69O-149.044. Forms

(1) The following forms are hereby adopted and incorporated by reference: (a) OIR-B2-1117, Rev. 1/05, Florida Employee Health Care Access Act Enrollment Report. (b) OIR-B2-1093, Rev. 5/02, State of Florida/Small Employer Carrier’s Application to Become a Risk Assuming Carrier or a Reinsuring Carrier, as Required by Section 627.6475(5), F.S. (c) OIR-B2-1095, Rev. 5/02, State of Florida/Small Employer Carrier’s Application to Modify Previous Election to Become a Risk Assuming or a Reinsuring Carrier, as Required by Section 627.6699(9), F.S. (d) OIR-B2-1575, Rev. 10/03, Small Employer Group Underwriting Experience Report Form. (2)(a) Copies of forms are available and may be printed from the Office’s website: http://www.floir.com/iportal. (b) Filings shall be submitted electronically through http://www.floir.com/iportal.