Florida Statutes
Part VII - Group, Blanket, and Franchise Health Insurance Policies (Ss. 627.651-627.66997)
627.663 - Franchise health insurance.


(1) “Franchise health insurance,” also known as “franchise group insurance,” is that form of health insurance issued to:
(a) Two or more employees of any corporation, professional association, copartnership, or individual employer or of any governmental corporation, agency, or department; or
(b) Ten or more individuals who are members of any trade association or labor union or any other association having had an active existence for at least 2 years if such association or union has a constitution or bylaws and is formed in good faith for purposes other than that of obtaining insurance; when such persons, with or without their dependents, are issued the same form of an individual policy varying only as to amounts and kinds of coverage applied for by such persons under an arrangement whereby the premiums on such policies may be paid to the insurer periodically by the employer, with or without payroll deductions, or by the association, or by some designated person acting on behalf of such employer or association. Notwithstanding the provisions of any state antidiscriminatory law, such provisions shall not prohibit different rates charged or benefits payable or a different underwriting procedure for individuals insured under a franchise plan provided the rates charged, benefits payable, or underwriting procedure used does not discriminate between franchise plans.

(2) The provisions of part VI of this chapter also apply to franchise insurance.
History.—s. 594, ch. 59-205; s. 3, ch. 76-168; s. 1, ch. 77-457; s. 1, ch. 79-67; ss. 2, 3, ch. 81-318; ss. 514, 523, 809(2nd), ch. 82-243; ss. 63, 79, ch. 82-386; s. 114, ch. 92-318.

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.