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Welcome to the Report Filing portal.
Please choose the form for the filing you wish to submit and complete it. Each form
can be printed for your records prior to submission, however, once the form is submitted
it cannot be retrieved from the portal. All sections of the form are required by
Statute, 626.9891, F.S., and must be completed. The forms contain several items
that are marked with a red asterisk, if these items are not completed the form will
not submit and you will receive an error message. Note that the Anti-Fraud Plan
forms now require initialing acknowledgment of the statutorily required statements.
(The form allows for copy and paste using “Control V”)
- One filing can be submitted for all carriers within a Group if the anti-fraud unit
is the same. Hit “Add” on the right side of the form in the “Insurer” field to add
additional carriers and their NAIC numbers.
- The Group Name and Number (4 digit) are only required if applicable, some carriers
are not part of a Group.
- Additional names can be added to Box 1 (Employee Designation) by hitting “Add” on
the right side of the form. (Note: This is not to designate employees for exemption
per 626.989(4)(d), F.S.)
- The carrier’s internal anti-fraud plan or other supporting documentation can be
attached at the bottom of the form. (Do not attach a copy of an old form filing)
- It is preferred that all required information is provided within the field boxes,
however, if attaching supporting documentation, such as a personnel chart, please
elude to the attachment in the appropriate field box.
- Hit the “Save a Copy” button on the bottom left of the form to retain a copy of
the filing for your records prior to hitting “Submit”.
- Once you hit “submit” you will be directed to a submission confirmation page, once the filing has been reviewed the submitter email will
receive notification via an acceptance email or a deficiency email. If deficient,
the email will contain an explanation of the deficiency that must be corrected and
the filing must be re-submitted.
For questions or assistance with filings or designated employee changes, please email: DIFSIUAdmin@MyFloridaCFO.com