30699062, 69H-2.004 - Florida Administrative Rules, Law, Code, Register

Home

Florida Department of State and Division of Library and Information Services

Notice: 30699062

Notice of Development of Rulemaking

Department:

DEPARTMENT OF FINANCIAL SERVICES

Division:

Division of Risk Management

Chapter:

STATE RISK MANAGEMENT TRUST FUND, STATE CASUALTY CLAIMS

Overview

RULE:

69H-2.004	Certificate of Coverage
69H-2.008	Other Forms Adopted

PURPOSE:

The purpose of the change in 69H-2.004 Certificate of Coverage is to incorporate the language of rule 69H-2.002 Coverage Exclusion, which is being repealed (to consolidate and streamline the rule chapter). The purpose of the change in 69H-2.008 Other Forms Adopted is to add hyperlinks for forms DFS-D0-1404, “Lien disclosure Statement,” DFS-D0-1406, “Insurer’s Disclosure Statement Pursuant to Section 627.4137, F.S.,” and DFS-D0-1407, “Medical Authorization.” The change will further update forms DFS-D0-1404 and DFS-D0-1407 to include a more comprehensive “Purpose and Use Statement required by Section 119.071(5), Florida Statutes” as it relates to the disclosure of the claimant’s social security number. Additionally, the rulemaking authority in .004, and the laws implemented in .008 would be updated.

SUBJECT:

The rules and the forms contained therein aid in the administration of the State Risk Management Trust Fund regarding the claims filed against and the coverage provided by the Fund.

RULEMAKING AUTHORITY:

284.17, 284.311, 284.39 FS.

LAW:

284.30, 284.31, 284.40, 284.41, 627.4137 FS.

PRINT PUBLISH DATE:

3/27/2026 Vol. 52/60

RELATED STATUTES
AND LAWS:

284.17, 284.311, 284.39 FS., 284.30, 284.31, 284.40, 284.41, 627.4137 FS.

OVERSIGHT COMMITTEE:

Joint Administrative Procedures Committee
Florida Administrative Law Central Online Network (F.A.L.C.O.N.)

RELATED COURT CASES:

Division of Administrative Hearings

FEDERAL eRULEMAKING
WEB PORTAL:

Regulations.gov

HOW TO LINK TO
THIS NOTICE:

http://flrules.org/gateway/ruleno.asp?id=69H-2.004&PDate=3/27/2026&Section=1

REFERENCE MATERIALS:

No reference(s).

Under Florida law, E-mail addresses are public records. If you do not want your E-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.