GVHR » Topics » Florida Acord 130

These excerpts taken from the GVHR 10-K filed Mar 17, 2008.

Florida Acord 130

    Please be aware that in conjunction with your obligation to complete the Florida Workers Compensation Application [Accord form 130 FL (2002/07)] ("Application"), you are subject to the continuing obligation as required under Florida Statutes, Chapter 443, to provide us, as your workers' compensation carrier, a copy of your quarterly earnings reports and self-audits supported by the quarterly earnings reports ("Reports").

    While you bear responsibility for additional obligations as set forth under Florida law and the terms of the Application, it is hereby required that you provide us with copies of the Reports at the end of each quarter.

    Nothing herein is intended to modify, eliminate or amend any requirement you have to Provide us with information as detailed by the terms of the Application.

Florida
Acord 130





    Please
    be aware that in conjunction with your obligation to complete the Florida Workers Compensation Application [Accord form 130 FL (2002/07)] ("Application"), you are
    subject to the continuing obligation as required under Florida Statutes, Chapter 443, to provide us, as your workers' compensation carrier, a copy of your quarterly earnings reports and
    self-audits supported by the quarterly earnings reports ("Reports").



    While
    you bear responsibility for additional obligations as set forth under Florida law and the terms of the Application, it is hereby required that you provide us with copies of the Reports at the
    end of each quarter.



    Nothing
    herein is intended to modify, eliminate or amend any requirement you have to Provide us with information as detailed by the terms of the Application.



EXCERPTS ON THIS PAGE:

10-K (2 sections)
Mar 17, 2008
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