American Ins. Ass'n v. Dept. of Ins.

518 So. 2d 1342, 13 Fla. L. Weekly 21, 1987 Fla. App. LEXIS 11843, 1987 WL 31983
CourtDistrict Court of Appeal of Florida
DecidedDecember 29, 1987
DocketBS-447
StatusPublished
Cited by2 cases

This text of 518 So. 2d 1342 (American Ins. Ass'n v. Dept. of Ins.) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Ins. Ass'n v. Dept. of Ins., 518 So. 2d 1342, 13 Fla. L. Weekly 21, 1987 Fla. App. LEXIS 11843, 1987 WL 31983 (Fla. Ct. App. 1987).

Opinion

518 So.2d 1342 (1987)

AMERICAN INSURANCE ASSOCIATION, et al., Appellants,
v.
DEPARTMENT OF INSURANCE, Appellee.

No. BS-447.

District Court of Appeal of Florida, First District.

December 29, 1987.
Rehearing Denied February 5, 1988.

*1343 Frederick B. Karl and Thomas J. Maida of Karl, McConnaughhay, Roland & Maida, Tallahassee, and Vincent J. Rio, III of Taylor, Day & Rio, Jacksonville, for appellants.

John E. Hale, Div. of Legal Services, Dept. of Insurance, Tallahassee, for appellee.

THOMPSON, Judge.

This is an appeal from a final order of the Department of Insurance (Department) creating, pursuant to § 627.351(5), Fla. Stat. (Supp. 1986), the Florida Property and Casualty Joint Underwriting Association (FPCJUA). We reverse.

In response to an alleged insurance crisis, the Florida Legislature enacted Chapter 86-160, Laws of Florida (otherwise known as the Tort Reform and Insurance Act of 1986) in an attempt to deal comprehensively with the perceived problem. Among other things, Chapter 86-160 imposed an insurance rate freeze and rate roll-back. As a result of their dissatisfaction with these and certain other provisions of the act, a number of insurance companies ceased writing property and casualty insurance in Florida, which action resulted in at least a temporary hiatus in the availability of property and casualty insurance. Section 13 of the act, now codified as § 627.351(5), Fla. Stat. (Supp. 1986), authorized the Department to establish a joint underwriting association of property and casualty insurers upon a finding of need therefor:

(5) PROPERTY AND CASUALTY INSURANCE RISK APPORTIONMENT. If the department determines, after consultation with the insurers authorized in this state to write property insurance ... or casualty insurance ..., that any class, line, or type of coverage of property or casualty insurance is not available at adequate levels from insurers authorized to transact and actually writing that kind and class of insurance in this state or in a particular geographic area, the department shall implement by order a joint underwriting plan to equitably apportion among such insurers the underwriting of property insurance or casualty insurance ..., to persons with risks eligible under subparagraph (a)1 and who are in good faith entitled to, but are unable to, obtain such property or casualty insurance coverage, including excess coverage, through the voluntary market. For purposes of this subsection, an adequate level of coverage means that coverage which is required by state law or by responsible or prudent business practices. The Joint Underwriting Association shall not be required to provide coverage for any type of risk for which there are no insurers providing similar coverage in this state... .

*1344 The pertinent portions of subsection (a)1. of § 627.351(5) which define risks eligible for placement with the FPCJUA provide:

(a) The plan shall provide:
1. A means of establishing eligibility of a risk for obtaining insurance through the plan which provides that:
a. A risk shall be eligible for such property insurance or casualty insurance as is required by Florida law if the insurance is unavailable in the voluntary market, including the market assistance program and the surplus lines market.
b. A commercial risk not eligible under sub-sub paragraph a. shall be eligible for property or casualty insurance if:
(I) The insurance is unavailable in the voluntary market, including the market assistance plan and the surplus lines market;
(II) Failure to secure the insurance would substantially impair the ability of the entity to conduct its affairs; and
(III) The risk is not determined by the Risk Underwriting Committee to be uninsurable.

Shortly after passage of the act, the Department conducted a market survey of insurers writing property and casualty insurance in Florida, and consulted with the Florida Market Assistance Plan (MAP), a statutorily created program funded and administered by the insurance industry for the purpose of assisting insurance agents and the public in placing property and casualty insurance risks. The Department also conducted a public meeting to receive public comment concerning the availability of property and casualty insurance. Based upon the information thus obtained and on other data reviewed, the Department determined that there were classes, lines and types of property and casualty insurance not available statewide or in particular geographic areas at adequate levels from insurers authorized to transact business in this state for persons who in good faith were entitled to such coverage. Accordingly, the Department issued an order dated October 3, 1986 directing the creation of the FPCJUA. This order included a general finding that there were classes, lines or types of property and casualty insurance coverage not available. However, the finding did not specify any class, line or type of either casualty or property insurance that was unavailable and did not state whether such insurance was unavailable statewide or only in a particular geographic area. The order provided that any substantially affected party desiring to contest the order could do so by filing a petition with the Department for a proceeding pursuant to § 120.57, Fla. Stat.

Several insurance associations and insurers did request a formal hearing, which the Department initially scheduled for November 17, 1986, but then continued to December 3, 1986. The notice of the December 3 hearing provided, inter alia, that the issues to be determined were whether the October 3, 1986 order creating the FPCJUA was supported by substantial competent evidence and whether the conditions precedent required by § 627.351(5), Fla. Stat. had been met by the Department. The hearing was thereafter again continued to Monday, December 22, 1986. The second order continuing the hearing directed the parties to complete discovery by Thursday, December 18. Shortly after the issuance of the order continuing the final hearing to December 22, 1986 the Department sent a letter to insurance industry representatives notifying them that an organizational meeting of the FPCJUA would be held on December 23, 1986.

In November, the petitioners deposed the Department's designated representative/witness and learned that in addition to relying on the market survey, MAP statistics, and the evidence received at the public hearing the Department had conducted in August 1986, the Department intended to call certain consumer witnesses to testify about their experience in attempting to purchase property and casualty insurance. At the time the deposition of the Department representative was taken the final hearing was still scheduled for December 3, 1986, *1345 with the discovery completion date set for December 1, 1986. On this basis the representative promised petitioners that the Department's witness list would be furnished to them no later than December 1, 1986. The petitioners thereafter filed a number of motions including another motion to continue and a motion to have the case referred to the Division of Administrative Hearings (DOAH). Apparently the petitioners did not object to the fact that the order continuing the hearing to December 22, 1986 also permitted discovery to be conducted through December 18, 1986.

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518 So. 2d 1342, 13 Fla. L. Weekly 21, 1987 Fla. App. LEXIS 11843, 1987 WL 31983, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-ins-assn-v-dept-of-ins-fladistctapp-1987.