Rule Chapter 69L-56, F.A.C., is being amended to incorporate by reference the revised Form DFS-F5-DWC-EDI-1, “EDI Trading Partner Profile”, and the revised Form DFS-F5-DWC-EDI-4, “Secure Socket Layer (SSL)/File Transfer Protocol (FTP) Instructions”. ...  

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    DEPARTMENT OF FINANCIAL SERVICES
    Division of Worker's Compensation

    RULE NO: RULE TITLE
    69L-56.001: Forms and Instructions
    69L-56.002: Definitions
    69L-56.100: Proof of Coverage (POC) Electronic Reporting Requirements
    69L-56.110: Technical Requirements for POC EDI Transmissions
    69L-56.200: Policy Cancellation or Non-Renewal Requirements
    69L-56.210: Time Periods for Filing Electronic Policy Information
    69L-56.300: Claims EDI Reporting Requirements and Implementation Schedules
    69L-56.301: Electronic First Report of Injury or Illness
    69L-56.3012: Electronic Notice of Denial and Rescinded Denial
    69L-56.3013: Electronic Periodic Claim Cost Reports
    69L-56.304: Electronic Notice of Action or Change, Including Change in Claims Administration, Required by the Insurer's Primary Implementation Schedule
    69L-56.3045: Electronic Notice of Action or Change, Suspensions, and Reinstatement of Indemnity Benefits Required by Insurer's Secondary Implementation Schedule
    69L-56.307: Electronic Cancellation of Claim
    69L-56.310: Technical Requirements for Claims EDI Transmissions
    69L-56.330: Electronic Formats for Reporting the Employee's 8th Day of Disability and the Claim Administrator's Knowledge of 8th Day of Disability
    PURPOSE AND EFFECT: Rule Chapter 69L-56, F.A.C., is being amended to incorporate by reference the revised Form DFS-F5-DWC-EDI-1, “EDI Trading Partner Profile”, and the revised Form DFS-F5-DWC-EDI-4, “Secure Socket Layer (SSL)/File Transfer Protocol (FTP) Instructions”. The revised Florida Division of Workers’ Compensation Proof of Coverage (POC) Electronic Data Interchange (EDI) Implementation Manual (1/01/08), which contains revisions to the Element Requirement Table and Edit Matrix, and requires insurer reporting of total payroll and number of employees, is also incorporated by reference. The rule is also being amended to incorporate by reference the revised national standard International Association of Industrial Accident Boards and Commissions (IAIABC) EDI Implementation Guide for Proof of Coverage Release 2.1 (6/01/07) and the IAIABC EDI Release 3 Implementation Guide for Claims (1/01/08). Rule 69L-56.205, F.A.C., is being added to specify the insurer requirements of reporting proof of coverage information to the Division of Workers’ Compensation for a professional employer organization or employee leasing company and its client companies. The proposed rule also adds a definition regarding the meaning of “Cancellation/Non-Renewal Effective Date”, which clarifies that such an event occurs at 12:01 a.m. on that Transaction Set Type Effective Date reported to the Division of Workers’ Compensation, or as derived by the Division of Workers’ Compensation as determined in Rule 69L-56.200, F.A.C. Additionally, the proposed rule deletes redundant language from Rule 69L-56.100, F.A.C., changes the title to fully reflect the scope of the rule, and makes clerical revisions where necessary. Rule 69L-56.330, F.A.C., which has become obsolete, is to be repealed concurrently with these proposed amendments.
    SUBJECT AREA TO BE ADDRESSED: The proposed rule amendment addresses Electronic Proof of Coverage filing requirements for Employee leasing companies reporting Claims EDI filings to the Division of Workers’ Compensation, as well as revisions made to forms and the EDI Implementation Manual.
    SPECIFIC AUTHORITY: 440.185(7), 440.42(3), 440.591, 440.593(5), 627.4133(4) FS.
    LAW IMPLEMENTED: 440.185(7), (9), 440.42(3), 440.593, 627.4133(4) FS.
    A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
    DATE AND TIME: Monday, November 17, 2008, 10:00 a.m. – 12:00 p.m.
    PLACE: 104 J Hartman Bldg., 2012 Capital Circle S. E., Tallahassee, Florida
    Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 5 days before the workshop/meeting by contacting: Linda Yon at (850)413-1702. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
    THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Linda Yon, EDI Coordinator, Bureau of Data Quality and Collection, Division of Workers’ Compensation, Department of Financial Services, 200 East Gaines Street, Tallahassee, Florida 32399-4226, phone (850)413-1702 or Linda.Yon@myfloridacfo.com

    THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS NOT AVAILABLE.

Document Information

Subject:
The proposed rule amendment addresses Electronic Proof of Coverage filing requirements for Employee leasing companies reporting Claims EDI filings to the Division of Workers’ Compensation, as well as revisions made to forms and the EDI Implementation Manual.
Purpose:
Rule Chapter 69L-56, F.A.C., is being amended to incorporate by reference the revised Form DFS-F5-DWC-EDI-1, “EDI Trading Partner Profile”, and the revised Form DFS-F5-DWC-EDI-4, “Secure Socket Layer (SSL)/File Transfer Protocol (FTP) Instructions”. The revised Florida Division of Workers’ Compensation Proof of Coverage (POC) Electronic Data Interchange (EDI) Implementation Manual (1/01/08), which contains revisions to the Element Requirement Table and Edit Matrix, and requires insurer ...
Rulemaking Authority:
440.185(7), 440.42(3), 440.591, 440.593(5), 627.4133(4) FS.
Law:
440.185(7), (9), 440.42(3), 440.593, 627.4133(4) FS.
Contact:
Linda Yon, EDI Coordinator, Bureau of Data Quality and Collection, Division of Workers’ Compensation, Department of Financial Services, 200 East Gaines Street, Tallahassee, Florida 32399-4226, phone (850)413-1702 or Linda.Yon@myfloridacfo.com
Related Rules: (15)
69L-56.001. Forms and Instructions
69L-56.002. Definitions
69L-56.100. Proof of Coverage (POC) Electronic Filing Requirements
69L-56.110. Technical Requirements for POC EDI Transactions
69L-56.200. Cancellation or Non-Renewal of Workers' Compensation Insurance
More ...