Florida Regulations 69O-191.075: Annual and Quarterly Reports
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(1) Each HMO shall file with the Office a full and true statement of its financial condition, transactions, and affairs.
(a) An annual statement covering the preceding fiscal year shall be filed within 3 months after the end of the fiscal year, and quarterly statements within 45 days after the end of each of its quarterly reporting periods for the first three quarters of the fiscal year.
(b) The Office shall grant an extension of time for filing an annual or quarterly statement if there exist conditions beyond the control of the authorized HMO, such as rehabilitation pursuant to Florida Statutes Chapter 631, or the laws of the state of domicile; severe damage to the HMO’s physical premises by a natural or man-made disaster; or some other reason of similar gravity and severity. The extension shall be for the amount of time reasonable to file under the conditions which justified the extension.
(c) For purposes of this rule, the requirement that statements be filed with the Office means that the statement has been transmitted electronically to the National Association of Insurance Commissioners and that the executed Jurat page of said statement has been transmitted electronically to the Office via the Regulatory Electronic Filing System, “”REFS.”” The date affixed by the Office’s electronic data processing system shall serve as evidence of the timeliness of the statement. Annual and quarterly statements in any other format shall not be submitted to the Office.
(2) Annual and Quarterly Statement Reporting.
Each HMO shall submit its annual and quarterly statement information electronically to the National Association of Insurance Commissioners in accordance with the electronic filing instructions incorporated by reference in Fl. Admin. Code R. 69O-137.001(3)(b)
(3) Manuals Adopted.
(a) Annual statements shall be prepared in accordance with the manuals incorporated by reference in Fl. Admin. Code R. 69O-137.001(4)(a)
(b) Quarterly statements shall be prepared in accordance with the manuals incorporated by reference in Fl. Admin. Code R. 69O-137.001(4)(b)
(c) Copies of the manuals are available:
1. From the National Association of Insurance Commissioners at http://www.naic.org; and,
2. For inspection during regular business hours at the Office of Insurance Regulation, Larson Building, 200 East Gaines Street, Tallahassee, Florida 32399-0300.
Rulemaking Authority 641.26, 641.36 FS. Law Implemented 624.424, 641.26(1) FS. History-New 2-22-88, Amended 10-25-89, Formerly 4-31.075, Amended 5-28-92, Formerly 4-191.075, Amended 7-30-17, 9-28-22.
Terms Used In Florida Regulations 69O-191.075
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
- Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
(b) The Office shall grant an extension of time for filing an annual or quarterly statement if there exist conditions beyond the control of the authorized HMO, such as rehabilitation pursuant to Florida Statutes Chapter 631, or the laws of the state of domicile; severe damage to the HMO’s physical premises by a natural or man-made disaster; or some other reason of similar gravity and severity. The extension shall be for the amount of time reasonable to file under the conditions which justified the extension.
(c) For purposes of this rule, the requirement that statements be filed with the Office means that the statement has been transmitted electronically to the National Association of Insurance Commissioners and that the executed Jurat page of said statement has been transmitted electronically to the Office via the Regulatory Electronic Filing System, “”REFS.”” The date affixed by the Office’s electronic data processing system shall serve as evidence of the timeliness of the statement. Annual and quarterly statements in any other format shall not be submitted to the Office.
(2) Annual and Quarterly Statement Reporting.
Each HMO shall submit its annual and quarterly statement information electronically to the National Association of Insurance Commissioners in accordance with the electronic filing instructions incorporated by reference in Fl. Admin. Code R. 69O-137.001(3)(b)
(3) Manuals Adopted.
(a) Annual statements shall be prepared in accordance with the manuals incorporated by reference in Fl. Admin. Code R. 69O-137.001(4)(a)
(b) Quarterly statements shall be prepared in accordance with the manuals incorporated by reference in Fl. Admin. Code R. 69O-137.001(4)(b)
(c) Copies of the manuals are available:
1. From the National Association of Insurance Commissioners at http://www.naic.org; and,
2. For inspection during regular business hours at the Office of Insurance Regulation, Larson Building, 200 East Gaines Street, Tallahassee, Florida 32399-0300.
Rulemaking Authority 641.26, 641.36 FS. Law Implemented 624.424, 641.26(1) FS. History-New 2-22-88, Amended 10-25-89, Formerly 4-31.075, Amended 5-28-92, Formerly 4-191.075, Amended 7-30-17, 9-28-22.