69O-170.0155. Forms

The following forms are hereby adopted and incorporated by reference: (1)(a) OIR-B1-582, “Universal Standardized Data Letter,” (Rev. 10/04). (b) OIR-B1-583, “Expense Supplement Calculation of Company Loss Cost Multiplier,” (Rev. 07/03). (c) OIR-B1-584, “Annual Rate Filing Exemption,” (Rev. 07/04). (d) OIR-B1-586, “Annual Rate Filing Certification,” (Rev. 07/04). (e) OIR-B1-595, “Florida Expense Supplement for Independent Rate Filings,” (Rev. 07/03). (f) OIR-B1-HRCS, “Homeowners’ Rate Collection System (HRCS),” (07/03). (g) OIR-B1-DRCS, “Dwelling Rate Collection System (DRCS),” (07/03). (h) OIR-B1-ARCS, “Automobile Rate Collection System (ARCS),” (07/03). (i) OIR-B1-RIWBK, “Personal Lines Standardized Rate Indications Workbook,” (07/04). (j) OIR-B1-IFILE, “I-File,” (11/04). (k) OIR-B1-1655, “Notice of Premium Discounts for Hurricane Loss Mitigation,” (Rev. 2/10). (l) OIR-B1-1802, “Uniform Mitigation Verification Inspection Form,” (Rev. 04/26) http://flrules.org/Gateway/reference.asp?No=Ref-18852. (m) OIR-B1-1790, “Certificate of True and Accurate Rate Filing,” (New 03/07). (n) OIR-B1-1809 “Health Care Provider Certification of Eligibility for PIP Benefits,” http://www.flrules.org/Gateway/reference.asp?No=Ref-02229 (Rev. 1/2013). (2) All Office of Insurance Regulation forms may be obtained from: (a) The Office’s web site located at http://www.floir.com/iportal, or (b) Property and Casualty Product Review, Office of Insurance Regulation, Larson Building, Tallahassee, FL 32399-0330, (850)413-3146. (3) Within 60 days from the effective date of a rate change to the policy or 60 days from the effective date of the policy, whichever occurs later, Insurers shall submit to the Office the information contained in any OIR-B1-1802 “Uniform Mitigation Verification Inspection Form,” received by the insurer and relating to such policy. Insurers shall submit this information through the Office’s webportal at: https://www.floir.com/iportal. Insurers shall not submit any policy not issued by the insurer nor any of the following information: name; telephone number(s); and email of the insured.