10938513, 69L-3.012 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 10938513

Notice of Development of Rulemaking

Department:

DEPARTMENT OF FINANCIAL SERVICES

Division:

Division of Workers' Compensation

Chapter:

WORKERS' COMPENSATION CLAIMS

Overview

RULE:

69L-3.012

Notice of Denial (Transferred)

PURPOSE:

The proposed rule is amended to add new subsection 69L-3.012(9), F.A.C., to inform claims-handling entities of notice requirements to employees when the payment of a compensable medical benefit will be apportioned, pursuant to Section 440.15(5), F.S. The proposed rule clarifies that claims-handling entities must provide employees with notification of decisions to apply apportionment prior to the rendering of medical service(s). The proposed rule provides that compliance with the notice requirements is achieved by mailing Form DFS-F2-DWC-12 (Notice of Denial) to the employee as specified. The proposed rule also references the notice required under subsection 69L-7.602(5), F.A.C., that claims handling entities must provide to health care providers. The proposed rule applies for dates of injury occurring on or after October 1, 2003.

SUBJECT:

Notice requirements to employees by claims-handling entities where apportionment is applied in the payment of a medical benefit.

RULEMAKING AUTHORITY:

440.185(5), 440.20(3), 440.591 FS.

LAW:

440.12(2), 440.14, 440.15(5), 440.192(8), 440.20(2), (4), (9), (15)(f), 440.207(2) FS.

PRINT PUBLISH DATE:

1/20/2012 Vol. 38/03

RELATED STATUTES
AND LAWS:

440.185(5), 440.20(3), 440.591 FS., 440.12(2), 440.14, 440.15(5), 440.192(8), 440.20(2), (4), (9), (15)(f), 440.207(2) FS.

OVERSIGHT COMMITTEE:

Joint Administrative Procedures Committee
Florida Administrative Law Central Online Network (F.A.L.C.O.N.)

RELATED COURT CASES:

Division of Administrative Hearings

FEDERAL eRULEMAKING
WEB PORTAL:

Regulations.gov

HOW TO LINK TO
THIS NOTICE:

http://www.flrules.org/gateway/ruleno.asp?id=69L-3.012&PDate=1/20/2012&Section=1

REFERENCE MATERIALS:

No reference(s).

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