Insurance-Related Meetings for the Week of November 17-21

Nov 14, 2008

 

Insurance-Related Meetings:   Week of November 17-21, 2008

 

Monday, November 17

 

Division of Workers’ Compensation Rule Hearing

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

  • 69L-56.001: Forms and Instructions
  • 69L-56.002: Definitions
  • 69L-56.100: Proof of Coverage (“POC”) Electronic Reporting Requirements
  • 69L-56.110: Technical Requirements for POC Electronic Data Interchange (“EDI”) Transmissions
  • 69L-56.200: Policy Cancellation or Non-Renewal Requirements
  • 69L-56.210: Time Periods for Filing Electronic Policy Information
  • 69L-56.300: Claims EDI Reporting Requirements and Implementation Schedules
  • 69L-56.301: Electronic First Report of Injury or Illness
  • 69L-56.3012: Electronic Notice of Denial and Rescinded Denial
  • 69L-56.3013: Electronic Periodic Claim Cost Reports
  • 69L-56.304: Electronic Notice of Action or Change, Including Change in Claims Administration, Required by the Insurer’s Primary Implementation Schedule
  • 69L-56.3045: Electronic Notice of Action or Change, Suspensions, and Reinstatement of Indemnity Benefits Required by Insurer’s Secondary Implementation Schedule
  • 69L-56.307: Electronic Cancellation of Claim
  • 69L-56.310: Technical Requirements for Claims EDI Transmissions
  • 69L-56.330: Electronic Formats for Reporting the Employee’s 8th Day of Disability and the Claim Administrator’s Knowledge of 8th Day of Disability

The proposed Rule amendments address electronic proof of coverage filing requirements for employee leasing companies that are reporting claims EDI filings to the Florida Division of Workers’ Compensation.  The proposed Rule amendments also address revisions made to forms and the EDI Implementation Manual.

Date:  Monday, November 17, 2008
Time:  10:00 a.m. through 12:00 p.m.
Place:  Room 104J of the Hartman Building, 2012 Capital Circle S.E., Tallahassee, Florida.

 

Citizens Property Insurance Corporation (“Citizens”)

Citizens Property Insurance Corporation will hold an Actuarial and Underwriting Committee meeting on Monday, November 17, starting at 1:00 p.m. via teleconference.  The call-in number is:  866.631.2413.

Items scheduled to be discussed include:

  • 2009 Changes in Eligibility for Personal Residential Coverage
  • Rating Methodology Plans for 2010

To view the complete agenda, click here.

 

Monday, November 17 and Tuesday, November 18

 

Florida Insurance Guaranty Association (“FIGA”) Meetings

The Florida Insurance Guaranty Association will hold the following meetings on Monday, November 17 and Tuesday, November 18, at the Hyatt Regency Orlando International Airport in Orlando, Florida.

  • Finance and Audit Committee-Monday, November 17 at 3:00 p.m.
  • Board Member Training on the Florida Sunshine Law-Tuesday, November 18 at 9:00 a.m.
  • Board of Directors-Tuesday, November 18 at 9:30 a.m.

 

Tuesday, November 18

 

Agency for Health Care Administration Rule Hearing

The Florida Agency for Health Care Administration, Medicaid Division, has issued a Notice of Proposed Rule regarding the following Rule:

  • 59G-6.010:  Payment Methodology for Nursing Home Services

The purpose of the proposed Rule amendments is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan payment methodology, which became effective July 1, 2008.  The proposed amendments would clarify the interim rate provision as it pertains to general and professional liability insurance.

Date:  Tuesday, November 18, 2008
Time:  9:00 a.m. through 10:00 a.m.
Place:  Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Room 2120B, Tallahassee, Florida

 

NAIC Speed to Market Task Force Meeting

The NAIC Personal Lines Regulatory Framework Working Group of the Speed to Market Task Force will hold a meeting on Tuesday, November 18, starting at 11:00 a.m. (EST) via teleconference.  The registration call-in number is:  412.317.6715.

Items scheduled to be discussed include:

  • Comments from Al Wickman regarding the “Competitive Markets and the Economics of Regulation” and “Recommendations to the Property and Casualty Insurance Committee” sections of the group’s draft white paper

To view a copy of the group’s draft white paper, entitled “Personal Lines Regulatory Framework,” click here.

 

OIR Rule Hearing

The Florida Department of Financial Services, Office of Insurance Regulation, has issued a Notice of Development of Rulemaking regarding the following Rules:

  • 69O-175.008:  Unfair Discrimination in Private Passenger Motor Vehicle Insurance Rates – Based on History of Accidents

The purpose of the proposed Rule is to clarify that imposing additional premium on an existing or new insured based upon non-fault accidents is a violation of Florida law.

Date:  Tuesday, November 18, 2008
Time:  11:00 a.m.
Place:  Room 116 of the Larson Building, 200 East Gaines Street, Tallahassee, Florida

 

NAIC Casualty Actuarial Statistical Task Force Meeting

The NAIC Casualty Actuarial Statistical Task Force will hold a meeting on Tuesday, November 18 starting at 2:00 p.m. via teleconference.  The registration call-in number is:  412.317.6715. 

 

 

Wednesday, November 19

 

OIR Rule Hearing

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

The purpose of the proposed Rules is to establish a framework for evaluating rate increases for long-term care insurance, and to ensure that the rate increases are not excessive.

Date:  Wednesday, November 19, 2008
Time:  9:30 a.m.
Place:  Room 142 of the Larson Building, 200 East Gaines Street, Tallahassee, Florida

 

FWCJUA Audit Committee Meeting

The Florida Workers’ Compensation Joint Underwriting Association (“FWCJUA”) will hold an Audit Committee meeting on Wednesday, November 19, starting at 10:00 a.m. via teleconference.

Items scheduled to be discussed include:

  • Audit Committee Charter Procedures Checklist

To view the full agenda, click here.

 

Board of Employee Leasing Companies Meeting

The Board of Employee Leasing Companies will hold a meeting on Wednesday, November 19, starting at 10:00 a.m. at the Crowne Plaza Orlando Universal, 7800 Universal Boulevard, Orlando, Florida. 

 

NAIC Surplus Lines Task Force Meeting

The National Association of Insurance Commissioners (“NAIC”) has scheduled a Surplus Lines Task Force meeting to take place on Wednesday, November 19 at 3:00 p.m. (EST) via teleconference.  The registration call-in number is:  412.317.6715.

The following items are scheduled to be discussed:

  • Formation of a working group of regulators to study the feasibility of establishing a national clearinghouse for the allocation of multi-state surplus lines premium taxes

Supplemental meeting materials include:

  • Model Law 870: Non-Admitted Insurance Model Act
  • Model Law 872: Allocation of Surplus Lines and Independently Procured Insurance Premium Tax on Multi-State Risks Model Regulation
  • Memorandum from the Multi-State Tax Working Group

 

Thursday, November 20

 

Cabinet Meeting

The Florida Governor and Cabinet (“Cabinet”) will hold a meeting on Thursday, November 20, starting at 9:00 a.m. in the Cabinet Meeting Room, Lower Level, The Capitol, Tallahassee, Florida.

Governmental entities scheduled to speak include:

To view the full agenda, click here.

 

Developmental Disabilities Compact Workgroup Meeting

The Florida Developmental Disabilities Compact Workgroup will hold a meeting on Thursday, November 20, from 9:00 a.m. through 2:00 p.m. in Room 412 of the Knott Building, The Capitol, Tallahassee, Florida.

 

Citizens Mission Review Task Force

Citizens Mission Review Task Force will hold a meeting on Thursday, November 20, starting at 10:00 a.m. at the Wyndham Orlando, 8001 International Drive, Orlando, Florida.  The call-in number for this meeting is: 866.855.4989; conference code:  71844503.

 

Florida Division of Workers’ Compensation:  Three-Member Panel

The Florida Division of Workers’ Compensation has scheduled a meeting of the Three-Member Panel to consider comments and testimony regarding the proposed adoption of Medicare’s Outpatient Prospective Payment System.  This system, in concert with determined payment adjustment factors, would serve as the methodology for reimbursing hospitals 60 and 75 percent of usual and customary charges for outpatient services provided to Florida’s injured workers.  The proposed reimbursement methodology would amend Rule 69L-7.501.

Additionally, the Three-Member Panel will provide guidance for development of the 2009 Biennial Report to the President of the Florida Senate and Speaker of the House of Representatives.  To view a copy of the meeting Notice, click here.

Date:  Thursday, November 20, 2008
Time:  1:00 p.m.
Place:  Room 116 of the Larson Building, 200 East Gaines Street, Tallahassee, Florida

 

 

Friday, November 21

 

Florida Health Insurance Advisory Board

The Florida Health Insurance Advisory Board will hold a meeting on Friday, November 21, 2008, from 9:30 a.m. through 12:30 p.m. in Room 116 of the Larson Building, 200 East Gaines Street, Tallahassee, Florida.  To view a copy of the meeting Notice, click here.

 

Workers’ Compensation Rule Hearing

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

  • 69L-7.020:  Florida Workers’ Compensation Health Care Provider Reimbursement Manual

The purpose of the proposed Rule is to:

  • Address proposed revisions to the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, 2008 Edition
  • Implement the 2008 conversion factors issued by the Centers for Medicare and Medicaid Services
  • Provide guidelines detailing the circumstances under which providers may collect co-payments from claimants
  • Provide new language recognizing the National Correct Coding Initiative Edits as an appropriate resource for insurer use in the bill review process
  • Provide that a health care provider may not petition to resolve a reimbursement dispute when services were rendered pursuant to an authorized workers’ compensation managed care arrangement

Date:  Friday, November 21, 2008
Time:  10:00 a.m.
Place:  Room 104J of the Hartman Building, 2012 Capital Circle S.E., Tallahassee, Florida

 

Citizens Audit Committee Meeting

Citizens Property Insurance Corporation will hold an Audit Committee meeting on Friday, November 21, starting at 10:00 a.m. via teleconference.  The call-in number is:  877.260.2826.  No further information is available at this time.

 

 

Florida Legislative Meetings


  • Florida House of Representatives Organization Session–Tuesday, November 18 at 8:00 a.m.
  • Swearing In Ceremony for New Representatives–Tuesday, November 18 at 9:00 a.m.
  • Florida Senate Democratic Caucus–Monday, November 17 at 1:00 p.m.
  • Florida Senate Organization Session–Tuesday, November 18 at 10:00 a.m.

 

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