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Life and Health Product Review

Florida Administrative Code and Rule Appendices

Please note:  Life and Health Rules are located in Chapter 69O of the Florida Administrative Code

Medical Trend

Rule Appendices

Rule 69O Filing of Forms and Rates for Life/Health Insurance

  • Rule 69O-149
Filing of Forms and Rates for Life/Health Insurance

Appendix A:  Illustrative Experience Exhibit (02/2004)

Appendix A:  Illustrative Experience Exhibit (02/2004), page 2

  • Rule 69O-156 Medicare Supplement Insurance
  • Rule 69O-156

Appendix A:  Disclosure Statements

  • Rule 69O-157 Long-Term Care Health Coverage
  • Rule 69O-157

Long-Term Care Health Coverage

Appendix A: Rescission Reporting Form for Long-Term Care Policies for the State of Florida for the Reporting Year 20[ ]

Appendix B: Long Term Care Insurance Personal Worksheet

Appendix C: Things You Should Know Before You Buy Long-Term Care Insurance

Appendix D: Long-Term Care Insurance Suitability Letter

Appendix E: Claims Denial Reporting Form Long-Term Care Insurance for the State of Florida

Appendix F: Long Term Care Insurance Potential Rate Increase Disclosure Form

Appendix G: Notice to Applicant Regarding Replacement of Individual Accident And Sickness or Long-Term Care Insurance

Appendix H: Notice to Applicant Regarding Replacement of Accident and Sickness or Long-Term Care Insurance

Appendix I: Long-Term Care Insurance Outline of Coverage

Appendix J: Long-Term Care Insurance Replacement and Lapse Reporting Form