THE BILL ITSELF
SB 1240
Insurance Regulation
Florida Senate - 2026 SB 1240 By Senator Davis 5-01562-26 20261240__
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A bill to be entitled
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An act relating to insurance regulation; amending s.
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627.4025, F.S.; making clarifying changes regarding
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the definition of residential coverage; amending s.
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627.418, F.S.; prohibiting insurers from imposing or
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enforcing certain policy conditions or requirements;
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providing an exception; specifying that such
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conditions or requirements are void; requiring
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insurers to make certain disclosures and allow the
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insured to cancel the policy under certain
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circumstances; amending s. 627.426, F.S.; revising the
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conditions under which liability insurers may deny
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coverage based on a particular coverage defense;
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amending s. 627.70131, F.S.; revising the timeframe in
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which insurers must pay or deny claims; revising
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requirements for the explanation for the payment,
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denial, or partial payment; specifying that insurers
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have an obligation to pay a specified amount under
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certain circumstances; authorizing the Department of
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Financial Services to enforce such obligation; making
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a clarifying change regarding interest payments;
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providing an effective date.
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Be It Enacted by the Legislature of the State of Florida:
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Section 1. Subsection (1) of section 627.4025, Florida
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Statutes, is amended to read:
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627.4025 Residential coverage and hurricane coverage
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defined.—
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(1) Residential coverage includes both personal lines and
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commercial lines coverage. Personal lines residential coverage
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includes residential coverage, which consists of the type of
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coverage provided by homeowner, mobile home owner, dwelling,
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tenant, condominium unit owner, cooperative unit owner, and
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similar personal lines residential policies . , and Commercial
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lines residential coverage includes , which consists of the type
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of coverage provided by condominium association, cooperative
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association, apartment building, and similar commercial lines
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residential policies, including policies covering the common
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elements of a homeowners association. Residential coverage for
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personal lines and commercial lines as set forth in this section
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includes policies that provide coverage for particular perils
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such as windstorm and hurricane or coverage for insurer
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insolvency or deductibles.
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Section 2. Subsection (3) is added to section 627.418,
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Florida Statutes, to read:
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627.418 Validity of noncomplying contracts.—
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(3) An insurer may not impose or enforce any policy
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condition or requirement that is not authorized by this
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insurance code unless the condition or requirement has been
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submitted to and approved by the office. Any such unauthorized
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condition or requirement is void and unenforceable. If a policy
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contains any condition or requirement not authorized by this
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insurance code but approved by the office, the insurer must
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clearly disclose such provision to the insured at the time of
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issuance along with necessary definitions to understand the
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provisions of the policy and the steps required for compliance
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with the provisions of the policy, using plain language, and
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must allow the insured to cancel the policy within 10 days after
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receipt at no cost. The disclosure must include the following
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notice, printed in bold type:
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IMPORTANT NOTICE: SOME PROVISIONS IN THIS POLICY ARE
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NOT ESTABLISHED BY FLORIDA STATUTES. FAILURE TO MEET
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THESE CONTRACTUAL REQUIREMENTS MAY AFFECT YOUR
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COVERAGE OR RESULT IN CLAIM DELAY OR DENIAL. YOU HAVE
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RIGHTS UNDER FLORIDA LAW. YOU MAY CANCEL THIS POLICY
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WITHIN 10 DAYS AFTER RECEIPT AT NO COST.
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Section 3. Subsection (2) of section 627.426, Florida
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Statutes, is amended to read:
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627.426 Claims administration.—
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(2) A liability insurer may shall not be permitted to deny
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coverage based on a particular coverage defense unless all of
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the following conditions are met :
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(a) 1. Within 30 days after the liability insurer knew or
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should have known of the coverage defense, written notice of
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reservation of rights to assert a coverage defense is given to
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the named insured by United States postal proof of mailing,
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registered or certified mail, or other mailing using the
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Intelligent Mail barcode or other similar tracking method used
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or approved by the United States Postal Service sent to the last
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known address of the insured or by hand delivery . Such notice of
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reservation of rights must include all the following:
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a. A clear statement of the factual issue giving rise to
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the reservation of rights.
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b. An explanation, in plain language, of why the issue may
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affect coverage.
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c. A description of any additional information or
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documentation needed from the insured.
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d. A description of the next steps in the investigative
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process and the expected timeframes for completing those steps.
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e. If the insurer determines that fraud or
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misrepresentation may affect the claim, identification of the
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specific facts supporting that determination.
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2. A notice of reservation of rights given under this
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section may not be used to extend, delay, or suspend the payment
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of a covered loss or any statutory deadline for paying or
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denying a claim under this code. ; and
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(b) Within 60 days after of compliance with paragraph (a)
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or receipt of a summons and complaint naming the insured as a
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defendant, whichever is later, but in no case later than 30 days
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before trial, the insurer:
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1. Gives written notice to the named insured by United
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States postal proof of mailing, registered or certified mail, or
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other mailing using the Intelligent Mail barcode or other
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similar tracking method used or approved by the United States
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Postal Service of its refusal to defend the insured;
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2. Obtains from the insured a nonwaiver agreement following
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full disclosure of the specific facts and policy provisions upon
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which the coverage defense is asserted and the duties,
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obligations, and liabilities of the insurer during and following
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the pendency of the subject litigation; or
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3. Retains independent counsel which is mutually agreeable
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to the parties. Reasonable fees for the counsel may be agreed
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upon between the parties or, if no agreement is reached, shall
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be set by the court.
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Section 4. Paragraph (a) of subsection (7) of section
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627.70131, Florida Statutes, is amended to read:
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627.70131 Insurer’s duty to acknowledge communications
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regarding claims; investigation.—
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(7)(a) Within 30 60 days after an insurer receives notice
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of an initial, reopened, or supplemental property insurance
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claim from a policyholder, the insurer shall pay or deny such
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claim or a portion of the claim unless the failure to pay or
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deny is caused by factors beyond the insurer’s control of the
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insurer . The insurer shall provide a clear, written reasonable
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explanation in writing to the policyholder which outlines the
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reasoning of the basis in the insurance policy, in relation to
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the facts or applicable law, for the payment, denial, or partial
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denial of the a claim , referencing relevant sections of the
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insurance policy, applicable facts, or laws . Such explanation
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may not be solely a recitation of policy provisions without
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application of those provisions to the facts of the claim. If
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the insurer’s claim payment is less than specified in any
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insurer’s detailed estimate of the amount of the loss, the
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insurer must provide a reasonable explanation in writing of the
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difference to the policyholder. Any payment for of an initial or
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supplemental claim or portion of such claim made 60 days after
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the insurer receives notice of the claim, or made after the
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expiration of any additional timeframe provided to pay or deny a
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claim or a portion of a claim made pursuant to an order of the
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office finding factors beyond the insurer’s control of the
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insurer , whichever is later, bears interest at the rate set
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forth in s. 55.03. Interest begins to accrue from the date the
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insurer receives notice of the claim. If the insurer fails to
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pay the full amount owed on the claim within 90 days after the
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insurer receives notice of the claim or within any extended
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timeframe authorized by order of the office, the insurer has an
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uncontestable obligation to pay the amount owed, together with
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interest as provided in this subsection and an additional equal
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interest penalty. The department may enforce such obligation.
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The provisions of this subsection may not be waived, voided, or
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nullified by the terms of the insurance policy. If there is a
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right to prejudgment interest, the insured must select whether
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to receive prejudgment interest or interest under this
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subsection. Interest is payable when the claim or portion of the
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claim is paid , even if the payment is contingent upon a release .
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Failure to comply with this subsection constitutes a violation
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of this code. However, failure to comply with this subsection
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does not form the sole basis for a private cause of action.
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Section 5. This act shall take effect July 1, 2026.