(1) Faced with the continuation of mounting health care costs, coupled with the interest of the state in high-quality care, the Legislature has determined that there is a need to explore intermediate or limited levels of delivery of prepaid health care services, with a view toward achieving greater efficiency and economy in the provision of these services.
(2) Prepaid health clinics, referred to in this part as “clinics,” are developing rapidly in communities in the state. Through these organizations, structured in various forms, basic services are provided directly to groups of people who make regular premium payments as a condition upon their participation. These plans, when properly operated, emphasize effective cost and quality controls.
(3) It is the purpose of this part to:
(a) Minimize legal barriers to the organization, promotion, and expansion of prepaid health clinics.
(b) Recognize an exemption for prepaid health clinics, when operating under a subsisting certificate of authority issued pursuant to this part, from the operation of the Florida Insurance Code, as defined in s. 624.01, except in the manner and to the extent set forth in this part.
(4) Although it is the intent of this part to provide an opportunity for the development of prepaid health clinics, there is no intent to impair the present system for the delivery of health services.
(5) The Legislature has determined that the operation of a prepaid health clinic, or the issuance, delivery, or renewal of a prepaid health clinic contract, without a subsisting certificate of authority constitutes a danger to the citizens of this state and exposes a subscriber to immediate and irreparable injury, loss, or damage.
History.—ss. 10, 11, ch. 84-313; ss. 187, 188, ch. 91-108; s. 4, ch. 91-429.
Structure Florida Statutes
Chapter 641 - Health Care Service Programs
Part II - Prepaid Health Clinics (Ss. 641.40-641.459)
641.401 - Declaration of legislative intent, findings, and purposes.
641.4015 - Part exclusive; applicability of other laws.
641.403 - Rulemaking authority.
641.405 - Application for certificate of authority to operate prepaid health clinic.
641.406 - Issuance of certificate of authority.
641.4065 - Insurance business not authorized.
641.408 - Use of certain words prohibited in the name of a prepaid health clinic.
641.409 - Insolvency protection.
641.4091 - Levy upon deposit; limitation.
641.41 - Annual report of prepaid health clinic; administrative penalty.
641.411 - Other reporting requirements.
641.414 - Investment of funds of prepaid health clinic.
641.418 - Examination of prepaid health clinic by the office.
641.419 - Rehabilitation, liquidation, conservation, or dissolution of prepaid health clinic.
641.42 - Prepaid health clinic contracts.
641.421 - Language used in contracts and advertisements; translations.
641.422 - Contract provisions incorporating charter or bylaw provisions.
641.423 - Execution of contracts.
641.424 - Validity of noncomplying contracts.
641.425 - Construction of contracts.
641.426 - Delivery of contract to subscriber.
641.427 - Notice of cancellation, termination, or nonrenewal of contract.
641.428 - Nondiscrimination of coverage for certain surgical procedures involving bones or joints.
641.429 - Acceptable payments to prepaid health clinic.
641.437 - Investigatory power of office.
641.438 - Genetic information restrictions.
641.44 - Unfair methods of competition and unfair or deceptive acts or practices prohibited.
641.441 - Unfair methods of competition and unfair or deceptive acts or practices defined.
641.443 - Temporary restraining orders.
641.446 - Cease and desist and penalty orders.
641.448 - Penalty for violation of cease and desist order.
641.452 - Administrative penalty in lieu of suspension or revocation of certificate of authority.
641.454 - Civil action to enforce prepaid health clinic contract; attorney’s fees; court costs.
641.455 - Disposition of moneys collected under this part.
641.457 - Exemption for certain operational prepaid health clinics.