Division of Workers' Compensation
News and Updates
July 2010
- Charts on the Compliance statistics section have been updated
- A new bulletin has been added Informational Memoranda, regarding Revisions to s.440.491, (6) (a), Florida Statutes (Training and Education); Administrative Rule Revisions Pursuant to Opinion of Small Business Regulatory Advisory Council; and the Electronic Data Submission under Rule 6A-22.003 (2), Florida Administrative Code.
- The Bureau of Compliance is offering Deepwater Horizon Oil Spill Workers' Compensation Compliance Seminars in the Florida panhandle. Topics to be addressed will include Florida workers’ compensation coverage requirements, independent contractors, employer/employee relationships, out of state employer coverage requirements, and US Longshore & Harbor Workers Act enforcement authority. See Flyer [283K PDF] for seminar dates and locations.
- The Division of Workers' Compensation has developed several web-based benefit calculators, available in the Employee section. The calculators can be used by anyone, but are specifically designed to assist injured employees in estimating their wage replacement benefits. They are highly interactive and will assist injured employees in understanding how temporary disability and impairment benefits are determined.
In addition, the calculators include links to the relevant sections in Chapter 440, F.S., and Rule 69L, F.A.C, that further educate injured employees on wage replacement benefits.
- The Division's Bureau of Compliance is pleased to publish its inaugural Quarterly Newsletter. This Newsletter provides the Bureau with an opportunity to share its activities, new initiatives, administrative rule changes and updates as well as general information. The Bureau will publish a quarterly newsletter at the conclusion of each quarter. July 2010 Newsletter [374K PDF]
- The Medical EDI area has been re-done to coincide with changes in Revision E which went into effect on July 8, 2010
- A Workshop on the Notice of Proposed Rule Amendment [10K PDF] for the Division of Workers’ Compensation Rule 69L-6.021, Construction Industry Classification Codes, Descriptions and Operations Scope of Exemption, Florida Administrative Code, will be held on Thursday, July 15, 2010 @ 2:00 pm in Room 104J, Hartman Building, 2012 Capital Circle SE, Tallahassee, Florida. The proposed rule amendment deletes discontinued class codes, adds new class codes and revises descriptions of class codes, as published in the Florida exception pages in the National Council on Compensation Insurance, Inc. (NCCI), Basic Manual (January 2010 edition). In addition, the amendment defines when an employer is engaged in the construction industry, for purposes of the rule. As class codes are revised, added or deleted in the Basic Manual, the rule must be amended to accurately reflect and incorporate such changes.
- The Office of Medical Services contact information has been updated
- The Rule Amendment for the Division of Workers’ Compensation Rule 69L-6.012, Notice of Election to be Exempt, Florida Administrative Code, has been adopted and will become effective on July 5, 2010. The rule, as amended, authorizes the immediate revocation of a Certificate of Election to be Exempt for any corporation engaged in the non-construction industry that becomes dissolved or inactive. The amendment also provides for the immediate revocation of Certificates issued to persons engaged in the non-construction industry that are no longer meeting the exemption eligibility requirements.
- Assessments page updated (located in the Insurer section)
June 2010
- New Informational Memorandum: DFS-02-2010 [69K PDF] - Order Setting Assessment Rate for the Workers' Compensation Administration Trust Fund For Calendar Year 2011
- An updated list of the EOBR Code Restrictions is available in the Medical EDI area
- Last year's Annual Report on Reimbursement Disputes and Overutilization
[93K PDF] has been moved to Publications and Manuals
- The Bureau of Operations Support section has been updated
- A new graphic linking to the Compliance Stop-Work Order database has been added to Employer section
-
EDI statistics (paper vs. electronic submissions)
updated
- A Hearing on the Notice of Proposed Rule Amendment for the Division of Workers’ Compensation Rule 69L-6.026, Periodic Reports, Florida Administrative Code, will be held on Thursday, July 15, 2010 @ 10:00 am in Room 104J, Hartman Building, 2012 Capital Circle SE, Tallahassee, Florida. The purpose of the proposed rule is to establish procedures for filing periodic reports by employers issued Stop-Work Orders for failing to comply with the coverage requirements of Chapter 440, F.S., where assessed penalties exceed $50,000.00. As a condition of release from a Stop-Work Order, subject employers must submit quarterly reports to the Department using new form DFS-F4-2018, “Bureau of Compliance Quarterly Report Form,” to document their continuing compliance with the coverage requirements of Chapter 440, F.S.
If you have any questions about the proposed rule amendment, please contact: Tasha Carter, Chief, Bureau of Compliance, Division of Workers’ Compensation, (850) 413-1878, Tasha.Carter@myfloridacfo.com.
- New info and documents have been added to the Claims EDI (non-medical) section
- A Workshop on the Notice of Proposed Rule Amendment [11K PDF] for the Division of Workers’ Compensation Rule 69L-6.007, Compensation Notice, Florida Administrative Code, will be held on Tuesday, June 29, 2010 @ 1:00 pm in Room 2100, Alexander Building, 2020 Capital Circle SE, Tallahassee, Florida. Section 440.40, F.S., requires every employer who has secured workers' compensation insurance to post in its place of business a workers' compensation notice and an Anti-Fraud Reward Program notice. Section 440.40, F.S., also authorizes the Department, by rule, to prescribe the form of the notices and to require carriers to provide the notices to policyholders. Currently, Rule 69L-6.007, F.A.C., requires carriers to furnish employers with a compensation notice, commonly referred to as the "broken arm poster" and incorporates the Anti-Fraud Reward Program notice poster. The purpose of the proposed rule amendment is to update the rule and adopt the revised workers' compensation notice posters, including the Spanish version of the poster.
May 2010
- The Division of Workers' Compensation has issued a Notice of Proposed Rule Development of Rule 69L-3.025, F.A.C. The purpose and effect of 69L-3.025, F.A.C. is to specify departmental forms used with the rule chapter. This proposed forms change deals specifically with the informational brochures that carriers are statutorily required to mail to injured employees and employers.
- An updated version of the employer seminar Flyer/Registration Form can be found under Educational Outreach
- The EDI Business Rules for Revision E, in the Medical EDI section, have been updated
- New Informational Memorandum:
DFS-01-2010 [151K PDF] - Order Setting Assessment Rate for the Special
Disability Trust Fund
- Charts on the Compliance statistics section have been updated
March 2010
- The Division is offering free classes to educate employers,
business owners, licensed contractors and other interested
stakeholders to help them understand their statutory obligations
under the Workers' Compensation Law. The Division is partnering with
the U.S. Department of Labor, Office of Safety and Health
Administration (OSHA) to provide employers with information relating
to both workers’ compensation and workplace safety. Continuing
Education Units are available to individuals licensed by the
Department of Business and Professional Regulation, the Department
of Financial Services, Bureau of Fire Prevention and the Florida
Water Well Administration. The attached flyer lists class dates and
locations around the State. Advanced registration is required to
assure availability.
- Bureau of Compliance contact information and
district offices have been updated
- Charts on the Compliance statistics section have been updated
- New forms and instructions have been added to the Billing Forms and Instructions page of the Health Care Provider section
- The Claims EDI (non-medical) section has been updated
- Consumer Alert: Please be aware that individuals who are interested in filing for a new workers' compensation exemption or are seeking to renew their current exemption may receive solicitations from a private company offering exemption filing services.
These services are not free and not considered as the official exemption application package that is available and mailed to individuals from the Division of Workers' Compensation. Payments made to entities other than the Division do not take the place of required fees owed to the Division for processing exemption applications. These solicitations direct you to a website that IS NOT the Division's website. The Division of Workers' Compensation is the sole authority that is responsible for processing and approving workers' compensation exemption applications.
February 2010
- Rule Chapter 69L-5, F.A.C., Rules for Self-Insurers Under the Workers Compensation Act, has been amended to concurrently repeal and replace all existing rules with new rules which have been restructured and renumbered to promote clarity and efficiencies to the process by which self-insured employers comply with the duties and obligations associated with the privilege of self-insuring pursuant to Chapter 440, Florida Statutes.
The final adopted version of this rule is effective March 9, 2010. A copy of the rule text may be found at www.flrules.org/gateway/chapterhome.asp?chapter=69l-5. If you have any questions about the proposed rule, please contact Robin Ippolito, Chief, Bureau of Monitoring and Audit, Division of Workers' Compensation at (850)413-1775 or robin.ippolito@myfloridacfo.com.
- A Workshop on the Notice of Proposed Rule Development [12K PDF] for the Division of Workers’ Compensation Rule 69L-6.026, Periodic Reports, Florida Administrative Code, will be held on Tuesday, March 30, 2010; 10:00 am – 12:00 pm in Room 104J Hartman Building., 2012 Capital Circle SE, Tallahassee, Florida. The purpose of the proposed rule is to establish procedures regarding the filing of periodic reports by employers that have been issued a Stop-Work Order for failure to comply with the coverage requirements of Chapter 440, F.S., and assessed a penalty in excess of $50,000.00. As a condition of their release from a Stop-Work Order, subject employers must submit quarterly reports to the Department using form DFS-F4-2018, “Bureau of Compliance Quarterly Report Form,” to demonstrate their continuing compliance with the coverage requirements of Chapter 440, F.S.
If you have any questions about the proposed Rule, please contact Tasha Carter, Chief, Bureau of Compliance, Division of Workers’ Compensation at (850) 413-1609 or Tasha.Carter@myfloridacfo.com.
-
The Claims EDI (non-medical) section has been updated with new information and documents
-
EDI statistics (paper vs. electronic submissions)
updated
-
The 69L-7 (Workers' Compensation Medical Reimbursement and Utilization Review) tab on the Rules and Forms page has been reworked with updated information and forms
-
Several new documents are available in the Medical EDI section
January 2010
-
69L-7.602, F.A.C., Florida Workers' Compensation Medical
Services, Billing, Filing and Reporting Rule, has been adopted and
became effective on 1/12/10. The Rule, as amended reflects changes
and updates to forms, reference materials, EDI requirements, and
billing instructions for providers and insurers associated with the
Florida Workers' Compensation Medical Services Billing, Filing, and
Reporting Rule. For more information contact Sam Willis at
(850)413-1898 or
Sam.Willis@myfloridacfo.com.
-
Instruction Manual for the Online Medical Data Management System
(MDMS), 2010 [3.2MB PDF], new for
Revision E (see Medical EDI)
- The final adopted version of rule
69L-24, F.A.C., Workers' Compensation Insurers' Standards and
Practices became effective 1/12/10
- The Minimum/Maximum
Compensation Rate Table has been updated for 2010
- The Department of Financial Services is required by statute to
secure an annual actuarial report on the liabilities of the Special
Disability Trust Fund (SDTF). The Department selected
Pinnacle Actuarial Resources, Inc. (Pinnacle), as the
independent actuary to perform this service. Pinnacle has submitted
its report titled: Actuarial Valuation of the Florida Department
of Financial Services Division of Workers' Compensation Special
Disability Trust Fund, Actuarial Analysis as of June 30, 2009.
This is the third report in the series authored by Pinnacle. The
report includes all required elements and other such information
necessary to understanding the status of the SDTF and the analysis
performed.
- The
Florida Medical EDI Implementation Guide (MEIG), 2010
[372K PDF], new for Revision E, is available in the
Medical EDI section.
- Compliance statistics updated
December 2009
- The newly updated Employee Notification Letter is available. See
Publications and Reimbursement Manuals for more information.
- The Division is offering free classes to educate employers,
business owners, licensed contractors and other interested
stakeholders to help them understand their statutory obligations
under the Workers' Compensation Law. The Division is partnering with
the U.S. Department of Labor, Office of Safety and Health
Administration (OSHA) to provide employers with information relating
to both workers’ compensation and workplace safety. Continuing
Education Units are available to individuals licensed by the
Department of Business and Professional Regulation, the Department
of Financial Services, Bureau of Fire Prevention and the Florida
Water Well Administration. The attached flyer lists class dates and
locations around the State. Advanced registration is required to
assure availability.
- Schedule of Classes:
English [18K PDF]
-
Registration Form:
English [57K Word]
For additional information,
bocseminars@myfloridacfo.com or call (850) 221-6518.
- The Division of Insurance Fraud, Bureau of Workers' Compensation
Fraud and the Division of Workers' Compensation, Bureau of
Compliance issued a Joint Report summarizing their respective
efforts and activities in combating workers' compensation fraud and
employer non-compliance for the period of July 1, 2008 through June
30, 2009.
- New Informational Memorandum:
DFS-05-2009 [28K PDF] - Maximum
Workers' Compensation Rate, Effective January 1, 2010
-
EDI statistics (paper vs. electronic submissions)
updated
November 2009
- The Division will hold a rule hearing on
Rule 69L-7.501, FAC
on Wednesday, December 2, 2009 @ 1:30 PM in 104J Hartman Building,
2012 Capital Circle SE, Tallahassee, FL, if a hearing is requested
in writing within 21 days of the
Notice of Proposed Rule. The title of the rule is the
Florida Workers' Compensation Reimbursement Manual for Hospitals.
» More info
- Draft informational documents
for Revision E are available under Medical
EDI
- A Notice of Change for Rule 69L-7.602, Florida Administrative
Code, was published in the Friday, November 13, 2009, Florida
Administrative Weekly. The rule, titled the Florida Workers'
Compensation Medical Services, Billing, Filing and Reporting Rule,
includes changes that have been made to address concerns expressed
at the public hearing and in response to written comments received
from the Joint Administrative Procedures Committee.
» More info
- The Division of Workers' Compensation will hold a rule development
workshop on Wednesday, December 2, 2009 @ 9:00 AM in 104J Hartman
Building, 2012 Capital Circle Southeast, Tallahassee, Florida. The
title of the rule is Carrier Report of Health Care Provider
Violations. » More info
October 2009
- The Injured Worker FAQs
have been updated
- Compliance statistics
updated
- A
Spanish version [560K PowerPoint]
of the Injured Worker Workshop slideshow is now available on the
Employee Education and Information page
-
EDI statistics (paper vs. electronic submissions)
updated
- Bureau of Compliance
district offices information has been updated
- The Division is pleased to announce the continuation of
Employer Seminars regarding Workers' Compensation and Workplace
Safety (presented by OSHA). These seminars are designed to
assist Florida employers in understanding their rights and
responsibilities under the Florida Workers' Compensation law and
in providing a Safe Workplace for their employees. The seminars
are free and are offered in several locations throughout
Florida. In addition, 4 seminars (in various locations) will be
presented in the Spanish language. More details can be found on
the Employer Education
page. You are welcome to disseminate the flyer and registration
forms to anyone you believe may be interested in attending.
September 2009
- DWC
FWCI Conference PowerPoint Slides (August 2009)
[5.8MB PowerPoint]
- A Hearing on the Notice of Proposed Rulemaking for the
Division of Workers' Compensation Rule 69L-6.012, Notice of
Election to be Exempt, Florida Administrative Code, will be
held, if requested within 21 days of the date the notice is
published. The Notice was published in the September 18, 2009,
Florida Administrative Weekly. If requested, the hearing will be
held on Wednesday, October 14, 2009; 10:00 am – 12:00 pm in Room
104J Hartman Building., 2012 Capital Circle SE, Tallahassee,
Florida. If a hearing is not requested, it will not be held. For
additional information, please contact Tasha Carter at (850)
413-1878 or
Tasha.Carter@myfloridacfo.com.
-
EDI Training PowerPoint Slides [1.9MB
PowerPoint] from the
DWC FWCI Conference are available on the
Claims EDI
page
- The Division of Workers' Compensation has published its
2009 Annual Report [2.5MB PDF] and
it is now available under
Publications and Manuals. The Annual Report contains a
summary of the Division’s activities and accomplishments for
fiscal year 2008/2009.
- Compliance statistics
have been updated
- The 2009 4th quarter schedule for the Division's free
classes regarding Florida’s Workers' Compensation law and
Workplace Safety is available. For more information see the
Employer Education section.
- Claims
EDI section updated
- The Injured Worker Frequently
Asked Questions page has been updated
- The Florida Division of Workers’ Compensation and Division of Risk
Management announce a free two day EDI training class October 6, 7,
and 8, 2009 in Tallahassee on the Claims EDI Release 3 mandate, and
EDI Rule (69L-56, F.A.C.). Seating is limited to 75, and prior
registration is required. Registration preference will be given to
those who have previously submitted a request for future training
and those who have not previously attended an EDI training class.
Please complete and return the EDI Training Registration form to the
Division. » Get form
August 2009
- An updated
Health Care Provider Tutorial [1.5MB
PowerPoint] is available
- The Division of Workers' Compensation announces the
publication of Informational
Bulletin DFS-02-2009 issued on August 12, 2009. This
bulletin deals with employer/carrier reimbursement decisions
regarding pharmaceuticals dispensed by Florida licensed
physicians. All Division bulletins are available under
Informational Memoranda.
-
EDI statistics (paper vs. electronic submissions)
updated
- Rule 69L-6.025 - Conditional Release of Stop-Work Order and
Periodic Payment Agreement was amended effective July 20, 2009.
The amendment provides new language that outlines the terms and
conditions under which an employer qualifies to enter into a new
Payment Agreement Schedule For Periodic Payment of Penalty.
- The recently available
Non-Compliance Referral Database allows individuals to
submit referrals of alleged violations of the workers’
compensation laws. Since June the Division has received 328
referrals. As a result of those referrals, 36 Stop-Work Orders
were issued, resulting in $526,000 in assessed penalties. See
the Databases section for all
Division applications.
- Audio files from the July workshops (69L-7.501 - Florida
Workers' Compensation Reimbursement Manual for Hospitals and
69L-7.602 - Florida Workers' Compensation Medical Services
Billing, Filing and Reporting Rule) are available under
Draft Rules
July 2009
- New Bureau of Monitoring and
Audit statistics are available in the
Statistics section
- A new
Publications
Order Form [16K PDF] (Effective
July 1, 2009)
has been posted under
Publications
- 69L-5 Hearing Transcript
[text file] - from the June 24th
Hearing on the Notice of Proposed Rulemaking for the Division of
Workers' Compensation's Rules for Self Insurers Under the
Workers Compensation Act, 69L-5
- The
Claims Statistics Database has been restored and is
available under Databases
- Claims
EDI section updated
- Compliance statistics have
been updated
- A Hearing on the Notice of
Proposed Rulemaking of 69L-24,
F.A.C. [124K PDF],
Workers' Compensation Insurers' Standards and Practices,
WILL be held on Wednesday, August 5, 2009;
10:00am-12:00pm in Room 104 J Hartman Bldg., 2012 Capital Circle
SE, Tallahassee, Florida.
- The Division has published the assessment rates for the
Workers' Compensation Administration Trust Fund (WCATF) and
Special Disability Trust Fund (SDTF), in Informational Bulletin
DFS-03-2009 [3.5MB PDF] and
Assessment Rate Orders number 105011-09-WC and 105012-09-WC. The
assessment rate for the WCATF will be 0.80% for calendar year
2010. For the 2009-2010 fiscal year, the SDTF assessment rate
remains at 4.52%. All division bulletins are available under
Informational Memoranda.
For older news, see the
News Archive.