Rules 69O-203.020, .210, and .215, F.A.C., are being amended to update forms OIR-C1-1119, “Application for Certificate of Authority Prepaid Limited Health Service Organization,” OIR-C1-1606, “Application for License Discount ....

 

DEPARTMENT OF FINANCIAL SERVICES

OIR – Insurance Regulation

RULE NOS.:RULE TITLES:

69O-203.020Prepaid Limited Health Service Organization Application

69O-203.210Discount Plan Organization Application

69O-203.215Annual Reports

PURPOSE AND EFFECT: Rules 69O-203.020, .210, and .215, F.A.C., are being amended to update forms OIR-C1-1119, “Application for Certificate of Authority Prepaid Limited Health Service Organization,” OIR-C1-1606, “Application for License Discount Plan Organization (DPO),” Form OIR-A1-1671, “Annual Report – Discount Plan Organizations.” The changes remove the invoices from these forms which are no longer needed due to changes in payment processing, improves formatting, and updates addresses.

SUMMARY: Rules 69O-203.020, .210, and .215, F.A.C., are being amended to update forms OIR-C1-1119, “Application for Certificate of Authority Prepaid Limited Health Service Organization,” OIR-C1-1606, “Application for License Discount Plan Organization (DPO),” Form OIR-A1-1671, “Annual Report – Discount Plan Organizations.” The changes remove the invoices from these forms which are no longer needed due to changes in payment processing, improves formatting, and updates addresses.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION:

The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the Agency.

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.

RULEMAKING AUTHORITY: 624.424(1)(c), 636.232, 636.067, 636.218(2), F.S.

LAW IMPLEMENTED: 636.005, 636.007, 636.008, 636.009, 636.218, 624.424, 636.204, 636.220, 636.226, 636.228, 636.234, 636.236, F.S.

IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN THE FAR.

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Kama Monroe, Assistant General Counsel, Office of Insurance Regulation, [e-mail], [phone].

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

69O-203.020 Prepaid Limited Health Service Organization Application.

(1) A person applying for a certificate of authority as a prepaid limited service organization shall submit the following:

(a) Form OIR-C1-1119, “Application for Certificate of Authority Prepaid Limited Health Service Organization,” effective 07/23 5/22, hereby incorporated by reference and available at http://www.flrules.org/Gateway/____   http://www.flrules.org/Gateway/reference.asp?No=Ref-14742;

(b) Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.; “Instructions for Furnishing Background Investigative Reports,” effective 6/20, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-14743;

(c) Form OIR-C1-938,  incorporated by reference in Rule 69O-136.100, F.A.C.; “Fingerprint Payment and Submission Procedure,” effective 6/20, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-14744;

(d) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.; “Biographical Affidavit,” effective 12/20, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-14745.

(e) Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;

(f) Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;

(g) Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;

(h) Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;

(i) Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;

(j) Form OIR-C1-0505, incorporated by reference in Rule 69O-136.100, F.A.C.;

(k) Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;

(l) Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.; and

(m) Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.

(2) A person shall submit the forms listed in subsection (1) electronically via the Office’s iApply system at https://www.floir.com/iportal. The forms may be obtained from https://www.floir.com/iportal.

Rulemaking Authority 636.067 FS. Law Implemented 636.005, 636.007, 636.008, 636.009 FS. History–New 11-15-94, Formerly 4-203.020, Amended 9-29-22, ____.

 

69O-203.210 Discount Plan Organization Application.

(1) A person applying for a certificate of authority as a discount plan organization shall submit the following:

(a) Form OIR-C1-1606, “Application for License Discount Plan Organization (DPO),” effective 07/23 5/22, hereby incorporated by reference and available at http://www.flrules.org/Gateway/____ http://www.flrules.org/Gateway/reference.asp?No=Ref-14746;

(b) Form OIR-C1-144, incorporated by reference in Rule 69O-136.100, F.A.C.; “Service of Process Consent & Agreement,” effective 6/04, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-14747;

(c) Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.; “Instructions for Furnishing Background Investigative Reports,” effective 6/20, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-14748;

(d) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.; “Fingerprint Payment and Submission Procedure,” effective 6/20, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-14749;

(e) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.; “Biographical Affidavit,” effective 12/20, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-14750; and

(f) Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;

(g) Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;

(h) Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;

(i) Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;

(j) Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;

(k) Form OIR-C1-0505, incorporated by reference in Rule 69O-136.100, F.A.C.;

(m) Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;

(n) Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.;

(n) Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.; and

(o)(f) Form OIR-C1-2221,  incorporated by reference in Rule 69O-136.100, F.A.C. “Management Information Form,” effective 6/20, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-14751; and

(2) A person shall submit the forms listed in subsection (1) electronically via the Office’s iApply system at https://www.floir.com/iportal. The forms may be obtained from https://www.floir.com/iportal.

Rulemaking Authority 624.424(1)(c), 636.232 FS. Law Implemented 624.424, 636.204, 636.220, 636.226, 636.228, 636.234, 636.236 FS. History–New 5-22-05, Amended 10-29-08, 7-30-17, 4-11-19, 9-29-22, _____.

 

69O-203.215 Annual Reports.

Annual Reports are to be filed with the Office within three months after the end of each fiscal year on Form OIR-A1-1671, “Annual Report – Discount Plan Organizations,” effective 07/23 5/18, hereby incorporated by reference and available at http://www.flrules.org/Gateway/____ http://www.flrules.org/Gateway/reference.asp?No=Ref-14739. The filings shall be submitted electronically via the Office’s system at https://www.floir.com/iportal. The form may be obtained from https://www.floir.com/iportal. 

Rulemaking Authority 636.218(2) 638.218(2), 636.232 FS. Law Implemented 636.218 FS. History-New 9-29-22, Amended _____.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Kama Monroe, Assistant General Counsel

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Financial Services Commission

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: September 18, 2023

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: July 24, 2023