69O-136.043. Prepaid Health Clinics

(1) An application for a person applying for a certificate of authority as a prepaid health clinic consists of the following: (a) Form OIR-C1-483, “Application for Certificate of Authority Prepaid Health Clinic,” 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 prepaid health clinic shall submit forms in subsection (1) as directed by the Office electronically at https://www.floir.gov/iportal. The forms may be obtained from https://www.floir.gov/iportal.