Fla. Admin. Code R. 69O-136.009 (2026)

(1) All life expectancy providers filing an application for registration, pursuant to section 626.99175, F.S., shall submit the following forms, and otherwise comply with the requirements therein:

(a) Form OIR-C1-1663, “Application for Registration Life Expectancy Provider,” incorporated by reference in Rule 69O-136.100, F.A.C.;

(b) Form OIR-C1-2221, “Management Information Form”, incorporated by reference in Rule 69O-136.100, F.A.C.:

(c) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.

(2) During the pendency of the application, if any of the information submitted in the application for registration changes, the applicant must immediately notify the Office in writing of the change and submit documentation to evidence such change.

All the forms listed above in this rule may be obtained from the Office’s website at floir.gov and shall be submitted electronically via the Office’s iApply system at floir.gov/iportal. Forms relating to specific kinds of insurance are to be submitted only by companies issuing policies relating to the kind of insurance specified on the form.

Rulemaking Authority 624.308, 626.9925 FS. Law Implemented 624.307(1), 626.99175 FS. History–New 8-13-26.

Effective: 8/13/2026.