1. (1) An application for a person applying for a certificate of authority as a health maintenance organization consists of the following:

   1. (a) Form OIR-C1-942, “Application for Certificate of Authority Health Maintenance Organization,” incorporated by reference in Rule 69O-136.100, F.A.C;
   2. (b) Form OIR-B2-1093, “Small Employer Carrier’s Application to Become a Risk Assuming Carrier or a Reinsuring Carrier, as Required by Section 627.6699(9), Florida Statutes,” incorporated by reference in Rule 69O-136.100, F.A.C.;
   3. (c) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and,
   4. (d) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
2. (2) All the forms listed in subsection (1) 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.

Rulemaking Authority 627.6699, 641.36 FS. Law Implemented 627.6699, 641.21, 641.22, 641.227, 641.29(1) FS. History–New 2-22-88, Amended 10-25-89, Formerly 4-31.027, Amended 5-28-92, Formerly 4-191.027, Amended 9-28-22, 1-28-24, Formerly 69O-191.027, Amended 3-31-25, Technical Change 4-15-26.