To adopt revisions to Form OIR-B1-1149, Notification of Personal Injury Protection Benefits (Revised 8/30/06), to include a notice regarding rewards for reporting fraud or billing errors and the violations involved in solicitation to the ...

 

DEPARTMENT OF FINANCIAL SERVICES
OIR – Insurance Regulation

RULE NO: RULE TITLE
69O-176.013: Notification of Insured's Rights and Standard Disclosure Form; Personal Injury Protection Benefits
PURPOSE AND EFFECT: To adopt revisions to Form OIR-B1-1149, Notification of Personal Injury Protection Benefits (Revised 8/30/06), to include a notice regarding rewards for reporting fraud or billing errors and the violations involved in solicitation to the notification of insured’s rights under no-fault.
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), 627.7401(1) FS.
LAW IMPLEMENTED: 624.307(1), 627.736, 627.7401, 627.745 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 (IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):
DATE AND TIME: March 22, 2007, 9:30 a.m.
PLACE: Room 116, Larson Building, 200 East Gaines Street, Tallahassee, Florida
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Michael Milnes, Property and Casualty Product Review, Office of Insurance Regulation, E-mail: [e-mail].
Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this program, please advise the Office at least 5 calendar days before the program by contacting the person listed above.

THE FULL TEXT OF THE PROPOSED RULE IS:

69O-176.013 Notification of Insured’s Rights and Standard Disclosure Form; Personal Injury Protection Benefits.

(1) Each insurer issuing a policy in this state providing personal injury protection benefits shall mail or deliver Form OIR-B1-1149 (Revised 8/30/06 rev. 10/01/03) “Notification of Personal Injury Protection Benefits” to an insured within 21 days after receiving from the insured notice of an automobile accident or claim involving personal injury to an insured who is covered under the policy.

(2) Form OIR-B1-1571 (1/04) “Standard Disclosure and Acknowledgement Form – Personal Injury Protection – Initial Treatment or Service Provided” shall be utilized by providers as described in Section 627.736(5)(e), F.S.

(3) The forms in subsections (1) and (2) are incorporated herein by reference, and are available from Property and Casualty Product Review the Bureau of Property and Casualty Forms and Rates, 200 East Gaines St., Tallahassee, FL 32399-0330, or from the Office of Insurance Regulation Department of Financial Services website at www.floirfldfs.com and http://www/floir.com/pcfr/ Documents/OIR-B1-1149.doc.

Specific Authority 624.308(1), 627.7401(1) FS. Law Implemented 624.307(1), 627.736, 627.7401, 627.745 FS. History–New 10-1-94, Amended 12-6-00, 1-20-02, Formerly 4-176.013, Amended 3-8-04, _________.

NAME OF PERSON ORIGINATING PROPOSED RULE: Michael Milnes, Product and Casualty Product Review, Office of Insurance Regulation
NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Belinda Miller, Deputy Commissioner, Office of Insurance Regulation.
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: January 29, 2007
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: September 15, 2006