(1) A discount plan organization may not:
(a) Use in its advertisements, marketing material, brochures, and discount cards the term “insurance” except as otherwise provided in this part or as a disclaimer of any relationship between discount plan organization benefits and insurance;
(b) Use in its advertisements, marketing material, brochures, and discount cards the terms “health plan,” “coverage,” “copay,” “copayments,” “preexisting conditions,” “guaranteed issue,” “premium,” “PPO,” “preferred provider organization,” or other terms in a manner that could reasonably mislead a person into believing the discount plan was health insurance;
(c) Have restrictions on free access to plan providers, including, but not limited to, waiting periods and notification periods; or
(d) Pay providers any fees for medical services.
(2) A discount plan organization may not collect or accept money from a member for payment to a provider for specific medical services furnished or to be furnished to the member unless the organization has an active certificate of authority from the office to act as an administrator.
History.—s. 31, ch. 2004-297; s. 7, ch. 2005-232; s. 19, ch. 2017-112.
Structure Florida Statutes
Chapter 636 - Prepaid Limited Health Service Organizations and Discount Plan Organizations
Part II - Discount Plan Organizations (Ss. 636.202-636.244)
636.205 - Issuance of license; denial.
636.206 - Examinations and investigations.
636.207 - Applicability of part.
636.208 - Fees; charges; reimbursement.
636.210 - Prohibited activities of a discount plan organization.
636.214 - Provider agreements.
636.220 - Minimum capital requirements.
636.223 - Administrative penalty.
636.224 - Notice of change of name or address of discount plan organization.
636.226 - Provider name listing.
636.228 - Marketing of discount plans.
636.230 - Bundling discount plans with other products.
636.234 - Service of process on a discount plan organization.
636.236 - Surety bond or security deposit.