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.
636.0201 – Genetic information restrictions.
636.0201 Genetic information restrictions.—A prepaid limited health service organization must comply with the provisions of s. 627.4301. History.—s. 4, ch. 97-182.
636.003 – Definitions.
636.003 Definitions.—As used in this act, the term: (1) “Capitation” means the fixed amount paid by a prepaid limited health service organization to a health care provider under contract with the prepaid limited health service organization in exchange for the rendering of covered limited health services. (2) “Enrollee” means an individual, including dependents, who is entitled to limited […]
636.022 – Restrictions upon expulsion or refusal to issue or renew contract.
636.022 Restrictions upon expulsion or refusal to issue or renew contract.—A prepaid limited health service organization may not expel or refuse to renew the coverage of or refuse to enroll any individual member of a subscriber group on the basis of the race, color, creed, handicap, marital status, sex, or national origin of the subscriber or […]
636.004 – Applicability of other laws.
636.004 Applicability of other laws.—Except as provided in this act, prepaid limited health service organizations are governed by the provisions of this act and are exempt from the Florida Insurance Code unless specifically referenced. History.—s. 3, ch. 93-148.
636.023 – Charter; bylaw provisions.
636.023 Charter; bylaw provisions.—No prepaid limited health services contract may contain any provision purporting to make any portion of the articles of incorporation, charter, bylaws, or other organizational document of the prepaid limited health service organization a part of the contract unless the provision is set forth in full in the contract. Any contract provision in […]