Florida Statutes Part IV - Health Maintenance Organization Consumer Assistance Plan (Ss. 631.811-631.828)
- 631.811 - Short Title.
This part may be cited as the “Florida Health Maintenance Organization Consumer Assistance Plan.”History.—ss. 1, 23, ch. 88-388; ss. 187, 188, ch. 91-108; s. 4,...
- 631.812 - Purpose; Construction.
The purpose of this part is to protect the subscribers of HMOs, subject to certain limitations, against the failure of the HMO to perform its...
- 631.813 - Application Of Part.
This part shall apply to HMO contractual obligations to residents of Florida by HMOs possessing a valid certificate of authority issued as provided by part...
- 631.814 - Definitions.
As used in this part, the term:(1) “Plan” means the Florida Health Maintenance Organization Consumer Assistance Plan created by this part.(2) “Board” means the board of directors...
- 631.815 - Florida Health Maintenance Organization Consumer Assistance Plan.
There is created a nonprofit legal entity to be known as the Florida Health Maintenance Organization Consumer Assistance Plan. All HMOs shall be and must...
- 631.816 - Board Of Directors.
(1) The board of directors of the plan shall consist of not less than five or more than nine persons serving terms as established in the...
- 631.817 - Eligibility.
(1) Except as provided in subsection (2), any person of this state who has lost their health care coverage provided in an HMO due to insolvency...
- 631.818 - Powers And Duties Of The Plan.
(1) In the event that an HMO is insolvent, the plan shall:(a) Guarantee, reinsure, assume, or provide coverage for or cause to be guaranteed, reinsured, assumed, or...
- 631.819 - Assessments.
(1) For the purposes of providing the funds necessary to carry out the powers and duties of the plan, the board of directors shall assess the...
- 631.820 - Plan Of Operation.
(1) The plan shall submit to the office a proposed plan of operation and any amendments thereto necessary or suitable to assure the fair, reasonable, and...
- 631.821 - Powers And Duties Of The Department.
(1) The office may suspend or revoke, after notice and hearing, the certificate of authority of a member HMO that fails to pay an assessment when...
- 631.822 - Records Of Plan.
Records shall be kept of all meetings of the board and transactions under which the plan or its representatives carry out the plan’s powers and...
- 631.823 - Examination Of The Plan; Annual Report.
The plan shall be subject to examination and regulation by the office. The board of directors shall submit to the office and the department, not...
- 631.824 - Tax Exemptions.
The plan shall be exempt from payment of all fees and all taxes levied by this state or any of its subdivisions, except taxes levied...
- 631.825 - Immunity.
There shall be no liability on the part of, and no cause of action of any nature shall arise against, any member HMO or its...
- 631.826 - Extent Of Liability Of Plan.
For the purpose of carrying out its obligations under this part, the plan shall be deemed to be a priority creditor of the insolvent HMO....
- 631.827 - Prohibited Advertisement.
No person, including an HMO, agent, or affiliate of an HMO shall make, publish, disseminate, circulate, or place before the public, or cause, directly or...
- 631.828 - Assessments Against Member Hmos; Income Tax Credit For Assessments Paid.
Any provisions of the law to the contrary notwithstanding, a member HMO may offset against its corporate income tax liability or other liabilities, on an...
Last modified: September 23, 2016