As a POC service provider NCCI’s approach is to provide guidance to carriers on proof of coverage reporting guidelines. This guide is not intended to provide carrier notice to insured filing requirements. All information provided in this guide is subject to change and dependent on notification from the state. Please refer to the applicable Workers Compensation Statutes or Rules for additional information. |
| NCCI POC Service Start Date | December 1, 2000 |
|
POC Contact Information |
Florida Department of Financial Services—Division of Workers Compensation (DWC)
Bureau of Monitoring & Audit
200 East Gaines Street
Tallahassee, Florida 32399-4226
Contact Name: Larry Holsey
Tel:
850-413-1757
Fax:
850-354-5100
Email:
poc.edi@myfloridacfo.com
Web:
http://www.myfloridacfo.com/division/WC/ |
| How NCCI Provides POC Data to State | - IAIABC POC 2.1 Format
-
Proof of Coverage Inquiry
Note: Carriers should contact
POCA@ncci.com prior to reporting workers compensation coverage in Florida for the first time. |
|
POC Timeliness Reporting Requirements |
| Transaction Received Date | NCCI’s received date is used to determine timeliness on POC transactions accepted by the state. |
| Policies | Due to the DWC within 30 days after the Policy Effective Date. POC Notices may be submitted. This does not eliminate the need to submit the policy within 30 days after the Policy Effective Date. |
| Cancellations | Cancellations are due to the DWC 30 days prior to the Cancellation Effective Date unless cancelled due to nonpayment of premium, which is due 10 days prior to the Cancellation Effective Date. |
| Reinstatements | Due to the DWC within 30 days after the Reinstatement Effective Date. |
| Nonrenewals | Florida is a continuous coverage state. Nonrenewals are required and must be reported 30 days prior to the effective date of the nonrenewal cancellation. |
|
POC Data Reporting Requirements |
Data Elements: -
Industry Code—A valid North American Industry Classification System (NAICS) code (2002, 2007, 2012, 2017, or 2022 codes) must be reported
-
Number of Employees—Must be reported on Address Type Codes 1, 2, and 6
- Refer to the POC Data Element Requirements Chart located in NCCI’s
Policy and Proof of Coverage (POC) Reporting Guidebook for all requirements
Address Reporting—No Physical Location: - When there is no physical location in the state, Florida will accept Employer Names linked to:
- Address Type 6—No Physical Location
- Florida does not accept Employer Names linked to an Address Type 2—Location of Operations with an Out-of-State Address reported with State Code Link 09
State Processing Exceptions: - If the policy is reported as a Non-Employee Leasing Policy, then the Insured FEIN must NOT be on the list of valid Florida Employee Leasing Companies with the Florida Department of Business & Professional Regulation
- If the policy is reported as an Employee Leasing Policy, then the Insured FEIN MUST be on the list of valid Florida Employee Leasing Companies with the Florida Department of Business & Professional Regulation
- Employee Leasing Policy Type Code 8 is not statutorily valid
- An Employer Effective Date cannot be changed to a future date once established on a policy
|
|
POC Penalties & Appeals |
| POC Fines | Administrative fines are allowed. See
www.myfloridacfo.com/division/wc/ for more information that may be applicable. |
| Appeals | No appeals process is in place because no POC fines are being assessed at this time. |
Disclaimer:
This guide is comprised of materials and information which are proprietary to NCCI and are protected by United States and international copyright and other intellectual property laws. This guide is provided solely as a reference tool to be used for the limited purpose of providing information to carriers regarding the reporting of proof of coverage information in various states. The information in this guide shall not be construed or interpreted as providing of legal or any other advice as to the cancellation, renewal or nonrenewal of an insurance policy or contract. Use of this guide for any purpose other than as set forth herein is strictly prohibited. The guide is furnished “As Is” and includes information available at the time of publication only. NCCI makes no representations or warranties of any kind relating to this guide, and expressly disclaims any and all express, statutory, or implied warranties including the implied warranty of merchantability and fitness for a particular purpose. Additionally, you assume responsibility for the use of, and for any and all results, conclusions, analyses, or decisions developed, derived or obtained as a result of this guide and NCCI does not endorse, approve, or otherwise acquiesce in your actions, results, analyses, or decisions, nor shall NCCI have any liability thereto. |
|
|
