CALENDAR: Insurance-Related Meetings–November 16-20

 

 

Monday, November 16

 

NAIC Property and Casualty Insurance Committee Meeting

The National Association of Insurance Commissioners (“NAIC”) Property and Casualty Insurance Committee will meet via teleconference on Monday, November 16 at 2:00 p.m. (EST) to discuss proposed Committee charges for 2010.  The registration call-in number is:  412.317.6715.

 

 

Tuesday, November 17

 

Cabinet Meeting

Florida Governor Charlie Crist and the Cabinet (“Cabinet”) will meet on Tuesday, November 17 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 Florida Office of Insurance Regulation agenda include:

• Chapter 69O-156 Part 1:  Requirements of Medicare Supplement Insurance
• 69O-138.001:  NAIC Financial Condition Examiners Handbook Adopted
• 69O-137.001:  Annual and Quarterly Reporting Requirements
• 69O-170.0155:  Forms (OIR-B1-1655:  Notice of Premium Discounts for Hurricane Loss Mitigation and OIR-B1-1802:  Uniform Mitigation Verification Inspection)
• 69O-236.001:  Annual Report Card

To view the complete meeting agenda, click here.

 

FWCJUA Executive Compensation Committee Meeting

The Florida Workers’ Compensation Joint Underwriting Association (“FWCJUA”) Executive Compensation Committee will meet via teleconference on Tuesday, November 17 at 10:00 a.m.  The meeting agenda will be provided when available.

 

NAIC Life Risk-Based Capital Working Group Meeting

The NAIC Life Risk-Based Capital Working Group of the Financial Condition Committee will meet via teleconference on Tuesday, November 17 at 11:30 a.m. (EST) to discuss the American Council of Life Insurers’ derivatives risk mitigation proposal.  The registration call-in number is:  412.317.6715.

 

 

Tuesday, November 17 and Wednesday, November 18

 

Board of Employee Leasing Companies Meetings

The Florida Board of Employee Leasing Companies will hold the following meetings at the Casa Monica Hotel, 95 Cordova Street, St. Augustine:

• November 17 at 10:00 a.m. – Workshop to discuss proposed changes to Rule 61G7-5.001: Application Procedure; Application Form; Fees; Confidential Information; Denial of Application; Request for Hearing
• November 18 at 10:00 a.m. – Board of Directors meeting

 

 

Wednesday, November 18

 

Claims Dispute Resolution Roundtable

Florida Insurance Consumer Advocate Sean Shaw will host the second insurance and homebuilders’ industry roundtable on Wednesday, November 18, at which streamlining and facilitating the State’s homeowners insurance claims dispute resolution process will be discussed.

Details of the roundtable are as follows:

Date:  Wednesday, November 18, 2009
Time:  9:00 a.m. – 4:00 p.m.
Place:  House Office Building, 4th Floor, Committee Room 404, The Capitol, Tallahassee

 

OIR Rule Workshop

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

• 69O-157.302: Facility Only Rates
• 69O-157.303: Home Health Care Only Rates
• 69O-157.304: Comprehensive Only Rates

The purpose of the proposed Rule amendments is to publish the new long-term care insurance rates that will become effective in 2010.

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:  Wednesday, November 18, 2009
Time:  9:30 a.m.
Place:  Room 142 of the Larson Building, 200 East Gaines Street, Tallahassee

 

FWCJUA Audit Committee Meeting

The FWCJUA Audit Committee will meet via teleconference on Wednesday, November 18 at 10:00 a.m.  To view the meeting agenda, click here.

 

FWCJUA Reinsurance Committee Meeting

The FWCJUA Reinsurance Committee will meet via teleconference on Wednesday, November 18 at 2:00 p.m.  To view the meeting agenda, click here.

 

 

Thursday, November 19 through Sunday, November 22

 

NCOIL Annual Meeting

The National Conference of Insurance Legislators (“NCOIL”) will hold its Annual Meeting from Thursday, November 19 through Sunday, November 22, 2009 in New Orleans.  To view the meeting agenda, click here.  To view the meeting packet, click here.

 

 

LOOKING AHEAD

 

 

Wednesday, December 2

 

DFS Rule Workshop

The Florida Department of Financial Services (“DFS”), Division of Workers’ Compensation has issued a Notice of Rulemaking Development regarding the following proposed Rules that would require workers’ compensation carriers to report all instances of health care provider over-utilization, as well as improper billing and billing errors:

• 69L-34.001: Definitions
• 69L-34.002: Mandatory Carrier Reporting
• 69L-34.003: Referral of Alleged Health Care Provider Violation
• 69L-34.004: Timeliness of Referral
• 69L-34.005: Referral Investigation
• 69L-34.006: Invalid Referrals

The proposed Rules would also:

1. Clarify that workers’ compensation carriers may fulfill their mandatory reporting requirements by filing the medical claims data elements required in Rule 69L-7.602, F.A.C.; and
2. Provide a method by which carriers may report other health care provider violations, such as failure to submit medical records and reports, failure to refund an overpayment of reimbursement, collecting payment from an injured employee or failure to follow standards of care.

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:  Wednesday, December 2, 2009
Time:  9:00 a.m.
Place:  Room 104-J of the Hartman Building, 2012 Capital Circle Southeast, Tallahassee

 

DFS Rule Hearing

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

• 69L-7.501: Florida Workers’ Compensation Reimbursement Manual for Hospitals

The proposed Rule amendments would incorporate Medicare’s Hospital Outpatient Prospective Payment System 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 amount for other specified compensable charges. Additional changes to the manual include recognition of the Integrated Outpatient Code Editor and the National Correct Coding Initiative edits and their updates from the Centers for Medicare and Medicaid Services in the Medicare Hospital Outpatient Prospective Payment System, and technical formatting changes to the manual.

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, December 2, 2009
Time:  1:30 p.m.
Place:  Room 104-J of the Hartman Building, 2012 Capital Circle Southeast, Tallahassee

 

 

Week of December 7-11

 

Interim Legislative Committee Meetings

The Florida Legislature will hold Interim Committee meetings during the week of December 7-11, 2009.  Further information will be provided as it becomes available.

 

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