Florida Administrative Code (Last Updated: October 28, 2024) |
69. Department of Financial Services |
69O. OIR – Insurance Regulation |
69O-189. Workers' Compensation |
69O-189.016. Filing Procedures for Workers' Compensation Classifications, Rules, Rates, Rating Plans, Deviations and Forms
1(1) Purpose: To establish the procedures to be utilized by insurers in the filing of workers’ compensation classifications, rules, rates, rating plans, deviations and forms pursuant to Sections 29627.091, 30627.211 31and 32627.410, F.S.
34(2) Any insurer authorized to transact workers’ compensation and employer’s liability insurance in Florida shall file with the Office every manual of classifications, rules, rates, rating plans, deviations and every modification of any of the foregoing, which it proposes to use. An insurer may satisfy its obligation to make such filings by becoming a member of, or a subscriber to, a licensed rating organization which makes such filings and by authorizing the Office to accept such filings in its behalf. No insurer shall use any workers’ compensation and employer’s liability classification, rule, rate or rating plan unless it has been filed with the Office and the filing has been affirmatively approved.
145(3) Any insurer authorized to transact workers’ compensation and employer’s liability insurance in Florida shall file with the Office all policy forms and endorsements as defined in Section 173627.402, F.S., 175which it proposes to use. An insurer may satisfy its obligation to make such filings in part, by becoming a member of, or a subscriber to, a licensed rating organization which makes such filings and by authorizing the Office to accept such filings in its behalf. However, each individual insurer must file with the Office its own unique policy jacket, policy information page, participating language if applicable, and any other insurer specific form or endorsement. No insurer shall use any workers’ compensation and employer’s liability policy form or endorsement unless the form has been filed with the Office and the filing has been affirmatively approved.
280(4) All filings referenced in this rule shall be submitted to the Office in accordance with the requirements outlined in subsections (5) and (6) below. The procedures in this rule supersede any other procedures relating to filing requirements. All material submitted shall be legible.
324(5) Filing Submittal Requirements.
328(a) Complete classification, rule, rate, rating plan, deviation and form filings shall be submitted with the following information at a minimum:
3491. Form OIR-B1-582, which is adopted and incorporated pursuant to Rule 36069O-170.0155, 361F.A.C.;
3622. Cover letter; and,
3663. Explanatory memorandum.
369(b) All filings shall:
3731. Be separated into either rate only or form only filings. Classification, rule, deviation and rating plan filings are all considered rate filings for purposes of this rule;
4012. Include final printed versions of either the manual pages or forms; and
4143. Include only the workers’ compensation line of insurance as defined in Section 427624.605(1)(c), F.S. 429No other line of insurance may be contained within the filing.
440(c) Group Filings. Insurers may submit a filing on behalf of any combination of insurers within the insurers’ group, provided the information submitted in the filing is identical for every insurer identified in the filing.
475(d) Changes to Previously Approved Filings. An insurer that proposes to change a previously approved filing shall provide the following additional information:
4971. A detailed explanation of the change(s), including the reason or reasons for the change(s);
5122. The estimated impact of the change; and
5203. A strikethrough, underlined version of the proposed change(s).
529(6) All filings shall be submitted electronically to the Office through the Filing Assembly and Submission System (OIR-B1-IFile) located at http://550www.floir.com/iportal 551and is adopted and incorporated by reference in Rule 56069O-170.0155, 561F.A.C.
562(7) Form OIR-B1-582 is located online with the Filing Assembly and Submission System at http://577www.floir.com/iportal578.
579Rulemaking Authority 581624.308(1), 582624.424(1)(c) FS. 584Law Implemented 586624.307(1), 587624.424(1)(c), 588627.091, 589627.101, 590627.211, 591627.410 FS. 593History– New 6-1-06.