(1) “Basic services” includes any of the following: emergency care, physician care other than hospital inpatient physician services, ambulatory diagnostic treatment, and preventive health care services.
(2) “Guaranteeing organization” means an organization that is domiciled in the United States; that has authorized service of process against it; and that has appointed the Chief Financial Officer as its agent for service of process in connection with any cause of action arising in this state, based upon any guarantee entered into under this part.
(3) “Insolvent” or “insolvency” means the inability of a prepaid health clinic to discharge its liabilities as they become due in the normal course of business.
(4) “Prepaid health clinic” means any organization authorized under this part which provides, either directly or through arrangements with other persons, basic services to persons enrolled with such organization, on a prepaid per capita or prepaid aggregate fixed-sum basis, including those basic services which subscribers might reasonably require to maintain good health. However, no clinic that provides or contracts for, either directly or indirectly, inpatient hospital services, hospital inpatient physician services, or indemnity against the cost of such services shall be a prepaid health clinic.
(5) “Prepaid health clinic contract” means any contract entered into by a prepaid health clinic with a subscriber or group of subscribers to provide any of the basic services in exchange for a prepaid per capita or prepaid aggregate fixed sum.
(6) “Provider” means any physician or person other than a hospital that furnishes health care services and is licensed or authorized to practice in this state.
(7) “Reporting period” means the particular span of time by or for which accounts are redeemed on an annualized basis.
(8) “Subscriber” means an individual who has contracted, or on whose behalf a contract has been entered into, with a prepaid health clinic for health care services.
(9) “Surplus” means total unencumbered assets in excess of total liabilities. Surplus includes capital stock, capital in excess of par, and retained earnings and may include surplus notes.
(10) “Surplus notes” means debt that has been guaranteed by the United States Government or its agencies or debt that has been subordinated to all claims of subscribers and general creditors of the prepaid health clinic.
History.—ss. 10, 11, ch. 84-313; ss. 187, 188, ch. 91-108; s. 4, ch. 91-429; s. 1599, ch. 2003-261.
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.