Florida Regulations 69O-170.0155: Forms
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The following forms are hereby adopted and incorporated by reference:
(1)(a) OIR-B1-582, “”Universal Standardized Data Letter,”” (Rev. 10/04).
(b) OIR-B1-583, “”Florida Expense Supplement Calculation of Insurer Loss Cost Multiplier,”” (Rev. 04/04).
(c) OIR-B1-584, “”Florida Property and Casualty – Annual Rate Filing-Exemption,”” (Rev. 07/03).
(d) OIR-B1-586, “”Florida Property and Casualty – Annual Rate Filing Certification,”” (Rev. 07/03).
(e) OIR-B1-595, “”Florida Expense Supplement for Independent Rate Filings,”” (Rev. 07/03).
(f) OIR-B1-HRCS, “”Homeowners’ Rate Collection System (HRCS),”” (07/03).
(g) OIR-B1-DRCS, “”Dwelling Rate Collection System (DRCS),”” (07/03).
(h) OIR-B1-ARCS, “”Automobile Rate Collection System (ARCS),”” (07/03).
(i) OIR-B1-RIWBK, “”Personal Lines Standardized Rate Indications Workbook,”” (07/04).
(j) OIR-B1-IFILE, “”I-File,”” (11/04).
(k) OIR-B1-1655, “”Notice of Premium Discounts for Hurricane Loss Mitigation,”” (Rev. 2/10).
(l) OIR-B1-1802, “”Uniform Mitigation Verification Inspection Form,”” (Rev. 01/12) http://www.flrules.org/Gateway/reference.asp?No=Ref-00720.
(m) OIR-B1-1790, “”Certificate of True and Accurate Rate Filing,”” (New 03/07).
(n) OIR-B1-1809 “”Health Care Provider Certification of Eligibility”” http://www.flrules.org/Gateway/reference.asp?No=Ref-02229 (Rev. 1/2013).
(2) All Office of Insurance Regulation forms may be obtained from:
(a) The Office’s web site located at http://www.floir.com/iportal, or
(b) Property and Casualty Product Review, Office of Insurance Regulation, Larson Building, Tallahassee, FL 32399-0330, (850)413-3146.
Rulemaking Authority 624.308(1), 627.711, 627.736 FS. Law Implemented 215.5586, 624.307(1), 624.424, 627.062, 627.0629, 627.0645, 627.711, 627.736 FS. History-New 6-19-03, Formerly 4-170.0155, Amended 2-23-06, 12-26-06, 6-12-07, 7-17-07, 9-5-07, 3-13-08, 4-21-10 (1)(l), 4-21-10 (1)(k), 2-1-12, 3-25-13.
(1)(a) OIR-B1-582, “”Universal Standardized Data Letter,”” (Rev. 10/04).
(b) OIR-B1-583, “”Florida Expense Supplement Calculation of Insurer Loss Cost Multiplier,”” (Rev. 04/04).
(c) OIR-B1-584, “”Florida Property and Casualty – Annual Rate Filing-Exemption,”” (Rev. 07/03).
(d) OIR-B1-586, “”Florida Property and Casualty – Annual Rate Filing Certification,”” (Rev. 07/03).
(e) OIR-B1-595, “”Florida Expense Supplement for Independent Rate Filings,”” (Rev. 07/03).
(f) OIR-B1-HRCS, “”Homeowners’ Rate Collection System (HRCS),”” (07/03).
(g) OIR-B1-DRCS, “”Dwelling Rate Collection System (DRCS),”” (07/03).
(h) OIR-B1-ARCS, “”Automobile Rate Collection System (ARCS),”” (07/03).
(i) OIR-B1-RIWBK, “”Personal Lines Standardized Rate Indications Workbook,”” (07/04).
(j) OIR-B1-IFILE, “”I-File,”” (11/04).
(k) OIR-B1-1655, “”Notice of Premium Discounts for Hurricane Loss Mitigation,”” (Rev. 2/10).
(l) OIR-B1-1802, “”Uniform Mitigation Verification Inspection Form,”” (Rev. 01/12) http://www.flrules.org/Gateway/reference.asp?No=Ref-00720.
(m) OIR-B1-1790, “”Certificate of True and Accurate Rate Filing,”” (New 03/07).
(n) OIR-B1-1809 “”Health Care Provider Certification of Eligibility”” http://www.flrules.org/Gateway/reference.asp?No=Ref-02229 (Rev. 1/2013).
(2) All Office of Insurance Regulation forms may be obtained from:
(a) The Office’s web site located at http://www.floir.com/iportal, or
(b) Property and Casualty Product Review, Office of Insurance Regulation, Larson Building, Tallahassee, FL 32399-0330, (850)413-3146.
Rulemaking Authority 624.308(1), 627.711, 627.736 FS. Law Implemented 215.5586, 624.307(1), 624.424, 627.062, 627.0629, 627.0645, 627.711, 627.736 FS. History-New 6-19-03, Formerly 4-170.0155, Amended 2-23-06, 12-26-06, 6-12-07, 7-17-07, 9-5-07, 3-13-08, 4-21-10 (1)(l), 4-21-10 (1)(k), 2-1-12, 3-25-13.