69O-136.011. Commercial Self-Insurance Funds Filing for a Certificate of Authority

(1) Applicants for a certificate of authority as a commercial self-insurance fund pursuant to section 624.462, F.S., shall comply with the directions on, or otherwise submit, the following applicable forms: (a) Form OIR-C1-845, “Application for Certificate of Authority Commercial Self-Insurance Fund,” incorporated by reference in Rule 69O-136.100, F.A.C.; (b) Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.; (c) Form OIR-C1-1416, “Uniform Certificate of Authority Application (UCAA) Lines of Insurance,” incorporated by reference in Rule 69O-136.100, F.A.C.; (d) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and (e) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C. (2) All the forms listed in subsection (1) above may be obtained from the Office’s website at floir.gov and shall be submitted electronically via the Office’s iApply system at floir.gov/iportal. Forms relating to specific kinds of insurance are to be submitted only by companies issuing policies relating to the kind of insurance specified.