Florida insurance department portal

    • 59G-1 - Florida Administrative Register

      1. Florida Medicaid reimburses providers contracted with a third-party in which the provider agrees to accept as full payment an amount less than its customary charges. Florida Medicaid reimbursement is limited to any remaining recipient liability, such as a copayment or deductible. 2.

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    • [DOC File]OIR-B2-1507 rev 102004 - Florida Office of Insurance ...

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      A group to cover persons associated in any other common group, which common group is formed primarily for purposes other than providing insurance. A group which is established primarily for the purpose of providing group insurance. A group of insurance agents of an insurer, which insurer is the policyholder. Other (specify)

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    • [DOCX File]THE HUMAN SERVICES DIVISION: FY 2019/2020 - …

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      List the Legal Name of the Agency exactly as listed with the Florida Department of State, Division of Corporations , which is the same name used on the first page of this Agreement: Describe the specific types of collaborative approaches that your agency will use to increase its effectiveness in providing quality services and meeting stated ...

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    • [DOCX File]Sample Delegation of Authority Letter

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      Sample Delegation of Authority Letter [Letterhead]Date] Memorandum. To: Team Leader/Co-Lead Team Leader [Names], Serious Accident Investigation . From: Delegating Official(s)

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    • [DOC File]Blank Supplement Request Template

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      Supplement Request Form **FOR SHOP USE ONLY** Please complete ALL information on this form for all supplement requests. E-mail completed form to R3ADSuppChi@geico.com OR

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    • [DOC File]Controlling Interests for

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      Applicants must include the following attachments as stated in Chapters 408, Part II, and 400, Part VII, Florida Statutes (F.S.), and Chapters 59A-35 and 59A-25, Florida Administrative Code (F.A.C.). Applications must be received at least 60 days prior to the expiration of the current license or effective date of a change of ownership to avoid a late fee.

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    • [DOCX File]RegistrationApplication - FL Agency for Health Care ...

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      ☐Proof of Level 2 screening within the previous 5 years for the ☐ Administrator and/or ☐ Financial Officer from the Agency, the Department of Children and Families, Department of Health, Agency for Persons with Disabilities, Department of Elder Affairs or Department of Financial Services (if the applicant has a certificate of authority to operate a continuing care retirement community ...

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    • SAMPLE DISCHARGE LETTER

      Title: SAMPLE DISCHARGE LETTER Author: Lori Frye Last modified by: NFarrell Created Date: 10/13/2011 12:33:00 AM Company: The Campania Group Other titles

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    • [DOCX File]Facility Type continued - Florida Department of ...

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      Florida Department of Environmental Protection. Bob Martinez Center • 2600 Blair Stone Road • Tallahassee, Florida 32399-2400. Division of Waste Management - Storage Tank Facility Registration Form . Registration Instructions and Codes List. Storage tank registration is available online through the DEP Business Portal in lieu of the paper ...

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    • Florida Administrative Rules, Law, Code, Register - FAC ...

      Nov 16, 2015 · AGENCY FOR HEALTH CARE ADMINISTRATION. Medicaid. RULE NO.: RULE TITLE: 59G-1.052 Third-Party Liability Requirements. PURPOSE AND EFFECT: The purpose of rule 59G-1.052 is to specify provider responsibilities when a Florida Medicaid recipient has coverage through an individual, entity, insurance, or program that is liable to pay for health care services, and where to …

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