Fla. Admin. Code R. 69O-191.074 (2026)

(1) Every Health Maintenance Organization shall maintain complete records of its assets, transactions, and affairs, including but not limited to, the following:

(a) Financial records (including annual earned premiums and claims incurred, but not reported (IBNR));

(b) Corporate records;

(c) Insurance and reinsurance documents;

(d) Accounting documents;

(e) Member records;

(f) Claim and payment of claims files; and,

(g) Tax returns.

(2) These records, either in the form of paper or electronic documents, shall be maintained for no less than three (3) years, unless otherwise required to be maintained for a longer period of time by the Department of Health, Internal Revenue Service, Centers for Medicare & Medicaid (CMS) or as otherwise specified by the Office.

Rulemaking Authority 641.36 FS. Law Implemented 641.27 FS. History–New 5-28-92, Formerly 4-191.074, Amended 8-15-19.

Effective: 8/15/2019.