Only those insurers with closed claim A demand for payment from a self-insured entity or an insurer for losses sustained by a claimant. forms or aggregate reports with
a status of "complete" will display in the list of available
insurers on the Select Insurers page of the Submission Wizard.
Submitting Closed Claim Forms and Aggregate Reports
Congratulations on completing your closed claim form(s) and/or aggregate
reports! Submission
of your data to the Office of Insurance Regulation takes place in one
of two ways; either by using the Submission Wizard, or by clicking the
Submit button from the Claim Summary
or Aggregate Claims Reporting Summary pages. If
you're already on one of the summary screens, the most direct Business directly written by the insurance company. route to
submitting your claim form or aggregate report is by clicking the Submit button. This
method of submission bypasses some extra steps that you'll need to take
if submitting via the Submission Wizard. However,
the Submission Wizard has an advantage of allowing you to submit multiple
forms and aggregate reports at once. Either
way you choose to submit, you'll find the process quite painless.
Submitting Directly from the Summary Page
You can submit a closed claim or aggregate
report immediately after all sections of your form/report have a status
of Complete. However,
it's more efficient to use the Submission Wizard if you plan to submit
more than one closed claim and/or aggregate report at once.
To Submit a Closed Claim or Aggregate Report from the Summary Page:
From the Summary Page, ensure that the status
of each section of your claim form/aggregate report has a status of complete.
An MPL Form Ready for Submission
Click the Submit
button. The
Confirm Contact Information page will display.
Verify that the contact
information is accurate. Update
the information if necessary.
Click the Next
button. Assuming
this submission is NOT a re-submission, the Submission Summary page will
display. If
the submission IS a re-submission, see the re-submission section below.
The Submission Summary
page displays summary information on the closed claim form or aggregate
report that you wish to submit. Verify
that this information is correct.
Check the checkbox next
to the affidavit statement to certify that you are authorized to submit
this liability report on behalf of the company referenced.
Type your full name (First
Name, Middle Initial [optional], Last Name) in the Name text field.
Type your title in the
Title text field.
Click the Submit
button to send your report to the Office of Insurance Regulation. The
Submission Complete page will display. An
email confirmation will be sent to your email address (or the one you
specified in the contact information section). The
closed claim form or aggregate report will be removed from your Workbench.
You may
view these items at any point by visiting the Review
Submissions page.
The Submission Complete Page
Submitting Using the Submission Wizard
You can also submit your closed claim forms and aggregate reports via
the Submission Wizard. The
Submission Wizard is particularly useful for submitting multiple forms
and/or reports at once time.
To Submit a Closed Claim or Aggregate Report Using the Submission Wizard:
Click the Submit
Claims link from the PLCR Workbench task bar. This
will start the Submission Wizard.
The Submission Wizard,
Claims Submission Page
Click the Next
button to continue. The
Select Insurers page will display.
Select one or multiple insurers from the list
of the available insurers. Please
note that only those insurers with complete closed claim or aggregate
report forms will display in this list. All
forms and reports must have all sections with a status of complete before
submission is allowed.
The Select Insurers Page
Click the Next
button. The
Select Medical Professional Liability Claims page will display.
If you are submitting any MPL forms, select the
Insurer An entity licensed by OIR under Chapter 624 (p. III) or Chapter 641 (p. I) of the Florida Statutes.(s) whose completed MPL forms will be submitted.
The Select Medical Professional Liability Claims Page
Click the Next
button. The Select Lawyers Professional Liability Claims page will display.
If you are submitting any LPL forms, select the
Insurer(s) whose completed LPL forms will be submitted.
The Select Lawyers Professional Liability Claims Page
Click the Next
button. The Select Directors and Officers Claims page will display.
If you are submitting any DNO forms, select the
Insurer(s) whose completed DNO forms will be submitted.
The Select Directors and Officers Claims Page
Click the Next
button. The Select Aggregate Reports page will display.
If you are submitting any aggregate reports, select
the Insurer(s) whose completed aggregate reports will be submitted.
The Select Aggregate
Reports Page
Click the Next
button. The
Confirm Contact Information page will display.
Verify that the contact
information is accurate. Update
the information if necessary.
Click the Next
button. Assuming
this submission is NOT a re-submission, the Submission Summary page will
display. If
the submission IS a re-submission, see the re-submission section below.
The Submission Summary
page displays summary information on the closed claim form or aggregate
report that you wish to submit. Verify
that this information is correct.
The Submission Summary Page
Check the checkbox next
to the affidavit statement to certify that you are authorized to submit
this liability report on behalf of the company referenced.
Type your full name (First
Name, Middle Initial [optional], Last Name) in the Name text field.
Type your title in the
Title text field.
Click the Submit
button to send your report to the Office of Insurance Regulation. The
Submission Complete page will display. An
email confirmation will be sent to your email address (or the one you
specified in the contact information section). The
closed claim form or aggregate report will be removed from your Workbench.
You may
view these items at any point by visiting the Review
Submissions page.
