The Office promulgates forms to facilitate the transfer of information from the insurance entities to the Office. These forms have information required by Florida statutes and rules.
Each form has an official form number, which pertains to the agency that generated the form, the area within that agency, and the numeric order of the form being issued. For example, the 11th form issued by the Applications Coordination section would be numbered OIR-C1-11.
OIR-B2-MSR Medicare Supplement Refund Calculation Form
OIR-B2-MSB -- Reporting Forms for the Calculation of Benchmark Loss Ratio since Inception
OIR-B2-1354 Medicare Supplement Application Checklist
Medicare Supplement Application Worksheet
OIR-B2-1355 Medicare Supplement Contract Checklist
Medicare Supplement Contract Worksheet
OIR-B2-1620 Medicare Supplement Advertisement Checklist
Medicare Supplement Advertisement Worksheet
OIR-B2-1621 Medicare Supplement Outline of Coverage Checklist
Medicare Supplement Outline of Coverage Worksheet
OIR-B2-MSC2 Medicare Supplement Revised (MACRA) Outline of Coverage
Medicare Supplement Home