This is the Final Public Hearing on the adoption of proposed repeal of Rule 69O-154.303, and proposed amendments to Rules 69O-154.304, .305, .306, Florida Administrative Code, published on November 23, 2005, in Vol. 31, No. 47, of the Florida ...  


  • The Financial Services Commission announces a hearing to which all persons are invited.
    DATE AND TIME: March 16, 2006, 9:00 a.m., during a regular meeting of the Financial Services Commission.
    PLACE: Cabinet Meeting Room, Lower Level, The Capitol, Tallahassee, Florida.
    GENERAL SUBJECT MATTER TO BE CONSIDERED: This is the Final Public Hearing on the adoption of proposed repeal of Rule 69O-154.303, and proposed amendments to Rules 69O-154.304, .305, .306, Florida Administrative Code, published on November 23, 2005, in Vol. 31, No. 47, of the Florida Administrative Weekly, No notice of change was published.

    THE FULL TEXT OF THE PROPOSED RULE IS:
    CHAPTER 69O-154 HEALTH INSURANCE POLICIES
    PART IV FLORIDA HEALTH INSURANCE COVERAGE CONTINUATION ACT
    69O-154.303 Initial Notice.
    Specific Authority 624.308(1), 627.6692(9) FS. Law Implemented 624.307(1), 627.6692(8) FS. History–New 4-24-97, Formerly 4-154.303, Repealed________.
    69O-154.304 Notice of Occurrence of a Qualifying Event.
    Each contract, policy, certificate and handbook must contain a Notice of Occurrence of a Qualifying Event provision. This provision must include the information required by Section 627.6692(5)(d)1., Florida Statutes. The beneficiary shall notify the carrier in writing within sixty-three (63)30 days, as evidenced by postmark, after the occurrence of the qualifying event or the termination of coverage whichever is later.
    Specific Authority 624.308(1), 627.6692(9) FS. Law Implemented 624.307(1), 627.6692(5) FS. History–New 4-24-97, Formerly 4-154.304, Amended________.
    69O-154.305 Election and Premium Notice Form.
    (1) Within 14 days of the date that the carrier receives the notice of occurrence of a qualifying event from the qualified beneficiary the carrier must send to the employee, covered spouse and covered dependents, by certified mail, the Election and Premium Notice Form OIR-B2-1261 (REV 8/03 2/97), which is hereby adopted and incorporated by reference. Copies of the forms are available and may be printed from the Office’s website: http://www.floir.com/lh_fr/is_lhfr_Statutory%20Form%20and%20%20Reporting.htm. Copies can be obtained from the Office of Insurance Regulation, Bureau of Life and Health Forms and Rates, 200 East Gaines Street, Tallahassee, Florida 32399-0328.
    (2) Carriers may develop a similar form which must include the information in Form OIR-B2-1261. Any similar form must be filed and approved before use pursuant to the requirements of Section 627.410, Florida Statutes.
    Specific Authority 624.308(1), 627.6692(9) FS. Law Implemented 624.307(1), 627.6692(5) FS. History–New 4-24-97, Formerly 4-154.305, Amended________.
    69O-154.306 Election, Billing and Payment of Premium.
    (1) The employee, covered spouse and covered dependents have until the 30th day, as evidenced by postmark, after receiving the Election and Premium Notice form described in Rule 69O-154.3056, F.A.C., to elect coverage continuation in writing and pay the premium to the carrier.
    (2) The carrier or its designee must process all elections, within 30 days and provide coverage retroactively to the day coverage would have otherwise terminated due to the qualifying event. The first premium payment must include the coverage paid to the end of the month in which the first payment of premium is made.
    Specific Authority 624.308(1), 627.6692(9) FS. Law Implemented 624.307(1), 627.6692(5) FS. History–New 4-24-97, Formerly 4-154.306, Amended________.
    A copy of the agenda may be obtained by contacting:
    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: Frank Dino at E-mail frank.dino@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).