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§ 3.000 Chapter 38F-3 Workers' Compensation Claims
§ 3.001 Purpose (Repealed)
§ 6A-22.001 Reemployment Services Definitions
§ 6A-22.002 Rehabilitation Provider Qualifications
§ 6A-22.003 Reemployment Status Review
§ 6A-22.0031 Reemployment Assessments
§ 6A-22.004 Notice Requirements
§ 6A-22.005 Carrier Referrals for Services
§ 6A-22.006 Screening Process
§ 6A-22.007 Vocational Evaluations
§ 6A-22.008 Reemployment Services and Programs
§ 6A-22.009 Employee Responsibilities
§ 6A-22.010 Reporting Services and Costs: Qualified Rehabilitation Provider and Employer or Carrier Responsibilites
§ 6A-22.011 List of Forms
§ 6A-22.012 Expenditures From the Workers' Compensation Administration Trust Fund
§ 9.180 RULE 9.180. APPEAL PROCEEDINGS TO REVIEW WORKERS' COMPENSATION CASES
§ 59A-23.001 Scope
§ 59A-23.002 Definitions
§ 59A-23.003 Authorization Procedures.
§ 59A-23.004 Quality Assurance.
§ 59A-23.005 Medical Records and Case Files.
§ 59A-23.007 Examination by the Agency for Health Care Administration.
§ 59A-23.006 Grievance Procedures.
§ 59A-23.009 Education Procedures.
§ 59A-23.0 Workers' Compensation Managed Care
§ 59A-24 Drug-Free Workplace Standard
§ 59A-24.003 Definitions.
§ 59A-24.004 Drugs to be Tested/Body Specimens.
§ 59A-24.005 Collection Site and Specimen Collection Procedures.
§ 59A-24.006 Drug Testing Laboratories.
§ 59-24.006 Drug Testing Laboratories.
§ 59A-24.008 Review of Test Results.
§ 59A-29 HEALTH CARE PROVIDER CERTIFICATION
§ 59A-29.008 Determining Certification Status.
§ 59A-30 EXPERT MEDICAL ADVISORS
§ 59A-30.002 Definitions.
§ 59A-30.003 Procedure for Certification.
§ 59A-30.004 Selection Criteria for Expert Medical Advisors.
§ 59A-30.005 Assignment of Expert Medical Advisors.
§ 59A-30.006 Temporary Expert Medical Advisors.
§ 59A-30.007 Expert Medical Advisor Responsibilities.
§ 59A-30.008 Carrier Responsibilities.
§ 59A-30.009 Recertification of Expert Medical Advisors.
§ 59A-30.010 Decertification.
§ 59A-31 RESOLUTION OF WORKERS' COMPENSATION REIMBURSEMENT DISPUTES
§ 59A-31.001 Disputed Reimbursement Avoidance (Repealed)
§ 59A-31.002 Disputed Reimbursement (Repealed).
§ 59A-31.006 Consolidation of Petitions
§ 59A-31.003 Petition Form.
§ 59A-31.004 Carrier Response Form.
§ 59A-31.005 Petition Requirements.
§ 59A-31.007 Service of Petition on Carrier and Affected Parties.
§ 59A-31.008 Computation of Time.
§ 59A-31.009 Carrier Response Requirements.
§ 59A-31.010 Effect of Non-Response by Carrier.
§ 59A-31.011 Complete Record.
§ 59A-31.012 Joint Stipulation of the Parties.
§ 59A-31.013 Petition Withdrawal.
§ 59A-31.014 Overutilization Issues Raised in Reimbursement Dispute Resolution.
§ 59A-31.015 Managed Care Arrangements.
§ 60Q-6.101 SCOPE
§ 60Q-6.103 PLEADINGS AND PROPOSED ORDERS
§ 60Q-6.104 REPRESENTATION AND APPEARANCE OF COUNSEL
§ 60Q-6.105 COMMENCING A CASE; SUBSEQUENT PETITIONS
§ 60Q-6.106 CONSOLIDATION AND VENUE
§ 60Q-6.109 COMPUTATION OF TIME
§ 60Q-6.110 MEDIATION, GENERALLY
§ 60Q-6.111 AUTHORITY AND DUTIES OF MEDIATOR
§ 60Q-6.112 DISQUALIFICATION OF MEDIATOR
§ 60Q-6.113 PRETRIAL PROCEDURE
§ 60Q-6.114 DISCOVERY
§ 60Q-6.115 MOTION PRACTICE
§ 60Q-6.116 PROSECUTION OF CLAIM AND PETITION FOR BENEFITS
§ 60Q-6.117 EMERGENCY CONFERENCES
§ 60Q-6.118 EXPEDITED HEARINGS
§ 60Q-6.119 ABBREVIATED FINAL ORDERS
§ 60Q-6.120 SUMMARY FINAL ORDER
§ 60Q-6.121 EVIDENCE
§ 60Q-6.122 MOTION FOR RE-HEARING
§ 60Q-6.123 SETTLEMENTS UNDER SECTION 440.20(11), FLORIDA STATUTES
§ 60Q-6.124 PAYMENT OF ATTORNEY'S FEES AND COSTS OTHER THAN PURSUANT TO SECTION 440.20(11), FLORIDA STATUTES
§ 60Q-6.125 SANCTIONS
§ 60Q-6.126 DISQUALIFICATION OR RECUSAL OF JUDGES
§ 60Q-6.107 Amendment and Dismissal of Petition for Benefits.
§ 60Q-6.108 Filing and Service.
§ 69L-3.005 Notice of Injury, Filing by Carrier; Cost Reports on Medical Only Cases (Repealed)
§ 69L-3.0055 Carrier Contact with Claimant (Repealed)
§ 69L-3.006 Medical Bills (Repealed)
§ 69L-3.0061 Notice of Claimants Disability Status (Repealed)
§ 69L-3.0065 Dental Reports (Repealed)
§ 69L-3.007 Facility Reports (Repealed)
§ 69L-3.008 Pharmacy Bills (Repealed)
§ 69L-3.0085 Funeral Expense Bills
§ 69L-3.0086 Rehabilitation Bills (Repealed)
§ 69L-3.009 Payment of Compensation and Notice of Beginning or Suspension of Compensation for Total Disability or Death (Repealed)
§ 69L-3.010 Claim for Benefits
§ 69L-3.0105 Application for Mediation Conference
§ 69L-3.011 Application for Hearing (Repealed)
§ 69L-3.013 Statement of Employees Weekly Earnings (Repealed)
§ 69L-3.014 Employers Supplemental Report of Injury (Repealed)
§ 69L-3.015 Reporting Timely Payment of Compensation (Repealed)
§ 69L-3.017 Permanent Impairment (Transferred)
§ 69L-3.0185 Determining Wage Loss Benefits Subject to Discount Procedure (Dates of Accident August 1, 1979 through December 31, 1993) (Repealed)
§ 69L-3.020 Social Security Benefits Information Requests (Repealed)
§ 69L-3.0211 Application of Offsets Against Compensation Benefits (Repealed)
§ 69L-3.0212 Monthly Risk Class/SIC Code Report
§ 69L-3.0214 Aggregate Defense Attorney Fee Report
§ 69L-3.022 Unemployment Compensation Information Requests (Repealed)
§ 69L-3.023 Claims Adjuster in Florida (Repealed)
§ 69L-3.024 Destruction of Obsolete Records (Repealed)
§ 69L-3.026 Obtaining Copies of Records from Division (Repealed)
§ 69L-5.101 Definitions (repealed)
§ 69L-5.103 Application. (repealed)
§ 69L-5.104 Alternate Method of Application (repealed)
§ 69L-5.105 General Requirements. (repealed)
§ 69L-5.106 Financial Statement or Financial Summary. (repealed)
§ 69O-189.001 General Reporting Requirements.
§ 69O-189.003 Workers' Compensation: Application and Audit Procedures.
§ 69O-189.004 Deviation Filing Information.
§ 69O-189.006 Guidelines for Large Deductible Workers' Compensation Filings.
§ 69O-189.007 Insurer Experience Reporting - Excessive Profits, Workers' Compensation Insurance.
§ 69O-189.010 Workers' Compensation Insurance Dividend Plans Defined.
§ 69O-189.011 Cancellation - Workers' Compensation Insurance.
§ 69O-189.013 Workers' Compensation Excess Insurance Rates.
§ 69O-189.014 Workers' Compensation Rating Plan for Managed Care Premium Credits.
§ 69O-190.056 Application for Self-Insurers Fund.
§ 69O-190.057 Evaluation of Application for Self-Insurers Fund.
§ 69O-190.058 Conditions for Retaining the Self-Insurance Privilege of Self-Insurers Funds.
§ 69O-190.059 Financial and Actuarial Reports for Self-Insurers Funds.
§ 69O-190.0591 Independent Certified Public Accountants.
§ 69O-190.060 Security Deposits or Bonds for Self-Insurers Fund.
§ 69O-190.061 Excess Insurance Requirements - Self-Insurers Funds.
§ 69L-5.107 Actuarial Reports. (repealed)
§ 69L-5.108 Security Deposits. (repealed)
§ 69L-5.109 Excess Insurance. (repealed)
§ 69L-5.110 Experience Records. (repealed)
§ 69L-5.111 Late Reports; Penalties. (repealed)
§ 69L-5.112 General Requirements. (repealed)
§ 69L-5.113 Application to Provide Servicing.(repealed)
§ 69L-5.114 Retaining Authorization as Service Company; Recertification. (repealed)
§ 69L-5.115 Withdrawal of Authorization. (repealed)
§ 69L-5.116 Review and Audit. (repealed)
§ 69L-5.117 Forms, Manuals, and Instructions. (repealed)
§ 69L-6.018 Misclassification of Employees as Independent Contractors.
§ 69L-6.022 Confidentiality of Records Produced by the Division.
§ 69L-7.601 Copying Charges for Medical Records.
§ 69L-7.604 Permanent Impairment.
§ 69L-9.015 Drug Testing Criteria.
§ 69L-10.006 Definitions.
§ 69L-10.0065 Filing; Facsimile Transmissions.
§ 69L-10.016 Documenting Expenditures for Purposes of Obtaining Reimbursement.
§ 69L-10.007 Notice of Claim.
§ 69L-10.009 Claimant's Representatives.
§ 69L-10.011 Informed Conclusion of Pre-existing Conditions for Proof of Claim.
§ 69L-10.012 Review of Proof of Claim.
§ 69L-10.013 Acknowledgements by SDTF.
§ 69L-10.014 Procedure for Accepting an Offer of Reimbursement.
§ 69L-10.015 Deemed Denial - 120 Day Time Period.
§ 69L-10.0165 On-site Audit Criteria.
§ 69L-10.017 Reimbursement to Subsequent Employer.
§ 69L-10.018 Attorneys' Fees, Costs, Penalties and Interest.
§ 69L-10.019 Forms.
§ 69L-11.002 Definitions.
§ 69L-11.003 Procedure for Obtaining Identity Card.
§ 69L-11.004 Time and Procedure for Notifying Injured Employees.
§ 69L-11.005 Documentation of Placement of a Preferred Worker.
§ 69L-11.006 Time for Filing Application for Identity Card.
§ 69L-11.007 Documentation for Reimbursement of Premium.
§ 69L-11.008 Time for Requesting Reimbursement.
§ 69L-11.009 Procedure When Eligibility for a Card Is Denied.
§ 69L-11.010 Procedure When Request for Reimbursement of Premium is Denied.
§ 69L-11.011 Forms.
§ 69L-24.021 Minimum Performance Standards.
§ 69L-24.0211 Monitoring.
§ 69L-24.022 Auditing.
§ 69L-24.0222 Re-Audit and Certification for Noncompliance.
§ 69L-24.024 Medical Penalties.
§ 69L-24.0241 Employee Failure to Appear for Independent Medical Examination.
§ 69L-26.002 Definitions.
§ 69L-26.003 Computation of Time.
§ 69L-26.004 Requesting Assistance.
§ 69L-6.024 Subcontractors Requirement Regarding Proof of Coverage.
§ 69O-60Q-6.102 DEFINITIONS
§ 69L-3.001 Purpose.
§ 69L-3.002 Definitions.
§ 69L-6.028 Procedures for Imputing Payroll and Penalty Calculations.
§ 69L-6.027 Penalty Calculation Worksheet.
§ 69L-3.003 Procedures for Filing Documents.
§ 69L-3.0033 Electronic Filing of Workers' Compensation Forms.
§ 69L-3.0035 Injured Worker Informational Brochure.
§ 69L-3.0036 Employer Informational Brochure.
§ 69L-3.004 First Report of Injury or Illness: Employer's Responsibility to Record and Report Accidents.
§ 69L-3.0045 First Report of Injury or Illness: Claims-handling Entity's Responsibility to Record and Report Accidents.
§ 69L-3.0046 Wage Statement: Employer's and Claims-handling Entity's Responsibility to Record and Report Wages.
§ 69L-3.0047 Fraud Statement.
§ 69L-3.0091 Notice of Action/Change.
§ 69L-3.012 Notice of Denial.
§ 69L-3.016 Claim Cost Report
§ 69L-3.018 Wage Loss Benefits Due to Permanent Impairment (Dates of Accident August 1, 1979 through December 31, 1993)
§ 69L-3.019 Wage Loss Benefits for Temporary Partial Disability (Dates of Accident August 1, 1979 through December 31, 1993)
§ 69L-3.0191 Temporary Disability Benefits (Dates of Accident January 1, 1994 through September 30, 2003)
§ 69L-3.01915 Temporary Partial Disability Benefits (Dates of Accident on or After October 1, 2003)
§ 69L-3.0192 Impairment Income Benefits (Dates of Accident January 1, 1994 through September 30, 2003)
§ 69L-3.01925 Impairment Income Benefits (Dates of Accident on or After October 1, 2003)
§ 69L-3.0193 Supplemental Income Benefits (Dates of Accident January 1, 1994 through September 30, 2003)
§ 69L-3.0194 Permanent Total and Permanent Total Supplemental Benefits for Dates of Accident Prior to October 1, 2003
§ 69L-3.01945 Permanent Total and Permanent Total Supplemental Benefits For Dates of Accident On or After October 1, 2003
§ 69L-3.021 Additional Income Source Reports.
§ 69L-3.0213 Aggregate Claims Administration Change Report
§ 69L-6.015 Record Maintenance and Production Requirements for.
§ 69O-189.015 Workers' Compensation Insurer Reporting of Significant Underwriting Change.
§ 69L-6.008 Cancellation of Workers' Compensation Insurance by an Insurer.
§ 69L-6.014 Policy Information Electronic Filing Requirements for Insurers.
§ 69L-6.016 Definitions.
§ 69L-7.603 Reporting Maximum Medical Improvement and Permanent Impairment.
§ 69L-6.029 Employer Worksites
§ 69L-6.030 Penalties for Employers Currently in Compliance Previously Failing to Secure the Payment of Compensation.
§ 69L-190.074 Forms, Manuals and Instructions Adopted.
§ 69O-190.073 Premium Audit.
§ 69O-190.072 Miscellaneous Income of a Self-Insurers Fund.
§ 69O-190.071 Authorized Investments for Self-Insurers Funds.
§ 69O-190.069 Self-Insurers Fund Member Experience Records.
§ 69O-190.068 Indemnity Agreement.
§ 69O-190.067 Member's Qualifications and Responsibilities.
§ 69O-190.066 Premium Billing and Collection.
§ 69O-190.065 Distribution of Surplus Monies by Self-Insurers Funds.
§ 69O-190.064 Trustees' Responsibilities.
§ 69O-190.063 Annual Review and Examination - Self-Insurers Funds.
§ 69O-190.062 Filing Reports - Self-Insurers Funds.
§ 69O-190 Chapter 69O-190 RULES FOR SELF-INSURERS UNDER THE WORKERS' COMPENSATION ACT
§ 69L-56.001 Forms and Instructions.
§ 69L-56.002 Definitions.
§ 69L-56.100 Proof of Coverage (POC) Electronic Reporting Requirements.
§ 69L-56.110 Technical Requirements for POC EDI Transmissions.
§ 69L-56.200 Policy Cancellation or Non-Renewal Requirements.
§ 69L-56.210 Time Periods for Filing Electronic Policy Information.
§ 69L-56.300 Claims EDI Reporting Requirements and Implementation Schedules.
§ 69L-56.301 Electronic First Report of Injury or Illness.
§ 69L-56.3012 Electronic Notice of Denial and Rescinded Denial.
§ 69L-56.3013 Electronic Periodic Claim Cost Reports.
§ 69L-56.304 Electronic Notice of Action or Change, Including Change in Claims Administration, Required by the Insurer's Primary Implementation Schedule.
§ 69L-56.3045 Electronic Notice of Action or Change, Suspensions, and Reinstatement of Indemnity Benefits Required by Insurer's Secondary Implementation Schedule.
§ 69L-56.307 Electronic Cancellation of Claim.
§ 69L-56.310 Technical Requirements for Claims EDI Transmissions.
§ 69L-56.320 Claims EDI Test and Production Status Requirements.
§ 69L-56.330 Electronic Formats for Reporting the Employee's 8th Day of Disability and the Claim Administrator's Knowledge of 8th Day of Disability.
§ 69L-56.500 Insurer Responsibilities Where Third Party Services Are Utilized.
§ 69L-6.009 Forms and Instructions.
§ 69L-6.031 Stop Work Orders in Effect Against Successor Corporations or Business Entities.
§ 69L-7.602pt1 Florida Workers' Compensation Medical Services Billing, Filing and Reporting Rule (Part 1).
§ 69L-7.602pt2 Florida Workers' Compensation Medical Services Billing, Filing and Reporting Rule (Part 2).
§ 69L-6.021 Construction Industry Classification Codes, Descriptions, and Operations Scope of Exemption.
§ 69L-6.025 Conditional Release of Stop-Work Order and Periodic Payment Agreement.
§ 69L-7.020 Florida Workers' Compensation Health Care Provider Reimbursement Manual.
§ 69L-24.0231 Benefits and Administration Trust Fund Penalties Improper Filing Practices.
§ 69L-5.202 Scope of Self-Insurance Authorization.
§ 69L-5.203 Payroll Reporting.
§ 69L-5.204 Maintenance of Payroll Records, Review and Audit.
§ 69L-5.206 Maintenance of Loss Data Records, Review and Audit.
§ 69L-5.207 Outstanding Liabilities Reporting.
§ 69L-5.208 Maintenance of Outstanding Liabilities Records, Review and Audit.
§ 69L-5.209 Financial Statements Reporting.
§ 69L-5.210 Actuarial Reports.
§ 69L-5.211 Changes in Anniversary Rating Date.
§ 69L-5.212 Contact Information Reporting.
§ 69L-5.213 Subsidiary, Affiliate and Location Reporting.
§ 69L-5.214 Indemnity Agreements for Affiliated Self-Insurers.
§ 69L-5.215 Parental Guaranty.
§ 69L-5.216 Provision of Benefits and a Safe Working Environment by Self-Insurers.
§ 69L-5.218 Security Deposits.
§ 69L-5.219 Excess Insurance.
§ 69L-5.220 Drug-Free Workplace Premium Credit Program.
§ 69L-5.221 Safety Program Premium Credit.
§ 69L-5.222 Revocation and Employer Compliance.
§ 69L-5.223 Election Process.
§ 69L-5.224 Termination.
§ 69L-5.225 Requirements.
§ 69L-5.226 Application Process.
§ 69L-5.227 Alien Corporations Additional Requirements.
§ 69L-5.228 Termination.
§ 69L-5.229 Application Process.
§ 69L-5.230 Contracting with a Qualified Servicing Entity.
§ 69L-6.012 Notice of Election to Be Exempt
§ 69L-3.025 Forms
§ 69L-3.025 Forms
§ 69L-6.007 Compensation Notice
§ 69L-34.001 Definitions
§ 69L-34.002 Mandatory Carrier Reporting
§ 69L-34.003 Elective Referral of Alleged Health Care Provider Violation.
§ 69L-34.004 Timeliness of a Referral.
§ 69L-34.005 Referral Investigation.
§ 69L-34.006 Invalid Referrals.
§ 69L-7.100 Florida Workers' Compensation Reimbursement Manual for Ambulatory Surgical Centers (ASCs).
§ 69L-7.100 Florida Worker's Compensation Reimbursement Manual for Ambulatory Surgical Centers (ASCS)
§ 69L-5.205 Loss Data Reporting.
§ 69L-5.217 Civil Penalties and Fines.
§ 69L-5.201 Definitions
§ 69L-6.019 Policies and Endorsements Covering Employees Engaged in Work in Florida.
§ 69L-29.001 Definitions
§ 69L-29.002 Eligibility Requirements for Certification.
§ 69L-29.003 Certification Time Frames
§ 69L-29.005 Revocation of Certification Status
§ 69L-29.008 Verification of Certification Status.
§ 69L-29.010 Certified Provider Responsibilities.
§ 69L-6.012 Notice of Election to Be Exempt
§ 695205 Loss Data Reporting.
§ 695217 695217
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