631.828 – Assessments against member HMOs; income tax credit for assessments paid.
631.828 Assessments against member HMOs; income tax credit for assessments paid.—Any provisions of the law to the contrary notwithstanding, a member HMO may offset against its corporate income tax liability or other liabilities, on an individual or consolidated basis, as applicable, any assessment described in s. 631.819 to the extent of 20 percent of the amount […]
631.814 – Definitions.
631.814 Definitions.—As used in this part, the term: (1) “Plan” means the Florida Health Maintenance Organization Consumer Assistance Plan created by this part. (2) “Board” means the board of directors of the plan. (3) “Contractual obligations” means any obligation under covered health care policies. (4) “Covered policy” means any policy or contract issued by an HMO for health care services. […]
631.815 – Florida Health Maintenance Organization Consumer Assistance Plan.
631.815 Florida Health Maintenance Organization Consumer Assistance Plan.—There is created a nonprofit legal entity to be known as the Florida Health Maintenance Organization Consumer Assistance Plan. All HMOs shall be and must remain members of the plan as a condition of their authority to transact business in this state as an HMO. The plan shall perform […]
631.816 – Board of directors.
631.816 Board of directors.— (1) The board of directors of the plan shall consist of not less than five or more than nine persons serving terms as established in the plan of operation. The department shall approve and appoint to the board persons recommended by the member HMOs. In the event the department finds that any recommended […]
631.817 – Eligibility.
631.817 Eligibility.— (1) Except as provided in subsection (2), any person of this state who has lost their health care coverage provided in an HMO due to insolvency shall be eligible to obtain coverage as provided herein. Eligible persons include all persons who were eligible to receive health care services under that subscriber’s contract with the HMO. […]
631.811 – Short title.
631.811 Short title.—This part may be cited as the “Florida Health Maintenance Organization Consumer Assistance Plan.” History.—ss. 1, 23, ch. 88-388; ss. 187, 188, ch. 91-108; s. 4, ch. 91-429.
631.812 – Purpose; construction.
631.812 Purpose; construction.—The purpose of this part is to protect the subscribers of HMOs, subject to certain limitations, against the failure of the HMO to perform its contractual obligations due to its insolvency. This part shall be liberally interpreted to carry out its purpose. History.—ss. 1, 23, ch. 88-388; ss. 187, 188, ch. 91-108; s. 4, […]
631.813 – Application of part.
631.813 Application of part.—This part shall apply to HMO contractual obligations to residents of Florida by HMOs possessing a valid certificate of authority issued as provided by part I of chapter 641. The provisions of this part shall not apply to persons participating in medical assistance programs under the Medicaid program. History.—ss. 1, 23, ch. 88-388; […]