Florida Regulations 69L-3.0213 39

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§ Aggregate Claims Administration Change Report



(1) If the responsibility for handling claims files has changed due to a carrier or servicing agent taking over the claims from another carrier or servicing agent, the new carrier or servicing agent may send LES Form DWC-49 to the Division to report an aggregate listing of claims affected by the change in administration, rather than sending an individual LES Form DWC-4 on each claims file in accordance with the provisions of 38F- 3.0091.

(2) If the carrier chooses to send LES Form DWC-49 in place of separate LES Forms DWC-4 to report a claims administration change, the carrier shall send LES Form DWC-49 to the Division within 30 days of the effective date in the change of administration of claim files

(3) If a carrier chooses to send LES Form DWC-49 in place of separate LES Forms DWC-4 to report a claims administration change, the carrier must use a separate LES Form DWC-49 for each claims office handling those claims files.

(4) Any attachment(s) used to report additional information must be in a forma tidentical to LES Form DWC-49. Specific Authority ^440.185(10), 440.591, F.S. Law Implemented 440.59, F.S. History-New 11-8-94.