(1) Every policy shall be readable as required by this section. For the purposes of this section, the term “policy” means a policy form or endorsement. A policy is deemed readable if:
(a) The text achieves a minimum score of 45 on the Flesch reading ease test as computed in subsection (5) or an equivalent score on any other test comparable in result and approved by the office;
(b) It uses layout and spacing which separate the paragraphs from each other and from the border of the paper;
(c) It has section titles that are captioned in boldfaced type or that otherwise stand out significantly from the text;
(d) It avoids the use of unnecessarily long, complicated, or obscure words, sentences, paragraphs, or constructions;
(e) The style, arrangement, and overall appearance of the policy give no undue prominence to any portion of the text of the policy or to any endorsements or riders; and
(f) It contains a table of contents or an index of the principal sections of the policy, if the policy has more than 3,000 words or more than three pages.
(2) The office may authorize a lower score than the Flesch reading ease test score required in subsection (1) whenever it finds that a lower score will provide a more accurate reflection of the readability of a policy form, is warranted by the nature of a particular policy form or type or class of policy forms, or is the result of language which is used to conform to the requirements of any law.
(3) A filing subject to this section shall be accompanied by a certification signed by an officer of the insurer stating that the policy meets the requirements of subsection (1). Such certification shall state that the policy meets the minimum reading ease test score on the test used or that the score is lower than the minimum required but should be approved in accordance with subsection (2). The office may require the submission of further information to verify any certification.
(4) Any non-English language policy shall be deemed to be in compliance with this section if the insurer certifies that such policy is translated from an English language policy which complies with this section.
(5) A Flesch reading ease test score shall be measured by the following method:
(a) For policy forms containing 10,000 words or fewer of text, the entire form shall be analyzed. For policy forms containing more than 10,000 words, the readability of two 200-word samples per page may be analyzed instead of the entire form. The samples shall be separated by at least 20 printed lines.
(b) The total number of words in the text shall be counted and divided by the total number of sentences, and the figure obtained shall be multiplied by a factor of 1.015.
(c) The total number of syllables shall be counted and divided by the total number of words, and the figure obtained shall be multiplied by a factor of 84.6.
(d) The sum of the figures computed under paragraphs (b) and (c) subtracted from 206.835 equals the Flesch reading ease test score for the policy form.
(e) For purposes of this subsection:
1. A contraction, hyphenated word, or numerals and letters, when separated by spaces, shall be counted as one word; and
2. A unit of words ending with a period, semicolon, or colon, excluding headings and captions, shall be counted as one sentence.
(f) The term “text” as used in this subsection includes all printed matter except:
1. The name and address of the insurer; the name, number, or title of the policy; the table of contents or index; captions and subcaptions; specification pages; schedules; or tables;
2. Policy language required by any collectively bargained agreement;
3. Any medical terminology;
4. Words which are defined in the policy; and
5. Any policy language required by law, if the insurer identifies the language or terminology excepted by this paragraph and certifies to the office, in writing, that the language or terminology is entitled to be excepted under this paragraph.
(g) At the option of the insurer, riders, endorsements, applications, and other forms made a part of the policy may be scored as separate forms or as part of the policy with which they are to be used.
(6) This section does not apply to:
(a) Any policy which is a security subject to federal jurisdiction;
(b) Any group policy covering a group of 1,000 or more lives at date of issue, other than a group credit life insurance policy or a group credit health insurance policy; however, this paragraph does not exempt any certificate issued pursuant to a group policy delivered or issued for delivery in this state;
(c) Any group annuity contract which serves as a funding vehicle for pension, profit-sharing, or deferred compensation plans;
(d) Any form used in connection with, as a conversion from, as an addition to, or in exchange pursuant to a contractual provision for a policy delivered or issued for delivery on a form approved or permitted to be issued prior to the dates such forms must be approved under this section;
(e) Any policy or form, or partial revision thereof, or renewal thereof, which policy or form is filed prior to October 1, 1983; or
(f) Endorsements filed on or after October 1, 1983, which modify policy forms prior to October 1, 1983.
(g) Mortgage guaranty insurance policies, as defined in s. 635.011.
(7) This section applies to forms filed on or after October 1, 1983.
History.—ss. 368, 809(2nd), ch. 82-243; ss. 51, 79, ch. 82-386; s. 96, ch. 83-216; s. 13, ch. 83-288; s. 2, ch. 84-352; s. 114, ch. 92-318; s. 1118, ch. 2003-261.
Structure Florida Statutes
Chapter 627 - Insurance Rates and Contracts
Part II - The Insurance Contract (Ss. 627.401-627.444)
627.4025 - Residential coverage and hurricane coverage defined.
627.4035 - Payment of premiums; claims.
627.404 - Insurable interest; personal insurance.
627.405 - Insurable interest; property.
627.406 - Power to contract; purchase of insurance by or for minor.
627.407 - Alteration of application.
627.408 - Application as evidence.
627.4085 - Insurer name, agent name, and license identification number required on application.
627.409 - Representations in applications; warranties.
627.4091 - Specific reasons for denial, cancellation, or nonrenewal.
627.40951 - Standard personal lines residential insurance policy.
627.410 - Filing, approval of forms.
627.4101 - Credit insurance enrollment forms.
627.4102 - Informational filing of forms.
627.4105 - Life and health insurance; reduced premiums upon rigorous physical examination.
627.411 - Grounds for disapproval.
627.412 - Standard provisions, in general.
627.413 - Contents of policies, in general; identification.
627.4131 - Telephone number required.
627.4132 - Stacking of coverages prohibited.
627.4133 - Notice of cancellation, nonrenewal, or renewal premium.
627.4135 - Casualty insurance contracts subject to general provisions for insurance contracts.
627.4136 - Nonjoinder of insurers.
627.4137 - Disclosure of certain information required.
627.4138 - Wrap-up insurance policies for nonpublic construction projects.
627.414 - Additional policy contents.
627.4143 - Outline of coverage.
627.4145 - Readable language in insurance policies.
627.4147 - Medical malpractice insurance contracts.
627.4148 - Medical malpractice insurers; required offer of coverage limits.
627.41495 - Public notice of medical malpractice rate filings.
627.415 - Charter, bylaw provisions.
627.416 - Execution of policies.
627.417 - Underwriters’ and combination policies.
627.418 - Validity of noncomplying contracts.
627.419 - Construction of policies.
627.4195 - Health insurance; claims for payment of psychotherapeutic services; confidentiality.
627.4205 - Coverage identification number required.
627.4215 - Disclosures to policyholders; coverage of behavioral health care services.
627.422 - Assignment of policies or post-loss benefits.
627.423 - Payment discharges insurer.
627.4232 - Health insurance out-of-hospital benefits.
627.4233 - Total disability defined.
627.4234 - Health insurance cost containment provisions required.
627.4235 - Coordination of benefits.
627.4236 - Coverage for bone marrow transplant procedures.
627.4237 - Sickness disability or disability due to sickness.
627.4238 - Health insurer examinations.
627.4239 - Coverage for use of drugs in treatment of cancer.
627.42392 - Prior authorization.
627.42393 - Step-therapy protocol.
627.42395 - Coverage for certain prescription and nonprescription enteral formulas.
627.42396 - Reimbursement for telehealth services.
627.42397 - Coverage for air ambulance services.
627.424 - Minor may give acquittance.
627.425 - Forms for proof of loss to be furnished.
627.426 - Claims administration.
627.4265 - Payment of settlement.
627.427 - Payment of judgment by insurer; penalty for failure.
627.429 - Medical tests for HIV infection and AIDS for insurance purposes.
627.4295 - Dental procedures; anesthesia and hospitalization coverage.
627.4301 - Genetic information for insurance purposes.
627.4302 - Identification cards for processing prescription drug claims.
627.43141 - Notice of change in policy terms.
627.441 - Commercial general liability policies; coverage to contractors for completed operations.
627.442 - Insurance contracts.