Florida Statutes
Part VII - Group, Blanket, and Franchise Health Insurance Policies (Ss. 627.651-627.66997)
627.65612 - Limit on preexisting conditions.


(1) As used in this section, the terms “operative date” and “preexisting medical condition” have the same meanings as provided in s. 627.6046.

(2)(a) Not later than 30 days after the operative date, and notwithstanding s. 627.6561 or any other law to the contrary, every insurer issuing, delivering, or issuing for delivery comprehensive major medical group health insurance policies in this state shall make at least one comprehensive major medical health insurance policy available to residents in the insurer’s approved service areas of this state, and such insurer may not exclude, limit, deny, or delay coverage under such policy due to one or more preexisting medical conditions.
(b) An insurer may not limit or exclude benefits under such policy, including a denial of coverage applicable to an individual as a result of information relating to an individual’s health status before the individual’s effective date of coverage, or if coverage is denied, the date of the denial.

(3) The comprehensive major medical health insurance policy that the insurer is required to offer under this section must be a policy that had been actively marketed in this state by the insurer as of the operative date and that was also actively marketed in this state during the year immediately preceding the operative date.
History.—s. 8, ch. 2019-129.

Structure Florida Statutes

Florida Statutes

Title XXXVII - Insurance

Chapter 627 - Insurance Rates and Contracts

Part VII - Group, Blanket, and Franchise Health Insurance Policies (Ss. 627.651-627.66997)

627.651 - Group contracts and plans of self-insurance must meet group requirements.

627.6512 - Exemption of certain group health insurance policies.

627.6513 - Scope.

627.6515 - Out-of-state groups.

627.6516 - Trustee groups.

627.652 - Group health insurance; definitions.

627.6525 - Short-term health insurance.

627.653 - Employee groups.

627.654 - Labor union, association, and small employer health alliance groups.

627.655 - Debtor groups.

627.6551 - Teacher and student groups.

627.656 - Additional groups.

627.6561 - Preexisting conditions.

627.65612 - Limit on preexisting conditions.

627.65615 - Special enrollment periods.

627.6562 - Dependent coverage.

627.65625 - Prohibiting discrimination against individual participants and beneficiaries based on health status.

627.65626 - Insurance rebates for healthy lifestyles.

627.6563 - Full-time employment defined.

627.657 - Provisions of group health insurance policies.

627.6571 - Guaranteed renewability of coverage.

627.6572 - Pharmacy benefit manager contracts.

627.65735 - Nondiscrimination of coverage for surgical procedures.

627.65736 - Coverage for organ transplants.

627.6574 - Maternity care.

627.65745 - Diabetes treatment services.

627.6575 - Coverage for newborn children.

627.65755 - Dental procedures; anesthesia and hospitalization coverage.

627.6577 - Dental care.

627.6578 - Coverage for natural-born, adopted, and foster children; children in insured’s custodial care.

627.6579 - Coverage for child health supervision services.

627.658 - Use of dividends, refunds, rate reductions, commissions, service fees; premium rates.

627.659 - Blanket health insurance; eligible groups.

627.660 - Conditions and provisions of blanket health insurance policies.

627.661 - School accident insurance claims; policy service.

627.6612 - Coverage for surgical procedures and devices incident to mastectomy.

627.66121 - Coverage for length of stay and outpatient postsurgical care.

627.66122 - Requirements with respect to breast cancer and routine followup care.

627.6613 - Coverage for mammograms.

627.6615 - Children with disabilities; continuation of coverage under group policy.

627.6616 - Coverage for ambulatory surgical center service.

627.6617 - Coverage for home health care services.

627.6618 - Payment of acupuncture benefits to certified acupuncturists.

627.6619 - Massage.

627.662 - Other provisions applicable.

627.6621 - Advanced practice registered nurse services.

627.663 - Franchise health insurance.

627.664 - Assignment of incidents of ownership in group, blanket, or franchise health policies.

627.6645 - Notification of cancellation, expiration, nonrenewal, or change in rates.

627.6646 - Cancellation or nonrenewal prohibited.

627.6648 - Shared savings incentive program.

627.6651 - Replacement or termination of group, blanket, or franchise health policy or contract; liability of prior insurer.

627.666 - Liability of succeeding insurer on replacement of group, blanket, or franchise health insurance policy.

627.667 - Extension of benefits.

627.6675 - Conversion on termination of eligibility.

627.668 - Optional coverage for mental and nervous disorders required; exception.

627.6686 - Coverage for individuals with autism spectrum disorder required; exception.

627.669 - Optional coverage required for substance abuse impaired persons; exception.

627.6691 - Coverage for osteoporosis screening, diagnosis, treatment, and management.

627.66911 - Required coverage for cleft lip and cleft palate.

627.6692 - Florida Health Insurance Coverage Continuation Act.

627.6698 - Attorney’s fees.

627.6699 - Employee Health Care Access Act.

627.66996 - Restrictions on use of state and federal funds for state exchanges.

627.66997 - Stop-loss insurance.