Fla. Admin. Code Ann. R. 69L-5.220 - Drug-Free Workplace Premium Credit Program
(1) In order for self-insurers to receive up
to a five percent (5%) credit on the computation of premiums used in the
determination of the assessments for the Workers' Compensation Administration
Trust Fund, the Special Disability Trust Fund and the Florida Self-Insurers
Guaranty Association, Inc., they must state that they have established a
drug-free workplace in accordance with Sections
440.101 and
440.102, F.S.
(2) The application must be completed using
Form DFS-F2-SI-8 (Self-Insured Employer Application for Drug-Free Workplace
Premium Credit Program), effective 08/09, as incorporated by reference, and
shall be filed annually, sixty (60) days prior to their Anniversary Rating
Date. Copies of this form are available at the Division of Workers'
Compensation, Bureau of Monitoring and Audit, Self-Insurance Section, 1579
Summit Lake Drive, Tallahassee, FL 32317. The completed Form DFS-F2-SI-8
(Self-Insured Employer Application for Drug-Free Workplace Premium Credit
Program), effective 08/09, shall be mailed to the:
Department of Financial Services
Division of Workers' Compensation
Assessments Unit
1579 Summit Lake Drive
Tallahassee, FL 32317
(3) Applications not received prior to the
Anniversary Rating Date shall be applied pro rata as of the date the
certification is received at the Division.
Notes
Rulemaking Authority 440.38(1), (2), (3), 440.385(6), 440.591 FS. Law Implemented 440.101, 440.102, 440.38(1), (2), (3), 440.385(1), (3), (6) FS.
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