(1) Any person
acquiring a Florida domestic insurer pursuant to Section
628.461, F.S., shall comply with
the instructions contained on Form OIR-C1-918, incorporated by reference in
Rule
69O-136.100, F.A.C., and shall
also comply with directions, or otherwise submit, the following applicable
forms:
(a) Form OIR-C1-918, incorporated by
reference in Rule
69O-136.100, F.A.C.;
(b) Form OIR-C1-1416, "Uniform Certificate of
Authority Application (UCAA) Lines of Insurance," incorporated by reference in
Rule
69O-136.100, F.A.C.;
(c) The biographical information package as
defined in subsection
69O-136.100(3),
F.A.C.;
(d) Form OIR-C1-1524,
"Uniform Certificate of Authority Application (UCAA) Uniform Consent to Service
of Process," incorporated by reference in Rule
69O-136.100, F.A.C., if required
as per the instructions in Form OIR-C1-918;
(e) Form OIR-C1-2069, "Letter of
Notification," incorporated by reference in Rule
69O-136.100, F.A.C.;
(f) Form OIR-C1-2221, "Management Information
Form," incorporated by reference in Rule
69O-136.100, F.A.C.;
(g) Form OIR-D0-896, "UCAA Proforma Financial
Statements, Property and Casualty Insurance Company," incorporated by reference
in Rule
69O-136.100, F.A.C.;
(h) Form OIR-D0-904, "UCAA Proforma Financial
Statements, Life & Health Insurer," incorporated by reference in Rule
69O-136.100, F.A.C.;
(i) Form OIR-D0-2119, "UCAA Proforma
Financial Statements, Title Insurance Company," incorporated by reference in
Rule
69O-136.100, F.A.C.;
(j) Form OIR-D0-2165, "UCAA Proforma
Financial Statements, Health," incorporated by reference in Rule
69O-136.100, F.A.C.;
and
(k) Prior to a final decision
on whether to approve the proposed acquisition, the Office shall request such
other information as is necessary, depending on the facts and circumstances of
the specific persons and entities involved, pursuant to section
628.461(3),
F.S., to determine the character, experience, ability, and other qualifications
required by statute, of the person or affiliated person of such person for the
protection of the policyholders and shareholders of the insurer and the public.
The Office shall make no final decision on any proposed acquisition without
complete information, as required by section
628.461,
F.S.
(2) All the forms
listed in subsection (1) may be obtained from the Office's website at
http://www.floir.com and shall be submitted electronically via the Office's
iApply system at https://www.floir.com/iportal. Forms relating to specific
kinds of insurance in subsection (1) are to be submitted only by companies
issuing policies relating to the kind of insurance specified on the
form.
(3) Any merger effected
between or among one or more domestic or foreign stock insurers authorized to
transact insurance in this state and one or more other entities authorized to
transact insurance and self-insurance in this state, including a self-insurance
trust fund existing pursuant to section
627.357, F.S., shall comply with
the provisions of sections
628.461 and
628.451, F.S., and this
rule.
(4) Any merger effected
involving a not-for-profit health maintenance organization that is in a holding
company system shall comply with the provisions of sections
628.461,
628.471,
641.255 F.S., and this
rule.
(5) Any merger effected
involving a for-profit health maintenance organization that is in a holding
company system shall comply with sections
628.461,
628.451,
641.255 F.S., and this
rule.
(6) A retaliatory application
fee shall be submitted pursuant to section
624.5091, F.S. The retaliatory
fee is the greater of:
(a) The amount that
the applicant's domiciliary state or country would charge a Florida domestic
insurer making application in the applicant's state or country of domicile;
or
(b) The Florida application fee
pursuant to section 624.501(1)(a),
F.S.
(7) Disclaimer of
Control
(a) A person may attempt to rebut a
presumption of control pursuant to section
628.461, F.S., by electronically
filing via the Office's iApply system at https://www.floir.com/iportal one of
the following forms with the Office:
1. Form
OIR-C1-1467, incorporated by reference in Rule
69O-136.100, F.A.C.;
2. Form OIR-C1-1468, incorporated by
reference in Rule
69O-136.100, F.A.C.;
3. Form OIR-C1-2211, incorporated by
reference in Rule
69O-136.100,
F.A.C.
(b) A person may
attempt to rebut a presumption of control pursuant to section
628.461, F.S., by filing a copy
of a Schedule 13G filed with the Securities and Exchange Commission pursuant to
Rule 13d-1(b) or (c), 17
C.F.R. s.
240.13d-1, under the Securities
Exchange Act of 1934, as amended, to the Office electronically via the Office's
iApply system at https://www.floir.com/iportal.
(c) Pursuant to section
628.461(12)(a),
F.S., the Office is authorized to disallow a disclaimer of control filed
pursuant to paragraphs (a) and (b).