641.316 – Fiscal intermediary services.
641.316 Fiscal intermediary services.— (1) It is the intent of the Legislature, through the adoption of this section, to ensure the financial soundness of fiscal intermediary services organizations established to develop, manage, and administer the business affairs of health care professional providers such as medical doctors, doctors of osteopathy, doctors of chiropractic medicine, doctors of podiatric medicine, […]
641.32 – Acceptable payments.
641.32 Acceptable payments.—Each health maintenance organization may accept from governmental agencies, corporations, associations, groups, or individuals payments covering all or part of the cost of contracts entered into between the health maintenance organization and its subscribers. History.—s. 16, ch. 72-264; s. 3, ch. 76-168; s. 1, ch. 77-457; ss. 2, 3, ch. 81-318; ss. 796, 804, […]
641.33 – Certain words prohibited in name of organization.
641.33 Certain words prohibited in name of organization.— (1) No entity certificated as a health maintenance organization, other than a licensed insurer insofar as its name is concerned, shall use in its name, contracts, or literature any of the words “insurance,” “casualty,” “surety,” “mutual,” or any other words descriptive of the insurance, casualty, or surety business or […]
641.31095 – Coverage for mammograms.
641.31095 Coverage for mammograms.— (1) Every health maintenance contract issued or renewed on or after January 1, 1996, shall provide coverage for at least the following: (a) A baseline mammogram for any woman who is 35 years of age or older, but younger than 40 years of age. (b) A mammogram every 2 years for any woman who is […]
641.35 – Assets, liabilities, and investments.
641.35 Assets, liabilities, and investments.— (1) ASSETS.—In any determination of the financial condition of a health maintenance organization, there shall be allowed as “assets” only those assets that are owned by the health maintenance organization and that consist of: (a) Cash or cash equivalents in the possession of the health maintenance organization, or in transit under its control, […]
641.3103 – Charter, bylaw provisions.
641.3103 Charter, bylaw provisions.—No health maintenance contract shall contain any provision purporting to make any portion of the articles of incorporation, charter, bylaws, or other organizational document of the health maintenance organization a part of the contract unless the provision is set forth in full in the contract. Any contract provision in violation of this section […]
641.3104 – Execution of contracts.
641.3104 Execution of contracts.— (1) Every health maintenance contract shall be executed in the name of and on behalf of the health maintenance organization by its officer, attorney in fact, employee, or representative duly authorized by the organization. (2) A facsimile signature of any executing individual may be used in lieu of an original signature. (3) No health maintenance […]
641.3105 – Validity of noncomplying contracts.
641.3105 Validity of noncomplying contracts.— (1) Any health maintenance contract, rider, endorsement, attachment, or addendum otherwise valid which contains any condition or provision not in compliance with the requirements of this part shall not be thereby rendered invalid, but shall be construed and applied in accordance with such conditions and provisions as would have applied had such […]
641.3106 – Construction of contracts.
641.3106 Construction of contracts.—Every health maintenance contract shall be construed according to the entirety of its terms and conditions as set forth in the contract and as amplified, extended, or modified by any application therefor or any rider, endorsement, attachment, or addendum thereto. History.—ss. 28, 47, ch. 85-177; ss. 187, 188, ch. 91-108; s. 4, ch. […]
641.3107 – Delivery of contract; definitions.
641.3107 Delivery of contract; definitions.— (1) A health maintenance contract, certificate of coverage, endorsements and riders, or member handbook shall be mailed, delivered, or otherwise provided to the subscriber or, in the case of a group health maintenance contract, to the employer or other person who will hold the contract on behalf of the subscriber group, as […]