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, […]
641.31096 – 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 […]