Application for Certificate of Authority, Annual and Quarterly Reports, Forms Incorporated by Reference
DEPARTMENT OF FINANCIAL SERVICES
RULE NOS.:RULE TITLES:
69O-203.020Application for Certificate of Authority
69O-203.070Annual and Quarterly Reports
69O-203.210Forms Incorporated by Reference
NOTICE OF CHANGE
Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 48 No. 69, April 8, 2022 issue of the Florida Administrative Register.
69O-203.020 Prepaid Limited Health Service Organization Application
(1) A person applying for a certificate of authority as a prepaid limited service organization shall submit the following:
(a) Form OIR-C1-1119, “Application for Certificate of Authority Prepaid Limited Health Service Organization,” effective 5/22 6/20, hereby incorporated by reference and available at www.flrules.org/XXXXX;
(b) No change.
(c) Form OIR-C1-938, “Fingerprint Payment and Submission Procedure Procedures,” effective 6/20, hereby incorporated by reference and available at www.flrules.org/XXXXX;
(d) No change.
(2) A person shall submit the forms listed in subsection (1) electronically via the Office’s iApply system at https://www.floir.com/iportal. The forms may be obtained from https://www.floir.com/iportal.
Rulemaking Authority 636.067 FS. Law Implemented 636.005. 636.007, 636.008, 636.009 FS. History–New 11-15-94, Formerly 4-203.020. Amended _______.
69O-203.070 Annual and Quarterly Reports.
(1) Each PLHSO shall file with the Office a full and true report of its financial condition, transactions, and affairs.
(a) An Annual Report covering the preceding fiscal year shall be filed on or before April 1 or within 3 months of the end of the reporting period of the PLHSO clinic.
1. For the purpose of this rule, the requirement that the Annual Report be filed with the Office means the Annual Report has been The Annual Report shall be transmitted electronically to the National Association of Insurance Commissioners and that the executed Jurat page of said report has been transmitted electronically to the Office via the Regulatory Electronic Filing System, “REFS.” The date affixed by the Office’s electronic data processing system shall serve as evidence of the timeliness of the Annual Report. An Annual Report in any other format shall not be submitted to the Office.
2. through 4. No change.
(b) Form OIR-A2-949, “Annual Report Contracts Issued& Outstanding,” effective 12/20, hereby incorporated by reference and available www.flrules.org/XXXXX. Form OIR-A2-949 shall be submitted electronically on or before April 1 or within 3 months of the end of the reporting period of the PLHSO clinic via the Office’s system at https://www.floir.com/iportal. The form may be obtained from https://www.floir.com/iportal.
(c) Form OIR-A2-950, “Annual Report Damage Claims& Medical Injury,” effective 12/20, hereby incorporated by reference and available at www.flrules.org/XXXXX. Form OIR-A2-950 shall be submitted electronically on or before April 1 or within 3 months of the end of the reporting period of the PLHSO clinic via the Office’s system at https://www.floir.com/iportal. The form may be obtained from https://www.floir.com/iportal.
(d) No change.
(2) through (6) No change.
Rulemaking Authority 636.067 FS. Law Implemented 636.009(1)(i) 636.009(1)(f), 636.043, 636.058 FS. History–New 11-15-94, Formerly 4-203.070, Amended 9-16-08. Amended _______.
69O-203.210 Discount Plan Organization Application
(1) A person applying for a certificate of authority as a discount plan organization shall submit the following:
(a) Form OIR-C1-1606, “Application for License Discount Plan Organization (DPO),” effective 5/22 6/20, hereby incorporated by reference and available at www.flrules.org/XXXXX http://www.flrules.org/Gateway/reference.asp?No=Ref-10323;
(b) Form OIR-C1-144, “Service of Process Consent& Agreement,” effective 6/04, hereby incorporated by reference and available at www.flrules.org/XXXXX http://www.flrules.org/Gateway/reference.asp?No=Ref-10326;
(c) Form OIR-C1-905, “Instructions for Furnishing Background Investigative Reports,” effective 6/20, hereby incorporated by reference and available at www.flrules.org/XXXXX http://www.flrules.org/Gateway/reference.asp?No=Ref-10329;
(d) Form OIR-C1-938, “Fingerprint Payment and Submission Procedure Procedures,” effective 6/20, hereby incorporated by reference and available at www.flrules.org/XXXXX http://www.flrules.org/Gateway/reference.asp?No=Ref-10325;
(e) Form OIR-C1-1423, “Biographical Affidavit,” effective 6/20, hereby incorporated by reference and available at www.flrules.org/XXXXX http://www.flrules.org/Gateway/reference.asp?No=Ref-10324; and
(f) Form OIR-C1-2221, “Management Information Form,” effective 6/20, hereby incorporated by reference and available at www.flrules.org/XXXXX http://www.flrules.org/Gateway/reference.asp?No=Ref-10327; and
(2) A person shall submit the forms listed in subsection (1) electronically via the Office’s iApply system at https://www.floir.com/iportal. The forms may be obtained from https://www.floir.com/iportal.
Rulemaking Authority 624.424(1)(c), 636.232 FS. Law Implemented 624.424, 636.204, 636.218, 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. Amended _______.
