Monday, July 6

 

NAIC Health Risk-Based Capital Working Group Meeting

The National Association of Insurance Commissioners (“NAIC”) Health Risk-Based Capital Working Group will meet via teleconference on Monday, July 6, starting at 11:00 a.m. (EST). The registration call-in number is:  412.317.6715. 

 

NAIC Property and Casualty Risk-Based Capital Working Group Meeting

The NAIC Property and Casualty Risk-Based Capital Working Group will meet via teleconference on Monday, July 6, starting at 2:00 p.m. (EST). The registration call-in number is:  412.317.6715. 

 

 

Tuesday, July 7

 

Citizens Finance and Investment Committee Meeting

The Citizens Property Insurance Corporation (“Citizens”) Finance and Investment Committee will meet via teleconference on Tuesday, July 7, at 10:00 a.m.  The call-in number for this meeting is:  888.277.7951.  Items scheduled to be discussed include:

• Investment portfolio
• Tax-exempt investment policy
• Emergency procurement for investment compliance and performance services

To view the complete meeting agenda, click here.

 

DFS/Division of Workers’ Compensation Rule Development

The Florida Department of Financial Services (“DFS”), Division of Workers’ Compensation has issued notices regarding the following Rules: 

• Notice of Proposed Rule:  69L-7.602: Florida Workers’ Compensation Medical Services Billing, Filing and Reporting Rule.  To view the Notice, click here.

The purpose of the proposed Rule amendments is to reflect changes and updates to forms, reference materials, electronic data interchange requirements, and billing instructions for providers and insurers associated with adoption of revised workers’ compensation medical services manuals.

If a Rule Hearing is requested in writing and not deemed unnecessary by the agency head, one will be held at the date, time, and place shown below:

Date:  Tuesday, July 7, 2009
Time:  10:00 a.m.-Noon
Place:  Room 104-J of the Hartman Building, 2012 Capital Circle Southeast, Tallahassee 

 

• Notice of Rulemaking Development:  69L-7.501: Florida Workers’ Compensation Reimbursement Manual for Hospitals.  To view the Notice, click here.

The purpose of the proposed Rule amendments is to adopt the 2009 edition of the Florida Workers’ Compensation Reimbursement Manual for Hospitals.  Among other updates, the 2009 manual incorporates Medicare’s Outpatient Hospital Prospective Payment System payment methodology for reimbursing hospitals for outpatient bills, with payment adjustment factors of 1.74 times the Medicare-allowed amount for scheduled surgeries and 3.95 times the Medicare-allowed amount for other specified compensable charges.

If a Rule Development Workshop is requested in writing and not deemed unnecessary by the agency head, one will be held at the date, time, and place shown below:

Date:  Tuesday, July 7, 2009
Time:  1:00 p.m.-4:00 p.m.
Place:  Room 104-J of the Hartman Building, 2012 Capital Circle Southeast, Tallahassee

 

 

Wednesday, July 8

 

Citizens Meetings

Citizens will hold the following meetings via teleconference on Wednesday, July 8:

• Audit Committee-8:00 a.m. The call-in number for this meeting is: 877.260.2826.  To view the complete meeting agenda, click here.
• Board of Governors-9:00 a.m. The call-in number for this meeting is: 888.295.6211.  To view the complete meeting agenda, click here.

 

OIR Rule Development

The Florida DFS, Office of Insurance Regulation (“OIR”) has issued a Notice of Rulemaking Development regarding the following Rule:

• 69O-236.001:  Annual Report Card

The proposed Rule would adopt an annual report card specifically related to personal residential property insurers that would be used by the Office of the Florida Insurance Consumer Advocate as required by law.          

If requested in writing and not deemed unnecessary by the agency head, a Rule Development Workshop will be held at the time, date, and place shown below:

Date:  Wednesday, July 8, 2009
Time:  9:30 a.m.
Place:  Room 143 of the Larson Building, 200 East Gaines Street, Tallahassee

 

 

Thursday, July 9 through Sunday, July 12

 

NCOIL 2009 Summer Meeting

The National Conference of Insurance Legislators (“NCOIL”) will hold its Summer Meeting from July 9-12, 2009 in Philadelphia.  To view the tentative meeting agenda, click here.  To view the meeting materials packet, click here.

 

 

LOOKING AHEAD

 

Monday, July 13

 

DFS/Division of Risk Management Rule Development

The Florida DFS, Division of Risk Management (“DRM”) has issued a Notice of Rulemaking Development regarding the following Rule:

• 69H-2.008: Other Forms Adopted

The purpose of the proposed Rule is to develop forms for requesting information from workers’ compensation claimants and liability claimants in order to comply with Section 111 of the Medicare, Medicaid, and State Children’s Health Insurance Program (“SCHIP”) Extension Act of 2007, which became effective on July 1, 2009.  The proposed Rule would add mandatory reporting requirements with respect to Medicare beneficiaries who receive settlements, judgments, awards, or other payments from liability insurance (including self-insurance), no-fault insurance, or workers’ compensation.

The DRM, as a required reporting entity, must identify any Medicare beneficiaries who have existing claims with the DRM and collect certain data that will be reported to the Center for Medicare and Medicaid Services (“CMS”).  The data collected under federal law will be used by CMS in processing claims billed to Medicare for reimbursement of items and services furnished to Medicare beneficiaries and for Medicare as a Secondary Payer recovery effort, as appropriate.

If requested in writing and not deemed unnecessary by the agency head, a Rule Development Workshop will be held at the time, date, and place shown below:

Date:  Monday, July 13, 2009
Time:  9:30 a.m.
Place:  Room 142 of the Larson Building, 200 East Gaines Street, Tallahassee

 

Note:  A subsequent Hearing for this proposed Rule has been scheduled for July 20.

 

Wednesday, July 15

 

OIR Rule Hearing

The Florida OIR has issued a Notice of Proposed Rule regarding proposed amendments to Rules contained in Chapter 69O-156 relating to Medicare Supplement Insurance.  

The proposed Rules allow for new product generation by adopting revisions made on September 24, 2008 to a NAIC Model Regulation that implements the NAIC Medicare Supplement Insurance Minimum Standards Model Act.  The revisions include major changes to Medicare Supplement plans, along with benefits first approved by the NAIC in March 2007 and subsequently authorized by the Medicare Improvements for Patients and Providers Act of 2008 (“MIPPA”). Changes required by the Genetic Information Nondiscrimination Act of 2008 (“GINA”) also were adopted.

If a Rule Hearing is requested in writing and not deemed unnecessary by the agency head, one will be held at the date, time, and place shown below:

Date:  Wednesday, July 15, 2009
Time:  9:30 a.m.
Place:  Room 116 of the Larson Building, 200 East Gaines Street, Tallahassee

 

 

Thursday, July 16

 

DFS/Division of Workers’ Compensation Rule Development

The Florida DFS, Division of Workers’ Compensation has issued a Notice of Rulemaking Development regarding the following Rule:

• 69L-6.012: Notice of Election to be Exempt

The proposed Rule amendment would delete and replace all language in subsection 69L-6.012(15), F.A.C., and add a new paragraph 69L-6.012(15)(a), F.A.C. The proposed new language would provide that when a corporation or limited liability company named on any Certificate of Election to be Exempt (“Certificate”) remains dissolved or inactive after 90 days from the date of its dissolution or its change in status, the Certificate is immediately revoked.  Additional language also provides that when a person named on a Certificate no longer meets the issuance requirements of the Certificate, that Certificate is also revoked.  The new paragraph would provide guidance regarding a corporation or limited liability company’s right to petition for a review of a revocation, or to file an appeal.  The proposed rule amendment also advances the statutory mandate to facilitate the self-execution of workers’ compensation law pursuant to Chapter 440 F.S.

If a Rule Development Workshop is requested in writing and not deemed unnecessary by the agency head, one will be held at the date, time, and place shown below:

Date:  Thursday, July 16, 2009
Time:  10:00 a.m.
Place:  Room 104-J of the Hartman Building, 2012 Capital Circle Southeast, Tallahassee

 

Tuesday, July 21

 

OIR Rule Hearing

The Florida OIR has issued a Notice of Proposed Rule regarding the following Rule:

• 69O-189.003: Workers’ Compensation: Application and Audit Procedures

The Florida Financial Services Commission is required by law to issue public notices regarding workers’ compensation coverage application, payroll audit and worker classification Rules.  In 2008, the National Council on Compensation Insurance (“NCCI”) filed a proposal for a Rule addressing these matters with the OIR.  This proposed Rule is based on the NCCI proposal.

The proposed Rule would allow, but not require electronic signatures in the application for workers’ compensation coverage and in the annual audit, so long as the electronic signature process complies with Florida’s Uniform Electronic Transaction Act.  While the current Rule incorporates certain NCCI publications by reference, the proposed Rule explicitly provides certain audit procedures.

The proposed Rule also would raise the threshold for an on-site audit from $5,000 to $10,000.  Any audit for under $10,000 would be handled by mail to save costs for both the employer and insurance carrier.

If requested in writing and not deemed unnecessary by the agency head, a Rule Hearing will be held at the time, date, and place shown below:

Date:  Tuesday, July 21, 2009
Time:  9:30 a.m.
Place:  Room 116 of the Larson Building, 200 East Gaines Street, Tallahassee

 

Thursday, July 23 and Friday, July 24

 

Florida Commission on Hurricane Loss Projection Methodology Meetings

The Florida Commission on Hurricane Loss Projection Methodology (“FCHLPM”) will meet on Thursday, July 23, and Friday, July 24, from 9:00 a.m. through 5:00 p.m. in the Hermitage Centre Conference Room, Hermitage Centre, 1801 Hermitage Boulevard, Tallahassee.  The call-in number for this meeting is:  888.808.6959; conference code:  4765251363.  To view the meeting Notice, click here.  Items scheduled to be discussed include:

• Changes made during the 2009 Legislative Session that impact the FCHLPM;
• Hurricane modeling of commercial residential exposure, short-term frequency and storm surge; and
• A request from Risk Management Solutions.

 

Tuesday, July 28

 

Cabinet Meeting

Florida Governor Charlie Crist and the Cabinet (“Cabinet”) will meet on Tuesday, July 28, starting at 9:00 a.m. in the Cabinet Meeting Room, Lower Level, The Capitol, Tallahassee.  Insurance-related Rules scheduled to be discussed as part  of the OIR agenda include:

• 69O-138.001:  NAIC Financial Condition Examiners Handbook Adopted
• 69O-137.001:  Annual and Quarterly Reporting Requirements
• 69O-164.040:  Determining Reserve Liabilities for Preneed Life Insurance

 

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