641.3901 – Unfair methods of competition and unfair or deceptive acts or practices prohibited.
641.3901 Unfair methods of competition and unfair or deceptive acts or practices prohibited.—No person, entity, or health maintenance organization shall engage in this state in any trade practice which is defined in this part as, or determined pursuant to s. 641.3905 to be, an unfair method of competition or an unfair or deceptive act or practice […]
641.3903 – Unfair methods of competition and unfair or deceptive acts or practices defined.
641.3903 Unfair methods of competition and unfair or deceptive acts or practices defined.—The following are defined as unfair methods of competition and unfair or deceptive acts or practices: (1) MISREPRESENTATION AND FALSE ADVERTISING OF HEALTH MAINTENANCE CONTRACTS.—Knowingly making, issuing, or circulating, or causing to be made, issued, or circulated, any estimate, illustration, circular, statement, sales presentation, omission, […]
641.3905 – General powers and duties of the department and office.
641.3905 General powers and duties of the department and office.—In addition to the powers and duties set forth in s. 624.307, the department and office shall each have the power within its respective regulatory jurisdiction to examine and investigate the affairs of every person, entity, or health maintenance organization in order to determine whether the person, […]
641.3907 – Defined unfair practices; hearings, witnesses, appearances, production of books, and service of process.
641.3907 Defined unfair practices; hearings, witnesses, appearances, production of books, and service of process.— (1) Whenever the department or office has reason to believe that any person, entity, or health maintenance organization has engaged, or is engaging, in this state in any unfair method of competition or any unfair or deceptive act or practice as defined in […]
641.3909 – Cease and desist and penalty orders.
641.3909 Cease and desist and penalty orders.—After the hearing provided in s. 641.3907, the department or office shall enter a final order in accordance with s. 120.569. If it is determined that the person, entity, or health maintenance organization charged has engaged in an unfair or deceptive act or practice or the unlawful operation of a […]
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, […]