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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-203. Prepaid Limited Health Service Organizations And Discount Medical Plan Organizations |
1(1) Every group or individual subscriber contract and every rider, endorsement, certificate, application, or other form to be used or issued in connection with any subscriber contract shall be filed by the PLHSO for approval by the Office before it may be delivered in this state, pursuant to the criteria in section 53636.018, F.S.
55(2) Every form required to be filed by the PLHSO shall be identified by a unique form number, placed in the lower left hand corner of each form.
83(3) Filing Format for All Forms. PLHSOs in possession of a Certificate of Authority shall submit contract filings to the Office electronically through http://www.floir.com/iportal. A filing shall consist of one copy of each of the following items:
120(a) A brief letter explaining the type and nature of the filing. The letter shall indicate if the filing is for a new product, or a resubmission. If the filing is a resubmission, the letter shall indicate when the previous filing was submitted, the Florida filing number, and the date of the disapproval.
173(b) Form OIR-B2-1507, “Office of Insurance Regulation, Life and Health Forms and Rates Universal Standardized Data Letter” as adopted in rule 19469O-149.022, 195F.A.C., completely filled out in accordance with Form OIR-B2-1507A, “Office of Insurance Regulation, Life and Health Forms and Rates Universal Standardized Data Letter Instruction Sheet,” as adopted by rule 22569O-149.022, 226F.A.C.
227(c) The form being submitted by the PLHSO for approval.
237(d) An actuarial memorandum consistent with the requirements of rule 24769O-203.045, 248F.A.C.
249(e) Rate pages that define all proposed rates, rating factors, and methodologies for determining rates applicable in the state.
268Rulemaking Authority 270636.067 FS. 272Law Implemented 274624.424, 275636.016, 276636.017, 277636.018 FS. 279History–New 11-15-94, Amended 9-23-02, 6-19-03, Formerly 4-203.042, Amended 7-30-17.
