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 […]
641.31071 – Preexisting conditions.
641.31071 Preexisting conditions.— (1) As used in this section, the term: (a) “Enrollment date” means, with respect to an individual covered under a group health maintenance organization contract, the date of enrollment of the individual in the plan or coverage or, if earlier, the first day of the waiting period of such enrollment. (b) “Late enrollee” means, with respect […]
641.29 – Fees.
641.29 Fees.—Every health maintenance organization shall pay to the office the following fees: (1) For filing a copy of its application for a certificate of authority or amendment thereto, a nonrefundable fee in the amount of $1,000. (2) For filing each annual report, which must be filed by electronic means in a computer-readable form, $150. History.—s. 13, ch. […]
641.228 – Florida Health Maintenance Organization Consumer Assistance Plan.
641.228 Florida Health Maintenance Organization Consumer Assistance Plan.— (1) The office shall not issue a certificate to any health maintenance organization after July 1, 1989, until the applicant health maintenance organization has paid in full its special assessment as set forth in s. 631.819(2)(a). (2) No assessment paid to the Florida Health Maintenance Organization Consumer Assistance Plan shall […]
641.30 – Construction and relationship to other laws.
641.30 Construction and relationship to other laws.— (1) Every health maintenance organization shall accept the claim form prescribed pursuant to s. 641.3155. (2) Except as provided in this part, the Florida Insurance Code does not apply to health maintenance organizations certificated under this part, and health maintenance organizations certificated under this part are not subject to part II […]
641.23 – Revocation or cancellation of certificate of authority; suspension of enrollment of new subscribers; terms of suspension.
641.23 Revocation or cancellation of certificate of authority; suspension of enrollment of new subscribers; terms of suspension.— (1) The maintenance of a valid and current health care provider certificate issued pursuant to part III of this chapter is a condition of the maintenance of a valid and current certificate of authority issued by the office to operate […]
641.3005 – Application of ch. 85-177.
641.3005 Application of ch. 85-177.—This act shall take effect October 1, 1985, and shall apply to all health maintenance organizations that have obtained certificates of authority before, on, or after this date, unless otherwise provided in this act. Any provision of this act necessitating a change in a health maintenance contract shall apply to contracts issued […]