The Florida Office of Insurance Regulation (OIR) is working closely with the Florida Department of Health (DOH) and the Centers for Disease Control and Prevention (CDC) to monitor COVID-19 and is actively working with insurers to prepare and respond to COVID-19.
OIR stands ready to assist with any issues or questions to best serve Floridians and will continue its communication with insurers regarding COVID-19.
Click below for a list of resources to connect Florida policyholders with assistance being offered by insurers in response to COVID-19. To verify coverage or obtain additional information, please contact the insurer directly.
OIR-20-06M: Telehealth and Pharmacy Audit Guidance
April 6, 2020
In response to Governor Ron DeSantis’ Executive Orders 20-51 and 20-52 establishing COVID-19 response protocols and declaring a state of emergency in the state of Florida, OIR issued Informational Memorandum OIR-20-06M to all health insurers, and other health entities regulated by OIR, and all Pharmacy Benefit Managers registered to do business in Florida to encourage the use of technology to help combat the spread of COVID-19.
All health insurers, health maintenance organizations, and other health entities are encouraged to broaden access to care for telehealth services to help alleviate hurdles for Floridians attempting to utilize telehealth services to receive needed care.
All registered Pharmacy Benefit Managers are requested to transition to an electronic audit process in order to avoid unnecessary risk and maintain social distancing, and extended audit deadlines when possible.
Please read Informational Memorandum OIR-20-06M here.
OIR-20-05M: Workers’ Compensation Insurance
April 6, 2020
In response to Governor Ron DeSantis’ Executive Orders 20-51 and 20-52 establishing COVID-19 response protocols and declaring a state of emergency in the state of Florida, and Chief Financial Officer Patronis’ Directive 2020-05 providing workers compensation coverage for public servants on the front line of COVID-19, OIR issued Informational Memorandum OIR-20-05M to all insurers and entities authorized to write workers’ compensation insurance.
First responders, health care workers, and others that contract COVID-19 due to work-related exposure would be eligible for workers’ compensation benefits under Florida law.
OIR reminds insurers of applicable statutes regarding workers’ compensation insurance and expects workers’ compensation insurers to comply with all of the provisions of Florida’s Workers’ Compensation Law and will take appropriate action in the event of non-compliance.
Please read Informational Memorandum OIR-20-05M here.
OIR-20-04M: Leniency on Payments and Other Considerations
March 25, 2020
The OIR issued Informational Memorandum OIR-20-04M to all insurers and entities regulated by the office to provide general guidance on the treatment of policyholders as part of the state’s ongoing efforts to protect Floridians. Guidance within this memorandum includes:
Leniency on Premium Payments
Regulated entities are encouraged, when prudently possible, to be flexible with premium payments in order to avoid a lapse in coverage. Regulated entities are encouraged to only consider cancellation of policies if all possible efforts to work with consumers to continue coverage have been exhausted.
Removing Exclusions on Certain Personal Auto Exclusions
Many insureds may be temporarily utilizing their personal automobile for purposes that might otherwise be considered commercial use. Regulated entities are encouraged to consider allowing such use for insureds, provided that such use is limited to the duration of the Emergency Orders.
Underwriting and Claims Inspections
Regulated entities, agents, consumers, and employers are strongly encouraged to explore virtual options for underwriting and adjusting claims in lieu of in-person property inspections and for premium audits of employers’ records.
OIR has provided guidance on general considerations regulated entities can make, including electronic communications, teleworking, and utilizing electronic signatures. In addition, OIR is granting a 30-day extension for any annual statements due to be filed with OIR by a regulated entity on or before May 1, 2020, for the following regulated entities:
Health maintenance organizations pursuant to section 641.26, Florida Statutes;
Insurance administrators pursuant to section 626.89, Florida Statutes;
Continuing care providers pursuant to section 651.026, Florida Statutes; and
Multiple-employer welfare arrangements pursuant to section 624.442, Florida Statutes.
Please read Informational Memorandum OIR-20-04M here.
OIR-20-03M: Business Continuity / Continuity of Operations Plans
March 16, 2020
Understanding recommended COVID-19 prevention and treatment measures may disrupt normal business operations, OIR issued Informational Memorandum OIR-20-03M directing all insurers and entities regulated by OIR to review and update their Business Continuity Plans and/or Continuity of Operation Plans immediately. The plans must provide a framework for the continuation of company operations, including key insurance functions such as policy issuance, premium collection, claims adjustment and payment and policyholder service. The continuity plans should also account for DOH and CDC guidance surrounding COVID-19, including executive orders issued at the state and national level.
Please read Informational Memorandum OIR-20-03M here.
OIR-20-02M: Prescription Refills
March 10, 2020
Following Governor DeSantis’ Executive Order 20-52 declaring an emergency in the state of Florida in response to the COVID-19 public health emergency, the Florida Office of Insurance Regulation (OIR) issued Informational Memorandum OIR-20-02M to all health insurers, health maintenance organizations and other health entities authorized to do business in Florida as a reminder of Florida law regarding early prescription refills.
Please read Informational Memorandum OIR-20-02M here.
OIR-20-01M: Communication and Cost-Sharing
March 6, 2020
In response to the Executive Order 20-51 issued by Governor Ron DeSantis establishing COVID-19 response protocols and directing a public health emergency in Florida, the Florida Office of Insurance Regulation (OIR) is issuing this Informational Memorandum to all health insurers authorized to do business in Florida to help facilitate the state’s ongoing efforts to protect Floridians.
This memorandum directs insurers to:
- Use every channel available to them to communicate with their policyholders and share official CDC and DOH information;
- Devote resources to inform consumers of available benefits, quickly respond to inquiries, and avoid and dispel misinformation;
- Work with public health officials to do everything possible to prepare and respond; and
- Consider all practicable options to reduce the barriers of cost-sharing for testing and treatment of COVID-19.
Please read Informational Memorandum OIR-20-01M here.
Due to the COVID-19 Public Health Emergency, please be advised that the deadline to report claims data for the Assignment of Benefits (AOB) Data Call has been extended until June 1, 2020. OIR is also waiving the affidavit requirement within the data call.
The Quarterly Supplemental Reporting (QUASR) filing deadlines remain unchanged. QUASR is a tool the OIR uses to monitor current trends in the property insurance market in Florida. As a result, OIR asks that companies continue to timely submit QUASR data according to its longstanding and pre-established schedule. The filing deadline for the first quarter of 2020 is May 15, 2020.
The Quarterly Comprehensive Health Reporting (QCH) filing deadline for the first quarter of 2020 has been extended from May 15 to June 15, 2020.
The Private Passenger Automobile Policy Count (PPAC) quarterly survey filing deadline for the first quarter of 2020 has been extended from May 15 to June 15, 2020.
National Association of Insurance Commissioners
OIR Insurance Commissioner David Altmaier is actively engaged with insurers and key partners at the state and national level regarding COVID-19. Commissioner Altmaier is collaborating with other state insurance commissioners and the National Association of Insurance Commissioners (NAIC) to share information and resources.
For other NAIC resources, please click here.
This page will be continuously updated with information.