1. (1) An application for a person applying for a certificate of authority as a multiple-employer welfare arrangement consists of the following:

   1. (a) Form OIR-C1-983, incorporated by reference in Rule 69O-136.100, F.A.C.;
   2. (b) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and,
   3. (c) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C.
2. (2) A person applying for a certificate of authority as a multiple-employer welfare arrangement shall submit forms in subsection (1) as directed by the Office electronically at floir.gov/iportal. The forms may be obtained from floir.gov.

Rulemaking Authority 624.439, 624.4431 FS. Law Implemented 624.438, 624.439 FS. History–New 7-28-94, Formerly 4-192.008, Amended 9-28-22, 1-4-24, Formerly 69O-192.008, Amended 3-31-25, Technical Change 4-15-26.