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Item #1

Primary Application Sections II 

Primary Application Section  IV


 

Item #2

 

Incorporation of Domestic Insurer Section 628.081, F.S. 

Filing/Approval of Articles of Incorporation Section 628.091, F.S. 

  Sample Articles of Incorporation


 

Item #4

 

Bylaws of Mutual Insurer - Section 628.221, F.S.

Membership in Mutual Insurer - Section 628.301, F.S.

Nonassessable Policies; Mutual Insurer - Section 628.341, F.S.

Nonassessable Policies; Revocation of Authority of Mutual Insurer - Section 628.351, F.S.  

Participating Policies; Mutual Insurer - Section 628.361, F.S. 

Dividends to Mutual Policyholders - Section 628.381, F.S.


 

Item #7

 

Statement of the Method to be used in Financing Insurer 

Verification of Funds

Initial Qualifications; Mutuals - Section 628.161, F.S.

 


Item #8

 

Formation of Mutual Insurer; Bond - Section 628.171, F.S.

[Return to Florida Specific Information]


 

DI4-872 Section II-3 Proposed Bylaws

Provide three sets of the company's proposed, unexecuted bylaws. The following are items which should be addressed:

(a) Stockholders - meetings, notice, quorum, voting.

(b) Directors - elections, number, term, vacancies, meetings, notice, quorum, committees, action

without meetings, telephone meetings, compensation.

(c) Officers - elections, duties, compensation, resignations and removal from office.

(d) Executive Committee - appointment, authority, meetings, quorum, actions, vacancies.

(e) Stock -- form, execution, methods of transfer and loss certificates.

(f) Dividends - (Section 628.371, Florida Statutes, limitations and requirements)

(g) Seal

(h) Amendments

(i) Maintenance and inspection of corporate books

(j) Other special provisions, such as indemnity of officers and directors,

restrictions on stock transfers, limitations on borrowing, etc.

Note for mutual insurers only: Domestic mutual insurer bylaws must reference the following provisions of the Florida Insurance Code: Sections 628.221, 628.231, 628.301 - 628.361, and 628.381, Florida Statutes. Please note the above-cited statutes are not intended to be an all-inclusive listing of the provisions of the Florida Insurance Code which may be applicable to the formation of a domestic mutual insurer.

[Return to Florida Specific Information]
 

DI4-878 Section II-3 Secretary of State Registration Requirements

All domestic insurers must register as a domestic corporation with the Florida Secretary of State. The following items must be submitted to the Secretary of State in order to complete this filing:

(a)      The original executed articles of incorporation which were stamped approved by the Department of Insurance during the permit application; and

(b)      The Certificate of Designation Registered Agent/Registered Office (official form enclosed) designating the State Treasurer and Insurance Commissioner as the registered agent pursuant to Section 624.422, Florida Statutes.

For questions regarding the Secretary of State requirements and/or fees, please call the Division of Corporations at (850) 487-6052.

Send the above items to:

 

Secretary of State

Division of Corporations

PO Box 6327

Tallahassee, Florida 32314

(850) 487-6052

For courier service only send to:

 

Secretary of State

Division of Corporations

409 East Gaines Street

Tallahassee, Florida 32399

[Return to Florida Specific Information]
 

DI4-872 Section III-4 Statement of the Method Used in Financing Insurer

To obtain a certificate of authority in Florida, an insurer is required to have a minimum surplus as to policyholders as follows;

Property and casualty insurers:

greater of $5 million or 10% of total liabilities

Title insurers:

greater of $2.5 million or 10% of insurer's total liabilities

Assessable mutual insurers:

$300,000 with respect to health insurance

$200,000 with respect to property insurance

$300,000 with respect to casualty insurance

$400,000 with respect to any combination of health, property, or

casualty insurance

$2.5 million with respect to life insurance

Life insurers:

greater of $2.5 million or 4 % of insurer's total liabilities

Life and health insurers:

greater of $2.5 million of four percent of the insurer's total

liabilities plus six percent of the insurer's liabilities relative to

health insurance

Captive insurers:

$500,000 unimpaired paid-in capital and $250,000 unimpaired

surplus

Provide a statement of the method to be used in the financing of the proposed insurer which includes the following information:

1. The amount of surplus as to policyholders to be funded:

(a) By source (contributed by whom)

(b) Amounts funded by each source

(c) The form in which the funding will be made, i.e., state specific dollar amounts of specific

stocks, bonds, certificates of deposit, cash, etc.

(d) Verification that the funds are not encumbered, hypothecated, or pledged.

 

2. Residence addresses, business background and qualifications of all individuals named in 1(a)

above.

 

3. Copies of all syndicate, association, firm, partnership, organization or other similar agreements

involved in the formation or financing of proposed insurer.

 

4. Copies of any securities or of any proposed document evidencing any right or interest proposed

to be offered.

[Return to Florida Specific Information]
 

DI4-878 Section III-4 Verification of Funds

 

To obtain a Certificate of Authority in Florida, an insurer is required to have a minimum surplus as to

policyholders as follows:

 

Property and casualty insurers:

greater of $5 million or 10% of total liabilities

Title insurers:

greater of $2.5 million or 10% of insurer's total liabilities

Assessable mutual insurers:

$300,000 with respect to health insurance

$200,000 with respect to property insurance

$300,000 with respect to casualty insurance

$400,000 with respect to any combination of health, property, or

casualty insurance

$2.5 million with respect to life insurance

Life insurers:

greater of $2.5 million or 4% of insurer's total liabilities

Life and health insurers:

greater of $2.5 million of 4% of the insurer's total liabilities

plus six percent of the insurer's liabilities relative to health

insurance

Captive insurers:

$500,000 unimpaired paid-in capital and $250,000 unimpaired surplus

 

The funds must be verified by a letter from an officer of the financial institution where the funds are being held and must include the following:

  1. Name of depositor and federal identification number;

  2. Account numbers and amount of funds in each account;

  3. Form of funds on deposit;

  4. If funds are a certificate of deposit, include certificate numbers and maturity dates; and

  5. Verification that the funds are not encumbered, hypothecated, or pledged.

[Return to Florida Specific Information]
 

DI4-878 Section II-5 Certified Articles of Incorporation

 

Provide the original certified articles of incorporation of the company from the Secretary of State.

 

SAMPLE

 

ARTICLES OF INCORPORATION

OF

XYZ INSURANCE COMPANY

 

The undersigned incorporators to these Articles of Incorporation, natural persons over the age of 18 years, competent to contract and the majority of whom are citizens of the United States of America, hereby form a stock insurer corporation under the laws of the State of Florida.

 

ARTICLE I. NAME

 

[Section 628.081(3)(a), F.S.]

[Name must comply with Section 607.0401, F.S.]

[Name of county must be included pursuant to Section 628.081(3)(g), F.S.]

[Street address and mailing address must be included pursuant to Section 607.0202(1)(b), F.S.]

 

ARTICLE II. NATURE OF BUSINESS

 

[Kinds of insurance which the corporation is formed to transact must be included pursuant to Section 628.031(3)(b), F.S.]

 

ARTICLE III. CAPITAL STOCK

 

[The maximum number of shares of stock that this corporation is authorized to issue must be included pursuant to Section 607.0202(1)(c), F.S.]

[The corporation shall not begin transacting business unless it achieves a capital and surplus of $5 million pursuant to Section 624.407(1)(a), F.S.]

[The corporation also must state its authorized capital stock, the number of shares of stock into which divided and par value of each share, which par value shall be at least $1 but not more than $100 pursuant to Section 628.081(3)(d), F.S.]

 

ARTICLE IV. TERM OF EXISTENCE

 

The corporation may exist perpetually pursuant to Section 628.081(3)(b), F.S.]

 

ARTICLE V. INITIAL REGISTERED OFFICE AND AGENT

 

[The corporation must keep an office open to receive service of process from the Treasurer and Insurance Commissioner of the State of Florida. The Articles of Incorporation must include the street address and name of the initial registered agent. Further, the agent must provide a written acceptance as required by Section 607.0501(3), F.S. See Section 607.0202(1)(e), F.S.]

 

ARTICLE VI. DIRECTORS

 

[The corporation shall have five (or any number more than five) directors initially, all of whom (or the majority of whom, if applicable) are United States citizens and all of whom are over the age of 18. The names and residence street addresses of the directors whose initial terms of office shall be for one year. See Sections 628.081(3)(f), 607.0202(2)(a), 628.231(3), F.S.]

 

ARTICLE VII. INCORPORATORS

 

[The names and residence street address of the incorporators (minimum number of five), all of whom are over the age of 18 and all of whom (or the majority of whom, if applicable) are United States citizens.

Anyone not a United States citizen must have his or her citizenship designated next to his or her name. See Sections 628.081(1), 628.081(3)(i), 607.0202(1)(f), F.S.]

 

[Articles of Incorporation must be executed by an officer authorized to take acknowledgements (e.g., Notary Public) pursuant to Section 628.081(2), F.S.]

 

ACCEPTANCE OF REGISTERED AGENT

 

[The corporation must keep an office open to receive service of process from the Treasurer and Insurance Commissioner of the State of Florida. The Articles of Incorporation must include the street address and name of the initial registered agent. Further, the agent must provide a written acceptance as required by Section 607.0501(3), F.S. See Section 607.0202(1)(e), F.S.]

 

Incorporators wishing to form a domestic mutual insurer should consult the following provisions of the Florida Insurance Code concerning the articles of incorporation for mutual insurers: Section 628.081, 628.091, 628.111, 628.161, 628.201, 628.231 and 628.301-628.361. Please note the above-cited statutes are not intended to be an all-inclusive listing of provisions of the Florida Insurance Code which may be applicable to the formation of a domestic mutual insurer.

 

The Department of Insurance recommends that corporate documents be reviewed by your Legal Counsel. The Department accounting or tax advice. The professional advice of your Legal Counsel to ascertain exact compliance with all statutory requirements is strongly recommended.

[Return to Florida Specific Information]