Florida Statutes
Part II - The Insurance Contract (Ss. 627.401-627.444)
627.426 - Claims administration.


(1) Without limitation of any right or defense of an insurer otherwise, none of the following acts by or on behalf of an insurer shall be deemed to constitute a waiver of any provision of a policy or of any defense of the insurer thereunder:
(a) Acknowledgment of the receipt of notice of loss or claim under the policy.
(b) Furnishing forms for reporting a loss or claim, for giving information relative thereto, or for making proof of loss, or receiving or acknowledging receipt of any such forms or proofs completed or uncompleted.
(c) Investigating any loss or claim under any policy or engaging in negotiations looking toward a possible settlement of any such loss or claim.

(2) A liability insurer shall not be permitted to deny coverage based on a particular coverage defense unless:
(a) Within 30 days after the liability insurer knew or should have known of the coverage defense, written notice of reservation of rights to assert a coverage defense is given to the named insured by United States postal proof of mailing, registered or certified mail, or other mailing using the Intelligent Mail barcode or other similar tracking method used or approved by the United States Postal Service sent to the last known address of the insured or by hand delivery; and
(b) Within 60 days of compliance with paragraph (a) or receipt of a summons and complaint naming the insured as a defendant, whichever is later, but in no case later than 30 days before trial, the insurer:
1. Gives written notice to the named insured by United States postal proof of mailing, registered or certified mail, or other mailing using the Intelligent Mail barcode or other similar tracking method used or approved by the United States Postal Service of its refusal to defend the insured;
2. Obtains from the insured a nonwaiver agreement following full disclosure of the specific facts and policy provisions upon which the coverage defense is asserted and the duties, obligations, and liabilities of the insurer during and following the pendency of the subject litigation; or
3. Retains independent counsel which is mutually agreeable to the parties. Reasonable fees for the counsel may be agreed upon between the parties or, if no agreement is reached, shall be set by the court.


History.—s. 475, ch. 59-205; s. 3, ch. 76-168; s. 1, ch. 77-457; ss. 2, 3, ch. 81-318; ss. 375(1st), 377, 809(2nd), ch. 82-243; ss. 53, 79, ch. 82-386; s. 97, ch. 83-216; s. 114, ch. 92-318; s. 13, ch. 2019-108.

Structure Florida Statutes

Florida Statutes

Title XXXVII - Insurance

Chapter 627 - Insurance Rates and Contracts

Part II - The Insurance Contract (Ss. 627.401-627.444)

627.401 - Scope of this part.

627.402 - Definitions.

627.4025 - Residential coverage and hurricane coverage defined.

627.403 - “Premium” 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.

627.4107 - Government employees exposed to toxic drug chemicals; cancellation of life or health policy or certificate prohibited.

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.

627.420 - Binders.

627.4205 - Coverage identification number required.

627.421 - Delivery of policy.

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.

627.42391 - Insurance policies; cancer treatment parity; orally administered cancer treatment medications.

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.

627.428 - Attorney fees.

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.

627.443 - Essential health benefits.

627.444 - Loss run statements for all lines of insurance.