69O-136.040. Health Maintenance Organizations

(1) An application for a person applying for a certificate of authority as a health maintenance organization consists of the following: (a) Form OIR-C1-942, “Application for Certificate of Authority Health Maintenance Organization,” incorporated by reference in Rule 69O-136.100, F.A.C; (b) Form OIR-B2-1093, “Small Employer Carrier’s Application to Become a Risk Assuming Carrier or a Reinsuring Carrier, as Required by Section 627.6699(9), Florida Statutes,” incorporated by reference in Rule 69O-136.100, F.A.C.; (c) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, (d) 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) 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.