Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69L - Division of Workers' Compensation › Chapter 69L-56 - ELECTRONIC DATA INTERCHANGE (EDI) REQUIREMENTS FOR PROOF OF COVERAGE AND CLAIMS (NON-MEDICAL) › Section 69L-56.210 - Time Periods for Filing Electronic Policy Information

Current through Reg. 50, No. 138; July 16, 2024
Pursuant to Section
				   440.593(1),
				  F.S., the Division may establish different deadlines for filing required
				  reports electronically than are otherwise required when reporting information
				  by other means. Accordingly, notwithstanding the deadlines for filing policy
				  information by other means as set forth in Section
				   440.185(7),
				  F.S., an insurer, other than an individual self-insurer approved under Section
				   440.38, F.S., must
				  electronically file the following information in accordance with the provisions
				  of this rule, and shall have received an Application Acknowledgement Code of
				  "TA" (Transaction Accepted) by the Division within the following
				  deadlines:
(1) No later than thirty
				days after the effective date of any workers' compensation insurance policy,
				contract of insurance, or renewal, every insurer shall send the electronic
				Certificate of Insurance.
(2) No
				later than thirty days after the issue date of each endorsement to any workers'
				compensation insurance policy, contract of insurance, or renewal, every insurer
				shall send the electronic Notice of Endorsement.
(3) No later than thirty days after the
				effective date of each reinstatement of a cancelled workers' compensation
				insurance policy, contract of insurance, or renewal, every insurer shall send
				the electronic Notice of Reinstatement.
(4) No later than thirty days prior to the
				cancellation or non-renewal of any workers' compensation insurance policy,
				contract of insurance, or renewal, other than a cancellation for non-payment of
				premium or failure to pay deductible or when cancellation or non-renewal is
				requested by the insured, every insurer shall send the electronic cancellation
				or non-renewal.
(5) No later than
				thirty days prior to the cancellation of any workers' compensation insurance
				policy, contract of insurance, or renewal with a policy effective date prior to
				October 1, 2003, that is being cancelled for non-payment of premium or failure
				to pay deductible, every insurer shall send the electronic cancellation
				represented by Triplicate Codes "00-41-59," "00-41-69" and
				"00-60-59."
(6) No later than ten
				days prior to the cancellation of any workers' compensation insurance policy,
				contract of insurance, or renewal with a policy effective date on or after
				October 1, 2003, that is being cancelled for non-payment of premium or failure
				to pay deductible, every insurer shall send the electronic cancellation
				represented by Triplicate Codes "00-41-59," "00-41-69" and
				"00-60-59."
(7) No later than ten
				days after the cancellation or non-renewal of any workers' compensation
				insurance policy, contract of insurance, or renewal for which an insured has
				requested cancellation or non-renewal, the insurer shall send the electronic
				cancellation or non-renewal to the Division. The electronic cancellation or
				non-renewal shall be represented by Triplicate Codes containing Transaction Set
				Type Codes "42" & "60," with the exception of Triplicate Code "00-60-64,"
				pursuant to the "Transaction Overview" document, located in Section 4 of the
				IAIABC EDI Implementation Guide for Proof of Coverage: Insured, Employer,
				Header, Trailer & Acknowledgement Records, Release 2.1, 6/01/07 Edition and
				Supplement.
(8) An insurer shall
				not cancel or non-renew a workers' compensation insurance policy, contract of
				insurance, or renewal for underwriting reasons represented by Triplicate Code
				"00-60-64" until and unless 30 days have elapsed after the insurer has
				electronically sent a cancellation or non-renewal to the Division directly or
				through a third party vendor.
Rulemaking Authority
					 440.185(7),
					 440.42(3),
					 440.591,
					 440.593(5),
					 627.4133(4) FS.
					 Law Implemented  440.185(7),
					 (9),
					  440.42(3),
					  440.593,
					  627.4133(4) 
					 FS.
New 5-29-05, Amended 1-7-07,
					 5-17-09.