(1) Any person aggrieved by any rate charged, rating plan, rating system, or underwriting rule followed or adopted by an insurer, and any person aggrieved by any rating plan, rating system, or underwriting rule followed or adopted by a rating organization, may herself or himself or by her or his authorized representative make written request of the insurer or rating organization to review the manner in which the rate, plan, system, or rule has been applied with respect to insurance afforded her or him. If the request is not granted within 30 days after it is made, the requester may treat it as rejected. Any person aggrieved by the refusal of an insurer or rating organization to grant the review requested, or by the failure or refusal to grant all or part of the relief requested, may file a written complaint with the office, specifying the grounds relied upon. If the office has already disposed of the issue as raised by a similar complaint or believes that probable cause for the complaint does not exist or that the complaint is not made in good faith, it shall so notify the complainant. Otherwise, and if it also finds that the complaint charges a violation of this chapter and that the complainant would be aggrieved if the violation is proven, it shall proceed as provided in subsection (2).
(2) If after examination of an insurer, rating organization, advisory organization, or group, association, or other organization of insurers which engages in joint underwriting or joint reinsurance, upon the basis of other information, or upon sufficient complaint as provided in subsection (1), the office has good cause to believe that such insurer, organization, group, or association, or any rate, rating plan, or rating system made or used by any such insurer or rating organization, does not comply with the requirements and standards of this part applicable to it, it shall, unless it has good cause to believe such noncompliance is willful, give notice in writing to such insurer, organization, group, or association stating therein in what manner and to what extent noncompliance is alleged to exist and specifying therein a reasonable time, not less than 10 days thereafter, in which the noncompliance may be corrected, including any premium adjustment.
(3) If the office has good cause to believe that such noncompliance is willful or if, within the period prescribed by the office in the notice required by subsection (2), the insurer, organization, group, or association does not make such changes as may be necessary to correct the noncompliance specified by the office or establish to the satisfaction of the office that such specified noncompliance does not exist, then the office is required to proceed to further determine the matter. If no notice has been given as provided in subsection (2), the notice shall state in what manner and to what extent noncompliance is alleged to exist. The proceedings shall not consider any subject not specified in the notice required by subsections (2) and (3).
History.—s. 447, ch. 59-205; s. 20, ch. 67-9; ss. 13, 35, ch. 69-106; s. 3, ch. 76-168; s. 1, ch. 77-457; s. 21, ch. 78-95; ss. 2, 3, ch. 81-318; ss. 355, 357, 809(2nd), ch. 82-243; ss. 49, 79, ch. 82-386; s. 114, ch. 92-318; s. 5, ch. 93-289; s. 322, ch. 97-102; s. 1109, ch. 2003-261.
Structure Florida Statutes
Chapter 627 - Insurance Rates and Contracts
Part I - Rates and Rating Organizations (Ss. 627.011-627.381)
627.031 - Purposes of this part; interpretation.
627.0612 - Administrative proceedings in rating determinations.
627.0621 - Transparency in rate regulation.
627.0625 - Commercial property and casualty risk management plans.
627.06281 - Public hurricane loss projection model; reporting of data by insurers.
627.0629 - Residential property insurance; rate filings.
627.06291 - Excess profits of residential property insurer; return.
627.06292 - Reports of hurricane loss data and associated exposure data; public records exemption.
627.06501 - Insurance discounts for certain persons completing driver improvement course.
627.0651 - Making and use of rates for motor vehicle insurance.
627.0652 - Insurance discounts for certain persons completing safety course.
627.0653 - Insurance discounts for specified motor vehicle equipment.
627.06535 - Electric vehicles; restrictions on imposing surcharges.
627.0654 - Insurance discounts for buildings with fire sprinklers.
627.0655 - Policyholder loss or expense-related premium discounts.
627.066 - Excessive profits for motor vehicle insurance prohibited.
627.0665 - Automatic bank withdrawal agreements; notification required.
627.072 - Making and use of rates.
627.091 - Rate filings; workers’ compensation and employer’s liability insurances.
627.0915 - Rate filings; workers’ compensation, drug-free workplace, and safe employers.
627.0916 - Agricultural horse farms.
627.092 - Workers’ Compensation Administrator.
627.093 - Application of s. 286.011 to workers’ compensation and employer’s liability insurances.
627.096 - Workers’ Compensation Rating Bureau.
627.101 - When filing becomes effective; workers’ compensation and employer’s liability insurances.
627.111 - Effective date of filing.
627.1615 - Workers’ compensation applicant discrimination.
627.191 - Adherence to filings; workers’ compensation and employer’s liability insurances.
627.192 - Workers’ compensation insurance; employee leasing arrangements.
627.211 - Deviations; workers’ compensation and employer’s liability insurances.
627.212 - Workplace safety program surcharge.
627.215 - Excessive profits for commercial property and commercial casualty insurance prohibited.
627.221 - Rating organizations; licensing; fee.
627.231 - Subscribers to rating organizations.
627.251 - Bureau rules not to affect dividends.
627.261 - Actuarial and technical services.
627.285 - Independent actuarial peer review of workers’ compensation rating organization.
627.301 - Advisory organizations.
627.311 - Joint underwriters and joint reinsurers; public records and public meetings exemptions.
627.312 - Transitional provisions.
627.3121 - Public records and public meetings exemptions.
627.313 - Workers’ Compensation Joint Underwriting Plan; audit requirements.
627.314 - Concerted action by two or more insurers.
627.331 - Recording and reporting of loss, expense, and claims experience; rating information.
627.351 - Insurance risk apportionment plans.
627.3511 - Depopulation of Citizens Property Insurance Corporation.
627.3512 - Recoupment of residual market deficit assessments.
627.3513 - Standards for sale of bonds by Citizens Property Insurance Corporation.
627.3515 - Market assistance plan; property and casualty risks.
627.3518 - Citizens Property Insurance Corporation policyholder eligibility clearinghouse program.
627.352 - Security of data and information technology in Citizens Property Insurance Corporation.
627.357 - Medical malpractice self-insurance.