641.183 – Statutory accounting procedures; transition provisions.
641.183 Statutory accounting procedures; transition provisions.—All health maintenance organizations, authorized to do business under this chapter on January 1, 2001, shall elect a transition method for compliance with statutory accounting principles as follows: (1) Report assets acquired prior to June 30, 2001, in accordance with s. 641.35, Florida Statutes (2000), through December 31, 2005. Assets acquired on […]
641.2261 – Application of solvency requirements to provider-sponsored organizations and Medicaid provider service networks.
641.2261 Application of solvency requirements to provider-sponsored organizations and Medicaid provider service networks.— (1) The solvency requirements of ss. 1855 and 1856 of the Balanced Budget Act of 1997 and 42 C.F.R. s. 422.350, subpart H, apply to a health maintenance organization that is a provider-sponsored organization rather than the solvency requirements of this part. However, if […]
641.185 – Health maintenance organization subscriber protections.
641.185 Health maintenance organization subscriber protections.— (1) With respect to the provisions of this part and part III, the principles expressed in the following statements serve as standards to be followed by the commission, the office, the department, and the Agency for Health Care Administration in exercising their powers and duties, in exercising administrative discretion, in administrative […]
641.227 – Rehabilitation Administrative Expense Fund.
641.227 Rehabilitation Administrative Expense Fund.— (1) The office shall not issue or permit to exist a certificate of authority to operate a health maintenance organization in this state unless the organization has deposited with the department $10,000 in cash for use in the Rehabilitation Administrative Expense Fund as established in subsection (2). (2) The department shall maintain all […]
641.19 – Definitions.
641.19 Definitions.—As used in this part, the term: (1) “Affiliate” means any entity that exercises control over or is controlled by the health maintenance organization, directly or indirectly, through: (a) Equity ownership of voting securities; (b) Common managerial control; or (c) Collusive participation by the management of the health maintenance organization and affiliate in the management of the health maintenance […]
636.223 – Administrative penalty.
636.223 Administrative penalty.—In lieu of suspending or revoking a certificate of authority whenever any discount plan organization has been found to have violated any provision of this part, the office may: (1) Issue and cause to be served upon the organization charged with the violation a copy of such findings and an order requiring such organization to […]
636.224 – Notice of change of name or address of discount plan organization.
636.224 Notice of change of name or address of discount plan organization.—Each discount plan organization must provide the office at least 30 days’ advance notice of any change in the discount plan organization’s name, address, principal business address, or mailing address. History.—s. 31, ch. 2004-297; s. 24, ch. 2017-112.
636.226 – Provider name listing.
636.226 Provider name listing.—Each discount plan organization must maintain on an Internet website an up-to-date list of the names and addresses of the providers with which it has contracted, the address of which must be prominently displayed on all its advertisements, marketing materials, brochures, and discount cards. This section applies to those providers with whom the […]
636.228 – Marketing of discount plans.
636.228 Marketing of discount plans.— (1) All advertisements, marketing materials, brochures, and discount cards used by marketers must be approved in writing by the discount plan organization. (2) The discount plan organization must have an executed written agreement with a marketer before the marketer markets, promotes, sells, or distributes the discount plan. Such agreement must prohibit the marketer […]
636.230 – Bundling discount plans with other products.
636.230 Bundling discount plans with other products.—A marketer or discount plan organization selling a discount plan with medical services and other services may commingle those products on a single page of forms, advertisements, marketing materials, or brochures. History.—s. 31, ch. 2004-297; s. 14, ch. 2005-232; s. 11, ch. 2017-112.