(1) The rates charged by any prepaid limited health service organization to its subscribers shall not be excessive, inadequate, or unfairly discriminatory. The commission or office may require whatever information it deems necessary to determine that a rate or proposed rate meets the requirements of this section.
(2) In determining whether a rate is in compliance with subsection (1), the office must take into consideration the limited services provided, the method in which the services are provided, and the method of provider payment. This section may not be construed as authorizing the commission to establish by rule minimum loss ratios for prepaid limited health service organizations’ rates.
History.—s. 14, ch. 93-148; s. 1530, ch. 2003-261.
Structure Florida Statutes
Chapter 636 - Prepaid Limited Health Service Organizations and Discount Plan Organizations
Part I - Prepaid Limited Health Service Organizations (Ss. 636.002-636.067)
636.004 - Applicability of other laws.
636.005 - Incorporation required; exceptions.
636.006 - Insurance business not authorized.
636.007 - Certificate of authority required.
636.008 - Application for certificate of authority.
636.009 - Issuance of certificate of authority; denial.
636.012 - Continued eligibility for certificate of authority.
636.0145 - Certain entities contracting with Medicaid.
636.015 - Language used in contracts and advertisements; translations.
636.0155 - Disclosures required in contracts and marketing materials.
636.016 - Prepaid limited health service contracts.
636.019 - Additional contract contents.
636.0201 - Genetic information restrictions.
636.022 - Restrictions upon expulsion or refusal to issue or renew contract.
636.023 - Charter; bylaw provisions.
636.024 - Execution of contracts.
636.025 - Validity of noncomplying contracts.
636.026 - Construction of contracts.
636.027 - Delivery of contract.
636.028 - Notice of cancellation of contract.
636.029 - Construction and relationship with other laws.
636.032 - Acceptable payments.
636.033 - Certain words prohibited in name of organization.
636.034 - Extension of benefits.
636.035 - Provider arrangements.
636.036 - Administrative, provider, and management contracts.
636.038 - Complaint system; annual report.
636.039 - Examination by the office.
636.042 - Assets, liabilities, and investments.
636.043 - Annual, quarterly, and miscellaneous reports.
636.045 - Minimum surplus requirements.
636.046 - Insolvency protection.
636.047 - Officers’ and employees’ fidelity bond.
636.049 - Administrative penalty in lieu of suspension or revocation.
636.054 - Payment of judgment by prepaid limited health service organization.
636.055 - Levy upon deposit limited.
636.056 - Rehabilitation, conservation, liquidation, or reorganization; exclusive methods of remedy.
636.058 - Investigative power of department and office.
636.059 - Unfair methods of competition, unfair or deceptive acts or practices defined.