Life and Health Product Review

Rate Filing Requirements

Additional Periodic Rate Filings, Certifications or Reports

Annual Rate Certification Filings

Section 627.410(7), Florida Statutes

Rule 69O.149.007,Florida Administrative Code

Universal Standardized Data Letter

Universal Standardized Data Letter Instructions

Actuarial Certification - see Rule 69O.149.007(5) Florida Administrative Code for format

Rule 69O.149.007(5), Florida Administrative Code

Small Employer Group Actuarial Certification

Section 627.6699, Florida Statutes

Rule 69O.149.038(1) (b), Florida Administrative Code

Actuarial Certification - see Rule 69O.149.038(1)(b), FAC for language

Small Employer Group Underwriting Experience Report

Section 627.6699(6((b)5, Florida Statutes

Rule 69O.149.038(3), Florida Administrative Code

OIR-B2-1575 - Small Employer Group Underwriting experience Reporting Form

Annual Medicare Supplement Refund Calculation Report

Section 627.6745(5), Florida Statutes

Rule 69O.156.011(2), Florida Administrative Code

OIR-B2-MSR--Medicare Supplement Refund Calculation Form

OIR-B2-MSB-I -- Reporting Forms for the Calculation of Benchmark Loss Ratio since Inception (Individual)

OIR-B2-MSB-G-- Reporting Forms for the Calculation of Benchmark Loss Ratio since Inception (Group)

Self-Funded Health Benefit Plans for Local Governmental Units

Section 112.08, Florida Statutes

Rule 69O.149.051-053, Florida Administrative Code

OIR-B2-570 -- General Information for Self-funded Health Benefit Plans

OIR-B2-571 -- Specific Information on Self-funded Health Benefit Plans

OIR-B2-572 -- Annual Report of Self-funded Health Benefit Plans

OIR-B2-573 -- Operating Projects for Self-funded Health Benefit Plans

OIR-B2-574 -- Deficit Elimination Plan for Self-funded Health Benefit Plans

Annual Credit Life/Disability Experience Report

Sections 627.676 - 627.6845, Florida Statutes

Rule 690.163.012, Florida Administrative Code

OIR-B2-272 -- Credit Life and Disability Insurance Experience Report (A) - Obsolete

OIR-B2-273 -- Credit Insurance Experience Report Prima Facie Earned Premium (B1) - Obsolete

OIR-B2-274 -- Credit Disability Insurance Experience Report, Prima Facie Earned Premium (B2) - Obsolete

OIR-B2-275 -- Credit Life Insurance Experience, Reconciliation to State Page (C1) - Obsolete

OIR-B2-276 -- Credit Disability Insurance Report, Reconciliation to State Page (C2) - Obsolete

Long-Term Care

Rule 690.157, Florida Administrative Code

OIR-B2-1552 -- Rescission Reporting (Appendix A) Due March 1 Annually

OIR-B2-1553 -- Claims Denial Report Form (Appendix E) Due June 30 Annually

OIR-B2-1554 -- Potential Rate Increase Disclosure Form (Appendix F)

OIR-B2-1555 -- Replacement and Lapse Reporting Form (Appendix J) due June 30 Annually