CALENDAR: Insurance-Related Meetings–November 23-27

 

 

Monday, November 23

 

FWCJUA Operations Committee Meeting

The Florida Workers’ Compensation Joint Underwriting Association (“FWCJUA”) Operations Committee met via teleconference on Monday, November 23 at 10:00 a.m.  To view the meeting agenda, click here.

 

NAIC Long-Term Disability Subgroup Meeting

The National Association of Insurance Commissioners (“NAIC”) Long-Term Disability Subgroup of the Life and Health Actuarial Task Force met via teleconference on Monday, November 23 at 1:00 p.m. (EST) to discuss the long-term disability table.

 

 

Tuesday, November 24

 

NAIC Suitability of Annuity Sales Working Group Meeting

The NAIC Suitability of Annuity Sales Working Group of the Life Insurance and Annuities Committee will meet via teleconference on Tuesday, November 24 at 10:30 a.m. (EST) to discuss proposed revisions to the Suitability of Annuity Sales Transactions Model Regulation.  The registration call-in number is:  412.317.6715.

 

NAIC Joint Financial Condition Committee Meeting

The NAIC Statutory Accounting Principles Working Group, Accounting Practices and Procedures Task Force and Financial Condition Committee will meet jointly via teleconference on Tuesday, November 24 at 1:00 p.m. (EST) to discuss revisions to Statement of Statutory Accounting Principles Number 10:  Income Taxes – Alternative Language Proposal.  The registration call-in number is:  412.317.6715.

 

 

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 (“Reimbursement Manual”)

The proposed Rule amendments would use Medicare’s Hospital Outpatient Prospective Payment System to reimburse hospitals for outpatient bills.  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 would be applied. Additional changes to the Reimbursement Manual would include recognition of the Integrated Outpatient Code Editor, National Correct Coding Initiative edits and updates from the Centers for Medicare and Medicaid Services in the Medicare Hospital Outpatient Prospective Payment System.  Technical formatting changes to the Reimbursement Manual also would be made.

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

 

 

Friday, December 4

 

Florida Commission on Hurricane Loss Projection Methodology Meeting

The Florida Commission on Hurricane Loss Projection Methodology (“Commission”) will meet on Friday, December 4 from Noon through 2:00 p.m. in the Hermitage Conference Room, Hermitage Centre, 1801 Hermitage Boulevard, Tallahassee.  The call-in number for this meeting is:  888.808.6959; conference code:  4765251363.  

The purpose of the meeting is to consider a hurricane modeler’s request for permission to submit a hurricane model for review outside of the Commission’s every-other-year review cycle.  To view the meeting agenda, click here.

 

 

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.

 

 

Friday, December 18

 

Florida Commission on Hurricane Loss Projection Methodology Windstorm Committee Meeting

The Florida Commission on Hurricane Loss Projection Methodology Windstorm Mitigation Committee (“Committee”) will meet on Friday, December 8 from 9:00 a.m. through 4:00 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.

The purpose of the meeting is to discuss the Committee’s draft report on recommendations for improving the process of assessing, determining and applying windstorm mitigation discounts, credits, rate differentials and other appropriate reductions in insurance deductibles.  The Committee is required to present its report to Florida Executive and Legislative leadership by February 1, 2010.

 

 

Monday, December 21

 

OIR Rule Hearing

The Florida Financial Services Commission, Office of Insurance Regulation (“OIR”) has issued a Notice of Proposed Rule regarding the following insurance premium discount for hurricane loss mitigation Rule:

• 69O-170.0155:  Forms

The proposed Rule amendments would adopt revised versions of Form OIR-B1-1655, entitled “Notice of Premium Discounts for Hurricane Loss Mitigation” and Form OIR-B1-1802, entitled “Uniform Mitigation Verification Inspection Form.”

Both Forms are being revised based on changes that have been made to the My Safe Florida Home program and experiences of the OIR, insurers and policyholders.

• Form OIR-B1-1655 is being revised to remove references to the free inspections and grants offered by the My Safe Florida Home program, since the inspections and grants are no longer available.
• Form OIR-B1-1802 is being revised to use terminology commonly used in the construction industry in describing the construction features to be inspected, as well as to require verification that the inspector actually conducted the inspection.

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:  Monday, December 21, 2009
Time:  9:00 a.m.
Place:  Room 116 of the Larson Building, 200 East Gaines Street, Tallahassee

 

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