636.009 – Issuance of certificate of authority; denial.
636.009 Issuance of certificate of authority; denial.— (1) Following receipt of an application filed pursuant to s. 636.008, the office shall review such application and notify the applicant of any deficiencies contained therein. The office shall issue a certificate of authority to an applicant who has filed a completed application in conformity with s. 636.008, upon payment […]
636.012 – Continued eligibility for certificate of authority.
636.012 Continued eligibility for certificate of authority.—In order to maintain its eligibility for a certificate of authority, a prepaid limited health service organization must continue to meet all conditions required to be met under this act and the rules adopted thereunder for the initial application for and issuance of its certificate of authority under ss. 636.008 […]
636.0145 – Certain entities contracting with Medicaid.
636.0145 Certain entities contracting with Medicaid.—An entity that is providing comprehensive inpatient and outpatient mental health care services to certain Medicaid recipients in Hillsborough, Highlands, Hardee, Manatee, and Polk Counties through a capitated, prepaid arrangement pursuant to the federal waiver provided for in s. 409.905(5) must become licensed under this chapter by December 31, 1998. Any […]
636.015 – Language used in contracts and advertisements; translations.
636.015 Language used in contracts and advertisements; translations.— (1)(a) All contracts or forms must be printed in English. (b) If the negotiations leading up to the effectuation of a prepaid limited health service organization contract are conducted in a language other than English, the prepaid limited health service organization must supply to the member a written translation of […]
636.0155 – Disclosures required in contracts and marketing materials.
636.0155 Disclosures required in contracts and marketing materials.—All prepaid limited health services contracts, marketing materials, and literature printed after October 1, 1997, must disclose in boldfaced type the name of the organization and disclose that the organization is a prepaid limited health service organization licensed under this chapter. History.—s. 1, ch. 97-65.
636.016 – Prepaid limited health service contracts.
636.016 Prepaid limited health service contracts.—For any entity licensed prior to October 1, 1993, all subscriber contracts in force at such time shall be in compliance with this section upon renewal of such contract. (1) Any entity issued a certificate of authority and otherwise in compliance with this act may enter into contracts in this state to […]
636.017 – Rates and charges.
636.017 Rates and charges.— (1) The rates charged by any prepaid limited health service organization to its subscribers shall not be excessive, inadequate, or unfairly discriminatory. The commission or office may require whatever information it deems necessary to determine that a rate or proposed rate meets the requirements of this section. (2) In determining whether a rate is […]
636.018 – Changes in rates and benefits; material modifications; addition of limited health services.
636.018 Changes in rates and benefits; material modifications; addition of limited health services.— (1)(a) No prepaid limited health services contract, certificate of coverage, application, enrollment form, rider, endorsement, and applicable rates to be charged may be delivered in this state unless the forms and rates have been filed with the office by or on behalf of the […]
636.019 – Additional contract contents.
636.019 Additional contract contents.—A prepaid limited health services contract may contain additional provisions not inconsistent with this act which are: (1) Necessary because of the manner in which the organization is constituted or operated in order to state the rights and obligations of the parties to the contract; or (2) Desired by the organization and neither prohibited by […]
636.002 – Short title.
636.002 Short title.—Sections 1-57, chapter 93-148, Laws of Florida, may be cited as the “Prepaid Limited Health Service Organization Act of Florida.” History.—s. 1, ch. 93-148.