Insurer Updates
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Notice of Proposed Rule Development for 69L-5.201 »The Florida Division of Workers' Compensation has submitted a Notice of Proposed Rule Development for Rule 69L-5.201, F.A.C. Definitions. The notice provides that, if requested in writing and not deemed unnecessary by the agency head, a rule development workshop will be held on Wednesday, October 19, 2011 at 9:30 a.m., eastern daylight time (EDT) at 2012 Capital Circle, SE, Room 102, Hartman Building. The original intent of the rule was to avoid the complexities of an affiliated self-insurer structure where a parent company exists to hold the self-insurance authorization, was addressed by the clause "which do not have a parent company to hold the self-insurance authorization". A parent company able to, but not wanting to hold the self-insurance authorization, and wanting to execute a parental guaranty under Rule 69L-5.215, F.A.C., would be precluded from doing so under the existing language of Rule 69L-5.201(2), F.A.C. The added language will allow an affiliated self-insurer structure and utilization of the financial strength of a parent company for purposes of providing a parental guaranty for affiliated self-insurers under Rule 69L-5.215, F.A.C., where the parent company could but elects to not hold the self-insurance authorization.
The official Notice of Proposed Rule Development [20K PDF] appears in the Volume 37, Number 39, of the Florida Administrative Weekly, which was published on September 30, 2011. If you have questions about the contents of this notice, please contact Pam Macon, Chief, Bureau of Monitoring and Audit, Division of Workers' Compensation at (850) 413-1708 or Pamela.Macon@myfloridacfo.com. -
Notice of Proposed Rule for 69L-5.205 and 69L-5.217 »The Florida Division of Workers' Compensation has submitted a Notice of Proposed Rule for the Self-Insurers Rule Chapter 69L-5.205, F.A.C., Loss Data Reporting and 69L-5.217, F.A.C., Civil Penalties and Fines. The notice provides that, if requested in writing within 21 days of the publication of the official notice, a rule hearing will be held on Friday, October 14, 2011 at 2:00 pm in Room 102, Hartman Building, 2012 Capital Circle SE, Tallahassee, Florida. The purpose of proposed Rule 69L-5.205, F.A.C. is to clarify that former self-insurers must report loss data for the final period of authorization only once. The proposed amendments to Rule 69L-5.217, F.A.C., will reduce the penalties assessed against self-insurers for late filing of required forms, reports and documents. The official Notice of Proposed Rule [25K PDF] will be published in the September 16th edition of the Florida Administrative Weekly.
If you have any questions about the contents of this notice, please contact Pam Macon, Chief, Bureau of Monitoring and Audit, Division of Workers’ Compensation at (850) 413-1708 or Pamela.Macon@myfloridacfo.com. -
Industry trends of improvement »The Bureau of Monitoring & Auditing has posted compliance charts for First Report of Injury or Illness compliance, carrier medical bill compliance, and average experience modifications. Compliance Charts
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Explanation of Bill Review (EOBR) »The Bureau of Monitoring and Audit will add an EOBR and evaluation component to its claims audits beginning January 1, 2011. See attached memorandum titled Explanation of Bill Review (EOBR). Memorandum
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Reminder: Rule 69L-24 rewrite completed »The Division of Workers' Compensation, Bureau of Monitoring and Audit has completed a rewrite of rule 69L-24, F.A.C. Workers Compensation Insurers' Standards and Practices. The rule is effective January 12, 2010.