Current through Reg. 50, No. 187; September 24, 2024
(1) Each
HMO shall file with the Office a full and true statement of its financial
condition, transactions, and affairs.
(a) An
annual statement covering the preceding fiscal year shall be filed within 3
months after the end of the fiscal year, and quarterly statements within 45
days after the end of each of its quarterly reporting periods for the first
three quarters of the fiscal year.
(b) The Office shall grant an extension of
time for filing an annual or quarterly statement if there exist conditions
beyond the control of the authorized HMO, such as rehabilitation pursuant to
Chapter 631, F.S., or the laws of the state of domicile; severe damage to the
HMO's physical premises by a natural or man-made disaster; or some other reason
of similar gravity and severity. The extension shall be for the amount of time
reasonable to file under the conditions which justified the
extension.
(c) For purposes of this
rule, the requirement that statements be filed with the Office means that the
statement has been transmitted electronically to the National Association of
Insurance Commissioners and that the executed Jurat page of said statement has
been transmitted electronically to the Office via the Regulatory Electronic
Filing System, "REFS." The date affixed by the Office's electronic data
processing system shall serve as evidence of the timeliness of the statement.
Annual and quarterly statements in any other format shall not be submitted to
the Office.
(2) Annual
and Quarterly Statement Reporting.
Each HMO shall submit its annual and quarterly statement
information electronically to the National Association of Insurance
Commissioners in accordance with the electronic filing instructions
incorporated by reference in paragraph
69O-137.001(3)(b),
F.A.C.
(3) Manuals Adopted.
(a) Annual statements shall be prepared in
accordance with the manuals incorporated by reference in paragraph
69O-137.001(4)(a),
F.A.C.
(b) Quarterly statements
shall be prepared in accordance with the manuals incorporated by reference in
paragraph 69O-137.001(4)(b),
F.A.C.
(c) Copies of the manuals
are available:
1. From the National
Association of Insurance Commissioners at
http://www.naic.org; and,
2. For inspection during regular business
hours at the Office of Insurance Regulation, Larson Building, 200 East Gaines
Street, Tallahassee, Florida
32399-0300.
Rulemaking Authority 641.26, 641.36 FS. Law Implemented
624.424, 641.26(1) FS.
New 2-22-88, Amended 10-25-89, Formerly 4-31.075, Amended
5-28-92, Formerly 4-191.075, Amended 7-30-17,
9-28-22.
