To implement 2024-182, Laws of Florida, incorporate all forms in Chapter 69O-136, F.A.C., into Rule 69O-136.100, F.A.C., update the referenced forms and update the lists of forms required to be submitted with each application.....
DEPARTMENT OF FINANCIAL SERVICES
RULE NOS.:RULE TITLES:
69O-136.002Foreign and Alien Insurers Filing for a Certificate of Authority
69O-136.004Surplus Lines
69O-136.006Domestic Insurers Filing for an Application for Permit and Subsequent Certificate of Authority
69O-136.007Redomestication Procedure
69O-136.011Commercial Self-Insurance Funds Filing for a Certificate of Authority
69O-136.014Rating Organizations
69O-136.015Corporate Amendment Procedure to Amend an Existing Certificate of Authority to Add a New Line of Business
69O-136.031Registration as a Purchasing Group
69O-136.040Health Maintenance Organizations
69O-136.041Multiple-Employer Welfare Arrangements
69O-136.042Continuing Care Contracts
69O-136.043Prepaid Health Clinics
69O-136.044Insurance Administrators
69O-136.045Donor Annuity Organizations
69O-136.046Prepaid Limited Health Service Organizations
69O-136.047Discount Plan Organizations
69O-136.050Premium Finance Companies
69O-136.051Service Warranty Associations
69O-136.052Home Warranty Associations
69O-136.053Motor Vehicle Service Agreement Companies
69O-136.054Legal Expense Insurance Corporations
69O-136.070Merger or Acquisition of the Attorney-in-Fact of a Domestic Reciprocal Insurer
69O-136.075Merger or Conversion of a Reciprocal Insurer
69O-136.080Mergers and Acquisition of Controlling Stock of a Florida Domestic Insurer
69O-136.090Merger, Consolidation, or Acquisition of Controlling Stock, Ownership Interests, Assets, or Control of a Specialty Insurer
69O-136.100Forms Incorporated by Reference
PURPOSE AND EFFECT: To implement 2024-182, Laws of Florida, incorporate all forms in Chapter 69O-136, F.A.C., into Rule 69O-136.100, F.A.C., update the referenced forms and update the lists of forms required to be submitted with each application.
SUMMARY: Rules 69O-136.002; 69O-136.004, 69O-136.006, 69O-136.007, 69O-136.011, 69O-136.014, 69O-136.015, 69O-136.031, 69O-136.040, 69O-136.041, 69O-136.042, 69O-136.043, 69O-136.044, 69O-136.045, 69O-136.046, 69O-136.047, 69O-136.050, 69O-136.051, 69O-136.052, 69O-136.053, 69O-136.054, 69O-136.070, 69O-136.075, and 69O-136.100, F.A.C. are amended to centrally locate all referenced application forms into Rule 69O-136.100, F.A.C. Rules 69O-136.002, 69O-136.004, 69O-136.006, 69O-136.007, 69O-136.011, 69O-136.014, 69O-136.015, 69O-136.031, 69O-136.040, 69O-136.041, 69O-136.042, 69O-136.043, 69O-136.044, 69O-136.045, 69O-136.046, 69O-136.047, 69O-136.050, 69O-136.051, 69O-136.052, 69O-136.053, 69O-136.054, 69O-136.070, 69O-136.075, and 69O-136.100, F.A.C. are further amended to update forms, amend the list of forms to be submitted with each application, removing unnecessary forms and adding the required addendums to the background information section of those forms. Rule 69O-136.006, F.A.C., is amended and Rules 69O-136.070 and 69O-136.075, F.A.C., are created to implement 2024-182, Laws of Florida, regarding changes to Chapter 629, F.A.C., regulating reciprocal insurers.
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.
The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: Agency personnel familiar with the subject matter of the rule amendment have performed an economic analysis of the rule amendment that shows that the rule amendment is unlikely to have an adverse impact on the State economy in excess of the criteria established in Section 120.541(2)(a), Florida Statutes.
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: 624.308, 624.413(1), 624.424(1)(c), 624.439, 624.4431, 624.490, 626.8805(2), 626.8991, 627.481(11), 627.6699, 627.828(2), 627.954, 628.461(13), 628.4615(15), 628.535, 629.091(2), 629.225(1)(a)1, (11), 629.227(1), 629.291(2), 629.525, 634.021, 634.061(1), (2)(c), 634.302, 634.402, 636.067, 636.232, 641.36, 641.403, 641.405, 642.021(2), 651.015(3), 651.021(2), 651.022(2), 651.0245(3), (5), (6), 651.0246(1), 651.043, F.S.
LAW IMPLEMENTED: 24.09, 624.307(1), (2), (3), (5), 624.316, 624.317, 624.318, 624.321, 624.324, 624.34, 624.401, 624.404, 624.407, 624.408, 624.411, 624.413, 624.414, 624.416(4), 624.422, 624.424, 624.438, 624.439, 624.466, 624.490, 624.501, 624.5091, 624.610(11), 625.306, 626.7451(11), 626.8805, 626.9928, 627.481, 627.6488(1), 627.6699, 627.828, 627.829, 628.041, 628.051, 628.061, 628.071, 628.081, 628.091, 628.121, 628.151, 628.161, 628.171, 628.221, 628.231, 628.251, 628.261, 628.451, 628.461, 628.4615, 628.471, 628.520, 628.6011, 628.801, 628.907, 629.071, 629.081, 629.091, 629.101, 629.121, 629.131, 629.181, 629.225, 629.227, 629.291, 634.041, 634.252, 634.304, 634.305, 634.306, 634.307, 634.3073, 634.315, 634.407, 634.408, 634.4085, 634.404, 636.005, 636.007, 636.008, 636.009, 636.065, 636.204, 636.220, 636.226, 636.228, 636.234, 636.236, 641.21, 641.22, 641.227, 641.255, 641.29(1), 641.405, 641.406, 641.407, 641.409, 641.412, 641.416, 641.42, 641.427, 641.43, 641.441, 642.019, 642.021, 642.032, 651.0215, 651.022, 651.023, 651.024, 651.0245, 651.0246, 651.043, 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, Kama.Monroe@floir.com, (850)413-4121.
THE FULL TEXT OF THE PROPOSED RULE IS:
69O-136.002 Foreign and Alien Insurers Filing for a Certificate of Authority.
All foreign or alien entities seeking a certificate of authority shall comply with the requirements of sections 624.404, 624.413, and related Florida Statutes. Each applicant shall comply with the instructions contained in the Uniform Certificate of Authority Expansion Application and any other requirements listed or referenced in the Uniform Certificate of Authority Expansion Application package, Form OIR-C1-1413. Such filings shall not exempt a foreign or alien insurer from any requirements under Florida law.
(1) Applicants shall comply with the directions on, or otherwise submit, the following applicable forms:
(a) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(b) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(b)(c) Form OIR-C1-1413, “Uniform Certificate of Authority Application (UCAA) Expansion Application,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(c)(d) Form OIR-C1-1414, “Uniform Certificate of Authority Application (UCAA) Expansion Application Checklist For Expansion Application Only,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(d)(e) Form OIR-C1-1416, “Uniform Certificate of Authority Application (UCAA) Lines of Insurance,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(e)(f) Form OIR-C1-1422, “Uniform Certificate of Authority Application Questionnaire,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(g) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(h) Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;
(h) Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;
(i) Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;
(j) Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;
(k) Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;
(l) 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.;
(o) Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.;
(f)(q) Form OIR-C1-1424, “Uniform Certificate of Authority Application,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(g)(r) Form OIR-C1-1524, “Uniform Certificate of Authority Application (UCAA) Uniform Consent to Service of Process,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(h)(s) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(i)(t) Form OIR-D0-896, “UCAA Proforma Financial Statements, Property and Casualty Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(j)(u) Form OIR-D0-904, “UCAA Proforma Financial Statements, Life & Health Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(k)(v) Form OIR-D0-2119, “UCAA Proforma Financial Statements, Title Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.; and
(l)(w) Form OIR-D0-2165, “UCAA Proforma Financial Statements, Health,” incorporated by reference in Rule 69O-136.100, F.A.C.
(2) through (3) No Change
Rulemaking Authority 624.308 FS. Law Implemented 624.307(1), 624.34, 624.401, 624.404, 624.407, 624.413, 624.422, 624.501, 626.7451(11), 628.161, 628.907 FS. History–New 2-26-92, Amended 9-19-00, 11-18-02, Formerly 4-136.002, Amended 1-7-24, ____.
69O-136.004 Surplus Lines.
Applications submitted as an insurer under Florida’s Surplus Lines Law, pursuant to section 626.913, Florida Statutes, shall contain all of the following forms.
(1) Applicants shall comply with the directions on, or otherwise submit, the following applicable forms:
(a) Form OIR-C1-916, “Application for Eligibility as a Surplus Lines Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(b) Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(c)(e)Form OIR-C1-1416, “Uniform Certificate of Authority Application (UCAA) Lines of Insurance,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and
(f) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(g) Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;
(h) Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;
(i) Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;
(j) Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;
(k) Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;
(l) 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.;
(o) Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.; and
(e)(p) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
(2) No Change
Rulemaking Authority 624.308 FS. Law Implemented 624.307(1), 624.34, 624.422, 624.501, 626.913, 626.918 FS. History–New 2-26-92, Amended 9-19-00, 11-18-02, Formerly 4-136.004, Amended 1-7-24, ____.
69O-136.006 Domestic Insurers Filing for an Application for Permit and Subsequent Certificate of Authority.
(1) All domestic insurers filing an Application for Permit, pursuant to cChapter 628, F.S., for the following: domestic property and casualty insurers, title insurers, and life and health insurers, and domestic assessable mutual insurers, pursuant to sSection 628.051, F.S. except for domestic reciprocal insurers which are addressed in (2); domestic assessable mutual insurers, pursuant to section 628.051, F.S, and Domestic Captive Insurers, pursuant to chapter Chapter 628, Part III, F.S.: shall comply with the directions on, or otherwise submit, the following applicable forms:
(a) Shall comply with the directions on, or otherwise submit, the following applicable forms:
1. Form OIR-C1-100, “Application For Permit Domestic Stock or Mutual Insurer”, incorporated by reference in Rule 69O-136.100, F.A.C.
2. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.;
(a) Form OIR-C1-0521, incorporated by reference in Rule 69O-136.100, F.A.C.;
(b) Form OIR-C1-0520, incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(e) Form OIR-C1-1416, incorporated by reference in Rule 69O-136.100, F.A.C.;
(f) Form OIR-C1-1422, incorporated by reference in Rule 69O-136.100, F.A.C.;
(g) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(h) Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;
(i) Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;
(j) Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;
(k) Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;
(l) Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;
(m) Form OIR-C1-0505, incorporated by reference in Rule 69O-136.100, F.A.C.;
(n) Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
(o) Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.;
(p) Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.;
(q) Form OIR-C1-1522, incorporated by reference in Rule 69O-136.100, F.A.C.;
3.(r) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.;
4.(s) Form OIR-D0-896, “UCAA Proforma Financial Statements, Property and Casualty Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.;
5.(t) Form OIR-D0-904, “UCAA Proforma Financial Statements, Life & Health Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C.;
6.(u) Form OIR-D0-2119, “UCAA Proforma Financial Statements, Title Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.; and
7.(v) Form OIR-D0-2165, “UCAA Proforma Financial Statements, Health,” incorporated by reference in Rule 69O-136.100, F.A.C.
(b) Once applicant has received a permit from the Office pursuant to paragraph (1)(a) above, it shall submit Form OIR-C1-1524, “Uniform Certificate of Authority Application (UCAA) Uniform Consent to Service of Process,” incorporated by reference in Rule 69O-136.100, F.A.C., as well as any other documents required in the permit. Once it has submitted all documents, satisfied the permit conditions, and is otherwise in compliance with Florida law, applicant will be granted a certificate of authority.
(2) All domestic reciprocal insurers filing an Application for Permit and a subsequent certificate of authority, pursuant to sections 628.051, F.S, and Chapters 624 and 629, F.S.,
(a) Sshall follow the directions on, or otherwise submit, the following forms:
(k) Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
1.(a)Form OIR-C1-908, “Application for Permit Domestic Reciprocal Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C.;
2. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.;
(j) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) Form OIR-C1-1416, incorporated by reference in Rule 69O-136.100, F.A.C.;
(g) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(h) Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;
(i) Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;
(j) Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;
(k) Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;
(l) Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;
(m) Form OIR-C1-0505, incorporated by reference in Rule 69O-136.100, F.A.C.;
(n) Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
(o) Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.;
(p) Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.;
3.(q) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.;
4.(r) Form OIR-D0-896, “UCAA Proforma Financial Statements, Property and Casualty Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.;
5.(s) Form OIR-D0-2119, “UCAA Proforma Financial Statements, Title Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.; and
6.(t) Form OIR-D0-2165, “UCAA Proforma Financial Statements, Health,” incorporated by reference in Rule 69O-136.100, F.A.C.
(b)(3) Once applicant has received a permit from the Office pursuant to paragraph (2)(a) 1 or 2 above, it shall follow the directions on, or otherwise submit, the following forms: Form OIR-C1-1524, incorporated by reference in Rule 69O-136.100, F.A.C., as well as any other documents required in the permit. Once it has submitted all documents, satisfied the permit conditions, and is otherwise in compliance with Florida law, applicant will be granted a certificate of authority.
1. Form OIR-C1-151, “Application for Certificate of Authority Domestic Reciprocal Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C., and
2. Form OIR-C1-1524, “Uniform Certificate of Authority Application (UCAA) Uniform Consent to Service of Process,” incorporated by reference in Rule 69O-136.100, F.A.C.
(c) Once applicant has submitted all documents, satisfied the permit and application requirements, and is otherwise in compliance with Florida law, applicant will be granted a certificate of authority.
(3)(4) All the forms listed in subsection (1) and (2) & (3) above may be obtained from the Office’s website at http://www.floir.com and shall be submitted electronically via the Office’s iApply system at https://www.floir.com/iportal. Forms relating to specific kinds of insurance in subsection (1) and & (2) are to be submitted only by companies issuing policies relating to the kind of insurance specified on the form.
Rulemaking Authority 624.308(1), 624.413(1), 629.091(2), 629.225(11), 629.227(1), 629.291(2), 629.525 FS. Law Implemented 624.307(1), 624.34, 624.401, 624.404, 624.407, 624.413, 624.422, 624.501, 626.7451(11), 628.051, 629.081, 629.091, 629.225, 629.227, 629.291 FS. History–New 2-26-92, Amended 9-19-00, 11-18-02, Formerly 4-136.006, Amended Amemded 1-7-24, ______
69O-136.007 Redomestication Procedure.
(1) through (2) No Change
(3) Any insurer seeking a certificate of authority as a domestic insurer in this state shall comply with the directions on, or otherwise submit, the following applicable forms:
(a) Form OIR-C1-101, “Application to Redomesticate a Stock or Mutual Insurer”, incorporated by reference in Rule 69O-136.100, F.A.C. Form OIR-C1-0521, incorporated by reference in Rule 69O-136.100, F.A.C.;
(b) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; Form OIR-C1-0520, incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(c)(e) Form OIR-C1-1416, “Uniform Certificate of Authority Application (UCAA) Lines of Insurance,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(f) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(g) Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;
(h) Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;
(i) Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;
(j) Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;
(k) Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;
(l) 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.;
(o) Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.;
(d)(p) Form OIR-C1-1422, “Uniform Certificate of Authority Application Questionnaire,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(e)(q) Form OIR-C1-1522, “Primary Application Florida Specific Information,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(f)(r) Form OIR-C1-1524, “Uniform Certificate of Authority Application (UCAA) Uniform Consent to Service of Process,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(g)(s) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(h)(t) Form OIR-D0-896, “UCAA Proforma Financial Statements, Property and Casualty Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(i)(u) Form OIR-D0-904, “UCAA Proforma Financial Statements, Life & Health Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(j)(v) Form OIR-D0-2119, “UCAA Proforma Financial Statements, Title Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.; and
(k)(w) Form OIR-D0-2165, “UCAA Proforma Financial Statements, Health,” incorporated by reference in Rule 69O-136.100, F.A.C.
(4) No Change
Rulemaking Authority 624.308, 628.535 FS. Law Implemented 624.307(1), (2), (3), (5), 624.316, 624.317, 624.318, 624.321, 624.324, 624.34, 624.401, 624.404, 624.413, 624.424(6), 624.501(1)(a), 628.051, 628.061, 628.520, 628.801 FS. History–New 6-7-90, Formerly 4-106.002, Amended 5-12-94, Formerly 4-143.061, 69O-143.061, Amended 1-7-24, ______.
69O-136.011 Commercial Self-Insurance Funds Filing for a Certificate of Authority.
(1) Applicants for a certificate of authority as a commercial self-insurance fund pursuant to section 624.462, F.S., shall comply with the directions on, or otherwise submit, the following applicable forms:
(a) Form OIR-C1-845, “Application for Certificate of Authority Commercial Self-Insurance Fund,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(b) Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(c)(e) Form OIR-C1-1416, “Uniform Certificate of Authority Application (UCAA) Lines of Insurance,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and
(f) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(g) Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;
(h) Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;
(i) Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;
(j) Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;
(k) Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;
(l) 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.;
(o) Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.; and
(e)(s) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
(2) No Change
Rulemaking Authority 624.308 FS. Law Implemented 624.307(1), 624.34, 624.401, 624.404, 624.407, 624.411, 624.413, 624.414(1), 624.422, 624.466, 624.501, 625.306, 628.041, 628.6011, 628.051, 628.061, 628.071, 628.081, 628.091, 628.121, 628.151, 628.161, 628.171, 628.221, 628.231, 628.251, 628.261, 628.451, 628.461, 628.4615, 628.471, 629.071, 629.081, 629.091, 629.101, 629.121, 629.131, 629.181 FS. History–New 2-26-92, Amended 9-19-00, 11-18-02, Formerly 4-136.011, Amended 1-7-24, ____.
69O-136.014 Rating Organizations.
(1) An application for a person applying for a license as a rating organization consists of the following:
(a) Form OIR-C1-PCR1, “Application for License Rating Organization,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(b) Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(b)(d) Form OIR-C1-1416, “Uniform Certificate of Authority Application (UCAA) Lines of Insurance,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.;
(e) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(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.;
(l) Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
(m) 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
(d)(o) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
(2) No Change.
(3) Annual License Renewal
(a) No Change.
(b) A licensee seeking to continue operating as a rating organization shall submit the following:
1. Form OIR-C1-PCR2, “License Renewal Rating Organization,” incorporated by reference in Rule 69O-136.100, F.A.C.;
2. Form OIR-C1-1416, “Uniform Certificate of Authority Application (UCAA) Lines of Insurance,” incorporated by reference in Rule 69O-136.100, F.A.C.; and
3. No Change.
(c) No Change.
Rulemaking Authority 624.308(1) FS. Law Implemented 624.307(1), 624.501(18), 627.221 FS. History–New 5-20-90, Formerly 4-104.002, Formerly 4-170.021, 69O-170.021, Amended 1-7-24.
69O-136.015 Corporate Amendment Procedure to Amend an Existing Certificate of Authority to Add a New Line of Business.
(1) No Change
(2) Any insurer seeking to add or delete a line of insurance on an existing certificate of authority, file a name change, redomesticate (between foreign jurisdictions only), change its statutory home office address, merge two or more foreign insurers, file a change of control of a foreign insurer, amend its articles of incorporation, amend its bylaws, change its address or contact notification, or amend its Service of Process shall comply with the directions on, or otherwise submit, the following applicable forms:
(a) Form OIR-C1-0508, “Uniform Certificate of Authority Application (UCAA) Affidavit of Lost Certificate of Authority,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(b) Form OIR-C1-0510, “Uniform Certificate of Authority Application (UCAA) Corporate Amendments Application Application to Amend Certificate of Authority,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) Form OIR-C1-0511, “Uniform Certificate of Authority Application (UCAA) Corporate Amendments Application Checklist for Corporate Amendments Application Only,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) Form OIR-C1-0512, “Uniform Certificate of Authority Application Questionnaire for Adding or Deleting Lines of Business to an Existing Certificate of Authority,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(e) Form OIR-C1-0522, “Uniform Certificate of Application (UCAA) Change of Mailing Address/Contact Notification Form,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(f) Form OIR-B2-1093, “Small Employer Carrier’s Application to Become a Risk Assuming Carrier or a Reinsuring Carrier, as Required by Section 627.6699(9), Florida Statutes,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(g) Form OIR-C1-1416, “Uniform Certificate of Authority Application (UCAA) Lines of Insurance,” incorporated by reference in Rule 69O-136.100, F.A.C.; and
(h) Form OIR-C1-1524, “Uniform Certificate of Authority Application (UCAA) Uniform Consent to Service of Process,” incorporated by reference in Rule 69O-136.100, F.A.C.
(3) through (4) No Change
Rulemaking Authority 624.308(1) FS. Law Implemented 624.09, 624.307(1), 624.404, 624.408, 624.413, 624.414, 624.416(4), 624.501(20), 624.610(11), 627.6488(1) FS. History–New 3-30-92, Amended 9-2-96, Amended 9-19-00, 11-18-02, Formerly 4-136.015, Amended 1-7-24, ____.
69O-136.031 Registration as a Purchasing Group.
(1) All entities seeking registration as a purchasing group shall comply with the requirements of section Section 627.948, F.S., and shall (1) All entities seeking registration as a purchasing group shall comply with the requirements of section 627.948, F.S., and shall comply with the directions on, or otherwise submit, the following applicable forms:
(a) Form OIR-C1-515, “Application for Registration as a Risk Purchasing Group,” incorporated by reference in Rule 69O-136.100, F.A.C.; and
(b) Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.
(2) All domestic entities, as well as any foreign entities whose officers or directors collect premiums, shall comply with the directions on, or otherwise submit, the following applicable forms:
(a) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(b) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;
(e) Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;
(f) Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;
(g) Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;
(h) Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;
(i) Form OIR-C1-0505, incorporated by reference in Rule 69O-136.100, F.A.C.;
(j) Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
(k) Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.;
(l) Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.; and
(b)(m) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
(3) through (5) No Change
Rulemaking Authority 624.308, 627.954 FS. Law Implemented 624.307(1), (3), 624.318, 624.321, 626.611(14), 627.948 FS. History–New 1-30-91, Formerly 4-107.002, Amended 9-19-94, Amended 9-19-00, 11-18-02, Formerly 4-136.031, Amended 1-7-24, ____.
69O-136.040 Health Maintenance Organizations.
(1) An application for a person applying for a certificate of authority as a health maintenance organization consists of the following:
(a) Form OIR-C1-942, “Application for Certificate of Authority Health Maintenance Organization,” incorporated by reference in Rule 69O-136.100, F.A.C. effective 07/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16320;
(b) Form OIR-B2-1093, “Small Employer Carrier’s Application to Become a Risk Assuming Carrier or a Reinsuring Carrier, as Required by Section 627.6699(9), Florida Statutes,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(e) Form OIR-C1-1423, “incorporated by reference in Rule 69O-136.100, F.A.C.;
(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.;
(l) Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
(m) 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
(d)(o) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
(2) No Change
Rulemaking Authority 627.6699, 641.36 FS. Law Implemented 627.6699, 641.21, 641.22, 641.227, 641.29(1) FS. History–New 2-22-88, Amended 10-25-89, Formerly 4-31.027, Amended 5-28-92, Formerly 4-191.027, Amended 9-28-22, 1-28-24, Formerly 69O-191.027. Amended, ____.
69O-136.041 Multiple-Employer Welfare Arrangements.
(1) An application for a person applying for a certificate of authority as a multiple-employer welfare arrangement consists of the following:
(a) Form OIR-C1-983, incorporated by reference in Rule 69O-136.100, F.A.C. “Application for Certificate of Authority Multiple Employer Welfare Arrangement,” effective 07/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16190;
(b) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(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.;
(m) Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.; and
(c)(n) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
(2) No Change
Rulemaking Authority 624.439, 624.4431 FS. Law Implemented 624.438, 624.439 FS. History–New 7-28-94, Formerly 4-192.008, Amended 9-28-22, 1-4-24, Formerly 69O-192.008. Amended, ____.
69O-136.042 Continuing Care Contracts.
(1) Application for Certificate of Authority.
(a) An application for a person applying for a certificate of authority for a continuing care provider consists of the following:
1. Form OIR-C1-473, incorporated by reference in Rule 69O-136.100, F.A.C. “Application for Certificate of Authority for a Continuing Care Provider,” effective 07/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16309;
2. Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.;
3. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, Form OIR-C1-905, “Instructions for Furnishing Background Investigative Reports,” effective 6/20, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-14451;
4. Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
5. Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
6. Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;
7. Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;
8. Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;
9. Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;
10. Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;
11. Form OIR-C1-0505, incorporated by reference in Rule 69O-136.100, F.A.C.;
12. Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
13. Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.;
14. Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.; and
4. 15. Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
(b) No Change
(2) Application for Provisional Certificate of Authority.
(a) An application for a person applying for a provisional certificate of authority for a continuing care provider consists of the following if applicable:
2. Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100;
3. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, Form OIR-C1-905, incorporated by reference in Rule 69O-136.100;
4. Form OIR-C1-938, incorporated by reference in Rule 69O-136.100;
5. Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100; and
4. 6. Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100.
(b) No Change
(3) Consolidated Application for Provisional Certificate of Authority and Certificate of Authority.
(a) A consolidated application for a provisional certificate of authority and certificate of authority for a continuing care provider consists of the following if applicable:
2. Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100;
3. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, Form OIR-C1-905, incorporated by reference in Rule 69O-136.100;
4. Form OIR-C1-938, incorporated by reference in Rule 69O-136.100;
5. Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100; and
4. 6. Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100.
(b) No Change
(4) Application for the Simultaneous Acquisition of a Continuing Care Facility and Issuance of a Certificate of Authority to a Provider.
(a) An application for the simultaneous acquisition of a continuing care facility and issuance of a certificate of authority consists of the following if applicable:
2. Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100;
3. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, Form OIR-C1-905, incorporated by reference in Rule 69O-136.100;
4. Form OIR-C1-938, incorporated by reference in Rule 69O-136.100;
4.5. Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100; and
6. Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100
(b) No Change.
(c) Disclaimer of Control
1. A person may attempt to rebut a presumption of control pursuant to Section 651.0245, F.S., by electronically filing at https://www.floir.com/iportal one of the following forms, which may be obtained from https://www.floir.com/iportal, with the Office:
a. Form OIR-C1-1467, “Disclaimer of Control - Individual,” incorporated by reference in Rule 69O-136.100;
b. Form OIR-C1-1468, “Disclaimer of Control - Entity,” incorporated by reference in Rule 69O-136.100;
c. Form OIR-C1-2211, “Disclaimer of Control – Investment Companies,” incorporated by reference in Rule 69O-136.100.
2. through 3. No Change.
(5) Application for Expansion.
(a) An application for a person applying for expansion of a certificated continuing care facility consists of the following:
2. The biographical information package defined in subsection 69O-136.100(3), F.A.C.; and, Form OIR-C1-905, incorporated by reference in Rule 69O-136.100;
3. Form OIR-C1-938, incorporated by reference in Rule 69O-136.100;
4. Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100;
and
3.5. Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100.
(b) No Change.
(6) Manager or Management Company.
(a) To comply with the filing requirements of sSection 651.043(2), F.S., for each new management company or manager not employed by a management company within 10 business days of a change in management, the provider shall submit the following:
1. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and,Form OIR-C1-905, incorporated by reference in Rule 69O-136.100;
2. Form OIR-C1-938, incorporated by reference in Rule 69O-136.100; and
3. Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100.
2.4. No Change
(b) No Change
Rulemaking Authority 651.015(3), 651.021(2), 651.022(2), 651.0245(3), (5), (6), 651.0246(1), 651.043 FS. Law Implemented 651.0215, 651.022, 651.023, 651.024, 651.0245, 651.0246, 651.043 FS. History–New 7-16-92, Formerly 4-193.003, Amended 3-12-20, 7-21-22, 1-17-24, Formerly 69O-193.003. Amended, ____.
69O-136.043 Prepaid Health Clinics.
(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,” incorporated by reference in Rule 69O-136.100, F.A.C.; effective 07/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16247;
(b) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C. Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.
(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.; and
(l) Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.;
(2) No Change
Rulemaking Authority 641.403, 641.405(2) FS. Law Implemented 641.405, 641.406, 641.407, 641.409, 641.412, 641.42, 641427, 641.43, 641.441 FS. History–New 5-9-85, Formerly 4-69.03, 4-69.003, 4-194.003, Amended 9-28-22, 1-4-24, Formerly 69O-194.003. Amended, ____.
69O-136.044 Insurance Administrators.
(1) A person applying for a Certificate of Authority to operate as an insurance administrator, including an applicant seeking to register as a pharmacy benefit manager, shall submit the following :
(a) Form OIR-C1-1075, “Application for Certificate of Authority of an Insurance Administrator,” incorporated by reference in subsection 69O-136.100, F.A.C.; effective 7/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16047;
(b) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(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.;
(m) Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.; and
(c) (n) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
(2) No Change
Rulemaking Authority 624.308(1), 624.490, 626.8805(2), 626.8991 FS. Law Implemented 624.490, 626.8805 FS. History – New 12-19-23, Formerly 69O-197.001. Amended, ____.
69O-136.045 Donor Annuity Organizations.
(1) Any person engaging in the business of issuing donor annuity agreements must submit Form OIR-C1-1208, “Notification to the Office of Insurance Regulation as a Qualifying Issuer of Donor Annuity Agreements Pursuant to section 627.481, F.S.,” incorporated by reference in Rule 69O-136.100, F.A.C., to the Office electronically at https://www.floir.com/iportal on the date on which the person enters into the first of these annuity agreements. Form OIR-C1-1208, “Notification to the Office of Insurance Regulation as a Qualifying Issuer of Donor Annuity Agreements Pursuant to section 627.481, F.S.,” effective 6/20, is hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-14417. The form may be obtained from https://www.floir.com/iportal.
(2) No Change
Rulemaking Authority 624.308(1), 627.481(11) FS. Law Implemented 624.307(1), 627.481 FS. History–New 6-23-92, Amended 1-7-97, 12-24-03, Formerly 4-202.008, Amended 7-21-22, Formerly 69O-202.008. Amended, ____.
69O-136.046 Prepaid Limited Health Service Organizations.
(1) A person applying for a certificate of authority as a prepaid limited service organization shall submit the following if applicable:
(b) The biographical information package defined in subsection 69O-136.100(3), F.A.C. Form OIR-C1-905, “incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) Form OIR-C1-938 incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(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) No Change.
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, 1-4-24, Formerly 69O-203.020. Amended, ____.
69O-136.047 Discount Plan Organizations.
(1) A person applying for a certificate of authority as a discount plan organization shall submit the following if applicable:
(a) Form OIR-C1-1606, “Application for License Discount Plan Organization (DPO),” incorporated by reference in Rule 69O-136.100, F.A.C.; effective 5/22, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16242;
(b) Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.;
and, Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(e) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(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.;
(l) Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
(m) 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
(d)(o) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
(2) No Change
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, 1-4-24, Formerly 69O-203.210. Amended, ____.
69O-136.050 Premium Finance Companies.
(1) Application for License as a Premium Finance Company.
(a) A person applying for a license as a premium finance company shall submit the following if applicable:
4. Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
5. Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
4. 6. Form OIR-C1-957, “Instructions for Statutory Compliance of Forms: Premium Finance Companies,” incorporated by reference in Rule 69O-136.100, F.A.C.; effective 3/21, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-13034;
5. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and,
7. Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
8. Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;
9. Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;
10. Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;
11. Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;
12. Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;
13. Form OIR-C1-0505, incorporated by reference in Rule 69O-136.100, F.A.C.;
14. Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
15. Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.;
16. Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.;
6.17. Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C. effective 6/20, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-13037; and
(b) No Change
(2) Annual License Renewal
(a) No Change
(b) A licensee seeking to continue operating as a premium finance company shall submit Form OIR-A3-1563, “Application for Renewal of License Premium Finance Company,” incorporated by reference in Rule 69O-136.100, F.A.C., effective 07/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16211 filed electronically at https://www.floir.com/iportal.
Rulemaking Authority 624.308(1), 627.828(2) FS. Law Implemented 624.321(1)(a), 624.424, 627.828, 627.829 FS. History–New 5-28-90, Formerly 4-18.015, Amended 7-27-95, 8-29-99, Formerly 4-196.015, Amended 7-30-17, 5-24-21, 1-4-24, Formerly 69O-196.015. Amended, ____.
69O-136.051 Service Warranty Associations.
(1) Application for License as a Service Warranty Association
(a) An application for a person applying for a license as a service warranty association consists of the following if applicable:
3. Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.;
4. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
5. Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
6. Form OIR-C1-995, incorporated by reference in Rule 69O-136.100, F.A.C.;
7. Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
8. Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;
9. Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;
10. Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;
11. Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;
12. Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;
13. Form OIR-C1-0505, incorporated by reference in Rule 69O-136.100, F.A.C.;
14. Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
15. Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.;
16. Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.; and
5.17. Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
(b) No Change.
(2) License Continuance for Service Warranty Association
(a) No Change
(b) A licensee seeking to continue operating as a service warranty association shall submit the following:
1. Form OIR-A3-110, “License Continuance Form Service Warranty Association,” incorporated by reference in Rule 69O-136.100, F.A.C., effective 07/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16315, filed electronically at https://www.floir.com/iportal; and
2. No Change.
(c) No Change.
(3) Application for License as a Service Warranty Association Manufacturer or Affiliate.
(a) An application for a person applying for a license as a service warranty association manufacturer or affiliate consists of the following:
1. Form OIR-C1-989, “Application for License Service Warranty Association Manufacturer or Affiliate,” incorporated by reference in Rule 69O-136.100, F.A.C.; effective 07/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16316;
2. Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.; and
3. Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
(b) No Change.
(4) License Continuance for Service Warranty Association Manufacturer or Affiliate
(a)1. A service warranty association manufacturer or affiliate’s license shall continue in force as long as licensee is in compliance with the provisions of cChapter 634, pPart III, F.S.
2. No Change.
(b) A licensee seeking to continue operating as a service warranty association manufacturer or affiliate shall submit the following:
1. Form OIR-A3-955, “License Continuance Form Service Warranty Association Manufacturer or Affiliate,” incorporated by reference in Rule 69O-136.100, F.A.C., effective 07/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16317, filed electronically at https://www.floir.com/iportal; and
2. No Change.
(c) No Change.
Rulemaking Authority 634.402 FS. Law Implemented 624.424, 634.407, 634.408, 634.404 FS. History–New 3-28-93, Formerly 4-198.011, Amended 5-25-21, 1-17-24, Formerly 69O-198.011. Amended, ____.
69O-136.052 Home Warranty Associations.
(1) Application for License as a Home Warranty Association.
(a) An application for a person applying for a license as a home warranty association consists of the following if applicable:
2. Form OIR-A3-455, “Home or Service Warranty Association Surety Bond,” incorporated by reference in Rule 69O-136.100, F.A.C.; effective 6/20, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-13052;
3. Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.;
4. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
5. Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
6. Form OIR-C1-995, incorporated by reference in Rule 69O-136.100, F.A.C.;
7. Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
8. Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;
9. Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;
10. Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;
11. Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;
12. Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;
13. Form OIR-C1-0505, incorporated by reference in Rule 69O-136.100, F.A.C.;
14. Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
15. Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.;
16. Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.; and
5. 17. Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
(b) No Change
(2) Annual License Renewal.
(a) No Change
(b) A licensee seeking to continue operating as a home warranty association shall submit the following:
1. Form OIR-A3-1073, “Application for Renewal of License Home Warranty Association,” incorporated by reference in Rule 69O-136.100, F.A.C., effective 07/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16189, filed electronically at https://www.floir.com/iportal, and
2. No Change
(c) No Change
Rulemaking Authority 634.302 FS. Law Implemented 624.424, 634.304, 634.305, 634.306, 634.307, 624.307, 634.3073, 634.315 FS. History–New 7-16-92, Amended 4-3-94, Formerly 4-199.008, Amended 7-30-17, 5-25-21, 1-4-24, Formerly 69O-199.008. Amended, ____.
69O-136.053 Motor Vehicle Service Agreement Companies.
(1) Application for License as a Motor Vehicle Service Agreement Company.
(a) An application for a license as a motor vehicle service agreement company consists of the following if applicable:
1. Form OIR-C1-994, “Application for License Motor Vehicle Service Agreement Company,” incorporated by reference in Rule 69O-136.100, F.A.C.; effective 07/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16226;
2. Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.;
3. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
4. Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
5. Form OIR-C1-995, incorporated by reference in Rule 69O-136.100, F.A.C.;
6. Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
7. Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;
8. Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;
9. Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;
10. Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;
11. Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;
12. Form OIR-C1-0505, incorporated by reference in Rule 69O-136.100, F.A.C.;
13. Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
14. Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.;
15. Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.;
4.16. Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(b) No Change
(2) License Continuance for Motor Vehicle Service Agreement Company.
(a)1. All motor vehicle service agreement company licenses shall continue in force as long as licensee is entitled thereto under cChapter 634, pPart I, F.S.
2. No Change
(b) A licensee seeking to continue operating as a motor vehicle service agreement company shall submit Form OIR-A3-467 LR, “Application for License Continuance Motor Vehicle Service Agreement Company,” incorporated by reference in Rule 69O-136.100, F.A.C., effective 07/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16225, filed electronically at https://www.floir.com/iportal. The form may be obtained from https://www.floir.com/iportal.
Rulemaking Authority 634.021, 634.061(1), (2)(c) FS. Law Implemented 634.041 FS. History–New 5-26-93, Formerly 4-200.004, Amended 8-13-12, 9-28-22, 1-16-24, Formerly 69O-200.004. Amended, ____.
69O-136.054 Legal Expense Insurance Corporations.
(1) Application for Certificate of Authority as a Legal Expense Insurance Corporation.
(a) An application for a person applying for a certificate of authority as a legal expense insurance corporation consists of the following if applicable:
3. Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.;
4. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
5. Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
6. Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
7. Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;
8. Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;
9. Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;
10. Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;
11. Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;
12. Form OIR-C1-0505, incorporated by reference in Rule 69O-136.100, F.A.C.;
13. Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
14. Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.; and
5. 15. Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(b) No Change.
(2) Annual Renewal
(a)1. A legal expense insurance corporation’s certificate of authority shall continue in force as long as the legal expense insurance corporation is in compliance with the provisions of cChapter 642, F.S.
2. No Change.
(b) The qualified certificate of authority holder seeking to continue operating as a legal expense insurance corporation shall submit Form OIR-A3-1077, “Application for License Continuance Legal Expense Insurance,” incorporated by reference in Rule 69O-136.100, F.A.C., effective 07/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16223, at https://www.floir.com/iportal; and
(c) No Change.
Rulemaking Authority 624.308(1), 642.021(2) FS. Law Implemented 624.404, 642.019, 642.021, 642.032 FS. History–New 6-23-92, Formerly 4-201.008, Amended 5-25-21, 1-4-24, Formerly 69O-201.008. Amended, ____.
69O-136.070 Merger or Acquisition of the Attorney-in-Fact of a Domestic Reciprocal Insurer
(1) Any person acquiring the attorney-in-fact of a domestic reciprocal insurer pursuant to section 629.225, F.S., shall comply with the instructions contained on Form OIR-C1-150, “Application for the Acquisition of the Attorney-in-Fact of a Domestic Reciprocal Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C., and shall also comply with directions on, or otherwise submit, the following applicable forms:
(a) Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(b) Form OIR-C1-152, “Letter of Notification Acquisition of the Attorney-in-Fact of a Domestic Reciprocal Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.;
and,
(d) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
(e) In addition, prior to a final decision on whether to approve the proposed acquisition, the Office shall request such other information as is necessary, depending on the facts and circumstances of the specific persons and entities involved, pursuant to section 629.225(3), F.S., to determine the character, experience, ability, and other qualifications required by statute, of the person or affiliated person of such person for the protection of the policyholders and shareholders of the insurer and the public. The Office shall make no final decision on any proposed acquisition without complete information, as required by section 629.225, F.S.
(2) All the forms listed in subsection (1) may be obtained from the Office's website at http://www.floir.com and shall be submitted electronically via the Office's iApply system at https://www.floir.com/iportal.
(3) A retaliatory application fee shall be submitted pursuant to section 624.5091, F.S. The retaliatory fee is the greater of:
(a) The amount that the applicant's domiciliary state or country would charge a Florida domestic insurer making application in the applicant's state or country of domicile; or
(b) The Florida application fee pursuant to section 624.501(1)(a), F.S.
(4) Disclaimer of Control
(a) A person may attempt to rebut a presumption of control pursuant to section 629.225(11), F.S., by electronically filing via the Office's iApply system at https://www.floir.com/iportal one of the following forms with the Office:
1. Form OIR-C1-1467, “Disclaimer of Control - Individual,” incorporated by reference in Rule 69O-136.100, F.A.C.;
2. Form OIR-C1-1468, “Disclaimer of Control - Entity,” incorporated by reference in Rule 69O-136.100, F.A.C.;
3. Form OIR-C1-2211, “Disclaimer of Control – Investment Companies,” incorporated by reference in Rule 69O-136.100, F.A.C.
(b) A person may attempt to rebut a presumption of control pursuant to section 629.225(11), F.S., by filing a copy of a Schedule 13G filed with the Securities and Exchange Commission pursuant to Rule 13d-1(b) or (c), 17 C.F.R. s. 240.13d-1, under the Securities Exchange Act of 1934, as amended, to the Office electronically via the Office's iApply system at https://www.floir.com/iportal.
(c) Pursuant to section 629.225(11), F.S., the Office is authorized to disallow a disclaimer of control filed pursuant to paragraphs (a) and (b).
Rulemaking Authority 624.308(1),629.225(1)(a)1, (11), 629.291(2), 629.525 FS. Law Implemented 624.501, 624.5091, 629.225, 629.227, 629.291 FS. History–New _____.
69O-136.075 Merger or Conversion of a Reciprocal Insurer
(1) A reciprocal insurer may merge with another reciprocal insurer or be converted to a stock or mutual insurer, by filing Form OIR-C1-153, “Application for Merger or Conversion Reciprocal Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C.
(2) A retaliatory application fee shall be submitted pursuant to section 624.5091, F.S. The retaliatory fee is the greater of:
(a) The amount that the applicant’s domiciliary state or country would charge a Florida domestic insurer making application in the applicant’s state or country of domicile; or
(b) The Florida application fee pursuant to section 624.501(1)(a), F.S.
Rulemaking Authority 624.308(1), 629.525, F.S. Law Implemented 624.501, 624.5091, 629.291, F.S. History – New _____.
69O-136.080 Mergers and Acquisition of Controlling Stock of a Florida Domestic Insurer.
(1) Any person acquiring a Florida domestic insurer pursuant to Section 628.461, F.S., shall comply with the instructions contained on Form OIR-C1-918, incorporated by reference in Rule 69O-136.100, F.A.C., and shall also comply with directions, or otherwise submit, the following applicable forms:
(a) No Change.
(b) Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(b)(d) Form OIR-C1-1416, “Uniform Certificate of Authority Application (UCAA) Lines of Insurance,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(c) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.;
(e) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(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.;
(l) Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
(m) 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.;
(d)(o) Form OIR-C1-1524, “Uniform Certificate of Authority Application (UCAA) Uniform Consent to Service of Process,” incorporated by reference in Rule 69O-136.100, F.A.C., if required as per the instructions in Form OIR-C1-918;
(e)(p) Form OIR-C1-2069, “Letter of Notification,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(f)(q) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(g)(r) Form OIR-D0-896, “UCAA Proforma Financial Statements, Property and Casualty Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(h)(s) Form OIR-D0-904, “UCAA Proforma Financial Statements, Life & Health Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(i)(t) Form OIR-D0-2119, “UCAA Proforma Financial Statements, Title Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(j)(u) Form OIR-D0-2165, “UCAA Proforma Financial Statements, Health,” incorporated by reference in Rule 69O-136.100, F.A.C.; and
(k)(v) Prior to a final decision on whether to approve the proposed acquisition, the Office shall request such other information as is necessary, depending on the facts and circumstances of the specific persons and entities involved, pursuant to sSection 628.461(3), F.S., to determine the character, experience, ability, and other qualifications required by statute, of the person or affiliated person of such person for the protection of the policyholders and shareholders of the insurer and the public. The Office shall make no final decision on any proposed acquisition without complete information, as required by sSection 628.461, F.S.
(2) No Change.
(3) Any merger effected between or among one or more domestic or foreign stock insurers authorized to transact insurance in this state and one or more other entities authorized to transact insurance and self-insurance in this state, including a self-insurance trust fund existing pursuant to sSection 627.357, F.S., shall comply with the provisions of sSections 628.461 and 628.451, F.S., and this rule.
(4) Any merger effected involving a not-for-profit health maintenance organization that is in a holding company system shall comply with the provisions of sSections 628.461, 628.471, 641.255 F.S., and this rule.
(5) Any merger effected involving a for-profit health maintenance organization that is in a holding company system shall comply with sSections 628.461, 628.451, 641.255 F.S., and this rule.
(6) A retaliatory application fee shall be submitted pursuant to sSection 624.5091, F.S. The retaliatory fee is the greater of:
(a) through (b). No Change.
(7) Disclaimer of Control
(a) A person may attempt to rebut a presumption of control pursuant to sSection 628.461, F.S., by electronically filing via the Office’s iApply system at https://www.floir.com/iportal one of the following forms with the Office:
1. through 3. No Change
(b) A person may attempt to rebut a presumption of control pursuant to sSection 628.461, F.S., by filing a copy of a Schedule 13G filed with the Securities and Exchange Commission pursuant to Rule 13d-1(b) or (c), 17 C.F.R. s. 240.13d-1, under the Securities Exchange Act of 1934, as amended, to the Office electronically via the Office’s iApply system at https://www.floir.com/iportal.
(c) Pursuant to sSection 628.461(12)(a), F.S., the Office is authorized to disallow a disclaimer of control filed pursuant to paragraphs (a) and (b).
Rulemaking Authority 624.308(1), 624.413(1), 628.461(13), 628.535 FS. Law Implemented 624.307(1), 624.34, 624.404, 624.413, 624.424(6), 624.501, 624.5091, 628.451, 628.461, 628.471, 628.801, 641.255 FS. History–New 6-7-90, Formerly 4-109.002, Amended 5-12-94, 11-7-00, Formerly 4-143.056, Amended 5-31-16, Formerly 69O-143.056, Amended 7-21-22, 1-7-24, ____.
69O-136.090 Merger, Consolidation, or Acquisition of Controlling Stock, Ownership Interests, Assets, or Control of a Specialty Insurer.
(1) Any person acquiring a specialty insurer pursuant to section Section 628.4615, F.S., shall comply with the instructions contained on Form OIR-C1-448, incorporated by reference in Rule 69O-136.100, F.A.C., and shall also comply with directions, or otherwise submit, the following applicable forms:
(a) Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(b) No Change.
(c) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;
(d) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;
(e) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;
(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.;
(l) Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;
(m) 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.;
(d)(o) Form OIR-C1-2069, “Letter of Notification,” incorporated by reference in Rule 69O-136.100, F.A.C.;
(e)(p) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.; and,
(f)(q) No Change.
(2) through (5) No Change.
(6) Disclaimer of Control
(a) A person may attempt to rebut a presumption of control pursuant to Section 628.4615(11), F.S., by electronically filing via the Office’s iApply system at https://www.floir.com/iportal one of the following forms with the Office:
1. Form OIR-C1-1467, “Disclaimer of Control - Individual,” incorporated by reference in Rule 69O-136.100, F.A.C.;
2. Form OIR-C1-1468, “Disclaimer of Control - Entity,” incorporated by reference in Rule 69O-136.100, F.A.C.;
3. Form OIR-C1-2211, “Disclaimer of Control – Investment Companies,” incorporated by reference in Rule 69O-136.100, F.A.C.
(b) A person may attempt to rebut a presumption of control pursuant to Section 628.4615(11), F.S., by filing a copy of a Schedule 13G filed with the Securities and Exchange Commission pursuant to Rule 13d-1(b) or (c), 17 C.F.R. s. 240.13d-1, under the Securities Exchange Act of 1934, as amended, to the Office electronically via the Office’s iApply system at https://www.floir.com/iportal.
(c) Pursuant to sSection 628.4615(11), F.S., the Office is authorized to disallow a disclaimer of control filed pursuant to paragraphs (a) and (b).
Rulemaking Authority 624.308(1), 628.4615(15), 628.535 FS. Law Implemented 624.307(1), 624.34, 624.424(6), 624.501, 624.5091, 626.9928, 628.451, 628.4615, 628.471 634.252, 634.3073, 634.4085, 636.065, 641.255, 641.416, 642.032, 651.024, 651.0245 FS. History–New 7-21-22, Amended 1-7-24, ____.
69O-136.100 Forms Incorporated by Reference.
(1) The forms incorporated in subsection (2) of this rule are available and may be printed from the Office of Insurance Regulation’s website: https://www.floir.com/iportal, and are hereby incorporated by reference.
(2)(a) Forms OIR-A3 Form OIR-B1-PCR3, “Filing requirements Advisory Organization,” effective 7/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16192, electronically at https://www.floir.com/iportal.
1. Form OIR-A3-110, “License Continuance Form Service Warranty Association,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17411;
2. Form OIR-A3-453, “Premium Finance Company Surety Bond,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17413;
3. Form OIR-A3-455, “Home or Service Warranty Association Surety Bond,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17414;
4. Form OIR-A3-467 LR, “Application for License Continuance Motor Vehicle Service Agreement Company,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17415;
5. Form OIR-A3-478, “Legal Expense Insurance Corporation Surety Bond,” effective 01/25, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17416;
6. Form OIR-A3-955, “License Continuance Form Service Warranty Association Manufacturer or Affiliate,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17417;
7. Form OIR-A3-1073, “Application for Renewal of License Home Warranty Association,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17418;
8. Form OIR-A3-1077, “Application for License Continuance Legal Expense Insurance,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17419; and
9. Form OIR-A3-1563, “Application for Renewal of License Premium Finance Company,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17420.
(b) Form OIR-B1-PCR3, “Filing requirements Advisory Organization,” effective 7/23, hereby incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16192, electronically at https://www.floir.com/iportal.
(c)(b) Form OIR-B2-1093, “Small Employer Carrier’s Application to Become a Risk Assuming Carrier or a Reinsuring Carrier, as Required by sSection 627.6699(9), Florida Statutes,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16193.
(d)(c) Forms OIR-C1
1. Form OIR-C1-0500, “UCAA Biographical Affidavit Addendum Blank,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16194;
2. Form OIR-C1-0501, “UCAA Biographical Affidavit Addendum Education,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16195;
3. Form OIR-C1-0502, “UCAA Biographical Affidavit Addendum Employment,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16196;
4. Form OIR-C1-0503, “UCAA Biographical Affidavit Addendum General,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16197;
5. Form OIR-C1-0504, “UCAA Biographical Affidavit Addendum Licenses,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16198;
6. Form OIR-C1-0505, “UCAA Biographical Affidavit Addendum Professional,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16199;
7. Form OIR-C1-0506, “UCAA Biographical Affidavit Addendum Residence,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16200;
8. Form OIR-C1-0507, “UCAA Biographical Affidavit Addendum Societies,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16201;
1.9. No Change.
10. Form OIR-C1-0509, “Uniform Certificate of Authority Application (UCAA) Biographical Affidavit Cover Letter Holding Company Structure,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16203;
2.11. No Change.
3.12. No Change.
4.13. No Change.
14. Form OIR-C1-0520, “Uniform Certificate of Authority Application (UCAA) Primary Application Checklist for Primary Application Only” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16212;
15. Form OIR-C1-0521, “Uniform Certificate of Authority Application (UCAA) Primary Application” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16213;
5.16. No Change.
6. Form OIR-C1-100, “Application for Permit Domestic Stock or Mutual Insurer”, effective 1/25, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17421.
7. Form OIR-C1-101, “Application to Redomesticate a Stock or Mutual Insurer”, effective 1/25, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17422.
8.17. Form OIR-C1-144, “Service of Process Consent & Agreement,” effective 01/25 6/04, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17423 http://www.flrules.org/Gateway/reference.asp?No=Ref-14435;
9. Form OIR-C1-150, “Application for Acquisition of the Attorney-in-Fact of a Domestic Reciprocal Insurer,” effective 01/25, https://www.flrules.org/Gateway/reference.asp?No=Ref-17424;
10. Form OIR-C1-151, “Application for Certificate of Authority Domestic Reciprocal Insurer,” effective 01/25, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17425;
11. Form OIR-C1-152, “Letter of Notification Acquisition of the Attorney-in-Fact of a Domestic Reciprocal Insurer,” effective 01/25, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17426;
12. Form OIR-C1-153, “Application for Merger or Conversion Reciprocal Insurer,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17427;
13. 18. Form OIR-C1-448, “Application for Acquisition of Controlling Stock, Ownership Interest, Assets, or Control of a Florida Specialty Insurer; Merger or Consolidation,” effective 01/25 7/21, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17428 http://www.flrules.org/Gateway/reference.asp?No=Ref-14436;
14. Form OIR-C1-454, “Personal Financial Statement,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17430;
15. Form OIR-C1-471, “Application for Provisional Certificate of Authority for a Continuing Care Provider,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17431;
16. Form OIR-C1-473, “Application for Certificate of Authority for a Continuing Care Provider,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17432;
17. Form OIR-C1-480, “Application for Certificate of Authority Legal Expense Insurance,” effective 01/25, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17433;
18. Form OIR-C1-483, “Application for Certificate of Authority Prepaid Health Clinic,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17434;
19. Form OIR-C1-490, “Application for License Home Warranty Association,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17435;
20.19. Form OIR-C1-513, “Application for Registration as a Risk Retention Group,” effective 01/25 7/23, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17437 http://www.flrules.org/Gateway/reference.asp?No=Ref-16216;
21.20. Form OIR-C1-515, “Application for Registration as a Risk Purchasing Group,” effective 01/25 7/23, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17438; http://www.flrules.org/Gateway/reference.asp?No=Ref-16217;
22.21. Form OIR-C1-845, “Application for Certificate of Authority Commercial Self-Insurance Fund,” effective 01/25 7/23, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17439 http://www.flrules.org/Gateway/reference.asp?No=Ref-16227;
22. Form OIR-C1-905, “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-14437;
23. Form OIR-C1-908, “Application for Permit Domestic Reciprocal Insurer,” effective 01/25 7/23, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17441; http://www.flrules.org/Gateway/reference.asp?No=Ref-16228;
24. No Change.
25. Form OIR-C1-918, “Application for Acquisition of Controlling Stock of a Florida Domestic Insurer,” effective 01/25 7/21, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17442 https://www.flrules.org/Gateway/reference.asp?No=Ref-14438;
26. Form OIR-C1-942, “Application for Certificate of Authority Health Maintenance Organization,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17443; Form OIR-C1-938, “Fingerprint Payment and Submission Procedure,” effective 6/20, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-14439;
27. Form OIR-C1-957, “Instructions for Statutory Compliance of Forms: Premium Finance Companies,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17444;
28. Form OIR-C1-958, “Application for License Premium Finance Company,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17445;
29. Form OIR-C1-983, “Application for Certificate of Authority Multiple Employer Welfare Arrangement,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17446;
30. Form OIR-C1-989, “Application for License Service Warranty Association Manufacturer or Affiliate,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17447;
31. Form OIR-C1-994, “Application for License Motor Vehicle Service Agreement Company,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17448;
32. Form OIR-C1-997, “Application for License Service Warranty Association,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17449;
33. Form OIR-C1-1075, “Application for Certificate of Authority of an Insurance Administrator,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17450;
34. Form OIR-C1-1119, “Application for Certificate of Authority Prepaid Limited Health Service Organization,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17451;
35. Form OIR-C1-1208, “Notification to the Office of Insurance Regulation as a Qualifying Issuer of Donor Annuity Agreements Pursuant to section 627.481, F.S.,” effective 01/25, is hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17452.
36.27. No Change.
37.28. No Change.
38.29. Form OIR-C1-1416, “Uniform Certificate of Authority Application (UCAA) Lines of Insurance,” effective 07/23 1/20, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16232;
39.30. No Change.
31. Form OIR-C1-1423, “Uniform Certificate of Authority Application (UCAA) Biographical Affidavit,” effective 12/20, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-14441
40.32. No Change.
41.33. No Change.
42.34. No Change.
43.35. No Change.
44.36. No Change.
45. Form OIR-C1-1606, “Application for License Discount Plan Organization (DPO),” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17453;
46.37. No Change.
47.38. Form OIR-C1-2069, “Letter of Notification,” effective 01/25 7/23, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17454 http://www.flrules.org/Gateway/reference.asp?No=Ref-16237;
48.39. No Change.
49.40. No Change.
50. Form OIR-C1-2218, “Application for Expansion of a Certificated Continuing Care Facility,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17455;
51. Form OIR-C1-2219, “Application for the Simultaneous Acquisition of a Continuing Care Facility and Issuance of a Certificate of Authority to a Provider,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17456;
52. Form OIR-C1-2220, “Consolidated Application for Provisional Certificate of Authority and Certificate of Authority for a Continuing Care Provider,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17457;
53.41. Form OIR-C1-2221, “Management Information Form,” effective 01/25 6/20, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17458 https://www.flrules.org/Gateway/reference.asp?No=Ref-14446;
54.42. No Change.
55.43. Form OIR-C1-PCR2, “License Renewal Rating Organization,” effective 01/25 7/23, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17459 http://www.flrules.org/Gateway/reference.asp?No=Ref-16239, filed electronically at https://www.floir.com/iportal.
(e)(d) Forms OIR-D0
1. No Change.
2. Form OIR-D0-904, “UCAA Proforma Financial Statements, Life & Health Insurer,” effective 1/19, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-16761 www.flrules.org/14449;
3. through 4. No Change
(3) The “biographical information package” is defined as all of the forms listed in this subsection.
(a) All individuals submitting a biographical information package shall complete and submit forms:
1. Form OIR-C1-938, “Fingerprints and Social Security Number,” effective 01/25, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-17461; and
2. Form OIR-C1-1423, “Uniform Certificate of Authority Application (UCAA) Biographical Affidavit,” effective 12/20, hereby incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-14441;
(b) In addition, the individual shall submit all of the following forms that are applicable to their circumstances:
1. Form OIR-C1-0500, “UCAA Biographical Affidavit Addendum Blank,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16194;
2. Form OIR-C1-0501, “UCAA Biographical Affidavit Addendum Education,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16195;
3. Form OIR-C1-0502, “UCAA Biographical Affidavit Addendum Employment,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16196;
4. Form OIR-C1-0503, “UCAA Biographical Affidavit Addendum General,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16197;
5. Form OIR-C1-0504, “UCAA Biographical Affidavit Addendum Licenses,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16198;
6. Form OIR-C1-0505, “UCAA Biographical Affidavit Addendum Professional,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16199;
7. Form OIR-C1-0506, “UCAA Biographical Affidavit Addendum Residence,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16200;
8. Form OIR-C1-0507, “UCAA Biographical Affidavit Addendum Societies,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16201; and,
9. Form OIR-C1-0509, “Uniform Certificate of Authority Application (UCAA) Biographical Affidavit Cover Letter Holding Company Structure,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16203.
Rulemaking Authority 624.308(1), 624.413(1), 624.439, 624.4431, 624.490, 626.8805(2), 626.8991, 627.481(11), 627.6699, 627.828(2), 628.461(13), 628.4615(15), 628.535, 629.091(2), 629.225(1)(a)1., (11), 629.227(1), 629.525, 634.021, 634.061(1), (2)(c), 634.302, 634.402, 636.067, 636.232, 641.36, 641.403, 641.405(2), 642.021(2), 651.015(3), 651.021(2), 651.022(2), 651.0245(3), (5), (6), 651.0246(1), 651.043, 629.291(1), (2) FS. Law Implemented 624.307(1) 624.321, 624.34, 624.401, 624.404, 624.407, 624.413, 624.422, 624.424(6), 624.438, 624.439, 624.490, 624.501, 624.5091, 626.8805, 627.6699, 626.7451(11). 626.9928, 627.481, 627.828, 627.829, 628.051 628.451, 628.461, 628.4615, 628.471, 628.801, 629.081, 629.091, 629.225, 629.227, 629.291, 634.041, 634.252, 634.304, 634.305, 634.306, 634.307, 634.3073, 634.315, 634.404, 634.407, 634.408, 634.4085, 636.065, 636.005, 636.007, 636.008, 636.009, 636.204, 636.220, 636.226, 636.228, 636.234, 636.236, 641.21, 641.22, 641.227, 641.29(1), 641.255, 641.405, 641.406, 641.407, 641.409, 641.412, 641.416, 641.42, 641.427, 641.43, 641.441, 642.019, 642.021, 642.032, 651.0215, 651.022, 651.023, 651.024, 651.0245, 651.0246, FS. History–New 7-21-22, Amended 1-7-24, .
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: December 17, 2024
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: October 31, 2024
Document Information
- Comments Open:
- 12/30/2024
- Summary:
- Rules 69O-136.002; 69O-136.004, 69O-136.006, 69O-136.007, 69O-136.011, 69O-136.014, 69O-136.015, 69O-136.031, 69O-136.040, 69O-136.041, 69O-136.042, 69O-136.043, 69O-136.044, 69O-136.045, 69O-136.046, 69O-136.047, 69O-136.050, 69O-136.051, 69O-136.052, 69O-136.053, 69O-136.054, 69O-136.070, 69O-136.075, and 69O-136.100, F.A.C. are amended to centrally locate all referenced application forms into Rule 69O-136.100, F.A.C. Rules 69O-136.002, 69O-136.004, 69O-136.006, 69O-136.007, 69O-136.011, 69O-...
- Purpose:
- To implement 2024-182, Laws of Florida, incorporate all forms in Chapter 69O-136, F.A.C., into Rule 69O-136.100, F.A.C., update the referenced forms and update the lists of forms required to be submitted with each application.
- Rulemaking Authority:
- 624.308, 624.413(1), 624.424(1)(c), 624.439, 624.4431, 624.490, 626.8805(2), 626.8991, 627.481(11), 627.6699, 627.828(2), 627.954, 628.461(13), 628.4615(15), 628.535, 629.091(2), 629.225(1)(a)1, (11), 629.227(1), 629.291(2), 629.525, 634.021, 634.061(1), (2)(c), 634.302, 634.402, 636.067, 636.232, 641.36, 641.403, 641.405, 642.021(2), 651.015(3), 651.021(2), 651.022(2), 651.0245(3), (5), (6), 651.0246(1), 651.043, F.S.
- Law:
- 624.09, 624.307(1), (2), (3), (5), 624.316, 624.317, 624.318, 624.321, 624.324, 624.34, 624.401, 624.404, 624.407, 624.408, 624.411, 624.413, 624.414, 624.416(4), 624.422, 624.424, 624.438, 624.439, 624.466, 624.490, 624.501, 624.5091, 624.610(11), 625.306, 626.7451(11), 626.8805, 626.9928, 627.481, 627.6488(1), 627.6699, 627.828, 627.829, 628.041, 628.051, 628.061, 628.071, 628.081, 628.091, 628.121, 628.151, 628.161, 628.171, 628.221, 628.231, 628....
- Related Rules: (15)
- 69O-136.002. Foreign and Alien Insurers Filing for a Certificate of Authority
- 69O-136.004. Surplus Lines
- 69O-136.006. Domestic Insurers Filing for an Application for Permit
- 69O-136.007. Redomestication Procedure
- 69O-136.011. Domestic Insurers Filing for a Certificate of Authority
- More ...