The purpose is to update and revise Form OIR-B1-1809 “Health Care Provider Certification of Eligibility” for Personal Injury Protection Benefits (PIP) due to statutory revisions as the result of H.B. 119 (Chapter 2012-197, Laws of Florida).  


  • RULE NO.: RULE TITLE:
    69O-170.0155: Forms
    PURPOSE AND EFFECT: The purpose is to update and revise Form OIR-B1-1809 “Health Care Provider Certification of Eligibility” for Personal Injury Protection Benefits (PIP) due to statutory revisions as the result of H.B. 119 (Chapter 2012-197, Laws of Florida).
    SUBJECT AREA TO BE ADDRESSED: Revisions to Personal Injury Protection form OIR-B1-1809 required by section 627.736, Florida Statutes to be used by the referenced providers of PIP benefits.
    RULEMAKING AUTHORITY: 624.308(1), 627.711, 627.736, FS.
    LAW IMPLEMENTED: 215.5586, 624.307(1), 624.424, 627.062, 627.0629, 627.0645, 627.711, 627.736, FS.
    IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE NOTICED IN THE NEXT AVAILABLE FLORIDA ADMINISTRATIVE REGISTER.
    THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Michelle Brewer, Office of Insurance Regulation, E-mail Michelle.Brewer@floir.com.

    THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS AVAILABLE AT NO CHARGE FROM THE CONTACT PERSON LISTED ABOVE.

Document Information

Subject:
Revisions to Personal Injury Protection form OIR-B1-1809 required by section 627.736, Florida Statutes to be used by the referenced providers of PIP benefits.
Purpose:
The purpose is to update and revise Form OIR-B1-1809 “Health Care Provider Certification of Eligibility” for Personal Injury Protection Benefits (PIP) due to statutory revisions as the result of H.B. 119 (Chapter 2012-197, Laws of Florida).
Rulemaking Authority:
624.308(1), 627.711, 627.736, FS.
Law:
215.5586, 624.307(1), 624.424, 627.062, 627.0629, 627.0645, 627.711, 627.736, FS.
Contact:
Michelle Brewer, Office of Insurance Regulation, E-mail Michelle.Brewer@floir.com.
Related Rules: (1)
69O-170.0155. Forms