Section 69O-154.305 - Election and Premium Notice Form(1) Within 14 days of the date that the carrier receives the notice of occurrence of a qualifying event from the qualified beneficiary the carrier must send to the employee, covered spouse and covered dependents, by certified mail, the Election and Premium Notice Form OIR-B2-1261 (REV 8/03), which is hereby adopted and incorporated by reference. Copies of the forms are available and may be printed from the Office's website: http://www.floir.com/iportal.(2) Carriers may develop a similar form which must include the information in Form OIR-B2-1261. Any similar form must be filed and approved before use pursuant to the requirements of Section 627.410, F.S. Any filing shall be submitted to the Office electronically through http://www.floir.com/iportal.Fla. Admin. Code Ann. R. 69O-154.305
Rulemaking Authority 624.308(1), 627.6692(9) FS. Law Implemented 624.307(1), 624.424, 627.6692(5) FS.
New 4-24-97, Formerly 4-154.305, Amended 5-4-06, Amended by Florida Register Volume 43, Number 138, July 18, 2017 effective 7/30/2017.New 4-24-97, Formerly 4-154.305, Amended 5-4-06, 7-30-17.