1. (1) All domestic insurers filing an Application for Permit, pursuant to Chapter 628, F.S., for the following: domestic property and casualty insurers, title insurers, life and health insurers, and domestic assessable mutual insurers, pursuant to section 628.051, F.S. except for domestic reciprocal insurers which are addressed in (2); domestic assessable mutual insurers, pursuant to section 628.051, F.S, and Domestic Captive Insurers, pursuant to Chapter 628, Part III, F.S.:

   1. (a) Shall comply with the directions on, or otherwise submit, the following applicable forms:

      1. Form OIR-C1-100, “Application For Permit Domestic Stock or Mutual Insurer”, incorporated by reference in Rule 69O-136.100, F.A.C.

      2. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.;

      3. Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.;

      4. Form OIR-D0-896, “UCAA Proforma Financial Statements, Property and Casualty Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.;

      5. Form OIR-D0-904, “UCAA Proforma Financial Statements, Life & Health Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C.;

      6. Form OIR-D0-2119, “UCAA Proforma Financial Statements, Title Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.; and

      7. Form OIR-D0-2165, “UCAA Proforma Financial Statements, Health,” incorporated by reference in Rule 69O-136.100, F.A.C.

   2. (b) Once applicant has received a permit from the Office pursuant to paragraph (1)(a) above, it shall submit Form OIR-C1-1524, “Uniform Certificate of Authority Application (UCAA) Uniform Consent to Service of Process,” incorporated by reference in Rule 69O-136.100, F.A.C., as well as any other documents required in the permit. Once it has submitted all documents, satisfied the permit conditions, and is otherwise in compliance with Florida law, applicant will be granted a certificate of authority.

2. (2) All domestic reciprocal insurers filing an Application for Permit, pursuant to sections 628.051, F.S, and Chapters 624 and 629, F.S.,

   1. (a) Shall follow the directions on, or otherwise submit, the following forms:

      1. Form OIR-C1-908, “Application for Permit Domestic Reciprocal Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C.;

      2. The biographical information package as defined in subsection 69O-136.100(3), F.A.C.;

      3. Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.;

      4. Form OIR-D0-896, “UCAA Proforma Financial Statements, Property and Casualty Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.;

      5. Form OIR-D0-2119, “UCAA Proforma Financial Statements, Title Insurance Company,” incorporated by reference in Rule 69O-136.100, F.A.C.; and

      6. Form OIR-D0-2165, “UCAA Proforma Financial Statements, Health,” incorporated by reference in Rule 69O-136.100, F.A.C.

   2. (b) Once applicant has received a permit from the Office pursuant to paragraph (2)(a) above, it shall follow the directions on, or otherwise submit, the following forms:

      1. Form OIR-C1-151, “Application for Certificate of Authority Domestic Reciprocal Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C., and

      2. Form OIR-C1-1524, “Uniform Certificate of Authority Application (UCAA) Uniform Consent to Service of Process,” incorporated by reference in Rule 69O-136.100, F.A.C.

   3. (c) Once applicant has submitted all documents, satisfied the permit and application requirements, and is otherwise in compliance with Florida law, applicant will be granted a certificate of authority.
3. (3) All the forms listed in subsection (1) and (2) above may be obtained from the Office’s website at floir.gov and shall be submitted electronically via the Office’s iApply system at floir.gov/iportal. Forms relating to specific kinds of insurance in subsection (1) and (2) are to be submitted only by companies issuing policies relating to the kind of insurance specified on the form.

Rulemaking Authority 624.308(1), 624.413(1), 629.091(2), 629.225(11), 629.227(1), 629.291(2), 629.525 FS. Law Implemented 624.307(1), 624.34, 624.401, 624.404, 624.407, 624.413, 624.422, 624.501, 628.051, 629.081, 629.091, 629.225, 629.227, 629.291 FS. History–New 2-26-92, Amended 9-19-00, 11-18-02, Formerly 4-136.006, Amended 1-7-24, 3-31-25, Technical Change 4-15-26.