641.3103 – Charter, bylaw provisions.
641.3103 Charter, bylaw provisions.—No health maintenance contract shall contain any provision purporting to make any portion of the articles of incorporation, charter, bylaws, or other organizational document of the health maintenance organization a part of the contract unless the provision is set forth in full in the contract. Any contract provision in violation of this section […]
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 […]
641.31072 – Special enrollment periods.
641.31072 Special enrollment periods.— (1) A health maintenance organization that issues a group health insurance policy shall permit an employee who is eligible, but not enrolled, for coverage under the terms of the contract, or a dependent of such an employee if the dependent is eligible but not enrolled for coverage under such terms, to enroll for […]
641.31073 – Prohibiting discrimination against individual participants and beneficiaries based on health status.
641.31073 Prohibiting discrimination against individual participants and beneficiaries based on health status.— (1) Subject to subsection (2), a health maintenance organization that offers group health insurance coverage may not establish rules for eligibility, including continued eligibility, of an individual to enroll under the terms of the contract based on any of the following health-status-related factors in relation […]
641.31074 – Guaranteed renewability of coverage.
641.31074 Guaranteed renewability of coverage.— (1) Except as otherwise provided in this section, a health maintenance organization that issues a health insurance contract must renew or continue in force such coverage at the option of the contract holder. (2) A health maintenance organization may nonrenew or discontinue a contract based only on one or more of the following […]
641.31075 – Advanced practice registered nurse services.
641.31075 Advanced practice registered nurse services.—A health maintenance contract that is delivered, issued, or renewed in this state on or after January 1, 2021, may not require a subscriber to receive services from an advanced practice registered nurse registered under s. 464.0123 in place of a physician. History.—s. 32, ch. 2020-9.