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 […]
641.234 – Administrative, provider, and management contracts.
641.234 Administrative, provider, and management contracts.— (1) The office may require a health maintenance organization to submit any contract for administrative services, contract with a provider other than an individual physician, contract for management services, and contract with an affiliated entity to the office. (2) After review of a contract the office may order the health maintenance organization […]
641.3007 – HIV infection and AIDS for contract purposes.
641.3007 HIV infection and AIDS for contract purposes.— (1) PURPOSE.—The purpose of this section is to prohibit unfair practices in a health maintenance organization contract with respect to exposure to the human immunodeficiency virus infection and related matters, and thereby reduce the possibility that a health maintenance organization subscriber or applicant may suffer unfair discrimination when subscribing […]
641.2342 – Contract providers.
641.2342 Contract providers.—Each health maintenance organization shall file, upon the request of the office, financial statements for all contract providers of comprehensive health care services who have assumed, through capitation or other means, more than 10 percent of the health care risks of the health maintenance organization. However, this provision shall not apply to any individual […]
641.305 – Language used in contracts and advertisements; translations.
641.305 Language used in contracts and advertisements; translations.— (1)(a) All health maintenance contracts or forms shall be printed in English. (b) If the negotiations by a health maintenance organization with a member leading up to the effectuation of a health maintenance contract are conducted in a language other than English, the health maintenance organization shall supply to the […]
641.25 – Administrative penalty in lieu of suspension or revocation.
641.25 Administrative penalty in lieu of suspension or revocation.—If the office finds that one or more grounds exist for the revocation or suspension of a certificate issued under this part, the office may, in lieu of revocation or suspension, impose a fine upon the health maintenance organization. With respect to any nonwillful violation, the fine must […]