Florida Regulations 69J-8.009: Evaluation Process
Current as of: 2024 | Check for updates
|
Other versions
(1) The neutral evaluator shall, within 14 business days of referral, contact the parties to schedule the evaluation proceeding pursuant to Section 627.7074(7)(c), F.S. If the parties cannot agree to a time and place for the conference, the neutral evaluator may assign a time and place of his or her choosing. If the Department receives a complaint that the contact was not made within the required timeframe, and the neutral evaluator cannot document the contact, the Department will select a new evaluator from the list.
(2) The evaluation proceeding shall take the form of an informal conference, and shall not be subject to rules of procedure or evidence applicable in a court or administrative proceeding. The neutral evaluator, all approved professional utilized in accordance with Florida Statutes § 627.7074(11), and all representatives of the parties must be allowed reasonable access to the interior and exterior of insured structures to be evaluated or for which a claim has been made.
(3) All parties shall submit to the neutral evaluator copies of all reports related to the claim, including those prepared pursuant to Sections 627.7072 and 627.7073, F.S., at least 7 days prior to the neutral evaluation conference of the property. The neutral evaluator shall give each party the opportunity to submit evidence, testimony, or other information which is reasonably expected to assist the neutral evaluator in determining the existence, nature, and scope of a sinkhole loss, and the nature, extent, and cost of repair and remediation. Any report initiated by policyholder, or an agent of the policyholder, confirming a sinkhole loss or disputing another sinkhole report must be provided to the neutral evaluator prior to his or her physical inspection of the insured property. The neutral evaluator shall not be required to accept or consider any submission of information under this section after the completion of the neutral evaluation conference.
(4) The neutral evaluator shall make inquiry of the parties and conduct such independent investigation as the neutral evaluator finds reasonably necessary to determine the existence, nature, and scope of a sinkhole loss, and the nature, extent, and cost of repair and remediation.
(5)The neutral evaluator may utilize other professionals during the course of the neutral evaluation in accordance with Florida Statutes § 627.7074(11) The neutral evaluator is to notify the department of the professionals utilized and confirm no known conflicts exist between the professionals and the parties.
(6) The parties may settle the claim at any time. If a settlement is reached prior to the conclusion of the neutral evaluation, the parties will notify the neutral evaluator and the department in writing, and the evaluation will be cancelled. If the settlement is cancelled and either party decides to re-submit their request for neutral evaluation, the previously confirmed evaluator shall continue as the assigned evaluator and complete the neutral evaluation.
(7) The neutral evaluator shall conclude the proceeding upon settlement of the claim or at any point that the neutral evaluator reasonably determines that settlement is not likely to be facilitated by the continuation of the proceeding.
(8) If the proceeding is concluded without reaching a settlement, the neutral evaluator shall prepare and file the report required under Florida Statutes § 627.7074(2), on the form adopted in Fl. Admin. Code R. 69J-8.011, below.
(9) As neutral evaluators are deemed by statute to be agents of the department, they shall not use any company letterhead on any reports, invoices, or other documents submitted or circulated to the department or the parties in connection with any neutral evaluation.
Rulemaking Authority Florida Statutes § 627.7074(18). Law Implemented Florida Statutes § 627.7074. History-New 11-4-07, Amended 12-26-13, 7-27-15, 4-4-16.
Terms Used In Florida Regulations 69J-8.009
- Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
- Department: Florida Department of Financial Services. See Florida Regulations 69J-8.002
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
- Party: The insurer or policyholder participating in the program. See Florida Regulations 69J-8.002
- Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
- Statute: A law passed by a legislature.
- Testimony: Evidence presented orally by witnesses during trials or before grand juries.
(3) All parties shall submit to the neutral evaluator copies of all reports related to the claim, including those prepared pursuant to Sections 627.7072 and 627.7073, F.S., at least 7 days prior to the neutral evaluation conference of the property. The neutral evaluator shall give each party the opportunity to submit evidence, testimony, or other information which is reasonably expected to assist the neutral evaluator in determining the existence, nature, and scope of a sinkhole loss, and the nature, extent, and cost of repair and remediation. Any report initiated by policyholder, or an agent of the policyholder, confirming a sinkhole loss or disputing another sinkhole report must be provided to the neutral evaluator prior to his or her physical inspection of the insured property. The neutral evaluator shall not be required to accept or consider any submission of information under this section after the completion of the neutral evaluation conference.
(4) The neutral evaluator shall make inquiry of the parties and conduct such independent investigation as the neutral evaluator finds reasonably necessary to determine the existence, nature, and scope of a sinkhole loss, and the nature, extent, and cost of repair and remediation.
(5)The neutral evaluator may utilize other professionals during the course of the neutral evaluation in accordance with Florida Statutes § 627.7074(11) The neutral evaluator is to notify the department of the professionals utilized and confirm no known conflicts exist between the professionals and the parties.
(6) The parties may settle the claim at any time. If a settlement is reached prior to the conclusion of the neutral evaluation, the parties will notify the neutral evaluator and the department in writing, and the evaluation will be cancelled. If the settlement is cancelled and either party decides to re-submit their request for neutral evaluation, the previously confirmed evaluator shall continue as the assigned evaluator and complete the neutral evaluation.
(7) The neutral evaluator shall conclude the proceeding upon settlement of the claim or at any point that the neutral evaluator reasonably determines that settlement is not likely to be facilitated by the continuation of the proceeding.
(8) If the proceeding is concluded without reaching a settlement, the neutral evaluator shall prepare and file the report required under Florida Statutes § 627.7074(2), on the form adopted in Fl. Admin. Code R. 69J-8.011, below.
(9) As neutral evaluators are deemed by statute to be agents of the department, they shall not use any company letterhead on any reports, invoices, or other documents submitted or circulated to the department or the parties in connection with any neutral evaluation.
Rulemaking Authority Florida Statutes § 627.7074(18). Law Implemented Florida Statutes § 627.7074. History-New 11-4-07, Amended 12-26-13, 7-27-15, 4-4-16.