Fla. Admin. Code Ann. R. 69O-170.0155 - Forms

The following forms are hereby adopted and incorporated by reference:

(1)
(a) OIR-B1-582, "Universal Standardized Data Letter," (Rev. 10/04).
(b) OIR-B1-583, "Florida Expense Supplement Calculation of Insurer Loss Cost Multiplier," (Rev. 04/04).
(c) OIR-B1-584, "Florida Property and Casualty - Annual Rate Filing-Exemption," (Rev. 07/03).
(d) OIR-B1-586, "Florida Property and Casualty - Annual Rate Filing Certification," (Rev. 07/03).
(e) OIR-B1-595, "Florida Expense Supplement for Independent Rate Filings," (Rev. 07/03).
(f) OIR-B1-HRCS, "Homeowners' Rate Collection System (HRCS)," (07/03).
(g) OIR-B1-DRCS, "Dwelling Rate Collection System (DRCS)," (07/03).
(h) OIR-B1-ARCS, "Automobile Rate Collection System (ARCS)," (07/03).
(i) OIR-B1-RIWBK, "Personal Lines Standardized Rate Indications Workbook," (07/04).
(j) OIR-B1-IFILE, "I-File," (11/04).
(k) OIR-B1-1655, "Notice of Premium Discounts for Hurricane Loss Mitigation," (Rev. 2/10).
(l) OIR-B1-1802, "Uniform Mitigation Verification Inspection Form," (Rev. 01/12) http://www.flrules.org/Gateway/reference.asp?No=Ref-00720.
(m) OIR-B1-1790, "Certificate of True and Accurate Rate Filing," (New 03/07).
(n) OIR-B1-1809 "Health Care Provider Certification of Eligibility" http://www.flrules.org/Gateway/reference.asp?No=Ref-02229 (Rev. 1/2013).
(2) All Office of Insurance Regulation forms may be obtained from:
(a) The Office's web site located at http://www.floir.com/iportal, or
(b) Property and Casualty Product Review, Office of Insurance Regulation, Larson Building, Tallahassee, FL 32399-0330, (850)413-3146.

Notes

Fla. Admin. Code Ann. R. 69O-170.0155

Rulemaking Authority 624.308(1), 627.711, 627.736 FS. Law Implemented 215.5586, 624.307(1), 624.424, 627.062, 627.0629, 627.0645, 627.711, 627.736 FS.
New 6-19-03, Formerly 4-170.0155, Amended 2-23-06, 12-26-06, 6-12-07, 7-17-07, 9-5-07, 3-13-08, 4-21-10 (1)(l), 4-21-10 (1)(k), 2-1-12, 3-25-13.

New 6-19-03, Formerly 4-170.0155, Amended 2-23-06, 12-26-06, 6-12-07, 7-17-07, 9-5-07, 3-13-08, 4-21-10 (1)(l), 4-21-10 (1)(k), 2-1-12, 3-25-13.

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