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Florida Administrative Code (Last Updated: April 18, 2024) |
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69. Department of Financial Services |
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69O. OIR – Insurance Regulation |
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69O-149. Filing Of Forms And Rates For Life/Health Insurance |
1(1) Prior to establishing a Self-Funded Health Benefit Plan, the local governmental unit shall submit the following:
18(a) A copy of its Plan, including a list of its offered benefits;
31(b) Form OIR-B2-570, “General Information on Self-Funded Health Benefit Plans”; as adopted in Rule 4569O-149.054, 46F.A.C.;
47(c) Form OIR-B2-571 “New Plan Operating Projections for Self-Funded Health Benefit Plans”; as adopted in Rule 6369O-149.054, 64F.A.C.;
65(d) Form OIR-B2-573, “Operating Projections for Self-Funded Health Benefit Plans”; as adopted in Rule 7969O-149.054, 80F.A.C.; and
82(e) A certification as to the actuarial soundness of the Plan prepared by an actuary who is a member of the Society of Actuaries or the American Academy of Actuaries accompanied by an explanation or basis of how the certification was made.
124(2) The filing shall be submitted to the Office electronically through https://iportal.fldfs.com/.
136Specific Authority 138112.08(6) FS. 140Law Implemented 142112.08(2) FS. 144History–New 7-9-91, Formerly 4-111.002, 4-149.052, Amended 5-18-04.
