PocketLaw | Florida Statutes | Health Maintenance Organizations (Ss.

Health Maintenance Organizations (Ss. 641.17-641.3923)

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Short title.

Declaration of legislative intent, findings, and purposes.

Definitions.

Application for certificate.

Issuance of certificate of authority.

Revocation or cancellation of certificate of authority; suspension of enrollment of new subscribers; terms of suspension.

Administrative penalty in lieu of suspension or revocation.

Annual and quarterly reports.

Examination by the department.

Civil remedy.

Fees.

Construction and relationship to other laws.

Health maintenance contracts.

Acceptable payments.

Certain words prohibited in name of organization.

Assets, liabilities, and investments.

Adoption of rules; penalty for violation.

Prohibited activities; penalties.

Operational health maintenance organizations; issuance of certificate.

Section
641.183

Statutory accounting procedures; transition provisions.

Section
641.185

Health maintenance organization subscriber protections.

Section
641.201

Applicability of other laws.

Section
641.215

Conditions precedent to issuance or maintenance of certificate of authority; effect of bankruptcy proceedings.

Section
641.217

Minority recruitment and retention plans required.

Section
641.221

Continued eligibility for certificate of authority.

Section
641.225

Surplus requirements.

Section
641.227

Rehabilitation Administrative Expense Fund.

Section
641.228

Florida Health Maintenance Organization Consumer Assistance Plan.

Section
641.234

Administrative, provider, and management contracts.

Section
641.255

Acquisition, merger, or consolidation.

Section
641.261

Other reporting requirements.

Section
641.281

Injunction.

Section
641.282

Payment of judgment by health maintenance organization.

Section
641.284

Liquidation, rehabilitation, reorganization, and conservation; exclusive methods of remedy.

Section
641.285

Insolvency protection.

Section
641.286

Levy upon deposit limited.

Section
641.305

Language used in contracts and advertisements; translations.

Section
641.309

Standards for marketing to persons eligible for Medicare.

Section
641.312

Scope.

Section
641.313

Health maintenance contracts; cancer treatment parity; orally administered cancer treatment medications.

Section
641.314

Pharmacy benefit manager contracts.

Section
641.315

Provider contracts.

Section
641.316

Fiscal intermediary services.

Section
641.365

Dividends.

Section
641.385

Order to discontinue certain advertising.

Section
641.386

Agent licensing and appointment required; exceptions.

Section
641.2011

Insurance holding companies.

Section
641.2015

Incorporation required.

Section
641.2017

Insurance business not authorized.

Section
641.2018

Limited coverage for home health care authorized.

Section
641.2019

Provider service network certificate of authority.

Section
641.2261

Application of solvency requirements to provider-sponsored organizations and Medicaid provider service networks.

Section
641.2342

Contract providers.

Section
641.3005

Application of ch. 85-177.

Section
641.3007

HIV infection and AIDS for contract purposes.

Section
641.3101

Additional contract contents.

Section
641.3102

Restrictions upon expulsion or refusal to issue or renew contract.

Section
641.3103

Charter, bylaw provisions.

Section
641.3104

Execution of contracts.

Section
641.3105

Validity of noncomplying contracts.

Section
641.3106

Construction of contracts.

Section
641.3107

Delivery of contract; definitions.

Section
641.3108

Notice of cancellation of contract.

Section
641.3111

Extension of benefits.

Section
641.3154

Organization liability; provider billing prohibited.

Section
641.3155

Prompt payment of claims.

Section
641.3156

Treatment authorization; payment of claims.

Section
641.3901

Unfair methods of competition and unfair or deceptive acts or practices prohibited.

Section
641.3903

Unfair methods of competition and unfair or deceptive acts or practices defined.

Section
641.3905

General powers and duties of the department and office.

Section
641.3907

Defined unfair practices; hearings, witnesses, appearances, production of books, and service of process.

Section
641.3909

Cease and desist and penalty orders.

Section
641.3911

Appeals from the department or office.

Section
641.3913

Penalty for violation of cease and desist orders.

Section
641.3915

Health maintenance organization anti-fraud plans and investigative units.

Section
641.3917

Civil liability.

Section
641.3921

Conversion on termination of eligibility.

Section
641.3922

Conversion contracts; conditions.

Section
641.3923

Discrimination against providers prohibited.

Section
641.20185

High-deductible contracts for medical savings accounts.

Section
641.31015

Health maintenance organization or exclusive provider organization; disclosure of terms and conditions of plan.

Section
641.31071

Preexisting conditions.

Section
641.31072

Special enrollment periods.

Section
641.31073

Prohibiting discrimination against individual participants and beneficiaries based on health status.

Section
641.31074

Guaranteed renewability of coverage.

Section
641.31075

Advanced practice registered nurse services.

Section
641.31076

Shared savings incentive program.

Section
641.31077

Coverage for organ transplants.

Section
641.31085

Disclosures to subscribers; coverage of behavioral health care services.

Section
641.31094

Nondiscrimination of coverage for certain surgical procedures involving bones or joints.

Section
641.31095

Coverage for mammograms.

Section
641.31096

Requirements with respect to breast cancer and routine followup care.

Section
641.31097

Decreasing inappropriate utilization of emergency care.

Section
641.31098

Coverage for individuals with developmental disabilities.

Section
641.31099

Restrictions on use of state and federal funds for state exchanges.

Section
641.39001

Soliciting or accepting new or renewal health maintenance contracts by insolvent or impaired health maintenance organization prohibited; penalty.