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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) The following forms are hereby adopted and incorporated by reference:
12(a) Form OIR-B2-570 (12/03) “General Information on Self-Funded Health Benefit Plans”;
23(b) Form OIR-B2-571 (12/03) “New Plan Operating Projections for Self-Funded Health Benefit Plans”;
36(c) Form OIR-B2-572 (12/03) “Annual Report of Self-Funded Health Benefit Plans”;
47(d) Form OIR-B2-573 (12/03) “Operating Projections for Self-Funded Health Benefit Plans”;
58(e) Form OIR-B2-574 (12/03) “General Information and Surplus Statement for Self-Funded Health Benefit Plans”;
72(2) The above forms are hereby adopted and incorporated by reference.
83(3) All forms are available and may be printed from the Office website: “http://www.floir.com/”.
97Specific Authority 99112.08(6) FS. 101Law Implemented 103112.08 FS. 105History–New 5-18-04.
