Insurance-Related Administrative Actions: Week Ending October 3

The following insurance-related administrative actions were posted on Friday, October 3, 2008.

Final Property/Casualty Insurance Rules:

• 69J-7.007: Grants – Medical Condition Exception

Notice of Rulemaking Development: Florida Division of Insurance Agents and Agency Services

The Florida Department of Financial Services, Division of Insurance Agents and Agency Services, has issued a Notice of Development of Rulemaking regarding the following Rules:

• 69B-211.110: Purpose
• 69B-211.120: Scope
• 69B-211.130: Definitions
• 69B-211.140: Entities
• 69B-211.150: School Officials
• 69B-211.160: Instructors
• 69B-211.170: Courses
• 69B-211.180: Schedule and Attendance Records
• 69B-211.190: Certification of Students
• 69B-211.200: Attendance
• 69B-211.210: Exempted Courses
• 69B-211.220: Examinations
• 69B-211.230: Fees
• 69B-211.240: Facilities
• 69B-211.250: Advertising
• 69B-211.260: Study Aids
• 69B-211.270: Prohibited Practices
• 69B-211.280: Falsification of Reports
• 69B-211.290: Forms
• 69B-211.300: Transition Time in the Event of Rule Changes
• 69B-211.310: Penalties

The proposed Rules would establish required procedures for submitting documentation through the DFS online Education Database, which can be accessed at www.myfloridacfo.com.

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

Date: Tuesday, October 21, 2008
Time: 9:30 a.m.
Place: Room 142 of the Larson Building, 200 East Gaines Street, Tallahassee, Florida

Notice of Rulemaking Development: Workers’ Compensation Form Revisions

The Florida Department of Financial Services, Division of Workers’ Compensation, has issued a Notice of Development of Rulemaking regarding the following Rules:

• 69L-10.006: Definitions
• 69L-10.012: Review of Proof of Claim
• 69L-10.015: Deemed Denial – 120 Day Time Period
• 69L-10.016: Documenting Expenditures for Purposes of Obtaining Reimbursement
• 69L-10.017: Reimbursement to Subsequent Employer
• 69L-10.019: Forms

The proposed Rules would revise forms to comply with the section of Florida law that precludes an agency from collecting an individual’s social security number unless such collection conforms to specified provisions of that statute.

The following forms would be revised:

• Forms SDF-1 (Proof of Claim), and SDF-2 (Reimbursement Request) would be renumbered, and amended so that the collection of the social security number is discontinued
• Form SDF-6 (Explanation of Benefits) would be renumbered and amended so that the collection of the social security number is discontinued

In lieu of social security numbers, the revised forms would utilize an “SSDTF Claim Number” for purposes of identifying and tracking claims.

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

Date: Tuesday, November 4, 2008
Time: 10:00 a.m.
Place: Room 104J of the Hartman Building, 2012 Capital Circle S.E., Tallahassee, Florida

Notice of Proposed Rule: Examination of Insurers

The Florida Department of Financial Services, Office of Insurance Regulation, has issued a Notice of Proposed Rule regarding the following Rule:

• 69O-138.005: Examination of Insurers

The purpose of the proposed Rule is to set forth procedures for examinations of insurers performed by specialists contracted by the OIR.

This proposed Rule details criteria for the specialists to qualify to conduct the examinations, application process, and compensation information.

If requested by Friday, October 24, 2008, a Rule Development Workshop will be held at the date, time and place below:

Date: Wednesday, November 12, 2008
Time: 9:30 a.m.
Place: Room 142 of the Larson Building, 200 East Gaines Street, Tallahassee, Florida

Notice of Proposed Rule: Reserve Liabilities for Pre-need Life Insurance

The Florida Department of Financial Services, Office of Insurance Regulation, has issued a Notice of Proposed Rule regarding the following Rule:

• 69O-164.040: Determining Reserve Liabilities for Pre-Need Life Insurance

The purpose of the proposed Rule is to recognize the inadequacy of the 2001 Commissioners’ Standard Ordinary Life Valuation Mortality Table (“2001 CSO”) for use in determining the minimum standards of valuation and nonforfeiture value, as well as to require continued use of the 1980 Commissioners’ Standard Ordinary Life Valuation Mortality Table (“1980 CSO”) determining the aforementioned minimums.

The proposed Rule allows use of the 2001 CSO for pre-need life insurance policies issued before January 1, 2012, but only after the insurance company submits documentation demonstrating they have adequate reserves.

If requested by Friday, October 24, 2008, a Rule Development Workshop will be held at the date, time and place below:

Date: Wednesday, November 5, 2008
Time: 9:30 a.m.
Place: Room 142 of the Larson Building, 200 East Gaines Street, Tallahassee, Florida

Should you have any questions or comments, please do not hesitate to contact Colodny Fass.

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