Florida Administrative Code
69 - DEPARTMENT OF FINANCIAL SERVICES
69O - OIR - Insurance Regulation
Chapter 69O-191 - HEALTH MAINTENANCE ORGANIZATIONS
Section 69O-191.074 - Records Retention

Universal Citation: FL Admin Code R 69O-191.074

Current through Reg. 50, No. 187; September 24, 2024

(1) Every Health Maintenance Organization shall maintain complete records of its assets, transactions, and affairs, including but not limited to, the following:

(a) Financial records (including annual earned premiums and claims incurred, but not reported (IBNR));

(b) Corporate records;

(c) Insurance and reinsurance documents;

(d) Accounting documents;

(e) Member records;

(f) Claim and payment of claims files; and,

(g) Tax returns.

(2) These records, either in the form of paper or electronic documents, shall be maintained for no less than three (3) years, unless otherwise required to be maintained for a longer period of time by the Department of Health, Internal Revenue Service, Centers for Medicare & Medicaid (CMS) or as otherwise specified by the Office.

Rulemaking Authority 641.36 FS. Law Implemented 641.27 FS.

New 5-28-92, Formerly 4-191.074, Amended 8-15-19.

Disclaimer: These regulations may not be the most recent version. Florida may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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