Current through Reg. 50, No. 187; September 24, 2024
(1) Scope of rule. This rule implements
section 627.745, F.S., and applies to
any claim filed with an insurer for bodily injury in an amount of $10,000 or
less or any claim for property damage in any amount, arising out of the
ownership, operation, use, or maintenance of a motor vehicle when a party
demands mediation before a lawsuit has been filed.
(2) Definitions. The following definitions
shall apply for purposes of this rule:
(a)
"Complainant" refers to the party requesting mediation of a claim.
(b) "Complete request for mediation" means
that the complainant has requested mediation by filing Form DFS-I0-510,
"Automobile Mediation Request Form," rev. 8/15, with the Department and the
respondent and complainant have paid their share of the costs of mediation
pursuant to paragraph (3)(b), below.
(c) "Department" means the Department of
Financial Services or its designee.
(d) "Respondent" means the party not
initiating the request for mediation.
(e) "Service office" means a designated
office of the Department of Financial Services.
(3) Request for Mediation.
(a) A complainant requesting mediation shall
file with the Department a request for mediation on Form DFS-I0-510,
"Automobile Mediation Request Form," rev. 8/15,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06891,
which is hereby adopted herein and incorporated by reference. This Form may be
obtained online at the following website:
http://www.myfloridacfo.com/Division/Consumers/Mediation/documents/am_DFS-I0-510.pdf
and filed with the Department by emailing it to Mediation@MyFloridaCFO.com,
faxing it to (850)488-6372, submitting it online at the following website:
https://apps.fldfs.com/ESERVICE/MediationInfo.aspx
or mailing it to the Alternative Dispute Resolution Section, Division of
Consumer Services, Department of Financial Services, 200 East Gaines Street,
Tallahassee, FL 32399-0300. A request for mediation shall be considered
complete only when all costs of mediation are received by the Department. The
Department shall notify the complainant in writing within 5 business days of
receipt of payment by the respondent.
(b) The costs of mediation shall be $200, and
the insured and the insurer shall each pay $100 to the Department as its share
of the costs of mediation.
(c) Upon
receipt of a request for mediation, the Department shall issue an invoice to
the respondent, specifying the respondent's share in the costs of mediation.
The respondent shall make payment on or before the due date which shall be
indicated on the invoice, unless the provisions of paragraph (4)(e) are met.
The due date shall be 21 days after the date of the invoice.
(d) All payments by the parties shall be made
by certified check, money order, or insurance company check or draft made
payable to the Department of Financial Services.
(e) If a respondent objects to the mediation
conference and refuses to participate, the respondent must, on or before the
due date of the invoice, notify the Department in writing of its objection and
refusal and specifically state the reasons therefor. These reasons shall be
deemed confidential and exempt from the provisions of subsection
119.07(1),
F.S., and shall not be publicly disclosed without the written consent of all
parties to the dispute. Any research or evaluation effort directed at assessing
program activities or performance shall protect the confidentiality of such
information.
(4)
Mediators.
(a) Mediator Selection. Upon
receiving a complete request for mediation, the Department shall randomly
select from the Department's list a mediator to conduct the mediation
conference. The Department shall notify the parties of the selected mediator
via e-mail. Each party may once reject the selected mediator by notifying the
Department. Any rejection of a mediator must be in writing and mailed to the
Alternative Dispute Resolution Section, Division of Consumer Services,
Department of Financial Services, 200 East Gaines Street, Tallahassee, Florida
32399-4212 or emailed to Mediation@MyFloridaCFO.com and received by the
Department within three (3) business days of the date of the written notice of
the mediator selection. If a mediator has not been rejected within three (3)
business days of the date of the written notice of the mediator selection, the
Department shall notify the mediator of his or her selection via e-mail. The
mediator shall log into the Department's Alternative Dispute Resolution
Management System at
https://apps.fldfs.com/mediationmanager/Login.aspx
to view the names and addresses of the parties and their known representatives,
their phone numbers (if known), the Department's file number, the date of the
request for mediation, and information that the mediation is to occur within
twenty-one (21) days of the date of assignment to the mediator. The mediator
will have three (3) business days from the date of notification by the
Department to accept or reject the selection. The acceptance or rejection of
the selection by a mediator must be completed through the Department's
Alternative Dispute Resolution Management System at
https://apps.fldfs.com/mediationmanager/Login.aspx
within three (3) business days of the date of the written notice of the
mediator selection. If the mediator rejects the selection or fails to accept
the selection within three (3) business days, then the Department shall
randomly select another mediator. A mediator may refuse to conduct a particular
mediation.
(b) Grouping of
Assignments. Multiple requests for mediation involving the same claim will, if
feasible, be grouped together and assigned to a single mediator. A mediator
will be assigned a maximum of four mediation conferences under a single
assignment.
(c) Procedure and
Conduct. All mediation conferences shall be conducted in accordance with this
rule and Rules 10.200 through 10.690, Part II, Standards of Professional
Conduct, of the Florida Rules for Certified and Court-Appointed Mediators,
(Effective 10/1/14),
http://www.flrules.org/Gateway/reference.asp?No=Ref-06901,
which are hereby incorporated by reference and available at
http://www.flcourts.org/core/fileparse.php/422/urlt/RulesBookletOctober2014.pdf.
Mediators shall have the same responsibilities to the Department as they have
to the courts under the Florida Rules for Certified and Court-Appointed
Mediators. The Florida Rules for Certified and Court-Appointed Mediators shall
be read in a manner consistent with this rule and any conflict between this
rule and the Florida Rules for Certified and Court-Appointed Mediators shall be
resolved in favor of this rule. The mediator may meet with the parties
separately, encourage meaningful communications and negotiations, and otherwise
assist the parties to arrive at a settlement.
(d) Complaints; Discipline. Complaints
concerning a mediator shall be written and e-mailed to
Mediation@MyFloridaCFO.com or mailed to the Alternative Dispute Resolution
Section, Division of Consumer Services, Department of Financial Services, 200
East Gaines Street, Tallahassee, Florida 32399-0300. The Alternative Dispute
Resolution Section shall review all alleged instances of dishonest,
incompetent, fraudulent, or unethical behavior on the part of a mediator and
all instances in which the mediator allegedly failed to promptly and completely
respond to proper requests from the Department and all instances in which the
actions or failure to act on the part of the mediator violate this rule or
standards set forth in this rule or are counter to the intent and purpose of
this mediation program or this rule or section
627.745, F.S. In such instances,
the Department shall institute proceedings in accordance with chapter 120,
F.S., to revoke the appointment of any mediator whom the Department finds has
acted in a manner which shows that individual to be unsuited to be a mediator
in this program.
(5)
Mediation Conference.
(a) Location. The
mediation conference shall be held at a reasonable location specified by the
mediator within the insured's county of residence, unless all parties agree
otherwise. In times of declared disaster, the Department shall assign the
mediation location and notify the mediator of same, if the Department
determines such action is necessary to facilitate and expedite the mediation
process. The Department shall make available various conference locations
throughout the state for possible use, if the Department determines such action
is necessary to facilitate and expedite the mediation process. Before
scheduling a mediation conference, the mediator may contact the Alternative
Dispute Resolution Section to determine the availability of office facilities
to accommodate the mediation conference. If the parties determine that the
assigned conference location is inconvenient or impractical, the parties and
mediator may agree to conduct the mediation conference at an alternative
location. If the Department has assigned a location, the Department must also
agree to the alternate location. The mediator will notify the parties and the
Department of the exact time, date, and location of the conference.
(b) Telephonic Mediation. Upon written
consent of all parties, the mediation conference may be held by telephone if an
in-person meeting of the parties and the mediator is inconvenient. The mediator
shall notify the Department in writing of the telephone mediation.
(c) Timing and Continuances. The mediation
conference shall be held within 45 days after receipt by the Department of a
complete request for mediation. Upon application by any party to the mediator
for a continuance, the mediator shall, for good cause shown or if neither party
objects, grant a continuance and shall notify all parties of the date and place
of the rescheduled conference. If the applicant demonstrates to the mediator,
on Form DFS-I0-510, "Automobile Mediation Request Form," rev. 8/15, the need
for an expedited mediation conference due to an undue hardship, the conference
shall be conducted at the earliest date convenient to all of the parties and
the mediator.
(d) Attendance. The
insured and the insurer shall attend the mediation conference, have full
knowledge of the facts of the dispute, and be fully authorized to make an
agreement to completely resolve the claim. All corporate parties who are
complainants or respondents shall be represented at the conference by a
corporate representative who has full knowledge of the facts of the dispute and
is fully authorized to make an agreement to completely resolve the dispute. An
insurer will be deemed to have failed to appear if the insurer's representative
lacks authority to make an agreement to completely resolve the claim.
(e) Good Faith Negotiation. All parties shall
negotiate in good faith. By participating in the mediation process under these
rules, the participants agree to negotiate in good faith to attempt to resolve
the claim and agree to remain in the mediation conference until the claim is
resolved or until the mediator declares an impasse. There is no requirement
that the claim must be resolved in mediation.
(6) Disbursement of Funds. The funds paid by
the parties shall be disbursed as follows:
(a)
Completed Mediation Conference. If the mediation conference is held, 90% of the
costs of mediation shall be disbursed to the mediator. The remaining 10% of the
costs of mediation shall be deposited in the Insurance Regulatory Trust
Fund.
(b) Cancellation. If a
mediation conference is cancelled by a party for reason of settlement or for
any other reason, the parties shall notify the mediator and the Department upon
cancellation. If the mediation conference is not held due to cancellation, 70%
of the individual party's paid costs of mediation shall be returned to the paid
parties. Ten percent of the costs of mediation shall be deposited in the
Insurance Regulatory Trust Fund. The mediator shall receive 20% of the costs of
mediation.
(c) Cancellation Due To
Absence. If a mediation conference is cancelled due to failure of a party to
attend a conference, then the attending party shall be returned his paid share
of the costs of mediation. The absent party will be refunded nothing. The
mediator shall receive 80% of the remaining costs of mediation, and the
remaining 20% of the costs of mediation shall be deposited in the Insurance
Regulatory Trust Fund. Failure of a party to arrive at the mediation conference
within 30 minutes of the conference's starting time shall be considered an
absence.
(d) Rescheduling a
Cancelled Mediation Conference. If a party wishes to mediate a claim after
cancellation, the party must complete and file an original application with the
Department as set forth above.
(e)
Any disputes regarding the amount of disbursement of funds shall be resolved by
the Department.
(f) Any expenses
associated with the mediation conference, such as travel, telephone, postage,
meals, lodging, facilities, and other related expenses, shall be borne by the
party, mediator or other person incurring the expense.
(g) The Department reserves the right to
reduce fees based on consumer surveys and cost analysis.
(7) Post-Mediation.
(a) Disposition. Mediators shall report to
the Department on the status of property insurance mediation conferences by
submitting Form DFS-I4-2169, "Mediation Disposition Form," rev. 2/16,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06892,
which is hereby incorporated by reference. A copy of the form can be obtained
at the following website:
www.myfloridacfo.com/Division/Consumers/Mediation/CommercialResidentialMediation.htm.
If the claim is settled prior to the mediation conference being held, the
insurer shall report the outcome of the issue to the mediator prior to the
scheduled hearing and the mediator will submit the Mediation Disposition Form
confirming the settlement. A mediation conference will not be considered
complete and the Administrator will not bill the insurer until this form is
submitted.
(b) Any demand for
refund by a party to a mediation conference shall be filed in writing with the
Department within 10 days of the last mediation conference at
issue.
Rulemaking Authority
624.308(1),
627.745(4), (5)
FS. Law Implemented 624.307(1),
627.745
FS.
New 3-14-93, Amended 8-6-98, 9-17-01, Formerly 4-176.022,
69B-176.022, Amended
6-7-16.