642.021 – Certificate of Authority.
642.021 Certificate of authority.— (1) It is unlawful for any person to engage in a legal expense insurance business in this state without a valid certificate of authority issued by the office, pursuant to ss. 642.011-642.049, except that a domestic, foreign, or alien insurer authorized to transact life or casualty insurance in this state may transact legal […]
642.022 – Insurance Business Not Authorized.
642.022 Insurance business not authorized.—Nothing in the Florida Insurance Code or this chapter shall be deemed to authorize any legal expense corporation to transact any insurance business other than that of legal expense insurance or to otherwise engage in any other type of insurance unless it is authorized under a certificate of authority issued by the […]
642.023 – Required Deposit or Bond.
642.023 Required deposit or bond.— (1) To assure the faithful performance of its obligations in the event of insolvency, each legal expense insurance corporation, prior to the issuance of its certificate of authority, shall deposit and maintain with the department securities of the type eligible for deposit by insurers under s. 625.52, which securities shall be held […]
642.024 – Levy Upon Deposit.
642.024 Levy upon deposit.—No judgment creditor or other claimant of a legal expense insurance corporation shall have the right to levy upon any of the assets or securities held in this state as a deposit under s. 642.023. History.—ss. 41, 52, ch. 85-321; ss. 6, 7, ch. 93-147.
642.025 – Policy and Certificate Forms.
642.025 Policy and certificate forms.— (1) Legal expense insurance may be written as individual, group, blanket, or franchise insurance. Each contractual obligation for legal expense insurance shall be evidenced by a policy. Each person insured under a group policy shall be issued a certificate of coverage. (2) No policy or certificate of legal expense insurance may be issued […]
641.459 – Construction and relationship to other laws.
641.459 Construction and relationship to other laws.— (1) Except as provided in this part, the Florida Insurance Code, as defined in s. 624.01, does not apply to prepaid health clinics certificated under this part; and prepaid health clinics certificated under this part are not subject to part I of this chapter. (2) The solicitation of subscribers by a […]
641.47 – Definitions.
641.47 Definitions.—As used in this part, the term: (1) “Adverse determination” means a coverage determination by an organization that an admission, availability of care, continued stay, or other health care service has been reviewed and, based upon the information provided, does not meet the organization’s requirements for medical necessity, appropriateness, health care setting, level of care or […]
641.48 – Purpose and application of part.
641.48 Purpose and application of part.—The purpose of this part is to ensure that health maintenance organizations and prepaid health clinics deliver high-quality health care to their subscribers. To achieve this purpose, this part requires all such organizations to obtain a health care provider certificate from the agency as a condition precedent to obtaining a certificate […]
641.49 – Certification of health maintenance organization and prepaid health clinic as health care providers; application procedure.
641.49 Certification of health maintenance organization and prepaid health clinic as health care providers; application procedure.— (1) No person or governmental unit shall establish, conduct, or maintain a health maintenance organization or a prepaid health clinic in this state without first obtaining a health care provider certificate under this part. (2) The office shall not issue a certificate […]
641.495 – Requirements for issuance and maintenance of certificate.
641.495 Requirements for issuance and maintenance of certificate.— (1) The agency shall issue a health care provider certificate to an applicant filing a completed application in conformity with ss. 641.48 and 641.49, upon payment of the prescribed fee, and upon the agency’s being satisfied that the applicant has the ability to provide quality of care consistent with […]