Florida's Statutes and Administrative Rules

It is important that all Governmental Self-Insured Employers become knowledgeable with Florida’s self-insurance statutes and rules. These rules establish the application and termination process, annual reporting requirements and civil penalties for the late reporting of essential information. Please review the self-insurance rules and statutes below and Contact Us with any questions.

Rules:

• Application Process (69L-5.223, F.A.C.)
  • Form SI-1G Application for Governmental Self-Insurance (69L-5.223(b), F.A.C.)
  • Form SI-GEP Application for Governmental Self-Insurance Estimated Payroll (69L-5.223(c), F.A.C.)
• Reporting Requirements (69L-5, F.A.C.)
  • Form SI-5 Payroll Report (69L-5.203, F.A.C.)
  • Form SI-17 Unit Statistical Report (69L-5.205, F.A.C.)
  • Form SI-19 Certification for Servicing Self-Insurers (69L-5.216(2) & (3), F.A.C.)
• Termination (69L-5.224, F.A.C.)

Florida Statutes:

• Definition of a Governmental Entity (Section 440.38(6), F.S.)