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Florida Administrative Code (Last Updated: October 28, 2024) |
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69. Department of Financial Services |
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69O. OIR – Insurance Regulation |
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69O-136. Application Procedures For Companies Seeking To Do Business In Florida |
1(1) The forms 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.
30(2)(a) Form OIR-B1-PCR3, “Filing requirements Advisory Organization,” effective 7/23, hereby incorporated by reference and available at 47http://www.flrules.org/Gateway/reference.asp?No=Ref-16192, 49electronically at https://www.floir.com/iportal.
52(b) Form OIR-B2-1093, “Small Employer Carrier’s Application to Become a Risk Assuming Carrier or a Reinsuring Carrier, as Required by Section 73627.6699(9), 74Florida Statutes,” effective 7/23, available at 81http://www.flrules.org/Gateway/reference.asp?No=Ref-1619383.
84(c) Forms OIR-C1
871. Form OIR-C1-0500, “UCAA Biographical Affidavit Addendum Blank,” effective 7/23, available at 100http://www.flrules.org/Gateway/reference.asp?No=Ref-16194;
1022. Form OIR-C1-0501, “UCAA Biographical Affidavit Addendum Education,” effective 7/23, available at 115http://www.flrules.org/Gateway/reference.asp?No=Ref-16195;
1173. Form OIR-C1-0502, “UCAA Biographical Affidavit Addendum Employment,” effective 7/23, available at 130http://www.flrules.org/Gateway/reference.asp?No=Ref-16196;
1324. Form OIR-C1-0503, “UCAA Biographical Affidavit Addendum General,” effective 7/23, available at 145http://www.flrules.org/Gateway/reference.asp?No=Ref-16197;
1475. Form OIR-C1-0504, “UCAA Biographical Affidavit Addendum Licenses,” effective 7/23, available at 160http://www.flrules.org/Gateway/reference.asp?No=Ref-16198;
1626. Form OIR-C1-0505, “UCAA Biographical Affidavit Addendum Professional,” effective 7/23, available at 175http://www.flrules.org/Gateway/reference.asp?No=Ref-16199;
1777. Form OIR-C1-0506, “UCAA Biographical Affidavit Addendum Residence,” effective 7/23, available at 190http://www.flrules.org/Gateway/reference.asp?No=Ref-16200;
1928. Form OIR-C1-0507, “UCAA Biographical Affidavit Addendum Societies,” effective 7/23, available at 205http://www.flrules.org/Gateway/reference.asp?No=Ref-16201;
2079. Form OIR-C1-0508, “Uniform Certificate of Authority Application (UCAA) Affidavit of Lost Certificate of Authority,” effective 7/23, available at 227http://www.flrules.org/Gateway/reference.asp?No=Ref-16202;
22910. Form OIR-C1-0509, “Uniform Certificate of Authority Application (UCAA) Biographical Affidavit Cover Letter Holding Company Structure,” effective 7/23, available at 250http://www.flrules.org/Gateway/reference.asp?No=Ref-16203;
25211. Form OIR-C1-0510, “Uniform Certificate of Authority Application (UCAA) Corporate Amendments Application Application to Amend Certificate of Authority,” effective 7/23, available at 275http://www.flrules.org/Gateway/reference.asp?No=Ref-16206;
27712. Form OIR-C1-0511, “Uniform Certificate of Authority Application (UCAA) Corporate Amendments Application Checklist for Corporate Amendments Application Only,” effective 7/23, available at 300http://www.flrules.org/Gateway/reference.asp?No=Ref-16208;
30213. Form OIR-C1-0512, “Uniform Certificate of Authority Application Questionnaire for Adding or Deleting Lines of Business to an Existing Certificate of Authority,” effective 7/23, available at 329http://www.flrules.org/Gateway/reference.asp?No=Ref-16210;
33114. Form OIR-C1-0520, “Uniform Certificate of Authority Application (UCAA) Primary Application Checklist for Primary Application Only” effective 7/23, available at 351http://www.flrules.org/Gateway/reference.asp?No=Ref-16212;
35315. Form OIR-C1-0521, “Uniform Certificate of Authority Application (UCAA) Primary Application” effective 7/23, available at 368http://www.flrules.org/Gateway/reference.asp?No=Ref-16213;
37016. Form OIR-C1-0522, “Uniform Certificate of Application (UCAA) Change of Mailing Address/Contact Notification Form,” effective 7/23, 387http://www.flrules.org/Gateway/reference.asp?No=Ref-16214;
38917. Form OIR-C1-144, “Service of Process Consent & Agreement,” effective 6/04, available at 403http://www.flrules.org/Gateway/reference.asp?No=Ref-14435;
40518. Form OIR-C1-448, “Application for Acquisition of Controlling Stock, Ownership Interest, Assets, or Control of a Florida Specialty Insurer; Merger or Consolidation,” effective 7/21, available at 432http://www.flrules.org/Gateway/reference.asp?No=Ref-14436;
43419. Form OIR-C1-513, “Application for Registration as a Risk Retention Group,” effective 7/23, available at 450http://www.flrules.org/Gateway/reference.asp?No=Ref-16216;
45220. Form OIR-C1-515, “Application for Registration as a Risk Purchasing Group,” effective 7/23, available at 468http://www.flrules.org/Gateway/reference.asp?No=Ref-16217;
47021. Form OIR-C1-845, “Application for Certificate of Authority Commercial Self-Insurance Fund,” effective 7/23, available at 486http://www.flrules.org/Gateway/reference.asp?No=Ref-16227;
48822. Form OIR-C1-905, “Instructions for Furnishing Background Investigative Reports,” effective 6/20, hereby incorporated by reference and available at 507http://www.flrules.org/Gateway/reference.asp?No=Ref-14437;
50923. Form OIR-C1-908, “Application for Permit Domestic Reciprocal Insurer,” effective 7/23, available at 523http://www.flrules.org/Gateway/reference.asp?No=Ref-16228;
52524. Form OIR-C1-916, “Application for Eligibility as a Surplus Lines Insurer,” effective 7/23, available at www. 542http://www.flrules.org/Gateway/reference.asp?No=Ref-16229;
54425. Form OIR-C1-918, “Application for Acquisition of Controlling Stock of a Florida Domestic Insurer,” effective 7/21, available at 563https://www.flrules.org/Gateway/reference.asp?No=Ref-14438;
56526. Form OIR-C1-938, “Fingerprint Payment and Submission Procedure,” effective 6/20, hereby incorporated by reference and available at 583https://www.flrules.org/Gateway/reference.asp?No=Ref-14439;
58527. Form OIR-C1-1413, “Uniform Certificate of Authority Application (UCAA) Expansion Application,” effective 7/23, available at 601http://www.flrules.org/Gateway/reference.asp?No=Ref-16230;
60328. Form OIR-C1-1414, “Uniform Certificate of Authority Application (UCAA) Expansion Application Checklist For Expansion Application Only,” effective 7/23, available at 624http://www.flrules.org/Gateway/reference.asp?No=Ref-16231;
62629. Form OIR-C1-1416, “Uniform Certificate of Authority Application (UCAA) Lines of Insurance,” effective 1/20, available at 643http://www.flrules.org/Gateway/reference.asp?No=Ref-16232;
64530. Form OIR-C1-1422, “Uniform Certificate of Authority Application Questionnaire,” effective 7/23, available at 659http://www.flrules.org/Gateway/reference.asp?No=Ref-16233;
66131. Form OIR-C1-1423, “Uniform Certificate of Authority Application (UCAA) Biographical Affidavit,” effective 12/20, hereby incorporated by reference and available at 682https://www.flrules.org/Gateway/reference.asp?No=Ref-14441
68432. Form OIR-C1-1424, “Uniform Certificate of Authority Application,” effective 7/23, available at 697http://www.flrules.org/Gateway/reference.asp?No=Ref-16234;
69933. Form OIR-C1-1467, “Disclaimer of Control - Individual,” effective 7/21, available at 712http://www.flrules.org/Gateway/reference.asp?No=Ref-14442
71434. Form OIR-C1-1468, “Disclaimer of Control - Entity,” effective 7/21, available at 727https://www.flrules.org/Gateway/reference.asp?No=Ref-14443;
72935. Form OIR-C1-1522, “Primary Application Florida Specific Information,” effective 7/23, available at 742http://www.flrules.org/Gateway/reference.asp?No=Ref-16235;
74436. Form OIR-C1-1524, “Uniform Certificate of Authority Application (UCAA) Uniform Consent to Service of Process,” effective 12/19, available at 764https://www.flrules.org/Gateway/reference.asp?No=Ref-14444;
76637. Form OIR-C1-1654, “Determination of Eligibility to Operate as an Alien Insurer in Florida Pursuant to Section 783624.402(9), 784Florida Statutes,” effective 7/23, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-16236;
79338. Form OIR-C1-2069, “Letter of Notification,” effective 7/23, available at 804http://www.flrules.org/Gateway/reference.asp?No=Ref-16237;
80639. Form OIR-C1-2176, “Letter of Notification/Registration to Operate as a Non-US Based (Alien) Insurer (also referred to as “Offshore Insurer”) in Florida Pursuant to Section 831624.402(8), 832Florida Statutes,” effective 7/23, available at 839http://www.flrules.org/Gateway/reference.asp?No=Ref-16238;
84140. Form OIR-C1-2211, “Disclaimer of Control – Investment Companies,” effective 7/21, available at 855https://www.flrules.org/Gateway/reference.asp?No=Ref-14445;
85741. Form OIR-C1-2221, “Management Information Form,” effective 6/20, available at 868https://www.flrules.org/Gateway/reference.asp?No=Ref-14446;
87042. Form OIR-C1-PCR1, “Application for License Rating Organization,” effective 7/23, hereby incorporated by reference and available at 888http://www.flrules.org/Gateway/reference.asp?No=Ref-16239; 890and
89143. Form OIR-C1-PCR2, “License Renewal Rating Organization,” effective 7/23, hereby incorporated by reference and available at 908http://www.flrules.org/Gateway/reference.asp?No=Ref-16239, 910filed electronically at https://www.floir.com/iportal.
914(d) Forms OIR-D0
9171. Form OIR-D0-896, “UCAA Proforma Financial Statements, Property and Casualty Insurance Company,” effective 1/19, available at 934https://www.flrules.org/Gateway/reference.asp?No=Ref-14448;
9362. Form OIR-D0-904, “UCAA Proforma Financial Statements, Life & Health Insurer,” effective 1/19, available at 952www.flrules.org/14449;
9533. Form OIR-D0-2119, “UCAA Proforma Financial Statements, Title Insurance Company,” effective 1/19, available at 968https://www.flrules.org/Gateway/reference.asp?No=Ref-14593; 970and
9714. Form OIR-D0-2165, “UCAA Proforma Financial Statements, Health,” effective 1/19, available at 984https://www.flrules.org/Gateway/reference.asp?No=Ref-14450986.
987Rulemaking Authority 989624.308(1), 990624.413(1), 991628.461(13), 992628.4615(15), 993628.535 FS. 995Law Implemented 997624.307(1), 998624.34, 999624.404, 1000624.413, 1001624.424(6), 1002624.501, 1003624.5091, 1004626.9928, 1005628.451, 1006628.461, 1007628.4615, 1008628.471, 1009628.801, 1010634.252, 1011634.3073, 1012634.4085, 1013636.065, 1014641.255, 1015641.416, 1016642.032, 1017651.024, 1018651.0245 FS. 1020History–New 7-21-22, Amended 1-7-24.
