636.032 – Acceptable payments.
636.032 Acceptable payments.—Each prepaid limited health service organization may accept from government agencies, corporations, groups, or individuals payments covering all or part of the cost of contracts entered into between the prepaid limited health service organization and its subscribers. History.—s. 25, ch. 93-148.
636.033 – Certain words prohibited in name of organization.
636.033 Certain words prohibited in name of organization.— (1) No entity certificated as a prepaid limited health service organization, other than a licensed insurer or health maintenance organization insofar as its name is concerned, may use in its name, contracts, or literature any of the words “insurance,” “casualty,” “surety,” “mutual,” or “HMO,” or any other words descriptive […]
636.034 – Extension of benefits.
636.034 Extension of benefits.—Every prepaid limited health services contract must provide that termination of the contract by the prepaid limited health service organization is without prejudice to any continuous loss which commenced while the contract was in force. Extension of benefits beyond the period the contract was in force must be until the specific treatment or […]
636.035 – Provider arrangements.
636.035 Provider arrangements.— (1) Whenever a contract exists between a prepaid limited health service organization and a provider, and the organization fails to meet its obligations to pay fees for services already rendered to a subscriber who is in good standing, the prepaid limited health service organization is liable for such fee or fees rather than the […]
636.036 – Administrative, provider, and management contracts.
636.036 Administrative, provider, and management contracts.— (1) The office may require a prepaid limited health service organization to submit any contract for administrative services, contract with a provider physician, contract for management services, or contract with an affiliated entity to the office if the office has information that the prepaid limited health service organization has entered into […]
636.018 – Changes in rates and benefits; material modifications; addition of limited health services.
636.018 Changes in rates and benefits; material modifications; addition of limited health services.— (1)(a) No prepaid limited health services contract, certificate of coverage, application, enrollment form, rider, endorsement, and applicable rates to be charged may be delivered in this state unless the forms and rates have been filed with the office by or on behalf of the […]
635.091 – Provisions of Florida Insurance Code Applicable to Mortgage Guaranty Insurance.
635.091 Provisions of Florida Insurance Code applicable to mortgage guaranty insurance.—The following provisions of the Florida Insurance Code apply to mortgage guaranty insurers: chapter 624; chapter 625; parts I, II, VIII, and X of chapter 626; s. 627.409; s. 627.915; chapter 628; and chapter 631. History.—ss. 10, 12, ch. 83-281; s. 42, ch. 87-226; s. 20, […]
636.019 – Additional contract contents.
636.019 Additional contract contents.—A prepaid limited health services contract may contain additional provisions not inconsistent with this act which are: (1) Necessary because of the manner in which the organization is constituted or operated in order to state the rights and obligations of the parties to the contract; or (2) Desired by the organization and neither prohibited by […]
636.002 – Short title.
636.002 Short title.—Sections 1-57, chapter 93-148, Laws of Florida, may be cited as the “Prepaid Limited Health Service Organization Act of Florida.” History.—s. 1, ch. 93-148.
636.0201 – Genetic information restrictions.
636.0201 Genetic information restrictions.—A prepaid limited health service organization must comply with the provisions of s. 627.4301. History.—s. 4, ch. 97-182.