reglab/statecodes huggingface dataset:
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.0143 - Ratemaking and Rate Filing Procedures for Liability Insurance for Medical Malpractice

Current through Reg. 50, No. 138; July 16, 2024
(1)
(a) This rule shall apply to all medical
				malpractice insurance rates filed pursuant to Section
				627.062, F.S.,
(b) The information required by this rule
				shall be included as a required component of the filing made pursuant to
				subsection 69O-170.013(3),
				F.A.C.
(c) For purposes of this
				rule, reference to liability insurance for medical malpractice shall include
				insurance on the following types of risks:
1.
				Hospitals licensed under Chapter 395, F.S.;
2. Physicians licensed under Chapter 458,
				F.S.;
3. Osteopathic physicians
				licensed under Chapter 459, F.S.;
4. Podiatric physicians licensed under
				Chapter 461, F.S.;
5. Dentists
				licensed under Chapter 466, F.S.;
6. Chiropractic physicians licensed under
				Chapter 460, F.S.;
7. Naturopaths
				licensed under Chapter 462, F.S.;
8. Nurses licensed under Chapter 464,
				F.S.;
9. Midwives licensed under
				Chapter 467, F.S.;
10 Clinical
				laboratories registered under Chapter 483, F.S.;
11. Physician assistants licensed under
				Chapter 458, F.S., or 459, F.S.;
12. Physical therapists and physical
				therapist assistants licensed under Chapter 486, F.S.;
13. Health maintenance organizations
				certificated under Part I of Chapter 641, F.S.;
14. Ambulatory surgical centers licensed
				under Chapter 395, F.S.;
15 Other
				medical facilities as defined in Section 627.351(4)(h)2., F.S.;
16. Individuals or facilities licensed under
				Chapter 400, F.S.;
17.
a. Blood banks,
b. Plasma centers,
c. Industrial clinics, and
d. Renal dialysis
				facilities;
18.
a. Professional associations,
b. Partnerships,
c. Corporations,
d. Joint ventures, or
e. Other associations for professional
				activity by health care providers; or
19. Any other liability insurance covering
				errors or omissions which may result in bodily
				injury.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.0144 - Public Hurricane Loss Projection Model-Fee Schedule

Current through Reg. 50, No. 138; July 16, 2024
(1) This rule establishes the procedure and
				fee schedule, applicable to residential property insurers, for access and use
				of the Public Hurricane Loss Projection Model, authorized by Section
				627.06281, F.S.
(2) A residential property insurer that
				elects to access and use the Public Hurricane Loss Projection Model shall file
				a request, and set up an account with, Florida International University at
http://hldms.cs.fiu.edu
. The
				fees charged for access and use of the Model, per run, shall be computed as
				follows: Fee = $2,400 + 0.03 x POL1 + 0.015 x POL2 + .005 x POL3 where POL1,
				POL2, POL3 are number of policies (records) in the policy file. POL1 is equal
				to number of policies (records) from 1 to 200,000. POL2 is equal to number of
				policies (records) in excess of 200,000 with maximum of 400,000. POL3 is equal
				to number of policies (records) in excess of 400,000.
Rulemaking Authority 627.06281 FS. Law Implemented
					 627.06281 FS.
New 12-8-08.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.0155 - Forms

Current through Reg. 50, No. 138; July 16, 2024
The following forms are hereby adopted and incorporated by
				  reference:
(1)
(a) OIR-B1-582, "Universal Standardized Data
				Letter," (Rev. 10/04).
(b)
				OIR-B1-583, "Florida Expense Supplement Calculation of Insurer Loss Cost
				Multiplier," (Rev. 04/04).
(c)
				OIR-B1-584, "Florida Property and Casualty - Annual Rate Filing-Exemption,"
				(Rev. 07/03).
(d) OIR-B1-586,
				"Florida Property and Casualty - Annual Rate Filing Certification," (Rev.
				07/03).
(e) OIR-B1-595, "Florida
				Expense Supplement for Independent Rate Filings," (Rev. 07/03).
(f) OIR-B1-HRCS, "Homeowners' Rate Collection
				System (HRCS)," (07/03).
(g)
				OIR-B1-DRCS, "Dwelling Rate Collection System (DRCS)," (07/03).
(h) OIR-B1-ARCS, "Automobile Rate Collection
				System (ARCS)," (07/03).
(i)
				OIR-B1-RIWBK, "Personal Lines Standardized Rate Indications Workbook,"
				(07/04).
(j) OIR-B1-IFILE,
				"I-File," (11/04).
(k) OIR-B1-1655,
				"Notice of Premium Discounts for Hurricane Loss Mitigation," (Rev.
				2/10).
(l) OIR-B1-1802, "Uniform
				Mitigation Verification Inspection Form," (Rev. 01/12)
http://www.flrules.org/Gateway/reference.asp?No=Ref-00720
.
(m) OIR-B1-1790, "Certificate of True and
				Accurate Rate Filing," (New 03/07).
(n) OIR-B1-1809 "Health Care Provider
				Certification of Eligibility"
http://www.flrules.org/Gateway/reference.asp?No=Ref-02229
(Rev. 1/2013).
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.017 - Windstorm Mitigation Discounts

Current through Reg. 50, No. 138; July 16, 2024
(1) This
				rule applies to all residential property insurance rate filings filed on or
				after January 1, 2007. All residential property insurers must make new filings
				by March 1, 2007, to reflect the requirements in this rule.
(2) Section
				627.0629, F.S., states that
				discounts on an actuarially reasonable basis or appropriate reductions in
				deductibles must be provided in the rates for residential property insurance
				for fixtures or construction techniques, including minimum provisions of the
				Florida Building Code which have been demonstrated to reduce windstorm loss.
				The discounts must reflect the discounts as set forth in Form OIR-B1-1700,
				"Windstorm Mitigation Discounts; Non-Single Family Residences" (10-06) and Form
				OIR-B1-1699 "Windstorm Mitigation Discounts; Single Family Residences" (10-06),
				which are incorporated by reference, and which are based upon the studies
Development of Loss Relativities for Wind Resistive Features of
				Residential Structures
and
Development of Loss Relativities
				for Wind-Resistive Features of Residential Structures of Five or More
				Units.
These discounts must be used without any modification unless
				they are supported by detail alternate studies where all assumptions are
				available to the Office for review. These public domain studies providing data
				and information on estimated loss reduction for wind resistive building
				features in residences are incorporated by reference, and are available for
				downloading at the Office's website at
https://www.floir.com/sections/pandc/productreview/uniformmitigationform.aspx.The
forms are available for downloading at the Office's website
www.floir.com
.
(3) Filings can modify other rating factors
				to reflect revenue impact on current business only if they have actual
				information on policies receiving the discounts currently to support the
				modification.
Rulemaking Authority 624.308(1) FS. Law Implemented
					 624.307(1), 627.062(1), (2)(b), (e), (f), (g), 627.0629(1)
					 FS.
New 4-1-98, Formerly 4-170.017, Amended
					 12-17-06.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.018 - Review of Property and Casualty Rates

Current through Reg. 50, No. 138; July 16, 2024
(1) The phrase in Sections
				627.062(2)(g)
				and 627.0651(10),
				F.S., which reads, "for a period of 1 year after the effective date of the
				filing" relates to rates which have been given final approval by the Office, as
				well as to rates which have been deemed approved.
(2) Sections
				627.062(2)(g)
				and 627.0651(10),
				F.S., allow the Office to disapprove a rate as excessive after the passage of
				one (1) year from the effective date of a filing, without making a finding that
				a material misrepresentation or material error was made by the insurer or was
				contained in the filing.
(3) For
				purposes of this rule, the effective date of a filing is the new business
				effective date.
Rulemaking Authority 624.308 FS. Law Implemented
					 624.307(1), 627.062(2)(g), 627.0651(10)
					 FS.
New 3-14-96, Formerly
					 4-170.018.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.019 - Individually Rated Risks

Current through Reg. 50, No. 138; July 16, 2024
(1) The purpose of
				this rule is to clarify what types of risks may be individually rated under
				Section 627.062(3),
				F.S., and the reporting requirements for those individually rated
				risks.
(2) This rule applies to all
				lines of property, casualty, and surety insurance except private passenger
				automobile, homeowners, and workers compensation.
(3) Within the context of this rule:
(a) The term "individual risk" shall mean the
				insurable interests of a single entity, i.e., a natural person, partnership,
				corporation, or unincorporated association;
(b) The term "individually rated risk" shall
				mean an individual risk for which an insurer provides coverage and which has
				not been rated in accordance with the insurer's rates, rating schedules, rating
				manuals, underwriting rules, and rating plans filed with the Office;
(c) The terms "refer to company," "(a)-rate,"
				and "a-rate" shall all mean the act of individually rating a risk by an insurer
				in a manner not in accordance with the insurer's rates, rating schedules,
				rating manuals, underwriting rules, and rating plans filed with the Office;
				and
(d) The term "large commercial
				risk" shall mean a risk which meets any two or more of the following
				conditions:
1. Employs at least 500 full-time
				employees or their equivalent.
2.
				Generates net revenue of at least $100 million in the latest fiscal year as
				reported in audited financial statements.
3. Has a net worth of at least $50 million in
				the latest fiscal year as reported in audited financial statements.
4. Pays annual property/casualty insurance
				premiums of at least $500,000 in total for the following types of insurance:
a. Commercial property including allied
				lines,
b. Commercial
				auto,
c. Commercial general
				liability.
5. Procures
				insurance through a certified risk manager who shall have at least one of the
				following credentials: ARM, CPCU, CRM, FRM, BA or higher degree in risk
				management, or has at least seven years of experience in risk financing, claims
				administration, loss prevention, or risk and insurance coverage
				analysis.
6. Is a public entity
				with a population in excess of 50,000.
7. Is a nonprofit organization or a public
				entity with minimum annual budget of $45 million.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.0195 - Reasonable Degree of Competition Criteria - Monroe County

Current through Reg. 50, No. 138; July 16, 2024
(1) For purposes of determining whether there
				is a reasonable degree of competition in the personal residential property
				market in Monroe County, the Office shall:
(a) Review the respective market share of all
				insurers, including Citizens Property Insurance Corporation using the number of
				policies issued for each line of personal residential insurance policies as
				most recently reported pursuant to Section
				624.424(1),
				F.S.;
(b) Calculate a Herfindahl
				Index for Monroe County.
1. If the Herfindahl
				Index exceeds 1000, the Office shall consider the Herfindahl Index to be a
				significant indication of a noncompetitive market in that county. The formula
				for this index is:
H = (%S1)2 +
				(%S2)2 + (%S3)2
				+...(%Sn)2. %S
stands for the percentages
				of the market owned by each of the larger companies, so that
%S1
is the percentage owned by the largest company,
				%S2 by the second, and so on. n stands for the total
				number of companies you are counting.
2. The Herfindahl Index gives added weight to
				the biggest companies. The higher the index, the more concentration and (within
				limits) the less open market competition. A monopoly, for example, would have
				an H index of S1
2
or
				100
2
, or 10,000. By definition,
				that's the maximum score. By contrast, an industry with 100 competitors that
				each has 1% of the market would have a score of 12 +
				12 + 12 +
				...12 or a total of 100. A 1,000-1,800 value
				generally indicates moderate concentration. Anything over 1,800 is taken to be
				token acute concentration; and
(c) Review any other information related to
				and associated with evaluating market competition for that county, such as
				entry and exit of insurers into the market, trends in the market share of
				insurers and the number of new policies being issued.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.020 - Purpose

Current through Reg. 50, No. 138; July 16, 2024
The purpose of this part is to establish procedures for
				  licensing rating organizations and for determining compliance by advisory
				  organizations with Section
				  627.301, F.S.
Rulemaking Authority 624.308(1) FS. Law Implemented
					 624.307(1), 627.221, 627.301 FS.
New 5-20-90, Formerly 4-104.001, Amended 1-27-92, 6-9-93,
					 Formerly 4-170.020.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.021 - Rating Organizations (Transferred)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 624.308(1) FS. Law Implemented
					 624.307(1), 624.501(18), 627.221 FS.
New 5-20-90, Formerly 4-104.002, Formerly 4-170.021,
					 Transferred to 69O-136.014.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.022 - Advisory Organizations (Transferred)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 624.308(1) FS. Law Implemented
					 624.307(1), 627.301 FS.
New 5-20-90, Formerly 4-104.003, Amended 6-9-93, Formerly
					 4-170.022, Transferred to
					 69O-136.013.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.030 - Loss Reserve Discounts

Current through Reg. 50, No. 138; July 16, 2024
(1) No
				insurer shall apply a discount to its loss reserves other than tabular workers'
				compensation loss reserves without special permission from the Office. An
				insurer shall request such special permission in writing, stating the line of
				insurance to be discounted and the rate of discount to be applied. Any insurer
				wishing to discount its December 31 reserves shall apply to the Office for
				special permission no later than December 1.
In evaluating the request to discount loss reserves, at a
				  minimum, the Office shall consider the following:
(a) The risk-based capital;
(b) The ratio of loss and LAE reserves to
				surplus;
(c) For insurers selling
				multi-year contracts, the ratio of the unearned premium reserve to
				surplus;
(d) The ratio of ceded
				loss and loss adjustment expense reserves to surplus;
(e) The quality of the reinsurance supporting
				the ceded loss adjustment expense reserves to surplus;
(f) The one-year and two-year reserve
				development as a precentage of surplus over the last five years;
(g) Gross and Net Writing Ratio to
				Surplus;
(h) Whether the opining
				actuary of the insurer has been the opinion actuary of an insurance company
				that dropped to the company action level, mandatory control level, or
				receivership within five years of the date of the opinion.
All filings shall be submitted electronically to
				  http://www.floir.com/iportal.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.031 - Statement of Actuarial Opinion on Loss and Loss Expense Reserves

Current through Reg. 50, No. 138; July 16, 2024
(1) A Statement of Actuarial Opinion on loss
				and loss adjustment expense reserves, when it is made, must be made by a
				qualified actuary. A "qualified actuary" is a person who is either:
(a) A member in good standing of the Casualty
				Actuarial Society, or
(b) A member
				in good standing of the American Academy of Actuaries who has been approved as
				qualified for signing casualty loss reserve opinions by the Casualty Practice
				Council of the American Academy of Actuaries.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.101 - Title, Scope, Application, and Purpose (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.101, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.103 - Demand for Arbitration and Response (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.103, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.105 - Costs, Expenses and Fees of the Arbitration (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.105, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.107 - Procedure for Arbitration (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.107, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.109 - Selection of the Arbitration Panel (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.109, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.111 - Scope of the Evidence in a Rate Filing Arbitration (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.111, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.113 - Computation of Time; Service by Mail

Current through Reg. 50, No. 138; July 16, 2024
(1) In
				computing any period of time prescribed or allowed by these rules, by order of
				the arbitration panel or by any applicable statute, the day of the act from
				which the designated period of time begins to run shall not be included. The
				last day of the period shall be included unless it is a Saturday, Sunday or
				legal holiday in which event the period shall run until the end of the next day
				which is neither a Saturday, Sunday or legal holiday. As used in these rules,
				"legal holiday" means those days designated in Section
				110.117, F.S.
(2) Unless otherwise ordered by the
				arbitration panel, when a party is required or permitted to do an act within a
				prescribed period after the service of a paper upon that party and the paper is
				served by mail, five days shall be added to the prescribed
				period.
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly
					 4-170.113.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.115 - Filing and Service of Papers; Signing (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.115, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.117 - Discovery (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.117, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.119 - Subpoenas and Witnesses; Fees (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.119, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.121 - Official Recognition of Facts (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.121, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.123 - Motion Hearings by Telephone (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.123, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.126 - Pre-hearing Conference; Pre-hearing Stipulation (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.126, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.127 - Notice of Final Hearing; Scheduling (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.127, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.129 - Conduct of Proceedings (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.129, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.131 - Conduct of Formal Hearing; Evidence (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.131, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.133 - Post-hearing Memorandum (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.133, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.135 - Final Decision and Award (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.135, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-170 - PROPERTY AND CASUALTY INSURANCE RATING › Section 69O-170.137 - Related Laws and Rules (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 627.062(6) FS. Law Implemented 627.062
					 FS.
New 8-31-97, Formerly 4-170.137, Repealed
					 8-13-12.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-171 - PROPERTY AND CASUALTY INSURER REPORTING REQUIREMENTS › Section 69O-171.001 - Purpose and Scope

Current through Reg. 50, No. 138; July 16, 2024
(1) The purpose of
				these rules is to prescribe certain forms for use by property and casualty
				insurers in the reporting of particular data which is specified in or required
				by parts I and XVII of chapter 627, F.S.
(2) Every property and casualty insurer in
				this state authorized to transact insurance in this state shall be subject to
				the applicable rules in this rule chapter, except that insurers writing
				workers' compensation coverage are subject to the reporting provisions of rule
				chapter 69O-189, F.A.C.
Rulemaking Authority 624.308(1), 627.918 FS. Law
					 Implemented 624.307(1), 627.911, 627.912, 627.9122, 627.9126, 627.913, 627.915,
					 627.918, 627.919 FS.
New 4-28-92, Formerly
					 4-171.001.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-171 - PROPERTY AND CASUALTY INSURER REPORTING REQUIREMENTS › Section 69O-171.002 - General Reporting Requirements

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Forms incorporated by reference in division 69O rules are available on the
				Office's website: http://www.floir.com/iportal.
(2) All filings shall be submitted
				electronically to http://www.floir.com/iportal.
(3) All forms shall be filled out completely
				in accordance with their instructions. If an insurer is without any data
				required by these rules to be reported, it shall nevertheless complete and file
				the prescribed form or forms as directed in the instructions associated with
				each form.
Rulemaking Authority 624.308(1) FS. Law Implemented
					 624.307(1), 627.915(5), 627.918(1) FS.
New 1-16-83, Amended 7-1-85, Formerly 4-59.09, 4-59.009,
					 Amended 6-4-92, 1-2-02, Formerly 4-171.002, Amended 9-15-05,
					 3-16-08.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-171 - PROPERTY AND CASUALTY INSURER REPORTING REQUIREMENTS › Section 69O-171.003 - Reports by Insurers of Professional Liability Claims and Actions Required

Current through Reg. 50, No. 138; July 16, 2024
(1) Each self-insurer authorized under
				section 627.357, F.S., and each insurer
				or joint underwriting association providing professional liability insurance to
				a practitioner of medicine licensed pursuant to the provisions of chapter 458,
				F.S., to a practitioner of osteopathic medicine licensed pursuant to the
				provisions of chapter 459, F.S., to a podiatric physician licensed pursuant to
				the provisions of chapter 461, F.S., to a dentist licensed pursuant to the
				provisions of chapter 466, F.S., to a hospital licensed pursuant to the
				provisions of chapter 395, F.S., to crisis stabilization units licensed under
				part IV of chapter 394, F.S., to a health maintenance organization certified
				under part I of chapter 641, F.S., to clinics included in chapter 390, F.S., to
				an ambulatory surgical center as defined in section
				395.002, F.S., or to a member of
				the Florida Bar, shall report to the Office of Insurance Regulation any claim
				or action for damages for personal injuries claimed to have been caused by
				error, omission, or negligence in the performance of such insured's
				professional services or based on a claimed performance of professional
				services without consent. Each insurer or self insurer required to report under
				this rule shall submit such information electronically by using the Office's
				website: http://www.floir.com/iportal. A copy of the judgment or settlement
				must be provided along with any other information required by the Office that
				is not included in the computer software. The following forms have been
				converted into the software provided by the Office, are hereby incorporated by
				reference, and shall take effect on the effective date of this rule amendment:
				Form OIR-303 (5/99) "Florida Medical Professional Liability Insurance Claims
				Report" and OIR-304 (5/99) "Lawyers Professional Liability Closed Claim
				Reporting Form." Professional liability closed claim reports must be filed by
				the insurer if the claim resulted in:
(a) A
				final judgment in any amount; or
(b) A settlement in any
				amount.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-171 - PROPERTY AND CASUALTY INSURER REPORTING REQUIREMENTS › Section 69O-171.004 - Reports of Information by Products Liability Insurers Required (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority 624.308(1) FS. Law Implemented
					 624.307(1), 627.913(1), 627.918(1) FS.
New 1-16-83, Amended 7-1-85, Formerly 4-59.04, 4-59.004,
					 4-171.004, Repealed 7-30-17.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-171 - PROPERTY AND CASUALTY INSURER REPORTING REQUIREMENTS › Section 69O-171.005 - Annual Claims Report by Liability Insurers

Current through Reg. 50, No. 138; July 16, 2024
(1) If requested by the Office, all
				authorized liability insurers in Florida shall prepare and submit a report to
				the Office containing information about personal injury, bodily injury and/or
				property damage liability claims, as further identified in this rule, which
				were closed by the insurer, its employees or agents during the preceding
				calendar year. The Office shall consider the availability of insurance in the
				market place, any restrictions on availability of coverage, the increased
				placement of traditional coverages in the surplus lines market, and the
				affordability of insurance coverages in determining whether to request the
				reports.
(2) For purposes of this
				rule, the term "liability insurer" shall mean all insurers authorized to do
				business in Florida by a subsisting certificate of authority issued by the
				Office to transact commercial multiperil, products liability, general
				liability, commercial automobile liability, private passenger automobile
				liability, or other line of liability insurance.
(3) At such time that the Office requires
				insurers to report under this rule, the information shall be submitted
				electronically by using computer software provided by the Office. The following
				form has been converted into the software provided by the Office, is hereby
				incorporated by reference, and shall take effect on the effective date of this
				rule amendment: Form OIR-367 (5/99) "Liability Closed Claim Reporting Form." A
				closed claim report which is inaccurate, incomplete, or not properly formatted
				will be returned unprocessed and will be considered late until an accurate,
				complete and properly formatted report is received.
(4) At such time that a sampling of closed
				claims is required for a particular year, the Office will provide written
				instructions to all liability insurers indicating both:
(a) The lines of insurance from which claims
				closed during the preceding calendar year will be sampled; and,
(b) The size of the sample that is to be
				taken of claims arising under each specified line of insurance. The size of the
				sample for each line will be expressed in terms of a percentage of the total
				claims closed by each insurer during the preceding calendar
				year.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-171 - PROPERTY AND CASUALTY INSURER REPORTING REQUIREMENTS › Section 69O-171.006 - Claims Report by Directors and Officers Liability Insurers

Current through Reg. 50, No. 138; July 16, 2024
(1) Each insurer providing directors and
				officers liability coverage shall report to the Office of Insurance Regulation
				any claim or action for damages claimed to have been caused by error, omission,
				or negligence in the performance of the director's or officer's services, if
				the claim resulted in:
(a) A final judgment in
				any amount.
(b) A settlement in any
				amount.
(c) A final disposition not
				resulting in payment on behalf of the insured.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-171 - PROPERTY AND CASUALTY INSURER REPORTING REQUIREMENTS › Section 69O-171.008 - Insurer Experience Reporting - Calendar Year Experience

Current through Reg. 50, No. 138; July 16, 2024
(1) Any insurer authorized to transact fire,
				homeowner's, multiple peril, commercial multiple peril, medical malpractice,
				product liability, workers' compensation, private passenger automobile
				liability, commercial automobile liability, private passenger automobile
				physical damage, commercial automobile physical damage, directors' and
				officers', or other liability insurance shall report, for each such line of
				insurance, the information required by sections
				627.915(2),
				(5), F.S., or required by rule, on data
				reporting form OIR-D0-308 (Revised 02/2007) "Florida Property and Casualty
				Insurance Calendar Year Experience" which is hereby incorporated by reference
				and available at: http://www.floir.com/iportal.
(2) Reports for the preceding calendar year
				are due on or before April 1 of each year.
Rulemaking Authority 624.308(1) FS. Law Implemented
					 624.307(1), 624.424(1)(c), 627.915(2), (5), 627.918(1)
					 FS.
New 1-16-83, Amended 7-1-85, Formerly 4-59.07, Amended
					 6-15-88, Formerly 4-59.007, 4-171.008, Amended 9-15-05,
					 3-16-08.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-171 - PROPERTY AND CASUALTY INSURER REPORTING REQUIREMENTS › Section 69O-171.010 - Insurer Assignment Agreement Reporting - Calendar Year Experience

Current through Reg. 50, No. 138; July 16, 2024
(1) Any insurer authorized to transact
				residential property or commercial property insurance shall report, for each
				such line of insurance, the information required by Section
				627.7152(12),
				F.S., or required by rule, on and pursuant to the instructions in Form
				OIR-B1-2221, "Assignment of Benefits (AOB) Experience Reporting Form,"
				effective 3/20, hereby incorporated by reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-12418
.
(2) For purposes of this rule, "residential
				property and commercial property insurance" includes the following lines of
				business:
(a) Allied Lines, excluding Time
				Element;
(b) Commercial Multiple
				Peril;
(c) Earthquake;
(d) Farmowners Multiple Peril;
(e) Glass;
(f) Homeowners Multiple Peril;
(g) Industrial Extended Coverage;
(h) Industrial Fire;
(i) Mobile Homeowners Multiple
				Peril;
(j) Mobile Homeowners
				Physical Damage Only; and
(k)
				Property (Fire).
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-171 - PROPERTY AND CASUALTY INSURER REPORTING REQUIREMENTS › Section 69O-171.011 - Property Claims Litigation Data Call

Current through Reg. 50, No. 138; July 16, 2024
(1) Each authorized insurer or insurer group
				issuing personal lines or commercial lines residential property insurance
				policies shall report, for each such line of insurance, the information
				required by Section 624.424(11),
				F.S., or required by rule, on and pursuant to the instructions in Form
				OIR-B1-2222, "Florida Property Claims Litigation Data Call Reporting Form,"
				effective 08/22, hereby incorporated by reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-14753
.
				The form may be obtained from
https://www.floir.com/iportal
.
(2) For purposes of this rule, "personal
				lines or commercial lines residential property insurance" includes the
				following lines of business:
(a) Allied
				Lines;
(b) Commercial Multiple
				Peril;
(c) Farmowners Multiple
				Peril;
(d) Homeowners Multiple
				Peril;
(e) Industrial Extended
				Coverage;
(f) Industrial
				Fire;
(g) Mobile Homeowners
				Multiple Peril;
(h) Mobile
				Homeowners Physical Damage Only; and
(i) Property (Fire).
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-171 - PROPERTY AND CASUALTY INSURER REPORTING REQUIREMENTS › Section 69O-171.012 - Claims-Handling Manuals

Current through Reg. 50, No. 138; July 16, 2024
(1) Each authorized
				residential property insurer conducting business in this state must certify and
				attest that the insurer's current claims-handling manuals for residential
				property insurance comply with the requirements of the Florida Insurance Code,
				including the provisions of Section
				627.4108(1),
				F.S.
(2) This attestation and
				certification shall be submitted to the Office no later than May 1 of each
				year, on Form OIR-B3-495, effective 7/23, "Annual Certification of
				Claims-Handling Manuals," incorporated herein by reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-16318
.
				The form may be obtained from
https://www.floir.com
.
(3) Upon request by the Office, insurer will
				provide the Office with a true and correct copy of any claims-handling manual
				requested within 5 business days as specified on Form OIR-B3-496, 7/23,
				"Submission of Requested Claims-Handling Manuals," incorporated herein by
				reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-16319
.
				The form may be obtained from
https://www.floir.com
. Such submission will
				be accompanied by a completed and signed copy of Form
				OIR-B3-496.
Rulemaking Authority 624.308, 627.4108, F.S. Law
					 Implemented 627.4108, F.S.
- New 1-17-24.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-175 - MOTOR VEHICLE INSURANCE › Section 69O-175.001 - Calculation and Use of Investment Income in Motor Vehicle Insurance Rates

Current through Reg. 50, No. 138; July 16, 2024
(1) This rule shall apply to rates filed or
				reviewed pursuant to Section
				627.0651, F.S.
(2) The purpose of the rule is to specify the
				manner in which insurers shall calculate investment income attributable to
				motor vehicle insurance policies written in Florida and the manner in which
				such investment income is used in the calculation of insurance rates by the
				development of an underwriting profit allowance compatible with a reasonable
				rate of return.
(3) As used herein:
(a) Auto insurance means private passenger
				motor vehicle insurance as defined in Section
				627.041(8),
				F.S.;
(b) Liability subline means
				the sublines of auto insurance in the aggregate commonly considered to be auto
				liability insurance;
(c) Physical
				Damage subline means the sublines of auto insurance in the aggregate commonly
				considered to be auto physical damage insurance.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-175 - MOTOR VEHICLE INSURANCE › Section 69O-175.002 - Unlawful Removal of Discounts for Private Passenger Automobile Rates

Current through Reg. 50, No. 138; July 16, 2024
To the extent that section
				  626.9541(1)(o),
				  F.S., prohibits insurers from imposing or requesting additional premiums or
				  surcharges for private passenger automobile insurance because the insured was
				  involved in a motor vehicle accident or was convicted of a moving traffic
				  violation, such prohibition shall apply equally to insurers removing or
				  eliminating a premium discount or credit because the insured was involved in a
				  motor vehicle accident or was convicted of a moving traffic
				  violation.
Rulemaking Authority 624.308 FS. Law Implemented
					 624.307(1), 626.9541(1)(o) FS.
New 6-21-89, Formerly 4-57.002,
					 4-175.002.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-175 - MOTOR VEHICLE INSURANCE › Section 69O-175.003 - Motor Vehicle Insurance Ratemaking and Rate Filing Procedures

Current through Reg. 50, No. 138; July 16, 2024
(1)
(a)
				This rule shall apply to all motor vehicle insurance rates filed pursuant to
				sections 627.062 and
				627.0651, F.S., except for
				provisions which are specifically limited to private passenger motor vehicle
				insurance rates.
(b) The
				information required by this rule shall be included as a required component of
				the filing made pursuant to subsection
				69O-170.013(3),
				F.A.C.
(c) Filings shall pertain
				only to the Private Passenger Automobile Insurance.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-175 - MOTOR VEHICLE INSURANCE › Section 69O-175.006 - Unfair Discrimination in Private Passenger Motor Vehicle Insurance Rates - Allocation of Administrative Expenses

Current through Reg. 50, No. 138; July 16, 2024
(1) No insurer or person authorized to engage
				in the business of insurance in the State of Florida shall include in the
				premium charged for any policy, contract, or certificate of private passenger
				motor vehicle insurance an amount to cover the insurer's administrative
				expenses determined by allocating all such expenses as a percentage of premium.
				Administrative expenses shall be charged to policyholders in a manner which
				equitably apportions all such expenses. For the purpose of this rule,
				administrative expenses shall include licenses and fees, general expenses,
				other special expenses, and acquisition expenses other than commissions and
				brokerage.
(2) A minimum of 60% of
				the administrative expenses shall be leveled by coverage in a manner which
				prevents a disproportionate share of the redistributed charge from being borne
				by any one coverage.
(3)
				Administrative expenses shall be leveled for Bodily Injury, Property Damage,
				Single Limit Liability, Personal Injury Protection, Comprehensive, and
				Collision.
Rulemaking Authority 624.308(1) FS. Law Implemented
					 624.307(1), 627.0651(6), (7) FS.
New 10-8-78, Formerly 4-43.02, 4-43.002, Amended 11-2-92,
					 Formerly 4-175.006.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-175 - MOTOR VEHICLE INSURANCE › Section 69O-175.008 - Unfair Discrimination in Private Passenger Motor Vehicle Insurance Rates - Based on History of Accidents

Current through Reg. 50, No. 138; July 16, 2024
No insurer or person authorized to engage in the business of
				  insurance in the State of Florida shall use any motor vehicle accidents which
				  may have occurred at any time in the past except for the 36 months immediately
				  preceding the effective date of the new or renewal policy as a basis for
				  imposing or requesting an additional premium for or for refusing to renew any
				  policy, contract, or certificate of motor vehicle liability, personal injury
				  protection, medical payment, or collision insurance, or any combination
				  thereof. Notwithstanding the above, the imposition of or the request for an
				  additional premium due to motor vehicle accidents referred to in this rule may
				  be imposed on a policy, contract, or certificate of motor vehicle liability,
				  personal injury protection, medical payment, or collision insurance, or any
				  combination thereof in a manner consistent with the processing procedures of an
				  insurer and may not remain in effect in excess of 36 months.
Rulemaking Authority 624.308(1), 626.9611 FS. Law
					 Implemented 624.307(1), 626.9541(1)(o)3.a.
					 FS.
New 8-1-90, Formerly 4-43.007,
					 4-175.008.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-175 - MOTOR VEHICLE INSURANCE › Section 69O-175.010 - Unfair Discrimination in Private Passenger Motor Vehicle Insurance - Based on Age

Current through Reg. 50, No. 138; July 16, 2024
Pursuant to the provisions of section
				  626.9541(1)(x),
				  F.S., the Office has determined that refusal to insure or to continue to insure
				  solely on the basis of years of driving experience is discrimination on the
				  basis of age unless those situations are specifically excluded in which the
				  individual or risk could not legally have acquired the required number of years
				  of driving experience.
Rulemaking Authority 624.308 FS. Law Implemented
					 624.307(1), 626.9541(1)(x) FS.
New 11-2-92, Formerly
					 4-175.010.
Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69O - OIR - Insurance Regulation › Chapter 69O-175 - MOTOR VEHICLE INSURANCE › Section 69O-175.011 - Deductibles in Mandatory Financial Responsibility Coverages

Current through Reg. 50, No. 138; July 16, 2024
(1) Purpose and Scope.
(a) This rule applies only to commercial
				motor vehicle liability coverages used to satisfy mandatory financial
				responsibility requirements of state or local government.
(b)
1. This
				rule does not apply to private passenger automobile coverages or to any
				mandatory liability coverages other than commercial motor vehicles
				coverages.
2. This rule shall not
				be interpreted as creating an inference as to allowable terms of coverages and
				deductibles in coverages other than commercial motor vehicle
				coverages.
(c) This rule
				does not apply to policies issued in conjunction with a valid certificate of
				deposit issued by the Department of Highway Safety and Motor Vehicles pursuant
				to section 324.031(3),
				F.S.