Welcome to
the
Office
of Insurance Regulation
Life and Health Product
Review
Rate Filing Requirements
Additional Periodic Rate
Filings, Certifications or
Reports
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Annual Rate
Certification Filings
Section 627.410(7), Florida Statute
Rule 69O.149.007,Florida
Administrative Code
Universal Standardized Data Letter [Word
|
pdf]
Universal Standardized Data Letter Instructions [Word
|
pdf]
Actuarial Certification - see
Rule 69O.149.007(5) Florida Administrative Code for format
Rule 69O.149.007(5), Florida
Administrative Code
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Small Employer Group Acturial
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
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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 [Word |
pdf]
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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 [Word
| pdf]
OIR-B2-MSB-I -- Reporting Forms for the Calculation of
Benchmark Loss Ratio since Inception (Individual)[Word
|
pdf]
OIR-B2-MSB-G-- Reporting Forms for the Calculation of
Benchmark Loss Ratio since Inception (Group) [Word
|
pdf]
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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 [Word |
pdf]
OIR-B2-571 -- Specific Information on Self-funded Health
Benefit Plans [Word |
pdf]
OIR-B2-572 -- Annual Report of Self-funded Health Benefit
Plans [Word |
pdf]
OIR-B2-573 -- Operating Projects for Self-funded Health
Benefit Plans [Word
| pdf]
OIR-B2-574 -- Deficit Elimination Plan for Self-funded Health
Benefit Plans [Word |
pdf]
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Annual Credit Life/Disability Experience
Report
Sections
627.676 -
627.6845, Florida Statute
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
Rule 690.157, Florida Administrative Code
OIR-B2-1552 (10/02) - Rescission Reporting (Appendix A) Due
March 1 Annually [Word |
pdf]
OIR-B2-1553 (10/02) - Claims Denial Report Form (Appendix E)
Due June 30 Annually [Word
|
pdf]
OIR-B2-1554 (10/02) - Potential Rate Increase Disclosure Form
(Appendix F) [Word |
pdf]
OIR-B2-1555 (10/02) - Replacement and Lapse Reporting Form
(Appendix J) due June 30 Annually [Word
|
pdf]
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