(1) Be certified by the Office of Insurance Regulation of the Financial Services Commission under s. 409.818 as meeting, exceeding, or being actuarially equivalent to the benchmark benefit plan;
(2) Be guarantee issued;
(3) Be community rated;
(4) Not impose any preexisting condition exclusion for covered benefits;
(5) Comply with the applicable limitations on premiums and cost sharing in s. 409.816;
(6) Comply with the quality assurance and access standards developed under s. 409.820; and
(7) Establish periodic open enrollment periods, which may not occur more frequently than quarterly.
History.—ss. 42, 57, ch. 98-288; s. 447, ch. 2003-261; s. 22, ch. 2003-405; s. 10, ch. 2009-113; s. 3, ch. 2016-194.
Structure Florida Statutes
Chapter 409 - Social and Economic Assistance
Part II - Kidcare (Ss. 409.810-409.821)
409.811 - Definitions relating to Florida Kidcare Act.
409.812 - Program created; purpose.
409.813 - Health benefits coverage; program components; entitlement and nonentitlement.
409.8132 - Medikids program component.
409.8134 - Program expenditure ceiling; enrollment.
409.8135 - Behavioral health services.
409.815 - Health benefits coverage; limitations.
409.816 - Limitations on premiums and cost sharing.
409.817 - Approval of health benefits coverage; financial assistance.
409.8175 - Delivery of services in rural counties.
409.8177 - Program evaluation.