The proposed bill amends Florida Statutes to enhance the accountability of insurers regarding claim denials and compliance with the valued policy law. It requires surplus lines insurers to adhere to the valued policy law when issuing property or casualty insurance coverage. Additionally, the bill introduces a new section mandating that any decision to deny a claim must be reviewed and approved by a "qualified human professional," which includes supervisors and licensed claims adjusters. The use of artificial intelligence or automated systems as a basis for denying claims is explicitly prohibited. Insurers are also required to maintain detailed records of the human review process for denied claims and provide specific information in denial communications to claimants.

Furthermore, the bill expands the definition of "insurer" to include surplus lines insurers for the purposes of the valued policy law and makes conforming amendments to related statutes. It establishes reporting requirements for insurers and authorizes the Office of Insurance Regulation to audit claim denials to ensure compliance. The effective date for these changes is set for July 1, 2025.

Statutes affected:
H 1555 Filed: 627.702, 627.7011, 627.7142