09-003042RX
Service Insurance Company vs.
Office Of Insurance Regulation And Financial Services Commission
Status: Closed
DOAH Final Order on Wednesday, April 7, 2010.
DOAH Final Order on Wednesday, April 7, 2010.
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
839partys 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.
- 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: 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: 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: 08/24/2010
- Proceedings: Index, Record, and Certificate of Record sent to the First District Court of Appeal.
- 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: 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 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.
- 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.
- Date: 02/22/2010
- Proceedings: CASE STATUS: Hearing Held.
- 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: 02/04/2010
- 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: 12/29/2009
- Proceedings: Appellants' Motion for Review of Order on Pending Motions Regarding Attorney's Fees and Costs filed.
- 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: 11/30/2009
- Proceedings: Respondents' Response to Petitioner's 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: 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.
- Date: 07/31/2009
- Proceedings: CASE STATUS: Hearing Held.
- 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: 07/14/2009
- 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: 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: 06/16/2009
- 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: Notice of Hearing (hearing set for July 2, 2009; 9:00 a.m.; Tallahassee, FL).
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
-
Elenita Gomez, Esquire
Address of Record -
S. Marc Herskovitz, Esquire
Address of Record -
Douglas A. Mang, Esquire
Address of Record -
Richard J. Santurri, Esquire
Address of Record -
Richard J Santurri, Esquire
Address of Record