69O-136.041, F.A.C.

69O-136.041. Multiple-Employer Welfare Arrangements

Last amended: 2026Year: 2026Length: 91 wordsOfficial source

Cite as Fla. Admin. Code r. 69O-136.041

(1) An application for a person applying for a certificate of authority as a multiple-employer welfare arrangement consists of the following: (a) Form OIR-C1-983, incorporated by reference in Rule 69O-136.100, F.A.C.; (b) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and, (c) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C. (2) A person applying for a certificate of authority as a multiple-employer welfare arrangement shall submit forms in subsection (1) as directed by the Office electronically at floir.gov/iportal. The forms may be obtained from floir.gov.
69O-136.041, F.A.C.: 69O-136.041. Multiple-Employer Welfare Arrangements | Justis AI