Fla. Admin. Code R. 69O-136.046 – Prepaid Limited Health Service Organizations

(1) A person applying for a certificate of authority as a prepaid limited service organization shall submit the following if applicable:
1. (a) Form OIR-C1-1119, “Application for Certificate of Authority Prepaid Limited Health Service Organization,” incorporated by reference in Rule 69O-136.100, F.A.C.; and
2. (b) The biographical information package defined in subsection 69O-136.100(3), F.A.C.
(2) A person shall submit the forms listed in subsection (1) electronically via the Office’s iApply system at floir.gov/iportal. The forms may be obtained from floir.gov.

Rulemaking Authority 636.067 FS. Law Implemented 636.005, 636.007, 636.008, 636.009 FS. History–New 11-15-94, Formerly 4-203.020, Amended 9-29-22, 1-4-24, Formerly 69O-203.020, Amended 3-31-25, Technical Change 4-15-26.