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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-190. Rules For Self-Insurers Under The Workers' Compensation Act |
1(1) The self-insurance privilege of a self-insurers fund is granted continuously until revoked.
14(2) A review of all self-insurers fund programs will be made annually. As a result of such reviews, changes in the prior requirements to self-insure or the imposition of additional requirements in order to continue to be self-insured may be made pursuant to rules 5869O-190.060 59and 6069O-190.061, 61F.A.C.
62(3) In addition to complying with the continuing requirements for self-insurance, all self-insurers funds shall be required to submit the following documents and reports on a continuing basis:
90(a) Annual financial statements, audited financial statements, and actuarial reports pursuant to rule 10369O-190.059, 104F.A.C.
105(b) Annual Summary Loss Reports on each member pursuant to paragraph 11669O-190.062(1)(a), 117F.A.C.
118(c) Annual Payroll Reports on each member pursuant to paragraph 12869O-190.062(1)(b), 129F.A.C.
130(d) Quarterly Financial Statements pursuant to rule 13769O-190.059, 138F.A.C., and Status Reports pursuant to paragraph 14569O-190.062(1)(c), 146F.A.C.
147(e) Proof of servicing pursuant to rule 69O-190.031, F.A.C.
156(f) Proof of excess coverage pursuant to rules 16469O-190.061 165and 69O-190.035, F.A.C.
168(g) Copies of endorsements to excess policies pursuant to rule 69O-190.036, F.A.C.
180(h) Copies of surety bonds or riders pursuant to rules 19069O-190.060 191and 69O-190.032, F.A.C.
194(i) Proof of cash securities pursuant to rule 69O-190.032, F.A.C.
204(j) Reporting changes in coverage of the membership pursuant to subsection 21569O-190.062(3), 216F.A.C.
217(k) Changes in by-laws or trust agreement and written policies pursuant to subsection 23069O-190.064(20), 231F.A.C.
232(l) Fidelity bonds, riders, insurance policies or endorsements pursuant to subsection 24369O-190.064(5), 244F.A.C.
245(m) Copies of new member applications pursuant to subsection 25469O-190.062(2), 255F.A.C.
256(n) Estimated Breakdown of Policy Year Expenses pursuant to subsection 26669O-190.059(6), 267F.A.C.
268(4) Whenever the Office determines that the fund has knowingly submitted an application containing false or misleading information, the Office may proceed with revocation of the self-insurer status of the fund.
299(5) If any fund intentionally submits any false or misleading document or report required by these rules, the Office may proceed with revocation of the self-insurer status of the fund.
329Rulemaking Authority 331440.39(1)(b), 332(2)(b), 333624.4621 FS. 335Law Implemented 337440.39(1)(b), 338(2)(b), 339624.4621 FS. 341History–New 10-1-82, Amended 12-25-84, Formerly 38F-5.58, Amended 12-19-93, Formerly 38F-5.058.
