Application, Reporting Requirements

 

DEPARTMENT OF FINANCIAL SERVICES

OIR – Insurance Regulation

RULE NOS.:RULE TITLES:

69O-194.003Application

69O-194.009Reporting Requirements

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 48 No. 69, April 8, 2022 issue of the Florida Administrative Register.

69O-194.003 Prepaid Health Clinic Application.

(1) An application for a person applying for a certificate of authority as a prepaid health clinic consists of the following:

(a) Form OIR-C1-483, “Application for Certificate of Authority Prepaid Health Clinic,” effective 5/22 6/20, hereby incorporated by reference and available at www.flrules.org/XXXXX;

(b) No change.

(c) Form OIR-C1-938, “Fingerprint Payment and Submission Procedure Procedures,” effective 6/20, hereby incorporated by reference and available at www.flrules.org/XXXXX; and

(d) Form OIR-C1-1423, “Biographical Affidavit,” effective 12/20 6/20, hereby incorporated by reference and available at www.flrules.org/XXXXX.

(2) A person applying for a certificate of authority as a prepaid health clinic shall submit forms in subsection (1) as directed by the Office electronically at https://www.floir.com/iportal.  The forms may be obtained from https://www.floir.com/iportal. 

Rulemaking Authority 641.403 FS. Law Implemented 641.405, 641.406 FS. History–New 5-9-85, Formerly 4-69.03, 4-69.003, 4-194.003, Amended ________________.

 

69O-194.009 Reporting Requirements.

(1) Each PHC shall file with the Office a full and true report of its financial condition, transactions, and affairs.

(a) No change.

(b) Form OIR-A2-949, “Annual Report Contracts Issued & Outstanding,” effective 12/20, hereby incorporated by reference and available www.flrules.org/XXXXX.  Form OIR-A2-949 shall be submitted electronically on or before March April 1 or within 3 months of the end of the reporting period of the clinic via the Office’s system at https://www.floir.com/iportal.  The form may be obtained at https://www.floir.com/iportal. 

(c) Form OIR-A2-950, “Annual Report Damage Claims & Medical Injury,” effective 12/20, hereby incorporated by reference and available at www.flrules.org/XXXXX.  Form OIR-A2-950 shall be submitted electronically on or before March April 1 or within 3 months of the end of the reporting period of the clinic via the Office’s system at https://www.floir.com/iportal.  The form may be obtained at https://www.floir.com/iportal. 

(2) No change.

Rulemaking Authority 641.403, 641.41(1) FS. Law Implemented 641.41 FS. History–New 5-9-85, Formerly 4-69.09, 4-69.009, 4-194.009, Amended ________________.