Fla. Admin. Code Ann. R. 69L-5.220 - Drug-Free Workplace Premium Credit Program
Current through Reg. 47, No. 249; December 28, 2021
(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,
2012 Capital Circle, S.E., Hartman Building, Tallahassee, FL 32399-4224. 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
200 East Gaines Street
Tallahassee, FL 32399-4221
(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
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