69O-136.041, F.A.C.
69O-136.041. Multiple-Employer Welfare Arrangements
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.