(1) Any prepaid limited health services contract rider, endorsement, attachment, or addendum otherwise valid which contains any condition or provision not in compliance with the requirements of this act is not thereby rendered invalid, but must be construed and applied in accordance with such conditions and provisions as they would have applied had such contract, rider, endorsement, attachment, or addendum been in full compliance with this act. If an organization issues or delivers any contract for an amount which exceeds any limitations otherwise provided in this act, such organization is liable to the subscriber or his or her beneficiary for the full amount stated in the contract in addition to any other penalties that may be imposed under this act.
(2) Any prepaid limited health services contract delivered or issued for delivery in this state covering a subscriber, which subscriber pursuant to the provisions of this act the organization may not lawfully cover under the contract, is cancelable at any time by the organization, any provision of the contract to the contrary notwithstanding, and the organization must promptly cancel the contract in accordance with the request of the office therefor. No such illegality or cancellation may be deemed to relieve the organization of any liability incurred by it under the contract while in force or to prohibit the organization from retaining the pro rata earned premium or rate thereon. This subsection does not relieve the organization from any penalty otherwise incurred by the organization under this act for any such violation.
History.—s. 20, ch. 93-148; s. 487, ch. 97-102; s. 1532, 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.