| 1 | A bill to be entitled |
| 2 | An act relating to health insurance; providing a short |
| 3 | title; providing a definition; authorizing an employee of |
| 4 | a corporation that employs a specified number of employees |
| 5 | to participate in the state group health insurance plan; |
| 6 | providing conditions for eligibility to participate in the |
| 7 | state group health insurance plan; authorizing a state |
| 8 | resident to participate in the state group health |
| 9 | insurance plan under certain conditions; requiring certain |
| 10 | premium payments to be made electronically; requiring a |
| 11 | corporation to apply for participation in the state group |
| 12 | health insurance plan; requiring a corporation to agree to |
| 13 | specified terms and conditions before participating in the |
| 14 | plan; providing for open enrollment in the state group |
| 15 | health insurance plan for eligible corporate employees and |
| 16 | state residents; providing a corporate income tax credit |
| 17 | to corporations participating in the plan for a specified |
| 18 | percentage of contributions made towards employee |
| 19 | premiums; limiting the total amount of tax credits |
| 20 | available to all eligible corporations to a specified |
| 21 | amount; authorizing the Department of Management Services |
| 22 | to adopt rules for the implementation and administration |
| 23 | of the act; authorizing the Department of Revenue to adopt |
| 24 | rules for implementing the act and allocating tax credits; |
| 25 | creating s. 625.083, F.S.; requiring financial reports of |
| 26 | certain health insurers to be reported on a combined |
| 27 | corporate basis; providing an effective date. |
| 28 |
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| 29 | Be It Enacted by the Legislature of the State of Florida: |
| 30 |
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| 31 | Section 1. Short title.-Sections 2 through 7 of this act |
| 32 | may be cited as the "Middle Class and Small Business Free to |
| 33 | Choose Act." |
| 34 | Section 2. Eligibility to participate in the state group |
| 35 | health insurance plan.- |
| 36 | (1) For purposes of this section, the term "total premium |
| 37 | cost of the plan" means the sum of the state's contribution |
| 38 | towards the premium for a state employee's participation in a |
| 39 | state group health insurance plan and the state employee's |
| 40 | premium payment for participation in the plan. |
| 41 | (2) An employee of any business employing fewer than 25 |
| 42 | employees that is duly incorporated under the laws of this state |
| 43 | is eligible to participate in the state group health insurance |
| 44 | plan as defined in s. 110.123, Florida Statues, under the |
| 45 | following conditions: |
| 46 | (a) The corporation employing the employee must pay at |
| 47 | least the same contribution towards the premium for each |
| 48 | employee who enrolls in the plan as the state pays towards the |
| 49 | premium for a state employee who enrolls in the same plan. |
| 50 | (b) Each employee of the corporation who enrolls in the |
| 51 | plan must pay the difference between the corporation's |
| 52 | contribution to the plan and the total premium cost of the plan. |
| 53 | (c) An employee of the corporation may enroll only in a |
| 54 | plan available to a state employee employed in the same |
| 55 | locality. |
| 56 | (3) Any state resident is eligible to participate in the |
| 57 | state group health insurance plan as defined in s. 110.123, |
| 58 | Florida Statutes, and may enroll in any plan available to a |
| 59 | state employee residing in the same locality if such state |
| 60 | resident agrees to pay the total premium cost of the plan. |
| 61 | (4) All corporate contributions towards a premium and all |
| 62 | payments for the cost of a premium made by a corporate employee |
| 63 | or state resident enrolling in a state group health insurance |
| 64 | plan must be remitted electronically to the Department of |
| 65 | Management Services. |
| 66 | Section 3. Participation by a corporation in the state |
| 67 | group health insurance plan.- |
| 68 | (1) The board of directors of a corporation eligible for |
| 69 | participation in the state group health insurance plan under |
| 70 | section 2 may apply for participation in the plan by submitting |
| 71 | an application to the Department of Management Services. |
| 72 | (2) If the Department of Management Services determines |
| 73 | that the corporation is eligible to participate in the state |
| 74 | group health insurance plan, the corporation must agree to the |
| 75 | following terms and conditions: |
| 76 | (a) The minimum enrollment or contractual period is 3 |
| 77 | years. |
| 78 | (b) Termination of participation in the plan by the |
| 79 | corporation requires written notice 1 year before the |
| 80 | termination date. |
| 81 | (c) If participation in the plan is terminated, the |
| 82 | corporation may not reapply for participation in the plan for a |
| 83 | period of at least 2 years. |
| 84 | (d) The corporation must reimburse the state for 100 |
| 85 | percent of the state's costs, including administrative costs. |
| 86 | (e) The corporation must furnish the Department of |
| 87 | Management Services with any information requested by the |
| 88 | department which the department considers necessary to |
| 89 | administer the state group health insurance plan for the |
| 90 | employees of the corporation. |
| 91 | Section 4. Open enrollment period for eligible corporate |
| 92 | employees and state residents.-On or before January 1, 2012, the |
| 93 | Department of Management Services must provide for an open |
| 94 | enrollment period of not less than 45 days for eligible |
| 95 | corporate employees or state residents who want to obtain the |
| 96 | health insurance coverage provided under this act. The options |
| 97 | offered during the open enrollment period must provide the same |
| 98 | health insurance coverage as the coverage provided for active |
| 99 | state employees under the premium payment conditions specified |
| 100 | in section 2. |
| 101 | Section 5. The Department of Management Services may adopt |
| 102 | rules for the implementation and administration of this act. |
| 103 | Section 6. Tax credit for corporate contributions towards |
| 104 | employee health insurance premiums.- |
| 105 | (1) A corporation whose employees are eligible to |
| 106 | participate in the state group health insurance plan under this |
| 107 | act is eligible for a credit against the corporate income tax |
| 108 | imposed under chapter 220, Florida Statutes, in an amount equal |
| 109 | to 50 percent of the total amount contributed in the calendar |
| 110 | year towards payment of premiums for its employees who are |
| 111 | enrolled in a state group health insurance plan. |
| 112 | (2) The combined total amount of tax credits that may be |
| 113 | granted and approved for all eligible corporations under this |
| 114 | section during any calendar year is $250 million. Applications |
| 115 | must be filed with the Department of Revenue for contributions |
| 116 | made in the preceding calendar year, and credits must be granted |
| 117 | in the order in which completed applications are received. If |
| 118 | the combined total amount of available credits is exceeded in |
| 119 | any calendar year, credits otherwise available under this |
| 120 | section may be taken by a corporation only if the corporation's |
| 121 | application has already been granted and approved. |
| 122 | Section 7. The Department of Revenue may adopt rules for |
| 123 | the purpose of implementing this act and allocating the tax |
| 124 | credits provided in this act to corporations contributing |
| 125 | towards the cost of their employees' health insurance premiums. |
| 126 | Section 8. Section 625.083, Florida Statutes, is created |
| 127 | to read: |
| 128 | 625.083 Financial reports; health insurers.-A financial |
| 129 | report of any health insurer who is required to file such report |
| 130 | under the insurance code, including any financial report filed |
| 131 | for the purpose of determining the financial condition of the |
| 132 | health insurer, must report the health insurer's finances on a |
| 133 | combined corporate basis that includes any and all subsidiaries |
| 134 | of the health insurer. |
| 135 | Section 9. This act shall take effect July 1, 2011. |