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The Florida Statutes

The 2023 Florida Statutes (including Special Session C)

Title XXXVII
INSURANCE
Chapter 627
INSURANCE RATES AND CONTRACTS
View Entire Chapter
CHAPTER 627
PART VI

HEALTH INSURANCE POLICIES

627.601
Scope of this part.
627.6011
Mandated coverages.
627.602
Scope, format of policy.
627.603
Death benefits.
627.604
Nonresident insured.
627.6041
Children with disabilities; continuation of coverage.
627.6043
Notification of cancellation, nonrenewal, or change in rates.
627.6044
Use of a specific methodology for payment of claims.
627.6045
Preexisting condition.
627.6046
Limit on preexisting conditions.
627.605
Required provisions; captions, omissions, substitutions.
627.6056
Coverage for ambulatory surgical center service.
627.606
Entire contract; changes.
627.607
Time limit on certain defenses.
627.608
Grace period.
627.609
Reinstatement.
627.610
Notice of claim.
627.611
Claim forms.
627.612
Proof of loss.
627.613
Time of payment of claims.
627.6131
Payment of claims.
627.614
Payment of claims.
627.6141
Denial of claims.
627.615
Physical examination, autopsy.
627.616
Legal actions.
627.617
Change of beneficiary.
627.618
Optional policy provisions.
627.619
Change of occupation.
627.620
Misstatement of age or sex.
627.621
Other insurance with this insurer.
627.622
Insurance with other insurers.
627.623
Insurance with other insurers; other benefits.
627.624
Relation of earnings to insurance.
627.625
Unpaid premiums.
627.6265
Cancellation or nonrenewal prohibited.
627.627
Conformity with statutes.
627.628
Illegal occupation.
627.629
Intoxicants and narcotics.
627.630
Order of certain provisions.
627.631
Third-party ownership.
627.632
Requirements of other jurisdictions.
627.633
Other policy provisions.
627.634
Age limit.
627.635
Excess insurance.
627.636
Industrial health insurance.
627.637
Construction of noncomplying contracts.
627.638
Direct payment for hospital, medical services.
627.6385
Disclosures to policyholders; calculations of cost sharing.
627.6387
Shared savings incentive program.
627.639
Application signed by agent.
627.640
Filing of classifications and rates.
627.6401
Refunds for persons age 64.
627.6402
Insurance rebates for healthy lifestyles.
627.64025
Advanced practice registered nurse services.
627.6403
Payment of acupuncture benefits to certified acupuncturists.
627.6405
Decreasing inappropriate utilization of emergency care.
627.6406
Maternity care.
627.6407
Massage.
627.6408
Diabetes treatment services.
627.6409
Coverage for osteoporosis screening, diagnosis, treatment, and management.
627.641
Coverage for newborn children.
627.6415
Coverage for natural-born, adopted, and foster children; children in insured’s custodial care.
627.6416
Coverage for child health supervision services.
627.6417
Coverage for surgical procedures and devices incident to mastectomy.
627.64171
Coverage for length of stay and outpatient postsurgical care.
627.64172
Requirements with respect to breast cancer and routine followup care.
627.6418
Coverage for mammograms.
627.6419
Requirements with respect to breast cancer.
627.64193
Required coverage for cleft lip and cleft palate.
627.64194
Coverage requirements for services provided by nonparticipating providers; payment collection limitations.
627.64195
Requirements for opioid coverage.
627.64196
Medication synchronization.
627.64197
Coverage for organ transplants.
627.642
Outline of coverage.
627.6425
Renewability of individual coverage.
627.6426
Short-term health insurance.
627.643
Uniform minimum standards.
627.644
Discrimination against handicapped prohibited.
627.645
Denial of health insurance claims restricted.
627.646
Conversion on termination of eligibility.
627.647
Standard health claim form.
627.6471
Contracts for reduced rates of payment; limitations; coinsurance and deductibles.
627.6472
Exclusive provider organizations.
627.64725
Health maintenance organization or exclusive provider organization; disclosure of terms and conditions of plan.
627.6473
Combined preferred provider and exclusive provider policies.
627.64731
Leasing, renting, or granting access to a participating provider.
627.6474
Provider contracts.
627.64741
Pharmacy benefit manager contracts.
627.6475
Individual reinsurance pool.
627.6487
Guaranteed availability of individual health insurance coverage to eligible individuals.
627.64995
Restrictions on use of state and federal funds for state exchanges.