To adopt updated forms commonly used by Specialty Insurers.

DEPARTMENT OF FINANCIAL SERVICES
OIR – Insurance Regulation

RULE NO: RULE TITLE
69O-207.003: Forms Incorporated By Reference
PURPOSE AND EFFECT: To adopt updated forms commonly used by Specialty Insurers.
SUMMARY: Adoption of forms.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared.
Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
SPECIFIC AUTHORITY: 624.308(1) FS.
LAW IMPLEMENTED: 624.307(1), 626.8805, 626.9912, 626.9913, 626.99175, 627.829, 628.4615, 634.031, 634.061, 634.303, 634.304, 634.3073, 634.407, 641.405, 642.021 FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE,TIME AND PLACE SHOWN BELOW(IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):
DATE AND TIME: May 29, 2007, 9:30 a.m.
PLACE: Room 116, Larson Building, 200 East Gaines Street, Tallahassee, Florida
Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 5 days before the workshop/meeting by contacting: Sandra DuPont, Specialty Product Administration, Office of Insurance Regulation, E-mail [e-mail]. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Sandra DuPont, Specialty Product Administration, Office of Insurance Regulation, E-mail [e-mail]

THE FULL TEXT OF THE PROPOSED RULE IS:

69O-207.003 Forms Incorporated by Reference.

(1) The following forms are hereby adopted and incorporated into this rule chapter by reference:

(a) Form OIR-C1-144, Service of Process Consent And Agreement, (REV. 06/2004);

(b) Form OIR-C1-448, Statement of Acquisition, Merger or Consolidation of a Specialty Insurer, (REV. 01/07);

(c) Form OIR-C1-903, Invoice for Non-U.S. Citizens With No Social Security Number, (REV. 12/05);

(d) Form OIR-C1-905, Instructions for Furnishing Background Investigative Reports, (REV. 10/05);

(e) Form OIR-C1-938, Fingerprint Card and Payment Instructions, (REV. 12/05);

(f) Form OIR-C1-1298, Management Information Form, (REV. 10/05); and

(g) Form OIR-C1-1423, Biographical Affidavit, (January 27, 2005).

(2) All of the above referenced forms are available and may be printed from the Office’s website: http://www.floir.com.

(3) All forms submitted by a licensee for approval shall be submitted electronically to https://iportal.fldfs.com.

Specific Authority 624.308(1), 626.8991, 626.9925, 628.535, 634.021, 634.302, 634.402 FS. Law Implemented 624.307(1), 626.8805, 626.9912, 626.99175, 627.829, 628.4615, 634.031, 634.061, 634.303, 634.304, 634.3073, 634.407, 642.021, 651.021 FS. History–New__________.

NAME OF PERSON ORIGINATING PROPOSED RULE: Sandra DuPont, Specialty Product Administration, Office of Insurance Regulation
NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Jovita Ashton, Director, Specialty Product Administration, Office of Insurance Regulation
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: March 13, 2007
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: October 13, 2006