1. (1) An issuer shall comply with Section 1882(c)(3) of the Social Security Act (as enacted by Section 4081(b)(2)(C), of the Omnibus Budget Reconciliation Act of 1987 (OBRA) 1987, Pub. L. No. 100-203) by:

   1. (a) Accepting a notice from a Medicare carrier on dually assigned claims submitted by participating physicians and suppliers as a claim for benefits in place of any other claim form otherwise required and making a payment determination on the basis of the information contained in that notice;
   2. (b) Notifying the participating physician or supplier and the beneficiary of the payment determination;
   3. (c) Paying the participating physician or supplier directly;
   4. (d) Furnishing, at the time of enrollment, each enrollee with a card listing the policy name, number and a central mailing address to which notices from a Medicare carrier may be sent;
   5. (e) Paying user fees for claim notices that are transmitted electronically or otherwise; and
   6. (f) Providing to the Secretary of Health and Human Services, at least annually, a central mailing address to which all claims may be sent by Medicare carriers.
2. (2) Compliance with the requirements set forth in subsection 69O-156.010(1), F.A.C., shall be certified on the Medicare supplement insurance experience reporting form.

Rulemaking Authority 624.308, 627.674 FS. Law Implemented 624.307(1), 627.674, 627.6746 FS. History–New 9-4-89, Formerly 4-51.015, Amended 1-1-92, Formerly 4-156.010.