Rule Chapter 69D-2, FAC has been adopted September 15, 2006.  Effective 20 days from this date insurers and Health Maintenance Organizations (HMO) must file updated SIU Descriptions or Anti-fraud plans pursuant to section 626.9891, Florida Statutes.   The type of filing will be differentiated by the insurer’s volume of Florida annual direct written premium for calendar year 2006. Those insurers that write $10 million or more in annual direct written premium are subject to Section 626.9891(1), F.S. and 69D-2.003, FAC and those that write less than $10 million in annual direct written premium are subject to Section 626.9891(2), F.S. and 69D-2.004, FAC.   

Rule Chapter 69D-2, FAC requires that insurers and HMOs file the updated SIU descriptions and anti-fraud plans on the division’s on-line, electronic database known as IFPR (INSURANCE FRAUD PLAN REPORTING).  Further, the rule stipulates that insurers and HMOs must file the updated SIU descriptions AND/OR anti-fraud plans on FORMS specified by the division.  There are only two types of forms available.  The available forms are indicated below.  An insurer or HMO will only make one filing, either the SIU description or anti-fraud plan depending on their premium volume.  

The insurer or HMO user will first select the type of form that they should file. 
 

Form DFS-L1-1689/SIU Description – Word – if more than $10 million in Florida annual direct written premium.
Form DFS-L1-1689 (Word)
Form DFS-L1-1689 (PDF) 

Form DFS-L1-1690/Anti-fraud plans – Word – if less than $10 million in Florida direct written premium
Form DFS-L1-1690 (Word)
Form DFS-L1-1690 (PDF) 

Once the form is selected, the user will click on the form and “save” the form file to your computer files.  You can save it as the form #, but it may be better to rename it after the form has been completed.  The insurer or HMO should complete each component requirements (Questions) on the form.  After the user has completed the correct form, the user will return to IFPR so that the filing can be made.   You can  click  “Instructions for Filing SIU Descriptions and Anti-fraud plans to IFPR” for detailed instructions to make the filing. Important note: The SIU descriptions and anti-fraud plan form filings request “acknowledgments”, but each insurer and HMO must have detail descriptions of the requested information in their unit SIU descriptions and anti-fraud plans in the event the description or anti-fraud plan is audited by the Office of Insurance Regulation, Market Conduct Examinations. 

Frequently Asked Questions on Insurance Fraud Plan Report Filing

INSURANCE FRAUD PLAN REPORT FILING – IFPR to make filing

Rule 69D-2, F.A.C. INSURER ANTI-FRAUD INVESTIGATIVE UNITS AND ANTI- FRAUD PLANS

DFS INFORMATIONAL MEMORANDUM