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How OIR oversees continuing care providers

Continuing care contracts are regulated like insurance, because they are promises about the future.

Quick answer

Because a continuing care contract is a promise to provide future care in exchange for money paid now, Florida treats it as a financial product and requires providers to hold a certificate of authority from OIR under Chapter 651.

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Last verified: November 2026

Why does the Office of Insurance Regulation oversee continuing care?

Because a continuing care contract is a promise to provide future care in exchange for money paid now, Florida treats it as a financial product and requires providers to hold a certificate of authority from OIR under Chapter 651.

The care itself, in any assisted living or nursing unit, is licensed and inspected by AHCA like any other facility.

What financial reporting does OIR require?

Providers file annual reports with audited financial statements and other filings OIR requires, and must maintain minimum liquid reserves calculated under s. 651.035, typically covering debt service, operating expenses and repair and replacement.

Residents can ask the provider for its annual disclosure statement, and OIR can answer questions about a provider's standing.

Do residents have a voice in a provider's finances?

Yes: Florida requires providers to meet with residents at least quarterly to discuss financial matters and to recognize a residents' organization, and residents receive notice of fee changes.

Attend a residents' meeting before signing, if the provider allows it, or ask current residents what is discussed.

What can OIR do if a provider struggles financially?

OIR can require corrective action plans, place a provider under administrative supervision, and in serious cases seek rehabilitation or liquidation through the courts, with the aim of protecting residents.

OIR's status for each provider appears on its CCRC map and pages. A certificate of authority is not a guarantee of financial strength, but supervision status is a signal to investigate.

Where do residents take complaints?

Financial and contract complaints go to OIR (850-413-3153) or the Department of Financial Services consumer helpline (1-877-693-5236); care complaints in licensed units go to AHCA (1-888-419-3456).

The Long-Term Care Ombudsman Program (1-888-831-0404) also serves residents of assisted living and nursing units on a continuing care campus.

How can a family check a provider's standing before signing?

Look the provider up on OIR's continuing care pages and CCRC map, ask the provider for its latest annual report and disclosure statement, and check the AHCA profiles of any licensed care units tied to it.

In Volusia that means John Knox Village of Central Florida in Orange City and DeLand Senior Care in DeLand. Our profile pages for each show OIR's status and any AHCA licenses we could match to the address.

At a glance

OIR oversight coversOIR oversight does not cover
FinancesReserves, reports and certificatesDay-to-day care quality
ContractsRequired terms and formsSetting prices
ResidentsQuarterly meetings and notice of changesA guarantee of every refund

Sources: Chapters 408, 429 and 651, Florida Statutes; Florida Administrative Code chapters 59A-36 and 65A-2; publications of AHCA, DCF, OIR and the Department of Elder Affairs; and the CareScout and VA tables named on the page. See our editorial standards for how figures are checked.

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