69O-192.008. Multiple-Employer Welfare Arrangement Application  


Effective on Thursday, January 4, 2024
  • 1(1) An application for a person applying for a certificate of authority as a multiple-employer welfare arrangement consists of the following:

    22(a) Form OIR-C1-983, “Application for Certificate of Authority Multiple Employer Welfare Arrangement,” effective 07/23, 37hereby incorporated by reference and available at 44http://www.flrules.org/Gateway/reference.asp?No=Ref-16190;

    46(b) 47Form OIR-C1-905, 49incorporated by reference in Rule 69O-136.100, F.A.C.;

    56(c) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;

    66(d) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;

    76(e) Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;

    86(f) Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;

    96(g) Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;

    106(h) Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;

    116(i) Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;

    126(j) Form OIR-C1-0505, incorporated by reference in Rule 69O-136.100, F.A.C.;

    136(k) Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;

    146(l) Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.;

    156(m) Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.; and

    167(n) 168Form OIR-C1-2221, 170incorporated by reference in Rule 69O-136.100, F.A.C.

    177(2) A person applying for a certificate of authority as a multiple-employer welfare arrangement shall submit forms in subsection (1) as directed by the Office electronically at https://www.floir.com/iportal. The forms may be obtained from https://www.floir.com/iportal.

    212Rulemaking Authority 214624.439, 215624.4431 FS. 217Law Implemented 219624.438, 220624.439 FS. 222History–New 7-28-94, Formerly 4-192.008, Amended 9-28-22, 1-4-24.