Florida Administrative Code

Rulemaking Authority 624.308 FS. Law Implemented 624.307(1), 624.316(2)(b), 624.321(1)(a), 624.34, 624.401, 624.404, 624.407, 624.413, 624.422, 624.501, 626.9891, 628.161, 628.907 FS. History-New 12-3-00, Formerly 4-136.034, Repealed 1-7-24.

(1) An application for a person applying for a certificate of authority as a health maintenance organization consists of the following: (a) Form OIR-C1-942, "Application for Certificate of Authority Health Maintenance Organization," incorporated by reference in Rule 69O-136.100, …

(1) An application for a person applying for a certificate of authority as a multiple-employer welfare arrangement consists of the following: (a) Form OIR-C1-983, incorporated by reference in Rule 69O-136.100, F.A.C.; (b) The biographical information package as defined in subsect…

(1) Application for Certificate of Authority. (a) An application for a person applying for a certificate of authority for a continuing care provider consists of the following: 1. Form OIR-C1-473, incorporated by reference in Rule 69O-136.100, F.A.C. 2. Form OIR-C1-144, "Service o…

(1) An application for a person applying for a certificate of authority as a prepaid health clinic consists of the following: (a) Form OIR-C1-483, "Application for Certificate of Authority Prepaid Health Clinic," incorporated by reference in Rule 69O-136.100, F.A.C.; (b) The biog…

(1) A person applying for a Certificate of Authority to operate as an insurance administrator, including an applicant seeking to register as a pharmacy benefit manager, shall submit the following: (a) Form OIR-C1-1075, "Application for Certificate of Authority of an Insurance Adm…

(1) Any person engaging in the business of issuing donor annuity agreements must submit Form OIR-C1-1208, "Notification to the Office of Insurance Regulation as a Qualifying Issuer of Donor Annuity Agreements Pursuant to section 627.481, F.S.," incorporated by reference in Rule 6…

(1) A person applying for a certificate of authority as a prepaid limited service organization shall submit the following if applicable: (a) Form OIR-C1-1119, "Application for Certificate of Authority Prepaid Limited Health Service Organization," incorporated by reference in Rule…

(1) A person applying for a certificate of authority as a discount plan organization shall submit the following if applicable: (a) Form OIR-C1-1606, "Application for License Discount Plan Organization (DPO)," incorporated by reference in Rule 69O-136.100, F.A.C.; (b) Form OIR-C1-…

(1) Application for License as a Premium Finance Company. (a) A person applying for a license as a premium finance company shall submit the following if applicable: 1. Form OIR-C1-958, "Application for License Premium Finance Company," incorporated by reference in Rule 69O-136.10…

(1) Application for License as a Service Warranty Association (a) An application for a person applying for a license as a service warranty association consists of the following if applicable: 1. Form OIR-C1-997, "Application for License Service Warranty Association," incorporated…

(1) Application for License as a Home Warranty Association. (a) An application for a person applying for a license as a home warranty association consists of the following if applicable: 1. Form OIR-C1-490, "Application for License Home Warranty Association," incorporated by refe…

(1) Application for License as a Motor Vehicle Service Agreement Company. (a) An application for a license as a motor vehicle service agreement company consists of the following if applicable: 1. Form OIR-C1-994, "Application for License Motor Vehicle Service Agreement Company," …

(1) Application for Certificate of Authority as a Legal Expense Insurance Corporation. (a) An application for a person applying for a certificate of authority as a legal expense insurance corporation consists of the following if applicable: 1. Form OIR-C1-480, "Application for Ce…

(1) Any person acquiring the attorney-in-fact of a domestic reciprocal insurer pursuant to section 629.225, F.S., shall comply with the instructions contained on Form OIR-C1-150, "Application for the Acquisition of the Attorney-in-Fact of a Domestic Reciprocal Insurer," incorpora…

(1) A reciprocal insurer may merge with another reciprocal insurer or be converted to a stock or mutual insurer, by filing Form OIR-C1-153, "Application for Merger or Conversion Reciprocal Insurer," incorporated by reference in Rule 69O-136.100, F.A.C. (2) A retaliatory applicati…

(1) Any person acquiring a Florida domestic insurer pursuant to Section 628.461, F.S., shall comply with the instructions contained on Form OIR-C1-918, incorporated by reference in Rule 69O-136.100, F.A.C., and shall also comply with directions, or otherwise submit, the following…

(1) Any person acquiring a specialty insurer pursuant to section 628.4615, F.S., shall comply with the instructions contained on Form OIR-C1-448, incorporated by reference in Rule 69O-136.100, F.A.C., and shall also comply with directions, or otherwise submit, the following appli…

(1) The forms incorporated in 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. (2)(a) Forms OIR-A3 1. Form OIR-A3-110, "License Continuance Form Service Warranty …

(1) The purpose of this rule is to establish uniform requirements reporting of annual and quarterly statement information for all authorized insurers as defined in Section 624.09, F.S. (2) Each authorized insurer shall file with the Office a full and true statement of its financi…

(1) The purpose of this rule is to improve the Office's surveillance of the financial condition of insurers by requiring an annual audit of financial statements reporting the financial position and the results of operations of insurers by: (a) Independent certified public account…

Section 624.4243(3), F.S., requires that a form for reporting premium growth be adopted by rule for each insurer that has been authorized to transact property and casualty insurance in Florida for less than three years. Form OIR-A1-1229, http://www.flrules.org/Gateway/reference.a…

(1) Any insurer authorized to write a policy or certificate of health insurance in the state shall, on or before April 1 for the preceding year ending December 31, report the information required by; (a) Form OIR-B2-1094, "Report of Gross Annual Premiums and Enrollment Data for H…

(1) Purpose and Scope. The purpose of this rule is to provide procedures for filing statistical reports for individually rated risks pursuant to Section 627.062(3)(a), F.S., and for excess rates pursuant to Section 627.171, F.S., since they are not rated in accordance with the in…

(1) The procedures in this rule apply to all commercial and residential property policies as defined below. Each insurer or insurer group doing business in Florida shall file with the office a market intelligence report with information, listed by company, on personal lines and c…

Rulemaking Authority 624.308(1), 624.424(1)(c), 626.9543(11) FS. Law Implemented 624.307(1), 626.9543 FS. History-New 5-12-99, Formerly 4-137.010, Transferred to 69J-137.010.

Section 624.610(12), F.S., requires each domestic or commercially domiciled insurer ceding directly written risks of loss to file with the office one copy of a summary statement containing information about each treaty. The required information shall be filed on Form OIR-D0-1433 …

(1) In addition to meeting all other requirements of law, each authorized insurer intending to temporarily suspend writing new residential property insurance policies must submit the required notification to the Office the earlier of: (a) 20 business days before the effective dat…

(1) In addition to meeting all other requirements of law, each authorized insurer intending to nonrenew more than 10,000 residential property insurance policies within a 12-month period must submit the required notification to the Office at least 90 days before the issuance of an…

(1)(a) The National Association of Insurance Commissioners Financial Condition Examiners Handbook 2023, is hereby adopted and incorporated by reference. (b) The National Association of Insurance Commissioners Financial Condition Examiners Handbook 2022, is hereby adopted and inco…

(1) This rule establishes rates and procedures for reimbursement to the Office for examination and per diem expenses for examinations conducted by Office employees pursuant to the provisions of Sections 624.316 and 624.3161, F.S. (2) Examination and per diem charges will be compu…

The Office will prioritize scheduling and conducting market conduct examinations of insurers and other entities regulated by the Office based on the following selection methodology. (1) Priority 1 - Statutorily Required Examinations: (a) Pharmacy Benefit Managers, pursuant to s. …

(1) This rule established a risk-based selection methodology for scheduling examinations of insurers subject to the provisions of Section 624.316, F.S. (2) Section 624.316, F.S. permits the Office to examine each insurer holding a certificate of authority for three years or longe…

(1) The Office is required by Section 624.316(1)(a), F.S., to examine the affairs, transactions, accounts, records and assets of each authorized insurer and of the attorney in fact of a reciprocal insurer. The examination standards with which the Office must comply are establishe…

(1) This rule applies to all domestic insurers subject to Part I of Chapter 628, F.S. (2) Definitions. (a) "Coin and currency of the United States," as used in Section 625.306, F.S., shall include demand certificates of deposit as long as the certificates are non-negotiable, can …

(1) This rule implements the provisions of Section 625.331, F.S., and applies to all authorized insurers as defined in Section 624.09, F.S. (2) Automatic Revocation and Renewal Procedure. (a) Each special consent investment currently on an insurer's statutory balance sheet, which…

(1) This rule implements the provisions of Section 625.012(5), F.S., and applies to all authorized insurers as defined in section 624.09, F.S. (2) All agents' balances shall be aged on a separate policy by policy basis. (3) For purposes of determining the admissibility as an asse…

(1) Purpose and Scope. This rule sets forth office policy and legal interpretation concerning applicants for licensure as an assessable mutual insurer and licensed assessable mutual insurers operating under Part II of Chapter 628, F.S. (2) Definitions. (a) "Office" means the Offi…

The purpose of this part is to prescribe: (1) Requirements for statements of actuarial opinion that are to be submitted in accordance with subsection (3) of the Standard Valuation Law, and for supporting memoranda; (2) Rules applicable to the appointment of an appointed actuary; …

(1) This part shall apply to all life and health insurance companies and fraternal benefit societies doing business in this state, and to all life insurance companies and fraternal benefit societies that are authorized to reinsure life insurance, annuities, or accident and health…

(1) "Actuarial Opinion" means the opinion of an appointed actuary regarding the adequacy of the reserves and related actuarial items based on an asset adequacy analysis in accordance with Rule 69O-138.046, F.A.C., and with applicable actuarial standards of practice. (2) "Actuaria…

(1) Submission of Statement of Actuarial Opinion. (a) Included on or attached to Page 1 of the annual statement for each year, shall be the statement of an appointed actuary, entitled "Statement of Actuarial Opinion," setting forth an opinion relating to reserves and related actu…

(1) General Description. The statement of actuarial opinion submitted in accordance with this section shall consist of: (a) A paragraph identifying the appointed actuary and his or her qualifications (see paragraph (2)(a), below); (b) A scope paragraph identifying the subjects on…

(1) General. (a)1. In accordance with subsection (3), of the Standard Valuation Law, the appointed actuary shall prepare a memorandum to the company describing the analysis done in support of his or her opinion regarding the reserves. 2. The memorandum shall be made available for…

Rulemaking Authority 624.308(1) FS. Law Implemented 624.307(1), 624.80-624.87 FS. History-New 1-30-91, Formerly 4-93.001, Amended 5-5-92, Formerly 4-141.001, Repealed 4-27-26.

(1) The Office's determination as to whether the provisions of Part VI, Chapter 624, F.S., regarding administrative supervision are appropriate for an insurer shall be based on the standards set out in Sections 624.80 and 624.81, F.S. (2) Criteria which shall be considered in det…

(1) The plan referred to in Section 624.81(4), F.S., shall where applicable include the actions specified in subsection (2), below. (2) The Office shall if applicable, and upon consent of the supervised insurer: (a) Disregard any credit or amount receivable resulting from transac…

The 120-day limit imposed on extensions of the period of administrative supervision in Section 624.81(7), F.S., shall refer to any one extension, not the sum of the extensions. Rulemaking Authority 624.308 FS. Law Implemented 624.81(7), 624.307(1) FS. History-New 5-5-92, Formerly…

(1) A contract for services of a deputy supervisor pursuant to Section 624.87, F.S., may be executed by the deputy supervisor directly with the insurer at rates of compensation negotiated by the Office. In such situations, the deputy supervisor will be compensated directly by the…

In addition to the cost of travel and related expenses which is to be paid to the Office by the insurer subject to administrative supervision, such insurer shall pay to the Office an amount equal to the fee for examination of insurers as specified in subsection 69O-138.002(3), F.…