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Office of Insurance Regulation

Form Number

Document Information

OIR-B2-1093[Word | pdf]

These forms must be submitted by each small group health insurance issuer prior to participating in the small group market. Rev. 9/95

Required by Section 627.6699(9), Florida Statutes

OIR-B2-1094

[pdf]

Instructions

[Word | pdf]

This report must be submitted by each issuer of health benefit plans displaying the total earned premium/losses both small group market plan type (i.e. standard, basic, etc.) and by market type (i.e. large group, individual). Rev. 9/95

Required by Section 627.6699(5)(i)4, Florida Statutes & Chapter 4-154.513(1), F.A.C. (proposed rule).

OIR-B2-1095

[Word | pdf]

This form must be submitted by each small group health issuer requesting a change to the election status for the issuer. Rev. 8/93

Required by Section 627.6699(9), Florida Statutes.

OIR-B2-1117[pdf]

These reports must be prepared on a calendar quarter basis by all small employer carriers conducting business in the state of Florida.

Required by Section 627.6699(8)(d), Florida Statutes & Chapter 4-449.038(3), F.A.C.

OIR-B2-1304

[Word | pdf]

This report must be submitted by each individual health insurance issuer requesting an application to change the election status currently in effect for the issuer. Rev.3/99

Required by Section 627.6475(5)(b), Florida Statutes & Chapter 4-154.515(1), F.A.C. (proposed rule).

OIR-B2-1311

[Word | pdf]

These Forms must be submitted by an individual health insurance issuer prior to participating in the individual market.

Required by Section 627.6475(5), Florida Statutes & Chapter 4-154.115(b), F.A.C. (proposed rule).

OIR-B2-1361

[Word | pdf]

These forms must be provided by health insurance issuers in the individual health insurance market and will be used as necessary to comply with request for certification of creditable coverage.

OIR-B2-1362

[Word | pdf]

These forms must be provided by health insurance issuers in the group health insurance market and will be used as necessary to comply with request for certification of creditable coverage.

OIR-B2-1386

[pdf]

This report must be submitted by each Florida licensed insurer to determine the participation in the Florida individual health insurance market. Rev. 8/98

Required by Section 627.6487(4)(b), Florida Statutes & Chapter 4-154.112(3), F.A.C. (proposed rule).