Fla. Admin. Code » Department of Financial Services > 69O — OIR – Insurance Regulation > Chapter 69O-161 — UNIFORM INSURANCE CLAIM FORMS AND PRIOR AUTHORIZATION FORMS
Florida Administrative Code

Fla. Admin. Code R. 69O-161.003 (2026)

Use of Industrial Life Insurance Claim Form

✓ current as of September 2026
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All companies writing industrial life insurance shall use the Uniform Life Insurance Claim Form (OIR Form 4-371) (2/94) which is hereby incorporated and made part of this rule chapter by reference.

Rulemaking Authority 624.308(1) FS. Law Implemented 624.307(1), 627.510(2) FS. History–New 4-25-88, Formerly 4-74.003, Amended 6-8-94, Formerly 4-161.003.

Effective: 6/8/1994.