09-003042RX Service Insurance Company vs. Office Of Insurance Regulation And Financial Services Commission
 Status: Closed
DOAH Final Order on Wednesday, April 7, 2010.


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Summary: Petitioner has standing to challenge rule since the Office of Insurance Regulation relying upon rule for disciplinary action against company initiated after date rule expired due to the repeal of the statute implemented by the rule. The rule is invalid.

1STATE OF FLORIDA

4DIVISION OF ADMINISTRATIVE HEARINGS

8SERVICE INSURANCE COMPANY, )

12)

13Petitioner, )

15)

16vs. ) Case No. 09-3042RX

21)

22OFFICE OF INSURANCE REGULATION )

27and FINANCIAL SERVICES )

31COMMISSION, )

33)

34Respondents. )

36)

37FINAL ORDER

39Pursuant to notice, this cause was heard by Linda M. Rigot,

50the assigned Administrative Law Judge of the Division of

59Administrative Hearings, on July 31, 2009, in Tallahassee,

67Florida.

68APPEARANCES

69For Petitioner: Richard J. Santurri

74Mang Law Firm, P.A.

78660 East Jefferson Street

82Tallahassee, Florida 32302

85For Respondents: Elenita Gomez, Esquire Office of Insurance Regulation

94200 East Gaines Street

98Tallahassee, Florida 32399

101STATEMENT OF THE ISSUE

105The issue presented is whether Florida Administrative Code

113Rule 69O-170.105(1)(d), is an invalid exercise of delegated

121legislative authority.

123PRELIMINARY STATEMENT

125On June 5, 2009, Petitioner Service Insurance Company filed

134a Petition for Rule Challenge against Respondent Office of

143Insurance Regulation, alleging that Florida Administrative Code

150Rule 69O-170.105(1)(d) is an invalid exercise of delegated

158legislative authority. Petitioner's subsequent motion to amend

165its Petition to add the Financial Services Commission as a

175Respondent was granted by Order entered June 24, 2009, and

185Petitioner's Petition for Rule Challenge was, therefore,

192replaced by Petitioner's First Amended Petition for Rule

200Challenge filed June 16, 2009.

205No witnesses were offered by any party at the final

215hearing. However, Joint Exhibits numbered 1-5; Petitioner's

222Exhibits numbered 1, 3, and 5-7; and Respondents' Exhibits

231numbered 1 and 2 were admitted in evidence. The post-hearing

241Joint Motion to Submit Additional Joint Exhibits 6 and 7 was

252granted by Order entered August 3, 2009, and Joint Exhibits 6

263and 7 were also admitted in evidence in this cause.

273The Transcript of the final hearing was filed on August 14,

2842009. Respondents' Motion for Extension of Time Within Which to

294File Proposed Final Orders was granted up to and including

304September 28, 2009. Petitioner and Respondents timely filed

312their proposed final orders.

316FINDINGS OF FACT

3191. Respondent Office of Insurance Regulation (formerly the

327Florida Department of Insurance) regulates the insurance

334industry in Florida. Petitioner Service Insurance Company is an

343insurance company duly licensed and regulated by Respondent

351Office.

3522. During its regular session, the 1996 Florida

360Legislature added Subsection (6) to Section 627.062, Florida

368Statutes, effective January 1, 1997. That Subsection provided

376as follows:

378(6)(a) After any action with respect to a

386rate filing that constitutes agency action

392for purposes of the Administrative Procedure

398Act, an insurer may, in lieu of demanding a

407hearing under s. 120.57, require arbitration

413of the rate filing. . . . Costs of

422arbitration shall be paid by the insurer.

429(b) Arbitration under this subsection shall

435be conducted pursuant to the procedures

441specified in ss. 682.06-682.10. Either party

447may apply to the circuit court to vacate or

456modify the decision pursuant to s. 682.13 or

464s. 682.14. The department shall adopt rules

471for arbitration under this subsection, which

477rules may not be inconsistent with the

484arbitration rules of the American

489Arbitration Association as of January 1,

4951996. [Emphasis added.]

4983. Assumedly in anticipation of the effective date of the

508new arbitration option, on November 8, 1996, the Department of

518Insurance published in the Florida Administrative Weekly its

526notice of development of proposed rules for rate filing

535arbitration pursuant to Section 627.062(6), Florida Statutes.

542On February 28, 1997, the Department published its proposed

551rules. Proposed Rule 4-170.105 was entitled "Costs, Expenses

559and Fees of the Arbitration" and read as follows:

568Notwithstanding anything to the contrary in

574the Florida Arbitration Code or in the AAA

582Rules , all costs, expenses and fees of a

590rate filing arbitration shall be paid by the

598initiating party. For purposes of these

604rules, costs, expenses and fees of a rate

612filing arbitration include, but are not

618limited to, the following items:

623(1) Filing fees payable to the American

630Arbitration Association pursuant to the AAA

636Rules incidental to the rate filing

642arbitration.

643(2) Service, processing, hearing,

647postponement/cancellation, travel, hearing

650room rental and/or any other administrative

656fee, charge or expense referred to in the

664Florida Arbitration Code, in the AAA Rules,

671or elsewhere.

673(3) Court reporter costs, expenses and

679fees for an expedited transcript of all

686arbitration hearings, and all costs

691associated with the taking by any party of a

700deposition of any expert or non-expert

706witnesses.

707(4) Expert witness fees, costs and

713expenses, for any expert or experts retained

720by any party or by the arbitration panel,

728including all costs, expenses and fees

734related to the taking by any party of a

743deposition of any such expert witness(es),

749and all costs, expenses and fees related to

757the appearance and testimony of such expert

764or experts during the arbitration hearing.

770(5) Payments to, for, or on behalf of

778each of the members of the arbitration panel

786in compensation for their services and in

793reimbursement of all reasonable and

798necessary expenses incurred by each in

804connection with the arbitration proceeding.

809(6) Any other cost or expense incurred by

817any party to the arbitration and deemed by

825such incurring party to be necessary for an

833effective and proper presentation of such

839party’s case to the arbitration panel,

845except that each party shall bear its own

853attorneys’ fees. [Emphasis added.]

8574. Following a rule development workshop conducted by the

866Department of Insurance on December 4, 1996, Attorney David A.

876Yon sent a letter dated December 10 to the Bureau Chief of the

889Department's Bureau of P & C Forms and Rates regarding his

900concerns with several provisions of the proposed rules. As

909relevant to this proceeding, Yon advised the Department that:

918Section 627.062(6)(a) states that the

"923[c]ost of arbitration shall be paid by the

931insurer." Presumably, this provision would

936require the insurer to pay arbitration fees

943and perhaps the costs of the hearing room.

951However, rule 4-150.05 [sic], as drafted,

957provides that the insurer shall pay "all

964costs, expenses and fees of a rate filing

972arbitration" and describe [sic] in detail

978the type of costs that insurers will have to

987bear. These costs include the Department's

993expert witness fees and any other expenses

1000deemed by the Department to be reasonably

1007necessary in preparing its case. We

1013strongly object to this provision and

1019believe it exceeds the Department's

1024statutory authority.

10265. As a result of Attorney Yon's concerns, a Department

1036attorney directed a Memorandum dated January 22, 1997, to the

1046Director of Insurer Services regarding the Department's

1053authority to interpret the word "costs" to mean "all costs."

1063While acknowledging that the Department's expansion of the word

"1072costs" to include "costs, expenses, and fees" conflicted

1080specifically with AAA Rule 49, which required that the expenses

1090of any witnesses shall be paid by the party producing the

1101witness, he concluded that the AAA Rule was "eclipsed" by the

1112rate filing arbitration enabling statute. No citation is

1120provided for that conclusion, nor is the concept of "eclipsed"

1130explained. The Memorandum further acknowledges that the section

1138in the Florida Arbitration Code relating to the payment of costs

1149was specifically made inapplicable to rate filing arbitration by

1158the Legislature.

11606. After concluding that AAA Rule 49 was "eclipsed" and

1170that the costs rule in the Florida Arbitration Code did not

1181apply, the attorney concluded that the enabling statute must

1190mean "all costs." The attorney explained that the Department's

1199interpretation would be reasonable because if the rate filing

1208arbitration were a civil action instead, the trial judge would

1218have discretion to consider the reasonableness of the amount and

1228the necessity of the expense in determining the taxation of

1238costs. The attorney concluded that the Department's

1245interpretation of costs to mean "all costs" and to mean "costs,

1256expenses, and fees" was reasonable. Since the Department's

1264interpretation was reasonable, the proposed rule on costs,

1272expenses, and fees, therefore, did not exceed powers delegated

1281to the Department by the Legislature, in the opinion of the

1292author of the Memorandum.

12967. Following a public hearing on the proposed rules

1305conducted by the Department on March 28, 1997, Attorney Yon, on

1316behalf of the American Insurance Association and the Florida

1325Insurance Council, sent a letter to the Bureau Chief of the

1336Department's Bureau of P & C Forms and Rates on April 8, 1997.

1349As relevant to this proceeding, Yon advised the Department that:

1359As addressed at the workshop, all interested

1366parties are concerned with proposed rule 4-

1373170.105, which requires insurers to bear all

1380costs, other than attorneys' fees,

1385associated with arbitrations. The breadth

1390of the proposed rule contravenes the intent

1397of section 627.062, Florida Statutes, and is

1404not consistent with general arbitration

1409practices, including the American

1413Arbitration Association Rules. The statute

1418provides at paragraph (6)(a) that, "Costs of

1425arbitration shall be paid by the insurer."

1432The "cost [sic] of arbitration" refers to

1439those costs associated with conducting

1444arbitration proceedings, not the costs of

1450the parties in presenting their case at such

1458proceedings. The first draft of the statute

1465provided that the department and the insurer

1472would each appoint an employee to the

1479arbitration panel. There was concern that

1485this would not make for the most effective

1493arbitration and the language was modified to

1500provide for nonemployees [sic]. As a

1506result, it was agreed that the insurer would

1514bear the costs of arbitration, with the

1521clear implication being that cost referred

1527to the cost of using nonemployed [sic]

1534arbitrators. This language never

1538contemplated that the insurer would have to

1545pay for the department's costs of putting on

1553its own case, including hiring expert

1559witnesses. Finally, this provision of the

1565rule is clearly contrary to Rule 49 of AAA's

1574Commercial Arbitration Rules. That

1578provisions [sic] states:

1581The expenses of witnesses for either side

1588shall be paid by the party producing such

1596witnesses. All other expenses of the

1602arbitration, including required travel and

1607other expenses of the arbitrator, AAA

1613representatives, and any witness and the

1619cost of any proof produced at the direct

1627request of the arbitrator, shall be borne

1634equally by the parties, unless they agree

1641otherwise or unless the arbitrator in the

1648award assesses such expenses or any part

1655thereof against any specified party or

1661parties.

1662We therefore request that the department

1668revise the rule to eliminate the requirement

1675that insurers pay all costs related to

1682arbitrations and clarify that the rules do

1689not require insurers to fund preparation of

1696the department's arbitration cases.

17008. On April 9, 1997, the Regional Manager for the Southern

1711Region of the Alliance of American Insurers sent a letter to an

1723attorney for the Department noting certain concerns with the

1732Department's proposed rate filing arbitration rules. Among the

1740concerns raised was the following:

1745Our reading of Chapter 627.062(6)(a), FS[,]

1752shows that an insurer pay only arbitration

1759costs rather than all costs. We note that a

1768requirement to pay all costs without consent

1775by either party is inconsistent with

1781commercial arbitration rules (see AAA Rule

178749, specifically page 18 and 21 relative to

1795administrative fees and hearing fees and

1801page 22 relative to

1805postponement/cancellation and processing

1808fees).

18099. By letter dated April 16, 1997, a Staff Attorney for

1820the Joint Administrative Procedures Committee (JAPC) requested

1827the Department's Division of Legal Service to explain a number

1837of concerns the Committee had with the proposed rules. As to

1848the rule under challenge in this proceeding, JAPC questioned the

1858Department's statutory authority to include the American

1865Arbitration Association in the arbitration process contemplated

1872by Section 627.062(6), Florida Statutes. The May 16, 1997,

1881reply states that: "Since the statute mandates conformity to

1890the AAA rules, we wrote the rule to be consistent with the AAA

1903rules."

190410. The Department filed for adoption its proposed rate

1913filing arbitration rules on August 11, 1997, and the rules

1923became effective August 31, 1997. No changes were made to Rule

19344-170.105 in its substance or language from the version

1943published in February except for internal changes to the

1952subsection numbers within the Rule. Under that re-numbering,

1960Subsection (4) of the proposed Rule became Subsection (1)(d).

196911. The 2008 Legislature amended Section 627.062(6),

1976Florida Statutes, by deleting the rate filing arbitration option

1985and requiring that any administrative proceeding arising from

1993the denial of a rate filing be expedited. § 10, ch. 2008-66,

2005Laws of Fla. The amendment, effective July 1, 2008, was

2015approved by the Governor on May 28, 2008.

202312. Admitted as joint exhibits in this proceeding were the

2033awards from two rate filing arbitrations involving Petitioner

2041and the Office of Insurance Regulation. In American Arbitration

2050Association Case No. 33 195 Y 00356 07, Petitioner's demand for

2061arbitration was filed August 20, 2007, but the arbitration

2070hearing did not take place until February 4-6, 2009. Prior to

2081the arbitration hearing, on November 5, 2008, Petitioner filed

2090with the arbitrators a motion relating to the allocation of

2100costs of the Office's proposed outside expert witness.

210813. The motion challenged the validity of the same rule at

2119issue in this proceeding requiring that Petitioner pay all

2128costs, including those of the Office's experts. The arbitrators

2137ruled that AAA Rule 49, which provides that the expenses of

2148witnesses be paid by the party producing the witness,

2157controlled. The Office filed a motion a few days prior to the

2169arbitration hearing seeking to have Petitioner pay the Office's

2178expert witness costs incurred prior to the time Petitioner

2187challenged in the arbitration the applicability of Rule 69O-

2196170.105 [formerly Rule 4-170.105 under the Department of

2204Insurance]. In the Award entered April 24, 2009, the Chief

2214Arbitrator ordered Petitioner to pay the fees, costs, and

2223expenses of the Office's outside expert witness incurred prior

2232to September [sic] 5, 2008. One arbitrator dissented from that

2242requirement, and one arbitrator dissented from the entire

2250Decision and Award.

225314. The Award required Petitioner to pay the costs

2262allocated to it within 30 days of receipt of invoices. No

2273evidence was offered as to when Petitioner received an invoice

2283from or for the Office's outside expert witness.

229115. In American Arbitration Association Case No. 33 195 Y

230100357 07, the arbitration hearing occurred on February 6-8,

23102008. The Award was signed by two arbitrators, one of whom

2321dissented, on June 2, 2008, and by the third arbitrator on

2332June 4, 2008. The Award does not specifically address the

2342payment of the costs, fees, and expenses of expert witnesses.

2352The Award addressed in the arbitration described in Paragraphs

2361numbered 12-14 of this Final Order, however, refers to the Award

2372described in this Paragraph and notes that Petitioner by letter

2382dated July 23, 2008, advised the Office that it was refusing to

2394pay the fees and costs of the Office's expert in that related

2406arbitration. The letter itself refers to the arbitration

2414described in this Paragraph.

241816. On August 5, 2008, Respondent Office filed with the

2428Division of Administrative Hearings an Order to Show Cause

2437against Petitioner, seeking to suspend or revoke Petitioner's

2445Certificate of Authority to transact insurance for violating

2453Rule 69O-170.105. Service requested an administrative hearing,

2460and the matter is currently pending before DOAH in Case No. 08-

2472005961. That case has been placed in abeyance pending the

2482outcome of this rule challenge.

2487CONCLUSIONS OF LAW

249017. The Division of Administrative Hearings has

2497jurisdiction over the subject matter and the parties hereto

2506pursuant to Sections 120.56, 120.569, and 120.57(1), Florida

2514Statutes. Although the challenged Rule was adopted by the

2523Department of Insurance on August 31, 1997, the Legislature

2532transferred the Department's arbitration rules to the Financial

2540Services Commission, effective January 7, 2003, when it

2548abolished the Department of Insurance and created the Commission

2557and the Office of Insurance Regulation within the Commission.

2566are present in this proceeding.

257118. The First Amended Petition for Rule Challenge filed by

2581Petitioner in this cause alleges that Florida Administrative

2589Code Rule 69O-170.105(1)(d) is an invalid exercise of delegated

2598authority in that it enlarges, modifies, or contravenes the

2607specific provisions of law implemented. Section 120.56(3),

2614Florida Statutes, provides that any substantially affected

2621person may seek a determination of the invalidity of a rule as

2633an invalid exercise of delegated authority. Subsection

2640120.56(3) authorizes seeking such a determination of the

2648invalidity of an existing rule at any time during the existence

2659of the rule and provides that the Petitioner has the burden to

2671prove by a preponderance of the evidence that the existing rule

2682is an invalid exercise of delegated legislative authority as to

2692the objections raised. Petitioner has met its burden of proof.

270219. The challenged rule enlarges, modifies, or contravenes

2710the specific provisions of law implemented. During the time

2719period when arbitration was an option, Section 627.062(6),

2727Florida Statutes, provided in Subsection (a) that the costs of

2737arbitration shall be paid by the insurer and in Subsection (b)

2748that Respondent Commission shall adopt rules for arbitration,

2756which rules may not be inconsistent with the arbitration rules

2766of the American Arbitration Association (AAA) as of January 1,

27761996.

277720. The statute did not define costs. The AAA Rules as of

2789January 1, 1996, did not contain a definition of costs. Rather,

2800the Rules dealt separately with different items carrying a

2809monetary burden for the parties, such as administrative fees,

2818filing fees, hearing fees, hearing room rental, and cancellation

2827fees. Rule 49 is entitled "Expenses" and provides that the

2837expenses of witnesses for either side are to be paid by the

2849party producing the witness. The Department expanded the

2857statutory term "costs" and promulgated the challenged rule which

2866is entitled "Costs, Expenses and Fees of the Arbitration" and

2876required one party, the insurance company, to pay the expert

2886witnesses fees and expenses of the other party, now the

2896Respondent Office. Simply stated, the Department took one

2904category of monetary obligation (costs) and expanded it to three

2914(costs, expenses, and fees). Accordingly, the challenged Rule

2922directly contravenes the statute implemented because it is

2930inconsistent with the AAA Rules. See Dept. of Ins. v. First

2941Floridian Auto and Home Ins. Co. , 803 So. 2d 771 (Fla. 1st DCA

29542001), wherein the Court resolved conflicts between the

2962Department's arbitration rules and the AAA Rules in favor of the

2973AAA Rules.

297521. Prior to the adoption of the challenged Rule, the

2985Department of Insurance was repeatedly advised that the

2993challenged Rule was inconsistent with the AAA Rules and,

3002therefore, contrary to the statute the Rule is alleged to be

3013implementing. The only record evidence that the Department

3021considered the infirmity of the then-proposed Rule is the

3030internal memorandum dated January 22, 1997, wherein the author

3039declared the controlling AAA Rule to be "eclipsed," whatever

3048that means; relied upon a provision in the Florida Arbitration

3058Code that the Legislature had specifically provided did not

3067apply; and relied upon the discretion given to a trial judge in

3079a different branch of government to determine reasonable and

3088necessary costs and then assess them.

309422. The memorandum, therefore, successfully avoided

3100considering directly the issue before the Department and, now,

3109this forum. There is no evidence that the Legislature intended

3119the arbitration process to constitute a blank check for the

3129Department to expend any amounts it desired if the insurance

3139company chose arbitration rather than a Section 120.57, Florida

3148Statutes, proceeding. There is no evidence that the Legislature

3157anticipated that the Department would hire outside expert

3165witnesses if the insurance company chose arbitration rather than

3174using its own employees whose opinions resulted in the

3183Department's preliminary determination to deny the rate filing.

319123. Respondents argue that the challenged Rule has been

3200legislatively protected from being challenged in a Section

3208120.56 proceeding and/or that the Legislature actually adopted

3216the Department's rules. Respondents rely on Section 20.121(5),

3224Florida Statutes, which provides as follows:

3230Effective January 7, 2003, the rules of the

3238Department of Banking and Finance and of the

3246Department of Insurance that were in effect

3253on January 6, 2003, shall become rules of

3261the Department of Financial Services or the

3268Financial Services Commission as is

3273appropriate to the corresponding regulatory

3278or constitutional function and shall remain

3284in effect until specifically amended or

3290repealed in the manner provided by law.

329724. The Legislature did not ratify the rules being

3306transferred when it created Section 20.121(5), Florida Statutes,

3314and transferred the Department of Insurance's rules to, in this

3324instance, Respondent Financial Services Commission. The

3330Legislature has provided the process transfers must follow in

3339Section 20.06, Florida Statutes, which states:

3345Method of reorganization . --The executive

3351branch of state government shall be

3357reorganized by transferring the specified

3362agencies, programs, and functions to other

3368specified departments, commissions, or

3372offices. Such a transfer does not affect

3379the validity of any judicial or

3385administrative proceeding pending on the day

3391of the transfer, and any agency or

3398department to which are transferred the

3404powers, duties, and functions relating to

3410the pending proceeding must be substituted

3416as a party in interest for the proceeding.

3424The transfers provided herein are intended

3430to supplement but not supplant the

3436requirements of s. 6, Art. III of the State

3445Constitution. The definitions provided in

3450s. 20.03 apply to this section, and the

3458types of transfers are defined as follows:

3465* * *

3468(2) TYPE TWO TRANSFER.-– A type two

3475transfer is the merging into another agency

3482or department of an existing agency or

3489department or program, activity, or function

3495thereof or, if certain identifiable units or

3502subunits, programs, activities, or functions

3507are removed from the existing agency or

3514department, or are abolished, it is the

3521merging into an agency or department of the

3529existing agency or department with the

3535certain identifiable units or subunits,

3540programs, activities, or functions removed

3545therefrom or abolished.

3548* * *

3551(c) Unless otherwise provided by law, the

3558administrative rules of any agency or

3564department involved in the transfer which

3570are in effect immediately before the

3576transfer remain in effect until specifically

3582changed in the manner provided by law.

3589The transfer applicable to the creation of the Department of

3599Financial Services was a type two transfer as defined in Section

361020.06(2), Florida Statutes. See § 3, Ch. 2002-404, Laws of Fla.

362125. Section 20.121(5) is not the first time that the

3631Legislature has transferred rules from one agency to another.

3640For example, in 1996, the Legislature transferred powers from

3649the Department of Health and Rehabilitative Services to the

3658Department of Health in Section 8, Chapter 96-403, Laws of

3668Florida, by means of a type two transfer. Likewise, in 1993,

3679the Legislature created both the Department of Business and

3688Professional Regulation (DBPR) and the Department of

3695Environmental Protection (DEP). DBPR was created by merging and

3704transferring the Department of Business Regulation and the

3712Department of Professional Regulation in Sections 2 and 3 of

3722Chapter 93-220, Laws of Florida, by means of type one transfers

3733and type three transfers. (Type 3 transfers authorized at the

3743time are the equivalent of a type 2 transfer currently. See

3754Section 12, Chapter 94-235, Laws of Fla.) DEP was created by

3765transferring the Department of Natural Resources and the

3773Department of Environmental Regulation in Section 8 of Chapter

378293-213, Laws of Florida, by means of a type 3 transfer.

379326. The Legislature did not include a ratification of any

3803agency rules in the above transfers in the session laws or

3814Florida Statutes. All appear to be subject to the condition

3824expressed in Section 20.06(2)(c), that rules "remain in effect

3833until specifically changed in the manner provided by law." This

3843language is very similar to that contained in Section 20.121(5),

3853which states rules "shall remain in effect until specifically

3862amended or repealed in the manner provided by law." One method

3873by which rules are repealed or amended is in response to the

3885rule challenge process.

388827. Another indication that the Legislature did not intend

3897the language in Section 20.121(5), Florida Statutes, to operate

3906as a ratification of the agency rules is Section

3915163.3177(10)(k), Florida Statutes. Section 163.3177(10)(k)

3920discusses Florida Administrative Code Chapter 9J-5, which had to

3929be submitted to the Legislature for approval before it could

3939become effective. Section 163.3177(10)(k) states, in its

3946relevant part:

3948. . . Therefore, the Legislature declares

3955that changes made to chapter 9J-5, Florida

3962Administrative Code, prior to October 1,

39681986, shall not be subject to rule

3975challenges under s. 120.56(2), or to drawout

3982proceedings under s. 120.54(3)(c)2. The

3987entire chapter 9J-5, Florida Administrative

3992Code, as amended, shall be subject to rule

4000challenges under s. 120.56(3), as nothing

4006herein shall be construed to indicate

4012approval or disapproval of any portion of

4019chapter 9J-5, Florida Administrative Code,

4024not specifically addressed herein. No

4029challenge pursuant to s. 120.56(3) may be

4036filed from July 1, 1987, through April 1,

40441993. Any amendments to chapter 9J-5,

4050Florida Administrative Code, exclusive of

4055the amendments adopted prior to October 1,

40621986, pursuant to this act, shall be subject

4070to the full chapter 120 process.

407628. In Section 163.3177(10)(k), Florida Statutes, the

4083Legislature expressly stated when changes to Chapter 9J-5,

4091Florida Administrative Code, were and were not subject to rule

4101challenges. There is no such language within Section 20.121(5),

4110Florida Statutes. If the Legislature had intended Section

411820.121(5), Florida Statutes, to grant an immunity from rule

4127challenges, it would have included language such as the language

4137contained in Section 163.3177(10)(k).

414129. Accordingly, Respondents' novel argument is without

4148merit because (1) the Legislature did not use any language that

4159would suggest that the Department's rules were exempt from

4168Chapter 120, Florida Statutes; (2) the language used is the

4178usual "housekeeping" language used when the Legislature moves

4186functions from one agency to another; and (3) if the Legislature

4197had not used the language it used in transferring the rules, the

4209Commission would have had no rules for the functions it received

4220from the Department of Insurance unless and until it adopted

4230rules through the Chapter 120, Florida Statutes, rulemaking

4238process.

423930. Respondents argue that Petitioner lacks standing to

4247maintain this proceeding because (1) the rule has been repealed

4257by operation of law and cannot be challenged, and (2) a rule can

4270only be declared invalid prospectively but Petitioner seeks a

4279retroactive application. Neither argument has merit in this

4287proceeding.

428831. As to Respondents' first argument, the general

4296proposition is that the repeal of a statute which is implemented

4307by a rule results in an automatic expiration of the rule. See

4319Christo v. Dept. of Banking and Fin. , 649 So. 2d 318, 321 (Fla.

43321st DCA 1995). Thus, the effective "repeal" of a rule by

4343operation of law would prevent the Division of Administrative

4352Hearings (DOAH) from accepting jurisdiction in a challenge to

4361that rule after the authorizing statute was repealed. See Dept.

4371of Rev. v. Sheraton Bal Harbour Ass'n., Ltd. , 864 So. 2d 454

4383(Fla. 1st DCA 2003), appealing the final order in DOAH Case No.

439503-2441RX, wherein the taxes had already been paid and the

4405challenged rule had been formally repealed.

441132. Those general propositions are not, however, the end

4420of the inquiry as to whether such a rule can be challenged at

4433DOAH after the repeal of the statute implemented by the rule.

4444The application of the rule and the effect of the rule on the

4457challenger must also be considered. See Witmer v. Dept. of Bus.

4468& Prof. Reg., Div. of Pari-Mutuel Wagering , 662 So. 2d 1299

4479(Fla. 4th DCA 1995).

448333. The circumstances in the case at bar are more similar

4494to those in Witmer than to those in Sheraton Bal Harbour . In

4507this proceeding, the Rule is being challenged by a licensed

4517insurance company which is regulated by Respondent Office. The

4526Rule still appears as an existing Rule in the Florida

4536Administrative Code.

453834. More importantly, however, are the facts that (1) one

4548of the arbitrations described in the Findings of Fact portion of

4559this Final Order occurred after the repeal of the statute

4569authorizing the rate filing arbitration option and the

4577expiration of the challenged Rule, and (2) Respondent Office's

4586Order to Show Cause pending in DOAH Case No. 08-005961 seeking

4597to suspend or revoke Petitioner's license was initiated after

4606the repeal of the statute and the expiration of the challenged

4617Rule. As in Witmer , Respondent Office seeks to discipline

4626Petitioner's license based upon an expired rule. As Witmer had

4636standing to maintain his challenge, Petitioner has standing to

4645maintain its challenge in this proceeding.

465135. Respondents' second argument that Petitioner lacks

4658standing because it seeks a retroactive, rather than a

4667prospective, application of the Rule fails for the same reasons

4677Respondents' first argument fails. In addition, Respondent

4684Office's Order to Show Cause filed after the Statute's repeal

4694and the Rule's expiration is in and of itself a prospective

4705application of the Rule. The fact that Respondent Office is

4715still operating under the Rule confirms Petitioner's standing to

4724challenge it.

472636. It is concluded that the portion of the agency rule

4737that requires the insurer to pay the agency's expert witness

4747fees contravenes the express language of Section 627.062(6)(b),

4755Florida Statutes, prohibiting the agency from adopting a rule

4764inconsistent with the AAA rules. Accordingly, Rule 69O-

4772170.105(1)(d), which is contrary to AAA Rule 49, is an invalid

4783exercise of delegated legislative authority. Further,

4789Petitioner has standing to initiate and maintain this rule

4798challenge.

479937. In its First Amended Petition for Rule Challenge,

4808Petitioner asserts that it is entitled to an award of attorney's

4819fees pursuant to Section 120.595, Florida Statutes. During the

4828final hearing in this cause no mention of attorney's fees, the

4839amount thereof, or the reasonableness of the amount was made by

4850Petitioner or Respondents. Petitioner's Proposed Final Order

4857reiterates its request for attorney's fees and adds a request

4867for costs, with no further specificity as to what might be

4878reasonable.

4879It is, therefore,

4882ORDERED that:

48841. Florida Administrative Code Rule 69O-170.105(1)(d) is

4891an invalid exercise of delegated legislative authority.

48982. Petitioner has sufficiently pled its entitlement to

4906reasonable costs and reasonable attorney's fees. Jurisdiction

4913is reserved as to all issues involving the amount of reasonable

4924attorney's fees and costs to be awarded to Petitioner.

4933DONE AND ORDERED this 22nd day of October, 2009, in

4943Tallahassee, Leon County, Florida.

4947S

4948LINDA M. RIGOT

4951Administrative Law Judge

4954Division of Administrative Hearings

4958The DeSoto Building

49611230 Apalachee Parkway

4964Tallahassee, Florida 32399-3060

4967(850) 488-9675

4969Fax Filing (850) 921-6847

4973www.doah.state.fl.us

4974Filed with the Clerk of the

4980Division of Administrative Hearings

4984this 22nd day of October, 2009.

4990COPIES FURNISHED:

4992Douglas A. Mang, Esquire

4996Richard J. Santurri

4999Mang Law Firm, P.A.

5003660 East Jefferson Street

5007Tallahassee, Florida 32302

5010Elenita Gomez, Esquire

5013Office of Insurance Regulation

5017200 East Gaines Street

5021Tallahassee, Florida 32399-0305

5024Kevin M. McCarty, Commissioner

5028Office of Insurance Regulation

5032200 East Gaines Street

5036Tallahassee, Florida 32399-0305

5039Steve Parton, General Counsel

5043Office of Insurance Regulation

5047200 East Gaines Street

5051Tallahassee, Florida 32399-0305

5054Liz Cloud, Program Administration

5058Administrative Code

5060Department of State

5063R.A. Gray Building, Suite 101

5068Tallahassee, Florida 32399

5071F. Scott Boyd, Executive Director and

5077General Counsel

5079Joint Administrative Procedure Committee

5083120 Holland Building

5086Tallahassee, Florida 32399-1300

5089NOTICE OF RIGHT TO JUDICIAL REVIEW

5095A party who is adversely affected by this Final Order is entitled

5107to judicial review pursuant to Section 120.68, Florida Statutes.

5116Review proceedings are governed by the Florida Rules of Appellate

5126Procedure. Such proceedings are commenced by filing the original

5135Notice of Appeal with the agency clerk of the Division of

5146Administrative Hearings and a copy, accompanied by filing fees

5155prescribed by law, with the District Court of Appeal, First

5165District, or with the District Court of Appeal in the Appellate

5176District where the party resides. The notice of appeal must be

5187filed within 30 days of rendition of the order to be reviewed.

Select the PDF icon to view the document.
PDF
Date
Proceedings
PDF:
Date: 04/15/2016
Proceedings: Transmittal letter from Claudia Llado forwarding Exhibits to the agency.
PDF:
Date: 03/01/2012
Proceedings: Transmittal letter from Claudia Llado forwarding one-volume Transcript of Proceedings taken July 31, 2009, returned from the First District Court of Appeal, to the agency.
PDF:
Date: 04/20/2011
Proceedings: Transmittal letter from Claudia Llado forwarding one-volume Transcript along with exhibits, returned from the First District Court of Appeal, to the agency.
PDF:
Date: 02/16/2011
Proceedings: Second Opinion filed.
PDF:
Date: 02/16/2011
Proceedings: Second Mandate filed.
PDF:
Date: 02/15/2011
Proceedings: Second Mandate
PDF:
Date: 01/31/2011
Proceedings: BY ORDER OF THE COURT: Appellee's motion filed August 27, 2010, for attorney's fees is denied filed.
PDF:
Date: 01/28/2011
Proceedings: Second Opinion
PDF:
Date: 01/27/2011
Proceedings: Mandate
PDF:
Date: 01/27/2011
Proceedings: Mandate filed.
PDF:
Date: 12/01/2010
Proceedings: Notice of Filing Documents.
PDF:
Date: 11/12/2010
Proceedings: Opinion filed.
PDF:
Date: 11/12/2010
Proceedings: BY ORDER OF THE COURT: Appellee's motion filed August 27, 2010, for attorney's fees is denied filed.
PDF:
Date: 11/10/2010
Proceedings: Opinion
PDF:
Date: 08/24/2010
Proceedings: Index, Record, and Certificate of Record sent to the First District Court of Appeal.
PDF:
Date: 06/25/2010
Proceedings: Index (of the Record) sent to the parties of record.
PDF:
Date: 05/07/2010
Proceedings: Notice of Appeal filed and Certified copy sent to the First District Court of Appeal this date.
PDF:
Date: 05/04/2010
Proceedings: BY ORDER OF THE COURT: Appellant is directed to file within 10 days from the date of this order conformed copies of the order(s) of the lower tribunal from which the appeal is being taken filed.
PDF:
Date: 05/04/2010
Proceedings: Acknowledgment of New Case, DCA Case No. 1D10-2248 filed.
PDF:
Date: 04/27/2010
Proceedings: Motion for Judicial Review and to Incorporate Supplemental Final Order Into Pending Appeal filed.
PDF:
Date: 04/07/2010
Proceedings: Supplemental DOAH FO
PDF:
Date: 04/07/2010
Proceedings: Supplemental Final Order (hearing held February 22, 2010). CASE CLOSED.
PDF:
Date: 03/29/2010
Proceedings: Proposed Order on Petitioner's Motion to Set Attorney's Fees and Costs filed.
PDF:
Date: 03/29/2010
Proceedings: Respondents' Supplemental Proposed Final Order Regarding Attorney's Fees and Costs filed.
PDF:
Date: 03/26/2010
Proceedings: Notice of Filing Exhibits (exhibits not available for viewing) .
Date: 03/08/2010
Proceedings: Transcript of Proceedings filed.
PDF:
Date: 03/05/2010
Proceedings: Index, Record, and Certificate of Record sent to the District Court of Appeal.
PDF:
Date: 02/25/2010
Proceedings: Notice of Filing Exhibit (exhibits not available for viewing) .
PDF:
Date: 02/23/2010
Proceedings: Case Status Report filed.
Date: 02/22/2010
Proceedings: CASE STATUS: Hearing Held.
PDF:
Date: 02/11/2010
Proceedings: Affidavit of Harry O. Thomas Regarding Attorney's fees filed.
PDF:
Date: 02/11/2010
Proceedings: Notice of Filing Affidavit and Curriculum Vitae of Expert Witness.
PDF:
Date: 02/05/2010
Proceedings: Respondents' Response to Petitioner's Motion to Amended Petitioner's Motion to set Attorney's Fees and Costs filed.
PDF:
Date: 02/05/2010
Proceedings: Order Granting Motion to Amend.
PDF:
Date: 02/04/2010
Proceedings: First Amended Motion to set the Amount of Attorney's Fees and Costs filed.
PDF:
Date: 02/04/2010
Proceedings: Motion to Amend Petitioner's Motion to set Attorney's Fees and Costs filed.
PDF:
Date: 02/04/2010
Proceedings: BY ORDER OF THE COURT: Appellant's motion for review is granted. Accordingly, the portion of the lower tribunal's order of December 16, 2009, dening appellants' motion for stay pending review is affirmed filed.
PDF:
Date: 01/12/2010
Proceedings: Notice of Appearance as Additional Counsel ( S. Herskovitz) filed.
PDF:
Date: 01/05/2010
Proceedings: Notice of Hearing (hearing set for February 22, 2010; 9:30 a.m.; Tallahassee, FL).
PDF:
Date: 01/05/2010
Proceedings: Index (of the Record) sent to the parties of record.
PDF:
Date: 01/05/2010
Proceedings: Invoice for the record on appeal mailed.
PDF:
Date: 12/30/2009
Proceedings: Case Status Report filed.
PDF:
Date: 12/29/2009
Proceedings: Appellants' Motion for Review of Order on Pending Motions Regarding Attorney's Fees and Costs filed.
PDF:
Date: 12/16/2009
Proceedings: Order on Pending Motions Regarding Attorney`s Fees and Costs.
PDF:
Date: 12/14/2009
Proceedings: Petitioner's Reply to Respondent's Response to Petitioner's Motion to Set Attorney's Fees and Costs filed.
PDF:
Date: 12/14/2009
Proceedings: Petitioner Response to Respondent's Motion For a Stay filed.
PDF:
Date: 11/30/2009
Proceedings: Respondents' Response to Petitioner's Motion to Set the Amount of Attorney's Fees and Costs filed.
PDF:
Date: 11/30/2009
Proceedings: Respondents' Motion for Stay Pending Review filed.
PDF:
Date: 11/20/2009
Proceedings: Acknowledgment of New Case, First DCA Case No. 1D09-5799 filed.
PDF:
Date: 11/19/2009
Proceedings: Motion to Set the Amount of Attorney's Fees and Costs filed.
PDF:
Date: 11/17/2009
Proceedings: Notice of Appeal filed and Certified copy sent to the First District Court of Appeal this date.
PDF:
Date: 10/22/2009
Proceedings: DOAH Final Order
PDF:
Date: 10/22/2009
Proceedings: Final Order (hearing held July 31, 2009). CASE CLOSED.
PDF:
Date: 09/28/2009
Proceedings: Proposed Final Order filed.
PDF:
Date: 09/28/2009
Proceedings: Respondents' Proposed Final Order filed.
PDF:
Date: 08/28/2009
Proceedings: Order Granting Extension of Time (proposed recommended orders to be filed by September 28, 2009).
PDF:
Date: 08/27/2009
Proceedings: Motion for Extension of Time Within Which to File Proposed Final Orders filed.
Date: 08/14/2009
Proceedings: Transcript of Proceedings filed.
PDF:
Date: 08/03/2009
Proceedings: Order Granting Motion to Submit Additional Joint Exhibits.
PDF:
Date: 07/31/2009
Proceedings: Joint Motion to Submit Additional Joint Exhibits 6 and 7 filed.
Date: 07/31/2009
Proceedings: CASE STATUS: Hearing Held.
PDF:
Date: 07/29/2009
Proceedings: Joint Pre-hearing Statement and Stipulation filed.
PDF:
Date: 07/22/2009
Proceedings: Amended Notice of Hearing (hearing set for July 31, 2009; 9:00 a.m.; Tallahassee, FL; amended as to hearing room ).
PDF:
Date: 07/22/2009
Proceedings: Notice of Transfer.
PDF:
Date: 07/14/2009
Proceedings: Order (this case will proceed to hearing on July 31, 2009, as more fully set forth in the Order Re-scheduling Hearing dated July 7, 2009).
PDF:
Date: 07/10/2009
Proceedings: Response to Division of Administrative Hearings' Order to Show Cause filed.
PDF:
Date: 07/07/2009
Proceedings: Order Granting Extension of Time (Petitioner's response to the Order to Show Cause to be filed by July 10, 2009).
PDF:
Date: 07/07/2009
Proceedings: Order Re-scheduling Hearing (hearing set for July 31, 2009; 9:00 a.m.; Tallahassee, FL).
PDF:
Date: 07/06/2009
Proceedings: Petitioner's Motion for Extension of Time to File Answer to June 24, 2009 Order to Show Cause filed.
PDF:
Date: 07/02/2009
Proceedings: Status Report filed.
PDF:
Date: 06/24/2009
Proceedings: Order to Show Cause.
PDF:
Date: 06/24/2009
Proceedings: Order Granting Motion to Amend.
PDF:
Date: 06/22/2009
Proceedings: Response to Respondent's, Office of Insurance Regulation, Motion to Dismiss Rule Challenge and Incorporated Memorandum of Law filed.
PDF:
Date: 06/22/2009
Proceedings: Order Granting Continuance (parties to advise status by July 2, 2009).
PDF:
Date: 06/19/2009
Proceedings: Respondent's Motion to Continue filed.
PDF:
Date: 06/16/2009
Proceedings: (Petitioner's) First Amended Petition for Rule Challenge filed.
PDF:
Date: 06/16/2009
Proceedings: (Petitioner's) Motion to Amend Petition for Rule Challenge filed.
PDF:
Date: 06/15/2009
Proceedings: Office of Insurance Regulation's Motion to Dismiss Petition for Rule Challenge filed.
PDF:
Date: 06/09/2009
Proceedings: Order of Pre-hearing Instructions.
PDF:
Date: 06/09/2009
Proceedings: Notice of Hearing (hearing set for July 2, 2009; 9:00 a.m.; Tallahassee, FL).
PDF:
Date: 06/08/2009
Proceedings: Order of Assignment.
PDF:
Date: 06/08/2009
Proceedings: Rule Challenge transmittal letter to Liz Cloud from Claudia Llado copying Scott Boyd and the Agency General Counsel.
PDF:
Date: 06/05/2009
Proceedings: Petition for Rule Challenge filed.

Case Information

Judge:
LINDA M. RIGOT
Date Filed:
06/05/2009
Date Assignment:
07/22/2009
Last Docket Entry:
04/15/2016
Location:
Tallahassee, Florida
District:
Northern
Agency:
Department of Financial Services
Suffix:
RX
 

Counsels

Related DOAH Cases(s) (3):

Related Florida Statute(s) (12):

Related Florida Rule(s) (1):