 | | |
---|
3777 | 3777 | | HB 1141 2025 |
---|
3778 | 3778 | | |
---|
3779 | 3779 | | |
---|
3780 | 3780 | | |
---|
3781 | 3781 | | CODING: Words stricken are deletions; words underlined are additions. |
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3782 | 3782 | | hb1141-00 |
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3783 | 3783 | | Page 103 of 168 |
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3784 | 3784 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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3785 | 3785 | | |
---|
3786 | 3786 | | |
---|
3787 | 3787 | | |
---|
3788 | 3788 | | 7. The inflation factor, if any, assumed in the study for 2551 |
---|
3789 | 3789 | | the proposed expansion and how and where it is applied. 2552 |
---|
3790 | 3790 | | 8. Project costs; the total amount of debt financing 2553 |
---|
3791 | 3791 | | required; marketing projections; resident rates, fees, and 2554 |
---|
3792 | 3792 | | charges; the competition; resident contract provisions; and 2555 |
---|
3793 | 3793 | | other factors that aff ect the feasibility of the facility. 2556 |
---|
3794 | 3794 | | 9. Appropriate population projections, including morbidity 2557 |
---|
3795 | 3795 | | and mortality assumptions. 2558 |
---|
3796 | 3796 | | 10. The name of the person who prepared the feasibility 2559 |
---|
3797 | 3797 | | study and his or her experience in preparing similar studies or 2560 |
---|
3798 | 3798 | | otherwise consulting in the field of continuing care. 2561 |
---|
3799 | 3799 | | 11. Financial forecasts or projections prepared in 2562 |
---|
3800 | 3800 | | accordance with standards adopted by the American Institute of 2563 |
---|
3801 | 3801 | | Certified Public Accountants or in accordance with standards for 2564 |
---|
3802 | 3802 | | feasibility studies for continuing care retirement communities 2565 |
---|
3803 | 3803 | | adopted by the Actuarial Standards Board. 2566 |
---|
3804 | 3804 | | 12. An independent evaluation and examination opinion for 2567 |
---|
3805 | 3805 | | the first 5 years of operations, or a comparable opinion 2568 |
---|
3806 | 3806 | | acceptable to the office, by the certified public accounta nt who 2569 |
---|
3807 | 3807 | | prepared the study, of the underlying assumptions used as a 2570 |
---|
3808 | 3808 | | basis for the forecasts or projections in the study and that the 2571 |
---|
3809 | 3809 | | assumptions are reasonable and proper and the project as 2572 |
---|
3810 | 3810 | | proposed is feasible. 2573 |
---|
3811 | 3811 | | 13. The description of and plan for the ongoing operation 2574 |
---|
3812 | 3812 | | of existing facilities. 2575 |
---|
3813 | 3813 | | |
---|
3814 | 3814 | | HB 1141 2025 |
---|
3815 | 3815 | | |
---|
3816 | 3816 | | |
---|
3817 | 3817 | | |
---|
3818 | 3818 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
3819 | 3819 | | hb1141-00 |
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3820 | 3820 | | Page 104 of 168 |
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3821 | 3821 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
3822 | 3822 | | |
---|
3823 | 3823 | | |
---|
3824 | 3824 | | |
---|
3825 | 3825 | | 14.13. Any other information that the provider deems 2576 |
---|
3826 | 3826 | | relevant and appropriate to provide to enable the office to make 2577 |
---|
3827 | 3827 | | a more informed determination. 2578 |
---|
3828 | 3828 | | 2579 |
---|
3829 | 3829 | | If any material change occurs in the facts set forth in an 2580 |
---|
3830 | 3830 | | application filed with the office pursuant to this section, an 2581 |
---|
3831 | 3831 | | amendment setting forth such change must be filed with the 2582 |
---|
3832 | 3832 | | office within 10 business days after the applicant becomes aware 2583 |
---|
3833 | 3833 | | of such change, and a copy of the amendment must be sent by 2584 |
---|
3834 | 3834 | | registered mail to the principal office of the facility and to 2585 |
---|
3835 | 3835 | | the principal office of the controlling company. 2586 |
---|
3836 | 3836 | | (5)(a) Within 30 days after receipt of an application for 2587 |
---|
3837 | 3837 | | expansion, the office shall examine the application and shall 2588 |
---|
3838 | 3838 | | notify the applicant in writing, s pecifically requesting any 2589 |
---|
3839 | 3839 | | additional information that the office is authorized to require. 2590 |
---|
3840 | 3840 | | Within 15 days after the office receives all the requested 2591 |
---|
3841 | 3841 | | additional information, the office shall notify the applicant in 2592 |
---|
3842 | 3842 | | writing that the requested information h as been received and 2593 |
---|
3843 | 3843 | | that the application is deemed complete as of the date of the 2594 |
---|
3844 | 3844 | | notice. Failure to notify the applicant in writing within the 2595 |
---|
3845 | 3845 | | 15-day period constitutes acknowledgment by the office that it 2596 |
---|
3846 | 3846 | | has received all requested additional informatio n, and the 2597 |
---|
3847 | 3847 | | application is deemed complete for purposes of review on the 2598 |
---|
3848 | 3848 | | date the applicant files all of the required additional 2599 |
---|
3849 | 3849 | | information. If the application submitted is determined by the 2600 |
---|
3850 | 3850 | | |
---|
3851 | 3851 | | HB 1141 2025 |
---|
3852 | 3852 | | |
---|
3853 | 3853 | | |
---|
3854 | 3854 | | |
---|
3855 | 3855 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
3856 | 3856 | | hb1141-00 |
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3857 | 3857 | | Page 105 of 168 |
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3858 | 3858 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
3859 | 3859 | | |
---|
3860 | 3860 | | |
---|
3861 | 3861 | | |
---|
3862 | 3862 | | office to be substantially incomplete so as to require 2601 |
---|
3863 | 3863 | | substantial additional information, including biographical 2602 |
---|
3864 | 3864 | | information, the office may return the application to the 2603 |
---|
3865 | 3865 | | applicant with a written notice stating that the application as 2604 |
---|
3866 | 3866 | | received is substantially incomplete and, therefore, is 2605 |
---|
3867 | 3867 | | unacceptable for filing witho ut further action required by the 2606 |
---|
3868 | 3868 | | office. Any filing fee received must be refunded to the 2607 |
---|
3869 | 3869 | | applicant. 2608 |
---|
3870 | 3870 | | (6) Within 45 30 days after the date on which an 2609 |
---|
3871 | 3871 | | application is deemed complete as provided in paragraph (5)(b), 2610 |
---|
3872 | 3872 | | the office shall complete its review and , based upon its review, 2611 |
---|
3873 | 3873 | | approve an expansion by the applicant and issue a determination 2612 |
---|
3874 | 3874 | | that the application meets all requirements of law, that the 2613 |
---|
3875 | 3875 | | feasibility study was based on sufficient data and reasonable 2614 |
---|
3876 | 3876 | | assumptions, and that the applicant will be able to provide 2615 |
---|
3877 | 3877 | | continuing care or continuing care at -home as proposed and meet 2616 |
---|
3878 | 3878 | | all financial and contractual obligations related to its 2617 |
---|
3879 | 3879 | | operations, including the financial requirements of this 2618 |
---|
3880 | 3880 | | chapter. If the application is denied, the office must notify 2619 |
---|
3881 | 3881 | | the applicant in writing, citing the specific failures to meet 2620 |
---|
3882 | 3882 | | the requirements of this chapter. The denial entitles the 2621 |
---|
3883 | 3883 | | applicant to a hearing pursuant to chapter 120. 2622 |
---|
3884 | 3884 | | Section 57. Subsections (3) through (10) of section 2623 |
---|
3885 | 3885 | | 651.026, Florida Statutes, are renumbered as subsections (5) 2624 |
---|
3886 | 3886 | | through (12), respectively, subsection (1), paragraphs (e) and 2625 |
---|
3887 | 3887 | | |
---|
3888 | 3888 | | HB 1141 2025 |
---|
3889 | 3889 | | |
---|
3890 | 3890 | | |
---|
3891 | 3891 | | |
---|
3892 | 3892 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
3893 | 3893 | | hb1141-00 |
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3894 | 3894 | | Page 106 of 168 |
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3895 | 3895 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
3896 | 3896 | | |
---|
3897 | 3897 | | |
---|
3898 | 3898 | | |
---|
3899 | 3899 | | (f) of subsection (2), and present subsection (6) are amended, 2626 |
---|
3900 | 3900 | | paragraphs (g) and (h) are added to subsection (2), and new 2627 |
---|
3901 | 3901 | | subsections (3) and (4) are added to tha t section, to read: 2628 |
---|
3902 | 3902 | | 651.026 Annual and quarterly reports.— 2629 |
---|
3903 | 3903 | | (1) Annually, on or before May 1, the provider shall file 2630 |
---|
3904 | 3904 | | an annual report and such other information and data showing its 2631 |
---|
3905 | 3905 | | condition as of the last day of the preceding calendar year, 2632 |
---|
3906 | 3906 | | except as provided in subsection (7) (5). If the office does not 2633 |
---|
3907 | 3907 | | receive the required information on or before May 1, a late fee 2634 |
---|
3908 | 3908 | | may be charged pursuant to s. 651.015(2)(c). The office may 2635 |
---|
3909 | 3909 | | approve an extension of up to 30 days. 2636 |
---|
3910 | 3910 | | (2) The annual report shall be in s uch form as the 2637 |
---|
3911 | 3911 | | commission prescribes and shall contain at least the following: 2638 |
---|
3912 | 3912 | | (e) Each facility shall file with the office annually, 2639 |
---|
3913 | 3913 | | together with the annual report required by this section, A 2640 |
---|
3914 | 3914 | | computation of its minimum liquid reserve calculated in 2641 |
---|
3915 | 3915 | | accordance with s. 651.035 on a form prescribed by the 2642 |
---|
3916 | 3916 | | commission. 2643 |
---|
3917 | 3917 | | (f) If, due to a change in generally accepted accounting 2644 |
---|
3918 | 3918 | | principles, the balance sheet, statement of income and expenses, 2645 |
---|
3919 | 3919 | | statement of equity or fund balances, or statement of cash flows 2646 |
---|
3920 | 3920 | | is known by any other name or title, the annual report must 2647 |
---|
3921 | 3921 | | contain Financial statements using the changed name names or 2648 |
---|
3922 | 3922 | | title titles that most closely corresponds correspond to a 2649 |
---|
3923 | 3923 | | balance sheet, statement of income and expenses, statement of 2650 |
---|
3924 | 3924 | | |
---|
3925 | 3925 | | HB 1141 2025 |
---|
3926 | 3926 | | |
---|
3927 | 3927 | | |
---|
3928 | 3928 | | |
---|
3929 | 3929 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
3930 | 3930 | | hb1141-00 |
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3931 | 3931 | | Page 107 of 168 |
---|
3932 | 3932 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
3933 | 3933 | | |
---|
3934 | 3934 | | |
---|
3935 | 3935 | | |
---|
3936 | 3936 | | equity or fund balances, and statement of changes in cash flows , 2651 |
---|
3937 | 3937 | | in the event that, due to a change in generally accepted 2652 |
---|
3938 | 3938 | | accounting principles, the balance sheet, statement of income 2653 |
---|
3939 | 3939 | | and expenses, statement of equity or fund balances, or statement 2654 |
---|
3940 | 3940 | | of cash flows is known b y another name or title . 2655 |
---|
3941 | 3941 | | (g) An accounts payable aging schedule that lists all 2656 |
---|
3942 | 3942 | | outstanding debt obligations and the corresponding amounts owed 2657 |
---|
3943 | 3943 | | to each vendor. 2658 |
---|
3944 | 3944 | | (h) Details on any debt that has been forgiven or deferred 2659 |
---|
3945 | 3945 | | during the period. Details must in clude the entity the debt is 2660 |
---|
3946 | 3946 | | due to, the amount forgiven or deferred, an explanation as to 2661 |
---|
3947 | 3947 | | why the debt was forgiven or deferred, and whether the debt has 2662 |
---|
3948 | 3948 | | been assumed by another party on behalf of the facility. 2663 |
---|
3949 | 3949 | | (3) Each facility shall file quarterly wit h the office all 2664 |
---|
3950 | 3950 | | escrow bank statements for the last quarter of the reporting 2665 |
---|
3951 | 3951 | | period which support the funds held in each of the minimum 2666 |
---|
3952 | 3952 | | liquid reserves bank accounts. The liquid reserves funds include 2667 |
---|
3953 | 3953 | | the debt service reserve, the operating reserve, and t he renewal 2668 |
---|
3954 | 3954 | | and replacement reserve. 2669 |
---|
3955 | 3955 | | (4) Any provider that has been placed into administrative 2670 |
---|
3956 | 3956 | | supervision under s. 651.018 shall provide a compiled 2 -year 2671 |
---|
3957 | 3957 | | forecast, submitted on a form prescribed by the office, as long 2672 |
---|
3958 | 3958 | | as the provider operates under admi nistrative supervision. The 2673 |
---|
3959 | 3959 | | compiled data in the 2 -year forecast shall be presented on a 2674 |
---|
3960 | 3960 | | monthly basis. 2675 |
---|
3961 | 3961 | | |
---|
3962 | 3962 | | HB 1141 2025 |
---|
3963 | 3963 | | |
---|
3964 | 3964 | | |
---|
3965 | 3965 | | |
---|
3966 | 3966 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
3967 | 3967 | | hb1141-00 |
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3968 | 3968 | | Page 108 of 168 |
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3969 | 3969 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
3970 | 3970 | | |
---|
3971 | 3971 | | |
---|
3972 | 3972 | | |
---|
3973 | 3973 | | (8)(6) The workpapers, account analyses, descriptions of 2676 |
---|
3974 | 3974 | | basic assumptions, and other information necessary for a full 2677 |
---|
3975 | 3975 | | understanding of the annual sta tement of a provider as filed 2678 |
---|
3976 | 3976 | | with the office shall be made available for visual inspection by 2679 |
---|
3977 | 3977 | | the office at the facility or, if the office requests, at 2680 |
---|
3978 | 3978 | | another agreed-upon site. Photocopies shall be provided to the 2681 |
---|
3979 | 3979 | | office upon request may not be made unle ss consented to by the 2682 |
---|
3980 | 3980 | | provider. 2683 |
---|
3981 | 3981 | | Section 58. Subsections (2), (3), and (4) of section 2684 |
---|
3982 | 3982 | | 651.0261, Florida Statutes, are renumbered as subsections (3), 2685 |
---|
3983 | 3983 | | (4), and (5), respectively, subsection (1) and present 2686 |
---|
3984 | 3984 | | subsection (3) are amended, and a new subsection (2) is added to 2687 |
---|
3985 | 3985 | | that section, to read: 2688 |
---|
3986 | 3986 | | 651.0261 Quarterly and monthly statements. — 2689 |
---|
3987 | 3987 | | (1) Within 45 days after the end of each fiscal quarter, 2690 |
---|
3988 | 3988 | | each provider shall file a quarterly unaudited financial 2691 |
---|
3989 | 3989 | | statement of the provider or of the facility in the fo rm 2692 |
---|
3990 | 3990 | | prescribed by commission rule and days cash on hand, occupancy, 2693 |
---|
3991 | 3991 | | debt service coverage ratio, and a detailed listing of the 2694 |
---|
3992 | 3992 | | assets maintained in the liquid reserve as required under s. 2695 |
---|
3993 | 3993 | | 651.035. The last quarterly statement for a fiscal year is not 2696 |
---|
3994 | 3994 | | required if a provider does not have pending a regulatory action 2697 |
---|
3995 | 3995 | | level event, impairment, or a corrective action plan. If a 2698 |
---|
3996 | 3996 | | provider falls below two or more of the thresholds set forth in 2699 |
---|
3997 | 3997 | | s. 651.011(29) s. 651.011(26) at the end of any fiscal quarter, 2700 |
---|
3998 | 3998 | | |
---|
3999 | 3999 | | HB 1141 2025 |
---|
4000 | 4000 | | |
---|
4001 | 4001 | | |
---|
4002 | 4002 | | |
---|
4003 | 4003 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
4004 | 4004 | | hb1141-00 |
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4005 | 4005 | | Page 109 of 168 |
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4006 | 4006 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4007 | 4007 | | |
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4008 | 4008 | | |
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4009 | 4009 | | |
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4010 | 4010 | | the provider shall submit to the office, at the same time as the 2701 |
---|
4011 | 4011 | | quarterly statement, an explanation of the circumstances and a 2702 |
---|
4012 | 4012 | | description of the actions it will take to meet the 2703 |
---|
4013 | 4013 | | requirements. 2704 |
---|
4014 | 4014 | | (2) Each provider shall file with the office quarterly, 2705 |
---|
4015 | 4015 | | together with the quarterly statement required by this section: 2706 |
---|
4016 | 4016 | | (a) All escrow bank statements for each quarter which 2707 |
---|
4017 | 4017 | | support the funds held in each of the minimum liquid reserve 2708 |
---|
4018 | 4018 | | bank account, including, but not limited to, the debt service 2709 |
---|
4019 | 4019 | | reserve, the operating rese rve, and the renewal and replacement 2710 |
---|
4020 | 4020 | | reserve. 2711 |
---|
4021 | 4021 | | (b) An accounts payable aging schedule that lists all 2712 |
---|
4022 | 4022 | | outstanding debt obligations and the corresponding amounts owed 2713 |
---|
4023 | 4023 | | to vendors. 2714 |
---|
4024 | 4024 | | (c) Details on any debt that has been forgiven or deferred 2715 |
---|
4025 | 4025 | | during the period. Such details must include the entity the debt 2716 |
---|
4026 | 4026 | | is due to, the amount forgiven or deferred, an explanation as to 2717 |
---|
4027 | 4027 | | why the debt was forgiven or deferred, and whether the debt has 2718 |
---|
4028 | 4028 | | been assumed by another party on behalf of the facility. If a 2719 |
---|
4029 | 4029 | | facility is required to file monthly financial statements with 2720 |
---|
4030 | 4030 | | the office, the facility is required to include details on 2721 |
---|
4031 | 4031 | | forgiven or deferred debt with the monthly filing. 2722 |
---|
4032 | 4032 | | (4)(3) A filing under subsection (3) (2) may be required 2723 |
---|
4033 | 4033 | | if any of the following applies: 2724 |
---|
4034 | 4034 | | (a) The provider is: 2725 |
---|
4035 | 4035 | | |
---|
4036 | 4036 | | HB 1141 2025 |
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4037 | 4037 | | |
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4038 | 4038 | | |
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4039 | 4039 | | |
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4040 | 4040 | | CODING: Words stricken are deletions; words underlined are additions. |
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4041 | 4041 | | hb1141-00 |
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4042 | 4042 | | Page 110 of 168 |
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4043 | 4043 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4044 | 4044 | | |
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4045 | 4045 | | |
---|
4046 | 4046 | | |
---|
4047 | 4047 | | 1. Subject to administrative supervision proceedings; 2726 |
---|
4048 | 4048 | | 2. Subject to a corrective action plan resulting from a 2727 |
---|
4049 | 4049 | | regulatory action level event and for up to 2 years after the 2728 |
---|
4050 | 4050 | | factors that caused the regulatory action level event have been 2729 |
---|
4051 | 4051 | | corrected; or 2730 |
---|
4052 | 4052 | | 3. Subject to delinquency or receivership proceedings or 2731 |
---|
4053 | 4053 | | has filed for bankruptcy. 2732 |
---|
4054 | 4054 | | (b) The provider or facility displays a declining 2733 |
---|
4055 | 4055 | | financial position. 2734 |
---|
4056 | 4056 | | (c) A change of ownership of the provider or facility has 2735 |
---|
4057 | 4057 | | occurred within the previ ous 2 years. 2736 |
---|
4058 | 4058 | | (d) The provider is found to be impaired. 2737 |
---|
4059 | 4059 | | Section 59. Paragraph (c) of subsection (1), subsection 2738 |
---|
4060 | 4060 | | (2), paragraph (a) of subsection (3), and paragraph (c) of 2739 |
---|
4061 | 4061 | | subsection (5) of section 651.033, Florida Statutes, are 2740 |
---|
4062 | 4062 | | amended, and subsection (7) is added to that section, to read: 2741 |
---|
4063 | 4063 | | 651.033 Escrow accounts. — 2742 |
---|
4064 | 4064 | | (1) When funds are required to be deposited in an escrow 2743 |
---|
4065 | 4065 | | account pursuant to s. 651.0215, s. 651.022, s. 651.023, s. 2744 |
---|
4066 | 4066 | | 651.0246, s. 651.035, or s. 651.055: 2745 |
---|
4067 | 4067 | | (c) Any agreement establishing an escrow account required 2746 |
---|
4068 | 4068 | | under this chapter is subject to approval by the office before 2747 |
---|
4069 | 4069 | | execution. The agreement must be in writing and contain, in 2748 |
---|
4070 | 4070 | | addition to any other provisions required by law, a provision 2749 |
---|
4071 | 4071 | | whereby the escrow agent agrees to abide by the duties imposed 2750 |
---|
4072 | 4072 | | |
---|
4073 | 4073 | | HB 1141 2025 |
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4074 | 4074 | | |
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4075 | 4075 | | |
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4076 | 4076 | | |
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4078 | 4078 | | hb1141-00 |
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4079 | 4079 | | Page 111 of 168 |
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4080 | 4080 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4081 | 4081 | | |
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4082 | 4082 | | |
---|
4083 | 4083 | | |
---|
4084 | 4084 | | by paragraphs (b) and (e), (3)(a) and (b), (5)(a), and 2751 |
---|
4085 | 4085 | | subsection (6). 2752 |
---|
4086 | 4086 | | (2)(a) As used in this subsection, the term "emergency" 2753 |
---|
4087 | 4087 | | means conditions that exist beyond the control of the provider, 2754 |
---|
4088 | 4088 | | such as severe damage to the provider's phy sical premises caused 2755 |
---|
4089 | 4089 | | by a natural or manmade disaster or another event of comparable 2756 |
---|
4090 | 4090 | | gravity and severity. 2757 |
---|
4091 | 4091 | | (b) Notwithstanding s. 651.035(7), in the event of an 2758 |
---|
4092 | 4092 | | emergency and upon written petition by the provider to the 2759 |
---|
4093 | 4093 | | office, on a form prescribed by the office, the office may allow 2760 |
---|
4094 | 4094 | | a withdrawal of up to 10 percent of the required minimum liquid 2761 |
---|
4095 | 4095 | | reserve, consistent with the requirements governing how funds 2762 |
---|
4096 | 4096 | | can be used under s. 651.035. Before submitting the petition to 2763 |
---|
4097 | 4097 | | the office, the provider must mee t with the office to review the 2764 |
---|
4098 | 4098 | | emergency petition. In the meeting, the provider must address 2765 |
---|
4099 | 4099 | | the details of the emergency, the circumstances leading to the 2766 |
---|
4100 | 4100 | | need for an emergency petition, the provider's plan to mitigate 2767 |
---|
4101 | 4101 | | the emergency, the amount being req uested, and the provider's 2768 |
---|
4102 | 4102 | | plan and timeline to restore the minimum liquid reserves into 2769 |
---|
4103 | 4103 | | compliance with s. 651.035 . The office shall have 10 business 3 2770 |
---|
4104 | 4104 | | working days to deny the petition for the emergency 10 -percent 2771 |
---|
4105 | 4105 | | withdrawal. If the office fails to deny the petition within 10 2772 |
---|
4106 | 4106 | | business 3 working days, the petition is deemed to have been 2773 |
---|
4107 | 4107 | | granted by the office. For purposes of this section, the term 2774 |
---|
4108 | 4108 | | "business day working day" means each day that is not a 2775 |
---|
4109 | 4109 | | |
---|
4110 | 4110 | | HB 1141 2025 |
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4111 | 4111 | | |
---|
4112 | 4112 | | |
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4113 | 4113 | | |
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4114 | 4114 | | CODING: Words stricken are deletions; words underlined are additions. |
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4115 | 4115 | | hb1141-00 |
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4116 | 4116 | | Page 112 of 168 |
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4117 | 4117 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4118 | 4118 | | |
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4119 | 4119 | | |
---|
4120 | 4120 | | |
---|
4121 | 4121 | | Saturday, Sunday, or legal holiday as defined by Flori da law. 2776 |
---|
4122 | 4122 | | Also, for purposes of this section, the day the petition is 2777 |
---|
4123 | 4123 | | received by the office is not counted as one of the 10 3 days. 2778 |
---|
4124 | 4124 | | (3) When entrance fees are required to be deposited in an 2779 |
---|
4125 | 4125 | | escrow account pursuant to s. 651.0215, s. 651.022, s. 651.023, 2780 |
---|
4126 | 4126 | | s. 651.0246, or s. 651.055: 2781 |
---|
4127 | 4127 | | (a) The provider shall deliver to the resident a written 2782 |
---|
4128 | 4128 | | receipt. The receipt must show the payor's name and address, the 2783 |
---|
4129 | 4129 | | date, the price of the care contract, and the amount of money 2784 |
---|
4130 | 4130 | | paid. A copy of each receipt, together with the funds, must be 2785 |
---|
4131 | 4131 | | deposited with the escrow agent or as provided in paragraph (c). 2786 |
---|
4132 | 4132 | | The escrow agent must release such funds to the provider 7 days 2787 |
---|
4133 | 4133 | | after the date of receipt of the funds by the escrow agent if 2788 |
---|
4134 | 4134 | | the provider, operating under a certificate o f authority issued 2789 |
---|
4135 | 4135 | | by the office, has met the requirements of s. 651.0215(7) s. 2790 |
---|
4136 | 4136 | | 651.0215(8), s. 651.023(5) s. 651.023(6), or s. 651.0246. 2791 |
---|
4137 | 4137 | | However, if the resident rescinds the contract within the 7 -day 2792 |
---|
4138 | 4138 | | period, the escrow agent must release the escrowed fee s to the 2793 |
---|
4139 | 4139 | | resident. 2794 |
---|
4140 | 4140 | | (5) When funds are required to be deposited in an escrow 2795 |
---|
4141 | 4141 | | account pursuant to s. 651.0215, s. 651.022, s. 651.023, s. 2796 |
---|
4142 | 4142 | | 651.0246, or s. 651.035, the following apply: 2797 |
---|
4143 | 4143 | | (c) In accordance with the annual and quarterly filing 2798 |
---|
4144 | 4144 | | deadlines set forth in ss. 651.026 and 651.0261 On or before the 2799 |
---|
4145 | 4145 | | 20th day of the month following the quarter for which the 2800 |
---|
4146 | 4146 | | |
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4147 | 4147 | | HB 1141 2025 |
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4148 | 4148 | | |
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4149 | 4149 | | |
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4150 | 4150 | | |
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4151 | 4151 | | CODING: Words stricken are deletions; words underlined are additions. |
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4152 | 4152 | | hb1141-00 |
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4153 | 4153 | | Page 113 of 168 |
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4154 | 4154 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4155 | 4155 | | |
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4156 | 4156 | | |
---|
4157 | 4157 | | |
---|
4158 | 4158 | | statement is due, the provider shall file with the office a copy 2801 |
---|
4159 | 4159 | | of the escrow agent's statement or, if the provider has not 2802 |
---|
4160 | 4160 | | received the escrow age nt's statement, a copy of the written 2803 |
---|
4161 | 4161 | | request to the escrow agent for the statement. 2804 |
---|
4162 | 4162 | | (7) The escrow agent shall provide prompt written 2805 |
---|
4163 | 4163 | | notification to the office upon withdrawal of any funds from an 2806 |
---|
4164 | 4164 | | account required by s. 651.035. Any escrow agreement es tablished 2807 |
---|
4165 | 4165 | | to meet any requirement of s. 651.035 must contain this 2808 |
---|
4166 | 4166 | | provision. 2809 |
---|
4167 | 4167 | | Section 60. Subsection (2) of section 651.034, Florida 2810 |
---|
4168 | 4168 | | Statutes, is amended to read: 2811 |
---|
4169 | 4169 | | 651.034 Financial and operating requirements for 2812 |
---|
4170 | 4170 | | providers.— 2813 |
---|
4171 | 4171 | | (2) Except when the offic e's remedial rights are suspended 2814 |
---|
4172 | 4172 | | pursuant to s. 651.114(11)(a), The office must take action 2815 |
---|
4173 | 4173 | | necessary to place an impaired provider under regulatory 2816 |
---|
4174 | 4174 | | control, including administrative supervision or any remedy 2817 |
---|
4175 | 4175 | | available under part I of chapter 631. An impairment is 2818 |
---|
4176 | 4176 | | sufficient grounds for the department to be appointed as 2819 |
---|
4177 | 4177 | | receiver as provided in chapter 631, except when the office's 2820 |
---|
4178 | 4178 | | remedial rights are suspended pursuant to s. 651.114(11)(a). If 2821 |
---|
4179 | 4179 | | the office's remedial rights are suspended pursuant to s. 2822 |
---|
4180 | 4180 | | 651.114(11)(a), the impaired provider must make available to the 2823 |
---|
4181 | 4181 | | office copies of any corrective action plan approved by the 2824 |
---|
4182 | 4182 | | third-party lender or trustee to cure the impairment and any 2825 |
---|
4183 | 4183 | | |
---|
4184 | 4184 | | HB 1141 2025 |
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4185 | 4185 | | |
---|
4186 | 4186 | | |
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4187 | 4187 | | |
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4188 | 4188 | | CODING: Words stricken are deletions; words underlined are additions. |
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4189 | 4189 | | hb1141-00 |
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4190 | 4190 | | Page 114 of 168 |
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4191 | 4191 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4192 | 4192 | | |
---|
4193 | 4193 | | |
---|
4194 | 4194 | | |
---|
4195 | 4195 | | related required report. For purposes of s. 631.051, impairment 2826 |
---|
4196 | 4196 | | of a provider is defined according to the term "impaired" has 2827 |
---|
4197 | 4197 | | the same meaning as in under s. 651.011. The office may forego 2828 |
---|
4198 | 4198 | | taking action for up to 90 180 days after the impairment if the 2829 |
---|
4199 | 4199 | | office finds there is a reasonable expectation that the 2830 |
---|
4200 | 4200 | | impairment may be elim inated within the 90-day 180-day period. 2831 |
---|
4201 | 4201 | | Section 61. Subsections (1) and (3), paragraph (b) of 2832 |
---|
4202 | 4202 | | subsection (7), and subsection (8) of section 651.035, Florida 2833 |
---|
4203 | 4203 | | Statutes, are amended to read: 2834 |
---|
4204 | 4204 | | 651.035 Minimum liquid reserve requirements. — 2835 |
---|
4205 | 4205 | | (1) A provider shall maintain in escrow a minimum liquid 2836 |
---|
4206 | 4206 | | reserve consisting of the following reserves, as applicable . 2837 |
---|
4207 | 4207 | | Each established account must be separate and unique to a 2838 |
---|
4208 | 4208 | | facility, unencumbered, and not commingled with any other funds 2839 |
---|
4209 | 4209 | | from any other account, facil ity, affiliate, or obligated group. 2840 |
---|
4210 | 4210 | | Funds held in escrow under paragraphs (a), (c), and (d) must be 2841 |
---|
4211 | 4211 | | held completely separate from any funds held by a trustee under 2842 |
---|
4212 | 4212 | | paragraph (b), meaning the debt service, operating, and renewal 2843 |
---|
4213 | 4213 | | and replacement reserves mus t have their own distinct account 2844 |
---|
4214 | 4214 | | number: 2845 |
---|
4215 | 4215 | | (a) Each provider shall maintain in escrow as a debt 2846 |
---|
4216 | 4216 | | service reserve the aggregate amount of all principal and 2847 |
---|
4217 | 4217 | | interest payments due during the fiscal year on any mortgage 2848 |
---|
4218 | 4218 | | loan or other long-term financing of the facility, including 2849 |
---|
4219 | 4219 | | property taxes as recorded in the audited financial report 2850 |
---|
4220 | 4220 | | |
---|
4221 | 4221 | | HB 1141 2025 |
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4222 | 4222 | | |
---|
4223 | 4223 | | |
---|
4224 | 4224 | | |
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4225 | 4225 | | CODING: Words stricken are deletions; words underlined are additions. |
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4226 | 4226 | | hb1141-00 |
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4227 | 4227 | | Page 115 of 168 |
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4228 | 4228 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4229 | 4229 | | |
---|
4230 | 4230 | | |
---|
4231 | 4231 | | |
---|
4232 | 4232 | | required under s. 651.026. The amount must include any leasehold 2851 |
---|
4233 | 4233 | | payments and all costs related to such payments. If principal 2852 |
---|
4234 | 4234 | | payments are not due during the fiscal year, the provider must 2853 |
---|
4235 | 4235 | | maintain in escrow as a minimum liquid reserve an amount equal 2854 |
---|
4236 | 4236 | | to interest payments due during the next 12 months on any 2855 |
---|
4237 | 4237 | | mortgage loan or other long -term financing of the facility, 2856 |
---|
4238 | 4238 | | including property taxes. If a provider does not have a mortg age 2857 |
---|
4239 | 4239 | | loan or other financing on the facility, the provider must 2858 |
---|
4240 | 4240 | | deposit monthly in escrow as a minimum liquid reserve an amount 2859 |
---|
4241 | 4241 | | equal to one-twelfth of the annual property tax liability as 2860 |
---|
4242 | 4242 | | indicated in the most recent tax notice provided pursuant to s. 2861 |
---|
4243 | 4243 | | 197.322(3), and must annually pay property taxes out of such 2862 |
---|
4244 | 4244 | | escrow. 2863 |
---|
4245 | 4245 | | (b) A provider that has outstanding indebtedness that 2864 |
---|
4246 | 4246 | | requires a debt service reserve to be held in escrow pursuant to 2865 |
---|
4247 | 4247 | | a trust indenture or mortgage lien on the facility and for which 2866 |
---|
4248 | 4248 | | the debt service reserve may only be used to pay principal and 2867 |
---|
4249 | 4249 | | interest payments on the debt that the debtor is obligated to 2868 |
---|
4250 | 4250 | | pay, and which may include property taxes and insurance, may 2869 |
---|
4251 | 4251 | | include such debt service reserve in computing the minimum 2870 |
---|
4252 | 4252 | | liquid reserve needed to satisfy this subsection if the provider 2871 |
---|
4253 | 4253 | | furnishes to the office a copy of the agreement under which such 2872 |
---|
4254 | 4254 | | debt service reserve is held, together with a statement of the 2873 |
---|
4255 | 4255 | | amount being held in escrow for the debt service reserve, 2874 |
---|
4256 | 4256 | | certified by the lend er or trustee and the provider to be 2875 |
---|
4257 | 4257 | | |
---|
4258 | 4258 | | HB 1141 2025 |
---|
4259 | 4259 | | |
---|
4260 | 4260 | | |
---|
4261 | 4261 | | |
---|
4262 | 4262 | | CODING: Words stricken are deletions; words underlined are additions. |
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4263 | 4263 | | hb1141-00 |
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4264 | 4264 | | Page 116 of 168 |
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4265 | 4265 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4266 | 4266 | | |
---|
4267 | 4267 | | |
---|
4268 | 4268 | | |
---|
4269 | 4269 | | correct. The trustee shall provide the office with any 2876 |
---|
4270 | 4270 | | information concerning the debt service reserve account upon 2877 |
---|
4271 | 4271 | | request of the provider or the office. In addition, the trust 2878 |
---|
4272 | 4272 | | indenture, loan agreement, or escrow agre ement must provide that 2879 |
---|
4273 | 4273 | | the provider, trustee, lender, escrow agent, or a person 2880 |
---|
4274 | 4274 | | designated to act in its place shall notify the office in 2881 |
---|
4275 | 4275 | | writing at least 10 days before the withdrawal of any portion of 2882 |
---|
4276 | 4276 | | the debt service reserve funds required to be held i n escrow as 2883 |
---|
4277 | 4277 | | described in this paragraph. The notice must include an 2884 |
---|
4278 | 4278 | | affidavit sworn to by the provider, the trustee, or a person 2885 |
---|
4279 | 4279 | | designated to act in its place which includes the amount of the 2886 |
---|
4280 | 4280 | | scheduled debt service payment, the payment due date, the amoun t 2887 |
---|
4281 | 4281 | | of the withdrawal, the accounts from which the withdrawal will 2888 |
---|
4282 | 4282 | | be made, and a plan with a schedule for replenishing the 2889 |
---|
4283 | 4283 | | withdrawn funds. If the plan is revised by a consultant that is 2890 |
---|
4284 | 4284 | | retained as prescribed in the provider's financing documents, 2891 |
---|
4285 | 4285 | | the revised plan must be submitted to the office within 10 days 2892 |
---|
4286 | 4286 | | after the approval by the lender or trustee. If a debt service 2893 |
---|
4287 | 4287 | | reserve is transferred from one financial institution or lender 2894 |
---|
4288 | 4288 | | to another, the provider must provide notice to the office at 2895 |
---|
4289 | 4289 | | least 10 days before the transfer takes place. The notice must 2896 |
---|
4290 | 4290 | | include an affidavit sworn to by the provider and include the 2897 |
---|
4291 | 4291 | | name of the institution where the debt service reserve is being 2898 |
---|
4292 | 4292 | | transferred, the date of transfer, the amount being transferred, 2899 |
---|
4293 | 4293 | | a copy of the agreement requiring the transfer to the new 2900 |
---|
4294 | 4294 | | |
---|
4295 | 4295 | | HB 1141 2025 |
---|
4296 | 4296 | | |
---|
4297 | 4297 | | |
---|
4298 | 4298 | | |
---|
4299 | 4299 | | CODING: Words stricken are deletions; words underlined are additions. |
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4300 | 4300 | | hb1141-00 |
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4301 | 4301 | | Page 117 of 168 |
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4302 | 4302 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4303 | 4303 | | |
---|
4304 | 4304 | | |
---|
4305 | 4305 | | |
---|
4306 | 4306 | | financial institution, and the contact information for the 2901 |
---|
4307 | 4307 | | escrow agent of the new account. The new escrow agreement must 2902 |
---|
4308 | 4308 | | comply with s. 651.033. Any funds held pursuant to this section 2903 |
---|
4309 | 4309 | | do not negate the require ment to maintain an escrow account as 2904 |
---|
4310 | 4310 | | required in paragraph (a). Any such separate debt service 2905 |
---|
4311 | 4311 | | reserves are not subject to the transfer provisions set forth in 2906 |
---|
4312 | 4312 | | subsection (8). 2907 |
---|
4313 | 4313 | | (c) Each provider shall maintain in escrow an operating 2908 |
---|
4314 | 4314 | | reserve equal to or greater than the following amounts: 2909 |
---|
4315 | 4315 | | 1. Thirty 30 percent of the total operating expenses 2910 |
---|
4316 | 4316 | | projected in the feasibility study required by s. 651.023 for 2911 |
---|
4317 | 4317 | | the first 12 months of operation. 2912 |
---|
4318 | 4318 | | 2. After the first 12 months of operation, 30 percent of 2913 |
---|
4319 | 4319 | | the operating reserve in the annual report filed pursuant to s. 2914 |
---|
4320 | 4320 | | 651.026. 2915 |
---|
4321 | 4321 | | 3. Once a provider maintains an occupancy level in excess 2916 |
---|
4322 | 4322 | | of 80 percent for at least 12 months and has presented in its 2917 |
---|
4323 | 4323 | | most recent annual report that it has reached stabilized 2918 |
---|
4324 | 4324 | | occupancy, 15 percent of the total operating reserve upon 2919 |
---|
4325 | 4325 | | approval of the office. 2920 |
---|
4326 | 4326 | | 4. If the provider has been found to meet any of the 2921 |
---|
4327 | 4327 | | following conditions, 50 percent of the total operating reserve: 2922 |
---|
4328 | 4328 | | a. Is insolvent or financially impaired. 2923 |
---|
4329 | 4329 | | b. Is at regulatory action level under s. 651.034. 2924 |
---|
4330 | 4330 | | c. Is placed under administrative supervision. 2925 |
---|
4331 | 4331 | | |
---|
4332 | 4332 | | HB 1141 2025 |
---|
4333 | 4333 | | |
---|
4334 | 4334 | | |
---|
4335 | 4335 | | |
---|
4336 | 4336 | | CODING: Words stricken are deletions; words underlined are additions. |
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4337 | 4337 | | hb1141-00 |
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4338 | 4338 | | Page 118 of 168 |
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4339 | 4339 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4340 | 4340 | | |
---|
4341 | 4341 | | |
---|
4342 | 4342 | | |
---|
4343 | 4343 | | d. Is in a hazardous financial condition under s. 651.113. 2926 |
---|
4344 | 4344 | | e. Entered into a forbearance agreement with a lender. 2927 |
---|
4345 | 4345 | | f. Filed or has notified the office of its intent to file 2928 |
---|
4346 | 4346 | | for bankruptcy. 2929 |
---|
4347 | 4347 | | g. Failed to maintain minimum liquid reserve requirements 2930 |
---|
4348 | 4348 | | under subsections (10) and (11). 2931 |
---|
4349 | 4349 | | 2932 |
---|
4350 | 4350 | | Upon notice from the office that a condition identified in this 2933 |
---|
4351 | 4351 | | subparagraph exists, the provider has 10 days within which to 2934 |
---|
4352 | 4352 | | fund the operating reserve at 50 percent and provide evidence of 2935 |
---|
4353 | 4353 | | the funding to the office. 2936 |
---|
4354 | 4354 | | (d) Before reducing the operating reserve required under 2937 |
---|
4355 | 4355 | | paragraph (c), the provider must obtain written approval from 2938 |
---|
4356 | 4356 | | the office Thereafter, each provider shall maintain in es crow an 2939 |
---|
4357 | 4357 | | operating reserve equal to 15 percent of the total operating 2940 |
---|
4358 | 4358 | | expenses in the annual report filed pursuant to s. 651.026 . 2941 |
---|
4359 | 4359 | | (e) If a provider has been in operation for more than 12 2942 |
---|
4360 | 4360 | | months, the total annual operating expenses must be determined 2943 |
---|
4361 | 4361 | | by averaging the total annual operating expenses reported to the 2944 |
---|
4362 | 4362 | | office by the number of annual reports filed with the office 2945 |
---|
4363 | 4363 | | within the preceding 3 -year period subject to adjustment if 2946 |
---|
4364 | 4364 | | there is a change in the number of facilities owned. For 2947 |
---|
4365 | 4365 | | purposes of this subsection, total annual operating expenses 2948 |
---|
4366 | 4366 | | include all expenses of the facility except depreciation and 2949 |
---|
4367 | 4367 | | amortization; interest and property taxes included in paragraph 2950 |
---|
4368 | 4368 | | |
---|
4369 | 4369 | | HB 1141 2025 |
---|
4370 | 4370 | | |
---|
4371 | 4371 | | |
---|
4372 | 4372 | | |
---|
4373 | 4373 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
4374 | 4374 | | hb1141-00 |
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4376 | 4376 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4377 | 4377 | | |
---|
4378 | 4378 | | |
---|
4379 | 4379 | | |
---|
4380 | 4380 | | (a); extraordinary expenses that are adequately explained and 2951 |
---|
4381 | 4381 | | documented in accordance with generally accepted accounting 2952 |
---|
4382 | 4382 | | principles; liability insurance premiums in excess of those paid 2953 |
---|
4383 | 4383 | | in calendar year 1999; and changes in the obligation to provide 2954 |
---|
4384 | 4384 | | future services to current residents. For providers initially 2955 |
---|
4385 | 4385 | | licensed during or after calen dar year 1999, liability insurance 2956 |
---|
4386 | 4386 | | must be included in the total operating expenses in an amount 2957 |
---|
4387 | 4387 | | not to exceed the premium paid during the first 12 months of 2958 |
---|
4388 | 4388 | | facility operation. The operating reserves required under this 2959 |
---|
4389 | 4389 | | subsection must be in an unencumber ed account held in escrow for 2960 |
---|
4390 | 4390 | | the benefit of the residents. Such funds may not be encumbered 2961 |
---|
4391 | 4391 | | or subject to any liens or charges by the escrow agent or 2962 |
---|
4392 | 4392 | | judgments, garnishments, or creditors' claims against the 2963 |
---|
4393 | 4393 | | provider or facility. However, if a facility ha d a lien, 2964 |
---|
4394 | 4394 | | mortgage, trust indenture, or similar debt instrument in place 2965 |
---|
4395 | 4395 | | before January 1, 1993, which encumbered all or any part of the 2966 |
---|
4396 | 4396 | | reserves required by this subsection and such funds were used to 2967 |
---|
4397 | 4397 | | meet the requirements of this subsection, then such ar rangement 2968 |
---|
4398 | 4398 | | may be continued, unless a refinancing or acquisition has 2969 |
---|
4399 | 4399 | | occurred, and the provider is in compliance with this 2970 |
---|
4400 | 4400 | | subsection. 2971 |
---|
4401 | 4401 | | (f)(d) Each provider shall maintain in escrow a renewal 2972 |
---|
4402 | 4402 | | and replacement reserve equal to 15 percent of the total 2973 |
---|
4403 | 4403 | | accumulated depreciation based on the audited financial 2974 |
---|
4404 | 4404 | | statement required to be filed pursuant to s. 651.026, not to 2975 |
---|
4405 | 4405 | | |
---|
4406 | 4406 | | HB 1141 2025 |
---|
4407 | 4407 | | |
---|
4408 | 4408 | | |
---|
4409 | 4409 | | |
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4412 | 4412 | | Page 120 of 168 |
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4413 | 4413 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4414 | 4414 | | |
---|
4415 | 4415 | | |
---|
4416 | 4416 | | |
---|
4417 | 4417 | | exceed 15 percent of the facility's average operating expenses 2976 |
---|
4418 | 4418 | | for the past 3 fiscal years based on the audited financial 2977 |
---|
4419 | 4419 | | statements for each of those years. For a provider who is an 2978 |
---|
4420 | 4420 | | operator of a facility but is not the owner and depreciation is 2979 |
---|
4421 | 4421 | | not included as part of the provider's financial statement, the 2980 |
---|
4422 | 4422 | | renewal and replacement reserve required by this paragraph must 2981 |
---|
4423 | 4423 | | equal 15 percent of the to tal operating expenses of the 2982 |
---|
4424 | 4424 | | provider, as described in this section. Each provider licensed 2983 |
---|
4425 | 4425 | | before October 1, 1983, shall fully fund the renewal and 2984 |
---|
4426 | 4426 | | replacement reserve by October 1, 2003, by multiplying the 2985 |
---|
4427 | 4427 | | difference between the former escrow requiremen t and the present 2986 |
---|
4428 | 4428 | | escrow requirement by the number of years the facility has been 2987 |
---|
4429 | 4429 | | in operation after October 1, 1983. 2988 |
---|
4430 | 4430 | | (3) If principal and interest payments are paid to a trust 2989 |
---|
4431 | 4431 | | that is beneficially held by the residents as described in s. 2990 |
---|
4432 | 4432 | | 651.023(6) s. 651.023(7), the office may waive all or any 2991 |
---|
4433 | 4433 | | portion of the escrow requirements for mortgage principal and 2992 |
---|
4434 | 4434 | | interest contained in subsection (1) if the office finds that 2993 |
---|
4435 | 4435 | | such waiver is not inconsistent with the security protections 2994 |
---|
4436 | 4436 | | intended by this chapter. 2995 |
---|
4437 | 4437 | | (7) 2996 |
---|
4438 | 4438 | | (b)1. For all other proposed withdrawals, in order to 2997 |
---|
4439 | 4439 | | receive the consent of the office, the provider must file 2998 |
---|
4440 | 4440 | | documentation showing why the withdrawal is necessary for the 2999 |
---|
4441 | 4441 | | continued operation of the facility and such additional 3000 |
---|
4442 | 4442 | | |
---|
4443 | 4443 | | HB 1141 2025 |
---|
4444 | 4444 | | |
---|
4445 | 4445 | | |
---|
4446 | 4446 | | |
---|
4447 | 4447 | | CODING: Words stricken are deletions; words underlined are additions. |
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4448 | 4448 | | hb1141-00 |
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4449 | 4449 | | Page 121 of 168 |
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4450 | 4450 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4451 | 4451 | | |
---|
4452 | 4452 | | |
---|
4453 | 4453 | | |
---|
4454 | 4454 | | information as the o ffice reasonably requires. 3001 |
---|
4455 | 4455 | | 2. The office shall notify the provider when the filing is 3002 |
---|
4456 | 4456 | | deemed complete. If the provider has complied with all prior 3003 |
---|
4457 | 4457 | | requests for information, the filing is deemed complete after 30 3004 |
---|
4458 | 4458 | | days without communication from the office . 3005 |
---|
4459 | 4459 | | 3. Within 30 days after the date a file is deemed 3006 |
---|
4460 | 4460 | | complete, the office shall provide the provider with written 3007 |
---|
4461 | 4461 | | notice of its approval or disapproval of the request. The 3008 |
---|
4462 | 4462 | | provider may not withdraw funds until the office provides such 3009 |
---|
4463 | 4463 | | written notice. The office may disapprove any request to 3010 |
---|
4464 | 4464 | | withdraw such funds if it determines that the withdrawal is not 3011 |
---|
4465 | 4465 | | in the best interest of the residents. 3012 |
---|
4466 | 4466 | | (8) The office may order the immediate transfer of up to 3013 |
---|
4467 | 4467 | | 100 percent of the funds held in the minimum liquid reser ve to 3014 |
---|
4468 | 4468 | | the custody of the department pursuant to part III of chapter 3015 |
---|
4469 | 4469 | | 625 if the office finds that the provider is impaired or 3016 |
---|
4470 | 4470 | | insolvent, or if the facility fails to fund the minimum liquid 3017 |
---|
4471 | 4471 | | reserve required by subsection (10) or subsection (11) . The 3018 |
---|
4472 | 4472 | | office may order such a transfer regardless of whether the 3019 |
---|
4473 | 4473 | | office has suspended or revoked, or intends to suspend or 3020 |
---|
4474 | 4474 | | revoke, the certificate of authority of the provider. 3021 |
---|
4475 | 4475 | | Section 62. Subsection (2) of section 651.043, Florida 3022 |
---|
4476 | 4476 | | Statutes, is amended to read: 3023 |
---|
4477 | 4477 | | 651.043 Approval of change in management. — 3024 |
---|
4478 | 4478 | | (2) A provider or management company shall notify the 3025 |
---|
4479 | 4479 | | |
---|
4480 | 4480 | | HB 1141 2025 |
---|
4481 | 4481 | | |
---|
4482 | 4482 | | |
---|
4483 | 4483 | | |
---|
4484 | 4484 | | CODING: Words stricken are deletions; words underlined are additions. |
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4485 | 4485 | | hb1141-00 |
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4486 | 4486 | | Page 122 of 168 |
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4487 | 4487 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4488 | 4488 | | |
---|
4489 | 4489 | | |
---|
4490 | 4490 | | |
---|
4491 | 4491 | | office, in writing or electronically, of any change in the 3026 |
---|
4492 | 4492 | | information required by s. 651.022(2) management within 10 3027 |
---|
4493 | 4493 | | business days. For each new management co mpany or manager not 3028 |
---|
4494 | 4494 | | employed by a management company, the provider shall submit to 3029 |
---|
4495 | 4495 | | the office the information required by s. 651.022(2) and a copy 3030 |
---|
4496 | 4496 | | of the written management contract, if applicable. 3031 |
---|
4497 | 4497 | | Section 63. Subsection (2) of section 651.055, Florid a 3032 |
---|
4498 | 4498 | | Statutes, is amended to read: 3033 |
---|
4499 | 4499 | | 651.055 Continuing care contracts; right to rescind. — 3034 |
---|
4500 | 4500 | | (2) A resident has the right to rescind a continuing care 3035 |
---|
4501 | 4501 | | contract and receive a full refund of any funds paid, without 3036 |
---|
4502 | 4502 | | penalty or forfeiture, within 7 days after exe cuting the 3037 |
---|
4503 | 4503 | | contract. However, if an individual signs a reservation contract 3038 |
---|
4504 | 4504 | | pursuant to s. 651.023(3) s. 651.023(4) and fails to cancel such 3039 |
---|
4505 | 4505 | | contract within 30 days after executing the contract and 3040 |
---|
4506 | 4506 | | subsequently signs a residency contract pursuant to this s ection 3041 |
---|
4507 | 4507 | | and rescinds the contract within 7 days, the forfeiture penalty 3042 |
---|
4508 | 4508 | | authorized under s. 651.023(3) s. 651.023(4) may be deducted 3043 |
---|
4509 | 4509 | | from the refund unless there is evidence of extenuating 3044 |
---|
4510 | 4510 | | circumstances such as, but not limited to, the death, illness, 3045 |
---|
4511 | 4511 | | or diagnosis of a chronic or terminal illness of the individual 3046 |
---|
4512 | 4512 | | or the individual's spouse or partner or a change in financial 3047 |
---|
4513 | 4513 | | or asset position which warrants cancellation of the contract. A 3048 |
---|
4514 | 4514 | | resident may not be required to move into the facility 3049 |
---|
4515 | 4515 | | designated in the contract before the expiration of the 7 -day 3050 |
---|
4516 | 4516 | | |
---|
4517 | 4517 | | HB 1141 2025 |
---|
4518 | 4518 | | |
---|
4519 | 4519 | | |
---|
4520 | 4520 | | |
---|
4521 | 4521 | | CODING: Words stricken are deletions; words underlined are additions. |
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4522 | 4522 | | hb1141-00 |
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4523 | 4523 | | Page 123 of 168 |
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4524 | 4524 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
4525 | 4525 | | |
---|
4526 | 4526 | | |
---|
4527 | 4527 | | |
---|
4528 | 4528 | | period. During the 7 -day period, the resident's funds must be 3051 |
---|
4529 | 4529 | | held in an escrow account, or the provider may hold the check 3052 |
---|
4530 | 4530 | | until the 7-day period expires pursuant to s. 651.033(3)(c). 3053 |
---|
4531 | 4531 | | Section 64. Subsect ion (1) of section 651.071, Florida 3054 |
---|
4532 | 4532 | | Statutes, is amended to read: 3055 |
---|
4533 | 4533 | | 651.071 Contracts as preferred claims on liquidation or 3056 |
---|
4534 | 4534 | | receivership.— 3057 |
---|
4535 | 4535 | | (1) In the event of receivership or liquidation 3058 |
---|
4536 | 4536 | | proceedings against a provider, all continuing care and 3059 |
---|
4537 | 4537 | | continuing care at-home contracts executed by a provider are 3060 |
---|
4538 | 4538 | | deemed preferred claims against all assets owned by the 3061 |
---|
4539 | 4539 | | provider.; however, Such claims are not subordinate to any 3062 |
---|
4540 | 4540 | | secured claim and must be treated with higher priority over all 3063 |
---|
4541 | 4541 | | other claims, except Class 1 claims. For purposes of s. 631.271, 3064 |
---|
4542 | 4542 | | such contracts are deemed Class 2 claims. 3065 |
---|
4543 | 4543 | | Section 65. Subsections (2) and (3) of section 651.085, 3066 |
---|
4544 | 4544 | | Florida Statutes, are amended to read: 3067 |
---|
4545 | 4545 | | 651.085 Quarterly meetings between residents and the 3068 |
---|
4546 | 4546 | | governing body of the provider; resident representation before 3069 |
---|
4547 | 4547 | | the governing body of the provider. — 3070 |
---|
4548 | 4548 | | (2) A residents' council formed pursuant to s. 651.081, 3071 |
---|
4549 | 4549 | | members of which are elected by the residents, shall nominate 3072 |
---|
4550 | 4550 | | and elect a designated resident representative to represent them 3073 |
---|
4551 | 4551 | | before the governing body of the provider on matters specified 3074 |
---|
4552 | 4552 | | in subsection (3). The initial designated resident 3075 |
---|
4553 | 4553 | | |
---|
4554 | 4554 | | HB 1141 2025 |
---|
4555 | 4555 | | |
---|
4556 | 4556 | | |
---|
4557 | 4557 | | |
---|
4558 | 4558 | | CODING: Words stricken are deletions; words underlined are additions. |
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4559 | 4559 | | hb1141-00 |
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4560 | 4560 | | Page 124 of 168 |
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4561 | 4561 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
4562 | 4562 | | |
---|
4563 | 4563 | | |
---|
4564 | 4564 | | |
---|
4565 | 4565 | | representative elected under this section shall be elected to 3076 |
---|
4566 | 4566 | | serve at least 12 months. The designated resident representative 3077 |
---|
4567 | 4567 | | does not have to be a current member of the residents' council; 3078 |
---|
4568 | 4568 | | however, such individua l must be a resident, as defined in s. 3079 |
---|
4569 | 4569 | | 651.011. Designated resident representatives shall perform their 3080 |
---|
4570 | 4570 | | duties in good faith. For providers that own or operate more 3081 |
---|
4571 | 4571 | | than one facility in the state, each facility must have its own 3082 |
---|
4572 | 4572 | | designated resident represe ntative. 3083 |
---|
4573 | 4573 | | (3) The designated resident representative shall be 3084 |
---|
4574 | 4574 | | notified in writing or electronically by a representative of the 3085 |
---|
4575 | 4575 | | provider at least 14 days in advance of any meeting of the full 3086 |
---|
4576 | 4576 | | governing body at which the annual budget and proposed changes 3087 |
---|
4577 | 4577 | | or increases in resident fees or services are on the agenda or 3088 |
---|
4578 | 4578 | | will be discussed before presenting the increases in resident 3089 |
---|
4579 | 4579 | | fees or services to all residents . The designated resident 3090 |
---|
4580 | 4580 | | representative shall be invited to attend and participate in 3091 |
---|
4581 | 4581 | | that portion of the meeting designated for the discussion of 3092 |
---|
4582 | 4582 | | such changes. Designated resident representatives shall perform 3093 |
---|
4583 | 4583 | | their duties in good faith. For providers that own or operate 3094 |
---|
4584 | 4584 | | more than one facility in the state, each facility must have its 3095 |
---|
4585 | 4585 | | own designated resident representative. 3096 |
---|
4586 | 4586 | | Section 66. Section 651.087, Florida Statutes, is created 3097 |
---|
4587 | 4587 | | to read: 3098 |
---|
4588 | 4588 | | 651.087 Resident funds for charitable or operational 3099 |
---|
4589 | 4589 | | purposes.— 3100 |
---|
4590 | 4590 | | |
---|
4591 | 4591 | | HB 1141 2025 |
---|
4592 | 4592 | | |
---|
4593 | 4593 | | |
---|
4594 | 4594 | | |
---|
4595 | 4595 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
4596 | 4596 | | hb1141-00 |
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4597 | 4597 | | Page 125 of 168 |
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4598 | 4598 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
4599 | 4599 | | |
---|
4600 | 4600 | | |
---|
4601 | 4601 | | |
---|
4602 | 4602 | | (1) The organized collection and distribution of funds by 3101 |
---|
4603 | 4603 | | residents for charitable or benevol ent purposes may not be under 3102 |
---|
4604 | 4604 | | the control of a provider or management company. Any provider or 3103 |
---|
4605 | 4605 | | management company assisting in the collection or distribution 3104 |
---|
4606 | 4606 | | of funds from its residents for the purpose of creating a 3105 |
---|
4607 | 4607 | | benevolence or charitable fund, and whic h is outside the 3106 |
---|
4608 | 4608 | | approved operational fees, is subject to the following 3107 |
---|
4609 | 4609 | | requirements: 3108 |
---|
4610 | 4610 | | (a) The provider must notify the office and the residents' 3109 |
---|
4611 | 4611 | | council that a fund is being established. 3110 |
---|
4612 | 4612 | | (b) The provider, under the direction and approval of the 3111 |
---|
4613 | 4613 | | residents' council, must establish written policies that govern 3112 |
---|
4614 | 4614 | | the funds. The written policies must include, in detail, how the 3113 |
---|
4615 | 4615 | | entity will be governed, the collection of funds, and the 3114 |
---|
4616 | 4616 | | criteria to be used for the distribution of funds. Any changes 3115 |
---|
4617 | 4617 | | to the written policy must be agreed upon by the residents' 3116 |
---|
4618 | 4618 | | council. 3117 |
---|
4619 | 4619 | | (c) Within 60 days after the fund is established, the 3118 |
---|
4620 | 4620 | | provider must provide the written policy to the office and 3119 |
---|
4621 | 4621 | | current residents and post it in a prominent position in the 3120 |
---|
4622 | 4622 | | facility which is ac cessible to all residents and the general 3121 |
---|
4623 | 4623 | | public. Additionally, the written policy must be given to all 3122 |
---|
4624 | 4624 | | prospective residents. 3123 |
---|
4625 | 4625 | | (d) The provider must include in its annual and quarterly 3124 |
---|
4626 | 4626 | | reports a statement detailing the financial position of the fund 3125 |
---|
4627 | 4627 | | |
---|
4628 | 4628 | | HB 1141 2025 |
---|
4629 | 4629 | | |
---|
4630 | 4630 | | |
---|
4631 | 4631 | | |
---|
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---|
4633 | 4633 | | hb1141-00 |
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4634 | 4634 | | Page 126 of 168 |
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4635 | 4635 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
4636 | 4636 | | |
---|
4637 | 4637 | | |
---|
4638 | 4638 | | |
---|
4639 | 4639 | | as of the annual or quarter period end date and a summary 3126 |
---|
4640 | 4640 | | breakdown of how any funds were used during that reporting 3127 |
---|
4641 | 4641 | | period, excluding any personally identifiable information. 3128 |
---|
4642 | 4642 | | (2) A provider may not borrow or solicit funds from 3129 |
---|
4643 | 4643 | | residents for operationa l purposes without prior written 3130 |
---|
4644 | 4644 | | approval from the office. 3131 |
---|
4645 | 4645 | | (a) Before any funds are eligible for distribution to the 3132 |
---|
4646 | 4646 | | provider, the provider must submit to the office: 3133 |
---|
4647 | 4647 | | 1. A request to borrow funds, with notice to the 3134 |
---|
4648 | 4648 | | residents' council, which must inc lude the requested amount, a 3135 |
---|
4649 | 4649 | | detailed summary of the intended use of the funds, and any 3136 |
---|
4650 | 4650 | | additional information that supports the provider's need to 3137 |
---|
4651 | 4651 | | borrow funds from the residents. The requested amount may not 3138 |
---|
4652 | 4652 | | exceed 10 percent of the funds available from residents and 3139 |
---|
4653 | 4653 | | shall be restricted to use for only operational expenses, which 3140 |
---|
4654 | 4654 | | must solely benefit the residents of the facility. Funds may not 3141 |
---|
4655 | 4655 | | be used for the benefit of management, the board of directors, 3142 |
---|
4656 | 4656 | | or the general partner. 3143 |
---|
4657 | 4657 | | 2. An anticipated payme nt schedule for repayment of the 3144 |
---|
4658 | 4658 | | borrowed funds. Full repayment shall be completed within 12 3145 |
---|
4659 | 4659 | | months after the distribution. 3146 |
---|
4660 | 4660 | | 3. A board resolution and sworn affidavit signed by two 3147 |
---|
4661 | 4661 | | officers or the general partner of the provider which indicates 3148 |
---|
4662 | 4662 | | support for the request to borrow funds and the repayment plan. 3149 |
---|
4663 | 4663 | | (b) Within 30 days after receipt of the borrowed funds, 3150 |
---|
4664 | 4664 | | |
---|
4665 | 4665 | | HB 1141 2025 |
---|
4666 | 4666 | | |
---|
4667 | 4667 | | |
---|
4668 | 4668 | | |
---|
4669 | 4669 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
4670 | 4670 | | hb1141-00 |
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4671 | 4671 | | Page 127 of 168 |
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4672 | 4672 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
4673 | 4673 | | |
---|
4674 | 4674 | | |
---|
4675 | 4675 | | |
---|
4676 | 4676 | | the provider shall begin repayment to the fund in equal monthly 3151 |
---|
4677 | 4677 | | payments that allow for a complete funding of the borrowed funds 3152 |
---|
4678 | 4678 | | within 12 months. 3153 |
---|
4679 | 4679 | | (c) The provider must acknowledge that it is required to 3154 |
---|
4680 | 4680 | | repay the full amount borrowed before the office may approve 3155 |
---|
4681 | 4681 | | additional funds to be borrowed from residents. 3156 |
---|
4682 | 4682 | | (d) The office shall receive written majority support from 3157 |
---|
4683 | 4683 | | the residents' council before approving the provider's request. 3158 |
---|
4684 | 4684 | | (3) Upon receipt of approval from the office, the provider 3159 |
---|
4685 | 4685 | | shall comply with the following: 3160 |
---|
4686 | 4686 | | (a) Maintain a 50 percent operating reserve pursuant to s. 3161 |
---|
4687 | 4687 | | 651.035(1)(c)4. for the duration of the repayment period. 3162 |
---|
4688 | 4688 | | Following the repayment period, the provider must obtain the 3163 |
---|
4689 | 4689 | | office's prior written approval to reduce the operating reserve 3164 |
---|
4690 | 4690 | | amount. 3165 |
---|
4691 | 4691 | | (b) Within 5 days after receiving the office's approval, 3166 |
---|
4692 | 4692 | | submit supporting documentation to the office as evidence that 3167 |
---|
4693 | 4693 | | the operating reserve has been increased in compliance with this 3168 |
---|
4694 | 4694 | | section. 3169 |
---|
4695 | 4695 | | (c) In order to protect the residents' investment, 3170 |
---|
4696 | 4696 | | immediately transfer up to 100 percent of the funds held in the 3171 |
---|
4697 | 4697 | | minimum liquid reserve operating reserve account to the custody 3172 |
---|
4698 | 4698 | | of the department pursuant to part III of chapter 625. The 3173 |
---|
4699 | 4699 | | provider shall fund the account with the department within 15 3174 |
---|
4700 | 4700 | | days after receiving the office's approval. The office may not 3175 |
---|
4701 | 4701 | | |
---|
4702 | 4702 | | HB 1141 2025 |
---|
4703 | 4703 | | |
---|
4704 | 4704 | | |
---|
4705 | 4705 | | |
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4706 | 4706 | | CODING: Words stricken are deletions; words underlined are additions. |
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4708 | 4708 | | Page 128 of 168 |
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4709 | 4709 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4710 | 4710 | | |
---|
4711 | 4711 | | |
---|
4712 | 4712 | | |
---|
4713 | 4713 | | approve the provider's request unless it has confirmation that 3176 |
---|
4714 | 4714 | | the provider has established the account with the department. 3177 |
---|
4715 | 4715 | | (4) Any provider that has benevolent or charitable funds 3178 |
---|
4716 | 4716 | | established before July 1, 2025, shall fully comply with this 3179 |
---|
4717 | 4717 | | section by October 1, 2025. 3180 |
---|
4718 | 4718 | | (5) Any provider that has borrowed funds from reside nts 3181 |
---|
4719 | 4719 | | before July 1, 2025, shall provide notice to the office by 3182 |
---|
4720 | 4720 | | October 1, 2025. Notice must include the date the funds were 3183 |
---|
4721 | 4721 | | borrowed, the amount borrowed, and any documentation supporting 3184 |
---|
4722 | 4722 | | the request and approval of the borrowed funds. 3185 |
---|
4723 | 4723 | | (6) In the event that a provider triggers an impairment or 3186 |
---|
4724 | 4724 | | insolvency or enters into a forbearance agreement with a lender, 3187 |
---|
4725 | 4725 | | the repayment of any outstanding borrowed funds shall be 3188 |
---|
4726 | 4726 | | accelerated. Within 5 days after a provider becomes aware of an 3189 |
---|
4727 | 4727 | | impairment or insolvency or the need to enter into a forbearance 3190 |
---|
4728 | 4728 | | agreement with a lender, the provider shall provide notice of 3191 |
---|
4729 | 4729 | | the triggering event to the residents' council and repay any 3192 |
---|
4730 | 4730 | | outstanding amounts due under a repayment plan. Notice must also 3193 |
---|
4731 | 4731 | | be given to the office within t he same 5 days. 3194 |
---|
4732 | 4732 | | (7) Failure to comply with this section is a violation of 3195 |
---|
4733 | 4733 | | s. 651.035, and the provider will be considered impaired 3196 |
---|
4734 | 4734 | | pursuant to s. 651.011(16). 3197 |
---|
4735 | 4735 | | (8) The commission may by rule require all or part of the 3198 |
---|
4736 | 4736 | | statements or filings required unde r this section to be 3199 |
---|
4737 | 4737 | | submitted by electronic means in a computer -readable form 3200 |
---|
4738 | 4738 | | |
---|
4739 | 4739 | | HB 1141 2025 |
---|
4740 | 4740 | | |
---|
4741 | 4741 | | |
---|
4742 | 4742 | | |
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4743 | 4743 | | CODING: Words stricken are deletions; words underlined are additions. |
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4745 | 4745 | | Page 129 of 168 |
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4746 | 4746 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4747 | 4747 | | |
---|
4748 | 4748 | | |
---|
4749 | 4749 | | |
---|
4750 | 4750 | | compatible with the electronic data format specified by the 3201 |
---|
4751 | 4751 | | commission. 3202 |
---|
4752 | 4752 | | Section 67. Paragraphs (h) through (n) of subsection (2) 3203 |
---|
4753 | 4753 | | of section 651.091, Florida Statutes, are re designated as 3204 |
---|
4754 | 4754 | | paragraphs (i) through (o), respectively, present paragraph (h) 3205 |
---|
4755 | 4755 | | of subsection (2) and paragraph (d) of subsection (3) are 3206 |
---|
4756 | 4756 | | amended, a new paragraph (h) and paragraph (p) are added to 3207 |
---|
4757 | 4757 | | subsection (2), and subsection (5) is added to that section, to 3208 |
---|
4758 | 4758 | | read: 3209 |
---|
4759 | 4759 | | 651.091 Availability, distribution, and posting of reports 3210 |
---|
4760 | 4760 | | and records; requirement of full disclosure. — 3211 |
---|
4761 | 4761 | | (2) Every continuing care facility shall: 3212 |
---|
4762 | 4762 | | (h) Post a notice of any bankruptcy proceedings in a 3213 |
---|
4763 | 4763 | | prominent location within the facility which is accessible to 3214 |
---|
4764 | 4764 | | all residents and the general public. Such notice must include a 3215 |
---|
4765 | 4765 | | summary of the bankruptcy proceedings and specify where the full 3216 |
---|
4766 | 4766 | | legal record of the bankruptcy proceedings can be inspected 3217 |
---|
4767 | 4767 | | within the facility. The facility shall als o designate and make 3218 |
---|
4768 | 4768 | | available a management representative to discuss the bankruptcy 3219 |
---|
4769 | 4769 | | proceedings and address questions from residents. The notice 3220 |
---|
4770 | 4770 | | required under this paragraph must also include a listing of all 3221 |
---|
4771 | 4771 | | court documents related to the bankruptcy pro ceedings and the 3222 |
---|
4772 | 4772 | | designated representative's contact information. 3223 |
---|
4773 | 4773 | | (i)(h) Deliver the information described in s. 651.085(4) 3224 |
---|
4774 | 4774 | | in writing or electronically to the president or chair of the 3225 |
---|
4775 | 4775 | | |
---|
4776 | 4776 | | HB 1141 2025 |
---|
4777 | 4777 | | |
---|
4778 | 4778 | | |
---|
4779 | 4779 | | |
---|
4780 | 4780 | | CODING: Words stricken are deletions; words underlined are additions. |
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4781 | 4781 | | hb1141-00 |
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4782 | 4782 | | Page 130 of 168 |
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4783 | 4783 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4784 | 4784 | | |
---|
4785 | 4785 | | |
---|
4786 | 4786 | | |
---|
4787 | 4787 | | residents' council and make supporting documentation available 3226 |
---|
4788 | 4788 | | upon request. 3227 |
---|
4789 | 4789 | | (p) Maintain records showing compliance with the 3228 |
---|
4790 | 4790 | | requirements of this subsection, including how, where, and when 3229 |
---|
4791 | 4791 | | the required information was provided. 3230 |
---|
4792 | 4792 | | (3) Before entering into a contract to furnish continuing 3231 |
---|
4793 | 4793 | | care or continuing care at -home, the provider undertaking to 3232 |
---|
4794 | 4794 | | furnish the care, or the agent of the provider, shall make full 3233 |
---|
4795 | 4795 | | disclosure, obtain written acknowledgment of receipt, and 3234 |
---|
4796 | 4796 | | provide copies of the disclosure documents to the prospective 3235 |
---|
4797 | 4797 | | resident or his or her legal representative, of the following 3236 |
---|
4798 | 4798 | | information: 3237 |
---|
4799 | 4799 | | (d) In keeping with the intent of this subsection relating 3238 |
---|
4800 | 4800 | | to disclosure, the provider shall make available for review : 3239 |
---|
4801 | 4801 | | 1. Master plans approved by the provider's board or 3240 |
---|
4802 | 4802 | | governing body; 3241 |
---|
4803 | 4803 | | 2. Any proposed or approved and any plans for expansion or 3242 |
---|
4804 | 4804 | | phased development within the next 3 years; and 3243 |
---|
4805 | 4805 | | 3. Any known legal impediments to the plans disclosed in 3244 |
---|
4806 | 4806 | | subparagraphs 1. and 2., including, but not limited to, pending 3245 |
---|
4807 | 4807 | | legal action to stop or modify the plans, the denial of building 3246 |
---|
4808 | 4808 | | permits, or a failure to secure financing , to the extent that 3247 |
---|
4809 | 4809 | | the availability of such plans does not put at risk real estate, 3248 |
---|
4810 | 4810 | | financing, acquisition, negotiations, or other implementation of 3249 |
---|
4811 | 4811 | | operational plans and thus jeopardize the success of 3250 |
---|
4812 | 4812 | | |
---|
4813 | 4813 | | HB 1141 2025 |
---|
4814 | 4814 | | |
---|
4815 | 4815 | | |
---|
4816 | 4816 | | |
---|
4817 | 4817 | | CODING: Words stricken are deletions; words underlined are additions. |
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4818 | 4818 | | hb1141-00 |
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4819 | 4819 | | Page 131 of 168 |
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4820 | 4820 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
4821 | 4821 | | |
---|
4822 | 4822 | | |
---|
4823 | 4823 | | |
---|
4824 | 4824 | | negotiations, operations, and development . 3251 |
---|
4825 | 4825 | | (5)(a) A provider that enters into a contract for 3252 |
---|
4826 | 4826 | | continuing care at a facility without first delivering a true 3253 |
---|
4827 | 4827 | | and complete copy of the full disclosure document to the 3254 |
---|
4828 | 4828 | | contracting party, or that enters into a con tract based on a 3255 |
---|
4829 | 4829 | | disclosure document that omits a material fact required to be 3256 |
---|
4830 | 4830 | | stated or necessary to prevent misleading statements, is liable 3257 |
---|
4831 | 4831 | | for actual damages and any interest thereon, reasonable attorney 3258 |
---|
4832 | 4832 | | fees, and court costs and shall refund fees paid to the 3259 |
---|
4833 | 4833 | | contracting party. However, the provider shall deduct the 3260 |
---|
4834 | 4834 | | contractual value of care and lodging provided before the 3261 |
---|
4835 | 4835 | | violation, misstatement, or omission was discovered or should 3262 |
---|
4836 | 4836 | | have reasonably been discovered from the fees to be refunded to 3263 |
---|
4837 | 4837 | | the contracting party. 3264 |
---|
4838 | 4838 | | (b) This section applies regardless of whether the 3265 |
---|
4839 | 4839 | | provider had actual knowledge of the misstatement or omission. 3266 |
---|
4840 | 4840 | | (c) A person may not file or maintain an action under this 3267 |
---|
4841 | 4841 | | section if, before filing the action, the person received a 3268 |
---|
4842 | 4842 | | written offer citing this section for a refund of all amounts 3269 |
---|
4843 | 4843 | | paid the provider, plus interest at the prime rate, less the 3270 |
---|
4844 | 4844 | | contractual value of care and lodging provided before receipt of 3271 |
---|
4845 | 4845 | | the offer, and failed to accept it within 30 days after actual 3272 |
---|
4846 | 4846 | | receipt. 3273 |
---|
4847 | 4847 | | Section 68. Section 651.104, Florida Statutes, is created 3274 |
---|
4848 | 4848 | | to read: 3275 |
---|
4849 | 4849 | | |
---|
4850 | 4850 | | HB 1141 2025 |
---|
4851 | 4851 | | |
---|
4852 | 4852 | | |
---|
4853 | 4853 | | |
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4855 | 4855 | | hb1141-00 |
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4856 | 4856 | | Page 132 of 168 |
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4857 | 4857 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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4858 | 4858 | | |
---|
4859 | 4859 | | |
---|
4860 | 4860 | | |
---|
4861 | 4861 | | 651.104 Certificate of authority to act as a management 3276 |
---|
4862 | 4862 | | company.— 3277 |
---|
4863 | 4863 | | (1) It is unlawful for any person to act as or hold 3278 |
---|
4864 | 4864 | | himself or herself out to be management company for a continu ing 3279 |
---|
4865 | 4865 | | care retirement community in this state without a valid 3280 |
---|
4866 | 4866 | | certificate of authority issued by the office pursuant to this 3281 |
---|
4867 | 4867 | | section. A management company that was operating in this state 3282 |
---|
4868 | 4868 | | as of June 30, 2025, may continue to operate until January 1, 3283 |
---|
4869 | 4869 | | 2026, as a management company without a certificate of authority 3284 |
---|
4870 | 4870 | | and is not in violation of the requirement to possess a valid 3285 |
---|
4871 | 4871 | | certificate of authority as a management company during that 3286 |
---|
4872 | 4872 | | period of time. To qualify for and hold authority to act as a 3287 |
---|
4873 | 4873 | | management company in this state, a management company must 3288 |
---|
4874 | 4874 | | otherwise be in compliance pursuant to this section and with its 3289 |
---|
4875 | 4875 | | organizational agreement. A person who, on or after January 1, 3290 |
---|
4876 | 4876 | | 2026, does not hold a certificate of authority to act as a 3291 |
---|
4877 | 4877 | | management company whil e operating as a management company is 3292 |
---|
4878 | 4878 | | subject to a fine of $10,000 per violation per day. 3293 |
---|
4879 | 4879 | | (2) A management company shall file with the office an 3294 |
---|
4880 | 4880 | | application for a certificate of authority on a form adopted by 3295 |
---|
4881 | 4881 | | the commission and furnished by the office. The application must 3296 |
---|
4882 | 4882 | | include or have attached the following information and 3297 |
---|
4883 | 4883 | | documents: 3298 |
---|
4884 | 4884 | | (a) All basic organizational documents of the management 3299 |
---|
4885 | 4885 | | company, such as the articles of incorporation, articles of 3300 |
---|
4886 | 4886 | | |
---|
4887 | 4887 | | HB 1141 2025 |
---|
4888 | 4888 | | |
---|
4889 | 4889 | | |
---|
4890 | 4890 | | |
---|
4891 | 4891 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
4892 | 4892 | | hb1141-00 |
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4893 | 4893 | | Page 133 of 168 |
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4894 | 4894 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
4895 | 4895 | | |
---|
4896 | 4896 | | |
---|
4897 | 4897 | | |
---|
4898 | 4898 | | association, partnership agreement, trade name cer tificate, 3301 |
---|
4899 | 4899 | | trust agreement, shareholder agreement, and other applicable 3302 |
---|
4900 | 4900 | | documents, and all amendments to those documents. 3303 |
---|
4901 | 4901 | | (b) The bylaws, rules, and regulations or similar 3304 |
---|
4902 | 4902 | | documents regulating the conduct or the internal affairs of the 3305 |
---|
4903 | 4903 | | management company. 3306 |
---|
4904 | 4904 | | (c) The names, addresses, official positions, and 3307 |
---|
4905 | 4905 | | professional qualifications of the individuals employed or 3308 |
---|
4906 | 4906 | | retained by the management company who are responsible for the 3309 |
---|
4907 | 4907 | | conduct of the affairs of the management company, including all 3310 |
---|
4908 | 4908 | | members of the board of directors, board of trustees, executive 3311 |
---|
4909 | 4909 | | committee, or other governing board or committee, and the 3312 |
---|
4910 | 4910 | | principal officers, or equivalent, or for a partnership or 3313 |
---|
4911 | 4911 | | association of the management company, the partners or members. 3314 |
---|
4912 | 4912 | | (d) Audited annual financi al statements, prepared in 3315 |
---|
4913 | 4913 | | accordance with generally accepted accounting principles, for 3316 |
---|
4914 | 4914 | | the 2 most recent fiscal years, which prove that the applicant 3317 |
---|
4915 | 4915 | | has a positive net worth in both fiscal years. If the applicant 3318 |
---|
4916 | 4916 | | has been in existence for less than 2 fi scal years, the 3319 |
---|
4917 | 4917 | | application must include financial statements or reports, 3320 |
---|
4918 | 4918 | | certified by an officer of the applicant and prepared in 3321 |
---|
4919 | 4919 | | accordance with generally accepted accounting principles, for 3322 |
---|
4920 | 4920 | | any completed fiscal years and for any month during the current 3323 |
---|
4921 | 4921 | | fiscal year for which such financial statements or reports have 3324 |
---|
4922 | 4922 | | been completed. If the applicant reports net losses for either 3325 |
---|
4923 | 4923 | | |
---|
4924 | 4924 | | HB 1141 2025 |
---|
4925 | 4925 | | |
---|
4926 | 4926 | | |
---|
4927 | 4927 | | |
---|
4928 | 4928 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
4929 | 4929 | | hb1141-00 |
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4930 | 4930 | | Page 134 of 168 |
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4931 | 4931 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
4932 | 4932 | | |
---|
4933 | 4933 | | |
---|
4934 | 4934 | | |
---|
4935 | 4935 | | of the 2 most recent fiscal years, the applicant must provide 3326 |
---|
4936 | 4936 | | pro forma financial statements up to the period of time that the 3327 |
---|
4937 | 4937 | | applicant demonstrates 2 consecutive years of profitability. Pro 3328 |
---|
4938 | 4938 | | forma financial statements must include the balance sheet, 3329 |
---|
4939 | 4939 | | income statement, and cash flow statement. An audited financial 3330 |
---|
4940 | 4940 | | statement or report prepared on a consolidated basis must 3331 |
---|
4941 | 4941 | | include a columnar consolidating or combining worksheet that 3332 |
---|
4942 | 4942 | | must be filed with the report and comply with the following: 3333 |
---|
4943 | 4943 | | 1. Amounts shown on the consolidated audited financial 3334 |
---|
4944 | 4944 | | report must be shown on the worksheet; 3335 |
---|
4945 | 4945 | | 2. Amounts for each entity must be stated separately; and 3336 |
---|
4946 | 4946 | | 3. Explanations of consolidating and eliminating entries 3337 |
---|
4947 | 4947 | | must be included. 3338 |
---|
4948 | 4948 | | (e) Any information as the office may require in order to 3339 |
---|
4949 | 4949 | | review the current financial condition of the applicant. 3340 |
---|
4950 | 4950 | | (f) A statement describing the business plan , including 3341 |
---|
4951 | 4951 | | information on staffing levels and activities proposed or 3342 |
---|
4952 | 4952 | | ongoing, in this state and nationwide. The plan must provide 3343 |
---|
4953 | 4953 | | details setting forth the applicant's capability of providing a 3344 |
---|
4954 | 4954 | | sufficient number of experienced and qualified personnel in t he 3345 |
---|
4955 | 4955 | | areas of issuing continuing care life contracts and managing 3346 |
---|
4956 | 4956 | | continuing care retirement communities or similar communities, 3347 |
---|
4957 | 4957 | | compliance with statutory requirements, and claims processing, 3348 |
---|
4958 | 4958 | | recordkeeping, and underwriting. 3349 |
---|
4959 | 4959 | | (g) If the applicant is not cur rently acting as a 3350 |
---|
4960 | 4960 | | |
---|
4961 | 4961 | | HB 1141 2025 |
---|
4962 | 4962 | | |
---|
4963 | 4963 | | |
---|
4964 | 4964 | | |
---|
4965 | 4965 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
4966 | 4966 | | hb1141-00 |
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4967 | 4967 | | Page 135 of 168 |
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4968 | 4968 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
4969 | 4969 | | |
---|
4970 | 4970 | | |
---|
4971 | 4971 | | |
---|
4972 | 4972 | | management company, a statement of the amounts and sources of 3351 |
---|
4973 | 4973 | | the funds available for organization expenses and the proposed 3352 |
---|
4974 | 4974 | | arrangements for reimbursement and compensation of incorporators 3353 |
---|
4975 | 4975 | | or other principals. 3354 |
---|
4976 | 4976 | | (h) Such other data, fin ancial statements, and pertinent 3355 |
---|
4977 | 4977 | | information as the commission or office may reasonably require 3356 |
---|
4978 | 4978 | | with respect to the management company, its directors, or its 3357 |
---|
4979 | 4979 | | trustees, or with respect to any parent, subsidiary, or 3358 |
---|
4980 | 4980 | | affiliate, if the management company relie s on a contractual or 3359 |
---|
4981 | 4981 | | financial relationship with such parent, subsidiary, or 3360 |
---|
4982 | 4982 | | affiliate in order to meet the financial requirements of this 3361 |
---|
4983 | 4983 | | chapter, to determine the financial status of the management 3362 |
---|
4984 | 4984 | | company and the management capabilities of its managers and 3363 |
---|
4985 | 4985 | | owners. 3364 |
---|
4986 | 4986 | | (3) An applicant must also submit all of the following for 3365 |
---|
4987 | 4987 | | all individuals referenced in paragraph (2)(c): 3366 |
---|
4988 | 4988 | | (a) A complete biographical statement on a form prescribed 3367 |
---|
4989 | 4989 | | by the commission. 3368 |
---|
4990 | 4990 | | (b) An independent background report as prescribed b y the 3369 |
---|
4991 | 4991 | | commission. 3370 |
---|
4992 | 4992 | | (c) A full set of fingerprints to the office or to a 3371 |
---|
4993 | 4993 | | vendor, entity, or agency authorized by s. 943.053(13). The 3372 |
---|
4994 | 4994 | | office, vendor, entity, or agency, as applicable, shall forward 3373 |
---|
4995 | 4995 | | the fingerprints to the Department of Law Enforcement for state 3374 |
---|
4996 | 4996 | | processing, and the Department of Law Enforcement shall forward 3375 |
---|
4997 | 4997 | | |
---|
4998 | 4998 | | HB 1141 2025 |
---|
4999 | 4999 | | |
---|
5000 | 5000 | | |
---|
5001 | 5001 | | |
---|
5002 | 5002 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5003 | 5003 | | hb1141-00 |
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5004 | 5004 | | Page 136 of 168 |
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5005 | 5005 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5006 | 5006 | | |
---|
5007 | 5007 | | |
---|
5008 | 5008 | | |
---|
5009 | 5009 | | the fingerprints to the Federal Bureau of Investigation for 3376 |
---|
5010 | 5010 | | national processing in accordance with s. 943.053 and 28 C.F.R. 3377 |
---|
5011 | 5011 | | s. 20. 3378 |
---|
5012 | 5012 | | (d) A self-disclosure of any administrative, civil, or 3379 |
---|
5013 | 5013 | | criminal complaints, settlements, or discipline of the 3380 |
---|
5014 | 5014 | | applicant, or any of the applicant's affiliates, which relates 3381 |
---|
5015 | 5015 | | to a violation of the insurance laws or continuing care 3382 |
---|
5016 | 5016 | | retirement community laws, in any state. 3383 |
---|
5017 | 5017 | | (4)(a) The applicant shall make available for inspection 3384 |
---|
5018 | 5018 | | by the office copies of all contracts and contract templates 3385 |
---|
5019 | 5019 | | relating to services provided by the management company to 3386 |
---|
5020 | 5020 | | providers or other persons using the services of the management 3387 |
---|
5021 | 5021 | | company. 3388 |
---|
5022 | 5022 | | (b) The applicant shall also make available for inspection 3389 |
---|
5023 | 5023 | | by the office copies of all contracts and contract templates 3390 |
---|
5024 | 5024 | | with any provider. 3391 |
---|
5025 | 5025 | | (5) The office may not issue a certificate of authority if 3392 |
---|
5026 | 5026 | | it determines that the management company or any individual 3393 |
---|
5027 | 5027 | | specified in paragraph (2)(c) is not competent, trustwort hy, 3394 |
---|
5028 | 5028 | | financially responsible, or of good personal and business 3395 |
---|
5029 | 5029 | | reputation. 3396 |
---|
5030 | 5030 | | (6) A certificate of authority issued under this section 3397 |
---|
5031 | 5031 | | remains valid, unless suspended or revoked by the office, so 3398 |
---|
5032 | 5032 | | long as the certificateholder continues in business in this 3399 |
---|
5033 | 5033 | | state. 3400 |
---|
5034 | 5034 | | |
---|
5035 | 5035 | | HB 1141 2025 |
---|
5036 | 5036 | | |
---|
5037 | 5037 | | |
---|
5038 | 5038 | | |
---|
5039 | 5039 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5040 | 5040 | | hb1141-00 |
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5041 | 5041 | | Page 137 of 168 |
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5042 | 5042 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5043 | 5043 | | |
---|
5044 | 5044 | | |
---|
5045 | 5045 | | |
---|
5046 | 5046 | | Section 69. Section 651.1041, Florida Statutes, is created 3401 |
---|
5047 | 5047 | | to read: 3402 |
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5048 | 5048 | | 651.1041 Acquisition of a management company. —An 3403 |
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5049 | 5049 | | acquisition of a management company is governed by s. 628.4615 3404 |
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5050 | 5050 | | as if the company were a specialty insurer. 3405 |
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5051 | 5051 | | Section 70. Section 651.1043, Florida Statutes, is created 3406 |
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5052 | 5052 | | to read: 3407 |
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5053 | 5053 | | 651.1043 Management company annual and quarterly financial 3408 |
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5054 | 5054 | | statements; notice of change of ownership; fines for 3409 |
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5055 | 5055 | | noncompliance.— 3410 |
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5056 | 5056 | | (1) Each authorized management company shall annually file 3411 |
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5057 | 5057 | | with the office a full and true statement of its financial 3412 |
---|
5058 | 5058 | | condition, transactions, and affairs within 3 months after the 3413 |
---|
5059 | 5059 | | end of the management company's fiscal year or within such 3414 |
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5060 | 5060 | | extension of time as the office may grant for good cause. The 3415 |
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5061 | 5061 | | statement must be for the p receding fiscal year and must be in 3416 |
---|
5062 | 5062 | | such form and contain such matters as the commission prescribes 3417 |
---|
5063 | 5063 | | and must be verified by at least two officers of the management 3418 |
---|
5064 | 5064 | | company. 3419 |
---|
5065 | 5065 | | (2) Each authorized management company shall also annually 3420 |
---|
5066 | 5066 | | file an audited financ ial statement prepared in accordance with 3421 |
---|
5067 | 5067 | | generally accepted accounting principles by an independent 3422 |
---|
5068 | 5068 | | certified public accountant. The audited financial statement 3423 |
---|
5069 | 5069 | | must be filed with the office within 3 months after the end of 3424 |
---|
5070 | 5070 | | the management company's fiscal year and be for the preceding 3425 |
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5071 | 5071 | | |
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5072 | 5072 | | HB 1141 2025 |
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5073 | 5073 | | |
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5074 | 5074 | | |
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5075 | 5075 | | |
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5076 | 5076 | | CODING: Words stricken are deletions; words underlined are additions. |
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5077 | 5077 | | hb1141-00 |
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5078 | 5078 | | Page 138 of 168 |
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5079 | 5079 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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5080 | 5080 | | |
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5081 | 5081 | | |
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5082 | 5082 | | |
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5083 | 5083 | | fiscal year. An audited financial statement prepared on a 3426 |
---|
5084 | 5084 | | consolidated basis must include a columnar consolidating or 3427 |
---|
5085 | 5085 | | combining worksheet that must be filed with the statement and 3428 |
---|
5086 | 5086 | | must comply with all of the following: 3429 |
---|
5087 | 5087 | | (a) Amounts shown on the consolidated audited financial 3430 |
---|
5088 | 5088 | | statement must be shown on the worksheet. 3431 |
---|
5089 | 5089 | | (b) Amounts for each entity must be stated separately. 3432 |
---|
5090 | 5090 | | (c) Explanations of consolidating and eliminating entries 3433 |
---|
5091 | 5091 | | must be included. 3434 |
---|
5092 | 5092 | | (3) For the purpose of de termining the financial status of 3435 |
---|
5093 | 5093 | | the management company and the management capabilities of its 3436 |
---|
5094 | 5094 | | managers and owners, the management company must submit such 3437 |
---|
5095 | 5095 | | other data, financial statements, and pertinent information as 3438 |
---|
5096 | 5096 | | the commission or office may reasona bly require with respect to 3439 |
---|
5097 | 5097 | | the management company, its directors, or its trustees, or with 3440 |
---|
5098 | 5098 | | respect to any parent, subsidiary, or affiliate if the 3441 |
---|
5099 | 5099 | | management company relies on a contractual or financial 3442 |
---|
5100 | 5100 | | relationship with such parent, subsidiary, or affilia te in order 3443 |
---|
5101 | 5101 | | to meet the financial requirements of this chapter. 3444 |
---|
5102 | 5102 | | (4) For any material change in its ownership, a management 3445 |
---|
5103 | 5103 | | company shall file an acquisition application as required by s. 3446 |
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5104 | 5104 | | 651.024. 3447 |
---|
5105 | 5105 | | (5) Within 45 days after the end of each fiscal quarter, 3448 |
---|
5106 | 5106 | | each management company shall file a quarterly unaudited 3449 |
---|
5107 | 5107 | | financial statement in the form prescribed by commission rule. 3450 |
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5108 | 5108 | | |
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5109 | 5109 | | HB 1141 2025 |
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5110 | 5110 | | |
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5111 | 5111 | | |
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5112 | 5112 | | |
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5113 | 5113 | | CODING: Words stricken are deletions; words underlined are additions. |
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5114 | 5114 | | hb1141-00 |
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5115 | 5115 | | Page 139 of 168 |
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5116 | 5116 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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5117 | 5117 | | |
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5118 | 5118 | | |
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5119 | 5119 | | |
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5120 | 5120 | | (6) If the office finds that such information is needed to 3451 |
---|
5121 | 5121 | | properly monitor the financial condition of a management company 3452 |
---|
5122 | 5122 | | or is otherwise needed to protect the public interest, the 3453 |
---|
5123 | 5123 | | office may require the management company to file: 3454 |
---|
5124 | 5124 | | (a) Within 25 days after the end of each month, a monthly 3455 |
---|
5125 | 5125 | | unaudited financial statement of the management company in the 3456 |
---|
5126 | 5126 | | form prescribed by the commissi on by rule. 3457 |
---|
5127 | 5127 | | (b) For the purpose of determining the financial status of 3458 |
---|
5128 | 5128 | | the management company and the management capabilities of its 3459 |
---|
5129 | 5129 | | managers and owners, such other data, financial statements, and 3460 |
---|
5130 | 5130 | | pertinent information as the office may reasonably requir e with 3461 |
---|
5131 | 5131 | | respect to the management company, its directors, or its 3462 |
---|
5132 | 5132 | | trustees, or with respect to any parent, subsidiary, or 3463 |
---|
5133 | 5133 | | affiliate if the management company relies on a contractual or 3464 |
---|
5134 | 5134 | | financial relationship with such parent, subsidiary, or 3465 |
---|
5135 | 5135 | | affiliate in order to meet the financial requirements of this 3466 |
---|
5136 | 5136 | | chapter. 3467 |
---|
5137 | 5137 | | (7) Any management company that fails to file an annual 3468 |
---|
5138 | 5138 | | financial report or quarterly financial report in the form and 3469 |
---|
5139 | 5139 | | within the time required by this section shall forfeit to the 3470 |
---|
5140 | 5140 | | office an amount set by order of the office which does not 3471 |
---|
5141 | 5141 | | exceed $1,000 for each of the first 10 days of noncompliance and 3472 |
---|
5142 | 5142 | | does not exceed $2,000 for each subsequent day of noncompliance. 3473 |
---|
5143 | 5143 | | Upon notice by the office that the management company is not in 3474 |
---|
5144 | 5144 | | compliance with this s ection, the management company's authority 3475 |
---|
5145 | 5145 | | |
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5146 | 5146 | | HB 1141 2025 |
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5147 | 5147 | | |
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5148 | 5148 | | |
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5149 | 5149 | | |
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5150 | 5150 | | CODING: Words stricken are deletions; words underlined are additions. |
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5151 | 5151 | | hb1141-00 |
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5152 | 5152 | | Page 140 of 168 |
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5153 | 5153 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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5154 | 5154 | | |
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5155 | 5155 | | |
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5156 | 5156 | | |
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5157 | 5157 | | to perform in the capacity of a management company for any 3476 |
---|
5158 | 5158 | | provider or facility in this state ceases until the office 3477 |
---|
5159 | 5159 | | determines the management company to be in compliance. The 3478 |
---|
5160 | 5160 | | office may not collect more than $10 0,000 under this subsection 3479 |
---|
5161 | 5161 | | with respect to any particular report. 3480 |
---|
5162 | 5162 | | (8) All moneys collected by the office under this section 3481 |
---|
5163 | 5163 | | must be deposited to the credit of the Insurance Regulatory 3482 |
---|
5164 | 5164 | | Trust Fund. 3483 |
---|
5165 | 5165 | | (9) The commission may by rule require all or part of t he 3484 |
---|
5166 | 5166 | | statements or filings required under this section to be 3485 |
---|
5167 | 5167 | | submitted by electronic means in a computer -readable form 3486 |
---|
5168 | 5168 | | compatible with the electronic data format specified by the 3487 |
---|
5169 | 5169 | | commission. 3488 |
---|
5170 | 5170 | | Section 71. Section 651.1045, Florida Statutes, is created 3489 |
---|
5171 | 5171 | | to read: 3490 |
---|
5172 | 5172 | | 651.1045 Management company grounds for discretionary 3491 |
---|
5173 | 5173 | | denial, suspension, or revocation of certificate of authority. — 3492 |
---|
5174 | 5174 | | (1) The office may deny an application or suspend or 3493 |
---|
5175 | 5175 | | revoke the certificate of authority of any applicant or 3494 |
---|
5176 | 5176 | | management company i f it finds that any one or more of the 3495 |
---|
5177 | 5177 | | following grounds applicable to the applicant or management 3496 |
---|
5178 | 5178 | | company exist: 3497 |
---|
5179 | 5179 | | (a) Failing to continue to meet the requirements for the 3498 |
---|
5180 | 5180 | | certificate of authority originally granted. 3499 |
---|
5181 | 5181 | | (b) Failing to meet one or more of t he qualifications for 3500 |
---|
5182 | 5182 | | |
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5183 | 5183 | | HB 1141 2025 |
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5184 | 5184 | | |
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5185 | 5185 | | |
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5186 | 5186 | | |
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5187 | 5187 | | CODING: Words stricken are deletions; words underlined are additions. |
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5188 | 5188 | | hb1141-00 |
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5189 | 5189 | | Page 141 of 168 |
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5190 | 5190 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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5191 | 5191 | | |
---|
5192 | 5192 | | |
---|
5193 | 5193 | | |
---|
5194 | 5194 | | the certificate of authority under this chapter. 3501 |
---|
5195 | 5195 | | (c) Making a material misstatement or misrepresentation to 3502 |
---|
5196 | 5196 | | obtain the certificate of authority or committing fraud in 3503 |
---|
5197 | 5197 | | obtaining or in attempting to obtain the certificate of 3504 |
---|
5198 | 5198 | | authority. 3505 |
---|
5199 | 5199 | | (d) Demonstrating a lack of fitness or trustworthiness. 3506 |
---|
5200 | 5200 | | (e) Engaging in fraudulent or dishonest practices of 3507 |
---|
5201 | 5201 | | management in the conduct of business. 3508 |
---|
5202 | 5202 | | (f) Misappropriating, converting, or withholding moneys. 3509 |
---|
5203 | 5203 | | (g) Failing to comply with, or violating, any lawful order 3510 |
---|
5204 | 5204 | | or rule issued by the office or commission or violating any 3511 |
---|
5205 | 5205 | | provision of this chapter. 3512 |
---|
5206 | 5206 | | (h) Becoming insolvent or financially impaired or 3513 |
---|
5207 | 5207 | | conducting business in a manner that poses a risk to the public. 3514 |
---|
5208 | 5208 | | (i) Refusing to be exa mined or to produce accounts, 3515 |
---|
5209 | 5209 | | records, and files for examination, refusing to give information 3516 |
---|
5210 | 5210 | | with respect to its affairs, or refusing to perform any other 3517 |
---|
5211 | 5211 | | legal obligation under this chapter when required by the office. 3518 |
---|
5212 | 5212 | | (j) Failing to comply with the r equirements of s. 3519 |
---|
5213 | 5213 | | 651.1043. 3520 |
---|
5214 | 5214 | | (k) Failing to maintain full compliance with escrow 3521 |
---|
5215 | 5215 | | accounts or funds as required by this chapter, if responsible 3522 |
---|
5216 | 5216 | | for the day-to-day operations of the provider. 3523 |
---|
5217 | 5217 | | (l) Failing to meet the requirements of this chapter for 3524 |
---|
5218 | 5218 | | disclosure of information to residents concerning the facility, 3525 |
---|
5219 | 5219 | | |
---|
5220 | 5220 | | HB 1141 2025 |
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5221 | 5221 | | |
---|
5222 | 5222 | | |
---|
5223 | 5223 | | |
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5224 | 5224 | | CODING: Words stricken are deletions; words underlined are additions. |
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5225 | 5225 | | hb1141-00 |
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5226 | 5226 | | Page 142 of 168 |
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5227 | 5227 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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5228 | 5228 | | |
---|
5229 | 5229 | | |
---|
5230 | 5230 | | |
---|
5231 | 5231 | | its ownership, its management, its development, or its financial 3526 |
---|
5232 | 5232 | | condition, or failing to honor its continuing care or continuing 3527 |
---|
5233 | 5233 | | care at-home contracts, if responsible for the day -to-day 3528 |
---|
5234 | 5234 | | operations of the provider. 3529 |
---|
5235 | 5235 | | (m) Having any cause for which issuance of the license 3530 |
---|
5236 | 5236 | | could have been denied had it then existed and been known to the 3531 |
---|
5237 | 5237 | | office. 3532 |
---|
5238 | 5238 | | (n) Having owners, managers, officers, or directors who 3533 |
---|
5239 | 5239 | | have been found guilty of, or have pleaded guilty or nolo 3534 |
---|
5240 | 5240 | | contendere to, a felony in this state or any other state, 3535 |
---|
5241 | 5241 | | regardless of whether a judgment or conviction was entered by 3536 |
---|
5242 | 5242 | | the court having jurisdiction of such cases. 3537 |
---|
5243 | 5243 | | (o) Engaging in unfair methods of competition or in unfair 3538 |
---|
5244 | 5244 | | or deceptive acts or p ractices prohibited under part IX of 3539 |
---|
5245 | 5245 | | chapter 626. 3540 |
---|
5246 | 5246 | | (p) Demonstrating a pattern of bankrupt enterprises. 3541 |
---|
5247 | 5247 | | (q) Including in ownership, control, or management any 3542 |
---|
5248 | 5248 | | person who: 3543 |
---|
5249 | 5249 | | 1. Is not reputable and of responsible character; 3544 |
---|
5250 | 5250 | | 2. Is so lacking in manageme nt expertise as to make the 3545 |
---|
5251 | 5251 | | operation of the provider hazardous to potential and existing 3546 |
---|
5252 | 5252 | | residents; 3547 |
---|
5253 | 5253 | | 3. Is so lacking in management experience, ability, and 3548 |
---|
5254 | 5254 | | standing as to jeopardize the reasonable promise of successful 3549 |
---|
5255 | 5255 | | operation; 3550 |
---|
5256 | 5256 | | |
---|
5257 | 5257 | | HB 1141 2025 |
---|
5258 | 5258 | | |
---|
5259 | 5259 | | |
---|
5260 | 5260 | | |
---|
5261 | 5261 | | CODING: Words stricken are deletions; words underlined are additions. |
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5262 | 5262 | | hb1141-00 |
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5263 | 5263 | | Page 143 of 168 |
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5264 | 5264 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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5265 | 5265 | | |
---|
5266 | 5266 | | |
---|
5267 | 5267 | | |
---|
5268 | 5268 | | 4. Is affiliated, dir ectly or indirectly, through 3551 |
---|
5269 | 5269 | | ownership or control, with any person whose business operations 3552 |
---|
5270 | 5270 | | are or have been marked by business practices or conduct that is 3553 |
---|
5271 | 5271 | | detrimental to the public, contract holders, investors, or 3554 |
---|
5272 | 5272 | | creditors; by manipulation of assets, f inances, or accounts; or 3555 |
---|
5273 | 5273 | | by bad faith; or 3556 |
---|
5274 | 5274 | | 5. Has business operations marked by business practices or 3557 |
---|
5275 | 5275 | | conduct that is detrimental to the public, contract holders, 3558 |
---|
5276 | 5276 | | investors, or creditors; by manipulation of assets, finances, or 3559 |
---|
5277 | 5277 | | accounts; or by bad faith. 3560 |
---|
5278 | 5278 | | (r) Failing to file a notice of change in management, 3561 |
---|
5279 | 5279 | | failing to remove a disapproved manager, or persisting in 3562 |
---|
5280 | 5280 | | appointing disapproved managers. 3563 |
---|
5281 | 5281 | | (2) Revocation of a management company's certificate of 3564 |
---|
5282 | 5282 | | authority under this section does not relieve a pro vider of the 3565 |
---|
5283 | 5283 | | provider's obligation to residents under the terms and 3566 |
---|
5284 | 5284 | | conditions of any continuing care or continuing care at -home 3567 |
---|
5285 | 5285 | | contract between the provider and residents or this chapter. The 3568 |
---|
5286 | 5286 | | management company shall continue to file its annual statement 3569 |
---|
5287 | 5287 | | and pay license fees to the office as required under this 3570 |
---|
5288 | 5288 | | chapter as if the certificate of authority had continued in full 3571 |
---|
5289 | 5289 | | force, but the management company may not issue any new 3572 |
---|
5290 | 5290 | | contracts on behalf of a provider. 3573 |
---|
5291 | 5291 | | (3) The office may seek an action in th e circuit court of 3574 |
---|
5292 | 5292 | | the Second Judicial Circuit, in and for Leon County, to enforce 3575 |
---|
5293 | 5293 | | |
---|
5294 | 5294 | | HB 1141 2025 |
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5295 | 5295 | | |
---|
5296 | 5296 | | |
---|
5297 | 5297 | | |
---|
5298 | 5298 | | CODING: Words stricken are deletions; words underlined are additions. |
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5299 | 5299 | | hb1141-00 |
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5300 | 5300 | | Page 144 of 168 |
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5301 | 5301 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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5302 | 5302 | | |
---|
5303 | 5303 | | |
---|
5304 | 5304 | | |
---|
5305 | 5305 | | the office's order and the provisions of this section. 3576 |
---|
5306 | 5306 | | Section 72. Subsections (1), (4), (5), and (6) of section 3577 |
---|
5307 | 5307 | | 651.105, Florida Statutes, are amended to read: 3578 |
---|
5308 | 5308 | | 651.105 Examination.— 3579 |
---|
5309 | 5309 | | (1) The office may at any time, and shall at least once 3580 |
---|
5310 | 5310 | | every 3 years, examine the business of any applicant for a 3581 |
---|
5311 | 5311 | | certificate of authority and any provider or management company 3582 |
---|
5312 | 5312 | | engaged in the execution of care contracts or engaged in th e 3583 |
---|
5313 | 5313 | | performance of obligations under such contracts, in the same 3584 |
---|
5314 | 5314 | | manner as is provided for the examination of insurance companies 3585 |
---|
5315 | 5315 | | pursuant to ss. 624.316 and 624.318. For a provider or 3586 |
---|
5316 | 5316 | | management company as deemed accredited under s. 651.028, such 3587 |
---|
5317 | 5317 | | examinations must take place at least once every 5 years. An 3588 |
---|
5318 | 5318 | | examination covering the preceding 3 or 5 fiscal years of the 3589 |
---|
5319 | 5319 | | provider or management company , as applicable, must be commenced 3590 |
---|
5320 | 5320 | | within 12 months after the end of the most recent fiscal year 3591 |
---|
5321 | 5321 | | covered by the examination. Such examination may include events 3592 |
---|
5322 | 5322 | | subsequent to the end of the most recent fiscal year and the 3593 |
---|
5323 | 5323 | | events of any prior period which relate to possible violations 3594 |
---|
5324 | 5324 | | of this chapter or which affect the present financial condition 3595 |
---|
5325 | 5325 | | of the provider or management company. At least once every 3 or 3596 |
---|
5326 | 5326 | | 5 fiscal years, as applicable, the office shall conduct an 3597 |
---|
5327 | 5327 | | interview in person, telephonically, or through electronic 3598 |
---|
5328 | 5328 | | communication with the current president or chair of the 3599 |
---|
5329 | 5329 | | residents' council, or another design ated officer of the council 3600 |
---|
5330 | 5330 | | |
---|
5331 | 5331 | | HB 1141 2025 |
---|
5332 | 5332 | | |
---|
5333 | 5333 | | |
---|
5334 | 5334 | | |
---|
5335 | 5335 | | CODING: Words stricken are deletions; words underlined are additions. |
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5336 | 5336 | | hb1141-00 |
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5337 | 5337 | | Page 145 of 168 |
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5338 | 5338 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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5339 | 5339 | | |
---|
5340 | 5340 | | |
---|
5341 | 5341 | | |
---|
5342 | 5342 | | if the president or chair is not available, as part of the 3601 |
---|
5343 | 5343 | | examination process. The examinations must be made by a 3602 |
---|
5344 | 5344 | | representative or examiner designated by the office whose 3603 |
---|
5345 | 5345 | | compensation will be fixed by the office pursuant to s. 624.320. 3604 |
---|
5346 | 5346 | | Routine examinations may be made by having the necessary 3605 |
---|
5347 | 5347 | | documents submitted to the office ,; and, for this purpose, 3606 |
---|
5348 | 5348 | | financial documents and records conforming to commonly accepted 3607 |
---|
5349 | 5349 | | accounting principles and practices, as required under s. 3608 |
---|
5350 | 5350 | | 651.026, are deemed adequate. The final written report of each 3609 |
---|
5351 | 5351 | | examination must be filed with the office and, when so filed, 3610 |
---|
5352 | 5352 | | constitutes a public record. Any provider or management company 3611 |
---|
5353 | 5353 | | being examined shall, upon request, give reasonable and timely 3612 |
---|
5354 | 5354 | | access to all of its records. The representative or examiner 3613 |
---|
5355 | 5355 | | designated by the office may at any time examine the records and 3614 |
---|
5356 | 5356 | | affairs and inspect the physical property of any provider or 3615 |
---|
5357 | 5357 | | management company, whether in connection with a formal 3616 |
---|
5358 | 5358 | | examination or not. 3617 |
---|
5359 | 5359 | | (4) The office shall notify the provider or management 3618 |
---|
5360 | 5360 | | company and the executive officer of the governing body of the 3619 |
---|
5361 | 5361 | | provider or management company in writing of all deficiencies in 3620 |
---|
5362 | 5362 | | its compliance with the provisions of this chapter and the rules 3621 |
---|
5363 | 5363 | | adopted pursuant to this chapter and shall set a reasonable 3622 |
---|
5364 | 5364 | | length of time for compliance by the provider or management 3623 |
---|
5365 | 5365 | | company. In addition, the office shall require corrective action 3624 |
---|
5366 | 5366 | | or request a corrective action plan from the provider or 3625 |
---|
5367 | 5367 | | |
---|
5368 | 5368 | | HB 1141 2025 |
---|
5369 | 5369 | | |
---|
5370 | 5370 | | |
---|
5371 | 5371 | | |
---|
5372 | 5372 | | CODING: Words stricken are deletions; words underlined are additions. |
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5373 | 5373 | | hb1141-00 |
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5374 | 5374 | | Page 146 of 168 |
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5375 | 5375 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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5376 | 5376 | | |
---|
5377 | 5377 | | |
---|
5378 | 5378 | | |
---|
5379 | 5379 | | management company which plan demonstrates a good faith attempt 3626 |
---|
5380 | 5380 | | to remedy the deficiencies by a specified date. If the provider 3627 |
---|
5381 | 5381 | | or management company fails to comply within the established 3628 |
---|
5382 | 5382 | | length of time, the office may initiate action against the 3629 |
---|
5383 | 5383 | | provider or management company in accordance with the provisions 3630 |
---|
5384 | 5384 | | of this chapter. 3631 |
---|
5385 | 5385 | | (5) A provider or management company shall respond to 3632 |
---|
5386 | 5386 | | written correspondence from the office and provide data, 3633 |
---|
5387 | 5387 | | financial statements, and pertinent information as requested by 3634 |
---|
5388 | 5388 | | the office. The office has sta nding to petition a circuit court 3635 |
---|
5389 | 5389 | | for mandatory injunctive relief to compel access to and require 3636 |
---|
5390 | 5390 | | the provider or management company to produce the documents, 3637 |
---|
5391 | 5391 | | data, records, and other information requested by the office. 3638 |
---|
5392 | 5392 | | The office may petition the circuit court in the county in which 3639 |
---|
5393 | 5393 | | the facility is situated or the Circuit Court of Leon County to 3640 |
---|
5394 | 5394 | | enforce this section. 3641 |
---|
5395 | 5395 | | (6) Unless a provider is impaired or subject to a 3642 |
---|
5396 | 5396 | | regulatory action level event, any parent, subsidiary, or 3643 |
---|
5397 | 5397 | | affiliate is not subject to ex amination by the office as part of 3644 |
---|
5398 | 5398 | | a routine examination. However, If a provider, or facility, or 3645 |
---|
5399 | 5399 | | management company relies on a contractual or financial 3646 |
---|
5400 | 5400 | | relationship with a parent, a subsidiary, or an affiliate in 3647 |
---|
5401 | 5401 | | order to meet the financial requirements of this chapter, the 3648 |
---|
5402 | 5402 | | office may examine any parent, subsidiary, or affiliate that has 3649 |
---|
5403 | 5403 | | a contractual or financial relationship with the provider , or 3650 |
---|
5404 | 5404 | | |
---|
5405 | 5405 | | HB 1141 2025 |
---|
5406 | 5406 | | |
---|
5407 | 5407 | | |
---|
5408 | 5408 | | |
---|
5409 | 5409 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5410 | 5410 | | hb1141-00 |
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5411 | 5411 | | Page 147 of 168 |
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5412 | 5412 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5413 | 5413 | | |
---|
5414 | 5414 | | |
---|
5415 | 5415 | | |
---|
5416 | 5416 | | facility, or management company to the extent necessary to 3651 |
---|
5417 | 5417 | | ascertain the financial condition of the provider or management 3652 |
---|
5418 | 5418 | | company. For any provider that has been placed into 3653 |
---|
5419 | 5419 | | administrative supervision under s. 651.018, any parent, 3654 |
---|
5420 | 5420 | | subsidiary, or affiliate is subject to examination by t he 3655 |
---|
5421 | 5421 | | office. 3656 |
---|
5422 | 5422 | | Section 73. Section 651.1065, Florida Statutes, is amended 3657 |
---|
5423 | 5423 | | to read: 3658 |
---|
5424 | 5424 | | 651.1065 Soliciting or accepting new continuing care 3659 |
---|
5425 | 5425 | | contracts by impaired or insolvent facilities or providers. — 3660 |
---|
5426 | 5426 | | (1) Regardless of whether delinquency proceedings as to a 3661 |
---|
5427 | 5427 | | continuing care facility have been or are to be initiated, a 3662 |
---|
5428 | 5428 | | proprietor, a general partner, a member, an officer, a director, 3663 |
---|
5429 | 5429 | | a trustee, or a manager, or a management company of a continuing 3664 |
---|
5430 | 5430 | | care facility may not actively solicit, approve the solicitation 3665 |
---|
5431 | 5431 | | or acceptance of, or accept new continuing care contracts in 3666 |
---|
5432 | 5432 | | this state after the proprietor, general partner, member, 3667 |
---|
5433 | 5433 | | officer, director, trustee, or manager, or a management company 3668 |
---|
5434 | 5434 | | knew, or reasonably should have known, that the continuing care 3669 |
---|
5435 | 5435 | | facility was impaired or insolvent except with the written 3670 |
---|
5436 | 5436 | | permission of the office. If the facility has declared 3671 |
---|
5437 | 5437 | | bankruptcy, the bankruptcy court or trustee appointed by the 3672 |
---|
5438 | 5438 | | court has jurisdiction over suc h matters. The office must 3673 |
---|
5439 | 5439 | | approve or disapprove the continued marketing of new contracts 3674 |
---|
5440 | 5440 | | within 15 days after receiving a request from a provider. 3675 |
---|
5441 | 5441 | | |
---|
5442 | 5442 | | HB 1141 2025 |
---|
5443 | 5443 | | |
---|
5444 | 5444 | | |
---|
5445 | 5445 | | |
---|
5446 | 5446 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5447 | 5447 | | hb1141-00 |
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5448 | 5448 | | Page 148 of 168 |
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5449 | 5449 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5450 | 5450 | | |
---|
5451 | 5451 | | |
---|
5452 | 5452 | | |
---|
5453 | 5453 | | (2) A proprietor, a general partner, a member, an officer, 3676 |
---|
5454 | 5454 | | a director, a trustee, or a manager, or a management company 3677 |
---|
5455 | 5455 | | that who violates this section commits a felony of the third 3678 |
---|
5456 | 5456 | | degree, punishable as provided in s. 775.082, s. 775.083, or s. 3679 |
---|
5457 | 5457 | | 775.084. 3680 |
---|
5458 | 5458 | | Section 74. Section 651.1068, Florida Statutes, is created 3681 |
---|
5459 | 5459 | | to read: 3682 |
---|
5460 | 5460 | | 651.1068 Officers and directors of insolvent providers or 3683 |
---|
5461 | 5461 | | management companies. —Any person who was an officer or director 3684 |
---|
5462 | 5462 | | of a provider or management company doing business in this state 3685 |
---|
5463 | 5463 | | and who served in that capacity within the 2 -year period before 3686 |
---|
5464 | 5464 | | the date the provider or management com pany became insolvent, 3687 |
---|
5465 | 5465 | | for any insolvency that occurs on or after July 1, 2025, may not 3688 |
---|
5466 | 5466 | | thereafter serve as an officer or director of a provider or 3689 |
---|
5467 | 5467 | | management company authorized in this state or have direct or 3690 |
---|
5468 | 5468 | | indirect control over the selection or appoint ment of an officer 3691 |
---|
5469 | 5469 | | or director of a provider or management company through contract 3692 |
---|
5470 | 5470 | | or trust or by operation of law, unless the officer or director 3693 |
---|
5471 | 5471 | | demonstrates that his or her personal actions or omissions were 3694 |
---|
5472 | 5472 | | not a significant contributing cause to the insolvency. 3695 |
---|
5473 | 5473 | | Section 75. Subsections (2) and (3) of section 651.107, 3696 |
---|
5474 | 5474 | | Florida Statutes, are amended to read: 3697 |
---|
5475 | 5475 | | 651.107 Duration of suspension; obligations during 3698 |
---|
5476 | 5476 | | suspension period; reinstatement. — 3699 |
---|
5477 | 5477 | | (2) During the period of suspension, the provider or 3700 |
---|
5478 | 5478 | | |
---|
5479 | 5479 | | HB 1141 2025 |
---|
5480 | 5480 | | |
---|
5481 | 5481 | | |
---|
5482 | 5482 | | |
---|
5483 | 5483 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5484 | 5484 | | hb1141-00 |
---|
5485 | 5485 | | Page 149 of 168 |
---|
5486 | 5486 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5487 | 5487 | | |
---|
5488 | 5488 | | |
---|
5489 | 5489 | | |
---|
5490 | 5490 | | management company shall file its annual statement and pay 3701 |
---|
5491 | 5491 | | license fees and taxes as required under this chapter as if the 3702 |
---|
5492 | 5492 | | certificate had continued in full force ,; but the provider shall 3703 |
---|
5493 | 5493 | | issue no new contracts. 3704 |
---|
5494 | 5494 | | (3) Upon expiration of the suspension period , if within 3705 |
---|
5495 | 5495 | | such period the certificate of authority has not otherwise 3706 |
---|
5496 | 5496 | | terminated, the provider's or management company's certificate 3707 |
---|
5497 | 5497 | | of authority shall automatically be reinstated unless the office 3708 |
---|
5498 | 5498 | | finds that the causes for the suspension have not been re moved 3709 |
---|
5499 | 5499 | | or that the provider or management company is otherwise not in 3710 |
---|
5500 | 5500 | | compliance with the requirements of this chapter. If not so 3711 |
---|
5501 | 5501 | | automatically reinstated, the certificate of authority shall be 3712 |
---|
5502 | 5502 | | deemed to be revoked as of the end of the suspension period or 3713 |
---|
5503 | 5503 | | upon failure of the provider or management company to continue 3714 |
---|
5504 | 5504 | | the certificate during the suspension period, whichever event 3715 |
---|
5505 | 5505 | | first occurs. 3716 |
---|
5506 | 5506 | | Section 76. Subsection (2) of section 651.108, Florida 3717 |
---|
5507 | 5507 | | Statutes, is amended to read: 3718 |
---|
5508 | 5508 | | 651.108 Administrative fin es.— 3719 |
---|
5509 | 5509 | | (2) If it is found that the provider or management company 3720 |
---|
5510 | 5510 | | has knowingly and willfully violated a lawful order of the 3721 |
---|
5511 | 5511 | | office or a provision of this chapter, the office may impose a 3722 |
---|
5512 | 5512 | | fine of up to in an amount not to exceed $10,000 for each such 3723 |
---|
5513 | 5513 | | violation. 3724 |
---|
5514 | 5514 | | Section 77. Section 651.113, Florida Statutes, is created 3725 |
---|
5515 | 5515 | | |
---|
5516 | 5516 | | HB 1141 2025 |
---|
5517 | 5517 | | |
---|
5518 | 5518 | | |
---|
5519 | 5519 | | |
---|
5520 | 5520 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5521 | 5521 | | hb1141-00 |
---|
5522 | 5522 | | Page 150 of 168 |
---|
5523 | 5523 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5524 | 5524 | | |
---|
5525 | 5525 | | |
---|
5526 | 5526 | | |
---|
5527 | 5527 | | to read: 3726 |
---|
5528 | 5528 | | 651.113 Hazardous facility or provider standards; office's 3727 |
---|
5529 | 5529 | | evaluation and enforcement authority; immediate final order. — 3728 |
---|
5530 | 5530 | | (1) As used in this section, the term "negative fund 3729 |
---|
5531 | 5531 | | balance" means a financial position of a provider or facility in 3730 |
---|
5532 | 5532 | | which the assets of a provider or facility do not exceed its 3731 |
---|
5533 | 5533 | | liabilities as required under generally accepted accounting 3732 |
---|
5534 | 5534 | | principles. The Commissioner of Insurance Regulation may deem a 3733 |
---|
5535 | 5535 | | provider or facility that has a negative fund balance to be 3734 |
---|
5536 | 5536 | | insolvent or in imminent danger of becoming insolvent if any of 3735 |
---|
5537 | 5537 | | the following hazardous financial condition standards or factors 3736 |
---|
5538 | 5538 | | is applicable or present: 3737 |
---|
5539 | 5539 | | (a) The provider's or facility's financial sta tements 3738 |
---|
5540 | 5540 | | contain findings or conditions that the commissioner considers 3739 |
---|
5541 | 5541 | | detrimental to its financial stability. 3740 |
---|
5542 | 5542 | | (b) An independent auditor has identified significant 3741 |
---|
5543 | 5543 | | financial risks or issued a going concern opinion. 3742 |
---|
5544 | 5544 | | (c) The provider's or facility's cur rent or projected 3743 |
---|
5545 | 5545 | | ratio of total assets, including required reserves, to total 3744 |
---|
5546 | 5546 | | liabilities indicates financial impairment or deterioration, or 3745 |
---|
5547 | 5547 | | trends suggest a potential decline in operations, working 3746 |
---|
5548 | 5548 | | capital, or equity. 3747 |
---|
5549 | 5549 | | (d) The provider's or facility's current or projected 3748 |
---|
5550 | 5550 | | ratio of current assets to current liabilities indicates 3749 |
---|
5551 | 5551 | | financial impairment or deterioration, or trends suggest a 3750 |
---|
5552 | 5552 | | |
---|
5553 | 5553 | | HB 1141 2025 |
---|
5554 | 5554 | | |
---|
5555 | 5555 | | |
---|
5556 | 5556 | | |
---|
5557 | 5557 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5558 | 5558 | | hb1141-00 |
---|
5559 | 5559 | | Page 151 of 168 |
---|
5560 | 5560 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5561 | 5561 | | |
---|
5562 | 5562 | | |
---|
5563 | 5563 | | |
---|
5564 | 5564 | | potential decline in operations, working capital, or equity. 3751 |
---|
5565 | 5565 | | (e) The provider or facility is unable to carry out norm al 3752 |
---|
5566 | 5566 | | daily activities and meet its obligations as they become due, 3753 |
---|
5567 | 5567 | | based on its current or projected cash flow and liquidity 3754 |
---|
5568 | 5568 | | position. 3755 |
---|
5569 | 5569 | | (f) The provider's or facility's past -year operating 3756 |
---|
5570 | 5570 | | losses or projected operating losses are significant enough to 3757 |
---|
5571 | 5571 | | jeopardize daily operations or long -term viability. 3758 |
---|
5572 | 5572 | | (g) The insolvency of an affiliated provider or facility 3759 |
---|
5573 | 5573 | | or other affiliated person results in legal liability of the 3760 |
---|
5574 | 5574 | | provider or facility for payments and expenses of such magnitude 3761 |
---|
5575 | 5575 | | as to jeopardize the pro vider's or facility's ability to meet 3762 |
---|
5576 | 5576 | | its obligations as they become due, without substantial 3763 |
---|
5577 | 5577 | | disposition of assets outside the ordinary course of business, 3764 |
---|
5578 | 5578 | | any restructuring of debt, or externally forced revisions of its 3765 |
---|
5579 | 5579 | | operations. 3766 |
---|
5580 | 5580 | | (h) The provider or facility has receivables that are more 3767 |
---|
5581 | 5581 | | than 90 days past due. 3768 |
---|
5582 | 5582 | | (i) The insolvency is not temporary and the provider or 3769 |
---|
5583 | 5583 | | facility cannot demonstrate a significant reduction or 3770 |
---|
5584 | 5584 | | resolution of the financial shortfall. 3771 |
---|
5585 | 5585 | | (j) The provider or facility faces finan cial difficulties 3772 |
---|
5586 | 5586 | | due to reporting entrance fees as deferred revenue, factoring in 3773 |
---|
5587 | 5587 | | generally accepted accounting principles and the overall impact 3774 |
---|
5588 | 5588 | | on net income. 3775 |
---|
5589 | 5589 | | |
---|
5590 | 5590 | | HB 1141 2025 |
---|
5591 | 5591 | | |
---|
5592 | 5592 | | |
---|
5593 | 5593 | | |
---|
5594 | 5594 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5595 | 5595 | | hb1141-00 |
---|
5596 | 5596 | | Page 152 of 168 |
---|
5597 | 5597 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5598 | 5598 | | |
---|
5599 | 5599 | | |
---|
5600 | 5600 | | |
---|
5601 | 5601 | | (k) A startup provider, a facility undergoing plant 3776 |
---|
5602 | 5602 | | expansion, or an entity refinancing its debt has developed a 3777 |
---|
5603 | 5603 | | financial condition that could seriously jeopardize current or 3778 |
---|
5604 | 5604 | | future operation. 3779 |
---|
5605 | 5605 | | (2) The provider or facility shall prepare a plan to 3780 |
---|
5606 | 5606 | | address and correct any condition that has led to a 3781 |
---|
5607 | 5607 | | determination of insolvency or imminent danger of insolvency by 3782 |
---|
5608 | 5608 | | the Commissioner of Insurance Regulation. The plan must be 3783 |
---|
5609 | 5609 | | presented to the commissioner within 30 days after the date of 3784 |
---|
5610 | 5610 | | the insolvency determination. If the plan to correct the 3785 |
---|
5611 | 5611 | | condition is disapproved by the commissioner, if the plan do es 3786 |
---|
5612 | 5612 | | not correct the condition leading to the commissioner's 3787 |
---|
5613 | 5613 | | determination of insolvency, or if the provider's or facility's 3788 |
---|
5614 | 5614 | | hazardous condition is such that it cannot be significantly 3789 |
---|
5615 | 5615 | | corrected or eliminated, the commissioner may proceed with 3790 |
---|
5616 | 5616 | | liquidation under chapter 631. 3791 |
---|
5617 | 5617 | | (3) If the office determines that the continued operations 3792 |
---|
5618 | 5618 | | of a provider or facility authorized to transact business in 3793 |
---|
5619 | 5619 | | this state may be hazardous to its residents or to the general 3794 |
---|
5620 | 5620 | | public, the office may issue an order requiring the pr ovider or 3795 |
---|
5621 | 5621 | | facility to do any of the following: 3796 |
---|
5622 | 5622 | | (a) Obtain additional financing or revenues to maintain 3797 |
---|
5623 | 5623 | | solvency. 3798 |
---|
5624 | 5624 | | (b) Reduce expenses by specified methods or amounts. 3799 |
---|
5625 | 5625 | | (c) Increase the operating reserve. 3800 |
---|
5626 | 5626 | | |
---|
5627 | 5627 | | HB 1141 2025 |
---|
5628 | 5628 | | |
---|
5629 | 5629 | | |
---|
5630 | 5630 | | |
---|
5631 | 5631 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5632 | 5632 | | hb1141-00 |
---|
5633 | 5633 | | Page 153 of 168 |
---|
5634 | 5634 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5635 | 5635 | | |
---|
5636 | 5636 | | |
---|
5637 | 5637 | | |
---|
5638 | 5638 | | (d) File reports in a form acceptable to the office 3801 |
---|
5639 | 5639 | | concerning the market value of the provider's or facility's 3802 |
---|
5640 | 5640 | | assets. 3803 |
---|
5641 | 5641 | | (e) Limit or withdraw from certain investments or 3804 |
---|
5642 | 5642 | | discontinue certain investment practices to the extent the 3805 |
---|
5643 | 5643 | | office deems necessary. 3806 |
---|
5644 | 5644 | | (f) Document the adequacy of income and oper ating reserves 3807 |
---|
5645 | 5645 | | in relation to expenses. 3808 |
---|
5646 | 5646 | | (g) File, in addition to regular annual statements, 3809 |
---|
5647 | 5647 | | interim financial reports on a form prescribed by the 3810 |
---|
5648 | 5648 | | commission. 3811 |
---|
5649 | 5649 | | (h) Correct corporate governance practice deficiencies and 3812 |
---|
5650 | 5650 | | adopt and use governance practices acceptable to the office. 3813 |
---|
5651 | 5651 | | (i) Provide a business plan acceptable to the office in 3814 |
---|
5652 | 5652 | | order to continue to transact business in this state. 3815 |
---|
5653 | 5653 | | (j) Notwithstanding any other law limiting the frequency 3816 |
---|
5654 | 5654 | | or amount of rate adjustments, adjust rates for any non -life 3817 |
---|
5655 | 5655 | | insurance product written by the insurer which the office 3818 |
---|
5656 | 5656 | | considers necessary to improve the financial condition of the 3819 |
---|
5657 | 5657 | | insurer. 3820 |
---|
5658 | 5658 | | (4) The office may, pursuant to ss. 120.569 and 120.57, in 3821 |
---|
5659 | 5659 | | its discretion and without advance notice or hearing, issue an 3822 |
---|
5660 | 5660 | | immediate final order to any insurer requiring the actions 3823 |
---|
5661 | 5661 | | specified in subsection (3). 3824 |
---|
5662 | 5662 | | (5) This section may not be interpreted to limit the 3825 |
---|
5663 | 5663 | | |
---|
5664 | 5664 | | HB 1141 2025 |
---|
5665 | 5665 | | |
---|
5666 | 5666 | | |
---|
5667 | 5667 | | |
---|
5668 | 5668 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5669 | 5669 | | hb1141-00 |
---|
5670 | 5670 | | Page 154 of 168 |
---|
5671 | 5671 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5672 | 5672 | | |
---|
5673 | 5673 | | |
---|
5674 | 5674 | | |
---|
5675 | 5675 | | powers granted to the office by any laws of this state, nor may 3826 |
---|
5676 | 5676 | | it be interpreted to supersede any laws of this st ate. 3827 |
---|
5677 | 5677 | | Section 78. Subsection (11) of section 651.114, Florida 3828 |
---|
5678 | 5678 | | Statutes, is amended to read: 3829 |
---|
5679 | 5679 | | 651.114 Delinquency proceedings; remedial rights. — 3830 |
---|
5680 | 5680 | | (11)(a) The rights of the office described in this section 3831 |
---|
5681 | 5681 | | are subordinate to the rights of a trustee or l ender pursuant to 3832 |
---|
5682 | 5682 | | the terms of a resolution, ordinance, loan agreement, indenture 3833 |
---|
5683 | 5683 | | of trust, mortgage, lease, security agreement, or other 3834 |
---|
5684 | 5684 | | instrument creating or securing bonds or notes issued to finance 3835 |
---|
5685 | 5685 | | a facility, and the office, subject to paragraph (c), may not 3836 |
---|
5686 | 5686 | | exercise its remedial rights provided under this section and ss. 3837 |
---|
5687 | 5687 | | 651.018, 651.106, 651.108, and 651.116 with respect to a 3838 |
---|
5688 | 5688 | | facility that is subject to a lien, mortgage, lease, or other 3839 |
---|
5689 | 5689 | | encumbrance or trust indenture securing bonds or notes issued i n 3840 |
---|
5690 | 5690 | | connection with the financing of the facility, if the trustee or 3841 |
---|
5691 | 5691 | | lender, by inclusion or by amendment to the loan documents or by 3842 |
---|
5692 | 5692 | | a separate contract with the office, agrees that the rights of 3843 |
---|
5693 | 5693 | | residents under a continuing care or continuing care at -home 3844 |
---|
5694 | 5694 | | contract will be honored and will not be disturbed by a 3845 |
---|
5695 | 5695 | | foreclosure or conveyance in lieu thereof as long as the 3846 |
---|
5696 | 5696 | | resident: 3847 |
---|
5697 | 5697 | | 1. Is current in the payment of all monetary obligations 3848 |
---|
5698 | 5698 | | required by the contract; 3849 |
---|
5699 | 5699 | | 2. Is in compliance and continues to comply wi th all 3850 |
---|
5700 | 5700 | | |
---|
5701 | 5701 | | HB 1141 2025 |
---|
5702 | 5702 | | |
---|
5703 | 5703 | | |
---|
5704 | 5704 | | |
---|
5705 | 5705 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5706 | 5706 | | hb1141-00 |
---|
5707 | 5707 | | Page 155 of 168 |
---|
5708 | 5708 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5709 | 5709 | | |
---|
5710 | 5710 | | |
---|
5711 | 5711 | | |
---|
5712 | 5712 | | provisions of the contract; and 3851 |
---|
5713 | 5713 | | 3. Has asserted no claim inconsistent with the rights of 3852 |
---|
5714 | 5714 | | the trustee or lender. 3853 |
---|
5715 | 5715 | | (b) This subsection does not require a trustee or lender 3854 |
---|
5716 | 5716 | | to: 3855 |
---|
5717 | 5717 | | 1. Continue to engage in the marketing or resale of new 3856 |
---|
5718 | 5718 | | continuing care or continuing care at -home contracts; 3857 |
---|
5719 | 5719 | | 2. Pay any rebate of entrance fees as may be required by a 3858 |
---|
5720 | 5720 | | resident's continuing care or continuing care at -home contract 3859 |
---|
5721 | 5721 | | as of the date of acquisition of the facility by the trustee or 3860 |
---|
5722 | 5722 | | lender and until expiration of the period described in paragraph 3861 |
---|
5723 | 5723 | | (d); 3862 |
---|
5724 | 5724 | | 3. Be responsible for any act or omission of any owner or 3863 |
---|
5725 | 5725 | | operator of the facility arising before the acquisition of the 3864 |
---|
5726 | 5726 | | facility by the trustee or lender; or 3865 |
---|
5727 | 5727 | | 4. Provide services to the residents to the extent that 3866 |
---|
5728 | 5728 | | the trustee or lender would be required to advance or expend 3867 |
---|
5729 | 5729 | | funds that have not been designated or set aside for such 3868 |
---|
5730 | 5730 | | purposes. 3869 |
---|
5731 | 5731 | | (c) If the office determines, at any time during the 3870 |
---|
5732 | 5732 | | suspension of its remedial rights as provided in paragraph (a), 3871 |
---|
5733 | 5733 | | that: 3872 |
---|
5734 | 5734 | | 1. The trustee or lender is not in compliance with 3873 |
---|
5735 | 5735 | | paragraph (a); 3874 |
---|
5736 | 5736 | | 2. A lender or trustee has assigned or has agreed to 3875 |
---|
5737 | 5737 | | |
---|
5738 | 5738 | | HB 1141 2025 |
---|
5739 | 5739 | | |
---|
5740 | 5740 | | |
---|
5741 | 5741 | | |
---|
5742 | 5742 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5743 | 5743 | | hb1141-00 |
---|
5744 | 5744 | | Page 156 of 168 |
---|
5745 | 5745 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5746 | 5746 | | |
---|
5747 | 5747 | | |
---|
5748 | 5748 | | |
---|
5749 | 5749 | | assign all or a portion of a delinquent or defaulted loan to a 3876 |
---|
5750 | 5750 | | third party without the office's written consent; 3877 |
---|
5751 | 5751 | | 3. The provider engaged in the misappropriation, 3878 |
---|
5752 | 5752 | | conversion, or illegal commitment or withdrawal of minimum 3879 |
---|
5753 | 5753 | | liquid reserve or escrowed funds required under this chapter; 3880 |
---|
5754 | 5754 | | 4. The provider refused to be examined by the office 3881 |
---|
5755 | 5755 | | pursuant to s. 651.105(1); or 3882 |
---|
5756 | 5756 | | 5. The provider refused to produce any relevant accounts, 3883 |
---|
5757 | 5757 | | records, and files requested as part of an examination, 3884 |
---|
5758 | 5758 | | 3885 |
---|
5759 | 5759 | | the office shall notify the trustee or lender in writing of its 3886 |
---|
5760 | 5760 | | determination, setting forth the reasons giving rise to the 3887 |
---|
5761 | 5761 | | determination and specifying those remedial rights afforded to 3888 |
---|
5762 | 5762 | | the office which the office shall then reinstate. 3889 |
---|
5763 | 5763 | | (d) Upon acquisition of a facility by a trustee or lender 3890 |
---|
5764 | 5764 | | and evidence satisfactory to the office that the requirements of 3891 |
---|
5765 | 5765 | | paragraph (a) have been met, the office shall i ssue a 90-day 3892 |
---|
5766 | 5766 | | temporary certificate of authority granting the trustee or 3893 |
---|
5767 | 5767 | | lender the authority to engage in the business of providing 3894 |
---|
5768 | 5768 | | continuing care or continuing care at -home and to issue 3895 |
---|
5769 | 5769 | | continuing care or continuing care at -home contracts subject to 3896 |
---|
5770 | 5770 | | the office's right to immediately suspend or revoke the 3897 |
---|
5771 | 5771 | | temporary certificate of authority if the office determines that 3898 |
---|
5772 | 5772 | | any of the grounds described in s. 651.106 apply to the trustee 3899 |
---|
5773 | 5773 | | or lender or that the terms of the contract used as the basis 3900 |
---|
5774 | 5774 | | |
---|
5775 | 5775 | | HB 1141 2025 |
---|
5776 | 5776 | | |
---|
5777 | 5777 | | |
---|
5778 | 5778 | | |
---|
5779 | 5779 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5780 | 5780 | | hb1141-00 |
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5781 | 5781 | | Page 157 of 168 |
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5782 | 5782 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5783 | 5783 | | |
---|
5784 | 5784 | | |
---|
5785 | 5785 | | |
---|
5786 | 5786 | | for the issuance of the temporary certificate of authority by 3901 |
---|
5787 | 5787 | | the office have not been or are not being met by the trustee or 3902 |
---|
5788 | 5788 | | lender since the date of acquisition. 3903 |
---|
5789 | 5789 | | Section 79. Section 651.1165, Florida Statutes, is created 3904 |
---|
5790 | 5790 | | to read: 3905 |
---|
5791 | 5791 | | 651.1165 Recording of lien by the office.— 3906 |
---|
5792 | 5792 | | (1) The office shall, as a condition to granting a 3907 |
---|
5793 | 5793 | | provisional certificate of authority to an applicant, record 3908 |
---|
5794 | 5794 | | with the county recorder of any county a notice of lien against 3909 |
---|
5795 | 5795 | | the facility's properties on behalf of all residents and 3910 |
---|
5796 | 5796 | | contract holders who enter into life care contracts with the 3911 |
---|
5797 | 5797 | | applicant to secure performance of the provider's obligations to 3912 |
---|
5798 | 5798 | | residents and contract holders pursuant to life care contracts. 3913 |
---|
5799 | 5799 | | (2) From the time of the recording under subsection (1), 3914 |
---|
5800 | 5800 | | there exists a lien for an amount equal to the reasonable value 3915 |
---|
5801 | 5801 | | of services to be performed under a life care contract in favor 3916 |
---|
5802 | 5802 | | of each resident and contract holder on the land and 3917 |
---|
5803 | 5803 | | improvements of the facility's properties owned by the provider, 3918 |
---|
5804 | 5804 | | not exempt from execution , which are listed in the notice of 3919 |
---|
5805 | 5805 | | lien filed pursuant to subsection (3) and which are located in 3920 |
---|
5806 | 5806 | | the county in which the notice of lien is recorded. 3921 |
---|
5807 | 5807 | | (3) The lien shall be perfected by the office by executing 3922 |
---|
5808 | 5808 | | by affidavit the notice and claim of lien, w hich must contain: 3923 |
---|
5809 | 5809 | | (a) The legal description of the lands and improvements to 3924 |
---|
5810 | 5810 | | be charged with a lien. 3925 |
---|
5811 | 5811 | | |
---|
5812 | 5812 | | HB 1141 2025 |
---|
5813 | 5813 | | |
---|
5814 | 5814 | | |
---|
5815 | 5815 | | |
---|
5816 | 5816 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5817 | 5817 | | hb1141-00 |
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5818 | 5818 | | Page 158 of 168 |
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5819 | 5819 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5820 | 5820 | | |
---|
5821 | 5821 | | |
---|
5822 | 5822 | | |
---|
5823 | 5823 | | (b) The name of the owner of the property affected. 3926 |
---|
5824 | 5824 | | (c) A statement that the lien has been filed by the office 3927 |
---|
5825 | 5825 | | pursuant to this section. 3928 |
---|
5826 | 5826 | | (4) The lien may be released or partially released at the 3929 |
---|
5827 | 5827 | | request of the applicant if, in the judgment of the director, 3930 |
---|
5828 | 5828 | | such release or partial release inures to the benefit of the 3931 |
---|
5829 | 5829 | | residents and contract holders and the performance of the 3932 |
---|
5830 | 5830 | | provider's obligations to the residents and contract holders. 3933 |
---|
5831 | 5831 | | (5) The lien may be foreclosed by civil action. Any number 3934 |
---|
5832 | 5832 | | of persons claiming liens against the same property pursuant to 3935 |
---|
5833 | 5833 | | this section may join in the same action. If separate actions 3936 |
---|
5834 | 5834 | | are commenced, the court may cons olidate such actions. The court 3937 |
---|
5835 | 5835 | | shall, as part of the costs, allow reasonable attorney fees for 3938 |
---|
5836 | 5836 | | each claimant who is a party to the action. 3939 |
---|
5837 | 5837 | | (6) In a civil action filed pursuant to this section, the 3940 |
---|
5838 | 5838 | | judgment must be entered in favor of each resident and c ontract 3941 |
---|
5839 | 5839 | | holder having a lien who has joined in the foreclosure action 3942 |
---|
5840 | 5840 | | for the amount equal to the reasonable value of services to be 3943 |
---|
5841 | 5841 | | performed under a life care contract in favor of each resident 3944 |
---|
5842 | 5842 | | and contract holder. The court shall order the sheriff to se ll 3945 |
---|
5843 | 5843 | | any property subject to the lien at the time judgment is given, 3946 |
---|
5844 | 5844 | | in the same manner as real and personal property is sold on 3947 |
---|
5845 | 5845 | | execution. The lien for the reasonable value of services to be 3948 |
---|
5846 | 5846 | | performed under a life care contract must be on equal footing 3949 |
---|
5847 | 5847 | | with claims of other residents and contract holders. If a sale 3950 |
---|
5848 | 5848 | | |
---|
5849 | 5849 | | HB 1141 2025 |
---|
5850 | 5850 | | |
---|
5851 | 5851 | | |
---|
5852 | 5852 | | |
---|
5853 | 5853 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5854 | 5854 | | hb1141-00 |
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5855 | 5855 | | Page 159 of 168 |
---|
5856 | 5856 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5857 | 5857 | | |
---|
5858 | 5858 | | |
---|
5859 | 5859 | | |
---|
5860 | 5860 | | is ordered and the property sold and the proceeds of the sale 3951 |
---|
5861 | 5861 | | are not sufficient to discharge all liens of residents and 3952 |
---|
5862 | 5862 | | contract holders against the property, the proceeds must be 3953 |
---|
5863 | 5863 | | prorated among the respective residents and contract holders. 3954 |
---|
5864 | 5864 | | (7) The lien provided for in this section is preferred to 3955 |
---|
5865 | 5865 | | all liens, mortgages, or other encumbrances upon the property 3956 |
---|
5866 | 5866 | | attaching subsequently to the time the lien is recorded and is 3957 |
---|
5867 | 5867 | | preferred to all unrecord ed liens, mortgages, and other 3958 |
---|
5868 | 5868 | | encumbrances. The amount secured by any lien having priority to 3959 |
---|
5869 | 5869 | | the lien filed pursuant to this section may not be increased 3960 |
---|
5870 | 5870 | | without prior approval of the office. 3961 |
---|
5871 | 5871 | | (8) The office shall file a release of the lien upon proof 3962 |
---|
5872 | 5872 | | of complete performance of all obligations to residents and 3963 |
---|
5873 | 5873 | | contract holders pursuant to life care contracts. 3964 |
---|
5874 | 5874 | | (9) The office may subordinate any lien filed pursuant to 3965 |
---|
5875 | 5875 | | this section to the lien of a first mortgage or other long -term 3966 |
---|
5876 | 5876 | | financing obtained by the provider, regardless of the time at 3967 |
---|
5877 | 5877 | | which the subsequent lien attaches. 3968 |
---|
5878 | 5878 | | Section 80. Subsection (3) of section 627.642, Florida 3969 |
---|
5879 | 5879 | | Statutes, is amended to read: 3970 |
---|
5880 | 5880 | | 627.642 Outline of coverage. — 3971 |
---|
5881 | 5881 | | (3) In addition to the outline of coverage, a policy as 3972 |
---|
5882 | 5882 | | specified in s. 627.6699(3)(j) s. 627.6699(3)(k) must be 3973 |
---|
5883 | 5883 | | accompanied by an identification card that contains, at a 3974 |
---|
5884 | 5884 | | minimum: 3975 |
---|
5885 | 5885 | | |
---|
5886 | 5886 | | HB 1141 2025 |
---|
5887 | 5887 | | |
---|
5888 | 5888 | | |
---|
5889 | 5889 | | |
---|
5890 | 5890 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5891 | 5891 | | hb1141-00 |
---|
5892 | 5892 | | Page 160 of 168 |
---|
5893 | 5893 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5894 | 5894 | | |
---|
5895 | 5895 | | |
---|
5896 | 5896 | | |
---|
5897 | 5897 | | (a) The name of the organization issuing the policy or the 3976 |
---|
5898 | 5898 | | name of the organization administering the policy, whichever 3977 |
---|
5899 | 5899 | | applies. 3978 |
---|
5900 | 5900 | | (b) The name of the contract holder. 3979 |
---|
5901 | 5901 | | (c) The type of plan only if the plan is filed in the 3980 |
---|
5902 | 5902 | | state, an indication that the plan is self -funded, or the name 3981 |
---|
5903 | 5903 | | of the network. 3982 |
---|
5904 | 5904 | | (d) The member identification number, contract number, and 3983 |
---|
5905 | 5905 | | policy or group number, if applicable. 3984 |
---|
5906 | 5906 | | (e) A contact phone number or electronic address for 3985 |
---|
5907 | 5907 | | authorizations and admission certifications. 3986 |
---|
5908 | 5908 | | (f) A phone number or electronic address whereby the 3987 |
---|
5909 | 5909 | | covered person or hospital, physician, or other person rendering 3988 |
---|
5910 | 5910 | | services covered by the policy may obtain benefits verification 3989 |
---|
5911 | 5911 | | and information in order to estimate patient financial 3990 |
---|
5912 | 5912 | | responsibility, in compliance with privacy rules under the 3991 |
---|
5913 | 5913 | | Health Insurance Portability and Accountability Act. 3992 |
---|
5914 | 5914 | | (g) The national plan identifier, in accord ance with the 3993 |
---|
5915 | 5915 | | compliance date set forth by the federal Department of Health 3994 |
---|
5916 | 5916 | | and Human Services. 3995 |
---|
5917 | 5917 | | 3996 |
---|
5918 | 5918 | | The identification card must present the information in a 3997 |
---|
5919 | 5919 | | readily identifiable manner or, alternatively, the information 3998 |
---|
5920 | 5920 | | may be embedded on the card and availa ble through magnetic 3999 |
---|
5921 | 5921 | | stripe or smart card. The information may also be provided 4000 |
---|
5922 | 5922 | | |
---|
5923 | 5923 | | HB 1141 2025 |
---|
5924 | 5924 | | |
---|
5925 | 5925 | | |
---|
5926 | 5926 | | |
---|
5927 | 5927 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5928 | 5928 | | hb1141-00 |
---|
5929 | 5929 | | Page 161 of 168 |
---|
5930 | 5930 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5931 | 5931 | | |
---|
5932 | 5932 | | |
---|
5933 | 5933 | | |
---|
5934 | 5934 | | through other electronic technology. 4001 |
---|
5935 | 5935 | | Section 81. Paragraph (a) of subsection (2), paragraphs 4002 |
---|
5936 | 5936 | | (a), (e), and (g) of subsection (7), and paragraph (a) of 4003 |
---|
5937 | 5937 | | subsection (8) of section 627.6475, Florida Statutes, are 4004 |
---|
5938 | 5938 | | amended to read: 4005 |
---|
5939 | 5939 | | 627.6475 Individual reinsurance pool. — 4006 |
---|
5940 | 5940 | | (2) DEFINITIONS.—As used in this section: 4007 |
---|
5941 | 5941 | | (a) "Board," "Carrier," and "health benefit plan" have the 4008 |
---|
5942 | 5942 | | same meaning ascribed in s. 627.6699(3). 4009 |
---|
5943 | 5943 | | (7) INDIVIDUAL HEALTH REINSURANCE PROGRAM. — 4010 |
---|
5944 | 5944 | | (a) The individual health reinsurance program shall 4011 |
---|
5945 | 5945 | | operate subject to the supervision and control of the board of 4012 |
---|
5946 | 5946 | | the small employer health reinsurance program established 4013 |
---|
5947 | 5947 | | pursuant to s. 627.6699(11) . The board shall es tablish a 4014 |
---|
5948 | 5948 | | separate, segregated account for eligible individuals reinsured 4015 |
---|
5949 | 5949 | | pursuant to this section, which account may not be commingled 4016 |
---|
5950 | 5950 | | with the small employer health reinsurance account. 4017 |
---|
5951 | 5951 | | (e)1. Before March 1 of each calendar year, the board 4018 |
---|
5952 | 5952 | | shall determine and report to the office the program net loss in 4019 |
---|
5953 | 5953 | | the individual account for the previous year, including 4020 |
---|
5954 | 5954 | | administrative expenses for that year and the incurred losses 4021 |
---|
5955 | 5955 | | for that year, taking into account investment income and other 4022 |
---|
5956 | 5956 | | appropriate gains and losses. 4023 |
---|
5957 | 5957 | | 2. Any net loss in the individual account for the year 4024 |
---|
5958 | 5958 | | shall be recouped by assessing the carriers as follows: 4025 |
---|
5959 | 5959 | | |
---|
5960 | 5960 | | HB 1141 2025 |
---|
5961 | 5961 | | |
---|
5962 | 5962 | | |
---|
5963 | 5963 | | |
---|
5964 | 5964 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
5965 | 5965 | | hb1141-00 |
---|
5966 | 5966 | | Page 162 of 168 |
---|
5967 | 5967 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
5968 | 5968 | | |
---|
5969 | 5969 | | |
---|
5970 | 5970 | | |
---|
5971 | 5971 | | a. The operating losses of the program shall be assessed 4026 |
---|
5972 | 5972 | | in the following order subject to the specified limitations. The 4027 |
---|
5973 | 5973 | | first tier of assessments shall be made against reinsuring 4028 |
---|
5974 | 5974 | | carriers in an amount that may not exceed 5 percent of each 4029 |
---|
5975 | 5975 | | reinsuring carrier's premiums for individual health insurance. 4030 |
---|
5976 | 5976 | | If such assessments have been collected and additional moneys 4031 |
---|
5977 | 5977 | | are needed, the board s hall make a second tier of assessments in 4032 |
---|
5978 | 5978 | | an amount that may not exceed 0.5 percent of each carrier's 4033 |
---|
5979 | 5979 | | health benefit plan premiums. 4034 |
---|
5980 | 5980 | | b. Except as provided in paragraph (f), risk -assuming 4035 |
---|
5981 | 5981 | | carriers are exempt from all assessments authorized pursuant to 4036 |
---|
5982 | 5982 | | this section. The amount paid by a reinsuring carrier for the 4037 |
---|
5983 | 5983 | | first tier of assessments shall be credited against any 4038 |
---|
5984 | 5984 | | additional assessments made. 4039 |
---|
5985 | 5985 | | c. The board shall equitably assess reinsuring carriers 4040 |
---|
5986 | 5986 | | for operating losses of the individual account based on market 4041 |
---|
5987 | 5987 | | share. The board shall annually assess each carrier a portion of 4042 |
---|
5988 | 5988 | | the operating losses of the individual account. The first tier 4043 |
---|
5989 | 5989 | | of assessments shall be determined by multiplying the operating 4044 |
---|
5990 | 5990 | | losses by a fraction, the numerator of which equals the 4045 |
---|
5991 | 5991 | | reinsuring carrier's earned premium pertaining to direct 4046 |
---|
5992 | 5992 | | writings of individual health insurance in the state during the 4047 |
---|
5993 | 5993 | | calendar year for which the assessment is levied, and the 4048 |
---|
5994 | 5994 | | denominator of which equals the total of all such premiums 4049 |
---|
5995 | 5995 | | earned by reinsuring carriers in the state during that calendar 4050 |
---|
5996 | 5996 | | |
---|
5997 | 5997 | | HB 1141 2025 |
---|
5998 | 5998 | | |
---|
5999 | 5999 | | |
---|
6000 | 6000 | | |
---|
6001 | 6001 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
6002 | 6002 | | hb1141-00 |
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6003 | 6003 | | Page 163 of 168 |
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6004 | 6004 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
6005 | 6005 | | |
---|
6006 | 6006 | | |
---|
6007 | 6007 | | |
---|
6008 | 6008 | | year. The second tier of assessments shall be based on the 4051 |
---|
6009 | 6009 | | premiums that all carriers, except risk -assuming carriers, 4052 |
---|
6010 | 6010 | | earned on all health benefit plans written in this state. The 4053 |
---|
6011 | 6011 | | board may levy interim assessm ents against reinsuring carriers 4054 |
---|
6012 | 6012 | | to ensure the financial ability of the plan to cover claims 4055 |
---|
6013 | 6013 | | expenses and administrative expenses paid or estimated to be 4056 |
---|
6014 | 6014 | | paid in the operation of the plan for the calendar year prior to 4057 |
---|
6015 | 6015 | | the association's anticipated receipt of annual assessments for 4058 |
---|
6016 | 6016 | | that calendar year. Any interim assessment is due and payable 4059 |
---|
6017 | 6017 | | within 30 days after receipt by a carrier of the interim 4060 |
---|
6018 | 6018 | | assessment notice. Interim assessment payments shall be credited 4061 |
---|
6019 | 6019 | | against the carrier's annual assessment. Heal th benefit plan 4062 |
---|
6020 | 6020 | | premiums and benefits paid by a carrier that are less than an 4063 |
---|
6021 | 6021 | | amount determined by the board to justify the cost of collection 4064 |
---|
6022 | 6022 | | may not be considered for purposes of determining assessments. 4065 |
---|
6023 | 6023 | | d. Subject to the approval of the office, the bo ard shall 4066 |
---|
6024 | 6024 | | adjust the assessment formula for reinsuring carriers that are 4067 |
---|
6025 | 6025 | | approved as federally qualified health maintenance organizations 4068 |
---|
6026 | 6026 | | by the Secretary of Health and Human Services pursuant to 42 4069 |
---|
6027 | 6027 | | U.S.C. s. 300e(c)(2)(A) to the extent, if any, that restr ictions 4070 |
---|
6028 | 6028 | | are placed on them which are not imposed on other carriers. 4071 |
---|
6029 | 6029 | | 3. Before March 1 of each year, the board shall determine 4072 |
---|
6030 | 6030 | | and file with the office an estimate of the assessments needed 4073 |
---|
6031 | 6031 | | to fund the losses incurred by the program in the individual 4074 |
---|
6032 | 6032 | | account for the previous calendar year. 4075 |
---|
6033 | 6033 | | |
---|
6034 | 6034 | | HB 1141 2025 |
---|
6035 | 6035 | | |
---|
6036 | 6036 | | |
---|
6037 | 6037 | | |
---|
6038 | 6038 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
6039 | 6039 | | hb1141-00 |
---|
6040 | 6040 | | Page 164 of 168 |
---|
6041 | 6041 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
6042 | 6042 | | |
---|
6043 | 6043 | | |
---|
6044 | 6044 | | |
---|
6045 | 6045 | | 4. If the board determines that the assessments needed to 4076 |
---|
6046 | 6046 | | fund the losses incurred by the program in the individual 4077 |
---|
6047 | 6047 | | account for the previous calendar year will exceed the amount 4078 |
---|
6048 | 6048 | | specified in subparagraph 2., the board shall evaluate the 4079 |
---|
6049 | 6049 | | operation of the program and report its findings and 4080 |
---|
6050 | 6050 | | recommendations to the office in the format established in s. 4081 |
---|
6051 | 6051 | | 627.6699(11) for the comparable report for the small employer 4082 |
---|
6052 | 6052 | | reinsurance program. 4083 |
---|
6053 | 6053 | | (g) Except as otherwise provided in t his section, the 4084 |
---|
6054 | 6054 | | board and the office shall have all powers, duties, and 4085 |
---|
6055 | 6055 | | responsibilities with respect to carriers that issue and 4086 |
---|
6056 | 6056 | | reinsure individual health insurance, as specified for the board 4087 |
---|
6057 | 6057 | | and the office in s. 627.6699(11) with respect to small emplo yer 4088 |
---|
6058 | 6058 | | carriers, including, but not limited to , the provisions of s. 4089 |
---|
6059 | 6059 | | 627.6699(11) relating to : 4090 |
---|
6060 | 6060 | | 1. Use of assessments that exceed the amount of actual 4091 |
---|
6061 | 6061 | | losses and expenses. 4092 |
---|
6062 | 6062 | | 2. The annual determination of each carrier's proportion 4093 |
---|
6063 | 6063 | | of the assessment. 4094 |
---|
6064 | 6064 | | 3. Interest for late payment of assessments. 4095 |
---|
6065 | 6065 | | 4. Authority for the office to approve deferment of an 4096 |
---|
6066 | 6066 | | assessment against a carrier. 4097 |
---|
6067 | 6067 | | 5. Limited immunity from legal actions or carriers. 4098 |
---|
6068 | 6068 | | 6. Development of standards for compensation to be paid to 4099 |
---|
6069 | 6069 | | agents. Such standards shall be limited to those specifically 4100 |
---|
6070 | 6070 | | |
---|
6071 | 6071 | | HB 1141 2025 |
---|
6072 | 6072 | | |
---|
6073 | 6073 | | |
---|
6074 | 6074 | | |
---|
6075 | 6075 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
6076 | 6076 | | hb1141-00 |
---|
6077 | 6077 | | Page 165 of 168 |
---|
6078 | 6078 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
6079 | 6079 | | |
---|
6080 | 6080 | | |
---|
6081 | 6081 | | |
---|
6082 | 6082 | | enumerated in s. 627.6699(11)(d) s. 627.6699(12)(d). 4101 |
---|
6083 | 6083 | | 7. Monitoring compliance by carriers with this section. 4102 |
---|
6084 | 6084 | | (8) STANDARDS TO ASSURE FAIR MARKETING. — 4103 |
---|
6085 | 6085 | | (a) Each health insurance issuer that offers individu al 4104 |
---|
6086 | 6086 | | health insurance shall actively market coverage to eligible 4105 |
---|
6087 | 6087 | | individuals in the state. The provisions of s. 627.6699(11) s. 4106 |
---|
6088 | 6088 | | 627.6699(12) that apply to small employer carriers that market 4107 |
---|
6089 | 6089 | | policies to small employers shall also apply to health insurance 4108 |
---|
6090 | 6090 | | issuers that offer individual health insurance with respect to 4109 |
---|
6091 | 6091 | | marketing policies to individuals. 4110 |
---|
6092 | 6092 | | Section 82. Subsection (2) of section 627.657, Florida 4111 |
---|
6093 | 6093 | | Statutes, is amended to read: 4112 |
---|
6094 | 6094 | | 627.657 Provisions of group health insurance policies. — 4113 |
---|
6095 | 6095 | | (2) The medical policy as specified in s. 627.6699(3)(j) 4114 |
---|
6096 | 6096 | | s. 627.6699(3)(k) must be accompanied by an identification card 4115 |
---|
6097 | 6097 | | that contains, at a minimum: 4116 |
---|
6098 | 6098 | | (a) The name of the organization issuing the policy or 4117 |
---|
6099 | 6099 | | name of the organization administering the policy, whichever 4118 |
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6100 | 6100 | | applies. 4119 |
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6101 | 6101 | | (b) The name of the certificateholder. 4120 |
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6102 | 6102 | | (c) The type of plan only if the plan is filed in the 4121 |
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6103 | 6103 | | state, an indication that the plan is self -funded, or the name 4122 |
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6104 | 6104 | | of the network. 4123 |
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6105 | 6105 | | (d) The member identification number, contract number, and 4124 |
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6106 | 6106 | | policy or group number, if applicable. 4125 |
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6107 | 6107 | | |
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6108 | 6108 | | HB 1141 2025 |
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6109 | 6109 | | |
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6110 | 6110 | | |
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6111 | 6111 | | |
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6112 | 6112 | | CODING: Words stricken are deletions; words underlined are additions. |
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6113 | 6113 | | hb1141-00 |
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6114 | 6114 | | Page 166 of 168 |
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6115 | 6115 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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6116 | 6116 | | |
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6117 | 6117 | | |
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6118 | 6118 | | |
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6119 | 6119 | | (e) A contact phone number or electronic address for 4126 |
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6120 | 6120 | | authorizations and admission certifications. 4127 |
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6121 | 6121 | | (f) A phone number or electronic address whereby the 4128 |
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6122 | 6122 | | covered person or hospital, physician, or other person rendering 4129 |
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6123 | 6123 | | services covered by the policy may obtain benefits verification 4130 |
---|
6124 | 6124 | | and information in order to estimate patient financial 4131 |
---|
6125 | 6125 | | responsibility, in compliance with privacy rules under the 4132 |
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6126 | 6126 | | Health Insurance Portability and Accountability Act. 4133 |
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6127 | 6127 | | (g) The national plan identif ier, in accordance with the 4134 |
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6128 | 6128 | | compliance date set forth by the federal Department of Health 4135 |
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6129 | 6129 | | and Human Services. 4136 |
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6130 | 6130 | | 4137 |
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6131 | 6131 | | The identification card must present the information in a 4138 |
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6132 | 6132 | | readily identifiable manner or, alternatively, the information 4139 |
---|
6133 | 6133 | | may be embedded on the c ard and available through magnetic 4140 |
---|
6134 | 6134 | | stripe or smart card. The information may also be provided 4141 |
---|
6135 | 6135 | | through other electronic technology. 4142 |
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6136 | 6136 | | Section 83. Subsection (1) of section 627.66997, Florida 4143 |
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6137 | 6137 | | Statutes, is amended to read: 4144 |
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6138 | 6138 | | 627.66997 Stop-loss insurance.— 4145 |
---|
6139 | 6139 | | (1) A self-insured health benefit plan established or 4146 |
---|
6140 | 6140 | | maintained by a small employer, as defined in s. 627.6699(3)(s) 4147 |
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6141 | 6141 | | s. 627.6699(3)(v), is exempt from s. 627.6699 and may use a 4148 |
---|
6142 | 6142 | | stop-loss insurance policy issued to the employer. For purposes 4149 |
---|
6143 | 6143 | | of this subsection, the term "stop -loss insurance policy" means 4150 |
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6144 | 6144 | | |
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6145 | 6145 | | HB 1141 2025 |
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6146 | 6146 | | |
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6147 | 6147 | | |
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6148 | 6148 | | |
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6149 | 6149 | | CODING: Words stricken are deletions; words underlined are additions. |
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6150 | 6150 | | hb1141-00 |
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6151 | 6151 | | Page 167 of 168 |
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6152 | 6152 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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6153 | 6153 | | |
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6154 | 6154 | | |
---|
6155 | 6155 | | |
---|
6156 | 6156 | | an insurance policy issued to a small employer which covers the 4151 |
---|
6157 | 6157 | | small employer's obligation for the excess cost of medical care 4152 |
---|
6158 | 6158 | | on an equivalent basis per employee provided under a self -4153 |
---|
6159 | 6159 | | insured health benefit plan. 4154 |
---|
6160 | 6160 | | (a) A small employer stop -loss insurance policy is 4155 |
---|
6161 | 6161 | | considered a health insurance policy and is subject to s. 4156 |
---|
6162 | 6162 | | 627.6699 if the policy has an aggregate attachment point that is 4157 |
---|
6163 | 6163 | | lower than the greatest of: 4158 |
---|
6164 | 6164 | | 1. Two thousand dollars multiplied by t he number of 4159 |
---|
6165 | 6165 | | employees; 4160 |
---|
6166 | 6166 | | 2. One hundred twenty percent of expected claims, as 4161 |
---|
6167 | 6167 | | determined by the stop -loss insurer in accordance with actuarial 4162 |
---|
6168 | 6168 | | standards of practice; or 4163 |
---|
6169 | 6169 | | 3. Twenty thousand dollars. 4164 |
---|
6170 | 6170 | | (b) Once claims under the small employer health benefi t 4165 |
---|
6171 | 6171 | | plan reach the aggregate attachment point set forth in paragraph 4166 |
---|
6172 | 6172 | | (a), the stop-loss insurance policy authorized under this 4167 |
---|
6173 | 6173 | | section must cover 100 percent of all claims that exceed the 4168 |
---|
6174 | 6174 | | aggregate attachment point. 4169 |
---|
6175 | 6175 | | Section 84. Reciprocal insurers licens ed before July 1, 4170 |
---|
6176 | 6176 | | 2025, have until July 1, 2026, to comply with the changes made 4171 |
---|
6177 | 6177 | | to subscribers' advisory committees in s. 629.201, Florida 4172 |
---|
6178 | 6178 | | Statutes. Reciprocal insurers licensed before July 1, 2025, have 4173 |
---|
6179 | 6179 | | until July 1, 2027, to comply with the changes made to unearned 4174 |
---|
6180 | 6180 | | premium reserve requirements imposed under s. 629.56, Florida 4175 |
---|
6181 | 6181 | | |
---|
6182 | 6182 | | HB 1141 2025 |
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6183 | 6183 | | |
---|
6184 | 6184 | | |
---|
6185 | 6185 | | |
---|
6186 | 6186 | | CODING: Words stricken are deletions; words underlined are additions. |
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6187 | 6187 | | hb1141-00 |
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6188 | 6188 | | Page 168 of 168 |
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6189 | 6189 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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6190 | 6190 | | |
---|
6191 | 6191 | | |
---|
6192 | 6192 | | |
---|
6193 | 6193 | | Statutes. 4176 |
---|
6194 | 6194 | | Section 85. Except as otherwise expressly provided in this 4177 |
---|
6195 | 6195 | | act and except for this section, which shall take effect upon 4178 |
---|
6196 | 6196 | | this act becoming a law, this act shall take e ffect July 1, 4179 |
---|
6197 | 6197 | | 2025. 4180 |
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