Rules Review by JAPC

69L-3.001. Purpose

69L-3.002. Definitions

69L-3.003. Procedures For Filing Documents

69L-3.004. First Report Of Injury Or Illness: Employer'S Responsibility To Record And Report Accidents

69L-3.009. Injuries That Qualify As Grievous Bodily Harm Of A Nature That Shocks The Conscience

69L-3.012. Notice Of Denial

69L-3.016. Claim Cost Report

69L-3.017. Notice Of Apportionment Of Medical Reimbursement Due To A Pre-Existing Condition(S)

69L-3.018. Wage Loss Benefits Due To Permanent Impairment (Dates Of Accident August 1, 1979 Through December 31, 1993)

69L-3.019. Wage Loss Benefits For Temporary Partial Disability (Dates Of Accident August 1, 1979 Through December 31, 1993)

69L-3.021. Additional Income Source Reports

69L-3.025. Forms

69L-3.0033. Electronic Filing Of Workers' Compensation Forms

69L-3.0035. Injured Worker Informational Brochure

69L-3.0036. Employer Informational Brochure

69L-3.0045. First Report Of Injury Or Illness: Claim Administrator'S Responsibility To Record And Report Accidents

69L-3.0046. Wage Statement: Employer'S And Claims Administrator'S Responsibility To Record And Report Wages

69L-3.0047. Fraud Statement

69L-3.0085. Funeral Expense Bills

69L-3.0091. Notice Of Action/Change

69L-3.0191. Temporary Disability Benefits (Dates Of Accident January 1, 1994 Through September 30, 2003)

69L-3.0192. Impairment Income Benefits (Dates Of Accident January 1, 1994 Through September 30, 2003)

69L-3.0193. Supplemental Income Benefits (Dates Of Accident January 1, 1994 Through September 30, 2003)

69L-3.0194. Permanent Total And Permanent Total Supplemental Benefits For Dates Of Accident Prior To October 1, 2003)

69L-3.0195. Forms

69L-3.0212. Monthly Risk Class/Sic Code Report

69L-3.0213. Aggregate Claims Administration Change Report

69L-3.0214. Aggregate Defense Attorney Fee Report

69L-3.01915. Temporary Partial Disability Benefits (Dates Of Accident On Or After October 1, 2003)

69L-3.01925. Impairment Income Benefits (Dates Of Accident On Or After October 1, 2003)

69L-3.01945. Permanent Total And Permanent Total Supplemental Benefits For Dates Of Accident On Or After October 1, 2003

69L-4.001. Reporting Assessment Information And Paying Assessments

69L-4.002. Offsets For Dividends And Premium Refunds

69L-5.101. Definitions

69L-5.102. General Requirements

69L-5.103. Application

69L-5.104. Alternate Method Of Application

69L-5.105. General Requirements

69L-5.106. Financial Statement Or Financial Summary

69L-5.107. Actuarial Reports

69L-5.108. Security Deposits

69L-5.109. Excess Insurance

69L-5.110. Experience Records

69L-5.111. Late Reports; Penalties

69L-5.112. General Requirements

69L-5.113. Application To Provide Servicing

69L-5.114. Retaining Authorization As Service Company; Recertification

69L-5.115. Withdrawal Of Authorization

69L-5.116. Review And Audit

69L-5.117. Forms, Manuals, And Instructions

69L-5.201. Definitions

69L-5.202. Scope Of Self-Insurance Authorization

69L-5.203. Payroll Reporting

69L-5.204. Maintenance Of Payroll Records, Review And Audit

69L-5.205. Loss Data Reporting

69L-5.206. Maintenance Of Loss Data Records, Review And Audit

69L-5.207. Outstanding Liabilities Reporting

69L-5.208. Maintenance Of Outstanding Liabilities Records, Review And Audit

69L-5.209. Financial Statements Reporting

69L-5.210. Actuarial Reports

69L-5.211. Changes In Anniversary Rating Date

69L-5.212. Contact Information Reporting

69L-5.213. Subsidiary, Affiliate And Location Reporting

69L-5.214. Indemnity Agreements For Affiliated Self-Insurers

69L-5.215. Division Of Worker'S Compensation Parental Guaranty

69L-5.216. Provision Of Benefits And Safe Working Environment By Self-Insurers

69L-5.217. Civil Penalties And Fines

69L-5.218. Security Deposits

69L-5.219. Excess Insurance

69L-5.220. Drug-Free Workplace Premium Credit Program

69L-5.221. Safety Program Premium Credit

69L-5.222. Revocation And Employer Compliance

69L-5.223. Election Process

69L-5.224. Termination

69L-5.225. Requirements

69L-5.226. Application Process

69L-5.227. Alien Corporations Additional Requirements

69L-5.228. Termination

69L-5.229. Application Process

69L-5.230. Contracting With A Qualified Servicing Entity

69L-5.231. Forms And Instructions

69L-6.007. Compensation Notice

69L-6.008. Compensation Insurance By An Insurer

69L-6.009. Forms And Instructions

69L-6.012. Notice Of Election To Be Exempt

69L-6.014. Policy Information Electronic Filing Requirements For Insurers

69L-6.015. Record Maintenance And Production Requirements For Employers

69L-6.016. Definitions

69L-6.019. Policies And Endorsements Covering Employees Engaged In Work In Florida

69L-6.021. Construction Industry Classification Codes, Descriptions, And Operations Scope Of Exemption

69L-6.022. Confidentiality Of Records Produced By The Division

69L-6.023. Non-Construction Limited Liability Company Members

69L-6.024. Subcontractors Requirement Regarding Proof Of Coverage

69L-6.025. Conditional Release Of Stop-Work Order And Periodic Payment Agreement

69L-6.026. C Periodic Reports

69L-6.027. Penalty Calculation Worksheet

69L-6.028. Procedures For Imputing Payroll And Penalty Calculations

69L-6.029. Employer Worksites

69L-6.030. Penalties For Employers Currently In Compliance Previously Failing To Secure The Payment Of Compensation

69L-6.031. Stop-Work Orders In Effect Against Successor Corporations Or Business Entities

69L-6.032. Contractor Requirements For Obtaining Evidence That Subcontractors Possess Workers' Compensation Insurance Or Otherwise Comply With Chapter 440, Florida Statutes

69L-6.035. Definition Of Payroll For Calculating Penalty

69L-7.020. Florida Workers' Compensation Health Care Provider Reimbursement Manual

69L-7.100. Florida Workers' Compensation Reimbursement Manual For Ambulatory Surgical Centers (Ascs)

69L-7.501. Florida Workers' Compensation Reimbursement Manual For Hospitals

69L-7.602. Florida Workers' Compensation Medical Services Billing, Filing And Reporting Rule

69L-7.603. Reporting Maximum Medical Improvement And Permanent Impairment

69L-7.710. Definitions

69L-7.720. Forms Incorporated By Reference For Medical Billing, Filing And Reporting

69L-7.730. Health Care Provider Medical Billing And Reporting Responsibilities

69L-7.740. Insurer Authorization And Medical Bill Review Responsibilities

69L-7.750. Insurer Electronic Medical Report Filing To The Division

69L-8.071. Materials For Use With The Florida Workers' Compensation Health Care Provider Reimbursement Manual

69L-8.072. Materials For Use With The Florida Workers' Compensation Reimbursement Manual For Ambulatory Surgical Centers

69L-8.073. Materials For Use With The Florida Workers' Compensation Hospital Reimbursement Manual

69L-8.074. C

69L-9.015. Drug Testing Criteria

69L-10.006. Definitions

69L-10.012. Review Of Proof Of Claim

69L-10.015. Deemed Denial - 120 Day Time Period

69L-10.016. Documenting Expenditures For Purposes Of Obtaining Reimbursement

69L-10.017. Reimbursement To Subsequent Employer

69L-10.019. Forms

69L-10.0165. On-Site Audit Criteria

69L-11.002. Definitions

69L-11.003. Procedure For Obtaining Identity Card

69L-11.004. Time And Procedure For Notifying Injured Employees

69L-11.005. Documentation Of Placement Of A Preferred Worker

69L-11.006. Time For Filing Application For Identity Card

69L-11.007. Documentation For Reimbursement Of Premium

69L-11.008. Time For Requesting Reimbursement

69L-11.009. Procedure When Eligibility For A Card Is Denied

69L-11.010. Procedure When Request For Reimbursement Of Premium Is Denied

69L-11.011. Forms

69L-22.001. Definitions

69L-22.002. Rehabilitation Provider Qualifications

69L-22.003. Reemployment Status Review

69L-22.004. Notice Requirements

69L-22.005. Carrier Referrals For Services

69L-22.006. Screening Process

69L-22.007. Vocational Evaluations

69L-22.008. Reemployment Services And Programs

69L-22.009. Employee Responsibilities

69L-22.010. Reporting Services And Costs: Qualified Rehabilitation Provider And Employer Or Carrier Responsibilities

69L-22.011. List Of Forms

69L-22.012. Expenditures From The Workers' Compensation Administrative Trust Fund

69L-22.0031. Reemployment Assessments

69L-24.001. Purpose

69L-24.002. Scope

69L-24.003. Definitions

69L-24.004. Monitoring, Examining And Investigating

69L-24.005. Maintaining And Providing Records

69L-24.006. Administrative Penalties And Fines

69L-24.007. Pattern Or Practice

69L-24.021. Minimum Performance Standards

69L-24.022. Auditing

69L-24.024. Medical Penalties

69L-24.0211. Monitoring

69L-24.0222. Re-Audit And Certification For Noncompliance

69L-24.0231. Benefits And Administration Trust Fund Penalties Improper Filing Practices

69L-24.0241. Employee Failure To Appear For Independent Medical Examination

69L-26.002. Definitions

69L-26.003. Computation Of Time

69L-26.004. Requesting Assistance

69L-29.001. Definitions

69L-29.002. Eligibility Requirements For Certification

69L-29.003. Certification Time Frames

69L-29.004. Occasional Health Care Providers

69L-29.005. Revocation Of Certification Status

69L-29.006. Decertification Process

69L-29.007. Recertification Process

69L-29.008. Verification Of Certification Status

69L-29.009. Carrier Responsibilities

69L-29.010. Certified Provider Responsibilities

69L-29.011. Workers' Compensation Certification Training Courses

69L-30.002. Definitions

69L-30.003. Qualifications For Expert Medical Advisor Certification And Re-Certification

69L-30.004. Application Process For Expert Medical Advisor Certification

69L-30.005. Selection Of Expert Medical Advisors

69L-30.006. Temporary Expert Medical Advisors

69L-30.007. Expert Medical Advisor Responsibilities

69L-30.008. Billing And Reimbursement For Expert Medical Advisor Services

69L-30.010. Expert Medical Advisor Decertification

69L-31.002. Definitions

69L-31.003. Petition For Resolution Of Reimbursement Dispute Form And Requirements

69L-31.004. Carrier Response To Petition For Resolution Of Reimbursement Dispute Form And Requirements

69L-31.005. Written Determinations

69L-31.006. Consolidation Of Petitions

69L-31.007. Service Of Petition On Carrier And All Affected Parties

69L-31.008. Computation Of Time

69L-31.009. Carrier Response Requirements

69L-31.010. Effect Of Non-Response By Carrier

69L-31.011. Complete Record

69L-31.012. Joint Stipulation Of The Parties

69L-31.013. Petition Withdrawal

69L-31.014. Overutilization Issues Raised In Reimbursement Dispute Resolution

69L-31.015. Managed Care Arrangements

69L-31.016. Reimbursement Disputes Involving A Contract Or Workers' Compensation Managed Care Arrangement Or Involving Compensability Or Medical Necessity

69L-31.017. Carrier And Health Care Provider Non-Compliance

69L-34.001. Definitions

69L-34.002. Mandatory Carrier Reporting

69L-34.003. Elective Referral Of Alleged Health Care Provider Violation

69L-34.004. Timeliness Of A Referral

69L-34.005. Referral Investigation

69L-34.006. Invalid Referrals

69L-56.001. Forms And Instructions

69L-56.002. Definitions

69L-56.100. Proof Of Coverage (Poc) Electronic Reporting Requirements

69L-56.110. Technical Requirements For Poc Edi Transmissions

69L-56.200. Policy Cancellation Or Non-Renewal Requirements

69L-56.205. Policy Reporting Requirements For Employee Leasing Companies

69L-56.210. Time Periods For Filing Electronic Policy Information

69L-56.300. Claims Edi Reporting Requirements And Implementation Schedules

69L-56.301. Electronic First Report Of Injury Or Illness

69L-56.304. Electronic Notice Of Action Or Change, Including Change In Claims Administration, Required By The Insurer'S Primary Implementation Schedule

69L-56.307. Electronic Cancellation Of Claim

69L-56.310. Technical Requirements For Claims Edi Transmissions

69L-56.320. Claims Edi Test And Production Status Requirements

69L-56.330. Electronic Formats For Reporting The Employee'S 8th Day Of Disability And The Claim Administrator'S Knowledge Of The 8th Day Of Disability

69L-56.500. Insurer Responsibilities Where Third Party Services Are Utilized

69L-56.3012. Electronic Notice Of Denial And Rescinded Denial

69L-56.3013. Electronic Periodic Claim Cost Reports

69L-56.3045. Electronic Notice Of Action Or Change, Suspensions, And Reinstatement Of Indemnity Benefits Required By Insurer'S Secondary Implementation Guide