Workers’ Compensation Rule Hearing

Jan 21, 2009

Workers’ Compensation Rule Hearing

The Florida Department of Financial Services, Division of Workers’ Compensation has issued a Notice of Development of Rulemaking regarding the following Rules:

  • 69L-56.001: Forms and Instructions
  • 69L-56.002: Definitions
  • 69L-56.100: Proof of Coverage (POC) Electronic Reporting Requirements
  • 69L-56.110: Technical Requirements for POC EDI Transmissions
  • 69L-56.200: Policy Cancellation or Non-Renewal Requirements
  • 69L-56.210: Time Periods for Filing Electronic Policy Information
  • 69L-56.300: Claims EDI Reporting Requirements and Implementation Schedules
  • 69L-56.301: Electronic First Report of Injury or Illness
  • 69L-56.3012: Electronic Notice of Denial and Rescinded Denial
  • 69L-56.3013: Electronic Periodic Claim Cost Reports
  • 69L-56.304: Electronic Notice of Action or Change, Including Change in Claims Administration, Required by the Insurer’s Primary Implementation Schedule
  • 69L-56.3045: Electronic Notice of Action or Change, Suspensions, and Reinstatement of Indemnity Benefits Required by Insurer’s Secondary Implementation Schedule
  • 69L-56.307: Electronic Cancellation of Claim
  • 69L-56.310: Technical Requirements for Claims EDI Transmissions
  • 69L-56.330: Electronic Formats for Reporting the Employee’s 8th Day of Disability and the Claim Administrator’s Knowledge of 8th Day of Disability

The proposed changes would:

  • Amend the Rule Chapter to incorporate by reference revised forms, instructions, manuals and implementation guides for use by insurers in the electronic reporting of proof of coverage and claims information to the Division of Workers’ Compensation
  • Add a Rule specifying insurer reporting proof of coverage requirements for a professional employer organization or employee leasing company and its client companies
  • Add a definition for “Cancellation/Non-Renewal Date”
  • Delete redundant language
  • Change the Rule Chapter title
  • Concurrently upon adoption of the proposed amendments, repeal Rule 69L-56.330, which has become obsolete

Date: Wednesday, January 21, 2009
Time: 10:00 a.m.
Place: Room 104-J of the Hartman Building, 2012 Capital Circle S.E., Tallahassee, Florida