R. 61G5-17.008 Probable Cause Determination
R. 61G5-17.0095 Unexcused Absences
R. 61G5-17.016 Time for Payment of Administrative Fines
R. 61G5-17.017 Board Member Compensation
R. 61G5-17.019 Public Comment

Terms Used In Florida Regulations > Chapter 61G5-17

  • acknowledgement: means a response provided by the Division to communicate the acceptance or rejection of an electronic transaction sent to the Division. See Florida Regulations 69L-56.002
  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Answer: The formal written statement by a defendant responding to a civil complaint and setting forth the grounds for defense.
  • Average Wage: means the employee's average weekly wage as determined in section 440. See Florida Regulations 69L-56.002
  • Batch: means a set of records containing one header record, one or more detailed transactions, and one trailer record. See Florida Regulations 69L-56.002
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Business day: means a day on which normal business is conducted by the State of Florida and excludes observed holidays as set out in Florida Statutes § 110. See Florida Regulations 69L-56.002
  • Calculated Weekly Compensation Amount: means 66 2/3 % of the employee's average weekly wage pursuant to section 440. See Florida Regulations 69L-56.002
  • Catastrophic Event: means the occurrence of an event outside the control of an insurer, claim administrator, or third party vendor, such as a telecommunications failure due to a natural disaster or act of terrorism (including but not limited to cyber terrorism), in which recovery time will prevent an insurer, claim administrator, or third party vendor from meeting the filing requirements of chapter 440, F. See Florida Regulations 69L-56.002
  • Claim Administrator: means any insurer, service company/third party administrator, self-serviced self-insured employer or fund, or managing general agent, responsible for adjusting workers' compensation claims, that is electronically sending its data directly to the Division. See Florida Regulations 69L-56.002
  • Claim Type Code: means a code representing the current classification of the claim as either a "Lost Time/Indemnity Case" (Claim Type Code "I"), "Medical Only to Lost Time Case" (Claim Type Code "L"), "Became Medical Only Case" (Claim Type Code "B") or "Medical Only Case" (Claim Type Code "M"). See Florida Regulations 69L-56.002
  • Client Company: is a s defined in section 468. See Florida Regulations 69L-56.002
  • Contract: A legal written agreement that becomes binding when signed.
  • Days: means calendar days, unless otherwise noted. See Florida Regulations 69L-56.002
  • Denied Case: means a "Full Denial" or "Partial Denial" case for which all indemnity benefits are initially denied by the claim administrator. See Florida Regulations 69L-56.002
  • Dependent: A person dependent for support upon another.
  • Deposition: An oral statement made before an officer authorized by law to administer oaths. Such statements are often taken to examine potential witnesses, to obtain discovery, or to be used later in trial.
  • Dismissal: The dropping of a case by the judge without further consideration or hearing. Source:
  • Division: means the Division of Workers' Compensation. See Florida Regulations 69L-56.002
  • Electronic Form Equivalent: means information sent in Division-approved electronic formats as specified in this rule, instead of otherwise required paper documents. See Florida Regulations 69L-56.002
  • Employee Leasing: is a s defined in section 468. See Florida Regulations 69L-56.002
  • Employee Leasing Company: is a s defined in section 468. See Florida Regulations 69L-56.002
  • Employee Leasing Policy Identification Code: is a code which identifies a policy written as an employee leasing policy, and the type of leasing operation. See Florida Regulations 69L-56.002
  • Employer Paid Salary in Lieu of Compensation: means the employer paid the employee salary, wages, or other remuneration for a period of disability for which the insurer would have otherwise been obligated to pay indemnity benefits. See Florida Regulations 69L-56.002
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • 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.
  • Filed: means a transaction has been received by the Division and passes quality and structural edits and is assigned an Application Acknowledgement Code of "TA" (Transaction Accepted). See Florida Regulations 69L-56.002
  • Fraud: Intentional deception resulting in injury to another.
  • FROI: means the First Report of Injury Record Layout adopted by the IAIABC as a Claims EDI Release 3 standard, and is comprised of the First Report of Injury Record identified by Transaction Set ID "148" paired with the First Report of Injury Companion Record identified by Transaction Set ID "R21. See Florida Regulations 69L-56.002
  • Full Denial: means any case for which the claim administrator has denied liability for all workers' compensation benefits (i. See Florida Regulations 69L-56.002
  • Gross Weekly Amount: means the weekly amount payable for a specific Benefit Type and excludes the application of any Benefit Adjustments or Benefit Credits. See Florida Regulations 69L-56.002
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Header Record: means the first record of a batch. See Florida Regulations 69L-56.002
  • IAIABC: means the International Association of Industrial Accident Boards and Commissions (www. See Florida Regulations 69L-56.002
  • Industry Code: means the 5 or 6-digit code that represents the nature of the employer's business as published in the North American Industry Classification System (NAICS) 2007 Edition, hereby incorporated by reference. See Florida Regulations 69L-56.002
  • Initial Date of Lost Time: means the employee's eighth (8th) day of disability, i. See Florida Regulations 69L-56.002
  • Initial Disposition: means the first action taken by the claim administrator following its knowledge of an injury to accept or deny compensability of the claim and pay or deny benefits, including payment or denial of both indemnity and medical benefits, or denial of indemnity benefits only. See Florida Regulations 69L-56.002
  • Insurer: means an insurer as defined in section 440. See Florida Regulations 69L-56.002
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Manual Classification Code: means the 4-digit code assigned by the National Council on Compensation Insurance (NCCI) for the particular occupation of the injured employee as documented in the NCCI Scopesâ„¢ Manual 2009 Edition, which is hereby incorporated by reference. See Florida Regulations 69L-56.002
  • Medical Only Case: means a work-related injury or illness which requires medical treatment for which charges will be incurred, but which does not cause the employee to be disabled for more than 7 calendar days. See Florida Regulations 69L-56.002
  • Net Weekly Amount: means the weekly amount paid for an indemnity benefit such as temporary total benefits, impairment income benefits, etc. See Florida Regulations 69L-56.002
  • Notification: means an entity's earliest receipt of information, including by mail, telephone, facsimile, direct personal contact, or electronic submission. See Florida Regulations 69L-56.002
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Partial Denial: means a case where compensability is accepted but the claim administrator initially denies all indemnity benefits and only medical benefits will be paid; Partial Denial also means a case where a specific indemnity benefit(s) was previously paid but subsequently denied, either in whole or in part. See Florida Regulations 69L-56.002
  • Permanent Impairment Percentage: means "Permanent Impairment" as defined in section 440. See Florida Regulations 69L-56.002
  • Probable cause: A reasonable ground for belief that the offender violated a specific law.
  • Quorum: The number of legislators that must be present to do business.
  • Rescission: The cancellation of budget authority previously provided by Congress. The Impoundment Control Act of 1974 specifies that the President may propose to Congress that funds be rescinded. If both Houses have not approved a rescission proposal (by passing legislation) within 45 days of continuous session, any funds being withheld must be made available for obligation.
  • Sender: means one of the following entities sending electronic filings to the Division:     (a) Claim Administrator;     (b) Insurer; or     (c) Third Party Vendor (Proof of Coverage only). See Florida Regulations 69L-56.002
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • SROI: means the Subsequent Report of Injury Record Layout adopted by the IAIABC as a Claims EDI Release 3 standard, and includes the Subsequent Report Record identified by Transaction Set "A49" paired with the Subsequent Report Companion Record identified with Transaction Set ID "R22. See Florida Regulations 69L-56.002
  • Statute: A law passed by a legislature.
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.
  • Third Party Vendor: means an entity acting as a submission agent or vendor on behalf of an insurer, service company or third party administrator, which has been authorized to electronically send required data to the Division. See Florida Regulations 69L-56.002
  • Trading Partner: means an entity approved by the Division in accordance with rules 69L-56. See Florida Regulations 69L-56.002
  • Trailer Record: means the last record that designates the end of a batch of transactions. See Florida Regulations 69L-56.002
  • Transmission: consists of one or more batches sent to or received by the Division or a trading partner. See Florida Regulations 69L-56.002
  • Triplicate Code: is a series of three two-digit numeric codes that define the specific purpose of individual records in a Proof of Coverage transmission, i. See Florida Regulations 69L-56.002