Purpose
The proposed rule is amended to add new subsection 69L-3.012(9), F.A.C., to inform claims-handling entities of notice requirements to employees when the payment of a compensable medical benefit will be apportioned, pursuant to Section 440.15(5), F.S. The proposed rule clarifies that claims-handling entities must provide employees with notification of decisions to apply apportionment prior to the rendering of medical service(s). The proposed rule provides that compliance with the notice requirements is achieved by mailing Form DFS-F2-DWC-12 (Notice of Denial) to the employee as specified. The proposed rule also references the notice required under subsection 69L-7.602(5), F.A.C., that claims handling entities must provide to health care providers. The proposed rule applies for dates of injury occurring on or after October 1, 2003.