Florida Office of Insurance Regulation To Request Cabinet Approval of Personal Injury Protection Form Emergency Rule

Dec 11, 2012

At the Florida Cabinet meeting today, December 12, 2012, the Florida Office of Insurance Regulation (“OIR”) will request approval to adopt an Emergency Rule designed to notify claimants about the Personal Injury Protection (“PIP”) insurance benefits to which they are entitled under Florida’s Motor Vehicle No-Fault Law.

Emergency Rule 69OER12-01, entitled “Emergency Adoption of Revised Notification of Personal Injury Protection (PIP) Benefits Form,” will allow the OIR to adopt updates to the current version of Form OIR-B1-1149 that reflect changes to Florida’s PIP law pursuant to HB 119.   For example, the new Form explains that PIP benefits are now limited to $2,500, except under certain circumstances.

The updates will be effective on January 1, 2013. 

Also at today’s meeting, the OIR will request approval for publication of proposed amendments to Rule 69O-170.0155, “Forms,” and Rule 69O-176.013 “Notification of Insured’s Rights and Standard Disclosure Form; Personal Injury Protection Benefits.”   The proposed revisions to these Rules also reflect changes brought by HB 119.

Rule 69O-170.0155 adopts Form OIR-B1-1809, “Health Care Provider Certification of Eligibility,” which requires healthcare professionals providing PIP benefits to certify that they are an eligible PIP provider by filing a copy of the Form with insurers upon making an initial claim for PIP medical benefits. The amendments to this Form are technical in nature and are designed to conform the form with the language of the new statute. 

Rule 69O-176.013 adopts Form OIR-B1-1149, “Notification of Personal Injury Protection Benefits,” which is required to be given to PIP claimants upon filing a claim for PIP benefits. This Form explains the rights and benefits to which claimants are entitled under Florida’s No-Fault Law.  Specifically, the Form is being revised to reflect that PIP benefits are now allocated for emergency medical treatment and a flat $5,000 death benefit. The Form was also revised to incorporate technical edits relating to fraud reporting and billing disclosures. 

To view the complete OIR agenda packet for today’s Cabinet meeting, click here.



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