641.31096 – Requirements with respect to breast cancer and routine followup care.
641.31096 Requirements with respect to breast cancer and routine followup care.—Routine followup care to determine whether a breast cancer has recurred in a person who has been previously determined to be free of breast cancer does not constitute medical advice, diagnosis, care, or treatment for purposes of determining preexisting conditions unless evidence of breast cancer is […]
641.36 – Adoption of rules; penalty for violation.
641.36 Adoption of rules; penalty for violation.—The commission shall adopt rules necessary to carry out the provisions of this part. The office shall collect and make available all health maintenance organization rules adopted by the commission. Any violation of a rule adopted under this section shall subject the violating entity to the provisions of s. 641.23. […]
641.31097 – Decreasing inappropriate utilization of emergency care.
641.31097 Decreasing inappropriate utilization of emergency care.— (1) The Legislature finds and declares it to be of vital importance that emergency services and care be provided by hospitals and physicians to every person in need of such care, but with the double-digit increases in health insurance premiums, health care providers and insurers should encourage patients and the […]
641.365 – Dividends.
641.365 Dividends.— (1)(a) A health maintenance organization shall not pay any dividend or distribute cash or other property to stockholders except out of that part of its available and accumulated surplus funds which is derived from realized net operating profits on its business and net realized capital gains. (b) Unless prior written approval is obtained from the office, […]
641.31098 – Coverage for individuals with developmental disabilities.
641.31098 Coverage for individuals with developmental disabilities.— (1) This section and s. 627.6686 may be cited as the “Steven A. Geller Autism Coverage Act.” (2) As used in this section, the term: (a) “Applied behavior analysis” means the design, implementation, and evaluation of environmental modifications, using behavioral stimuli and consequences, to produce socially significant improvement in human behavior, including, […]
641.37 – Prohibited activities; penalties.
641.37 Prohibited activities; penalties.— (1) Any person or entity which knowingly renews, issues, or delivers any health maintenance contract without first obtaining and thereafter maintaining a certificate of authority is guilty of a felony of the third degree, punishable as provided in s. 775.082 or s. 775.083. (2) Except as provided in subsection (1), any person, entity, or […]
641.31099 – Restrictions on use of state and federal funds for state exchanges.
641.31099 Restrictions on use of state and federal funds for state exchanges.— (1) A health maintenance contract under which coverage is purchased in whole or in part with any state or federal funds through an exchange created pursuant to the federal Patient Protection and Affordable Care Act, Pub. L. No. 111-148, may not provide coverage for an […]
641.3111 – Extension of benefits.
641.3111 Extension of benefits.— (1) Every group health maintenance contract shall provide that termination of the contract shall be without prejudice to any continuous loss which commenced while the contract was in force, but any extension of benefits beyond the period the contract was in force may be predicated upon the continuous total disability of the subscriber […]
641.312 – Scope.
641.312 Scope.—The Office of Insurance Regulation may adopt rules to administer the National Association of Insurance Commissioners’ Uniform Health Carrier External Review Model Act, issued by the National Association of Insurance Commissioners and dated April 2010. This section does not apply to the types of benefits or coverages provided under s. 627.6513(1)-(14) issued in any market. […]
641.313 – Health maintenance contracts; cancer treatment parity; orally administered cancer treatment medications.
641.313 Health maintenance contracts; cancer treatment parity; orally administered cancer treatment medications.— (1) As used in this section, the term: (a) “Cancer treatment medication” means medication prescribed by a treating physician who determines that the medication is medically necessary to kill or slow the growth of cancerous cells in a manner consistent with nationally accepted standards of practice. […]