7299364, 69L-24.001 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 7299364

Notice of Proposed Rule

Department:

DEPARTMENT OF FINANCIAL SERVICES

Division:

Division of Workers' Compensation

Chapter:

INSURERS' STANDARDS AND PRACTICES

Overview

RULE:

69L-24.001	Purpose
69L-24.002	Scope
69L-24.003	Definitions
69L-24.004	Monitoring, Examining and Investigating
69L-24.005	Maintaining and Providig Records
69L-24.006	Administrative Penalties and Fines
69L-24.007	Pattern and Practice
69L-24.021	Minimum Performance Standards (Repealed)
69L-24.0211	Monitoring (Repealed)
69L-24.022	Auditing (Repealed)
69L-24.0222	Re-Audit and Certification for Noncompliance (Repealed)
69L-24.0231	Benefits and Administration Trust Fund Penalties Improper Filing Practices (Repealed)
69L-24.024	Medical Penalties (Repealed)
69L-24.0241	Employee Failure to Appear for Independent Medical Examination (Repealed)

PURPOSE:

Rule Chapter 69L-24, F.A.C., is being amended to concurrently repeal and replace all existing rules with new rules which have been restructured and renumbered to promote clarity regarding the establishment of uniform guidelines under which the Department of Financial Services, Division of Workers’ Compensation will monitor, audit and investigate regulated entities to ensure compliance with statutory obligations under Chapter 440, Florida Statutes. The proposed rules provide guidance to regulated entities regarding requirements to provide timely payment of workers’ compensation benefits to injured workers, to timely pay medical bills to providers, and to timely report workers’ compensation data to the Department. Regulated entities include but are not limited to insurers, service companies, third-party administrators, self-serviced self-insured employers or funds, managing general agents, and data submitters that are responsible for adjusting workers’ compensation claims or submitting information and data regarding those claims to the Department. The purpose and effect is also to establish uniform guidelines to penalize regulated entities for failure to provide timely payment of workers’ compensation benefits to injured workers, for failure to timely pay medical bills to providers, and for failure to timely report workers’ compensation information or data to the Department, based on findings made during the process of monitoring, auditing and investigating those regulated entities.

SUMMARY:

Repeal of all existing rules in Rule Chapter 69L-24, F.A.C., and replacement of those rules with new rules which establish guidelines to monitor, audit and investigate regulated entities for compliance with the requirements of Chapter 440, Florida Statutes, regarding timely payment of benefits to injured workers, timely payment of medical bills, and timely reporting of data to the Department, and establish penalty guidelines for assessment of penalties for failure to comply with the statutory requirements.

RULEMAKING AUTHORITY:

440.13(11), 440.185, 440.20(6), 440.525(4), 440.591, 440.593(5) FS.

LAW:

440.13(11), 440.185, 440.20(6), (8), 440.525, 440.593 FS.

PRINT PUBLISH DATE:

6/26/2009 Vol. 35/25

COMMENTS:

From 6/26/2009 To 7/17/2009 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

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