To adopt the Personal Injury Protection Health Care Provider Certification of Eligibility Form as required by amendments to Section 627.736, F.S.

DEPARTMENT OF FINANCIAL SERVICES
OIR – Insurance Regulation

RULE NO: RULE TITLE
69O-170.0155: Forms
PURPOSE AND EFFECT: To adopt the Personal Injury Protection Health Care Provider Certification of Eligibility Form as required by amendments to Section 627.736, F.S.
SUMMARY: Adopts by rule the certification form to be used by specified Health Care Providers in connection with Personal Injury Protection claims effective January 1, 2008.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared.
Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
SPECIFIC AUTHORITY: 624.308(1), 627.736 FS.
LAW IMPLEMENTED: 624.308(1), 627.736 FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
DATE AND TIME: December 18, 2007, 9:30 a.m.
PLACE: 116 Larson Building, 200 East Gaines Street, 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: Michael Milnes, Product Review, Office of Insurance Regulation, E-mail: Michael.milnes@ fldfs.com. 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 IS: Michael Milnes, Product Review, Office of Insurance Regulation, E-mail: Michael.milnes@ fldfs.com.

THE FULL TEXT OF THE PROPOSED RULE IS:

      69O-170.0155 Forms.

The following forms are adopted and incorporated by reference

      (1)(a) through (m) No change.

      (n) OIR-B1-1809 “Health Care Provider Certification of Eligibility” (New 1/2008)

      (2) No change.

Specific 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. History–New 6-19-03, Formerly 4-170.0155, Amended 2-23-06, 12-26-06, 6-12-07, 7-17-07, 9-5-07,                            _________.

NAME OF PERSON ORIGINATING PROPOSED RULE: Michael Milnes, Deputy Director, Product Review, Office of Insurance Regulation
NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Richard Koon, Director, Product Review, Office of Insurance Regulation
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: November 14, 2007
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: October 19, 2007.